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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA'!'ION <br />I hqcby amrd unda Foralry oa pdlory thd I dn .rarpt from rh. Cohuadou' Lic.ns. L,s for rhe followis rand (S( 701 I 5 <br />B$in6s Md Pmf6sion Cod.) Any C y o, Couly {nict (qun6 a Fnnil ro co6trud. allq, ituprov., danolish or rcpan uy <br />slructu.. pnor to irs issu c.. also reqlir6 $. alplicel tor such p6oil lo lilc a siso.d $alddl llral hc or shc is licddl p6!er <br />lo nE p.olisioE oath€ Conra.ba! Lic.nsd t2$ (Chrptr 9, (ommdcing Nilh S€lioo 7000 orDivirio.I ofthe ltusinc$ od <br />Prcr*ions Code) or lhll he or she is .rmpl ih6eftom Md th€ bsis for ttu allcscd crmplion. Any violation or Sdl ion 70r 1 5 b, anv <br />apllica lor . !.mn subj(c rhc applior lo a civil pcnahy of.or rbor. rhe fiv€ hundr€d dolles ($100) <br />-1, <br />6 om6 olt. prop.ny, o ny €rplo)B wilh rvaB6 6 lhd, $lc .omr.rEal ion, vill do th. Not &d rh. itulrc it nol <br />i udel or orTq.d for slc (Se.?044. BEi,6 ed Prof6io6 ( od. Th. conttcror's Lic.M ljv do6 not ,pply lo e o$ns of <br />lhc proFny vho blilde or nnFovelh6an. dd who &6 such wrt hitu.lf or h6dlorlhreush his or ha oM.mPlovc. <br />provid.d rhar such imroMs m ml ht€d.d or orold ior e1c. l[ ho*(s, $e hiUiDB or inFola@l b $U snhin onc )s <br />ofconplaio., rh. oMr Build* sil h.\€ the hid.. oaEovins rhd h. or shc did rer hrild 6r imtmr. tn. Plp.ly lor lh. Putbe ol <br />-1. <br />s osd oftnc prop.ny. s dclBively cofltacting wirh li..ns.d coilE€lo6 to coi.rtud lh. pojdl {S(. 7Ot4. BBnN <br />ad hDftsi.n Cod.: Thc Conlactors Lic.G. Lsw do6.or applylo u ownd ofproFn, who buil.Ls or imprcve lh6@n. <br />and vho co.r.ds for sNh prcj..rs qilfi o Contra€lo(r lic..scd Dunuur $ th.ConlE.tois Licffi Law) <br />I r rc\ctr8 triLl.' Sdli(in .ll & l'( Inrrhisrcie)n <br />l)are Otrncr <br />.EOTKEAS:IAIUENIAIIS! <br />DECI.ASAIIAN <br />I hmb, amnn uddd pcnalty ot pajury one o fthc followinr dftlearhns <br />-l <br />have and will mai.lain aC€nifiqreofcotudl lo S.lf-l6urc lor work6t @nl,.n$rioq d povid.d for by Selion 1700 olrh. <br />t2bor Code lor rhc p6roI11@. of rhe wo* lor which lhc pdait b Gued <br />I fi.ve and will rainrain {otkds conp.Barion iNuran e. s rcqun.d by S<r ion l70o oanr La6o! Code. ror rhe Pfaonmcc of <br />rn€ work fo, !hi.h lh6 Fmir is ksoed My worlsj conp€redion iBuru.. cai6 dd Policy numbs e <br />lV , I.^r ttr t C"+,t -l v1<\ <br />\1GnrurvCorTgcz)^ <br />-l <br />c(ifyrhar inlh.lrrformanccollhctrorl for shichths pmn it i.sucd.l shall not mploy anyp6on inanym nd <br />s 6 ro taomc subjd lo th. wort6 .onpcMion laws oa colifomia. od asrft thd il I should bdomc subjsl ro lh. <br />worldl conp.tralior provisio6 oISe.rion 1700otthe Ltbor codc,I sh.!|, tonh*irh codtly wirh rho* prerisions <br />WARNINC failurc lo *uc erk$ onp@dion mvda*c is unlawtul <br />civil lins up ro onc hun&€d rhoMd dolles (5100.000). in .ddnion lo <br />Scrio. 1076 of$e tjtor C_oda inls6l sd !nomer', f.€. <br />d shall subjd m 6nplo)s ro oininal Fuhi6 d <br />f comp.Mior, d.mu6 a,pEri.Ld*f.r lhc---rz'il()v I 5 20t8 <br />I h6.by attum und6 psalty of pcrjury rh.l I un li.6s.d undd pmvision ofchapl6 9 (.om,nocing wnh Sedion 7000) of Division l <br />of thc Busins ed PN tNions Codc. dd ny lic@ is in lull fdt. I cfi..l. <br />G.@"?q%'1 <br />,"," l{0T tT 2ot8 ,;",...",-^1c /'; c-- <br />CANIBUqUqXIEID,ECICENCI <br />I h@by arfsn uodtr p.nslly oa pdjury $ar lhm Ls a con$rucrion LndinS !8acy lor lhe psrorl@cc olfi. sorl aor \ h'ch lhis ponn is <br />issu.d (Sa.10q7. Civ C.) <br />ASIIICANLDECI,AEAIIO! <br />I hodyallmtads F.6lry ofpdj!ry o.c oaln bllowin8 dEleal ions: <br />D.mohion PdmiG-Asb61os Nolificdion !.daal RcgularioE (TilL40. Pd6) <br />-Rcquir.d <br />lnrqoaNoti6calio' <br />-l <br />cdiry $ar tne ieddrl r.gokrions Esmdins sbBlos rtrold drc nor applicnblc lo this prcjecl <br />%stny rlrat l nau.@dfinapplEalion ad stal.lh.r dP tbov. inaomdion n conccr. I alre ro .omply vilh alr ( yaod counr, <br />ordinan.6 and Srar. L.ws relalins ro building conntudion, md hcr.hy.*honrc r.lrenaivG oarhk Cn, md County to 416 upon rhc <br />N0vat$!. mhrion.dpmpdJ fo! iNpsdion purlbs :- <br />P.rnite nrme (pri ): <-'a ', i L I <br />I 5 20t8 <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rouqh) <br />I\ileter Release <br />Rough <br />Service [/eter <br />FINAL L/B/Ie 5Nr{t <br />Notes, Remarks, Etc. <br />Sub-Panels <br />l,c e' iAddN. <br />- <br />I <br />I <br />F