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ELECTRICAL-INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS OWNER EUILDER DELCANATON <br />I hercb, lmrn lndcr lcoalty {,r p.ijury rhd I m.rcmfl lrn rhc Conrmcro(' Liansc L.u for lhc iolk'sin8 rcasn (Sc..7oll5 <br />Ausirr$ and Piorcs*rn Cod.): Any Cny or County which rcquircs r rcmit lo consrrucr. !hcr. iitmvc, rLmlkh or alair m, <br />srrucrurc- rJrior b i|s hsuarcc- sls. rcqun rhc lprli.dr t sochtlnnn b nbr siSrEd s.tcm rhar hc.rshc h liccos.n pu6udr <br />ro lhc rmviFions ofllE Conhrrol\ l-iccnscd Lr* (Chlprcr 9, Comtuncins wnh sftrion 7m0 or Divki.n 3 of rhe Ausincs lad <br />Pofe$i.ls Codc) or rhar lr or sh. ir cr.ntr rh.r.rron ind rh. basis ror Lhc allcBcd crcmFlion. Any violalion otSccrk n 7011.5 by any <br />aptli.,nr ror. p.rf,ll \ubl.rts lhc applicanl lo a.ivilrcnahlol trol.welhan livc hlnj,ed dollsr($500) <br />-1. <br />ff owncr of lh. EotErly. (tr nry c'ry,lotes sirh lBscs as lhct y'lc .omr.n\r' i.n. will do lr* *trk lrn lh. nrElE is ml <br />inrcrLi or oftcrcd for elc (SN 7044. Alsi.cs lnd Pbfcsnrni Cod. Th. Conlru.lo. s Liccnr kw does not splly lo un owncr oa <br />rhcpmFny wh, hilds or inpn,s 'rl:mr ffil who d6 srch md( himsclfot hn€lfor lhmu8h his orhq.*n enrlorcs. <br />provilcd rhnr such iqmrcmnk m mr inrcndcd or olftEd for sL la b*cv(. llr buillins or iq,owmnr h $U wilh orc ]rr <br />ol on$lcrion, th. Ownsr Builcr sill hovc rhc hlrdcn ol provins rhn hr or shc dil ton tnrild or inrrorc thc p6Fry ror th. nuqrc ol <br />l. owncr.frh.rfl,pcn,. afrcxclDsivcl!.ontdcrin8 wih li.cnscd.ontri.ros ro.on{ru.|lhc pmicl (Scc.7Or4, Bu\incs <br />d F\olissbn Codc lhcConlrucrolst,iccnrcLaw(l.csnoropt'lyloano*ncrolp(,pcdywhobuildsori.rprovclrhcrcDn. <br />rnd who conrBcrs f{tr such pFj(h wirh a G,nkacro(n liccn\cd lu^umr k, rhc A)ntncro. s Liccnsc Low ) <br />-l <br />am cxcr.rllndcr Sccr <br />-l <br />huvc llldwillroinkina Ccnific eolConEnttoSclflnslrctor*o.kcrs.onp.nslion.as providcd tbr byScctbn 1700 olthc <br />bb.r Codc.lor rh. l).rroanamc of'hc qol& lor which lh. pernril is hsucn. <br />-lhlvclnd <br />willmoinlain workcF compcnsarnnr inrullncc. !\ requircd bys(lionl?moalhc tjhor Codc, ior lhc pcrlbnnamc ol <br />thc work tuwhi(hlhh pcmir i\ i\sed Niytrorksi conpcnert,n ih\trrDRc.rnrfud F.licynumbcrffc: <br />_l ccnilyrhar in rh. Frforon.c of ih. work forwhi.hrhis p.nnn is issucd.l shrllnor cmployany pLron itranytunncr <br />snsro hcL!ff sublccr lo lhc wodca cunDctrsrion laqs orCalii{niu. ofrl ssd. rhar irl should tr.om suhFr ro lh. <br />workcn.onlcnerion!,ornnrnsofScction-lT00ollncLatryGnic.l!hll.ronh*nh.omtlywirhrhospmlnionl. <br />WARNINC: Fdilurc r. $cur. workctr .onrF.s0rion c.vcng. is unl.*lxl- .nd sholl subj€cr an cmrl{ttr ro dimintl l.nrliix and <br />civil linca up ro oft hundrcd rhousnd dolhis t$Ioo.{xxl). i. addirion r. thc co( otcoqtn€tn,n. dlmgcs d poridcd lor tu <br />sccrion 10?6 olrhc ljh.r Codc. nncrcr rnd ortorrcy\ fccs. <br />ADDlion': X <br />I tTfNSFT! (:(INTRACT( IR <br />DESIdSAIION <br />I hcEhy amrmundcr penaltyofFrj!ry lhal t !n liensd lnder Fovirion of Cbry$9 (conmming wilh Scclion 7000) ofDivishn l <br />of thc B8iksl a,rd PruLsions Codc. 0d my ltcnsc h in tull forc 6.d cficcr. <br />I}lr. (lo m.tor <br />CO!$f,UCUO ITNDINC.AIjENCI <br />I hcrc$y |lltm undcr lEnrrryolp€durylnll thcrc is r consldcrioi htuling dgcn.y for thc Frlomtrne ofrhc &rk lbr whkh rhn Pmn is <br />issucd (Sc. 11097. Ci!. C ). <br />AT[!ICA![DE{:I,A8AIII,|! <br />I ffiy dlm undcr p..ally of Frjury om oi lhe lolloain8 dcchrolions <br />Dcd.lirioo Pcrons A\b.i6r Norifi.arion Fcdcral R.guldirtrs (Tirlc 40. P!rl6) <br />_Rrqxircd L.t*of Nolifi urion <br />I.cnilylhrrthc ladcr.l rc Eu l.r ions rcErrdin8 alhc{os rcnoHl arc nor ll,plic k to rhn fmj.cr <br />-l <br />ccnify Ihor I lElc rclrl rhis appliclrnrn a4l {arc rhd rhc rtx,lc infoirn0rion n corccr.I nsB toi,mply wirh allCiry rnd counly <br />onlinanccs rd St.rc tiws EhrinS ro $uildins con(tucrion. md hcrcby auhori4 rq,.scdlariws orthn Cily snd Cou.lylo crrd lrsn rh. <br />rh,vc ftmn,ncdl,tup.ny afi insF.(io6 purpoes. <br />.\Dplic,nl o.,\[$l Sisnnt'.r <br />Pcmrilcc mre ( prinl ):^ <br />Sile-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Salety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bondinq / Groundino / UFER <br />Transformers <br />Torqueing <br />Air Conditioners <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />lvleter Release z\ <br />/\ <br />Rough 6"D-t(.Y-V-10) <br />Service lvleter v <br />FINAL /olr/1*&.4r/rre /,+-, <br />Notes, Bemarks, Etc <br />APPROVALS <br />Sub-Panels <br />uoa$:&gglllfENla.IQx <br />DICIJIAUAN <br />I hcrst arlinnund$ I).nalryorFrjuryom orrhc t'llowinS dcchmrions: <br />Irnd., . Ad&c\. <br />T