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ELECTRICALNNSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Owf,6-Auildcr Daldlid
<br />I h.r.by !fiim und.r podiy of p.d!ry lhal I m .xmpt aom th. Co.lrctoE' Li6s. L.w fd th. followin8 r6m (s.701 l. t B6in6
<br />ud Prcfdsion Cod.) Any City q CMly which Equire o pcmn ro consruct, alrd, iBprov., dcmolish or rcplir &y sEuctu., Fid ro it3
<br />i$u&c., aho cquiE th. .pdi@r for such pcmit lo fi|. a ris..d natmfir drar hc or sh. is le.3cd pu6u&l ro rhc prcvisionr of $c
<br />ConEeror's Ltm.d Liw (Chlprd 9, Colmdcin8 wirh Sarid 7oo0 of Divhid 3 of th. BBin6r sd Profdrions Codc) or th.r hc d
<br />s!. i! .x.ofl thq.ar@ dd lllc b6is f6 thc .ll.g.d dmpdo, Ao, viol.rioo of Sed@ 703 I 5 by ey arplicdr for a Fmn subjcd5 dc
<br />appli@r !o a ci"il Fnalty of rd norc lh& fiyc hu.drcd doll6 (t500)
<br />I,d oMcr oath. propqly, or 6y cmploy.B wkh w.a6 a lhci! sol. @mFnsstion, will do lt. worl an.l fi. ructur is nol int.!d.d
<br />or offdd fc sa]. ( se.7044, Busines dd Prol6ids Cod.: Tn. CdrEcrort Licns. La* dcs not apply to d o*n.r ofthc prop.ny
<br />eho buil& or improv6 thdd, md who dc ruch wo* hitu.lf or h6dl or thouS} his or ho @! @ployc, p.ovid.d thar smh
<br />imp,oy.n.nE @ nol inknd.d or off6.d l* s.lc li hovcvcr, Llc buildins o, imp.oy€mat h sld vithin onc yd of.ompl.to. rhc
<br />OMd-Build.r will havc th. burdd of provins thlt h. u sh. nol build or improvc aor lnc purp6. of 3dc)
<br />_I, a owha of th. p.op.n , o .xcluritcly @or&tirg pirh lic.ns.d coF.cr6 lo cond.lcr th. FoJ.cr ( Scc. 7044, Bsines ed
<br />Pref6sim Co<i.: Ih. ConEaoor'r Ucos Lrw do6 ror .ppl, to & oMd of prcpay *ho buil.! tr impro!6 ln@d , &d who
<br />mlrec fG such prcjec wnh r Ce@to(, lien&d p!6udr ro th. Co"racbt Li..c Lrw )
<br />_l m cxdpt undd Setion _,8 & P.C fdrhiiEad
<br />U9BKE8'.CO!4!INSAIIq!-DICI,IIIA.IrcN
<br />I hcrcb, a,nm undd po.lty of prju.y on. ofthi followins d€clddons'
<br />_l hav. dd -ill minnin a Cfiifidl of Cosar to Sclf-lBG an wdl6' .@!E
<br />'ri@.
<br />E paovid.rt fo by Sed6 3700 oarh.
<br />Lrld Cod., fd lhc psfmme of d& wdt fo,hich rhc p.mir h islu.d
<br />_l havc ud will mrintair wdt6i cmpnsation iBumc., s rcquircd by Setion l70o oa fi. Labor Cod., for thc p.rfffiu€. of $.
<br />wort fs which lhis p€mil is issu.d My *ork6 comFtultio insurrne ffid ed policy numb.r u.
<br />Policy Numbq Expic:
<br />(Thh serion nc.d not b€ compl.rcd if tfi. pmn is aor On. hundr.d doll4 lS I00l tr 160
<br />_l c.dify th1 i. rh. pqfol1,me oadc wdt ad *hich this pqnit h isu.4l ih6u rotcmploy sy p.Eon in my m n.rso6lo
<br />b.@c tubjccl10 thc vorkd @hpcns.lio laws ofCalifomi., od lgr lhd iaI should bcom. subjet to th. edk6'
<br />cmp.nsarid pr.visiG of Smrion 3?0o of $c Labor Co<!., t sh.ll, fonhwith comply
<br />WARNING FailuE ro sauE wort E' @mFreri@ covaag. is ulasaul, &d shall subj..t d mployr to dihinal p.nald6 sd civil
<br />fin6 up lo o. hundrcd thoumd dolls (l 10o,000),in additio. lo $. c6l of @npcnraaon. d.mag6 d Oovid€d fd ttc Sdrid 3076 of
<br />drc Libor Codc. inlcr6l ed atom.y\ fN
<br />UEEXSED.CONIBACIABS.DECIAa^
<br />I hd.by amm udd p.n.lty oapdjury $d I @ licd*d Ddd proaisi@ of Cnagr* 9 (@nm6ci.g *ith S..rion ?OOo) of Dirision I of
<br />d. Bcinqs dd Profsios Cod.. ed ny licdsc t in lull fN. ud €flccr
<br />CONSTRUCTION LEIYDT{G AGENCY
<br />I h€Eby omm undd Fnalty of pajury thrl (ta. b . @n lctio hidii8 .g@cy for lhc F forfu@ of thc wct fa which thil p.mn t
<br />isu.d (Sd 1017. Civ C.)
<br />AITUCANIjIDECIdNAIIAN
<br />D.mohion P.fliB-AsbdG Notilicarion F.dml RcSulaions (Tnl. 40. Prn 6)
<br />_ R.qut d L.tEr of Notifi.atio
<br />_l erlily rhll rh. f.dcral rcsulaliMi rcEdding ab4t6 rcnoval d. lot appli@bk lo lhk prcj.cr
<br />I cali ry 6sn I havc rcitt dis alplicotio od sd. dar $. abor. infom.rion i5 .d.cr I agc to cooply s'th .ll Ciq dd County
<br />ordinM.6 dd Srarc Laws rcl.ring ro buildirg @Mrucrid. ad hd.by aulhodz EpG.nrdiv6 of drit Ciry dd Couiry lo .ir6 upoi thc
<br />.bov. motim.d prop.ny ao inspetio putpos6
<br />,lpplicmr o agar sig \ - oarc,s--/44/
<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 />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 />trYDIEII in
<br />Rough
<br />Service Meter FFBOI 2019
<br />FINAL
<br />tiA|\|IU oEJ,-qq,-es,wNotes, Remarks, Etc
<br />Communications Cable
<br />Air Conditioners
<br />Dd. O*r?.
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