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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE IDiSIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof To p Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilin gs (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Ir4eter Release <br />Rough <br />Service Meter l <br />FINAL Vl7.,t\rq ,Uahfc ) <br />Notes, Remarks, Etc <br />OWNER BUILDER DEI,CARATION <br />I h6€ty amrm und.r poally of pdjury lhal I d qopl 6on th. Conr.doB Lic.ns. kv fo. lh. aollowing rffin (Ss 701 I 5 <br />Busin6s dd Profsion Codc): Any Cily or Counry which rcqut6 a tdmn to co6ln.1, .116. improve dsnolish or rqEir uy <br />nrucru.. prior ro its isuMe atto rcquirG th. applicer for such p6nn ro fi1. . ltn d sd.rot thal IE or sh. n licots d p@dr <br />ro rh. provi3ioB ofrhe conrrrcrois Lic.nrd tiw (Chrprer 9, conrmencin8 $ilh Sarion 7000 of Division 3 ofrh. BusinN ..d <br />Prclcsions Cod.) or thal lE or shc ir qempt Ihqefion ud rhc bsis for lh€ alkscd .x@6ion. An, violatio. oiS.clion 7011.5 by atry <br />aptlicanl for a pdnn sobje6 ln. rpplicant ro a.ivilp.nanrol.ol mor.rhd liv. hundr€ddolles(1500). <br />-1. <br />6 ownd orrhc prep.ny. or Ey coplor6 $nh wrs6 6 lh€ir $lc conpoEllion, wil <tr d. sort el fic slnflrc G mt <br />inrdd€d or olTd€d tor slc (S€ 7044. Busins ed Prca6sio.s Codcr Ti€ (ronrradoi 3 LicGc Lau do6 nor arply ro ,n ownd oa <br />ln€ pmpgly sho builds or nnprcvB thq6r .od who do6 srn mlt himsclt or hdrclf or l,rouBh his or h6 os chploy.6. <br />prori.Ld rhar such imFovohE e @t ilnqkLd or oltscd ror slc lL hovor. tlE hrildiie or imPrDv.l1d is sld sithin onc ,w <br />ofcooplelion, rhe Omo ar i6 dl ha!. th. burdo oaproviis rhd he or sn did nor hrild or improlc thc pmpdy fo. tlE plrpos oa <br />l, a oMd of th. propdy, m .xcl$iv.ly codrding ailh licdsd cont.cloB lo conslruct thc proj.cl (S(. 7044, BEnB <br />..d Piofis6n cod.: Th. ConlEclol! Lic.ns Lrs do6 mr appl, to m oq.6 ofgrop.ny who buil{,s or ioprovd lhq@( <br />and who siui(s ior !u.h Fojar sth a Codncro(!) licaE <t prBM tu rhc ConrEcroas LiaM Lar). <br />-l <br />d.rnpl undd Srlion-. B. & P.C. lor rhis 1606 <br />D.ts Owner <br />IAAtrES,aCqUfENlAIla! <br />D}:CIdSAIPN <br />I h6eby ailirfl und€r pe.all, ot psjury onc oI the follorviis dcclsrrio's: <br />_l hav. md will tuimai. d cdi6car. of Conffr ro s.lf-lBur€ lor workdr coo,rnlatun, 6 prcvidcd ror by Scrion l?00 oarh. <br />Llbor codc, lor th. pslomoce onh. worl lor whth th€ pmir is isu€d <br />_l ha!. and will naintain worksl conr.nsarion iBua.c., s rcqoir.d by S4lion 1700 ol lhc L3bor Codc, aor lh. peaomdc. of <br />lh. sor! aor whi.h this p.mit is isu.d. M, wortm .oDp.nsalio. iNurmc€ cui6 ad policy nunbq e€ <br />Policy Numbsr-Erpn6: <br />-l <br />c€nily lhal r lhe pcrfomancc ol rhc uo for *hrh this pdmir is nsuul. l sh.ll nor onploy any p.Eon ia any munr <br />$ a to bc€omc subjd ro rn€ woll6 comp.nsrio.la$ oacali ifI should b€o'n subler ro rh€ <br />work6' compeNarion povisions olSection 1700 ollhe L.bo. Code. I shall.pl, wirh rhos prorhioa.. <br />$ARNINC: Failue lo scure $orkc6 c.'np.asalon co\sale 6 unlasaul,ll subl( & Gnplord kr sininll Fahi6 and <br />civil fin6 !p lo on. hundrcd lhou$d doll6 ($100.000). rtr addnion t,cosl olc6'np.Nlio.. d@ag6 s p.ovided lnr the <br />sdion.1076 oithcLr6or(od€. inrGt .nd anorn y K <br />I lurh) rllnnundr penrl[ f l F-'rjun rhd I m unds proviri.h ofcnaplo 9 (comrHc inA Biih Sdtion 7000) of Dirision l <br />of de Uusin6s and Proa6sions Codc. d my licas. is in full lorcc d caa.cl <br />I hcrcby afiinn trndcr penrltyoipsiury that I ns as6cy for rhc pdfome.. o f thc *ork for \ltich lhis psmit G <br />issued (se.1097. cir C ). <br />ATSIIIANI.DICIA8AIION <br />I ho*yafmund6 p.lalty olFjuryon of Oc followins d6lmlio6: <br />Deoolirion P.dir5,Asb6l6 Norific io. Fcdral RegularioN (Tirlc 40, Pd6) <br />_Requir.d lxird of Nori66tbn <br />-l <br />cEtily lhd rnc fedgal rcEulatiom r€sudins 6t6tos rorolal ec nor applicablc lo rhi! pmjd <br />_l cslify lhar I havc lad rhis applicarion dsratedrar inaomarion is.onal I asre lo conrflyNith allCityand Counly <br />ordin.ncs tud Starc lnss rclnring <br /> ppli.{nt or Ag€nl sign,lnr€(It9 <br />Communications Cable <br />lriJ.r r <br />^JrN <br />t-+-