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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />SLAB Floor <br />SubfloorA/enUlnsul. <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif. <br />FINAL 6-/g-0 7 K,' <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />Oms-Buildd DeLnion <br />I h.rcby !fiirm und.r p.dry of pdjury th.r I .ft a.ftpr fo6 drc Co.l[6oo' Lic.ro. Lw lbr d* followi.g ruon (E.ro3 I t autitrBr <br />.nd Prof6lio. Coddr &y Chy or County *l .h r.quns r pssn ro @ lrua, .lls, inproE, d.mlnh or EPtn sy trtu $.., Prior lo itt <br />i!.um.,.l.o r.{!ts th..pplionl for&ch p.rh tofilcirign d'lr6c thl h. o[h. ! lieE.d pu6uit lo lhc Povi.ioB of $. <br />coir.d.r'. LieB.d bg (Ch.pt r e, Comocncin8 wnn Scdion ,oo0 of D ivnioi I of tlE Bqi.4 u<l ko&.tiou C.d.) ot thll h. or <br />ltc n .x.mpl tlE.6on.rd rrE t !! for $..ll.g.d qdprioo Any viollion of Sdi.n 70l l.5 ly mr .Pplio fot. pnn tubj.Glt th. <br />rppliqnl 10 ! civil p.rlty of nol ho@ du fiv. hundr.d dollrB (J50o) <br />I, s oMd of th. p.op.ny, or my .sploy6 eiln q.8q $ rh.n loh of,p.B.rioq will do rhc qotk tnd th. tLu.luc b nol itEndcd <br />or ofs.d aor r.l. ( SE.7O44 Buind ud Prof63io Cod.: Th. Cood..1o1, Li@D. Ilw d@ ml lpply 10 u o9d of tlE poFry <br />who blildt.r inprovc tts64 tnd wh. dc auch work hituclf o. h@lf or UrouSh hit or hd oM.iploy..1 Provtcd $tt tuch <br />inDrovlo..u .ro nol imcndad or ofaad fo! al. if, howcv6. th. blildi.g or i6p.oEm6! i, tol.l within o yar ofonPlai.\ rh. <br />OMs-Buildg will hlvc !h. blrd.n of proving dll h! or th. rct build ot inprova lor lh. purpor. ofrh). <br />_1, a ow. of thc propaty, .6 dcluliv.ly 6nlE.1in8 wit[ licd.d @nr6c1o lo @atrld th. p@j6t ( SE. 7044, Burird! .nd <br />Pof*ion Cod.: Th. Contaclofr Liane hw doq nor .pply ro u oMs of popdt, *ho btil& or idptovB thq@. . .td who <br />@nE..G for ruch projlclr win . coitndo{.) Ii@ri pu uit to $. Conmdor'r Li@c rrw.). <br />_l .h .x.npl unds Sc.rion B.&PC for lhit rdon <br />WORXENS COMPENS TION DECLAX AION <br />I hd.by tfflm urd( Dculty of pdjury or. of rhc folLwin3 d6l,ntionll <br />_l hrv..nd will mrr.in r Candior. of CoMnr ro S.ll.lMuE for Etto @hP.Mrba a P.oeihd for by Sldior r?00 of th. <br />L.bor Codc, for thc aclomE of th6 e{ for stid th! pqon ir iru.d. <br />_l h.v. ud will tui !6 wortdi @hp.urion iNu,.n*, u rcqut d by S.ctioi 3700 of *4 bbo. Cod., for tlt. Psfol n4 ot th. <br />work fo! *4ich lhis p@il i. irlu.d My worl.R @hP.ns on inluma uiq &d policy .umbs ir.: <br />Polic, Nutq: Exptc <br />Cnti! 3dioa Md not bc orpld.d ifrh. pqftn i! aor O.. hundd dolLn {1100) o. L.t) <br />_I odiry d[t in rh! p.rfolfu@ of $. vort for qnich thi! prmn k ia!c4 I thrll mt !n loy tny P6oi h .ny rnqbuto <br />beamc &bjc.l10 lhc erkq, ' orylu ion hw. ofcrliforiir, od.sa trt ifl thould bccoho.ubj.., io d! mtr4' <br />@np.cltion provirioN olScriof, 3?00 oflh. bbor Codq I !h.ll, tonheitlt 7 <br />Dri.r Appliqar:( <br />wAxNINc: r.ilur. b !a@ srk{' @6p!N.tloi @vmsc ir @UetuL td .hrll rubi&t e .mploF !o 6iai l patia &d civil <br />fin6 up ro o* hun.!r.d thowd dolLn (l10o,000),in .diliion lo th. @rl or @hp.Nrio4 dms{ e Povid.d for tlE SEtbtr !0?6 of <br />thc Lrbor Codc, inrdqr Dd.!6m!y\ f!6. <br />I,ICIISID.CONIaACIIB!.DECIABAIION <br />I hd.!y.ffim unda pcolty ofp{ju.y lhn I !B li@E.d u.da pbvnio' ofctrpt r 9 (6nh.ichs wnl S..rion 7mo) olDivlbtr 3 6f <br />rh.8!rim$ ud prof6rioE Cod.. ed my li€e ir in tull for@ rrd.f&r <br />/ - /,' ,- 1- ->-2.)'?- <br />t **..r.*, L'- / 6 t*"* x,.t*- -\ 'J --( / ' --J6-7Q-ct 7 -) <br />g9ISIBIJCIII}!..LENDACIGENCI <br />I hd.by rmm uid6 p.d[y of pd]u.y tl !h@ k. @sulc1ioi LndinS rrcrcy for th. Ffomi@ of th! srt for which int pqei it <br />iltuc! (S@ r0e7, Cie C.). <br />APPLICANT'SDLIAI I'ION <br />D.aoltion Pqoiu.^lbcor Nodfidion F.dml R.guhio (Tnb 44, Ptl 6) <br />_ Rlqrircd lrnd of Notifiqtio! <br />_I cdiiry tur th. f.d6.l Gglldou r.8rrdins lbsto. lqrurl uc mt rppliobl. ro lhn proj.ct <br />_ I cdtry th I hw! rad lhn +plqrion .nd .!.& iht lh. .how infodlio! ir @r.d. I r8r.. t6 @nPly virh .U ciry .nd Couln, <br />odirud $d Srrr. L.u r.lrtilg t hdildinS @ E!.rioq .nd lG.by .{thor@ rot 66ndv!' ofthi City .nd Coulry to .ord lPoi lrE <br />/JC-v c< <br />G/q-o7 <br />t.lnspoction Forhs\BurldrnO-hlpoclion 03.31 06 <br />UFER Ground <br />Ext./lnt. Lath <br />[-t---__l <br />I <br />I=