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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER 4ulp2o ua&,t4YT <br />Transformers <br />Torqueing <br />Sub-Panels <br />I 4vfRoof Top Equipment e/4/Mo (krA <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />fi/qtef Release <br />Solql Ebdp/cztt <br />Rough <br />Service [/eter N, <br />FINAL afl tw ,oo <br />Notes, Remarks, Etc.I I <br />I h€reby alfirrn undr p.nalty oi pEiury rh.r Lh ex.hpr lron rL. (.nt.cio6' Licctrs. ljw for lhc lollowins rcen {S( 7011.5 <br />Busin€ss and P,ofsion Codc)r An! Ciry or Coumy whi.h .eqtriB a p6.n to connnrct. all6. improvq d.ftolkh or i.pat dy <br />strldor.. Irior lo irs isua.ce. also requns ihc.pplica lo! such pnrit ro lile a silicd sllrcman lhat h. or drc is licascd puGuant <br />lo the pnvilions of rhr Co.ta.loas Licenscd kN (Chaprd ir, (ohmcncinr silh Sedion 70010 or Divi.ion I of lhc arsin.ss an( <br />PrclcsionsCode)o!tharhcorsheiscrelnptrhrctom d rhc b6is ror rh€ allcs.d .rm!tio. A.yviolatiotroascclion7011.5byany <br />applica,r fo.. pemir subjelsrhc appli.a r $..iviltc@hloln.r mor.thatr lir. hundreddollaclt500). <br />l. s o{n€. olrh. pmp61y. or my emplo}€6 wilh sas6 0s then $b co'npdr.ridn, slll tL rhc {ort dd fi€ slruclrE is nol <br />iod.d o! oflged lor elc (56.?04.4, Businds ud hordrioB Codr Th. conrackr's Licme tnw do6 nor @ply to d osnn ol <br />thr lrlpdy who 6dil& o. impmve lhson. and wno do6 such s!* tDscltor heelforrhmugh hs or hd n$. mployc6 <br />providcd rhar such nnfrovon s*.nor inrdldcd or ofd.d iorsG.lf-hotr66.thcbuildin3 or imFo\mor t sld \vithin on. ,* <br />of conrplerion. rh€ Ornr Buildd vill hav. th. hfd6 ofrioMns thd h. or she did nor build or imF ovc thc prcpqly for thc purFa ol <br />l- as o*rs ol rh. lnrFiy, an €rcl$ntly contndins *nb liccrecd conkacloE lo .onsh,c1 lhe projccr (Se 70,14, Buens <br />dd h$ession Codc: The Cof,taclois Licensc l-a$ do6 not aDpl! lo An oNnd oapotdrt $ho boilds or imlrovcs thssn. <br />snd \rho.onrEcrst)rsuchprojc.ls*nhaCodD.ro(s)li..6cdpuuu{ 1. rhc (-onhaclois Lic.e L,a*). <br />I an creDpr unds Ssrion <br />Ll.6!:All!!!IE!Sr!jI0l <br />DIIIABAIIOI <br />I h@b! a1lim und6 po,l'y ofFju.y on oflh. followinS dcltr.lioN: <br />I ha\. sgL{nfmainrain a Cdrrtralc otcoMt lo Scl Nrc lor sotk6 @,np6rion, 6 povid.d lor by S<lion 1700 .rih. <br />Lbo._,l9.fe fd rh. pdfo,lMc. orlh. wort for st,ch lh. pcnd s su.d <br /><l h.rc Md s ill marlar * orr 6' .omr.M' ron 'Gura*.. s r.qun.d b, Sel io. l?OO of lh. L{bor Cod.. for lh. Ffolrl@. ol <br />'1..r.1r'..1. \1. Lr.'.rtr'.r.-, OIVALYIUN Z\TNUq <br />*,.,--,n. .tAILSoq,L?Ol3 . lt /t lLolo <br />I cdify rhat i. rh. pdaonnanc. ofrh. $ork lor shi.h rhis pdmn is issued. I snallnol @ployan) pd,n in any m,nnd <br />e 6 ro becom. subjst ro rhe sork6' comp.Garion la$s ol Calilornia od Bre rhd il I slFlld b€.oh. subj.d lo th. <br />*ori6J compsal io. po\ isioN ol Sc!1ion 1700 ol rh. t-.bor Cod€. I shall. aonh\ nh .omply rvirh rhor pm\ isiom.. <br />$ RNINC Faihr. ro surc \orl.rs ..'ntdsaii.n.ordaS.is tr l.$ful. .nd nrall subj(l an mplo)€r ro ominal FEltis and <br />.r'il li.cs up ro on. hundr.d thouend do1l.6 ($l h addiio. to rhe cosr ol c.ddas.s a proided lor <br />'hcs(rion 10?6 oltheLo&).(.ode inrersl.nd au <br />I heEby aftm lnds Ddalry olperjury th.l I m lic.nsn und6 Fovision oachaptr I (commocins rvirh Se1io.7000) olDnision:l <br />of lhc Busin6s and Prol6sions Cod€, ed my licc*. it in tuu ld.c an{ .lIer <br />t',7.gLo <br />ATTUCANLDIq.AAAIIAN <br />I helty rIIm und6 p€.ally of pdjury ooc ol tht rolloLvins d<larrl ions' <br />D.,trolirion PdnirsAsbctos Nor ificar ion fcdml R4ularions (Tirl.40.lan6) <br />Requn.d Lelid ot Notification <br />I gr&i\r, rhc <br />.z4in"n^,n"* <br />fcdsal rcguhrnrns rcAa lin! ash.sr)s 'rmoyalar. iol ippl <br />cotrcr I asrc lo coorly wirh all cily ed countyrqd rhis application dd st0r. rhal rhcabo\e inlomario! <br />ordinai.s md St.lc bss ielal ing ro oarhi, Ciry &d Codtrr! ro c.ld ofotr rh. <br />aborc d'ioncnpropen! lor <br />,\ppli$nt or AAenl SiIn.lu <br />ml <br />A lol*vo <br />ID/SIG. <br />Air Conditioners <br />, B & PC fdrhis r.n$. <br />(()\slR(l( lloN l,llll)lll(;.\(:l,N( \ <br />issurd (Sr. 1097. Cl\' ( ) <br />I <br />I