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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS oWNFJR BTIII,DER DI:I,CARATIoN
<br />I hcrchy dlfiirn uMcr pcnrly olt rlury rhir I m cxdilPi fn,ni rhc c{'nkd.t L L.ctrsc tas lor ih. lolk,sn18 rcasoi (Sc.rtlll5
<br />Bulircss ond Profcssion Codc): Any Ciry or Coutrry shi.h rcqunc lf,irnn to coNrruct. lllcr. improvc. dcmolhh oBoatr rnv
<br />{n.rurc. nriqro irs i$u!ncc. alvr rcqu tcs rh. 4plicnnr hr su.h rEanir ro fiL r risncd sr{rqrcnr rh3r hc m xhc i\ licci(d ;uaJr,
<br />ro rhc tyovisids of rhc cotrin.r* s Li.cn*d Lrw (chlPrcr 9, (t,nmr cin! wirh s..run TIxn ol Division ] ofrhc Bu\hc\s rnd
<br />t\oltssionsCodcrorlhrr fuorshc isexcnrfl lhcrclnDa rhchrn\ loi lh! lllc3cd cxcnrption nyvidnlnrnolscdioo?0lr 5hydny
<br />rpPh.!nr,nr a!.rmirsuhJcct rhc lnllicanr h acirilncn!lryofnor nnrclh!n llvc hundcddolhr (151x)).
<br />-1.
<br />ns owNr ol rhc nmpcnr. or my cmployccs wirh NrSc\ N rhctr $h .onrlE.s.rion. wdl do thc work ond rtE (ulurc n mr
<br />inrodL\l oroilcrcd ntr{b(Scc 7G{,1. Businc$ ind PmacrtutrsCodc lhcConrrlclor\Liccn\cLowdocsnololplyroanosncrof
<br />rhc Dnttny who hdild( ur i'rjrtr*t\ rh.rsn. n ti f,ho d(r\ \uch korl hi'n\.lfor htrsclfor rhtuu8h his Dr h.r.rn cmdoyc.\.
<br />lnridcd rhrrsuch impn)vcnrn( rru no r inr.ftl.ll or ofiircd li)r sk lrl hrmrcr, rhc buiklirg or in{,mknnr i\vrliwirhi.o c,rr
<br />oIcorylcti{n,. rtrO*ncr Buildcr $illhltr thc hurdcnolpmviry rhd hc or shc dn nor build ff nq,ovc lhc pmpcny lor rhc lurF)rol
<br />_l.r\osrEr.frhcpn)Nny.rNcr.tu(ivcly.rd'(ri'rgsirhlicr\cd.odrrr!tr\r,r.{tudrhB,ju.r(S.r71!!.Bu.ir'cs
<br />3.d hr)rs\rrCodr'lhcConrrrcnn\l-iccn\cl-n$(tocsn.ixpplyn,xnowtrcrolprop.nyNh $uildsornnpm!.\rhcrcoi.
<br />atrd wh. $lln acrs ld such pr o].ci\ s irh 0 Conrhdon \ ) li.c.\cd puNuim h rhc Cotrri.rois Li.ctr{ l-atr )
<br />-l
<br />lnrcxenrrl undcr Sc.tio
<br />EaxsE&trauuiNsArtoN
<br />l2Eg413AIl()I
<br />I h.rrhyntlir r nJ.r rnrlryolp{rjdryoftDl rhr lall,){in! drclJrrri{)nr:
<br />I lrrc mdsilltrEi rin, Ccnificdcofconscnr io Sclf lnsur n *orkrn .o'nprtr\dnnr. pmvidcdlnrbySc...n:]r(X)olrhc
<br />ljtxtr C{xlc- lnrihc pcrtunumc olihc aort lor *hch rhc pc.nir n nsucn
<br />lh.vcatul sill'nrnrrnr uorkcri .omNnsd..tr ,n\urdnrc. d( rcquncd bySc.rion lT0OoIrhc tnhor Cod., f.r lh( pcrlinnih-.c of
<br />rhc s.rk li,r*hi.hrhN Fniil is h\ucd My $.rkcr s .otrr|f,tr{riotr $\urrtr.ccmi$ nnd Bntry nunrh-! uc
<br />I ccnili rhJrin rhcp.rlonunrcofrhc work nn shirh rhi\ p.nnir i isucd.l \hrllnor cnrtk,txny t son i'rdfy riftrcr
<br />$ a\r. h.nnN uhl.d rorhc wo*cn corncnerior hs\rlCrlil;mr. rndilrccrhrr il I should h<.nE \uhrlrr hrlr
<br />*nrker..mtcnsarnrnnrN.n\.lSccri,in.17(X)olrhcljhtr(ill..l\hill.lnnh*lrh.omply*irhrho{n(^i\nnr
<br />WARNIN(; Frilur. t, arh sork.ri.o f. \rrnn, cov.ruSc i\ utrLrqlnl, md \hnlL\ubjLcr rn.nrfl()!tr k, dirnrrl n niltf,c md
<br />.iv'l llrB up k, otu huidrcd rhou\rtrd d.llr^ (Sllro.lxx)). i', r,ldirn,n b rh..on ol .o y.trsdrnr. driugc( s providcd lir rhc
<br />s.frtrtrr.l07{, ofrhc Lttitr cod.. i,r.rc{ rnrlxfitrn.
