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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG. <br />Underqround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Salety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER <br />Translormers <br />Torqueing <br />Sub-Panels <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Bouqh <br />Ceilings (T-Bar Rouoh) <br />Ivleter Release <br />Rou gh <br />Service lrileter tt <br />FINAL 6 <br />N otes, Remarks, Etc. <br />OWNER BUILDEII I'ELCAXATION <br />I hcrchy rffirm,nder pendry (,f prrjury rhrr I d crempt li.m rhe Contacron Li..n\. tiw fr rh. followinS enbn (Scc7oll5 <br />Ausincs and Pmic$iotr Conc) Any Cily or Counly which rcquncs a Firnil lo lonstruct. 0lrcr. im0rovc. dcmlhh .r rcpat any <br />(ru.turc. nriorro ns hsum.c. rls rcquncs thc 0!di.anr for quch Frmi o lil.r sigmd ur. rcm rhrr tror shc is liccncd pnrurnl <br />r. rhd Iovi\n,ns ofrhc Conrracntr\ Li.cn{d Llw (Chaprer S- Conmcncing $irh S.ction 70(n ot Divni,i 1 of rhc Busircss and <br />Pnrlcsions Codc) or rhar h.orsh. ii.x.nDr rh.r.ftoD anrl rh. h,sh ror rh.aUBcJ.x.mprion. Any violalionofScdion 70:11.5 $y ony <br />4dffiil-ffi#il;;ffi ffii-*r.:i :Hffi :: :T,"., <br />rhc pmpcdy sho ttrildsor imlrolcs rhosn. anl *ho des scn mft himrclf or hcrcli o, lhrcush hn or hc, own cmployccs, <br />Ircvidcd rhir snch inDmmnh d to,I imc dcd or o,IcBd tu soh ll. ho$elci rnc hildin! or improrcnrnl is v,H wirhin onc frr <br />ofco'4hrion. rhc Owic. Builds Nill htrlc rlx hrdcnofpn,vitrE thd hc o. shc dil mr t ild or nq&vc rhe pmpcny for rhc purF)s of <br />l. as oumr or rhc prcplnr. ,m cxclu\ihly cohka.r i',a wirh li.$rn conkacro^ b ..nsru.r rh. tmjdr (Se 7{4{. Busrcs{ <br />a l PmlBsbn Codc: Thc Conlroclols Liccnsc L.w docs nor apr ly b ,n oqnn of I'ioFrly sho bu ilds or impnles rhrrcon. <br />and who .onrh.k fd ruch pn,j.Er3 qirh I Comhckr(r) li.€n*d porum ro rlr Coturcntr s Li..n* tjw). <br />;:Jlz <br />I hcrchy rrfinuMcr |EniryolDcriuryonc olrhc lollowinF <br />I hnvc d will nridrir r Cd r ilitrrc of Cotrrnr l(, S.lf.ln\u( r(tr sorlcri .onlpcn$ dr. N F)vidcd ln by Sed ion .17(X) o I ih <br />t-'htr Codc. nx rhc pc ornumc of rhc uork r(n which rhc Fxnir n isu.d <br />Ihavcandwillm.inrainworkcrlcohr.ns.rn'nnrurrnc.r\icquircdbySccr6nlTlDolthctj6orCodc.,nrlhcpcrrornBnc.ol <br />lhc wort n whichrlric!.rn l is isstrcd. rtry work.tr .otrrFnsrton insurM.c. ricr.nd!.li.ynun$crec: <br />rhcsork torxhich rhi prrnrir il i\wd,l shallnor e'ntbyany Ptson in 0ny Drnncr <br />.omp.ns,riotr laws.rCdlir.mia. Md Uruc rlui irl should bccom subilrl ro lnc <br />cclion rTulofrhc Lltn Codc.l shnrl. ionhwirh .onrdy wirh rhos pmrhionswolkc6 cotrl,.n$riotr Uovisions olS <br />[,,'(is'- <br />mnrp$n(n'n covcr.gc ir utrla{,n1. rnd \hrll \ubJ.cr M .mtn,Fr ro oi'ninal Fmlris and <br />nqrion. drrogcs !s lrovidcd ior lhc <br />(! <br />I h.rchy 0fln'nundcr Fntrlry of perjuy rhal I r liccnsd undcr prurision of Chiprcr 9 (onhncins *irh sc.rion 7tlo0 r or Divisidr l <br />.l rho Buiincsr rid Piof.\\6n\ Cbdr, Md nry liccisc is in rull f(x(t dd c ff..r <br />('otrl8tor <br />CANIIAIJCIIIINITNDIICIIiENII <br />I h.Eby altun undcr IEMlly of Ftjury lhal rhcrc h a onslroclbn h.din8 lgency tor lh€ ,.rfonmnc. of rh. hrt ror "nih lhh F,nir i. <br />issu.diS.c. Jm7, C't. C.). <br />AIIUIANIDII;I,AI{II!}N <br />I h.n-n, aflrn undcr Fnslty of perjuly onc of rhc followins dahrrl tuns <br />D.nblition Pcrmits-Asbcslos Nolilicalion Fcdcral Rc8ulotions (Trlc40, Pan6) <br />-Rclutcd <br />t llsof Nolificalion <br />s.oftc.r LBrLr Io on y wirh all cir, and couory <br />rcprcsctrrilvc\ of Ihis Ciry <br />rhovc nrtrriinrd |m)tcny lar insp..rnn, <br />Apt,li(!nl or A8e.( Sknaiue <br />l\Lo w,6 ;fi/l,r-: <br />?n'/N,tKen lfl <br />COMMENTS <br />Site-Work <br />Air Conditioners <br />ry <br />L.dcls Addr.s'-