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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />ctory Wired UnitFa
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Itlleter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Renarks, Etc
<br />OWNER AUILDER DII-CANATloN
<br />! h.rcby r8n'n uidrr prtrllly r)f t rjury rhir I on cxcnfl rrom thl Cotuacntri Li..n* ljw for rh. a{,llowint rr,6 (Sd 70.11 5
<br />Busirc$ rtu Pnfcsion CoJcr Any Cily or Coun'y which rcquircs r l.rni' k, or{tu t. ahcr. inProvc. dcmlish or rcr.ir anY
<br />nructurc. prhrro ils hslrEc. aho rcquiEr rhc lppli.rnr r su.h l.nnir t, lilc a siSncd N0tcm lnalhcorshe ir li..n{d pndmr
<br />ro rhc rovnions ol rhc Contricrols Liccnscd liw (Chiprcr 9. Commcicins wirh Scdn,n 7000 or Division I of lhc Brsinc$ nrd
<br />Profc\sionsCodc)orrnd h.o!shd kcrcmpr rlrtofmm Mrhc bnsis fo. rh. allcScd crcn{'rion. Anyviol.lio.olS..rion70ll.5by.ny
<br />,ppli..trr lor 0 !.rnrir subjccb lhc ap!Jic.nt to 0civilpcrdhyofnol nrorclhln livr h!ndrcd doua6( 5(x)).
<br />L ar o$ner o, rhc [h,rdy, or 'ny. lt'loyuc\ qirh su8.{ dr rhcir slc.omr.ns ion. silldo thc 'ork &nd rhc dturm L nor
<br />intctrdcn or oftrcd ftr sk (Ss 704,r, Busircs !n! PmL$ions Codc: 'l l,c Gnt,lctois l-kcBe Liw do.. nol optly x, an ownc, oi
<br />rne popeny * ho l,uilG or itrllrnhs rhe@n. ard who dcs skh srr* hinrclr or hcB.lf or rhmu8h his or hcr ovn c,qrloyccs.
<br />nrovnbd th.r su.h inpruEnrnN orc mr nrc.xlcd n oflamd for $lc. It h.sevcr. lhc hittio8 or nqmEm n sll virhin orc ]to
<br />ol conlphrhn. rlE Ostrc, Buildcr u ill hlw rlE huidcn .f pmving rhar hc or shc dn d hrild or inqmh rh. Fnlxny for rhc puqDe of
<br />_l. rsorvn.rol rhc Dmpcny. rmc(lusivclycoDrrrcri',9 wirh licc!{d.ontrcktr\i,.onNr.i rhc ln,l.cr 1Sc. ?(}41. h^incs
<br />rM Pn)f.$inr G)d.:'rh( C.Nr..ttr \ Li..trsc Law d.c\ nor rtrly k) rr .rvncr ol tr)pcny who htril&.r tnni,,r.\ rhcrcotr.
<br />r *lD cotrtrncrs lnr {'ch lr)jccr\ sirh x(nr'rrtrr\) li.cn\cd pu^urnr t) rh. (tnnr.tor's Liccn\c l.0s)
<br />I rnrcrc l|, undcr Sccrz/
<br />I hdchy illirD trlldcr Fmlryoi
<br />llliruaarla
<br />I hrvc drl *illnri.(.in rCc ific.rcolConscnt t() Scll.lnsurc forwrkcri lannpctrsrn,n. !\ pioviJ.d f.rhlScdionlTix)oilhc
<br />Lah.r Codc. tur rh. pcrfoturtrc. of rhc *brk for whi.h rhc t).flnir i\ i$uc,l
<br />_l hrvc rtrd willnriirlrin sorlcri conrcnsari(r i',surrn.c. tr\ r.qun.d htS&1nr l70Ool lhc Lihor (bdc. nnrhcF lartuncc ol
<br />rhc work for shich rhisr.nnir i\ isflcd My vorkcr\'.o'.pctrsainnr in\urr cc.rnrcr kl fn,laynun$cr$c
<br />l.cnily thri in thc p.rfonnrncc oflhc work ntr $hich lhn Nnnil i\ i\sucd. I shrll ior cmpkJy rny l.rn,n in rny nnnncr
<br />h N ro lEotrrc suil(r ro lhc s.rke6 conrcn\niio. lxw\ olCalifomi!. m.l lgru. rhd ifI sh.uld tEcom subl.ci lo rhc
<br />qorksl compcns(liorUnvisionsotSccrion l7(noilhc l-!1,or Codc.l shrll. r(dhwirhco rtly wirh ihot fmvisiotrr..
<br />WARNINGT Fdilurc ro {.urc wortcB mDnttrr{lior dolcrl'sc is nnhwtul. rtrd \h!ll \ubj.cr an .nrflo,tr b dnninll lenilrtr.nd
<br />.ril litrc( up x, orc hnndrcd rhousond d.llaF (lm-00o), in addnion lo
<br />'hc
<br />co\r ofco ,,,cnsarion. dr,mScs ns p.olidcd for lhc
<br />sccri,)n 3076ofrhc Irhtr (odc- inrcrcn xDaxn,
<br />1z/4/rl
<br />I h.'.hf rlln rtrtr,lcr Jr rlrjol|trjuyr
<br />DIEIASAIIgN
<br />un'lcr pmvisnnr ol(-h.Ircr q lconrnEncing Nirh Sccrion 7(XX)) ofDivi(nr l
<br />ol rhc h'\i,,.sxfd P'.f.$nn,\ Codc. iinry llcctr\c i\ ii tullnftc nnd(lli.r
<br />Liccn{ Class
<br />-
<br />Dole ( onlmclor
<br />CONSItrIJCIIQNIE DIdI;.AGENII
<br />I hcrchy omiln undcr |rnollyofpcrjtry lhalrhcrc n ! con(rucrion Lndins rgcncy ro, rh. r.rromu.c olrltr $orl lor which lhh Frm n
<br />isucd ls.c. 1097. Civ C )
<br />a.e&rcalltxcLAaauoN
<br />I trrcht llljnn uftls pcnxlr y o, Jrrjui, o.c .f rh. nlllownrg d..l&r( ionl
<br />Dcm,lili.n P.rmirs Asbe(.s Nolificarioi Fcdcrll Rcsllalions (Tnh.10. P n6)
<br />R.q nnl l.rr.rol Norili.rri)n
<br />lcdcfllrcEUhrnnrs rcr lirs lsheslor r cmovtrl m nor rnflicrl'rc n,ihh ptujcr
<br />icnd rlns .tDli.dior 0nd shtc rh.rrhcrlnvc irlortruri{rr i\c.rc.r l a8rcbco ,rlrsnhrllCiryrrdConIy
<br />rcl-ns({hrrgrohulldir!..r\nndr[.rrth.rcli!{ihor^ 'cprc!ctrrrrncs.lrh'\Ciry] dCortrr!k,cfrdu|n rlt
<br />lxn, nr in\r.{rn)n PUrB)\c
<br />4t\)- , Dste lLt*o.tilL 'r2r
<br />''7
<br />COMMENTS
<br />Air Conditioners
<br />1
<br />Policy Nombcr-Expircs:
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