|
BUILDING. INSPECTOR RECORD
<br />SITE-WOBK DATE IDiSIG.COMMENTS OWNI]R BUILDER DEI,CARATION
<br />I hcrohyrrfir tndcr I(tuky ol Frjury th.r I nm cxcnrr li.n, ih. Cr rd.ktrc Li.cnsc Llw tirrhc folb*in! rciq rs"TolrI
<br />Busi.css rlt Pii,lc$i,,n Codc) Any Ciry or Cunnrt whi.h rcqtrrrcs r Fnnir ro conrrtud, rlrd. inrrovc. dcmlhh or ruFn an, r
<br />(tu.rurc- prirt, i( hsuamc, also rcqut$ lhc applicanr lor suchpcmir t,lil. I sisncd sdcnEnr rhlrbcor rh. ( li.ctrsd Puruanl
<br />l. rhc pmvkions oliht Conrrctr\ Lic.nscd L1w (Chrfr$ 9. (tmmcncinE wirh Sc.rion 701,!r of Divhion I of rh. Surnr{s and
<br />Pmrcslnntr Cod. ) oi (hd h.orshc is cicnrpl lhcrclrom ind rl'c ha\i\ rorrh.allc8cdcrcmtlion Anytiolnrt,norsccriotr?0ll.5bynn,
<br />rfpli.r i turapcirnn subj(h rhc applicanr ro rcivilrcn,lry.rnor nBrdhm livc i,ndred dollds($5fii).
<br />-l-asowncrofrhcnn,p.ny,ormycmployccswithwascs!slhct\olcconrcn\
<br />i.n. will do lhc cork dl rh. imxrc is nol
<br />inl.d.d or ofcrcd for elc ( Sa.7(H.l- Busines and Pturcs\n,nr C(xL Thc Conlt$lois l,iccn{ Ijw dm\ mt .frtly lo !o owncr .t
<br />rhe Impcny *ho h{ilds or in{ms rhctrln. arxl wh. dcs skh son himsclfor h.r{lfor rhmu8h hn or hcr own.ntnk,y.cs,
<br />pftrvidLt rhar s&h i,nDrclcnrn( m nor inrc,rL\l or ofiR1l fr slc ,l ho*cvcr. lhc building or i,nQdt'tutrr is $ld wilin .ru )ur
<br />of conpldion. r,r Owncr Buildc. will h,t rh. tur&n of povnrg ft! h. or ihc dn mr 6uild or i,rpdlc rh. l,$Fiy fo hc IUrF,{ ol
<br />l.asowrcrorrltnrol)cny.onrcictusivclrconrBcriig{irhlicrnlcd.nnr{cnrn,conntucrrh.rnic.r(S$ 7lB'r. Bn.in.s
<br />,nd t\trlssir Code: l he Co.tr.roC! Licctrsc Law dcs nor nptly k' rn osicr offtupca, who huilds or nnpor.s rhcrcon.
<br />and who .onrmcrsIorsuci pfl'F.rs w irh r Conhcnr( s) li..iscd puNnnl torhcConrlacktr s Lkcnsc lrsJ
<br />-l
<br />amcxcmpl undcr Scl A & P(- lorlh \ rctrnn,
<br />uoaK[&r:.Cj)ltfENtallQ!uIL XdrloN
<br />I hc'cbyrflirnrundcrlr lryol ncruryoNollh.l;llowifsrlc.lmii{nis.
