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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS Own.FBuildd D.cle.ri6 <br />I h.rcby affim und.r poalty ofpsjury thar I m dmpt fom th. Co.l'&toE Lic.B. Law for lhc follopinBE6on (sc703r.5 Burin6s <br />dd Profssion Cod.) Any City or Counry vhich r.quirq s p.mn ro costru.i, ah.i inpov., dmolish or Eplir ey shcrurc, prior ro ii! <br />issuMc., also r.quir6 thc appli*nt fd sucn pmit to fi|. a sisncd statmot thar ic or sh. n lho3.d puBer lo thc provtions of thr <br />Conrr&ror's Li@N.d Law (Chapt r 9, Como.ocing wid S.clion 70oo of Divirion 3 of fi. Businqr Md Prcf6rim Cod.) o, thar h. d <br />sh. is .x.npl lhdcfM ad th. bah ld lhc rlh8.! cxcoprion Any violaio. of S?dio. 703I 5 by .ny +pli l lor . pcmn !ubj*& thc <br />applicdl ro a .ivil pdalty of no{ morc tha fivc hun.lrcd don4 (1500). <br />_1, d o*n4 of l]lc p.o!.ny, d my nployc sith wag6 d lhch sol. c6pos.tioi. will do i,1. work ud rh. nru.lqc is not inrddcd <br />or off@d fq sal. ( Scc 704a, B$in6 ed P@a6io.! Codc Th. Cotub! Li@. kw dB nd +ply to .n om.r of thc propdy <br />who builds orinprovd rhcl@, dd who do6 such *ork hiaclf o, h6elf o. d.ou8fi hir orh.r r.mploy.6, provi<,.d $al such <br />inprovlmdc dc not inlad.d or offd.d ftr s.lc. Ii how.vd, lh. buildif,S q improvdcnl is 3old within qc yd of cohpla,o. tl. <br />o*io-Builde *illhav. th. burdlr or provins $ h. d sh. nor build or imprcv. for U. purpc. orr.t) <br />_1, s ownd of $c ,&p.ny, d dcluiv.ly contl&tins vidr liccnscd @n!?cr6 ro cosrtucr rhc lrojcd ( Scc. ?Oaa, Buiic! dd <br />Prof*ion Code Th. Con!-&tor'3 Li@nse Llv do6 nor .pply ro & ow.d ol propery *ho buil& d ifrp@B th6.d , ed who <br />cono'ac6 for such p'oj4B with a cor'ero(, li6.cd p!4usr to !h. coE&rorr Lic.Bc liw ) <br />_l m .rcmpt wL. Set6 <br />-8. <br />& P.C. f6 iris M6 <br />WOR(XRS COMPXNSATION DECLARATION <br />I hdcby 6ffim undd paalty ofPnjury e. oflhc folloviq d6ldtiotu: <br />_l hav. dd will hainr.in a Ccnili.aE of CoM.r ro Sclf-lnuE ttr vdt6 .@pasa 6. 6 povidcd for by Setio 3700 of rh. <br />lilor Codr, for ln. p.rfol@e of lh. wo* fs vhid th. pdnit ir iitud. <br />_l havc dd will d.inah dt u @mFlario i6r@cc, d Equild by S.dio. 3700 of th. kbor Codc. for ln. p.rlomecr of thc <br />work aoi which int p@ir is i$u.d. My wort.R' cmp.crtio in5urD.. ffia ed policy nuhb.r u.. <br />ljbsCod.,I shall, lonh <br />doll4 (l 100,000).iD.ddi dam.a6 a prcvidd for lh. S.cti@ <br />I hdcby aflim undd p.n.lry ofp.rlury <br />fic Busin.$ &d P,ofsios Cod., ed liccnsc h in lull fore and.nccr <br />Li <br />p.tury rnat tho. ir a coosfudion . p.ram3ncc ol drc *dl fd *hich rhis pmit h <br />, Civ. C. <br />APPLICANTTS DECLARATION <br />Dcmolition Pcmit-AsblnG Norili6tion F.d.r.l R.g!l.ri65 (Titl. 4q P.n 6) <br />Rcquircd Lctr6 of Notili€lid <br />.omply wilh .ll City d Counry <br />abov. m.nlion.d prop.ny fc i.rFElion purpsq <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 />t-l\r I t <br />Rough Frt)Lnm <br />Service Meter rLu <br />FINAL SAMC 843, 2 10, 556, 667 <br />Notes, Remarks, Etc. <br />Darc O*na _ <br />c.nify rhd ii thc p.rf(meE <br />Sub-Panels <br />Meter Release