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ELECTRICAL-INSPECTOR RECORD <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 />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />To rqueing <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rouqh) <br />Rough <br />Service ltileter <br />'r,&rdlFINAL71dlta7d vl) <br />Notes Remarks, Etc ' r l- A <br />O1YNER BI]II-DER DELCARATION <br />I h&.b, .mrn undr paally oa pdjury tha I m .reDpl fiom rhc ContracloN l,icBrc l-arv forth. aollo$in-! r.Mn(Sd70!l5 <br />Dusinc$ Md Prol6sion cod.): Any City or Counry s,hich rcqutd a ldrit to conslrud. alts. improve ddolih or E!ai! any <br />nru.l!rc. rior to irs isuan q atso ,cquir6 thc @pli€anr lor sucfi Fflrii ro nl. r siB..d sl.td.nt rhdr h. or stE is licmsd p6udi <br />ro the provisions ol lh. Conlraclo.s l.iccns.d tlw (Chapld 9, (tnm.n.ing rvirh s&rio. 7000 of Divhion I oarh. Bnsins ,nd <br />Por.ssioni Codc)o!thar hcorshcisq€mpt ihd.from and rh. hosis forrh.all.*.d ermprion. Anyviolitionoisedion 7011.5 by ony <br />.ppli.ad aor a pdnir subjds rhc applicer lo z cn il plaahy of lot moE rhd livc hundr.d dollas ( t500). <br />L c o$nd oflh. rmpdJ,. @ .r.lusivcly .odradinr Nnh licord contracroN ro coNtrucr rhc prejd (S{. 7l}t4.lt('n6 <br />tud P,otuio. Codc: fh. Contraclo.s Licms. Lrw do6 not apply ro a. osnd of prop.n, who builds or improvd th6.on, <br />and \ho conrracklorstr.hpojdswnhaConrraclo(s)lic <br />I en ci.frpr und( Ssrion <br />DECIAAAIIOX <br />I hscby amflnundB pcnalty olp6ju, r- onc ofrlE follo\lir8 ddldations: <br />I iarini$ill niinrii,r.( diar.dcoiconscnr ro sell-lNtrre ror rvolkqi co'nnuBarion. as povided for hr Sarior 1700 ofrh€ <br />Labor co.lq ior rhe pqromance o r rhc *ort for *hich lhc pqmir is isnred <br />Iha\ea sill mainlain sork.6 comp.N&rion imuran.e, * rcqun d hy S&r ion 1700 oaihe Labor Cod.. lor rh. pdfomm.c ol <br />thc Norl for $ hich lhi! p.nnil G isu.d My {orkds corpdsalion i.suran.e orid dd policy nuntEr ae <br />PolicyNu!nb6: <br />I ce(irylh.l in lhc pqfonmnce ollhc qorl fo! which this parnit ir tsucd.l sh.ll nor mploy any p.son i,.n! manne <br />s a to b6on'c suhjd lo rhc e*ds comporsrion latr: oicalifomio. dnd asr rh6l il I sl.ould b€co'nc subjd ro th.qorl6 conpa.ario. provisionsolscclion l?00 ofth.libor Code.l slEll. fonhNirh conply wirh thoFprovisioN <br />l\ARNIN(: Failu'c io {cur€ sorkrs c.mtrNrrio. .oLdic. k and shall n,bjd an onployg lo siniml ndahiB and <br />.i\ll lln.s up h onr hun 'c rh.usMd dollars ($lolr.000). ,n lcon,p.nsiln,n. damag€s as pnnided fu lhc <br />S(tiotr 1076 olthc ljbor Coda imscr Md.lbn r-s r€s <br />Ihcrebyamnnutrddpe.ahyolpdjury lt.l I r l undft l,o!ision of (-h.pt6 9 in! \n| Sdion 7000)oaDnisbn l <br />ol lhe ttusins.nd P.ofdions Cod.. ed my li.ds. is in fill lo,.c md.tldr <br />AIIIICANTDtr(IdAAUO! <br />I lEdry smnn undd p..alty ofpcrjury oneotlhc iollouin8 ddlar.tions <br />Ue rclition Pmnits-Asbdos Notilicorio. Fcddal R.rulition (Tnl. {0. Pan6) <br />Reqtrted Ltlld of Nolifi calion <br />I cdlifo thal lhc tcderal lcruktions ,€gedins 6b6tosronoLal.re nol.pplicable lo this projsl <br />I ccliaynh I ha\r red rhis applicarion anl <br />ordinanc6and slar. l,iws rcl.ling ro buildine <br />abovc mcmion.d tmpely fdi <br />.\fplicnnr or ,\q.trt SiEnrrn,c <br />';/"ry)-) <br />Sub-Panels <br />Walls (Conduit) <br />Meter Release <br />t. a ovtr.roalhc Eopcrly, or my.,nplorr6 wnh \ra86 ar rhcir sole..npsarion, \vill&J rli. {ort ddth. srl(d. i! not <br />inrfrled or ors.d fo, elc (58.7044. BEin6 md Proa6sio.s Coder th. Gnka.tois Lic@ La\e do6 nor al,p,r ro m o$ ns o I <br />rlrc pmlEny who hrilds or impro!6 tn6n. md who d.6 such \w* hnnellor h6.lf or rhn\'Eh hi! or hs o*o mploy.6, <br />prolideJ rhal su.h inpbv.tunc e frn idodcd or.fidld for sl..lf. toN.ys.lhc iruildins or imp!\€nHt is sold wilhm.ie )@ <br />of.ompldio.. rlt tu no BuiUE $ill hrrc lh. hnlo oaFovins rlld h. or $\c dil mt lxild or nnpl o!. fic pmpGly lor th. FUrpos ol <br />CONSTRUCTION LENDING AGENCY <br />I hd<by tmm und.r p.nahy or psjury lhal thd. ie s coNrrudion lfidirg a8ocy lor tte pdformancc ollh. "!rt lor which lhb p6nh ii <br />isucd (Sa. 1097. Cir. C.). <br />lrnJo.l Nrm.'