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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL
<br />Notes,
<br />t
<br />ccupan
<br />arks, E
<br />t[-
<br />Oer6.Build4 DcLr.tion
<br />I h.Eby rfri6 uidd ,c lty of pqju.y thrt I M rx.hB form th. Cont'ldon Lic.d. LY fo. th. followi.S @tc(l€ 70r I irBurindr
<br />ud Pro&.lioi Cod.) tuy City or Counry whi.h rcquira. p4mit !o @i,lruc! rhd, imPto{, dcoolnh o .Pd.iy.rruota., p,ior lo ir
<br />t!un6, rlto ..4uta rho.ppliq.l for ruoh p.rhn io il. . .ilncd ,l.r@Mr tlqt h. or th. i. licced Puru lo d!. povnioE ofrn
<br />Co.t-.dolt Li@ircd Llw (Ch.ptd 9, C.mdcrcing sitt S@liof, 7000 ofDivitio. I oftle Buriic..nd P.of6lior Codc) or th.l hc or
<br />rh. tr d.hpr t o.fro6 .nd rh. b.tt for rhc rlt.B.d dlspdon Any violdion ol Sdion 701I J by .ny .Dplio fo, r pmil Nbj.cll the
<br />rpplisnr to. civil p.dhy ofnot 60@ th^n fivc hundt.d doll.r (Stoo)
<br />-t,
<br />s osa of !h. propoty, or hy onployd witi s8a rt !h.it tolo 6nP.ndio'\ Pill do th. worl md .n. (rudu. it not ided.d
<br />or otrd.d for sl. ( scc ,oaa, Burinsr .nd Profstior! cod.: Tlc CoiErctolr Li@e lrw dod nor .Pply !o ri o$q ol dE proPat,
<br />wiobuildrorinproErhd@(.nd*hodo6.whworlhi.lforhd.lforttrou8hhLorhcos.nPloys.provid.ddLrrld
<br />iErrowhds lro not inbnd.d or ofrd.d lor nh. Iq howda, th. blildii8 or ihProv.m. i. rcld wnhin on. yar of@nPllriol tlE
<br />oq.rBlilda vill h.w !h. blrd.n of provin8 6rr h. 6t rh. nol blild ot inprovo for lir. purPo.. of..l.).
<br />_1, u oqdof rh.protdty, m qclurivoly@ntrainS with lie .d @ntnctott lo @u1rud in proi&l ( 54.704a, Buiid. rd
<br />P6f..rion CodciThc Contna.r'r Lic. .t w dod er tpply ro s o,E of Pr6Paly vho buildt ot 6p,os $amn. Dd wto
<br />coilrrct' for rlclt prcjeu wilh . Co '&io(r) Iic@.d pu ur to tk CoiE ctol! Lisit. trv.).
<br />I !m cxcmpl unda Saiion
<br />-8.
<br />& !.C. fot thit rdlon
<br />D!&i--Osa:
<br />YOBAIA!.Cq!trINIAUAN.D.ECI,ASAIIAN
<br />I h.r.by tff h undd plrty of pqjlry om of tn. folLviry d*l&!ioB:
<br />-I
<br />hr. .nd pill tui.t in r c.di6at of CoE.tt to S.lllNu. for srla' @mFMriot\ s provid.d lot by S..lio' ]?00 of th.
<br />t b.,9d., for
<br />',h.
<br />pdfoi ne01lh.wrtlorEt'i.hth.Fh(nn.u.d
<br />/.{n. nd vnt 6.i6n *trm' @mp.Mlron rn.u6na, .r rc!!s.! ,, s4rion I7oo of rh. L.bo. cod.. ror ih. P.rfolmrte of th.
<br />'wort for whrh rnEpcnr s i!.ucd Mye a'6hp.r[rEn rnturrneotrqrnd P.lcy numbd rr.
<br />(sfau Pnr-rzE<u-
<br />Ohir r..tion n..d noi b. cohDl.lcd iflhc pq n for On. hu.drcd dollrn {llo0) o. lG$)
<br />*l *niry rhrt in rh. p.rformn@ of rhc work lor whioh thir psnn n nN.d,I !h.ll no! oploy.ny Fion in .ny n16.r ld ro
<br />b.cm. rubjocl to th. mrko ' oftp.nrlion hq ofc.lifomi., &d l8ra thl ifl.hould b@fr.3ubjd !o rh. wotld',
<br />.ohp. doi provlio ofs.dion3700ofth.trbor Codq I !htu, fonhPfi comPlywhh drot.provilioi!
<br />NZe{?--
<br />PolicyNunba ExPts
<br />-\-?-OB
<br />WARNING:F.iht. !o r.cw. worlq.' @op.Nrtion @vq!80 n unLvnrl, ud lbll tubjet .n cotloyq to qimi lP.rhia.nd civil
<br />fina uproorc hundrcd lhound dollu (t100,00o),in .ddnioi b lllc an of 6np.nt.tio( d.d8. u Provid.d lot lh. S*tion 3076 ol
<br />$. L:bo! Cod., intddr.nn.nohcy r fa
<br />&EENiI&IaNBACIOBLDECI,AMIIa!
<br />I hs.by rliid unda p. lty ofpcqlry dll I6lien.cd uida povuion of ChrpE 9 (@m.i.n8 wlh So.rion 7000) ofDivitio. ] of
<br />rh.B*ins.nd P.of6.io Cod.,.rd Dy liccu. ir in tull for@ &d.fid.
<br />?'\l.o$
<br />. CONSTTUCIIO Lf,NDING GENCY
<br />,hcrcby rfii'n undd p.nrhy 6l p.ijury irr thd. n i @Eituction l.ndir!.8.n.y fo, tho pdfomrncc oflh. wort hr which lht P.ifrir i!
<br />i$u.d (S&. 3097, Civ. C.).
<br />AIEICTNE.DECIdSAIIAN
<br />D.mli on P6i&Alb.rlor Noritiqtioa P..ls.l R!a!L!io (Tnlc 40, P.n 6)
<br />_ Rcquircd rrnd ofNotifi..tion
<br />_l €dry tut th. t ddl EslLrio r.s!.lin8 ubdor tarcul r. e! .rpliqbl. t lhn Pojer
<br />Zar caltty ttrtltt'c,qdl,nr +pliqrion ud i.rh $.rbow in omtion ir @roc. I .Br@ to @nply wilh.ll city &d cou.ty
<br />ordidnd .nd slrl. tr{ r.hilg ro boildinS @Mlrudiol\ .nd .uthodz. cp!*iuriq ofthi. Cny .nd Cou.ry ro ord uF. $.
<br />1-\?-oBaL
<br />ll+,q,{- ?aNze$
<br />II
<br />orm.\8uild nglnlp.ciion 03
<br />SubfloorA/enUlnsul.
<br />Brown Coat
<br />Flood Zone Certif.
<br />L(4.Nlmba_
<br />tZsor- Pxtr z-ccu
<br />-T
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<br />I
<br />tD/stG,
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