Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />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 / Groundinq / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />F actory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Ro ugh u-/?-/9 .//.tt/d d ltt Fkl /oz- <br />Service lr4eter <br />n^,.^-rraFINALLl(lz,- i {zc ) <br />Notes, Remarks Etc <br />OWNER BUILDER DELCARATION <br />I h6eby amm unds p€nahy of Frjury thar I m €xcmrn from Ihc conlric'o6' Li.ens trs tur rh. followidg l@n {Se 70ll.s <br />Bus$€s ad Prcf6rn Code): Any cn, or Co!6ry which r.9un6 a p.nnt 10 .oBrtu.r. ah6. improvc, domlish or Epon uy <br />slrudu( Fior to irs isu&c.. aho ,equiB rhc .pplicd for s(b Fnni ro f € a si-lncd sGrnd th.l he or sh. i. licd*d p6udr <br />ro rh. pmvlrioft of lh. Conlriclo.s Li@fls.d Ltw (Chaprd 9. Comnr.ncins wnh Sdlion 7000 of Divisio, I ollhc BNinN ad <br />PBlsions Cod€) or thal lE or sh. is cx€npt th6.from md rh. hasir lo.lhc allqcd cxmplion Aoy violarion ol S.dtu. T0ll.5 by M, <br />gpplicant lor a p6mit subj(Is rhc applica lo a cilil p.Mhy o I nor mor€ lh& fiv. hu.dred dolld ($500). <br />l. s o*n.r oath. proFdr. or ny .nploy6 wnh {as6 6 $cn $E coDpssation. vill do rh. m ad th€ slru.lu. i' nor <br />itrrodd or offs€d for Flc (SE 704{. Busins ed ltolsioN Code 'l he Conkrcro.'s Lic.e tiw do6 nor aptly lo m osnd of <br />th. pmFl, s ho b{ilds or imlxlve ilEorq rnd who <!06 Mh NA hi,ns.lf or h#lf or lhmu3h his or hd oM.mployc6. <br />provided thal such imFo\tMts e Dl htdd.d or ofrdrd lor el.. ll ho{66. tk hriBins or impmEnsn is *ld winin on. )e <br />6rco,npldion, thc Ownq lruitas vill hnvc rh. bordn oapronns thd hc or shc did nor build or improre $e prcpdy lor lht $r!oF of <br />-1, <br />d o\vnff o l th€ p.opqly. dexclusivelycoflrra.t'ns w,th liccc.{j coitacroBro.06r d rhc proj.c( (Sc. 704,4. ltNins <br />anl Pmlision aod.: TheConlracloas Liccm. Law do6 nor apply ro e.wnd oaproFny sho builds o! improvdlhscon. <br />.nd qho co.b,cts aorsu.h prcjdts wnh a conl6clo(, licffcd pus@r rorhc conthclors Li.d* tjR) <br />lanercnrpt onde, SL{rion .I].&PC for lhisr.soo <br />Drle: O*re.: <br />1tatrs!:!8(auE!ratr0xp[cL!8 uqr <br />I lrrcby aliirm und.r p.naltroapcjorron.oathc follo$in! !(1trdiotrl <br />l ha\c md sillma'nram a Cqlifi.areofCo6cnl b selr l6urc ror $o nr conrpensarion, a pio\ided aorbySationlT00olthe <br />bUr Code, tu rhe lErfomMcc or rhe vork for \shich rhc psoil ii isu€d. <br />I har. 6d qill mainrai. work..r conpeNalioi iroruc., 6 rcqrnal by Sdlion 3 700 oarhc tibor (.odc. fot the prfolfucc ol <br />th. work aor whi.h rhi! pmil i! i3!u.d. My rcrl4 comFerion itrurece cei6 ed policy numbd e.: <br />Policy N@bs:_Erpn6: <br />-l <br />c€ni8 lhal in lhc p.rfomrnc€ oflhc worl for Nhich thG p6mn is issu€d. I shall not drloy aoy D.6on in uy me.d <br />e a lo b..orb. iubj<t to lh. work6 .o6F@rion la$ oacalilooia. and agre rhd ia l should b..of,E subjet io ltE <br />*ori6.onpasolio.provisioBoasdtionl?00ofth.bh.rCod.Ish"ll,fonhwitficohplywirhlhospovisioB.. <br />WARNINC railurc kr scur€ work6'coEsdsalhn is unL\ !1. and shlll srbje( m mplorq ro siminal p..ahi6 and <br />civil ,ines ur lo oru hundEd lhoNand dollm ($l <br />Scrion 1076 oflh.t borCodc.ir s6t and lorEy s <br />lhdcb! xfinhu rpenalr)olpdJuryrh.r I dr lic.nse! u (.ohm6cinB $ith Sdlion 7000)olDivision l <br />of ihc Uusinss md ftofssnrnsCodc d mvlicms. is in <br />LitcBe( l.ss l,ic <br />D.lr: ( otr(rr.lor <br />N <br />I hc'cb) ,llirn undr p.n.lrrofp.'jtrD rh.r Ih6. ts a (onen,cron lu f.r nE pdfonM.cc of lh. lvork for trhichlhis rE.il G <br />issucd (S(.1097, Civ. C.) <br />AIII.ICANLDICTAAAIION <br />I hdey .ftm unds p6.lly of p6juy onc of thc followins dRlmlioG: <br />D.nolnio. PmilgAshc(N Nolificalion F.d.€l ReSuhions Onk 40, Prn6) <br />-Rquncd <br />lrtd of NotifidioD <br />I cdliry $a/hc fcddal rcsularioB cea.d,.s sbcros rdoval e @l applicabL lo thb poj.cr <br />on is conal I aErE to conrply{nh allCnyad Counly <br />riz€ r.p.shrn 6 of this Ciry and Cou.ry ro ord uF. toldinaNs ard Sr.le ljqs reLlin3 <br />.b.rc rdl iod.n propdl lor <br /> pplicrnl or Agetrt Signrlure <br />Pemil@ nim. (prinl): <br />ionmd stale thal Eabo\c nrionn3li <br />I <br />APPROVALS <br />0 7..--\r,ol\ <br />L.nd.irAd&d.- <br />-l <br />cdil) that I hffe rqd iht