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BUILDING- INSPECTOH RECORD
<br />DATE COMMENTS OWN EI{ BU!t,DT.]R DET-CARATION
<br />I hdcby aflirn undcr rcn0lly ot pcrjory rhd I d.xc Dr lionr rhc Co ricl{tra l-i.cn\. Law for rhc lbllowing '.av,n
<br />(5..?0115
<br />llusinc$ aDd Pnnissnrn Colr) An) clty or c.unry nhich rcqutc\ r t^-irni ro con\trud. !ltr. tnlmit. dcrk)lnh or rctnir unv
<br />dturrur.. pritrk, [s il\urtrcc. als. rcqutcs lhc lpplicrnr fd su.h l)cnnir ro ilc a siSmd d cntnr thr! tEor shc h liccn{d pursuair
<br />r,) rhc provistn,\ orrh. Conh.rors Licctrscd LnB (Chalrcr 9. cn,nncicing wnh sccli,r 70(tr ot Dilisi.n I oi rhc Busirrc$ lnd
<br />tn,r.sri. \ (idc)orrhnr hcorrhc ncrcnur rhcrctro'nMd rhc bNis ntrlh.rlir[cLlcxcrrprion AtryvidrrimoiSccrionT0]l5byriy
<br />rfDli.rnt lnruPcrnrit s'bjcch rh. applicrtrr k, r.ivilp.trdlrr_olrx, nNrclhnn r'ivc hund'cd dollas 13500).
<br />-1,
<br />a\ osncr ofrh. pn)p.ny, or DycrlDh}tcs $ilh suscs as rhcn v,b.onrrcnsdion. willdo rhe eork rxl lhc nflEfurc i\ mr
<br />i'n. Ld orotlcrcd for $lc (Scc 704,llusincs MJ ProtussnnN C.d. lhcC.nlllcroist-icci{La*dncsnotapllyhr owtui.l
<br />rh. Ifl,Fny wlm t{ild\ .r i rtDrcs rhcrN.. sld who dms \Eh *olt himscll or hcr{lr or rhn)u[h his or hd own cmPloyccs
<br />piovidcd rhlr {uch inpmvcL-n( m i.r inrc.d.rl or .tircd lbr sL lf, ho*.v.r. rtE huildi.3 or irr{,nncftnr iJ v)ll ! irhin nc )t tr
<br />ol..nDblnrn, rh O$ncr Bnildc. *illh:vc rh. hurdcn olnmvinS rh.r h. or shc dil pr huild.r i.{,mvc lhc F'Pcny ntr rh. Nrrr$ ol
<br />l.rso$ncr ltlt pmFnr. a'ncr.lu\i!cly.oirricrirrS *irh li..n\cdroikr(tr\k)co {rucr rlrc tx+cr(sd 7lx-l.llu!trcs
<br />r Pn,fG\i( Codc: Thc C.nltocloi\l-ic.trsc l-rsJoc\ ior rtJtlyh tn.sncr oi nmP.nlwlro builds or inDmrc\ rhd.on.
<br />rnd wh. ..rrrackn,sucl,F,jc.rssnhrcorrlrncl.rls) li.cDrc(l purtr r r)rlrcContrNrnas l,icctr{ trw)
<br />-l
<br />rmcx.Dnr unds S(rir
<br />!loR(Dll(' ( ()NlPENSATION
<br />DLCL .8illlltN
<br />I hrr.by rlfi.nufd$ lt.ilry .f I4rjurt oN orihc tulk,$ n! dc.l3nrinrs:
<br />-l
<br />hlvc rnd sill6dinranrnccrlilicrtcolConscnlh Scltlnslru ntr s.ikcrl cor|Ensdnrn. r\ ln,vid.d for b! Sccri(nr lr0oolrhc
<br />L.ttn C-odc. l.r thc Frl'onruncc ol rtu sork n whidh lhc ncrnir is G\ued
<br />0r No'I n, sl'i.h rhit Nrnrir i\ is$'cd My sorkcn rNur ...ini.r x'xlpl'.Yiu rl{r c
<br />Iccn,lyrhrrnrrhcNrl'on*!rcoilh.*6rkn,rtrhi.hrln!lxnnir is i\$rrl. I shrll tror cillno! atry Pcno. irrny 'rtrrtrv) d k, b.\\nN n,bjd hrnc sorkc^ . nricrsrrion hwsofcalilnnli!- r astt rh,ril r lhruld b.rnnf, \ubjcd rorhc
<br />wo.kol ..nD.tr\rlionpmvi\nrisofSc.ri,rn l7(X)olrhc llhorCoJc.l shrll. tn [wirh conrdy sirh rl${ Provsio.\
<br />t\ARNING l'iilflc l,) \rrl:. ao'kcs .o rt'cf: ur .o $ unlx*llr. n d shxll {,bjecr r'r cffk,yc' ro dimirr{ Pctulri.s rnd
<br />rdJ irn, t' rhc .on oi..tr,tr's ri{nr, dnnmgcs r\ Pn,vd.d nn rh..ivil iiN\ !t b otrc htrndrctl rhou\n d olli6 rSlU).(I
<br />Scdion ll)76 rl rhc,ititr(, .. nncr.! tnd i o
<br />e
<br />I ltruhy rflnflrn'idr ncmlryolpcrjurr lhsr l,m lirn{d undcr ln,visiotr ol Chrllcr') l$inmn.rn8 sirh Scclion Tllx)r.rDivistnr 1
<br />.l rhc llusinc\rand Pn,fcs\i, sCod., d nry liccr\r l inlullln!$aidclL.r -a
<br />c0NstRucTloN I t'Nl)IN(; aGljNcv
<br />i\ucd (Scc l(D7. Civ C )
<br />A.TIUIAIiLD&CLANAUON
<br />I lIR5, afimr utrdr p.nrlry ol pcrju.y om ofrhc blk,*nrg dftlnnrion\
<br />Dcmolirion 11fl ih Arhcsros Norific0lion Fcdcral Rccularion\ (Tir1.,10. tufl6)
<br />-RcquncdlxrrcrorM
<br />ific.rion
<br />l.cnilirharrhcli{crrllcgul!rion\ rEardnr! r\lrsos rcN,!rl rrc nolArt,licablc tu rhil fr.lc.r
<br />-l.cnifyrhrr
<br />lhru. toid rhi(rppliclri{,i tr'xl nrr.rhrrrhc fi,vc nnn.rnrrion n.omcr I rgrLr roconDly*irh rll Ciry ,nd Cou.rv
<br />onli'r..c\a d Strrc hsf, Ebrilrgto inscon{nr.rtrn a'kl luchvrurhort. r.t,r.\crririvc\ oirhir Ciry nnd Crutrry h ctrr.r trFtn rh.
<br />rhrr nrnr(icJ p',)t).'r) lnr
<br />,\ppliunl or lrrnl Sit trlu a/ze
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />Erection Pads
<br />UFER Ground
<br />SLAB Floor
<br />Subf loor/VenVlnsulalion
<br />Rool Sheathinq
<br />Shear Wall
<br />Framinq -29-X,tg5S1
<br />lnsu lation/Enerqy
<br />Drywall
<br />Ext./lnt. Lath
<br />Brown Coat
<br />l\,4asonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req.
<br />Deputy Final Report
<br />Enqineer Final Report
<br />Flood Zone Certif .
<br />a)
<br />FINAL 1-2'.]-l V.W4d
<br />Certiticate of Occupancv V
<br />Notes, Remarks, Etc
<br />SITE.WORK ID/SIG.
<br />70/ r€
<br />txn.lc .Adt[c*
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