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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS COMMENTS Omd-Buil.Lr D.cletion <br />I h.r.by amm lndcr p.nalty of Fjury $at I m cxdpt fm $c Conr.cto6 Lic.ns. Lrw for th. followi!8 aaon Ge.?03L5 Bqi.6 <br />dd Profasion Cod.): Any City d Cdnty which rcquiB s pmt to co$trn.r, .ltd, impmv., dholish o! Ep.i dy iructu.. prior !o itr <br />issuMc., aho r.quir6 lhc appli@r for such pmn ro fi1. a siSri.d rl.r@nr rh.t hc o! sh. ic licds.d puduat to th. Fovhions oi ln. <br />conrelor s Liccisd L.v (Cta9!.r 9, Comoci.8 witt sccion 7000 of Divkion I or $c ausin*s dd Prof6sioN Cod.) or th.t h. d <br />shc is .x.mp[hdcfrcm ed ihc b6is fo rhc allcS.d .xcmplioD Any violaiion of Sdtion 70] I 5 by ay appli@t for a p.mit slbjans th. <br />apDlicdt to.civil pa.lty oinol hm the fivc hun&cd doua {5500). <br />_1, s o$q of rhc prcp.rv, d my mployc wnh wa86 a th.t solc conpctuaao". will do rhc worl Md lhc sLucru. t nor irtcnd.d <br />or oft nd ror sal. ( S.c.704!, BsinN ud Prof6ims Codc Tn. Cont@tor'r Licds. L.* do6 not .pply ro .. ownd ol $. prcp.rq <br />who buildr o! imprcv.s tt6@r. ad who do6 such *ork hrtuclf or h6!lf or rhrouSh his or h.r wn cmploy.cs, Fovid.d thar su.h <br />inprordc.rs & nor inknd.d or offdrd fd s.l. Ii how.vd. rh. buildinS q improvm.nr L lolduthin onc yc& of @mpl.t.n, ln. <br />owncFBurldd will h.vc lllc burdd of provinS rhar h. or shc nor b ld or inprov. for th. purpsc otsalc) <br />_1, a owidolfic propdry. d crclBiv.ly conE&in8*ith liccnr.d co^tact6 to clmtruc( rh. proj.d ( S.c ?044. BNin6s ed <br />Profdsion Cod.: Thc Conn_&|ort Licdse L.w dod ,ol .ppl, to u o*nr oa prop€iy who blil.Lr 6 improaq th@@ . ed who <br />contr4i' for srch proj.ds enh . Co.t.cro(9 lic4.d plEust ro thc Conhcror's Li.cn!. Liw ) <br />_l m cx.mpr undcr Scclio._,B & P C ad rhis r.G.n <br />WORI(ERS COMPrNSATION DECLARATION <br />I hd.by afiim udq p..alty oa prjury or. of fi. foUoving dccldliont <br />I hatc ed will mainrai. a Cdifiqtc ofcons.ir io S.lf-lnsuE ior wortd' cohp.nsalio, a povidcd fo, by S6tid l?00 oath. <br />Labor codc, lor !h. pcrfol1@a of $. {ork for which $c p.mn i! i65u.d <br />_l havc ud will mainuin wskc$ @mpcnsalion iNurdcc, d .cquircd by Sccrion 1700 of rh. L.bor Cod.. for th. pcrlomecc oflhc <br />work for vfiich this pmit is issu.d My workcE' cmpqsalion insurecc cdicr ind policy numbct ec <br />Policy Numb.r : Erpircs <br />"^z::,::" <br />ba*. ",i,*,. <br />not bc ceplcrcd il $c pmn is for Oic hurdrcd dollaB {1100) or 16, <br />Labor Cod., I shall. ronhwnh <br />dolla (l100,000),in addnion , damisB 6 ptoYidd foi $c <br />. inrcr6r od atromcy's f.6 <br />I h4cby affim undcr pnalry ofpojury th I6licc6.d ui&r,rovision ofCn.pla 9i <br />rhc Busin6s d Proferor Codc.licftrc is ii lull forc..id.afcd <br />oi$.vdk for vhich Ihn pmitts <br />7,Civ <br />A.TELICANLIDECLABAIIO! <br />Dcnolirion PcmirsAsb.sr6 Noriii.dio. F.d.Gl Rcgu laions iTillc40, P.n 6) <br />_ R.qlncd L.nd of Notific.tion <br />I ccnif, drar 6. fedqal rcsulatiois E8ddi.8 6b6ts rcmoval e. io! <br />Zdtnr.t that t ha'. rtd tti! rpplicdion dd sr.r. rhtr rhc y wi$ allCity ad Counry <br />ordinancd ud Sralc Laws rchrinB to blildins <br />abov. m6rion.d ploFny fd insp.clioh purp@6 <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 />lvleter Release E!.n ' r lx'D <br />Rough FEB _z0t9 <br />FINAL <br />Notes, Remarks, Etc. <br />DATE ID/SIG. <br />Service Meter <br />L.ndd s Addr6 <br />-------T------ <br />-------T------