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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG COMMENTS Owna.Build.r D4lBtio
<br />I h.r.by attm und.r p.nalry of p.rlury th{ I M .x.mpl fm rhc Conr.doB Lic.ns. La,ldthc followinBr.soD (3- 7031.5 Busirsr
<br />aid Prcf.$ioh Codc): Any City or Comty which equid a pcftir ro construcl, ah.r, improv., d6oli5h d Elrn oy srructurc. prid ro ib
<br />issuacc, also rcqutBlh. +plicd forsuch p.mn ro fiI.. si8n.d slatn.nl lhat hc or sh. ie liccnscd puRqt to th. prcvkids oilh. .Contrtor'r Licm*d Llw (Chag.r 9. Coofrocins wnh S.dior 7O0O of Division 3 of th. BBin6. dd Prof*ion Cod.) tr rh.t hc o
<br />sn. i! .x@p( lh.r.fm ad dc bais fo $c allcgcd qdption Any violdion oa Sation ?03 L5 by sy lprlicEt for a Fmt lubj.cE rhc
<br />appliol lo !.ivilp.n.lry ofnd moE $d fiv. huodrcd dollm {1500)
<br />_1, d oqd ol lhc ,.oFny, o, my oploycB qnh wa86 d th.n .ok .omp.nstion, will do lh. work ed thc ctructurc ir nor irtcnd.d
<br />or ofled lor sil. ( Sd ,04/r, Buiind! od Profosion! Code TI. Conrdor'r Licm$ La{ d@s nd lpply {o s oMd ol lhc prop.ny
<br />sho buil.h o. improvd d.@n, od*ho do6 such work hims.lfor h6.lf or inrouSh his q hfown cmploycca, providcd $artuch
<br />improvcmcnrs u. lot intcnd.d or offcr.d fd ,a1.. lf, howcv.r, th. building or inprovcmdt is sold sithin onc y.s ofconplcron, fi.
<br />OvnccBuildc! wi,lhav. thc burdcn of provin8 that hc or!h. nol build or ihprov.lqdrc purpo!. ofsdc)
<br />_1, s o*n.r oflnc pmp.ny, h aclBiv.ly @nE&ting wnh Ic.nscd.onr&ro6 to constBct rhc prqer ( Sa. 70,11, Buin.s ud
<br />Profarion Cod.: Th. Cont &ror's L@nsc kv dos nol arply lo & ow.r of propmy who buildr or ihprovB lh@on . {d who
<br />conEacG fo! such prcj.d! wnh a conrr&io(, liensc! puBuot to rhc cdtractor,s Li4nr! l:w )
<br />_l e .x.mpl undcr S.clion _,8 &PC folhi! E&n
<br />D{. o*n.r
<br />WORXTRS COMPENSATION DECLARAAION
<br />I hd.by arfim un.Lr pcnalty of p.qury oDc oa ih. foll@ii8 dccldliont
<br />_l hsv. dd vill m.int in a C?nifist of Consot to Sclf,losurc for work6' @np.nsalio, s prcvidd for by Sation .t?OO oi thc
<br />t$or Cod., fd th. pdfmucc ol th. *ort for which lhr p@il is i$ucd
<br />_l h.vcedwill m.inEi. wdtcR Mpd'ialio. iNufuei 6 rcquircd by Sktion l?0o of$G Lrlor Codc, fdlhc psaooe* ofrh.
<br />work fd whi.n ihis p6mt is i$ucd My vo*6' amFB.ii@ isu@c. 6i., $d policy nuhb.r d
<br />Policy NuDb.r _E\plc
<br />,{,",,^,,"
<br />E-.*br.d.
<br />nor bc cmpl.r.d if th. p.mn i5 to, On. hlnd.cd dotts ll100 ) or t6s)
<br />rh. p.rfomde of rhe pork rd which rhis irmn is isu.d, I
<br />Il'. trorkh cMp.nsuon lsws of Crlfomia Dd agq rhar
<br />'cohpc.sarion provtions oi 700ofrh. Labor Codc, I shall, idlhwirh
<br />-o
<br />WARNtiG Failur. ro iaoE workcB comp.nsdion eov.ragc is e.mploy.r ro Eimin.l Fnlin6 !p !o oi. h{id,!d rhoNud doll4 ($100,000),in .dditja ro
<br />fi. Labd Codc, in!.Gt ud oocr'i f6.
<br />danr86 6 provid.d for thc Scclron 3076 of
<br />I hcr.by rfim uhdo p.irlty of pqjur, th8r I M licas.d undd prcvisio. oi Ch6pr.r 9 (Di
<br />th. Businca ed Prof6ionrCodc, dmy liccns. is i. flll lorcc aid .ifcct
<br />I hcaby aflim undcr pcnllty of pajury th.t $@ i! r consFuctior loding l8aqy fd 6c
<br />hsu.d (Ss. 1097, Civ. C.)
<br />ofthc wort for Phich this pcmit ir
<br />APPLICANT'S DECLAILATION
<br />D.nolilion Pcmils-Astq!6 Nod,lca on Fcddal R.sul4ions (T c .{0, P6n 6)
<br />_ R.qri(d L.nf of Notificlrion
<br />-1""0 rhd $c f.daal rcSularioni rcSarding 6b.ic
<br />rtar I hav. E.d lni5 applicrion ed sr,L tocddy wnh allCity ed County
<br />o.dinoc6 ad Slar. Laws El.ling to buildins ciry sd counry lo ot r uron th.
<br />abovc mcnrioncd prcpdy fo. init clion erD-
<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 />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'll EU
<br />Rough EtrCl n r ,nro
<br />Service Meter
<br />FINAL AMC B-43, 29(r, 556, 667
<br />Notes, Remarks, Etc.
<br />Site-Work
<br />Pole Bases
<br />Under Slab / Floor
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