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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNI:R BUII,DAR DEI,CARA ION <br />I hd6y afim rndd lcnilty ol p.rjury lhd I n: .re,npt fron rhc conk.ctou Lic.G ti! fo! thc followins i.Mn (Sc.703 1 .t <br />BBinBs sad I',of€ssion Co3.): Aoy City o. Coutrly Lvhich requt6 a p6'nil td conslrud, elr6. nnpror.. rlonolkh or 1!!6'; r.y <br />srtu.lur., prff to irs ia3od... also r.tut6 rh. amlicMr for such F.rmir ro fiI. a siSn d sahor rhal hc or ste is licascd puEuMt <br />ro rh. IrovsioB ollh. Contd.roas Lic..s.d Lr$ (Chaprd 9, Com.n ing wnh Sdriof, 7000 of Onision I oalh. Bush* dd <br />Polesions Cod€) or thar n or shc is ercmpi th6.fto'n Md the bsis for thc lllcs.d €rmplion. AnyriolationorSe.rion7011.5bytny <br />applidnl ior a p.mn subjets lh€ appli.sntloacivilpcnaltyofnolnor€lh fi\ c nundrej doud (S500) <br />l. c oNn r olrlr prop.ny. or mt .rnllolG $nh w.sd a rhcn et co,ntmsio., \vill do rhc Nork d ih. nrlciue is nol _ <br />inloded or ofi6€d lor slc (56.7044. Busins and Pmfesiaro Code I he Contraclor's l,icms l,$v do6 nol alply lo an orvncr of <br />lhcptupdy Bho lailds or inPmv6 tlE6n. md who dos such s!d( himsdlfor hdslfor rhroulh his or ha ow6 mploycB. <br />prov edrharsuchiop.ovoncnls{enori.lodcdno,loldlorelcllholvas.rhcnoiEinsori'nprovdn.itissoldwi6i.d..}d <br />of complction. th. ()$.d Bnildd will h.re rh. hidd olrovinS rhd h€ or sh. did mt hrid or nnprore lh€ pmpsty ft'! lh€ lu'rEs of <br />l. as osr6 oflhe lropsry. m crclusilcly co.radins rnh licosd conrrrtoc to coo(rucr thc rroj.cl 1S*. 701,1, Bus'ns <br />dnd Pr.fciion Cod.: Tnr conta.roas Li.ms. La( do6 n r .ptly ro s os nd of piopd, \yho build. or inprovB thd6n. <br />.nd sho sotracls lor such projds wnh a Conrmdo(s) licee{ pumrtrr ro theConrraclois lj.tuc I2rv) <br />I ?ir\ctr,l]r trndcr S(rion <br />Dil.: Orn.r <br />WORl([RS'..MPENSATION <br />DOC!!8AION <br />I hn.lry aftm und* p6axy of pajury o.. o I rh. aollowinB d-ldarions <br />I havc ad will ,n intain a Certificat€ ofconsnl ro S.lf-lNule lor \orkfl comp.6ar ion. 6 provided for by S*rion 1700 of rhc <br />ribor Code lor the pdaommcc ol Lh. $ork lor which lnc Fnn is isucd. <br />lli'hu," on,l -iU ,noinruin "o*qs. comp.nsaliotr icur.nc€, 6 rcquned by Sd ion 17C{ o hh. Labor Cod.. for th. pnhhndcc of <br />th. sort for \rhich lhie poIil is issucd. Mysoitm comp.nslion iEur.ncc cmi.r ud policy nunbd m: <br />,*'*, SLaL lctf+ <br />I<t? t4 <br />tr5 <br />1 j -6-70 <br />I cdlrftrhal r rhc rerfon inccofrhe Lrork lor shrh thsIErDir is tsu.d.l shdllnor dntloyanypcmn i.any,ndng <br />s N to beohc $bj$l ro lhc trorkG' conDcnsar ion lass .l ( aliaamia. trd .Brcc rlml il I should b.com. srbjd lo lhe <br />wo,kss comFnsarion prcrisions ofSetion 170().lth. kbor Cod..l shall.lonnrvirn co,nply LvithrhoFpmvisioB <br />WARNING F.il(c ro kre sorl.'s co NBarn,n.ovc'a!e $ tr.li$lnl. and shrll sub.lccr an dnployd to dimi.al ImahiG.nd <br />civil fin.s up ro on. hu.dred rhousand do1l6l$100,000). in addnion ro r1r.os oa.onp.nsario.. dan.8es a rovid.d for nrc <br />SR..non :1076 olrhelrborCodq int$r atd ollonEy' <br />l/uare, I -t. - (( aDplonr. <br />DECIJSAIIOB <br />I h@hy arm lndd poDly ol pojury rha I m licoE d odd ,rolision of Chap'd 9 (.oma.in8 wilh Selion ?0o0) of Diviion l <br />of lh. BNins sd PDlsions Codc. dd hy licm. is in full fore ad €ff61 <br />tC' <br />cQr$auclgN.lElotlc-A(iElcy <br />I hnby anihn under pdaly of pajury rhal rha. is a osltudion lcndins asacy hi th. p6lomm.. ofrh. sork aor which thk p6nn ir <br />issu.d (S( 3097, Civ C.). <br />AITIICANLOIiCIASAIIO! <br />I @ rrm lhdo poal'y oapdjory on. olth. following ddl@li6ns: <br />D.molilion P.r6ils Albdtos Norificarion Fcd@l Rcsulaliois Oirl.40. Prn6) <br />Ratun.d L.rld of Norincdio. <br />I ccnit, llul th.aeddalr€gtrlolions qtrdinS osb.{ros removal ore nol atplic.bletolhisprolecl <br />I cdify Ihal I ha!. Md rhis applicalion ddsareih.r lh.6bo* infonnarion is..ned. I.*rero complt wnh all Cnyand Cornry <br />ordina.ceind Sl,r.rj\vsrel.tinSro 6trildin8 co.stu ion. md heenyadho,t reprMhrilB oarhis City md Counly to ml6 utrn th. <br />abo\c,nLnrion.d pnrpdy lor iap.crion porpos <br />rpplicntrr.r,\stnr siRnarurt <br />5 <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 />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />It4eter Release <br />Rough <br />Service [\,4eter tl Lr <br />FINAL t hllalo Aturb f6yd <br />Notes, Remarks, Etc <br />_-.<;> <br />| 'e '70