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DATE rD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Llfe 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 FYPIBF
<br />Rough FI = I 20lg
<br />Service Meter
<br />FINAL UAMU U-'}J, ZUU, 056, 6Oi/
<br />Notes, Remarks, Etc.
<br />Om6-Build.r D.cldatiq
<br />I hcEby amm undcr pdalty orltjury rnar I d.x.mfl fom fic Conlractoa Liccnsc Law lor rh. foll.*inB rcsd (s.c 703I 5 Bqi.6s
<br />a.d Prol6ion Codc) Any Cirt or Counry vhi.h r.quiB a p.mn b .onsrtucr, aI.!, imprcvc, dmolish or Epair dy sttuctuE. D.ior to iLr
<br />i$uec., .ko r.quir rh. .ppliqnt fo! such p.mn b filc a sis..d srahdt $at h. or !h. r licoi.d puBuur io .hc provisioh! ot lhc
<br />Coirerois Liccmcd Law (Chap!.r 9, Coam.nci.g wil}l Setion 7000 ofDivision l of$c Busins ud Prof*iios Cod.) or th.r h. d
<br />shc t cxcmpl rh.Eflm dd lilr bais fd lhc auc8.d .x.hprion Any violadon of Sarion ?03 L5 by dy appliol ior a p€trn $bjccl! rhc
<br />aprlidt to acivilpcnalty ofnor mw $e fivc hun&ddoll6 (1500).
<br />_1, s ownq of lhc prcFrty, or ny cmployes qifi *ags s lh.ir rol. c@p.ns.tion, will do thc work d d. nNdu. is not inrndcd* ofi@d fo tal. ( 56 ?Oaa, Busiis dd Pbfsiois C.<L Thc Conraclor's Licasc Lav do4 nd appl, b & owncr of th. proF.ry
<br />who buildr or improv* thd@, ad vho d6 ruch wo* hituclf or hd€lf d rh,ou8fi hii o. hr @n cdploy.q, providld lhal ruch
<br />inprovo.nG rc nor intad.d or ofiad aq $1. lf, hoscv.r, rhc buildiis or inprcvmcnt h sold wnhin on. y6 of conpl.no, th.
<br />Ownd-Builde will h.v. $. blrdo of proving rhar hc or !h. nor build or inprovc id fi. purpc. of ralc)
<br />_1, a own4offi. propcrty, m cxclBiv.ly conrractins wth lic.ns.d conr.croB ro consrlct rhc proj.cl ( Se 7044, BsinN ed
<br />Prof6sion Cod.r Thc Conrelor's Licn$ Iiw dM nol .!ply ro e ovn6 of propcny who buil& or improve rhdcd , .nd who
<br />conE.cB for such projccls qid! , Corr&lo(, lien*d purcu&r lo rhc Conhctor's Lic.tu. L,v )
<br />_l d cxcFpt undcr S4tion _,8. & P.C. fc lhis Eson
<br />WORX!RS COIIIPENSATION DECLARATION
<br />I h.rcby alfim undf F.alry ofpdjuryooc ofth. foll@ins dccleions
<br />I hav. dd will mainlain a Ccnifiolc of Co cnttoScl nsurc fo! work.E' comp.ns.tion, 6 provid.d forby Scction ITOO ofrhc
<br />Labd Codc, fmthc p.rfm&cc oi6. work idwhich th. p.mn is i$u.d
<br />_l hav. d will nai.raih *ort.6 c@pcnsdion i6urocc, s rcqliEd by Sdtior 3ToOoith. L.bor Codc, aor rhr pcraomMcc oith.
<br />work ior whid $ir p@ir is iri!.d. My *ote comFnsario. insurec. 6ir dd policy numbq s.
<br />Policy Nudbc. Eipic-^2,,:::,:::^
<br />.r*",,6,".,,.
<br />nor b. compld.d il lh. pmit k for On. h!n&.d dolld {$100} d
<br />rh. psfom&c. oa th. rork for which fiii pcmn is issucd,I sh
<br />lh. wo*.B ' conp.osalion hws of Califomi\ dd agrcc that i
<br />comp.nsario. provisiohr olS.ciioo 1700 of rhc LaborCodc, I shall, ionhvitt
<br />o* t )-L./-ol._
<br />WARNNG Failur.ro sccur. workc6' comFnsarion e cmployr ro diEinai pqnllri6 md civil
<br />fin6 up to onc hundEd rhosud dolla (t 100,000),in ddirio ro $c @sl of .epdsadd. d4re6 s prcvidcd ftr th; Se.i@ 10?6 of
<br />$c Labo. Codc, im.6t &d amcyt fc6.
<br />I h.r.by attm und.rr.nalryofpdjurythdI d lic4cd uidd provtion ofCh.pG.9 (
<br />th? BsiD6i &d Plof$ios Cod.. ud my lic6s. k ii full forc. &d cfidr
<br />Liccnt. Cl6s: Li65. NMbr
<br />>-L4'o
<br />I hrcby .flim undcr p.nalty of p.rjury fial lh@ ir . cMsrrudion
<br />isu.d (S.c 3097, Civ C.).
<br />.nc. olrh. wdk fd which lhir p.mit t
<br />APPLICANT'S DDCLARA]ION
<br />Ddolnion PcmnrAsbeld Nodfianio F..Lral R.S!l.!ions (TnL a0, Pan 6)
<br />_ R.qun d L.ndofNolifierion
<br />I agrc. ro comply wi$ aU City d Coonty
<br />vcs of rhis Ciry ed Colnry ro cirr upon rhr
<br />aboa. m.ntion.d prop.ny fq iNFcrion z-24-4
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<br />ELECTRIGAL-INSPECTOR RECORD
<br />APPROVALS
<br />Sub-Panels
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