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ELECTRICAL-INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEX BUTLDER DELCARATION
<br />t hcrcby alfirm undc, p.nalry ol PcrJUry rhai I mr crcmpl frcn ltc Co.rBclon t.kcn* bw for rhc follo*in8 rcas'n lS( 7011 5
<br />Businc$ and Pror.sion Codc): Any Cily ot Counly shich rquir.s a pcrnir k, onsrucl alrs. ifrptuvc. &ntlish rcFn lnv
<br />smctuE.Irhr ro ils issuance. ul$ r.ltuncs rhc olPlicam ror su.h Frmil lo nba si8ncd n!rcmfl lh hcor shc i\ liccnicd I,utsuMr
<br />ro rh. nDrh ns of rlr Co.lra.n s l-i.cnscd tiw (Cn:lller 9. Commncins wirh srctio. ?uD of Divhion 3 of lhe Buqinc$ 'nd
<br />Pn'Icsi,N Codc)orrhol hcorshc hcrcnu thcrcfromhd rhe brsis lorrhcallc!.dcxcmflion Anvvior.lionofS'ciion70315hvanv
<br />,ppli.anl |or a lemrir rlbjdk rhe appliclnr ro rcivilpcnrllyofnor nbrc rh.n fivc hlidrcd dollar (!5rn)
<br />-1.
<br />as osncr .flhc popcny, ormy.mplortcs wirh wagcs N rhen soE conP.sal ion. willdo lh. wrk ond rhc srrtuE G not
<br />inrcndcd or ootrcd lm qL (5(.7044, 0lsincs and Pr.fc$ions Culc: ftc Conrriclois Lkenk tjw docs noi tpdv lo 0n o*"r or
<br />rtu pmtcny whol ilds m iq,mh thctun, uld wl$ des such k)rt himsclfot hc.slfor rhmlgh his or h" owocmplorecs'
<br />provid;d rhol such impbhnns ae mr idcndcd or offcrcn f.! slc l L howcver. rnc h{ildin8 or inDmwdm k {rld uirhin on' Far
<br />;l @npkrbn, tu Owncr Buiuo will not lhc burdcn nf peving lhr ,r ot ih. did ml nuik or inllmw 6. poF'i, lor thc lD4r{ or
<br />l-asowRroflhcprop.ny.onciclusivclycontrdin!wirhlic.n\cdcontndoislocon{ .! rhc pmlcrr (sc'' 7041 lru\inc\'
<br />,nn Pmlll\i)n Codc: Thc Conltocroi\ Li.cnsc hw docs nor dplly ro r. osoer otpt lE tv who btilds ot inrProle1 rh$c'tr'
<br />ind wh. co rack lor such rrojcch qnh a Conrrr.ro( , I iccnscd PurMd rothcConrrrcntr s Liccn* Ijs)
<br />-l,hcrcnrpl
<br />undcr Ssrion-. B &P.C forrhiiruNon
<br />Dtrlr
<br />\l()RKlll{s c()lIPF.\s.\ll()N
<br />!,)Il!^Al\lj9I
<br />I rr.hy rlln r u ., t)rMlrv'n t).,ln,l,{E.ir[. rrn or ng (1.!LJ it] n
<br />Ln\tr (ini..ltn rhc ltrl(nmnrr ollltr \!i( ltn \i.h rl't liui ^ '*Lrl
<br />rh. \$,k k{ w[i.h rhir I{rDrir \ is\uc,l NIYNoT
<br />\n U
<br />4 0 ZC
<br />-l.edifyrhrrhrhcpcrton.rnccorrhcaorkao!shichrhhl.nnil
<br />is ns..d.I shrll nor cmpk'v nnv psen in 'v
<br />n 'mre, N to h.orm $l,Fcr ro rhc sorkeF conFn\dbn la*s ol'Crlifinnl, .trd asmc rhar irl dbuld tE nE suhjcd ro 'rt*orkcs' llmp.nsario. pmrisions ot Sc.r nr. l?oo ol rhc t tln A r' I shlll. Ionhwirh complv $nh rtrM Imrtions
<br />WARNINCT F.ilurc ro ecurc wor*cn omPcnern,n cnvcnec is unla$tu|, ,nd shnll ubjccr M cnDlovcr ro dnnind lemlb and
<br />civil nncs op b onc hundtcd rh.us,trd dollars ($lm.{xD) in atldirion ro rhc.osi olconFn\rtion. daro8c\ 0s providcd ru rh'
<br />Sccrt,n:10?6 otthc Llbor c{xi.. inrcrcst and lo.ncy\ ic.s
<br />lrorcr . _ Appu@l:
<br />l rccr\sr.rv:oNTRlCTOR
<br />DECI,ABAII!}!
<br />I hcEby oflnn !.do p.M,ly of Pe,j!ry lhar I an liensd uod.r lmvishfl olChdprr 9 (smmncing virh Salion 70001orDivishn I
<br />or thc Busincssand PbtcssiorsCodc. and.ry ltchs. is in tull lotcc d clfccl.
<br />,.,..,r",,,^' I I 1 a
<br />"",.,41Aw sqM4cll S
<br />loNimjlCUqll..L[ADIBCTIC&iCI
<br />lh.rchy!fltund.!IEnah,o'!.rjnrylharlhcendconnfudionlendinsllcNyforlhcFrformn.co'lhcwo.kfor*hi.hlhkFJ'nilil
<br />issucd 1Sa. :1097, Civ. C.)
<br />APPLT('ANT DECLAq,d'TIIN
<br />I lErchy !fiinn undcr P.nrhyolPcrjury onc oithc iolb*n's dc.lMriotrs:
<br />D.nrlirnrn Pcrmilr A\h.nos Notificarion F.d.r.l Rc(trlorions (Tirl. 10. Pon6)
<br />R.qtrnc(l I crl., I Norill.rri(nl
<br />-l.cnilylhd
<br />I hc lcdc.ll t guhr nnrs rcSudingtrsbc(o\ rcmovtrlffe nor lllicnhlc k, rhA rojccr
<br />l.cn'l-r rh ,lh]. '.rd rh^ itplr r)nrnd
<br />o,d .csrDn Srxr.l v\ rrldli! lo htril,l g c,
<br />rh. $ovc inf{tr,turnr t comd LBra lo .onrPly wnh lll Cir, rnd C'ounrv
<br />tr. and hcreby aurhorizc r.pr.scnrtrivcs olrhn Cny ond Counrvn, cnlct u|onihe
<br />rtx)!. trr irtud rr.Nny,nr i'r\Dcc
<br />\F *,.,clzslzo(
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bondinq i Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />lvleter Release
<br />Rouoh 6trt./b q;r-<l^z€bl4
<br />Service Meter
<br />FINAL ?rt/i6 t!) 66
<br />Notes, Remarks, Etc
<br />Sub-Panels
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