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APPROVALS DATE IDiSIG 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 t -11-lK Y,WY) <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Facto ry Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Cellings (T-Bar Rough) <br />Irleter Release <br />,{ <br />Rough !/LNl.--t1"k.v-,{tta <br />Service Meter Y1\ <br />FINAL -n-lv v.twil <br />Notes, Remarks Etc <br />O'WNER BUILDER DEt,CARATtON <br />I hdcbr amd undd Nlalry of pnjury rhd I d crc'nfl lrcm lhc conracroB Lic.ns br for rh. followinB r@n (S(.?01 1.5 <br />Busins dd ProfNion Cod.): Any Cny or Comty which rcqutB a p€nnir lo sNlflrcr. alt6, inprove dciolbfi or Elsir ey <br />struclue pnor ro irs isuecc, atso rcqun6 rh. spplicet for srh Fmit to lil. a sisn.d srardor rhar hc or $. n hdE n p@ r <br />lo rh. pmlisi.m oi rn. Cotrlracbas Lir.trs.d Liw (Ch.pler 9. com,n.nci,g wnn Sdtion ?000 ol Divisioa I ollhc Bus'ncs dd <br />Proacsion! Cod.) or thal h. or shc is crcnlpt rt6c6om ed lhc b6is aor lhe allcs.d crdnplion. Any riolalion of Sdhn 70.1 I 5 by a.t <br />.ppli.6nr lo! s pcmn $rbjtrrs lh. applica to acivilD.nahyoarcr nroGrhM nvc hd.didl dollds ($500) <br />-1, <br />s oNn r oldc pmpc,lt, o ny mplotG *ilfi $a8€ s rhcir sl. com!.Mr ion. rvill d. Ih. "oI &d llE srrucl@ i! ml <br />imod.d or olld.d aor ele (SE 7044, Dusin6s Md Prclsiom Code 'l he Conrllcrors l-icose liw do6 not apply ro o o$rd of <br />rhr p..Fty Nho boil& or nnprov6 rhooo, a.d \ ho d(E ssh {o* hiNrla or hdlt or rhtuugh his or ha oM.,nploy6. <br />p.ovid.d'hai $rh imFovmrs m nol int6d.d o! olrdal aor sL. ll hosd€, Ihc hildios or irprov.lMr is eld within on. ]a! <br />ofco'npldion. llE O$To Build6 will nlvc lhc hrdd of p oins lhd hc or sh€ did nol hild or i'nFov. |fi. p.opdy aor $. pdlos ol <br />-1. <br />N osr6 ollh€ F$psly. on .xclusnrly conlEcl ins * irh licffcd cod.acroR ro onntud rh. pmj.( (Sc 704.4. Bsio6 <br />.nd PDl6ion cod.: Th.Conlrrdoas Licd. Law do6 dor epl, to e own6 oaproFrryuho builds or ioprovd rhdon, <br />.nd *ho sntErs torsuchptuj€cts sirh a ConrE.,lo(s) liccAcd puBualn rolhe Contra.lols Lic.N Law) <br />larercn,fl utrds Section .ll.&l'C Inrhsrcan,n <br />tlof,(EB[coMtlNsAIIoN <br />DECI,ASAIPN <br />I h66y amm undd Ddalry olrajuy o& olrhc loltowins d.de.rio6: <br />I hav. dxl will minlain . Csliliqr. ot CoMl Io S€lH6urc for eilda @nlpdslion, a Fovid.d aor by Serion 1700 of th. <br />tibor Cod€.lor rh. Flonmc. of rh. so* for utuch rhc pgrir ! isu.d <br />+ln v. .nd w rll mrhhin worl.d' conp.Natror iNutrc., s r.quircd by S.dion I7OO olrh. t bor Cod.. fo. lh. Ftnnm. of <br />lh€ $ork for which lhis pmil is iss.d My mr*d comD.nslion iMncc c6i6 ad Dolky nunbf e.l <br />'7lafii6, n u;d< <br />QCC 3325624 'o 2-3)'t1 <br />_l.cnifr rhar in the Frfoman.. olth.$oik lor which rhh pcnnit k issucd. I shau nol cmploy aiy !€Mn in lny mdne <br />e 6 to becomc sobjs! Io lhc wo*6' comFel ion lass oacalifomia. ud asre lh2l ia l should b.rnn. subjd io rh. <br />qork6 ompasalion provisionsolSdtion l?00 ofthc t bor Code. I slall. fo.lhwilh conply wilh thoe pruvGn'B . <br />WARNIN(, Failure ro sur. s!rt.6 conpnsation &!fts. is unla\rful. md 3hnll s"bjd M enplorq lo aininal pclhi6 dd <br />civil lin.s up ni one hu.di.d rhousd dolltrs ($100,000 in addhion lo nrc cosl ofconrp€nstion. d.m.s6 ti provid.d lor rh. <br />-lg <br />^ <br />tt- L <br />DECLAAAIIO! <br />I hcrby o,lm undd F.ahy ol poju.y rhal I d lic@Bi uidd Fovbb. oach.pls 9 Gomnmcing wiin Scclion 7000) of Dirisio, l <br />ol lhc Busins and PNf6ions Codc, od my licm. is in tull forcc ad €r€cl <br />&q 85o/ oi-t'r I <br />c0liIBlllJloNIE![lNG-dG[Nl:r <br />I hd€by amrm undE p..ohy oa pojury lhal th6. is a construclion ladinr ascncy for lhc pdlod@ce olrh. wotk lor Nhicn lhit potril is <br />islucd (sd 1097. Ci! C ) <br />AIILICANIDICI.A8AUO! <br />I harh, afim undd po,ny oarntury onc ol th. following daldarions: <br />D€mhi.n PmneAsb6tos Nolifi.arion Feddal R.sularDns (l'irl. 40, Pan6) <br />-Requned <br />L.llcr oaNotifi Blion <br />I cdtiay thd rh. f.deal relulario.s r€gardins ab6bs r. Flaldenor applic.ble ro rhis prqd <br />-l <br />cd '6 rhor I h!! c rcad rhB applFalEn ad strrc rhd rhc abovc infom.l io! Lr cord I agic io ompl, wnh dll Cn, od Couoty <br />ordin.6mdslar.L!*srcld'ns!y'bu'ldrscoBh(Dtredh6cbyaurhoriar.pr6orariv6olrni!Cir,MdCobtytoalqup.rlhc <br />abovc monon d pDp€n) for Bplahod purpos,- --''' 7'-'./- .tt:/-/Appric.nt or Aeent sien,lril o"t - tl - !- <br />pmircn.merpri r, <br />- - A,rl"e/ fiont</ 6o,ze- <br />I <br />ELECTRICAL.INSPECTOR RECORD <br />-b <br />L. 'le' r AIiF. <br />Transformers <br />L