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APPROVALS DATE ID/SIG.COMMENTS
<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 />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service hrleter
<br />FINAL Dh lr.,,btt
<br />Notes, Remarks, Etc
<br />OWNEII BUILDER DELCAIIATION
<br />I hs.by.ftm rndr p.flalry olpe.jury $al I @.r.mg ftom th. Coilrocios Li..ns bw aor rfie foUowins @on (s(?oll5rl
<br />Busin6s ad Proadsion cod.)r Any Cily or Counly shich r.qun6 a pdmn to connrud, ah6. iop.6r.. dabolilh ot r€psn av
<br />srtu.i@, pdor ro its isu cc, al$ r€quns rh. applicd lor such F.nit lo lilc . sEn€d s|at@ot lnal nc or 5h. t lit4.d pcuml
<br />ro thc provisioG ofrh. Contrndois Lic.ns.d Law (Chapts I, Cohtenci.! *nn Sction 7000 olDivision I ofln. n'rsin.ss md
<br />Prcfsions Codc) or lhat n. or sn. is crcmpl th6€6om md lh€ basis for lh. all.Sed .rdtrplioa. Aiy vioLrion oas€clbn 7031.5 bvov
<br />applicd tor a Fnni subjctslh. applica lo acivilrcnahyof.or,no,!thu liv. hundr.d dollds ($500)
<br />l. d oMq of rh. popcnr. or ny employG with was6 s th.t $lc .oinp.nslion. sill do lhc wort dd fi. tuucrm i5 Nr
<br />i dr:Ld oroftdcd aor elc(S{ 7O&. AusiB md Pr.fsioN cod.r Th€ Co ndor!Li..NLa*do6nolarplyloeow!6of
<br />rh€ I'lFry s ho boil&.r impro\6lhe@( ad who &6 such \ort himsela or icelf.r th'6ugh hi o. hd o\u cmPloycG.
<br />p.olidcd lhal sucn imFovondls e nor i.laded or oretd fo! slc ll. ho$ad, rh. hrildirs or imln'vcful i! eld wilhin one ,@
<br />of compLio.. rh. O$,n6 Blildd will have $. buda oap.oring thd h. or sht dii noi hrild or inF.rt fie propdy for $. p{rF ol
<br />l. 6 owne. of rhc prep€ny, d cr.ltrsiv.ly contracrins Nilh licdcd conrddon ro .onnruct th. Irojat (Sd ?044. Buins
<br />dd PnLsion cod.: Th. Co.lrlctois l-icc.se Law do6 nol.pply to & orvns orpro!.dy$ho boilds or imProv6 $reon
<br />and who conlncl3 ror su.h Fojds wilh a C.fll6c1o(s) lico6.d pu6udr ro th. Cotrrador. t-ictuc ti*).
<br />l rerempl trnder sccr(n, .ll. & l'( lil' lhis,crsotr
<br />l)ar. Otrn..
<br />l4l,l8Ec&5:(p[EEXIA!a!
<br />OECIABAIIQN
<br />I her.b, allmn trnds pcnaliy of lEjury oic ollhe follosing dtlaolions
<br />-l
<br />harc ed will maimain a c.niilcar. oicot6llo sclHcu.c aor mrt.n compdstrion,I pmvid.d for bv sdlioo 1700 oafi.
<br />L.bor Codc. tor rh€ psron&c. of lh. wo ( aor which thc pdil it Buqi
<br />-I
<br />h.v. 0nd lill mainrain vorkds' conp.Balio. iNufu.c. 6 r.gun.d by Sdrion l70o of lh. kbor Codc, for lhe Faomec. of
<br />rh. work aor which lhn pmit is is.d My worldi co,npdei ion iBuruc. crni6 dd Folicy t!mb( -€
<br />ttr,lurex \ (- lr^<
<br />o
<br />I cgriry lhal in lhc pdlomanc. ot lh. work for shichlhis pcrmir is isst€d., shall lot oploy aay p.6on in inv m ns
<br />$ slo be.omc bi.d ro rhc q'o,k6 .onpderion laws of Califomia ed ag@ rhd ia l shoud b€.ome subjd to rh.
<br />10l!6! conp.trsrion provisiodolSdion l7o0 ofrh. bbor Code I shflU. aonhwirh comply rvnhlhoF pnvisions.
<br />$ RNINC: Faiturc k, !tur. \orlqs conrpsMli()n &\€rdse is trnlasldl. and shdl subjtr d onflo)o k! mminal p$ahi6 dnd
<br />(1rl I'ne\ up L' on. huDLI.n 'hoMd doll6 (1100.0001.
<br />Sdion 1076 of ih€ hbor Codc, imNl md anorney i le6.
<br />in addnnr. b llE cost of co dar.Bcs 6 rrovid.d lor rhc
<br />I hociy a,Iim unda pdahy o f pdiury rlBl I m li.€osl und6,tolision olchaplg q (coBnoci.S shh s..lion ?000) ofDilision l
<br />ol thc A6i.6 dd Poleio6 Cod.. ed my lt.N is in tull fo,cc and .lTer.
<br />l""*"."*, 3' Li.s.N@bd \a1 q 4q
<br />,,," N0ll I 5 201f, .-"*,., lz,r{.r.-
<br />-CONSTRUCTION ITNNI (: AGFNCY
<br />t h6cby arm undd p.n.lry of p.4ury lhal ln@ is a .oistuclion kndi.8 aBocy for lhc pafodec. ol thc mrt for whrh lhn FDit is
<br />issucd (S{ 3097, Civ. C.).
<br />AIITICAII.DECI,A8AII)!
<br />I hody arm utdd paally oa pdjrry oD. oath. tollowins dc.ls!rio6:
<br />Dmolirion P6mits-Asb6tos Notillcarion Feddl R.gulations (Till€ 40, Pan6)
<br />-R.qut
<br />d Lcrlq of Nod0clrion
<br />I caliry rhat rh. f€ddal rcsuhrioB rcCardiig sb6lG rdnoval dc nol a0Pli.abL o lnir Pmjdt
<br />al crrri rha I h6\. r€ad ft6 rprlt{ion od {alc lhd $. aborc inlornalion i! cord. , asr lo omply whh dl Cilv and Cou.tv
<br />6rdmanc6 hd smr. lrws da 'ns
<br />ro boildiIg coElrud'on, ud hdcby adlqiz.rtFcdalil6 oflhi! ciry ed couniv lo @16 upon t'ic
<br />abovc malioned rrop.ny for i sp..tion puDose
<br />ADDlicrnl or Asmt Sismlure d AlcL ,ll0V t 5 eo t8
<br />ELECTRICAL.INSPECTOR RECORD
<br />,,,,"N[)vt52019
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