|
ELECTRICAL.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS O$NEll BUILDER Df, I,CARATION
<br />I hseby ,afm u.d( p€.alr, oa pcrlury rhd I m .r.frfl 6on rh. (hntados Lic.N liw torlh. aollowins ralon (S* 70:lt 5
<br />Businss snd Profsion ('od.) Any City or County which requirB a ndfril ro con(d.l, ah6, nnprov., &rnolish or Ep€t any
<br />srruc1u,e, pmr to its isuance, also rcluiG rne appli.anr for such p.nni tu lilc r si8..d sr.lcndl lhal hc or s\c is licffid puB06l
<br />b rh. FolirioB of rh. Conrmcrors Licds.d Lau (ChaPrs 9. Conmocins virh srlion 7000 of Dililion I offic Brsin.s sd
<br />Pmlsions Cod€) or rhsr hc or shc n cx.npr rhd.6oh and thc b.si. for fi. allcged sdplion An, violalion olsction 7031.5 byany
<br />rpplica aor a pa:nil sobja6lh. applic..rlo acivilp.n,hyotnol oorclhan fi!€ hundr.d doll,slt500l
<br />1.6 oN.d ofrh. pmp.nt. o ny e'nplorE wilh ware 6 rhen sE cory.nsation. *illdo lh€ rrcrt dd ft. stodm t mt
<br />i od.d orofi6.d aor slc (Sc.7044, Busins d ProfsioB Cod. Th. Conlrac,has l-i.d. Lr$ do6 nor q,pl] to d ov'nd ol
<br />rh. I,$p6ry {lo l!il& or inlliov6 rh66n. dd sio dc su.h \drk hiro.lf or h6elaorrhmu8hiis orhqoM cdploy.6.
<br />providcd thai slch nnpi.lomls e nol hl d€d uon6r! aorsle.lt hor6 r. rh€ hiktins or inlrrv.Mi i! $ld within .nc )d
<br />of.oq)ldion, rhe Ownd Bxildd will havc rhc hlrds of prcvin8 thal ic or she dd nol truild or npor Ac Fopoly lor thc purpos. oi
<br />l, 6 o\vnd oarhc lrot ny. m e(hsiv.ly conrrdinB wiih licord co. racroE ro .onsEcr lh. p6jrt (s(. 704.1. Ircins
<br />dd lblLlsnn Codr: Th. conr.cbas Lic63c L.* do6 nor applyro.noMfr ofproFny \rio builds or improvB rhoen,
<br />and Nho contEcts lo! ch prcjds qith a Contracro(s) licflrcd pu6udr r. rh€ Contactors Li.d* tj*).
<br />I m.xcmpt unddSdion-
<br />"*ffi*
<br />I ['.h\ ilrnNuo(le' t]eDrh!.f Niu!.n..1 rho n,LlLNnif ,lccli'rri,nx
<br />l! ctr\ll,',t 4'.. r'\.lrlnnm,n'\r,rds rlfrdcdt' l)\ s.c!(r rri)|.rrlrr
<br />.t. r$r-tt...-r -,i.c rl.c .'l ''\l',\rlrr.i' i ,. l
<br />I'l ta i r'.'..,..., V. 'r... ' ' .., .. .!."i.i.' L. (\rJ''1"'
<br />', ,., 9latn.t a t )
<br />2N ul/cottt11\L e,p** /: Z)'
<br />I cenif, thal in rhc perlornranc€ ollhe sork for Nhich lhis p€.mit is i$ucd- I shall iol .tritloy ant F.Bon in.nymann€r
<br />so asb tx.od. bj(l h rhc tro&di.onpcsrion la{soacalifomir, and.-!re rhal ilI should b€cone subj(r totlt
<br />$.rk6s.omp.erionprorilionsoasEtionlT00ofrh.bborCodelsh.ll.f.'lhvithcorylysirhrhocprcvi.ioc.
<br />WARNIN(;: Fairure ro sue *o.k(a compdsari.n covmBc is unlasiul. and shall subjer an enploys 1o oininal FEhi6 od
<br />t! o.e hundr.d rnourhd dollds ($100,000), in ddilnnr tu rlr cosr olc orrcnstion, d nflr6 6 providcd tulh€
<br />Ssrit)n 1076 olrhc l,elFr(ode, inr66r and atomcy's
<br />LICENSED CONTRACTOR
<br />DECtdAAIlOtr
<br />I h$.by lfm u.d.r pdul(yoapdjury lhal I m limsd undd prcvision ofchapld9(codh€ncins wnh S<tion 1000) ofDivilion l
<br />of th. Bcin* dd Prcfsio6 Cod.. ald Ey lk.@ i! 6 tull ao.c. &d.lld.
<br />L-ro I ooY oo 7
<br />o"r.,_ yA 9::f->
<br />CAISIBUCUqIj.EXDIIC-ACEICI
<br />I hq.!y amrm und6 pcnahy oa pcrury lll.l rhae i r sisrtucrio. hndi.g a!o.y aor thc FaomMcc ollh. wort lor [hkh thi. Fhil is
<br />issu.d (Ss. 1097, Civ. C.)
<br />AIILrcANI-DECLAAAII9!
<br />I @smn,undd po.hyolpsjuryonc of lhe foUowins dcl alion!:
<br />Dnolirion PmnsAlh{*tos Norifi.alion F.ddal Re8ulariotr (Tnb40, P.n6)
<br />Retun.d rard of Norifidio.
<br />'/..!a.nit) lhal rh.lcdqalr.sulrl'onsEsedme 6b6los,movalrennt appric.bl.rorhis prc)d./T l .diry rhd l hi\. MJ r hi! rpplicsnon dd srare rhd rh. abo!. infomnrion is codc.r l agrc lo o,nplr wih 6t City ond Corly
<br />ordinancd dd star.lavs r.larinr ro consruclio.. rnd hs.byaurnoriz. re!.Mlari!6 ofrh6 Cily dd Coutrlyro dr6 rFd th.
<br />atxrrno nrnLd pmp01) la]
<br />**,.r/!{J:u.,\pplicnnr.' ,\s.trr Si[trxru'r
<br />Permr,Rn.mc(pnr,): bt k
<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 />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 Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter / /FINAL i /3t /eoy: t vLfrlN
<br />Notes, Rembrfts, Etc
<br />APPROVALS
<br />Communications Cable
<br />or., l-ru-Z>
<br />I
|