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APPROVALS DATE ID/SIG,COMMENTS
<br />Site-Work
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release
<br />Rough
<br />-4.6-
<br />FINAL e2Ht,4sn,reY
<br />Notes, Remarks, Etc
<br />OWNI]R BUN-DER DELCARAl'ION
<br />I h.rchy 0altm udcr pcnnlry {il jrcrjury lhol I m crc.lln lrcn lhc Contrlors l-iccDsc l-Is r'or rhc lbllo*iiE rcr\.o lsl{ 70.11 5
<br />Bu\ircss , Profcskn Codc) Any Ciry .r C.x[y whicl rcquncs d !.rnir b .on(d.r. ilrd. irntntt. dcrmlilh or rcnun an, ,
<br />{fl.rurc, pri t,irs hsxM.c. rlsu ft+n.s rhc apflianr lu such Fnnit b lilc a sttud id.ftnr rhnr lE .r shc is li.cn*d FuNUanr
<br />ro rhc ircvi\ion( of rh. Cotrtr.r.fs l-i.cns.d trw (ChDprcr 9, Co'nmn.inE Riih Sc.rk,n 71XXl of Dilirion I olrhc Busircss 0.d
<br />Pft,fcsions Codc)orrhar h.orshc kcrcnrrr thcrcliomtrnd rhc hnsh lor rhcallc8cdcxcmnlion AnlviolaliooofS.clionT0:115b!an,
<br />lpplicuriorrremil\uhjalslheapplic!trlroacivillcnlhyolnolnmrclnontivchunn.cddollnr(5500)
<br />l, as o*ftr ofrhc pnJp.ny. or my cnplotr.r *irh sr!.\ ns thrt $lc &Np.n\rrion. will do thc aor* flld rhc slnrlurc i\ mr
<br />inrcndcd orolTcrcdltrsc(Se704:1.Businc$andan,fc$iotrsCixlcThcCn r(kri Liense k* docsnor lpply rodno*ncror
<br />rh. !n,p.ny whobuildsor i {r,ksrhcfr)r, nd wk, rl{r\ \kh $l'rk hnnsclf or hc*cll Drrhr.ngh his.r h€r own cnrpbrc$.
<br />pnvidcd rhtrr such nryrorcmnt @rer inrcndcd or oltEi tn!sb ll ho$ekr rhc tnildin8 or inlmvcm kn)klwith otrc tcnr
<br />ol'corl!)kti(,tr, lh. OErcr Builds will hovc rhc btrnLn of tmrinB rhnl hc or rhc dil m'l buikl or irymvc thc pnpcny f.t rht pxrlr,* of
<br />l. r\otrncr.frhc pn,rcny. ncrcl!\ivcl!.odtacrintsnhliccn\cd.oita.tmh.otr{nr.rrhcproj.rr(Sc.7014.ln'rnc$
<br />a l ltrfNsion C.dc lhc(onrrrdorsl-iccnscLis(locsnorqrplyr.rtro$ncr.ftr.pc ywhol,uild\orimlrovc\rhctuon.
<br />rtrd sho.oiiri.knrskhproj.{rs*irhdConr.r.nn(rlicrn\cdfrrsuamhlhcGarrtr-\LNn\chs).
<br />I adcrcnDr lnder Sccrn,
<br />$:94f,!Bsi0ufrN.tduoN
<br />DECTAA^UON
<br />I h.rcby rlI'Drndu p.nulry orl,crjuryonc orrhc tulk,NnE dccl(lii,)n\
<br />Ihavcud*illnuinrrinaCcnilrrrcolConrnrt,Scllltr\u'cfrr{ffk.^conrlcn\nrion.N|tvidcdrorbySc(rionlT00olrhc
<br />litY, Codc. ktr rh€ FrfonBnce olrhc worlr nrshichrhc p.rmil n i\sucd
<br />Ihrlcrfldqillmi,riilrwolkcr!.onrpctrsarionirsrin...nsr&luncdbySc.rir:17(Uoflhctib.rCodc.hrlh.pconMn..oa
<br />rhcvorkf{trwhichlhkpcflnitlsis{rcdMyworLcnconrFisrrionirsuritrcccrricraMpolicynumbcrrc:
<br />-l
<br />cc iryrhN inrhcr.rlnrnrmc orrhc wotk ior whi.hthisr.nnir t irnEd.l sh(ll frn cmploy3tryrrMn in rnyfrtnmr
<br />$ ast, trrom sxbjc.r k, rh. uolles .onrr.hsario. h*\.fcalifo.nil ond.gm rhd iII sholld h.co r suhicr lo rlE
<br />workcs onDcnsarion pmvisionsofSerion:1700.rlhc tjbor cMqI shtrll. fonhEnh oq)ly *ilh rhos Imvhion\.
<br />WAI{NINC l;rilurc u {rurc $orkcrs .onDcns i(!r.ovcr !ci\ unlrstul. rnn \h(ll\uhjc.l m ctrlPlotcr (r cri'ni' pcn kic\an{l
<br />.ivil fincs ur b om hundrcd lhous,nd
<br />SNtion :1{176 .r rh. I ilrr (tdc inrcrc{
<br />u^,., 8/zo/'B
<br />.onrpcD\rli(r lama8.s as pmrnkd i(n rhc
<br />I lrrcbyrlni,nu*lcrpcnrlryolp.rluryr unh Scclion 7(xxJr ol Oivni0n.r
<br />oi lhc Ausinc$ and Proli$iorsCodc. ard myliccn* h ir iulliorcc aftlclsr
<br />c-La tlv'a< zazo
<br />6 'z--/ ,$
<br />I
<br />I hcreby lffirohdcr pcnolryorFrjtry I
<br />nsucd (Scc l(D?. Civ C.)
<br />Lcndels N{nrl
<br />rhcrc isr.r,n\rBcri,n lcndi',grlcnc! ntr rhc ltrforixtrRc otrhc trlrk nn shichrhn lEnni n
<br />AfzuCANfD[gLlTBATO!
<br />LE rbylltimlnder pcnrlry oi perjur, olc.lthc iollosing dcclualionx:
<br />Dcmlilion Pcrmils'Ash.slos Notificaliotr lredcral Rcsul.lions (Tillc.l0. Pan6)
<br />-Rcquned
<br />Lettcr of NolifEotion
<br />N m8rdil:e astE{os nmvd
<br />ion and (ale lnat hc abovc i[
<br />ac.or rydtablc ro rhis pmjer.
<br />forrorion is comcr I a8re to endy wilh 3ll ci'y md Coutrry
<br />y.urhonzc rcprcscnr,riwr ofrhis Ciry ud Coxnlylo cncr u,x'n trE'iN'w
<br />A\c'(
<br />- \r..f rh ,h. rrr ,rrcptrhrrtr
<br />X\r/rr'., r n r" .,r
<br />'r,i. "noro,r/.rdm,ry,q\,r shr tl*. rctlr s,"h,.'hr9/h* i,tud tturny r' irh0crJ\n
<br />^,"rJ, * n*,,/, "**** 4
<br />Pcm>+xq/rpn',: '(F-
<br />t
<br />ELECTRICAL.INSPECTOR BECOHD
<br />Under Slab / Floor
<br />Air Conditioners
<br />Service lvleter
<br />(trffr:
<br />rt.z
<br />I
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