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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION <br />I h6et'y .iirm undd p€,alty ol ,€.jury lh2l I s cx€'npl lron lh. Contrrclo6 Li.m. I j* for rh. following !.e. (5(.701 L5 <br />Bsi.*r an! Ptufaion Codc): An, Cny or Coum, {hich rcqund a peflnh to connruc( all6. imprcve donolish or .€pair aoy <br />sttucru., pdor lo ns isuanc€, aho rcqunB the arplicMt for such p€nnir to file a sisned $ alcmar rhar h. or shc iq li.cmcd p6u&r <br />lo thc lrovisions oarh. Co.ra.br s Licem.d ti* (Chafl( 9, co6,n.n ing wnh Setio. 7000 of Division I ol lhe Busins and <br />Pmasions Gd.) or thar he or shc i! dmpr thE.frofl md the bdis for Ih. alleBed €xanplion AnyriolArionofse.rionT0ll5bra.y <br />applicafll lor a pmit subjsGrhe appli.flntroacirilp.nflltyofnolmonrhdfilchunrtrcddollds($500) <br />l. 6 oNnd ollnc prcp€ny. or my .mployc $ irn \v.86 a lh€n eE onrrmelion. Nill do rlE rvort &d lh. nndm is nor <br />inrodcd or ofiEed lor sl. (5(.7044, Busin* dd ltol6sio6 Code Th. Conta.l.r's Licos. La* &16 not apply lo m osn6 ol <br />rhe prepdy eho b{ilds or imp 0!6 rfidotr ed who do6 soch m r hnns.lf or hEseltor th,oush hh o. h€r oM .ntloyc6, <br />plovidcd rhar such idlrolorE.h a. m( i.rdrdcd or oll6.d ftr el. I I ho\ 66. rhc L{ildin8 or imp olmd is sold snhin one }@ <br />ol complerion. ihc O$rs Bril.la vill har c lhe buden otForins lhd lE or shc did nor build or iftpor. lh. popol, aor fie p!rF.* of <br />I- aosn6otthcprc!.ly. u.xclusNelyconk.crins wirh lica*d.o mcrou rd .oietud th. rojd (sd 7Lrl1.8Birs <br />Md Prtrosion cod.: TheConradors Licmse Law do6 not.pplyro anoNns ofpropcnyrho buildsor inprov6lh.rfrn, <br />and who contmcrs ror such ItoJ(-ls w h d Conrrdclo(s) licosd pu4ua ro rh. ( onta.rors Li..B. Ijw). <br />I m cx.ftpl unds Sdion <br />u(2aru8LCO llirsAllo! <br />DIC!.AAALION <br />I h@6y ariin u.d6 pdahy otpstu,]o.coarl$ lollo*ins d(lnarioro <br />I i,r. MJ $ill naintsin a Cdificatc ol CoB6n ro s.lf-lBur. lor qorl6 coDpdsar ion. 6 prcvidcd for by Sdion I700 ofrhc <br />kbor Codc, aor rhc pafome.. of the Bol( for *hi.h lh. pmn as i$ucd <br />I haE and rill maintain soitss conrp.Nalion insurance.6 rcqun.d bys.<r'on1700ofrh. Llhor Cod.. aor rh. psfollmc. of <br />\lii![ rl,is lEnnI L\ i*uL\l4c,*.My\orh<s c.mpenelioniNurdccca[iermdIx)liqnumhdrc. <br />co n-42n5 c.tto I 4€u , o'ra2sc/ / /// za <br />I c€nilrlhal inthepertrmanc€oflhc$or* ror$'hichlhG p€mn is issu.d,I shau nor onployanyrcuon in.ntnr nd <br />$ 6 ro bdo,n suqd ro '[. wo cs o,npssthn l.ws oac.lironia..nd agE lh.l ill should be.oft subjd to lh. <br />$0(6' comFos.tion pmrisions oisElion I700 o f Ihc Labo. Code I shall. fonhtr nn colnply y irh rhosc previsio6 <br />wARNINC: [ailurc lo ku. \rork6' <br />cnil fin6 up Io onc hundrcd thousd <br />Smrion 11076 ofrh€ htrr Code. inr66r <br />"n c,rc8e '( unhsrrl nJ \hall ldb.dr m cnrloE ro ai,nitrll Fuhi6 d <br />00.0001. rn add '.n r. rh. cni ol comp.Mro.. dana86 6 provd.d lor lhc <br />lz q q Y1 ZA s /'z <br />D&CIAAAIIAN <br />I hscby aIIm. und6 p.n lty ol F.jury $ar , d li.EN.d undd provaioo of chrprd 9 (coMo.in8 $ nh Sdlion ?000) of Dilision l <br />ol lt€ Busins ed PmtsioN Code ed my liceM i, in tull lorc€ ad cIId. <br />3 <br />g <br />Lo{q4 f I <br />2 v L,-12 D ,-12.t Lubkr sl rla <br />co! aucuar_LEtDllc-acExcr <br />I h@by amnnundd p6ahyofpajoryll'd rh@b. co.ntudion lndi.! agi.y aorlh.pqfomMc. otlh.w ntr "tich lhis p6in ir <br />iss!€d (S( 109?, Civ. C.). <br />I cdilt rhd rhc Ld6al r+uld io.s rcBdin8 dbdos r cnmval noi applicablc to !his proj(I. <br />lcdrr! 'I l h.\er€adrhisdml'cariotr mdiur€rhar rh.ion is corccr I asre ro comrly snh all Ciry and (oumJ <br />ordiMnc6 and Slar. Lo\* rel.rinA ro horiz. reprscnlalns otthh City ad Counly to..lr upon thc <br />rl)o\t nrDrirnrc(t | r|In) fo, <br />,\lllichnr ' {setrr Silur rr <br />b r.'12-a I o <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 Rouoh <br />Ceilings (T-Bar Rouqh) <br />Meter Release <br />Rough <br />Service Meter 4 <br />FINAL 2/tz/z .42 a <br />Notes, Remarks, Etc.'-7f;7 <br />AIILICANLDECIdAAUON <br />I holty affim und6 I'oahy ot pdjury onc of th. lollorvirs d.ckrd ions <br />D.molition Pomns-Asbstos Nolifi.alion Feddsl Reaulalions (Tnt 40. Pan6) <br />_RcquiEd Latd orNotificlrio.