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ELECTRICAL.INSPECTOR RECORD
<br />COMMENTSDATEIDiSIG.APPROVALS
<br />Site-Work
<br />roundUnde
<br />Li ht Standards
<br />s, Pool FounlainsS
<br />monumentSins
<br />Fire Alarm / Dam ers
<br />Communications Cable
<br />Under Slab / Floor
<br />Bondin / Groundi / UFER
<br />Transformers
<br />Sub-Panels
<br />Air Conditioners
<br />Rool To E UI ment
<br />Facto Wired Unit
<br />Walls Conduit
<br />Walls Rou h
<br />Ceilin Hard & Soffit RoS h
<br />T-Bar RouCeilin hS
<br />Meter Release
<br />Rou h
<br />Service It/eter
<br />FINAL
<br />iir!Nr* nrrr.r,t.R r)r,rr.( ,\R,\Ix)N
<br />I h.rcby ,rtrn wkr pcn,lry ol pc.jury rhlr I d! crcmpl liom lhc C..lriclo6 Lten\c bw fot lhc followine B$n ('scc 701 I t
<br />Bnsn$s and Professt'n Codc) Any Ciry.r Counly which rcqlids a lc mn ro .onndcr, alt.r, improvc. dcmlish ot Epair mv
<br />strucrurc.prbrroiisksuarcc.al\6..quircsrlEarplicerrotsuchpcrnilx,fild0siBrcdsrllemnrrhalh.orsh'i(liccn*dporslnl
<br />lolhclmvisionsofllEco.tncloisLiceis.dtls(ch!flcr9-commrcins*ilhs.clionT000ofDivision]oflh.Bnlincrsan&
<br />Prcf.ssionscodclorlhallbo'shcistxcnfllh.rcf'omMdlheba\hforlhclllcscdcrcmFlionAnyviohiio'ofscctklnT0]l,5t,yan,
<br />applic.nl for a rcm \ubjcrrs lhc lpnlic,nl lo t civil Pcnalry of nor mrc than livc hundEd dolld ($500)
<br />-1,
<br />as owftr of rhc l,oFny. or flr, enulorss wnh wa8es os rhct $lc omPcnslrbn will do rhc eoll ad $' nnxi@ i\ mr
<br />;k(krl tr oncrcd r; silc rS€.?0&1. Busimss and Pmlcsions codc Thc Contstols l-iccoe tjw docs nol aPllv to !n o*ncr or
<br />rhcpmrny who huilds 6r in{,mrcsllE6 ,nd who dos $ct wrt hinsclr or hersl{ or rhrolsh his oi h'r own emlkrvccs'
<br />prc;A.n rhar sch impturcnE.rs urc nor inlcndcd ot oilc'tl ror elc. Il lDkvci rh. buildiis or inpmvcmnr k $ld trilhin 'nc ,c{
<br />;f..nDLrh.. rtE Own; Buil,ls will lu( rh. budcn of prcvins rlut h. or shc d'd nor hild or imprct thc pmFlv for rh' puqDs ol
<br />L as owrer oa r h. ptupcny. om qclusiv.ly .o.lroclinB sirh lic.ns.d conl.rcbft lo construcr lh' pmjcci (S< 7044 Bn\incs
<br />und Psto*bn Codc: rrh; Cont,cto! s Liccnsc llw des nol aplly ro an or.er otpnrPcrl, who hilds or impmve' rh'rcon'
<br />and *ho.ooh.tsforsuchphixrswilhaConrruhns)lhcnsdpuru.rrolhcCo.r,,.rorsLiensljw)'
<br />I !mccnrr tndcr scctio
<br />hcrc_ Oen.r'
<br />wolxen's coum,ririrox-
<br />DECI.ASAUI]N
<br />I hercby affirm undcr Fnally of pnjury onc of rh. rollowlE delamrions:
<br />lhavcandwillminl0inlccnifi.rr.ofconsclosclHnsurcrorwoIkd.doq'.n$lion'$povidcdforbyscction]Toooflhc
<br />Ijhor Codc, for lhc DcrlooEcc oflhc ert ro, which thc !.mir i{ issucd.
