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ELECTBICAL.INSPECTOR RECORD <br />ID/SIG,COMMENTS <br />Site-Work <br />Underqround <br />Pole Bases <br />Light Standards <br />S pas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Bonding / Groundino / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouoh) <br />eilings (Hard & Soffit RouohC <br />Ceilings (T-Bar Rouqh) <br />Ivleler Release <br />Rough <br />FINAL /-27'/g ,Jr'ddA (-sY <br />Notes Remarks, Etc <br />-, <br />OlvN8R BUILDER D!]LCATIATIoN <br />I here$y ofinn undcr pcn ly of llcrjury thot I er .xcnpr rmm rhr Conlm.loft Lic.ns tjw for lhc lollowing rcason (Scc.7()l L5 <br />Bu\incs lrd Prof€$ion Codc): Any Cit, or Counly whicfi rcqun s 0 llymil ro oNlrud. ahs- nn0mvc. dcd'lth or rcrrt 3n, <br />sDclurc,,rbr r. irs ksnmc. fio rcqutcsrhc amlicsnr f such tcmir ro lilc 3 \igncd $rcmnr rhd hc o. rh. i\ lianrd pu u..l <br />ro rh. pnvhirs or rhc Corr,actr \ LiLtiscd ljs (Chaflc.9. &mtrncing wirh Sccrion 7000 of Divhio.I otrh. Busin.s rnd <br />Pofcssions Cod.) or rh,r tEorsh. iscxchrfl lhcr.fromand rh. ba\h for thc kg.d cxcmpiio.. A.yviohrio.ofssrklnT0ll.5byany <br />nllliclDl lor a p$mn suhjmts rhc arpli.ant ro a civil p.nax y or nor mrc lhn 6!c hundrcd dolhrs (3500) <br />[$*,1 owmr or r hc piopcfl y, 6r <br />'ny <br />. iployss wirh wl8cs as rhcn sk cooDcnsar ion. Nill d, rhc {qL and rh. {Brm L nn <br />or orlcrcd l'or $lc (Ss 7044. ltusinc$ and ProfcsioN Codcr'I'h. Conro.kr\ Liens. tiw docs not q,ply h m owmr oi <br />rh. pn,rdy $ho hoilrts or inprovcs dcrctr ud *ho doc\ {ch slk hinscllo! ncrclfor rhrolgh hir or tcr o*n cnpl{,rces. <br />prorilcd rhd su.h i.{,ovcft.tr m rn i.kndcd orotfcrct lo.$lc.li ho*srr rtc hliuins nr improvcmor n$kl *irhinor Fr <br />or dnlFh'ion. lhc Owncr Buitlcr *ill havc llr hurftn ot pmvinB lld h. or sh. dil frn hild or irlpr.v. tnc pmFny ror rtr puq$* ot <br />l. ds owkr or rh. Ir,pdy, a.r .x.lurilcly .ont&ring sirh liccnrcd conraLI.6 h .$n{ocr rh. pmF{r (s.. 704.,1. Busncss <br />n&l Eol6sbn Conc thcConrracroist,iccn\cLrwdocsnor{!rlyto!now.croflrop.ny*hobuildsorimrrovcsthcrcon. <br />nnd who conlEcr! ror such pmj.ds sith r co.t,.rod r) |pur\umr r) ihc aiikr.ror's LiccNr liw) <br />:::.-;'ir;"il ( o**, <br />I I'crrht rlli'r undcr rcnrlrtollltrjuy otrc olrhc ldn)*irE <br />-l <br />have ud sillminrainr (lnificarcof Cons ro Scll'lnsure for wortcrs com!€nsarion,as rovijed ror bySccrioo l7(x) ofrhc <br />Llbor Codc. lor rhc fsloirMrEc of rhc wolt for qhich lhc ,.nnn k issucd <br />-l <br />hrvc ud *illmrinrrin wolkcrs comnen\a'io insurarcc.6 rcquncdtrScclionlT(DoirhcljtDrCodc.forltcpcrfomDnccoa <br />rlt work lorqhich rhhErmil is hsEd MysorkEl cotrrp.trsltn'tr itrsurimc clricr andynicynunrhcr m: <br />I ccnirr rhrr in rhc pcrfortuoc. orrhc *ork f.r which rhn pcrnrir n i$u.d. I sttrll nor cnploy rny pcron in any nMnfi <br />s) .s h b.oft rubjd h lh. work B ompcnslhn hRs ofcrlif.nri.. Md.pmc thd if I lhould t .oft srhtrr torlr <br />Nolkcn conFnsnrion pmvhions olS.dion l70o of$c bbr Crodc,I shall.lonbwith conrply with rho* provisions <br />llARNlN(; Itihrd t, {.urc trorkc .o trtr\dnii url,wlll. md shlll subjccr atr cnrtloyc, ro rnnin Fmhics Md <br />.nil r c\ trp i' om hnnnr.,l rhoretr.l doll n (1llx).lxxr)drnr8cs rs [ovidcd lor rh. <br />:::::::;''//':tr; <br />inrdrc{ rid rnorE-^r'\ lic\ <br />I h.rchy rr',tm lnder nenrlry ol perju,y rhar I !m liccnsd undcr nmvision oiChdtrs 9 <br />of lhc Busircs aM koacssnnr Codc. ! nryliccnscisininllnrmd.,ltcl.'nn ing sirh Sccri,'n 7O(x)) ofDi\ nnr:l <br />D c: Co rrclor: <br />AfILrcANLDSCI,lTaAtrON <br />I hor!, unim lndcr !€nllry of p€rjury one oI lhe followinS dcclmlions: <br />Demlition Pcrn ls'AstEstos Norification rcdcral Rc8ularions (Tirlc 40. Pd6l <br />-RcquiBd <br />Lcrro of Noliltdioi <br />I c ifyrhd ihd f.dcril rcSuln.or! togrdna i\h.{o\ rctrk,rnl rrr .ur aptli(rblc rD rlis prcjEr <br />F*;;:l*:*m;ll; <br />rh)rc nrnri{rnrJ lrn,pcny f,tr in\p.cr <br />Appliu.r or Aqcnr SiAnsture <br />r"-i,* non* rp.i,rr, |- <br />W <br />IAPPROVALSDATE <br />Under Slab / Floor <br />Service lvleler <br />CABEIASCUON.I.INDI!{,;.AGENCI <br />I hcmby 0ftrm und.r pcmlty of rcrjury that lhcr. t o conslruclioi lcnding rBcncy for lhc pcrlommc of lhe worl for which rhl\ Frmi ir <br />is!.d (S(. 1097. Civ. C.). <br />Lcndcr'.lamc <br />- <br />Lrndc' \ Addrcs <br />-