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BUILDING. INSPECTOR RECOHD
<br />SITE-WORK DATE rD/srG.COMMENTS OWNER IIUILDER DEI-CARA'I]ON
<br />I h.tuh, rflnr oidcr pcfrlry {,r p.rjury rhrr I anr cic'npl rior rhc Conrricl6 Li.cnsc Low fitr rhc finb$ins r.,(trr (s.r 70:ll 5
<br />Ilusirc\\ nnl Pnnisii Cdld) ny Ciry or Counr) which rcqltcs {rmlr i, co ntu.r, nlrcr, nnFr.vc. dctrchh or rcFan ,try
<br />(flclrtrc. nrhr ro ih hlunn.c. iko r.quncs lh.,ttli.i.i ror {kh Fnnir k' fi]. n {i!n.d {arcnrn' rh h.or shc h li.ctrscd purua
<br />t, rhc pmvnbns oi rhc Conrrucr.tr s l,iccnscd La* (Ch0nlcr 9. Co.nnctrirs +,irh Sccrion ?(xD ol Divhnrn .l ol rhc susnrs und
<br />Ptufc{ri(,ns Cuft, or rhnr hcor \hc is.rchpr rherefromand rich$i\ torrhc allcgcd creqrn,n AnyviolarionofS.rrk T0:1l5byrny
<br />rpplicrtrrntr!pcrnir\ublc.rsrhcaftli.!rha.ivillcnrhyofnornxmrhnnilvchundrcddollnnlS5mr
<br />Ldosturollh.,ii,Fny,orn'y.n'plorEs\rirhwa-scsrslheirehdnnpcn{i,,!.silldorlrs1dturlrtrs,u.nmr
<br />inrcndcd o..fi.rcd fttr slc lS(.7Il1-4, Businc$ rM Proa.*nnr CGlc Th. Contrr.rr\ I-i.ctr$ tj! der ml alply ro an osrcrol
<br />rhr ln)Irny *k, tdilds or impm\.\ rtrmn. nrd Nho dms skh $od hnnrll or hcncll or ihmulh hk or h.r oqi .'npk'rccs.
<br />pn,vidd rhr \uch impnnurnk tn. mr i' c'd.n .r olTcrst for $h ll tNcE . rh. hu i[iu or iry)r(Ncnrnr t w,ll sirhi" ' rc ,rr
<br />of compld ion. rhc Owmr Builds { ill hatt rhc burdo of E vin8rtu h. or shc dd kn tnrld.r in{rotr rhc tmfny for rhc puqnr oI
<br />L r\o*ncrofrhc nn,Il.n!. rnr.xclrsivclycotrrriing !irh liccnsrJ contrckx ro con(turr rh. nn)jccr(S( 7ru,1. Bunrc\s
<br />Md Fin,i:ssinr Codc Thc Conkrntr s Liccnsc LJa docs..r t,fllni d owtr.r.rpiilla,nytrho huild{o, nnprM{ rhcrcotr.
<br />rid sho fl,nrricr\tur\uchpn)lcct\ wirhr Conlmcronn li.cnqlrunurnr x)rfu GDrflr.kr'r l,icctrs. uw)
<br />-l
<br />nucxcnnl uftlcr Sccl
<br />OM€r }rca[[B auuNtA.rloN
<br />DIiCLtt UON
<br />I hcrcby rfiirnrun(lcr |Eorlry ol |[rjry onc olrh. rbllowiry dc.hri'nr\
<br />-l
<br />hrvcafi qillmrinhhnCcnil_r.arcolConscnl lo scliltrsurc tur wurkcrs' conE..ns iotr. o\ nmvidcd for hysccrn'n.l7l[)ofuh.
