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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCAR l ION <br />I h6eby affirm Dndd tgalry of t rjury thal I m €rmu fron lhc Conlricr.6' Licens bw for lh. lollosia8 rcmn {S(.701L5 <br />Bsi.6s and ProfBion cod.)i Any Ciry or Counly \rhich rcqut6 a Fnn lo consnrct. ahq. imprcvc, danolGh or rcpqt aly <br />$ddu( Fior ro ns issuec.. dso r.quiB lh. ,pplicd aoi su.h Fmir lo fik a sisncd slar@d rhar h. o. 3he b licas€d pu6ultl' <br />ro rhc prcvisiotu oa th. C.nlricltr s t,ic.nscd L.I (Chapts 9. Comn.ncins wirh sdion 7000 ol Division I ofrh. aosinN md <br />Proacssio,s Cod.) or thal h. or sh€ is .xenfl lh@6dE dd fi. bsis aor the allcscd cr€mflion A.y violalion of Sdion 70315 by aoy <br />applicanr lor a pqni subjds rh. rppli.ml ro a civil pm.hy ot nol nnre thd fiv. hnn.lrcd dollas (1500) <br />-I. <br />s oNtu oalh. prcpcny, or my coployG vith s a!6 6 lhct el. conpaEnl ion, will do lhc ro* a.d U. emu€ b nol <br />inrod.d or ofid€d ior sl€ (Se.7044, ausins md Prolsions ('ode Tn. Conta.lois Li.G. bw doe nol spply to d oMd of <br />Ihc pmpdy who tuil& or irpove ttsor &d rvho do6 such \rc* hihs.ro. hmcllot throush his or h.r own .mploy.e. <br />pruvidci rhni such inpr.vmis e€ mr inlad€d or olIsrd aor elc lf, hos66. rh. boilding or impr.t@l Ls pld wtuhin onc tq <br />orcompkion, thr O*nd Buildq will h,v. th. hmko of prcving rhd hc or shc did er hrild ot imFoE the Fopsly aor th. FnIre of <br />-1,6oM6orrhe <br />p6pdrr. dncr.lGiv.ly conhclins rvilh li.oscd .oollacros to.o.strd rhe proied (Se 7044, BustrrN <br />ud P,!f6si,n (od.:Ih€ contidoas Licms. Lt$ do6 not.pply ro aI o*ner ofpIopqry*ho builds or ifllprov*lhcF.. <br />a6d who .ontB.ls lor such projcts wtb a Codncto(3) li.ds.d pursu lolhcConticrdrs Lic.M kw) <br />I mcrcmDr und€r SElion ,B & PC lorrhsrGon <br />1!ONKERS'COMENSATION <br />DSCLAEAUqN <br />I h6Co, afttrft undd F.ah, olpsjury onc ofth. lollowins dcld.doB: <br />-lha!.aldwillMi <br />ri. s aaiiarcdcof colEsl to s.l Nr. for wo.kst 6mp.nslion, s Fovid.d fo. by sdlion 1700 oflh€ <br />Labor Code forlhcp6fomec. oadi. M for whicnln pmit b isu.d. <br />-{l har. &d trrU na.lar wortc6' conp.Nuon Gurnce.I rcquircd b, Sclion 1700 ollhc tlbor Codc.lot tbc Fiotu col <br />ir "oll fo' *h'.hrbBp.mn B N.d My *o' 16' ampssrlron iGuoc.(mE&dpol'q numbc s. <br />S <br />I cdirythar inlhe pdloftance ol thc wort aor whichrhisp.nnil is issucd.l shau <br />e 6 lo bofrc su6t@r ro th. wortm'mnpdsalion hNs ol Calirodia. ,.d .g@ th,t if I should b..omc suhjfti lo lh. <br />ryorkds comp.retion provisioNofS..lior 1700ofrhc kbor cdd.,I !ha]l. fo.thwith comply wilh tho* lxolisio6 <br />WARNINC: Faihrc ro KUc *ort€6 mnlpqsaioi cov@gc i3 unlastul. dd shall subjEl dPloyd lo aiminal p6uhB and <br />cilil tncs up ro.nc hund.ed lhou*nd doua6 {$IOO.OOO}. i.iddition ro rh. cosl olcomp€netion, dma8.s 6 Provid.d lor $c <br />L (ode, inrdd and anorney\ te6. <br />a <br />IECTASAIION <br />I h@by amnn unda po,lr, of Fjury lhal I m lic6s.d undtr prorisioo ofch.prd 9 (comndciog with Sccrio. 7000) of Divisioo l <br />of thc BBin* ed Prcl6.ioc Code. 0d my lic@ i! i. tull fora and .It<r. <br />C -.-<,"77?daL-/ <br />"^"4a/K <br />COISIAIqUAITENDING.6GENCI <br />I h.eby amfr !nd6 Fnalry o apajury lhal lnse is a coNruclbo kdins ogocy aor rh. Psfomucc oflhc Mrl for shich this psmil ie <br />isu.d (se. l0s'7, civ. c ) <br />ATTUCANLtrECI,ABAIIAN <br />t hseyafrm undq pdalry olpdjDryon.oilhe iollowinS d4ldalions: <br />D.nDlition P(mns-Asb6tos Norificarion F.d6al Rcgolatioro (TnE 10. Pan6l <br />_Rcqun d lmrorNoiinc. on <br />Iceliarth th€ fedso l reru lat ions Eradi.s ab6osrdnoval c noi applicablc to lhis projer <br />-l <br />cdiry lhll I hlvc Ead lh! ,gplicdion od sr.r. $al the .bo!c in lorution is .or.d I a8rc <br />o inanc6 ud Sl.rc L.ws r€l.rin! ro buildinB coBiocriotr md hdcby ar tunzc r.ficshrirB o <br />.bo!c nEntiotred prop€ny fot <br />Applimnl or A[.nl Sign.ltrrci 4-a <br />ro comply wirh allCnydd Cosry <br />"*,);""i"^"="- <br />Site-Work <br />Underground <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 />Bondinq / Groundinq / UFER <br />Transformers <br />Torqueing <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL Tl0lLgT "+., t,tC t I D) <br />Notes, Remarks, Etc U l' t '-"- <br />Pole Bases <br />Sub-Panels <br />z_ <br />L.id.r l addN <br />[T