20167187 - Permit (2) - Laserfiche WebLink

Home Browse Search

ELECTRICAL.INSPECTOR RECORD OWNER BUII-I}ER DELCARATION I hr.b, .rm tr.d6 p.nal!, oapfijury rnar I m cxmpl 6on lh. contaclo6 Lic*c l$r ro, lhc lolloving E*oi (sd ?Olllt Businss md Prot*ion Cod.) A.y Cny or County *hich râ‚¬qut6 a pdnn ro co6lrud. allR. inprov., d.mollsh or ,.pat uy strucrue pnor ro ns soancc rlso rcqunB the srplic l aor sucn pcmil to filc a siEn.d slaldd lhd hc o, sh. t licakd psumr lo the Provisiom ol th. Coflrrmroas Licoscd Law (Charr6 9. Codnd.ins $irh sdtion 7O0o of Division I ollh. Ausire dd Por.ssio.sCod.)orrharhcorshci..rcmprhd.fro,rddrh.bsisforrheollegcdexenption.Anyviolalionols..rio6?0lltbrey .pplicmtaorapmitsubjatsrh.applicantloacivilpâ‚¬naltyofnotmorcthdfivchundrcddollrs(St00). L as osn6 olrhc rmpâ‚¬ny. or ny .mplo)6 sirh *,g6 a{ rh.n enc .o,npdeion. wiu do rhc work dd tht stnx1@ n nul inr6d.n or olTd.d for sl. (Se 70,14. 8r6ins and P:_ofesions Codcr tl. Connndois Lic.6c La$ do6 60r atpl, to an oNns o f Flv rvho hrildsor imFnn6 thso,n. md \ho do6 such M'l himscll.r h.rkllor rl[ouBh hh or hs oun.mplor.r6, lhal slch nnFolmrs e ml inro& or or6ed for $1. ll ho( 66, rlE boilding or inFordmr is $ld wirhin onc yw rh. (san( Blildd Rill h0!c fiâ‚¬ brtrdo oiprovins rhal hâ‚¬ or shc did .ol blild or inpor. rh. pbpcr, lor tn. pnrpos of so*nsotth. Propsly,,. tunâ‚¬rclusiuclycolrroctins \ilh licqscd conlrrcro6 ro .odrud 'h. proi(r (Sd 7044, Bsifls Pnrlshn Codc: l hc Contracror's l-ic.ns. l-av do6 nol atply ro d oN6d o f propcrty who builds or nnprc(s lhddr.. vho coiihcls aor sr.h pmj*R wnh a Conta.ro(, liccns.d puu@l lo lhc Cod{clors Licdc. llw) u.dd lMalrr'oa p6jury omolthc I h.re dsill mainrain aCcnificat.ofconsotlo Sâ‚¬ll lnsurc fo! \wrkB c.nD..er 6 p,orided lor bysclion3T00oarhc l-.hrr Codc, aorlhc pdfonnnncc of the sork lor \vhich the pmii is iinEd . I havâ‚¬ and Nill mainr.in wort6 co'npoEarion isurdc., s reqrn.{ bt S(rion 1700 ot lhc L{bor Codc. for rh. lcfomare of rhc Lvorl lor rvhich rhis ri.nni 1s is.d My {0r[6 comrnerio, insurdce cmi.! ad policy nunb.r &â‚¬ inlheperfo nanceollhcworkforwhichlhtpsrn is irnrd,I sh.ll.orcmploy anyl).6on in anymanns subjd to the\vorkc6 co,nposrion lAss of('alifonri., dd a!rc lhal ill should b.come suhjdr lo rhe {0116 ohraNtion prevlsioB ofsdio. 1700 olrhc lrbor Cod.. I 3hall. fonhsilh co,nply wilh thos povisioa. RNTNGT Failure lo sK qoikm' compmlion covaac b utrlaNlul. !.d shall subjcd d onploys ro aiminal p<EIb dd thousa dollaB l$100.0001. in n ro lhe.osr of.omp.nerion DEC,LlI^llgI I hseby aflinn uidd !.nahy olpojlry lhal I m li.aEal undd prclision of Chaplg 9 lco'n ol rhc Busins sd Po&.stnns a\d.. and E, licosc n i. tull aoc dd .tf(r. {nh S..rion 7000) oaDivision 1 caNsrauulorl,EdDltc-6cllc.l I hd eby amm und6 p.odhy ol pqjury lhrl rh6c i! . o.srd.rion knding agdcy for thc pdaolMc. ollhâ‚¬ wort for whi.h rha pqmil i5 is.mn (Sd 109?, Civ. C.) ^ISI!(aNLDECIAAAUO!I ndlby allm undcr p.nohy oi pojuy onc oflhc follouins d(ldal ioft: Dffiolnion Pmirs-As66ros Notili.arion Fâ‚¬ddal R+ul.tions 0nl. 40. Pan6) Reqoied L.ltr of Norituation rh. rcd@l resulalions rcgardin8 aberos renmval ar. nol applicahle to rhis pmjd i(li.rh.n md{"r.rhd rh.at-Le int 'mdi.nL\.ondr larrd ly sirn all Cily and Cou.ry Citt md Countyk' olq up. APPROVALS DATE tD/stG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Rough Service lvleter FINAL 9lrrla fr,7' Notes, Rqmarks, Etc 0tI MU a Meter Release * LiccNe Numbet