<br />tnhnr Codc. rnr rtu tcrbnntrn.c ollhc s. lorwhichrh.I,cir ir i\ i\sucd
<br />lMvc anduillDanrhh workcrs coDpcnrariotr insumncc..\ rclnncd hySc.rioD l7(xrolric Lah.r(ndc.l(),rhc pcrrbntuncc or
<br />rhc wolk li)r *hi.hrhi\ pcn r is tsu.d Myworlcrs onrNnsrririn in\umnc.oris rnd p.licy nunrh.r 3rc
<br />-lccnily
<br />rhrl t' rhc Fri,rMtrcc oirhc *o* for whi(t rhn !c nir is nqiel.Ishllltrol cnrpbynflyncnon in trtrt manncr
<br />s, n\trtroft surr{ r. rh. *oAc( ..nD.ier n,n hw\ofcllitomix. itrd rtNrhr if I rk,old rr.. rsuhj..rrorhc
<br />w.rlc( co rpri\rri.n pn,vni.n\ ofS(rion.17( ofrhc ljhrCodc.Isl[ll. Lhhsir I co.ntly wirh r lk,s f.vhion(
<br />WARNIN(;: l,fllxrc ro scurc w(,kcr compcns.non covcnlc r( unl,vrul. 0trd \hrll suhjcc' flr cmpbycr
<br />'o
<br />ciminal pemllic\ r.d
<br />civil nmr up to onc hnndrcd thousaNl doll.n lsltD.fiD), h idnion lo rh..osl ol.onrFtrsrlion. drm.Bcs a\ prolidcd lor lhc
<br />sccrtr:11176('lrhc Irhr (ndc. dcrc{ rMr oart ( fcc\
<br />,",",616/16 ,\pplicanl:
<br />I h.rhtrllirnr cr!rnrlrtolprrjrryrhd I r licen{dundcrpm\knnrnfChrfl!r9i.onrrici'rg\irhSc.ri(flrfiXl)oiDlvi(i.rl
<br />ol rla tlusircssrnd Prolc*i(rrsCod.. r*l nry li.cn\c is i,r lirlltur.. {klcllt.r
<br />B )Dt743 6
<br />ble ltb *"**,,+ 404^^
<br />I hcrchyrfinDu,rdd Fnrlryoipcrruylhnl lhcrc h..otr(dcrion Ltrdin8 rgcncy l'or rhc rcrrh rm.eolrhe*orklhr$hi.hrhi\Frnrirk
<br />-l
<br />ccnirrhir lhe rldcrulrcsuhlnnN rcsrdirBrshc{os rcnDv.lirc n.r rlpliclbk lo rhn pnjccl
<br />lcrnifyrhxr I hr\.,. rhis llI)pltrr
<br />ordi',xtrcc\rn.lSrrr.l.r(\rlaringribu
<br />i(n,xrxinic,hrrrlIrirr. tr!nrnrrilnrndtrtu.r lxgre.hon,t!! \[h.ll('Itrnd Conny
<br />c.inddion. and hcrchy rurlxni/c rc|ncscnidiv.\ of rlris Ciry md Counry h.nr.r up.n rlr
<br />rh,rr nntril rl|L,Jury ntr i's|rrlir
<br />\prliunr , 1!.nr si!trrlu,r
<br />".-u""n"..,rnr,, 7\lris4 \\D
<br />sl61l1,
<br />Sel Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf looriVenVl nsulation
<br />Roof Sheathinq
<br />Framing ---57i /h 5Dd plnn87
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Itrlason (y
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Depuly Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />FINAL 7/2516 9 \5L
<br />Certificate ol Occu pancy
<br />Shear Wall
<br />Notes, Remarks, Etc.
<br />i\sucd (S.. 1097.Ctr C )
<br />I-cnd.i\ N r
<br />Lcr.lcr ' AJ,lrc{..
<br />d.ttl.tc rttEll. EarIaN
<br />Ilu$!nllinruid.rN lryorJtrturyon ol rhclnlk,$inBdc.lrr i(,n\
<br />I)cnx'liri,,i I'.,trrn\ A\h.nos Noririrari( Fd c.rl RcIuhri,nN l lir[.10. l,]n6)
<br />Rcq nrd lrrrcr ofNoriricrri(nr
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