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BUILDING. INSPECTOR HECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION
<br />I lErcby .frm undcr rEnrlry of F4ury lh.r I u .r.r{i 6.n rlE c..ldm Li!.r L.w for llE folbwiq ,wn tS< rolli,
<br />Busin.rs d l Proltrsion Cod.): A.y Cily or C.lnry *hth ErluiEr ! Ixrmr ro condMt, ihd. imrmvc, dcmnirh r EFn ony
<br />\lrErN. Fix ro irr ir\uE. rko ftnuiB th. {4!arr for sh Fmi to lil r tBd $r.mnr rhd lE or rlE ii latn€d polld
<br />ro rhc rmvisions ol !h. Cotrrtu.rols Li..n\cd L,w (Chorrcr 9. Commmi.S with Sdli,tr 7000 of Division I or rtE Buiifts sd
<br />RnLsirnr Co&) d rhrr h or irE i5 cr.r{, ih.rrr^,n.tuj rlr h..it ro.llE rlks.n.rc,rri'n A., vi,lrrhn of Sdin 7oll5 hyay
<br />rptli.r for ! Frmir slhjNls rh. rrllicanl ro ! civ il poslry ot dn tut. rh,n liv. hundt d dollG (15001.
<br />-1.
<br />.r owrr of thc prclcrry, o, my .trv,loFcr sirh wrSca I rh.i. {'h omFndhn. will do lh. wot and rli sErxlc it D!
<br />iddrLrl or olf.Gl ld sL (Sa.7O4a, Bu.iE$ ..d Pitrf*ri,N C.d.: Th. C.dddt LitM Lr ds Dl +ply ro ( o{E ol
<br />rh. r$Fny wlr t!i*,s m urpr.E tlEEn. rn *ho &6 tuh Mt hrrulf or h.Mlf or rhmuSh lis G hs os..mPloye!,
<br />I,mtilql0[l *n hrmtft r E or in illcnoorsd fd sl. ll, hRE tlE txillam arftfr'l i! sld *ihbm td,
<br />ofmnptirbn, rtE o.c Builtd wi[ h.E dE hrkn ofFlliry r lror.lr di! mr i{ildor in!r@ dE r&rhy ft,lhc Flposol
<br />-1.
<br />rs owE of $c r,ltlcny. mcrclurikly conrrrrins with lie.ed.o relor to llnlMt lhc rxDj.rr (S(.7044. EBiEs
<br />.d Aotsbo C6&r TIE Co.rEror'. Lt..- L.q dei mr .!?ly ro u orE of FoFdy wlb boild. or im,,ot! rlE 6r
<br />lnd who (rlrcts ror such lltrj..lr *nh ! Conrn rorl, lt.nd puNbr ro rh. (imturor'r Lic.trE L.w).
<br />I rmcrrn'|, unl.r Sr(rtrtr)li & PC for rhK,.x$n
<br />D.r.: o*m.:
<br />\t oRxl'E; I onlPr\s^Tl()N
<br />DETUIAIIO!
<br />I h.Rhy rlfi n undcr lEmlry ol pc.rury oft of rhc l(rbwir8 dcs[nrionr
<br />/, _l hrhJrl will nBinrrin ! Ccn irc.rc of ConEnr ro Sclll trsurc lor uort6' cdn{E.srn,n, '! pbvil.d aor by S<
<br />I & Gnc. ro, rlE Ffoffi nr rh. srl rd whrh rlE Ftur ! n1Ed.
<br />ft* ", *,, *.,- *oac'! conrtnurnn in\u,rE..6 rotud br sarnn rru, rr In r,ru ('od.. r., irE Frl,"fu! or
<br />\ rh. krr ro *hrh rhancm ^ h$6d My*rA6 (.r{En\dtr,n r$,m (uir rn lbli, numb.t G
<br />, "^1-, e.dopsol F;.. 4 (osuolh
<br />{,,.,-**{trcLr'tlsb I ',.,*.1@fu.c
<br />-l
<br />ccnify rh.r inr&FrformNor E*orlfrahrhrhBFhnari(su.d.lih.llml.rqoymyF.s.i.d,Mcrs r ro b.src 3uhj.cr b llE wort6' coEp.nsrion hwt of Califomi.. !.d !88 rhd if I stbuB b.cod suhtd ro rlE
<br />mrt6' on!.nsrion poviri,6 of Sdbn lr& orrlE Lbq C.d.. t rrEU. tdhwnh 6nvly *nh rb. pmviri,s
<br />WAnNINC: lailuE lo Ku. qo*cu or{Elrlion cowBsc is unbwtul, rnd rhll ruhj.rt rn crploFr ro rimhll tEsti.s.'n
<br />cMl nrcs !n ro oE hudEd thoord d.rllB liloo.(]q]r. in .dd $n b rlE .od of .odFNlioc d.rq!! N Fotn.d to. tlE
<br />DECTIXAIIII!
<br />I h.Eby rln6 u.dcr p.tulry or F jury rhar I m li*.$d undcr FDvirion of Cnlprs g ($.ms,n8 vilh Sdlnn 7mo) of Divni,n 3
<br />of llE Buritu$.,rl PDtcsrbB Cod., .n my lto- r i. tull loE !n cfidr
<br />\ es!,,. c-31
<br />'{y,,,. Lf slzor r
<br />r"*l;-.i,i;.\o?z\L I
<br />7
<br />n"-Prl 7uc.
<br />cI)ls[8ugrl(llffdllNclliE!!1
<br />I hftby .nrn urkr Fdlry of F.iry rh! hdr ir . odM-'. l.drS t st fo. dr Ff{rlr]IN d, rlE sn fo, sti.h lhn Fot i!
<br />ksu.d (Scc.1097. Civ. C.).
<br />t frL. . Addrcsr
<br />-ArtLll:AruEllJE DQu
<br />I hclEl,y din. undcr F.dry of r.rjury od ol rlE r.lloring dcL,lrionrl
<br />lxmlrhn Pc.mih Atb.no! l{orific{irn rrncal Rq:rl,'bns lTirk,lo, Pd6)
<br />-RqumJ
<br />larrcr of l*i'lf,srnn
<br />I cdiry rhd E fc&r.l E8lldbN qrJing .rttslo. Emv.lN 6r {)I,liahh ro lhn l,mAl.
<br />S\n'ry rr'ur r rr*.,r rt E tJr rrtn. drn (.rc,hr rhc.lnt i omdi,n n.oNi.I rsr r. ohrl, wnh .I cny rd counry
<br />ffi *ru::'ffi"-'ndhcrblN'is*EFccd*''*,',.'Zj;/;;';*
<br />(,-,**.,,n,,, -.t t a l4go{S\
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulation tl
<br />Roof Sheathinq Ut ,l\t u DflqK1
<br />Shear Wall
<br />Framinq
<br />lnsulationi Enerqy
<br />Drywall
<br />Ext./lnt. Lalh
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I .c -t
<br />FINAL 0 'Ll u{t-ffi
<br />Certiticale ol Occupancy I I
<br />Notes, Remarks, Etc
<br />T-Bar
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