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SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framrng <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handi Req <br />Leputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL 5/11/t-,2 JL 7L <br />Certificate of Occu an <br />Notes Remarks, Etc.I <br />\ <br />OWNI:R BUIt,I)IiR DTJI,CARA UON <br />I hddl rmm un&r pdrhl o, Fjua rhd I a .rdnF no.r rh. (odridrr' l.rca$ l.* for th. ldlosr* rosn (s(.70:rl J <br />It6ind .nd Profdion ( od.) Any ( iry or Counly which rcq!tr6 a p6nn to connrud. alr6, imlrovc. rlanolilh or qun ny <br />3rru(ruq prrr ro irr sutrc !k r.q!r6 rlE +rtrd ror *h Fni ro 6k.3isF.j srmr thd lE or iE i I'coE d Eed <br />ro lh. FoviiioN of rh. (inrraclor s Licns.n liw lclEptq 9- Comn.ncins with Sdn'n 7000 of Drvirion :r ofrn. Asrn6 md <br />P(, fsirG C&jc) or 'h{ lE r sh. it crmF thd.fhm rnd lh. bda for rh. ,Ls.d .roFFn. An) \ irhrF. ot Sdno 701 I i br rny <br />appli.afllor6pdnitlubjdslhclpphclnlkr.ci!ilp.n.hyoanormor.rhdnv.htndrddolld.(l5m) <br />l. B o*trd oath. Fotqly. or my oploy6 *irh s ds6 6 rh.n 5E rcmp.Ea nn. siu do EqstrrltlE,trdE6r{ <br />inodoi ororsldf(eL(5670.l,1.llBiBedPmfarioG(bd.:TIECo..crr!Liek*&<or+r,yroe6rEol <br />lh. pflrFny who hrlrh or inpro!6 tlEE( &d *lb &E rkh *..t hiE.lf oi hd*lf or rhrnush hir or lE os mphrc. <br />For iral rhd .u.n mF.EEr: E ml h6rd.d d olrdld i.r $k l[ h,*6a. rlE tlidirS or irynr66t i! $U silhh on. \@ <br />ofo.4Linl! 0EOqE EriEa *i,l hlrrllt hid6ofFor C thr lE n rh. dit d hlld or irprnE tt FIFD ror tlE FtrFaof <br />L a ow dfrh. r*opdy. o .r.lurrv.l! cofi&1ins *nh licsE d e'ntr&1oa to construcl th. ,mj.(1 (SE. 704,r. 86rn6 <br />rn PbrsmCorL IlE(\rkrdor'i LrNL!*&E Nr.rplrro iosnd oapr.Fn) *ho trildr or ihF.t6 rh6am. <br />ed who conrE(s for Ju.h r,ljdt wnh ! co r&1o(r lics.d puRrd k\ rh. ( onr.dois l-'(.@ l&) <br />_l dr.rdpr und6 S6rion_ <br />n0B(l;ElgDruilsAllax <br />DEOJAAI]Ai <br />I hmb! !m'o und6 p.n!lt\ o I polurv orc of rh. f(nhtr!ry n(Lmriou <br />-l <br />h,\.ddw,ll nuinlain oC.niliclr.of OrBd n, S.lt-l Bur. for *ukdr conrFnsnon,6 Fordal for b, scno.1701r olrh. <br />l.bor Cod., aor tlE Ffo.M. orrlE $wt ltr shf,h th. ,Emir 6 is{.d <br />_l h.r. &d [iU ornl.u slrlda comDosl ion iNurnc., s rcqut.n b) S..lion l'700 .l th. I sbor ( od.. aor th. nqfo'rruc. of <br />rh. sor[ for $hi.h rfi! Fm'r ! sad My wtrld. NmFMbn iBUr c cMir.n Flt] numbc e <br />-l.dl,rylhd <br />in rlE Ft(llrre. oa llE *o* td trhEh rht Fmn n isu.J. I shrll mt q.ploy uy rq$tr in uy Ba]rF <br />s a lo b.rirr€ ruhJ*l to lh. wort6'rchFEdtun hwr of C.l'fomia md 4r rh, if I tlbutt tE<om sqd <br />'o <br />tlr <br />Nrt6' omFutu Fui3ioB of S.dbr l?m of rhc lrhor ( odc I !hdl. fodhEith o'Iply tr ilh ttF* pmvLio6 <br />WARNINC: Failur. io ffi. *fitd $mpoMk n c\dsc E u.L*tuI &d !h.ll .ut (l o dpk lq lo dimdd Fl[li6 .ld <br />(i!il nn6 up ro ok h!.dBl rhotrsi &llG (llm.ur0), i, addntu. ro lnc.on oa.onF@rion. d-n t6 a povid.d aor rh. <br />\driun 10t6 urrh.lihn i'tuh '.rddnlrntr6'rfd;:""i/{i7r"iq;;;:;, "Z <br />e h [t:l';^ 9 Fnc a- <br />Lt(};t,)-uLrl)uM!.1j)-Bl,&(a&ull <br />I h@h, am!,n und6 Frxy o f lr6j!r_ rhd I m licdEcr undd rrer irnrn of (-h.pr6 0 (omffirn8 $ nh Sdio. 70qrl ol DNirNn l <br />of rh. Buri6 !d ProfBi,N Co&, dd Dy lt.e ! u tull tua d.fId <br />l"rtr b 5>6rMnK <br />co!ga!tllll!J,!!!aclcE!(} <br />I hd.b_ rllm u d.r tlMlty of Frury th, rlE. 6. odtud!'n ldin8 igtry f.r th. FfomrM. of ln work tn *hrh lhis psnn i! <br />isd.{(sG 1097, civ ( ) <br />atfurAdr.DliclaSarlQ! <br />I hdtt, afm uid6 F.llry of Fjury o.c of rht n'lb$ <br />'ns <br />dcldlt.nr <br />D.oohl i,n PonlAetElor Nolificr iotr lcdsrl R.8uld ioB ( 1 il k ,r0. tu16 ) <br />R.qun.J I drd ot Nolin(dhn <br />I .diiiv ihd r h. Lrl66l r.suld i.hs Eledar! 6b.sr* Gnoval d. nor q'plicabl. <br />'o <br />rhis pRrrd <br />_l (61ilv rll.l I hav..ca! lhs.pph(!rion ud srur. rhar rhcatir narr)n isc tr..r l4r<i,.d'ntl,* hall( [t rnd(-ounrr <br />odiMEs ind S!d. L.r. rcldrer ro ta'Binr codrlrlio lurhorur rq! snd tr 6 of I <br />rlx\. nrr roncd tr,fdl l(tr trhtsr <br />*-"*,',,,, (h I ffnce- <br />Lhi! (irr' anl Corry ro ors uFrn fi. <br />-,. l/31/t1 <br />BUILOING. INSPECTOR RECORD <br />q <br />S1