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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNER BUTLDER DELCAR-{TIoN
<br />I hcr.bt ar6rm undcr pcnrlry of Frjury rhar I m crcnDr lnm ric Cdotr.ron Liccn* liw r(n rh. nnhqins rc!5n iscc 70.11 5
<br />susincss od PBrtsion Codc): Any Cily or Counry *Iich rtquncs 0 Pcrmil ro .a,n{tu.r. alrcr. imProlc, dcnxrlish or tP.ir mv
<br />srrucrurc- prhIh irs ksurmc. oho rcqunN rhc {Pli.anr for su.h rnnir lo fiha li8ncd {nlcmnl rhrr lt or shc t liccn{'d ndrsud,lr
<br />'o
<br />lhc lovnions oi rhc C.nrh.rors Licc.red Law (ChaPicr 9. C.'nmcn.i.s sifi Secrnrn 7m0 or Divntun ] oflh' Busin's and
<br />Pn,tcsion\ c{dc) or rh hcorrhc kcrcmpr rh.rcrronand rh. blsn tor rhc alLgcd cxcmPtn,n. Atr,!iol iotrofSation?0.115bvMv
<br />applic.nrr.r.pcrnirsubickrh.,tpli.a.lroacivilI,enlllroanor&rcrhatrfirchundedd.lles(S500)
<br />-1.
<br />rr d*n.r or
<br />'hc
<br />pmlrrlr- or my enployfte wirh waScs !s thcn {E N rFns,tion. uill do rhe Mrl dd dc *trr!rc i\ rtn
<br />inrddcd or ofcrcd for sle ( 56.7(}14. Businc$ lnd E'ofcsst r Cql. Th. Conrrrcrois Lic.n* kw does nor lpply b m owrc! of
<br />rhc Npcny wlh b{ilds .r inrpmrcs rhcFn. and who do* suh sork himscla or h.r*lf or lh oush tn or hd owtr c illove.s.
<br />[ovtd.d rh.r such islrovcrn* m mi inrcnicd o, ofitrcd for sL lt bo$tEr. ttr huiuiq or inpbEmnt is bld wirhin om }!-
<br />ol conphri{nr rhc Owrcr Buildcr will hnh the bxdcn ol EovinS lh.r hc or shc did nor hild or inlpot thc pn,Pdv foi rnc PnrlFs of
<br />l. as owmr ol llr nmDcn y. rfr cr.lusivrly conricriB vilh licn{d cotrt.clon Io conntud rrt pmicl (Sa 7l}l4 Burncs
<br />lnd Pmfessi.o Codc, Thcconltacrors t,iccnsc t-aw dds norqrPlyro anownsofprcFYrvwho tuildsor i'nrmvcs rhcteo!.
<br />and who conrE lslbr su.h fmr.{h with a Conrmcronn kcn*d p!tsuNr ro rhc G).r..i(tr\ Lic.nse ljwl
<br />I rDc\cnr un.rsc.rion-.R &Pc rrhi\I.r$r
<br />lrr
<br />\x)Rr(rllls ( ol!li'lr\sirx)N
<br />Dlj!I,.\ts]lua!
<br />I I'r'cht nll nn n0Ll.r |[tr3lyoTI[,Nryrk ol rL. l,'l tsi',9 ,1..h'xriI \
<br />I rhtr (i{1.. lnr rlr lt'l,rtrrrr..,n rh. q,,k ln' N[.h rlL'B]nri n n\u.L!
<br />pim is nsucd Mywork.n .onrt* {ri('n insuramc carir aM Frlicy nun,htr rc
<br />h
<br />?o
<br />l.cniry rhat in thc pcrr'o!roncc orrh. work lbr whi.t lhis pcnrir is s$cd. I shlll nor cnPloy iny pcr$n in xnv m.nrcr
<br />s mrobcom \ul,j€d k, th. wolkcF' comtFn\ar ion lawsorcalifornin. and osNthir irl should lEom rxhid to rhc
<br />qo en confcnsrrio. povisiotrs ol Scdnr :17fl) or rhc tjh)r Codc. I shrll. rddhrirh omPlv wirh rho$ tnrvhions
<br />WARNIN(;: Fiihrc 1o wlrc sorkcri..nDcnsdior ctvcmgc i\ u lr*trl..n fi3ll srhj(1 ,n cnDloycr Io di inrl fnrhics 8trd
<br />ro orc hundr.{ rhousanJ dolhrs ($l0O-0(x)). i'r addirion ro rhe cod ot
<br />Scrion 1076 ollhc tjlnr Codc. inr.rc{ !trd altormy slm\
<br />V1't'l e9
<br />^ppliont:
<br />DPCI,AXAIIIJN
<br />I hercby 0mrn undc, r.nllty or p.rjlry liar l ri liened und$ Folision ol CrEPr.r 9 (ommncins sirh scdion 7un)ofDivigion l
<br />or rhc Businc$ lnd Pofcssions Codc. and nry liccnsc ir in full rotc 8rt c0.cr.
<br />o"", 16 -l .f-rlq conrrlcr,r:Ut!"'rz-
<br />loNilBlrcuaurnuNaAcErcr
<br />Ihcrcby rflirnund.rFnrhyof0crjlryrh lhcrc ha conshErion lcndins,S.ncy for lhc Pcrformrrcc ofrncwork tor *hi.h rhk rcm ris
<br />issucd (Ss. 1097. Civ C )
<br />AIII.IqANLDICI.ASAIIAN
<br />I he{6y atrm unde. rcoalry of Frrury om of rh. following deldar ionsl
<br />D.mlirion Pcnnn$Asb.stos Norilicalnnr F.dcial Rcgulaliotrs (Tille 40 Prt6)
<br />_R.qrn d ktrcr.i NoliaElrion
<br />-l
<br />ccnifyrhrr rhc r.dcml,cBulllion\ essrdinS,st skx lcnnlalarc nor {plic.hlcro rhis In,F.r
<br />rUi;;ry,h,, r ru\r rc,,r rhh appri.,
<br />ordinnnccs !!d Srarc ltrws rcbl i4 lo hu
<br />at$vc mctrrn rd f)pcny hr insFcrion
<br />l+fu r..lnll]lt wirh rllCiryrtrd Counry
<br />A0rlionl or 1\aol Si,t.rlo tu nit/ A,'^
<br />r.Inrcntaliwi ofrhk Cily.trd Counly lo cnrd xlbn ltE
<br />,",.22^tn
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Sarety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bualding
<br />Under Slab / Floor
<br />Bondino i Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Sollit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Itrleter Release
<br />Rouqh
<br />Service l\4eter
<br />FINAL Y3I'Y 9\66
<br />Notes, Remarks, Etc
<br />DATE
<br />Lcndcr\ ddrc*
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