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ELECTRICAL-INSPECTOR RECORD
<br />ID/SIG.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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />It4eter Release
<br />bzrr'lMfuRough€rt0//0 ,/tJv
<br />Service lt4eter
<br />FINAL r/o/z//anoh,,6)./
<br />Notes, Remarks, Etc
<br />+
<br />OWNER BU!LDER DEI-('ARAIION
<br />I hdcby arrd n.do tuny oa pdlury lhrl I m .xempi fiorn ttu Co. raclo* LiceNe bs aorUc lollowins rNn (SE.7i! 1.5
<br />B'sin6s ed Profsion Cod.) Any Cily or Cou.'ly $hich ,.qui6 . lqnit ro .odtttucr. alrs, improtll ddnolish or rcron e,
<br />srruclr, rmr ro ns Nudcq rre r.qun6 th. @pli.dl lor such p(mn ro nE a si8n.d slarmd Ihal h€ or s6. i! lica3cn lueer
<br />lo thc pmGions of rhe Contadoa! Licensed k* (Chsptq !. Conrmcncing wnh Ssrion 7000 ol Divirio. I oflh€ B6in6 ed
<br />Prolesions Code) or thal hc or shc is qcmpt firclroh d rhc b€sis for lh. all.!.d d.mpiion Any violal ioo orsdion 70115 b,ey
<br />appli(a aor a ponit 3ubl6ts rhc applicdioacivilr.nahyofnotmorcih livc hufflred dollds ($500)
<br />!. 6 oMd ollhc pmrEny. or my €n lo)E6 n ith was6 as lhcn sot compmdion. *i[ & lh. rvo,k aar lh. siM,E i5 mt
<br />i 6ri.d or orlnd foi El. isc ?o44, Brin6s md PtulsioN Cod.:lllc cont.ctors Lic4.liw d.6 nol tpply ro eomd ol
<br />lh. pspdiy vho b{ilds or impo6 lhse., &d rvho d.s suh rh.t himscll o, h@ll or lhooSh his or hd o$n cmploy.6.
<br />prorid€d rh,r such idpro\oMls r. ml intdd.d or olIq.d turslc.Ii horv6's. thc buil,i.g or inFo\.lml is $ld wilhin onc )@
<br />ofcomptr ion. rh. O.Tcr Builda Bill havc lh. bdn ofprotos rha h. or sh. did nol t{ild or nnpovc drc prtrpsly lor thc pu4$E of
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<br />dotrrdorrh.aropdy. n.$lusivcly antaclins vith licmc{ conrB.lo^ ro consltud rh. Imjd (Se. 70 , a6ine
<br />and RoEsion Codc: Thc cont..tols Licc6. Law do6.ol apply to m own6 olpro!.ny who build.i or improv.s rhdon,
<br />and *ho.onrEclsaorlucnFoj-uwiriaCodBdo(s)licd.dpuu@ttolhecontE.rolsLic@Law).
<br />-l
<br />m cxdpl undd S*rio.-, B & P C. forrhis r6on.
<br />.laaKEB AUIEISAII()!
<br />DECtAEduO!
<br />I hseby amfln und6 porahyolpgjury on€ ollhc foltNrns d{laario6:
<br />-l
<br />hav. .d will ,minr.in a Cdrificst. of CoNdr to S.lf'lNurc for !0*.6' onlpmsrlion. s provid.d lor by Sdion 1700 o f (h.
<br />trbor Cod., lor rhe pdf6mdc. o f th. wod for ehich thc pmil i, iseu.d.
<br />f, Ur. ona *i,t .u,n,u,n *.rk.ru cnrnp€Ear on r6uancc. s r.quir.d by Sction l70o orrh. kb.r ( od€. lor lh. poron@.. or
<br />ll. sort loruhichthBp€,n s ssu.d M) *dkd! rcnp<Mnon 'curmr. ff'n dpolq numb6 ac:
<br />L IL
<br />I 't0-ltq
<br />Icslilyrharinlh€r.rformanceollh.workfoi$hi.hlhispdnnisissx.d,Ishaunot€mployanyp.6oninanynr,6
<br />so a Io be.or. $bjd'
<br />'o
<br />lh. ml{6' co,npNtion la*s of Califomi( and ard rhar ii I sh.uld h..omc subjtri lo lh€
<br />$drt6.dmlBMlionpmvisioNofS..lion1700oIlhcLflborCodc.Ish{ll.lonhNnhconplywirhlhosrolisioN
<br />'W RNINC: trailu,e ro Fur. ro 6 conpdernJn .ovdasc is utrlasful, dd shall $brel tu dntloys ro 6imi.ol psElrie ud
<br />ctuil fin€s up ro onc hun&.d rho@d dous ($l00,LrO0). in additio. to the cosl.fco'n!.nsaiion, d.nD8e a proYid.d for lhc
<br />S6tio. 1076 ofih. t-ah, C.dd inrdd ed anonEv s 16
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<br />I hcrcby riltr,n undd p.nally ol pqjury lhat I m lia.s.d undcr p.ovlion oachaprd I (onm.ncnrS wilh Salioo 7000) ol Division l
<br />of th. Busins md PmfBions Cod.. and my licosc is in full forcc dd ..'61
<br />,t C
<br />*" lPlq'lx (
<br />lQlslaucuoNrENDl!tuG[l.L](
<br />I hdrb, allnnondd p.nalryofp.dury thal rhse is. onstndion l dins rgdcy forrh.pdformmc.ofthewo,k for nti.h thn Fmn ie
<br />su.d (sd.1097. ci! c )
<br />AIIIISANLDECI.ABAI&!
<br />I tErby,flinn under pm.hy otpojuy onc ofthc folloNins d(ldalioB:
<br />D.nolirion P.mirs-Alb6to8 Noliicalion lr.ddrl R€culariom ( I irb a0. Pan6)
<br />Rqtrn.d Lcucr olNolilimtion
<br />-l
<br />cdily thar rh. leddal lcsularioB Esedinr db€sros &noval e nor apdi.,ble io this prcJei
<br />-l
<br />cenify rhar I hile r€d rhiq appli.diod ard ar. rhd lhe abv. inlomElion is cor.d. l asrc lo ondy *ilh all Cily and County
<br />ord'nan.6 ed Sllrc ljs,s rclati.s ro b{ildine .oBhc'ion, de]autholiz rcp..gndir6 olrhis Cny and Coonly lo @16 upon rht
<br />abovc n€nlioneJ prcpsly for iffpalion pur!.s6
<br />,,,,," . t Vt n/ I,\Dplicsnl or Agcnr Sipnrlurr >t
<br />5 Penc or llorI
<br />APPROVALS DATE
<br />Air Conditioners
<br />o 6.t ol4
<br />'tn(
<br />I .nJ.' r \rtrr.
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