|
BUILDING. INSPECTOR RECORD
<br />SITE.WORK DATE ID/SIG.COMMENTS OWNER BU!I,DER DNI-CAI{ATTON
<br />I hcrcby .flt,n uMcr lcn,lry of p.rjur, rhlr I !d erempr ffum rh. cl)nlmdoF Licnsc ln* ror rh. nrbwin8 Gen (Sec 70.11.5
<br />ausinc$ and Prolt$ion Codc) Any Cily oi Counry which aquncs a Fln,ir t) ..nshrr, rlrn. imlmvc. dcBri\h or mprn ,try
<br />ntocrurc. tridt, ir{ issuaftc.also rcquncsrhc uPplic0trr fir \uch,En irro filca sigrcd st cmcnr rhar rrdr shc k liccnsd nuruunr
<br />ro rhc pmvisins ol'rltr G,nrrD.ttr\ l-icctrsLt Liw (Chrlrcr 9. Comnlcncing snh sc.rion 7000 of Divhn,n 3 ol rh susnBs and
<br />Prorctsi NCodc) orrhdr hcorshc kcrcmpr rh.rcfrom dd rhc hr\is ror r hc allc8cd qc mpl ion. Anyvioltrion.fScclionTO3l5l,yuy
<br />amli.dfor0lcrmirsubFchrheappli.Nnrror.ivilpcnrhyolnornFrclh$fiv.huktddollars(3500).
<br />L n\ ow.cr of rhc poti ny. ormycmpk)$c\ *ilh *a!csrsrhcn nnc .on[.n sur i. n. trilldo rh. work al rht sk--tur k Bn
<br />iNcndcJ oroftrcdn,H c lsli 7{BJ, Busincs J PmlissionsCodc lhcConln.ttr\l-i..n*LrwdiEstroruprlybaiowncr.l
<br />rhc pR,pcd! sls hilds.r imDrovcs rlf,m!, ord wh. dms sNh wo,l hnns.lfor hcrlcllor rhnn,gh hi! or hd owtr cnrploycc\-
<br />!r ovtrlcd rhar ruch i'npmvc rnh N mr i d cd or olitei for !L l( howcvcr, rh. htri[liq q irprorcrcnr i\ s,k] wirhin oR )tr
<br />of.onlpLr6.. lhc Owmr Buililcr s ill hr\t rhc htrr.bn of pmvirg rhd lt or shc did rn build or in{mrc rhc l[)nlnt lbr rl* putlr)t ol
<br />-1.$ownerolrhcpmpcdy,,'ncklu(ivcryconr0crinsuiltliccnscdcontacttrst,co.sltucrrherojlcr(s.t.704'l
<br />Bu$nc$
<br />d0d Pnnirsio Codc: Thc Cotrrrrcroas Lic.nsc l-aw d(*r no( dplly ro 0n owncr.{nn,n ny tho builds or improlcs rhficdn.
<br />nnd $ho conrEc( ror su.h prcjccr \ sith i Conlachn s) liccnscd punui lorhcCnnlrd.ls l-iccna trs)
<br />I rmcxcmrl und.r Sccli,,
<br />8-/t"rg /1,/tta-'-
<br />lll:clAxdlruN
<br />I rErchy rlltarundc' p. rlry .r |rrju y oflc or rhc hllosins d.cl&rn,ns
<br />-!
<br />hatc unwill Minrlin !Ccnii..rcolcrDsc ioSclllNurch.w.'kcs.oolE.sdnnr.osProridedftnhrScction3?Ol)otlhc
<br />l,htr Cod.. ror lhc pcrfonmacc otrhc wort rr whi.h thr lr.rnrir n hsucrl.
<br />I havcnnd sill mainrain workcra cotr1t{is.rn nrumNc. u\ rcquircd hr S..r mn lT00 of r hc Latntr Codc. for rh- ldlorwrc. ol
<br />lhc work lor whichrhi\p.nnir i\ issmd My$orkcrs conPenlrl,n in\urai.c.ad{r ifrl P.lic} num6.r c
<br />l\,li(y Ntrn,bd
<br />-Exnirc\:
<br />l.crlilyrhar inrhcncrl('n f,cofrhcwork r(, which rhis ncnnil i\ nsdcd.I shnlltror cnPloylny Pcr$n hdny mmrcr
<br />$ r\ ro b(.m robj.{r t, rhc workcF compcnsorn,n h*\ orCalirornin. ind nercc rtur ir I should lB.onr suhtcl ro rh.
<br />uo*.r\ Lunpcisrion tmvNions oiScclion -lT0ooIrhc lihtr C(xic.l srull. tunhwirh conrll, sirh rho* lrlovisions
<br />W,{LNlNGr failtrc t, 1.curc trorkcrs cotrrlEtrsdbn covcr!3c i\ trnlrwlul. dtrd shnll suh]cd rn cn,Ploycr t) dnnimlFnrlri\ d
<br />Scctnrn 1076 orrhc ljtxr Codc, inrctur and anonrcy'
<br />on", F'/['-/{ n r,,-,'.tE=i
<br />DECIAf,AIIOA
<br />I hcrhyrfarnundrr p.trlltyolrcrjlryrh l ud lie.(n undcr Imvhion ol Chaprs 9 (om'ftming wilh S(li,n 7fiXl).lDNisi.n I
<br />oi rhe Busii.$ and Porcsions Codc. nnd,ny liccnsc h in iull ntr.c dd cilcd.
<br />CANiIBUEIIONTENDIN{iI!,iENII
<br />I hcrcby rnrnundcr pcnllry or ttrrjuiy rhll rlrcrc n a conslrucri,n bodir! 4ctrcy fot thc r.rtodan.e olrhc wort hr which rhis lcnnir i\
<br />iJ\xcd (S.c 1097, Civ C.).
<br />ATILUANI.DECIAf,AUAN
<br />IlEn]6yrnlmruM.rr.nrxyolfcrjuryoncotrncii)li,sin!dd.lan ir x:
<br />Dcnnlirion Pcrn,ir\ Ashc{o\ Nor6crrnn ltdcrull{caul]lions lTirlc r0. Pf6)
<br />Rc{uire l.I.rol Norilicrridl
<br />l.dn,fyrhr! rhc lcdcrrl resuhrn,trs rldnr! n\b.ios rcft)vrlrrc mrrPpli. 6l. h' thn Pniccr
<br />Icsrilylhnl llrvc rcrilrhi l|tliciri,rr \llclhi rhcrhilt Linm idr n.or'lrr lrrrt!b.onr|ly$jthallClrvrndcorirr
<br />ordinirccsann Srrrc li,srclnrin! ro buildnrS .on(ruclim. a rorlFnrc rcDrc\cnlrirG of rh,\CirtlntlConnlyktcnrrr trBnrrlf,
<br />sh,rc tunrioncd pb|xn, fitr
<br />,\DDlnul or Arcnr sirnurtrrr a lZt -zu't-Lfud-,It.rnilN nanre (D.irl):2p11/-
<br />e-,4-13
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/l nsulalion
<br />Rool Sheathing
<br />Shear Wall
<br />Framing
<br />lnsu lation/E nerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/lasonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enoineer Final Repon
<br />Flood Zone Certif .
<br />FINAL dlwt<=b7xCertiticate of Occupancy
<br />Notes, Remarks, Etc
<br />\
<br />t",kh,'. Nartr _
<br />l ',1.' . A'lJ'..\
<br />-
<br />--------r------
|