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BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG,COMMENTS .IWNFP FT]ILIIER I'ELCAI'ATION
<br />I hctubv alltm uftlcr p.Mlry ot I'cqury rhar I ah crcn tum rhc Conk!.bF l-i.cn{ Dw for rlr n'll',uir8 rc.$ {Scc.?Oll.5
<br />Buqncss a Ptutcson Cqlc): Any Ciry or Counly whi(h rqurc\ a Fmr ri onirucr. .lrcr. iryroyc. d.m,hrh rqun My
<br />{turtrtrc, tdtr n) ns ,suah$. ul$ rcqu&i th. amlMnt nlr s'.h rEm( l,' ilc a sisnol sar.mnr rh h. o. sh. s liccnsd Pusu.nt
<br />b rh. F)v,sionr o, rlE C.ntr(kx's Lrcn$d trw (Chaprer I, Co'rWE-.n! wirh S.c.dn lux) of Divriotr .l ol lhc Busnr$ atr'j
<br />Pnrc$onsCo,lc)orrh{rhcor\hcN€rcmprrh.r.kofranJrhcbasrsf(trlh.lllcgc1]cxchprir)n.Anyyn,Lrnmofs.ctronl0.ll5hyrny
<br />ittl(a nn.I).rm sunjcch rhc amli..nl lo u.irilpclrltyolnor m(rha livc hu rendollan(:l5lx))
<br />-1.
<br />r! owiforrh.prop.ny. Drmycnployccs wilhsasesas lhcir rolc.otutchsdion, wildo rh. woi{ s tlEnrutuEttror
<br />intc'rlol or oltcrcd tor s{lc (Se.?(}44. Bu$m$ and P,olcsi()ns C(rlc Thc conta(, . LtcNc b* drs nol ltdy to an o*ncr ol
<br />rhc tn)Fny wl$ hr,lds or irwovcs ilrB)n, rl wh. trxs su(h uyl him!.ll or he*.ll oi rkl,u3h hn ot hs orn csrloycc\.
<br />poriJcJ rhar \uch mrohtunb m Bn inh icd or on Nd ntr s.h Il IxNcrr. rhc toiBin3 or r{lbwtunt lt Pnhin on. Fd
<br />ol on1llcrr)n, rlI Osncr Bulllhl wil havc rtE hurJcn olnrovms lh.r h. or \hr drl n bl,xur imlrorc ltr F)tEly tu lhc lu4us ol'
<br />l, a! owmr ol rhc pfi,pdy. rn u(lusivcly conra( 8 wirh li.cn*d c nrrd.nr l,, .on(tud rh. F'iccr (S( 1ll4. Btr\mss
<br />dxl [h,,ssnn C(ilc 'I h. Conracntr's t-(.nsc Law do mr imly nr $ .wncr ol Irrepcn y who huilJ! nr rnl'hvcs rh.rcon,
<br />rnd who LontBcrslor $.h pr)letswirha ainrrrarbnn liccn{'l purrulnr h Ihc c.nk.*tr s Li.ctrsc Law)
<br />I rn,.i.mnr urLr S.rr
<br />woRKoffi
<br />DECLANATTON
<br />I hc,cl,y allnn nhl.r IE.alry or Fjury onc of rh. tullD*n8 J.cldilions
<br />Ihrra w'll roi'r ri,, r Ctn 'fiut. o, Cr rcnrr)Scllln{rci')r*orkc^ ron,pco\rri{)n. a\ !.o! cdn,byS..ri( 1700 ofrhc
<br />,"*t.t"**fi ,,.,,".",,,
<br />SoqttoYm5 rr. I .zo
<br />$L,-u,O,t, .,n" *n.rhanccotrhc wo,k nn wh(hrhN n ijnn is,s\ucd.I shru nor cq,ror any r.AUn ,n uny maikr
<br />q, as k, h.com nrbrcr b thc woltc^ ..mFnsilnrn husol Calitumia. anJ agr.c rhar,fl shruld hcd)m suhrd h rh.
<br />wolkcn c.nr.nsrrn'n F'vi\i'n\ olS.di(,' l7U) ol rhc Latrtr CGl.,I sh.ll.,,fhwirh (onply *irh rln* ln,!n('ns
<br />WARNING: Frilur. r, s{rc wo crJ.ohtctrraton !.vcrngc is utrh*li,l. ,fri \hall suhF-r an.hpl('ycr l. ennind IEMhas tnd
<br />r!'l llncs up t' oft hu r.d rhousrnd dollus {$100
<br />S.rrotr .l{176 ol rhc Lah, clil., rnrci.r and d(dirry's
<br />tr !!Jrri,,n n' rhc dxr oI com0. silon, dam.Bcs ds pruvid.d tor thc
<br />LC2.1-to tl-&.]
<br />I h.(by artrfr u.d.r p.mlty ot JEr]lry ihrl I 0m liccn$,j udq rnvnioo oi Chaprq 9 (omncinP wfh Setrn ,uJO) ol Dirn ]n ll
<br />ol rhc Buri,r.ss dd Pnfc$ons cl)dc, . mylf,cnsc r tu,!ll lnreanlellccr.
<br />0 1 1Z st
<br />cl.z6 7-o
<br />I hcrcby aflnm udcr Forlry ol Frjury rhar rl@ * a $nnd(rarn lcndin3 lacncy lbr rhc lqintu.r. of rhc eork fu whih rhs Fnd Lr
<br />Nsucd (S.c.109?,Cir. C )
<br />Afu.tc tfDEcldSauaN
<br />I hry sfm un lcr Fnrxy or F iury onc or th. rou.wnrS dccla6ln,nr
<br />Dcmlihon Pcrmir$Asncslos Noriti.atn,n Fcncral Rc3uhrn,ns rTirL,{J. Pd6)
<br />Rcquncd blrcr of NoriltariD
<br />_Ir.n rrhrr rh. L'dcral rcluljri,rrs rcludh8 ushcsr.\ rcm)vrl rrc frn ftl'uhlc t)rh'\ ltolcd
<br />NE.-,,,u,,,n-",-u,r.i,n $dr.rhdr rhc ibvc trri,rnurinr N Lorc.t I agrd t) comnly wnh dll C yrdCounty
<br />orJnun(.\ and S(arc l,rwsr.Lirtr,E ['na con{flcton, drl hcrchy aulhtriz rcprcscnlilircs ol'thn Ciry rnd Coumy !, cntct uidn rh.
<br />Jtx)vc mnri()ncJ lrn,Ir.ny lnr *'0irj
<br />Iht
<br />q'Ls zo
<br />Set Backs
<br />Formsi Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Sublloor/VenVl nsulation
<br />Rool Sheathino
<br />Shear Wall
<br />Framing
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext.i lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence tl Itl:A -. qrrt
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 10\frw0 D*PTE-
<br />Certif icate ot Occupancy
<br />Notes, Remarks, Etc
<br />tl
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