|
APPROVALS DATE ID/SIG.
<br />Site.Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Volta ge
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Bullding
<br />Under Slab / Floor
<br />Bondin / Grounding / UFER
<br />Transformers
<br />Torquin
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rou h
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />O*.a-Euilda Dcclsa oi
<br />I hacby aiiim und4 pci.lty ol p<jury rh.r I e rx.Ept rom lhc Coin-&roE, Lic.nf L.w for $o io owl.B @or G@.?ot I 5 Bqina
<br />&d ProfBiioi Codc). Ary Cuy or Counry whEh EqurB 0 pcF to coNmcL rlrd, rmp@c. dcmohrh or Ep.j, ey nrude. prid !o rLsirsu&(., llso r.!ut6 rh. .pph@r for luch pmrr lo fiI. . ii8n.! &r.hol rhd h. or sh. s trEns.d puodt b tl;. Fovtrio; of rh.
<br />Con|'&lor'i Lrc.nscd L!* (Charta 9, ComociiS pi$ Scciior TOOO ofDivirion 3 ofthc Bcin6 od profqior Codc) or rhc hc 6sh. t lxmpt tftfth ud lhc bsi! for 6. .llcg.d *npiio Ary viotarid ot S6rion 7ot I j hy 6y .pptidt fd ! Fmit slbjar $.applicol 10 6 civil p.n.lry ol rct norc tn{ iiv! hundr.d .lo s (t5oo)
<br />_1, a o*nd of $. proFny, or my mploycd wft laAq a ri.t soh cohpcnsario., {ill do thc work ed $c sElcuc ir .or inr6d.i
<br />or offcrd fG ldc ( S* 704.6, Barq! Md prcf.$,oD, Codc It. CorE&tori Li.*. La, docc nor .pply lo an oqo ot ih. propcry
<br />vho build, e ioprovd |n@n, &d who doc! Mh wori hrmctf or ho.lf or oroush hr or hd M cmploycB, levi&d 0tlcuchimprovmdr, a ror i ad.d or offBod lor s.lc I( hov .r, lh. bu,ldins d ,mpr@.mor n rotd q hin o; y;or@mplaion,lhc
<br />oma.Builda sillhav. rh. buda ofprcnins $r h. oBh. icjl build o, imprcv. ror rhc purpc. ofotc)
<br />_1, a ohcr d$. ptopaty, h cduiiv.ly cofi&ling with lic.nr.d conE .roB lo conlrucr rh! rotd ( Scc. 7oa.t, Buinq, dPror.riio Co<L: Th. Conr&br'r li6r. Lrv &6 nor !9pry 10 4 oeo ofpropBty sho buitds or i;prc;B !h6.{i , sd who
<br />@E&r5 ior !rch proj.d! wirn . Co.t'!4o(, ti@.d pluua ro thc Co.!-rc6r Licar. Law )
<br />_l ffi cx.mfl undd S.dion _,8 & pC. fq$irrdoi
<br />WORKERS COMIENSATION DECLARATION
<br />I hdcby .ffim und6 pa.lty of p.rtlry onc of ih. followinS d.claario.s
<br />_I h.ec a.l will mairl3in . Carific.i! of Consai lo S.tfl urc ftrwork6 conpa$lio, E p.ovidcd torby Setior 3Too ofrh.
<br />L!bo! Codc, lor thc psfo1m@ of th. wod{ rn which rlr pcrmir ir k5ucd
<br />_l nd. dd will mirl3ii *o*.d' cmpctrEnim hsutucq s Equi.c.t by S.cuon lTOo of$c L.bor Codc,lorrhc pqfommca of$.vo,t ior whkh 6E pfri! h isu.d My wsl6 @rh?6t.rin iEMa.m6 rId poticy numb6 E
<br />ErDt6
<br />(Thtu sa.lion n.cd nol b! c@d.t d if rhc poTt ii for Ord hund!.t dolls itloo} or lq.)
<br />_l cdify $ in thc prfomecd of th. qo.k ldwhich thir pmn tr trsu.d, t 5h. na cmptoj My peBon in s! menlrsoE rob.@. subjcct to l1l. wo.l6 ' conpcni ion lryr ofcdifon'a ud a8!a thd rrr rhoutd b..o;. r,U*r.,r,. J.i*.
<br />chp.Ds.lioi prcvie,on! ofS4d6l7O0 olth. Lrbor Cod.,I rh.lt, fonisirh comply wirh $os. prcvision!
<br />Wa-RIING. Fdts. ro .tu! work6 c-ompcnsuon @qas.,t unt.ytut. Mdlhs subJat s mpto'?r b ohrnrt po.ki66dcrvitline up b on. hur&.d doued dolle (S l0o,00o,,in .<tdirim b lhc 6r ofconFNauon. ddls.i s prcq&d for dr S4x61016 ofth. L$or Cod., inlBt sd .nmsy! &q
<br />LICENSED CONTRACTORS DECI-ARAIION
<br />I hdlby alfim udq pc..lry ofpdju.y rll.l I m tic.nrrd uid!, pmvhio ofch. o 9 G;@ci,8 wirh s.clion Tooo) of Dividon ] ot
<br />thc Buins ud &ofsioni cod., ud my tic@5. ii jn full rorc. od cfr@t.
<br />CONSARUCTION LT\DINC AGENCY
<br />I hoiby sfiim q&r parlr, ofpdjury ll).l rh@ ii . @.srlctio t;di;8.g cy rq th" pldmdc. of thc e6t fd whth this pmnis
<br />i$!cd (S.c.1097, Civ. C)
<br />A"ILICANT'S DECLAiATTON
<br />D.molillon P@ia-Aibsto! Notitic.lion F.dc6l Rc8ulatios Ont. 40, p.n 6)_ R.qui'.d L.nq or Notific.tid
<br />_l ccfliry thal rh. r.d!61 rc8llariot Essdins albqlc llmlal arc nor appli.ablc ro rhis !rcjer
<br />_ I c!.dry th.r I t.v! ...d $is eplic.loo Dd rt !G d !h. lbovc intm.lid is cor@t. I .aM ro cohpry wi$ r CiV od Coun,
<br />,Tllia,ll f *" b)"".I"D. !o bril&i8 cfuEuc.rn, 6d hftby Nrh,ie rc?rsmtltivs of fitu city sd cNnty ro ara up6 tn.ev. Mfidcd prcpaty lor r.lpero purpdc.
<br />.13--2. rt/
<br />COMMENTS
<br />Dal. ow..r
|