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ELECTRICAL-INSPECTOR RECORD
<br />DATE tD/srG.COMMENTS Om6-Build.r D.cl@tio
<br />I hd€by amm undq pa.lt, oa pdjury th.r I ffi .xoF f@ th. Csincld Limsc Llw lor tlc follo*ing @on (s6.?03 1 5 Bsin6
<br />&d P.of6i@ Codc) A.y Ciry d C@ty which Equir6 a p.mn ro consEuct, allf. ihprovc, dftoliih d rcpdr ay is!cl@. Fjor lo ils
<br />issu&c.. also r.qni6 (n. rpplidl fd sucn p.mn b fiI. a siSn€d stardat thd h. d shc b licdcd puuud ro rhc Fovirio6 ol thc
<br />conr@ror's Lic6s.d L!* (ch!flr9, Cmnmcing wil]l Sddo 7000 ofDivision 3 of$. B6in6s ud ProfdiN cod.) m0' hc*
<br />shc is lxmPl 6*fi@ ed thc bsis ftr lh. all.g.d .xmption Atr, riolatid of S.crio 7031 5 by -y .ppltmt aor . p.mn subjccls $.
<br />aprlidr to a civilpd.lry of .or mr. th fiv. tundrcd dones (1500)
<br />I, s ovnd of rhc Fopcrly, or my cmployes silt was.s 6 tict solc @mpasarion, *ill d. th. work Md lh. stucru. t nor intcndcd
<br />oi ofid.d f6 sal. ( S.c 7044. Bain6 ed P.of6iffi Codc Tt. Cel@o, s Lic.e l-aw dc nor ,pply lo u owr.r of lh. p,op.dy
<br />who build! or improvg $.ron, ed who dod swh work him.lf or hddr or dircugh his or h.r dn ddoy.6 provid.d ttar such
<br />inprovdo|s e no( int nd.d o. of.rcd for sal. Ia, how.vd, $. buildirs or ihprcvhdt is sold eidin onc y6 of coopld'd, lhc
<br />Ownc-Buildr vill hay. $c b6do of p@eing |llar hc d sh. not build or improv. lor lh. purposc of sale)
<br />_I, a om6 oa d. proF ty, m .xcl6iv.ly cohtuting wid licascd @nEactoc to c@ rucl lncprcj€l( S* 704a, BGin6sdd
<br />Profssion Cod.: Thc CMlleldt Liccrs€ Llw do.s nol opply to e oM6 ofpropdty Nho buil& or impror6 lh.en , ed who
<br />cmtr&ls for such prcj.ds wnh , Corrturo{o li6s.d plNal to rhc C@r&ror. 5 Licdi. kw )
<br />I m.xcmpt undc' Sc.td.
<br />WORKERS COMPENSATION DECLARATIOII
<br />I h.rcby amm undc, poalty ol pdjury ooc oa thc aollo*i.g d@ldtions:
<br />I havc ed will 6.inliin a Ccnifioi. of Cms.nt ro S.lflnsurc for worlcE' conpcnsaiol 6 provid.d for by S*lion ]?00 of rh.
<br />kbor Codc, aor lh€ p.rf(mde of thc work for which lhc pc ilisi$ucd
<br />_l h.v. &d will mai.rain work6 6mposati.n itruruc., s rcqutcd by S.clion 1700 of thc Labor Codc, for $c p.rfome@ ofdr.
<br />work fd vhich rhh p.mn h isu.d My wdt.u conFnsrion insuac. 6i6 ed policy nunb.r e:
<br />(This 3.crion n..d.d bc 6mpl.t d ifrh.Fmitis for On. hundr.d doll6 lllo0)orls)
<br />_l Enify thar in lhc pcforrmcc of lnc *ork fs which lhis p6rn is issu.d, l ihall nor rmploy my p4on in dy ndnq so s to
<br />bffic subj.cl lo th. *odc6 ' cmp.nsaiio IM of Cllifomi4 ud ase $at il I shouid bccom. subjcct to lhc wdk6s
<br />cmp€nsalion Fovhioni of S*lio. 1700 of ll)c Labor Cod., I shall, fonnwnh comply *nh rh6. pdirions
<br />o*" 4-z?/2,/ eppr"-,, JZ-t
<br />WAANING Failu. to s.cur. wort.E' omp.nsarion covd.g. is unla*a!|. &d shall subjcct u cmployd lo crinioal p.nalriB dd q vil
<br />fii6 !p ro oi. hundr.d Uoamd doll6 (l 100,000),in addition to th. cr of 6mp.rsali.., d,mag6 6 prcvid.d for lh. S@tion 30?6 of
<br />$. kbm Codc, intcrd ed .ttoBcyt f6
<br />IICEISELEONIAAEIASIDECLABAITON
<br />I h.eby aflim udd p.nrlry olpqjory tnal I m lic.i*d uido prcvtion ofCnapu 9 (6mm.rcin8 *nh S.clion 7000) olDivision 3 oa
<br />$. BNin6s dd Profdiqs Cod., dd my licds. iB in full forcc ed ctf.cl
<br />COIiIBUCUON-LENDACAEINC.Y
<br />I h@by lffim udn p..alty of Fjlry $at d@ is a coisru.rion lddiiS lgacy lo $c pafmacc of tlE wdk ls which rhi3 ,.mit is
<br />islcd (se. 1097, civ c )
<br />AIIUCA!.ISSECIABAIION
<br />D.oolirion PmiB,Aibelrd No ficdi@ Fcd.ral R.8!l.rions (Tirlc 40, Pdr 6)
<br />_ R.quircd Lcttcr of Notificalio
<br />_l ertly lhal lhc fcddal rqulalions rcsd.din8 6b6bs r.moval arc nor applicablc lo thn prcjst
<br />_ I..'iay 6atl hav. r.rd rht appliMtio md i6t rhai rh.,bov. inao@tio. is.on.cl I.gEc ro comply wnh allCityedC@n9
<br />ordin c6 trd Stal. Laws r.lalinS to building construclion, ed hdby authonu rcp.66raIiv6 oflhis City md Counry to dLr upon rlE
<br />aborc m.nlion.d prop.ny for iflsp.crid purpos
<br />"". .1-
<br />2r,,a,/ -- ,-/.,_-/b
<br />{
<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 />EXtrtt{El )
<br />Rough
<br />Service Meter rED U | '-i I iJ
<br />FINAL SAi lC 8-43, 290, 5 5e Fc7
<br />Notes, Remarks, Etc.
<br />APPROVALS
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