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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bondinq / Groundino / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Ro of Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceili ngs (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL ?-27- tA Czz)
<br />Notes, Remarks, Etc.
<br />+
<br />OWNIiR BUTLDER DELC RATION
<br />I h.rcby rf,im undcr !..a|ry of ncrjury rhol I anr crcm amm rhc Conlndor' t,iccnsc hs fo. rhc lollowinE rc,sn (scc 70.11 5
<br />Bu\incss Md Prolcrsioi Codc) Any Cny or Connry $hich rcqutcs ! fannir ro con{ .t. nlld. inJ)rov.. dcrmlish .r rl).ir My
<br />erudurc, ,,rid ro ns issumc, aho rcquncs rh. afpltcanr rrr $ch ,xmir b liL , si8ncd (r'.nr.( dar ,r or sh. i! liccns.t tu^nmr
<br />ro rhc pmtnnnF oflhe Conlrlcxtr s l,ianscd ti* (Charrer 9. Comn.ncnr8 wilh Seclio 7(D0 of Divni{,n I or rhc Bu\incs\ rnd
<br />Pn,fcsions Codc) or rhar h.or sh. ii.rcnfr rhcrcftunand rtu hn\n nn rhcdlkscd.rc'nprion Anyvidarn,.ofSccri T0ll.5hyany
<br />atlliconr lor a Fcrarit subjNh ihc ap0licrtrr ro 0.ivilr.nahydrno' nrrcrnin nrc hundrcddollos (t500).
<br />l. ,\ osn.r of rhc lr.Fdt, or ny entloy..{ {irh wogcs os rhen \oE cnnlPcnsrion. sill do rtE $ork ld dr sMm i\ mr
<br />i cndcn or oIIcGd fur slc (5(.704.1. Busin.s and Pmf.st,nr C.d.: Thc Contactor's Licc.* L.w docs nol lpplylo an owmr nf
<br />rh.pn,If,ny $h btrilds or iqJmrci rlErcn, lnd who d@s suc[ wir nnnselr'or hcrrllor rhmnsh his or hcrown cn'plo]ccs.
<br />prolidcd lhar such in{mtrmnts N mi inrc'rdcd o. ofti..n h, sh ll ha*c!r. th. h{ildina o. irqeEmd is eld *irhin .nc )tr
<br />ol conphion. lhc owncr auitcr will hrvc lhc hordcn ol pmvin8 rh,r hc or shc did noi build or innmtr lhc preFny fo. rrf, rr4r* or
<br />-1.
<br />r\ o*ncroirhc pmpcnr, flmcxclusivcly contrr.ting rilh li.cn*d..Drr.rrtrsro $nsrrucr rlE prot ci (Scc.704.r, Bd\in s
<br />and thfcssi, C.dcr ThcContr.roi s L-iccn\c l-rwdocs ton Dtplyb nn .wncr of liolcny $ho huilds .r inrrrovcs rhcrmn.
<br />a.d vh. conrlckior such rmjcch wirh o Conra.ro(o ltctrscd nunuanlorheConrractois l,icensc hs)
<br />lrfr.xcdpru .rsccri(,n .B &PC fitrrhi\r.r$n
<br />Drtcr Orn..wonxrls. r:oupFltsantw
<br />OE!IAAd.IrcN
<br />I hcruhy atriin undcr pcnalryotpdrjuryooc dlrh! nnk,$ing dcclmrnrns
<br />lh3r.udwillnuinrrinrCenill.arcolCotrrnrnrScilltrrurclor*orl.n'co!,Fnsdion.r\!.('vidcdr.rhyS.{rio.1700ofrhc
<br />LltxtrCodc.i.rlhc|Erlo unccolllrcwork r'orahichlhcn flnii h isucd.
<br />! hr\t LiJ $illmrinrain workcr! conlrtr\ario. in\!rrnt- a! rcqotctl$! Sc.rn,n:l?mofrhc LnborC.dc. itr rhc pcrli' nanccol
<br />rhc sork tur whi.h rhnl.nn[ i\ hsuc{ My workra .onDdn\ii i{ i'xurn ... rid rM Flicy truuhcr tut]
<br />Z-D /t
<br />l.cdily lhrr nr rh pcrfonMncc olrhc Bork lbr whi.h rhn r.rmil is issucd.l slrll tror cmlloy stry 0cr$n in iny manncr
<br />q, !s ro trc.m snj(l lo rhc wo*rrs' com0cnsalion laws of(rliforni{, ..d asre !!ar il I +odrl bcconr ruhic.r brhc
<br />wortqs conrp.n\lrn,n provhions ol S.rrn,n :17(n ol rhc Lrbr Codc. I staU. fonh*irn co'ntl, wirh rho\c tmvhids
<br />wARNDi(;: Irailurc l. scctrr. sorkc conrp.nrari.f c.Errrc l\ nnh\lul. r shrll luhjc.r enploycr b aini.rl rxtrrhics rnd
<br />ciril nnr\ trp h om hun,lr.d rhou$ dollxr! (S1(x)-(xll)).ln rdditbn !r rhc c.N ofcontcn\arn,n. rnr!.r r! fii'vidc'l nr rhc
<br />sccri{m :1076.rr[c l.trhn G)d.. nnrrc{ JDJ rrrtrrx! \ rccsq b lS eppror:!4
<br />I hcrchy allnn undcr r.nllly of pcrjury lhal I rm li.cnkn u.dc. t ovirn olchaptcr 9 icomncnr8 with Scction 70OOr olDivixion 3
<br />of rh. Burincssand Pma.$n,ns C.dc, r.d my lk.n* i\ i. ni ll for.r !'xl cffccl
<br />9?z< 7k
<br />/*
<br />)
<br />q G-fs Y'lt
<br />CON,$f,ICUONIENDINO.AGTNI]I
<br />I hcrcby lllrm undcr Fn.lly of pcdury lhal th.r t a constflcrb. t.din8 a8cncy for lh. pcrfoflmne of lhc wrk for thi.n rhn lrmir t
<br />hsucd {se.1097. civ. c ).
<br />AIfIICANLDICLABAIION
<br />I hcn-|,, afim undcr lcnalty ofpc0ury ore ofrhc tollosin8 dalar.lions:
<br />Dcnxririotr Pcnnits-A\bc os Noiificarion Fcd.rJ RcSul bns (Titl.40. Pd6)
<br />Rrqo r.d I-rrrc' ol Nor'll..ii(nl
<br />-l
<br />ccnilythal rhc lcdcrd rc8ulalions reEmlirs rs^*(.s nnn,v.l rc trot.tdi..hlc to lhh I)r,F..l
<br />#.;*l,lt'Il I h0vc rcad rhh oDplicorion and n elh lhc 0tnvc nriorn ion i\ comcl. I aEEc ro comrly sith Dll Cirr rnd c(o y
<br />Srrrc li*s rcllrin8 t, huilding r and hcrchy trulhori,c rcprcsnrnrivcs olrtis Cirrand c{,riry ro.nr.r uF,n rhc
<br />Appli.n orA8cnl Sil alur.
<br />u*.u**.",n"*,, ,K f 1
<br />-L-,8
<br />Pole Bases
<br />Under Slab / Floor
<br />.4tz-sr-tK
<br />trlid.r'\ AJdrr$
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