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ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS oMa-Buildd Dccload@
<br />I hdb, .mm undd p.ndty of prjury that I h cxdpt f(m rh. Conr&toR Lic.n$ La* aor $c followin8 6@ G6 701 I 5 Buin6
<br />ed Prof6i6 Cod.) Any City I County which aquiB ! pdf,it !o msrrucq alid. improv.. dmolirh or rcpair My slruclu., pno lo irs
<br />hsuucc, ako r.quir6 lhc arplioi for su.h p.fti ro filc . signcd slatma( lhar hc m ih. is licascd p6uut 10 th. Fovirioro of thc
<br />CooE&tor's Li6s.d Law (Ch.plcr 9, Cmh.ndn8 vilh Sction ?000 of Division I of thc Baitd ud Prol6sids CodO tr tnat hq d
<br />shc n qdfl lh..cfM od dc bais ftr rh. .ll.gcd qoprio Any violdid ofs.cdon 703r.5 by ny sppli@t for.P.mil subj.cts $.
<br />sppli@t to acivil p.nalty ofoor norc thD liv. hu.drcd doll6 (1s00)
<br />_1, s om( of thc For.rty, or my €mployd! vnn *as6 d th.n soL @np.tuation, *ill do {E wort d lhc snucr@ ii not in16d.d
<br />or ofi6.d f6 s.lc { Sd 70,14. BEinB ed Pof6liqs Co<lc Th. ConEocror's Lictuc Lw dG ,or .pply ro e osq of lnc prq.riy
<br />who buil& or ifrFov6 dicE@, dd wfio dG leh *orL h,@lf or hddr 6r drcuEh hir or h.r @n mploy6, Drcvidcrl tha! slch
<br />improvdcnB e nor inlcndcd doff.cd forral. Il, howcvr. $c buildin8 imprcv.n.nr is told*ithin on. y.roa.onpl*on. $.
<br />Ownd-Buildd will hav. rh. burdcn of prcvin8 $!1 h€ q shc nol build or impDv. lo thc plrposc of 3d.)
<br />_I, 6 o*nd 6a th. prop.n , m *cl6iv.ly conb&rina with lic.trs.d conbacroB ro co.rtud tl'. pnojd ( S.c 1044. Bsi.6s ud
<br />Prof6sion Cod.: Thc Co.t.crork Lic.ns. tjv dc noi apply to d oMd ofpropdy who blild5 tr imprcv6 tha.on , Md who
<br />.onlr&ts for such prcj.crs wnh r ConE&to(, licos.d puE@t ro th. Contacls's Lico* La* )
<br />_l m .x.mplund{ Sccrion _,B & P.C anlhis,len
<br />(Thir scction nccd not b. coFpl.icd il $. pmir t fo On. hunddd doll6 {t I 00} or Is,
<br />_l c.dify lhar ii th. Frf@d€ oath. wd* fd whi.h rhi! Fmn i! isu.d,l rhdlnd mploy sy Fum in ey mo,q ro a lo
<br />b.c.m subjer to lhc vod<6 ' comp.nsdion las of califmir, ed aerc Oar if I itould beorc tubjer Io rhc *dt6'
<br />@opardi@ prcvili@s ol S.cdo 3700 oa tn. Labd Cod., I shall. foniwnh @mply wirh d6. providon..
<br />WARNING F.ilr. to rccurc work6 cmp.nslim cova.a. is unlawful, od shall subjat d ploycr lo aimind pa.lti6 dd civil
<br />fin6 up lo on. hundrcd lnoBtrd d.ll6 (t I00,00o).in rddiiim lo $. cdI of cmp.nsatio, {trmaa6 a provid.d aq th. Scdid 10?6 of
<br />thc l2he Cod., inl46l ud dltmcyt L6
<br />LICf, NSED CONTRACTORS DECLARATION
<br />I hftby .flim undrr paalry of paiury fiat I d lictucd md, povilid ol Cho$a 9 {comdcing qir' Serion ?0OO) oi Dvki@ 3 ot
<br />th. Buhd dd Proasionr Cod., ed hy lic..F h in full foE. dd.lIccl.
<br />.4--z 2/a /
<br />CONiIBIICIIaX.LEdDTTG.ACEICI
<br />I hdb, afim oda paalt, olpdjury dft 6a. ii ! @.iEuc1id lddinr .s6cy for lhc p.rfme@ of thc wdt ftr whict lhi! p.mn i!
<br />htu.d (scc 1097, civ. C.).
<br />4IELIC4NI]TDECIAI{III}!
<br />Doolnioh P.mil5-Asb.sr6 Nodficaiion F.d.Bl i.gulations (Tnlc 4q PM 6)
<br />_ RcquiEd Lctra olNotification
<br />_I c.nify lhat th. f.d.ral Egulrtios r.8edi.g abd6 Moval d. iot appli@bl. lo $t pojcct
<br />_ I edfy thar I havc rcad lllis ap9licaton ed sbr. dd thc lbov. infomalim is cmt I as@ !o mply wi6 all Ciry &d Couty(diia6 ed stat. trs Eldiis lo hildin8 cmrucdoi. &d h6.b, .udidia rcarBdtativ6 of this City 6d coury ro arci opoi fi.
<br />.bov. mdrid.n prcpdt, for i.sFdion purrB6
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Er\F||1r;IJ
<br />Rough EtrDNI NI !t4
<br />Service Meter
<br />FINAL SAI tc 8-43. 290. a 56,667
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />SOI,5Ef,S.COIdIEISAIIQNDTCI,AaAIIQN
<br />I h4h, rmm urdd padty of Fjury m. of th. follwing deldidsl
<br />_l havc ed will mainhin ! Cdifiqrc of ColeI ro SdfltuuE id *dl6' @mpasa!@. a providcd for by Sccrid 3700 oa thc
<br />l:bo Cod.. for lh. FrfolrMe ot lh. wori ftr which rh. p.mil k isu.d.
<br />_l h8c ud willruinr.h wala' cmFBa.joi iaume,6 Equi.cd by Sotio.l?00 ol$.labtr Cod., fd rnc Fdmuc. of lh.
<br />wort ln which tti! Fnir is is5u.d My wo.t6' cmpoa.ri@ isuDe trid ad polty nmbq e.
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