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BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />SubfloorA/enUlnsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />lt
<br />Ext./lnt. Lath
<br />Brown Coat
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handica Requirements
<br />Deputy Final Report
<br />Engineer Final Report F
<br />Flood Zone Certificate t-Er\r rrrbt
<br />rro:l ?lr L.l, .
<br />FINAL itc B-43, 290. !i50,60,
<br />Certificate of Occu ancyn
<br />Notes, Remarks, Etc.
<br />OMCFBuildq Dftl&ion
<br />I hcEby .flifr !id6 p6.h, ofFjury thrr I acx pi fom th. C6r&r@' Lic6r Llo fd i\. followins r.soi (re.?01I 5 B!si.c$
<br />bd ftofsli@ Co<L): Aiy Ciry d Counry rhict Equic! r pmn !o .@rEuct, Jt.r, ihprcv., d.holilh or Ep.n My rr.ucrur., pnor ro il!itlee. .|rc Elund $. rpplist fB D.t Fnil lo fiI. . lign d n r.'6r $'r h. 6 .hG n U.m..d pun@r ro rh. p.ovnioN of ihc
<br />Cdtturd! Ll.o&d Lo (Cll+(q 9. Cdm6dna iiih s6ri6 70oo of Diririo , or$. Bsin.' 6d ProfdJdr Cod.) or $rt h. q
<br />. ir .rmpi rfifrfrm 6d dE bai. 16 $. .lha.d adn d6 .A.y viol.rid of S.c 6 70! L5 by sy .ppti.d lor r psn rubj..rr th.
<br />lppliul b r civil parlty of nd .6 $o liv. hurtu .10ll.6 (tJoo).
<br />_l r omd ol rh. re!.ny, o. ny 6Dloy€ iirh *.8d d llEir rol. cohp.rldon, will do lh. wort lnd lhc nrudlrc t nol i.r.nd.d
<br />d offd.d for Dl. ( S.c.r04,1, Burird Dd Prcf*id Cod.: nr. C6rr!.rd'r Licor. Law dod nor appl, ro e oe.r of rh. p.opury
<br />who bqil& d inp.ov.t fiffi, o.l who .lod t*h wdt hi@.,f c haclf 6 thM8h hi! or hd Nn cmplorcr, prcvid.d rh.r io.h
<br />inprcv 6l! c.o1iir6d.d nolf@d fc.rrl..lf, top.v6. $c bulldiis o.inprctffit ir rold *i$in onc y.!rof .ompl.rio.. rh.
<br />Ownd-Suild-*ill h.v. th. burda olprcvin8 $at h. q rh. nor buildo.imp.ov. an $. pu.tE. of!al.)
<br />_I,!own.rofri.pbpc.rr,oa.luiv.lycoh.rihiihhll.d.d@.t1l.6ro.drh.rrh.p.ol.ct(s..70a,r,Au!i.6Md
<br />Prcf.sio. Cod. Th. C6rh.td'r Licd. Ltr .1o., .or .prly b e @n6 of propary *ho build! d imprcv.r fiFco. , &!i *ho
<br />coitrt'rr for luch pDj.cB wirh . Cor&lo(, licd.d ponu{r ro 6. Conrerorr LkcN L6* )
<br />_l m.r.mfl u.dq Sccri6-8 & P.C. fd rhk Gson
<br />WORKf, RS COMPENSATIO* DrCL^iATION
<br />I ncr.b, .flim und.. p.nllty of pnjur, 6c 6f lh. follo*ins d.clhrior:
<br />_l ll.E &d *illmiil'in. Cdi6.i. olCm6t loS.lf.L!ur. f6 workid' .omp.nllion, s !rcvid.d ldr b, S.(ion t?oo oarh.
<br />Lrbr Cod., fd thc pcrfroc. of $. *dI fc *hkt dr. p.dn n isu.d.
<br />_lh&..ndeill ind.rdt@'corp..rionituutuc4srcquiEdb,Scclioi3700ofd'.LrhorCodqtd$.p.rfmdc.oflh.
<br />wdk fn which rhir pmn n h!u.d. My *6kd' @np.it.rioi i u6c. c6i.r ud lblic, nuhb.r .rG
<br />Poli.y Nmbc ErpiB
<br />#dffi;il#;fd On. hundrcd dolld {tlo0) or I.!r)
<br />which iht pmn k i.r!.d, I
<br />ofCllifoniq lnd .Nrc. Uir
<br />cohp.isri@ prcei3idt ofSddon 3700 of$. kbd CorL, I .h.ll,
<br />>-LL/ -b
<br />WARNING Flilur.ro r.curc *ork6' cohpontion .ov.n8.lo didinllpdri!! lid civil
<br />lind up ro @. hundd $drdd doll@ (1100,000),in.ddinon
<br />rh. Llbor Cod.. inrGr ud.tomcy't f.d.
<br />dM.ao a prolid.d for th. S..lid 10?6 of
<br />LICENSFD CONTf,,{CTORS T'ECLARATION
<br />I hmly lim ondn p6.19 of pfjury rhn I h licdrcd 6.ld povirid of ch.prd I (
<br />$c Bulin{ Dd P,oforihr Co&, ud my li.a.. b in full fmc 6d offar,
<br />Lienr CIB _ Lihi Nuhbd
<br />)-z-?-oe
<br />I hd.b, lmm uidd padry ofpajury rhlr $6. t r coirrudio.
<br />hu.d (Ss. 10t7. Civ C.).
<br />p.lf("fuic. of fi. wo* fd which rhnp.oir h
<br />ADPLICANT'S DECT.ANTTION
<br />Ddolidd !.frtu-Alb.xG Nori6clti6 fcdcdl R.Buhion! {Tnl. 40, Pjl 6)
<br />_ Rrqut.d L.riq olNorifi. ion
<br />cohply *kh .ll Ciry hd Colmy
<br />rhi! Cn, MdCou.ry ro.nr!r upon rh.
<br />!bov. hdrion.d prcp..ry fo inlp.crid
<br />)-24-6
<br />rI
<br />tlQ
<br />Drr. Omr
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