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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE rD/srG.COMMENTS O*nd-Buildd D.clsdion <br />I hftby amm unde p.ndty of Fjury rhal I d.xnPl a@ lh. ConlEcloB' Lic*c Law for th. following tao (!(.7Oll 5 Eain6 <br />dd Prcfdsioi Cod.) Any City or County which Equir6 . p.mn to coslruci .hr, impblc, dmolish or r@Bir ey rttuctur., prid !o irg <br />iss!ec., rlso r.qut6 rhc .pplicant for rucl pdf,it lo filc a risncd slardor thar h. or sh. is licard psusr lo $. provili@ of thi <br />Cdtr&td! Li@scd Llw (Ch.pto 9, Comma.ing wnh S.cri@ 7OO0 of Diviiion 3 of lh. Bqins ed Prcf6ion! Cod.) q tnar hc q <br />sh. is .xmpt !ha.f,n qd thc baii f6 $c allcg.d crcnption Any violation oa S.crion 703 I 5 by oy appliar lo r ,.mn rubjcr. i\. <br />applic&i ro . .ivil p.n.lty of not mE lhu fiv. hundr.d dons ($OO). <br />_1. d o*nd or ihc pr.pcriy, or my .mploym wnn w!86 a $.n sol. @mpcn!.tio, sill do thc pork ud $c nrucMc i3 rot inradcd <br />or oft@d ld s.l. ( S.c 7044, Buins ud Prct6io8 Co&: Th. Conmclor'$ u6* L.* d€ nor apply to d ose of $c prop.ny <br />sho builG or imprcvB thr@n, fd who do* such vork hituclf d h6.ll d $rough his or hd Nn cmploy.d, providcd lhal such <br />impbv.hcis e not inbd.d o, offcrcd fo. $lc Ii ho*.!cr, d'. buildi.s or imFotmot is sold within on. y€ of complctio, thc <br />O*n.FBuildq. willhsv. ttu burd.n of povi.8 th&lh.qshc nol build qimprov.16thc purpsc ofsal.) <br />_1, s @na of $. pop.dy, m dclsiv.ly .onr&tin8 ei$ lic4.d coihdoE to cmsi.ad lhl Foj.d ( Se. ,0I4, aaind ed <br />PefBrion Co&r lX. ConE&loC! Li@e tlw do6 .or <br />'9ply <br />io u owrd of propdy who buil& or inp.oB iho@. , ed pho <br />cdtracB io luch prDj6l! wilh a cot@!o(, li6cd pusuet o rh. conftcror'3 Lic.N. Las ) <br />_l m.r.mpt und.. S6tion _,8 & P C ftr this r.eon <br />UOBtrEBS-CAMTENIAIIAN.UICLA84IJ9A <br />I hcrcby affim u.d.r p.nalty of pcdury oi. ofth. follosinS d.cla.tio6: <br />_l hay. md willmaiil.in !CcnilicaicolCo.sr to Scll-lBlrc for*ort6 6mp.nsati@, a providcd td by Sedon 1700 ofrh. <br />L:bor Cod., for lh. pqf(fuc. of $c woJk td which thc p.mn is isucd <br />_l h:vc ud vill mairt h wqt.Bi cMpa$orim iButue, s Equt.d by Scctid 37OO oi thc l,lbd Codc, for th. pafmd@ of lh. <br />wo to! which $t Fnn ii nlucd My *otc6' mpcnsarion iButuc. canq ud policy nunbcr !r.. <br />?olicyNlmbd: I Erpir6: <br />b. cmpl.tcd if tn! pdmn k fo, On. hF&.d dou4 {ll0o) or 16) <br />pcrfom c. of thc wo* fq <br />@mpdsaio. povisions of <br />ddll6 (t100,0m),in iddnion to 6 prcvid.d for thc S.clio 3076 of <br />E L.bor Codc. i.rcr6t sd <br />LICENS DD ('ONTR^CTOIIS D I]CL <br />^fu\TIONt h.rcby afim und.r pcnalty ofpc.jury lhal I m lic.ns.d undd prcvision ofChaptr 9 ( <br />thc Busi.6s d Profdlions is in full forc. ad.fi.cr <br />ury lhrt lhs. is a @nsrnction loding F.rf(mac. oi rh. *orl for *hich tht p€mit it <br />issucd (s4. 1097, civ c.). <br />APPLICANT'S DECLARATION <br />Dcnolnioi Pcmiti'AsbBlos Nodfica on Fcdcral R.8ulations (Titk 40, Pan 6) <br />_ R.qun.d Llndof Notifidion <br />_l ccnify thar $c f!d6l rc8ulatis rgarding 6b6t6 <br />rbov. m.ntion.d prop.ny rq inlFcrion <br /><J <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 />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 r!.x <br />Rough EED I ?nrq <br />Service Meter <br />FINAL SAMC 6-43,290, 556,6(7 <br />Notes, Remarks, Etc.