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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coal <br />ltrlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />.\ <br />FINAL -3 'i1 .!.\tr.k. <br />Certificate of Occupancy v <br />Notes, Remarks, Etc <br />o <br />^ <br />I n&cby,lTtr,n tnder Fnall, ol pdlur) lhar I dn cxemo 6orn thc (onta.tors' Liccnse l2w lor rh. lollosins reMn (s( ioll5 <br />Uusin6s dd Prol€sion Codc): Any Ciry or Counly which r{ut€s a Fhnir ro co.slo.t, .lld. imprcve ddolish or rqDn uy <br />stn,cru!€, rior lo irs isuan.., nlso r.qut6 rhc rtpliclnr lor sucn pdlrn to nba sisnedstatmdl lhal heorshc 6lic.ns.d purslmr <br />ro lh€ povisions offie Contracloas L(ensed La\ (Chapte s. Comnflcins vnh s.{rion 7000 of Divisioo 1 otthe Businss ad <br />,rofessionsCod€)orthar hcorshc is ei€mpr rhBelion dd rhc basa frrhe allered cxcnrprion Anyviolalio,ofseclionT0rl 5brany <br />lIpplienr n, a ptrir subj(G rhc appli.anl lo a cilil penak, ol.or Dor€ lh li\€ hundred dollas {$500) <br />l. 6 orvnd ollhe pmp€n,. oDny€'nploy!6 *ilh rvagd s then sh c.frpoB.rion. willdo thc vorl drd tnc soc1o. is no! <br />inrnldi oronered for el.(sd 7044. Busind d Prof6sions Cod. IheContacrdisI-ic.MIavdo6norapplyromow.4ol <br />lhe pmrdy vho builds or impror'6thron and * ho do6 such srrk hitucll or hd*lf or rltrough hh or hq own cmpbr6. <br />prorided rbar such ihprorffirs 6 e ml intad.d or oflq.d fo! sle. l( hoNq 6. th. buildii! or impoldMr is eld vilhin on€ yr <br />ol.ompl.rion. lhc O" nd Buildo sillhav. E hndd oatro\inB rhd hcor sh. dil nol buildor imprerc thc pr.Fdty for lhe plQorof <br />_1, aro$,ne olrh. !rotd], m€$lusiv€lycontra.lins rvith lics.d cont racloE lo .o niruct (ht F.ojd (s(. 704.1. B6in6 <br />and Pnli:shnCodc rheconlfl.ror's Liccns.Lawdo6 ndr applyb & ownE o aprcp.ny sho builGor nhProv6thcreon, <br />and wlb c.mDcc lor su.h pmja.ls silh . Contmdo,(, licsed puBuant to lhe conlmcroi. Li.m. Las) <br />_l m.xcnrfl und6 sNrion . B. & P.C. for this rtun <br />l!oB[!B!](a]!!E!lalloll <br />DlClAaALlqr <br />I hcrcb! alrnn rnd€r !€nahy orprjury on. olrhc nnldli'rs dLtlt,rir!r: <br />I har€ od s ill nainlain a Cqrific.r. of CoGdr ro Sclf l6uE lor \rorksr conrpeneriotr. 6 provided lor by Ssrion 1700 o f th. <br />bb.r Cod., for rh. Faom c.otthcvort fo. rvhich lh€ p6nil is issu.d <br />-lhalcandLvillnaiorainwo.r!co,npesrtioni.snrec..6r.qrnedb!Selion1700oflh€Lah,.Cod.,forthcPdfomdccotro' trh(hrh6 pan s su.d vl w,ler rompdeior i6ur&c.cm6 d polic) numba e.- Stc.lc- F"n d- <br />o g\4 ,"'rl-t -t1 <br />-l.di!rbar <br />in rn. p.rfomancc ollnc \vorl tor Nhichlhisp.nnil is irsued.l shall nor ..Ploy any P€6on inanyn,dnd <br />s 6 ro becom€ slbjer to rh€ srrld .ompdErion la$s ol crlifomi& Md os.e that it I should b.cod. subjdt to th. a,\rork6 conp.@rion proririoG of sdio.1700of Ihcbt r Codq I shall- ronhs irh cohrly with rho* prolisio6 <br />wARNlNc F{ilurc lo src rvortC contorenon .ov@gc is unh*ful. dd shatl subid oDployr lo odiial Fla[iJed <br />civil fiocs up lo o,e hundr€d rhousdd dollm (S100,000). in ddnio" ro $c cosl of comp€nelion. dan,8s a pnlidcd lor <br />'hc <br />il I\L ': r Csi C\ <br />DICI,ASAIIO! <br />I h@by af'ft und6 p.n4ty oa p6juy lh, , o lic€Eed udd Fovision olchaplq I (omm.ing * irn Sdion ?000) of Divnion l <br />of the lrusins d ProfNioru Cod., a.d fty lic@ ir i. lull lorcc ad €ffel <br />A,ct\S1l bs'\ <br />-t(-D o-t 6 O{-G irrU <br />CONSTRUCTION LENDINC AGENCY <br />I hmby aftflb undd p6nhy of pdjury lhal lhq€ is a cotrslruclion lordins aso.y for (hc palollMce of th€ Notk ror whi.h (his pdnn is <br />6!ucd {sd.3097, ci!. c.) <br />ATTLICANLDECIAEAIIAN <br />lholbyafiinnundq psahy olpcrju.y one ofthc lollowing del&arions: <br />Donrliion PErnirs-A\b.sros Nohli!drior redfldl Peeuldrion\ (Tirle 40. Pd6)-l_ <br />LR.rqumd t!rer ot Nonfi cdon <br />-l <br />cd iry rhat rhc lcdcral rcrularions resdlLn! db.sr.s imoval a! not applicable lo ths prcred <br />-lcmifyrhat <br />I havc rcad rhisapdi.al . rha( lhc alF\. nrlomarion is corecl.Iis'e ro com y\virhrllciryand(ornl! <br />, <br />'nrnccs <br />in,l\rire Iitr< 'rlJrin! r,n(tucrio.srnd hfteb, autho,t€ rcpl6{talivB of this Cily od <br />t-1 t <br />(-L=r^ !C.\ <br />,r,.1 o <br />I <br />Fo rm si Stee l/H o ld own s <br />x a-L I <br />t r) <br />L.ndd , Ad&s <br />- <br />I <br />I