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BUILDING. INSPECTOH RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNAR BUILDI'R DELCANATION
<br />I hcr.by afllrn u Md l.nrlry r)f Frjur! rh.r I dn .kcnf r fmd rhc C.fi b6 Li.cn{ bw f.r rhc lollowira rclvr lS( 70.1 1 .5
<br />Bu\inc\s !ft| ltolcsrion Codc): Any Ciry.r Cou ry which rcqutc! i pcnnil to <rn{rucl- llrcr. iDnrorc. denhli\h ,tr rtun rtr)
<br />itucror.. pri(trr. irs irsurEc. rlso rcquir\ rhc rpplicrnr tn \rhFnnii b riL, \igtrdd nirc rnr rhd hcor dr is icc.scn Nsumr -
<br />to rhc pmvhions olltE aonir0dols Liccnsed Llw (Ch.!rcr 9. Connncrcirs *ilh Sccrion ?uxl of Divnhn .l o{ rhc Bu\incs\ tnd
<br />P!,rcsn,ns Codc)orrhar 1.. orshc hcxcnrpr rhcrctrommd rhc hnn lorrhc rllc3cd cxcmtrn. Anyvi{ntrridorsc.rn 70:ll5by,ny
<br />q,tlicinr tor,pcrnn subj.cB rhc apdicrmt,rcivilp.inhyofnormorcrhr fiv.hr dicd dolld\ (3500)
<br />-1.
<br />as owtr.r of lhc pnrEny. or my cmplo)rcs $irh qrScs 1\ lncn solc onp.nsnlion. will do rhe wo* tRl rh. s luc n Nr
<br />inrc,ricd oro rcdforslc(Se7044,Burinc*rndPlof.snnrCodc'fhcCotu.iitrsl,iccnrLnsdoc.trotrfdytoano*ncro,
<br />rhe pmrEn, who builds or i.rprovcs lhcmo. aln *ho docs srch pol( hnnsclior hcr*ll or rhmu8h his or h.r osn chtlorccs.
<br />pbvid.d thrr such imrR,vc'r.h m not inr.ndcd or oficrcd for {t ll ho*Tlrr, rll hriHiru or inlrn,vch.nl it s)ll uilhi,r onc ]ear
<br />of co !,kri,n. rhc Owncr ltuikls will hivc rhc tlrdo oi t roviq lhrl hc or shc dil *, btrild or inDmvc ihc llfl,tsy f. h. l)u4rc of
<br />-1.
<br />!s owncr or rh. lmtEny. anrcrclu\irclyco r..rine wirh li.cn{n co mclon ro con(rucr rhc projccr lscc 7014. Bu{nc$
<br />md lh)fe{,n Grlc Thc G)ntrctr's Liccn\t Las docs mr aml, b & owncr of ln)tcdy Rh. huikh or nnprovcs rhcrcotr.
<br />rnd who c.Drr.crs rar such prolccc wnh a Gn mcro(,lf,cnscd lu^urtrr hrhc onrracrois Licens Liwr
<br />a29-^'..'r
<br />I hcrcby illtrm trDdcr Nf.lryof|Erjuryonc olrhc lol
<br />lhlvcml*illnrinralndCcnill.rcolC.nsctrroSdlflnsurcror*orkcrf.o'ntDr\.ri,[.rsfi)ridcdlor6ySccrion:]7{Dotrh.
<br />Lnh.r c(xlc. f(r rhc ,.rrortuncc dfrh. wolk fffwhi.h rh. Frmir is n\ocd
<br />-lh3vc
<br />andwillnroinkin wolkcs conrDcrslrnrn iNuntrr.c. n\ rc{tltcdhySc.rion1700ofrhcu'horGd..rnIhcpcrfo m..col
<br />rhc R hr which tht pcrmir ii i$ucd Myw.rkcs compcnsarion insurun$cffifilnd lx,lky ntrnbcr d.
