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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS 01}NER BUILDER DEITARATION I h6.B .mft uida Fuhy ol Frrury rhd I m aanF 6om rn Codr*loE Li(w Lw tur lh. folh*br ..&. (s< 7011! Buind !d Profdb. Co&) Any Cny or Cou.ly *hkh r.quic r Fttril lo orutuct. .t6. in ro( darclLh or r(,.t o) tlrucrEe Fi,r ro ir! iBulR. .t r.q!n6 iE q'tlasl tor $ch Fii ro Rk. 3is..d o6l thl lt or ,E i licqlql 'r&!lro rh. t,nEaB of ttr Coit&..! Li.d!.d t * tor4r6 9. CoffiiIs *ilh SalFn ?000 olDilithn I olllE Brltld.nd PDf*hN Cod.) or rhd lE c ir ! do[,l rhctnom .d rh. b6i! for rlE .lLscd 66prbr Any vioLlion ors.(nn 701 I t br my 'lpplt.fl fot pdni rubi<a rh. .prli.d to . .i!n p.Mhy of m! mr. $r 6v. hund.d (hl16 ($m) l.. oy6olrh.FFry. mycnplotG sih r.g6a rh.i $L onFErbc *ill&, rLwt id rlElr(iE it r{ idalhl or.lEld [r rl. (k 7(!,1. BBir nd PEfdioB Cod.: TIE Co'rr*d'3 L.6g h dE d +9ly l. o orE of rh.FFty *th llili d in+rFâ‚¬ rtdo( nd trtb d6 st srt ninB.llor lE-ll r llmusi hn 6 hd os anphyâ‚¬ Fo$!d.d rhn sh hp.arqrEB E d nsld.d o oltqtd lir tl. I ls6s. tlE brtti't d ilp.o\â‚¬d t mld *ihr oE ]d 6f oi9bi.tr E (xG Blildd qi! har dE hlrla 6f FD$,A rL lr d tE dd r!{ hiild d i'rFoE dE FoFy 6r tlE F,Fx of l, 6 o*E of rh. FiFrl, o.rcluiv.lr.odr6 ina rnh lrdB.d codiarm b s|jfu. lE p.or.d (Sâ‚¬ 704,1. tlj'JlB rn1 PlnfBir (ild. Thc Co tuoi! I-ic.e t$ do6 mt sroly ro e offis otprlrqry }'ho buitd! ot intmy6 rh6dn. sd who otnrxlr fm rNn rFje13$irh. Co'rdro(3) ltsa.d FqM rorh. Co rdo.rLi.al^) I ncrdnrr und6 Sdnn laatrEf,!:(l,ltrDNsalla!IlEgdaallq! I hd.by.mrn undd Fnahy of Fjury onc ol rhâ‚¬ followins ddl6al'oG: I h,v. turl $ill nrinr.in d ( dinc.r. ot ( onsl to S.lf-lNurc lor work6 .onpo!{ io.. N tmvid.d lot t y Sclnrn 1 7(x) o t llE lrhr ( d.. tu lh. FLlru.. ollh. "r aor which lh. parnn b iscd Ih.\.lBlsillnlint.ioso,ld.oop.d i6. icuftq s r.quir.d brS<io.l?mof lh.libor(odq L, rh. pdlomm.. of ::::}'smt rb**.lnFMion iGurffi. rsid ,n F,licl. numh6 e. Eco76 ,ohvlz r.drfrrlIt r rlE Fforttld. ortlE f,orl fu *hth ltE Fnn i5 i$td.l ,ull mn aryhy e, Fatr in.., ,uE s 6 ro b.$E tul',<l ro rrE @t(d oftqEGrn. b$. of( llifomia od .8r lhi if I 3lbuld b<om 3uti.tr id rlE eort6' strF66.rion ,r!\ !F6 ol seibn ! 7m ol ilE t to. Cdlc I ilEll tonhwnh @tr!r) s nh lt.. FnvitFB 6 utrlsltuL rd {ull ehj.( e othF s lddnhn ro rh. corr of .omFsrion. sP L i3 !](!\utlrc!I&!!l!IB TICIA8AIIO! I h6.r,y rmm u.dd F.hy o f Fjuy lhr I m liGs.d und6 Fovi*r of ChaF6 9 ($njllems Firh sd iln ?uD) rDnsiod r ot rh. tt{lilB dd Prot<tdB Gid.. !r!d my ltN i! in tull fore dd cff(l ';::'"''".- tolrl It) cQlslaucroll,llouci I h@hy ifinn u s ltu]ry or pdjury lhn rhd. n i @nntuc1ioi lddi,g .gst for th. p-irru. of th. unrl foi { $ich lhB Fni ie i3s.dlsd :1097. Civ. C ). AIfIICAtrIDECIJSAIIa! I h.*.v .fm unds Frt y or Fj!r) od oa llE lollowi.s &rlanl bB Damlhion Pmt.-tuldoJ Ndifkdhn F.d6.l t.BuldioN (TiL t0, Pd6) Lquitd llrlg oI fhii.ritr I .d rly rhd rh. fdd.l r.*uldioB rqldine *tdc rmul a. .ot 4pliabL ro {hE FoJ.d I cd,ft rhd I hn.rd!rhB'l)plE.r irn in d . rhd rlE !tn. infondior ii cor.cl. I lara ro ohdr dlFrir r.rrenr^ 6 of rha ( 'ryr}xn.'nornn.ri nn'td\ fin rOa rx]i- Ert (-ounr!!o drd lgFn rlE to/,a /o-/ '' Site-Work Underground Pole Bases Light Standards Spas, Pool, Founlains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueino Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough Service lvleter /n FINAL ll-2-t7 v-FAfiAl Notes, Remarks, Etc (.2 I ordimn.6 nd su.lr{. Elri,r y ^pplk.n' or ^rdr slrMrur./ PmhR rrm. I prlrt )r ,/- ' I I I I I I I