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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS COMMENTS
<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 />tr'v!,IDEI\
<br />Rough
<br />FFE -t 20t9
<br />FINAL
<br />Notes, Remarks, Etc.vnnv v-s, .vu, ooo, ob//
<br />Ownd-Build.r Del&alid
<br />I h.r.by amm lndr Fnalty ofpdjury lh.t I h.xmp! fm lh. Co.lricroE Lic.ns. L5w fo. th. followin8 rc6on Ge.7o3L5 BBin*r
<br />dd P.of.$io. Cod.): Any City or Couty which aquirB a pcdir ro 6n rd, alta. improvc, ddoliih or Eprr dy n^4@. Fior ro iL!
<br />issuac., also EquiG fi..pplial for5ud p.mn ro filq r 6i8n.d !uh!.1 fialh.or5h.irlic.ni.d puuu t ro l}? protisioc ol $c
<br />ConEacror's Licmr.d Llw (Chlpid 9, Cmh.ncins wirh S.crion 7000 ofDivision 3 olthc B6in6s Dd,rcfBions Cod.) or$ h. or
<br />shc is .xflpl $.rcfrm Md th. bat fa lh. all.gcd .rrhption Any violarion of Sfttion ,Ol I 5 by ey lpplicet for d p.6it robjccB rt.
<br />appli@t to a .ivil pa.lry or nd hm lhe fivc nundr.d dollu (1J00)
<br />_1,6 oMd of lhc FoFny, r m, cmployG eid vagB a thrn 3olc @mp..!.!on, vill do thc *o,k ed $c sructurc t nor int6.Ld
<br />or ofe.d ld 3.1. ( Se 7044, Bqin* Dd Prctdion. Co.re nt. Co.tuld t Li6s. k* .ro.r nd .pDly o m Ma of ltc pEFny
<br />who blil.h qinFoB $.@n, drhod6 ruch w(t hiG.lf d hd.lf or o'rcu8n his or hd@. oployB, provid.n dtal suct
<br />inprovcoo6 e nor inrcnd.d or offqcd fd s.l. lf, ha.v6, rhc building d improvhmr i5 sold eilhi. on. yd of conpl.oo, $.
<br />O*ncFBuiidd *ill hlvc dr burd.n of proving thar h. d rhc nol build or ihp$vc ld fic purpos. ofsalc).
<br />_1, s ovna of lhc roFny, m *claiv.ly @ntutinsvilh licscd conl,&loE lo oirrud ri. prcJ4 ( Se. 7044, Bsan* dd
<br />Profes,on Code Tlc Con!&tor's Lie.F llw do6 nor apply ro e oM.r ofpropdty who build! q ihpbv4 lhaun . Md who
<br />cob.cB rorcuch p'oj@6 wi$ . Corr&to(, lien!.d p!6udr ro $. Cor.dori Licos kv.)
<br />_l m .r.mpt undcr Scctio _,B & PC fd this r.en
<br />WORKENS COMPf,NSATION DECLARATION
<br />I naby .fiim undq p.i.lty ol pojury o! of tlc follain8 dcdmtitu:
<br />_l nav. ed will m.inrai. . C.nitcdc ofco.rcnr ro ScllJnsuE for wortcs conpms.rio,6 providcd ior by Sccrion 3700 of$c
<br />L.bor Codt, lor fi. pcrfolfu* of lh. work lor whi€h thc p.mit is is6ud.
<br />_l hav. &d will maiit ii w6kc6' compmsatiofl insur cc,d rcqutcd by Sccdon l?00 ofthc Labor Cod., forrhc p.rfme@ oirhc
<br />wort for which this pdhit i6 issu.d My wo,td' corp.niatio insurucc.uicr ed p.licy number ac
<br />Policy Numb..-Expi6
<br />bc @odd.d ir U. pmn ij for o.. huidr.d dollm {1100 ) or IBO
<br />work ftrwhich $is Fmil i tsu.a,I shall
<br />l.B of C.iifom, dd.ere th.r i t
<br />Ihc L$or Cod., I shall, fon rwi$
<br />dolld (t100,000),in addnion dmr86 6 proridld lor$.S.did 1076of
<br />LICENSED CONTR ( ORS DECLAR,\TIOf,-
<br />I hcrcby aitrm und.r Fnrlty ol pdjury thar I M li.ds.d lnda provision oa ChapE. 9
<br />rh. Bu5in6s ad Prof6ioN Codc, &d my li is in full iorcc sd.ff..t.
<br />prjury thlt th€. is aconslrucrion ol thc wd( ror which lhi! t mn i!
<br />ci c
<br />AIIUCANI.i:DACLABAIIOX
<br />D.mohion Pcmil5-Asbcsl6 Notificatioi F.dqal R.gulnio.s (Ttlc 40, Pan 6)
<br />_ R.quircd Lcn , olNodlic.rie
<br />-telry
<br />tna\ $c t dqa\rcs! larm rcssd,ns
<br />Z otrv on r rrvc ara rnr ropt,cerrm ua
<br />ddinmcA Md Star. kwt rcl.ing l. bui
<br />abov. m.rliM.d proplriy fn iolperio.
<br />DATE rD/srG.
<br />Service Meter
<br />D c O*ncr
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