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BUILDING- INSPECTOR RECORD
<br />SITE.WORK IDiSIG.COMMENTS OWNIiII BU!LDER DET,CARATIoN
<br />I hcrchy drfir.r rhd.r ,.nrhy of p.iury rhar I m dcq,r lrom (hc cont&lua Liccn\e L,w for rhc lollowinB rcaDn (Scc 70.11 5
<br />Bu\incsc nhl Pi.lcssion CodcJr Any Cir, or Cormy whi.h r.quirc( ( Frnil b .ond cr, alrcr. im[ov., dcmlhh ,tr rIUn Jny
<br />rru.r!ft, t"itr h irs hsuancc. also,cqlirci rne 4pli.am ror suchlfirnilto ljlca sicncd s,i.mni lhnl lrorshc n Ic.o\cd t)ursanr
<br />ro rhc provisnrns ofrhc Cont,cftr's Liccnsed Ijw (ChlPtcr 9, Comntncrns wirh Sccrion 7()(x) of Divtion I olthc Busincs lnd
<br />Pmfcsn,ns Codc) or rhd h or shc is crcnlrr rhcrdft. rnd th. h8s lor tlr 0llcscd cEmprbn Anyviol ionofsccrinr70.1I5byMy
<br />orpliclnr lbr rt'cnlir $hjrt rhc aptlic,nr to.civilpcn.lryolml B)arhao fiv. hundtcd dollaF (S5Cr0)
<br />l. ,s o*Nr of rhc pmpcny. or my cmplorr\ wirh snAc\ * rhcn $h mmPcn\ario!, *ill do rh. work 3tn lh. dnnh i{ tr.t
<br />idcrxld or oftrcd r'or $lc (Sr 7(),',l. Busincss aM Pmllssons Cmtc Tn. Conr,crois Li.cnsc ti* docs n r drlly ro o. o*trcr 01
<br />rhc nn)rrdy qk, hdild( or improvr! rhcmn. rtl *ho dNs su.h so* hinNcllor hcrclfor rhnJugh hi$.r hcr own cnPk,r.c!.
<br />fn)vid.d rhrrsuch i'nprunrnFmnori €nLi orofcrcd fu$lc.Il lnrwvcr. rhc boilding or impmw.mnr is sold wi$in om ,.r
<br />ofconDlcri'n. rrcOwi.rBuilddwillhivclheburdcn.flovinr rh, h.or$c Jil ml t iU or ilr{rtuvc rlE pbFnr lor lh€ Purlr's of
<br />-1.rso$nfotrhcptup.ny,0nrcxclusivclycontrcri',gwirhli..iscdcottdoslos,nerucrrhcEojcd(Scc7044.lru\ir,csand Pnrbsshtr Codc TtcConlrlck s Li.cnsc L,w docs ror,rPlylo un.wrcrorln)rr ywho buildsor imPR*trrhcrmtr.
<br />and wio conrrrc( li,r su.hroj.rls wilh a Conlrrlodn liccn(cd prnur.r r. rhc O)nlmclois Liccnsc L,w)
<br />-l
<br />nmcrcnlIrutr .r Sc.rnnr-.ll & l'.C inlhnr.n(rr
<br />Dolc Osner
<br />ua[sli&tgDullJs -[()rDncLl3allol{
<br />I hcrcl'y rlllrD, un,lcr p.Nlr, rl|xfJtrrt.nc.irhc lnll.q i',8,l.chrrri,
<br />-l
<br />luE rlxtwill nDinrain acdn,ficrlcolCo.scnr ro Sclt l.surc lor uorld(.unDcnsolior. !s pmliddl ntr bvSccrion l7(x)olrhc
<br />tjtxtrCixrc, fitrlhc pcliornEn.corrhcwor* for qhich rhclcnnit i\ issucd
<br />I hrvctriJ will rxir ir Bork.r! cooDcnsrrbn insrrxnc., rs rcquncd it Sari,n,:17(X)ofrhc tjhor Codc. forlh.p.'fornrnc..f
<br />rhc work fd whi.h rhislxrnrir i\ issuBl Myworkc^ .unD.0$ri( iNurlncc c ricr dii f,li.y trumbcr trc:
<br />IccnilythnrirrhcJrcrTnnmnccolrhc\rorkl(trqhi.hthisncnnilrsi\s'cd.Intll n.n{loyany!cr$n in r y uncr
<br />v, {\ro h+q,nr vhFd h rhctrorkch conpcns{lion hs\olCrlifin,ir. ffJ a!rcdhd iil\hould hc..tu subi\l hrlL
<br />16rkcr'conll)d'srri{n,pn)vi{otrlofSccriorlT(X).lrhcljtitr({ d,lnrll.li,rrh*lrh.o'nIly*irhrho{pft,risiLnr!
<br />\YARNINC: Iiuilur. h' {.nrc work.r'.onlf, \rri.i .ov.rn!c i\ unhwtul. rnd \hr!l \uhn.r r.nlllqlr h onri rl Ntrrliics ind::ffitthou\a dolh\ ($ltX).(xX)). i &liil , rhc cor of onrpcnsolion. d!tug.s rs Frotidcd for lhc
<br />\,}:
<br />DECLAMI!!]N
<br />I hrEby llfirm un&r r.nrllyofpcijury rhal I am li&n<n undfi Imvtion DfChaPlg 9 ($mm..inB wnh S(lhn ?000) orDivtion 1
<br />of lhc Busimrs lnd Pofcs\n'nq Codc.. my liccns is in aull tu.c afir.ftc.r
<br />I
<br />I hcrhy rllirn u dcr ncntrllyorpcrju.yrhr lhcE is a connndinr i:trdi r lsctr., for rhc l}crfonmnce olrh. work lnr *hich lhi\ l*-fltrir i\
<br />l.cnilythd rhc icdcrnl rd8rhrn,ns EsddirBniheslosrcnnrallrc n.r lpPlicrhh to lhis ptoJcct
<br />-1..'rltrhrrI hnlc(n rhN r|nli.rrifl, trtril {rrcrl,rrrr trh,rr i',11
<br />U l
<br />II
<br />I aFN rooqrl, njrh\sll
<br />durhqE rcn**d,rN- orrh,s &rjd ("url
<br />_ Dotc:Y
<br />Set Backs
<br />Forms/Steeli Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB FIoor
<br />Rool Sheathino I.,. -K Y.t($
<br />Shear Wall u
<br />Framinq
<br />lnsulation/Eneroy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lvlasonry
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif
<br />A,
<br />FINAL l)-l
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Etc
<br />DATE
<br />Subf loor/VenVl nsulation
<br />Pool Fence
<br />1"v,Yt\h
<br />hsued (S.c lO97.Civ. C ).
<br />Lctrds . Nlnf,
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<br />IITI.ICANLI]ECIA8AIIaN
<br />Lrstty lltim undcr p.n,lry orpcrjury onc olrtc nnt,*in8 d(ldarionsl
<br />Dcmolirioa Pcmirs Aslf,dos Norilicarion Fcdcr.l ReEul io.s (Titlc.(]. P,rl6)
<br />-RcquiBl
<br />t.(cr of Norifi cllion
<br />{h.tr n{nri{ucd n(,|r.nt tur
<br />Appli$nl .. laetrt sit .hrr.
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