ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS . OMq-Build.r D<ludiot
<br />I hs.by 3mm undcr p.mhy olpdury th.t I m.x.mpt form th. Conkrdors' Liens. trw for th. fouoBin8 r.Mn (s ?0ll 5 Butiast
<br />ud ProL$ion Cod.) Ary City or Colnty whi.h rc4ut6 . p.rnn lo @tr!it!c! rltr, inprovc, demlirh or r.pair ey st !clu., Ddor ro itsirune, ile r.qunB th. .pplimt for och p.mil ro lil. r sign.d ltlt.ftnr rh!! h. or 3h. is li@Md puBor b !h. provisioos of 1t*
<br />Co.Lttua! Lieccd Law (Chaplr 9, Comm.ncins wnh S.dion ?0o0 ofDivision 3 of lh. Buri...r ud ProGrlion! Codc) orth h.ot
<br />3h. it .x.mpr tt r.&om ud rn. bais lor dc ltl.8.n .x.mpdo. Any viol.rion of s.ction 70r I t by ey aptliqt for r p!mj! subj.cB th.
<br />lpplicurb icivilp.Mlty oanor mor. thu liv. hudrd dollG(1s00)
<br />I, B om.r of tlt propcny, or ny .nploy.6 Bith wascs as th.tr FI. @mp€nslio,\ wrll do lh. work &d fi. $rudu. G nor i.t.nded
<br />or of...i for td. ( 36 70a4, BBin.$ ed ProL6sioN Cod. Th. Co.tactoas Li*.s Lw do* not apply to m oM.r oatic pror.dy
<br />wno builds o, improv.s lhd{4 Md who do.i tuch wo hirslfor h.r*lf or ftoDsn bn or hcr ovn chployes, providcd lnar tuch
<br />inprolcme.c ac not inlcidcd or otrcrcd for.l. Il howev.r, rhc buildrng or improv. .nr is reld within onc yd olconplaioq rh.
<br />Ow..FBuilddwillMv.tn.burd.noiprovingrnrh.orsh.notbuildorihprovcfo(Ut puqolcofstl.)
<br />I, a own r ol th. propdy, rm .xclusiv.ly @.tidi.g with lic.h!.d @nrdcbr! to onltruct th. projat ( Se 7O&, Buin.$ ed
<br />Profcssion Codr Th. Contrlclofs Liens. Lrw dc! nor rpply to s oe,s ol pr6pd, who build! or ihprovc! thd.on , M<l who
<br />@nhcE aor such rrcj.G pith i co,t.cb(, lic.nsd pursuer io ilE contrdor'3 Lienk r:* )
<br />_I m.x.mpt und.r sarion
<br />I he'eby afiirm und.r p.nalty
<br />Ih8v.udwillmai lin a C.nifiqt. ofcons.nr ro S.la-lnsr.lor work.rs @npcns.lio\ as provid.d lor by S€1iotr l?00 ofth.
<br />L$or Codc, aor th. p.rfomrne 01tn. wort aor wbich $. pqhir ir is.n
<br />I n*" *O *r,,rt.r *or].8 @mpcnsrhon rnsur.rc., s rcquned by Seclion l?oo ollhc Llbor Code,lor lh. prfomue ofd.'*dllfor rhrch th3p.m E rs.d My wor ldi @mD.neton rnlur ur cmer .nd Do[cy numbd d e
<br />Cusll" p"lnl- lrl'r. fn-. ( -l-^ ) ".^"..-Wc? -VLn>lt - l(o>Z.t )
<br />(Thi3s-tion n.en norb.@npld.d iath€ p.rnn isforon.hundr.d dollds {1100) orl.s)
<br />I c.dify thar inlhc pfformsne oath.work lor which thn p€rmir n is$.d,I shallnot cmDloy rny p.rmn in My nuns so ato
<br />b.c!n. subj€cl to th. mrk.6 @mp.nsrion llws oac.lilorni4 ed agre rhit ial should b€6m. subj€t rorh. workdC
<br />ompe.$iion provisions ofs..Lion 1700ofrh.LaborCod.,I shall, tonnwilh @nply wilh thos. provtions
<br />WARNINC F.ilu. 10 3.e. wo,k.6' @6p.Mtion @v.n8. is ud!*tu|. Md .h!ll Hbjd s .mployq lo qiBind p.dtjd .rd civil
<br />nn6 up ro o.. hundr.d thoused dolld (l l0O,0O0),in oddnion to th. 6st olcomp.n$tioq d!tus.s s providd for th. S.crio. 3076 of
<br />rh. kbor Cod., inrd6r $d rnomyt lG
<br />/ t,aanaaoaonr* a_,u*r o"a'ra* r,on
<br />I hs.by
<br />'Jri,m
<br />undq p.n'rry orp.r,^d l; E;;;d. p-,t"t." .a o.pr. , (-*"nci.s wirh sdion ?ooo) of Divisio! I oa
<br />rhc Bulik$ lnil Prof6iions Codc, &; my lic.M is in tull lore r l .II6t
<br />r-i".*.cr"* Cfo Liens.Numb., QtAnl
<br />AA.,r..+-!,- €'t. -.r-.r*\,"., ll-L-ru -""."*
<br />CONSTRUCTION LENDING AGENCY
<br />I h6.by dnm uodo pcnilly of pgjury tl.l th.r. ir a @nsrruction l.nding rg.ncy for rh. p.rforue of fi. mr* loruhich this lqDit i3
<br />issu.d{S6 1097, Civ C ).
<br />,xDemoliioi PsmirsArb.nos Notifi cltion
<br />R.quircd Lrtrd of Notilicarioi
<br />APPLICAN'T'S D'CT,ARATION
<br />R4ulations iTirlc 40. P.n 6)
<br />_l ccrdry dd th. Ldal rqulatjons r.B{ding !$. os r@ovil rc mr lpplic.bl. !o tht prcjdt.
<br />X I c.tury dur I h.". rqd Uus .pph(.notr ud su. dEr rhc &ovc idom.riotr ii @rEl I ure !o @nply witt 6U Ctry lDd cou,ry
<br />odilanc.s and S@ L.sr r.hrh8 ro bu d,n8 oBrtu.rioq sd h.rc6, utho.i2. ..prcE.hriv.i of thi Cny .n l Cout, to da upo. rn.
<br />abovc m€nlion€d pror.ny lor insp.crion purposs
<br />Appliqnt or aacnr $a __M-.-,o S.\r^
<br />/ l-L -tz-
<br />S ite-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners zm/on /t 11.@ 'an-6? -Roof Top Equipment ( -[(J{(Y
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Irileter Release
<br />E\'Ft
<br />Rough
<br />Service Meter EtrA T nmm
<br />FINAL
<br />Notes, Remarks, Etc SAMC 8"43, 29O, 556, 667
<br />1\Permt lnspeclron Foms\El6chel ln$eclon Record doc 03 31 06
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