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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steeli Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oorfu enVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />allD <br />Ext./lnt. Lath <br />Brown Coat <br />Pool Fence <br />T-Bar <br />Handicap Requirements <br />Deputy Final Report <br />Engineer Final Report <br />8-43.290 <br />Certiflcate of Occu n <br />Notes, Remarks, Etc. <br />OlG-Duildr Deldi@ <br />I hdtby rflid u.ta Dsdty of Dajury tt, I h d!n'i forh dE Col!Er.td!' Licd. trr fd rh. follo*ins Bo Ge.70l l. J B$ir63 <br />!d rrefsio Cb&)i An, Ciry d CMty ihi.h Ggua6 r p.mt io 6rru4 .tr6, inpoE, &ml !t d np.jr qy rrrud@, Fin to iB <br />irtl).d, .ls rEqli6 rn. +plic.u f- ed Fmn io 6L . ri8r.d n r.ffi! rh.t h. 6 th. ir li@.d punut io lh. FEyirioN of rc <br />C6t-rq! Li.@.d rs (Ch.ri6 9, Ccllffir.ini *ilh s..ti6 70{0 of Divi.i6 ! of Oc Bqindr 6d Pmf4i@ Codc) 6 !h1n s <br />rh6 ir .dnB 6@Am dd 6. brt 16 dr. .ll.8.d dmpdo .An, liol.lid of s.crl6 ,03 t .5 by sy .pplt&l fd . Fmn 3ubj.cr $. <br />rppli@i io r civil p6dty ot n . tre dre liE h6tu d.lla (lJoo). <br />_I, ! M6 of d. FlFry, any mplot€ rirh w.ss a th.ir rl. cffFnglioq willdo th. rdl Dd th. rl'rctc i! nor i.r.rdcd <br />orolTdrd 16.iL( Sc.7o,la,Buiod dd Prcf4id Codr It Co n t6'3Li6!.LsdHn(.irplylo(own6of fi.prelEny <br />rho buil& d inFos rhc6, od wlb do6 t!.t *ort hi@.lf 6 h*lf 6 lntu8h hir d lr- oh mploy.6i Fovid.<l rh.t iu.h <br />i provddl, e nol Intodd d offdld fd,.lc If. h*ffi. th. blildliS or inprov.tMr i! lold wirhin onc yd of compldio,\ 0E <br />Ownd-Buildr iill h.rc th. botd- oa prcvi.g lll.1 h. { rh. nol buil.l d ihFlw ld $. purFr. oa r.l.). <br />_I, ! 6m6 of rt. p..,p.n , 6 4lalv.ly .drEdiry with !ic.d.d Mtrtor b .6ns.r $. p.oj6t ( S.c. ,o41. Burir* &d <br />Prof.td@Cod.rIhcCdtr!.tor!Li6r.Lrvd.€not.!plytou,6ofpropcryrhobuild!dinprcvdt6M,&dwho <br />coitr.cr fd ruch projcdr *iln . Cotrelf(, lim.d p{B!6r ro rh. cdr.&rdl Lim* L.w.). <br />_IEd Fudds.clid <br />WORI(ERS COMDENSATION DECLAiATION <br />I ha4, .fliD und6 p6dty of Fjury oG of lh. follqi.S d.cldi@: <br />_l lErc rd will mint in r Cdrlfi{E oa Cmr b S.l duEf6wdtdrcmFnrrid, ! previd.d aq by S..ri@ 3?00 olrh. <br />Lrb.r Cod., fG tlr. FfatMc. of $. ,o* fd *hich $. Fhir t isrld <br />_l h.E ud *ill mjndn *otd' cdrpqlr.ti6 i uma, a !.quntd t, S..do 3700 of $G r$or Codc, f6 lh. p.Jfmee of fi. <br />wdl td *hich ihl Fnit it itN4 M, *dtd' @mpoltid iBu c. 6i6 6d policy n6hu E: <br />Ceic <br />lollcy Nunle_ErpiE:#*;ffi;#;ld onc hh&!d.blld lll0o) o l6i) <br />rhict 0ft pamit ir isad,I rldl <br />of Cdif6i1md.8rE 0r.r if <br />c@por.iid Fovirid of 1700 ofth. Lba Cod., I rhrll, forhwirh/o <br />WARNINGT r.iluE lo tG.@ xqrd' cdFeti@ @v6{G j! <br />lird up ro m. hund.d 6oted &lla (l I00,000),in .ddirid ro d of.mFu.ljd, ds 86 s Fovid.d fd ti. Se!6 3076 of <br />$. L$q Cod., i.t Br xd dldn y! f6. <br />LTCENSEN CONTITACTORS DECLARATION <br />I heu, .mm ulda podty of Fjiry lh.l I D [6tcd m&r prcviid of Ch.F6 9 <br />lll. B6ino ud Profdid Co<rc dd ny li.d. li ln full fod .nd .lld <br />t(-0 <br />I lla by .finn Btdd pctdt, of pdj!ry 0|a 0r@ i! r c@rudion la.lias qa.y fq rhc <br />lard (36. 3cr7, Gv. C.). <br />of th. dt fd {hici thir p.mn h <br />L.nd.r'r ^rldB. _ <br />AIPLICANT'S DFCLAR-ATION <br />D@liti6 ldirt-tub.rid Noiificdio f'dd.l R.suld@ <br />_ Rcgunld L.na ofNodiic.d@ <br />$d Co!.ly lo nrr upon In. <br />lboE mno.d pro?cdy fd iruFcrio <br />1/- <br />iilllilL!Im- <br />IT <br />Masonry <br />Flood Zone Certificate <br />'F tf t Llt <br />SAMI i aA7 <br />FINAL