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ELECTRICALJNSPECTOR RECORD
<br />APPROVALS DATE rD/stG.COMMENTS OMd-Buildd D.clmtioi
<br />I tdby !dl'd ud.rpd.lty ofpcrlury llh I h.rtmpt lffi ti. c@tddon' Licd. L!* for $c followii8 rcaoi G* ?01l.J Bu,n6!
<br />ed Prcf6lio Cod.):
<br />^ny
<br />City 6 Counq *hi.n r.quiro . p.nnr |o coornlc! iltd, i,np.ov., doolnh o' rcp.t ry ttuduE, prior to n!
<br />ii@c.,.,ro 'qdr4 rh..ppli6t fd tuch pdir 6 61. ! ti8r.d tnl66r d,.r h. d rh. i! lictu.d p$uer lo $. prcridou of th.
<br />C@!&torl Lical'.d l^rp (Ch.pt6 9, Comoclnl aitl Satj6 ,0o0 ol Dudo. 3 of the B!rinc1! ed Prcf*lon! Codc) or rh8t hc or
<br />lhc i! qdpt thfr8un sd $. btdt fd th. .I.t.i amptid
<br />^ny
<br />viol.rid ol S..rion ,01I J by sy applica f6. p.r,nir iubj.cB U.
<br />.ppli.Mr ro . civil p6dty of nor hod $d 6v. hs&.d dolld (1500)
<br />_1, B M.. of lh. p.op.ny, or hy mployd wid w.86 s d.ir tol. cohptuitio, will do !h. *ork dd tli. lnuc|r. n nol i.rmd.d
<br />or ofi@d fd !.1. ( S.c 1044, BBind, od lrcfqlim! Cod. Tn. Conrdd! Licc c Laq do.s not 6ppl, to u ownd ol lhe prop.nf
<br />*ho build! d ihFoy6 lhtu, ed who dd tuch wolk hitu.lf or hd.lf d droogh hir orhd own cdplor..r, provrdcd ihar luch
<br />ihprcvm.nE &d nd inrdrLd or oFdd fd ..1. r, how.va, d. buildin8 or ihprcvncnr i3 bld *nhin on. ,cd ol.ohpletior, rh.
<br />Ow.d-Buildd will h.v. $. burd6 ofprcvinS lnrt h. oreh. nor build or idprov. tor lhc purpoe of!alc)
<br />_1, s om6 of $c propaty, h *luircly cdEedns *irh li@.d @nrdos to cd!$u.lU. pej.d { S.c ,04,4, Eu'nq sd
<br />Prcf6ti6 Cod.: ItE c6f! rd! Licd. hp dod ior ippl, 10 e Mr of pro?dr, who buildr or imp.ovs ihr.oa , ud who
<br />cdb..tr ftr !!ch Fojc.t! wnh r Conrrdo(, liccdcd puBur to !h. Coasa.lq', Li..ri!. k* ).
<br />_l m qmpt ud.. Sdi6 .8. & P C. fo. $i! Bon
<br />WORj(ERSCOMIENSATION I)TCLABATTON
<br />I hcrcby .flim 6dd p.n.lty of p.rjlry on. of.n. followins ddl6d63:
<br />_t hrv. sd will6.lnrrin rCdifiq& of C@ol to Sclf-blue lor wort6'cmp. {ion,s proridcdforbySr.rion3100oa!h.
<br />Lrbtr Codc, fd th. p.rI@ucc of ln. wod( for ehich d. pmir h isucd
<br />-l
<br />h8. &dwillh.inr!i. wdtd cmFlldon in3u@@, s r.quiEd by Sdion 3?00 ofrh. Lobor Cod. ior lhc p.rfomdcc oi!h.
<br />wdt fn which $ir psmit i! l$u.d My wo*6' cmpoieion inssdc. cdio ed polic, nunb.r d.
<br />lolic, NMbtr ErpiGj
<br />O1tn !.cri@ nad nor b. chpl.rcd if th. Fmir i! fd Oo! hud!.d doUu lt l0o) or l.$)
<br />_f c.nify lh.r ir rl. pdfolfucc of it. wdl fd *hi.h llrn p.nir ir ntu.4l thallnor dploy e, p6on in dr 6an.rro a lo
<br />b..oc aubjd to lnc wdkd ' cdnpsllid l.qt of C.lif6i!, ed .8tu rh.r if I thould bcconc subj.q lo rh. workcn'
<br />comp.Narim p.ovilio.i of s..tion 3?00 of rhc Llbd codc. I rhlll, fonbqilh cohply wi6 th6. prolieioi.
<br />WARNINO Fdlu. lo rc@ wntd' cmpmadd cov(.8. i. unhwful, @d ihall iubjcd e cnploys to sihiid pd.]li* ed cilil
<br />lin.! up 10 o. b&&.d dEured .tolls (t l00.Oo0),in .ddiion to 6. c6t of cofrp.6.tion, d.m86 s pmvidd ad th. S.dion 1016 of
<br />lnc Llbor Cod., inaei 6d !nofr.y'! f..t
<br />LICENSED CONTR CTORS DECI-ARATION
<br />I hcrcby amm sd.r pd.lty ofp..j!ry inal I m li6Ed undd provtion of Chapt{ 9 (comhmcinS wnh S.dio. ?000)olDivkion I of
<br />$. Baind! Md Prof.!!id! C6de, dd fty lic.nsc ii in full forc. od.fi.cr
<br />---V-.1 ,
<br />CONST{UCTION LEN'DNG AG'NCY
<br />I hdby amm un.t . p@dty 6f Fju.y th.! $G h . c@Eucri6 lddinS .8cn.y lo. $. p.rfomecc of lh. *ork ior whi.h rht p.mn it
<br />ii$.d (Sa !097, Civ. C.)
<br />A!DLICANT!S Df, CLARATION
<br />Ddolid@ Pcmit!-Albdlor Notificaiid Fcddd R.Suletid (Titl. 40, Pd 6)
<br />_ &cquied L.nd ofNodfiotior
<br />_l cdriry d:sl rn. fcdd.l rcgulrio.r Eglrdin8 sbotq rdoval r. not appli.abl. ro rhis proj.cr
<br />_ I caliry di,l I hlvc r.!d di3 +plic.rid md n r. thir th. .bov. infom.d6 is .or.cl I .9r.. ro codply *iln all City Dd Counry
<br />ordineB ed st!l. km rclnin8 to bdtdins .on dctj6, md h@by NdiodE rcpEc.r.tivq of lhit Ciry {d Co6ry ro drd lpor th.
<br />d-{o/aS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Signs (monument)
<br />Llfe Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rou gh
<br />Ceilings (T-Bar Rough)E\,ftT EIE
<br />Meter Release
<br />cronl
<br />Rough
<br />Service Meter SI MC 8-43, 290.556.667
<br />Notes, Remarks, Etc
<br />Spas, Pool, Fountains
<br />FINAL L.nd6'r ad&a
<br />abov. matim.d prop.ny fo. in!!.c!ion put?6.s
<br />It-
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