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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARA''ION <br />I fiftbr amnn lndo p.n.lly of pBjury lhar I an ermo &on tlt ( o.trctos Lic.Ne L2$ for lhe aollowi.g r@n (SF.701 1.5 <br />Busins &!d Pr.fsion Cod.) An, Cily or counly which rtqun6 a pdn ro coNod. ahd, inprov€, dmolth or EiBi! uy <br />struclue pftor to irs isumc.. ole r€quirB th. applictut aor su.h p€mit ro fi1. a sisn€d slatmdr thar h. o! shc is licd*d pusuM( <br />ro fi€ lrovGioa of $. Contractois Lic.nr.d l-aq (Chafl.r 9, Comncn.ihS wth Sdtion 7000 of Division r ol$. Busin6 and <br />Pmfsions Code)or rhal hcorshe Ls.rcmpl lhrciion md lhe bsis for ihc.llcscd €xmptio. Aoy viohtionofs*rio.70ll 5 by dy <br />appli.et lor a p@n subjd3 rhe amlicer lo a .i il p.nalry or nor mor. rhd fiv. hundrcd d.ll&s ($500). <br />-1. <br />s owncr of rhe rroFny. o! oy cnplo)6 wirh {ss6 6lhetr $lc conFMrion. *ill do tn. $o* dlh.sln{lu.inol <br />irmdcl or ollercd fo. slc (Se.7044. ausins and Prcf6io6 ( ode Tlc cohtador't I-i.@ Ltw dod nor aprly lo u oM( of <br />rh. popsry vho buikis or imFovB rhottr dd sho do6 su.h Mrl hims€lf or hGcllor threush his or hn o$n mPloy6. <br />provid€dtld such impm\ drrr s m ml inh&d or ofidrd for sak. If. hoscv6. lh€ turldins or i6lro!@dt b $ld \ri$r on. Fr <br />ofootopleion, te Otrn6 Builda wiu hrvc thc h! dn ofprovinr $d hc or sh. d'd nor blild or i.'Fov. d. pspdy lor lh€ Frpoc of <br />L s ow.d oarhcpropdy. m .xclsircly conr..cr ins wiih licsFd contncloBro consrrucr lhc phjd (S(. 7044. BEirs <br />and It f6snn Cod.: 'l hc cobridcror s l-ic€nsc l-aw do6 not appl) ro d o*nd 6l prop.ny sho btrild! or inprovB thqon. <br />and *ho.o hos lor chprcjats*irh.co 6.ro(s) li.mni p6umr tornc Contr..lois Licdsc L€N) <br />_l m€x.npl md6 Setio <br />][aatsE8l(aL&llarIaN <br />DEQ4AAI]III <br />I hscby !mi,n u.dd Fraht olpsjrry onc oirhc iolnrwinS dNlddio6l <br />_l hak and wnl n.inrai. a cdilic.tc of co6nr ro s.la-lsur. fo. wo.k.G @nD.nsarro., d Foid€d lor by S6rio. 3700 or Lhc <br />khor cod.. aor rb. pafomd.c o f rh. {o* for shich th. pnir i3 i.sual. <br />_l havc and B ill nrainraio wolk.6' .6,np.6alion iaurance. s r.quncd by s.{tun l?OJ of lh. tibor Codc. lor rhe psfomuc. of <br />rhc *ork lff \rhich rhs pcm Ls issued l\,lyNorlets c.mposrl'.ninsunn...rmraidBJ <br />_l cdifyrhar d rhe pdfornDn.. o I the Mrk for *hich rhi pemn is issu.d.l sh.ll nor cuploy any pssn in uy ddn* <br />$ d to b..omc subjtr o rhc trorl(c' coop€nsr ion Lws olcaliaomia. od asrd rhar il I lhould b. on< subjd lo lhc <br />vorl6' compssalion provisiore of Sdlion I700 oilne Labo. Code I shall. fonhwilh conPly \yilh rho* pori,ioN. <br />W RIING: F ilurc to sue \vorks'comp.nsarion co\ful. dd shall subjd s flployq lo crinin,l pmhi6 Md <br />civil nncs up r. one huddred rhousd dollm 1$l io.- doas6 6 provid.d aor rh€ <br />t-u <br />Ulrl=lllltllr! <br />lhdebrafirrnuDdspc.a]rrofD.rjurytlEtlonlicenscdund6provisionofchapl(9(com'nociossilhS.rio.7000)ofDirisio.l <br />ol rhc Bosin6s dd PofsioB Codc. ud my licN is ir lull forcc 0.d <br />buzzorLVtt t Ltntt,trU( oNsr RUc r()N r-IrNDrr(: A(:r,rN( l' <br />I hd.t't arrm undd F.ahy ofpdjuryrnal tbd.ta coNrrudion LodinB r86cy forlhcp6fom ccoflh.work 6r shi&thn pdmn k <br />i$o.d (sc. .1097. Cir C ) <br />AIS,IIANIDECI.ABAIIO! <br />I hql'y atrm undd pcnahy ot p€rjury onc ot th. follorvinS d€cldarions: <br />D.,mliion P@ire&b.sror Norificalio. F.ddal R.EUhtioN (Tnk40, Pd6) <br />-R.quircd <br />rnld oa Nolificarirn <br />I celify thar lhe fdL.al resularioG ftrardine abGros i@oval dc .or arpli.ahlc ro this prejel <br />-l <br />celiay lhar I h.r. r.ad Ihis dd stalcrhar the ohov. infoflnalion is cor€cr. I +!6 ro comply s <br />oldinancB and Si.r€ titrs rchin-! 10 r€pr6dlariv6 ofrhis cny md Counlylo olq upon th. <br />aL$\ e nErliinrcd pmpen! aor <br />rt f zc/,r0,\ppli.int or ,\gdrr signi t( <br />Site-Work <br />Underground <br />Pole Bases <br />Light Slandards <br />Spas, Pool, Fountains <br />S igns (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dam pers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />To rquerng <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Fa ctory Wired Unit <br />Walls (Conduit)rltalu -tD <br />Walls (Rough)!41u'- <br />Ceilings (Hard & Soffit Rouqh {lrlu'ri) <br />Ceilings (T-Bar Rouqh)I I ul <br />l/eter Release <br />Rough <br />Service Meter t\ <br />FINAL K-B-\\ <br />Notes Remarks, Etc \v <br />Transformers <br />xrn:+*)'i <br />Vrlv.io,&..2:E) <br />u}k,1a <br />L.ndn r Add,6s: _ <br />tT.qin <br />.---T---