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BUILDING. INSPECTOR RECORD
<br />SITE.WORK ID/SIG.COMMENTS O6d Duildd D..lDrio
<br />I h.eb .ffifr uid6 p6ilq of pdjuq th.r I h ddF fm $. contncrd' Lic6r Lly fd rh. followin8 r.aon G.c.?01 I I au3in.$
<br />6d t6fd!i6 Cod.): Any Ciry q Counry *hi.h Eqlicr . pmn lo @lttud. rll.r, imp.ov., d.m61bh o. Epat q, lructuc, p.ior ro iu
<br />trMcq .&o Eqri6 th. .pplidr f6 Mt p.mn ro nl. r ,ip.d rlrl.hdt rnd h. or rh. t lic6t.d DUBMi ro lh. pmlirionr ol rh.
<br />C6tr-!dl LI.d.d rr {C1+r6 9, Cm.jnt wnh Sdrioa ,O@ of Divitid 3 of $. Burind ed Proadi r Cod.) or rh.t h. r
<br />,h. il .xhpi ln.Efrm hd rh. bait ld lh. .ll!s!d danFid .A.y viohnm of S.dio ?0, L J by uy lpplj.dt for . p.mir rubj.d! rh.
<br />lppli6r ro . .ivil pcndty of iot For. lhr. fiv. hudEd dollB (1100).
<br />_1, a oM6 of th. ptlp.n , d ny oploy.d wilh w.g6 s rh.ir rol. comp.rr.tion, *ill do lhc work rnd $. nru.lurc ir ..r inr?.d.d
<br />d olI6.d fd ,rlc ( S.c 70,4a, BBind s.t Profari@ Cod.i fic C6hd-! Li.or. Lre dG, nol ryply ro & o*nd of $. prcp.iy
<br />wto 6uild, d imFoE th.l@, ud *ho do.r ruh wdt hitucll n hd.lf 6 $rcu8n hn or hd own .nploy..r, provid.d lhar euch
<br />ioprcvool! ft nor lnt rd.d d o{I.Gd fr sl. It, bowcvn, lh. buildin! d inprovd.nr ir rold qthin onc ycarofdomplcion, thc
<br />O*nd-Buildd will t!v.lh. burda ofpovins thrt n. or !n. nor build or inpDv. for lh.puDore ofr!1.)
<br />_I, ! omr of d. ,.oF,ly, e .rclEir.l, c.,'tEcrinr wirh lifld oldd ro .dnrud rh. proj.d ( s.c. ?0.4, Blrir4, Md
<br />Prcfado Code Th. Co.mdMk Lic6!.lrv do.r rol +ply lo D ryrer otprcpny wto buil& or impDvs fi6.on , Md pho
<br />coiEr.$ fd luch proj.cn wit r Conmcto(, lic..rd pu6u&r ro th. conr6.ror'3 Lto!. L.w )
<br />_l u.rcmpt und..Se e-8. & P.C. tB rhir r oi.
<br />Dnq O*n.i
<br />WOR(IIS COMIENSATION hI]CT AR.ATION
<br />I h.rc6y .itm und.r p.ndry ol Fjur, 6. of tnr aollBins n6lmisr:
<br />_l h.vc Dd will h.i,r.i. rC.nlfiqt of Cmot t S.lf-IuuE for wqkd' cofr!.nrodon, s pbvid.dlorb,S.cdon37ooofrh.
<br />Llbor C.dc, for rh. Frfdfucc of $. wo* ftrrhich rh. pcon t in.d
<br />_I h.v. ud eill minrih w6t6' cd!.n!.ri6 lDurae, 3 rcquir.d !y S..do. !700 of rhc Loboi Cod., ad rhc p.rfmrnc. of lh.
<br />wort td which $ir pmil b krucd. My dkd' cdp.BAdon i utuc. c6i.! d policy nuob.r !r.:
<br />Pold N6bd' ErDn.r
<br />Ghi! rerlo n..d nor b. @6pl.r.d lf ih. pnhit ir fd On. hun&.d doll8 lt 100 ) o, I.s)
<br />-2(cca;g ttr;t tnc p<tmac. ord. qdl rr
<br />{.cm. lubJ.cr lo rh6 wortd cmp.nr{ion lrB
<br />rhich tit pmn n b!.4 I lhall nor
<br />of Cdifmir md.8Grh if I
<br />cmp.rrction p.ovisidt of S.cdon 1700 of $c Labor Codc, I rh.ll, fonnwiit
<br />)--2-o
<br />WARNINC hilur. ro r.c!E wodr.r' cmpd$rion cov.oSr n ro 6ihii!l pcilhi.! !.d.ivil
<br />lind up ro o. hundcd lhoured doll6 (l I00,000),in rddiio^ ro rh.
<br />rh. L.bor Cod., inr@r {d anmly ! fq.
<br />dm!8Ba provid.d forlh.S..tion 30?6 or
<br />LICENSIN'ONTA,{C|TORS DECLAf,A'ION
<br />I h4b, lmfrlndrp.nrlry ofpdjlry rh l o lic6!.d $dd prcvilion or chapr.r e (commscinB wnh s.crion Tooo) of
<br />ih. Burin., ud Profaidt Co<L, ud n, li.cnrc i! ln full ftrc.nd.lf.d.
<br />-'>-Ll.-
<br />I h.rcb, rllimudap6.lry of!.rjury $ ln@ n r conrucrio lddins rsd.,
<br />irr*d(s6 !0r?, oi. C.).
<br />p.rrm.nc. of tnc wo for w[idh lhn pcmn is
<br />apPr rc^llt's t)Ec! 4x TroN
<br />D6dili6 PmlE- rbtld Notificdd F.d.,.l R.g!l iod (Tnk 40, tsr 6)
<br />_ R.quiis{ L.lt6 of Noiiiicino
<br />loconpl, wirt lll Ciry id County
<br />lhir Cii, Md Countt b.m.r upon lh.
<br />!bov. ndri6.d pmp..ry fm inip.crid pur?d*.
<br />->4-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />r-rtr tJ![l :IJ
<br />FINAL rro-{tnan
<br />Certificate of Occu an
<br />Notes, Remarks, Etc.556. 667
<br />DATE
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