BUILDING. INSPECTOR RECORD
<br />SITE-WORK ID/SIG.COMMENTS OlINDR AUII,T'ER DI:I-('AT{ATION
<br />I h.rcby lliinn u c, p{mlly ol perjuy rtu | 0nrcrcnlt)r rnnn rhc co.trr.!)6' Li.cn* Lr* f rhr roll(iwiry rcrqnr (sd.7lr.ll5
<br />au\d.s\ and P'drc\\i,r Co.l.): Any Cny .r Counry trhi.[ rcquirc\ r ncmil 1,, lrnNrrucr. ali.r. i'npnNc. drnd'\h ot dl[r rny
<br />nrucMc,,mnro n\ nsui .c. dl$ rcqurcs rhc dpphcnnr tur such prnnir u lllcr $gicd n.r.ir r rhd h..r\hc is li.co{d N^urnr
<br />t, rhc pn)visnrDs of llE Conlrocron t,iccnscd l,aw (Chiprcr 9- Commcncins wilh Scdn,n 7(x)0 oi l)ivirion :l or Ihc Bdsiirc$ rtrd
<br />Pnnasiont Codc)orrhrrtr orshc i{cxcnlpr rhcrrlionJnJ rhc ba\i\ lnr rhc rlhgcd crc'nfri{,r Atryvidrrn,nofSo.ridiT0ll5hydy
<br />rlpli.rnr firapcnnn suhjd\ rhc !pflrrtrrtor.ivilI[frlryolnornnnth hvclrtr.drcddoll$s(ri5(Xr)
<br />-1.
<br />N osncr of lhc pmJrny, or my cnrfloyes wirh srts.s as rhcir $L .onDensd ior. sill do rhr *ork md rlE nnflE is mr
<br />i'tcnLd or offcred for salc ( SE.' 7(NJ. Businc$ and hdtssions Codc l hc Co rrcln s t,icensc ljw doc\ nor aprly b m owncr or
<br />rhcrmlEny sho builds or mrn,Es ttERu *t wln, dds such {r,ri him\.lf.r h.r*lf or rhmuth hiq or h$ o*tr cmployces.
<br />pR,vidcd rhar such nnprotnEnh sc ml i, cndcn or.litBl ftr elc. ll howcvc.. rh. Itrildila or inlt)mEnFnr is sri (irhln ok lcr
<br />ol mnrlhlbn. lh. Owncr Buil]d will han lnc hordctr .r pn'vihg rhd hc .r shc d tror huikl or inlPmw $c tm|)gry for rhc purlosc of
<br />-1.
<br />ff owncr ol t hc !.op.ny, rmcxclusivclyconr&rir8 wnhli.ctr*d.onn,crorsroNnsfld rh. pmFtt (Scc 7()44. Busm$
<br />md hDfcssbn Codcr Thc C.nrEcrois t,icco$ l-aw docs nor r,,pl, l. !n osncr ofForrcny who blild\ o. imp.ovc\
<br />'h$con,nnd who comtuct\ ror o.h ln,j.rrs wth, G,nrhrro(n licenqd prBu.r r,rh. Contacror'r Li..nsd bw)
<br />I rD,rxcnpr udtlu Sc.ri(
<br />UQItK[trI-(OuUirs Io!DDrl tJl&x
<br />I hcrc[yrinDutrdcrNtrdliyolltt jutyoncolrhctulowiD8dc.lnrliotr(
<br />I hrvc willmn uin 0Ccdirf,arcofconsc.r k, S.lfln\ure lnrworlcri.o rr.nsnriod. ds pn,rd&t for bySNrion lr(x)olrhc
<br />Lrhtr Codc. fd rhc pdfortu.c of rhcwoik f(rshi.h rhc Frmir i\ i\\ucd.
<br />rtu*orkfnshichr[nt.nniri\is\trcdMy*orkcrr.onl|].ns]r.rirNurrn.c.x(i.rrntflni.ynu hcrrr.:
<br />-l(cdiryrharinrl,c|{rloirnlm.ofrhc$.rkt,qhi.hrhi\p.irnir
<br />n i$ucl.I nrllnol cn,pl{it rny p. onhrn,'nMNr
<br />\) rsn,luoN suhjc.r t, rlt workc(.o'npci\rri,nilssolclil{ntrin.rdrg'tcrhriflnn,uldtr...rc\rh}crrorhc
<br />workc(.onrlcn.aton ovisions olSc.riotr lT{X)ol ihc tjhtr Cldc.lslrll. tunhwilh..nrdy wirh lhos lm)vniors
<br />$ARNIN(;, Failurc ro scurc workcr conrpcnqrh ..icrnsc is unh*Floyrr ki cnninrl tln h* rni
<br />. drDugcs r\ pn)vnlcJ lar rhc.nil fincr up n, onc huDrl,ad rh.ns dollxr\ t$tx).(xnr). ir rdlirio r
<br />sr(r(r.1076.frhc IrlxtrC.rl.. i, crcnr Jk!n.l
<br />I lNrcbyninnrundcr pctrdxy ufFrjury th3l I an li.cnkl rcr 91..ntr1rtrciri! sirI Sc.riotr 7Om) ol l)ivi\i,'tr:1
<br />ui rhc Au\i',cs d Ptultsi{nNCodc.r $r lir.tr\c i\ i', tulllorr r clL.r
<br />I lrrcby rflinn ullder ncnalryoflcdur]thrt lhcrc irtron rucriotrlcndingaBcmylorlhcpcrfor.umcollhcNorktorwhichlhi\lcrniris
<br />i.srcd rScc.1097. Civ. C r.
<br />dIELICANLITESAAA,I.IQ!
<br />I lRhy dfiirnundcr pcMlry ortcijryonc.rrhc lolLosin8 dcclarnrions
<br />Dcmrnion Pcnnn. Asb.ids Norill.dnrn FcdcralRcgtrldions (Titlc 40. Prdr,
<br />Rcquirud bnf orNoli,icrliDn
<br />-lc.nilylhnl
<br />lhc fudcrllrc3ulilions rcsrnlin8 {sh.{o{rcnbvalac nor,0nlic$k
<br />'o
<br />rhhrrr(r
<br />I ccnrlirh r I ltuk rcrdrhn rpplicrtoi lxlirrc hrrrh.rtxrv. inlafln (i(m arorccr IrBrccn'cotrlPlyairhdllCiryrtrdCotrfly
<br />.nlinrn.cs ntrd St c tjws rlding b bu ilding conir ,n. r.F.\r rrr'vc\ ol rhr ( iv.itrlCourryn,.trrerrp,{ rlrc
<br />rl$!r n,rnrnnul p0pcnr- l,)r i'n
<br />,.// ,{
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/Vent/lnsulation
<br />Fioof Sh eathing h.Bl/r /4./6./14 '/a
<br />Shear Wall 1
<br />Framing
<br />lnsulation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handica p Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL I ?ltotlt.l f-fiAirrt-l&'-
<br />Certificate ol Occu pancy -t
<br />Notes Remarks, Etc
<br />DATE
<br />Set Backs
<br />Flood Zone Certif.
<br />Appliunt or Aa€trt Siamlur€
<br />Ire mile n!.r ( pri.l ):
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