BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfl oorfuenUl nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />T-Bar
<br />Handicap Requirements
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certificate Sljll!r!:r.
<br />l.:i: ! ,nlo
<br />FINAL
<br />Certificate of OccupanCy .-r=3;zW 566, 667
<br />Notes, Remarks, Etc.
<br />Offi-BuilddDcclalion
<br />I h.rb, rflim uid6 !drl9 ofpdjury thrt I n.x pi fm rh. Cdn dd' Licmr Lrw for rh. followinr rcson G.c.rol I I B!sin6!
<br />Dd PbfBim Cod.), Aiy Ciq d Coonty which Equir. r Fmn io co.rr.ucr, rhq. imprcv., d.molbh or Eprt -, nrudurc, p.ior ro irilrue, .bo rcqrird rh. 4plic6! fd loch pmir lo filc . tisn.d ti.LtMr $.( h. n !h. ir lico$d puBoDr ro rh. Fotkionr oa rh.
<br />C6r.dd!Li.ar.dt (Cb.DG 9. Comtuira ?irh Sctid ?o0o ofDivirio. ! of$G Buriia! ed ProftlioB cod.) orrh.r h. or
<br />th. it cr pi lh@fM Dd lh. b.i, to lt. .ll.i.d q.DPri6 .4., viohio. of scciion 703I J by ey lrpli.st for . p.mn ,ubj.cn th.
<br />.ppliMr ro . citil p6rlt, of not hoft t{ fiv. huntu dollu (3100).
<br />_1, s om6 of rh. Fo?.ny, d m, 6doy.6 ,ft e.!d s rh.ir rcl. .ffipadi@, will do lnc work !.d $G ntuourc n Doi inr.nd.d
<br />tr olrd.d fd rd. ( S.c 7011, Bdin6, ed Ptufdi@r Cod.: Th. Conl.!.tr! Licdr. L.w doB nd lpply ro o owlr of rh. prop.d,
<br />vto buildt or lhFoe, $@6, xd wno dc tqh e6t himr.ltd hd.lf d thrdgh hir or h.r @n.mploycr, prcvid.d rhlrruch
<br />impDrmoE G ior int nd.d or offertd fci !!1.. lf, hw.G. rh. blildiiS or irnprcvndr ii rold wirhin onc y.r of conpt.rion. rh.
<br />O*nd-auildr vill ll!v. lh. brrda of pmri.t rnrt h. o. th. nor blild or ihprev. an lh. purpd. oa rd.)
<br />_1, a o*n6 oftl. pop.ny, e .xcluiv.ly .o.tncrinB wirh lie.r.d 6ts..rd ro co.nru.t (h. !.oj.d ( S.c.7or4, BBir*r $d
<br />Prcfaiid Cod.r Th. c.ihcrorr Liccrtc L.w dod ior lpply to d wnr of prcp.ny Fho build! or ihprovd rhd.oi , dd who
<br />cofi..r! fo. ruch poj{r enh . Conr.cro(, lic.6.d pu6uMr ro rhc cdrdcror,s Lic6r. Llw )
<br />_I m cr6F uirkr s6tid
<br />WORI<DRS COM'ENSA'rION NECLARATTON
<br />I nRty rmm !nd.r p.n.ity of Fjur, 6. of rhc aollowi.a delErioou
<br />_I l'.v. Ed {ill niiildn ! C.nificlt of Cdot to S.lf-l !cf workd'.mp..!. on.s pelid.dlo,b,S.ction37oooilh.
<br />Llbor Cod., lor
<br />'hc
<br />pcrfmecc of rh. wd* fd whth dt. pml it ilru.d
<br />_l h&. md will hri.lrin pala' conp.s.ti6 irrutuc., ( Eqlicd b, S..ion 3700 oa rh. !.bor Cod., aor lhc lErfmdnc. ol rh.
<br />wo* fd whi.h rhh pmn n i!!u.d My wntn' mp.n! id inruru.. cEid ed lolicy numb.r !E:
<br />'4t"^,r^n^nol b. Mplcr.d If (h. pmn t fd O.c h!.&.d dolle ll I00) d
<br />lhc pdfomam ofth. wnk fo
<br />b.cm. tubj.d ro rh. qdt6 '
<br />ofth. bbor Codc, I rhlll,
<br />$@rEd dollB (ll 00,000),in 6mpdtdi@. d6.g6 a prcvidcd aor rh. S4Ion 1076 oaiir6r ed rrdl.y! 16.
<br />LICENSED CONTRACTORS NECLARATIOIY
<br />I hftr.fllm und6 pdllty of Fjury $r I M lic6!.d undd prcvilim ofChoprd 9
<br />th. Bulirs sd Prol6nm, Cod., Md hy licalc ir in full f*..6d.rf.cr
<br />podty oapdju.y rhlr rhd. n .lhcp. manc. of thc wolk f6which $n p.mnn
<br />irn.d (Se. l0rr, Civ C.)
<br />APPLICANT'S D'CI,AiATION
<br />Doditio !.mlE-ArbBr6 Noilic i6 r.d.rl&.8r1'dn! (Tnl. a0, Pln 6)
<br />_ R.quiad L.ndr ofNotificldon
<br />l8E to cmply with.llCiry indCounr,
<br />rbov. mddon.d prop.dy re
<br />r.r oathi3 Ciry md coui
<br />2 /
<br />I
<br />Pool Fence
<br />=
<br />=
<br />I rolsrc.
<br />I+
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