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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DELC R TTON
<br />I hcchy amrm n.df Fn.h, of pcaury rh0r I m crcnlr lmrn thc Conrmctor' Liccnsc tjw for rh. folbwin8 rco$n (Scc.7oll 5
<br />Busincs and Prottsiotr Codc): Any Cnr.r Co!.ry which rcquircs a ,.tnir ro consnct. lltcr. nnPmlc. .hmlish ur rclutr ory'
<br />(rucruic. pior to irs hsuarcc- aho ,.qriEs rh. appli,nr iu su.h Fi,nir lo filc a siSnct slarc!rclr lhal hc or sh. n liccnscd lruNrnr
<br />b rh. lro$\ionr orrrE Conkicrois Lietr$d ti* (Ch.flcr 9. Commnciig sirh S..rn,n 7un of Dirision I or rhe Blsincs nnd
<br />Phrrsnnr codc) or th.t hc or shc hcre'ryt lhcrelio'n and lhc hrs rbrrhctrllcg.dcx.mpri(nr Anyviol0lionoiSecrion7011.5hydny
<br />ryrli.adrbrapcfl.itsubjlrrsrhc,prlicrnr16scivilJ,ctuhyorfr nbr.lhan iivc nund,cddolllnlS5O0)
<br />l.nowErofrhcpropcny,ornrycmflorccswirheascsrsrhrira,L.o.f.nsdn,n,qilldolhclorkandrh.{fl.luni\ml
<br />idcndcd o! o,Ic,cd for $lc (Sa.7Ol4- Busii.s dd Porc$i.nr Cdlc: Th. 6nrdckn\ LiccnE trw dkr no' ,tdy ro in owncr ol
<br />rhc pmF.t, $b boilds.r inqmr! rlEo.. ard who d@s sNh Bork himsclfor hcr\cllor rhdugh hh ot h.r nRn cmPloyccs.
<br />pnrvid.d thur s!.h i$Dro$trrcnls a! nol inrcBH or ollcr{! }or strlc. ll h,u.vd. rhj huiuins or inDmrcnEnl is sld wirhin onc Fd
<br />.f.on{,hrhl rh. Own& Buiktur willhnvc lhc burd.n ofloving rhal tF or ihc dil mr hild or ir{mw rhc pmPcny ior rhc I)!rF){ of
<br />L is owncr or 'lr Fnrpcdy. ur crclu\ivcly conrrldins *irh liccn\cd conhdo^ k, snnru.r ltE lnojer (Scc 704{. Bx\incs
<br />ann Pml.s{.n Codc: Thc Conr(tn s l-i..nsc Lr* doc\ nor llrly ro 0n.wncr oltmpcny $h{,l,uildr or nnflovcs rhcrcon-
<br />nnd who onracrs ro, su.h polccr s *ith { Conrrrcro( s) liccnsd nunuu brhcCont ttr s Liccnsc L!w).
<br />I nn.xcnp( und.r S(rion
<br />1laB&;B.Ull.}[Ift !$arlQN
<br />DICIdNAIIA!
<br />I luchy rrlnn utrJcr Nnilry.lpcrturyonc ol rhc linl,wins dccl4rri.ns:
<br />Ihlvrrnduillnx nhhr Ctdittr.rcolC.DsctrrroSclllnsur. i{tr $orkcrr .orntnsdnnr, r( PnvidcdforbySccri('..17mofrht
<br />titxtr Gdc.lor rhc lcrron,utur ofrh. work fd whi.h rhc |xnnir is i$uctl
<br />lhrvc rnd qillminrdin sotkeri conrpcr i.n ins!.!ncc. !\ rcqundl hy S.d ion lT0O oi rhc ljhor Codc- tu rtr n rlanunN of
<br />rhc sork rbrwhichthn pcnnn is h\uLi Myworkc^ conlp.nsrrnnr nNurnmccamicr lnd Ix ltynu'nbcrrc
<br />I ccnilirlut ir lhc,t:rhrn'rnccofrhc suli lhr *lrich rhir ncrnrir h ilqrcd.l shtrllnor c,ry'brrny Pcson intnmnmr
<br />qi sn, hcdnm {hJcd kr rhc sorkcn ..mFcnsdion hs( ol C.lilorni!. md lerec ihrr iIl +ould b..om subi.r brh.
<br />work.^ conD.n\,ri,,n ltuvnn'trs olScdion lTlX)ofrhc t-ihor (odc.l\hrll. l;nh*iih.omrly snhrh){ t'mvi\i{'ns
<br />IIARNING: t{ilurc h {curc $ortcr dnnlrn\rtidr.orcngr i\ u htrrul. rtrd shnll suhjccl !n onPlo}cr k' onniml Fmka( mtl
<br />civil fifl.s p ro o.c hundrcd lhorsrid dollffr lsl(x).fiXr). in rddiriotr ro rhc cosl of conrPcn\arion. drtulcs rs pi('vidcd ntr rhc
<br />IADol9 - t-l#Ll
<br />DEIIASAIIAN
<br />I hcEby lltirm undcr lcndhy or p€riury rhol I.m liatr*d undc. FovisionolCtaprr 9 (.omftmin8 wi'n Setion 70(x)) orDilkbn.l
<br />of lhc Busincss and PnL$n'isCode. D ,nyli.cnsc is h lult lorcc odcriccr
<br />c+t 5L
<br />rrfit1a
<br />I h.rcby nlfiirnundcr FfulryofF.juryrhdr rh.r k o co.( clion lcnding o8cflcy ln lh. Ilcrrormd.c or lhc wort fo! *hich rhi\ Fnrir is
<br />issu.d iS.c 109?. Civ C.).
<br />hnncis Addres:
<br />-
<br />AITLICAIIDLCI,AEAI TN
<br />I hcEt y llfinn undcr pcnalry orFrjury o.c orlh. aollo*xrg dccl,torions
<br />octrblirioD Pcn.ils.Acbesro\ Norificarion FedcrtrlRelxhrnrns ('Iirlc!1l, Pan6)
<br />Rcqun d L.usof Norificarh.
<br />l..,rilyrIrrrhcl.dc'rl'.3uhrii)o\rug nh r! n$c{o\r.trtrrnlnrc r,{ xpnli.rh!. n, rhn t, ,jccr
<br />I.cdiryrh,tIhavcr.drhisspplic iotr .nd narc rhar rhe alx t inr(rnDrn,n is cor(r I aere to comply *irh all ciry,nd Cou.ly
<br />od'ndftcs Md sr0rc tj$ rclditrr ta huildiDs conFltuclii,n. Md hercby aurhorizc tcpE$ntarivcs oftht Cilyand Counlyb ctrrcr uPn lhc^!i#,i-JrlH.i"@,*"
<br />r o f t/A
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />[/eter Release
<br />Rough
<br />Service [/]eter
<br />FINAL l0ll.la./ttt 6tsb
<br />Notes, Remarks, Etc
<br />Under Slab / Floor
<br />Air Condilioners
<br />q,J-
<br />C/j-.l-.
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