BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE tD/stG.COMMENTS Oh6-Buildcr Del@ri6
<br />I hcElr rfilm undd parlty ofpqjury trt I 6 cxaPl fm rh. Conir.crou' Licot. Lrw lo. (nc rollowiis rcaon Gcc ,01 I t Eurin*t
<br />6d P6f.$i6 Cod.)r Aiy Ciry d Co$!y which quiB r p.mh ro cm!h.( rl1.r, ihp6v., d.mlirh or Er6n uy rtiucruE prior ro itl
<br />irtuc., .bo Equi6 rrE pplidr f6 lud Ffrh to 61. . .i3ncd n.lmmr $.1 hc q rh. t li6!.tl puiust (o (h. ,rcviriod of $.
<br />C6Ercl6! Licdld l, (Chet6 9, Cofficini *ti s..rin ?000 of Divnifi 3 of fi. B8ina. &d rrcf6ri6. Cod.) o' rh.l h. d
<br />rh. i! .r.npt lh4fm hd th. b{it f6 th. .ll.t.d d6n d6 An, viol.{on of S.cdo. '70, L by sy lp?licMt ror . pftn Nbj.* rn.
<br />lpplitrr ro . chil padty ol iot n@ $m fiv. lui&td dollrB (3500).
<br />_1, a om6 ol !h. prop.rv, d lrry mdoyd wilt *.td r tn.ir ,ol. .ohpa3.rion, *i,l do $. wdl md rh. nrucrur. n Dot int.nd.d
<br />or ofi.cd fd r!1. ( S.c.70.14, Buindt ed Ptufei@ Cod.: Tn. Conrnctor! Lic.nr. Lrw do.r .ot lpply ro e own.r ol lhc prcp.n,
<br />who b{il<h o. idProvd lh.l6, ed who dod t*h iql hifr.lf d hdclf 6 rh@8h hir o! ha @n .mploycri p.ovid.d tblr iuch
<br />inprolchdl! !r! tot Inhdtd q ofqftd fcf !!1.. ,1, hovcc. lhc blildiis or inprce.lMr ir rold *nhin o.c y.rr of compldion, fi.
<br />OMd-Bdldd will h!v. lh. blrda of p,orins lhr h. q rh. .d blild or improv. fd th. p!.pd. of trl.)
<br />_!, ! dna ofd. p..Fn , a q.laie.!, GorrGiitrs virh lied.d @hdd ro.onntu.. rh. Fojet ( S... 704a, Bu!i.6t sd
<br />Prcf.sim Codq ftc C6lr*1a! Li.dc Lo do6 ,rot .prly lo { @n.r of pro?cny *ho buil& ( impov.r rhd.o. , dd qho
<br />conna.i. lor ch proj.cre wirh r conrrelo(, lic@cd puduet 1o $. cdr'&toa' Li..'r. Law.)
<br />_l m.rcmpr und.r S.ction
<br />-8.
<br />& i.C. f- rhir Econ
<br />WONXERS COMDENSA'TON DTCLARA?'ON
<br />r i...by .mm und.r p...lr, ofFjcry @. oa tlE followihs dftlntidr:
<br />_l h!v. td Fill mlinl.ir. C.ni6crG olC6r6i ro S.lf.l.ruG ftr *dk.d' compcnrdon, s prcvid.d for by S.crion rToo olih.
<br />Lrbor C.d., fr rh. pcrfdfuc. of $. *o ( for ihich $G p@n n ilru.d
<br />_l h.vc ed {ill tuinrdn *di6i conpar.tid iEureei ! rcqqlEd !y Sedon 3700 of $. L.bor Cod., for rh. pcrfmin@ of rh.
<br />work fd which lhir pmit k itru.d My wdtn' comFdrlid ituur&c. .ei.r ud policy nlhb.r .r.
<br />Policy Nmba Jxpir6:
<br />#ililffiffi;;ae Oi. hun&.d dolls (1100) n ks)
<br />*hich lhn pfrn ii isru.d,l rhall
<br />of cllifomi!, rid.src. th if
<br />chp..ntid pturili@r of S..rion 3?00 of 6. Lrbor Codc, I rhlll, fonhqi$
<br />^A3:3:OL
<br />"*X"FliluE b teuE wrtdr @mpoltion covdg.6ploy.r ro sininrl pcn!hi.! rnd civil
<br />lin ' L9 ro o. nur&.d tdbd doll6 (l I00,000),ii &ldirior ro
<br />d. t$d Cod., iircrlt ud.noriq! fcB
<br />a prcvidcd lorrh. S.cti 10?6 of
<br />I hftby !flim undn p.i!lt, oflqjury t\rt I h lic..!cd uidn prcvilid of chapr.r 9
<br />th. Butif,6r sd Pofcridr Co&. ra my Ii. r. b in full foE. xd cfa.ct,
<br />Di
<br />-o
<br />I h.rcby .llim mdd pa.ky of pdjury rh.r $6. ir . co.nrudio. lhdin8 !roc, fd ftc pdfffilnc. of th. *dk fd which rhit rEmil h
<br />irrEd(Se 3097, Civ. C )
<br />APDLICANT'S DECLARATION
<br />D.oolitio lcmlE-Albsrd Notiliotjd F.d.6t R.BuhdoN {Tn!..0, Pfi 6)
<br />_ R.quir.d k{d of Notfi..no.
<br />to coDply wi$ dlCity &d Cdmy
<br />oflhit Cnydd Countt romt..lpon lh.
<br />lborc madoi.d prcp.dy fd ii+ad6
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />Subfl oorly'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 />Er\f 1t iE LJ
<br />,n,!0
<br />T LI.' U
<br />FINAL SAMC 8-43, 2!)0,556,667
<br />Certificate of Occupancy
<br />Notes, Remarks, Etc.
<br />SLAB Floor
<br />Flood Zone Certificate
<br />Dirq OMe
<br />Lddr! Adr.tr6.
<br />i-+-
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