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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS Oh.FBuild6 D.cl6ion
<br />I h.Ebr.f,im u.dqgadty ofpdjurr 0r.r I s*6ptfmth.Co 6cl8' Lh6r Llw for rh. following r.aon G...rol l I BBii.$
<br />ud PofBrioi C.d.)r An, CiV r Coutrty rhi.h BqliG . paflit ro c@ttrlct. dtr, i6pror., d.molirh or r.p.t uy nrudlr., p.ior ro ir!
<br />ir,M..,.!rc Eq!i,6 rh. |,pliol f6!uc[ pmn b fiI.. ri8n.d rth r th.l h. or.h. t licot.d ,lBurt ro th. proti3iom oi rh.
<br />Cor*lort Ll@.d Ls (ch9rd 9, cffi6cjni *irh S@.i6 ?000 of Difiioa ! of $. Buriics rd Profcsioi! cod.) or $rt h. d
<br />th. it .r.n?. fifrtn ed th. bair fr $. rll.srd d.rlpri6 ,Any vioL 6 oa s.di6 703 I J by uy .pplicst ftr ! p.mn ,ubj..!! rh.
<br />lpplior ro ! ciril p6.lty of .d 60r. Ou fiv! hud doll6 (1500).
<br />_1, ! omd of rh. Fq.ny. or f,, hplord *it x8.t ! rhci rolc cmpat.rion, *ill do rh. *ork lnd rh. rucr!'r i' Dor i.r.ndcd
<br />n olTd.d fd rl. ( S4.?04r, DuliM &d Prof<i@ Cod.: n. Cemcrd'! Lic6r. L.* d6 not lpply to e ow.6 of rh. prcpary
<br />qho b!il& d ihproB lt.16, 6d wlD dd rkh pot hid.lf d hd.lf or thEuSh hir or ha d. .mploycr, ,bvid.d rhrr !u.h
<br />inprcvmdE e iot iir6d.d q of.rcd f6 slc. ll hop.K, rric buildliS or ihprovlrnor i$old wirhin o.. y.r of.onpt.rion, rhr
<br />Omd"Buildr*ill h!r. fic burdd ofprc ns $d h. d th. nd build or imprcv. fq ihc pu.p6. oa r.lc)
<br />_I. r own6 ofd. p.oFdy.6 dctqi}.l,.dt ..rins *ith lic.,Bd e.h.rd io.ohritu.r rh. p.oj.cr ( Scc. 7044i Buri.d! sd
<br />Pdf.tlion Cod.r T1. Cdt&tor! Lh . Llw da iot lr'ply !o s d.o ol Fd!..ry who buil& or inpov.r ih6.on , &d *ho
<br />coiEe$ fdruch ptuj..r *nh r codE&ro(r) lic cd pududr to $. cmrrcto.r Lic.N Li* )
<br />_l m .rcfrpr und.r S..ti@ .8. & P.C. fn tht r.aoi
<br />WORXIRS COMDENSATO D'CLARATTON
<br />I hcr.by nffm .nd.. p.nrr, of p6ju', 6G oa th. followins d.clmriml
<br />_I h!!. &d qilltuiiltin rC.ilificft olCmlat.o S.lfJnru.. ad*ork.R'cohp. {ion,s pmvid.alorb,S.crionlrooolrh.
<br />Libo Codc, fd $c p.rfcfuc. of rh *dt fq whkh rhc p.mn n i$u.d.
<br />_lh."c.ndsiUmintlinwd*6'..mp.n!{io.iButue,a rcqdEd by S.ciion 3700 oflh. LAbor Cod.. for rh. pcrfmfi@ ofrh.
<br />wdk fo which drn pmn ir ir!!.d. My wdtd' cooFnudo ierucc c6ir ed poli.y nunb.r m
<br />Polig Nunb-_Erpi
<br />Ohirlmo i..n nor b. mpla.d la.h. p.mn ir l o..han&cddollc {ltoo} 6I
<br />-21 c.nif, Ou i. lh. pcfollMcc of dE ed* fs *hi.h tnir p.mir ir it$.d. I
<br />b.cm. !!bj.d lo thc wt6 ' com?.E.lion l.*r of Crlifomir 6d rsG lh.r
<br />comp.n$don Prcetior of s rh. llbd Codc, I ih.ll,ldhwnh
<br />1ryARNING: I.iluc ro ecuE *dl.u' .odp6!r$on covd8. k m .nploy.r lo siminrl D.n!hi.s lnd civil
<br />find u? to d. h$&ld rhdrsd dolla (t,00,000),ii dditon ro rtu cd. of
<br />'h.
<br />t borCod.,,ntGr Ddanomq! f.6 , dmgB a provid.d for rh. S.ciion 10?6 of
<br />LICENSf, O COMTRACIORS DECLAR{TION
<br />I hftb, lmm und6 p..rlty of Fjury lhrl I o licd.d undd prcvirim of Ch.pr6 I (
<br />ih.Blrin.gsd Proldrio.t Cod., mdhy liccn!. ir ln ful I forc. ..d .r.cr
<br />I hdhy rllim !nd.rp liy ofp6jury$ 6d.nrc@lrocrid ofrh. worl for *hich $n p.mir t
<br />I$u.d(sc 1097, Civ. C )
<br />A'}LIC^NT'S DTCLARATTON
<br />Dmdnio PolE-Alb.lro Nodfclrio F.dcd R.8ul.ioN (Tht.,rO, ldi 6)
<br />_ R.quird Lcnd of Nolificltion
<br />l.Br&rocomply with rllCiry ind Colnry
<br />$ov. 6arim.d pbp.ny for in+edon
<br />ofrhi! Ciry Md Counr, Io ?.r.r uron rh.
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloorfu enVI 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 />En gineer Final Report F\,arr
<br />Flood Zone Certificate
<br />rco n'I ln:q
<br />FINAL sAlvlo s.{3. u:xr. 5sG. 067
<br />Certif lcate of Occupancy
<br />Notes, Remarks, Etc.
<br />DrG Omr
<br />LHddr Addrs!
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