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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE lo/stG.COMMENTS
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framina
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />I I
<br />FINAL I t6
<br />Certificate of Occupancy t
<br />Notes, Remarks, Etc.
<br />OITNER BUILDi-A DELCARATION
<br />I h6.t'y.,im un<lo Fi.lry of Frj!ry th{ I m dmpl 6on llE Colnrrlon Li.e l,w for th. tolhwiq ld)n (Sa7011.5
<br />Bo.in6! md Profdion Cod.): Any Cily or Couly *hich r.q!n6 d Fnil to connruc:!. d1a, if,p.ov., danolnt or l+.n ey
<br />3lrucrue Fir ro ir! ir!uo@, dlo r.quG rh. rprlt&r for ruch Fhil lo fiL , tstEd $d@or thtl lE .r . it licoB.d Ftui,n
<br />ro rh. FoviibB of tlE Conrdm s Ltc.r.d l:$ (Ctuprd 9, ( om4in8 wnn Sdlion ?000 of DivBbi I ol 0E BBiIB md
<br />PmldbN Cod.) or r, E d nE a d@F rhd.fton ed rlE b-il for rh. rlLg.d ddrdion. Anr violdbo ofscrb. 701L try ry
<br />aDohcsr for.p6.n $bj6r! rlE rr,pli.er to..i!rl p.Ghy of d mc lhr fir. nudr.d {bll8 (t5m).
<br />L d o*n6 of th. F$Fny. or my cmplo,6 w'lh vasd s rno. $1. mmpa!.lion, will do rlE qql ed $. snrcl@ i! mr
<br />i a'doJ m or-qi fo, Dl. (54.7044. Bui.6 ed PrlfsioN Cod. Th. Cltnndoa! Lr6e hw do6 ml lPply lo 4 oms of
<br />rlE FtrFly wlF UilLor rlm6tlE6l! rd wrb dcsh s hirelf or hc*lf or llmush hi. d ha os dPlo,<
<br />FoliLd thd iocn imFoffi E d irorj.d o. ofsd 6r $l l[ lsffi. tlE tlildlB or inFl,\c'd s -ld uihin oE ]-
<br />ofo,pbs( tlEorc Burlg siu hEt hdd, ofF\irg,E lE tE drl tul hrild d in+ot 0E FtF,6r lt. F,Ff,of
<br />.l.nro*n6ofrh.Fopdy,m.xcluiv.ly..nrdi.gwithlic@.dconlndoatoLtnntodthcpr.tc'(sk.7044.Bc,nd
<br />rnd t\.fasbn Cod.: Th. ( onlr*tort l,ico* l,!w do6 mr tppl, lo r oMd oapbFty who blild! or nnpDv6 lhden,
<br />Md uho olilcl3 lor !u.h FoJ€t! *nh r (\dtu1o(, lk.N.d puEu.rn to 0E A,nlrrloas Lk.e L.w)
<br />I &.1mpi u& SatNi ,B &P(-itrth6l@n
<br />D.r. ()*no
<br />WORXIiR\' ('OMPE]\SATION
<br />DESABAIIAT
<br />I ho.b) amnn unds r6dry of rEju )- on. orrh. rollo*in8 dcl,arkrns
<br />-l
<br />n v..d will uidu. Cdi6.a. orcoM to S.IHM fq wld omFdi.L E F!\itad f.r !y Salion l70O of lh.
<br />Lrlor Cdc ac rh. Ffollr@c o r 0E mrl 6r *tkh rFnil ir issd.
<br />I h!v. rnd will maimrin wort6 .oEp.nrol ion iBuran c. d r.qutrcd by sd n'. l70o of th. Lsbo. ( odc, ln lhc pafome. ol
<br />rhc sorl for *hich $n p.mil i! is.d. My wo,L6 conpoBtli.n iBu.mc. ffi6 .nd Flicy nuobd e:l/*xr \",
<br />J.urcc^J
<br />",",,-,QoSzlsx:tlbl /zo
<br />2! eniry rhll in rh. p6formNc orrh. work ror shich rhB prhir it i!3ua1, I shlll mr drloy My pden it My mEd V
<br />$ s ro haon. subj*r ro rhc snd'comlauio. hB of Cditomir .d.sG $d if I thould bdom rutlal to E
<br />$$16 ompdBorDn pbr6io6 of Salion lT0o olrlE tlb.r Co& l Jdl, tonhnnh @6rly *nh dlo* Fo\tioB
<br />WARNINC: F ildc ro se *0116 ohFdion ovos. u u.h,..ful .rd ddl nbFr u dtpkrld lo siaiol FurB &d
<br />.tril f66 up 16 om lurxH rhouEri &116 {t100.000). D .dnio. ro tlE cor or.o,IF@En. dlusB 6 Fo!'d.n ad rE
<br />DICIASAIIOA
<br />I Hy ltfm url., Frx, ol FiEy rlli I m U.au.d u'& FDvii,n olc,!4G 9 loffii.8 wnh Sdion 70m) of Oni.bn l
<br />ol rlE BsiB &d Ptof6D6 Co&, rld oy li<@ ir h tull 6m rn .lIel
<br />."* R
<br />t4a-!1
<br />j51oCo
<br />,,,,,*., $exrs €,-Jy Svsy'- ,+5
<br />CONSTXUCTTOI I TNIIING AGEIT(f"
<br />I hfthy lmm und6 Frulty of Fjury lha thq. i! a constuclio. hq!i4 .aacy for llE pqfotr@c. of lh. erl for wlfth rnb Fhl ir
<br />$ucd (S< 1097, Civ C ).
<br />AIII,IIANIDECIA8AIIO!
<br />I ha*, omnn und6 p.nrlry ol Frjury o.. of rh. aollo*in8 dcclail ions
<br />D.mlirion Pg iteAibard Norifiolbn Flda.l R.luldioN (Tn1.40. P&i6)
<br />R<lrrd klq of M{ife...
<br />I cdiry rhar rhc f.d6rl rc?uLriod nld'ns dbdtd movll s. en spplicahL lo lhi! p.ojal
<br />I cglify that I hlvc rdd rhn amlicarion ud i.r.rhd fi. abovc infomalion s cotr(! I tsr* ro omPly ! ilh all Cny 6nd (tunly
<br />odine6 ud Sl.l.lr** Ehillrr to hrildiB cod io( !d ho.t! .urbori- mFffildil6 of itG Cny ud County lo dls ulr,n ttE
<br />rbo!. nErbnod Fopcny tu
<br />y'pu.rnr or ^sdr
<br />stn.
<br />P.mlrc n.m. (pnnr):
<br />BVDAV,I@i
<br />S*t.n:1076ofrlE libor (i*. hi6ca and orrEy't fc
<br />y,,,, lL lL/la- *ou-^, -orn^. btkL/ LlcEtsl:DLlJxra^O-oa
<br />Y
<br />,',,, lLlL!?
<br />Set Backs
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