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ELECTRICAL.INSPECTOR RECORD <br />DATE tD/stG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life S /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Bu ilding <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqui <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 <br />Service Meter <br />FINAL 556, 667 <br />Notes, Remarks, Etc <br />Om.rBuild.r D.cleation <br />I hcrcby afiim u.d< pa.lty ofp.rju.r Oal I d cx@pl fom thc Corlacios' Lic.nr. L!* for thc iollo*ing rcaon (se.7ol r.5 BusinBs <br />d Profc$io Codo Aiy City d Couiry vhich quir6 , p.mn to coisituc! rlld. imprcva d.nolish or rcpair ey stru€rurc, pri6 lo it! <br />hs@@, ilso r.qltB $c lpplicanr for such Fmit lo filc a signcd slarmdt $d i. or shc is licos.d puBumt lo thcprcvisions of 0E <br />Coit@lo!Ltos.d tlw (Ch.pr.r 9, Cmm.odng wih S.ction ?000 ofDivirio.3 ofih. BNin6 dd ProlBiiom Codc) or th.r h! d <br />c t crchpr lhcriiom dd ln. bsir 16 $. au.s.d .xchprion Any violarion of Scclion 703 I 5 by &y applior tr . Fmn rubj@ls rhc <br />appli@l io. cirilpcnalty ofnot norc thd fivc hun&.d doll4 (tr500). <br />_1, a o*nc, ollhc p@pcny, or6y.oploy.6 *ith wag6 B lh.ir iol. cmpoi{ion, will do rh. wo* Md fi.sdcru. i! nor inradd <br />or offad rd salc ( Se 7044. A6in6 ed Profaiioos Cod.: Thc Contra.tor'! Lic4. L.w do6 not apply lo s own.r of lh. prop.ny <br />who builds or inprovB thdon, Md who do6 such *ork lim.lf d h6clf or through hie d h.r oM cdploycd, provid.d thal slch <br />improv.m.nrs @ nor intad.! or ofa6.d fn r.lc l( h@.v6 rh. building or imtrovdor i, sold wiinh o. r@of @mpla,.n, tt. <br />Owo--Auild.r will havc $. borda oa prcvin8 llar hc o. shc nor build o. inprove for d. puQ6c ol salc). <br />_1. 6 ownd oi th. prop.nr, m .x.luiv.ly conEAdi.e wilh lic.nscd @nracr6 io @.rrucr tl& p.ojd ( Se 70aa, B6in6! Md <br />Profosion Codc Th. Coor.&ror'! Lica$ L.w dc nol apply to e o*nn ol propety *ho build! ff imployg rha@ , ud who <br />co.tmi5 for such prcjea *nh . Co.u&to(, Iic.nsd puBu&r ro thc coDr.cbr's L,c.nsc Lav ) <br />I m .x.mnr und.r S.crion <br />WORI(ERS COMPENSATION DECLARATION <br />I h.r.by ailm undcr p.nalty of p.rlury on. of lhc lollowinS del-.tioni: <br />_l hav. od uill n.intlir a C.nifical. of Co.sot to S.l EurG for worl6 @mp.ns.tioh, B piorid.d foby Scctid 3700 of$. <br />Labor Cod., fo. t1'! p.rfmde of $. wdk for which rhc p€mn is i$ucd <br />_l hav. ud will mainr.in wok.R' comP.N.tim in.uroc., $ r.qoi..d by S.c .n 3100 of $. kbor Cortc, for rhc p€rfmme of d!. <br />qork for which lhis pmn is issucd My wortcB cmp.ns.do iruuBic. cdia ad poliq iunbd ec: <br />Policy Numbq <br />-Erpt <br />s(1ris2.(or N.d <br />l*^ry"*^ <br />not b. cofrpl.Ed if'n. r.mit is for On. toidrcd dolld 15100) or lc$) <br />'h. po{omuc. oalhc *ork for whicn <br />b.cm. subj.ct to th. wo .E <br />rhc Libor Cod., I shall, fonhwnh. <br />work.6' conpnsadon covcras. <br />dolld (1100,000),in addilion !o ion,daa86 4 provid.d ior $. Sccrion 10?6 of <br />lhc Labor Codc, int.rd ed stomcy t f.6 <br />LICEISED CONTRACTORS Df, CLAR f IQN <br />I h.rcby aflim und.rp..rlly oapqjrrytharl d lic.nr.d un dcr p.ovE ion oi Chaptcr <br />UE Businqs ed Prof6sio.s Cod., lnd my licosc n in full aor snd .fl4t. <br />unddp.nalty of p.rjury rhe th6. is a coortruction <br />7,Civ C) <br />APPL!CANT'S DECLARATION <br />Dcnohion P.miG-AsbBrG Nod,lc.d@ F.dcnl Rcgulslid! (Tn|.40, Pd 6) <br />RcqliEd Lcnd of Notifiq.ion <br />_tpt1$d $. t.d*t *e"ranon! !.8ed,ng <br />/ I cdnry dat I hav. Eld l,1n @licdion and .orcct I asrcc !o comply with all cjty ed <br />o.dinuc6 dd Sul. L.ws rclalin8 to <br />/ <br />7 <br />APPROVALS <br />otrhc*ot for qhi.h thii p.mir is <br />$ov. m.ntion.d propcny aor inir+tion <br />r-r\r l, \:IJ <br />Rough <br />S \MC 8-43, 290