|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oor^/enUlnsulation
<br />Roof Sheathin
<br />Shear Wall
<br />Framing
<br />lnsulation/En
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />ineer Final ReportE
<br />Flood Zone Certificate
<br />FINAL
<br />Certificate of Occu an
<br />Notes, Remarks, Etc.
<br />Offi-Bu <t , Dcclni@
<br />I hftD, .fiim undr pcndty ofFrjsy firl r m doF fm 0r. Cdlrr.roB' Lic6t. llw ror rh. followint cad G4.701 1.5 Bl3ind
<br />od P6f6d6 Co&): Aiy City G Cmry *hict 'quiB . Fmil ro .@rtu! .tl.r, i,npro*, d.tulilh ot cpd. ey ructw, Fin ro is
<br />ntue, .bo rc{ui6 rn.4pli.{r f6tud p6hn 6 fil.. riln.d nrandr rhr h. d lhc i! licd3.<, p!ro o dE l@ariont of lh.
<br />cdnrco.! Licq!.d l3 (Ortrq 9. Co.tt'E.in8 ?iln Seiiq ,000 or Diviid I orrh. Bsin6 6d trclBid Codc) or tn{ h. a
<br />,h. ir.r pi $etm -d $. b{ir fr tt. .Iq.d adFjd . ny viohio of Scdl6 703 L5 by &y +plicat fo, . pcmn rubjeE rh.
<br />+pli@r io . civil p6.lty of not ru! lhu fiv! bu(H dolln (lt@).
<br />_1, ! (m6 of rh. Fqdry, d n, dployd ,illl ?.8s ! .ncir sl. MFulioq witl do thc ]Et ud lh. rhdu. n .or ihr.nd.d
<br />d oltcd fd !.lc ( Sc.?fir, BBi.d hd Prcfaiotu Codc T1l C.nur.tor'r Uc6t. Lo dG no( .r!ly lo e om6 ol fi. prer.ny
<br />,ho bril6 d inp.oE Uo@, td *16 d.d lEn wdt nirelf q ha*!f 6 tltN8h hn d ha M dplor6, Flvi&tl lh{ $ch
<br />inpotmcn& E! nor i ad.d ororlcr.d fcr.la If,n*ffi, rh. buildlis or,nprwm. ir rold withii oi. yd ofcohphion, $.
<br />Ownd-BuiEdrill t.s thlh,ira ofpro nS$rrh.d.honorb{ilddinproEfddEprrpdcofnl.).
<br />_I, B oma of $. F.?dt . m aclslrty dlEBrins wiln [cd.d oErcroi to cdrid $. Foj.( ( S.c. ,0,{4. Buin6 ed
<br />PrclBria Cod.r IXG Cotmdr"3 Ucat. llp do.' nor ryply 10 e wnlr of rr.Faty rho buil.l, 6 ilnr@v6 th6coo , Dd who
<br />c6rrr fd ruch prcjccit *nh . Conraw(, lieB.d pu6o&t to th. c6r&rd,s Licd. tr*.).
<br />_IEd Fu4krsccri@
<br />WORKERS COMDENSATIOIT DECLAR^IION
<br />I tdby.lfim undd Fn.lly of Fju.,6. of $. follwinE rt .l6ti6r
<br />_t h.w 6d,ill n in[iE. Cdtfloic o{Con6r lo SdHn,@ 16 adtd'.6Fu.rio. ! prDvid..l fd by S..ri6 1700 of lh.
<br />L.bor Codc, fd tn. prfru. of thc wqt forehicn th. pmi n ittud
<br />_l hlvr Dd will minl.in wot6' ohpdltid i Ufud. a rcquiEd h, S..rion 3700 of rh. Lrbor Cod.. fd rhc Frfomde of rhc
<br />ro* fd vhich lhit Fmit it isu.d My rdta' cmDsE rio i!'tlme c..riq &d policy nmbc, er
<br />Ciri-.
<br />cmp. .tid Pllvitio, of 3700 of 0'. Lbd Cod., I th.ll, fonn*idr
<br />\yAINING F.illE to !68 Rortd' chp6fli6 covos. is mploy.r lodihini p6.ld6..d civil
<br />fi,B up ro oic tru.b.d 6Mmd &U@ (ll0o,00o),ii i<ldido to dt.
<br />rhc L.hor c!d., i .r!lt tnd lndi.yt fc6.
<br />dsw6 a ,rovid.d f6 lhc S.crim 30?6 of
<br />LICrNSiD'ONTRACIIRS DFCLARTTIOIY
<br />Ih@b.flimundrpo.lryof Fj{r,lt.lLnliqr.dundnpovirioorcn. 69
<br />t[e DoiB od Prcfdi@ Cod., ed my li@. ir ln full fqq &d .lt a.
<br />I hd.B.tim 6ds Fnrlt] ofpdjlr, $ fid it r c@rrucrid l.ndiry.i6.y fd 6.
<br />inu.d (Sc. 309?, C\v. C).
<br />APPLTCANTIS Df, CI AXATION
<br />Ddblirio l.min-A$€lo No.ific.dd F.&.1RcBul.lio Gid..0, Psr 6)
<br />_ R.qliEd rrna olNotlic ,@
<br />-tyt{t",t
<br />t a.af',lldidr crrdiii rb6rd
<br />.-.l enify lh.r I t.E E d lntr rlpliqdd sd i.lc rn.t
<br />6d.!B ad sla. L.s ,.hin8 b boildi.g
<br />!bov. ,mrid.d prcpcrty fd i pc.$on puQ66.
<br />6n Ciry &d Cdaty ro mrd upo, th.
<br />HE@
<br />Masonry
<br />E\rirl r
<br />rED I
<br />I
<br />r --r--
<br />I
<br />i
<br />L
<br />I
|