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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />uat"< 6 ,--r^zia-Fire Alarm / Dampers <br />Communications Cable <br />Building <br />[Jnder Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough)54r/ot --1/1,3b) <br />Ceilings (Hard & Soffit Rough :jJCeilings (T-Bar Rough) <br />Meter Release <br />Rough 3.2&) <br />Service Meter <br />)(4))FINAL 6/til07 u /-i2xzzr6. <br />Notes, Remarks, Etc <br />O*E-Buildcr D.chitioi <br />I h.cby r6irh und.. p.M[y ol pqjury thll I o s.npt fod lh. Co r.cioR' Li*ne uw for th. folloqinS rG&n (6.10]) J Buinqt <br />&d Prof6lion Cod.): Ary Ciry or Coury which rlqunq r pqhn lo @B$uct,.lt!t, imptorc, d.tulish or r.p.t ay ttocluc, priot to itt <br />n!un@, abo Gqrira $..ppliqfl for lud prtuit to 6t. r ri8n.d tLt66t th.l hG or !h. ie li*N.d Puru lo t'L PmvitioE ofdE <br />co.u..r.r! L@6.d trs (Ch.pE e, Coms..cirs wirh Sdlion ?oo0 ofDilition I ofr!.Buir6! ud Pofc.io CodG)o,ll!.th.o. <br />5h. il *.mpt th.r.toh td ln. b..ir for th..llcg.d dGoption Any vioLron of Sdion 70ll.t by hy.pPliait for. Pmn tubict! thc <br />rpplionr lo . civil plully of not morc thu fiv. hundr.d doll!{ ($500) <br />_1, u ohs oirn protdry, or my @ployo win uss u rn n &h @mp.Nrio[ vill do tn wo*.rd tt rt uc.qc ! mr i.lad.d <br />mfi.r.d lor l. ( S6.7Oaa, B6in6r.ul P.o&.iioE Cod. IlE Corn doi, Li@e IIw d@ ml.PPly io 6 o9M of lhc Por{ty <br />who build! or inprovB thd6,! .ad who do6 rEh mrk himlfor hc*lfor t&olgh hi! o. hq oh .hPloy.6, Provid6d lhr uch <br />imptov@crl. e ror int..d.d or ofld.d for ,.h. I{ howvd, th. buildos or inprowhdt ! $ld within om tq of cohPl.tio4 tlE <br />Ow-Build.r eitl h.r d. builo of provilg thl h. or rh. rol build or inproE for tt puAot. of d.). <br />_1, u oMd oflh. prop.ny, .n qclusircly 6.u..ritr8 win lic.E.d 6ntt .rot. ro @Nrrud $. Proiel ( S& 7041. Buiidt lid <br />Pro&sion Cod.: Th. Conm.roas Lied. Lw do6 nor .pply 1o & oMd of PtoPaty who blildt or inProvq tlEr@n , .nd *ho <br />@ r!d! fo, lucn poj@t vih . Coi|[do(, li...r.d puBuit to rhc Coilndorr Liau. rrw.) <br />_l.m.x.npr undc. Setion-B &PC forrhit raon <br />EOBXEBIIAMTINIAIIAILDICIABIIIQN <br />I hcrcby lfrirn u.dd p. lty ofpcrjuyonc ofrhc fouowing d€lulnoN: <br />_l hsvc !.d eillmlinuin ! c.ni6qt. of CoN.nl ro sclfl6u,c for wrtc6 @Ep.E!lion,.s Provid.d fot by Satioi !700 of$. <br />t bor Cod.. for th. pcdohlie of rh. wo.k fo, {hich lh! pqBil t i$u.d <br />_l hlvr .nd vill tuindn wort @mr€Mrion iNue, u Equn.d b, so.tioi 3700 of$c trbor cod., forlh. P.tfomne ofth. <br />in$rue 6id ad poli.y Nmb.r u.lI1k./;C <br />lc -?.,-o/ <br />b. dmpl.r.d iflh. p6nll it fo. On hurdr.d doUE {$100) orl*, <br />_l @niry rh.r ii th! po.Iordn* of th. work for wh(h lhB ponn k irtu.d, I .hil no! .mploy rny p.Ron in iny n.noq 3o .5 6 <br />b.c!m. subj@r ro rhc @ d @np.s.rion Lw! ofc.liforii!" Md r8@ fi.l ifl rhould b.e& rubj.d 10th. Po*.B' <br />comp.ns.rion provi5ioD of S..lion l?00 of rh. Lrbo. Cod., I lhrll, <br />$-7 <br />WA.RNING F!l!.c ro !e!E wrl.E' @rp.Drlrion ovdtSc i! unh*6r1, ed thlll.ubjet N.mploy.r !o dihin.l P.tullia rnd.ivil <br />fins uD 10 on. hundi.d rhouid dolbr (llOO,OOo),in rddnion lo th. @tl of@nP.nslDI! d@gq r, Provid.d lot tlE S..rior 10?6 of <br />6c Lrbo. Cod., int rd! rnd rion.y t fe. <br />ITICENIEDIONIXACIAEEPECLAMIIAN <br />t ha.by rfii'o uid.r p.Ehy of pgjury thar I m lic.dcd lndd provirioi or Ch.pr6 9 (@hh.n.ing uth s@tioi 7000) of Divkion I of <br />lnd Dy lic.s. ir ir tull tore lrd c6.ci <br />5- <br />CONSTEUCTION LE DING AGENCY <br />I h.rcby !fiim udc Flrlly of pojury dlt ths. i! r @sr.udbn L.di!8 rBGDcy fd th. p.Jfomie of th. rc . for which $n peDn it <br />t!u.d (Se. 109?, Civ. C ) <br />ATIIICANI]LDE IAM:IXIN <br />D.dohion P.rmili.A.bqror NotifiEti.n F.d6rl Rc8uLlionr Gnb 40. Prfl 6) <br />_ R€qut.n L.$s of Nodfiorio. <br />_l ccdily rh.1 th. Ld.6l ,68uhlioot rcssdins Eb61o! r@v!l !rc iol .ppliobl. 10 $d proic.l <br />_ I diry th.r I hlv. rad rhn lppIoi6n .rd rnl. $1 rhc .bov. irfo@rion it @ii.d I !8rc to @nPly wnh rll Cny .nd Cou y <br />ord'dn* rnd slllc lrs r.Liins to buildins @Etru.rio,! ud hs.W Nthoda rcpr.Mhdu of tii! Cny .nd Co6ty to 6ts upoi lh. <br />rbovc mcntioncd pror.ny lor iNpdrio. <br />4-l:L-o') <br />M \WP51\Porm(-lnsp.don Fonn.\El6crncal-ln.p.clion <br />Site-Work <br />fI <br />ll <br />tl <br />I <br />f------T------ <br />tl <br />@ <br />V/ts/q? )