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ELECTRICAL.I NSPECTOR RECORD ? <br />tDATEID/SIG.COMMENTSAPPROVALS <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 />Meter Release <br />Rough $tt tr+Mqry <br />Service Meter t I 7 <br />FINAL <br />Notes, Remarks, Etc. <br />t- -/t.A ^a \^ I a. I <br />TXUIVU D 'Lrhvl w <br />I <br />I hacby affm mda poalty of pojury that I u aopt fom tbc Coouacton' Licre lrw for tbc followhg rwu (w.7031.5 Buins <br />md Profasior Codc): Any City or Couty which rcquir6 a psEit to outruc, alta, improvg doolish or rc air uy smcurg pior ttrts <br />isswcc, alrc roquirc tbc ap,plimt for such po'mir ro filc a sigucd st t@@t tlat hc or sbc is lic@d prrmr to thc prcvisiore of thc <br />Co!trrctor's Liccls€d L.w (Chapt6 9, ComaciEg with SetioD 7000 of Divisiotr 3 of thc B$ios ud Profsioc Codc) or that hc or <br />shc is q@pt thsctom ud thc bcis for thc allcgcd aoption .Aay violatioo of Setioo 703 I .5 by ey appli@t for I pmit sbjets thq <br />appliogra-civil poalty of oot morc tha fivc hudrcd dollm ($500). <br />V4 o*o ot ,a,propsty, or Ey @ploy6 with w8g6 6 thcir elc @Eposioq will do thc wo* &d thc structuc is sot irt@d€d <br />or offacd for salc ( Se.7044, Buirc md Profcsiom Codc; Thc Cootrsctor's Li@ Law do6 Dol apply to u oma of thc prcputy <br />who bui.lds or improve thaoo" od who dos swh work hiwlf or hoclf or tbrough bir or hc om oploye, providcd thd such <br />inprcv@@ts ilc not intodcd or offqcd for sale. If, howrya, thc builditrg or implov@Bt is sold within orc ya of complaion, thc <br />O*nq-Builds will havc thc turda ofproviag thx hc or shc lot hrild or improvc for thc purporc ofsalc), <br />_I, s oms of tLc propaty, u acluivcly coatraaing with Licocd contracton to oEtrud thc Foj@t ( Se. 7044, Buins ad <br />Prcft,sion Co&: Thc Coqractor's Li@c L3w do6 aot apply to e ow of p(opqty who builds or impovc thaoa , ud who <br />ontrrcrs for such prcjats with a Conurcto(s) [c$cd pNuet to thc Cootractor's Lic@c lrw.). <br />-l@ <br />Md6 SEtioD & P.C. for this rrcon. <br />Datcl t /7 oa <br />I hocby affm udo pcoalty of pojury onc of thc following d*luatiou: <br />_I havc md will oahtain a Cqtifiqtc of Comt o Sclf-Iwc for work6' @Eposaaior, o providcd for by Sction 3700 of rhc <br />Iabor Codc, for thc pofomue of thc work for which thc lmh is isucd. <br />_l havc od will maintain workm' ompcmtiou insuacc, c <br />work for which this pqmit is isued. My work6' compcmation <br />rcquircd by Scction 3700 ofthc labor Codg for thc pafomucc ofthc <br />imua* wir ad policy uuba uc: <br />(This wtiomc.d aot bc complctcd if tbc p6oit is for Onc hundrcd doUffi {S100} or lN) <br />Uicafi tat n &cpqforue of the wo* for whisb this lmit is isuc4 I sbalt not @ploy uy pasa in uy Irua $ s !o <br />b6uc sbjet to thc rcrlc ' omgosatiol lam of Califomir, ad 8gE that if I should beorc rubjct to tbc workc' <br />compansation ofSction 3700 ofthc Labor Codc, I fonhwith comply with thosc(/? <br />Failuc o suc worko' compccatioo covragc is ulawful, ad shall subjet e @ployq to ud civil <br />fE6 up to onc hudrcd thoMd dollm ($100,000),ia additioa to thc os of oopcostioo, dmaga a providcd for <br />thc Labor Codc, intaat ud anomcy's fe. <br />Saion 3076 of <br />LICENSED CONTRACTORS DECI,ARATION <br />I halby affim udo poalty of pajury tbat I u li@scd udq provisioD of Chapta 9 (@mocing wirh Setion 7000) of Divisioa 3 of <br />tbc Buios ud Profeiou Codc, ud oy lic@ is i! full fore @d cffet. <br />Licoe Clcs:_ Licorc Nubc _ <br />Policy Numbq: Expics: <br />-- <br />D&tc: CoDtractor: <br />CONSTRUCTION LENDINC AGENCY <br />I hqcby affm udq pqoalty of pqjury that thqc is a coutrudioo ladirg agacy for the fsfomcc of thc worl for which this pqait is <br />issucd (Sc. 3097, Civ. C.). <br />kods's Nue: <br />lrodq's Addrs: <br />APPLICANT'S DECLARATION <br />D@olitiotr PmitsAsbcstos Notification Fcdqal RcgulatioB (Titlc 40, Part 6) <br />_ Rcquircd ldts of Notificdiotr <br />_l diD4tdt thc fcdqal rcgularios rcgedilg rbctos rooval uc oot 8ppl.icablc b tbis proj€i. <br />y' caitl tlzt t tw c rcad this applicatiotr ed statc tbat the abovc hfomatiotr is corcct. I agrc to comply witb all City ud Cruty <br />o!di@c6 ud Statc Iiws rclatirg to buildhg corctruction, ud h6cby authorirc rcprmtativa of this Ciy ud Coutl. to @tq upotr rhc <br />abovc motioaed propcty purpos6. <br />6 /7 bApplirot or agot <br />P@itte truc Grint):€