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BUILDING. INSPECTOR RECORD <br />SITE-WORK rD/srG.COMMENTS Oh6-BuilddDcleton <br />I h@b, .flim unde pm.l9 ofp.riury lh|t I D .xfrpr fm thc Conbrcrd Lico!. Llw rd rhc following '.aon G...rol I I Buri.a! <br />ed P6fsri6 Cod.): ,(ny Ciry d Cooity which tquiEr.p.6n ro cd.ruct, ah.r. ihprcv., d.moli.h or Ep.ir &r rtllcr!rc, prior to it!isqe, .ho rqlird rh. .prlaor fd ,ucn Ffth b lilc . dgn.n fl.6dr rhll hc 6 lhc n U.63.d puBlDr ro rho prcvilio.r of rh. <br />C6rxid" Licd.d r, (Ch$n ,, Cqlfficirg ?irh Setion 7000 of Divirion , of rh. Buri..s u.l Ptofdrionr Cod.) 6. rhd h. or <br />rh. t.x.rnpi thGim hd ln.b..tr fd$..,1.s.d dm'ri6 A.yvioh dofs..ti6?031.JbyMylppljcDrfor.p.mnrubj.csrh. <br />lppli.el ro r civil pcnnry of not no.! tlln fiE hun&.d dollm (1J00). <br />_1, a Md of tn. Fo?.n , 6 6, 69loyd ?irt e.!6 ! ti.ir ro,. .Mp6!tid, vill do th. pork lDd th. ntuciur. i aot ini..d.d <br />d o('.r.d ld ,rl. ( 5...7044, Bui.a ad Pref{i@ Cod.: T1'. Cdr&roi! Licor. L!* de! nor tpply ro M o*n.r of rh. ,rcp.ny <br />vho blildr o,i Forr th.iM, 6d who dos lch wdt hitu lf d hd.l r d lhrou8fi hir or h.r sn .hploy..r, providdl th{ tuch <br />impDvcm ll E noi inr.Ddld d ordd fd nl.. lf, hcq.ea. $. bujldinS or nnprcv.mar ir told wirhin oic y.f of colnplc on, rhc <br />O*na.Blildn *ill h!v. rh. blria ofprclin8 {:.t h. orrhc nor build dimpov. fd rh. purpo,. oftrl.) <br />_1,!@nqofd.p.6Fn,u.r.luiv.lyc6tr.rin,wirhlic.d6!doE.o.dnrudrh.proj.d(S?c.,0!t.Burn.!5Md <br />Prc&$i@ Codq Tn. Con .ld! Licd. kw do.! nor !ppl, !6.n qicr ofprcp.r, who buildr 6 iDprov.r rhc@. , ed who <br />coiE.d' fG ,uch p'oj..! *nh . co.tndo(4 lieN.d puBu&r ro 6. c@r rofr Licds. Llw ) <br />_l !n.rdpt undcr Selio -+B. & P C for tnir.a@. <br />WORKEtrS COMDENSA'TION DECLAIATTON <br />I heby .fim und, p.ndy ol Fj!ry 6. of rhc foll@i.B d*l6tior!: <br />_l hiE Dd *ill n.iitlin . Cdtilicd. of Cd6t ro S.lfinrurc lor work R' comFnlidon, s pbvid.d lor by S.c o. ,700 of $. <br />hbor @., ln rh! pcrfmmc. of 6. wo.l fn?hich d. Dnn n niu.d <br />_l n.rc .n.l will h!i.l.in vakd' cory.nrdd i urs@, a Equircd by Sddon 3700 ot d. Lrbor Cod., aor $. p.rfmsnc. of rnc <br />wdk fo which rhn pmn n ir!u.d. My *ortd' .6p.ndion idurMcc cmid ed policy iudb.r !E <br />th. Llbor Cod.i I rhrlli fodhwith <br />dolla (l I00,000),in .ddinoi ro , ds.r3 a rovid.d for <br />LI'TNSED CONTRAC'TORS T'ECLANATION <br />I h*by .fiim uid6 p6.lty of pdj.ry $r I a lic@.d und6 prcvirid ol Chapld 9 ( <br />ln. Bu!in6. Md Prcf6ri6r Cod.. ud 6y lica$ n h flll f6. &d .ltei <br />I oflhc qort fd which thi! D.hn it <br />civ c.). <br />AP}I ICANA'S DECI-ARATION <br />Dfiolirion !.hlrt-r\tb6rc Norifiotio F.d.nl Rcruhrio (TnI. 40, Pfi 6) <br />_Rrquid LcnrofNodfic iM <br />6di.dc6 md Sr . kw, El ins ro boilding <br />rbov. Mrioicd pftp.rt, for i !..tioi <br />,/ <br />2la <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oorfuenUlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />ln s u lation/En ergy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />Handicap Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certificate EXPII IED <br />FEE II I ii ti i:., <br />FINAL ean c R-r'.3 r1 <br />Certificate of Occupan cy <br />Notes, Remarks, Etc. <br />DATE <br />T-Bar <br />--------t------ <br />I <br />I <br />l <br />I <br />=