<br />crnirr _ _. _--__-_
<br />I.cdilyrha! hrhc lcrfonn rcol rhc q.rk for whi.hlhis p.nnir is isu.d.l \hrll.or cnrtloy.nypcnoi inanynMncr
<br />$ $ ro hcconr subjccl ro lhc qoltcs' c.mri.nsnlion l.ws of Caliiomi!. and n-!rc rhrr il I sk,trld trom ubjNI ro ilf,
<br />sorkc6' conpcn!01ion pnrnionr of Sccrion .]?(xl of rhc tjlnr ( .dc. I lhlll. bn h{ irh .5mply *iih rlxr* ns!(iur\
<br />IVAiNING: Fiiturc Io krutc q'orkc^' conrlcnsarion colcmg. i( utrlrwtul. and \h!ll {bjccr !n emtloycr b nimi.J I]. rlri.s rnd
<br />civll fincs up ro otrc hundrcd ihousann dollm (SIU),(XX)). ir rddirion rn thc cosl ol compcnsarion. daEEcs rr ni(rvidcd ntr rhr
<br />Scctiotr :l{}76 ofrh. Lrtxtr Cod.. inrcrc( ind iuormy s fccs (7r,-v'''*-uorri
<br />I hcrcbyilnnnu cr pcnrlrr orlcrjwy rhd I.D licctr*d i( of Chr|rcr9(..mnrcNirE wirhS..ri TlXXD of Divi\n,n :l
<br />ol rtu Bu\i',c\\ rnd l,n,li\si,i\ (\nk. n ,ltrrv '.un\c is i', f,il fttr.r rktcrlcrr
<br />l,iccnscNumh.r
<br />CONSIBIqUONJ.ENDIII;.AC.ENCI
<br />IncrcbyrlltrmutrdcrFin.lryof,'.rjurythdrn6.isrconsrru.rionhndinsa8cncyforrhcpstumunceofrtuworrrorwhichrhisrrnris
<br />iisucrl (Scc. :1097. Civ C.).
<br />AITLICANLDESAAAIIAN
<br />lhdr{,yrltihnundcr Ftrrlry urp.rjry otrc oI rhc nnlrsin! derr.riorr
<br />Dc r'lilon P.rnrir\ sl*nos Norifi..riM Ftdfdl R.gulnri(rn l_tirl.40. Pi 6)
<br />Rr(ttrn.d l.(r(r,n N,i rl.nt!r
<br />l.dil.yrhn th. lidorrl r.!tr1ni,,tr\ ,cgrkl tr! \h!{o\.cn(rrlx'd tror rt,tlic l,lc r) rhA t)r,rc.r
<br />Iccdifyihrrlhalcrcrdrhiqappli.nrioi il{ r. rhd rhc rh,ve inr(rDr ion ( .onL{l l aSrc lo conDly sirh all Cny an{l Counry
<br />odin,tuc\rndSrarcliw\r.l,ringhhuildingc.nn dion. r'rl hcrch,Jurh.'n ctrc*nrJrncs.irhi\CiryrmlCornr)ro.nrcruB,nrhc
<br />rh\r nf,n''.r.d p'nrn) f,r in,nnri"nru'T,.e. /- ).
<br />^,,,,,",",^r*,,,;**l-=-*^.-7( . "/f/4pem,e.mm.,prin,,: *l_/ fia1n+ 1:4afl rnr)r'
<br />Set Backs \1""\
<br />Forms/Steel/Holdowns VZ,:
<br />Ereclion Pads >- ,.\$,,{t}'{'
<br />UFER Ground /.\' ' /a\6f \
<br />SLAB Floor
<br />Su bf loor/VenVln s u latio n ////Uk? a ,l,/Vft-4\-,
<br />Roof Sheathing 'l-12:tt -'6{c,, e2 P**)e c aJe,t-
<br />Shear Wall lpit*zc,'(37 \ ' ra b- aoz,.-'/--l
<br />Framing iilslQ 1 'Vr\rrla,t4 D'
<br />lnsu lation/Enerqy d,U .<41
<br />-D4ywall l/1t1fttY lflqe,t 'e,/
<br />:Ex0/rnt. Lath vlA.Oln'l ilii,fi)'B-rown Coat I 0t \-,.-
<br />lvlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certil.
<br />FINAL tlAls-T;m)raCJ 4)
<br />Certif icate of Occu urpancy
<br />Notes, Bemarks, Etc.
<br />-
<br />lr'. '-.
<br />^Jir..
<br />I
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