Laserfiche WebLink
ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS O\lrNER BU'LDER DELCARATION <br />I hdcby .inm mdd p..rlly oa pnjury thar I .xcmpl froo rhc ConradoB Uc.@ lj* aor rfi. tollo*i,s r@n (5(.703 L5 <br />BusinBs and Profsion Codc): Any City or Couiny whi.h r.qut6 3 Frnit lo conslrucr. ah6. inrprcve d.oolish or rq6n ey <br />$tudrq p@r ro tu islo c., atso r.quir6 $. opp[c l for such ,qhi to fr|. a s8.cd 3laldd rhal hc or 3hc is lic.G.d l,6uarlI <br />ro the,,Dlisiotr oa$. Conlr.ctors Licms.d tiw (Chapts 9. Conmdcins wilh Sdrion 7000 oaDivisio. I ofthc BNinBs md <br />Proasions Codc) or Ihar hc or shc is cxflpr lhtr€from ud rhc ba.is for rh. all.g.d dmFion. Any violalion of S$lion 701 L5 by any <br />applicanr tor a p.f,nir subjearh. trpplicdr to flcivilpcnahyolnol horc lh& fiv. hu.dr.d dolltrs ($500). <br />-I, <br />* ow.o of rh. prop.ny. or ny mplorG wilh waB6 6 lhcir Flc compssl io., vill do t. wor k ed tn. itu]r b noi <br />inrdd€d or olldcd lor sl. (Sd 7014, Busins ed Prcfsio6 Code Thc Conrador't Lictu. bw d.6 nol tpply io o oMd of <br />rh. pnrpdy who trilds oi inDrov6 rh6n, ud who do6 su.h *!rl hiru.lf or h6df or dftrBh his .. ha om.oploy€, <br />providql thar such inpmlMts @mr imoded orollq.d fore&.1[ how,l& tlildlrs 6r iryroGMr isehwnhinoncy4 <br />of@mpldiotr $e Od6 Buildd rvill h6v. rhc htrd6 oapovinS fid h. or stE did mt hild or inFow lh. Fnpqty tur $. F4o* oa <br />I, s oMs ollh. propdy. am dclGiv.ly contraclins wiih I'c.6.d coiradoB to coNtud ln Foj..t {S€. ,044. InEinB <br />d PDiisk n Cod.: Thc Contrscroas Licctuc tlv do6 nor apply lo s owns of propgly sho build! or idprov6 thd6h, <br />and *ho com6c1. for such prcjdts wilh . Conlrmto(s) lic€.scd pu6Mr ro lh. Conra.bls Lic@ Law) <br />I dncsnpt undcr Scctbn .B &fC rorthisreason <br />Dr(e: Osnerl <br />]{qBXE&l-lO!IE,!lA!.qN <br />DSCI.AtrATO! <br />I h6cby amm undd tnrlry o f pdlury o.c of rhc aollowin8 ddleatioN <br />4 I h.ve ed will minlnn a Ccnincar. ofcoBdl to S.lfiBur. lor sorl6 comFflsalion, 6 p.ovidcd for by Sclioo 1700 oilhc <br />tibor Cod.. for ln€ pqfomdc. oilh€ so for slticn lh. p$nn is isucd <br />I har. and will mainr.in workm corp.Narion irourmc€. 6 Equir.d by S€clion 1700 oarh. Labor Codc, for thc pqfomuc€ of <br />"-", r{}c 17y <br />V0t/,)( l9R2 Y; <br />I cslily rhal in rh. pcrlt @ncc of th. *ork for wnich lhii Fm is Gucd.I shallrcl drloy dy !a$n in&ymdd <br />s d ro be.odc subjd lo ih. soit6' .omFMion laws of Calitomia d asElhar if I slDuld b..6n subjdt bdE <br />wort6.ompcnsolionprcvisionsolS.clionl?00oflh.LiborCod.,Ithall,fodh{ihcomplrwirhlfioEprovisio6 <br />WARNINC raihre to wur€ worr.ts comreNrion oldrs€ is unlawful. ud shall subjd e @plord to didinal psahid fid <br />civil fincs up ro one hu.dr.{l rhousMd dollds ($100.000), in addilion to lhc co$ or.oilp.6ari.n. dma86 a provid.t ior rh€ <br />sdio. .1076 orrheLabrC_odc, inldN dd <br />DECI.AMIION <br />I h@by lrrm undq Falty of psjury lhar I m licalr.d @dd !rcvLion oachapta 9 (comnocrns wilh S<lio. 7000) of Divisio! l <br />of thr Busins ed PDf*ioB Cod.. &d my ld.e i. in tull for. ad.lTer. <br />F qLl _63 7 <br />. L T1 L <br />caN$auCIlQIILExDINclcElcY <br />I hftby alfim undo pgElty of r.rjuy thal rh6c ir a conntucrion lddinS r86cy tor $. pgfotuc of th. wotk io. \tich thb p6nn at <br />issu.d (Sd lo)7, Civ. C.). <br />Gf,dd's Addr6: <br />- <br />AITU(ANLOECIJA.&IION <br />I isdryammund6 !.nahy otpsjury one ofin hlowinS d.cldstio6: <br />D.molirion Pdmils-Asb6tos Notilicarion F.doal Rcsulariom (Titlc 40. Pan6) <br />R.quir.d t ud ofNolilicarion <br />/fcdrry <br />rhd th. fedaal r.ruldEN r.srd'ns shcros lm\ al s. nor tpphcsble lo rhs pIDJd. <br />lzl cali$ rhd I hde r@d lh6 lppl'ol'on ad {rr.rhd rl& abov. iDfomation is corccl.l asrd ro,}mrly virh tll Cilyed Coury <br />ordidancB ed Sute Lass ELrina ro buildinx co hcr.b, aurh.rt.rcpMtaliv6 of this Cny dd Counlylo dt6 upon thc <br />abov. ncnrion.d piop€ny aor i <br />Appli.nnl or AEcnl Signntu o^.,-o-):Ll::fui2O <br />tra c+Q <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondinq / Groundino / UFER ,-tt-2,Dsr,a ra, <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 />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rouqh) <br />Meter Release 2.-'H -2, <br />Rough 1t-t L-?- <br />Service Meter <br />2 +l-2) <br />Notes, Remarks, Etc. <br />Rev. OB-07-2015 <br />Site-Work <br />FINAL <br />on"z.-Q)=JJ- --Q.A.Qo