Laserfiche WebLink
BUILDING- INSPECTOR RECOHD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNER BTIILDER DNI,CAAATX)N <br />I hcr6y nfii.'n undcr pcmlry {,1 pcrjury rhd I m cx.mfl rronr rhr coftn ros' Liccnsc Ln* tor rhe aollowin! rox,i (sc.7o:r1 5 <br />Iluri'rcls md Phfcsion Codc): Any City or Cotrnly uhich rcqutcs ! pcmir k' .onsr ci. rhcr. nnProt- dcnn'lish or rPrt ant <br />snrcrurc- rrior Io irs hRrmc. aho rcqrircsrhc lpplicanr artr soch ltrf,irb lilc. si8.cd sl.lcnrcnr lhll hcorshc ir li.ciscd purn.,l <br />h lhu pkrvisi.ns of rI[ Contrrct \ Licctrscd Lnw (Ch0ptcr 9. (irnnnctuing wnh Sc.riotr TIXX) of Divkion :l oi rhc Bd\nrcs rnJ <br />Fronssi(insCodcrorlhar hcorshc ncrcnrpr rturcliodlnd itu hr\i\ rorrhc rllcecdcrcmtlion Anyliohrionorso.riunT0ll.5hy$y <br />appliclnrt{trtrlcmir\uhj..hrh.rpph.anrt,r.rvilpctrrhyornornrrdhlnfilchunarcddoll!.s(S50o). <br />- <br />1. ns owrcr ot rhc nDrcny. or m! cFnbycEs Nirh su.\ r\ rhcn s'lc .onrtrnsrr ion- *ill no rh. trork a l rh( {nkne n n.r <br />imc cd or orcrcd nx ek (S( 70,14, Burircss rfld Prolcssi.trs CGlc Thc G)nkicnn\ I -lcci{ I xw des mt oprly b atr o*n.r of <br />rhcnnD$y *l"i' buinh or improls rhcr.\)n. tr 1*hodocsskhsorkhi$\elaorhdrclforrhroughhtorhfostrcmPk)yRs. <br />frovidcd rhor such impmv.nrtrk m nor i' cndcJ or oficr.yl fr dc li ho*cEr. rhc bu iliiE .r iu,oru*nr i\ r)Il rlhi'r L 'n. JlJr <br />of.on[Lri, .llr Own.. Btrildcr willhlic tlE turdcn oapnrving lhal h! or rhc did n.r huild or intlriw lh.IoF'ny rir rht lu.ln{ of <br />l. asosmr rrhcf'n,|,-dy.im.xclrnrly.onrruuri,,ss'irhli..nsclcoitxdonro.ornnrcrrltnn].cr(sec 7(l1-{. RxnNl\ <br />!'rd hnis\i,ncl c: lhcCoit..tr'\ Li.cnsc Lrwdocs troi lPtlyro !.o$ncrolprcI,c yqlro h!ilds or imprcrc\ rlEcon. <br />rnd who conkrck li)r su.h tx+ct sirh a C.nhcn,n \ ) lico\cd pnrsunnr t) rlr. Contacroi \ l,icctr\c us ) <br />lrmcxcnd undcrs{lion .B &PC nnrhn'.d"{' <br />tut. Orner: <br />noa&:8s:sDla;Nlal]oN <br />DEI:IANII]ON <br />I hcrchy iliiirn uDdcr rcnrllyol Fruly.nc olrhc lnl[)qi',9 dLrl"rxrnnr{ <br />lhrvcal[I sillmi {intrCcrlilEolcoiCons$lroSclllNureforwork.n.onrrcDsrridr.trs nnvidcdrnbrsc.rionlTuroflhc <br />Ijh, Cdtc,ltr rh. rcrlinmncc oflhc {ork l'or qhi.h lhc r.rmil k i$ucd <br />lh.\c rnn uillnninlah *ortcrr conpcneri{)n insm..r. as rrqund hyScdiotr 3?0Oolrhc litxtrC(xlc. f(tr rhc Frlornuncc oi <br />0 I <br />356 7 <br />I c.nifythar ir rhc Frlo nrN ol rhc sort i$ whth rhh pcrnrn h i\su.d.I shtll not cnl'tly8nyIc6on ii anynrinm, <br />{' r\ ro lEonE sh]cd b rhc wo*d* .onl.nsarion hws or Carirornir. rNl lsmc rh,r if I \bouu t .onE subj.tt lo rtE <br />!rrk6\'.omr.nsarnrnrdvhionsofScciion3T(x)olrhcLtborCodc.lshall.f{'dhwirhcomplywilhrhotPovhions <br />{AltNINc Failurc ro sctrrt w.rk ^ .onrFn\nrion ..v.mg. is utrkwtul. d shill s!6iccr rh cmpk'}ry h ai tnl tcmht\ snd <br />civil fincs up ro onc hundrcd rhousa.d doll ^ ($l(x),o00). ir addirion ro rh. c.( oi compc \dion, darMscs rs pnridcd for rhc <br />Sslion 1076ollhc LahrAxlu, inr.rc{ and,'l.nry s ratr. <br />Appliontr <br />LrcIT,SEDIjj)MAACIOA <br />ITEIIAAAI()N <br />I h.rhy,finnxndn pcnlltyofpcrjury rhar I !m liccnsd lndcr pmvi\n,n orCh{rn 9lco.nnEtrcirls wili Serhn 7fiD).lDivkion 3 <br />or rhc Bu\im\said PmlcssionsGdc, fln nry liccnsc h in tull r'orce lnd cltirr <br />sqlv4 <br />l;0NglBlcllolil.[lDlNc-{GExlr <br />I hrrcby rlltm lndcr p.nnlry.rr.duiyrhal lhcrc ir ! con(ruction ttrdir8 asci., ror thc p.rroan rcc ofrhework lor whichrhis Pmnir is <br />is$cd (Sc..1097. Civ. C.) <br />AITUIANLTIILI.B]TJIAT <br />lhcNbyrllirnnfldcrNnrllyolpcrjuryorcof rhcf,,llowniEdc.l rdn \: <br />D. hlirnr P.nnirs Ashcro{ Noiilicarion,rcdcrulRquhrions ('lillc 40. P d6) <br />Rcquncd k(ci of Norifi corhn <br />l.cnilirh l hNr r.!d rhis mr li.rrior alnrrcrhxrrhr rh\c irnfl rtr{ i\.u c.l I r !rw- ni.on{lv wirh rll( {yrI,J (in r <br />ordinrN$ rnd srnrc Lrwsrc! irg n) huilding tu.ri,u. rtol hcrchrlurlktri7c rcprcr.llllns oirhisCirynidCortr yl cfrcr uB rhc <br />nh r. nrnrnrLt frcpcny lin ins <br />lnDlicnnl.r/\Eenl Sknaturc m ^,.,c\.^l'ct6 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Roof Sheathinq <br />Shear Wall <br />Framinq <br />lnsulationi Energy <br />Drywall <br />Ext./lnt. Lath <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Reporl <br />Flood Zone Certif. <br />FINAL |ft./[ 9V)7L49t+4 <br />Certilicate ol Occupancy <br />Notes, Remarks, Etc. <br />Subf loor/Vent/l nsu lation <br />Brown Coat <br />{-, <br />bl^"\a a <br />If,tuicas Addr.\\ <br />- <br />-l <br />ccnitrrhlr rhc tcd.rd rceuldtnr rcgtudin8 rstr$s eflbvalarc nor [plli.,hlcr. rht Pro]ccr <br />tt <br />i-