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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Osnd-Build.r Deleti@
<br />I h.rcby aflim undcr F..lty ofpcrjlry 661I m ampt tom tt. Co.relo6 Liehs Lrw for lhc lollowing a6on (*c.703 !.5 BBin.$
<br />d Prcf.ssim Cod.)r Any Ciiy G Coun9 which rcqlire a p@il to consiruct, altcr, imprcvc dnolkh or rcpat sy sdciur.. Fior to iE
<br />is!oc., also Equir6 th. appli@r lor sucn pmil to fil. a signcd st.rdal filr h. * shc is licoscd pu6u&l ro $c Fovkioc ol $.
<br />Col@rof r Lictu.d k* (Chaptd 9, Comdcing vit S@tion 7000 of Divirion I of $c BGind Md Profdiois Codc) d th, h. c
<br />shc is cxmpt thd.frch &d rh. bais fa rh. ollcscd.xmplion Any violarion of Sccrion ?0ll.t by &y agpli@t ftra psmn iubj@l5 ll|c
<br />agpli@l lo . civil Fnalry of
<br />"or
<br />rm ln4 fiv€ hun&d donB (t500).
<br />1,6 wr6 of thc FDpsg, s my mployc6 wifi {536 a lhcir $1. @hFmdion. will do ihc vo.t ed thc nrud@ is nor inbdcd
<br />n oft Ed lor sdc ( S.c 70a4, Baind d Profsi@ Codc Th. Comcror's Li.m. La* dc .6r .p!1, to a ouc. of thc prcp.ny
<br />*ho builds or inFo!6 th.rM, dd who dc auch wdl hituclf d h6.U or fiough hn d hd M mplor*, provi.Ld lhar such
<br />imprcvmdts e nol i .nd.d or ofcEd tor sal.. ll howcrd, tn. building or iDprov.hmt is sold wilhin on. y.r of conplction, ttc
<br />Owrd-Builda will h8vc th. burdo oa provin8 thl h. n !i. not build or imprcv. for $. purp6. of!.l.)
<br />l, 6 ownd of rhc prop.nr. m dclGiv€ly @rturiry virh licdscd @nFacrm to @rl'Id ln. proj.d ( Sft 7044, Bqan6 dd
<br />Prol6ti@ Code Ttc Conrel6! Lica* La* dc tut apply ro a omd oa propqty *ho builds s imFove rhsmn . sd qho
<br />cmtu!! rtr such p.oj.cts eith a C@rero(, limcd pusuer lo ll)c coiractor'! Licdc L.w )
<br />_l n cxmpl und.r S.clis _,8. & P C fo this Eaon
<br />YOBtsEBIIAIITdSAIIAN.DICI.d8.{IIAN
<br />I hftby amm und.r p..dty of F9!ry m. ol d. followin8 d4letioiil
<br />_l havc d will hainlain !Ccnificar. of Coht to SclfJnsur. ad wo*6' @mp.ns.rim,6 Fovi.Ld atrby Seti@ 1700 otth.
<br />L.bor Codc, fd tn. pdflma.. of tn. wdk fm whici th. pmil is issu.d
<br />,I havc ad will mai,bin w6l6 cmFhrarjon ituqucc, a r.qurcd by Sdtion 3700 of thc Labor Co<lc. for lhc Ff(mdcc of lnc
<br />wtrl fd which thir Fmii i! isru.d My eort6 @op.tuario insumcc @id dd policy nunbd ec:
<br />Policy Nlnbd: : Expi6 _(fti! s.no ic.d nor bc cmpl.rcd if rh. panir is ad on. hun(H dollm {l I00 } or ls)
<br />_l Eniry that in rh. p..fomdE ofd. w.& aor which fiis p.dil is issu.4 I rhallnorcmploy dy pcRon in uy mMn.r so s b
<br />bccd. subj.cr lo $c *016 ' cmp.ns!,tion laE of cdiromiA dd sgre rhar ia I should b.6m. subj.ct b rh. worlm'
<br />.omp.f,s.ri6 prcvilions oas@iio 3700 of thc t borCod..I shall, fonhwilh cohply pith lhe provGions.
<br />WARNING: Frilurc lo sduE wo*.E 6mFisli@ @vda8c is urlawtul, md ihrll lubj.ct e @ploy.r to 6ioin.i pa.lti6 ed civil
<br />fir6 up to onc hundr.d rhocod &llm (l100.000),i. lddition lo fic cr of @Dp.r3.li@, .t nag6 6 proyidcd for rh€ Sdid 3076 of
<br />thc Lalor Cod., inlcrBt &d anom.y's fs.
<br />LICENSED CONTRACTORS DECLARATION
<br />I ha.by amm unda Fnslly of Fjury that I m lico!.d udq provisio of Cnrplr 9 (@nmadn8 wir! Scti@ 70OO) of Dvisio I of
<br />rh. Buin6 md Profdims Coda md my lic@r t in full ao@ ud cffet
<br />CONSTRUCTION LENI)ING AGENCY
<br />I h@by lltm ud.r F..lty of p.rlury t.l the h . @n$tuc1io lddirg rgacy fd th. p.rfffim of in. wrt fa ,hich rhis p.mi i!
<br />isu.d (Sd 3097, Civ. C.)
<br />ATIIICAII]IDECIAIAIION
<br />D@olitio. Pm&-Asb.n6 No{incade F.dc*l RcSulllios (Tnl. 40, Prn 6)
<br />_ R.quiEd L.td ofNolifiqlid
<br />_l sdfy $'l rh. f.dd.l r.suldi6 Esardir8 $b6lG @v.l d. io! arplaebl. lo rhis projer
<br />_ I coiry thet I h.v. Eld lhis .rplidi@ &d statc $r,r th. obov. infmalis ie @ret I rgE 10 .mply wft all Cir, ed C@nr,
<br />ordiimcd ed Sl.tc Llvs chting to buildjn8 @sEucti@. Dd hdcby ro$dia r.prMtaliv6 of dL Cir, sd Coury to 6Lr upo. $G
<br />.bov. m.nd@cd proFn, for itupddon purpGc
<br />ewr;*r-,z t";s
<br />-----4-rL
<br />o,. -C-/zt, ' /
<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 />Communications Cable
<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 EXP IRED
<br />EXP|pl =hRought,tB t I IUI9
<br />Service Meter SAMC &4s 2!M qaa aa
<br />FINAL
<br />Notes, Remarks, Etc
<br />D3rc OMk
<br />L..dd'r A.l&<' _
<br />,,2 cr rt ,iCr,r'
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