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ELECTRICAL.INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER AUILDER DI]I-CAI'ATION
<br />I tErcby afrnr u .r lEnalry ol p.rjury ll,!r I m.x.n,pl ttumrlk Coni roG Lic.M Lzw rd th. followine E.en lsdroll.J
<br />Uusinc$ ud Itollsshn Codc): Any Cir, or Coumy which tuluircs a Firrir h connru.r, 01t6. imtrovc. dcmlisi or rprn my
<br />iddur, pior h k nsoan.., rl$ rqriEs rh. lnplicdl for su.h Fmnl t' lik . sj8rEd sr.roEnr ihd lE or she ii li€red Pur$anr
<br />ro rh. pmvisions olrr (tnrrrcror's l,iccDscd u* (Ch,pr.r L ComhcrcinS qnh Scdion 70m d Divjsion :l olric Itusinc$ ani
<br />Prolussi,nBCod.)or6 lE or d* i* exc ,pr rludro d tlD bdn for r)E ollq.d .x.nprinr .^ry vtol.rrouofSdrion 701l.t byai,
<br />lpplicrnr nr r p.nnir rubjarsrh. +plictrntro i.nil!.hhyoImr rmr.rhrn five hun'Jr.d dollrrs (S5u)).
<br />L a\ o*nc. olrlf noFnv, or ryc'nployccs wirh wa!.s as thcn $h.nqf,ns.rion, qnl d. rh. w..t.nd rr \luruc ( d
<br />i' .ftLd or oll.r.J nn !'k 1se.7ttl4. Bu\in.sntrd PNrc\iotr\ Cdl.: Dr CouB.rr'r La.ne tru tlrs nor rpply ro an owrr of
<br />rlE I'n'|tdy who buil& u inronRs rht.dn\ und *lD do.s such ,o l,imsrlf or lEh.lf or rlmr8h his {r hu uPtr .nDlt'yte*.
<br />providcd rlmr slch impoeEss dc mr i cnd.d n! ollcNl lin slc Il h.*w. llt buiknU or Lr+llovorcd n eb rnhin on. rr
<br />of conrpLrhn. rlE o,rcr llu der eill lsE (h. hxr,l.n ol p$vi',s rhr tE G dr. dil m( b illl or iwtuE E pmpdry lor fi. pu4ns oi
<br />I. aro*nqoI(he p&tdr. lnr.iclusn.ly.onua.lng *irh li..r*d ontsro^ b lonntud ft. prol..r (s.c. ?ol,l. Bu{a(
<br />atrl PNri:si.! Code, t hc Conrtucttr\ Licen\e Lr, dors tur al)l)ly k, $ o*ner of llfi)l1.dy ulb buJds or inrlrcves rlE eo .
<br />an,l wh. co!trkh rr su.h F,icls virh a cd dcn(! li..trr'l pu& r ro rtE cotuacrols Lictrsc L,*)
<br />I tr ne\.i,ri u]trl. s{Llr
<br />l)31.- OPr
<br />TAAtr!&I-C{IMIENIAITQN
<br />PECLASAI]IIN
<br />I lErcby artum lndcr pcn y ol rsjury onc or rhc lollowinl dtl,ratiotul
<br />_lhav.s *iu
<br />'minrain
<br />a c.niticar.o,con* r, s.ttlmuE for {dlss conp.n*riol !s prcvid.i tor h, Sction 3700 of rlE
<br />kkn Cdq Ior lh. pcrftr'ee oI rlE *olt Ior rhtl (h. p.rmr ir isu.d.
<br />Ihav.mdsillnninran,*o.B.ooD.NarioninsuEk...sEeuiEdbySdionlr00ofr&tibo!Cod..fo,rlEIcrf(fu.of
<br />rhc uorl ln *luth rh+ ncmr n rsucd M, trnrkoaFnlrndion iroffi. crm' !d polry.uDb.r dc'
<br />,*, -{4.r1< {u"n}
<br />I ccnrfynu ir rhc t*rl.r nuNc ,,1 rhc w.rk f,'r !hicI rltrs !crn,ir is irsucd,l rh,ll not.dpk,y atry l)lr&[ n lny n!!nnc!
