Laserfiche WebLink
APPROVALS DATE <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 />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 />Rough r r \E"lJ <br />Service Meter EED Lntq <br />FINAL <br />Notes, Remarks, Etc SAMC B-43, 290, 556, 667 <br />ELECTRICAL-INSPEGTOR RECORD <br />OwncrBuild?r D.clmtion <br />I h.Eby al6m und.r Fnrlty ofpdjlry thd I M cr@pt fom tn. Conlrer6 Lic.nsc Lw aor rhc aollowins.caor (16.70rr.5 B€in6 <br />od Prci.sion Codc): Any City or County vhi.h EquirB r p.mi to consruci alla, impov., d.molish or rcp.t oy srdclurc. prid ro iE <br />isu&c., ako r.qun6 lhc .ppli@r fd slch pdnn ro filc a siSncd 3tltmat rhal h! 6 ih. t licor.d puouDr lo lh. provisi@ of $c <br />Conlr&lor's Licasd ke (Chapd 9, CmDncin! wit S@rio 7000 of Divhion I offi. Buinds ed Profdiont Cod.) q lh hco <br />sh. is crmpr thcEfrcm ed lhc bais ld rh. all.gcd .r.mfli@ An, violad@ of Slclio. 703 I 5 by sy .pplic&l for . p.mil rubjelJ $c <br />.ppliqn! io !civil P.nalry ofnot noc $d fivc hln&cd dolle (5500) <br />_I, s ow.d of {h. propdry, or my 6ploy.6 with wss6 s ficir solc compdsarion, sill do dE wor* dd $. shde is nol ino&d <br />or oltad fo s,lc ( S@ 70.r,1, Bulina ad Proldriom Cod. Thc Cdt rclols Li6s. Lv dos nor .pply !o s wn.. of th. Fop.ny <br />who builds o' iftprove ttd@, ddvho dc !!ch *dk hiruclf dhdclf o dro!8h ht orhcr @n.mployd, provid.d $ $ch <br />inprovcmcnL e nor intcnd.d or ofa.rcd ftr r.1.. If, how.v.r, thc huildinS or improv.mdt ii sold wnhin on. yce of conpl.lon, lhc <br />o*rd-Build.r eill hlvc th. bu.&n of prcvin8 that hc or sh. nor build or imp.ov! ld dr. pu'pc. of i.lq) <br />l, a o*naof$. proF.ry, s dclciv.ly conu&tin8 *ilh lica.d.onrmrou to.drhd !h. prcJ.d ( Sa.7044, Bsin6 ed <br />Pr.larion Co&: Th! Contr&tor'! Li@ns. kw docs not opply ro a own.r of propcrq who builds or inprov* lh*on , sd who <br />conr'acls tor such p,oj4r! with 3 c6tr&to(, liescd puBuer b L\. conradors Li@ns L.w ) <br />_l m cicnpt undo Sa!@ <br />-B <br />&PC fdthk r.ao. <br />WORKERS COMPENSATION DECLARATION <br />I h.Eby aflim und.r poalty ofr.durl onc ofth. tollowiigdccle*ions: <br />_l havc dd pillhaiitaii aCcni{icarc ofCo.s. ro SclllnsuE for *od(6 c@p.nsario., d prorid.d forby Scclion l7O0 of$. <br />l,bor Codq for ih. p.rfroc. of th. wort for wnich th. Fmn i isu.d <br />_thrvcddvillm.inuir*dkft'com!.nsarioni umcc, a Gqut.d by S@rion 3700 oidc tlbor Cod., for th. pdfm&e ofth. <br />*ork ior which lhis pdil is h!u.d My yortcs cor,p€nsation ingurane cdicr dd policy nunb.r e. <br />#d;; <br />nor bc compl.t.d if th. pmir is ior On. hundrcd doll4 ll l00l or lB, <br />rhc p.rlomtuc. of$. wo* ld {hich this pmir ir is!u.d.I sh.ll <br />comp.nsation laws of Califomia, d agr.c thati <br />rhc Labor Cod., I shall, lonhwilh <br />urc wortm' compcnsation covcra8. <br />dollM (t Ioo,ooo),in addilion ro dmas6 6 providcd for tn. <br />thc Labor Cod., intcr6! dd afiomcy's f.6 <br />I hdcby amm undcr p.nalty oi pqjury $al I o lic.,s.d und.r p.ovision of Chapt.r 9 <br />is in full ftrq and cffccr. <br />Licosc Nuhbd <br />, Civ C <br />alltlca[LisEelAB^.rox <br />Ddolnion Pcmib-Albetos Notiilcaion Fcdcal Rcsularions (Tiil. 40, Pan 6) <br />_ R.gut.d L.lr.r oiNorifi catio <br />-24"""t,^., <br />the fcdcEl r.gulalions r.grding <br />I.!rc. to.omply qi$ lll City od CMryI halc rftd rhii applicarion e <br />ordindcB &d Slarc La$ rcla i8 !obui <br />abo!. hcntioncd pop.ny for in @rion <br />v6 oi$is City ed Coui <br />COMMENTSID/SIG. <br />Under Slab / Floor <br />I <br />------T------