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BUILDING. INSPECTOR RECORD <br />SITE.WORK DATE tD/stG.COMMENTS Ohd-Build6 D.cldrion <br />I hmb} if,im uida pdrlry.f p.rju, thrr I 6 d pr fom fi. C6mci6' Lic6k Law fd rh. lollowing i.son G...?01t I Businc* <br />md PofBio. Codc): A.y Cil, 6 Counry *hich Equid ! p.fiit io c@rrlci rlrr, inpDv., d.molilh or r.prh e, xrucru.c pnorro il!ittdc., rle Equt6 fi. .?pli6t f, $.t ,Emit b 61. . .ilncd n.l.1Mt d8 h. - !h. ir licmr.d plBuur ro rh. trorisions of rh. <br />Cot'trkior! U.-r.rl L, (Ouet6 9. Cdm6dna *i$ setidn 7o0o of Diirio. , of $. ABio6i Dd Pofqridr Cod.) o, lh( h. d <br />th.irqmpifidlin6d$.bairfa$.nl.sdampri@,A.yviohonofs.cdon703I5bybylrplicslfor!p.mn,ubj..Gfi! <br />!?pli@r ro ! civil p6d9 of .d hor. Ar. fiv. hun(H dolla (Stoo). <br />_1, a m6 of lh. pro?.n , or ry dntloys rifi s.86 s th.ir rol. cnpatrtion, sill do $. work rnd th. trruclulc is rot ihr.nd.d <br />o ofr6.d fd rl. { S.c ?0.a, BuriDd un Prof*i@ Co<h: Th. Cdrt td t Licar trv dc nor rppl, lo m ownd of rh. p.op.ny <br />eho buildr tr iolroE tffi, ed who dos t*h *dt himr.lf d had I o rhrc!8h hn or h.r @n .nploydri p6vid.d rh.r iuch <br />nnprcv66B ra n6l lnladcd d oftdd 16 r!1.. lt to*rvq. $c buildin8 or ihprctmar h told wftin oh. y*r of .ompkion, rh. <br />Ownd-Buildr will h.v. th. bu.da ol provinS ${ h. or rh. nor build d imp.ov. fd rh. pu,!u. of $lc) <br />_I, a ow.d ofth. prop.ny, 6 d.,qiv.l, c6tn lins whh lic Ga eit rct6 ro coiirucl rh. plq..l ( S.c. ,04a, B$i.s! &d <br />Pmrario, Codc fie Conmcld't Lic . trp.10.! nor lpply ro & om6 of Propdly *h. buil.t! q inprov.t ihd.q , ed qho <br />.oirlclr ftr ru.h prcjcc6 wnh I C@rGro(, limi.d puduqr to lt. Co|6dorr Li..,r L.w ). <br />_l m .xhpr u.dd Scti6 <br />-8. <br />& ? C. f( $h rcaoi <br />WORKERS COMDENSATION DrCL^RATION <br />I hd.by .rnm unda p.irlty oa Fju., d. oa $. follo*ins dclurid!: <br />_l i.y. ed,ill niinlrin rCdificrG olC@6t ro Sclf.InrE am wnk.n' cohp..r{ion, s Fnovid.d foi by Scdon lToo otih. <br />Lrbd Cod., for th! pcrfmc. of 6c eo* fd *hnh rhc ,.mn n i!u.d. <br />_lh&.ed*illn.in$lnwdt6'conl?c.t.ri6l utuc, a r.qulEd t, S.cdon 3700 of lh. L.bor Codc. fd rh. ,.rfmde of th.wdl fd whicn rhir pmn i! it!!.d. My wd*d' 6hp..r.rl6 i@rue c6if ed poli.y nunb.r r!? <br />Polic, NMbe Expi <br />#'d;#;;d#;fdoi. hun&.d dolld {t100} orl.B) <br />chp.iniim F!yi!i6t of Sd 6 3700 ofrhc L.bq Cod.,l thtll,fonl*hh <br />WAnI\ING F.il!rc o ,.crrc wo.tm' cmpdsrid ovo8.tosi6h.l p.o!rd4lid.til <br />fin.! up ro on. hun.tr.d lhNud doll6 (l100,000),in <br />rh. L.bor Codc, inrBt 6drnmcy!Gs. <br />d6!gd a prolid.d ftr ih. S.dioi 10?6 or <br />LTCTNSID CONITACTORS DECLAR TION <br />I tdt, Im undr p.nd9 of pdjury rhr. I h licdrd !nd.r provirio. of Chapr.r 9 (cmodcing *id S.ciion ?OOO) of <br />$. Bulind! s.l P.ofon6, Co{tc, &d my li.a!. it i. full atr. dd olfdl <br />Lic.nrc Cls!:-- Licc.r. Nuhb.r <br />-(> <br />I h@b, .mm .idd p6dry or Fjury dtlr $d n r cmrrudid <br />irs.d (sa. 3097, Civ C.) <br />Frfm... of th. wrk f6 whi.h lhn p.hn ir <br />A'DLTC{YT'S DE'T-ATTATION <br />Dddidd r.mlll-A'6dro' Nodfi.ldm Fcddt R.sut.riod (Tnt 40, P&l 6) <br />_ Prquircd L.ne ofNodficitioi <br />to comply wnh.llCity ind Colnry <br />lbo!. mmdocd Fop.ny for i.ip*ii6 <br />I <br />rhi, Cny udCounty to ?hr.r uponrh. <br />Set Backs <br />Forms/Steel/Holdowns <br />Erection Pads <br />UFER Ground <br />SLAB Floor <br />Subfl oorA/enUlnsulation <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 Requirements <br />Deputy Final Report <br />Engineer Final Report <br />Flood Zone Certificate Eh.flr.-.: <br />Fla :lfio <br />FINAL sAtic a..l. _ <br />Certiflcate of Occupancy . -w8 66? <br />Notes, Remarks, Etc. <br />D.t Oh-: <br />f <br />f------T------ <br />I <br />I <br />I <br />LI