|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS O'ilNER BUILDtiR DELCAR TION
<br />I n6.by amm !dd6 pfr.lty of pdjury thal I m eicmpt lrom lhc ConlrEclo6 l-i..N bw aor rhc follo$in8 ra$n (S(. 70] L5
<br />Busin6s ard Prolsion Cod.)r Any Ciry or County *hich Equn6 a penit ro consiruc1, alt6, improvc ddolish or ,@.t ey
<br />sttucra., rriotlo ils isum.., al$ r cqund ln applicet for such p.mn to fiL a tisncd star@ot rhar h. o. sh. is licscd PBuel
<br />lo rh. pmvisioDs oflhc Contractols Liccnsd Law (Chsp!6 a, commd.ins *irh SdrioD ?000 of Dnision I ofrh€ Busin*i d
<br />PrcfNiors Cod.)orlh6t hc or sh. n €xcmpr lh6c&on ed rh. bd!6 aor rh. all+.d.ronFon tuyvrclariooof56ogT0ll.t by 3ny
<br />applicdt for a pdnir subjdB th. .ppli.anl to a civil pcnahy of nol moE lhe fivc hu.dt.d dollds ($500).
<br />l, 6 os n6 ot lhc Eop.ny. or my cmdor6 s nh was6 s rh.ir $1. comp€Nl ion. will do lhe sort a.d lhc srure 6 ,or
<br />idoded or olI6€d lo elc (56 7044, uusins dd Prcfsios codq Tnc Coll8lois Licmc l,aw do6 nor apdy ro M oMd of
<br />rh. p$pdiy who hril& or impovBlhe@r md vho do6 su.h MrI hims.llor hdelio! thrcush his or h6 own cn'ploy.l',
<br />provid.d lnd sucn imptuven nts 6. not inlqrdel or ofised iir s.l. lf, howd6. fi. btrildins or improv.fttt is $ld vilhin 6t ya
<br />ofcooplelion. rhc (rnd Bui1d6 will haw thc bu,{tn olpming lhd hc or shc dA nor build or in'p.!v. tn FrFdty for lh€ purposof
<br />l. d oMrof rhc Fopsly, ncxclusivcly.onadinB $ith lic6s.d contracloE to coNrnlcI rhc pold (S( 7044. asms
<br />ed Aolbsion codc Th. Contadoas Lic.ns. Law do6 nol apply ro a. ownd of p.opdy who builds ot improv6 lh(str.
<br />ond wto cootrads lor such projcls sith a Conrlacro{, licd*d pusu t to lh.Conractois LicmF lrw)
<br />I un exenpl uad6 Sdion-,B &PC ao. nris r€aon
<br />O*n.r
<br />laatr&Bf^coufErsaroBD[clla^Jlo!
<br />I hcreby amrm undtr peralry ol prjury ooc of rhe rollowinr deldarioB
<br />I havc and will mintain a Ccnifical€ ofco,Mt 10 Sclfjreur. aor wrk€s compffation. 6 prcvid.d lor by Seiion 3700 o ilhc
<br />Labor Codc- lor the dron@cc of thc work aor whi.h rn p6nn is isu.d.
<br />'-r ha!. ed " ill ma,.rrd worl6 corrp.Narion iNuranc€. 6 i.!un.d by Sfttion 1700 of rhc t bor Cod., lor ihc p<fomacc of
<br />rh. $orl tor\tuchihtsFrnn is bq.d. MJ rort6'ompsM'on '6d c.(mn edp.l'c) Ddmbs m.
<br />,*./ 3r)i us,t+11-,Jn\
<br />| )+TCzt ooo z .,,,,"91412p
<br />waRNtNG: Irailur. ro src work€6' compcBalion covqasc is u.laslul ed sh.ll subjd e oployc.lo oininal Fa[i6 d
<br />cilil abcs up to o.. hundrcd thousd dou6 15100.000), in rddnion ro th. cosi of comFNlion, dmscs 6 pturid.! for $c
<br />sari.n 1076.frlr La&x Code inrrst and
<br />I hercby 5fliln undcr poAlry o i p6jry rhar I an lic.isd{nder povision oachapld, (.onmdcios wirh Sdion 7000) olDivisiod l
<br />of th€ Businss dd Pror*io6 Codc, dd my licme ir in lnll lbtc. dd eil€cl
<br />ai",,*,C'n* C/O
<br />",," /1/s /24
<br />qst,/aL
<br />calsrt!,&uatrrrNDtNc-ac.EN.g
<br />I hdcby aJrtrm u.da !.n6lry o f pdjury rh,I thd. is a odlruclior kodiry ssqcy for lhc Ffolr@e oftnc wort tur *hich this pann i,
<br />issucd (56. 1097. Civ. C.).
<br />IindelsAdd6s:
<br />AIETICANI.OECIJAAIIA!
<br />I hdtt'y arm und6 pcnalty of psjury on. of Ihc followins dc ldalioro:
<br />Dcnoliion Pmits-&bdG Notificarion F.d.nl Re8uhioN (Till.40. Ptl6)
<br />R.qun.d ldr6 oaNolific,rioo
<br />I cdily $d ln€ fcdcal re3ulaliom rcssdinr 6b6tos ranoral @ not applicabL to lhis pmjd
<br />. thar rh€ abovc ioaortrrnior is conel. I asra lo onply wnh sll Ciry dd Courl,
<br />rucrion, $d hqcby !urho@. ,.!r6drdiv6 oa this City ed Coutrly lo ql6 upon lh.
<br />prrel
<br />ALV d rrL c/z
<br />/rs /za
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service lrileter I
<br />FINAL -Klztr )/////2.,,2r,
<br />Notes, Remarks, Efc
<br />Rev. 08-07 2015
<br />Transformers
<br />I
<br />-,
<br />.cniry thal in U. ldfomanc of lh. {o.k ior wnicn lhis p<nil is i$ued. I slull nol dploy ey pqeo i. any ndd
<br />$ 6 lo bdom. sbjdl lo ln m*6' comp.salion Lws of Califomir. and .!G thar if I should beom. subjel lo lh€
<br />wolt6s, comp.Nlion prcvnioB ols<lion 1700 ofrh. Labor Codq I slB!. aonhwith comply wilh Iho* ptwBions
<br />*", / /ts/zo
<br />T
<br />I
|