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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OMd.Buildcr Dalmiq <br />I hdcby affn mdd pc.llry ofpcrjlry $.1 I e .xmpl fm rh. Conloclors Li€ns. ljw lo hc aollowinS r.so. G€.r03 L5 BulinBs <br />&d P'of.$id Cod.): Any Cny o C@nry which Fqdc a p.mir ro coctEct, .1t6, imprcv.. d.molish or Epli oy shq4. Fid ro iB <br />is3udcc, also r.quirq t. .ppliqnr fe such p6mi 1o fiI. . !i8n.d rkt ftnl that h. or rh. is liccns.d puBu&t to th. FovisioN ol $c <br />ConrBctor's Licdsed Llw (chrpto 9, Cmrddns with sccrioi 7000 of Division I of $c Busioer ud P.ofssioN Codc) or O.t h. q <br />shc is dcmpt U!6.lom od $.bBir fq $. .ll!8.d .r6prio. .Any violalion ofS6lio.,031.5 by y.ppli6t for r pcmt r!bj.d! thc <br />rp?licdt to ! civil p.uhy ol nol nqc the fiv. hun.lr.d .bnq (5500). <br />_l, a ownd of rtc prop€,ry, or hy hployds ,ilh wag6 a rhcir sol. cohpc.t tion, will do th. worl ud $c ntucuc ii nor inr@dcd <br />q oficEd fd s.lc ( S.c ?0a4. BEin6 ed Prof6sioff Cod. Tnc Contrelor's Licasc L.* doe not arply ro an owncr ofd. prcpdy <br />who buildr or ihprcve ti.r.on, dd who dos such *ork hiaclf or hs.lf or throuBh his or h.r own mploy..s, providc<l thar s!€h <br />inprovnots e. nor int$d.d or off@d ftr s.l. Ii how.vd, ln. buildinS d improvd.ol is $ld wilhin dc yd of compl.n@. UE <br />Ownf-Buil&r will havc dE budm oiproviig $ar hcorshc nol buildor improv. for $. pu,!G. ofsal.). <br />_I.6 o*naolthc pbp.ty, d.xcluiv.ly conn&tibe with licor.d cont'acrcs to co.rtDct $. p{ojd ( S.c 7044, BGings sd <br />Por6io Cod.: Th. Cormcrd! Licle I-3v d6 nor igply lo d om6 of prcpdty vho buil& s improvq tha@ , 6d who <br />co.!'&t for such poj..$ *irh 3 C@rEro(, lirr.d puEuur to thc C@t&rof ! Lica. L.w ) <br />_l d €x.mfl udrsccrion _,8 & P C. fd lllt rcaon <br />WORI(ERS COMPNNSAIION DECLARATTON <br />I hdcby affim undd pcialty of p..jury orc or $. folloeins dccldrioN <br />_l havc dd will maintain . Ccnilica& of Coisfit ro sclf-l.surc for wolt6' co6Fi.a oi, B p,ovid.d for by s@rion l?00 of th? <br />L.bor Cod.. ior tn. perf@@ of lh. wort for whi.h th. prmit b i5ru.d <br />_l havc dd will dainrain wqlc6 @Fradon atuurdc.. a rcquircd by Sedon 3700 ofrh. Lalor Cod!, lor $c p.rfme.. ofln. <br />worl lorwhich rhir psmni5 i$u.d. My wo*d'conpasaid iB!. c! @i.' dd policy nmbcr.r. <br />Policy Numb.i-ExpiE <br />if th. pmn ir for o)c hu.dr.d dolld ll l00l o. ls, <br />comp.nsation provisions Labor Cod., I sh3ll, fonhvnh <br />.omp.nsalon cov.raSe is <br />dollm (l I00,00o),in iddtion <br />I hclcby afiim undd p.ndry of p.rjury rha I o licqs.d uda p.ovisid of Cl'.pln 9 (ng with S.ction 7000) ofDi <br />rh€Busin.s d Prof6sions Codc. and li..nsc ii i. f!11 forc. and cffccr <br />of p.tury th.t tq. is a construcdon oi lhc wok fs which $is pcmit is <br />, Civ C) <br />ATIIICANIIDECUAAIION <br />Dcmolnion P.miB-Asbsr6 Noti6..lioh F.d.El Rcgrl.lions (Tide a0, P.n 6) <br />_ R.qlarcd Lcnd of Norificald <br />I el1if} <br />-1", <br />rhal tl. fddl rcSulations rcSddinS !.ooval ar. not appll@blc <br />rhar I hav. r.rd rhirapplicarion and I .8r.. ro comply wnh .rl Cily d <br />ordinecs bd Stal. L.ps rclario8 to bri <br />cbovc m.nrion.d prop.ny ad insp€tid <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 />Meter Release <br />F:1 ptntrD <br />Rough <br />Service Meter FEE I ZUI9 <br />FINAL <br />Notes, Remarks, Etc. <br />Site-Work <br />tl