Laserfiche WebLink
SITE.WORK DATE ID/SIG.COMMENTS OWNER BUILDEN T'ELCARATION <br />I hcrcby nrfinn undcr p.nnlry ol'pcrjury rhar I !m excmpr fmm rhc Conrrador' t,i.cnr ljw ror rh. rolk winS rcrRnr (Sc.7011.5 <br />Eusincs aDd Profcsion Codc): Any Ciry or Counry which lcquircs a pcrmir b con(flcr, "lrd. im,rmv.. d.aDLAh nr rcFn ;ny <br />drucrurc. p.iff ro n\ issurcc. al*, r.qun.s!h. rrpli.ur n, ru.h tinnirh ilc r signcd sr{remnr rhsl h.or \hc i\ li.cn*d Pur\u r <br />l. rhc p,orisio.s ol rhc Contructois Liccnscd L!{ (Chlpler 9. Gnn.tn.nrg snh scdio. Tuxr ol DivGion I olrtc Brsin.s\ ahd <br />tloli$ion\Codc)orrhtrr hcor\hc hcrdnDr rh.rcn.n Md th. ha\is f.r thctrlkscncxcmDliotr AnyviifirionoiSc.ri,nT0.ll.5Dyri, <br />a|llic,trr ror . pcflnir sublccrs lhc amlic!.i lo n civil lcm I' y ol nor mrc rnon 6!c hun&cd dolld (l5m). <br />_1. as owncr of thc rmFnr. {, ny .mpk,r$\ *irh s!!c\ a\ rhcn sb .onDctrsd ion, will do lhe wuk u rhcsrddr! n nul <br />inrcrH or oflcrcd f{n ek (Sd 7044. Busincs md Prufcsions Codc Th. Conlru.rol s Liccnrc ljw do.s nor tFply lo .n owmr oi <br />rhcpnrD.ny who builds or in{'(,!c\ rlEron. od who d{rs {ch vd( iinxe,lor h.r*lf.r rhr.u8h his or hcro*n cflrployccs- <br />p()vidcdrhd such nntbwnEnr ac nor irrcftlcJ .r . flcrcd tur ulc.ll howc!c!. rlr huilding or i'ryrorcm.r is $il qirhi ,,nc )tr <br />of.-nphrion. rlr O$ncr Build.i will har rhc bud.tr ofpnrving ttux hc or sh( di1trol ttriE or nnnnlr thc nmFry fot llE lurrrc ol <br />,. a! own.r of rh. ln)pdy, u ct lrsivcly.otrha.rir8wirhli.cnscdconulcrorki.on{ cr ih. pml..r lscc 7(l}4. au$nc$ <br />dnd PioL\sbn codc Thcatnlmctofs l-iccn\c trwdo.s nor opplyl. rnowncrorpn,Pcrlysho btrildsor nnPrnvcs rhcrcon. <br />n who conrDdr f{n sorh tn.irh wirh a C.ita.ro(s) li.cns.d l)unuinr to rhc Co rucror'\ t,iccnsc ti*) <br />I rm.\.n,ln u Li.' Sc.r o B & P(' lorrhi\ rcr\on <br />l){ic Osn$: <br />rY(tRI(ERS', colrtrENsr\itoN <br />DT:gL!.EAI]I}I <br />I horoby lltrmundcrpr lr)ol t)crjurtomrlrhcnnhrilude.l.irrit{! <br />l hrvc r $illnhinr,i'rrCcnni.rcofCoNcnrroScll.ltrstrrcntr$ortcrs.onrcf\ari,)n.r\!n,!cdfrnbyS.criurlT00ol'lhc <br />lnhff C{\lc.lnrrhc pcli,nnincc ofrl[ work for qhi.h rhc lfhnf i\ rsucd <br />I havc ind will huinlair *orlcrl confcn\alion in\uramc- a\ rcqutcdbyS..rin:l?0OofrhcLrborConc.t)rrhcpcri(rmai.c.f <br />rhc sork tu whi.h rhisFnnir is ns.n. Myworlers conrpcnsalidr insurocc.trri.r dd lxri.y trun$tr.rc: <br />-l <br />c.nilyrhar inrhc p.rronnrn.coirhc work ior qhichlhn |rirnil n is\ucd- I \hru n.r cn{'loy,Dypdson ir {nynntrrcr <br />s mrotrronrsuhrrllorhcwo cr'conrEn\iion h$otcllitunia, nnd r8{c rhd ifI slrrld bccam subjccr rorht <br />workcN drFctrslrion pmvnions ofSsrion:t?m o,rhc ltrhor Codc.I shrll. f(dlrwirh.omply wirh ttuc pmrisions <br />NARNIN(: |rilurc !, {0.r'sork.ri cr rrt srridr (,trrfus. r! utrliuli']. rd nHll .r atr cn,Ih,ycr r, dimin l t[Mllic\ rtrd <br />n n\art . dinr[cs as novi cd rbr rhccn'l I'nc\ uI 1 , <br />'c <br />hunJ'.J 'housrnJ doll0^ 'SlUr.rrr".il: ip d1l;; <br />IhcEbyafltrundrr pcnaliy or Frjury rh, I a li.c.sd undcr pmvisior oiCh! cr 9l.ommrcing *irh serbtr 70oo) ol'Division :l <br />oi rhc Busircs.nd ProfcsionsCodc. ud '!y liccnsc is in loll roR. ,Jrt cftu.t. <br />c53 3)t <br />X' <br />coNsraucuo rENDtNli_dlilNcl <br />I h.nhy rfinnundo Fnrlryol p.rjury rhar thcrc n a con(ru.ri,'n lcndi,g dgcnc! for rhc Jf,rionMrcc oirhe s'o!k fff shich ihi\ pcrhn is <br />issuctl(S .1097.(-iv C ). <br />l.cnilirl llxtrcrcrdrhisrppliQri(nrdri{rr.rhJrrhcrhnr i,rmirion hc.r&r I rtrr r...'ryly wnh all Cilylnd Counly <br />onlim.ccs und shrc ti*r rchrioe b hui lt Nlho.izc rcprcscnlarn?s ofrhis Ciryaod Coxtrr, to cnlcr uNtr thc <br />h,vc rftrridrd |!oNrrytu iNpcdiu <br />Applicnnl or AEenl SiEn.tuE <br />Prmilre nonrlprinl):(/-EtLLrr='/t/a <br />Set Backs <br />Forms/Steel/Holdowns p-o1 6"-,O14nA <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathino <br />Shear Wall <br />Framinq <br />lnsulation/Eneroy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />lVlasonry <br />Pool Fence <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flqod Zone Certil.M;b tu rD .f,4 At_16 Wizdls :D<b <br />FINAL thtLtd 5. ?S <br />Certificate ot Occupancy <br />Notes, Remarks, Etc. <br />BUILDING. INSPECTOR RECORD <br />T-Bar <br />s <br />AIILICANIDECI.AMIION <br />I hd$y ofiim und$ pcnahyofpc,juryone olrhc lollosins declarurn,ns: <br />D.mlirio. Permih Asb.sos Noriti..rion Fcdcral Resulations (litlc,l0. Pan6) <br />_R.quircd1.tr.rorNdric ion <br />-l <br />ccnifylh.r rhc tcderalrcsohrn,ns ngdding.ib.ior i.mvllarc nor lPtltot L h rht pnjd <br />: LLz4tfi <br />= <br />I