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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <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 />Meter Release <br />Rough <br />Service Meter I <br />ittAtt,,4.frFINAL?tt1tn ea) <br />Notes, Remarks, Etc.II <br />OWNER BUILDER DELCARATION <br />I hdeby amnn und6 p€.aky ot rdjury thd I &n cxdpr iiom th. Conradors' l,icens. tiN lor rhe tullowi.8 rmn (S.c 70ll 5 <br />Busin$s dd ProfBion Code): Any Cily or Co! , $hi.h r.qut6 r pd'nil lo consldcl. altE, improvc. ddolish or rqiat ey <br />struduc prior ro irs isum.., also r€qun6 ih. applicmr aor such p.mir lo iilc a sisn.d sralmdr thar hc or s\e is licdid pNdr <br />to th. provisions ol thc Conr.cro.! Lic.n!.d t3w (ChaflE 9. Comh€ncinB {irh s6ao6 7000 of Dilision I of thc BBind d <br />Prot*ioos Cod.) or rhal h. or shc ii de6fl rha.ion ed rhc b66 for rhc arlct.d crmplion Any violation olsdhn 70:1 I .5 by any <br />.pplicad for a pmnn subj..isrh. applicel ro acivilp6anyof.or,norcrhsn five hundr€d dollars ($500). <br />-1. <br />6 o*n6 olrh. pop€ny, or ny cmplor@ wirh $a!6 s rh.lr sl. co,np.nslion. sill do lh. *ort od lh. slnElm ! nor <br />inExH or olld.d for elc (SE 7044. asins md PmlsioN Codcr Th. ConlEcror'i Licsc hw do6 nol apDly ro d oMr of <br />rh. F.p6ry vho tailds or dpror6 th@a rnd *ho doe $ch m& hims.lfor hmellor thouBh his or hd own cmployc. <br />provid.d thal suct improvoE ls m rct iniod.d q olls.d for eL l I ho{d6. lnc hiildins or i pmvdn.nt ii $ld wirhin onc y@ <br />ofcompl.tion, rhc Owon Buir:16 will have lhc burd6 of pmvins lh0l h. or sh. did not boild o, nnp.o\! lhc propo9 tur th. p,rpos of <br />-1. <br />douoofrh. p.op6ry. @.xclNiv.ly .onracrin! *ilh lic@*d cont rD6 6 coNru{ <br />'hc <br />pmjd (Ss ?014. 86rB <br />and Pioasion Cod.: TneConl,&clor'r Licens. Lsw do6 nol spplyro an o(ns ofproDcny who builds or nnpro\.s rhdon. <br />ond *ho co Ecrs lorsuchprojel3 wilh a Cod4cro(r ltdsl puisudr ro rh.Conlrlclor's Licos. lIw). <br />-l <br />d .x.dpt und6 Srlion-, R & P.C. lor lhb r4on <br />Dtrl€: Otrner <br />!aa[E!u]tll!.!EE!!4t!1ll <br />ll!]c& 8trlta! <br />I hcrcby afilnn under lEDahyofpquryoie ofrhc ftrL$vm! dcch'dions <br />-I <br />hare ad ull tuinrrin a Cdiincarc oacon$r ro s.lf lNur. aor mrk.B conrpctretion, s provid.d for bySdlion 1700 oflhc <br />kbor Code lor lh€ pqfomecc oflhc wort for wtich thc p6nit G isu.d. <br />_l havc and $,ill haintain workeB .onp.satb. insurf.c. s r.qden 6y Sd ion 1700 ol thr tnbor Codc. fttr lhc tgfontdc. ol <br />rh. work lor shichlhn pmil is irsudl. Myworkgr .ompgMrion insu.Mc. cmia Md policy numbs,c: <br />I ccniry lhal in lh. pslo bc. otlhe *ork lor Nhich lhis p.mil 6 $u.d. l shall nor anploy any pten in any ndn6 <br />$ 6 ro b..on subj{t to $c wo ds ompffilion la{s of C.lifomia. rnd osr that if l should lEoo. subjdt to th. <br />{olt6.ompastionprcvisionsofScdio.lT00oflh.kborCod..lshall.fonhNilhcooplywilhrhosptdvtio6 <br />WARNING: Failxrc to sur€ wortqd carmpo*tion c.v6ssc is unlaNiul o'd tlull subj.d M ontloyd lo siminal FElti6 and <br />civil lin6 up lo onc hundrcd lnous d dollm ion. ddna86 a proidcd for rhc <br />s(rion 1076 ofrh. Labor cod., inr6d <br />ull!"!aJl!0f <br />Lic.E. Cla$r-Lic.N 7'rZra/ <br />I hscby sIIrD u a p€nahy ofD€rjurylhal <br />isu.d (Se 10q7.Civ ( ) <br />is a coNtructioo lcndi,s ascn y for rh. psaonrm.. otrh. "ort lor \tich dris psnn is <br />AEIIICANI.DEC'.dAATON <br />I h.d, aifm lndd p@alty oapdj!ry on. oftfi. aollowinB d.lhrrt io.3: <br />Dono[ion P.dnrAsb.$os Nolifcltion F.ddal R.lulalio6 (Tirle 40. Pad6) <br />-Rcqui.cd <br />Ldr6 olNoritunion <br />nrply\ hall('(ya.J ( ouirt <br />Ciryud arunr! h.drLr uBnr rlr <br />," ' ''/ '3 <br />I <br />1 <br />o <br />, hdeby alim unds p€,aly of pojuy rhd I @ li..nsl @d6 Fovbion oach,fld 9 lommdcinB wnh S.di,n 7000) ol Divaion l <br />ol thc BEin6 ad Prcf*iore Codq ed ny li.sc is in lull tor.€ dd .fr*l <br />sbGlos ronoral rc not appli.ablc lo rha p6jdr <br />ahrv! infofl narion n..nccl. I <br />,rzd€