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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG. <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Vo <br />Fire Alarm / Dampers <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquin <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rou h <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rou h <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc <br />oma-BuildaD.clE lioh <br />I h4by.fiim udd Fn.lry ofpajury dar I m.xmF fm.h. ConhctoE' Lic.ns. La* for rhc rolloving r.so (3.c 7031 5 BsirBj <br />d Prof6ion Code) Any City or Cou.ty which EquirB r Fmit io conntuci. alta, imp.ovc, doolist or rcpat ey 5hdurq prid to ili <br />is@cq ollo r.qui6 rhc rppli@r for ruch Fm io fil. a sign.d st.rchdr th.r hc or sh. is lic.ns..l ps!{r ro rh. Fovisioni of th. <br />Cortutor's Ltos.d L.w (Chaptd 9, Cmm.nciDg vnh S.ction ?0o0 ofDivirion 3 of$. aNi.6 dd ProfBrions Cod.) or rh t.d <br />sh. is dmp. rhdcfrom d ln. bair ad rl'. ilh8.d cxcmptoi Any violation or Scclion 703I 5 by uy appliEt ior ! pcmn lubjel' rhc <br />appli@t to a civil Foahy of nor mrc thd fiec hlndr.d dollm (5500). <br />_1,6 own6 of lh. Fop.ny, or hy .mploy6 eith wag6 s rh.i. sl. .mp.n!dion. *ill do lh. worl Md ih. sltuduc is nor inrdd.d <br />d olt Ed for 6al. ( Se.rO44, Buin6 ed Profcssions Coa. Thc Contturor'! Lictuc L.w do6 nor .pply ro a. own.r of rh. prcp.n, <br />sho builds or iEprov6 thsco. ed who doe ch work hiB.lf or h6.lf or throuEh li! or h* o*n dploycc,!, provi&d rlEr su.h <br />inprovm?oE @ ior in&ndcd or of@d for !al. If, howcva,lh. buildinS or imprcvm.rr is sold wirhin onc ,?cd of @mpl.ron. rh. <br />Owor-Auildd will hav. $. burdd ot provi4 lhal h. s sh. not 6uild or improv. for rhc purporc ol sal.) <br />_I, 6 own.t oiihc pop.irr, m.xcluivcly contelins with lic.nrcd contractoR ro connru.t th. proj.cr ( S.c 7044. BEin6s sd <br />Prcf6io. Codi Th. Contdof. Lic.nsc Law do6 nol apply to d owncr of proprny who builds o. improv4 drce. , dd who <br />coires for slch prcr66 wth r Conr&to(, liccnsd puau&t ro thc ConlBdor's Licds. Law ) <br />_l e .xopr ud6 Sc.ion _.8 & P.C. fq rhis E.s <br />D.t€: Own6 <br />WORKENS COMPENSATION DECLARATION <br />I h.r.by affim u.d.r p.n.lty ofFrjury onc ofrhc lollowinsd.cl&rrions: <br />_l havr ed will uinlii. a C.nifianc of Consc.t 10 S.Il'IB!r. for *ork6' cmp.ns.tioo, 6 providcd ror by Said l70o of lhc <br />Labot Cod., for 1h. Frfo.hecc of lh. work ior ehi.h rhc pcmn is kucd <br />t havc dd vill m.iatain w6t6' com!.nsation insurdc., $ r.qut.d by s.crion 3?00 of rhc L$or Codc, for rh. p.rfm&c. oi rh. <br />work lor which lhii pdnir ii issucd M) wdtcE conpa$tio ihsuru.. ffiir ed policy nunbd rc: <br />bc coopld.d illhc pcmt t forOi.hu rcd donG {lIO0)orlB, <br />Labor Cod., I shall, fonhwilh <br />dolls (3100,000),ii addnion <br />nrtcrcsr ad.romcyk f..s <br />I hscb, aflim 0ndsp..ahy of p.rjury $ar I m licmscd unda provisim ofCnrprd 9 wilh S <br />thcBusi..$ dd Prof6si6n. Codc Md i! in aull fore ud cffet <br />Lic.ns.Numb.r <br />tor lh. pcrfmanc. oathc work fd *hich rhi. pcmit is <br />civ C) <br />A'PLICANT'S DECLARATION <br />D€molirion P@it5'A5b6bs Notifi.atior F..lc6l R.gol.rioni (TtlG,l0, P.n 5) <br />_ R.quiEd Lcn., olNoifialid <br />thc fcd.rll r.gulalions r.grdirg 6b6l6 rcmo{al u. nol <br />I havc rad fin application and suic $ar lhc <br />ordinecG bd Stat Lrwi r.ldine ro buildins @nshcti6, <br />abov. m.ntioncd prop.dy for intpcclio. plrpc67 <br />GOMMENTS <br />Communications Cable <br />Building <br />Sub-Panels <br />EXPr EIETT <br />FE8 O I 20t9 <br />t ]