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SITE-WORK DATE ID/SIG,COMMENTS OWNER AUILDER DI'LCA RA'I'ION
<br />I h.rehy rmrm und.r p.nrlry of Frrrry thrr I tun cr.mIr frum rh. Conkic(trs t-,c.n{ L.w f!, ih. ioll,)lin8 rca$n (Sm 7o.ll 5
<br />Eusin.s aftl Pn'f.$ion C,xl.) Any Ciry or C.umy $hi.h rcquir.s a ,rrmir t, $ninid. nlrd, impn,v?. d.mlish ot rcn,n in)
<br />{tucltrr.. prir ro irs nsurm., allr (qui(r rh. rypltanr tn srch Frmir h lik . ri3ned ndor.r rfull lx or $. is lte.kJ Frurnr
<br />to rh. pmvisbn(.1rlt Conr,clois t-ic.ns.d trw (Cha .r 9, Comncins (irh Srcri,)n TrXXroI Divkin:1 frh€ Busin.s and
<br />limlsion\ CoJ.) oi hi h.or sh. i.ktrfl rh.Efrom and $.hasi\ ntrrh. rll.s.d.r.mIrDn Any vi('lar nn of Sdio, To.l l t hy rny
<br />rpplicanr foraErmir \ubBisrh. arolicadn,acivilD.nihrofnornrrerhnnfilchunl..ddolh^(l5ull
<br />L rs o*kr of ihc pn)|Eny. or my.frhry..s wiih e.3.1ai rh.tr qrle !-,np.nqn bn. rillJ. lh. wo andth.qdnEh nr
<br />Im.fri.d or.ar.rd n, s,L ( Sd 70.14. Busims rnd Prolsn.s Cod.: t h. C.odractni Lk.nr hu do.i not 4rly r) rn.wr.r .r
<br />rh.nbf.ny *lh hrikl\ r inpn,E\ rh.Rrn. anlwh, tl,r( uh s* him(lfrr h.s.lf.r rhmughh'\ or h.r own.mplor..\.
<br />pRrid.d rhrr ruch nnpn)Emnh .R nDr ini.ndal o. ofl.En fui Mk If. hJw.v(. rh. hrilliry d iqmv.mnr t {,l] sirhin o* tttu.fs lhri)i. fi. O*is Bu'll.r will ink rrr h{rd.n of p.Trin3 rlla h. or \he dil Rn tnill nr iq)tuw rh. pi)p.ny f!tr rlr P{qn*.f
<br />_1, isuwnc. frh.lnll.ny.{u.xcl!$v.ly.on@.ring*irhhc.ns.d.orkxcrn\(,$n{tucrrh.pn,i.cr(S.c701-1.Burins
<br />:n,l Pn,lissi,n(-,)d.:lh.(rontrcrtr\Li.ens.l-rwdo.sn.rapplyn,anosn.rofpn)r.nywhobuildr nnrnrv.s ih.r.on.
<br />and *lr, unrmchfitr \uch pn,j.cr\ *irh i ConrncMls) licenr.d iunuinr i)rhcContd.l\ Liccns.l,a*)
<br />lanr.re'nnr underse.ri tr .B &P( turhnr.rnn,
<br />tllalrlas:rouLllsallo)
<br />!I;!LAAAUO!
<br />I hr.h!,rrn,o rnnr lr.ni ') frr{|u, !i. !rrrr ni l,rrtrir ,l..l,nrrci\
<br />lhav.andsillhrinoiniC.nilf,.i.ofO,nknrr.S.lf-l.rureforq.rk.nc.mFnerbn,arpmvid.dfixhyS.crionlTmofrh.
<br />l-rtxn C.d.. ntr rh. Frfomnc.,)f rh. wo'k f{n whthrh. Il.mn i\ nsu.d
<br />lhiv.rnd willma'nriin sork.^'conrltn( i)n in{rrnc! i\ !.q0n.J hr_ S.cndn :r7(x) frh.l]hor(ul.,nnrh€Frfontun..of
<br />rh. $..k fir shichrh$rEnnir Hsu.d My *ork.i\' (,mFnsan.n ln\urin ..rr'.rmdF)li:y drh.r ir.
