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BUILDING- INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER DTIILDg|. DEL('ARA1ION
<br />I lt'chv rfltD utrdcr l[nilry ol pcrjury rh0r I ah cr.onr lronr lhc Conrr .xA l-iccrsc l-nw lhr lhc lollowi.E rc{snr rsc.70ll 5
<br />Inri|c\\ nnd Pn,r.\\irn C.d.): Any Ciry o. Cou y Nh'.h r.quncs r pcnnir h .on(rucr. !hcr. inDrovc. dcmohh or rcpan rtry
<br />nodurc. nnorro ns is{hi.c. rl$ r.qu n s rhc applicanr lor \u.h lEnnir h fiL r 1i!id qdc f, rh h.or \h. i( li.. \.d rursuanri) rhr pn^nion\ of rhc Conrra.rois l,iccnsd Lr* (Chrnr.r s, Connnrncin! *irh Sc.rnnr 7 x) oa l)ivi!i{r :l ot rlf, Busnrs and
<br />I\olcsri(itr{(-r)d.) r rhd h. or sh. i\cr.mpr rhcrefronrund rhc hrsis lbrrtu rttcScd cxcnrrridr Anyvi(n&.trotSNrioi70tl5h!rnv
<br />r llicrnr r{trrp.nnir {'hrcrs rhc rpflic.nr b r.ivillcmlry.lnornror.rhan fivc hundrcd dolhr(S5U))
<br />-
<br />l. u\ orncr oi rhc pmtEny, or My crlnloy.dr $irh s!S.s ri thcn eI. conD$sation, eill do rhc sdk lnl rh. sMm tr nur
<br />i ukn{ .r orlercd tor elc ( Sa.rol,l. Busincs rnd PnrLssnnr Cdc 'l'lk Cofrrr.ntr\ Liccn{ Llq do.\ not 3pl,ly b an o$ncr ol
<br />rhcpmlrny wln) huikk or ins,srs tttrd,n. and rho dB such m* himsclfo, hcr{ll or rhr.u3h hi( or hcr own cnDloy.c\,
<br />|i.vdcd rhrr $rh inrrn,rnrnh m mr inrcfrrcd or.llcBl for {lc.Il k,wc\tr,ih. hiklina or iq,nrvcftnr h $Ll wirhinonc Fror.ar{hrion. rhc Owncr auilds uillhnv hc bordcn orprcriry rlut hc or sh. di] nor btrikl or inlrft)lr thc tNtdy lor rlE purFe ol
<br />I. r\osmr.lrhc proncn!. lnrcxcir\ivcly.otrh.rsg qirh licrtr\crl ..Mrin r' dnNrn'.r rl{ pnicr (Scc 7(!4. trunn.s!
<br />rl hnisirn (inl. TlrCoirrrcktr \ Li.rn\c l-rw docs ml afptylo rtro$ocr.ltrot'c y who huitds.r nlrovcs rhcrcon.
<br />rnd wlh coikrck ln \uchpn+crsBrihn(tnr.cr.(s) licrtr*d nrr\tror r) rhc cunkacrn s l-iccn\c ltra)
<br />l. crcnitr trn,l.r S..ri,!r
<br />lrrre Orrcrl
<br />l!!)aKf,Bl1:our[Ns,tttlrN
<br />l2llLr-EAllaN
<br />I hcr.[r- ilturund.r t,c rlryolNjuryotuof rh. i)ll.rin! dc.hr n \:
<br />-l
<br />hlrc irnl silltrtri'hiir C.nitl.ricofConscn oS.lflnsurc r.r qrlk$r.onf.tr\ on,a\ p()vid.d turfiyS.crbn lT0Oofrhc
<br />l-drn Clxlc. nn rhc Irrformr.cc olrhc $ork lor whi.h rhc frnrir is isucd
<br />rh. *qk li).lhichrhis pciinir ir isskd My *ork$r c.mF.osnrion insurarc caricr rftl Flicy nunrbcr m
<br />-I
<br />ipir.\
<br />-l.cnilyrhariirhcFrtorrunccoflheworknn*hichrhrlci
<br />ir is $xucd. I \hnll iot .ilpk,y any |*r$r i r y nrnmr
<br />$ s n) hcco'm {bid ro Ihc woikr6'.omp.nsari{,n hws oIColilomin. ard uE rhor il I should hcco.* suh]cd ro thc
<br />so*cn cont^-ns.rim Ervisi.trs olsc.rbn rTmorrh. Illq Codc.lshnlI hnhwirh.onrly wirh rho$,',ovisionr
<br />WAIININ(;: f{ilurc ro $.urc woikcF .onpctrsdhn .orsruc i( lflastul. rtrd shrll \ublccr .[ cnrlloyrr ro dnninrllicnikis md
<br />.ivil ljncs up lo onc hutrdrcd rlrusrtrd dollrB (Slff).(x)o). in ldnirion to rhc co\r olco Ulensolion. daroScs rs providcd for rhc
<br />scrii{,r]076 ol rhc hlu Codc. ir crcsrtrd dronf,y\ tccs
<br />Daler Appli@nl:
<br />r,rcr.,.rsro <rnrnrr<rirn
<br />DlrcLaBAltoN
<br />oi rh. ausincs md Pmf.si{nrC.de. lnd flylicctrrc ic ir tutl ror( dklclfc.r.
<br />CONiIAUCU!}NIENDINGACENII
<br />I hcrchy rflnn und$ FmXyofp.ruryrhd rhcrc i\ a constodirn hnding dg.n.y for rhc lEformr.c orrh. work r(tr whi.h rhis lcmir i\
<br />is$.d (S.c :1097.Civ C)
<br />AIELICANLIJETIAAAIO!
<br />I lm$y rfllnn undf p.nalry orncrjury onc or'hc lollowinE dNlu.rii,nll
<br />tnnx,l n)n l)crn,ir\ Ashcsros Nolifi.ation fudc..l RCBUldion\ tTirlc,10. Prn6r
<br />R.qunrd lars.iNorillcri{nr
<br />l..nrlyrh.[ rhr lcdc'rlR.tuhrii, \ tostrlnrg r\lrd.src r^ilIc tr.rrft)trrnn. n) rhi! DI!{.r
<br />I .cn ily rhlt I lnlc nad rnn ruli.aliu and (dc rhar rhc rhvc inlnrmartu s (o,rcct l srcc ri comnlr wirh r ll Ciry aM Cotrnty
<br />orllnancc\ ird Srirc t-rss rclnriD! ro burld ir! .o.{dd ion. lrl lrc,chy urhoizc rclrrcscnrrlivc!orrhirCny,M counryh c crn,rnrrr
<br />$otc nrnrnncd Fop.d), f{tr i,,sFTrion pu.poscs.
<br />r\Dt,licnnl.r Axr l Sisn,h'rc
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulation
<br />Roof Sheathin
<br />Shear Wall
<br />D rywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Pool Fence
<br />Handicap Req
<br />Deputy Final Report
<br />En ineer Final Re rt
<br />Flood Zone Certif
<br />tl
<br />FINAL 7lt/t{--fl-r 7
<br />Certiticate of Occu DA nc I vz
<br />Lcidcr\ AdJrcs
<br />Framinq
<br />lns u lation/E nero y
<br />Masonry
<br />T-Bar
<br />Notes, Remarks, Etc.
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