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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DER DELCARA'IION <br />I h6cby amm und6 paahy of pcrjury $ar I o d.6pr fom rh. ConlncloE Li.6. Lt* ao. lhc followns rcaon (56.?0l l j5 <br />a$ins ad Prolsion Cod.): a.y City or Counly shich rcqun6 a p6f,n Io mtrntucl. alt6. improv. &solth or rq6r d] <br />srrucluq FEr lo ils irsuec.. also r.quir6 lh. .pglkal for suh paot h lilc 6 sisncd $al@t rhtt lE or 3h. it licm.d pu6udl <br />lo lhc pmvGiom oflh. Corlr&roas Lic.m.d bw (ahaPtd 9. Commcncins shn S*tion 7000 of Division I oflt. Brins and <br />Prci6ions Cod.) orlh,l h.orsn is cxmpl lh6.iiom dd lh. balt for rlE all.scd €rqplion Anyviol.tionofsdion70r1.5bvanv <br />applicd lor . Frmt subjels lhc drplicer lo a cilil p.ntll, of not mor. fie liv. hun&.d doll6 (1500). <br />I. s osns o f rh. FoFny. or my mploy6 wilh {.!B s lhdr $1. .omPds.lrcn. Mll do ih. $ ort dd tfic slnf,i@ b ndt <br />inrai.d or ofid.d for sl. ( Sa ?014. Bcine Md PrcfdioB Cod€: Tn. Codrdoa! Lic.M Llw r,06 rcl tpplv ro M ouo or <br />rh. poFny wh6 b(rl& or inF!€ lhsol\ !.d s ho &6 Mh *od( hims.lf or i<*ll or rhmugh his or n6 otrT cnplov6. <br />providcd lhal such inp'Dvdffi @ rcl inlod.d o, ors.d for e]. l[ howaq. lhc hitlins or inFstrdr ! $E wnhin on. ]a <br />ofonplaiol\ ln olfi6 B{ilk will hrE rh. htr{kr of Foving thi h. or sh. did ml hrild or itrrFovc thc Fopqly 6t th. pu,F.s of <br />l, 6 oMa of th. poFny. d cr.luliv.ly .onLtd ins Nith licascd .onttdos lo codrucl llE projc.l (Sc 7041 S8'n6! <br />d hlkiE Cod.: Th. co.kdors Lic.ns€ Law do6.or apply ro m own( ofpropdry who builds or inprorcs lhdon. <br />and whd ontra<Is f.r such Fojcis with . ConlEclo(s) licos.d poFun io $c Cotua.lois Li.@ l,w). <br />I {n ex.mpr undd Sclioh <br />lroaxE[L(alltrBs r]ar <br />Ir&cr.aS rlor <br />I h.rcby lmrm undd paialry oapojury onc oalh. lollosins d(lMl io6: <br />I havc od will mainlE. . Cdiar.d. of CoMl b S.l!l6uE fo, *oil6' compssdion. d Fovid.{ aor bv 56l ion I700 of rh. <br />Ilbor Codc. for lh. Ffolfuc. of lh. mrt for *hicn th. panit ir issu.d <br />- I harc and { ill mairtain worts compcNtDn i$urtn... s r.qun€d by SElion 1700 of lh. hbor Codc. for lh. ldfomanc. of <br />rhc Borl hr whth fiis p.mit is issucd. My wo'l6 conF$li)n imursc. cuid and rolty 6umbd ecl <br />.--- 41pr.,t 1.r L4 <br />,rnrr-,*,- tA o4y'90ito.4-e"pi,-, [- t- \9 <br />l.diay$ar i. th. pdlorMcc ofrh. *ork fo. *hichlhis pc.mit is su.d, I shnu nor cmploy any p.Bon in onv msns <br />e s k, b.com subjst ro rh. \o 6l comr,gMlion llstoacaliLmid. dnd asE rlul ial shorld bdom. subj{t ro rh. <br />rork6' .odFsr io. prcvtions ol S.cl,on l! TO0 ol rh. tibot codc l sn lL lonhwnh conplt with lhos pmvrioB.. <br />W RNINCT FEilur. lo $uc trorkm' comFNlion s\@sc is !nl,$ful. od shau subj<l & cnPhvd lo odinal Fuhi6 md <br />civil fincs u! to o@ hundrdl rhoGand dollas ($100,000). in orcomr*nsrion, d.nr.!cs as nn)vidcd lor rlE <br />S{tn'n 1076 orrhc Liboi Cod.. inlsd dd altom.ri lG <br />{r-1'l-\1 <br />DPCIAAAIIAN <br />I h@by afrm undd p.n lly ol pdjury lh, I m [cat d undd Fovirioi otchrptd 9 Gommocins * irh Scl6n ?000) of Divi.i6. ] <br />ol th. B6inB ed Pmf6io6 Cod., ad dy lic@ i! in full forc. $d.lTdl. <br />06-11-\-. .* <br />111tr'o <br />."",..d <br />CONSTRUCTION LENDIN(: A(:ENCY <br />I h@by aiI.m undo lcnalry o a pdjury Ihar lh6. 6 a .onslru.lio. LndinS .8flcy aot th. p6aomM.. oaih€ lort for shi.h rhis Fnrir is <br />isu.d ( s(. 109?. civ c). <br />AITI,ICANLDIICI.AAAIIA! <br />I hady arm undr porlry oapdjry onc of th. follovins &.laaliotu: <br />D.,rchion P6nns-Asb6ros Noli6c.tion F.nd.l R.BrlalioB (f ill.40. Pel6) <br />R.quircd L.lld of Noiic{ion <br />-l <br />cdliry rhd $. ,ldd.l r.SuhtioE rcsedins sbel6 ilNlal e. f,ol sppltlbL lo rh* pojd <br />I cqiit thar I nav. red rhn .pplicarion and slat. thrl lfic .!ov. infomdion ! .oft.ct. I lsrd to onply vnh aU Cnv Nd C.u v <br />ordina.cd Md stdr. bvs rchrins ro buildins codtudio( rnd hdcby aulhorn qr6dldiv6 of lhis City ed (_otr ty <br />'o <br />o16 urtrn <br />aUtrc norioDed !tup.ny for insp.ction purlFs6 <br />^pp!icinr <br />or <br />^pdr <br />siBn.rnre F <br />e hot' <br />6'A:rt <br />Site-Work <br />Underqround <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 />Torqueino <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough)), <br />Meter Release ?/zr,/t,*nv/44 <br />/ <br />Rough //-q//*M/N <br />Service Meter z/h/tt r/.//n <br />FINAL tl /u4 / tl t[NlrU <br />Notes, Remarks, Etc