|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />(ReefS heathing O*1'/?LK t0-1t-tK xrtl\o
<br />Shear Wall
<br />Framing lo-tl- tE
<br />lnsulation/Enerqy :,/
<br />Drywall
<br />hruaa-Ext./lnt. Lath IEo( (e/ed7.|///?/// z i)
<br />Brown Coat \-l
<br />ltrlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL zldn ?'nvutY tn/
<br />Certilicate ol Occu pancy
<br />Notes Remarks Etc Al O-J J 2
<br />(
<br />OWNER BI]ILDEN DELCARA'TION
<br />I hcrchy atfirm undcr lcnrlry of pcrjury lhlr l nm cxcmt,r from thc Conlrodos Li.ensc La$ nnlnc t)lb*ins a!$n lscc7o.ll5
<br />Bu\ntss and Proae\snrn Cqlc) Any Ciry or Coun,y *hich lcquiEs r r4rmir b con(ocr- rlrer. impn,v.. 'Lndi\h or Epli an)
<br />rrnErurc. prior ro irs ssulncc. al$ rcquncs lhc.rplrafl lorsu.h Fnnir ro fik i si8icd n.tcnEnl rhot h.or shc is liccnrd puAUrnr
<br />ro rhc rDvilions oflh. Contrucrols l-iccnscd L.w lchnnlcr 9. Coarmcncin8 wirh Sccrion ?0oo oI Divisi.n I orrhc Busin.$ ,nd
<br />Ptufcsn,ns Codc ) or rh hcorshc is.r.mrrrh.rctroma.d rhc h!\h tn rh. llkg.it .x.hprn,n Any vn,hoon of Smtin 7031 5 by iny
<br />antli.anr for aFrnir subjccB rhc imli.ani roa.,!rlpcnah, ofnor nmr. rhan nvc hundrcddollrs (S5m).
<br />l. !\ owrcrofrhc proFny. or nrycnrrlorr.\ wiri wrecs o\ thcir sk conDrnBrion. sill do rhc *orl,nd rhc (MUN n fr
<br />i cndLn or ofr.rcd foi slc (Sd.7044. Bxsincss and Profcsion\ Crii.: 'l-hc Cotuacror's Li.cnsc lrw docs n.l aDply ro .n owrcr ol
<br />rhc pn,]In, who hilds or in{,nivcs rhcm'L nnd *ho dtrs sch sDrt himsclfor hc^claor rhmrBh hh or h.r own.nrloycc\.
<br />Folilc'l rhol such impnEmnls aE mr inlcnlcd n olrcr{ lor $lc ll ho*crr. rhc tui[]ing or in{ro\oEnr is w,kl *irhin o c r(r
<br />olconqrLrbr. rh. Owncr auitny will htrvc rh htrrddn.rph!in! rhlr )f,.r shc did,Fi build or iqrorc rhc pmlcny ior rhc purFr* ol
<br />)
<br />-l
<br />{Ncxcnrfl unl.r Sc.rior . a & P C h, rh]r rcinni
<br />Ilo.Bti.EtsstraruEls lta!
<br />DTIIAT{UA!
<br />I lrcrchy aflnm u tucr Nnalry of pcrjwy om ol rlE lnlkiq ira dchrd i r{
<br />-l
<br />halc .nd sill .[inrlin ! Ccn iftrrc or (hr*nr b sclilBu{ Lr *orkc^' .om!.nsal ion. $ nnrvidcd li,r b, s$ri(,h l?(xl ol I hc
<br />tnbor Cod.. fo. dc pcrlommcc olrhc work for qhkh rhc Frnrn is issucd
<br />! hait,nJ *ill ui'rrrin sorkcrr .onll.n\rri{r insw mc- a\ rcqunc{lhyS.dnr:l70Oofrltr liktrC dc. itrrhe !.ri.flnrncc ol
<br />rhc "brk lor whth rhi!Frmir ir i$u.J Mtworkcr'coDrprtr\rrion insuEtrcc caricr alt lr'licy nunrh.i rc:
<br />-l
<br />ccni, thll in thc pcrl'orn..cc ofrhe *o.k lbr which rhi\ JErnrir h i$ed. I shrll nor cmp y 3ny Pc^on 'n
<br />anl nrnNr
<br />v, r kr bc(mr $bicd r) r)r. so*cri conrfri\nri(trr lrs \ ol Crlllnnrir drgto.
<br />(rr[c^ .rn]Pcn\rton t,nn \i,)tr\ olSr.rr{ rr(Xrolrl'r
<br />!rtl,)).r n).Di'rx tilrh(\ xL
<br />,hnnlr\ r\ p'd,l.d kn rl(
<br />'7
<br />Dtl t,,\R \ rI()N
<br />I h!tuh!rltrmtrndi fxlryol nc'i,try un,l.r pntrni,tr, ol(-hrt'ru 9 i(onnrrmi',!Sccri( 7(xxr) oll)lvi\i,nr.l
<br />ol th. Busi'rcsmd Pdision\Corlc. rnd n,y lic.n\c is in iull6r.c nl cf,icr
<br />I hcrchy.0tD utrdc. |rnihy ol !.rjuy r nr{ru.rhn lcndirgi8cncy ior rhc pcrfonnamc ofrh.*ork tur whiehrl$ |tIrn s
<br />i\{rd (Sc. :1097. Civ C )
<br />AIILICA]ILDECI.IIAA.IIAN
<br />I ll{byaflnruidcr pcnrlryofpojury otrc oilhc,{nkrsrg dc.lndn N
<br />DciknIn P.nnirs A\hinos Norih..rn Fcdcrrl Rcgu] i,n* (l'irlc40. Pin()
<br />Rcrtu,rcd Lcrr$.f Nunii.dri n
<br />n m ion hcoiiccl IrsrL{
<br />,nrhorizc renrcscnrirircs o
<br />6aqo lhAf,,LEV-
<br />ltfl 'ti? I":',ll,fli::.;l: xi}","
<br />,^,", lro/,(
<br />Sublloor/Vent/lnsulation .
<br />)A
<br />Flood Zone Certif .
<br />il5-l
<br />-1.
<br />nsowrcrofrhc pmpcrry- 0mcxcl$Ncly.onrr rinB wirh lictr{d cortrrdor\ nr corrrucr rtu nnjccr (Ss 7(s.1, Bu\i"r*
<br />and rbfcssion Codc: licCofiacnx's l-iccn\c l-aw docs nor lnplyb rn.sncr ofllr.pdny*ho hrild\ rr nnpnvc( lh.r..n.
<br />r wno conh.ls for such tn{,jccrsnih0(.oflnfr{tr li.cr\cd pursu r lorhcconrrNrois Liccnsc l-trw).
<br />tQ
<br />mon,lrlrro n.r xmli.$lc b rhic!tu1..r
<br />I
<br />I
<br />*-w0l
|