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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS O{6'Build6 O..lmrio.
<br />I h.r.hy ifftrf, unds p.uhy ofp.lury ttul l.m.r.mpt lorm th. ( onkdor' Lk.nr. lrw lor rh. folL*'ni 6.on (3* ?0] I 5 Uurii63
<br />md Proldtion Cod.): Any (ily or Cou.ly whi.h E!ut6 t Fmn to NBitu<r. i!6, imFo!.. dcmli.h o, E!.ir 6y itruclu.. Fior h nr
<br />inum. rho rqun6 rhc .r9lic..r tor !(h p<nir ro fi|. r tisn.d tl.rmr !h.t h. or llE i li..Md pu6o.,n ro rh. pmlnio6 of tlE
<br />Co'nmtor't 1 @E d l,* l ( lrp(d e. CommB'.8 wdh sd.i 7.m ol D'r6nn I ol rh. Bu.'n6r .jd Polaiod Cod., or tr.l h. o
<br />th. ir.im llE.frco .nd x b.ris lor tlE .llq.rl crmprio. Any rhLr i,. ot kah ,01I 5 b, e, .ppli..nt foi . Fin rubjGn r
<br />rpphcrfl ro r clyil p. h, othr mr.rh& lir. huliad dollE (i5dj)
<br />l. a oqnd of rh. ,mp.ny. orny.mployer uirh srid irrh.irrol.codp.B.rion, w,lldo thc s.rl ind rh. noduc n not inrod.d
<br />or ofr.r.d for sl. t Sr ?o4.a. Bur'6r Md Pr6f6lbnr Cod. Th. ('onr.dd't t,E.N. t.* dod nor .rply ro t. ow, of I h. tmpdy
<br />*hob{ild!or mprord rh.rsn, rnd *lb d6 rEh *ort hin(lf or h.elaor ttlrdu8fi hn or hdN.nmrloy6. p.ovit i th.r tu(i
<br />inprormoB E d i .rd.d.. olls.d for !k ll h.$.rd, rlE b{,ldni dr inprolm. n$U s hi, oryo of conpldan- rhc
<br />o'ra ttukn$iU hr\.lt h!dc. ofprcriq rhd h.orsh. d b{ild.rmprorc fo.lll poq$*ofsL)
<br />l. ! osn6 of lh. Fop.ny. .n .rcluiv.ly cont.di4 w ith lic.N.d ..ntrcroR ro coBrod rh. protd ( S( 7044. Burn6t .nd
<br />Pma.$io.(od. Th. ('o.ktdort l-8 . tr* doa nor ipply ro rn o*n{ ol prDp.ny xho hu
<br />'lds
<br />or mrgrovd rhd@h , ind *ho
<br />cont.cri fdr.u.h prodr *nh r Cont.don, I'c.nr.d euEuni ro ihr Conkrdoi! L'c.n!.1:w )
<br />I m (r.mpr uds S<tbn
<br />lf ORl(ERS COMPENSATION Df, CT-ATA'I'ION
<br />I hs.l'\ .finm unds p.uhv oI psjury om olth. nnb*in8 d(trrrhtri
<br />I h.v..d rill di in. Cdriird. oacoeii ro S.lf-lBu.lor F Id' emFBr.(.r p,orn d ao. br Sd6n 37oo olrll
<br />Lbor Cod.. for llE F.fol E or rlE *orl for yith rlE Fmh i itru.d
<br />I h.v.rnd w,llm.rnr.r *o.k..r comp.Mron mlunncc. !r r.qur.d b, serE. rT0oolrh.kborcod.,lorrh. p..formn..orrh.
<br />wolk lor *hEh lh6 p.rnn tr Bru.d My *ork.n' ..nrp.Mtoi 'n.uEnc. rlrin sd prli., .umb.r &.:
<br />Poli.tNunho Erpr6
<br />(Tnir K'irn N.n mr b. conpl.i.d iflh. Fmi ir aor (h. hu.dr.d dolla lllml or k$)
<br />I c.niryltul in th. par(tmnc. of rhc Mrt forwnich lhn p..mir u isru.d.l shlll ool.'rploy.ny D<.ro. in iny ornn.. so G lo
<br />bctm. lulrJ(r ro th. mrkd! @np<irl{n L!! ol(-.!fontr,.nd rg,* tlEl ral ltould heore suhJ-lro rh. wo,kd!
<br />cooFNti,r Fotiri,q ol Sdior l7O0 o
<br />D.r.:
<br />'*r?Vi''{?%t<KWARNIN(;l_.,lur.tos..urrwort.B'.omp.hrt.on.ov.rdg.'3trn|'*ful.'nd!h!lliuh|Bl.n.nrpldv.riocnninilp...lr(ind.i\il
<br />find up to on. hundr.d rh.usrnd doll6lllm.firl.in.ddilFn ro lh. (os of.omp.nsltnrn. dlrnu.s a prold.d tff lhc Sal'on 1076 of
<br />th.lrl$, ('odr. 'nrn6r.nd. o,rv r f6
<br />u(:lstDrox Aclaf,,iDEc!4aaua.r
<br />I h.rh\ .ltnh uftdfr D.nrhy or p.rrur!_ thri , h I'c.Md undr rro\trr,n ofChlprd q(L.nnn.ncmg !nh S(r(n'irxn) olD,r'l)n r.f
<br />rh.IlBii.$ lnd Profdsk,ns(i)d.. rnd h} lic.E. r 'n tullforc.rnd.flcl
<br />'[C&\ev",Lr,tce:
<br />(,ONSTRTiC']ION Lt]NDINC ACEN('\'
<br />, h.r.by ifltm und.r r.mh'.rp.rrury thlr lh.r. i! ! coNlruclion l.ndrns is.ncy ior lh. p.rfomlncc ofrh. !or[ aor $hrch rhn 0.rnril is
<br />hsu.d(sa 1097. cn (')
<br />AII!,ICA!.['I.OI$AAAUqNI}mlition Pdmilr-Asb.slot Nolifi.Iior Fddr R.sll.rbB (Ti lc a0, P.n 6)
<br />R.qun.d ktrd oaN.rin..rio.
<br />I ..nily lhr llr tu r.l rqul.lirnr rc8rdq ab6td llmrtl E d .rplk.bk ro rhir F.i{
<br />I..niry lhl| I h.vc r..d $ii.pplk.rioo &d rt.r. th.r rh. ibov. info@ri). i! .od..r. l lgR ro co6rl, *irh lll Chy.nd Coory
<br />ordinrh.6.ndSr.r.Ls!r.hrinarob{ildinB..B!tu.ri.n
<br />!bov. Ec.lioBd por.ny
<br />Aprlirr rtor sa. .
<br />Pmile Mft(pmt):
<br />hd.b, iur ho.iz. r.pr*nr.r i!.! otrhi.any lndCoum, r..ord uBrn rh.
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/VenUlnsul
<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 Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />Flood Zone Certif
<br />t_L
<br />FINAL alri/td (+})^-l lrkLbf
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc
<br />M\WP51\Pemil lnsp3clion Forms\Buldinglnspoclion R.cord doc 03 31 06
<br />Set Backs
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