Laserfiche WebLink
ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BTIILDER DELCARATION <br />I h.rcb alfinn undcr p.nrlry ol p.rjury dur I h .xonpr 60o th. Cotrrrlcrou l.ic€nsc l{s for rhe lolkrwi.s raen (5..70115 <br />BNin6s and Prcfsiotr Cod.): Any City or Cotrmy \ hich r.rluna . F nil lo consldcl. ,116. inpmv€. dmolish or rq,ai! any <br />srtuclu.. Fior lo irs isuecq abo rquiB lnc applicar aor such rdnn to fi|. a sirn.n srd.h. rhar hc or slE is licds.d p ruanr <br />lo lh€ provisioB otlhc Contraclors Licens.d Liw (Ch,!16 9. Co,m€ncins (ith Striion 7000 of Dilisioi I ofrhc Buriness !*d <br />Prcresiio6 Cod€) or thar hco,shc b cic'npt rhs.ftom and rhc b6is lor thc allcsd dc'nFrion. any violarionolselion 701l.s byr t <br />,pplica l apmn suhj(tsrh. applicanl lo,civilp.nal') dinoi mor€116li\. hondred doll&s(1s00). <br />l, ar o\ncr oilhc proFrly, orny€n,plo)t6 \ilh rvas6 as rhcn sob comp€t* ion. Glldo rlE \orr md $c$tudoE is mr <br />hraxt)l or oltd.d for el. (Sa 7041. Busines .nd Profasi.ns codr Th. Conta.ts s Licmse tiv do6 nor .pply lo an o$n€r .l <br />rhc llorEly sho b(rildr or improv6lh6on. drd sho do6 such \od( himselt or hqs€lf or rhrouBh hi$ or hd oM .m!loy.6. <br />prorid.n thar su.h itolrovoers ft not imod.d oroflF.d ro,$le.ll, hoRB6, thc buiklinS or ifrtrldnd i!$ld silninon.!s <br />or.o:nplclh., lh€ Ou.r Buildo vill harc rhc hrdd ofFolina thd n. or shc did .ol build or improvc lhc pordty ror lh. pnrpok oa <br />I. rs osnd orrhr tyol.iy, d eiclusively.onradins s1h licd.d coihdo* ro .onn'xd lh. txojd (S( 70,1.1. Busin6s <br />and lhlsionCode rneConlractois Liccnsc Law do6 nor applylo.nostrsoaproperly trho buildsor irprovcs(hd.on, <br />.nd {ho co.tads lor such pmjec $nh a c.nhcro(s} licc6.rl puuuanr ro rh. conh a.1ors LiccM lj$ ). <br />I an€rcftpl undd S(rion <br />D.r.: 0*16 <br />woRxERs' col\fl rtiNsal'IoN <br />DECIAAAI(D <br />I herb, aolrnr ond€r perah, olpajuyonc oirhe aollo$in8 ddlira!ioN: <br />I hav. ud s ill naintain a Cenin.ar. o f Coscm l. S.liJ6ure for \ orkds' .onpeqion. as rorid.d for by Sdion 1700 of lh. <br />l-abor ('odc, for thep6lonna.c. otlhc wort for \hict lhc p6nil b isu€d <br />I h,vc nnd will m.i.l.in \$0116 comp.63tion insuranc.. d rcqxt.d by Sdion 1700 ollh.l,abor Codc.lor dre Doronrec. or <br />the rcork lor shich lhn p<mrit is ised [ry rvortG compael ion insumncc .sis md poli.y nu'nbr de: <br />cniq: ' j.rTE ?Ar2//tUt4re^/ J-r/:L _furyz <br />' ?27P2{t\ptr6: <br />l..nifyrh in lhc Frfomanc. of !h. *ork for Nhichrhis pdn is issu.d.l shall nor mpbt..yp6on in anynrn(6 <br />s s k, beconrc sbjEl ro lfi€ wortss co,npmalion !a$ s ofcalifomia, and asre thal ii I nruld beco'n. subj&r ro rh. <br />\rorlqs'co'npsarionpoisionsoaSelionlT00oftheLobor(odalshall,tonh$ithcoDplyrvnhthospovsions <br />WARNING Failrc ro sec!'e \o*eh cfnrt.nsarion co\eriBc 's Lnlawrul, ud shall $'bj.d dr Llnpl.rcr o oirninal tqslli6 a <br />cnil fin$ ut ro.ne hu.d'cd rhdusa.d ilollds ($100.000), in addirion ro rho ro ol.on{.nsario., d{naBcs.s pro\ided lor rhe <br />S{rion 1076.f1h.Lat i im.r.st and ato .r's L6 <br />U(EISEDQNI&T-rc4 <br />uEctABAllqN <br />I hercby amnn lndq p6ahy o f pdiu,) thol I am lica*d und6 trovision ofChaplqI (commqcinE rvnh selion 7000) olDi\hi.n l <br />of rlp Busines rnd Proa6sio.sCode. rnd my li.dE. is in full ao(.md.rd <br />r-i.c*cNumher - d'99{7r <br />,// <br />calirtruqualrENDllclcElcl <br />I hscby arfm uodr Fn.lty of p6ju.y <br />'har <br />thft ! a etrrruclb. kndine agdcy aor ih. psaorunce of th. wo* for shich liis ponil ir <br />isstred (Sc.1097. Civ C.). <br />Aftt!(art_uE(lAa{uQ! <br />I hcreby aflinn undtr p€nahy of rcriury on€ of lhe lollowins dclarations <br />DcnNlition P€nnirlAsb€ros Notific.tion lcdsal R.arl.tio.s (Tnlc.l0. Pan6) <br />Re{uir€d Lellq oi Nolifi catun <br />l.dllyrhar rhe fcdoalrcplarions r+ading ab6r's rdno\alar. not rydl.abl.lo this pNje.l <br />Icclilyrh.IIh0v.r.adlhh.ppli.ario.tudslal.thallh€rh.r.inlorndioniscofl.ct.IasrErocomplywirh6llCntandCooly <br />ordin.ncB.nd Srar. tiws r.l0!iry to htuildiq construclior and hdlby aurho,iarcrr6dtarn6 ofrhis Cny&d Counrylo dr6 upo. rh. <br />above trE ion.n pmp.ny aor i6pe.1ion pur!.B. <br />.\ptlicitrl or.\gdr Sit nrrrr 1r"/, /te <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safe ty /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER Bl1tB T;/ty"4a4 ?-i) <br />Transformers tt ur <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release t")(/(\i-,t/.aw4ruu <br />I )t <br />Rough <br />Service n/eter lzlf/r8-t n 7mr''1Yd .4/ <br />FINAL ilalil iv ,,*uqb,l 1a.l,q) <br />Notes, Remarks, Etc T Ul E:7- <br />Site-Work <br />cont '.tot * ,af t/L Oar/tz1.Z//a *7a <br />^-/ . J:4:,