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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE IDiSIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subtloor/Venl/lnsulation ..ll r
<br />Roof Sheathing t/.,t/t)Milrgf
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif .
<br />FINAL I (,(8 ua,i0t-,
<br />Certilicate of Occupancy
<br />Notes, Remarks, Etc.
<br />oWNER BUII-DT:R DEI-(]ARA TX)N
<br />I rMcry rlfinn !nd.r l).nalry {)r l.rjury rh,r I m ck rr rrom rh. Cnnkd.on Liccns l-$ lor lhc n,l[,*in8 rc]vn, (s..7011 5
<br />Busn$s ri.l Pn,r.\\ion Ci d) ny Ciry .r Coumy shi.h rcqur.\ i nrnnil ro ron(fl.r. hcr. ihpovc- {k'n idr r rctrn Jny
<br />snr.ru.. Itriu k, ir\ i\\!an c..ho rcquncs rhc 0pplicitrr lar suchllnnir!r lib! \igncd {rrcnEni rh rh..r\hc ir li.d\.d ftrr\umr
<br />t, rlt pn,vi\tnr olrhc Cortr.i{r'\ t-iccnscd Inw iChq,rcr 9. Co'n'ftn.i'rS wIh Sccrion 7lXx) ol Diviion.] ot lhc Btr\i',.\\ and
<br />l'],olas\ion\ C.dcr.rrhnr h.orshc hcrcnr rhcrcfrom ldrhcbrslsturhcillc8cdcxcnnion Anrvi{nrrionofSccridiT0:ll.5byi y
<br />.mli.anr lhrr pcirnir suhjc.h rhc lptlicrnr b acivilpcn!lryofnor B'rrhrn firr hrndrcd dolles (55(x])
<br />-l-is
<br />owrcrolrhc opcny. or nry cnrdoyccs sirh wlgcs !s rhcir solc conrpc qt ion. will do rtr w.rk dthcsructurchnor
<br />inrctohd or oll.Ed f(tr {lc (5(.7l}1.,1, Bu\incs rnd Pmlc\sn N Cd]c Thc Conrrdor's Licctrrc L.r dms not lpply ro M D*dcr ol
<br />rhc pmlrny {h.liuilds or iqretcs lncNn. aml who d{Es snch woir iims.lior her*lfor rlhueh his urh.ro*n.nployc.\.
<br />ni,,vidcd rh r su.h iflpnffnrn* r rn iNcfrlc{ or.llctul ibr ek. Il k)wctrr. rh huiklioa or irpmvcnrcnr is s'ld wirhinonc }ta'
<br />ol.oq'ld ion. thc Osncr Buik,cr will hxvc ihr hftlctr ol pR,ving rhnr lE or rh. Jil mr huikl o. inpm$ lnc pmtEly lh, rnc l)urlnr ol
<br />L r\.tr rofthr pn,!.ny. )crclNivclyc.nk.crn8a{hl&n\L{cotrt.ronl,}.on{ru.rricpr+crlscc701,r.Bu$trcs
<br />3!d Piin6\hn Codc: l hc Conrrrttr r l-iccn\c l-ar doc\ n.r pp ly h m otr cr of F)Irny qh(' builds o! nnprcvci rh.rcof.
<br />aid who conrmcrs fd \uh lnrjc.rs wilh d C.rractd(9 li.cnscd pursurtrl lo Ihc L:orlr!cl,{ s l-ircn\c tiw)
<br />I hrlc nlrillmninrainrC.nifi.nrcofCoNc hS.ll l surc r(tr workcr\' .onlPctr\.tion, rs pmvilcd turbySR..rioi:]70Ool rhc
<br />l]Ixtr Co'lc. l'or thc ncriormrnc. ofrhc work for wlrich Ihc Prnnir is i\\ud
<br />*yu*:ntlnsali{,n insurrncc. as rcquircdnySc.rn,nlT{n.{rhctib.rCodc.lorrhcptdotmanccof*H;}n,n i',\urmcr.rricr d Nlryrun icr c
<br />",,,,**,*Q$$1gl_
<br />lc.'lilirlrr iirihc ncrtun,rd.c.l lh. sork tur*hi([ rh's lcnnir is rs$rrl. l shll nor cn oy]ny prnon in my 'nrtr cr
<br />s i\ ro hccoi. subj..r io rhc {.rkcr'.onrpcn\Iion l!{r olCrllb'trix.3nJ Jgrc rhrr ifl \h.uld b..onf,:uhlcd ro rhc
<br />s.rkch.orNn\dtr{rDr.viion\ofScclion.lTlx)oflncljtxtrCod..l\hxll.n,nhrirh..mnlyqirhrk'kfrovisnlr\
<br />W RNINC: l,rilurc ro sccurc *rkrr\ co'qci\riin covcrrlc i\ unlrstuL d \hrll suhj.ct rrr cnrploycr t' cri'ni'rl l.mhis rM
<br />ol .onl|xtrsdiiun. daru8cr a\ Imlid.d fu rhc
<br />ull1nl]tlll9l
<br />c>1 bqyT?a
<br />",,",0bf{ry ."""-*
<br />I hcnby,flirniundcr p.trdtyol pcrlury Ihrl lhqc h ! conslruclhn hndins uscn.y ror rh. pslormRc oflhc vork lot whichrht F- l i\
<br />ilsucd (Scr.:l(,97.Ci! C )
<br />lxn'lrr\ NUnc
<br />-
<br />AIPUIANLI,ECI.ASAIIIN
<br />| ffiyatn undcr !.nrlry olpcrjur, orc.rrh! tnlo*ifE dc.ldri{,.!
<br />Dcnrlirn,n Pc nnl^sbc{os Nolificelion l cdcrol Rc8ullrio.s (1nE 4- Prna,
<br />Rcqutcd tItrcr ol Norifi carion
<br />lcr iltrhrr rhc f.Jcrrl rcguhrions r!rdirig rsbt{o\r( rirrld.norrp|licihlct)rhi\frircr
<br />I ccnil_vrh{ I n !c rcadlhn nhvc inion ri( i\comrr I xtrcct)c.nrdyuirhrllCiry3trJ Couiry
<br />odirHn.Ts ind siatc Liqsahrirs to bli
<br />firvc nurn rl piol)cn! ror insp.dion
<br />AIIliLonl or Alent Si8nrlurc
<br />llcmrilc. nnnk(prirl):
<br />".:',7r2;
<br />UFER Ground
<br />T-Bar
<br />I !mcrcnrpr undcr Sccrion- B. & PC. lorGtlcrsn
<br />IvoatrESl_couEEti&rflrN
<br />I,IDILI&IIIQ!
<br />I hcrchy.fft und.r ncmlly.rpcrjuryotrcoilhctollo$ing dNhmlionsl
<br />I hcEbyalirhnndcr F.alr! ofl.rjury rhd l.m li.cn\.d und.r Imvhion o, Chiplcr s l.ommmins wi'h serhn 7uD) ofDivhion 3
<br />ol lhc BusnEss md Pmfcs\ions Gdc. dJ ny liccnr i\ in rull rorcc ,t .fftcr.
<br />r.
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