Laserfiche WebLink
BUILDING- INSPECTOR RECORD <br />SITE.WORK DATE ID/SIG.COMMENTS OWNER AUILDER DET-CARATION <br />I hcrchy olfiim undcr pr.rlry olr.rjurythor I m crcnpr rbmrhc co ructE l-i.ctr\c tjr tor lhc lollosirrg rcrstr (Sec70ll5 <br />l]tsi.css 0M Profcsb. C{nlc): Any City o. Counry whi.h rc{trift\ a pcrnrn to .onsrEcr. ah6. inDroE. dcnFl^h or RIIan ''n, <br />slrudnrc. nrhr h ns n\uM.c. ,lso rcquircs rhc {mlicnnr lar ru.h Frn ro nk I siEEd s,(arctrt rhal hc or \h. h li.cnsd puruanr <br />ro rhc E.visions ol Ih. Conlftcrois tj.cn*d hw (Cn.nlcr 9. Commencin! wilh Scdn,n 7lx)0 or Divhnrn I ofrhc Btsincss nnd <br />Pmrc$nns codc) o! rhal hcor rhc hcrcmpl rhcrcnom!trd rhc l,ask ritr rhc rllcAcd crc'ntlk,. Anvviololionofsc.riotr?0ll.5hv0nv <br />uplicf,nr li,r a D.rmir nrhlcchlhc aFplicanr b acivilF.Mllyofnot morcllfn llvc hundlcd dollan ( l5m) <br />l, $ o*ncr of rtc prcp.ny. or <br />'ny <br />.n'tbcs wirh *r[c\ r\ ihcn ob .onrtcnsar i{]n sill do rhc f,Itrk 3tr1 rhc nnf,rur i( nor <br />i cftlcd oro,Icrcd r{trs|. (sL.^7(144. Businc\sand Pml.\{otrsCodc IhcConh.htriLi.cnsctiwde\nordlllvl.0.o*neror <br />rhr poFny wlD boikh or nry(,6 rtrrcn. rnd *ho de( sch $o* hins.lf.r hcr{llor rhmrAh his.r h.r o*n cmPklvc.\. <br />pn'rilcJ rhar skh inllor r.N u. mr inrcndcd or oficrcd f(r *rlc lt ho*c!cr, rtF hurllln8 or imPrortm r k stl uirhin onc )t'tr <br />of.onllhltn. rnc Owmr BrikL. sillhat rhc htrdcn.fpoving rhd lr or shc dil mr hoilt or il]1|)rort lhc nNpcn! for rh. PurTns of <br />-l. <br />s\o{nerotrhcpfl,tf,dy. rtrrcxciusirclyconnxdi'rs wirh liccnscnc.nrructxt).on(ncl lhe pmrccr ls.. Tr!4.l,unnc$ <br />!ft| Ft,fisir Codcr'r[c ConrrNtx \ l-i..nsc l-rw docs tro, trpPlyro rnoRncr ollr]pcny*h. huildsor imfrovcs rhcrc.n. <br />nd sho conlrrch in \uch ltroiccs with . Gn mcro(I licdn$d purn rrirhtC.hrra.rors Liccnsc liw) <br />-l <br />a'n.xcmfl undcr SNrion-- B & P.C turhis mason <br />OPmr: <br />w(rnKFRs' CoMPENSA',l l(|N <br />DECIIAAIIO! <br />I hcreb, alfirm un&r pcnlryolpcritryonc ofrh.lbllowing delamlions: <br />-l <br />hlrc,nd *illnuinlrin r Ccnilicatc ofCon*nr ro scll-lnsurc lbr Nork(i comlcnsolion, as novidcd lor bvS(rionl?mofrhc <br />Lrbor Codc. lnr rh. lcrr{,mN. of lhc worl for whicn rh. Fnnil is hsued. <br />-l <br />havcJnd qillmrinrlin $o!kcr'.onDcnsdnrn in{urnncc. as rcquired byScclion3T(X)ofrh. tjb.r Code f{r rhc rdronmm' ol' <br />rh. wor* torwhichthk pcrnrir is issuL{. M!{orkcs comFn\ar io. insuirncc qdicr ud li,li.ynun$n e <br />.wbc-a N5 (',o <br />N Z,z(o +/{ <br />l.c ifyrhrl irrh. nrrlorr 'tr.ofrhc Nork lnrwhi.h rhi\ pcnnI i\ i!{rc(1. l\lullior cnl0lovrtrv l]c^on <br />$ .\ ro hom subj..r o rhc Nnrkcn comn€i\arn,n h*s ofc0liltmi!. md lcN rhal il I shorld hcdift {h}id rolhc <br />s.rkc6'conpcn{ii{nit'o\i{ioNofScclion-17(nofrhct-nhtrCodc.l\F"rll.ln h <br />WARNINC Frilurc io sccurc *.rkcr\ co'np.n\di({.oucn3c i\ unhtrful. rnd <br />wrh comply Nirh rho{ tnrvni(rs <br />\rhl(r dn c fk,ycr ro ditr1i'[l Fnnlic\ itrd <br />o 9r.onn,Encing *irh Sccrid TlxX)) ofOiri\i( lI hcrchyriirnrund.rr^-inlryortxriurylhar I x lic.n"cd tr d.r0ovn <br />of rhe ausircssand Proli\\io.r (bdc,.d myliccn\c k in tulllnrccr clfc.r <br />z^3 <br />I hcrchy altirn undcr Fnnlryol psjuty rhd rhcrc is r.on{dcri()n hndins rScncy l'or rh. rttfotmrncc o I rhc qorI rr, whi.h rh \ ncnni( i\ <br />hnrd rsft :lI)97. cn c) <br />tf,1d.l. ACJa-: <br />- <br />ATILICANLDECI,AEAIIIJN <br />I h6$ydnmundcr pcnrlry.lP.riuryonc of lhe rollowin8 d(lanr ons: <br />D.mlirion Pcrmih A.risor Noliticarion F.dcnl R.Euhrio.s Oitl.40, Pan6) <br />_Rc+ircd bkr of Noriiicdion <br />.1, L .n <br />'lv <br />rhar rhc fcds,l (cd lrt 'un. Npnlroa r.trrn\ rcm'v.l rrc n.! JIrl'( rhlc t, rh* PrcEd <br />!.cnifyrh,t I havc rcld rhis ,tpli.nlion and \rarcrhtrr rhcabvc itrlonMlion nc.nc.l l n8@ ro complv *irh 0ll Cil v and Coun'v <br />o'diMtrccs and Srilc l.rw\ rchriiB b buildirg c.f(rudion. M <br />rhrc nrnlnnrd pNl[ny i,tr i', <br />A ppli.anl or Ag.tl Signotum: <br />P"-rr,*nr."tprinrt,.'L Wl ru145 <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />ln su lation/E ne rgy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />l\/asonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif . <br />FINAL t0 /?.//6 >tuwlh '-[bA <br />Certificate of Occupancy <br />Notes, Remarks, Etc. <br />Erection Pads I <br />T