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BUILDING. INSPECTOR RECORD
<br />SITE.WORK COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subfloor/Venul nsulation
<br />Roof Sheathing
<br />Shear Wall
<br />Framing
<br />lnsulation/Energy
<br />D rywa ll
<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 />EA|J KtrU
<br />rE,U I (U IJ
<br />FINAL SAMC 843, ;:90, 556. 66
<br />Cqrtiflcate of Occupancy
<br />Notes, Remarks, Etc.
<br />OMr-Build.r D..laitid
<br />I hdty .ffifr undo p lty ol prju.y th l h.xdpt fm lh. cmmd6' Licmr Lrw fq (h. follo*in8 r.so. (r.clol1.5 Blrinar
<br />sd Pofdtid Cod.): Any City d Cou.ry *hi.h Equi.d ! pmir lo .6!Eucr, !h.r, inprov., ddolith o, r.p.n u, ,ru.turc, prior b ir!
<br />i$uE.., rlro EquaE ln. .p?li*r fd tu.[ Fhir ro fiI. r ri8n.d nrEhal tn h.orrt.nlic .d puBudl to th. Foviion. of $.
<br />C6r.dd! Lta..d rr (Ch+r' 9. CdmacinS *ith Sc.rie 7000 of Divitid 3 of lh. Bu!in.r! md Prcf.llidr Cod.) or thti h. q
<br />th. it .x.tr!p. tncfim id $. t l. ta $. .I.,.d afrpdd .Any violiid oa S.don 70,I J by uy rpplicor io. ! phn robj.cs rh.
<br />lpplicur ro . civil p@ilty or nd o@ thM livc hui.L{d dollar (t500).
<br />_1, s M6 of lh. prcp.fy, d hy .,?lord *iih e.86 d !h.ir rol. con!. dq, will do th. eork .rd lh. ,rN.lur. i5norinr.nd.d
<br />o o{f.Ed f6 t.l. ( S.c.70,a,1, Buii6 ed rrcf{i@ Codc] Th. C6n&tM! Licdr. L& dd not rlply ro s o*... of th. prcp.ny
<br />eho buil<t! or ihprovd th.E r, ad who der &ch wdk hid.lf d hd.l a d fircu8h hir or id o*n .rployc.i polid.d th luch
<br />imEovmhB 6 nor inltidlrl 6 oltcd fd r!lc. t( hwd6, rh. buildirr or ,nprcvmcnr ir told widin oi. yor ol conpl.ioi, rhc
<br />O*nd-Duild, will hrv. rh. brrd6 olprolin8 $at h. or rh. nor build tr ihprov. for lh. purp$. ofr.tc)
<br />_1,adn.rof d. FoFny, 6 .rclaiv.ly c6ll .ri.E *ilh licd.d.o.mdod ro.mrru th.proj.d(S?c. ?04a, Bu,inc'ed
<br />P'of.$i@ Cod.: Thc Coilrldd'3 Lictu. Llq dolr not lpply lo o oMn of pop.rry *ho buil& d improva rhd.on , ed who
<br />cdra.a rq ruch p'ojec$ enh r Cornelo(, Ih. .d plnud lo lnc Coiloddr Licdr. Lrw )
<br />_l h .ic6Pl oidd s&rioi
<br />-8.
<br />& P.C. ld r\ir rcaoo
<br />ol*a,a:
<br />WOf, (ERS COMPTNSATTON DECLARATION
<br />I h.eby cflim und.r F.dry ol Fjur, @c of th. followins d..lmtionr:
<br />_l h!v. ad*iU h.inlth. C.nifiot olcdot ro Sdfl.$G 16 sdk.n' comp.B.rion, s pmvid.d fo. by S(ri6l'7oo ottt.
<br />Llbor Cod., lq t. pnfd1mcc of d. *ort fd *hth tc pnn k hiu.d.
<br />_l h!r. ..d willtuimlin v6tm' conF ltid iniume, a r.qllEd br S.c on3TOoofrhcL.borCod.,fordcp.rfom!n..otlh.
<br />wdt for which tlln pnn ir h'u.d Mr wo*a' @mp..!.rioi iNurs.. .Eir ud policy nunb.r .r.:
<br />PolicrNuhbe EipiB
<br />.Z^*,^,,,^,^.
<br />Bi-e ruLrr o rrc
<br />b. corpl.r..l if rh. pmt it fd Onc nund.d doll6 11100) tr l.!r)
<br />Faomdc. oafi. wdk f( which rbi! p.mn i! iiiu.d, I lhrll .or
<br />ao.td ' cohpdrlid ,r*! ofcllifo ialnd.BEcrh.rirl
<br />.ompc.r ioi prolnimr of sftrion ofdt. t$d Cod., I rhrl,, fonnwith.ootly
<br />*ARNING: Filur. ro reuE *ort.6' cmF6rid @vmr. ir ro diniill pdrlrid md cililliid up ro dc huidnd rhoulbd.lolla (l100,000),in .ddino rorh.
<br />fi. Llbor Cod., int6d md anmcyt f.c!.
<br />a provid.d for rh. S.dion 10'76 of
<br />I hGb, iflim uhdd p6.lt, of Fjury thll I m licd.d und.r Fovirio. oach.pld
<br />thc Bulindt ed Prcadridr Cod., u.l n, li.drc ir l, aull aor. rd .lter.
<br />I h.Eby .mm lndr p6rhy ofFjlr, fi lh6. i-
<br />ni!.d(s.. 1097, Civ. C )
<br />p.rfmn.. oa$.wak f6
<br />APTLICA'IT'S DTCLARATION
<br />D.noliriq Pmlr-Atbdror Not6.!ri6 F.ddl R.Bul.tio {TnI. ,.0. PM 6)
<br />* R.guir{t r:rld or Ndilicdio
<br />ro.6ply wiih.ll City rnd County
<br />oflhn Cily dd Coo,ty ro.rt.r upon rh.
<br />.bov. m6 o.cd prc!.fty for inrp.crio
<br />I
<br />DATE
<br />Flood Zone Certificate
<br />NTI
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<br />tD/stG.
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