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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Own.rBuild.r Ddl@lid <br />I h.r.hy afim urdq Fn.lr, ofFjlry 6ar I ffi cxmF fm th. ConhcloE Li6s L.w lot thc lollowinS r.aon (s.?03L5 Buins <br />and ProfBsioi Cod.): Aiy Cily r Couty whict Equt6 a Fmn lo consFuct, al|6, idpiov.. d.molth or Epan uy s!ad@. Fi* to iE <br />issudcc, .lso r.quis rh. applidt ior such pcdn lo filc i risrcd srat m6r ihat h. or sn. is liccns.d puEudt !o th. Foviriors of rhc <br />Coiradof! Lie.sd Llv (Ch.prd 9, Cmmocin8 with S.clion 7000 oa Division I of $e Burin* dd Pof*iois Codc) or thot h. s <br />shc is d.mpr lh.r.fM ed $c bsis fo rlc allcgcd cxcnprion A.y violalion of s.cdon 7o3l.t by uy appliut for ! pcmn lubjalr Uc <br />applicdt to r civil p.n.lty oand mw th& fivchur&.ddolla (5500) <br />_1, 6 o@a of rhi p.opcny, n my mployc wnn wa86 a thcn sk cohpc"$rion, will do ln€ wort dd lhc sEuclu. is nd intmd.! <br />d offd.d fd salc ( 58.7044, Buif,6 6d Prof4ions C& Tt. Cot i.ror'! Lictrc L., dc nor apply ro e osq of tl'. proF.ty <br />wh6 buildt or imFov6 thftd, od who doe ieh qo.t hiEclfd h6clf or through hir or hd M cmploy!6. rovid.d th.r luch <br />ihprcvm.nts e nor inidd.d or oltcrcd fn 3.lc I( h@.v4, rh. building o imprcvmor t sld *ilhin m.ydor.onplain, rh. <br />Owna-Build.r will hav. lnc burda ol proying lnar h. d rhc rol build o, improv. fd $c purps. of r.10. <br />_1, a ownd olthc pr@dty, o qclaiv.ly connedng {id lic.rs.d @nr.cr@ !o 6sh.t fi. Fmj..1( S.c. ?or4, Bsir6 dd <br />Prcf6sion codq Th. Conntcrorl Lictuc trv d@ .or .pply ro e ownd of prcpaty vho buildr q imprcvB th6.@ , od who <br />coir'd5 for such prcj.c$ sit . Conrdo(, li@.d putrusr ro fi. Conwlor! Li@Nc L:w ) <br />_l m cxcmpl udd s.djon _.8 & P.C. ld rhis ra6 <br />D'r. OM.r <br />UABAEBiCAMIENTAII9IIIECIABdIPN <br />I hd.by a,fim undcr pcnalt, o( p€jury orc of rhc folloeinS d.cl&.tions: <br />_l h.vc ud will m.inlain !Cdrifi€l. olconscnl lo Sclflnsur forsorkcB compas.ti@, a providcd for by Sedon 1700 ofrh. <br />L.bor Cod., fq !h. pc.fro.. of rh. wolt for wl ch th. p.mn b i5sucd. <br />_lhavcbd*illtuintlinp6k6'@mpc.tioi6urdcc,dEqut?dhys.ction3700oith.Laborc{.lc,forth.p.rfmac.ofth. <br />wort lor ehich rhis panir ir i35u.rl My wo*d' cmp.s.ti6 i.rq@cc caid dd pol,cy nuhbq arc: <br />rh. L:btr Cod., I 3hdl, ionhwnn <br />o <br />wo rs comP.n!.rion cov4.8. ii to aiminal p!n.hi6 adcivil <br />,1.6 up ro o.. hun&cd (nosDd dolle (110o,000),in lndnio lo lh.6 providcd for rh. S<tion 1076 of <br />thc Libor Codc, inlcct ed .tton.y! 16 <br />IICETSELCANIAACfOEIPIELABAIIO! <br />I h.r.by aillm undcrpodry ofp€rjury that I d lienscd undcrprcvtion ofChafl.r I ( <br />thc Busin.s ad Prof6ions Co<!., ard ny liccns. i5 in full for€c ud.flcct <br />pqlury rhr( $@ ii . coillrlcdoi lmdiie a8.icy fo.p.rfmaie of rh. wolt for which ihis psnt i! <br />issucd (Scc. 1097, Civ. C) <br />APILICANT'S DECI-ARATION <br />Dcholnioi PcmiE-Asbe16 Nodficatioi Fcldsl RcSuldio (Titlc 10, P.rt 6) <br />_ R.quircd L.rGr of Noli,iqlid <br />tocomply wilL all Ciiy ed Coun <br />ab.v. m.ntiof,.d prop..ty ftr imp6rion <br />I <br />e / <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 />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 />t-".1- rt'::) <br />Rough <br />Service Meter FEB-I 4UIJ <br />e rr.rn 8.43. 2!10. 556, 067 <br />Notes, Remarks, Etc. <br />Sub-Panels <br />FINAL <br />thar in rh. prfomdcc olrhc <br />f------T------ <br />fI <br />-----t---