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APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Pole Bases
<br />Light Standards
<br />s, Pool, FountainsS
<br />Si ns monument)
<br />Life /Low Volta e
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bullding
<br />Under Slab / Floor
<br />Bondin / 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 Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rou h
<br />Service Meter SAMC 843,90,556,
<br />FINAL
<br />Notes, Remarks, Etc
<br />OMa-auikl.r D4la.tioo
<br />I hcrcby aflim unda lo.lry of pdjury $ar I cn .r6Pl fom $G C@tr&ros' Licasc trw for $c toltowins @o, (!cc rOJ r.5 Buin*
<br />&d Prcrsim Cod.) Ary Ciry d County vhi.h Equir6 a pcnnit to coNlruc!, ak4, imprcvc, d.frolist or r.p.ir ey rl.tclll.!, Fis r,o itt
<br />i.ru&@, rlso rcquiB lnc !r,pli@! fd such pcFil ro fiI.. risrcd rurndr thd h. or shc ii ticoed prB@r ro $. Fovti6; of rhc
<br />ConE&lor,' Licmcd L.w (ch+!d 9, ComociiS wirh Scction 7000 of Divisio. I of rhc Buin.s, ard protdjon, Codc) q $r hc drh.i, 6pt 6@{iom 6ndth. b8i, fo. 6. .ll.8cd.xdprioi Any vjolarion olS.dion 7ol$ by My applicur fds P.mh$bj!cr! rhc
<br />applicei lo !civilp.n.l!yof rctn@$e fiv. hun.LEd dolls (l5oo)
<br />_1, s ownd ol tl. Fop.rty, q my mploys wirh wig.. d $cir solc compcodslior, will do !h. work ed rh. slruci'e it oo1 in!.n(Mq offdcd 16 lic ( S6.?0a4, Buir.$ &d lrofsi@s Codc TI. Conr!.ror! Licor. Lrw do4 nor .prly m $ oMa ot lh. pror.ry
<br />who b!il& q idprcw. rho@, rd who da 5eh wdl hi@.ll or h6clt or r\rcu8n his or ha dn .mployc.t, pDvid.d ltar ructihprcvoolr e oot inratlcd or oifd.rl for salc Ii hry.vq, rhc blildins o. iBprov.hat i! rold virhin on; y; of cmpldio, $.OBa.suildE will h.v. rh. buda ol Fovint rhr,r hc or rh. nor build or ioprcv. for thc puDsc of r.lc)
<br />_1, d omcr of $. prcpc,ry, e dclsiv.ly contr&rirs with lieu.d conn&lori b construct $. projar ( Scc. 70r,4, acincas edPrcfsio Co&: Ih. ConE&brt Li@n& llw &.$ ro1lpply ro E omq ofprcpdry who buit& d irryrcvca $6@n , ud sho
<br />cont&a for such projeE wirh r Co!&to(i) ticcn.d p!@sr ro thc CoiE crd! Licosc L.w )
<br />_l a .x6fl undr S*rion
<br />Da& Owndl
<br />WORI(ERS COMPENSATION DECLARATION
<br />I ho.by afilm !nd.r pcndty of pc,lu,, oi. of lhc followiig d.clestions
<br />_l h8vc ad yill mainhin a C.nifiqrc of Cosdt lo Sclf-irsuE lor wo (d cmpasaiion, s povidcd fo, by Sdion 37Oo of $c
<br />L.bor Cod., for thc p.rfmu€ of rhc vo* for whict $G pcmit k tsucd.
<br />-l he ed will hlinni. vct.n cmpdialion iniu@@, 6 r.qliad by S.ction 37oo of rh. Labor Cod., for rhc F.fffisc. of $cwdt fd whicn lnis paoit i! i$u.d M, world' compcnr.rion ituur&c! ria &d policy iunbr il.:
<br />(This ecrion n4d not bc @pl.tcd if lilr p@n is ior Onc hurdcd dotle 1Sroo) o. Ia,
<br />_l c4lify d'a! in rhc Ffom&cc of rhc eork id whi.h lhis pmil i! irsucd, I shattnor ?mploy d, p.rsd in ey mm..r !o s lob.cdc sbj.cr ro th. wqkd ' comp.nradoD Iflr of C.lifohia ud .gr.. tnar if I shoutd bccom. subj.d ro rhc *dkcB,
<br />comp.nsrdon provisioN ol S€rion 1700 of dE Labor Cod., I shall, fonhwlrh comply wiri Uosc prcvirions
<br />WA-RNING F il!rc to raurc wrls!' ccriplelion @v6a8c ii untrwrut, sd sh6tt subjqci a .mptoya r,o rihin.t !a.hi6 ed civitfiI.3 !p io o. hun.lr.d lhoudd dollu (l Ioo,ooo),ii addirid ro $c cosr of compdlslo;, d.hasci s ,rcvidcd for rhc Sadon 3076 of
<br />thc trld Cod., int.r6t &d .nn.y'! fce
<br />LICENSf,D CONTR,dCTONS DECLAXATION
<br />I h6cby !flim uod.r pa.lty of pc.Jury rh.r I m lic.fi.d un&r prcvisioi ot Chaprs I Gomm.ftin8 {ilh Seti@ ?ooo) ot Dvilion I of
<br />th. Buin6s dd Prcr.5tioni cod!, ad hy lic6$ ir in full toM ad.ffar
<br />Lieni. Cls:-- Li@t. N6bs
<br />CONSTRUCIIION LE\DtrtG AGFNCY
<br />I h.rcby lffim !n.Lrpa.lty ofpsjury rt Ufr b 6 6uEuqlj@ lqdin8 .a.ncy ld th. t rf@ua of $. *mt f6 which rhi, p.mll i,
<br />i$u?d (S@ 1097, Civ, C)
<br />ATPLICANT'S DECLAiATION
<br />Dcholilion PmiB-Arb.$1os Notillcaton F.daal R.gul.tions (Tirlc.tO, Pan 6)
<br />_ R.qun d L?nq of Norific.dm
<br />_l 4nify th U. fcdddl e8llrior ESsdinS sb6!o! rnovd ec lol apptiabt. ro $i5 projccr.
<br />_ I c.niry thar I hs,c rcod dtir .9plic.tion ud 3otc ln.1rh..!ovc infom.rid ii d?cr I afcc ro cnpty wnh.U City &d Colntyordinaq ed Sllrr Llwrel.ri.i io blildiis Mrtr!.ri6, ald h@by .u$ni& r.psdllnvg of rhi5 City ud Couiry to onld upo. rhca6ov. @ndoncd popcry f6 iMpc.li6 torpor.!.I
<br />Underground
<br />E/\r r
<br />I nt o
<br />f LI, U
<br />I
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