Laserfiche WebLink
BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/srG.COMMENTS <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />Subfloor/VenUl nsulation <br />Roof Sheathi ng <br />Shear Wall <br />Fram i ng <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />tylt4ason <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />En gineer Final Report <br />Flood Zone Certif. <br />fltoo+qFINALALt4t4 J _>'") <br />Certificate of Occupancy <br />Notes, Remarks , EtC <br />OWNER BUILDER DI,LCA{ATION <br />I he.by amrin unde p(ally ol p{yiury lhal I e exsnpr ForD rhc conlractom' Licens. ljN fn rh. follo{in! rcen (se.70l1.5 <br />Busin€ss and ftofdrion Codc): Any Cny or Comly which r.quts a Fnnir to constfld. a116. improve doolish "r r$an any <br />srruclrc, rtur to ils issu.ncc. atso .€qutB rh. arplic l lor such Frnit to lilc a sisn.d stotmdl rhar h€ or sh€ is licdr.d n6u@r <br />ki the psvtioB oarh. Conhclo.s Licensed Lrw (Chapl6 9. Conod<ing wnh s(rion 7000 oaDilision 1 oflhc trNins i"d <br />PolessionsCodc)orrharheorshciscrcmptthrefroomd(h.bsistorln€allcs€dero.plion.Anyriolalionotserion?0:ll5byany <br />.tplicadloraponirsubjclsrh.applica.rroacirilpe.alryornormorcrhmiv.hun&eddolltrs($500). <br />-1. <br />6 oBncr otrhc rmpcny, or ny cmployG wirh was6 6 lh.i. elc compdsalion, \ill do lh. wo.l dd ln. s&dm ir ml <br />i d\tdi orood.dfor elc(56.7044, aai.6 dd Phl6ioN Cod€: Theconrracrols l-ic@ tfl dod nor applr ro an own6 oi <br />rhc pmFly who buil& or ioprcE tt6sn. ald sho do6 slch $dr himsclior h.rlf.r lhrcush hb or hd oM.hdoy6. <br />providcd rhar such imp.ovcrc.rs d. mr inrodcd d ofided for slc I I hos6'6. rh. toildinr or inprewr G sU *nhin on. rd <br />of.o'npldio.. th. O$r{ 80'116 will har rh. hrdin of provins lha h6 or shE dd @l hnE or inprorc t. pmpdl, for Ih. Frro* ol <br />l. a ownr or rh. lropdy. m .xclusilcly conradinS $ nh Ii.aE d .odtdo6 to o,od rh. pmjal (Sr 7044. a6ind <br />and holcsion Codc Th. contr.rof3 Licds liw do6 nor apply lo u owns ol propdry who builds or inprovG rh6on. <br />and Nho conlr.cls forsuct proj..rs *nh !Co mclo(s) licas.d puBu.n ro rh.Conrrrcrors Licsc ljw). <br />-l <br />ancxcmp! und6 SNlion . B. & P.C. lorlhis r6on <br />D.tc OPner <br />]vaa(ESr.carEEts r!()!!Eeu8{!!o! <br />I lNcb! rmnn uDder rcnalry oipgiurv one of lhe folloNinr decledions <br />-l <br />havc &.d sill oainuin a Cdir{d. orconst lo S€lfJnsur€ lor worleB .onrp.ns.ri.n, 6 povid.d lor by Sstion l?0o o f lhc <br />l{txr! Code lo. lfic pdfomecc ollhc rvolt lor uhich lhe psmit G isucd. <br />_l havc .nd will ma' din wo.kcis coftpcGation iaurancc. 6 @tuncd by ser ion 1700 ol lh. libor Codc, for lhc pEfomdcc ot <br />rhc work f(tr *hich rhis pcmn is isdl My workdr compftdion insurm.. cmid ond p(llicy nualbs re: <br />worlss compmsdtionpruvtioN olsdrioo 3700ofrh. Lah.r codc.I shall. ao onrly qilh thore po isnrns <br />W,{RNINC: llllure to Bure workoJ compasrion coveragc is unla\fu shau subjer an mplot r ki dlnrinal Ignllis ain <br />.ivil fi es np kJ onc hun&ed ihoBdd douds ($100,000), in add't hp.rerion. dana-*cs 6 providcd lor Ihc <br />S€crion 1070 olllE t,ab.r Cod., iord6r dd .tror.ey's 16. <br />DECI.ABAIIO! <br />I h@by amrm u.dcr p@lly oa pdjury rlla I @ licensdj undd previlion ofChaflo 9(comdcinS enh S6lion 7000)oiDirision l <br />of lhc BsinN d PrcGsioro Codc. ad a, lictu tu in tuU lorc. dd cnc<1 <br />-7?6?d/ <br />co.Nsraucr()NlrNDtrc-dcErcl <br />I hscby amln trnds rEBltyoipsjuD- that ihqe is a consrtuclion lcndins aaoc) lorlh. p6rom ccolrhc\orkfor{hi.hriistdDir b <br />isstred(sa 10q7. civ c ). <br />AIILICANLDECITIE IIA! <br />I H,y nrm lndd !.na,ty of psjury onc of ih.lollowir8 delmlionsl <br />D.molilioo Pmnirs-Asbetos Nori6calion Fcddal Reg larioN (Tillc 40. Pan6) <br />-R.quir.d <br />L€tlcr olNolifi calion <br />I .dlil, rhd th. f.doal r.gularioro rcB&ding at-los ranolal d. nol ,pplicrbl. b lnis pmj6l <br />-l <br />c6rify thal I h!\€ rqd this appli.atioi dd srdl€ lh.l rh. aborc inlomation is cod..l I asrc ro.ompl, wnn 3llCilyand Counly <br />.'di',trncLs and Slnrc l.a\s rcliriry t, huildins c aurhorr. Icrr*emarirs oarhis (' <br />abovc trrsriioned prcpoly lor inspe.lion p <br />'\pplicnnl or ,\grtrt Signalnrr <br />'=tor7- {7 p5n/(, <br />'^';/,-,/""' <br />o-- <br />Set Backs <br />SLAB Floor <br />Brown Coat <br />,-. <br />I ccniiyrlEr in rtu peraomuncc oalhe wort for which t|k pdmir is issucd. I shallnot en{,loy any psson in an, rtund <br />$ dsb hAo,n. subjd nr rh. ulnk6 con+tudion laws orcalirofria, d.d aaN rhat irl should b(ome $rbj.d tr the <br />D{rc: <br />l,cndcisAd&s: <br />I <br />F---+---