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 />Subfloor/VenUI nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />D lt
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate EAf 't r(E
<br />t_ t-I (t,IJ
<br />FINAL SAMC 8-43,290, 556, 6 7qel!!!ca!e of Occupancy
<br />Notes, Remarks, Etc
<br />OhcFBuild.r Delu.don
<br />I tc!, rmm undE p.ndty of psju.y $rl I h crnpt fm rhc C6tn.l6' Lh6!. Li* loi rhc lollowirs rdoi Ga 703 l. J BurinAr
<br />dd Pref6i6 C.d.): Any City d County *hich cquiE . pcoh to c@''!cq .lt.r, improvc d.mohh or rctit y niu.rurc, prior to iEi$q.., .bo Gquad ln. .pplisr fd ruct pmir to fi1. . ,iir.d tt.rdar inll h. s !t. ir li. r.d puEuut h th. !rcvirionr of tlr
<br />Cnm.id! Lic6!.d rr (cn.F6 9. Cdnllkina ?irh S..rion 7000 of Divirion 3 or ln. Burn.g 6d lDfqlidr Codc) or rhil h. d
<br />rh. n .r.frpl $dfM &d ln. b{n fa fi. .ll.s.n adrd6 ,Any lioh d of S.c o. ,O3l 5 b, My rp?,ic$r lo. . Fhn rlbr.dt rh.
<br />ipplicar to . cilil p.n.lry of not nor. t|I fiv. hundr.d douu (lJoo).
<br />_1, a om6 ol th. pop.ry, d n, nployd *nt M|d d rh.ir ,ol. .ohpcdr{ioq *ilt d6 d!. *dt .nd rh. lttucrqc L nor inknd.d
<br />or olf6.d f6 al. ( 54.704,1, B6ind $d Prcf.ari@ Cod.: ,na Co.nr.ior! Licfrr. L.w .lo€ rot rpply lo s own.r ol c prcp.rr,
<br />pho blil<h 6 inprovd thffi, ! *ho rto6 ,3h wqk hirelf c hdclf fifiMth hh d hn @n Ghployd, Fovid.d lh.t'uch
<br />inprcvcmdt rr! iot irrnd.d or otfcnd fn slc. lf, hwffi, dc buildiiS or inprotaiftil i, rold *ithin on. y.'r or compl.rion, rh.
<br />Opna-Buildd will h.E th. burda ol pdi.8 inai tu o. .hc ,or buald or imp.ov. fd $. pu.p6. ol sl.).
<br />-I,
<br />s 6m* of Ih. FoFn ,6 dclaiv.ly cdl'..ritrs wi$ llc r.d ol'r.6 ro .ond&.r $. ,.oj..t ( S... 70ra. Bu!in6, ed
<br />Prc&idon Cod.: Tt. Cofi.ror'i Licdc Lli do6 nor .!rly to .n Nnn ol p.opdry who b!il& a ihprova fi6.m , dd *ho
<br />coiEmr fd luch phj4E rnh r Co.rr..rod, limcd puRusr 10 6. cdrr.crori Lic..k Lrw.)
<br />_l m.rcnpt und.r sccrid
<br />-8.
<br />& P.C. fd$t EBon
<br />woRl(xns coMrr\sanoN DEct
<br />^RATtoNI i6.by .mm und.r p.n.iq ofprju., 6c ol rh. aollo*i.t dftlqriot
<br />_i lr.v. od will hlindn . Carific.r ol C6r6r ro S.l .rur. ltr work.6' cohpcn$rion, s provid.dforbyS.ction37oo61lh.
<br />L$or Cod., f- rh. p.rfmc. of dt. *6t fo, whkt rh. phn i! i!ru.d.
<br />_lh.Er *il! Dinrdn wdt@' corpc.tlrid i !tue.a dquiEd by S.ciion 3700 ofrh. L.bor Cod., torfic prfm.nc. otih.wt lf whiclt tir pmn t in!.d My *ortdr' cmFnndd iillma ffi.t 6d policy nufrbcr (l
<br />Policy Nunbr_8,(pirctl
<br />(Thi, !*do ncd nd b. ..npl.rcd r rn. Fnn ir fd On. hqn{hcd doll6 {J 100 ) or I.s)
<br />ld*,^n^^,*r^-c. orrhc wdk .*
<br />tl.ch. rubl<r lo rh. ?dfd ' cmpd.ri6 I.6 which tht p@ir ir i$!cd, I rh.ll
<br />of C.lifodi.' md !r.. rh.r if I
<br />l rh. kbor Cod., I rn.ll, fonnwnh
<br />edt6' cmpcnoiion cowhr.
<br />d,.ll6 (l I00,000),in addir,oi
<br />rh. Ilbor codc, inrddr ud lnohly ! f.e
<br />LICTNSf n CONIRAC.TORS Df, CLAItATtON
<br />I hd.br.mm und6 parlg oaldju,y th!! I6lic6*d und.r prcvitio..r Chapcr 9 (.osm.ncins *nh S..rion ?ooo) ofDivtion ! ol
<br />lhcBuri.6r rd?bfdlidrCoa., sdmy licd!.ir in fill atr. md.lfer.
<br />oa psjury thlt $d. ir rcointudi olih.*dk lor*hich rhir p.mn ir
<br />ir$.d (sa. 3097, Civ C.)
<br />AIPLTCAryT'S DECLAiATION
<br />D@olti6 P.mll,-4.b6l6 No ficltim F.d.rl L8rlarion! (Titk40, Plrl6)
<br />_ R.quird L.ns ofNo{i6c.iiot
<br />I lgrc rocomply wilh illCi
<br />sbovc md'ion.d prcp.rty for
<br />-
<br />I
<br />I
<br />Ext./lnt. Lath
<br />tT-
<br />=t-l
<br />IT
<br />rlH
|