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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNER BUILDAX DEI,CARATION
<br />I he,c|y llErn unds |cn ty of lcrjury rhar I m excmF frorn rh. Con,cro6 Li.etrsc L,w for lhe folbains rcnn,n ( Se ?0:] l 5
<br />Busincss lkl Prurctd,n C.dc)r Ant Ciry or Colory which rcqlircs { pcrnrir h connfl.r, uhd, infiovc. d.inolnh or rcp,n an,
<br />srructurc, trior lo ns hsu.ncc. rlso rcquircs thc amlic,nr ror 3u.h Frmir b fik r siBftd st.t.nf,trr lhlt h. or sh. t liccnsd pursuol
<br />ro rhc ptuvisio.s ofrh. Contactofs Li..nsd txw (Chlprer 9, Commmins wirh S.crion 7000 of Divhion I olthc Busncrs and
<br />Pmltssioos Codc) or lhll hcorsh. iscxem lhcr.ft{,n.nd rhc basi ld thc dl.gcd cxc'ry,rion. Anyviolalionols(tbn?031.5hyany
<br />r a pcmil sublc.ls thc lpllicant io a .ivil pcmlly of ml
<br />'mrc
<br />lhrn livc hu rcd dolles (S500)
<br />olthc pn,Nny, ornrycmployccs *irh wrsdsx rhrnr)lccont^-.nsirion, willdo rh. w.ikand rh(nElurc h (n
<br />for slc {Sa.70,14, Busims and Pmfc$ions Codc 'l hc (n.lmdols Licc.sc La$ &,es mt arpl, b an osn r or
<br />rltc pblxny wh, builds or in9ii,v.s rhcftn. arld *lx, d*s \o.h aorl hinr\.lfor hcrsclfor ihmxgh his o. h.. owncmpk,yr.s.
<br />rovidcdrhrrsuch iDpnrcnEnhlrc nor ir crncd ororlcrcd tu slc ll. how.rcr. rhc huildiu or imprclc'Enr i\$uuirhin.nc yc.r
<br />ofconrrlcrhn. rhc Orrcr Buildcr willhrK rh. bxrdcn orptuvirg rhd h. or shd dil mr hdld or i'n|)r.v. rhc pnlpcny ritr rhc llrlxJ$.1
<br />-1,.*nerorrh{pmr.ny.trncxclusnrlyconl,aclin8wirnliccnscdco"rraclorrocon(rucrrlEpmjccrrsecT(}r4,B!.incsrnd Eorasshn Codc: Thc Conh.rors Li.c.sc Law do.s nor apply ro rnornci orptuFnywho buildi or i'np(ncs lhcrcon.
<br />rid Nho (n nrls fitr slch prercck wirh u Conrmcro(n liccn{cd pursuMr k, rhc Conrrucroi{ Licctr{ lj$)
<br />v
<br />I hcrct y !{innu.dcr pcnalryofFiuryonc olrh. rol
<br />-l
<br />h.vc {rrd will truintoh ! CcniaEatc olCl,trs.trl x, Sclf-lnsurc for rorkcr\- ro,nDcn\.rion. !s Imlidcd
<br />hhitr Cdc.lor rhc Frrornnn.c ofrhc $oik nr wh'ch rh. plnnir ^ n\ucd
<br />_l turc lnd will flr0inl0h *o!kcr' conlPcns0liotr insurMcc. as rcquircd by Sccr ion 37(xr oi lhc lihor (idc. rbr lhc fql.ntuncc ol
<br />rh. *or[ torwnichrhh pcrnil is hnEd. Mywo cn conDens0ln'n innrincc c!tricrlnd nolicynunrhcr sc
<br />rhcNo* fi, shichrhisp.rmir is isuc.l,I fi!ll n.r cnDt,y Lny pcron in rny 'nrnicrconD.nsdnJn hw\orCalif nir. dd i8erllr ifl {h.uld h..orf \uhiNr rorhc
<br />ccrn :l7u).f rh. trhtrcodc, l \tu|1. fonh*irh.o.rtly wilhrlrr*rrovistrsworkcE cotrIf,nsdion psvisions uls
<br />WARNINC: ljdlurc to {curc *olkcN s,npcnsalion covcrr8c G u 1i,1. x sl,r I {,ir..r xn ordoycr t) di i
<br />I hc,chy ntnm uM& !.nrlry or p.rjurt rh,r I lic.$d u n.fChrDr0 9 (conlnEmina *ith
<br />of thr A!\i'rc$r d lh)t $nnN(id., d n,y liccn{ i\ in
<br />CqNSIXI]IIONI.END,OG.AIjENq
<br />I hcrcby Nffrm undc. Fnax, of pcrjury rhd rhde i. a@n.rocri.n LndioS agcncy for lh. t lfonM.c ofnE eort for whhh lhis Fymil il
<br />hsucd (Sa. 1097. Ci!. C ).
<br />Lrndcr. Ndm
<br />,b.sros r.mvd arc nor npplbrbL ro thk poj.rl.
<br />hd lnc,hrw informlbn n comct.l a8e rocomply wirh rll Cityand Counry
<br />rnd h.rdbyaulhoriz. rcFc*nrarivcs oithn Cilyatu Coutrty
<br />rb(rc nf,nrioncd pmptnv lar in\p..rion
<br />Appliffnl or Asrnl SiAnnlufr:
<br />Pedite Bmclpnnl):
<br />qR',arll;ic"
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditroners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilinqs (T-Bar Rouqh)
<br />Ivleler Release
<br />Rough
<br />Service Meter
<br />FINAL (i -27 -ts Jolz{o*"CDNotes, Remarks, Etc.
<br />DATE
<br />Pole Bases
<br />:**'iifia\itf*
<br />AII,,ICANII]ECI/AAIION
<br />I ls.$y !ffinn h.lc. oenllty otpcrpryone otrnc fouowiu dcclanrions:
<br />Demlition Pcrnrils'Asb.slos Notificarion FcdcEl Rc8uhtions (Tillc 40. P!n6l
<br />-RcquiFd
<br />krlcr oI Ndifi cllbn
<br />rlrr I h{vc rcd lht inpli.lli( did
<br />rnd sidc L.vr rcLfin8 t. huiklirS
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