<br />-lhrvc,'rd
<br />uillnii' anr0CcnificatcolConscnrroSclllNurciorw.rk.rrcomPcnsnrnnr.as Pnrvid.dforbtSccrionST0Ooirhc
<br />bhor Ordc. nn rhc Frtornun.c olrh. work fo! which lhc I'cnnir n isskd
<br />lhavcand willtrri.hir s.rkcr. comFn\ inn insu'ancc. !\ '.quirod b, sNr ion .UoO of rhc I trhor Ci)dc, ior Ihc PcrfonMmc ot
<br />nnn n ls{cd My wo.kcrs .onrp.tr\rii,r innrrh.c.{.iicr {xl P,lkynun,h.rrc:
<br />i h
<br />l.cnily lhd ir rh. pcrlirnMncc ofrh. $ork lnr trhich rh^ r.irnir i\ i\{rc(1. I shrll tror chPloy rrry |Eron in !ny nrrnncr
<br />$ !sl. b.co'!c subjccr t,rhc (orkcr(.o rlicfsrlrcn ltrwsolCrliturnir id 4rcrhrrirr should hc.om \uhjc.r brlr.
<br />*orler\ conrp.n\rrn pri,nsn,ns .l Sc.lh 37(x)ofrhc LfitrCod..l dhll, tudhsirhcomPlyrirh rh.vF)ri\idN
<br />w RNING: Irr1turc b \.curc workc^ .onfcisdDn (ovch8c r\ unllstu|. nin \hxll suhjccr {1r cnrPl.ycr r) rinri'rl r^_nrhics.trd
<br />civil ,itr.s up !, onc hlndrcd rhor\rnd dollaA (51(n,0(xr. r ldiiion nr rht co{ of.otrltnsrrion fuoE8c\ r\ ln,v'dcd fur rlt
<br />S.crion.ll)76olrhc l.lllxtr(i c- i' crrn x d r onry's lics
<br />",,",'?1. luo
<br />I hcEby rlitm undcr |tmlly ol lltrjurr rh I i t li.cnti uMcr nn,v .,ln.rr) l.,nnnu'.i'rr !irl, \r.1i,r 7l{xr) rr l)ni\iL, ' l
<br />\ o o'lc4 41cr.tl-t 1q fuaur+
<br />CANSIBIqII0N.LEIDINIi-ACINCI
<br />I hcrcby allirm undc. Itnrkyorp.,ury rhar th.rc k r co,shcthn lcndinsrg.ncy aor lhc Pcrformrcc orrh. wotk lor which lhh Fn.il i3
<br />issucdlScc.3097. Civ. C )
<br />NTLICANLDECI.ABTIION
<br />Ihcn{,y i-rnnuldcr pcnDlry oapcrjury om ofrhc followinB dccllrarions:
<br />D.moliriofl Pc nnlAslEsros Noiili.arion F.dfxlRrBulari.ns (tirlc 40, Prn6)
<br />R.quircd Lcttcr olNorilicari,'
<br />I c.ni!-rh rhc Ldcml rc8ullr i{)n\ rcBrding ashnos rc'novrl trrc nDt apPlicuhlt b rhi\ pri.tr
<br />/Zl !!d lJ rhJr I I'r\c r..'d ir". 'nllf,, r{' n {. . r
<br />L d '.tr'.c\ rLl SrJic tJ\( ru Jri4 Li hdiltli"[ !' ^rtu\
<br />lrr rlrrlrr. i,nndi{n n.or..r I r!1e h.!Dfly sirh rll C[y m.l (inrnrr_
<br />hr'!c! ofrhi\ City r0d (',,un(t !o.trrr rfof thc
<br />Ap0li.a orAa.nlsi!Erurc F"*'?.2.t<z
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVl nsu lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framinq >,/l?,4,^sr\tr
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />FINAL 9l,iItB L,i. /)C'1 . /nl| ,4rtrfirtq,/
<br />Certif icate of Occupancy r'
<br />Notes, Remarks, Etc
<br />Pool Fence
<br />.f rhc au\ircs\ ind Prot$ion\Code- rnd mr liccn\c i\ ii roll n,ftc NJcllicr
<br />tjnJ.,-( Nrnr. _
<br />If,1'lca\ \il&..'
<br />-
<br />otc mnrioncd pmri.d, rn inrc.lion
<br />i----rt--
<br />I
<br />=
|