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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Ownd'Builrt r D.cldaiion <br />I hft6y amm undd pcnalty of p.rjury inar I m q@pt fm $c C@!_..loa Licmc Llw for lnc aollo*ios r.&n (s 703 I 5 Bsine <br />&d Poiosioi Codc), Any City 6 County *hi€h EquiB a p.mit ro @ritud, .lra, impror., d.nolisl d Eplir &y $rucrur., Fior ro irs <br />issudc., aho EquiB in. applimt fd ruch pcmil 10 fi!. a sisncd sl.lm.nr thal hc tr sh. is lic.nsd puBumt to thc povisions of rh. <br />Conrr.crols Licas.d Law (Ch+td 9, Como@cin8 wi$ S.cion 7000 of Division 3 of $. BBin6s ad Profsiois Codc) or llal hc trsh.is.xm 6.r.fM d rhc bais f( $c .llcScd qflptim Any viotdio oa Sdi6 ?03I 5 by dy .ppli@t lo, a p.mir subjqr. thc <br />applimt b a civil pcn.lty of no. rcrc thu fivc hundrcd dollm (t50o) <br />_I, a omo or 6. prop.ny, 6r m, cmploy*s wilh vas., c thct solc compasarion, will do lh. wo Md rh. shcr@ is not inrad.d <br />or ofiftd ia s.l. ( Sd ?044, Bair6 ed Profasiou Co<lc Ttc Conr@lor's Licds. kw doca not.pply ro & owh.r oa$. prop.ny <br />who bril& or imp.ov6 th.@n, ad *ho dc sefi wdt hirelf or n6d a d drougb hir o h.r oM mploy6, provid.d $ar 3uch <br />inprovnats e not inrdd.d or offcrEd ftr s.1.. ll hNdd. lhc building or rmprcvdcnl i. $ld wirhin dc ys of compl.ion, th. <br />Oqd-Buildq will havc ttu burdm of prcvina lhar hc d rhc nol build or ihprov. for thc puryosc oa,al.). <br />_1. a omcr of ln. prFny, e cxclBiv.ly €orerin8 with licms.d conhioB to @.$tucl dc p.oj.cl ( S.c 7044, BBin6 ud <br />Proa6io. Codc T1. Con!_&toas Licc6c Lap .lc not apply ro d oMd of prop.ny sho builds d improyB ti6o , dd who <br />contrea fd such uoj..t! wilh a Cot4ro(, licaE d puBuet ro rh. Cmhctor'r Lica!. trw ) <br />_l m cxcmpt und.r Scction _,8 & PC for tht rc6on <br />WOru(f,RS'OMPENSATION DECLARATION <br />I hcrcby affim und.r pashy of pdl ury on. oa th. aollowing d.clrations <br />I hak ed vill maintain 6 C.nifislc of CNor 1o Sclf-IGoE fd workc6' @mpcnsdion, s provi.Ld td by Se{on 3700 of thc <br />Lobor Cod€, ltr rh. psfm* oa tn. wonr f6 which th. p6nn n issucd <br />_l havr andwillmainlain enk.rs comFNrtion irsu.occ. s rcquiEd by Scction 3700 oi thc l$or Cod., for l]1c p.rfmdc. of lhc <br />wtrk for vhich rhk Fmn h isu.d My *orkca' cdpcnsalion insuBn@ cei€r dd policy numb.. r.: <br />Policy Numb.r: Expt s <br />ffiffi b. cmpl.t d ifrnc pfon is for Onc hundr.d dollss Itl00) <br />p.rf(mucc oi fi. wort fo *hich this lEmn is issu.d, I <br />wo*n ' cmp.nsation lrs ofcaliaomia. d agE <br />conpcnsalion provilions of <br />OL <br />700oflh. Labor Codc, I shall, <br />WARNTNG Fallurc to s.cur. *orkcE compensnnon an tuploycr to qiniral pdahics dd civil <br />fin6 up lo o.. hunrlr.d tholsdd doll6 ($ I0o,000),in sddition ro th. c6r oa coDp.nsarion, dmas6 s Drovidcd for th. Serion 3076 of <br />0r l-3bd Codc, intc!61 ed anom"y't fas. <br />LTCENSED CONTRACTORS DECLARATION <br />I hocby amm undd paalty ofr.rju.y thd I m licoscd unda ptuvision ofchlDt.r 9 (cmmcn <br />lh. BBinBs &d Profsions Codq ed my licos. is in full foM and €ff6t <br />('o <br />I hdby .ifim undd pa.lty oa Fjury rh{ d@ is . 6.tudi@ lodj.g .86c, fd th. Frfm'ru of rhc *dt fd qhich 6is Fmi i! <br />isru.d (S.c. 3097. Civ C ) <br />APPLICANT'S Df, CL.\fulTION <br />Dcmoliio. Pcmitl-Asb6ros Notifi cation <br />R.quncd L.tlr of Noiification <br />F.dcral RcSulaions (Titl. <br />lo compl, wnh aU City .nd Counryry d Coury lo dt rulonrhc <br />abov. n.ntion.d popcny for insp.clion /?((-of, <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 />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 trYDI DFI\ <br />Rough FFR .I znrc <br />Service Meter <br />FINAL uAtvtu d-4J, ;ivu, 556, 6ti <br />Notes, Remarks, Etc. <br />Sub-Panels <br />oa.\-