<br />$ d1(o hcsnr slbl.d b rhc s.k^ cotr!0cns(ion h*\ oI Calitonia. rdn8rccrh( ill shourd bccom suhjcd rorhc
<br />woA.a (DrlEr{ri(r p(^triotrr ofSe.rDn 1700 ot rhe hbor (lotl..I Jull. ronheih conlply wirhrhoe ptuvisiutrs.
<br />WARNTNG: rdilur. h {cu.c "orkF' .onrp€ns(6n cov.r'ec n unh*r!1, $d \h.ll sut!.cr .n olrllloycr ro dimiml p.mhi.s md
<br />civil lnEs uf n, om I'rn']r.d rlnNxnl Jol1x6 (Sl(x).ulU). n, Jddn o b rlE con of lunlt.rMrnn. darBg.s as |()v!l.d ntr th.
<br />s..ri{,n lrr76.l1h.l.rlitrcod. lnu.{rtrd,tr rfr.
<br />?-o A
<br />Ltg$E!-!:0Nr&!.q(a
<br />ulctl-BArIll!
<br />Ih.Eby.frrtrr(,l(tcrD.tukyofErju.yrl{lIan,liu.r!€.1u.rpturisionotClDpidr)(cotrrrNin3rirhS..rio.70,J0)otDi$iotrl
<br />oI rh. Busin.ss Md Pn)r.snnN Cod...rn mylacni. is iD roll rnrr md.llccl
<br />,,**".r*, ' B a,o toS t Q P'1to""'Q/t(/t-r,t !(z-T--T -
<br />c9!fl4lqlroNrBDa!-6cENtx
<br />I h.rcby allim und.r ,cdhy oI p{rjury rhal ltr. i\ a ornto.ri.n Lndin8 agcry tor drc pcrf.rllec of rfi. wolt lt'r whi.h rhis pdmir k
<br />hsu.d (S...1097. Cir. C.)
<br />Ird.r'iNdm.:
<br />]lfrlll NL!rEc!43{M!
<br />I lrchyJnh,und., t^-.nJry oI$'jr) oft olrhc fdn,w'ns dc.ld&Ms:
<br />IXn('k n,n Pu nrh-Asl.{6 N.!li.aro! Iid..rl Rrgulari,)nsGnn to.I'M6)
<br />-Rcqun
<br />d Lrr.r ol Ntt ir,c,ion
<br />_l.cdify rb{ rlr Ldcnlrc!tr1{rion. r8iudins isbcsos r.rmRl{c no( appltrbt ro rnr l.cl
<br />I ;r..".".trl'{r I l'Dc rci rhr4,Fl'c r{rtr {dcllrdnr.'hna .rturotr trco'ncr I 4N to (nnnly wil, rll C[y did CDUNy
<br />anJ sralc l-ar: rcltrin! n) l{ild$son{'u.ri.yrlrhrri. rctrcscnta(ivc\ olrh( Cirv rnd c.rn(y k' .md ut,ndr
<br />aln)yc iEtr(ion.d norcnl to ir\f..ridr pu$)i.s
<br />Y. LA,/i "' t-/t {/llplicrtrt u' .\srtrr sisurtr'1 >o
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Flo_qr
<br />Bonding / GrfundiDg / UFER
<br />Translormerf Vcl-a Z.z2
<br />Torqueing
<br />Sub-Panels /ozl)2.2?
<br />Air Condilioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />firleter Release
<br />Rough
<br />Service Meter
<br />FINAL 7/2,/zo y'Zc-r5 zv p4t9 ZJ
<br />Notes, Rpmarks, Etc.
<br />LI 20 It
<br />-:>
<br />L.trJc' s Ad'l'e$'-
<br />lev. 08 tl/ 201
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