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BUILDING. INSPECTOR RECORD <br />DATE COMMENTS OTVNER BUII,DER DELCARAI('N <br />I hc.chy illir xndf |t..dlry ol Frjrtry Ih l, tcxcofl tanric Comtu.r{tr4 t.kdtr{ ljw for rhc followile rcr$n lS.J.70:11.5 <br />Busincss aM Pr.ac$.n Codc): Any Cirt or Counry whi.h toqond\ a p.rrni n, coinru.r. alrcr. nnprolr. dcmlkh or rcpnn ,ny <br />nturrurc- 0rior lo ils i\suarcc. lho rcqnires lhclDplicanr ln suchll.nnit ro filctr si8nL'd $.rcmnr rh h.or shc is licctrsd rusu0trl <br />k) lhc B)vision\ ol tl.. Cofllr.clor's Liccnscd Liw (Chllr& 9. Comiftkint wirh Sc.ri.n 7000 uf Divisnrn I of(h. Ausincss rn'l <br />Pmrcsn,ns Code) or thll hc.r \hc iscrcq)t lhcrctom inrl rh. b,\is lor <br />'hc <br />0llc8.d crc.{rion. Any violltiotr ol Section ?031 5 by rny <br />amli.unrrorannnnuhjcc(rhcapplicdnrrorcivilpcnrltyolrcrnwcrhanlivcnundrcddnllar($500) <br />-1. <br />!s owncr ol rhc pmpcny- or my crployccs wirh qrecs as rlrn !n. .onl).n$rion. \'ill do rlE wo* ,xl rh. stMluN is nor <br />i' cndL\l oroncrcd n, salc (S( 7(|r,r. Busines Md P,ofcsionr Cod. l hc Corlraclors !,iccn* hw dms ml apply ro d owner of <br />rhc pmtEny wlr builds or nn0rovcs rh.Nn. od whr dD6 skh *olk himsclfor hc*.lfor rhnJugh h$ or hft owi.mployccs. <br />l(,viJcd rhd such nntRilEnis m ml i cnnd or olltEal ftn slc Il howcEy, rh. burklnE or irpmrcmnl is mki w hh n,rc Fd <br />oflanrykrion. rhcONncr Buitlcr willhlve rhc burdcn ofrrtrvi+ rh h. or \hc dil nor buikl .r inpn)vc rI. Imlrry for rhc pxrF){ ol <br />l. osncrorrhc pl)prny. mr.xchsivelyconrrrcrins wirh liccnscd c. rrcl.rs lo .on(rucl rlr po].cl (S$ 70J4. Bllncss <br />rftl Pn)lt\sionC.dcTh.ctnracttrsLiconscLrsdocsnorrpplylonnownuolprcFn,whohrildsorinrprofcsrh.rc.n. <br />rnd who ronta.rs li)r \uch t,mlc.k wirh, O,nrruckas) liccnscd lursur tu thc (bnra.tol \ Li.cn{ tjw) <br />I r'ncrd.1pr und.rSccri6n_. A. & P.C,nrthisrcsnrn <br />OM€r <br />uaBff&r:ra rrNttlloN <br />IECLABAI!.U <br />I hcrchy rrrr un,l.r p.uhyofltrjrryon. ofrhc tulb*ins dcclff.rions: <br />-lhrvcandqilln[ilnhrCcnific.t.olConscnrtuS.lllnsurcrorworkcif.onr|tnrdion.a\ln,vnhdf(trbySc.tionlTm.lrhctrtxtr Gxlc, fd rhc ,)crfnn,frc olrhc wo& fitr which rhc peflnir i\ isucd <br />I halc ud Nillnrain[ir *orkcri comncnslrion imuratrcc. as r.