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ELECTRICAL-INSPECTOR RECORD
<br />DATE IDiSIG.COMMENTS OWNER AUILDER DELCARAI'ION
<br />I hcrcby arr'n xnd.r ,cn,ky of Friury rhd I ur cicmpr fDm rhc Conrrado$ Ltcn$ t * for rhc followins rclsn lscc 7011 .5
<br />Busincss ad holcssion Codc) Any Ciry o. Counry which Equncs a Fmir k, .onnrud. alr.r. ihpdvc, dcnslhh or qrtr xn,
<br />itudue. prior lo ns nsuone- .ho r.auircs rhc on,,liclnl for such Irnnit to fik a signcd sl0r.md rhal lr.r sh. n liLTtrscd ouNanr
<br />h lhe [ovhions oltlE Contractols Li.cnsd tlw ichdprcr 9, Conderiog wirh S..rn,n 7(XX) ol Division .t or rhc Busin * nnd
<br />Phic$ions Code) or rhnl hcorshc hcxem lncEfron md rhc h,sis tar ih. .llcgcd .xcmprtun Any,n dionolScclionT0.ll.5$yany
<br />aprli., tu!Frnrir suhjechrhc aprlicatrtk,ocivillcnlhyofnolnorcth filt hundrcd dollos ($suJl.
<br />-1.
<br />as owmr oflhc lolEny. or mycmploy..s wilh wrB.\ es rhdir snc cont is{ion. willdd rh. workdld rhc { rurcir(n
<br />inrcnded or ofiercd for $lc lsa 7(!4. Busincs ond Pmn$ions Cadc Th. Co mcrols Liccn\c Llw docs nol apply lo u osocr of
<br />rh( pmpcdy wtx) buikls or inqrorcs rhcEn. and wh. dEs skh kn* hins.lfor h.Mlf or rhhush hk or hcr own cnrnl,yccs.
<br />lrovid.tl rh{t irch i,npn,vcmnk m mr inr.dcrl orotIcRl fq qt lt t5w.rci rlI h ikling or i.rq,mvcmnr is $ki within dnc F(
<br />ofcotr{,trion, rhc Owrcr Auihcr will h.rc rhct rdcn oftmvnE Ihd rrorshcdil tror hiborin{,mvc 6. pmFny forlhc nurln$ of
<br />l- aso*ne,.frhc pm!.ny. urcxclusircl, co,rra.rir8 anh li.cn\.d conra(osro $n{rud rlE nmjcl(Ss )04,1.lJu{ne\{
<br />ond Plultssin Codc: Th. CotrL.cntr s Liccn\c Lrw docs nor rpply t, u owncr otlropcdy who buildr or imrmvcs rhcrcon,rnd aho dn rDcrs lnr snch pmJcck wirh { Conn ocktr(\) li.cnsd nnsuur ro rhc Conrr0.r(tr\ l,iccn{ lj*l
<br />Irn,rrd ,fl trfLi.r S.rro
<br />-,
<br />B. & PC. for this rca$r
<br />D.l.: Oxne.l won(rrs Co[tPF^iaiiioii
<br />IIECIA&A.II!]N
<br />I hcr.by arfirnond.r Fnrhyorn rjury oe ofrh. nnbsin8 daloElinns:
<br />Ihiv.r' qillnri'rnrrCcdirLrcofCon\.nrkrSclllo\urclnruorl.r!conlnctr\nii{r.rsFrlidcdf{trhySodr{:lr0Orlihc
<br />Lrtx, G)dc. fr rh. r.rfonruncc ofrhc so* l'or shichrhc !.nni n isucd
<br />t n,.
