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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />IABTEEICO!4IEXSAIIOX-DECIABAIIotr <br />I hd.by atiim undn p.nalty of pajury on. of ihc follosins dclsdioN: <br />I havc ed *ill raintair . Cdifiarc of CoNor ro Sclfi.tur. for vork6' cmpoB6rid, a ircvidd for by S.cri@ 3700 oflh. <br />Llbor Cod., for li. Frf(mde of rh. wort fo. shich rh. Fmn is i$ucd <br />_l hrv. od will mainhin ,orL6' conp.Badon irourec., s rcqutcd by S.cion 3?00 of rh. Labor Codc. lor rtc pcrfmec. ol thc <br />wo,k for whi.h fik pmil ii issu.d My *o*d' compasation insuE€. tric ed policy .umba d. <br />Policy Numb.r Expi6(rh'zmm.dmt b. ompla.d ialn. pmir is tor Onc hundr.d doll6 lllO0l or Id, <br />pafomu@ oa(h. wok fc whi.h $i! pdon t i$ucd, I <br />lass oiCElilomi4 ed asla thar <br />th. Labor Cod., I shall, lodh <br />ousdd dolls (3,00,000),in addi <br />in!.rd ed alrohcy t f.6 <br />I-I('ENSf D (.()\I RA(' I'ORS DE('I,,\RA I'ION <br />I hcrcby amm und.r pdrlly oapciury dr l I iccnscd undcr provision of Ch apt.r 9 ( <br />thc Busi.6s dd Prof6ions <br />F.fmocc ol lh. wcr fo *hich this p.mn is <br />,Civ C) <br />APPLICANT'S Of, CLARATION <br />Dcnolirion P.mits-Aib€tc No ficarion Fcd.6l R€sulations (Titl.40, Pd 6) <br />_ R.qrn.d Lctlr of Nodfi cation <br />_l c.nify thar lh. fcddal rcgularions rcgddins sbBtos <br />io.omPly wirh allcity ed counry <br />abov. n.nrion.d prop.ny for i.sprction <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 />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 />EXI ,IRED <br />Rough <br />rEU I ZU;:1 <br />SAMC 8-43 , 290. 556. 6 11 <br />Notes, Remarks, Etc. <br />Pole Bases <br />Service Meter <br />FINAL <br />Ownd-Auil.Lr D..lmlion <br />I hdcby al6m unds p.,.lty of pcrjury th.t I u ampt f@ $. CotulG Licosct efor$c aoll@i.8 r@oo (* 7OlL5 Bqin6 <br />&d Proldion Cod.): Aiy City d County whi€h Equna . p.mil b @tlr!c( .lto, improv.. dmolish or Epaj, ay lructurq Drior ro il5 <br />isudc., .ls rcqutB dt. arpli@t for iuch Fnir ro fi!. . sisn.d 3laldcnr rh nc s 5h. is limsd puRuat b th. provisioni ol rhc <br />Conrelor\ Lic.ns.d Law (Ch.pld I, Cmmc.cing wi$ SccdoD 7000 ol Division 3 of $c Bsin6! dd ProfslioN Cod.) o $al hc r <br />sh. ir.r.m rh.r.6m &d thc bah l( fi. .llc8.d €xmp{io" .Any violatio of S.clio 703 r. J by -y .ppli6r ad . pcmn subjeB rh. <br />.ppli6t io . civil pd.lry of .c,r norc tho filc hur&.d dollss (1500) <br />_1, a <ma or rhc Fo?crty, d my mployB wnh wa€B E rh.t sol. 6nlpas.rion, *ill do ih. w6t dd $c slruclw is nor inrodcd <br />d ofidd fd s.l. ( s.c 70,14, Bairs md Proa6i@s Codc Tn. Con@ior's Lic.e L$ d.6 nd.pply b 6 o,n.r of lnc proFny <br />*ho buil6 or imp.ov6 ll1c6n. ad who do6 luct wtrk niBllf or h6.lf d rhugn hb n h6 om dployc6. providcd th.t such <br />inprovmc.tl @ noi int ndcd d oficr.d for srlc Ia, hovcva. lhc building d inprcvd.nl is sold *ithin onc y6 of complaio.. $c <br />Ownd-Buildd will tev. lh. burdft of proving rhal h. d shc not build or ihp.ov. ld th. plrpGc of rd.). <br />_I, a osd oath! prcpcnr. m dclBivcly @nr..ling witt lica$d cmturou ro.o3hd rh. Fojel ( Se ?0a4, BcinG &d <br />Prcf6sion Codc Thc Connaclor's Lieos L.w de rol apply to s omd of prop.ny who blild5 o imprcv6 rhacon , 4d who <br />cel@E for slch pmieLr *itn a Cm@ro(, limcd pua@r lo ric Conlretol.s Li6sc t w ) <br />I m.xcmpl un&r S.clion ,A &PC ld this r.6e.