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<br />-lc.niitrh{
<br />rnrhc Frf.irMn.. .i rh. qort in whi.hrhis,l. ni( i! i\su.d,I shallid( rtrft,yany F.r\8 in iny m.nn.r
<br />e, s!, h.drr {6Fd h tlf w.rhe6 co'nprn\ari)' lrlsofCalin)hir md r3rc. rhnr iil lh]uld h.co,m {hjed hihe
<br />\vo*cn ulrp.ieri.i p$visi,,ns.fs.dnr.17rxroarh. Uhtr C.de.lihrll nmh{irh (imply wirh(hos t[)vtFn\
<br />WARNIN(; F.ilu. i) retrr. r,ik.^ .! ntf,n\Ii'coverqe n uf,h*lul. rnd rhrll {hjc itr .liltrkrrr o nifrinal Fnaii.s atul
<br />iD.. damq.s $ ,rovid.rl fo' rh.civrl fitres p n) n. htri(k.d rhou\rnd d.llin ). in rJJiri,,n h rhe cr{ of
<br />tt/( / rra
<br />ulgt a8alloN
<br />I hrEhyrmrmunda p.nalryolII€juryrhd I ah ln.ntJuid.rnl,vtrhn,,rChir(rvr.,,n rft inE wirh s.d hn 7rrrtr nf Dilii n:l
<br />of rh. Busin?s\ ond PDf.$ions Corl.. &l my li..ne is in tull nnc and .lf(r
<br />L./.,/**. n vntqy
<br />\\lEf n ,"*^.r/-
<br />l;olllBuclIl}Nl[Nlllltilff!.(r
<br />Ih.rchyaflirmund..tnrky.itriury(hrrh.reisa6n(turionhndin!a8.h-yf'trrh.p.'nmn.e.lrhc*.*ntrwhicnrhhFrmii
<br />t$cd (S.c 1(r'r7. ( iv C )
<br />AULTCANLIJICIABAITO!
<br />I hmby lrrm lndd l.nrlry ofp.riury one oIrlE idkrsing d.clsrari.nr
<br />D.mlhion P.rmir\ Ash.nor Noiificdion Fat.rrl R*ularion\ (Tnl. 40. Pd6)
<br />-R.qun
<br />d kn.roaN{nifr iD
<br />Ic.ni{yrlnrrh.f.drhlEEU| i)n(Efn,inti.h$!xr.nhv.lrr n rOllirahl.n,rhtpn,i.cr
<br />lc.difyrhd I h.v. r..d ihil ippli.lrion uxl {0r.rh3r rh. abv. rforN(ion n con(t IrlrEhcoqrly$iihtllCiryandC.u.ry
<br />rnlinrr.. rn(lsr .l-.tr\. klr huikliii.onindi',n. xi lEr.ht.urhtrr! ,qr.rEll!.i .I lht Ct y and Counry ro . d un(n rlt
<br />ihrve nrfli,)ndl tnrltdy r!,
<br />,..,i,*,*-"rp.i.t,, /h%&.la-z-a(^"' tfdt't
<br />Set Backs ,A
<br />Forms/Steel/Holdowns I -'l -lt x"wa
<br />Erection Pads v
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsu lation /4.
<br />Roof Sheathinq f- ld,-v B$LIA
<br />Shear Wall f,+fuf \z
<br />Framinq v.wrt)
<br />lns u lation/E nerg y 5-r"ll r x.ux4t[
<br />Drywall 5J-,9.W
<br />Ext./lnt. Lath 5-7-ty \WM
<br />Brown Coat t( lr,
<br />{#asunfu Jt tA>C rr D,VriL)t
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enoineer Final Report
<br />Flood Zone Certil
<br />A
<br />FINAL vrcry)\
<br />Certificate ol Occupancy
<br />Notes, Remarks, Etc
<br />J (a
<br />-21 ..!rlLl-l,o{+1
<br />tuY t\t-/.r J t lr.L
<br />BUILDING. INSPECTOR BECORD
<br />t]cv.0U{7-2015
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<br />r2-H-l
<br />IrnJ.is AdJ6.
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