|
APPROVALS DATE tD/stG.caMMENTS OWNER BUILDER DELCARATION
<br />Ihd.b'rrmund6F.nyofFjrrydiIaaEErnomrCo..dd!Li..Mt*6rttErolb*rBlun(S(.?oll.t
<br />BauB rt Prcfdirn Cod.)r Aoy Cny or Coudy shrh r.qui6 . p<hi 16 otud. a, utp.oE daElirh or i?.r ey
<br />lrn(luc Furo iu i$le...tot qliB E.pplrer lorBhF to6l..rlaiEd ard thr ll or tE it la.G.d Fed
<br />ro rh. FolirbE of tlE Co .ara! lentcd L.r ((-lIrq e, ( oMi.s unh Sdron 7@0 of lrvibtr ] of r,E BGi,B ud
<br />PFtdbd ( o&, d dla h. G rlE . 6.qr rh6.for rd UE bd! for dE .!.!.d ad4.br Ant violdioo ol Sal.n 701 I t b, &)
<br />.aplk.., aor. rEhn sbids lh. elt! to rcivil FEhtormr mErho fivc hnd.d &,116(1500)
<br />-1,
<br />6 osE of rlE F$Fry, or 6y otplo,6 *nh w!s6 B 116 $L o,pddkD wil &t llt $rrt rn {E rndc a tul
<br />iddiLd o. olIdsl ld sk (Se.1X4, B6itB ud ftofBh6 C.d.r Tt (.olnr..ld't li6E L^ d,6 ful +ply ro x osE of
<br />rh. FDFr, *th bir& or ibt 06 lhd6tr nd trtn &E f,rh wt hiMlf or lE*lfor lllouat ni! o. ls o*r dplor6,
<br />proviLd lhll tuch inFlrsld! e El idqd.d q ofrqld fq t L lt lb*M, lll tlildi,B or inFrEffil i Dld wiin "r )d
<br />oacompkioa E(xE &ril& wil hrw tlE hxl6olFoviry rh.lEortr. d'd 6r h or n lioEdE FbFr,lm l,r Frpo..of
<br />L s orns oarh. propsiy. 6 qclBivcly conrrld hr w h lic6!.d .onlrr.loB ro collntucl lh. p6j.n lsd. 7044, lruind
<br />,rl Rofdin cod.: Th. Contr.lo* LiccB. lrw do6 nol +ply lo e own6 of propsly who build! or i6prov6 thdof,.
<br />ind *rri sirrl3lor $.h F!j.!'! *irh. Co.rBro(r) ltd!.d po,ltd ro rh. Co,rGrtr s l-k@ t *)
<br />-l
<br />&.rm9l u!& Sdio.-. B. a P c torthL lEr
<br />Ihr. Otr.6:
<br />ttoRxrRs' coitlENs\TtoN
<br />DICIJAAIIA!
<br />I lE.ty rrm undd Frly of Fjur) orc of0E follo$'tr* d{LrrioB
<br />-llB.tnu'illMi
<br />rh ! Car'rrdc olcoe lo S.lt-lM. lq wrl6t dnrFnnl,\ 6 Frvi,.d lor bt Sdir. t7m of lh
<br />Llbor (-.de lor th. Ffoffi olllE $!|l td *l'kh llE Fnn ir iso.d
<br />)L{,Fw ua * rrr maru *o*6' .omrN'on rBue.. 6 rquir.d by sdioD lToo orth. Ilh.. code ror rhc Ftotuc or
<br />th( mrt f.r *hkh rh6 F6r ir e.d M) vdlo' (omFldhn 'duln. (fir dd Fl() ruhbs E:
<br />Wv/vts3o6+f k il/q,/ao
<br />l.difr lhd in rh. Ffolrw.of rhc wort for which rhir pcftil ir i3su.{ I Jull ml dploy uy pd$n i. rny huffi
<br />h 6 ro b<oE ruqer ro rh. *0116 @mFEdion l,*. of ('rlilomia .nd +E 'hd
<br />if I nDuld bcor utl6l lo llE
<br />$ortd oErEsrbn Foviibd of sdi.n 1700 of th. lltnr ('od.. I rlxll. fdhsith mmply $nn ttrt FDrniod
<br />I'VARNINC: Iitu. to @G sql6 onpdEibn or'6.s. ! uLvtul. rld ihdl ebjEl D aplo)s ro o8id Fnli! en
<br />civil fIE u! ro oE hu!d,.d thocad dollsr (tl00,0(,x)). in.ddnnn ro d! coi of .oqd!n6r d,rrB6 - Fovikn te dE
<br />sdhn 1016 ofrlE titd Code dad nn dqrry'. fc
<br />I hscl,y lfnm undcr rallly orpqjury lhd I m tc6Ml rBion or (tu0r6 9lonntrn8 *nn sdhn ru[) ofDrsrn I
<br />of rh. llunnd ud l\nfdioE Cod., a.d my li.# B
<br />'n
<br />aull tu.. drr.aa!
<br />(rO q
<br />D.,. 9E-(tq,".,-,,",Ur;nVlq el*4,o
<br />caNiralcllo!-tEllaclcllcl
<br />I hd.bt .lfm u.dd Fdry oa Fjury th! rlE. i! . 6dMio. hrriry q*y tu llE Ffclm. ol $c ert 6t *hth rhit Fni b
<br />Bf,'.d (se 1007, civ c).
<br />arg,tladl.Dl(llaaltl,!
<br />I hdrt y.trm und( p.nlty of Dqru r-- oG of ln rolhn ins &clriiod
<br />l}mhion PafihlArbdd Ndifrrion F.ddl R.8u!rtuB{lnL.l0, P!n6)
<br />-R.qun.J
<br />lnrs ol fknifi cdr!
<br />I cdil, rhd rh. f.n6dlr.guldtioE r.tadinr drtdk8 rmo\il . nor aryliiabl.lo this pnjal
<br />-
<br />I carit rhd I h.r. rdd thls .pplic.rion &d rr!t. th.r th. .trv. infonnd nn ir cord. I acrc ro @mpry $nh all ( n, &d ('ounl,
<br />ordinededSr.tr*rEhiltsrohiEin!connrudioG,nh6q..!dtF,t.rc?rddl,n6ofrhbCiyelCour,tomrcuFnrlE
<br />.bov. mrn.ql FrFny for iNpoli"n poFo.t
<br />,\ppll..trr or Aamr shnrtum
<br />&+
<br />a4,-
<br />"&x-
<br />,* 5 A/fr
<br />Site-Work
<br />Underground
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meler
<br />FINAL 5 l2-1 ltn ;,,tlt i ti I
<br />Notes, Remarks, Etc.
<br />ELECTRICAL-INSPECTOR RECORD
<br />Pole Bases
<br />9/4 /rQ
|