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SITE-WORK DATE rD/srG. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenUl nsulation <br />Roof Sheathing <br />gFramin <br />lnsulation/Energy <br />Dr) vall <br />Ext./lnt. Lath <br />Brown Coat <br />Irriason ty <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />En gineer Final Report <br />Flood Zone Certif . <br />FINAL 4.lt0llA-1 \ba&ri ^).?b-/Certificate of Occupancy u\ <br />Notes, Remarks, Etc. <br />BUILDING- INSPECTOR RECORD <br />I h6.!y arnn und6 pdalrl .f pdjury rhd I m c\enp( rroB rh. conlr0cto6 Lic.nsc kw for Ih. tolloryin8 reen (sa 70l l 5 <br />Businss ai Prof6sion aodc): Any City or Counly Nhich requirB a ps,nil lo conslnct. ahq. inDrove dmolBh or rcfan any <br />srruclue pmr ro irs isu cc. .lso raluiG rhc applicdr aor such p.nnil to file a s,gicd srarmdr rhar h. or sh. is lic€oscd puEuanl <br />ro rl[ pollsioG oa rh. ('onlracloas Lic.ns.d t w ((-h,fld 9, Comm.ncing snh S6rion 70m of Division I o l rh. ausind Md <br />P.oLsions (ode) or th0l h€ or sh. is erc'npt rhoclio,n and rhc bsis for the .llcs€d ercmprro!. Aly viohti.. ofserion 70115 by any <br />appli.erlorap.mrsubj<rsrh.applic.nlro.cililp.nalr)ornorhor.rhsfi\ehon&.ddoll.B(!sLrl) <br />-1, <br />us oNncrolrhc prcpely. or nyc.rploy.6 wirh *as6 d rhetr $le comtjnsation. rvill do thc *orl ed lhe shr1rc is nor <br />inrodcd or olld.d lor sl.(Sa.7044. BNins ed ProlNio6 Cod. I h. conr@crof s t.icm. Law <lod nor ,pply b e ownd ol <br />rh. p'rFiy sho boil& or in .ov6 thd6[ dd *ho d66 s.h \drt hims.la or h6*lf or rhough his or hs oan eo,ploye€, <br />prc\ided rhar such nnp,ovmars ee.or inrod.d or ortrql for slc. ll hotro-a, rhe buildin8 or impmldrcnr is eld Lvilhin onc ,@ <br />of.o lplcrio( rhc Orn$ Blildd sill hau thr hxdd oapNinB rh,l h. or sh. did nol hlild or i'nprove lh. potdy f.r tht p6rrs ol <br />I, s osn.r o arh. rrordy. m.rclusi!.ly contmdin8 wirh licm.d conhcloE ro coNlrucl thc rojd (s6 7044. acins <br />,.d ADBrir. Codc: Thcconhdoas Lica* L6* do6 nor rpplr ro d o$nd ofpropdy sho builds or nnprovG rhdo., <br />and wto contrds ior such pmj€.rs wirh a C.ntmclo(s) ltm.d puFu&r lo rhe Contldois Licar Lrw). <br />-l <br />on€re rpr uds Sdion-. B. & P.C. for lhis re&n. <br />1!!ra{,alco!rEE!sd.!a! <br />DKLdAAIIQ! <br />I helrby aill n und€r pc.ahyolpsjryoneofthe fotlowin8 decloatiotrs: <br />Ilrv€dd$ill'n.intai..CcnificateofConsdrtoSclt-lNu,eforqorked'.onrp.nsarion,aprevid.drorb,sdion1700oflfie <br />tib.r code, tu thepd'lonnmc€ ofthe Nork for which lnc pE n is isued <br />lharcatrd\iTlnrainlain*dkertcohp{nsaridninsurance,6rcqun.db}seridr:rTcUofrhel-.bor(odc.furth€Frtunndccol <br />rh. vorl rorNhichrhs pcmir is,sudl Mt*orl.E .onpc.sati.n iGuramccnierMd p.licynunrber de <br />PolicyN@ba:_Erpt6 <br />I cdifyrhar inih€p.rformanceofthevo for $hich lhis pnmir is issucd. I shall nol dtkry any pcBon in nny men6 <br />F dIo b€omc subjd lolhe *'orko.' co'nF@lb. l,ws oac.hlomia. dd alE rh{ ifI should b€comc subjat lo thc <br />worl6' colnpoelio' prcvisiotu oas$rion r70o oarhc L2bor codc.l slDll. fonlNvnh conrply \uilhlhoFprovtio.s <br />'\}|,ARNINC Failure ro scurc $orks'cor.p.nsalbn covcro8€ is unla*lu d shall sub.jer an unplord ro airiMl pcuii6 d <br />civil fi.cs up lo o.e hundrcd thousd dollas ($1C{.000). in addit hc cosr ol .o fc sario., d.firaes 6 plo\ided fo! the <br />Sdrn 1076 ofrh.lrln C.d. inrrst dt <br />t]I!-ll!3,!I1D <br />I hercby affi D under pdalry o lpdjuy rhd I m licdEdl undd p@viiion ofchlpid I (coNnacins wilh S€ction 7000) oa Divisio. l <br />of lhc A6ins d Prclsionr Codc, dd my lic@ i5 in full forc. and ctlirl <br />: LiccBeNu 4€' <br />I h.rcbyamnn under !.nallyotpdjurylhat <br />issu.d(Ss. 1097.Civ C). <br />isaconsrructionlcndinsardcylorlhcp6fonnd..olth.wo,kforshichlhnpstitis <br />SIIIICATLDIiOdAAIIO! <br />I Hry a1lm und6 lcf,alty of pdJury on€ of lhe lollowire dclaralFc: <br />Dcmolir ion P$mirs-Asberos Norincarion F.n€ral R+ulations (Tirl. 40. Ptrl6) <br />R.luncd I!(d of Noriicatioo <br />r.uddin8 abcs$s rdno!,I m nor applicable ro rhis prolecl. <br />n ad sral€ lhal rhe ill.v€ i.aotroarion i! corcd laEr*ro<oiplysith0llCilyandCounly <br />aurhoi,c Grrcsrarivc olrhh Ciryand Counry ro flt6 upon lh. <br />*n*1,^," rlr/t <br />COMMENTS <br />Lend.r !AddB <br />Shear Wall <br />--.