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ELECTRICAL.!NSPECTOR RECORD <br />Hev.08-07-2015 <br />APPROVALS DATE ID/S!G.COMMENTS <br />Site-Work <br />Underqround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Life Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinss (Hard & Soffit Rough <br />Ceilinqs (T-Bar Rough) <br />lvleter Release <br />Rouoh <br />Service [Vleter nt- lz-a \rWl!FINAL <br />Notes, Remarks, Etc <br />OWNIiR BI.]II,DI]R I)EI,CARATTON <br />I lrercby affrnr undcr pcualry of perjury that I iln crcnrpt frunr thc Conraclo6' Lic.rM Law fot thc following rcasn (Sd.7011.5 <br />Busincss ard Paol'cssion Codc): Any City or Counly which rcquircs a pcmit to construct, alt6, irnprovc. dcmlish or rcpair any <br />structurc, prior rc its issuance, also rcquires the applicuil for such Fmil to file a sigrtd slatcntnl lhat lE or shc is liccn$d pursuaill <br />to the provisions o[ th.' Contractor's l,icenscd Irw (Chaptcr 9, Cohhcncing wilh Scc(ion 70(x) of Division 3 of thc Business and <br />ProfessionsCodc,orthathcorsheisexeripttherefronildtlEbasisfortlEallesedeienrption. AnyviolationofseclionT03l.5byaoy <br />npplicrnl for a pennil subjects the dpplicant to il civil pemlty oI nol more than five hundrcd dollors ($500). <br />_1. a\ owncr ol lhc p(rJrny, or nry crnployecs wilh wagcs as thct solc compcnsilion, will do tlrc work ad lhe stffiue b nol <br />iDlcrxlcd or offcrcd for slc (Sa.7tN4, Business anr.l Prcfcssions Codc: Thc Contraclor's Liccnsc Law docs not spply to m owncr of <br />thepmFny wlrctoildsorinqrrovestlH@LildwlEdmssuchworkhimselforlErselforthroushhisorh€rowneoDloyecs, <br />providcd rhat such irnJrovcrrcnts ac mt incrdcd or ollcrcd for sab. ll: hosevq, thc boilding or irpmvcmnl is $k wihin om ,ca <br />ofcoophlioil, thc Owrtr Buikler will have the borrlcn of poving tha hc or she did mt build or irprcvc tlrc pmpdly for tlE purpos ot <br />sale). <br />_1. as owncr of thc pmpcny, am cxclusiycly contractinS with liccnsd conkactoE to onshct lhc prcjcct (Sd. 7(X4, Busircs <br />anl ProltsbnCode: Th€Contractor'sLicensekwd&snotapplytodowrerofpropcfrywhobuildsorimproveslhereo[ <br />and who contracts for such prejccts with a Contrack)(s) Iiccn*d pu.sumt to thc Contractor's License lrw). <br />-l <br />amcxempt under Sectiur-, B. & P.C. fbr this reason. <br />WORKDR^S' COMPENSATION <br />DECIdMIJAN <br />I hercby allirm urdcr pcmlly ofpcrjury ore ofthc lbllowing dcclaratiom: <br />_IhavcardwillnuinlahsCcnilicateofCoNenttoSclf-lnsurcforworkqs'$rnltnsdion,as JrevidcdforbySdtion3T00ofthe <br />tibor Codc, for the JErforrMftc ofthe work l'or which the pcrmit ir issued. <br />_l have ald will nraintrirr workers insuratrcc, as rcquiled by Section 3700 ofthc tibot Codc, for thc pcrfonruNe of <br />thc work tbr which this ltrnril ii workcrs' conrpctrsaliorr insurmcc cMicr axl lrulicy Dunrr(r ilc: <br />Policy <br />'ccnify thal i[ lhc Fr|rnuncc o[thc work for which this Frnril is issucd, I shall not cn4rloy any pcrson in any manncr <br />$ 6 to bccorE suhjcct to thc workcrs' cornpenstion laws of Califomia, and agrce (hat if I slnuld bccorc subjcct to lhe <br />wori(crs'cotrrlxnsalionprcvisioNofSectionlT0OofthekborCodc,lslull,fonhwithcrnplywilhlho*prcvisio$.- <br />WARNING: Failurc to *curc workcrs'compensalion covcraSa is unlawful, and shall subjcct il cmploycr lo oiminal penaltics anrl <br />civil fiocsuproonchuDdrcdthousanddollars($100.UJ0).iradditiontotlrccostofcom[rc$alion,danEgcs6providcdforlhc <br />Section 3076 of thc t2k,r Codc. intercst ild ltcs. <br />I hercby affrnr undcr pnxlty of perjury that I anr liccnxd undcr povision ofchaptcr 9 (comntncinS with Section 7000) of Division l <br />of thc Busincss and Pmlcssions Codc. ard my liccnsc is in [ull forc und cffcct. <br />License Number: <br />I hcrcby allirm undcr F.*nalty ol pcrjury that <br />issued (Sec. 3097, Civ. C.). <br />isa lcnding agcrcy for thc pcrlormamc ofthc work lbr which lhis pc.mit is <br />[rnder's Nanrc. <br />- <br />kndcr's Addrcss: <br />@NUE!&I!9N <br />I hocby aflimr undt'r Jrnalty of pcrjury onc of (hc following d(ldatioos: <br />Dcnrclition Pcrnrits-Ash(skrs Notification Fedcral i(tnr ('titlc 40, Pd6) <br />_Rcquircd I"cltcr ol Notilierli(,n <br />_t rcgulations regading asbcshs rcrnoval &e not applicablc to this pmjcct. <br />rlul I luvc thir applicatiul urd stalc llHl lhc atx)vc infoflnatiul is corccl. I a8rcc b conrply wilh all City and County <br />rclating k)oflhis City ild County lo cnlq upon thc <br />Applicant or <br />Pemilcc n!mc <br />for <br />constructir)n, and hcrcby authorize