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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS own.EBuild.r D.cla,ilion
<br />I hereby rmr und.r peMhy drncruryrhrr I !n,.x.nrpt aorfl lheConridors l,rc.nsetlwfortheaollowrngroson(sec70315Busin6!
<br />and ProfcsionCod.): Any Cily o. County whi€fi rcqun.s. pdmil lo.oBtd.t,.h.r. nnrrov., d.molish or r.rat rny sltucle.. prior lo its
<br />issmncc. 0ko r.qund Ihc ipplicanl aorsu.hp.rmirt. ilc.3isn.d srir.n .r th.r h.6rshc is lr.ns.d ,u6ua rorhcArovisioNofrhc '
<br />contr.tor's Lic.ns.d Law {cltrnror 9. commenc'ns w(h Secr'on ?0o0 afD,v'!'on:l orrh. Bus'n6s rnd Prolrnonr Cod.) or rh.l nc or
<br />nrc is .rcmpl lh.r.from 5nd th. bab lor ih. all.s.d ckmprion AnylioldionorSc.ri.n 7011 5 byany@tlic!.r t6rrp.mn subj..Elt.
<br />,prlic,fl to a civil Fndlry ornol6oelhln li!. hundr.d dollac (S500)
<br />\r4
<br />ll- [.s o* nd or r h. pFpdy. nr my .mploy6 s ir h r 196 13 rh.ir sol. .omp..$r io., q ill do rh. *ort rhd rh. 3rtud(. is not inrsd.d
<br />or olr.r.d for $1.( Se 7oaa. Rulin6s..d P.ol.sonsCod. Th.Conuidofrl,rc.n$l.i*do6norapplvro.nown..olrheprop.n,
<br />Iho huilds or inprovd tho.on. lnd wfio do6 sEh worl hims.lfor h6.lf or lhloush his or h.r own.mploy.e, prclidcd thal such
<br />improv.m.nrs arc nol inl.nd.d orolLr.d lo. s.l. li how.!r, rh.brildin! orinrov.n..r Broldsirhido.. y.aror.oopldion.lh!
<br />owncFBuild.r *illh.v. rh. $rid.. orprovi.s thar t. orrh. nol build.r nnprov. Lr rh. purposc ofs.l.).
<br />_ l..sownqofrlrprop.ny. am .x.lusiv.ly conta.riry wirh li..tr.d .o.tii.roR to ..nItud rh. proi..r ( S...7044. Businr$rnd
<br />Pr.a.sioo Codc:'rh. Co.r,ncloi s L'c€ns.liw does nor ipply ro rn o*no orprorcny who burlds or inrprov€s rhereon, a.d who
<br />conr&r for suchp.or.crs wtrh i c6nri.ro(t I'c.ised puGuanr ro rh€cofu8cro! s t-'..fte Ir* )
<br />? /,91 6
<br />IA!r!8S-@UruNr!-!!)rQ4.! 8r!l]gr
<br />I h0cliy rli' tr d.r lrci.lrv drn.'jry on..f rhc,nl[\\ tr,s dcc irario,s
<br />Ih.r.andwillnrlinr.iniC.nifiorcolCoB.nrtoS.lf-lnsu,eforM.ke^.onD..sar'on,as prov'ded lor hv se.ro.3?00 orrhe
<br />kbor(od.. for rh. p.rlom.n..ofrh.rork forwhichth.p.mn is issu.d
<br />I haveand s,llm.rnli wo.l€.r compeNiron innmnc...s r.autr.d by s..'nn 1700 oarherrborcod.. for rh€ p.raormn.. ofrh.
<br />qorl forwhichlhis p.flrit h issu.i My w6'k.B' .omp.nsrr'on
<br />'nsurrnc.
<br />carq .nd ror'cy numbd ar.
<br />Policy Numb.. Erpn*l
<br />(Thiswrionn..d noth.conpl.t.d ifth. p..,nit k ror on. h!.&cd dollaEltl00) or l.r,
<br />Hi]*.,*.,,*r..,..n(.orrh.workrortrh*hrhip.mirisi!su.d.Ishaln!.mpLyrnyp.Ronin'nym.n.6soaro
<br />b<.n( suhl(r ro rh. srteu 'onpens.rion hq! olCinlorntr..nd rgre rhd rll3hould b..ome subje! ro rh. worl€6'
<br />$mr.nsrr ion prolisi.ns ofs*rion 1700oarhc Lrbor Codc,l eh!U, aontuitn comply *irn rho* p
<br />Da,.'T( a / 6 \pp,i.an, ll.^9r-^
<br />wAR\l\C ra'lur. ro kcur. wo,\.rs corp.Baron cor.ms. rr unkqdftrndshdlllubJ(r dn.mploy.r to crirntuI p.trihie and cn il'
<br />fin6 up lo on.hundrcd thous.nd doll.6(1100.000).inrddilion to lh. cost oa.omp..silio., damae.s c provid.d lor lh. S..rion1076 or
<br />th. tjb.r Cod.. inr.rBt md. orn yi ld
<br />ucEtsElcqNra lIaailEclAa^
<br />I h.r.by amm uDdcr p.nahy orp.rjuq thai I nm ric.m.d und., Fovision olChtrpld I (conrnEnci.s Nith S.clion ?1100)oiDnision:r or
<br />rhc Busin.ss.nd Prol6sions (td., and mr li..ns. i. in rtrlT [or..dnd.ff?.r
<br />CONSTRUCTION LINDTNG ACENCY
<br />Ih6.ny.fiimundcrp.Bhyofpcjuryth.lrhd.irrodr.ri6f,l.ndi.3.e.ncylorth.pnaolm...oalhc*orltorwhichthhpmli.
<br />alsu.d (Se. .1097. Civ C.).
<br />arllJc^Nr.guEe! aarlo!
<br />D.ixnii.n P.mirs sb. os Ndrin.atn,n F.deralRcgulsrions(Ti11.,10. Pan 6)
<br />R.qut d l: .rofNorifi.ari{rn
<br />,l c.nily rfiat rh. fcd.nl r.3ulir ions rc3&din8 Bb6ros rmovrl u. .or rppli.rbl. ro rhis projat
<br />E'l ccniry rrr* I rrarc rcaa ris lpllicaraon lnd sr.t rlur rh..bovc irromrnon I cor.cr. r .src. ro co'nply s'th lll ciry.nd coxnty
<br />ordiMnce.nd Sr6rc ll* r.laring ro buildins coNrru.rion. and kr.by rllhori? r.pr.cnraliv.s ofrhk Ciry and Counly to otd upon thc
<br />rh.v. m.nlion d prop.n' lor ins D.cr ion DUrD.s6
<br />Anp,rctrn,orry.n,si.: - 1L^, a ( 3 I t {
<br />pdnnr(n*n (p.in,), }.or.lq T n arr,,
<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 />Communicalions 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 />[\,4eter Release
<br />Rough
<br />Service lvleter
<br />FINAL 7"22qi hlL{1a)
<br />MjWP51\Permil lfspeclion Fornrs\Electical r.specr'o necord doc 03 3l 06
<br />Notes, Remarks, Etc.
<br />I .nr cr.frpr tridc S..rion
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