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BUILDING- INSPECTOR RECORD
<br />DATE IDiSIG.O}VNDR BUILDI:R DEL('A RATION
<br />I hcr.6v rfltm unJ.r icnrlry ol !.rjry rd I an cr.npr lixm rnc Conra()E' Lic.tr\. l-rvnitr rh. n,lbdin'! rcivn (S.c 70r15
<br />BneNs Md I'rolasson Codc) Dy C y or Counly sh(h r.!nm( r |f,n r r' .1xNlru.r. llrcr. nnpn,vc. Jcmolish ,{ NIrr rny
<br />{n'.nrc, nrrtrn) rr\ sNaN, lho rcqtr'E{ rhcln0lrrnr i,tr s'(hrEmnrlo lllc, sisncd drrcmnr rlur hcor shc is l'(n{(l Nr{inr
<br />l. lh. lrtrrrn s of rhc C.nka.rtr's LNnscd l-.q ((hdpr.r 9 Co nn.nc rg wih S.(rion ?0tX) ol DivirN I ofrhc ltusinc$ rnd
<br />Prntsi{lrs CoJc) or lh.r hc or shc he\cnlpllhcrcl'ronr inl rhchrss n)rrhcillc3cl c\cnrfi.. AnyvidlrionoiSccrionT0.ll.5hyanl
<br />rpphcrnr L, r pcrnnr stbjcrh rhc rptli.rnrb a.'vilpcnalr:/otnorBrcrhrn tiv. htnllrc'l rlollah(S5flr)
<br />l,r\.wncrotrhcphlEny.orNycmtl,'yccswil[wr!.\d\llriisdLc.nrcnsrri(,n.*ill,lolhcw.rkar thcsln'cllNi\nor
<br />n .RlcJ o. oli.rcJ liy srlc (St 7l).i4, Bu\incs rn(l Pn,tas{ons C(rlc I tu Conr6crtr's t ic.nr I i,a Jo.s mr amly b rn osftr or
<br />rhcF{Eny who hu'ld\ nr mFJvc\ rlfld4 dnd wh, d(A nkh k* h'ns.lf.r lrc6.ll or lhn'u8h hr or hcrown cmpl')ycc\,
<br />nn,vrn d rhrr $ch in,pn,!.nrnh rrc mr i .rlftl r ollircJ hn {i1c. ll la,ucvcr, rlr hu Lll]i'B or inDtuvcrmnr is $1d wirhm oD. ]er
<br />.lL$trUlrron, rh.(rwn.r Bu' n w'lllHr rlf,fiorJ.tr.lpov'ngrhi h.or c,il norhu l or mlpnrc rhc nn,Fny ntr rlt purt'{ or
<br />I rnrcNnfl urlcr S.(rirtr
<br />lV()R(l:I{S' ( Oi\IPI.INSA t()N
<br />llE!!4ts{r!!r!
<br />I h.r.liy rlli'r trfti.r |tDlrv ol pcrjur oN or rrr lnlb*n!,1.(l ,rri, \:
<br />-lhivcrr.lwillm.inrrinrCcdifiurcolConsenrtlSclf-lnsur!ltr*orkcscolnpcnsarion.asr&viJc'lirhyScrrio.]700orrh.ljlxtr c\rlc. tur rhc Frlbrmmcc .l rhc wolt tDr whieh lh. p.rmir
<br />^ i\{cd
<br />I hr\ c !n'l will mainrah workcri .ompcnsati,,n innhtuc. m rcqurc,l hy Sccr iqr .l7lxr or rhc l-ah.r Q)'lc. tur th. Ir.rlrnmcc or
<br />rhc w.'k lnr wiirhrhis pcnnir is r$ucJ My*.rk.F .onrncnsrlnr iNnrun(cutr, tr'kl lrli.ynum6crrchwtlvtLdnzv?\ct+
<br />""' W(-Soq\u Ola \...' lt I lz-ezo
<br />t.cnily lhar h lhc!.rt irnrnccoflhc work lor whirhih's pcflhn $ i$Nd,I slMll nol cmtllyaryrrlr inatry mrnncr
<br />{, n, t[qR!'h].d n)rh.k'rkcn .onrpcnsnl!'nlawxorc.lilnnrir. nnl a8rcc rhd n I sh'ulll hcconr suhjcrr n'rh.
