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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS OWNER BUILDER DIiI,CARA'IION
<br />I lr.rebt artrm !nde' p€nilly ol pojuly rhlr I tun cxc,npl lro rhc Conradou Liccnsc La{ lor lh. rollo* ids rtNn (Ss 7011 5
<br />DusnEss and Prol*ion Codc) ah, chyor Counl, shich r.qtrirs. r6nn lo coturrucl.116. impro\e. donolGh or r.Fr dt
<br />sttudrq prM lo rrs i$mn ., ako r.qonB rh. applicanl lor such pcrii ro fil.t siln.d sr.tdnat lh hcor she is li.dB.d PtrBuanl
<br />ro rh. prc\ishns of lhe Coalraciois l-icds.rl l.\v ('haprd L co,nmemins sith Sslion 7000 of Dilhlon I of thc Busin6s a.d
<br />Pmlcsions Code)orrhar hcorshc 6.rcmF rhd.ftom and rhc bsis lortheallesed erc'narion AnyviolationotstclionT0ll5byany
<br />applicanlforap.ntritslbjs$rheapplicantroacnilpdshlolnolmor€lrtnn].hundreddollds(5500).
<br />l. s o\rne oflhc propeny. or ny e'npl.!d {irn \ 0sG 6 thcir sle conrr.nsalion. r ll do rhe N.rlt md rhc srrud'rc n nor
<br />inro cd olorocd ro' sle (Sd 7044. Busin6s md Prolssions ( odc The Conto.t* s Licdr t N do6 not appl) ro dn o$nd ol
<br />rh.p.pd! kh.lnil& or nIt,o!6lhson. ad Nho do6 su.h \olt nimstlfor hasllorlhrcush his or h.r o$n.,nploy6-
<br />prov'd€d rhar strch inpror ddB ft nor inrsrLl or o,l6rd lor ele Il ho(cv6. llE buildi.s or iqroveNnr is eld \rilhi! one ya
<br />oaconDl€lion. rhe (nvns Buildi $illhave th. htrd6 ofpmvi.s rhd hc or she dd nor btrild or impror. th. Ftpdy tu! tir€ purynsof
<br />L6osnsoftn€mopsry-a'nerclusivelyLo ractin!$irhli..rad.o radoElo (rstnld lhe pmjd {S{. 704 1- Bunnss
<br />nnd hlrsion Coder -l hc Contaci$-s Lic.m. La$ doB nor apph lo an o\ n6 ol l(rpdy *ho builds or improv.r lh.reon.
<br />and \ho.onrMtsaorsu p,oje.rs{ilha(onrr.crorls)licd$dpusmnlIorheCo r.clois licosc Lawl
<br />I an.r.nq on&r Sccriofl ll &l'C lffrhisr.son
<br />Drte: Owner
<br />lvoRKERs (orrtPaNS.iiloi'i
<br />DSCL TAUO!
<br />I hd.\.mon und€r p€.shy ol p€rjury onc or rhe roll!{inr d..ldations:
<br />I hav. ed will nrinr.i. . c61ificate of Conssrl lo S.ll- lnsure for \orkd' .ompoul ion, N Iroridcd lor by S(rion I700 ofrlE
<br />Lsbor Code tor lhc r,6fomdc. o f Ih. eork lor \rhich th. tonil is issu.d
<br />I havc and will nainrain \rorls comp.Bation insur.nc.. as rcnlncdbtSdionlT00ollt.laborCod..aorth.Faoflnanceol
<br />rhc \dL for \\hichrhbp.fl !ssEd Vy\ot.s (cmFFd'^n'.!,n....r.r{dmli \FU'r+'r.
<br />.hrk.' kLr"el,?-ir > Sq!{iqiq-!rai! C",\(rn l af )uo. c",
<br />p",i,)Nunhn' Ug5KqEAf€6 fiz 6E -,',''*,,'3--ot-Z0l t{
<br />I colify thai in lhe psfomEn.coirh. so'k a.r $hi.n nris pcr tr1ir is isnred. I shallnor qnplo! an! pLYso. in ant mannq
<br />$ N k\ b.coB. subjccl ro nEsorkft compc$alion liss ofcaliro'nia. and lsN rhar ifl slrculd becomc 'bj.d kirlr
<br />N.rlos.ompcN.rionprevisionsofSdionlT00oilhcl.aborCodc,lshall.aanh\rnhcomplyrilhlho*!ro\Lsions
<br />\\ARNIN(; Flihr. b soie tr rlo!..upmsation coreaSc s unh\rul, aid shrllsotrld .n o,pkiys k, oniMl lma[i6 and
<br />cnrl fines rp k, onc hu d'ei rhousand d.llfls l$101r.000). in add(nn, lo lltr'.osr conrpcnsalion. danrases a pr.lid.d lor rhe
<br />Scrn'n 10?6 ol rh.l ahtr ('ode, inrcrsl and mtor n.y s fes
<br />-Ql rd
<br />I hcrcb! allrn under p.nalryorpriuythar I dh lioscd rl lahxrkql$n $Lin[sir|S.(onil]lrl)lfll)'\niltrl
<br />of rhc Busins and fiofsions Cod€- mdmyliccns. ir in full fN.e ed clT(r
<br />o-
<br />-)Z 1q
<br />6rul c,,,*dmE cr ltt)rl
<br />I hd.by ailii'n und6 p€oah, ot pcrlur, Oal rh6. is a coNindion lddins as;cy fo, lhc pafomac. oflfi€ t$k tur wh,ch thi! ponn n
<br />bs!.d(s4 309?, civ. c.)
<br />Ldild s dd,ss
<br />A.IIIICANLDECIAA4UA!
<br />I @amm und.r p.naly oltdjury one of th. follo\ving d(laralions:
<br />D.moli ion PdmiG-Asberos Norincarion Fql(al R.euld ions ( ritG 40. l'an6l
<br />Rqun€d kllq of N.i6..ttrn
<br />- I colily rlhi rhc Ldad r.Bulorions r€ssdins sbdros rdnoyal arc nol rpplicable lo lhis pojdl.
<br />I c.nify rh.r I h.vc rRd rhis ap?licalion dd sl'r. rh.r rh. atrv. infomai ion is cor6l. I asnc lo comply wnh all City a.d Counly
<br />ordinrn d md 9.rc Lass Glarins ro building co6mcri6tr dd^hftbJ 0urhorr rcprGdrrtr 6 o f rh'e t-ny sd Counly ro 616 updn rhe
<br />rb.\e m6,oreJ popdJ tor iNp€c,'on puFt'B ^ ^l I:;;;:"",;;;:,;il; _.fi6,il"^ D,. , 0-to-t1
<br />pm,e*ne,pr,n,,: *- ()l JA\ex N-tta"'-
<br />Site-Work
<br />Underground Zrt v?44 ,,(,,1d 2,'iq>
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouah
<br />Ceilings (T-Bar Rough)
<br />It/eter Release
<br />,'l 'l
<br />Rough q//s//7tr,iltZtVL /tL
<br />Service Meter '/ I t l/"
<br />FINAL 7--//.2*/,w//tlt bfr-
<br />Notes, Remarks, Etc
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