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SITE.WORK DATE
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB F|oor
<br />Subfl oorfu enUlnsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report EXPI D
<br />Flood Zone Certificate
<br />U1FE , i:'
<br />CI rre r'ds 200 .556 6{f:
<br />FINAL
<br />Certiflcate of Occupan CV
<br />Notes, Remarks, Etc
<br />Om6-AuildB Del6ton
<br />I hfrby .fiifr !nd.r p.nrlt, of Fju.y t1 I rn a6r lm rhc Co.t_r.ts' Licdrc L.w fd rhc fouowins c.ro G4.701 I J Buriidr
<br />md Prcfaid Codc): Ai, Cit, d Couny whi.h equid r p.dn to c6rruct, rlt.!. imp6!.. d.mohh or rp.n ey nrucrurc, prior ro iu
<br />i$uc., .lD EquiE !h. .ptli.ur t6 .ud Ffti to 6lc . .i8r.d lntcfidt $.1 h. d lhc i! li.d.d paBuer ro th. trorhionr of $.
<br />C6EEr6'! Lica..d Le (Clryid 9. Cormn ini *ill]t s..rid ?000 of Dilirion ! ofrh. BBhd &d rrcfalid, cod.) d rh.i h. d
<br />rh. i. cx.hti $dlfrn 6d ti. Lrir f6 fi. rfl.i.d qrnptid .Any viol.tid of S.crid ?0, ! .5 by sy rrplicsr lq r Fmn ,ubj.c6 th.
<br />+pli6r to . ciril p6dry of d 6oE ol|n liv. hu,|&dl douan (1J00).
<br />_1,! (M6ofrh.lrop.n.ornyd?loydr r.s6 c rn.ir rol. cohparlrion, sill do $. wort rnd rh. rucrlrc ir Dot inr.ndcd
<br />o offd.d f6 .il. ( S6.r04t, Dudn &d Prcfcrid CorL: Tt. C6lrr.ror'r Li.or. L.w do.! nd $ply to u ow..r oa thc p,opcay
<br />who bqildt oi imprcvB lhffi. ed who .lod Mh wdk hid.ll or h6.ll d thrcuBh hir or h.r @n .mployct, provided lh.r luch
<br />inprcvnfir e nor inr6d.d 6 ofid.d lor ril.. lf, to*.v6, $. blildlns or inprcvndr k 3old wnhii oic y.a or.onpldioh. rh.
<br />Own(-Buildn*ill l.v.lhcburdo ofr@jng $ h.or!n.noibuildorinp6v.fdth.pu.pot.of!!1.)
<br />_I, ! @nd of ln. FoF rr. h a.luiv.ly cohcrinr *i$ lien,.d 6lfuc ro .on.hcr rh. Fojet ( S.c. 70a4, BulinBr sd
<br />!rcf.si6 Cod. Tl* CmtrktoCt Uc. . Lrw do.r ior !p?ly lo e wir of p.opary *ho buil& d ihpov.! rhd.on , &d *ho
<br />coiE&rs for ruch pmj.cE wnh . Cdk.cro(r) li..B.d plnuot ro 6G Cdmcroas Lk.m Ld, )
<br />_l m .x.mpl unda Seri6
<br />WORKERS COMDFNS4l,rON DTCLARAf ION
<br />I n.r.b, .mm unda pcnllty of prjury o. ot $. folloin8 d.cl6rid!:
<br />_l n!v. md,ill miinr.in. C.nilic .olconsrloSclf-I oB fq qo.kd' cmpanrion, 6 !rcvid.dforbyS..donl?00oflh.
<br />L.bor Codc, for !n. p.rfmc. of 6c po* for pthh rh. pmn n irtu.d.
<br />_l h.v. ..d will miri.ii ,6ld' cofpcnotio inruM4, B EquiEd t'y S.crion 3?00 of rh. Llbor Cod., for ih. p*fomonc. oa th.*dl fd *hi.h rhn pmn n isu.d. My wdt .r' .o6pcnt.rim i@rD.c cui.r ud polic, nlmb.r rc:
<br />Polic, N6bd:_ExDiB
<br />/ cdtrt th,t intc
<br />b. cmpla.d if 6. pmi ir fd Oic hund dolla {t 100 ) or l.s)
<br />pdfom.n.. of d. wo* ra *hi.h thit pmir i! i!!o.4 I ihall iot
<br />{dtd ' c@p rrioi hs of C!lif6i!, $d !8re $l ill
<br />Labor Cod., I rh.ll, fonhwirh-o
<br />WARNINC: rlillrc lo !ftur *ortd' cornp.rntion com8.
<br />finn up ro 6. hun&.d $@od dollq (llOo,oOO),in addiio ro
<br />rhc L8bor Cod., ihtddtEdanom.y t f.ca.
<br />a p.otid.d for th. S.crion 10?6 ol
<br />LrcrNstD aoftta,{croRs DEcLARTfl oN
<br />I hdby .fiim urdn p.nlhy of pcaury lnll I m lic6r.d und6 Fo,ilion ol ChapE 9 (comh.ncins wilh
<br />rh. Bulindr ,d Profsrimr Co&, ud my lica!. h ln full lm. rnd.ff.c.
<br />I hd.by .flim u.dq parlry of Fjwy $ir rh6c i! . .dntudid
<br />itlu.d(Scc 309?, Civ. C )
<br />ptram.nc. of lh. wort id which $t p.mn n
<br />arlr rc^N1s DEar aluTloti
<br />Ddditih Pffinl^rbclls No ficldd f.a.d R.Bullioi, (Tnl. 40, P.n 6)
<br />_ R.quiEd L.n.r ofNolific.tion
<br />_l.dli9$ rh. l.dmlEruhidr c8rdins ab6rd
<br />-/fzffiify $( I htu Ed lnL rrDlicldo Dd ,rrc rh.r
<br />ornin&c6 &d Strr. lrq Elnin8 toblildin8 s City Md Counry Io.nr.r
<br />!bov. h.ntld.d prcp.,ty fd ispcclid purpdB .-D
<br />II
<br />BUILDING. INSPECTOR RECORD
<br />tD/stG.COMMENTS
<br />-o
<br />Erection Pads
<br />Shear Wall
<br />Pool Fence
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