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BUILDING- INSPECTOB RECOBD
<br />SITE.WORK DATE ID/SIG.COMMENTS owNlrll llurl,lrDR Dtt(nRA rtoN
<br />I lEr.hy ,ll_rrm u8l.r p.idry oI p.riury lhrt I ur .x.,npr fnn rh. Ginrncu{ l-icense l-xw ntr $. follo*ins r.Nr (S(.7o:r1.5
<br />Busines and Pn'f.$ion Cod.) Any City or C.ounry rhich Ktuircs r p.rmir b ondrucr, alr.i ihprov.. demrhh or Epan n'y
<br />srucroft, lrin() irs uri.., ah. ftqut srh. iprlicinr titr suchrrnir t, fiki siErc {nr.mnr rh h.or sh. h lic.iri pur$anr
<br />ro $. prvisbnr.f rtE ConiBcr.is l.tens.d ljw (Ch:pr.r 9. Corn,n.ncin8 rnh S(rion 7(xx) of Divisirn I otrh. ausin.s.nd
<br />Pnf.sion\ Cod.) or rhar lrnrdr i\.i.nfl rhafiom ind ilr h]* Lr rh. all.g.d .xem,rtun Any violrtion ot Sdioi 70:ll.5byiny
<br />anrlicrnif,trtrtrmnsubj*krh.innlicadhicivilrrnahyofnornrtr.rhanfivchundsldollms(15rX)).
<br />_-1, as .rrcr.irlt IlFFny. or my.Dfbyees siri w!8.( i hen $b c.mti.narion. sill{to Ih. worl md rh. *rudft il nor
<br />inr.Rl.d druff.r.dnn\aL(SdTrrl4.Bosine$andlhrf.$ionic,de'l'hc(.(rnticlr'lLic.n\.l,Ndo.snoi'pplybanown.rof
<br />th. pml.ny wh hoilds or imp$v.s th.r6n. anJ uh) dms *hm* him\.ltor h.nelf.rrhnr,lh hn nr h.r orn rmphy..s.
<br />pnvid.d rhlt slch t,v,ov.EnB s. ml inr.nl.d.,ofi.Br inql. lt hotrid ,lth'urn8n 'nrmv.rfl Fol'ivih'noft Fr
<br />ofcomplrion, & Owkr Builld *ill hrv. rlr tur&n ol fmving rh, lr or dr dn n tlild or iqmE llr In,pd, f(tr rlE Irqt* of
<br />l.r\ornerolrhennD.ny.rmsclusirell.oirmciingwirhlic.nkdc.nrrdonhNndtocnh.pn'iecr(S.c7o{4.Bolin.*
<br />rd I'nJ$siin(inle'lheContrcktr\l-icen\el-rwd,x\rorrpplyk,inn{ntrolnn)pcny*lhhrild\orimpn,vcsrheE.r,
<br />ind who .ontnG nn such nmjcd \ wnhiconrh-k,n\rlicensed ptrr\u (, rh. G,itl.kr'l t-i..nr Lrs)
<br />Ia .i.n und.r S..rion ,B &PC forrhis r..n,n
<br />Ilrre: OFrer
<br />]!l.).8!,.I8!lg}lr!!la-l!lNl!!t;I4lal!o!
<br />I lrruhvarrnnt nd.r penrrrl!'r'pe!trr)!rcolrh{ tuno(inr {rerhr ion\
<br />Ihiv.rndlillminrai's(tnilrar.ofCon!. tu S.lI lnsure for ao.lcn' .!6p.n*rion, !( ptuvid.d foi hyS.crion l7(nofrh.
