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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS OM4-Buildd Dc.lrndon
<br />I h.r.by .ftim und4 pllrlry olpejury lh! I s x.hpl foft th. Contt..rotr Li@ns trw aor dE follo*ing tc&, (@ 7011.5 Butinat
<br />ud Prcf.$ioi Codc) Ary Ciry or Cou.ry whicl r.quir* r p@il lo @rutocl t]t4, improv.i d.mlirh or t P& $y nruclu., Prio. lo i[
<br />ksee, !l@ r.quirs thc.ppliur for uch p@it 10 6l. r risiod lldmit llu! hc or !h. it lic..rd Purtut to r!. ptoviliou olln
<br />contra.loar Lic.nr.d Lrw (chrpl.r 9, coftnotuin8 with S*!o. ?00o ofDiviion 3 ol0!. Bulin6t Md Ptof4ioN cod.) or $.1h. or
<br />3h. i! d.npl $d.froh .nd th. bsit for 1h. dl.g.d .x.nPdon .Ary viol.lion of S@ri.n 701 I 5 by dy .pplisl for . Dlmit !ubj.cl! rb.
<br />.pplie.t to ! .ivil p.n.lty of.oi morc thu iivc hundr.d dollE (t500).
<br />-I.
<br />s ohs of th. ptup.ny, or ny .dploys lirh pr86 .t tt.ir sl. @mp.nstio4 vill do rh. Borl !i !h. drutu. i! rct inbd.d
<br />o, oEq.d lor !.lc ( Se 70,14, auriB! ed Prof.Iion, Cod.: Thc CorErcloar Lic.nE L., da nol .ppl, lo M omq of ln. pbpdty
<br />who build!or inprov.s rh.rco4 Md who dos D.n work him&lfoi h.rFlfot tkough hi! or h.t oM.mPloy6., ptovidcd $.t $ch
<br />inplovcn.n! d. not inr.nd.d orof.r.d for r.l. If, howv.r,lh. buildinS or inPtov.nc n rcb wirhin on. y* of@npldiorL dE
<br />OwrBuildq will hrv. d. burd.n of pwing thtl h. or $. noi build o. io9rcv. for th. purPoe ofsl.).
<br />l, rt oMcr ofrh. prorsiy, m dcluiv.ly @nhdin! wit[ Iiccn&d @ntr.doa ro onrhd thc prcjet ( Se. 704,1, Bu.ii6. .n{
<br />Prof.lrioi cod.: Th. Conr...roi! Li@.& trw d@ nor rpply 10 & owr ofpropdy *ho buildt d iEprovo 6.r.on. ed who
<br />co .!ds for ruch p,oj6!t wnn r Co.tncto(4 li..ned purBdt to thc Co rrclol! Li@ne Lru)
<br />_I e q.npl @d6 S.aion
<br />-B
<br />& ? C for lhi r.&n
<br />WORI<EIIS (]OMPENSATION Df, CI-ARAI'TON
<br />I h.r.by.ftim u.dq p...lry ofpdjury on. old'. following d€lr.riod
<br />_l hrv. !.d qill 6.inl.ir . Ccnlliqrc of Cone ro s.lfitur. for rcrkqJ @mp.Mtion, B proviLd for by Sdrion lToo of $.
<br />Llbor Cod., for rh. pcrfom.n@ ofth. wor* for which 15. p.mn n ile.d.
<br />_l h.v. ud will e.inuin workej @mp.nsliotr i.$re." u Gqun d by sedo! 1700 ofttc kbor Codc. for lhc p.rfom.ne ofrh.
<br />wort aor which ths p.mit i! iocd My wortcB onp.nllion inom4 dia.nd policy rumbq E:
<br />CIhi3 !€tion n..d rcr b. @6plaod if 6. p.mr i, fo. O.c huden do[tn {t I oo) or l.s)
<br />_l enify thrr in rh. pdformlie of th. qo* fq vlnch rhi. p@i it t4od, I dl not.hploy My p@, i,.ty Mn{ s r! !o
<br />b*!@ subj@r io tt. wlkd ' ohp.r.don l.s of C.lifomlr ud .€I@ rhrl irl $ould ben. &bj@t to O. wo.kd.'
<br />@mpcnsrio. providon! ofsdtio, STOO oftlE trbor Cod., I tldl, fonn*iu @nply wi$ r[o& PNirionr.
<br />Dd. ApDhq '_
<br />WARNNG Fnlur. !o !@'. workd @np.n!!tion cov{lg. n ud.*6i, Fd rh.ll $bj..r e.hploy.r ro oifrii.l p.nrlris.nd civil
<br />,liB up ro on. hu.dr.d dtouud dousi (ll0o,0o0),ii lddnion to 0t @, of@mplnsriol\ du.gcr D provided tor th. Serion 3076 of
<br />th.lrbor Cod., inrEc( &d.oodpy'. f.s.
<br />LICENIELCONIMCIAB!.DECI.6MrcN
<br />I hd.by rf,im undd p.n.lr, ofpqju.y thr l e li@!!.d u.dq provirio. ofchrpra 9 (6m.n ing *ith S..loi r0o0) ofDiviiioi I ol
<br />th. Buli s .ad Pofotiod Cod., .id ry li.G.6 i io tuU aore .nd .trel
<br />colllalqla!.i,rrDBc.acElcr
<br />I h6.by .ffim !n<!{ D.uny of psju.y tn.1 1t6. ir . coIrnudjoi l.,rding .9tr1 fo! 6. pdfollMa ol lhc wut ln pili.h drir pail i.
<br />n$.d (S&. 309?. Civ. C )
<br />AITUCJNII"DICIAEAIIAN
<br />D.molirion P.mits-Arb.ltor Nolifrcation F.d.rrl R.gulttion! (rnh 40, Pin6)
<br />R.quncd Lcnd olNorifi qrion
<br />_l cadry rh.r dr ftdc.d r.gul.tio rcgadi.g .rbalo! @ovrl r. .or .prlic.bl. t4 $jr pbj*l
<br />_ I @niry rhr I h.v. ad thi, rppli.lrion .nd n.l. rh.r l1l. rbov. irfomrrio, it @d.d. I .Ae to corply *irh .ll Ciiy &d Counly
<br />ordinrnca .nd Slrr. Llwr r.lrting 1o blildinS 6 Ncno,\ dd lr.rlby elho.iz. .cprenr.tiv.! of du Cny.nd CoEry b c.tq upon th.
<br />rbovc m..!ion d propcny for in+!.1ion purpor.t.
<br />Site-Work
<br />Underground
<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 />Torquing
<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 />EI \TIKtsD
<br />Rough a
<br />Service Meter r c.l ,r zul:
<br />FINAL SAMC &t3,2r,6*AA.'
<br />Notes, Remarks, Etc.
<br />Pole Bases
<br />Sub-Panels
<br />L.ftla'! Ad&6t _
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