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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE to/slG.COMMENTS O*n6-Build.r Dc.lmlio I hftby affim uidg pc..lty ofpcrjlr, iSat I o cx@pl lom $c Co.r&ioB Lic.ns. rlw for th. follovinB r6on (s.c.701I5 Businss dd Prcl6sion Cod.): Any Cny o Comry which Equic a Fmn lo .o dcr, alt.r, improv., &molish tr rcpair My shctwc, prio, to it3 i$!anc., also r.qok6 rh. arplisr as socn Fmn b fil. a si8n.d staroat fiar h. n sh. is licoscd p6u&r lo lh. provisions ol lnc Cdtra.1ols Licos.d Liv (Chafld 9, CMhocins witr Setim 7000 of Diyision I ol thc B6in6 &d Prcfdions Cod.) or th.r h. r sh. ir cxmpr thd.film md lhc bat fd lh. all.E.d d.mplion Any violaliu ol Scclion ?03 L5 by ey applicul for a p.mit subjc6 $. appli@i ro acrvil p.nalry olndmm tha 6v. tundE ldolld (S500) _I, a ownd of th. FoFdy, c my dployc wi.n w.a6 a rh.ir $lc mF.srio., will .lo ltc wo* ed ttc sFuctE n .ot intdd.d or oltdd tr sdc ( 56.?044, Businds ed Prcf6sios Codq Tnc Contracrd s Licdlc Llv dG nol lpply lo M Mq of thc prcpd, who huild5 or imprcvG tndm, ed who .lG such work hic.la or nmd f d through hh d hd own mployd, Fovi{Ln $.rcuch ioFoy@al3 @.or i.tad.d or otra.d fd s.l. lf. how.v.r. rhc boildinSor imrrcv@.n! k rcld vi$i. on. y.d ofco6pl.tion. tt. O*nd-Builda *ill hrv. dE budo oa prcvine d'a! hc or 5hc nol build or improv. for OG pu,p6. of s.l.) _1, s own.r of$. proFiy, h crclEiv.ly €onmdng wilh lic.ns.d.ontel6 to @mtruct th. Fojd ( Scc 70*1, BBin6 ed Proa6sion Cod. Thc ConE&tors Liccns. kq dc no1 apply lo s oM.r of propary who builds s imFoE tha@ , dd *ho @nr-eE for such projcrs *nh ! cdftdo(, lim.d p6er ro th. cooretof s Liccnsc L.w ) rvoRr(ERs coMPf NsAIIoNl)tcLaEAlloN I h.r.b, amm undd p.naky of p.rjury onr of lh. folloeine d.cltrri.ns _l hav. dd will maiat in a Cdific.lc of Cons.nr to Sclf-lnsurc for wo*c6' @dp.n$rio, 6 providcd ior by S6tio 3?00 of$c kbo Codc for tfic p.rf(mde of th. work ior *fii.h rnc p.ftn is isu.d I hav. dd will mainraih *d[.6 cmFnsation insurdcc,6 r.quicd by Sation ]700 oathc Labor Cod., for 6c Fdo.tMcc of fi. work f6r {hich rhis pami is issu.d My *oLca' c6p..sato. insur6n@ c.ricr od poli.y numbq m: Policy Nmb.. BrdG (":::tv',:,*: b. compl.t d if thc p6on is ror Onc hu.&cd doll6 ll l00l or I pdfom&ccof1h.woIk tq which lhispcmt is hsucd, t wort.B compcnsation laws of Califomii, md .grc. conrpcnsaton provisioni or S..ri WARNING Failurcro s.cur. workm' comp.nsaiio.;cr & mpldyo ro oiminal fin6 up to m. hundr.d rhaced dollc (l l0o,00o).i. addid@ lo th. c6l ofc@p@radoi. d.oag6 a providcd fd $c S6tim 3076 of $c Labo Cod., inr.rd ud atomcyt fccs LICENS ID CONIRACTO RS DIC LA RA'I.IO N I h.rcby afnm und.r pa.lly of pGjury thd I ffi lhos.d undq prcvisio. of Ctapt- 9 ( thc Bsi.6s Md PDf<ioni Cod., md my licdsc n in full forcc &d.fr61 -//- I hEby !,Iim uida p.n.lty of F.lury Ud 6G is . @3tEdd l6di.g .g6cy for $a i$u.d (Se. 309?, Civ C.). AIILICANIIDECIJAAIIO! Ddolnion Pcmils-Asb6l6 Nolifielion Fd..d R.!ul.d@ (Tnl.4q Prn 6) _ R.quiEd L.nd oaNotificatio. Ciry dd Colnry ro mtd upon tlc abov. n.ntion.d prcpdy lor inrperion pur966 Lr-t/-oL Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Torquing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) EYEr r\fIJ Rough rtro llnro Service Meter FINAL o MU U-43, 2 )0, 5s6, 667 Notes, Remarks, Etc Site-Work Transformers Meter Release _l m.x6p( und.r S.ction _,B & P C ftr thk r.do. l70o of rh. Labd Codc. I shall. of tnc *nk ir which $is p.mit E Lcnd6! AddE -------r----- F f------T------ -------T------