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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.OMctsBuild.t Declatio.
<br />I h6.by aflim udd !.ftlt, of pdjlry Lhel i m ddpr tffi rhc cd$&ldr' Lic4c Lrv for th. follo*ins rcaoi Gcc.7ol I 5 BainB!
<br />ad ?rcf8id Codc) Ary City d C.uly whth Equid . p.hit io @Btruct, alt.r, inp@!c, donolish or laat &y stur@i Ftr ro iB
<br />isruoc., dro rcquir6 rhc appliMr lor suct pm ro 6lc a lisr.i !l!h61 thal hc or sh€ h licc*.d p6udr 10 th. Fovisioni of fi.
<br />Conreo.! Uc.@d L5w (Ch.prs 9, Clm6dn8 *ilh Sccrjon 7000 of Divtid 3 of thc BBin6s &d Prof@ios Cod.) tr $a h. d
<br />rh. ir dop| rh6ct6 ed ln. ba! fa $c .llc8.d cxmpdo Ary violatid of Sctio ?01 I J by oy applicmr for ! p.mit subjds lh.
<br />opplicdt to a ciyil p.tu]ry of nol htr the livc hm&cd dolld (3500).
<br />_1, a omd of th. prop..ty, or my np,oy.6 wirh wae6 a rh.t tol. cmp..3dis, will rio !h. *ork sd lh. sdd@ t nor iht4dcd
<br />or otrd.d fo s.l. ( Se ?044, 86i.6 6d Prof6rioos Codc Tn. Co!&ro.r Lic6!. !3p docs .ot apply ro b owns or rh. propcny
<br />*ho buil& or improvd $c1@, ed who d..s !@h uork hjtuclf or hd.ll d firolgh hir d hcr o*n .dployc6! provid.d that such
<br />iBprovoaL e nd i.lad.d q olI.Ed for sd. lf, tow.r-, U. buildi.E d ituprovoar is told eidin on. yd of compl.rid, d.
<br />Owns-Build.. will h.v. tn. bud{ ol provioS rhlr hc d shc nol build o ioprovc for th. purpd. oa sr.)
<br />_L a oma ot $c ptopcity, m sclaiv.l, @nE&titrs with li6id c6Ea.1oB ro conshd rh. proj€! ( S(. 7044, BBin6s 4d
<br />Proa6io. Co<L Th. Con[o.rols Licle Llw <bd nor rpply 10 d offi6 ofpiopdty who builds o inprovcs $@on , od who
<br />@.re$ rtr sucn prcj.G with r Cmn&b(, liaicd pl4uar to U. Coitebrs Lic.ie Lav )
<br />_l m.xmpt udd S.cion
<br />IAAtrEE'.qAIEINIAIIANDECIA8AIIIN
<br />I hq.by afiim udr pc.alry of p.rjury onc ol dE folloqiis d.cl@riotu
<br />_I h!v. sd will m.irr.i. . CEdliorc ot Cd6r ro S.lf-IBW ln w6t6' @l,..3odon, a providcd for b, Scrion 3700 of6.
<br />Lo99e/4. fd 'i. p.rfolfu@ of fic vdl f6 qh,cn d,. p.mir is i5!urd.
<br />4hd. bd-illrondn **L6 cmparim iNl@cq s rcquiEd by 56r@ lToo 016. Lsbo. Cod., tor $. p.rfmc. of rh.
<br />*dk for qhich thii p.mn ir i!!utd. My work6' coDpcdltio. ituu.ecc c6in ed policy .wb.r d.
<br />c**'3-t7t-2' tz..,.z:D
<br />Policy N6b6 I ExriB
<br />(Ttis scdio n..d .or b. cmddd if lh. p@n ! for Ooc h'j.drcd dou6 {t roo ) or 1.$)
<br />I_l ccnjfy r'd io lhc pqfo.fua of rhc vql( fc vnich lht hmn k isu.d.l shall nd mploy My p.Ron in My mdn.r so 6lo
<br />b..M. subjd ro tnc woltd cdF,!ad6 laqt orcdirmj\ sd .8E. th, irl rnould b...m. bj.d lo rh. *od..R'
<br />.mFBni@ proisim of Scction l?00 of drc kbor Co<L, I shd l, fonlwith 6nply wilh tnct{ovh,oB
<br />\Sr-' ;/{L-',^
<br />WARNTNG: Failurc ro seuE qortd' compdssio. covchg. ir unla*tuI, udrhall rubj.cre mploycr ro ciminsl !.n!ltismdcivil
<br />fin6 up to @c hudr.d lllocud dou6 ($100,000),in ..ldjtion to th. 6r of dpdarion, dm.g6 6 provid.d fd rh. Scdion 3076 of
<br />$. kbd Cod., i.tcr d.l .ri@?'r 4.6
<br />IJCTNSTNCONTRACIORS hECI AITATION
<br />I hd.by afnD @da paal9 of p.rjury $.1 I 6 li@cd D&r Fovilid of Cha$d 9 (.ffidcins *nh Sedd ?000) of Diahi@ 3 of
<br />$c B6ii6! 4d Ptufasi@ Cod., sd ny lic6r. i! in tull foe &d.ffcr
<br />CONSTRUCTION I EADNG AoENCY
<br />I tocby .ffim wd6 paalry ofp6ju.y $ Ltrdt..oBtrucrjo l.ndins ra6cy rd tn. pcrfm.! of rh. wdt f6 which rhis pmir ig
<br />i$ucd (Se, 309?, Civ. C)
<br />AI4Lrc3NI]TDEqJAAI,ION
<br />Dmolilion P.mits-As66r6 Notificaioi Fcdoal Rc8llatiois (Tnk 40, Pan 6)
<br />R.luircd L.nd of Notifi cadon
<br />_l c.niry d.t d. r.deGl c8ulati ! rcsddirs ahsr6 Moval d. nor applicabl. ro r.his prcj*r.
<br />,a{diry 0ld't*. rcan $is spptidid sd i@ lha th. .b6!. inr@.rim is c6.ct I .er.. (o @mdy pirh all City ed Couty
<br />ordi.m.6 md Slar. te3 rclating ro building con.hction, dd ha.by au6oriz. Epr.sdbrive ofrhis Ciry ed Counry ro aEr upo. $c
<br />abovr m.ntio..d prop.iy fot
<br />-S v.-
<br />Pmin.c nm. (!n )
<br />2
<br />Site-Work
<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 />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 (E L'
<br />Rough FFtl r I tnto
<br />Service Meter
<br />FINAL SAMC 8.43, 2I r0, 556, 667
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />Pole Bases -------T------
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