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BUILDING. INSPECTOR RECORD <br />SITE-WORK DATE ID/SIG.COMMENTS <br />Set Backs <br />Forms/Steel/Holdowns <br />UFER Ground <br />SLAB Floor <br />Subf loor/VenVlnsulation <br />Roof Sheathing <br />Shear Wall <br />Framinq <br />lnsulation/Eneroy <br />Drywall <br />Ext./lnt. Lath <br />lt/lasonry <br />Pool Fence <br />T-Bar <br />Handicap Req <br />Deputy Final Report <br />Enqineer Final Report <br />Flood Zone Certif <br />t^*+lrdBFINALAltbh4 lA e) <br />Certif icate of Occupancy UII <br />Notes, Flemarks, Etc. <br />OWNI]R DTIII,DER T'ELCARA'IIoN <br />I hfchy,lftn unncr $nahy ol pcrjury rhai l rm cicn,rr rio'n rhc C'otrrthN l.iccnsc t.aw tn rhd li,lbwils ii'onnr rss.'?0115 <br />Bu\inc$ rfl Prui.\sn'n Codc) Atry ciry or Contrry whi.h tcqtrnc\ i Frmir ti (n{tu.r, dr.r. inrlmvc. dcnx'li+ '{ rFn Jiy <br />slrudulc. nrior k, ns i\suaic., nlro rcqutusrhc ipplic.trr r'or sEh lrnnil ro rilc ! sisftd \rdcmtrr rhat tEor thc h licetr{d fDN.ri <br />tr rhc F)vhiotrs .lrtt Contructois Liccnscd |]\'(Cha!r.r 9. c(xnn!.n.inB wilh Scclion'7000 ol Dllhi.n I Dl rhc llurincs lnd <br />Pmltsions Codc)orrhir ltorsh. i\crcnDr rhcicfdfl drlEhtrsisInrrhcrllcrcdcxctrrPii,rn. AnyviolrlonofSccrionT0.ll5hynn, <br />q'tlicrnr rur r p.nnir suliccls lhc oppli.n n) rcivilpcnrhyolnor nmturh!tr fivc hurdrcddollm (S5fi)r <br />-1. <br />as owncr !f rhc pn,Fdy. (n y c Dloyds Nnh waEcs as rhcir slc c. r|enslr ion. sill do rh. qdk od rhc slru.hm is frn <br />inr.,rLd or oft rcd for elc (Se 7(}14. Ausinc$ md ltoti$ions Codc Tbc Conka.rol s Licc.sc Llw docs nor lPrtly fu nn owm! oi <br />rhc F)I.ny uho tuilds or in{'Db rtrh,.. lnil wlD d{trs s.h sd( hnnsclfor hcr*lfor rhmu8h his or hcr own c'q,hy.$. <br />Dolidcd rhar such irnl$vcnrnh uc nor i cndd ff ollda{ rir qlc. ll hoxcEr IIE buildiig or iqrrchnrnr is vrd $irh otrc rar <br />ol..nphrnn- rrr ownd Buillcl $ill h,E lhc h'dctr of F)vins ihlr hc or \hE dil ton build ot inpturc thc pmFry for rk <br />'luryns <br />ol <br />I..\owtrciofthcl,o!cny.amcxctusnllyconlrrrinswirhlicco\cd.onhr.b^n,.unnrudlhcPr,]ccr(S..701'l.Blnmss <br />and hric$io Codc:'t hc C.oh.r{r\ Liccnsc Law docs..r appl, b M osncr or pRJr.dy *h. builds or inrPn,vcs rhercon. <br />rnd wh..ont,ckror\uchrmrcIswilhrGrlracx).G)liccnscdpusudnrrolhcContrucror'sLi..nseljw) <br />I JdckmDr rnd.r scluotr .B &PC li'r rhi.rcr.on <br />\!8trf,8ll:oltfli s rQti <br />l2[(raa llot <br />Ihcrcbt flirm trMcr NMlryol t,crluy orc oirhc toln,sinE d$lIrriu} <br />Ihrvcurdwilldan.inrCcnific cofConscntloSclt,nsurctuworlcnc.nDctrsition.asPovidcdfobySNriotrlT0Oollhc <br />t-$or Codc. ror ihc perrdrmncc of lhc wort lor which lhc pcnnn h n cJ <br />Ih0v.rndsillmirl,irworltcrscortctr\ariohnNrinc.*rcquircdhySccriod.l7tD.rrh.trhi)tCode.lorlitp.rtunnm.c.r <br />rhc $ork ior *hich I ht Froir is isluLrl Myw rkc^ .onD.trr[i.D irr$ cc 6nicr Jxl ,x,li.y nuDhct trrc: <br />I crnifyrhrr inIh.prdo mtrccoirhc*ork lbr vhi.h rhn Iltrnrir n i\\o.d.l \hrll nor cnll'loy any pcron in n!nrtrrcr <br />s ds ro bccom sunjccr io rhc workc.i .otupcnsrrion lass or crlir(rnir rtrd urs lh if lstu'old ,^uom srbicd rorhc <br />\orkcn conrFn\ ionpmvtt'nsofSccrn,n.lT0OofrhcUhtrCodc.l\hrll.hnh$irh.orPly*irhrho*rntvhions <br />WARNIN(;: Frilurc b *curc wor*cn' comncnsathn colcra8. i\ u.hstul. lDd shrll suhicd an cnlPlorcr b di'ni"nl Pctrllri'js dDd <br />.ivil fii.r up ro otrc hundrcd thousand dolh6 (Sllx).ffio). in rddiri()n trr rhc .os olconPcnernr J tu8.s r!,,rovidc\l tor rhc <br />Sccrotr :1076 of rh. titxtr Codc. inrcrc{ rnd omy \ fcc\ <br />D.l.: Appu@l: <br />r rcnrstri cr-rnrrracron <br />DICI.ABAII{IN <br />Ihereb)aifirmundcrp.nalryorprjuryth l nm lien$n undc, Fovision oaCh+t.i 9(.ommtrin8 wilh S<rion ?00o) orDivisio.l <br />of rhc Busincsnnd Pnfcsio.\ O)dc, lnd nrylic.n* k ir iull rorcc ondcilccl. <br />AITLICAIfIJI:gLI.EAIION <br />I h.L'hy rfilnn und.r Fnrlr) of p.rjrry oft.rrr* rblkJ*ing dc.hmiions <br />Dcrmliri(r PdrirsAsbcstos Norificarion FcJcral Rcgohrions (Tirl. 40, Pnn6) <br />Rcqtrimd Irrrcr of Notifi cirion <br />l ccnifyrhrr rhe rcJcnlr+uldrinN rcB*dnr8 lsh.slos rcnsvol a,c lor npplicabl. ro rhis tmi.!t. <br />dh dE $ovc inrorndnnr isconccl I ag@ r. .onpl, wnh lll Cily lid Coxn'y <br />hcrchy rurhorizc reFcscnrrrivc\ of rhis Cn, <br />P <br />Erection Pads <br />Brown Coat <br />CANSIBIJCIIAIIINIIIC.f,AENI:I <br />I h.dhy,fllflnu d$r.tr{liyolpcrjuryrhar rhcrc isacoidtucri(,, Lnrti g.gctrcy lor rhc lcrbrroncc or rhc worl ntr whi.nlhhlErnir is <br />issucd lsc. :1097. Ci! C ) <br />= <br />I