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BUILDING. INSPECTOR RECORD
<br />SITE-WORK DATE tD/slG.Ogu-Buildq D..la oi
<br />I h{.by lffirm uDdd p.nrlty of pdjury thr I u d.hF lom ln! c6r..aon' LiaB tr* lor UE followiiS l!6 (8.?01 I 5 Bulnor
<br />.nd P.oforon Cod.)r Ary Cny tr Ce y * ch rcquid r pdn ro onrtuc( .lrq, i6Prw., d.Dli.t or G?rn 3y ,t@ne, Pdo, !o iu
<br />ilsM, de r.quid tlE.rpliclt for -d rdbnio 6l. r jrr.d rlrl4s dtr lt d tlt i! licqsd Fna t dt p@iioD of ll.
<br />Cdr.d r Li.at d L& (Ch.prq c. Cr,@sDa srt Sldis 7OO0 of Diviion 3 of th. BuilB rn Ptofr*D Coac) d thrl h. 6
<br />.h. r a6F rha.fon .rd rlE buir for dt .ll.aod qorrin
<br />^ry
<br />noluon of Sd@ 70, I t b, "U
<br />.El'd fd r Ddan Ebj.d. dt
<br />.9tl'6' @ r oe, p.nrxy of d m ltu 6v. hudlt.d dolls (ttoo)
<br />_1, u owr of tl. propcnr, o. ny.oployq with w.8d 8 th.n &L @6p..stiot\ eill do th. srk ud $. nrudu. it nor i ..d.d
<br />oroFs.d,or i.l. ( Sc 7044. Buind ud PEfsiont CodG: T1'. C.nh.d'r Liee L.v d@ nor Itly !o s ow ofrn Pdpdlv
<br />*,lE build! or ihpro*. rh.Eol\ 6n qtu ds a.l wori hin.lf or hdllf ot dldrh hi. d ls M 6Ploy..., Provid.d rlu Ec]
<br />rnpro*6c.U&dirEnrLdd6f,d!.1fo,..1. l( how.G. rtE hoildin! d ihProwanan i. eB sid'it * rd of ohplaioi! rl!
<br />Ow-Builds vill h.E ln. tdd.n of FovinS lh, lE d tlE nd( hrld o, iaPrcE ad tlE FrP.x of slc)
<br />_1, u ow of $. propaty, e qcluliv.ly @nkraing wirh lic.n d onn.tun |! 6n@.r rl, P.ojd ( SE '7oa't, 8q.{ un
<br />Pof.sion Cod. Th. Cont qof ! Li6c LrB dG ml .pply lo s owc of Propcty wlD brild, d inPrwd tlF@n , ud who
<br />coir.r.1r fo. o.h poj*lr with r co rao(,lic6i.d Plmut to rh. coiha.r'! Li6* Lrw )
<br />_t 6 qoF u,i6 Sdi6r
<br />Ffo']Il.e oa.h. wnr aor gnlrh rlr pdnil tr i@.d
<br />rinti. work.r' @np.ar&on inollM, r r.quir.d by S.aion 1700 of rh! llbor Cod., fot th. Pslottme of 6c
<br />pdmn ir n!!.d Myrorkdr'n ion,.&rMe.ei6rd Dolicy nunbs r.
<br />JsOJ d 1
<br />6mpla.d if dE D.mi r! for o'E tundr.d dollD {llm)or
<br />_l c.nlry $rl ii U. p!.forune of th. wolk lor which 6i, pqmit i I fi.ll iot 6ploy Dy p.rDD
<br />b@M. &bjdr 6 tlE slld ' @mr. .tion l.e, of C.liforut ed
<br />of Selon r7m of d. Lrbor C
<br />.,.
<br />WARNING Frlur.lo !@r. wo.kqs 6np. ttron cov.r.a.r u.l.wtul, .nd rh.ll ebl..l & .nployq !o sinind P.ntlris rnd ovil
<br />Iln4 up ro on. hu.dr.d thoued dou6 (t loo,Ooo),in .ddnion lh. @r of @npastioq ilM.gq a protd.d for rhc Sc.rlon 10?6 of
<br />rh. trld cod., i qEd !i rn6Ey'r fs.
<br />IJcr8 DloNrxacrqt0rgJxAgotr
<br />I ls.by .tnm un& F!.]ry of Fiuy thr I d lidldt udr Fwi.ioi of Cll.prd 9 (dled!8 wi6 S.droa 7040) of Dvi.ioi , of
<br />dE Bui ! !d lrcfa.iod cod., !n hr lic.* ir in tull foe.,i.lf6
<br />7{
<br /><\J
<br />rbdor mv.l ,. euppli.$I. b thir p.old
<br />icn,ry th.r I hrv. ,qn th! .ppl 0[r 0E .boE infomrrion n @r.s I .!rc b @mply ur! nl Cny .r! CMty
<br />ndinrn.q.nd Str. L:s r.lrtn8 .!rd hscbyurhonu E?r*nr srof du!City ud C@.ty!o61suF.ndE
<br />.bov. m.nrion.d lrop.ny for
<br />d+o
<br />Set Backs
<br />Forms/Steel/Holdowns
<br />UFER Ground
<br />SLAB Floor
<br />Roof Sheathing
<br />Shear Wall I a)
<br />Framing Lll'7405 €-rst -ww.\lul.dl{-
<br />lnsulation/Energy I
<br />Drywall tult l0b at
<br />Ext./lnt. Lath 7-l
<br />Masonry
<br />Pool Fence
<br />T-Bar
<br />Handicap Req
<br />Deputy Final Report
<br />Engineer Final Report
<br />FIood Zone Certif.na),TZe avnLt/,/5oN
<br />^1.. / I tu
<br />FINAL
<br />Certifi cate of Occupancy
<br />Notes, Remarks, Etc.t@ c.a,Zot
<br />aE G
<br />Ftwtb (hnA- x?00"
<br />M \WP51\P.rmrtrn.p.ctron Fm.\8urd nO]Np.don R.@rd doc 03 31
<br />COMMENTS
<br />}OBAB$OMITBIAIIAX..DECIAEAIION
<br />I hq.!y rdirm u.d.r p.n lry ofDsjury oic ofdt folldirg d*l4lioit
<br />-l
<br />h.v. ui wll h.inuin . Caific{. of Cl)|wr ro S.lflll,s fo. Erto cMPar!.tio,l a t otld.d for by Stirid 3700 of dt
<br />qolllalqlo!.-trlDrJclcllcr
<br />I hcrcly rmm undq p.nrlry of p.rjury lht dtd. it . onnru.lion l.ndi.8 .g.ncy for dE ,6fo,lMa of th. wdl f6r vhich ihir p6iil i.
<br />rrrd ls* ,ur/. (rv ( )
<br />Irnds'r NM. _
<br />L.da r Addr.!
<br />AITIJSABSLAICbE{IIA!
<br />D.mohion Pdnn$A.b.tto! Norific.rion F.d.rrl R.iulttiont (fid. 40, iul 6)
<br />R.qunrd L.nd ol Ndi,iotion
<br />Erection Pads
<br />SubfloorA/enUlnsul.
<br />Brown Coat
<br />6"aL/4-
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