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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDIIR I}Et,(AR 'NON <br />I h.rcby amm undd poah, ol pdj'rry lhal I an cr€,rpl nom lhc Conlr.croE l-i..@ La* aor rh. lollowinS tm. (S{.?oll.5 <br />Busin6s and ltotGion C.d.): ny Ciry or Counry \hi.h rcqunG r pdnrir ro .oBrtud. ak6. improve d.molish or r.!€t any <br />slrudue Fior ro ils L$ue.c. also requtB rhc <br />'l)pli..d for sNh Fnnir to fil€ a siSncd slalenol lhal he or shc L{ licdr.d pN l <br />lo rne provisions ofrh. Cotuactois l-iccnsd tlw (Chaprr I, Comm.ncins Nnh Serion 7000 ol Division I olthe BusinN md <br />Prefsions Codc) or lfiar h. or sht is .xeopl rhr.fron sod rhc bair lor rhe tllcued .tmprion Any riolalio. ot Sdion 70ll 5 by aoy <br />applicadloiaI.misubjralhe.pplicantloacivilp..ahyolnor'nor€rh.nfivcnun&eddouas($500) <br />l, d orw ol lh€ AoFly, or mt .mdoyc $irh *ag6 as rhet $L comp€.srion. will do rhe wort a'd lh. slrlrl@ 6 rcr <br />inrdxjdl or oftd.n for sl. (Se.7044. Susins ond ProfsioN Codc Tnc Contraclois l-ic6s La* do6 nol apply h m osn6 of <br />rhcprep€ny who build! or in+rov6 rht6n. dd wto do6 $ch *r* hnns.lfor hEcllor rhrolgh his or h6 osrcdploys, <br />provid.n Ind such improvmrs e @r inlq)d.d or oftoql for el. I I ho\va 6. rtu llildins o. impmrans is sld wnhin on. )@ <br />ofconplaion. rh. (\,nd Auikls sill hoE lhc hs&r otFovins lhal hc or $c did 6r huild or inyro!. U. Fopdy aor lh. srpos of <br />l. 6 o$ nd oflhc propsl]. aln cxclusn cly conrracrios tr nh licms.n c.niracr66 ro codrud rhc pbjd (Sd 70i4. Acins <br />a l hnfsion Cod.: Th. cont..ttr's Licmse Laq do* nor .rply b an oNn( o l prop.ny { ho builds or improv6 rh.rmn. <br />and $ho colnnds for such I'ojsls rsrh a Conr6do(!) li.osed puhudr b lh.Contrdois LiccBe t w) <br />I er ere'npr und6 S4rio. <br />!oB[r,alco!t!E!t4!!9x <br />UE:LANAIIAN <br />I h6eby a,Irm undcr D€nahyofpsjuryon.orthc rolio*ins deldalions <br />I iavc ddvillmai rin a C.nificat. of Cons&r ro s.li-lBur. for lrortm' comp€Ntion. 5 Eovid€d for by Seion I700 ollh€ <br />t bor Cod.. for the psiome.c o I th. *ort lor which th. pmil is is$Gn <br />fha\e,nd Nllma,nra,n Norl6' ronip.ri, Fn rnsur,nce, d rcqrncd by s(tiod 1700 oflh€ Labor Codc. for thc pslomdcc of <br />{ert4 .f,:*-'eis md policy numbq e: <br />\--*t"lz- <br />,4,i"o, *0"., *r**-. -,.-". <br />(,-.*,t 4zr 4. <br />U <br />I.eniiyrhat in rfi€ t)€aturMnce ol lhc Nork lir rhich lhis pstr!' is Fsu.d, <br />$ d <br />'o <br />b&omc suhja' ro rh. so*d' s'np6s.l ion latr s .f ('slifomia. ud a8r that il I should b..one subjd lo lhc <br />sorkds.omptrarionprovisiomoasdion1700oflhcl-iborCodc,Ishall.fonhsirhconplywithrhospovisioN <br />WARNINO: lflilure lo su. rvo 6' Nmp@rn'i co!@!c i3 unla*aul. Md shall subje.l m mployd lo Fiminrl pqutiG ud <br />civil fin6 up to onc hundr.d lhouand doll6 {$100.00$)- in.ddiion ro rhe.oe compeNlion. damaB6 s prolidcd tor thc <br />Sdin 1076 ollhe tntnr Cod€. rnlq6rdndal <br />z^.", <br />l)t ( I \R\rx)\ <br />I hd.by amfln unda p.f,ahy o f pdjory lhal I licmsn trndcr rrorisio! ofChaprr9lcohmdcing \irhs(lidn 7000) ofonision 1 <br />ol thc Rusind and Prel6siocCodc, &d fry lica* is i. au ll aor.. dd cll{r. <br />i"..",..," -E("""'y'. '' \X <br />isq'.J ls.c 1r)1rr. ( iv { ) <br />Artuc4Nlu!ic!4841!Ar <br />I hsehy amm undcr pmahyolpsjury onc oflhc lolbwins ddldalions: <br />DeDolitioo PdDirs'Asb6ros Nolilicarion l.dcral Rcrnlarions('rirle40, Pan6) <br />R<uned Lctlcr of Norifi carnrn <br />- - I .drii lhal rhc r.nqal csulalioB rcs&di.g ab6rG .mold d. mr applic.bl. to lnis pojd. <br />r(cd r ly thoi I ha\. uJ rhis spp,icauon m.l (are rhd fi. rbovc inlomalion t cotr.cl t alrd ro conpty wilh all C y dd counry <br />ordinancE rnd Sr.!c ti\sEhrins ro burldintsconsrudnn. d hdcbyadhornr rer.slaiv6ofrhi.Cny ud Counltto mra uFJnfi. <br />}IY <br />plicrnt or Ag.nl Signaloru: <br />ei ^;c [\ <br />t/r{r.- <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 t. ,l-lr a <br />Bonding / Grounding / UFER ul7/ra/a lhh4tu(16/ <br />Transformers <br />Torqueing <br />Sub-Panels /_ <br />Air Conditioners I r l. <br />Roof Top Equipmentlril lr tqfr/ "Wl llillfru 7W <br />Factory Wired Unit / - <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rouqh <br />Service lrrleter <br />\ <br />- l..rL^", <br />FINAL nry//v"UiAill.I/w60 ) <br />Notes, Remarks, Etc. <br />lo st37.(