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ELECTRICAL-INSPECTOR RECORD
<br />ID/SIG.COMMENTS OWNER BIJILI'ER DDT,(]AR,\'I]ON
<br />I hd.try arm un&r pda[] of p.rur! rhll I s .rmpr non th. ( odradoE Lic.6c Lrw for lhc lolloNi.g tcen (5€ 701 I 5
<br />Busin6 and Pref*ion cod.): nt Cfty or Counry which requiG a p6mn kr coGtrucl. ah6. iopiove, donolilh ot ftp.n dy
<br />sttuddc p.ior ro its issuancc. also requn6 lhc applica lor such p6nit lo lilc a sisi.t $alcmar rh.l h. or sh. is licq*d Nuuanr
<br />ro rhc prorisiois or rhc Conrridolr Licns.d L,rv (ChaDrfr 9, Comm€ncin8 rirh S€clion TO(]O ol Division I ollh. au!'nsi &d
<br />Proasions (rod.) or ihal h. or shc is cx.nB ind.from Md ih. basis for rnc all.scd.rdflion. A.y iolt(onoasdion 7011.5 by dy
<br />applic.nl for. Fnnii subj6lslhc applicanllo acnilpe.ahyofnor mor.rhd 6r€ hundr.d dolles (1500).
<br />l.s o$d ollhe poacny. or ny.nploye6 $ nh was6 s rh.ir slc compdsation. \ iI & lh. \ oi( dd $e $tu 1mi mr
<br />imod.i Dr orld.d lor ele (S{ ?044. Ausincs rnd Proasbns Codc fic Co"rBcrois l-ic.M L!\r do6 nor appl, to m owr6 ol
<br />IhcpDpsry sho buil& or i'nFov6 ih@q and sho do6 such rvo& hinB.lfor hGklfor lhrou8n his or hs own.mploye6,
<br />provid.drhd such inprevanots e nor inradql or oiIq.d aor qk. Il hoLvo6- rh. huildin! or in{rovdEd i! $ld lirhin ,,n. J€r
<br />olcompldion. rh. (\nd Buildd will harc lnc bllder of prcvins lhd n. or sfic did nol h'ild or inFok ln. po!d, for rh. purpos oa
<br />l, s o\ucr orrhe prepfiy. uexclusivelyconr.Liinr sirh lictred .ont.do6lo conslnd lne proj.cl (S(.7(N,1, B6'nqs
<br />and t\la6ion (od.r t h. Contractors l,iccns.l,aN do6 not apply lo nn o\ur orpor€iyvno brildr or inp.ovts rh66n,
<br />aod s ho coor.ads for such ptuj.ds *nh a Co 6do(s) lic.6en pu6mr ro nrc Contmctois Licos lnw)
<br />lan €rempr undr Sedbn ,B &PC lDr rhisrcMn
<br />uq!(&&L(o[lfENs ror
<br />OECIAAAIXII
<br />I hercbr aflim undo !.n,lry olpdjury one ofrh. follo$ing ddldarioos
<br />iviu nrinrain aCenilicarc olconwr ro Selr t nsu r. lor \york6s o'np.Barion. d pmvidcn rorbySerionlT00 ofthe
<br />for rh. lsaommc.ollhc \york for trhich lhe rrnil G tsued.
<br />.ndw'llnain(ain$ork.6compes.rio.ins!ran....sreluiredbySeclion.lT0Ootlhcl"ahr(ode.forrh.pdionm..cof
<br />dr $or& lor*hichrhis pmnt is isstr.d. Mysorkos comFnsalion iNur.nce.aricr and lx,licy nrdbr d.
<br />cei*, - 9ed!E1 -ri1
<br />P.tky N."bci- lBtllgt-Ll qTjL 6-L.r
<br />I c€nilyihar innEp.rfornBnccofth. sork lor which thisp€rmil is Lrsuql.l shallno! mtlo!.., p.sn inanymannd
<br />so dkJ becomc sbjd tollE slikm'comt riarion lawsofCaliaomi...nd asE lhal ifI should bccomc subj.d lo Ih.
<br />s(i.6C conpctualio, prorisioroofS.dion 1700 ofrh. Ijhor Cod..l shall, ionhNilh omDlyrvirhlhos pIor6ioE.
<br />lwe to s(ur€ worltcB corpcGalion cnrera!{ s u.l.srul, anl sh.ll subjer e orploy6 to mminal Frlli6 lnd
<br />one hund'cd lhousMd doll6 ($100.000). n, addihn ro rhc co$ oaconrp.6alion. dona-lcs as rnovidcd for lhe
<br />t\'))
<br />r.rr r:m ruiiiiffi inrr r o ri
<br />DECI,ASAIIO!
<br />I hd.by arm u.dd pcnrlry of Fjury thal I m licdrcd nnd6 pmvision oiclupl6 9 (conadcins \i$ Sdio. 7000) of Division l
<br />of thc Buin6 &d PrcfBioro cod., &d ny liccM is in flu forc. .fid.
<br />/1
<br />L -\ )(ool bL-)
<br />o"t" . l- l\- 12
<br />CAISIAUCIIAN-LEIUIIC.AGI;ICY
<br />I hdrby amrnr ofld6 lEn0hy ol pFjury lhal lh6c is a co6lrucl bo bndi.s asdcy fat rh. pdaomMce of th. $!* for $hich ltis pqnrit b
<br />ilsoen{sd. 1097. ci! c.).
<br />AITTICANLDECIdTAIII)N
<br />I hdrry aiinn lode palhy of pdjury on. oa lh. followinB d..laal ions
<br />Dorolirion Pmils'tub€r6 Norificarion F.dml R€gxlarions (Tnt 40. Pel6)
<br />Rdtuirol t trnof Nolifidion
<br />I r .oo&ii o. i.a"
<br />"l
<br />,csuld ions rcga d'rs ab6rnl cmo\ al a. nd atpl'.,b1. ,. I\'s p,oJd,| _/'
<br />ly'l.d,6 rh, Ihr\. @d rh's.pplrarhn ad sdr.rhd fi. abov. inromarion is cor.(1.I as,a ro cohplyunh a ciryandcounrt
<br />lud'na.csddsrar.bNsrcldinlrob{'ldmscoNrudD(udh6ebysnthoizereprBqiativBoarhirgryedCornryioo16up.nlh.
<br />I Jhrc tr,ctrr'unc..l n','pd) f,tr
<br />7 _Ar, - )s
<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 />I
<br />Bonding / Groundinq / UFER 1 )w )ltno,ru!
<br />Transformers t
<br />Torqueing
<br />Sub-Panels
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouqh)I
<br />Meter Release t 5 2<)T>MY).^-s YIt
<br />Rough .,6 2-o )hmyr-b
<br />Service lvleler 7,g -zo DPho
<br />FINAL z/hlzu b*h)-t -*m
<br />Notes, Remarks, Etc..
<br />l ce
<br />l(?CL ket
<br />lt !t
<br />DATEAPPROVALS
<br />Under Slab / Floor
<br />Air Conditioners
<br />b,-#*t
<br />?n -o il(L -.l!'-
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