<br />J',,- ,."*",2.i-ltt'
<br />.)a 1.45
<br />!.2t,(t !Bl!ltl\
<br />Ihcrchyiflirnrundcr Jftrdlry.l |trjuryrhl I.nr l,c.nrdnnicr l]fovLsin ulChitrd9lconnrEncirgsilhSccri,nrT(xX))ofl)ivi\t,n.]
<br />,n rltr l]$i"r.\ xtrilIl'olis(trx(-(lc xnd n\ li.cnv A i'r ltrllltn(rrl.rlr(r
<br />6b Ar,*"*",,*,,v/az7f{:'L/ 1e ?toi d.;@4:7
<br />CONiIX!SIqUNNDTj!.4!j.ENS
<br />I hcrchy dft'n undcr Fnalry.f ncrrury rhrl rh.rc ir a..nnddnn Lndrg r8cn.y fo. thc tqlormrncc ofrhc sork for which rhi\ p(nnir i\
<br />rrucd (s&..1097. cir c )
<br />d.ITLIIAIIDECI.ABAIION
<br />I lrNby rltinn u ndf r.nrlry u, t)c'lury.rr ofrhc tulk)wnrg dc.hr nnr{
<br />Dc.x,l(nr Pf.nr\ A\b.{os Not[. ion F.d.rrl Rcgtr]rrnns lTirld 4{. Pd6)
<br />Rcqulrd L.Icr or Norilf, rri(rj
<br />I ccnlfth.l rhc lcdc.llrcBUhiioDs mSudirg r\lEno\ rcnmvrl d. trol0t'plicahlc ro lhi\ p(*d
<br />riitrr n.om.r I r8rlr r,.otr,t,l) sihrLlCiyrtrd Coufry
<br />tr/r rrprr\o xrl!c\ olrl'i\Cnyr d Ci,u0rtt,.trl.r rlurrlr
<br />Lnr -rh Ih'.....!.1',...,r'l,/r\,r,Lnr,' rl..,h!-, .,
<br />' ',1'n' !,., r1sr, , Iiq. n h,'.U,ll^ 'll '! 1','/xr''.r..' r F i6yrrrlr' rrt t " '.tJd'tr* Lt l/
<br />i"':,,,:"::::r,";::?b b lL-,tr" 2 -s-r (
<br />Set Backs )
<br />Formsi Steel/Holdowns I .rB f f,.o
<br />Erection Pads I ^ilY',\1',ri\
<br />UFER Ground v lty
<br />SLAB Floor I
<br />Subf loor/VenVl nsula*ion-4t6,
<br />Roof Sheathinq
<br />Shear Wall DLJrxr(P)
<br />Framing 5-'1 - 14-Det-1:-@
<br />lnsulation/Energy s-7-/e -.J.l-(oo-,fN
<br />Drywall i-q-fi J 1"1,464,*-
<br />Ext./lnt. Lath \E,Iq&.)j-31-Jr Ir-\Lnd
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Beq
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certif
<br />FINAL L?-tB ,.DcJta {rr)
<br />Certificale of Occupancy
<br />Noteg, ffemarks, Etc lt
<br />7-Elt s (8
<br />I
<br />l 'li
<br />3.//t/tf
<br />'l/-) /(t
<br />E-9^ /6
<br />Brown Coal
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