\]uncd b, Suction ]700 oflhc tibor Codc. ior lhc pcrlonM.cc ol <br />rtu {o,kntrqhi.hrhnp.rn,ir i\i\suryl nlyrorlc6 Il.n\!lio! ioslrln.ccaFicr ! Fnic, nun$cruc <br />l.cdifyrh nrrh. pcdontutucorrhc w.rk fir shichrhnlr{rnir i\ i\\trel.l shrll nor chlk,yanrr.non in rny rnnrr <br />$ !s ro hccorN sulijd lo <br />'hc <br />qo c$ conD$sarion l.w. or CalinxnD. md a8rcc rh ifI should bcconr su$jNI hth. <br />*ortc6 comp.tr\triion pmvnhns ofSariotr 37(x) ofrh. Lrhtr c(x1.., \hrll.lonhsirh mmfly wirh rhos pblisn,ns. <br />WARNINGT F lurc n' {rur. sorkc6 .onp.n\iri(,, co\cmEc i\ !trlarfrl. and \hrll \ubFr in .mtlo}rr h rimDrl ,rulla! rDd <br />civil liNs up Io otrc hun,lrcd lhonsand dollnrs (5100,fin), ii rdJin,n h rhc .oi df comNhernnr, d. ug.s ns providcd Lr rh. <br />Sccrion 3076 olrh. titFr Codc, inrcrc( Md anormy s li{s <br />p"6. *z-r-lt3 *ppu-,r,l>-."- <br />LTENSIIDI:OIIAdEIOB <br />IDCI.AAAIII]N <br />IhcrehyarfiflnundcriEnohyotpcrjuryth lamliccn{nu cr pmvision of Chlprs 9 (.ommncins wil h Sc.lhtr TOOO) ol Division.l <br />of rhc Busiftss dnd Pnrassions Codc. uxl my li..n{ t ir lull tu.r rd.frc.r. <br />€e, ?-lo tq{r 1 <br />nrrr 4/z cur*o", Dcz- . o^?,-*- 1;.2 <br />CANjiIBIEIIONIENDIICJ(iINCI <br />Ihcrchyaf,lrDu.rpcnrlryolp.rjuryrhrirhcrctionnrucri,,nlcndirgagcmyli,rrhcpcrtormmccotrhcworkfitr*hichrhi\rcrn,iri\ <br />i\srd (Scc. 10c7. Civ C ) <br />AIILICANLDEEI,A.SJIIAN <br />I rrd'.,.v dlinn undcr lEnnlry oflr{rjury onc or rh! fi,llowins dcclnalions <br />Dcmhion PcrmnsAsh. os Norificoliotr licdcrnl Rc8ul[i.trs (Tillc4lr. P{n6) <br />Rcqurcd lxrrcr.f Notillcarn. <br />I .cnifyrhar lhc lidcBlrcsuhrio!\ rcsedins !$c(o\ renrovalarc n.r lmlicahle ro rhis pojccr <br />-lccniayth <br />l h0v. rcadrhn mdi.atiotr!n sl.rclh.r rhc.hovc irf.nndi.n is conccr I aBN ro con{'ly wirh .ll Ciry and Counry <br />odinrnccs aftl Sht. tjqs el1llinS ro 6uildin8 consrru.rior. drl hcrcby.uthtrnx rcprc$ntarilcs olthis Ciry alld Counryro ctrts ulnn rhc <br />rtx*t mnri.md pi(,r.dy ft, irlsF.rhn tllrNlcs. <br />Apoliconl or A$nl Si,:nnhr( <br />,//i-< fr <br />,,,,," S/z-./tt <br />Set Backs <br />Formsi Steel/Holdowns <br />Erection Pads <br />SLAB Floor <br />Subf loor/Vent/lnsulation <br />Rool Sheathinq <br />Shear Wall <br />Framing i-lI-/,Jlclo z>4ct <br />lnsulation/Energy <br />Drywall I i-/?-rl Ji/.tol - (ts) <br />Ext./lnt. Lath <br />Brown Coat <br />lVlasonry <br />Pool Fence <br />T-Bar <br />Handic ap Req. <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />FINAL 1-3-t9 J)25>1 D ,4;) <br />c ertif icate of Occupancy <br />Notes Remarks, Etc <br />SITE.WORK ID/SIG. <br />UFER Ground