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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS olxrn-Buildd Dr.lrarion <br />I h.rcby.firm under p.Mhyoap.qu.yrhar I am excmpr form th. Conlrc.toB Lrc.nset wlorrh.lollo*os rqs6n G- 7011.5 BBin6s <br />md Pmf.ssioh Cod.), A., Cn, o, County vhich r.qut6 a p.mn ro conntuct, ahd. ispror.. d.molilh ofu.pat any srru.ru.. piorro ils <br />is$hnc., ako r.qui6 ih. rppllca.t ror such pcmit to fil. a sisn d 3rrh. rh.t h. or rhc i! liccBcd puBuur h tnc provisioN ofrh! <br />Contrcror's Lrc.m.d Law (C&pter 9, Comn.n.rng wnh Sei'on 7000 otDivsDn I ofrhe Bus'nes lod P.of6sios Cod.l or lhrl h. or <br />sh. i5 .r.mpl rh.r.tron and th. b.ris for 1fi. allq.d .rcmption Aby violarion orSdion?011.5 by sny.ppliqnl for a pcnnn subjccrs thc <br />applictrnr toacivilp.mllyolnol mor.tha. five hundrcd doll6 (S500). <br />WORKERS COMPf NSATION Df, CLARATION <br />I h.r.b) afilrnundd pc@llloapcrjuryoncof lh. lollo\ingdcclaralions <br />_l h0v. and will @inldn a C.ni6or. olCo6ent ro S.lf'lnsure aor wort€6 cofrpens.iro., rs prov'ded lorby seclon l7o0 oath. <br />Lihor Codc. for lhc pcrfomtuc of lnc worl for Nhich ih. D.mn is issu.d <br />I h.ve.nd w'll nrainrt'n work.6 @mpenslion rnsumnce,.s reqoiredbySedionlT00oirh.hborCode.lorrh.p€rlornEnccofthc <br />work lor whEh thEp€rm( B Esued My work.is comp.neton flurd...mi.r aid pol,cy nunb.r r.: <br />_l c..iay th,! in rh. p.rro@nc. orlhc sort loruhich rht pmnil is isu.d.l shrllrcr.mploy any p6on in any m.md 30 s ro <br />he.m. 3ubr..r !o rh. Mr[e$ cohp..qrionhwsorC,hfo..ia.andasErharifIshouldbeom€tobJerrorh.work.c <br />co,np.MrionprolisioNoasction1700ofrhcL.borCod..Isnlll.fonhwnh.osply,nhihos.povi5io., <br />WARNINC: F!'lur.lo sccurc work.^ coorpcneriotrcovens€i.unla*ful.andshallstrhjecrrnenrployerlo(imin.l,.nali.sandcivil <br />6n6 up lo on. hundrcd lhosand dollaR ($100,000).i. addnio.lo rh. con orcomp.nsarion. dlmas.t 6 prorid.d lor thc S.dion 1076 oa <br />th. kbor Codc. 'nr.r.* dnd attorn.y\ t.s <br />ucEx$p-cQMaaeronlDrc!4B4.ro-N <br />I hr.by.firm und.r pcnilryofp.rjury rhar I dn li.cmcd undr provisio. olCh.plcr 9 (.onmcncins wilh Sclion 7000) olDivhion I of <br />rh. B6incss a.d Proa6sio6 Cod.. iod myliccnsc ie in tull forc. and.alccl. <br />carglB.!El&!!E!D!relc!!cr <br />I hcrcby anirn rnd.rp.ntrhyoiprjury thrr lh6. is 6 coahction lcndins ry.ncy for rh. p.rfomancc ollh. work forvhich $is p.rmit is <br />islu.d (S(. 1097, Civ. C.). <br />4IIU.qUUICIABAISN <br />Ddnolirion P.nnirl^sb.nos N.rin.arion F.dcral R.sulations (Tnk r0. tun 6) <br />Rertun.d klls oaNoxncltion <br />l.difyrhar rhc ftd.ralr.t!larions r*adins sb.sros rdDovtrlrr. nor applicrbl.lo this prorccl <br />I c.nirylhal I harc!c!dthn.pplicrlio..ndsrar.thit th. rbo!. inftmation is co(.cl l!rr.ctocomplysilhrllCitrandCounty <br />.rdnanc6 lnd Starc Liws r.l0liu ro huilding cos!tucrion, rd hs.h, lurhoriz. rcp.6.oklilcs oflhis Cily and County to dl.r uDon rh. <br />abo!. m.ni ion.d prop.n y ior inspd io. purpo s6. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfloor/VenVlnsul <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry r)? /,,,2,,/ )(/ <br />Pool Fence L//."/ t/L /c,4//L/ <br />T-Bar 1' <br />Handicap Req.a7 . /z ot// <br />Deputy Final Report <br />=-2., <br />,?rz <br />Engineer Final Report <br />Flood Zone Certif. <br />J <br />FINAL O/7/l/r,44 4/7 ) <br />Certificate ot Occupancy ,'l'al - -l -1V <br />Notes, Remarks, Etc <br />I lnspection Forms\Building-lnspeclion Record.doc 03 31.06 <br />I. a ownd 6arhc pop.ny, or ny cmployc.s w irh wag.s I ihcir sol. comp.ft ion, u itl do rh. sork ud lhe slruclu. is nor inrdd.d <br />or ofr.r.d fo. sl.( Sec 7044. Buinesssnd Proa.s'onsCod. ThcContr.crof3 Lrc.ns.I-!*do.s nor ipply ro m ow.er of rh. pop.ny <br />rno buildr or impror'6 I h.r.on. md tho do6 3uch wort hih*lfor h6.ltorrruough nis ornd own cmployes. provid.d ih.t ruch <br />hprcvm.ms d. hor i cnd.d or off.r.d ro,!e1..If. howc!(.1h. building or inpov.m.ni i!soldwnhinon.r.sorconplction. rhc <br />Ownr-Bu ild.r w ill h.v. lh. budco of prcviq th,i h. or !h. nol build or inprctt ror th. purpos. of slc). <br />l. 6 oqnd of !h. prop.ny. im .x.lusi!.ly conlr.dins *nn lic.s.d conl,acroc to @6lDd thc prcjd ( se 7044. BBin.$ Md <br />Pea.$ion Cod. Tt. Conrador's LEn$ bw do6 nor.pply ro !n oMr of prop.ny who builds o. rnprov.r rher@., rnd *ho <br />contacls for such projd, wnh . co ncro(, lic.m.d puBunr ro rhe conrdclois Li*ns. L{w ) <br />I m.xmpt und.r S.clio. .B &PC for this r.son. <br />Policy Nunbd:_E,rt s: <br />(Tnis sdio, n .d not b. conpl.rcd if rhcpmh tu aor Or. hundr.d do0s |tloo)o.h$) <br />-D.1",_