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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Si gns (monument) <br />Life Salety /Low Voltaqe <br />Fire Alarm / Dampers <br />Communications Cable <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Torqueino <br />Air Conditioners <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soflit Rouoh <br />Ceilings (T-Bar Rouoh) <br />Meter Release <br />Rough <br />r'\I <br />FINAL tl?J.\\9, <br />N otes, Remarks, Etc. <br />OWNER BUILDEN DELCARATTON <br />I h.rchy arrfr uldcr penlliy 6f perjory rhlr I m ciempt fDm th. ConrradoF Ltenc tis for rhc followio8 rc&$o (s*.'7o.rl.t <br />Bu\incs .'1d Pr.tt$io. Cd.): Any Cily or Counly whi.h rcquncs a Frmil 'o <br />.otrerucr, {rlcl inp.oE. dcmlnh or rcpan .ny <br />qtucfirc. Itrhr to irs issulncc, olw rcluncs thc apdicant iorsu.h lrrmii ro file r si8ncd narmnr rhor hcor shc h liccned pr$onr <br />lo lhc lmvisions DrlJt Conrtr'ocs Liccn$d tiw (Cha cr 9. Conmcncing wirh sccrion 70(x) of Diljsion I orrh. ausincss and <br />Profcssiotrs Codc) or rhal hc or shc ncxcmpl dcEfrom d rhc tErh rd rh. alLscd cr.mplion. Any viohrtun ol SRlion ?031 5 byatr, <br />,mlicul fn a pcrmil subjcchthc lpplicanr Io ocivilDcmllyolnor nbr. thun fivc hundrct dollar(S50) <br />-1. <br />as owrcr ol rhc pmrcny. or m! cmplor..s with*ag.i r\ r h.t $h dJnp.n\dn,n. eilldo rhc wtrk dxl(h. sM'N is nol <br />inrcndcd ar oitcrcd ior uk 1Sa.704,{, Busirc$ d Proicsions Codc: rnc Gntncrols Liccn* Law dms not ofdy ro an os"cr ol <br />rhc l,sp.dy wb h.ilds ui inqmv.s rh.6n..Jld sho das *h Mri hims.lror h.r*lfor lhn,ugh hh or hcroqn.nployc.i, <br />pmvidcd rhlr ruch imlrmEnrnrs arc nor inrntn or ofliR{ for sh. ll }bwB. r}E ttriltin8 nr iq,olcmnt k sld wihin om yrd <br />of con[].rion. thc Opncr Br &r wi!! h.rc th. burdcn ol F)ving rhdr h. or \hc did n.r huild o. impmvc $c tmFiy ror rh. tuqnsc or <br />_1. asowncrolrhc ,)tr)!cny. nncrctusnclyconrn tinS wirh li.cnscd.onrdosro onsflrcr rhc rojcci (scc.7(11,1. Irurncss <br />8nd Pbt ssir Cod.r Thc C.nrn tr\ Li.cnsc Law docs tur apply b an ownci of pi('r. ysho boilil\or impii^rrrhcEon. <br />trnd *ho conhcrs for such pmrc.h sirh ! Conlmclolls) liccnscd run$n' <br />l,src L <br />I hdchy rffi rm undcr l}cnally of pcrjtrryon. of ihc rollowin8 dR..lr ions: <br />-l <br />hrvc ud w ill roirrrin u Ccnilicltc ol Cotrscnl 1o sclfinsur. i(r wo.ksJ omtr.sarion, 0s povidcd lor by Scction :17(N) of rhc <br />tib.r Codc. ro. rhc Frrom^_c of rhr wolt lttr whi.h rhc Fmir i3 isso.d. <br />lhrvr axl willnriirhin w.rkcrr conrpcn\llinn insunrncc. rs rcquhn hySedn)n l?ooofrhc lihor (i,dc. lnr rhc I.' fonumc o, <br />rh. au rorshichrht p.mir is tsucn Myeorkcn .onf.osi|ion iNuruncc clricr ond Irlicy nrnlrr qc: <br />PolicyNun$( Erpircs <br />I.cnifyiharhlhcpcrforroiccofih.wo lbr *hich rhis ll.nnir h is$cn.I shnllnor c'nplotrn! pd^on inany mstrk, <br />s !s ro hcom suhjd t' rhc worksc com!.ns.rion laws or c,l'ronr in. 0 nd ,ge rhn' ifl should i..onE suhl.rr to rhc <br />wortcn coml( nsnr ion pmvtions of Ssrion ]7m of rhc tit r codc. l shnll, lonhEirh coollly wilh rhos lmvhions . <br />W RNING: tailxm kJ {.urc sorkcn .onp.n$rion bvcrd[c <br />b <br />DECI,ASAIION <br />I hccb, om,.!ndcr rnahyotpcrrlry rhrr I an lienrn under rmvision ofClEpr( I ( <br />ol' th.Busirc$ d Pmlcsiorr Codc. d my liccnsc is i. tull ror$ md cficcr <br />C9NEIAIEIII}NIENDIIG.AGENCI <br />I lEEb, arrm undcr p(Ml'y of pciury d'al llrcE is s coNld.rio. !c.di,8 !8cRy for lh. FrfortrWe of lne wort for *hict lhn Ix nil h <br />ksu.d(S.c 1097. Civ. C ). <br />AITLICAILDEqdNAUON <br />I hs.ny ofiim u Ms FnaI, ot Frjury onc of lhc followin8 dclarnr io.s <br />D.nlritio Pfmirs A\b.skn Norifi.trltun Fdderul Rdtuhbns (Titlc 40. Pnn6) <br />Rcquncd k(.i of M ilicaiirn <br />-lccnily <br />lhll lhc fcdcrrl rcBulaliors rcEUdinS asbc(os Em.vdlnrc <br />_l ccnilrrhrr t hore.eod rhnlpplicorionod(arcthur rhc ahNr inlb n)conDlv sirh rll( rtt and Co!trr! <br />ordimncc\ Md Slllc L€*s rchl ins lo buildins con(rucr <br />lbovc nE ioncd flopcny lnr insrccrion ru <br />lpDlimnl o. Aacnl signolu <br />Ww,u</a4 <br />L'1 <br />::,:;ZW-- <br />'14 <br />7)TA <br />Buildinq <br />Translormers <br />Sub-Panels <br />Service [t/]eter b <br />Lrn&i' Addr.$. <br />- <br />I