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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE rD/slG.OMcFBuild.r Dcclaario <br />I haby.ftm urd,Fn.lry oapajury tn l s dmpt fom th. Conl.acro6 LiccNc ti* lorlh. rollosing r.ao. Ge.7031.5 Boin63 <br />dd Prcf6ion Cod?)r any Ciq or County phich rcquird i p.nn ro coi!u*! allq. imprcv.. dmolish or Ep.n ey sh.rud. Fd ro iB <br />ksuucc, !l$ r.qun6 $c lppli@r ftr slch pcmn to fi|. . riFcd rtat lMt ln{ h. or th. i5 li.mscd puEuet to thr proviiioN ol dr. <br />Cofu&bk Licas.d kw (Chaprq 9, C66cncinr wirh S.ction 7000 of Ditirio. I of ln. Bainei dd ProfsiG Cod.) or rhrt hG d <br />th. ir.x.mpt dd.arom d ln. b.sis lrthc all.scd cx.mplio! Any violari@ ol Sccnon 703 1.5 b, dy appli{r lq . pcmn lubjat! ihr <br />apDli@t lo a citil p.nalty of not m@ thu fiv. hlidr.d dolla (IJOO). <br />_1,d owncr olrh. prcpd9, dmy lnploy6 wiin wag6 s thcrr5ol. cmp.nsarion. will do lnc pork d fic slrucur t nor inlod.d <br />or off4d for sdc ( S( ,0!4. Bu!i,6 ud P.ofaiohs Cod. Th. Contnclor's Liffi. Llw d6 nd lpply lo u oq.r of rhc !rop.n, <br />vho builds or inprcve th@on. d vho do6 smh work hitu.lf or h6.lf or orough hi5 or h.r own cmploycc!, povid.d U.r slch <br />improvndB e nor inr.dcd or offdcd fd $1. I( ho*cvd, th. buildinS or ihprovn.ir is sold wirhii oi. y.rof.ohplcrion, rhc <br />Own.FBuilds will havc th. burdh of provins lhst h. or shc nor build or inprovc for lnc purpole ol salc) <br />_1, d oqnrofrhc prop.fty, d cxclGiv.ly conn&dns wirh liccN.d conrracrod to coNttucr rh. Foj.cr ( Se 70aa, Bsinss Md <br />Profssion Code Thc Conltutor's Liccnsc L.w da ror apply io e o-nd ol propsry who buil& or ihprovcs thdcon , ed who <br />conracts for such p'ojcds wnh a coitr&6(, li@scd puBudr to $c cotuacrofs Liccnsc L!* ) <br />_l m cx.mpl undq S.clion _,B & P C. fdlhis r.6on <br />WOR(TRS COMPENSAf ION DECLARATION <br />I h.r.by afim und.r pnalty ofF jury on. oflh. follouing d.cldarions <br />_l havc ed will m.ihEi. . C.ni6c.t ofcons.nr b S.lflnrurq ior wdtcE mp.nssti6, s prcvid.d fo. by Setior 3T0o olrhc <br />Labor co<!c, fd lhc pdfollM@ oll11. vort lor which $c p.mir k isucd. <br />_I havc md will mairt in wmkcB conpasarion iNur cc,a rcqun.d by S.clio.l?00 ofthc L.bor Codc. for$c p.raom&c. of$. <br />work for vhicn fiis pcmir i3 issu.d My *orkd' cmpcrostiq insu.de 6ir dd polic, nunbo e: <br />PolicyNlmba I Expicffi;.ot b. compl.r.d if rh. p.mn i for On. hundr.d dollars 1t l0O) or I <br />rh. pdfoma.. olrh.!. forwhich <br />o.mdoyq to cnmiml !.raldo ed civil <br />dam.a6 s providld iorlh.S.cid 1076ot <br />I-ICE}SED CONTRACI'OIIS DECLARAf IO\ <br />I hacby aailm und.. pmslty of pajury fi.i I u liq.ns.d und.. provision oi Cnap.cr 9 { <br />thc Busin.ss d Profdio.s Codc, od lic.nsc k in full fo@ and .ff@!. <br />L <br />of p.ruly rhal lh6c is a conrhction of$c wsk fo *hich lhir p.mit ii <br />, Civ <br />AIIUCAAI9DEEId.BAIII}X <br />Dcfroltion Pmnr.Asb6los Notitotioi F.d.ral R.gula{on3 (Titl. 40, Pan 6) <br />_ RcquiEd Lcnd of Noallqtid <br />*:"::::J:: <br />?:rd,n .6 dd sd. trv! Ehi <br />I toconply wnh.U City Md Counry <br />of this Ciry ed Colnrr lo ala <br />abov. md.ion.d prcp.ny for inip€rion L- <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 <br />E14 S Inrh <br />Rough <br />Service Meter trER -lmc <br />FINAL <br />Notes, Remarks, Etc.UAMU O.C Ji ZYU; U5O,I'U7 <br />COMMENTS <br />Dar. _Otrn.r <br />Lcndd " AddE$ <br />f------T------ <br />I