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BUILDING- INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS ottNtltr Bt,tLDl,:l{ DULCARAI)()N <br />t lEEby affi.n trtut r p.nuhy of pe4ury rhal I r.r.Dpi lDn rhc ConrmcroB Li.cDs Irw for rh. following r..en lscc?031.5 <br />Busi'Es lnd Prof.shn Coic): Any Cily or Coumy which Equn s . p..mir !J c.n{n'cr. ihs. irnpnrvc. dcrmlkh o. atgn ,ny <br />nru.iue, pior b ik ilsusn... rlso rcquiEr rh. 4rrlicr for nrh F.mrii ro file r r*tr.d (ar.err rhr lE or slE is li.:rJ pursdr <br />ro rh. pmvn6.s ol & Contrsror'\ I-iccnxcd l]! (Chrfncr 9, C.m6.*in8 wih S..ri.n 7{lrlo oa l)ivni.i I orrhe Busin.$ and <br />PrcG$bns Cod.)n rharhc or ihc i!.x.hprth.tofrom $d dE blrii lo, ih. llle8ed er.mpriotr Atry viobri{n,ofSsrionT0ll.t b, aiy <br />xpplicnnr for r p.mir (t'j.ch rh. .ppli.r r ro i civilp.nihyotn.r mlc rhrtr lrve hu.d..d dolla6 ($500) <br />_1. ,s own.r ol rh. tsot{ny, or my .mplo!!.s wirh w4.s as rhcn $b comp.ns{ion, will do rhc wnr ard ih. {MUr is mt <br />iflarld .. ollcrc'l to, sl. (56 ?or4, BosiEs ud Pmf.siotrs Cotl. TIE C,nb&rois Lic.n* kt do.r nor iPdy ro s ower of <br />$c loFdy *I[ hnild! or iqmwsrhedr ifll wls dB sEh*)* hinr.lf htr*li or ttmugh his o. h.r oh.oployei, <br />proridcd rhir such idrowmtu e mt ided.d o..lY.od lor s! li h.{evd, trE h{itiq or rpn€m t$ld withindrc Fd <br />ofonpLrirn, rl.. Owm. Auiklq willhiv. rt bud.n.I Foving rh,lEorsh. did fri bdild or inpFE UE [mIE y tr rlE purposof <br />I. ds osrcroarhc por..rr, rmddusiv.lyeor&ri,g {nh liccncd.- mdo <br />'oconrtod <br />rlr poj*r (sa.7&4, Busin.s\ <br />. i A.ri\!D Clo'le: The Cod@rols l-icen\e lje dc! mr 'IDl,b sowndr of pn,r.ny who blilds or mprov.s rh.Eon. <br />ald *h. so'mds tor !u.h pojecb w a cod@ro(n liceNd tsud ro rh. conts.ror's Liensc L€w). <br />-I <br />!m cxenpi undo S.crion- B. & P.C. l rhi Erson <br />OIm.gaB[lrs:lol4rElsAIlQr <br />PECLAT'Ig! <br />I h$cby lnm undcr p.naky of pc.luly orc ofrhc lollowing dcclrlriotrr <br />_I hrv.mdwillnbinrdinrC. iti.di.ofCo.s.nroS.lll'sur.lor workd{ uonD.rs.rion, !1 poviJ.d for byS.cri)n 1?00 ofrh. <br />bh.r Cod.. lor rhe !.rfo!M. oi lh. *o.t rbr *hich rlE p.dit i\ i\sud. <br />_lhav.andwiumintainworkdconp.N.rio'in\ud(.aftqtriEdbyS..oon3700.frlEkhorCod.,aortlElEfo!]rftol <br />rh. rort lor wlich lhis tl.rni is l!s&d My *0r*6 molEtrlnion iBr cc cficr drl Fli.y nunhd ac: <br />Poli.y Nunb..: l,rpn.x <br />I.cnilyrhd rnrh. p! ormr. ofrh.work forwhichrllispcrnir is i$urd,l shnll not cnploy myr.6on inmy tunmr <br />soasroh.co'msuhj.crrorh.*o*crl6mp.ner'.nl:$ofcali|rni.,.nd.sNcrhsrirlsholldtcolEsubj.dbtlE <br />qodisi conD.n\!!io! nDvilhtr! of S.crio! 1?C{ of d. Li6or CoJ.,l shdll. fonh*irh .omply wirh rlDe I'Dlisions. <br />WAIININC Failure k, ycu. *or|rJ tumpcrudion cohnsc n unhwtul. dd rltrll subl.d an cmnlortr ro cinird Fmlis d <br />c,vil fin.r un ro onc hundr! rhou$nd Jdlhr {$r(x),lxx)), in rdJition ro rh..o{ orcomp.trsriotr. dlme.s as,],ovid.d fo.lhc <br />S..!.! l(176 oi rh. Ijtry Cod., i .E( rnd a(o.Ey s f..5 <br />tlsEllEl}caNrs cra! <br />!!gta84n!tN <br />I h.(by rmnnundcr pcnlhy ol lErjlry rh{ l.m liccnscd undcr lNvisionolCh!fls9 (cd'nmnci.8 with Scdhn 70m) oll)ivisio!3 <br />ol rhc Busies and Ptutcsiotu Codc, ,r ny licdM i! ia hiil foc ant .lTcd. <br />Lic.tu.CLsr Li.cm. N!mb.r: <br />CAIi:JASEII!)NUiNDNC.AGXICI <br />I h.Eby arlm und.r lEelry oi p.rjury rhd rlft is a @nsBurbn ln li.g !S.Ny for r lE F.fo']d. of rlE srt for whj.h th$ n mr 6 <br />ixsurd (sE. lu97. civ c ) <br />dIELICANLDE.CI.ABAIIO! <br />It ltry !trm undcr p.n.ky of pcrJury orc of (hc followin8 dalmrionli <br />DcDInio. Pemir$asb.{os Ndifi.dion F.d.'rl R.Bularions lTirl. ,10. Pan6l <br />-R.{uircd <br />L.trcr of Norificlrion <br />_l c.nily rhJr rlE f.d.d*Buldiom Esados sb.sos ftnrvuliE noi appltlbL b rhir prcirr <br />_l cdifyrh l hak r.sd rhis ipplicarion <br />'nd <br />n(.th.r rh. rbov. infomdion ncomct.l aere Io clmply wirh.!l Cny i*i Coumy <br />.dimno.s o Srd. La*r r.ldi',8to huildiogcon{tu.1iotr md h.rbraorlrdr rcpGsdnktiv.s ofrhG Ciryand Counry to.nrd uFnrh. <br />rh,vc mntoned l)oll.ny tor iNpcdhn pu{$er <br />Appliont or AAol Sigmludr- Ihlc:- <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation tl tL <br />Roof Sheathinq l/,hl-rff<)( <br />Shear Wall <br />Framinq <br />lnsulation/Enerqy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Ivlasonry <br />Pool Fence <br />T-Bar <br />Handicap Req. <br />Deputy Final Report <br />Enoineer Final Report <br />Flood Zone Certif . <br />rL./, <br />FINAL l0 E\'U uft:rr c <br />Certificate ol Occupancy <br />Notes, Bemarks, Etc <br />Rev.08-07-2015 <br />( <br />D.re.- Conrm(ro.'- <br />t trd.' \ N. ''c <br />knd.r'r AidBs: <br />-