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BUiLDING. INSPECTOR RECORD <br />DATE !DrstG.COMITllENTSSITE-WORK <br />Set Backs <br />FormilSteel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />SubfloorA/enUlnsul. <br />Roof Sheathing <br />Shear Wall <br />Framing <br />lnsulation/Energy <br />Drywall <br />Ext./lnt. Lath <br />Brown Coat <br />Masonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certif <br />)t <br />t *87FINAL6lt4NDf\r{l r <br />Gertifl cate of Occ u pancy <br />Notes, Remarks, Etc.z <br />a L <br />Ovro-Builda Dochntion <br />I hacby rffrm unda pculty of pcrjury tlut I m qmpt fom dE Cootsrclor' Li6e bw for tlrc bllowing rmtr (te?031.5 Botinq <br />ud Profcrion Codc); Ary City or Cowty which rcquiro r pcrmit to oErud, rlt6, imprcv!. dcmlith or rlprir rny ttsuoorc, prior ro iE <br />irunce, rbo rcquiro thc rpglicrrt 6r sch pcmlr o filc r rigncd rtrtmat th* hc or rhc L llcced puut to tto prcvlrloE of thc <br />Contncrff'r Liarrd Irw (Cllpta 9, Comiog wirh Sction 7000 of Divirion 3 of thc Boia€r rnd Prcfqlou Codo) or tlrrt ho or <br />rhc is acmpi $anfronr end thc tuir for thc rllogcd ampthn .Any vbhtion of Sc.thn 7031.5 by r8y rpplioil for r pmit rubjetr tho <br />eppliont to e civil pohy of not morc thrn liv. hundrcd dothr (3500). <br />_L u ow of thc proporty, or my mployu with uga rr thck roh @mpcutb[ will do tho mrk md th6 rtru.twc b not intadcd <br />or otracd for nlo ( Sa.7044, Buiru md Profurionr Codc: Thr Colrrotor'r Lieruo Ilw doa not rpply to u ow of thc prcpaty <br />*lro buildr or inpna tlrarq Urd who doa rwh rcrt himlf or bqBlf or tkoB8h hlt or hs om cdpbyccr, provldd tlrt nclr <br />improwmmtt rrc rct htoodcd or ofiqcd 6r flc. If howc, thc building or improvcmt ir rcld wilhio ooc 1u of mmplrlion, ttF <br />Ow-Buildcr will herc tho burda of proviry d[t hc or rho not build or improvo for tho puporc of .rld. <br />_I, u oma of tlrc prcpaty, rm duircly coonaing with lirmcd @ilncto[ to outilct tho prcjca ( Sa 704,1, Buins rnd <br />Prcfsbn Codc Tho Coltnctor'r Lbcns [.w du mt rpply to u ow o, prcpGty abo boildr a improu thaor . urd wto <br />coilrrdt for sch projcd! wih a Contnao(r) licorod ttc Coat[ctor'r <br />I m a?mpt urda lhb ruon <br />Datc: <br />I hacby rflum undq pendty ofpajury <br />_I hrw urd will maiatrio r Catiliol! of CoMt to rcrtm' ompoutiorl u prwidcd for by Scaion 3700 of tlrc <br />trbor Codc, for thc pqformna of rbc rcrt for s,hich tho pmit ir imcd <br />_I hrvc rnd will mrhtrin work6' ompcurdon lmnnco, u rcquhcd by Scctlon 3700 of thc lrbor Codq for thc Aofomne of thc <br />work for whioh thir pamh ir irrued. My worko' compcmtion lrounne mior rnd policy numbc rro: <br />Policy Numba: Explroe: <br />--- <br />Cnir r..*n oi ro'1- <br />imdtdullmtogloy in ray trtu6 ,o u to <br />rlut if I to thc rcrlo' <br />WAnNING: PillurG b tcM mrt4'ir <br />ITCENSED CONTN^CTONS DECIJIX TION <br />I lscby afiirm undq pculty of pajuy thrt I u lkmcd undq provitbo of Chrptq 9 (@m6citr8 with Sc.tion 700O) of Divirior 3 of <br />tio Burinqr rnd Profcsriou Codg ud my liooo ir ln full fore ud qfrca. <br />Li@ <br />Dilq <br />LimsNumbc_ <br />CONSTRUCTION LENDNC ACENCT <br />I hscly rftim undq pmhy of pcrjrry thrt thso ir r ortuqion lodiag rymcy 6r tto Ffomn6 of th6 worl br whbt rhir pamit ir <br />buGd (SE 1097, Civ. C.). <br />[rnd6't Nrmc: <br />knds's Ad&s: <br />Dcmolitioa Pqnrir-Abgtor Notifi cation Fcd*, Offi <br />_ Rcquircd ktta of Notifidtion <br />_t glrti$ out thc fldml rcguhriou rqrrding ubator mml re aot rpplirblo to 0i, prdet <br />c6nify rad ud ttrt!rll Citymd Couty <br />St to Irs <br />rgat rig. <br />,\umc &rint): <br />to buildiag <br />infomrtion ir mno<t I <br />Couily to sila upon th6