|
BUILDING. INSPECTOR RECORD
<br />SITE-WORK
<br />Set Backs
<br />rorms/Steel/Holdowns
<br />Pool Fence
<br />T-Bar
<br />DATE ID/SIG.COMMENTS oma'Builda D.clr$m
<br />I h@by dnm und.r p.n.lty of Fgury lll.l t.n cxopl fm $. C6L&16'Li6sc Llw for lhc following Eaon (tE 70ll J Ba'n6s
<br />ud Prcldid Codd Any Cny or Counq ehich r.4uiB t D66n lo c@3ttucl, .1t6. !mF.v., dmolish d E!6tr dy lhcluc, For 'o
<br />{r
<br />rs6@. ll3o rcqu,6 6c .ppliut fd .uch pmn ro fiI. . tisn d ttrlqral ft.t h. or lhc i! lic.n$d PuRu&t to th. P.ovnioB of lhc
<br />C@b.tor'r Limr.n L.w (Ch.rld 9, Com@cin8 erlh S..ti6 ?00o of Dntid I of lh. BGin6t and ProlaiN Cod.) d $.t h. d
<br />sh. ir.,mpr $(.flm sd lhc bsit fo rh. tll.Scd dmFid 4., viol.rid of S.crio 70ll 5 by ay applicsr fr. p.mn tubr..a ln.
<br />+pli€Ft ro. civil p.i!lt, olnol morc thu fiv. hui(bc<l dolla (1100)
<br />\Zal, s @h6 ol rh. prcFny, s my mdord wirh *.86 s thct iol.cdp.B.tdi, eill do rli. *dk dd ln. nruduc N .ot i.hd.d
<br />q ofi@d rd ol. ( se ?0.4, Bui.d 6d Prcrdi@ Cod. Tn. Co@ld t Li..ns. lJ dc nd .pply !o i owrd of lhc propcrty
<br />*ho buildr c imprcv6 $tun, Dd *ho dG suc[ wdk hitulf s h@clf 6 rnmu8h hit d hd oen @ployd. providcd th .uch
<br />idFoymdl! oc nor inrod.d tr ollacd ftr ..1. If. how.v6. $. blildin! c ihFovcndl i3 sold ei$i. on. y.e of c@ddi@ lh.
<br />OMd-Buildg sill h.vc U. bord., of Fovin8 $rr t. G ih. ncn blild 6 'DFov. for th. PutFc. of $lc)
<br />_1, s dnd of th. prop.ny, D .rcluiv.ly conE&linB with li.at.d cotubd ro .ffiEud ln. poiei ( S.c ?0ll,1, Bu!.st Md
<br />Prcf6tio Cod. Th. Con&lor's Lic6!. bw ds.d.pply 1o D Md of PmFny sho burlds d mFov6 rh!rc@ , dd who
<br />wirh a cmr&ro(, lic .d poNer !o th. cmftdor's Lic6$ Law )
<br />'f a
<br />WORKERS COII1Pf, NSATION Df, Ct,ARA-TIOII
<br />I nacby amm unds pdalt, of p.trry d. ofrh. follo*ins d.cl-irions
<br />-l
<br />h.t. sd wil m.i.rain o Ccni6car. or Cdsdi to s.lf-lnsurc ror *o'k.s comt.trstton,6 ptovid.d for b! S.ciio. r?0ooath.
<br />Labor Cod.. fd . p.rfmec. of rh. wo.k for *h!ch lh. p@ir i! i$u.d
<br />_l h.v. dd will mlinlain vsl.d conpos.rioniturr..,sr.qutcdbyS.crion1700ofrh.l-abdCod.,lcfi.Frfom c.ot$c
<br />wort lor which lhr pmil t isrucd ,qy *0*6 cmp.nsarid i.surucc c{nd oJ Doli.y numb.r u.
<br />--E
<br />Pt.t
<br />J"^,o^,-
<br />nor b. .@pld.d if lh. Fmn is for O.. hun&.d dolle {1100) or ls}
<br />$.Ff@e..oalh.ro(fm*hichlllbpqrtiii$u.d,Iih.lltrol6ploysyp6toinaylMta5o4lo
<br />' coopadiM hw6 ol Califmiq ed tgc.
<br />s*!r. *ork.B @mFNrtid.ovr.8r is unhsful, ud !h.ll tubj.cr M .mPloyc. b cnminil p.n.lri6ed civil
<br />rhNDd dolls (l l0o,00o).in .ddiion lo th. cl of cmFns.li6. doa86 a r*ovid.d fd fi. Scclid .10?6 of
<br />lh. Labo. Cod., inldcsl ud.nom.yt fc.!
<br />LICENSED CONTRACTORS DECLARATION
<br />I h6.by.mo udd p..dry of pdrury lh.l l6li6t.d {nda pmviid of Ch.pro c (c()n1]B.in8 qnh s.cron 70OO) o, Dilition I ot
<br />$. Bsin.s ud Prorcleio Codc, ed hy liccnsc i! in alll fft. ed .ficcl
<br />CONSTRUCTION LENDING AGf, NCY
<br />Ihdeby amm undc.p6.xy orp.rjury lh rhfr t a @.iducoo. lodinS !8.ncy td $. patmdcc or fi. work for which $i5 Fmn is
<br />i5ru.d(S@ loeT,civ c)
<br />AEUCANIISEEL BATgSDdd d Pmn5 Arb6tc Nolilication Fcdc6l R.8ul.lio^s (Tnl. 40, Pd 6)
<br />_ Rcqun d Lcrd ol Noiific.lio
<br />t/(,ao
<br />thr in. frdrd r.Sul.tions rcgddins sbcsl6 rmv.l rc nd applicabl. ro thtr proj.cr
<br />thd I h.v....d lhis application ud nat. atrh. abovc 'nrmstoh k cor*r I aar.. rocoFply w h rll Cry !n !
<br />,din c6 edsrrr. k*e r.l.rin8 ro buildinS @nnruclion, ddh.Eby rhon4 Ep'Bcnranv.s orrh!
<br />T-
<br />I A/',A
<br />Erection Pads
<br />UFER Ground
<br />Si \B Floor
<br />Subfloor/VenVlnsul.
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />tt-A
<br />FINAL 'tiltt 70)>fftx],a-*E)
<br />Certlfi cate of Occupancy r!
<br />Notes, Remarks, Etc.n I
<br />A I CNre' 7D
<br />9 /
<br />J/ 11,d
<br />)I
<br />I UV
<br />I
<br />-
<br />-7.-=
|