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BUILDING. INSPECTOH RECORD
<br />SITE-WORK DATE IDiSIG.COMMENTS OWNi]R BUILDER DELCAIIA'I'ION
<br />I hrr.h! r i.n uMcr pc.llry or pcrjMy Ihol I mr crc"rpr ironr rhc Conrrctm Li.cne Law for thc lollosins r.av lsdr'70r15
<br />BusnEs lnd Prolcssion Codc) Atry Cn, or counry *hi.h rcqun r . lrirnir r) s,nlrtoct. rlr.r. imProv.. dcmhh or ellln any
<br />(rucrurc. prinb iri n\urtu , also rcquncs rhe.fdicatrr lor suchl]lnnilro llLnrisnL\r sd'.nr rh{ heorshc ir liccn\cd IU xmr
<br />b rh. porniotrs ol lhc Conlr!.lors l.iccr{d liw (Chaf.r 9. C.mmncrs *irt Sccrion ?(xx) of Divi\ion 3 ot lhc Businc$ lnd
<br />Pri,tsnff CoJcl or thrr trorsht (cxcinpt rhcrcfron!trdlhc hrsn for rhc l.scJ crrmrrion AnyliolariotrolS(rion70ll5hymt
<br />,mlicrnr rd , p.mii subjccrrhc apllictrnrto 0civill,crolryolnor noErhan Iiv. hundrcddollln($500)
<br />l,0s owncr oilhe pmpcny, or mr.'ntk'yds wnh wi8.\ as rhcir tuk.onrPcnsllion. *illdo ihc wo* tud llt slmrurc ir nor
<br />i cndcd or ollcrcil |or salc (s{ 701,1, Busincss rtui Pmlc$nnN Codc: 'r'h. (.(n d.h\ Li.ctrtc rjw docs nor opd, b n owncr .r
<br />rhc |n)Fny wln huilds or irpnN$ rh.'rnr Md who das such qo* hnn\cli or hcncll or rhn,ulh his or hcr own cmPiDtcs,
<br />pn)vidod rhrrsrch inrl,ornrnls arc nor inr.ndcd oroficrcd i(r elc.l( lx,qcrc,. rlr huiliting or nnPnrh'Bnr is sld rthronc )tE
<br />ofconlPlcrt,n, rlf Ownf Buil&r qillturrc th. burdcn ofpmvir-q llls] hcordr dil nor huill ot inqow lhc PDIdy fttr rhc J)u!iI*ol
<br />Ln\osncrofrhcprcp.ny.ancxclusirclyconkrri',gwirhli...\.d.otrtrdorrocon(tucrrh.poj..r(Sc.7Ol1,Bu{trcs\
<br />i Pnrlil\hn Code: Thc Conrartr'\ Li..isc t-.$ docs not.prly ro !nowncr ofpm|tnt wh. builds or irnn)vd\ rhrr.oi.
<br />rtul who .\ trnch lor such prcicrs wirh rCootrct,r1t licen€d pui\u nrrh.Contr.tn s I kcn{ Lf,w)
<br />_l rnr.rc.rnr und.r scrio
<br />W()RXnIS C(rNlPI,]NSAI ION
<br />IECIA.BAIIO!
<br />lhcrchydliirrutrdcr pcDrllyolt,crtury.!tuolih.lnlbsi'igd..lrxtiotrs
<br />lhNtdrdwillnrinrain.CcniatrntcoiConsnlt,Sclrln\urcLrworkcn.onrpcnsalion-rsto\id.tlfdrbyS.ctionlT(lrollhc
<br />l!tx,Codc, ntr rhc pdromn.. ol rr'c wolk ttr *nich lhe pcnnil h ir\ucd
<br />I h.vc.nd srllm.inl.in snrkcra.onrp.n\rii,r nNurxh.^t, as rcquncd hyScclmn.rT(xrolrhc LJh.rCodc.ld rhc Plrionnrn$o,
<br />rhc work rbrghichrhn p.nnir i\ isLtJ Myworkcr! co.r$Nrbntmq,6Nc ors ml F,lhy nlmb.
<br />S+.\+i. l-.J{r(-ql LALb- \a l^,lsc2? F17 80 *18 5
<br />l.rnilyihrrrrhcp$,orNn.colrhcw.rk,or\hichrhi\pclniri|ssord.IshrllnlcnJnoyJrrl,.^oitrrrDynrtrncr
<br />() r\ro h.onc \ubFd h rhc s.rlcricon,p.n\arn,n l s\ olCrlild ir. rn r8rcc rhi ill slr,uld h-.onE suhiccr rorh.
<br />workc'{.omncn\xri{,npiorisionrolSc.lionll(x).lrhrbhrr(t)dc.l\hrll.i,trrhwirlrr.trlPlruIhlhoscPx]vision\
<br />WARNINC Frilurc io s...nrc w(trkcri .onrp(nsrri,,n covcfugc i\ Dil.wtul. thrll suhnrr rn cn,ploycr b .irnir{l if,nrlri.\ rnJ
<br />rltr'r) \ re. _ | I
<br />*,,*,, )L-f,-elebc!\I ILI|ISED CONI RAET('R
<br />Bo^-ss
<br />DECI,AM.IION
<br />I hcrcby ltfirDlnder Fnalryotl.rjury lhd I an liana.d undcr pmvniotr olChrprd 9 (.onircming wilh Scclion 7Un) orDivi\ion l
<br />.l rh. susincss0nd Pmfcssions Codc- and dy lic..{ i\ in rnll rom di .nict.
<br />a3q ol i rr:< l[JC
<br />C0BSIBIJCII0NTE!DfN{jr!!iEN!I
<br />I hcrby ltlirn und.! Fnany of t'.rjury rhd thcrc n . consrudiotr k.diis rgcncy lor lhc Pcrfomoncc of rhe wotk ror whicn thi\ IErmn h
<br />i$ucd lscc. 3097, Civ C )
<br />AIILICANLDECITI&I]JIN
<br />lhruhy rmdu dcr p.nalry.fpcrNry onc ollhc Iollowin8 dccllrlri{nr\:
<br />l)cnmlirnin Icrmirr Asbe{os Norill.di(rt rcdcrilRcEuldions ( l illc 40. trn6)
<br />k.!ri' lr(crol Nrr,li.xri( r
<br />I (c'rfvrhd rhc lcdcrrl rcNl.ri(nrs resudirx ash.no\ rcnrvrl rrc tur imll.rhlc ri rh \ noFcr
<br />IED.lyrlkr I tutrc rcad rhisxpplicrri{rrxtiart I ) cnnnly $nh &ll Ciryand counry
<br />rhn Ciry and Couiry rr c rs uBrtr rhcofulirrtrccs rnd Sfutc Lr*s rclar'ng io hui[nrl
<br />ah,v. nrnrnrnL'd frc!.ny for instcdi.n
<br />\t'r,liu r trr \,rrnl Sitnrtufr
<br />""r,,,",
<br />,-,",r.,r,, K S\E
<br />6 /rc
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation l-
<br />Roof Sheathino r'/r//tr .zl4z/,/.
<br />Shear Wall
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />I
<br />FINAL ?/t,/fi )qq l
<br />|JCertificale of Occupancy
<br />Notes, Remarks, Etc.
<br />+
<br />T-Bar
<br />Atl lici>-
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