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ELECTRICAL{NSPECTOR RECORD
<br />APPROVALS DATE rD/srG.
<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 />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Fac1ory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 4*(h>HFlla,^-lal)Notes, Remarks, Etc.rI
<br />omd-Buildd D.Glc.dd
<br />I h@by .nim u&r Fnq olpdjry dll I m a6rpt 6.itr dtc Cdtrr6' U.d. L.* f6 ltc folldinS Ea6 (&c.7031.5 Buii.r
<br />Dd Piofdi6 Cod.): Aiy City d C.ot, sli.n EquiE ! Fhir to 6!E{.1 dr6, intFlt. <k mlil 6 EFir d, trtu ll,c Fid !o iB
<br />i!u&c., dro.q!tt' 6..rdi6t fd sd Fail to 6lc r.ir..d rEtcrcnr thrr h. a dE ir li@..d Frntlt !06. F.vino.,, oloE
<br />CoFd6l u6!!d r:, (cl'.F6 9, Cffiiit fith S..dd ,00o ot Derid ! ortlE Buirs Ed Prof..rio Cod.)dtl,|nh.c
<br />.hc i! crdt lnd6t6 6d ln. b.ri! fa drc da.d ddDrio Ai, viol.ai6 of&qio1?oll.5 b, !!y .'di@t fr. Fnil rbjc.i'li.
<br />lrdiot lo . ovil Fdty or nd tu. lts fit hu.t d dolla (t500).
<br />-I,
<br />s o6a of tic p.o?.rt, d ny @doy6 *ith r..6 3 6Gi. rok c@!Gnrli6, 'ill & rt! *n! .,d th. reu.r@ is rot ioGd.d
<br />6oFadf6r.l.(Se70,14,BEin{edPrcf6ri@@.:Th.Cdtuid,!ta*t,dcnol.pplyloeorEortn Flpdry
<br />*ho blildr or inlprwa th.E@, rtt who .L6 sh *qk hic.tf 6 ha.lf q lhdin hn d id oM dnFlors, FDvi&d th{ $ch
<br />improv oa e ml int6d.rl d otra.d for s.lc. If, nowod, th. huildiry d improvddt ii sld wi{lin d. y.a ol cdpl.d6, lll.
<br />OMr-Blild.r will hrE rh. blrd.n of p@in8 d!.t h. d rt. .ot build d imprw! for tho p!r!... of rd.).
<br />_I, n oMd of lh. Fop6ty, h .:.luiv.ly @nEeti,s wiln lio4.d @FBrd to @Ntrucr th. p.lier ( Sa ?Ora, BEir6 ud
<br />Pofaih Cod. Thc Coir.dd'r Licqe l, do6 rot lprly lo a oMd oaFoFrty who tuild d i.rF.v6 ln.r.o.. md who
<br />@rer. fo @n projelr 'iln r cod.ao(t) licasd puEu&r ro rhE cdreto.r ucd. k*.).
<br />_I 6 6.,!B und.r S.dio
<br />-8.
<br />& P.C. rq 1n1, rdd.
<br />Oai.r Ol@
<br />WORXERS COMPEIISATION DECI.{RATION
<br />of Fiur, @ of rh. follwin8 d.dnti$:
<br />minrris. Ccrtific ..f C6sl to Sclfiduc fd wdl.tr'.mp.Mti@, ! Fovid.d fd b s.di6n 37oo of 6c
<br />fa 6. Frfm&ft of th. w6l f6 *lict rt!. p6miI i. is!.d
<br />sd will hnrr.h w6l6' cmF!.ri6 insuu.., a Equir.d b, SElid l?00 oJlt. bha Cod., fd th. Ff@!e of th.
<br />aor ehich thii pmit it i$!.d My work6' cohp.nsalion insu@cc 6id Md policy numbcrd.
<br />(Thk !.di@ ned nol bc cmpl.Ed it lhc pqmn t fo On. hund&d ddl6 lt 100) q las)
<br />_l aniry dr.r in a. Frfmuc. of 6. @lt fs *hich rhb p6mir
<br />beri. $bj*t ro rr! *6Iq 'cmpcn6lti@ hwi of Cdifmia dd lh ifl
<br />c@Fr.don poviriodt of S&dd 3700 of rh. L.!G2=-914
<br />WAf,IIING: F6ilq. ro s..u.work6'& 69loyd !o 6iDin.l Darlris od .ivil
<br />fin6 up to o.c h6&.d thlled &UG (l I
<br />th. l*d Cod., iilaan &d strh.yt f..s
<br />imFnstio. dd!96 -prcYid.d fa 6. Sc<rid 3076 of
<br />LICENSED CONTNACTORS DECLARATION
<br />I h.cby lfnm 6dd Fn.lly or[dj!.,6d I a li@!..1und Flei.io or 9 (cm66dni witt scri6 ?000) orDivisid 3 oa
<br />rh. Buinc 6d fref6i6. Cod!, Md ny licae i! in 6rll roc &d .fl*|.
<br />I tcly lf,im mda pa.lq of Fjlry lhd tha i. .
<br />isld (56 l0r?, Civ. C )
<br />.gcicy lq th. Ffoll@@ of lh. wdl fd *hich $i3 Ddin ir
<br />A'PLIC NT'S DECLATIATTON
<br />D@liri6 P.mirs-Aibsr6 Nodfrltin F.&nl L.$ldion! (Tid. 40. l.n O
<br />rcSrding alds mov.l e nol .ppliobh to 6ir Fo.ict.
<br />infofrlio it @dt. I lgr!! !o cmply wilh dl City .nd Coity
<br />heby rurhdi& aplffii.riva ol lti! Ciry sd C@nry lo al6 upon lh.2zez
<br />II
<br />COMMENTS
<br />-I
<br />c.niry th.t I h.v. ar' l,)h
<br />I
<br />I
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