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ELECTRICAL-INSPECTOR RECORD
<br />oWNER AUILDER DALCAN,{IION
<br />I hcrcby amrm undcr lcnrlry of pcrjury rhar I am cxcmpr hom thc Conrrldo( License L0* n{ rhc nnb*ing .cd$.lsc.?0:11.5
<br />Burinds\ and Pr.L$i Cirlc) Any Ciry.r Counry uhi.h rcquirc\ ! Fr.rir h con{tu.r- alr$, inpi.v., d.mlish or Nptrt 0ny
<br />{ru.ruro. pri.r b ns isudn... aho r.qunrsihc arpli.rnr for ruch pc.nrit b lllc r \i8Md inrcn*nr rhr! hor sh. h lic.tred J,usuanr
<br />ro rhc rrelisions or rhe Conrrlcroas l-iccnscd tjw (ChaDrer 9, Conme.cinc *irh Sccrion 7OU) of Dirision I or$c au\in.s{ and
<br />PtuL*sions c{d. ) or rhnr hj or rh. is .r.mpr rh.r.ron dd rh. ba\i! fttr rh. suctdd cxcnprion. Any violariotr of SNtion ?03 l 5 br iny
<br />apllicant for a p.mit su$tcklhc opplicont lo acivilpcn.hyol.or mrclhln rir hundrcddoll s($500)
<br />l. N owncr .f ih. lrtJlrny. or my .nrtldy..i wnh wrgcs as rhcn $t d,n[rn{rk,n, wiu do rh. wdk alld rtr stuiN ii mr
<br />inlcndcd or ofr.rcd fttr elc (Se.7(}14. BusirEss and Pmr.ssions oJdc: Thc qn r.clni Liccnsc L1w dcs nol arnly ro un o*ncr ol
<br />the pmpedy who builds or impnrcs rlfmn. aJld who des such mrl himrcll or hcrcll or rhmuAh his or hd own .nflorccs.
<br />Fovidcd rhal such impmvcnEnh arc nn inrcndcd oltcred lor srh. ll ho*c(r. rhc huilding or inlPormnt is skl wirhi'r .ic ,td
<br />oicomplctiotr, rhc Oqncr auits Bill h0vc lhc hrdcnorpmvirg lhor tE or shc did mt huild or nrynrc lhc rmpsly tn rhc purpo{ of
<br />I. asownciofrhc fm pcn y. 0,n cxclus ivc Iy conr0d iIB wirh liccn{d.ontmk,n ro c.nsrucl rhc pmjer (S(. 70.1,1. Btsrcss
<br />and Pmldsin Codc: Thc Conr,acroir Liccn\e l!* docs nor aprrly ro an o$n.r oipnrpcn, wh() bnilds.i inptuvcs rhcrcoi.
<br />lnd who onhcts lrtr su.h lfl,j$h sith 0 Co.hcro(, licc,$d pursulnr k' rhe O' rfrrols Liccne Lls)
<br />-l
<br />Mrcxcnr[ undcr Sc.r
<br />OPner:
<br />trOAtrEBl_cOUT[NsAfll!
<br />DECIdAA.IIAN
<br />I hcrchyiifinnund.rn.mlryoln.rjuryo.olrhcn,li,$irgd..br,ions
<br />-lhlvcardwillnEinrain!CcrriardcotConscntroSclflnsurcforBorlcFconFcnsarn,i.trsr{,vidcdrorbySelionl?0oollh.Lrhor Codc. for rhc p.rlo.,noNc oilhc wort lor vhich thc psnit h Grucd.
<br />(.'n, {fl.,t
<br />\rcnir i\ i\\uEl M,*orkrn compcn\di,,n rurr .c crtrid rtoll li.y iu'hhcrarc:
<br />u*^zl Ca>V x.,rlrq,
<br />r4ru JtJ co r<,r 6110
<br />I ccnifr rhtrr i'r rhc pcrtotrEncc ofrhc work for which rhi\ p(rmir i\ i\su.d. I \h.ll trot cn{,loy any Fson i. any aunner
<br />- A ro tr,rtu.uhJ.ci r' rh. woAfl\'n ln.nsr'on hq.olLil'Lmm. M,l l8r(thd irI'hruld bc..rm suhrd n,Ih.
<br />*,,*n. .r,mllcnurn,nl)n*^'on\ lStcrr'n r7rU frh. Lf,b..' cldc.l\tull, ndhulhc nl|llyl hrlF*t'FvrFn\
<br />WARNINC hilurc h ccurc *orkcF coarpcnerion covcBse is unlariul- a \hnll subF.r d efrplo)$ ro m'ninal lEtr{lrts !*1
<br />ciril rincs up b ore hundE-d rhoussnd dollar ($100.0001. in odnirn,n ro rhc co{ or.om!.n\arb.. d.m8ls as providcd lbr th.
<br />S.cri{'n 1076olrhc l-JhtrC,xlo.i' crcirtrJrrttrtrcv sli.\
<br />Drtcl .- l 2018
<br />DECI.AAAIION
<br />I hcsby,finm uhd$ p.ndryofpcrjury lhar I s'n li(n*rl und$,'mvision ofChopls 9 (urnEncins *ilh S€dion 700.J) orDivkion l
<br />of rhc B\incss and Pmtcssions Codc, ard d, lic.nrc is in tull rue and .fl&r
<br />6 lga.a%q.
<br />i.y lz-o*.tn'o -
<br />CoNSTRT'CTIoN I ENDING ACF"{CY
<br />I hcEby aifirm u.dcr Fnnlly of perjury lhd thcrc h a consrruction kndi,B agency for rhc l)*fomfte of rhc eork for whth tllis ,E nlil h
<br />hsucd(Scc 1097. Ci! C.)
<br />AIILTANIDICI.AAIUAN
<br />I kl.\ afmn x.dcr Fnalrt or tf,4ury oN ol thc l'olk,wi.B d(l...l n rs
<br />D$xn ion Pcrnih A\hcdr\ Norifi.rrn Fcdcrdl RdBuhbns (Tnb,$, Pnd6)
<br />-Rrqun.d
<br />lr rrof Noiii.rrin,
<br />el ccnilinN I h.k r.0n lhis trtrlicaltun :url tulc lhol rheobovc inlomuion i\ coturr l!a.ek,comtlywirh.llcny.ndCoutrry
<br />ordinrnc.s 0nd Srrtc tiws rchr i"s b buildior .on(rucl ion.nrdiv.\ oirhi\ Ciryrnd Counry b c icr ulx)nrltr
<br />.huvc ftnrn,ndd tn'rcn, f.r ir1\J$hon
<br />Au,lic,nl or Agrnl Sisn h'rr
<br />APPROVALS DATE ID/SIG,COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Translormers
<br />Torqueing
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Bouqh)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Roug h b/nlcA 5D66
<br />FINAL ln.4/t'l 1t41
<br />tolo7?Notes Remarks
<br />il-rlmr
<br />\-r.Ft
<br />Lc c'\ Nrmc
<br />-
<br />t ..l '.4,1,t,..
<br />lccnilyrh rh.fr.lcrrlr(Cul ri{,n\ rcllrdi'rg r\b.{d\ r.nn)vrlrr nr rrfluhlc It rhN trcj..r
<br />Communications Cable
<br />Sub-Panels
<br />Service lt/eter
<br />Etc.
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