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ELECTRICAL-INSPECTOR RECORD <br />COMMENTSDATEID/SIG.APPROVALS <br />Site-Work <br />Under round <br />Pole Bases <br />Li ht Standards <br />FounlainsSPool <br />Life Safet /Low Volta e <br />Fire Alarm / Dam ers <br />Communications Cable <br />Under Slab / Floor <br />Bondin / Groundin / UFER <br />TransIormers <br />To ueln <br />Roof To ui mentE <br />Wired UnitFacto <br />Walls Conduit <br />hWallsRo <br />Hard & Soffit RouCeilin hS <br />Meter Release <br />Rou h <br />Service lvleter <br />vFINAL <br />!I)8trEBS]Cj)!!EEN!AI()N <br />DECLASAIIO! <br />I h€rcby amro undcr pcnalry ofFrury orc otrhe ldlowin8 dNllralion\: <br />I h0ve atrd *ill tuiniain . Ccdirtarc of Conknl ro Sclf lnqurc for erlcrr' comPcnsd ion. 's lrcvided ror bv Scl ion ]7m ol lhc <br />tibor Codc. ior rhc pfrormme ot rhc {ork for whicn rhc Pcnlir i! hsucd <br />-l <br />ha!. 0nd will mainlain wolk6 compeosnrion insurincc. as Equircd by S€crion l?0ooflhe !-!tn C'dc. fot rh' IdlrnEnc or <br />.otrr|fn\inn, nr{ru,r.(rd r |rni.v nun$r' r. <br />(* <br />o \.\.\( <br />I c.rrilr rhrl ir lhc Ii.rfordrnc. ollhc qorl lbr shi.h rhis pcnni i\ n\ucd. I shill.or cnr!bv anv ldi r in rnvf,[imr <br />v, rt r,..rrm rut'tccr m rt'. *.rlcr\ c.nD.nrdt,n hws ol Ctrlifdnriu. dfrl rsrcc rh,l iil sh'uld }Econr suhiccr r) rhc <br />*orkcr\ oml).nsatiu pmvisnds olSedirD.lTlX)ofrhc klx, Codc.l dr!l. irnhqnh.otrrplv silh rhr{ p&!hnrn\ <br />IvARltlNG tailurc t, *.ur. *or[cr(.. rptfs im d,vrn' <br />ci!,| firc( up ro onc hundrcd lhous!.d dollf (Sl(x).fiI)). <br />Sc.rmn 1076 ofrlt Lrh, Codc. inrc{i r anormy s lic\ <br />!. i\ unlrslni. xi rhirl \uhjr.r r. c Ploycr <br />i'r ddirion ro thc .osr oi.onD. <br />,",", a.)--14 <br />I hcrcl,y !flir r undcr Enahy of pcrjury rhor I o ricm*<l un<tcr E.virion of chuptd 9 (commncnrs wirh sNrion 7000) .r Divtion l <br />ot rhc Busincs and Pmfc$n,ns codc. a mylicen.c i\ in full fore ari cffccr' <br />Li.cnsc Cl{ss <br />- <br />g loo41 .frq\ <br />,r"' ?,L-\-. con(r'c(or )oow. <br />g}NUSUSUANTENDING.AGEILCI <br />lhcEhyotnnundc.F.'xyofpcrjurylhdlh.rcisoostocl.onlcndinslscmyforrh.I]erfornmeoflfieworr6rwhichlhirldni!is <br />h{rdlSc.. lll97-Civ. C ) <br />A.IIIICJIIDECLAB{IIIIN <br />I tmhy lrm undcr p..uhy or rcrjuy one of rh. rolhwnls dslsrar n s <br />DcDn,liri)r Pernrirs- stcslos Norili..riotr r:cdcralR.!ulalions (Tirlc '10. Pd6) <br />-Rcqlied <br />t ttcr of Nolificrlion <br />-I <br />ccnify lhat rhc fcdc.d rc8ukli.s rcgtding ostE\los Emvrl ..c nor apdkdblc to lhir oFjct' <br />-lccnifyrharIhaurcadlhh{plicarionand$trcrh.llhctrtnvcinfonurionhcod..r,aSreloconllvwith!'lCirvondCounlv-mdiflamc*;d srd. tjws BhrinS io hildins 6nnru.rio.. aid hdehv durhnE alrc*niariv.s of thh Cirv md Counrv ro 'n'n u,nn rll <br />$o\c rNnri,ntn |n)t'crry lor in\ncrr <br />Appli.rnl or,\Ienl Stgnolurc ,",. ?.21o' <br />-ERDELCaRATIoN <br />I hcr.by.lfrn lndcr n n0lly of pedury rh I m cxcmt'l fr.d rh. Conlracr.R Li.cnse kw forrhc followi's Ea$n (S't?oll5 <br />Busine$ ad Pior.ssion Codc,r Any Cny or Colnry whkh rcqutcs ! Frmil lo consro'r' ilts. imnro\t d'mlish or tpln anv <br />slrucllrc'l,ioiroitshs@cc'alsorcquircslhclppliconliolsuchIlcrniltolilcusignedftlcnrctrtlhdtEolsheisli..n*dpuruml} <br />lolhcpovhionsollh.Contr[rol'sLi..n$dtjw(chaPl.'g.commEingwilhs.ctionT(,0oofDivision:]oIlh.BU\in.snnd <br />Pmfcssions codc) or lhal hc or rhc is cxcmpl lhcrcfron lnd lh. bask fo' lhc.llc8cd cxemtrln,n' Any viohlnJn ofscclion 70:11,5 by any <br />afirlicam lor d F nnl suhFtk rhc .pPlicanl to a caril pcnaltv or nol mrrc lhan five hundrcn dolus ls5m) <br />I. as osrcr of rh. pmpcny, or hy cftPlortcs silh woEcs dr th.n sb comp.ns0tion. vill d' rlE *ort &d rhc {MUE h 'inrcndcd or ofi.r.d ftr Jb (Sft.7o44. Burin.s aid Pmacssions Codc Th. conlmcloas LiNn{c t P does nor lPplv lo !i oercrof <br />rh.lmFny eho hilds ot inI,oBs rhc6n. dld wno des skh uo* himsclaor h.r*lfor rhrcush his or hcr o{n 'rPlovcc\'p-iiaia rrru .,.t impmmft m rer inte.(lcd or offmd ror slc. lt howrs rhc ttilding or inqmrcnrnr ir $l| wihin ok ]t{ <br />k.onll,hrirn. rh. Owmr BtriUd wiu h.vc lhc bnrdcn or fovitr3 rhal hc or shc did Fl hoiH or iq)mvc lhc I'DI*nv rot rllc N{'s 'r <br />-t. <br />r\ o*nc! ofrhc Irep.ny. amex.lusivcly.onraclin8 wnh li.nicd .ontrocl ori I o onsrdct thc I,oJ'd (S'c TOll' susima\ <br />,nd Pmfc$bnCode: T Conlra€lols l-i.cnsc Law docs nor Epplyroano*nc.offlorcnv*bo hnildsot imPtovcr lhcrcon' <br />and eho conlmcls ror sch rolcch {ilh I ConlEcr.,lc) liccn$n Pu*u. to rhc Cont6rroi s Liensc lrw) <br />-l <br />an crcmpl u.d.r S<lion-. a. & P C na lht rcasn <br />D.t. orn.. <br />L.ndr". A'l.lrc$ <br />Sions (monument) <br />Buildinq <br />Sub-Panels <br />Air Conditioners <br />Ceilinqs (T-Bar Rouqh) <br />7'1f+15 Tff <br />1Y) 615 <br />Notes, Remarks, Etc.