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AUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS Ol,N ET BUTLDER DEL(TI TTON
<br />I hd.bt rrm undd p6!hy or FJury th, I 6 6npr nDn llt codndB Li..e bs for lh. lollowi{g lq$r (S€ 7011 5
<br />Buir6r !d Prot6ior Cod.) Any Cny or Cou y whi(h rqliE . Fmil lo codruct. dl., imFoE dsmlith or lF.n ey
<br />if<r@ Fni to iti Blaq .Lo E$riB rlE @lt&r ror 3uh Fnn lo nk . .tr.d nidEn rhd lE or lhc i! tuacd F rar
<br />to th. Fovtio6 of tlt Co.lrlcrd r t,rcCnsd hw {(nlprd 9, Commdcins wilt Sdion ?000 of Divilkn I oflh. Bc'B dd
<br />Pmf6io Cod.) d ord b. q lhc b 6qrq thc!&o6 aid rh. b.s! h. ,E .Le.d 66Fion Ary vioLri.r ols<!io. 701 I 5 ry uy
<br />.pplker 6r . FDn $bjrs tlE .p9li.ol t6 r.i!il p@t, otbl me rhm fiv. hsn&.d &Ui! (!50O)
<br />_1. 6 o*G of thc FoFry. e n, anplo)d wirh s.s6 B rlE $L o,pdldbn. *i[&,llE*Bt ad ft niEc ir Dr
<br />idcdd 6r ofi6d for 5lc (Sc 7044, B6i6 ud PrDfBioB Co&: Tn Codr.cln i Ltdg ts (l)6 mr.p?ly lo o o*c ol
<br />rh.Fl,6ly who hild or inp!6 thao[ !i who do6 sch mrt hiMll or h6rlio. thmush hn or hd oB mpby6,
<br />Foud.d it l u.h rlFDvolEt G d nabl M olE .d 6r r]. lt h.ffi. tlr hijld'rB d in!.llrcd it nld yini, ok )d
<br />oa@trplria dr ot^ro &rilda wil h-r tlE hmln ofFovire ! rEd lrr (M br blild or i"p..tr tlE FFq 6. dE F,pd.of
<br />_t. a o*c orth. FoFry, e scluliv.ly .omrdiry with lica!.d oirr..r6 ro @ldrucl rlE rr!i..i (Se. 7Or4. DiadB!d Eotusin co&: rt. Conlncld r Li.* hw do6.or .p9ly lo e oma olFoFly who blildr or improvd th66f,,
<br />rnd *ho o r-1r tuf*h Foidrsnh! (br.Ero(t, ltdEcl prt{sn ro0r codndd'.liEe Lrr}
<br />_l m crdF uda Scrio!_, A &PC forthir ld$.
<br />D.r.: ()116:
<br />uaar!8s:gDtElltara!
<br />DECIIIAIIOtr
<br />I hsdr rfirm ond6 F hy oaFjury onc ollh. followm8 dRlJi' ioN:
<br />I h.r. !d sill did.ir . Cdift!. of Coc{ b Sdfiry. lor wt6' @nIrulion, 6 ,Frii.n tor b, S6lbn l7l.[ of llE
<br />L,bor Co<tc. for rh. Ffoll1m. of thc *ort for rtrici rh. Fin a ilaud
<br />_l h.r..nd *1ll roinl.o *r*F conFu.lan ilEffic s Equn.d by Sdbn l7L{ ollhc L.bor Co&. tor llE Ffollrj.e of
<br />UE worl lo. whrh rhi! p6nn B is&d. My wortri comrcer ion i6u,Mcc cand &d policy nunbd Ec
<br />Polky N@bd:_Erpi6
<br />I cElify lhd in lh. psao,lllk. of lh. vorl lo. shich rhi. Fmn i! isu.d. I rh.ll rcl mploy my p6$n ir ay nsE
<br />$ alo b<or {ti.{r rort ur*d'comFrrirn lN! of Cdifomir dd +rrh, if I rlould b(or sb6r ro iE
<br />*!lt6 o.qF!.rrn prcvtbG of s..tion 1700 ofrtE bbor Codq I !rrl. tonhv h @oply *irh trEe Fova,od
<br />WARNINC ,.ilE lo s6. mrt6r Nf,Fr.lio. ..vs!gc i! rLstul, ud rhrn 3ubj..l a oploF to oininll Fulis ed
<br />ion b fi. cor or comFrE lio( dm.*6 - Fovd.d fd dE
<br />Code int6d !n !fiorEy r fG
<br />DECIJSAIIO!
<br />I hotby .,l@ uxls pd.X) of rajury lhr I d li.ct ulxb Foriion of cl!f,a 9 lon1jl4ios vnh Sdbn 70o) ol lF niotr l
<br />of lh. Buind ud PmfsioN Cod., &d m, lk.M s in tull aor.. &n.frdl.
<br />9 (i
<br />I lE.by .rm wdd F.hy o f Frru.y th.t rlE. i. a .oE3tu riro ltdnis lsocy tu rh. Ff.lMc. oalh. *ort for whi.h rhL Frril it
<br />su.d (sd 1097.civ a ).
<br />AIIII(AILDEOJAAIIA!
<br />I hd6, .fiD !.& p@.ty of Firry oc ofdE follo*ars &.hr.rirE
<br />D@olirionPmil! Albdror Notific.rio. F.dail Rcsuld iod (Tnk 40. P&16)
<br />i6quir.d Lnr6 of rio.ifrrin
<br />-l
<br />ccti! rh.l tn. lGidal rc8lhlio6 .tgEdiry rstdor rmr,, r. tutr ippliclbk lo th6 proj.(
<br />-l
<br />!drD lhsr I ha\G rc.d lh6.pDlicdmn dd urar. thr rh. rbov. i.aomdn'n is co!r61. lssreto comply$nh.U Cny rnd Guily
<br />oilEN6 lDd std. t rt E!n,E ro buldhs.qQtudiotr rd ha.h) .uthtr,. r.Fsdn6 of th!(i!l,,ddCouD roord qEn Lli
<br />H"::ffi::-;WML A^!a,\ -. ab,ltt
<br />P..r,,cmm.,pr,n,,: l>Uq \lfu^.-
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/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 />Engineer Final Repo(
<br />Flood Zone Certif
<br />FINAL
<br />Certificate of Occu pancy
<br />Notes, Remarks , Etc
<br />cn fin6 up ro oE huxL.d llDEad d.'lld (!lm.mo). i.
<br />'rTrr/:q
<br />Erection Pads
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