<br />"
<br />o'a " 'rr
<br />;u'n,"in *"rkcF' c.n'FN,r nn 'nsuoftc. &g ,cquircd 6y s..! ion 17fi) or lhc l-abor codc. r.r Ihc pl.rormn.c or
<br />/rhc w.r[ lor !hEh rhF ncrmir tr r\ucd. Mv *o*cs' L.mn tr\d.nn n<ur0n.. cm'.r an] r{l'.} numbar u0
<br />o\boqvsL
<br />Iccniryrhrr inrhcpcrronuncc('trhcworkIhr!hichlhi\nrirnil n issucd. ! dEll nor cnrl,'y !ny Fr$n i', ny rnRr
<br />*, as k, h.coft subjc.r o rhc workos s'np.ns n h*\of('xliimia, xnd +rcc rhrrifl \h.ukl hc.onr subjNr rortE
<br />B.rkcK .o rFnsdrn,nturhioo\ofSc.rionlT0Oolrhcl)h)rC{ c.l shrll. fonhwirh.o Dly wnh rb* pnrvisions..
<br />IVARNINC Ftrihru n, $.uto kurk s
<br />civil ftrs un h oN hondrcd rhousa.d
<br />S..rion 1074, of rh. I rlnr C.d. intcrcd
<br />.on'r^-nsrri{r, covrrrg. i\ utrla*ln L d sllll \uhi..i d c lploy.r ro di'nir l pcnilrics ond
<br />rhc.o{ of cotrltf,nsrrbn. drnr08cs n{ provdc.l lor rhc
<br />.yy\
<br />LI!}:I,5.[IL(]].NIS:!.(:IIA
<br />D TLJ.BAIq!
<br />I hceb, aftirmundcr pcnllly or p..jurr rhat I am licctrEn undcr pmvGion o{Chaflcr 9(cormncins *irh Ssrion Tmo) orDivtioh.l
<br />ol thc Busirrs and Pmlcssions Codc.,Jrl my li.cn* h in full ror.c,J*1.fii.I.
<br />e^()90s6q
<br />-Liccnsc
<br />Numtcr
<br />111-l?-etE,
<br />CAXSItrIJCIIONIENDI!( lilill;I
<br />I hcruhy afitD unds rrtrrlry.ft^-rjUry rhrr rhuc n ! co.srru.ii,,tr lcDding J8cncy lnr rhr Ptrlo.nBncc ofdr *ork nn qhich rhr ttrNr N
<br />nsucd lscc 3(D7. (:iv (.).
<br />AEUCANIIIEI;LdMIIO!
<br />I hsrty limlndcr p.nllry oalcrjrrJ, onc ofrhc nnb*ins dcclmrions:
<br />t)cnFlirion Pcrn !Astf,{os N.rification lrcdcrrl Rcguhrnrns (Tirl.40. Pd6r
<br />Rcquncn Grr.r ol Norirl.rii)n
<br />l.cnifyrhar rhc ridcrnl rcFUl od\ toguln,A r\hcnosrcntr,hlrrc or l'I) i.rhlc n) rhn!()j..r
<br />I ccniryth lhivc to&l lIis ipolicrliotr aM st,rcrh.rrhrahrc iironnxri.n is.odccr l dFcclo.o'n/yqilhollCirrand (innrry
<br />ordi.ln.cs nrd skrc l-iws rcl0riryto huildin8con{rucrnnr, a lu.hy.nrh.rizclcprcscnrrrircs(nrhnCnylndCounryt,cnrcruponrhe
<br />abovc rrc.ri'ncd tii,ftrny fd
<br />]\ ppliGnt or ,\Atnl Sianrlu ryA
<br />e \le t'AOrNn.i->
<br />*,.1lzl?pt?,
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Satety /Low Voltaqe
<br />F ire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bonding / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Bqof Top Equipment
<br />Fa ctory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Bou gh
<br />Service lt/eter ,/-),,
<br />FINAL
<br />UU tv
<br />APPHOVALS
<br />Under Slab / Floor
<br />Air Conditioners
<br />Remarks Etc.
<br />,-""50O1lr-,1-a-A-< UA -
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