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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns n
<br />Erection Pads u '\J
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />ryl/ason
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />6-zC-ll r
<br />Certilic ate of Occupancy U
<br />Notes Remarks, Etc
<br />oWNI'R BUILDEIT DI,:LCATATION
<br />I hrrchy rfllnn undcr,r rhy,,r pcrjlr, rhar I ur cxcnpr tmm rhc Conrrrcror t.i.cn\c li$ lnrIhc lollowin8 rcnsn (Scc70.11s
<br />Bu\ircs\ md Prollsrn Codc) Any Cily o! G,unry whkh rcqun \ r Fnnir kr coi{rucr, rlrcr, improvc. dcmoli\h .r renrtr rny
<br />ifl.ru'c. f orb ns n\uuncc. !l$ rcquircs rh. appli..nr t r su.h Frnilto flca sigtrcd ({rcrm rhar hcor shc t li..nscd Nrsuafrt, rlf povni.ns ofrhc Co n.lors Liccnrcd tjw (Chrntcr 9. Co nn n.irg whh Sccri,,n ?(XX) .f Divi\i.n .l uf ih. Bu\inrs\ rod
<br />l'tulirli(nrsCodc)orrhxrhcorrhcncxcmprrhcrction0ndrhchsisitrrh.ilcAcdcrcmJ)lion.Any!iohrionolSccri.nT0:ll5htriy
<br />rppl,cnnr rar a p.nnn \uhj..r\ rhc rmli.nnr h acivillcnlltyofnu' mrc rhln fi'r hun,lrci dolhF I S5oO )
<br />Lr\ owD.r ol llr pN|{ny. or nry c pl(i)rc\ slrh srlcs rs rhcir *)lc ..nD.ns i.n. willdo rh. *\rk md rht inkruto L nur
<br />i ctrdcd orofltr.dlarslc(Se704:1.Businc\\atrdt\onsrionlCndc. lhc(onlrncroi\ Liccnsc t;rwd@s nor nmly to anowncrol
<br />rhc pmpcny sho buikh.r i'nprcvcs!hcB)n. nDll wh. docs n'ch wo{ hnnsclfor ho*lforih(,u8h his or hd owtrcnrtnlyccr.
<br />pn,v id.l rlur sucl nnpmvcmtrh dc ,Dl ir crklcd o' ultrLn r{, ulc ll. hos clcr thc huildi',g or i':t,ormnr is {rd eirhin om )Etr
<br />of.oDdcrb.. lh. Ow r auiudr *irl hr\ c rhc hlrlI oi roiu rhtrl h. or shc rlid M huild o. ln{'mvc thc pnr0cnr ,ir Ihr purpos ol
<br />I. a\owtr.rofrh.nnr!.ny. rn1.r.lusilclyrotrrrc(ing *irh liccD\ql cotrlncr06 ro condrud rh. pnrtsr (S.c lOr4. tiusinc\\
<br />aRt lh'r'c*bn Codc: lhc Corrlrclor! Licc.sc li* doc{ noratply r) itr.wrq.floJ)cny sh,) huilds or irnln'vc{hcrc.tr.
<br />rnd $ho .ontr .ts lnr (u.h l)tujc.rs wnh n Coirn kn(,li.cn{d pur\rurk)rh.G) rrrrtr s Lic.nsc I-r*)
<br />lrfrcxcnrpt und.r Sc(rnr .a &P('lbrrhnror(n,
<br />l)Ntt ()xner
<br />rtotrxrn-s corrn:rs,riior,r
<br />Df,!,;IAAAIIAN
<br />I h.i.hy nllir r utrdc' tr nlr!,n ncrjurvr . ol rh. lnl[)* g nc(hrrti,),\
<br />-lhrvc
<br />nnl*ill mni r nCc fic.rcofc.tr*trrhS.lfld\ur.larwork.^ comll.fsxri{nr, r pn,lidcd,n.hySccridi:1?(x)olrhc
<br />Iihor Codc.l'orihc p.rfornrmc.fihc wor* fn shi.h rhc t nnir is is\tud
<br />I hrlc and $ill m,inrrin * orterr compcnsorion in$rircc. rs rcqunL.d by S(r ion 37(x) of r hc bbor C.rlc. lor rtu N,fornErc or
<br />rhc work li,rshictlii\ I[mir is kscd Mysort.ri cotrp.n\dnr insxr.mccMicr tuxl |bli., numbr{c:
<br />l.cniryrh nr rhcltrrfonrri..ofrhr work f{tr thichrhi\ ncnnii is is cd.l \hrlltror
<br />$ ,\h bccomsubrtrlolnc so*qr om|Enslion lows or Ctr
<br />wortds co',pcnsalior povisiotrs ofScclion l7(x)oflhc bhor ]
<br />lli-|.1'i,'iilil: i;;t;l'ti u]i:t," *t
<br />Jul'iK
<br />Ificrchylnnmundcr pcnolryoit.irtrythir I n lircr$d uMcr pmvision or (
<br />,,'orc\*o \Codc. md ,y li(cnso n in tullntrco
<br />-"'."&
<br />Ihc'thy finn un.lcr pcnahyoip.rjury rhd rsc is u conslDclior bndirE uscncy for lhc lcrtnn'unc. orrhc *ork r(r whi.h rhir lcnnir ir
<br />hsucd (Sec.l0O7- Civ. C ).
<br />AIPLISA]ILDIIIAMIIO!
<br />I tlrhy!,ltmundcr pcn.lty ofnc.iury onc.i lhc lhllowirs dcchrarions
<br />l)r (!l'rrI l]crn[\ n{{o\ Norilnrrnr I.r,ldrl ll.gtrhr(n!\ r'l irl..]l
<br />Rcqtrr.d lirrcr ol Norifiurk)n
<br />Ircnilyrhir ihclclc.rlrcguhrioosrca3rdirgrshcn ooLrpnlicablc ro rhn nr)jccr
<br />l..aillrh l lhvc rua rln\rlplic.ri
<br />o{li,xnu\rM Suc Ijq\tohrnrg r. bui
<br />rtr)ro mcnrion.d pop.dy n, insrccrion
<br />ADpltur o. Atenr Si[ntrn,n u
<br />tatlgil
<br />UFER Ground
<br />Flood Zone Certil.
<br />FINAL
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