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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/srG. <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 />Bu ilding <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 />E)TTJ <br />Rough <br />Service Meter FEB -r 20t9 <br />FINAL <br />Notes, Remarks, Etc. <br />Ownd-Buil&r D?cl@lio <br />I h.Eby aifin uid, pcnalty of Fjrry rhal I e crnfl fm lnc ContE toE Lic6s. !5w fo! .h. followinS t66 G.c.70l L Buin4 <br />and Pbrdion Cod.): Any City d Couty wiich cqui6 a p.mk to co.trBcr, alt ., imp'ov!, d.molnh or Epat uy srNcru.. For ro irs <br />hsuecc, also Equi.6 $c +pli6r for slch p.mi ro fi1. i si&ncd sEr@.ni fiat h. or !h. ir liens.d puBu rlo$.Fori6ioNofdc <br />C..rrrcror's LicmFd Lap (ctafld 9, Cmnddir wnh s.crion 7000 ol Division I of thc B6ia6 Dd Prcf6ioi5 Cod.) tr tlld h. or <br />!h. is .x.mpl the.frcm sd $. bsir ftr lh. al,.s.d d.mption Any viola{on of Scction ?Ol I 5 by dy applicer for t pmn ilbjeB 0!G <br />appli@t lo acivilp.nalty oanol m@ lhe iiv. nurdr.d dolla (1J00) <br />_1, d ow.cr of th. FDP.dy, or my dployc qnh wag6 6 th.t sol. @mpcrsion, will do th. *o.k &d thc alru.tu. ir not inlcidcd <br />or ofiftd fq s.lc i Scc 70,r,1, Suirs ud lrcf6sio6 Cod.: Tlo Co.i.adm\ Licasc L.s dG! nd opply to a owtrs oa th. propldy <br />who buil& or ihprova 6crc@, ud who d@s such vort him.lf o. h6clf or rhrouSh his or hd ow! @ploys, proridcd lh{ iucn <br />inprcvdci's @ iot iimdcd or offqc.l aor sl!. If, how.ve, ihc brildin8 or improvcmqt k sold wilhin onc y@ of compl.tion, thc <br />Owos-Builda will har! lnc burd6 of proving thd h. or ihc oot build n improv. for d. purpqc of ial.) <br />_1, d own.rofth? propdy, n qclciv?ly .ont .cdn8 wi$ liccis.d coituroR ro coismd th. projcd ( Se 7ft4, Bwind ud <br />PrcfBid Codc Th. Connrdor'! Lic.$. Law do6 not +ply to d owi6 of propcn, who buil& or inp.oB $@@ , hd who <br />contr.cis ror such prcjat5 wi6 r Conr.cro(, lt.D&d puBuor ro th! Contractor'5 Liens. l:w ) <br />_l m cxmB urd6 Sccdoi <br />UOBKEBS.COI4EENIAIIOtr.DECI^AA.I]O! <br />I h.r.by affim Dndcr Fnalty ofpcDury onc olthc followin8 dccl{.lions: <br />_l h3vc dd vill minllin a&nificatc of Conscnt to Sclf'Irour. for wolkcs' @np.nsation. 6 providcd for by S.crion 3700 of$c <br />Labor Codc, for tn. p.rfmocc of thc worl try which rh. p.mil i5 iliu.d <br />_l h.v. ed qill m.inEin work.E' compns.tion iaure@,6 rcqlncdbyScctid r70Oof'hc Lahor Codc, aor rh. perfmdc. of th. <br />work for which rhh pnn ii i$ud M, vork6 @mFsaiion in$@@ cfid ud policy ruEb.r e. <br />?oli.l Numbcr: EipiE:*ffi;:.;" <br />u.1*. *i,:* . <br />'t " <br />b. conpl.tcd il th. pnnn i! ro' onc hundr.d doud lS I o0) or 16) <br />Ddfomacc oflh. *ork ao, which <br />(1100.000),ii 6 povidcd for thc Scclion 30?6 of <br />rh. L.bor Codc, irrdcr d{bm.ysfq <br />I hrcby afilm undd pcnalty of pqjlry lh6t I m liccN.d uodr prcvtion ol Ch.flo 9 <br />rhc Burndr and Profgsions h in iull forcc and cff.cr <br />oarh. w6k fdehict rhir pcmir t <br />civ c) <br />AITUCA{IIDECI,TIBAIIOX <br />D.molilion Pmils-Asbdlos Notificltio F.&El R.gul.ti6 (Tid. 40, P.n 6) <br />_ R.quiEd L.nn of Notifiqtio <br />I ccdiluhal lh. Ldd.l r.cularions rceadinc ab6b!-Ao *^rn*",*^,rr,*- *.,*" *, <br />ordina.6 d Slal. kws r.lalinSro buildinS <br />ab.v. n,.ntioncd prcp.dy ao, insp@rion pur?os6 <br />COMMENTS <br />Under Slab / Floor <br />L.nd.r's Addr.ss _