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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE rD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorA/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Oeputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate Et\r ll\E
<br />Frrt t ,nto
<br />FINAL
<br />Certificate of Occupancy SAMC 843,zg0 556' 667
<br />Notes, Remarks, Etc.
<br />Ohd-Build.r De,6ri6
<br />I h.Eby iftim lndr pdrlty of p..jury it.t I 6 crcrnfl fm rh. Celr.cloR' Licnr. Llw lot rh. follo*ii8 rcaoi (rrc 701 L, BuriiBr
<br />6d Prca.si@ Cod.): Ary Cir, or Coury phid EquiB . D. ir ro c6sE!.r, rlrd, iDpDli' d.rcliih or Eprn u, nru.tw, prior io ir
<br />nrec., rlro Equld tt. .p?liet ad tucn p.n to nl. r tigr.d rt.lmdr rirr h. d rt. ir li6t.d puBusr lo rh. pbvirio.r ol th.
<br />CotBo.l Llc.t!.d ln (Ctlrra q Conttmdit ?ilh Sad6 70oO of Dvitim 3 of lh. BBii6, sd Prcfcni@r Cod.) or rhr h. *
<br />fi. ir acmpt lhdfrft ed ti. b..t t6 fi. .ll.B.d .in 1i6 .Any viol.rion of S..don ?0! I 5 by ey iptlicer for . phn lubj.cir rh.
<br />lp?lhat to . civil p6dry of not ilm $d liv. hundr.d doll.r (t500).
<br />_1, a (Mn of $c Eop..V, or hy ndor.6 wnh wlsd a rh.ifuot. @hFs$on. wilt do rhc,qt rnd lhc rudur. t nor ini..a.d
<br />d off6.d f6 r.lc ( Sc.?04,1. Durird ed irefalio Cod.: Ti. Conlr'cior'r Licdr. Llw do.! .or apply to 6 orn.r of rh. ,rop.ny
<br />*ho blild! or inFo6 tltc!6. &d who rbd t*h *ort hirN.lf d hd.tf or thrcu8h hir or hr own .hpl6r..r, p.ovid.d lh.r such
<br />ihprcvdnE e iol iir6d.d or ofi.nd tcr nl.. tf, top.v6, rh. blildl.B or ihprovndr ir lold wi$in onc y.r or conpl.r,oi, rh.
<br />OMa-Buildn*ill hrv. rhc burda olproving lnll h. qrh. no1 build or impov. ao. lh. puod. oaril.).
<br />_1, s n6 6f d'. FoFny. n d.tuiv.ly cotuiina *iti lic.d.d 6ne6 ro co.rd.t !h. p.oj*r ( S.c. 7&a, Suindr lnd
<br />Pof.$ior Codc ftc Co rrctor! Licc . Lr? do€ iot !p?ly lo o dn6 of propdty who buil& or ihpov.r rhd.@ , ed *io
<br />.oint'b f6 ruch prcj.c6 wnh r Coit4ro(r) Ihd.d pu udr ro dr cdhcror! Lk.fi. L.w )
<br />*I m .x.mpt uidd S.ctid
<br />-&
<br />& P C. fa dit rcaon
<br />WORKEIq COMDENSAfTON NECLARATION
<br />I hftby iilm und.r p..dry oa Fjrry d. of rh. iollorinS d+ldti@r:
<br />_I hd. ud*ill ndndr. Cdri66t of C6hr ro Sdfi uE ld q.rk6' .mp6 ion, s rrolirLd fd by Seri6 rr00 ot rh.
<br />Llbor C!d., fq $c p.rfo1mcc of fi. e(k fd*hich dr. p.frn n iuu.d.
<br />_l hrv..nd *ill hlinliin wdt6' con!.niti6 icuMc., B r.quiGd by Scclin 3700 oflh. Llbor Codc, for th. p.!aom.nc. ofth.e* fd rhich thi! Fhn n isu.d. My *dtd' c6p.ht id iNrd.. .di.r ed polic, .unh.r .r.:
<br />tAo,n*^
<br />noi b. conpl.Ld r tn. p.mn n fo. On. hu.d,.d doll,! ll I 00) d 16,
<br />!h. pdfmua of dEwdt fd whi.h rhl! pmhh i$u.d,l ihall dploy dy p6son i. r.y
<br />b(h. rubjcd to rh. wo*6 !hB of Cllifffii!, ed !rr.. rh.r if I
<br />L.bor Codc, I $!ll, fonnwnh
<br />*0116' cohp.nriid cov68.
<br />do,ld (1100,000),in.ddition dM.B6 a provid.d for d. Sc.tion 1076 or
<br />, inrGl Dd ann.y! f..!.
<br />LTCfNSFN CONTR CIORS I)ECLARA'JON
<br />I hdby rlfim unddpc.rlry ofFjlry lh.iI6lien*d und.. Fovirio. oaCh.pt69 (.omm.ncing w S.crior,ooo)
<br />rna Buin.g ed ProL.riont Codc, ed hy licdr. t in fullfmc md.ff..(
<br />orpdjlrr lhar rh6. i, r cdntucrio Pl.fm... of $. {ak fdwhichlhis pcmit n
<br />, Civ. C)
<br />ADPI TCANT'S NTcl ARAT1ON
<br />D.nolitid Pcmik-Arbdlor Nodfic.dd f.d.El R.Sulition! (Tnl. a0, Ps 6)
<br />_ R.quiEd Ld.. of Noiiiicitim
<br />-t2yd,t"
<br />$. l'd lrclul i6!Egddins
<br />I hrv. ud$t lpplicllid rd ro.omply eirh lllCil, bd Canry
<br />odin&.6 ad Sbl. Lru Ehi.B.o
<br />I
<br />I
<br />Brown Coat
<br />Dll.: Omd
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