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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Own6-Buildd D.clBtid <br />I hcrcby.iiim undcr p.n.]ty ofpdjuy lhar I M q.mpt fom l.bc Cotracto6 Lic6s.tnw for ln. aollowin8rc6o. (sc.70ll 5 Busi.6s <br />dd Prcfeid Cod.)r A., City or Cooty which EquiB . !.mi lo @slru.( rlk, improv., d.molish q Epdr ey sddurc. Fior ro irs <br />iss!Mc., .lso Eq!n6 th. applicdt for such Fmit to fi1. a sign.d ilald.nl lh.1 hc or shc is licoEd p6u&l lo lh. provisiohr oi $. <br />Cotraoas Licascd L.w (Chagtr 9. Cffi.ing *ith Sdid 7000 of Division 3 of d. BEin* &d Prof6sio6 Codc) or thal hc B <br />sh. is .xdpl thdcfrom ed $c bais fd $c allcgcd .xcmplio" Any violaton of S@tion 703 I 5 by sy applical for a p.mir subjc* dr <br />.ppli6l lo a civil p.nalry of flot morc lhe fiv€ hundr.d doll6 (1500). <br />_I, a ovncr of fi. prop.ny, or my mploy.6 with wag6 a rh.i.3ol. .omp.n$lion, will do th. work 4d thc frde ir .or io6&d <br />or otred rd s.lc ( S* 7044. Bainei ad Prof.si@ Code Tl. Contrero's Lioo* La* do6 noi sp?ly to e ownd oi thc Dbp.n, <br />who buil.ls or improv6 $cfun, od wio d@ such wo* hitucla tr h6dl d $rough his or hd @. dployei prwid.d rhd ruch <br />improvm.nb u. nor inlddcd m ofiEd ftr s!l€. ll hd.v.r, th. huildin8 or ihFovddr is sold vilhin onc y@ of @mpl.!m. rh. <br />Owha Buildd will hav. 6. burda ol prcvin8 thd h. or ih. not build or imp.ov. for thc puQ6. of sal.). <br />_1, 6 ownd of th. prcp.fiy, d cxcluivcly €MElclin3 vilh lic.ns.d .Mtlclm to onslruct lh. Foj.cl ( S.c 7044, BBin6 d <br />Prcfgsio Codr Tt. CorF.clnl Liccnsc L.s dc not apply ro o own6 of propary sho builds s imprcvB th@M , dd eho <br />.orei5 for rucn pbjet! *itn a Conuero(, li4cd tu6uer to rhc C@tr ctoar Liccns. t w ) <br />_l d cxmpt undo S.cdon _,B & P C ftr this r.do. <br />YOB(DBI.COMIEIS4IIo{.DEC!4BAIION <br />I h.r.by afiim und.r p.mlty of pdjury onc oa rh. followins dc€lddionsl <br />_l havc ad will mainllin r C.nrficat ofci.snr ro S.lf-lnsuE fd wo*6 coop.nsati@,6 prcvid.d fo by Sction l?00 ofrh. <br />kbd Cod.. ior lh. Frfol]]E@ of {r. wd* ftr wni.h th. p.mil is isucd <br />_l lav. od *illmiitaii *dkd cmFoeti@ i6urdcc. 6 Equir.d by Setion l70o oa d:c L$o Cod.. for lh. Frfmec. of th. <br />work aor which rhis Fsir is issu.d My vort.rs' cdpcnsario insu&@ @id dd poli.y numbd m: <br />Policy Nuhbr I ExpiG <br />(Tlis rrno n..d nd bc cmd.r.d if rh. pcmn n lor On. hun(H doll6 {llO0) or 16) <br />fl cdify thd in fi. Ffol]lMc of Lh. wdl rr whi.h fiis pdrnn is issu.4l shallnd.mploy uy FEon in ymo.frsosb <br />,6.cm subj.cr rod,. *o*.R conp.E.ho laBof c.l'fomil ddarc. th*iil should b..ore $bj.cr !o tc rdk4' <br />cmpas.iion provnims of Setion 3?0o ofth. L.bo. Cod., I shrll. fonn*ith cmply wnh thG. Fdisions . <br />D""y----,// ^oo,t@ <br />WARNING: Fail@ to seoE *dt6' @np.nsiio. covda8. is uh*tuI, ed snall s!bj..r e oployr ro oiminal Fndltid ed civil <br />fio6 up ro @c hundrcd rhoBud doll6 (t10o,000),io additioi to tt. con of comFnsatioo, dimasB a pr@idcd ror $c setid 3076 or <br />$. L.bq Cod., i.r.cr ed .rom.y! fG <br />ucllsEDtoNEACrAlS_otCtABArIotr <br />I hd.by a0lm udd ,.nalt, of !.rjury tha I @ liccnscd urdd provkio. ofcnaprq 9 (@nndcing virh S.clio. 7000) of Dirtion 3 of <br />fic Busin.ss dd ProfBros Codc, dd n, licds. n in full forcc &d cffdt <br />C9NiIAICTAIIENDIICAAEN.qT <br />I h@by affim udap.nahy of Fjrry th lnftis rcmtrlclidlddiig lsecy fd c pdfdfuc of th. wdt fr whi.h $i! pdmni. <br />isu.d (Sd 3097, Civ. C.) <br />AIItICAXLIDECIdAAI&N <br />Dcmolido. Pmiii-Arbd6 N6li6cario. F.d.rrl Rcgularor (Tirlc 40, Pan 6) <br />_ Rcqut.d L.nn of Nolifi dion <br />I c.nilF]'d t( fcd@l rcruln ons Eg{ding aber6 Emoval d. ior app[@blc rorhi3 proJccr <br />y'cnrry thar I hav. md fiis ryplcatior ud sE. $a $. abor. inrolmtion is.or.ct. I a8@ locmply wilh all Crt, ed counry <br />6rdmec6 Md Sla. Liw! Elsrhs lo bu,ldDg cdsmdis, sd hmby authonz r.!6at tiv6 of $is City od Coung ro 6rd upon $€ <br />abovc dcnlion.d propcrty ao, insp€lio purpcB <br />Dd\--4:a,/o/ <br />V.,tttr /.,lz-><4<-- <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <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 Rough <br />Ceilings (T-Bar Rough) <br />Meter Release EXPI RED <br />Rough FEB O r 20t9 <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc. <br />Communications Cable