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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rDistG.COMMENTS OM.FBuild.r Deleltion
<br />I h@by aflim undd p.flalty of prjury tlat I @ .xopt fom llrc Con'&roR' Liccnsc Law for th. aollowing !.6on (se 7Ol I t BNinqrl
<br />ud Prcf.si@ Codc) A.y City d County which Equird a pmn ro co.strnd, alkr, improvc, ddolilh o. rcP3ir uy shduq p.io, @ 'bissu&e, ako rcqunB fic applicatrl for such Fmii to illc . sign.d sratcmar rhat hc or lhc is licos.d puEuer ro rh. p.oqs,on; of fi. '
<br />Conftclof! Lic4cd Law (Ch.pkr 9, Comocirg with S.crion 7000 ofDivkion I oi$. Burin6s &d Prof.s.ims Cod.) or in.t h. or
<br />shc is.xcmpt lhcEfrom sd th. tun for thc allcg.d cx.eprion.Any violalion of S*rion 7o3 t.J by dy applic&r to! a p.mir subj.ds rh.
<br />applicsr ro acivilpcnalty of nol hoE rhd fivq hun&d doll6 (1500)
<br />Ls o*n6 olrhc prop.ny, or my.mploy.6 wilh *ag.! 61h.tr rol. compcnsation, willdofi.work ud rh.shcN. t norinrcndcd
<br />or ofr.rd id s.l. ( s.. 7044, Buin*s dd Prof6sions Cod. Tnc Conrruror's Liccnsc La* do.s lol apply lo u oqd of rh. proDog
<br />who burlds or ihFov6 tl'crc., ud who dB iuch work nitu.lf or hdclf or throuBh his or hd own mployc6, providcd rhar such
<br />inprovhcnt! rc notintnd.d or o,Idcd ior s.lc Il howid, rhc buildins or improv.mor ir iold wdhin onc yc&ofcompt.lioD, rh.
<br />o*ncrBuildr*ill hov.lhc buld.n ofprorlng $al h. or shc not build o. improv. for ln. pu.p6. olsalc)
<br />_I, $ own.r oi Ut prop.q, cxclusiv.ly contr.cring witnliccnscd contactos to @nsdci lh. Foj.d ( S.c 704,1, Bsin6s ud
<br />Prol4sion Codc Th. Contreror'r Liqns. Liw do6 .ot apply to M ownd of prop<ry who blilds or improva rhdo , ud who
<br />ontr.ctr fd such prcjccis qrh 3 conrdo(, li@.d pu6ldr ro rh. conracbrs Licos. Law )
<br />I6 rxcmpt undc! S.clion
<br />Dd.r own.r
<br />WORXXRS COMPENSATION Df CLARATION
<br />I h.r.by afiim undd !.nalty ofpcrjuryoncofrhc follo*ing d.cldaions
<br />_l hav.6d willmainGin a Ccnificalc ofconsot to S.lf lnsur.lo, worl.6 cohp€nsaiion,6 provid.d fo. by Scction 3?OO oflh.
<br />Labor Cod., for thc pcrfffiacc of lh. wdt for which dr pcmir E issu.d
<br />_I hay. dd vill mainbin yatd' comp.$a,roo ituumc., 6 lcquircd b, sccdo.1700 oflhc L.bor Codc, for rh. p?rfom @ofth.
<br />work for which lhis pmil i! nsucd My vdk6' @mp.nsalion inlurdcc si.r ed policy.umb.r d.
<br />.*", Aco Lt)
<br />DrG- 6[ouf lAqsos or \or\ot
<br />(This s.ction...d not b. cohpla.d if 6.pmn is lor On.
<br />_I cdiry thar r. ihc paaomee of ln. wek ar which $ir harir t isu.4l shallnd dploy {y pc6on in ey m r.r so e to
<br />b.cm. subrEd to rh. *ork6 'compcni&on lars of Caly'ohi}, dd asr.c rtsr irl,hould b.cma subjcd lo rhc vdtcs
<br />cnp.nrdion pro\Er6 ofS.ctr@ l'00 ofrh. Labor Cr&.1sh.ll. fnhwrth cmpty qrth rh$c prwirions
<br />ID.te oXi"-, E t?Nl:z, ,t lutu f l-
<br />w^nNItG Fdl@ ro r*@ wo,*o -.p-t.rion -\,!Egc i! unla*fiil, ed shall ,ubj.cl M lmploya to oininal p6axr6 sd civilfir6 up !o @. huidtcd thoaMd dollG (I I 00,000),i. addidoi to ll1c cosl of conFncarion, dMag6 6 provid.d lo. rh€ Scction 3076 of
<br />lhc Labor Cod?, intdd ed .nomcy i L6
<br />LICENSf, D CONTR,ACTORS DECLARATION
<br />lhr.by alfim und.! ptrolty oi pctury $ar I mlicdscd unddprovision of Chrpr.r 9 (cmn.ncins wirh Scclion Tooo) ofDivision I of
<br />lhc Bui!6s ed Prcf6sion5 Cod., od hy lic.lsc is in tull fmcc sd cf.cr
<br />Li"-." cl* C\ O Li"*.Numbd ?z\tj3
<br />Af l( z /5e {NC .
<br />CO'ISTRUCTION LENDING AG'NCY
<br />I h.r.by a6lm und6 pqalty of p.:rury rld tna. t . comttu don lddirg agdcy ftr tnc p.rf6tl11!@ of rhc wdt for whth lhis p.mit ir
<br />ts!.d (s4. !097, civ c).
<br />APPLICANT'S Df, CLARATION
<br />Dmolidon Pffia-Asb6r6 Norlicalioi Fcddal Rcsularims (TtI.40, Pd6)
<br />_ R.quiEd L.ttcr of Notificarion
<br />_l ccnit dd lh. l.ddal rcSulaions rcgddi.8 6bsl6 rcdoval dc nol appliebk to rhis proj.ct
<br />calion rd siar. thd 6c abovc infomarion is con.cl I.!r..rocomply wirh all Ciiy dd County
<br />buildiig @ns$!ction, dd hd.by authoiz. Eprq@tarivo of$b Ciry &d County ro ?nlq lpon thcy2,^B/c /o..-
<br />EpNts-r<.>t^iL
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Si ns (monument)
<br />L ife 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 Rou gh 0-
<br />Ceilings (T-Bar Rough)
<br />Meter Release UT
<br />l \l r I
<br />Rough
<br />Service Meter All I 4y
<br />FINAL t^'y
<br />Notes, Remarks, Etc
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