Laserfiche WebLink
ELECTRICAL-INSPECTOR RECORD <br />ID/SIG.COMMENTSAPPROVALSDATE <br />Site-Work <br />Unde round <br />Pole Bases <br />Li ht Standards <br />S S Pool, Fountains <br />Si NS monument <br />Lite Satet /Low Volta e <br />Fire Alarm / Dam rS <br />Buildi <br />Under Slab / Floor <br />Bondin / Groundin / UFER <br />Translormers <br />Sub-Panels <br />Air Conditioners <br />Rool To E ul ment <br />Facto Wired Unit <br />Walls Rou h <br />Ceilin hSHard & Sollit Rou <br />,Rou h <br />FINAL <br />Notes Remarks Etc. <br />OWNER BUII,DER DELCARATION <br />! h.rcby rf6nn undc, pcndlry of Friury lhal t m deq, lmn rhc Conlractor' LiNn* t w lor rhc nnb*in8 rcasn (Sic 70:r I I <br />BusinNs .nd Pron$ion Codc)r Any Cily or Counry $hi.h r.quircs a pcrmir ro conrrucl. alrq- inpo$. dcmlth or mFn v <br />{ru.lurc. prhrlo nr hsu,ncc.0l$ rcluncs rh. apPli.anr ror sEh Pcrni t, nka si8rcd slarcftnr rh lEor shc is liccnsd ,)umd <br />k' rhc F)visions oI rhe Conra.locs Liccn$d Lsw (ChaPr.r L ConnEncins wirh s.crion ?o(D of Divhiotr -l oflhd Busi'c$ ond <br />Pmlisions Code) or rhrt h. or shc iscicmpl rhct rro,n.nd rhc tush lor rh. alL8.n cx.mPrion Anv viohtiotr ol Serb' ?0:l I 5 bv anv <br />rrplica loraFmil subjcck lhe atplicrn on.irilpcnlhrofnor nxn. rhan filc hondred dollts ($5lI)) <br />l, s oercr ot lhc tmNxy, or my cmploJtds wirh wrSc! as lnci $lc con\Fnsnl ion. *ill tlo Ih. vork a lic $mluDk ml <br />nc'i oroficrcd forelc(Sa 7044. aulirrc$ ld holt\siotrs C.d. lhcConrra.rusLi.ctrktjwdoc\ior,p!lyloanowncior <br />rhc l('trjdy *ho t{ilds or i'itroks rh-ruarn- ud who d*s \eh Ror* hnnscllor h.r$lror rhmus[ hi\ or hn osn cnPlovccs, <br />Irovidcd rhrt sn h inurcvc,mnh s nor id.Ixlcd or oficrcd lor srk ll ,n,*cEr. rh. hnildinS or irr4rcvcmnr i\ vru lnhh om vtttr <br />;t con{lcli()n. lhc Osmr suikh Nill h.* rtE hunjcn or pmvirA lh,r lr o! dr dil mr toild or inpturc fic Frpcnv ror thc fdrln{ or <br />-l.as.$ncrorrhctrc0cdy.uocrclosiv.ltcotrretirswirhliLctr\.d.onrocro6roconiflcrrl'.0r*cr(s..7044.Busifts.nlPR)rssio.CodelhcCuntnrol\Liccn{l-swdo.snor0PPlylornosnroflrotdvshohuildsorinrlrov'\rhcrcon- <br />onn *ho conlncb rd such poi.ck *irh n Conhdo(s I liccnsJ flrsurnl kr lnc (f, r,crols l-iccn\c l-N) <br />-lunrcxcmtr <br />und.rsNltin-. B &PC hrrhisrcrv'n <br />WO{XF'R\' (:(IMPFNSATION <br />DECLAldltoN <br />I h.rc|ry alfirn .ndeqEnolly of Friury one of thc followitrs dcch.lrions <br />-l <br />havc {d sill minl0in a Ccnifr{. or Consctrl lo Sclf ln\lrc roi w.rksC onPcnqrn,r'.s Pmvidcd rdr bv S.dion l7m orrh' <br />hbor Codc. forrhc FrtornEnc. oflhc work ror *hich rhc pdn nissxcd. <br />IhuvcandqillmainhinworkcrCconDensllioDiniu.rmc.Nrcqutdbys*tion1700oirhcl-ahorCodctor(hep'rronMnccor <br />irn <br />(,r <br />I ccnilyrh ir rhc pcrlortutud otrhc worl lor which rht I'-nnf i\ i$ucd.l shrllnor c.Uhvan, l( .tr ir anymanncr <br />$ a{ ro hccore suhjcd b rhc *ork.s .unp.ierrtr hws oiCrliftrnir. d l3tc rhd ifl sh.uld hc{m ubjccr httr <br />$ortcrs compcnern [ovisionsolSccrion:]TLrOollhcLilnrOdr.IsMll.lonhwirhc.nrflvwilhrho{Pn,vi\nrns <br />WARNING: Fiihtrc ro Ecur. wtrkcrl coDftn{ari.n..vch!c i\ unkwtu]. rnd th.ll suhjccr I. fbvcr to cn'ni'rl Ftrrkts md <br />cilil fin.s np to onc hundred thouer.rl dolhs (Sl0O.fiD). h rddiiiotr t, rhc co{ olconrFnssrnrl. drmiscs !s ln)vid'J 'nr <br />lhc <br />Sccli.n:1076oithc Lrh.r Codc. i,rlclcsr und trnoniy sfdr. <br />Drl.: Appll@l: <br />r rcrlsrrl trr,ntrn rcrrrn <br />DECLAf,AITO! <br />, hcEb, amrd undcr Fnohlolacrjuryrhar I !m lie.Ed !nd( nmrnion of ChnPr.t 9 (smmrcins qirh sc'1ion 7frlo) nrDivtirn <br />of lhc Busincss and Pmfcssi,ns Codc, drd my li.ens is in tlll lote ndler <br />0fw6 <br />c0NsT{ll(lTl(rN ! }-rtDING ACFN(IY <br />lh.tubyrfirmuDdcrpcnolrybrrcrrurylhrrlhrciaconsrtu.!iotrlcndinsas.tutlorrhc|Erronnsmcolrhcw'rkr{trwhichlhisl'-rniris <br />is\ucd rscc :1097. Civ C.r <br />hnlcis Nlm <br />-APPLICANT I'Ncl {RAI]ON <br />lhs$yanimundcrpcnrllyof Pcijrtrtotrcoirhcfollo*insd..lrfurn s <br />t)ctrr)lirior PcrmiN-Astcsos Norilicarioi rcdcr.l R.3uhrirns ('I'irlc 40. Pin6) <br />Rcqut.d bncrolNorilirrk,n <br />lccniiylha! rhc[d.mlrc8uliri,]ns r.srdirgasbc{os rcmo\xlrr nor ltIi.abL b rhis lkirricr <br />_l ccnifyrhar I hrvc rcMrhi\ rtpli.nr n d (dcrhrr rhcxhnc nrronr tn, <br />odinancc\ and Stdc tjws rcL(in! n, hiklir8 con{rudi <br />rhvc Nnrioncd lr.lf,dy rnr iNpccrtnr <br />ApDliunl or lgenl si*nnl <br />t.oft.r.l sare roconoly wnh lll Ciryand Counry <br />rcnrcenrsbvc\ ofrhr C yMdCou )n,c dunonrhc <br />^.,alults <br />Communications Cable <br />Torqueinq <br />Walls (Conduit) <br />Ceilinqs (T-Bar Rouqh) <br />Meter Release <br />T/q /ra, <br />Service lvleter b6K/-/4-41k <br />I