<br />L1htr C'rL. f(n rh. ltrf.rmrc. ,)f $. *mk fo. whth rh. Fmn i\ nsud
<br />I hrv. r r'll
<br />'m,nra'n
<br />s.rk.^ ..nnensrk,n 'n{mnc.. rs requn d hysNrnn:r7rr)ofrlx LrhorCode, nn(ht fxrnnnro. uf
<br />rhe trrrk itr $hichrhis Frnr is isu.d My $ork.rs..nr|tn\ot.i irstrnn.. ciri.r rDd Irolicy nu'nb.rm
<br />-l.cn
<br />y rlur in rh.I.rnnman.. ofrh. $.* t'n *hich rhn |]c(nii h (su.J.I siallrcr.mphy nny ll€ron in rtrymmn.r
<br />$arn)tr.rn':nrhjecrbrh.*o.nconrFtrsarionh*s.lCalinrmi(andotEerharifl\huldh.c.msuhj.c.orh.
<br />wor(.rs'..'n|cnsrrnrnl)rovis]onsotS{iionlTlx)oIri.lrtnC.d..l$rll.lonhsirhcomplywi(hrhoFpn)lision\
<br />WARNIN(i Fiilu'e to e.urc qo'l€is' .o,nr'€.s!ri.i corrngc h unlirtul. rftl \hrll suhiecr a. .rryk,Jrr n) .riminil n ohi.s in.l
<br />civil fin.\ un h on. hun{ir.{ rhousrrd dolliA l$l(x).rxx)). itr rddiion r, rlt co{.1comntn\3rion. drm4.\ {( nn,rid.d nn rh€
<br />s(riin:1076.frhe bhrr C*1.. inr.a{ and rhrcy \ fdc\
<br />Dot : Appllonlr ,
<br />LlclidsrD_coNlaAcroB
<br />DICLAA{UON
<br />Ilkrhyrlfirmu.rp.nRhyofp.rjurylha{Iamliens.Jund.rImvkinofCnipr.r9(d,mftnin8unhS.criri7(x(rJofDivisnn.l
<br />.t rhc Bu\ims ond Pror.$i{'ns cod.. ud ry lic.N n in furl nnc. id .ffa'
<br />rollit-Blicr.laNr!,aDlltilli[lcl
<br />I hcRhyrlfirmund p.nrhtofp.rtrrtrh rh.r.nxu)nnrudi()nkndinFr!.i.)f'rrhcltrf!rnrince lrh.*.rkntrnhi.hrhi.r.rmir x
<br />AIIUIANLI2}:CLAMIIAN
<br />I tftty altirm ond.r p€nahy of p.rjry onc of ih. n,lL)winE dcchrarn)n(:
<br />Denniri,'n l'cnnik Arh.{tr\ Norificarion F.d.rrl R.gulari,,n\('rnh4(,, Pan6)
<br />R( L trdl l.crr.rolNorific rr
<br />-l.enny
<br />thd rhe f.L!.mlE8ubiions ftgfding r\h.{.sr.mvd ar. n.r lppli.at l. ro rhi pmj.cr
<br />Ic.nify(l'ar I hav.rHdrhirntrplidionand {ar.rharth.abv. informii,n ncorcd Iairr(rcnn\rly*hhrllCnyaidCounry
<br />.diiiEc( rnd Srare ljws rcl ing b huilding c.nnrudion. iftl h.r.ht rh,r.r.pr.s.nrdiv.\ofrhirCiyrndCounty().nrduF,ntlE
<br />fi)v.
<br />'mmi,'n.d
<br />prop.ny nn ins!.rri{,n nuqxxe\
<br />ADpllcRnt or Asrn( SlsnDtur.
<br />I'emit( n.nte (nrtn0:
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />SLAB Floor
<br />Subf loor/VenVlnsulation
<br />Roof Sheathino
<br />Shear Wall
<br />Framing
<br />lnsulationi Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Enqineer Final Report
<br />ZW'r4.Afulfu o)T
<br />Certi ficate ot Occupancy
<br />Notes Remarks, Etc
<br />tlev 0B-07-2015
<br />I en,l.i \ aJJ,.s
<br />UFER Ground
<br />Flood Zone Certif .
<br />FINAL
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