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BUILDING- INSPECTOR RECORD <br />SITE-WORK ID/SIG.COMMENTS ( )\r N t:lt llt ll.Dr.Rr)l l.( \R\Ilo\ <br />I hrcby amm und6 psalry ol pcrlory thrt I m excmpl tio6lhe contraclom' l-iccnr. l,a* for rh. louowi4 ,eMn (St.703F( <br />Rusinds dd Profssion Codc): Any Cny or Counry which icquts . Iiqnit 1o connru( aho. imprcvc. donolish or epair My <br />srru.|se, rior ro irs issuece. also rcquts lh. applicam for slch !flnil to fil€ a sisned sahmt lfi.l hc or shc Lq li.ox.d puuutri <br />to rlE provisios ofrh. Contoclo.s Liccns.d L{w (Chapiq 9, Comd.ing wnh Sdion ?000 olDivision I olthc Busincss ed <br />Prof6sions Codc) or lh.l h. or sh. is cxempl lhs€rrcd dd rh. hG! for the allq€d ersnprion AnyviolationofS<rion70ll5 bvmv <br />applicanl for a pmn subjslsl& applicdr ro acililpenahyolnol mor€lhd fiv. hun&.d dollrs ($500) <br />-t, <br />s o$nd ot rhe Eo!.ny, or By mdoyG wilh *aa6 6 tfici sn€ conposrio,. will do thc rvo& dd th. sliduc is nol <br />inroded or or.rcd for sr. (Se.?044, Busines dd Ptuldsio6 code t he Contt.lois Licds I au do6 nor apPlv b m orvnd or <br />rhc pmp.ny qh. builds oi inpro!6 lh@n. ud sh. do6 tuch Ntd( hnns€lforhmclrorrhmushhis o! hs own enplor.6. <br />PDlidcd rhar such n Fo\ ffils a. mr inGtcd or ofi6.d for elc l[ ho$dd, lh. t ildinS ot impovondl is eld wnhin onc ,tar <br />ofco,nplction. rhc O$mq Auik d {jll hsvc th. bordo olptovins rhal h. or s$e dd .ot huild or ihptuve tc prctEty for tfic puro* of <br />-l.6osr6of <br />rhc p,o!dr, m.rclusivcly conracri.s $nh li.m.n.ontaclo^ lo 6nsrtuc1rh. projd (S4 7044 B(inR <br />..d Atrf6sion Codc: l hccotrttdor's Lic.M LaN do6 nol apply lo doxnd oaProp.ny *ho bulldi or imProvs thoBin. <br />and who cont6cls aorsucn pmjels wilb s ConlR.to(d lic.Bat porsml rolhc co.t,ctols Lic.N tnv) <br />I dn cx.mpl udd Serion-. B. & P C foi lhis r@n <br />Drte: Owner <br />.l!9BEE!61(Ol!!!!SArrA! <br />D!;CtA8rrlA! <br />I n6eby amrm unds p.nalry of pcrury one oflne lollowins d6laario6: <br />-l <br />havc od $ ill mannain . C.n ilical. orco6dl to s.ltunsur€ for {orkc6 conP.nsolion, 6 povidcd for b, selion l?00 of lhc <br />kbor Codc, for rh. psfomdc. oflhc wo,I lor shich lh. Fnir is isu.d. <br />and willmoi.rai. 10r[.6' .od!.Barion i6uBnc€.6 r.quirqj byScriof, 1?00 otlhc r-abor codc, for lhc pqfomd.. of <br />iBurs.c calTig md I'olicy nu rbd d. <br />I ccnrryrhlr in rhc p.rfoflnmc. of the work lor which lhi. pd,nn h i$ucd, I shaU.or mPlov any Fsofl in dv f,mnB <br />$ d io baon. subj..]l to th€ wortm cohpderion laws ofc,libmia d age lh.l ial should b.com..ubjar b th. <br />sol{6' comp€netion provisio6 of S..lio. 1700 oalhc t b.r Codq I slull. fonh\rith comply s' <br />WARNINC: FailL'rc lo sde work6' conDosation covqase is unl.wftrl. d <br />6 <br />DICIAAAIIO! <br />I h@by amrs und6 pdrh, of psjury I hal I d licatsal undd pm\ ision ol Cha <br />of rt€ B6ins &d PsacioN Code. od my licdc is in full lorcc md .iId <br />inr Nilh Scclio. 70rD) olDivision 3 <br />D <br />v <br />CONTIAICUOIIIEIDING.ACENCT <br />I hdby .ftrm undd F.ahy ol perju.y lhat rh6. is a connrudbo k dins asd., aor lhe Pstomdc< oarh. {o* fo! rvhich rhis lEmil b <br />isu€d (Sd.1097, Civ. C ). <br />ATELICANLDICIAEAUA! <br />I @y arnn trnds pdalty of psjury on€ orihe following d(lralionsl <br />Dcmo lition P6oils-Arbcios Norification r.ddal Relulations (1 irl. 40, P.n6 ) <br />-R.gut <br />d krdoaNorillc.lion <br />- <br />I cd <br />'ry <br />rhar rhc l.d6.l r.sula' io6 r€srdinB 6b6tds rdrov.l dc not applicobl. ro rhis prejet. <br />I cdil,rh l hareradlhBapplicariona sr.t.r <br />ordinnnc6 and Sr.te,iws <br />above 06rioh.d prop€n,t{ <br />rcl,64idn 6 orlhis Cir <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVl nsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Energy <br />Drpvall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif. <br />FINAL /u1 tq Kv <br />Certificate of Occupancy <br />Notes, Remarks, Etc <br />DATE <br />Pool Fence <br />,b