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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE tD/stG.COMMENTS Owrd-Buildcr Del&atid I h.Eby a,lim uf,da pq'rlry ofp.rlury ihal I a ampr f@ thc Consaclm Lic.ns. L.w for th€ lollouinB 160r (sd.70l1.5 B6ir6s Md Prolsion Cod.) Any City d County which Equir6 . prmir ro onstruct, alt6. impro!., dcmolhh or r@at &y sr.udurc, prid to i(. issuscc, aho rcquiE $c appli@l ior sucl p.mil to fiI. a sisncd st.&mcnl $ar hc or sh. is licos.d pu6lel lo lh. FovilioB of fi. Coit_aclot Lic.r*d rrq (Chapld 9. C@mocing with S..rid 7000 of Divisio I of th. ABi.6r sd Prcf6io.r Cod.) d thal hG d shc is .xmpl lh€r€flm ed tt. bdis f* thc cllcBcd cxmplion Any violafion of Seim 701 I 5 by &y applidl for a p.mn subj(B d. .pplimt to a€ivil p.n.lty olnol DGr lhd fiv. huf,&.d doll6 (1500) _t, a oMa of rh. !.o!.nr, or my .mploy.6 wirh wag6 d th.n sl. @nF.stio. will do th. worl dd $. sbuct@ is nol in6d.d G olrd.d fq sal. ( Scc 70,14. B6in6, ed PrcaBions Cod.: Tnc Cotuttrt Licdrr L.w ds nd .pply to o{n r of th. propcrry who buildr tr imFor6 th@, e.l who dB seh vorl hia.lf or h@lf or $rcud his or hr wn .mployd. providcd $d such inprov@cna e not irtcndcd o ofi.rcd fd $lc li towcvd, th. building or inFov.mat is lold within onc yd of cdtrpl.lM. rh. Ownd-Buildd will hsv. lhc budd of provi,B thal hc or shc nol build or ihprovc ftr fi. purporc of sslc) _1. 6 ownd oi thc popary. d .iclGiycly conrr&ting virh li.ds.d @nrrctoc ro cmrt'ucl thc projet ( S*. 7044, BEin$ dd Prcr6sion Cod.: Thc C..r.cB! Lic.nr. Law do6 nol apply ro e oMd of propdry who buildr s inprovB lhoen , od who cMr&ts for su.h pmjsc vitn z contuto(, liens.d pun6t ro 6. Conracbr's Lic6r. La* ) _l m.xmPl und.r Sccion EABAEBiCOIIIIN$IIAN!ECLAAA!rcN I hctby a,fim udr Fndry of pdjury qc of thc follouins d€cl@lios _I hrv. od will mjf,tain a C.rlificalc of Cqsl io SdfJ@E tu woik R (@p..s!ri@, a prclid.! lo b, S*tion 3700 of lnc L!bgb.. ro 'Ic pcrforMe of thc w6t fo sh'ch thc pamn tr Bucd v_l hsvc 6.1will mlrnrdn sst6' chFndrm icumcq { r.quircd by SErim l?oo oath. L3bry Cod., for th. F.fmdcc of rh. wdt fd qhich thn Fmn h isu.d. My qdi6 cmpftdd insurue .sid sd policy nmbd k .-,.Y -4n\a S,^-^& *,.*.V t3t lo?6-i}4f& 6tris sccrron nc6d * ornptmr ir rtre pcmit is ro nu.drcd dorle {trool or I cdit $ar in thc pdfomacc of lhc work lr whth this i)mn is issu.d,I rhall nd mploy dy p.Eon in dy menn so s ro brc.m subj6! Io th. wo*.B comp.nsrlion l.ws ofCalifomi4 ud rg..c thar ifl should bccomc rubj4t to $c wdk.6' S.clion l70o of rh. L.bo! Cod.. I t, L s. woka' @mp.nsarion covdag.urla*ful, dd shall subjd & mgloyd ro dininal Fnahie ed civil fin6 up to on. hun&.d lhoBed dolla (l 10o,000),in additio. to th. c6l of coftpcNalion, dM6g6 d prcvidcd for 6. SeIon 1076 of th. Labor Cod., int r6t ud dtom.y s fc LICEISELCONIaACIOIS-DECIA I hftby amm mdd p..dly .f psl ury thd I m lt4.d u.tu p,lvirion of Ch.rld 9 Gmmcidng wi$ S.dion 7000) of Division I of th. ANin6 ed Proa6i@s Cod., ed mr licor. t in full for. and.ffet 8 (a/ I h.rcby rfiim und.r padry of pdjury th{ .nB. is . @.5mrctid lndint sescy fd $. Ffn&c of thr *ct f@ which Ihis Fmir i! isu.d (S.c 309r. Civ. C) AIIIICAXI]iD9CIAAAIAT Dcmolilio. Pcmils-Asb€tos Notific.tioi F.d@l Rcgllarois (Tnl. 40, Pan 6) _ RcquiEd Lind of Norific.do _l ccniry lhr lh. f.ddal r.gulalioDs rcgardiog abBtos Emoval dc not appliebl. to this prcjar. applicatio sd sd. thar rh. abov. inlomdion is cotrdl I as,e to @mply wnh .ll City ed County .utod. rcprscilariv* of abov. m.rrion.d prop.ny fo! i Vi;"";i'*r' Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Bu ilding Under Slab / Floor Bonding / Grounding / UFER Transformers Torquing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) Meter Release Rough Service Meter FINAL /ldt/(){)6J., Notes, Remarks, Etc Communications Cable I I