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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 /-22-?fu\r* /r, <br />Torqueinq <br />Sub-Panels <br />Air Condilioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />l+?-?.c oord t, <br />Rough t-L?-b 'd9i6 <br />lo, <br />Service Meter <br />FINAL \-an-'2,frrn* lo, <br />Notes, Remarks, Etc. <br />OIVNER B!ILDDR DOLCARA-I]ON <br />I n.rcq amrm und6 p.mlly ol p.rjury lhal I @ .rdpr Eon rh€ Conta..ou Licmc Law for lhc lollosing r.en {s(70ll5 <br />nusin6s ud Prof6sion Cod.): A.y Ciry o, cou , which reqrt6 a p€rnil to connrud, alld, inprov., d.nolish or rcp.n y <br />srruturc rior lo irs isudc.. rlso cqun6 thc applicanl aor such Fmn lo nl. , riln J saldor tlDt h€ or she is licdsd p6uDr <br />ro rhc pmvisioB of rh€ Contmcloas Licens.d lr\ (Chapr6 9, ConmcncinS \rilh Sclion 7000 of Divtion I oathe BNin.s ed <br />Prcfsions Cod€) or lh.r heorsh. is dcmpr rh6.from.nd rhc hsis for thc allcscd.roplion Any viobrionoasalion?011.5 by eny <br />.pplicadloraDmitsubj<tsrh.rpplica.rloacivilp.nalryofnotmolethanfivchundr€ddolle!(S500) <br />I, * own€r olrhcpro|.d}. or mycmplo)€ rirh wlg6 6 thcir eni conpds,rion. $illdo th.\olt md lhe sIfocl@; nor <br />inr.rl.d or orlftd for sl. (S< 7044, ausinBs and Proa6sions Cod.r 1 nc ContRctois Licosc L.w do6 nor apply ro on oNnr ol <br />theprup.ny wno builds or imprev6 rh66n, md eho d.6 str.lr wot( himselfo! hsslforlhrouh his.r hd owh cmplolcB. <br />providedr[dsuch imp.orercnh e lol i qd.d or or6cd ror eL. I[ ho$ e 6. rhe buildin! or impo onent ir eld within on. ]w <br />of conplclion. rhc oMr alildd qill ha!. lhc htrdd oflrovin8 tlEl he or shc did nol build .r ifrprcv. lhr pmlqly for thc pulln$ of <br />I.6dMaof rh.propdx d.xclusiv.lyco mdins with licG.d codh.'ou ro .oddcl lhe trojal (56. ?044. 8608 <br />nl PhLsrion Codc: l'h.Comd.roas Li..m. Lrw do6.ol rpply!o u own6 olproFny vho boil& o. inProvcs lfison. <br />and who contEcrs aor suh Fojc.ls Mrh a Co Dclo(sl licsql puumr ro rhc Conlraclois l-icdc lr*) <br />I dn ddnpl und6 Selion <br />MtrE8l-(AllIDllAIrAr <br />DICI^AAUqI <br />I hcrub! lminr trndn pmalty olp6jur' one of lh€ loLloNins dslaralions: <br />r h. \o,l lor which tnis Pomi E i$udl M, *0116 .oEp.nsdion insurecc caricr $d lolic, numhd dc: <br />c-i-, \,r\ L-3 C o <br />""r.rN,.I-IJ3-3).bLL 6 -a3.}d <br />I..nifyrhal nrrhcpdfor.rnccoflhesolk for $hich this p€.mir is issue{ I shallnor dnPloy ony p6on inanyndnt <br />so as to b€corlc subjsr ro rhe Nortd comt hsartun lo$s oicaliaomi., afld asre lnai if I shotrld h..om. $6id t.ln. <br />$!rk6.onlc6alb.prolisiosoas.c{iotrlT00ofth.L.borCode.lshall.ronh$nhco'nplywirhrh.s.Fovisions ' <br />*ARNINC lailue lo $cu€ *ortes'cotuiiosarion cdvms. is unlaNlul. and shall subjcd .n onphyd ro dnninal lEElti6 ond <br />civil fin.s trp to onc hundr.d lhousdd dollm ($100.0001. in addirbn lo rtu osl ofco'npeoet'o!, daiales d Prolid.d a.r rhc <br />sccrion 1076 ofrhc l-.b.r Code. intsGr od alomelt 16. <br />- t'93- \o <br />I h6.by aiinn undr pdaxy o I Fjor, thal I m unds Dmvision ofchapls 9 {commo.inc snh Sdion 7000) ofDivGion 3 <br />of th. BusiB 6d Prof*ioa Codc. a:d my lic@ i! in tuI aoe dd.rel. <br />Lic.ns.cras: v'lo atr1 / 2- <br />i-as - L.A ,^+zt <br />caNiIalquQIl,ENDlNclcExcY <br />I hcreby amrn undd pcnax, oa pdjory rhd th6. h r coNlNction kodins asdcy ror lht poaommc. oarh. tort fo! which lhis Fnil i! <br />issu€d (S(.1097. Civ. C.) <br />AIEIICANLPECIA3AII9! <br />lMy!flimu.dd poalry oipdjury one of lh. follo$ing d(ldarions <br />Dcmolirion PdDns-Asb€sros Notificalion F€dral Rerulaxonr (Tnb 40, Pan6) <br />I c.n iiy r1*r I I'a\ e rcad lhis applicarion ant srare rllal lnc ib(,\. i.a.martun h cond I aBre ro comply rvilh all ciiy and county <br />ordin!.c6 d Sral€ Laws Elaiis to buitdiis coBrtudion. ald hcrchy aurho.iz. rE e.'lativ6 oflhis Cily dd Counry (d dl6 !F. th. <br />abovc nrenlioned propcny for <br />ArDli.nnl or AEenl Sirnrlu <br />4_Sr <br />, -l? -'Lc <br />Transformers <br />Meter Release <br />--------r------ <br />I