<br />-l
<br />lrvc lnd will 'nnfldir uork.n .o '!.nsarioninsuranc.,srcquircdhyScclion:17{D.frhcl-ibotCodcforlhcPcrli'nnrcof
<br />*orkc* NtrDcnsolion insurrn.cci,ricr dt lnicy numhcr {c:
<br />(riita -d,'s .
<br />r.l,\q53r\tu\, (or31 dto
<br />-lccniryfidirthcpcrtunrunrcoflhc*orktd*hichrhhptrnrir
<br />is isucd.I \hrllnoi.nPl{iv ry P'iso' in sny ndtmr
<br />o m o Oec"* urraci o r* *ork(i .unll].ns0r ion lnws or Cnlihmi. snd i8N rhrr ir l rhtuld b€om srhjcd ro lhc
<br />$ortc6 co lP.nqr ir,. Provi\ions or s(riotr 37(xJ ol rlt tjbor Coac. l \hrll. ir)dh*irn conflv wir h l hos rmvisiors
<br />WARNINC: Frilurc io aurc workcs'.onu.n\arion..vco3c ir unhslll iod shrll \xbjdr an cnDlortr l' aiminll Fmlrics otrd
<br />b orc hundrdl rhous.nd nolhr\ ($lo0.ooo). in addirn,n ro thc cod or.onEns.rnrn
<br />Sc.rion 1076 ofrhc lih, C(dc, i crc(! nnonry s Lcs
<br />'^,".
<br />t|'t.'ft
<br />DDCI.ASAII!]N
<br />IheehynmrmundclpcnallyofPcljurylhdllan]j..ni{Underpmvhionolchq'ld9(.ommncinBwilhsetionTo0o)ofDivi\ion]
<br />oi rhc Businc\s dnd Pflrfcssions c(dc. lrd my liccn$ k in rull forc ud clf.tB \o>-11?q
<br />*^ -1,2.1,a Ye.\tf €:e.
<br />CONSTRIICTI(}N LFNNINC AGENCV
<br />lh€rch,artrmundcrP.nallyofp.ljulylhallhcrcisa.on(dcrionhndinB0scncylorlh.p.rfolm.ccoflhcrcrlf6r*hi.hthisF,mili\
<br />Gsucd{S& :1097,Civ.C.)
<br />AITUIAILDICI,AEAIIAN
<br />I tErchy uiim undcr Fnah, of pcrjury onc ol rhc following dc.l$lions
<br />Drnblilion Pcrmih Ash.sos Norificorid l_.dcrol Rqullrion\ (Tirl. 10. farr6J
<br />Rcqutcd L.rrcr.i Noritn.tti(rr
<br />lccnilyrhar rhc fcdcnrlrc3uhri,)ns rc8arningasbcdosrcm,edl{Ic noi t{lli.dbL r' ihi\ pn'icr
<br />rhrrihc.ho!c i'rlon i,r i\.otrc.r IrBt'* kr conqly wnh oll Cnrand ('ounry
<br />s ofrhn Cirynnd Counryb cnlc. uBr lhcordininces and Srrrc t-rrs rcllli'rgr.hu
<br />rtxr\c trEnl iorcd pmpcny Ir inlpccrion
<br />,\pdirnnt.rr\*tnlsixn.l n -.4-
<br />L.nd.is r.,m.
<br />t ndcr. AJ'Ir(
<br />,,. 1.2./?,.
<br />Pole Bases
<br />Lile Safetv /Low Voltaqe
<br />Buildinq
<br />Toroueino
<br />*/t>t .$6')
<br />i/l(oy'k "NFarNotes, Remarks, Etc.
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