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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BU!LDER DDI,CAR]ITION
<br />I hcrcby rlnrn undcr p.mlly of F ju,y lh l m drenpr rmm rhc Conrra.ro* Ltcnsc tjw r0r rh. folk,wine rc,k,n (Sc. 70l l 5
<br />B!\ircs ond Plofe$tufl Codr) Any Cily or Counly whi.h r.rtuiEs r lrrnir Io $nsto.r, rltc.. im0iitrc ncmlirh or ElJn any
<br />ntuc'ud, Pri,fb ns hsuMcc. al{
<br />'.quncs
<br />lhc orplicanl lo! such pc"nil k,filcasiBrEd sr emnl lhal h.or shc n lic.o*d puru(nl
<br />lo ltc pmvisbns oi thc Conhclols Liccnscd hw (Chq'r$ 9. com.rncing Nith Sc.lion ?(xl) of oivhion 3 ol llrc Busincss ond
<br />Profcssion\Cod€)orlhatheorlhciscrcmplrhcrcnonandrrEhsisforrhcallc8cncxcrylion.AnyvioltrlionofSccrhnT0ll5byatry
<br />applicrm rd r p.rnir \ubiers rhc {plicanr io {cirilpcnllrrofnor mrcrhsn firc hundEd douaF l55lx))
<br />-1.
<br />as o*rcr ol thc I[)Ilcny. or nry.nrployccs with w.gcs d\ rh vncd npcNrriotr. will do lhc so* u lhcnMrurcnnor
<br />i,ncndcd or offdrcJ tur slc {Sm 70.14, Burims\ lnd lrrolc$ions Codc: The C.nractn r Li.cn\c L{{ dEl nor ll,ply h rn own.ror
<br />rhclmlrny *th h{ikls .r illlI.rs rhcE\n. aftl who des su.h krk hinNclf or h{rsclf or th(nr3h his .. hct own cnDlo}c.\.
<br />ptuvid.d rhnr n'ch inpnrcmnr\ m nor inrcnld or of[@d ior eb ll ho$$s, rll hoihing or in{n,lrtunr is $ld wirhin o.c ,tr
<br />olcomplclin lhc o!trn Buildcr willMvc lhc huRlcn or pmvir8 llrr tr or shc did nol auitt or npflxr lh. pmpdly for tu pu4,osof
<br />,. N oNncr of rh€ I,l'!cny. !n crclusivcly cnnlrrt in8 wiih li.cnscd cotrt.crors lo .onnrucl rlE nro]lrl (S( 7(!4, 8!\i"cs!
<br />0 d EoLssin Codc lhcContra.ttr'sLic..scl-owd..rnortrpplyk,r..wnrroflnrl]cny*hohuildsornnfrovcsrhcrcotr.
<br />rnd sho .ontncls for slch pmjc.rs sirh ! Conlncton s) l iccnscd nu.sur trl lo rhc Conlr.crn s l-iccnsc L!$)
<br />-l
<br />amcrnrnrundcr Scclion-, B &PC lrrrhtr.rsotr
<br />lral€ Orn€r
<br />laa&&r:laurrNsalla
<br />IIiCLAf,AIIIIN
<br />I hrrchy nr'iirm undq ,co lryolpcrjuryonc olrhc tulbwiru dcclift nnN:
<br />Ihav.ui*illnxinrd)aCcnificarcofCon*nr6ftllltrsurcforsorkc^conf$sarion,asftr,rid.dforh,S..rk:17fi1orrh.
<br />l:h, Codc- ttrrh.,rrnn'.!mc olrhc *or( turehich lhc Ennil is issucd
<br />rtu sork n, $hich rhi\ pcrnrir is is\u.d lvly*or[c( c.NF-r\arion in\urrN. ciri.r xft] Frlict Nnrbcr arc
<br />l .cnily rlEr in rhc po ntrtunc. ol rh. work tnr Nnicn rhn r.r.ril h nsu.d.I shlll nor cnrploy aly pcrro, nr rny rincr
<br />so 0s ro hc.om suhj..t h Ih. BolkcrL oomp.in ion l.ws of Californir M +re rhd iflshould h..onc suhicl rolhc
<br />woltcr..nr..qtionDmvhionsolSccriotrSTmofrh.latnc.d..lshall,lonhwirhconlrywirhrh.ctmvhions
<br />.ivil finr\urroonchu rcd ihnrs dolllr\(SllD.lxrr).i.a<ldiri,nrrorhcco{drconrt^-n\rrion.drrSc\rsli{'ridcdtorrhc:;::;pl,;
<br />I hcrchy ifinn und$ p.Mltyofpcrjur,
<br />'h!r
<br />I ul lmn*d undcr tr,visi or Ch.l)ter 9 (omrmrcin8 \rirh Sccli.n 7uxD oi Oivnion .l
<br />.{ lhc Rurincssrnd Pn'fc$i{,n\ Cod., *d my liccise h in tullfo.$udctfrr
<br />l*L-
<br />I lrrcby lmirn under ,f,Mlty of Frjury Ihll lhcrc is, coNldclion lcndinS a8crcy for lhe Frforrome of rfic work for whi.h rhk lsnlil ir
<br />isu.d (S.. .1097, Cir. C.)
<br />AIELICANLDEII.Af,AIION
<br />I hfr$y rrftrm undd p.n,lry oap.rjury onc olrhc following dcclmrnr.sl
<br />Dcmlnbo Pdmns Ashc os Norifi.dio. F€d&nl Relalario8 (Titk 40. Pd6)
<br />-Rcquircd
<br />trllcr olNdifE.liotr
<br />-l
<br />ccnify rn thc ll{rrul rc8uhtnnN E8ulin8 osbc{os r.rrcvi drc not rprli.$k h tht pmjcd
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monumenl)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />R oof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)^D /)
<br />Walls (Rouqh)/a,/A//H '1Pltt //Y1,CId
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rough
<br />Service [Vleter ,/-^
<br />FINAL 7-251g
<br />Notes Remarks v
<br />Pole Bases
<br />!r.(lr0l
<br />Etc.
<br />-l
<br />ccniiy thrr I hlvc Eod rth apFlicorion orn sr.lc lh.l $c 0hvc info.nurion isconsl.l aEe roonrly*irh all Cityand Counry
<br />odin.E.s nnd sratc taws rcbtinS to buiklinE conslru.tion,.M hcreby aulbriz. rcr8.nralivcs olrhis Ciry$trd Counry k' cnr.rupon rhcffi,-^#;:"Ixz--_ ^,. sft,/rs
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