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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS OWNIiI BUII,D':R DEI.('ARATION <br />I iErh! arlm un&r F!hr'ofFrjul- thn I m.rmfl Gom th. Conrf1oE t.tm tr* for !h. fo[.(i,! rsr ls.r Tort i <br />BBh6s tnd Profsion (.d.) AnyCn, or Counir "hich r.quc ! Fnir to conrruct..ha. imrroq &nolLh or rgin rnl <br />stuclu., pmrb its isuuc.. !l$ !.qon6 rh. rlr'licrnr lor such tEmr h nl.! risn.d nllool rhd tEor rh. ir tic6k{ plMdd <br />lo lh. rrertF6 of rlE ( onrrxror'3 Lic6s.n t,* IOEFg s, ( onmtrin8 $nh sdir. 7{xro of Drsirn r oathl &116 ..d <br />P,.l6sNnr ( od.) or ih,| h. or 3hc i! crcnfl rh.rciiod ud thc l(t for rh. alLg.n .roprM Any yiohlnrn oa SRlion 70r I t br.n) <br />t 'rli.,.r for ! p6nil lubjeB rhr l',Iilicul to a civil t@hy or nol mrc th lirc hundrcd &nld (1500) <br />l,&rosn6.lrh.F)Fn!.6rmr.mpl(,)6$nhsir6srhorslc(orD€.dtr'.."illd'ih.\$t{'dttEnrulrcRmr <br />in16yl.n or o[-.d for slc (Sd 7044, Burn* md Pr.fcioB c.d. 1'h. ( oohclors LkdE r,w &6 nor rni, ro s oris or <br />rh. FrrEnr- !tbhrtl3drq!r6ttE6(.tn\rthrtEshnn hiNcl, nr h.Mtf or rhn urn hn or hd ovr 6rth)G. <br />Fo! rrRi ih.r scfi inFnffi3 E mr dad.d orofi.r.d fot $k tt h)tr6s. rtE h'ldiB or ,lprc.lid 6 $!t I rhD oE ta <br />ofcomnldio( ltE o\h6 lluiktd will h!\. th. trrdo of !Nin8 rhd h. or rh. dnt nol l{ild or iryor. rh. rord} ftn thl p!qr& o{ <br />l. 6 oMn . f rh. pr.p<ry. m .rclu!i!.ly .omr.d ins *irh licft.d .onr.(oB ro connrud ri. Foj&1 (Sd 7D14, Bd *eri Aofdsion cod.: Th. conrncto.s Lic6.. La* &'6 ml lpt lylo u o*n6 ofpn'tdt,- sho bundr or impro\61h66...nd $t6 odE ir rr rch p..F! qnh r Co e("l.) liaE it Fn!.i to rh. (bdd.ir Li<G h*) <br />lir crcnrpr undd Sc(lnn <br />,,.,.,'-ts- 1?atv-/ 42rc< <br />DIOJf,AIIAX <br />I hd.ttr .rm u.d.r rErht of Fru.y om onh. follur oS rLtlEd h6 <br />I hrv. ad rill minirn . Cd'lKn. or Congt lo S.lf- I6uE to, $,t6 conpqs.lion, & Fvil.d fo, by Selio. r 7{x) of th. <br />L.bor ('ode aor rlE F(hje. ol rh. sqt for s,ttt rlE Fnn . isEd <br />I hrv. lnd will miinl.in {ork6 .omFBd ion icur.m., s ratoir.d b, s<tioi I7OO ot ln. Llbor ftd.. for rh. pdf.lrucc .f <br />llE *srl f uhth lni! Fnn ir io.d. M, $ctd @nFEdirn i,sl,lu. .eir ltt Fli.y runb.r E <br />I c.nify thnl in rh. pdLrfu(..rthc sort lor qhi.h rhis Fni is n$.d.1 shlllnot mploy my I'crso i. any nMr($ aro h.6ft lut*rr ro rlE*! a mmFnrior lau ! .fc.lia.mia .nd rsG rhd ir| !lnu! b.rom jlbid ro rtEqo 6.onFsmnFoluioBorsdionr7@oarrEljtor('od..Ictrll.fdhtrnh.ompl,trnhllbrrrorisioB <br />WARNINC: ,ilur.lo Brc worl6 .onFd.lion .ovarr. ii unlawful. Md Jhall slbjd e drtoF lo aihin.l Fsii6 dd <br />cnil nn6 up lo on. huBn.d rt usnd 6llm (tl0o.tro0), in rdlnnrn ro llE coc olconFMio.. da@s6 s rorij.! for rtE <br />Serk,n 1076 oarh. Llbor ( od.. mr6d aJd <br />-t I r<l <br />DECIJIAIII,! <br />I hsrhy Ermr und6 pdahy of Fjury lhll I M licael unds FovLio..t( hrfl€'l t.omocirs qilfi Sation ?01{)ofi)nision !.f rh. tlcinB !n PmfsioE Cod., rn m) lt.u 6 in tutl for.. dr.tT<r <br />(.ONSTRUCIION LENDINC AGIiN( 1 <br />I h6.by amnn und6lr.iltr oIFjury rhal th6. i!r.oturructioi todins lrmcy for rfi. FdnrnBn.. of lhc $ort hr *h'.h this Fnrir s <br />i$u.d (sr 10e7,C'v ( ) <br />aSttl(Atflrlcla8dllor <br />I holtr'rtrm u.&r Frahr ot Fruy oE ol I h. aollowins dclr io.s <br />D.rmn' ion Pnnr-Asb6rc Norin.dhn F.d.nl Rctsuld ioff ( I ntc {0, Pd6) <br />Rdtunqi l!t6 olNoti6cdhn <br />l.ditth,l !t. f.dssl rcsuhli('B r+dtlns srrrbs roor.ld. nor arpn.abl. b rhis rDj.n. <br />Icdi[ rha Ihr.rairhi!qpli.dbnann,rcthirncltlor.int tui{6cotr.d I aa,et. smpt) tr ha (ir}rd(ounr! <br />odrEN6 r.d Sht.lrs ElrrB ro trildi.s (odtuc!io'r d hdcll'.urlFri,. EF.$r'lnc orthi Cny Md Counrr- to ord urbn rh. <br />,ts!c nrdrion.d propslv for iBperio. turlx\r6 <br />\Dolic.nr or,lrdr Si!tr.rur.I'tQcrntJ,,r",a t-ir-i 7 <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />SubfloorA/enUl nsulation <br />Roof Sheathin <br />Shear Wall <br />Framin b./bh"l.>.1t'6 <br />lnsulatron/Ene <br />D <br />Ext./lnt. Lath <br />Brown Coat <br />Pool Fence <br />T-Bar <br />Handica R <br />De ut Final Re ort <br />En ineer Final Re rt <br />FINAL L /u/tt l>.61 <br />Certificate of Occupancv <br />Remarks, Elc <br />I <br />Masonry <br />Flood Zone Certif. <br />Notes,