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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER AUN,DER DELCANATION
<br />I h,r.by .fllrn u Mc. F.,lry ni p.rj!ry that I Mr crctrl,t lnm lhc Conlrrclon Licens tiw ftt rh. tollowin8 t a$n (Scc r0l l s
<br />Businc$ afli PoLssion Codc) Any Cil, or Counly *hich rcquircs a tsni' lo $nstu
<br />'.
<br />rh.i nq,rovc. &rmlish or Bpsn any
<br />srrucrurc, prix to irs issuumc. at\. rqnter rhc appli.a aor ruch l.m to ,ilc ! sigmd slolcmnl lh.l lr or shc is liccn*d pit{4r
<br />to th. pmvnnrns of$c Conr0dols Lianscd L.w (ChaDtcr 9. Comncrcing wirh Sccrion 70Oo of Divhion I oalhc Susinc$ md
<br />PmltssionsCo.lc)orlhalh.orshc iscreq)r lhe,ctomud rhc b.sis forrh.alks.dcrcq,rt,n. Anyvbl,rio.olS€tli,tr70ll.5byan,
<br />arpliclnr ft,apennn slbjck rhc appli.drro {civilprtulryornor nDrcrhan rilc hundred dollan($500).
<br />_1. a\ o*ncr oi r hc In)p!dy. or n1y cinpk,ycd wirh wa!.s r\ rhcn snc .ompcns,'ion. will do thc pork md tlrc sltur@ nn
<br />i ciLrl or olT.rcd ldr $L ( Se l(X4. Busincss n.d Pin'.sioN Cod. Thc Conimctols l-irrrsc ljw docs nor rpply r. ,n orft. of
<br />thc Impcny who hoildso! inrn)rcr rhcmn, "id wlx, dms sch Nod( himsclfor hcr*lfor lhn,u8h his oricr o*n cnPl,Iyccs,
<br />prcvidcil rhar such imB)w.EnN dc rFl i,rlcndcd or oftnn fnr sle. lt hoMrc. IIE hilding or in{mwnE h sld wilh n om )u
<br />"lcon4hrha. rh.Osncr Bliklcr willhrvc rh. honlci.r pmvinE rhd h. or shc dil nol huild or impmrc rhe FEFny for rtr pury,*oi
<br />_1.asourE olrhc lr'opcny. !dcrclrsivclyco rncrin! wnh li.cn\.d.ont,.n s ro consrrucr rh. pmFt (Scc 7(N4, BusNs
<br />rnd D.f..sbr Codc Th. Conhd.ls Liccnsc L0wdocs ror applyro !nowncrolproterrywho buildsor imPtuv.slhcicon.
<br />0nd *ho onrmch rbr such pmFrs sirh ! conracro(9 liccnsed lursoanr b rh.conthcld s Lic.nsc L!w)
<br />lblicy Numb.r:-Expircs:
<br />-
<br />l.cniryrhlrinrhcp.rrornuNcoirhcworktuwhic[lhi\0trnririti\\ucd.Ishrlltroicr oy tryl)crs inunyni.lcr
<br />!i as r, tE(,N suhjLu to thc No,kcn c.mncnsrn,tr bw\ otCllirornir, Md +t. rhd il I shnuld bcom suhirr lo rh
<br />workcr .onrFns im lmvisbns oiSccrii,n:lT0Oorrhc l,hn Gic.l shdl. fo'rhwnh.onrply wilh rhos prornbn!..
<br />WARNINC f{ihr. t, *curc $orkcN compcnririon cotchgc i\ unllwlnl. rnd \hrll subj..r r,r cnl'h)y.r tr $inriml l.mlriG nDd
<br />civil 6rcs un ro om hundrcd thousand dollan 1S100.(l)O)- in ldd .o.qEneliotr. dnmscs r\ nn,vid.d tu rit
<br />\L,rtr, i lLrr{ t r rhr l.'l!' aun.' r..r. kl r on(\'\
<br />,,,,, l/tc/r8 n,,n.,,,
<br />I hcEby rffi,m undcr lcnllrr 6f ldjlry rhnr I o liensd undd FnvtionorCn!fl.r 9 (clnwEing,ith Scctbo 7000) oiDivnion l
<br />or thc Busiricssrnd PolasiorsCo!c. ad my liccnsc i\ i! tullaorcclndcller
<br />I
<br />I lrr.hr.l]i'Nu .r I}r lryol Ixrlryrhrr llu. i hndi',g rtcfty l(r 11[ Nnnflnirre oirhrsork Lr shichrlri\ |trnrir i\
<br />i\\!cd (s.c r0i)1. cir. c )
<br />APIIIIiTNLIEIIAAA.IION
<br />I ILn$y l1fnn und$ |f,trrlry oftrrjury onc ollnc n,lhqinr dLthrarions:
<br />I)cmolirn,n Pcrmir\ A\t {os Nonli..rmn FcdcralRcSuldion\ alirlc.l1). Pan6)
<br />l{.qtri,.,1 I drr.ror Nohlicxri(rl
<br />l.cnityrhar thc lidcrul r.Euldiotrs rcgadinr 0\bc{osrcMralarc nor rprlicablcio rht pn+d
<br />-lccnilyrhirlluvcrcadrhnlppliclrn,nsxlnrr.rhdrh.rh,v.i.fornDridrtconcdlagrer.comply*irhlllCiryrndCounlyfnnMn..\rnd Sirrc lf,s\ rohr'n3i) hridi't kF c{.rdivc\ ofrhi\ ciry rtrd counry ro cnrs uPon rhc
<br />rlx)vc trrtrrio$d pmFny hr i'h!(r
<br />,\pplir lorlAr lSixntrt0rt
<br />I'cmritce mDelpntrtr \
<br />7/ro/ts
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER 0/uln' P ':n,eoft>-(t2-
<br />Transformers
<br />Torqueing
<br />Sub-Panels M-*
<br />Air Condrtioners -T
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release /
<br />Rouqh 7/bhr 7 n,fivlt'/1-/
<br />Service lvleter I
<br />FINAL Val/?'r /1/@1d-/b'---
<br />Notes, Remarks, Etc
<br />COMMENTS
<br />I amcrcmnt und.r Sc(tion ,B &PC f"r rhi(m3"on
<br />Dele:- OsDe.
<br />TIASSEf,SSIMIENTAII!)A
<br />DACLA{ATTON
<br />I hercby Itrm undcr penuhy ot pcrhry 6rc olrhc folloaing d6&rrrioos:
<br />-l
<br />hovc!nwill minr.in a C.nifElr. of Co.s ro Sclalnslr for *ortoa .oDFNrion. as F.vidcd for by Sdion l?00 ot rl*
<br />l$or Cod.. ror th. Frlormncc of Ihc worl for *hich thc p6ni G issucd.
<br />_l hlvc and will mainkin worlcs corp..srtion insuEmc, .s rcquircd by Sd ion 3100 of lhc Lrbor Code. lor lh. !.rfm cof
<br />rhc sdk for shbh rhiq pemn is is$rn. My eortctr coq,.rslion i.suram. ontu ffd,rolky nunb.r ei
<br />tt
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