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BUILDING- INSPECTOR RECORD
<br />SITE.WORK tD/stG.COMMENTS
<br />_l m .r.opt undc. S.ctio.
<br />-8.
<br />&l C. t( $t r.aon
<br />Dn : Ortc
<br />WORI(IRS COM'ENSATION DTCLAR,{TION
<br />I heb, .fim undd pcrdry oaFjur, 6c of tn aollsi.e d.clmi6!
<br />_l h!v. bd rill h.inl.l. r C.nifior! of C6.dt io Sdf-lm€ ftr worl.d' comFnr.tio., B p6vid.d for b, Scciion 37oo otrh.t bo' C.dc, fd rh. pdfdlmcc of $. wod( fdwhich th. p.ftir i! i$.d.
<br />_l h.E Dd will mintrin rdld' cor?. .ri6 i utue,E rcqlir.d !, S.dioi r70o offi. Llbo Codc,lorrh! F.fomsnc. oarh.
<br />edt fd rhich $ir pmn ir irru.d. My *dk6' @mpdi.rioi l utuc. cEi.r {d polic, nu6bd r..l
<br />iolic, Nuhb6:_Expi
<br />Gnn lrre n*d d b. cfipldcrl lf $c Fmn n fr onc hundcd dollo {tl
<br />--21ccniry rrrr in rrrc pcrmc. of $. qorl( fa *hich rhi! pm E ,su.d, I
<br />bach. rubjdr lo rh. wo*d ' cmp.nnrid hE otcrlifmir .id .rE thd
<br />@mpcno oi prcvbi@ ofsfttih oath. Labor Cod.,I rhill,
<br />WAXNING: F.ilur. to teur. wortd' cffipcnr i
<br />linB up ro o.c hon(H lhoufud doll6 (tI00,00o),ii rdditio
<br />rhc Lrbo Cod.. inld .nd ttor!.y! fs
<br />.d oacmpar.tio., .16rg6 ! p@id.d for $. S..rion 30?6 of
<br />LICANSTD
<br />'ONT&ACTORS
<br />DEC' ARATION
<br />I hdby rffm u.dd p6.liy ol p.rjury rhor I h lic.n!.d undn p,oriri6 of chaprd 9 (
<br />{h. Buli.€r M.l Prof6ri6r Cod., -d my li.a,. ir in lull for.. rnd cff*r.
<br />wnb S*rion ?000) ofDiviiion I oa
<br />I haby iflim und6 p6rh, or Fjury d'.r 'id. i-;m;rud,
<br />ntu d(s( !097, Civ. C)
<br />AP?I ICANA'S DECLARAT'ON
<br />D.mdid6 Pmlr-,&bdro, Nori6cld6 f.d.El R.rulrrio6 (Tnl.40, Pd 6)
<br />_ R.quircd L.ns ol Notili..rioi
<br />cmply wnh rllCir, hd Cou.r,
<br />oa$i! Cty Md Courq to.nG upoi rh.
<br />.bov. mario..d pEp.fly fd inr!.cri6
<br />-o
<br />at>
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUlnsulation
<br />Roof Sheathing
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Requirements
<br />Deputy Final Report
<br />E ineer Final Report
<br />Flood Zone Certificate
<br />:xplRE ,
<br />FINAL F5 tt I|l
<br />Certiflcate of Occupancy i{i\/C 6-43, 29O, sSG_ Art
<br />Notes, Remarks, Etc.
<br />Shear Wall
<br />Oh..BuildrDctldion
<br />I hdby .mft undd p...lty of p.dury $.t I n .x6pt fom th. Cdtbcldr' Ljc6!. L!* fd rh. folloaiiS raoi G.c.?01 I 5 BBi.d!
<br />bd Pofdtim Cod.): Aiy Ciry or cNnty *bich quic . Fmi ro c@iD.r !lr.r, ihgovc, d.molirh or r.p.h M, ntuciu.., p.ior ro ir!ttccq .bo r.qui6 rh. .p?lior f6 tu.-h FBn b fil. . igr.a thr66r rld h. 6 .hc i, licd,.d pusu-! ro rh. Fornionr oa fi.
<br />C6ln.rdt Lica&d rr (ChF. q Coirn@irs rit SGai6 ?0oo ofDi ri6 ! of$.Burii.s &d PEfBi6! Cod.) orri$ h. d
<br />rtu i! .x.trlpl thftllm xd lh. tari. f6 [E .]l.r.d dcnpdd .]\n, viol.tion of S.cio. 703 LJ by sy .ppli.ul for . pmn ,ubj..[ ih.
<br />lppli.ur ro r .ivil p@dty of nd !'ffi ta nv. huodfrd dolla (l5oo).
<br />_1, s oh6 oa lhc prop.fy, d ,r, dploy.d with *.Bo a ih.ir rolG ffip6t.ti6, *ill do rh. wort lnd th. nrudlr. k ,ol inr.ndcd
<br />or orn d 16 !!1. ( 5*.70!4, Buin.d ed Pmf63io.r Cod.r nG Conhctd! Lic6!. L.{ dod ior apply ro & owir or rh. prop.ny
<br />whobuil&orihp'.,th.ltd,edwhod€rshqorkhitudfchd.lfdltr@Bhhi!.!hasn.mployit,prcvid.drhrtiu.h
<br />ihproemdst.norIscndd6or.Fdfci..llho*.!tr,tn.blildligorimrrov ciin sold wirhii o.c y.!. of.onpt.rioh. $.
<br />Oynd-Blilda will h!v.lh. b{rdm oipmvi.S thit h. 6 rh. nol buildor inpmv. rtr th. puQd. oatrl.)
<br />_1, a @nB of $. proF.ir. m cxclGir.ly cdhcrinS wi.i liHicd.ort od ro.onntuc. lhc p,oj..r ( S.c.704a, Bu!i..,r $a
<br />Prf6d6 Cod.: Th. C6trdd'3 Uchlc L.w rb6 not lpply ro e offir of propaty who build! o, iEprcv.r ihd.on , ed who
<br />conEad' fq
<br />'uch
<br />prcj.c$ wnh. Co.rmio(4 lic.B.d puduur ro 6. C@lncroar Liccir L!* )
<br />DATE
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