|
BUILDING- INSPECTOR RECORD
<br />SITE-WORK DATE ID/SIG.COMMENTS
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Su bf loor/Ve nVln s u lation
<br />Roof Sheathinq
<br />Shear Wall
<br />Framing
<br />lns u lation/E nerg y
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />It/asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Engineer Final Report
<br />FINAL It/h/tr >u6D
<br />Certif icate ol Occupancy
<br />Notes, Remarks, Etc
<br />oWNI'R BUILDi]R DI]I-CARA'tIoN
<br />I h.rhy rflnn uiddr l.nrlry of F,lury lhd I rm crcnn froD rhc Conrracnm l.kci.c ljs f(tr rh. lblk,ein3 rca{,tr (Scc.70.ll 5
<br />8u(incs ind Pr.ie$bn Codc) Any Cily or Oru y ehich rcq.ncs . ,cnn[ b .utriru.r. n]rct. imDt vc. dc mlkl' , runJn rny
<br />{tucrurc. pri(tr h ir\ issu ... dt$ rqunc! rhc rrtli..d r( !u.h ltnir ro tilc r \i!'EJ {rrr'tu r rh h.or shc h licuscd ltrnu.nr
<br />h rhc pmvisiqN .l rlE Coft cnr\ I-ic.trscd I]s (Chrpfurr). (innnNrlr! Nirh Sccrion ?0([) oi Divnn,n :] ofrhc Busi .$ rtril
<br />Pnnisi,nr\ Codc)orrhnr h.or rh. hcrcnw rh.rc,iom {nd rhc}isn lor llrc0llcscdcrcmprion An, vn,hrn'n of S(rbn 701I 5 hy rty
<br />nfflicnfr l r pcnDir subjccts ihc flmlicrnl lo rcivilpcn.llyoinor morc rhan i!c hutrdmddolliN (S5tD)
<br />I. rsownrrol rhrF)pcd!, r cx.lurnclvcotrtrJdir!trir[li.cnr. c.rrr(nn n, connnrr rh( r(i\r ( Ss.. 7(]rl. Bd{nes
<br />irrl Pnrls\hn C.dc Ih.Conrrrcktr s l-iccnsc Inw (nrs nor rfplyt, riovncr oftr.tc y D huill\ ornnp(i!.s rh$con.
<br />rJ who conrr ! tur su.h ttrojc.h wirh r Cotrt u( 9 li.cn\.d pur{id n,rl[cont c!,\t-'.cn{Ij!)
<br />l)tr I \t{ \ llr )\
<br />I hcrcby rlfiflnrn.lcr Fnrlry of Nrjrtr! otrc hlrhc lalh$ ng d.clnflr
<br />Ihavce w ill 'mintrh a Ccnitlcrlc ol Cnrscnr lo Scll lmurc lor workcF coDt \arn,n. \ [ovid.dforbySccli,r.]?00olrhc
<br />ljhr C{dc. fn rh. p.rfornHncc.f(hc wor* lor trhich rhc pcnnir ir issucd
<br />l hrvc and s ill nridr r w.rkcri compcnsnrion i.!mncc. m rcquicd bt Srcr i{,n ]7m of rlt L.bor ('oic. lor rhc FnnDnnr .r
<br />i}t work Lr whichthi\ p.nnil is issucd My workcs' comFnstrliotr ir{trnicc .rri.r dnd lx)li.t trun$crnrc
<br />_lccnilirhrr irrri.p.rroii,uiccorrhc work turuhrhrhi\fcr rinis\uc,l.InmLlnor.n,.,a.rNsufintnynr ncr
<br />v, r\h tr.o r \uhjccr k,lhc q rker\.omFn\rion [w\ol(rliftntrir. rnd"!rcrh iil shruld h(otrE subFcr hih.
<br />r rkc(..n{ds[i nfuvisi()rroiSccrt'n:]71[)ofItulaktrAxk.Islr']].tunhslh.onrflysirhlho{nrovisnnr\
<br />\yARNINC:l:ailLmroerurcworkd^.ortrtrsrofrovcmlci(trD[Lrinl.rnJshrll{ib,crrrn.nrdo}trri.rnninalltn;$rnn
<br />&t,lirior ro th. ron .l .onrrn.rrn,n. dntrtrrgcs r\ t,nrilc(l la. rhc
<br />I hcrcbr 0rfirD unicr !tnrllyoipcrjury rhrr lrn n'o\ns olChrt)!.r 1) (corrncn., r! \il, Scrr(nr rr[x)),'lI)iv \ on.1
<br />ol rhd Bxnncssnnd Potasn.n\Codc. ml my l[cn{ is in
<br />l-icctrsc Chss
<br />-
<br />CAISIBIJCIIAN.LENDINCJQENII
<br />I hcrcby 0tfinn undcr pcnalry ot pcrjrry rhnr rh6. n n .in{ru.lbn hndir8 !8cncy lor lhc Pcnbrtund or rh. work r'or $hi.h rhi Ponil is
<br />issucd (Scc 1091. Civ C.)
<br />AITLICANLDE.(:IAIAIIAN
<br />I hsrby rnlnn tr ndcr r.n,lry oltrrjury oDc ol rhc followin8 n(hrlrions:
<br />Dcnxn ion Pcnnirl Ash.{os Norin.drbn Ftdcfll Rcgul ion\lTirlc 10, Pan6)
<br />-Rcquirc.l
<br />If, Icr or Nolifi cdi(,i
<br />l.cniliihar rhc r.dcrrlrc!uldri,)rsnFddins $h.\losrcnn'vr xrc Dorxpfli. hlr h rri\ fmj..r
<br />I.crriryri l hitr rcan rhi\rprlicrr i{)nJnd {a1.11,d rhnhi!. i"Jortrinr(i i!.rr..r lilrNn,mfly wirh rll CnyrM Coutrl!
<br />o i'rii(.\ a d Srnrr t-r\r\ nliri',gI
<br />,\t)plnxnr or \x tsiInr(tr
<br />f^k
<br />Flood Zone Ceftif .
<br />-1.
<br />a\ owncrofrhc proFny. (, ny cn]J)lo)E\ wirh wrscs,r lhrn vrc conltrtrstiotr. will do lhc *ork ud rlr (trrurc is trol
<br />inrcnd.rl or oncdd lar elt (sd.]o4,1. Busirc$ and Pmn$ions Co,lc: 'l hc Conrracnn r Liccnsc Law docs nor 0!/r ro an owncr o,
<br />rhcpmFny who builds or inqm)Es rhcrn, nnd kh) d(B \tch sI'rl hinBdlfor h.mclior ihrcu8h hh o! hct o*n.mpk'yM\.
<br />F,vid.d Ihd ru.h i pmwmnrmmr i.rcndcd oroficEt forsh ll. h.wcw. rtc tlildin! or impmkftnt istuklwirhironc ]er
<br />or conpkrion- rlE Ownc, Buil{rd will hvc rh burdu of JroviDp rl h. or dr did not h,ild or irq,(^r rhc poFiy for rhc rulFt ol
<br />civil iDcs up ro om huftlr.d rlhnsrid d.lhs::::*wk"
<br />rh)vc nnrni,tr,r,l Imlrny lnr
|