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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Ownd'auiBq Dcchtrlion <br />I her.by .mm lndq p.mhy ol p.,rury th,r I rn, .xompl aorm th. Conhdo.s L,c.ns. l,w lor rhe tollowDs r.en (r.c ?0r 1 .5 Ausiner <br />and Prof.$iof, Cod.)rAry Ciry o, Counry wnich..qun6. pmir lo snsrtucl, !xd. inpro!.. d.mlish or Epai My lrtudu.. prior lo ns <br />issurftc.llior.qun60r..pplicsnlforsu.hp.mnrcdl..sisnd3tat.m.nlthrth.orsh.i!lic.m.dpuBuotrolh.pmvisioNoarh. <br />Conrlciols Lic.ns.d t !(cndpr.r9,coo ercingw 6 Serion?000oaDiviionI dlrhe ausi.6ia.d P.of.ssions Cod.)or rhlt h.ot <br />sh.is.xcmplrhd.nomsndlh.bstforih..llcscdcxcoption.Anyviol ionofsdion70ll.sbyany.ppli.. ror a pmil subjcds th. <br />appli.rm lo !.ivil pcn.hyofnd mor. rh.n fivc hundrrd dollrs ($t00). <br />__l.B owM oflh. pop.ny. or my cnpl6y.6 with srs6.s rt.n $k comp.B ion. will do rh. work md th.3ttuctE d ml inl.nd€d <br />or oo.r.d aor sl. ( Se ?04a. BBin6r 6nd Proa.:sions Codc Ti. Conr..b. s Llen* Llw do6 nor .pply to rn owrs of rh. prop.ny <br />*ho brilds .r inptuvd ihcr@.. .rd wto do6 3uch worr hihJ.lt or hGlt or rhrcuah hi3 6r hc. own crploy.6, prcvid.d rhlr iuch <br />impblmcnl! ar. .ol int.nd.d or o[.r.d fo, slc. lt nowc!6. th. buildins o. ihpro!.m.m i! rold *n n on. ro, olcodpldion. lh. <br />Owtr-Auildd willh.vc lh. bud.n oaprovios thd hc orsh. nor build or improv. for lh. pupo.. ofeL). <br />I. B oNncr orth. prop.ny. ,m .xclusivcly conlracliq wnh lic.tr.d.o ra.ro6 ro oartu.t rhc rojd ( S.c. 7044, Bsincss .nd <br />ProacssionCod.: Th. Conkeclofs Lieas. llwdo.s norspplyroanown . olp.opdrsho bu't&or 'nrpov6 rhcrdn, lnd who <br />contach for su.h prold. w hr coatu.ro(, I'c.ns.d pu6u0nt ro th. conrldols Lic.ns. rlw ) <br />;::#dL!_ <br />la&xlnlcoutElsArqLu!:c!4a rQ! <br />Ihcr.bv.lfifln undq p.nahyof,.rj(yon orrh. follow,4 d.cl,rar iotrs: <br />I hau ed s ill n.i.rai! . C.nificarc of CoNcnt to Sclf-lBUrc ror srk.*' comp.nsron, x ,rov'd.d ror by S(r'on lToo oaih. <br />L.borCod..lorrh. pdfonnln.orrh.*.rkrorwhichllr,.mit isislu.d <br />I h.v. and rill m! mra rn *orkdc onrr.Mron rsurlnc.. s r.quu.d by S{tion l70o oa lh. !!bor Cod., aor rh. psformn.c of th. <br />work lor ehi.h thi! pcmil ir i!3u.d My wo,k.rs comp.nsrion rnslrlncco in.nd poli.y nunbs rrc <br />(Thir s*tio" n.cd rcr h. cohpl.rcd ialh.pcmit h tor On. hundr.d dollB {llo0lorlst <br />I.cnify lh.l in lh. pdromlnccoalh. wo.k aor which lhis p6mil ir irsu.d,I shdl @t.hploy a., p.Bon in rny mr.n.rso s to <br />h.camesubr(rro rh. Dnrl.R .omn nqrn <br />("nn.nsrn/nro\sioN of \(ron r7o.r.f r <br />*,. blold <br />n hu5of C!liaornr!, ind.Brd <br />h. t..bor ( od..l shill, ton <br />WARNINC [.ilu,.lo *cur.woA.u conr peN! r 6n .ov.ha. R unlmfol.srbj..r rn.mphr.r ro oihi.al p.n!hi6 aod.ivil <br />lifl6 up to on. hudr.d thoNrnd dolliR ($l0o.0m),i. .ddition to rh. co3l or.omp.nsltion. doFose s prcvid.d for lh. S.clion !076 ol <br />rhe trbor Cod.. inldel.nd.torn.y r f.6 <br />UCE!!EA_CqNrBACrAaS_DEC!4 <br />I h.rcbyamnn und..p.n.lryoapsjurrrhd I m lic.(.rlund.rprcri.iotrofCh.prcr9(commcncitrs uilfi S€tion 7000)oaDivGionl of <br />rh. Busin $and Prof6sio6Cod., Mdny lic.ns.i! in tullaor...nd clIer <br />cqBl]BlcrqN,lxDlxc.AcElcv <br />I hd.by lrm undd p.mhy oa Fjury thrl lh@ i3 ! coBtturio, lcodinB lgdy fr:)r rh. F.rfomm. of rh. sork lor wnih rl Ff,rh i! <br />ksu.d (Sd. 1097, Civ. a ) <br />AECUCA!]IpICLAAAUO! <br />D.moliio. Pnns Asb.troe Nolilic.rion r.d@l R.sul.rions (Inb40. P.n 6) <br />R.q!t d t.xdof Nolification <br />I ccn iry itur 1fi. Ldc6l rcgulrthns rcs..diq sbBros r.mo!.| .r. not opplic,blc ro rhis projd <br />l.cniryrhrl I hivc rc.d thh rDpli.arion lnd srst. rn rtc aborc inaormstion is corc.r. l ,sre ro comply wnhlll CityandCounr, <br />ion. ind hs.by luthoriz. r.pE.nlrtiv.s oflhis Cily lnd Counly to.nrn uoon rh. <br />.bo!. mcmioo.d protdy for_ <br />- <br />Site-Work <br />Underground <br />Pole Bases <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 />Torquing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL / /c,//q //r/;,I <br />Notes, Remarks, Etc.I <br />spsclion Fom\s\Elecl.ical lnspeclion Re.ord.doc 03.31.06 <br />** !1dr4 <br />___Drl.:- _-__ <br />=