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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/srG.COMMENTS OsB"BlildlrDela on <br />I hcEb, aftim und.r pcnrlry of p..jury that I M dcmfl fom rhq Conl..croa Licos. Law atr th. aollowinS EaoD G@ 7031 5 Bui.sr <br />Md Prol6ior Cod.): Any City or Coety yhich Eqlirg 0 p.mn to co!r!d. ahd, improvc, dmolth d Ep.n &y ilrelurc, Fior (o iIJ <br />i$udcc, also r.quirB $! .ppli.er ior slch pcmit to !ll. . riE cd st rmar ih.r h. q rhc ii li.6scd puRuxt to 0E Droviriont of $. <br />Cont'elm! Licasd Llw (Ciaprd 9, Cmmncin8 wilh S.crion 7000 oa Division 3 oi lhc BNines ud Prcf6ios Cod.) or th.l hc d <br />!h. ir qopt tha.a@ ud dc b6i, fqlh..U!8.d q.nptioD Any violadonofS.clion703l.J byd, applicet for. p.mn subjcct! rh. <br />rppliotto r civil p.n.lty oa nor m@ 0'e liv. hui&cddolls (t50o) <br />I, a oma of th. DroFrty, or my mployG wnn w.a6 a d.t sol. comp..sdior, will do lh! work Md thc slru.rw it no. inrcnd.d <br />or ofid.d fq s.l. ( S.c.7o44, BBir6t od Prcf.$ions Codcr Thc Contrctd's Li.ase L.q dG n6r .9ply lo e own6 oa lh. prop.ny <br />who buildr or ihprovG lh.rcon, &d who da 3uch work hic.lf or h4df q drcqgh ht q h.r wn mploys. FDvdld $at .uch <br />imprcvd.nt! E. not inLnd.d n o,Iaad for 5alc. It howcvd, $c b ldii8 d improv.nci! t soldwi6i. @. y@ of .ohpldi@.$. <br />ownr-Build.r will hatc !h. bo'd.i of prcvins lhar h. or ihc ior build or improvc fd |nc puaos or salc) <br />_1, c own.rofrh. prcpcrty, m.xclusiv.ly co.r.ciinS with lic.nrcd cmE4roR ro cmnrud th. projat ( 56. 704, B[inq {d <br />Profsion Cod. Tfic Conflclols Licdsr L.w do6 nor apply ro d ovnd of proplt, who builds 6 improv* Od@, , ed *ho <br />conlreB for such poj&E virh 3 Conhclo(d licascd pususr ro lhr Conhcrors Licn5. L.w ) <br />_l m .xcmpt und.r S.ctioi B & PC for lhis rcson <br />IABKE&T-CO!{TENS6IIAd.DECIABAIION <br />I hcrcby atfim und., p.nalty of pcrjury onc of th. aollovinS d.clrlrions: <br />I hav. ed willm.i.r.ii !C..tifidc ofConsc ro SclflnsuE for*ork6r @mpqrs.tion, s p,ovidcd tdby S@dor 1700 of$. <br />Labor Cod., for dE Frfm@ of thc wd* fswhich th. Fmt ir iau.d <br />_t hav. od wiu mlint.in wo*6' comFns.tion iilumcc, a Eguircd by S.crid 1700 ol $c t2bor Codc, for $c pafm&cc of $c <br />wdt ior which this pdrn ii isu.d. My *ortm' cdp.tu [on in3!rd@ @ia &d policy numb.r e: <br />PolicyNumb.r' Exptcs <br />(This s.ction nccd no! b. conplctcd if 6c pcmrr is for Onc hun.t d dollm Itl00l or 16!) <br />#:$::i. rh. pafomxc. of 6. *or! fq wbich <br />Labd Cod., I shall, tonhwilh <br />work6' @mp6,arion covd!8c <br />inr.r4l Md..bh.y's f.€. <br />I h.rcby amm und.r po.lry of rc! ury $at I o lic4.d urd6 povisid of Chaptd 9 ( <br />ofp.rllry thd rhdc i5 a consuv.tid ld olrhc w6k for which 6t p.mii ir <br />lo9'7, civ <br />APPLICANT'S I}ECLATIAT'ION <br />Doolnion P.mi6-Aib6t6 Notificatoi F.dcral Rcgul ions (TnL 40, Pln6) <br />_ Rcqut.d Lcrcr of Noification <br />I (gDf${ rh. f.!.ral,.sulanoni rcsud,ng <br />,z l cotry $ar I h.v. r.d rh,s .rpl'a'on Md a8r.. ro comply widr lllCiry <br />ordindcB ad Sratc Lavs lclariag 1o buildiDg <br />dbovc mcntioncd prop.ny ftr insp.ctio. <br />va oithis City ud Coo <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 />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Sub-Panels <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 NEFt <br />Rough EEP -I 2019 <br />Service Meter <br />FINAL SAMC B-43'zyu, foo, oc <br />Notes, Remarks, Etc. <br />Communications Cable <br />Air Conditioners <br />Darc Owncr: <br />L.rda rAdd6s <br />f T - <br />t ---T---- <br />I <br />I