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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS Omd-Build, D6ldtiq
<br />I h.r.ty .mm lidd pd.lty of pdiny 0'.l I a cr66 fm d'. cdtct6' Lic4. lrw fd rhc follryiis Baon Ge.70l 1.5 B6ii6t
<br />rnd Prcfdid C.d.): An, Ciry d Co{oty qhich Equi6 . Fnir to @i.u.q dl{, inFDv., ddnolith d tPnn My rEo.r!c, Fid ro it!ijtua, .ls Eqdo $. @li6l f6 D.ll Fnit ro 6h . nSE I .r.rmr drr t. c !h. ir li@t.d Ptnul lo lh. Fwirio8 of $.
<br />C6trrr6'r Li.6..d r5 (Ct r(6 9, Cdll,mcint ,iii sccrid 7000 of Divi i6 3 of $. Bqin6 ad ?'6rBiN CodG) d thrl h. {
<br />rh. h q6pl thGtom dd lh. bxn f6 rh. .ll.8d ddrrrid ,Any viotrllo of Sc.1lo ?O3l .J by 4y .pplisl fd . p.mir ,ubj*r3 rh.
<br />lpptidr to . ciril p6dty of id nm Utm liE h6dr.d d.llB (35c{).
<br />_1, B ffi of $. p.lpqry, or my @ployd ai{t ?.86 s U.ir rolc.oFFarlioG will& d'c*dk ed th. rLucluc it nor int.nd.d( olr.rd ad rd. ( Sd.7041, BuilE .nd Prcfai@ C.<t : Th. Cdr4rd i Lid. L.* dd nd lpply lo & omd ol rh. proDdry
<br />rho buil& d inFb6 rhqloi, &d *h. .b6 lun *dl hi@lf d h6df d rh@Sn hir d hq 6M .h?lor6, FDvnLd $.r tuch
<br />isrFov.n6,B .It .or inradcd 6 oll6d fn r.].. U, to1{cv6, O. baildins o. i,lpumar ir rold wi6in d. yd of oopl.doi, rh.
<br />Os--Buildd *illh.E ttc bord.n ofFo ngIn hc a,h..or build d imp.ov. fd $. purpdc oftrl.).
<br />_I. B oh6 of 6. FoC.n , m qclqivd, qLErins riin $c4d 6E*1on b.6ntud orc Foj..l( Sc..70,14. Buin6 ed
<br />Prcldim Cod.: Tl. Cor&1d'r Uc.e b* do6 iot lpplt to e om6 of prop.ny *ho buildr a idprovd Ihda , ad *ho
<br />c@L.tB f( $ch projctt enh r Cdr.rto(, lie.!.d p!661 ro $c C6t rro.'3 Ucdc t:*.).
<br />_I 6 .rmpr 6.Lr s.cri6
<br />-B.
<br />& P.C- lG thi, ra6.
<br />WORI(ERS COM'ENSATION DTCLAR ?ION
<br />I h@by .flim u.Lr p.ndty of Fi!ry 6. of 6. follqin3 .L.lmrid:
<br />_l hrs 6d ijll Ej.ri..Cddfi..E of Co@t b Sclf-ln,@ f6 ?dt6' .era!.ri@, a Fori&d f6 by Sari6 3700 of fi.
<br />t bo. Cod., fn lll. FfctrErc. of rtc *o.t fr *hict thc p.rhlr it is.d
<br />_l h.w dd *ill tulnlth w6t6' cdhp.8ni6 inllfue, q Fquirld ry S.ci@ 3700 of th. L.bd Cod., f6 rhc pdfdfue of t r.
<br />e6t fd whid lhir Fmil ir i!r.d. M, dta' .qnpo.nio illtlffe uiq &d polic, numb.r e:
<br />(Itir ...d nd b. @placd t. ln. p@it it f( orc hudcd &ll!t {l l0o) d l<)
<br />c.niry lhd in 0!c Ffolrue 01lh. wdt tor
<br />rubjccr lo
<br />'hc
<br />wolk@ comptudim hH
<br />cdnp.n${@ proviticat of 3?00 ofrhc lrb6 Codc, I rh.ll,
<br />WAXNTNG: Fnilur. to rdEc *d*6' coripmrion a mploy.r
<br />'o
<br />qjmirll p6.lrid and civil
<br />tin6 up ro 6. hlrdctl lhoued &lld (l100,000),in !ddi[6 lo ih. dr
<br />tu rrbd Cod., intml rnd rlldnclt f.6.
<br />.ttm.a6 a prDvid.d fd rh. Scction 3016 of
<br />I.ICTNSED CONTRACTORS NECLARATTON
<br />I hdb, rmm uda p6dry of pdjury $'1 I rrn li@cd und.r provkid of Ch.rtd 9 (ffincins wirh scrio 7000) or Divilid , of
<br />rh. BBind ed Profador Cod., Dd ny li.at. ir tn full aorc. .nd .lfer,
<br />I ltat!, .mm 6d6 padry o( Fj!r, d fi6 n..oGlncioll l6.liDt.aEE, tq
<br />ir$d (Sc.. 3car, Civ. C.).
<br />of ih. vat f6 Phich lnt p.mir it
<br />AIPLTCANTS TTf, CI, iAIION
<br />Damlirim !nil3.&b6t6 No.i6cri6 F.d6.l R.Sul.ria, Gidc .0, Psi 6)
<br />_ R.quirld lrtt r 6fNoiitiqtioi
<br />cmpl, wi6 dl Ciry &d C@nty
<br />Cn, ed Coory ro d{d lpofl lh.
<br />.borc Mn@cd prcpqty fr iirFcti (-06
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorA/enVlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate
<br />ExlJll'i(ElJ
<br />FFr.r I rnt0
<br />FINAL r_ LlJ
<br />Certiflcate of Occupancy SAMC 0-43,290' 556 667
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Ext./lnt. Lath
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