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ELECTRICAL-INSPECTOR RECORD <br />COMMENTSAPPROVALSDATE <br />Site-Work <br />L ht Standards <br />S FountainsASPool <br />Si NS monumenl <br />Fire Alarm / Dam ers <br />Communications Cable <br />Buildin <br />Under Slab / Floor <br />Bondin / UFERi Groundin <br />Transformers <br />To ueln <br />Sub-Panels <br />Air Conditioners <br />Roof To entEul <br />Wired UnitFacto <br />Walls Rou h <br />Ceilin hSHard & Solfit Rou <br />hCeilinST-Bar Bo <br />Rou h <br />Service Meter <br />vFINAL <br />Notes Remarks, E1c <br />oWNER BUILDER DEI,CARATION <br />I lucby trtliirn und€r penaly of Pctrury rh"r t m .rcnDl f$n lh. Conlr0cror' Liccns kw for rh€ touowing rcren rsir 7i)11 5 <br />Busincs trnd Frofc$ion Codc) Any Ciry or Counly which rcqut.s o Frnir b connrud, .lrci imptovc. dcmohh or rcPan 3n) <br />srrucrurc. prior ro i( issu cc. als r.quncs lhc aPPliclnr f(n ruch p.tnil k,lilca siBrcd srlreft rhd rEor shc h licctrsd Pursuur t <br />b rhc Fovisions olrh. Conkelols Liccnicd tj{ (Chaprcr 9. G,t rNifls *irh sc.rio.7fiD of Oivhion 3 ofl'r Bnrinc's and <br />PmfcssionsCodc)orlh,lt*o.shciscrc'nlhcrcliom!.dlhchrsklorrhcalleg.dcxcmllioo.A.vvioldionofsc'rhn70ll5l'vf,n, <br />uppli.anrrora|Dn.islhjdklhc.lplicanlro,civilNnaiyofnolnor.rhrnfivchlndrcddollnr(3500). <br />-1. <br />as owdr Df lha porcny. or ny cnrrloltc( wirh wlsd rs lhcn $t ar6p.n\arion, will do rlt wnk lnd lh' { tNi\ nor <br />inenrca u orcea ror st lie.70i,4. 8;situ$ sid Pn,L$ions codc: Th. co nclois Lkcnsc tiw &tq ml 'rrtv to d nwncr ol <br />rhc Dml,cny *h. tflilds or impmh tlfsr. nnd who dm\ sn.h s* himsellor hcrsclfor rh.oueh hk or hc, owncmpbvc$' <br />p,.'ltA rr,ur .".tr inpbrcrmnrs uc Mr inrcndcd or oiato'd tirr ql. Il howcvc. th. boildir8 or imProrcnrnr G sold *irhin onc $u <br />;r"\,npblion. rhc Oq;r suiltr eillhaec rh. htftl.n olnrovins lr!l! ht or shc dil rcr t ikl or inr0mw rht Pmlcnv ior ltr puqDe of <br />l.aso*rcroarhcEoFny. ncxclusivclycontra.linE *irh liLtns.d co oct ^ k,.onstrucl lhc Pntcl (S( ?0''4 Businc$ <br />utrd lhtcshr Codc: i hc Conu(lors Li.cnsc Lrw d{Es nol l,lllv ro un os.n olpnpcnv who bnilds or nnprovcs rhercoi' <br />dnn sho conhcrs tor su.h rrojch *nh 0 contt.chns) liccntd puruanr rorhc C.nrmlols Licc.* tir) <br />_l r rcxc rD un,l.r Scrr B. & t'C turrhn rcr\)n <br />WoRKITRS' CoIIIPFNSAIION <br />D[lLrlBArlg! <br />I hcrcbr dl6nn trn{tcr pcnnlryof rEriuryom of rhc folloain8 dNlararn tr <br />-l <br />hrv. tut will roinuin , ctnificare ol Cor*nr to scli l nsur€ for workcs comr.ns0r kr N Pmvid'd ror bv Sc'ri{)' 1700 ol rhc <br />!-Ihor Codc. ror rhc tcrforroNc orlhc wo li,r which rhc Frnril is isslcd <br />lhitcand *ill mainrain *orkclr conr.n\rnn insur..rc. !s rq ui(d hy S(tion l7(D ol rhe l-Jl r G)dc- ior rhc lxjl lormn.. ol <br />l.cnily lhol in lhcFrr.rmnce oflhc wor* int whichlhis pcrnrir is issued.l shrll not cnrrlovanvtcson in onvndnncr <br />s, si,,h..".r hjccirorh.*o cn omPcnlarion ls{r.r Cllilornia. lnd 4N th.t il l \h.uld h.cont slbjNt b lhc <br />sorkcrs.omFnsrhn,,m!i\ionsofsalnrnlTtroorrhcljiiorCodc.lshnll ionhwnh condv wilh thos pn'visions ' <br />WARNING: FdluE lo EcuE wotkcn conwnralion .ovcmBc is unhqrul. md shlll rubjccr cmPlo)ti to nimirrl Ftul'ics rnd <br />civilfines!proonchundrcdihouenddollas(SI00.OrD).inaddiln,ni.rh.coslofcompunsation'danDgcstslnvid'drorrhc <br />SRr'nn 1076,,rihc tjhor Cnd.. ' crci0nddromy'.rc.{. <br />Arrli@l: <br />ucDBsED-CANr&rCIa8 <br />OECI.AXAIION <br />Ih.rcbyafrtrmund.rn.n'llyof0€r!rylhall.D[engn!nd.rtmYiriotrolch,ptd9(commnciiewithseclionTmo)nfl)ivisnrn]] <br />ol rhc Bnsimss lnd Proresions Code. and ,ny li..ns is io tull forcc ar{ crccl <br />\1 <br />6\\V \ <br />CONSl'RII(ITIoN I ENDIN(i AGENCY <br />lhcrchyal6nnUndcl|rnally.fFrjurylhdlhftiqsfrnxlNc|ionhndingdg.ncyforlhcpfffornBrccotlbcworkffi*hichlhhP.rnlitt <br />nsucd ( Sec. .1097. Civ. C ). <br />APPLICANT NECI ARAT(IN <br />I hcrby afim !ndc. Fnarly oI Frju,y orc ofrhc followin3 dtlimtions: <br />Dcnolilion Pcrnrih-Ashc{os Nolificolion Fc&r,l Rcgulntion\ (Tnb 40. Pan6) <br />-Rcquiml <br />t rl.r of Mnific.rirn <br />-t <br />ceniry rhd ihc fcdcrul rcrrhiions rc88dins artrior rcrmvalarc mr lprlic.hlc lo lhh nroF.l <br />l.cnili rh[ I h(vc ri {h \ inpliclri{rntntj, <br />orJi'mN.\rtr(l5rrr.lrw\tolnritr3r)$uildn,!.or <br />.tc thd rhc rbvc i.fdndio. is c.nsr. I rxre ro.$nrlv wirh 0U Ciryind Counlv <br />io.. !rxlh.rchyrurt[rizcrcprc{trrirtresoirhi\CirynRlCounryr.cnr.ruF rhc <br />rh)k nf,nrord fDP.ny ntr n\Fcr <br />a <br />bVblK <br />tD/slG. <br />Underqround <br />Pole Bases <br />Life Satetv /Low Voltaqe <br />Walls (Conduit) <br />l\ileter Release <br />'--,t>.€<X <br />,t\1<Y <br />tJnd.is NrnE <br />l'$mitec Nnr. ( prinl l: