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APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />S pas, 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 />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Sollit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />lVleter Release
<br />Rough A
<br />FINAL 6-Zz-l'i t y.vfia
<br />Notes, Remarks, Etc v
<br />"u{i}l
<br />I hcr.btrlnnnutrdcr p.MliyorFrjuryoic orrhc n,llowmf drclrrrri(ins:
<br />rhcwork frn which rht p.nnir is is{rcd.1shlllmt cnrlloyonyn non in anynuonct
<br />compcnsotion lN\ oiC0liiornia. n.n !8rcc rhlr ifl should hccotu \ubjc.r t, ttt
<br />cdion 3TlDoIlhc btnr c'odc.l shlll- Ionh*irhcomrly wirh rhos pm!i\nn'1.*ort.6' co'npctrs.lio. provisi.nsoiS
<br />WAININC llilurc lo {curc workcrs .omp.ns i{,n covcE8c is lnlawtl. rnd shrll suhr..r cn'p kDU tu dnnnol,rcnriics rnd
<br />'i,rT,t
<br />,lolLr'\ 1111x,.(xx)). i,r rddii(!, r ih...( of..nf.nsa!i.n
<br />a
<br />olChr0rcr, (connncici'rg \irh
<br />oi rhc Ausiftss rnd PbfcssionsCodc. alxl.rr liccnsc is h 6rll forc. .nd cl'l(l
<br />raNlirf,!]sulJ!1,lxlllNli-&cENcr
<br />Ihcruhyafliflnrndcr pcnalryorFrjuryrharrhc(ha co ddcri(,n lcndin! rgctr.y ror
<br />'hc
<br />rrlbirMncc.f lhc *ort for NhichrhisFtr 'hir\ucd (Sec :lO9?. Civ C.)
<br />dEI,ISANfD&;LA&g&N
<br />I lf,ir$y amm xnder pcnalr, oI lcrjurt onc ofrhc fdloeing delu8rnnrs:
<br />l)cmolirn,n Pernril( Ashcros Notific!rn,n Frcderal Resularion\ flnE40, I)an6)
<br />Rcqui,.rl lr(...r Noriucrd
<br />N*;
<br />rhd rhc lcdcrd rcBDlario.\ mSordi g $tE{osrc.rvalorc norrfplicahlc ro rhh lmjc.r
<br />I I Mvc r.M thisrmlictrli0r d rc rhitllt dh c irhnn ron i\rorlrr I nsrcor,.o dysirhrllCiryrnd C.ufrr_
<br />srurc lrws Elding ro huitding prc\cnrarivc\ orfii\ Ciry snd Counryro cnicr upon Ih.
<br />ah.vc m nnrd pmpc y Lr iNlf,crior pu,po
<br />/t> lts.\r,Dlicnnl 0r ,\srnl Sixnnlurr
<br />!0\\
<br />** (l
<br />III
<br />I
<br />ELECTRICAL.INSPECTOR RECORD
<br />Sub-Panels
<br />Service lVleter
<br />OWNER AUILDER DELCAR TION
<br />I hcBhy ,afirh hdq p.mlry of Frjury rhar I d crcmnr tom thc Conr,a.rrF Li..n* uw lor rhc rollowinB rcasn (Scc.7o.ll 5
<br />Busincsi .nd Proresion C.d.l Any Ciry or Coumy whrh mqun s . Fnnir ro conslf,rcl. .lln. iry)rove- &mlisn or rcI)qn any
<br />srructurc. priorlo irs issuonrc. iho rcquircs rhc lpplkanr tor $ch
<br />')crmirro
<br />filcasisned srarcnEnr llErh.or sh. h li.c.\.d puNumr I
<br />ro lh. r{,virbnr orth Contr..hf* Li.cnsd bw (Chnpr€r 9. c.mmcking wilh Sc.lion 70m of Divkn,. -1 o( rhc Busine$ End
<br />I,mle$6N Codc) or lhar hc or shc hcxcmpt rhcrcfromMdrhc b0s,s |orrhc rllc8cdcrcmprion An,vtrlrionorS..riotr70r1.5by,ny
<br />Atrtunr ir a pc'nrir .urrds rhr nnrli,snrx'3cnilncnrlr)olnorntr,crhmi\r\unlaJd.lh,\r!i(r'lIA
<br />l{ll. * /**,,,r,r," p1"ry. u, n,yc'q,rnycc( s h $ r8cs as rhcn Rn. conu.nsd ion. sirr do rh. wtrk atrd the srrucrft ii rn
<br />Srcklcd/ or ollcrcn fo, {h rsa.7044- ausirc$ ond Pmlc$iotrs Co<lc Thc Cod.d.as Lien$ liw docr nor npply ro {n o*Nr or
<br />['" pY1"ry "r,,r,,,ld.-inq lrs rh.Nn. ad *hu J6 skh so* hinNclr or hc6.lf or lhmu8h his or hcr .*; cnlPn,]r$,
<br />novid.d rhar such imporc'mnh m mr intc.ddl or oftcr.tl for slc lt howAs. rh. htiUing or inlpotmnr i\ $H uirhin on. tr*
<br />of.oq,brio( tlE Owncr Buitlcr will hnh dr br €nollmvingrhal lEor\hcdid norbuiHorimpmv. the pmFdy for rtE puribs ot
<br />L rsowrcroirhc pmpcnr- r'ncrclusivcly.onrrrcrirg wirh liccn\c contxrrtr\hcoiifl.rrtrl}o](tr(Sc.7Lq4.ausncss
<br />.*l rh)rL\\in Cod.r ThcContr.kr\ Li.ctrsc Laadoc: nor npply k, r osi.rofnrol).dywhn buildsor inrfovcs rhcr.on.
<br />r J who .onrrucnlor \u.h pmJccr\ silh r (tnrrx.t,1s) liccr\ci pulsurtrr hlhc(innrxctn \ l-i.cns.l-rw)
<br />-I
<br />hilc dwillnuinrahoCcnifictrlcofCooscnlr.Sclf.lnsnrclorworkcr'coflrlf,nsntbn.0s lrovidcdforbySccrbn]?morrh.
<br />trblr Coi].. for rh. p.rfoMc. oith. *o* for which th. pcrmir is issx.i.
<br />_l hlve and sillnuint&in workc^ comr..s,rion n$!Encc. a\ rcqut.dhySc.ridn1700orrhchhorG)dc.ft,rhcpcdomunccol
<br />rhc work f(, whthrhisp6mir ir n{cd. M,sork.6 conpcn{rion i.slrscc c@tr n rB,li.t nxnb.r m
<br />I hcrcbyalltnrundcr n nolryoltrriuryrhlr I anr liccncd u cr
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