Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE !D/S!G.COMMENTS <br />Site-Work <br />Underqround <br />Pole Bases <br />Liqht Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bondinq / Groundinq / UFER <br />Transformers <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Roush) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilinqs (T-Bar Rouqh) <br />ltrleter Release <br />,^.- <br />Rouqh t'to Za lz /,s,v*td3( &/> \ <br />Service l\Ieter ---ZYto-aFINAL 2 €.:v.rez$ 2/ <br />Notes, Remarks, Etc <br />oWNF],R BT'II,I)I]R DELCARATION <br />I hereby aflirnr uBler penllty of nerjury that I un excmpt fronr thc ContracrcN Licansc liw for thc following rcaen (Sec.?03 1.5 <br />llusincss and Profcssi()n C,)dc): Any City r)r ('ounly which rcquircs a pcrmh to construcl. altcr. irnprovc. dcrnolish pI ('nair any <br />structure, lri(,r b its issuancc. also rcqutes the applicmt for such Fmrit to file a sigrrcd slalcrmnt that IE or shc is licen*efi$anl <br />to lhc pmvisions ol tlL' Contractor's l,iccnscd law (Chap(er 9, Commcncing with Scction 7000 ol'Division J of thc Busincss'erJ. <br />Prcfessions C(xlc) r,r that Irc or she is exempt thcrefronl and tlp basis for tlE alleged exemption. Aily violalion ofSection 7031.5 by any <br />npplicont for a pcnnit subjccls rhe rpplicant to r civil pennlty of not more thdn llvc hundrcd dolldrs ($5m). <br />_1. &s owncr ol-thc proJrcny. or rny crnployces with wagcs as thcir $lc comlrcnsation, will do thc wtrk ard thc stM6e i$ ml <br />iitcrxial or offcrcd for Mle (5@.704.1. Busincss and Profcssions CqJc: The Conlraclor's Liccns kw des not apply lo m owncr of <br />the lrolEay wlu huilds or inqroves tlEN( drd wlb d@s such work himelf or lEtself or tkough his or her own enrployees, <br />providcd that such improverrcnts ilc mt intcndcd or ollercd for sh. Il, howcvs. OE building or itrprowmnt is sld withitr onc ,ctr <br />ofconplelio[ thc Owrcr Builder will luvc thc burden of proviug thu he or shc did not buikl or imprcvc the prcpdy for thc purF)sc of <br />slc). <br />_1. as owncr of thc prulEny, am cxclusilely contracting with liccn*d contraclon to conshct tlE prcjecl (Sac. 7(}14. Busircs\ <br />ary-l ProlisrirrCode:TheContrack,r'sLicenscLawdoesnotapplytomownerofproJrnywhobuildsorimprovesthereon. <br />and who conracts for such proiccts wilh a G)ilractor(s) licenscd pursuut to thc Contraclor's Licensc hw). <br />_l mrexempt uilder Section-. B. & P.C. tbr this reason. <br />tl Jo)? <br />IY0RK!;RS' CONIPDNSA'TI0N <br />DI]CI,ARATION <br />I hcrcby allirnr undcr pcnalry ol pcrjur.y onc oflhc Ii)llowing dcclilatioN: <br />-lhavearrjwillluintainaCcnilicaleofConscntloSelfJNurcforwork6s'conrpcNation,as <br />prcvidcdforbyScction3T00ofthc <br />lahor Codc, for (hc frcrforrMrcc of(hc work for which the pennit is issued. <br />-I <br />have ald will n[ililaiI workcrs .c{,n\)erNnlioninsurancc.as rcquiredhySectitrr3T(x)oflheLrhorCodc,i)rthclErf(x]luuEcof <br />thc work li)r wlrich lhis My workcrs' compcnsation iNurecc cffiicr axi policy numbcr tre: <br />Policy <br />thal in lhc lErlix'nHncc ol lllc work for which this pcrmil is issucd. I shall not cn{)loy dny lrrson ln any nBnncr <br />as to besm subjccl lo tlc workcrs' conrpcnvtion laws ofcalifomia. and a8rcc thrt if I slnuld bccom subjcct lo the <br />*orkers' cotrllEnsntion provisiotrs of Sec(iol 1700 of the Labor Code, I shall, fonhwith con)ply with thorc provisions.. <br />WARNINGT Failurc to secure workers'compcnirtion coveraSc is unlawful. nnd slrnll subjcct an crnployer to riminal panaltics end <br />civil lines up to onc hundred lhousand dollus (5100.000).to lhc cosl of comlENtion, dmEges 6 providcd for thc <br />Setion 3076 of lhc tibor Codc, inleresl ild dlorcy <br />tah o l-o <br />I hcEby afltrnr undcr pemhy ofpcrjury that pruvision ofChaplcr 9 (conrnrncing with Sctbn 7000) ofDivision 3 <br />of the Busines\ and Prcfessiurs Cod.. aill nrv liccnsc is in full forcc aftl elIect. <br />Li(eose o <br />I construclion lcnding agcrcy for lhc pcrloflnarcc oflhc work lor which this pcrmit is <br />issued <br />[rnder's <br />[.ndcr's Addrcss: <br />iIPPI,ICANT T}T]CI,ARAlI0N <br />I lErchydlirnrun(lcr llrahy (,l pcrjury (,nc ol lhc h)llowing d(l{alions: <br />Dcrn(,lit()n I'crnrils-Asb('skis Nr{ilicrtun l,i'dcrill Rcguhli{)os ('l illc 40, Pm(, <br />_Rcquircd L-ltcr of <br />-I <br />fcdcral rcgulations rcgtrding a\bcstos rcrmval &c nol applicablc to this pmjccl. <br />tlrilt I lrilvc tlris irlir rililli()n is corcct. I agrce k) conlply <br />rcprr.*ntativcs of lhis Cily <br />with all City and Counry <br />md County lo cnlcr ug)n thcrclaling k) <br />abo\'c <br />Alplirant or <br />Cil. C.). <br />l'cmrilcc nanrc <br />for <br />tllill <br />hcrcby <br />t(gd., <br />I <br />hev. ua