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BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS oWNl'R AUILDER DELCART{TION <br />I hrrcby rfiiin undcr pcmlty ol pcrjur) rh{r I lnr crcnrDr riom rh. Conrradon Liccns L,w fi, rhc rolbwnS e,n,n (sR-.70115 <br />Btsincss rul l\olcsi{,n Codc): A.y Cny or Counr, whi.h rcqrircs r ,.rnir n, .oietu.r, 0lr$, nn[ovc. dcmlnh ,{ rcnrn ]ny <br />qflctur., trir k, irs issxrn... trle rcqutcs rhc {'rli.mr,or su.h Frmil ro nh. si8ncd {arcm.l rhat h€or shc i\ liccns.d pur\uanr <br />kr rhc pmlisionr of r,rc Conrrrcrois l.i.en{d ljw lchuflcr 9- CoormencinE sirh s..rtn 7dI) of Divtiotr I orric 6xsincs\ rnd <br />PmfcssionsCodd orrh.r hcorshc $ cxcrnpl rhcrcfr.nlnd rhc hr\i\ nn rhc rlh8crl ercnu! AnyliolxrionolSccrirT0ll5byrtry <br />rppli.r lnrrpcrn,ir suhjccr\ih. srpli.anrt,r.ivilpcmlryofnor'nftrhailiuchuidr.ddoll s(S5m) <br />l. as owmr or l[c t'tuNny. o. nry cnllotccs with wtrlcs as rlrir \olc conl|[ns0lion. will do lhc aorh ud rhc {41urc is ton <br />inrcndcd oroncrcd r'or elc (Sec.7014. Buiinc$ oml Proic$ions Codc: lnc Contmkn s l-iccnsc Lrw dds nor 4nly b rn oqncrol <br />rhc FJpcdy who builds .r nl1)rcrcs rhc^y[ ud wh. d@s {'.h w.* hnnscll.r hcr\clf or rhmulh h ir or hc' o*i . lPkrtccs. <br />pn,vidcd rhar su.h inrprcvc'ft8 m 'sr inrcftlc{ or uflcNl rrr srlc. li hoscvcr. rhc hui i,l3 or iqn rcmnl i! \olt wiriin om ,rar <br />or conI,ldhn. thc osncr auikcr n iU haw thc hudctr o! pn,vin-! rhd hc or $c dft lor huiE or in{'nxr ihc pn,Fiy ror rh. puqnr ol <br />l. ,r osNr of rhd ln)!dy. dn cxctusnrly cotrkr.ti.! *nh licc.\cd ..trhr.t,^ tJ .onstrucl rhc pmj.rr (Ss 7()4J- Bu\i"c$ <br />a Lt !t$in C.dc: lhcConrra.loisLiccn\clj*d.esnorlnrlyloannwncroini.p.nywhobxilds.innpr.vcsrhctcon. <br />aid who coors.h rff.u.h Fsjdk sirh r Conhctrls) lN.\.d punurm ro lhc Contrrktr's Licc.sc Llw) <br />Irrcr.nlpr ndrrScdi{ni_.B & PC larrhisr.rvrl <br />I)rr.: lr{nrr: <br />!rct&rBlil.(:our[rsall0]i <br />l)IjllrISAIIO! <br />I hr.chr-rlfi'rutrddpcnrlrvol p.rurto Loirhrtullosi',8dNlxrrriu,\: <br />lhalrandsilltui ri.rCcnificd.ofCon\cnrioS.lflnsrrcfortrork.^$mp.ns ion.asB)vidcdforl,ySecrionlTmofrhc <br />Lihor Co!c. fo, rhc p.rformncc ol lnc eod( ,or $ich rh. Dcrn r is issued. <br />I hivc rn,l trilldrnnrh a.rk.r{.. rNn\rii,n nr\urrnrc. r\ '.qun.d br"Sc.ri($ 17([ofrhc trbor Codc- iorrhc pc rnrnn or <br />rls trlrk ntrwhi.hrli\ rn is h\ucJ. My$o,kur. rlc \rri(nr in\urtrk. c.rnicr ind B,licy nunficr arc <br />Ir A/<C) <br />t\(- IL o{ <br />-lcc.riiyrhlrinlhcFrtnrhanceofrhe*or[li,r*hichrhGFrminhsued.I\hau.r.nltl.y.nypt6.Dironynwncrso I t, l*a,ft subjccr t rh. wrkfis .omp.nqri.n hwi of Crlian.ia. xnd +N thd if I shou ld hcconE sul'ii b rhc <br />aorkcs.omp.nsarionB)vi\ionsofSNrion1700olrh.titr,Clxlc,Ishall.fonhlirhconrlysilhrho€nDlkn,nl <br />WARNINC lrrihrc x' sure sorkcra conlPcnertD c.vcnsc ir nnlfl\ful. $d shrll bFcr 3n cnpkrFr ro dimiml Fnalric! nnd <br />ciril lincs ut fu rH huMrcd lhou$trd dollir\ (11(xr.otD)c"' d <br />7 <br />d^@e* * e "1"4 t"' tt*xli#l#r; <br />,r.,-.,..t o,r,r <br />Ihflrhyrlln ukfurn. ryoltrriLtrt hrIrnr .rr Ltulcr n'ori\ir oaChn|nd 1)l.onrn.ncirE rvirh Sc.rio, 7ux)r ol Iri!ni(n' :l <br />ol rhc ln'\ircs rn,ltlolt\si,rN CoJc. rDd my licctrsc i\ i',ltlll,trc. rndcllicr <br />xr: <br />Z 3.6>q <br />+,a <br />I hcrhy l]nn!lidcrtMlryofpcauryrhrlrhcrcisr.otr{ru.rionlcn'lntagcNyf.rrhcrcnhfl. Ecolrhcsorlforshichrhisn i,nir i\ <br />n\ucd (s.c .l)9?.(ir c ) <br />ATTLIQINLI,2rcIAAAIION <br />I hcdr, afim undcr p.nahy ol r.rjury onc orrhc r(nk,wiig d.(hrurions: <br />tlnx,lirnr I'.nnir1 A\h.nos Nnrifi. nD Fcdlrrl R.!dl.ri(tr,s rTirlc.&), Pd6) <br />Rcqtrtrc(l t-.rrcr.lNorilj.nrion <br />l..nilyrMrrhclcdc'rrcEUrri{$sr.gIdiDgrsh.{os,.fn^rrrcDorxtflicahlck,lhnp(,i.(r <br />Irdriltnrr Ilrrr rc ilrlr\ iftlrrri{rr w::::rnJ(, !n).trrc, Lt' 1lr <br />/,:::, <br />ridrJ ttr,Itrn, lar iNfc..otr <br />Z<c,rzrcta <br />Set Backs <br />Erection Pads <br />SLAB Floor <br />Subf loor/Vent/lnsulation <br />Roof Sheathin s <br />Shear Wall <br />Framing <br />lnsu lation/Enerqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Ivlasonry <br />Pool Fence <br />Handic ap Req <br />De puty Final Report <br />Engineer Final Report <br />Certificate ol Occu pancy <br />Forms/Steel/Holdowns <br />UFER Ground <br />T-Bar <br />Flood Zone Ceftif. <br />FINAL <br />Notes, Remarks, Etc. <br />z/r1/tt <br />t-l-- <br />I