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ELECTRIGAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.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 <br />Transformers <br />Torquing <br />Sub-Panels <br />Roof Top Equjpment <br />Facto Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Service Meter EBO <br />FINAL <br />Notes, Remarks, Etc <br />Ownd"Build.r D.cletion <br />I hcrcby dflim undq p.nalry ofFrjury rfiar I d cxmF fom |hc ConractoB Lico!. L.{ for ll. fottowinS EsnGeTOtr, Bsinat <br />aod Prof.sio. Codc) Aiy City d County vhich rcquiB r pmit to consrtucr,.hd, ihprcv., d@olirh or r.pair uy flrlcrurc. Fid ro irr <br />isuecc, ako aquirB $c applhanr lo such p.mn ro fiI. a sign.d sdd.nr ihat lc or sh. is ticms.d p6udl lo $. Fovisio of th! <br />Conl&br'5 Licos.d llw (Ch.F?. 9, C6m..cios wilh Scction 7OO0 of Divisio. I of $c Auin6s ed ProfBiotu Cod.) o. riar h. o <br />rh. i!.x6F lh.r.fr@ adlh. b6is fo0E allcg.d .r.npl ion AnyviolllionolScclionr03l.Sby y applior fora p.mit Nbjccls th. <br />aprli@t to acivilFnalty ofnor horc the fivc hun&.d doll4 (t500) <br />_1, d opid of th. prcp.rty, or hy cnployB qth *,96 a rhcir 3ol. comp.nsrio., will do dc vork ad lh. suuclw. it nor inr.ndcd <br />or o,Lrcd fd s.l. ( SE.?044, Busind ud Prof6sion6 Codc, Thc Contnctols Lic.ns. k* doa not.pply ro d ownB ot6. propc6, <br />who buil& or improv.s th.r.on, ed who d6 3!ch work h'mclf or hdrlf or OrouSh his o, hcr wn.mploy.B, provi&d rh.t iuch <br />improv.mcnb @ nor inlcnd.d or of,ir.d ao sal.. Il hov.v.i, ihc building or ihprovcmor is sold wi6in on. y.aofconpt.ron. fic <br />O*ncrBuildcr *ill havc lnc burdcn ofprovins th.t h. o sh. nor build or inprov. for th. purp6. ofsat.) <br />_I, a o*nq ofrt. prop.nr, d cxclUiy.ly @ntutin8 with liccns.d comr,ctod lo coshd thc Foj.cl ( S@ 7044, Bsin6 ud <br />Profssion Codc Thc Cont'icrd! Ucc.* L.w dc nor cpply to d omci ofproprdy who build, d rmFovB $qcd . &d who <br />conrtuE ao' ilch pojal5 *ith a Coir&to(, lieoscd puElsr to th. Co,r&lors Lic.hs. l-3w ) <br />I M ermE ui&. S@rion .8. & P C. fd rhi! e8o <br />WORKERS COMPENSATION DECLARATION <br />I hcrcby ailim und.. penalty of pcrlury on. oalh. followii8 d.clestions <br />_l havc dd will mainrain . Ccnitcat! of Consor to S.lfinsur. ior work.E' cohpcns6lid, 6 providcd tor by S.dion l?OO ofrhr <br />Labor Codc. for thc pdf.,1Me or th. work ror which dc pmt ir isrucd <br />_l hav. ud vill m.imain w(k6' cmFtullion iuumc., a r.quircd by Scction 3700 of rh! Llbor Cod.. fd $. Frftuc. of 0E <br />wo.k ftr whid thii Fmit it is!.<I My ed*d' mp.n!.lid iEu.D@ 6ia sd poliry nmb.r @: <br />Zn *^*.r.if,.-. * --*. <br />b. compl.id ifrh. p@n ii ior On. hund,cd doll6 {1100) or 16) <br />pdt(mac. oa lh. work aorwhich lhis <br />wo*6 ' cohposaion laws of Califom <br />comp.nr.rion provisio.s olS.clion llo0ofth. Lobor Codq Ishslli fonnvnh <br />WARNING fdhrc to sccrE wdk6' @hp.nurion covaagc is unl ploycr ro 6ihin.l pci.lri* ed civil <br />fina up to on. hlndrcd thoudd dollM (lloo,ooo),itr ddido ro lhc 6r of <br />$c Labo. Codc, inr6d ed r'M.y r f.6. <br />aB6 6 prcvidcd for $. S.cio. 1016 oa <br />I hcrcby amm und.r porlty of p.rr 0ry th l e li...scd u.dd !rcvisio, of Chapt r 9 (D$. Businc$ ed Prof6ionsCod., ddmy lic.nscisih aullforc. and cffccr <br />-o <br />I h6cby .mm un&r p...\y oa pqjury rlrt ihdc ir c conrhcrio, hndins .B€icy <br />i$u.d (S.c 1097, Ck c) <br />p.rfmanc. of Ihc wdk fd which rhis pcmn t <br />to comply wni 3ll City and Counry <br />ab.v. n.nrioh.d prcp.ny fq insFction <br />ollhis City Md Cou.ty ro ot r upon thc <br />Air Conditioners <br />FYDIrlI iD <br />Rough <br />l0R <br />Darc Osnr: _ <br />APPLICANT'S DECLARATION <br />Dcmoliion P.mrl}Asb*rs Norificario f.dcral Rcsulalions (Tirl.40, P.n 6) <br />_ Rcqutcd L.tdof Notifidion <br />= <br />I <br />=