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ELECTRICAL-INSPECTOR RECORD
<br />DATE rD/srG.COMMENTS Ownd-Build., D.clMtion
<br />I hd.by.ftm unda p.mhy oap.rury th3t I m.xdpl foft fi. Conlr&loN' Licasc L6* lor th. tollowing Bon G4.r0rl 5 Bsin?$
<br />afld Prcf*sion Codc) Any Cily or County *hich cquir6 a pmn to coistuct. alrd. imprcv.. &Dolith or r.pak my srtuct@. Flq ro irs
<br />issuuc., also r.qun6 dr. appli@r for slch pani ro filc . sigcd .ulnot thd h. 6 rh. is licnr.d puuudt b rh. Fovisios of dr
<br />Contutols Licas.d L.w (Chaprr9, CmhodnS vilh Sarion 7O0O ofDivision I ofthc Busine d Prof6sids Cod4 ord:ar h. o
<br />shc is crnpl lho.frm dd ln. bais ftr th. all.8.n .xnptio Any viohtio of S.cliM 70r I .5 by dy ap?licat for . Fmir lubjea lhc
<br />applidl 10 a civil pcnalty of nor mor. thd 6v. huidrcd doll6 (1500)
<br />l, 6 oMr of dr. p.op.rty, or ny nployc wilh wag6 c thct solc @hpmador, will do 0r wo* dd lhc sElctw is not int n.Ld
<br />or ofid.d f- 3rl. ( s.c 704, a6in*s dd Pr.f6i@ Cod. TI. Coniturd's Li6s Ia* dc nd +ply ro M @na of lnc prop.ny
<br />who buildr or imrrovB lh.@q ud *ho dG srch *dk hiB.lf o. h6dlor $rcu8)l his orhd own.mploy.d, providcd thar such
<br />improvmdll s. not in16.lcd q oficrcd for salc. Ii howcvd, lh. buildins n ihp.ovmat is sold *ithh onc ,@ of cohplaion, th.
<br />Ow.d Buildo sill nat. !n. bEda of provihg thll h. q sh. nol build or imFov. aq tn. purpG. of rdc)
<br />_1, a ownd of thc prcp.,ty, m cxclusivcly conttuting *nh li..ns.d conoa.'oR ro .msrud lh. prcjct ( Sd 7044, B6in6s ad
<br />Pof.ssio Cod. Tn. Co.rEfft Licasc bw do6 not .r'ply {. m oMd ofpropaty who builds e improvG rha6h , Md who
<br />contr&ls fo, such prcj.ct! virh , conf*ro(, lim.d puNudl to rhc cdF&lor's Li6sc Lav )
<br />_l m cxhpl undd Sccrioo B &PC ftrrhis tud
<br />TABKDBSIO!4EEXIAIION.DECL4!/qJ9!
<br />I hody amm undd paalty olpcdury ooc oathc aollowinBdal@tions:
<br />_l hav. dd qillnai.laii a Ccnific{. of ConMI to S.lf-Iro& fd *orlcc c6pasad@,6 !@vid.d for by Setion 3700 ofrh.
<br />L.bor Cod., for lhc Frfmc ol lh. work for which $. P.mil is i$ucd
<br />_l hav. md vill mjncin vck6 c@palariM iBume, d r.quiEd by Sccion 3?0o of th. Lsbor Cod., for lh. pdfoma@ of tfic
<br />work ad whict fiis p.mn ii issu.d My wo*6'@p.,sado. inrufu* crid sd policy numbd dc
<br />Policy Nuobd: ErpiG
<br />(rhi3 setio nccd nor b. Mpln.d if lh. pqnir is fd ooc hud..d dolle iJl m) d 16)
<br />I @dify $al in rhc FfmD@ ol $c vorL fq {hich this lanit is issucd, I shall nol flploy oy pdsd in &y nund so s to
<br />b.c$. subj.ct to fi. wo*6 ' @mFn$lion l.s oa Cdia@ir, dd ag@ thd if I should b6om. sbj.cl lo thc *qkc6
<br />comp.asalion povisions ofscclior l7O0 oflhc kbor Cod., I shall, lonhwilh cofrply
<br />-,4r2
<br />WARiING FdlE to souc wort6 cmFnsario. covaag. is u.lawful, sd sh.ll subjcd e oploy.. !o oimiial pa!11i6 ed civil
<br />fins up lo 6. hundrld llloEsd .loUa (t 100,00o).i. .ddid6 lo O. c6t of @mpas.ti6. .l&nagB 6 povidcd lo. dE Sefio 3076 of
<br />thc blor Cod., inrcr6l &d atm.y's 16.
<br />UCENiED.CANIIAEI9BIDECLABAIIA!
<br />I hdcby amm ufld.r p.nalty of p.rjury fial I m licms.d undd provhid of Cnr/d 9 (6nm.ncin8 wnh Sction 7000) ot Dvision 3 of
<br />lh. Busind ed Profcssims Cod., dd my lic..s. is in full a@. dd.r.cr
<br />CONSTRUCTION LI]NDING AGf, NCY
<br />I hmby ,fim uDdcr pc.alty of pcrjury 1hrr tn6c i3 . onrllldi@ l.ndjnS .gocy fo th. Frf(ro@ of dlc {dt fo which thii p.mir is
<br />iismd (S.c 309?, Civ. C)
<br />APPLICANT'S DECI-ARATION
<br />Dctulition Pcmi$-Asbetos Nodfiotid F.dml Rcsulations (Tnlc 40, Pon 6)
<br />_ R.quircd Lnd of Nolifi c{ia
<br />I @nify $ar drc fcdcral rcSulaions rcg{dins sb€sr6 rmovd e.,or applieblc !o this prcjccr
<br />_ I .alify lhar I h.w rcad lhis applidim md s6r. $ar $. abovc inamaion is co,.cr I sgr* lo @hply wirh all Ciry ed C@nry
<br />ordin&c6 dd Slalc Llws rclarinS to buildjn8 co.r1ru.ti6, Md haby rurnoria .cpB.rati!6 of fiis Ciry dd County to atcr upon lhc
<br />abov. mcntioncd propcrty for irspeiion purposd
<br />-(--22y' /
<br />Site-Work
<br />Underground
<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)E\/r!If )Eh
<br />Meter Release
<br />FFRNI ,nlq
<br />Rough
<br />Service Meter JAMU U.43, Z!0, 5s6, 067
<br />FINAL
<br />Notes, Remarks, Etc.
<br />APPROVALS
<br />Pole Bases
<br />Communications Cable
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