<br />work.'s.on{'.tr\aro!povtn'n!olScrrion.lT([]ollhcl;rhtr(iic.lshrll.llnhwirh.omflywihrkxpmvis(,r
<br />WALNINC: l-lilrc r, s.urc wo!kc6' cdnr|x s,nnr ovcnlc is utrtnuhrl, ind dFl! n'hjc.r ur cmphycr llr dmmrl o$ili.s rtr'l
<br />.Nil lln.\ xp b.nc hundrcJ rhouB l Jolla^ (lllxr.lxx)). rn i&nun tr) rhc.od .l .onr.!\rriqr. 'lrrofcs r\ 0(,r"lc'l lnr rh.
<br />Sc.rion 1076otrhc l,rhtrCoJe. inrcrcn o'l lrk,my s rirs.
<br />ll ot lz<tzP
<br />DFCLARATION
<br />I hcEl'yrlllntundcr pcnaltyollcrjulythd I anr li(n*J rnJ.i pn'vr(ioi t Ch{rrcr 9 (.onnRn(in! *irh Seron 7(xJ0) o, DNi\im :l
<br />, rhc nu.urr. iiJ Px{r\ rl.\t qlr. r.J nrJ lr. \. tr m lrll hltr rJ dkrr
<br />ryTV<v
<br />aulo,,,,,,,,",,,, * Vlv w\f Lol^Q-
<br />coNSTRUC tI()N t,FiNDlN(; (;UNC1
<br />irrtral (S.. .1097. (ir C ).
<br />AIILICANLIIEIIABAIIIIN
<br />I lrfthy,llim nnJ.r pcnahrol pcrjtrry om ol rhc nnk)sm8 Jccl!ruiion\:
<br />Dcmnrion Pemirs-Asb.sros Nor iurion lcncrrl Rceulnri(trs (l lc 10. Prn6)
<br />Requirc.l llrtdol Norili. iln
<br />I cc ify rh{ rhc li'lctul r.grltuintr icgrding xshc(x rc'rt'vi rc nor ll)fh.ahL ru rlis l(,j.d
<br />\f-Lhiry ,u r r,"* .,4 rr'rs amlicnr on ltl srrc rh.r rhc inve inr.mmrotr r conrcr I lsre r. ..mfl! w,r[ lll (ir y rtr,] counry
<br />,inlin.n.cs rtrd Sldrc Lrwr Eldin! t,) buildin! c.tr(ndnr d h.rchyrurhoriz{U.{rnrrivc\ ol rhis Crry rnd (i)uniyb ctrrcr trFr (r
<br />rlx,v. Ntrrkhrl tr!'tr'ry ,(, Itxcr(rftr'li
<br />Appli.nnl or AE.trl SiEn u.e
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsu lation
<br />Hoof Sheathino
<br />Framing
<br />lnsulalion/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />!!NAL //7.3/J",)-='L:/oloLlCertiticare U OcCdFarrcv
<br />Notes Remarks, Etc.
<br />-,
<br />SITE-WORK COMMENTS
<br />Shear Wall
<br />Flood Zone Certil.
<br />1, .( .wkr of rhc t rt-*ny, rn .klu(iv.ly roftrcrm! w h hc.n\cJ c.nralr)F b conukr (lk t htcd (Sce. 7014. Bu(inc$
<br />rn'l thidsfi CoJc:-l hc Ornrract,r's l,i.cnrc l,aw Jocs norrDpl! b anowncr or F)!.ny whr) tuiLh o. imrrovc! rhc,con.
<br />rnil *ho.rrrlrtuBLrsrchpni{lswirlaCl)nr..k'drliccnsddflrsumrt,rh.c('ntack*'sLic.n\cLrw).
<br />t.nJ1 s JJr..s
<br />"^,",. tle.l?ezo
<br />ffi
<br />tt
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