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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS COMMENTS OMa-Build.r Dccld on
<br />I h.Eby amm undd p.ntlly ofpdjury th.l I m .r@p fom th. Cdtur6 Licmrc Lw for rh. follo{in8 EaM (ia.70l I t Bsin.$
<br />and Prcfesion Cod€): Any City or County *hich tquiG c Fmil lo mstrucl, ahd, improvc- dmolish d rcp.ir uy stu<ruE, rid to rlt
<br />issudcc. aho ..qun6 rh. +plicat tor such pffin ro ,llc a si8r.d st.tcrnd rhar hc n rhc t licnlld pusuet to thc provisiors of rhr
<br />Conkador's Li.d@d L:* (ChaFa 9, Comhociog eifi Scctio, 7000 of Division I of $c Buri.$ dd Profc$ions Co.L) or that h. d
<br />sh. ii cx.mg th.rcfom ad tn. bais fo rt. au.8cd cxdprion Any violaiion of S*ton 7O3l , by uy applicet aor . p.mir subjccls rhc
<br />applicst
<br />'o
<br />i civil p.naltyoanol moB thM liv. huid.cd doud (t500)
<br />_1, B o*nd of 1hc prop6ty, or my cnploy6 qidr Nlgcs c th.t ml. cohp.Nalior, will do fi. work sd fi. lruduc is nor in!6dd
<br />or otfn d rd srl. ( S.c 7044, Buine ed Pof@ios Cod. Th. Conr,rlor'r Lids. Lrw .106 n.t .pply ro & owh.r of rlc p,op.ny
<br />who blilds or improvd rh.lM, Md who dG such wdt him.lfor ha.lf or throuSh his d h.. own @ploy.cs, providd th.r srch
<br />ihprcv.mcnB uc not int n.Ld or olr.Ed a- sal.. Il hovdcr. thc bualdins or imprcvd.nr i sold wnhin on. y.d or.Mpl.uon, rhc
<br />O*ro.Builda will hw. th. bud.D of prcvirs that h. or ihc not build or imrrov. ror 6c pulpos. or salc).
<br />_I, q own.r of 6. ,roF.ry, I aclusirly conrcd.r wirh lic.ns.d cmEadoB lo con6tru.t th. projld ( Se. 704a, Bcind ud
<br />Ptufasion Cod.: Th! Conb..loa! Lioo& L.w do6 not agply 10 d own., of propdy wno build5 s improvq rho@. . &d who
<br />.onEactr rd .uch proj4r wirh . coE&ro(, li6&d puBuer ro $c coil6cror.s Lica& kv.)
<br />_l d .rcnpt lndd Scctid _,8 & P C fd rhb .!&..
<br />WORKERS COMPENSATTON DECLARATION
<br />I hocby affim und.r p.nalty oa pdjury oo! of thc foll@ing dcclestioB:
<br />_l hav. ed willmainlain r C.rlifiel? ofconsc.l to SdlJBurc for*dL6 @mposstion,6 provi&d for by S.di@ 37OO of$.
<br />L.bor Codc, lol thc paforfue of $. vort for which lh. pmit ii isru.d.
<br />_l h.vc &d willmiiuin w6kdr cmpcnlation iBqtucc, d r.quiatl by Seti@ 3700 of th. Llbor Cod., for rhc pdr@ eof$c
<br />wod( fd *hici thir Fhit i3 itlu.d My wort@' c@ttuiio iNu c. cdid ud policr iumbs ec:
<br />PolicyNwb.. : Expis
<br />Jddil#ffiffi;
<br />for oi. huidicd dollm {tlo0} o,
<br />vhich rhisi.mn i! n$.d, I
<br />of Cdifnii, and !gr@ lhd i
<br />70o oa th. L.b6 Codc, I 3hrll, roni*irh
<br />Fdturc to saur. workm' cohr..!!rio.e dploy.r lo siminsl paaltie &d civil
<br />1106 !p ro o. hundrld $ocdd doll6 {3100,000),in rddnioo lo $c
<br />th. L.bor Co&, iDr.r61 ud ,lomryt fB,
<br />dmaa6 a provid.d to! th. S.c d 1076 ol
<br />LICENSED CONTRACTORS DECLARATION
<br />I h.r.by amm undd p.nalry of pajury rhlr I m li@cd !id6 prcviiion of Ch.ptcr 9 (
<br />thc Busin6r ed Prof6i@ Cod!, ud my licdic is in full fore Md c,Lci
<br />-o
<br />I h@by afiim uid6 paalry ol pajury dm tha. is r co.rhctid lodj
<br />'s!.d(S.c
<br />1097, Civ. C.).
<br />p.rfmanG of rh. wort fd phich thii pmir ig
<br />AP?LICANTS DECLAIIATION
<br />odolirioi PmilJ-Alb6l6 Notificdion Fcd.r.l R.E!l.ri@s (Tidc.o, Pan 6)
<br />_ R.qut d L.trd of Noific.tid
<br />fl,rhd $c fcd.6l ESularions r.Sarding sbdtos
<br />that I halc dad thir lrplic.rjon d cohply wnh.ll City Md Counry
<br />ordinecd ed Std. tivi !.|.(ng robuildin8 of lht City dd County lo cht r upon rhc
<br />abo!. h.ntioncd prop.ny fd i.rp@ri6
<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 />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 />E.'\T I r\I ',L'
<br />Rough EEANi n{o
<br />Service Meter
<br />FINAL SA \,tc 8-43, 290,556,667
<br />Notes, Remarks, Etc.
<br />DATE tD/stG.
<br />Ldda 3 AddrN
<br />tl
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