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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE to/stG.COMMENTS osd-Builda Del@rio,
<br />I hody !ffim unda p.Mlly oa pdjury th.{ I u q.mpt fom th. Conr.doB Lienc Lre for dE followin3 r@n (H 701 I 5 Blri !!A!
<br />Md Prof.$ion Codc) Ary City or Count, whi.h r.q!n 3 i pcmt !o 66r.uc1 .lro, i6provc, dcmlirh or rcplir Dy !i,aclu., prior io il!
<br />iism@, llso r.qlnd th. lppli{r for such p.ftit to lil. r sisn.d nrkMr rh[ h. o, CE i! lieed pLeul ro rn previiioB of d.
<br />Conlnctolr Liccis.d Law (Ch.pr.r 9, Com.ncing with S.crion 7000 ofDivi3ion I ofrh. Buin6r Md Prot $io Cod.)ortlltrhG6
<br />sh. is .x.mpt lh.r.,iom &d rn bair for 0E ill.g.d q.mplim Ary violrtioo of S@tion ?01 I 5 by uy lpplian for . p.mit $6j.cr t!.
<br />lpplic.nl lo ! civil !.nrlty of ool mor. rnr fivc h6dr.i doll&i (tt00)
<br />_I, a ouq ofl,tc prFny, or ny .nploye wirh *rsa.t th.t sl.6mp.n ioq will do th. wod( md $. $rsu. is ior iir6d.d
<br />o, of.r.n for $1. ( Sd.7oaa, Busin r! ed P.of...io cod. TnG Conlrdd'i Lier Lrs dB nd lpply to r oEs of th. pop.riy
<br />vho build! or impr.v6 dEr.ol\ ud who dc scn,ork hif,sltor hEFlfor drdd hii or ha om cnployB, providcd tnlr &ch
<br />inp'ov.m.nB r. nd i,L!d.d .r ofcEd fo. sd. Il hoe.r6, thc buildi.s o. anp@.meit is sld within o4c ,d ofonpl.ioa Ll.
<br />own.rBDilddwill hiv.d.bud.notprovins thrrh.or . nor build or impror for th. p!.pos. of!rl.)
<br />_I. x oms oath. proFny, m d.luriv.ly co.iDclina wii' li.."r.d @nu.@6 to @6hd In Fojd ( S@ 70rr4. auri.6r sd
<br />Prcf.sio. Cod. Th. Contrdor'3 Lian$ trw do6 nor rpply ro s owr ofpropdty who builds or i6proE! !h.r@n, lnd who
<br />6rhds ior sch proj4c wnh r conr&ro(r lic6r.d pu$u1lo th. contd.rofr Liers Llw )
<br />I 6 cidrr undd S.aior .8. & P.C fo. rhi lt&n
<br />D.r.r Ow
<br />WOR(XRS COMPENSATION Df,CT,ARATION
<br />I h.rdy iilirn undq p.n.lry ol rlrjury onc oa th. rolbwins d*lution!
<br />_l h!v. &d wiu naintlin . C.niiier. of Co.s..r ro s.lfiM. for workel @op.Mrioq .r p.ovid.d for by Scrior l?00 of lh.
<br />t 60. Cod., for rh. p.rfomlM ofdE ao& for whicl th. p.rnit i! i$u.d
<br />{ t* -O *, U .,"". *.rkq, @hp.nslrion ,n$rrne, s r.quir.d by s.d,o. }7oo of th. kbor Cod., for $. p..fo,rlme ol thc
<br />*\I lor *hrh rhE p6( rt Riu.d My worls r coBp.nstron hsree cms Md poLcy numb.r tr.
<br />C'*-tt t. P.i.''l- N..h'., ,.\EnJ.r.-.v.-
<br />PorryNumbd t\Jc? - Gi toooo t-r 2 ?- |IY
<br />Ohn #rion n..d nor b..ohpl.tcd iarhc pann is lor Onc hu.dr.d doll.,s {tl0o} or l.r,
<br />_l c.nify $d in thc p.rformrc. oath. worl for *hich this pcrmit t is.d, I ihnl nol .nploy uy D.rsn in.ny mlrnq so s !ob. n.ubj&110dt@rkss mnp.nslionltwrofcdiforni\rndtAr*thrtial3houldb.@m.sbjcdbthcM.6
<br />comp.nstion prdiriohs oaSotion l70o olth. t$or Codq I !hJl. lonhwih @mply u,i{h t}oE Drovisions..->Q-f-')
<br />IV RNINC Flilui.lo sur. sork.o coBp.uition @vorg. is @l.w&1, ud .hrll tubj.cl6.hrloy6 lo dimind p.Bnid rnd civil
<br />fin* up lo orc lnudr.d th@sd dolllr (ll0o.000),in ldd ion tofi.6r ol6mp€nerio4 dlmgca.t provid.d lor $. S.clios 1076 of
<br />lh. Lrbor Cod., in.dd.rd moftyt fs.
<br />LICf,NSED CONrR"{CTORS Df,CIT&ITION
<br />I hcrcby dfim unds p.ulry ot psjury thn I a lieBld udr preftior of Ch.ptd 9 (@m.ncing wirn S6ion 7000) of Divirion I of
<br />thc Busincss.nd Prof.ssions Codc. md fry lic.ns. i!,n lull forc. lnd .f.cl
<br />GIuaq oCro
<br />G -$-r)J ic-.a|*.* ( Jrrr-.^
<br />(prflaucrl9[!ExDac.AqElcv
<br />I n rcby ttnh undd r.n.lry ofp..jury th. lEr. is r o..ltudion l..ding ia.nc, for lh. p.rfom@ ofrn wort for \vtich thir p.r,ir is
<br />iss.d (Sa 1097, Civ C )
<br />Artuc rEtpEcl4n^Mx
<br />D.moliior Posir!.Alb. os Nolilic.lion F.d.rrl R.sul ions (Tn|. 40, Pd 6)
<br />_ R.qnir.d t tt.rofNoti6.ltio.
<br />I c.dify th.t thc a.ds.l t.aolation! r.s&dir8 .sb.stos rcmortl rc not lpplt.bl. ro rhis projerkrdur I h.v. r.!d lhi rpplicrion sd (ri. th{ rhc rbov. irforn.rio. ir @tr.d I .sd to @mply wnh dl Cny a.d Cool,
<br />Md St.t. rrwi rclding ro buildiry corotruclior dd h.r.by ru(ho.iz. rcp....nhriv.s ofthi! City ud Coury to .n.r upon t1'.
<br />$ov. n.ntion.d propdy a6r ir!pc.1io. puaoFs
<br />",,.,
<br />()-Y-tc
<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 />Torquing
<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 />Meter Release
<br />trYprtr Ert
<br />Rough
<br />Service lileter FEBIO 2020
<br />FINAL
<br />Notes, Remarks, Etc
<br />un,rv ru, .! r! ooor tj67
<br />orms\Elecl.r€l]nBpeclion R€@d doc 03 31 06
<br />Appli@nt n .sdl sis
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