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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER I'ELCAR TION <br />I hd.t'y rilm uid6 FfIy ol prjlry thal I d ddln fiod rhc conlG.lor3' Li.enF La$ lor rh. fouo{inB ,ta;n tS< 7OlL <br />B6in6s {ld Pml6ion Cod.): Any Cny or counry {hi.h r.qut6 . Fmir lo .odtucr, allE impmve d.flolilh or E?dt my <br />ntuduq Fior to 'rs isuece, aLo r.qutB lhe applic{t tor slch Fmil to lil. a sisnqi srar@r lh hc or th. a licr6.{ p6u!.1 <br />lo the proviriom oalh. Contraclois Licnscd Law (ChaBd 9. aomn.ncing Niih Sdion ?000 of Division I of th. BsinBs d <br />Polsion Cod.) or thar h. or shc is cx€npt lhacfrom ud the besis aor lh€ all.s.d cx€mplion. Any violarion ofsc.lion 7011.5 by 6.y <br />appli.afl aor a p@nl subjers rhe applicrrr ro acivil p@hyofioi ooErhm fiv. huodrcd dollds ($500) <br />_1. 6 ovM olrhc prop€ny. o ny cnrployG Nith wrr6 6 th.n sk comp.ffation. yill do rh€ wo ad thc sro.lE E mr <br />in'dt.d or olrr.d for el. (5<.7044. Btrli.<s ed Proa*ioN Codq l lrc conlrrclor s Lic@ ljs do6 nor .pply ro m ow.d ol <br />lh. F.Fry who buil& or imprevG lio6G ird who do6 sucn $!* hims.lf o! n.elf or inrcurt his or h( o$n coploycd, <br />provided lhal such isprol€G s e. mr inra&J or oltdrd ror el.. l[ ho$6'a. rh. tlildin3 or inprN.11d is eld *ithin of,. ]6 <br />ofcompkio.. rhc Ow.d auid6 wil! h,( $. hrdn orFovins rha le or shc dd er tdild or iip6v. $. Fordy fd rh. purpo* oa <br />I. aownq ofnB prcpdy. an cx.lusivcl, c.ntadiru wnh licG.d Mt.do6o.o6toct rh. Dojer (se 7044. BBins <br />ad PlDtsio. Codc: Th. Codlractor's Lictuc Law do6 nor apply to d owncr ofrrepcny $ho builds or inpovG rhtrs.. <br />and sho conlmcts lor such proj..ls wirh a Contmclo(s) licm€d puuuul lo rhcConr&croir Licensc l-aw). <br />I *.,*1"*.*,a]t <br />I hrcby amnD trnd6 p.nalry ol pdjury on. ofrhe aollo\virB dsldarions <br />-l <br />havc ed will moinlain . Ccnificalc oi CoMnl ro Self-lNur. aor worksr conlpcnsarioi, 6 prcvi.Ld for by S<lion I700 oalhc <br />t,flbor Codc. ior lh. pdfomuc. of lhc worl far trtich lh. lsmit is isueJ. <br />_lhavcand$illmainlainwo.rs.ohp.nsario.iNua.c€.6,.qun.dbySErion3700orrhclrborCodc,torOcp&ioftoc.ol <br />'b. No.k for which rnis p.nnir is isucl My workdi compsation insurec cdnr and policy nunbd a!: <br />Policy Nubdr_Erp <br />-l <br />ceniaylhat in lnc p€rfomanceof lh. wo for rnich rhG pd,nil is iss!€d, I shall nol enploy any p€Mn in any men6 <br />so a ro b..od. $bjd ro rh. worlds .o,npdsathn la*s ofcalifomia, ed !r@ rhar il I shorld b..omc srbj€ct ro th. <br />wo 6'comp.nsatio.piolisionsofsdrio.lT00ofth.t-aboiCodelshall fonhwith .ompll wilh thos provisioB.. <br />NARNIN(:: Failure lo sccure \ro*6d compost rasc is unlas,lul. and shal, subj*r d dplorq ro dni.rl FElrt and <br />). in addition ro rh. cosr of conp.nsarion, darusB 6 providal for (h.ro on. hundicd lhousd dollffi ($l <br />pdrlr] ofperjury rhar I @ liccnscd nndd tmvnion olchafld 9 (co.mmcin8 Nnh Setion 7000) olDilision l <br />IOTIIBI]CIIANIINDIIC.AGTII:I <br />I h.rby al'fiirn undd penalt) of pcrjury rhlr rlEc is a conslrud ion lddins a!6.y fd rhc rEfodnM.. of rhc $orl tor which rfiis ponir ie <br />issu€dlSa l0!?. Civ. C.) <br />axtu(ANL[EctaE llo! <br />I h6.by armr unds,Grahy ofp€.iur' onc ofth. folloNiflx d(ledions: <br />D€nolilion Psmits-Asb6los Nolificarion f.ddal R+ularions (Tnb 40. Pan6) <br />-R.quir.d <br />LaldotNotifrdrion <br />-l <br />ccniir rhat rt. f.ddol rcSulariom E8rrding abdro5 @val r. nor .pplicrbl. lo rhis pmj*I. <br />-l <br />cqriry rhal I hlvc Ed thn lpplicalion ed nd. lnd lb. sbovc irfornaliotr is @rcd. I asG lo @mply wirh 6[ Cny rnd County <br />ord,n"n.$ and Srrrc I n$sreliing buildias construclioa d aurlNrnt r.F6dariv6 olrhis Cny dd co <br />above motion d ploD€ny tor r <br />/1pplion( {r E€nl SiEnrlr <br />';) - <br />Site-Work <br />Underground <br />Li ght Standards <br />S pas, 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 />Torqueing <br />Sub-Panels <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ce ilings (T-Bar Rough) <br />[\4eter Release <br />Rou gh <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc.tl I UI <br />dl lh. BGincs ud P,oassionsCodr. ud my licensc is infull lorcr od efi.rt <br />tf,nd.iBA<Ijl*. _ <br />Pole Bases <br />Air Conditioners <br />zl.Ob -,)'urt)