|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS OlVNER BUtI,DER DEI-C RA MN
<br />I hcrchy rlfirm undcr ltrnrlry or pcrj!ry rhd I rm .rcnpr fn,m rhc Cont&tnl Liccn\c Lr* f(tr rh. n,lbwirg t ,sr (S.c 70.11 5
<br />Brsi',c$ rnd Protcsi(,n C.do: Atry C(y ur c.umy wlrich rcquir.s r pcmii xr Lrndo.r. rh.r. ir|xJvc. dcnnish nr mFt Jn,
<br />{fl.rurc, prior r. irs h\u.ncc. il$ rcquncs lhc rpplic l ntr such!(nnirb lilc r n8ncd n.!cn*nr rhlr hcorshc i\ lic.n\d nu*uanr
<br />n, rhc F)!i\ion\ of rh. c.,nro.roa\ Lic.trscd rjw (Ch.Ircr 9. Commncins $irh Sccrtn 70(x) or Divkn,n.l oi thc llu\incs\ n.d
<br />I,ror.si{n,s Co c)orrhalltorshcncxcm thcrcliomnNlthcbrsisforrhc!llc-qcd.rcn{'rio..AtryviohlionoiScclionT0.ll5hyri,
<br />rplrh.dtrr ron jrrmn suhFclsth. uptlicitrr ro acivilpcnlllyofnor morc rhrn fivc hundrcd doll s(3500)
<br />-1.
<br />ns owncr of rh€ tii,r.ny, ,tr my cDpbrccs wilh wrBcs {s rhcir solc cotnpcnsat k,.. Bill d. rlt sork dal thc n turr it nor
<br />i .tulcd .r orlcrcd ro. elc (5(.70'.14- Ausincs and Pm{cssiotrs Codc Th. C.ntdols t,i..flxc Ltrw drcs nor a0!ly b an orn.r dl
<br />lhc DDpcny wh) huilds or impro!.s rh.dh. arxt who dcs ru.h M* hnnsclior hcr*lfor rhmush hir or hcr o*n.flployccs,
<br />Iroridcdrharsu.hi'ntrivcmsscnolircndcnorollcrcdldrvhllhowcvc',rh.builliryorirphrc.E h$llwihinonc)ta
<br />of.otrplcrion, rhc Owmr Builkr will h3r th. bwlctr ol povirs fi{ h. or shc Jil 'x, bniH .' inpmv. rh. tmtsy fot rhc puqxE of
<br />I..sown$.lrhcpnJp.nr- amcrclu\ivclrconrrucrinsNirh liccn\ql.ontJ.n,nrocunnrucr llrc orojcct lS( 7(xl. Bunnc$
<br />rd th)li\sion Codc:1hc Contmr.is Li.ctrsc Law dfts nor.pply ro 0n osncr oaproFny *i() builds or nnprovcs lher.otr.
<br />.nd *ho conrnG lnr such pmjcds wirh . Coorrrcro(s) liccnscd purMnr b rhc cotrhr.rocs Licctrr ljw)
<br />lr rcxcntr utrdc, sc.rio.-. B &PC nrrhnrcJ\nr
<br />Drt. o*ncr:
<br />woRt(Fii' c()MPrNsa'r!()N
<br />T)ECI ARATI(IN
<br />I hc.cby amrn undcr lcn.llyolFrjuryok olrhc nnlo*ine d&lrariotrr
<br />-lhrvca
<br />w ill auinkin ! C..r iicurc .r Con* rtJs.lr-ldsurclnlqorkcri.ompcnrrrion.!\ pmvidddroibysccliotrlTuJoflht
<br />tibor Cod.. Ior thc Dcrfonnrmc oi rhc {.rk lor ehich rhc ll.nnir i{ i\sucd
<br />I hrvc rnd will'nrirnrin workcrC .onDcns0rion iNuramc-.s rcquircdiySccrn,n.lTtX)ofihcLrborCodc.i'orlhcpcrnrn"..nr
<br />rhc wuik larwhichlhh p.mrit is isnrct. M,wortcs comp(nsrliur insunkc .rrio .nd Flicy nunrbcr trc:
<br />Policy Numhcr:-Erpncs
<br />-l
<br />ccnily rhar in rhe pcrlormrcc orrh. work (r which ihh p..nir is issucd, I shall nol cmploy rny p.Kon in.try mrnner
<br />s sl(,lEotu bicd k, rh. solkc* conrr..sarion hws ofc.lifomir. nftl s8rcc rhd irI \hould hcom !uhj.\i b itt
<br />sorkcr' c.mrcnsarn,n ln,visiotrs or sstnrn l?m oi thc L$or Cod.. I shrll.
<br />'1'n
<br />hwirh dnnply w irh lhos Prcvisio,s
<br />WARNING: tuilur. ro scurc wo cc conrren\lri{nr corrlrc is unlnwtul. nM sh,ll suhic' !. emplorr ro Lnminll p.Mhic nd
<br />.iv,l llic! up h oN hutrdrcd rhousrnd dolla6 (Sl(xr.({x)). in rdJirn I compcnsrion. da.uAes a\ pmvidcd lbr rh.
<br />Sr.rnr, loTa r r'( l-xh! (((lL. rrrrn rklv
<br />t)t( t.\lr\ll()\
<br />I h.dhy sritrn ufrt$ FndlryofFrluly rhat I am liccrsn udci pmvtion ofCh{rcr 9(...nrkine Birh
<br />ol rhc Bu\itussoid Ptr,t ssi.ns codc. drd hyli.ctrsc is ir full forccrndclricr
<br />C4o q t0 qT1rcv
<br />ot
<br />IAISIf,ITII9II.ENIIIIIi]IIiEN!I
<br />I hccby {fltnu erpcnlhyoipc.luryrhrrrh.ri\n.ondn.rbnlcrklrS.Bctrcyforrhc|trformrnceotrhcsorrforwhi.hrhisFirniris
<br />nsDcd (Sc. l0r')r. Crv (' )
<br />A.PfLlcllfD[llitBAIIIIN
<br />lln ty tunundor p.trtrlry oipcrju, onc oirhc tdlowins dcclaBrn,ns
<br />Dcmolirn,n Pcrnrir\ Asb.eos Norifi. ion Fcdcnl R.-!uloriotr\ (lirlc.r(1. Pan0)
<br />ItrqunrJ l-crr$rl Nfr'll. i(rr
<br />-lccnil,rhlrlhrv.relrhisrppLirtrrn,n
<br />d i rc rhrr rh. rtx,lc irnnnndiotr is coflccr l.aran)cotrlplywirhallCirrrndCounty
<br />.rdinan.cs 0nd Slrlc Lw\ rclaiiia t) hui
<br />rt-vc mnrioncd l)lopcny hr insncclion
<br />hctub)ntrrhoriTcr.J'Bcnturircr{,,rhisCii} trdC.uniyt ctrrcruBlrrht
<br />Applicn or,\gctrlSigmtur.,"4 f2u 1t 3
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFEB Ground
<br />Sublloor/VenVl nsulalion
<br />Roof Sheathinq
<br />Framinq
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />lVlasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif A
<br />-ldt-l.'\5-8 -t1 X"l4x
<br />FINAL s*g-11 X "WL
<br />Certilicate ol Occupancy
<br />Notes, Remarks, Elc.
<br />SLAB Floor
<br />Shear Wall
<br />1t4 trt
<br />I ernililId thc lcdcrrl reruhri{,n\ rgsnli'{ r\h!{.\'rn(iv l 'r n r rfflrnhlc lo rIiltr!.cr
<br />L
<br />I
|