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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS ID/SIG OWNER AUILDER DEI.CARATION <br />I hr.lry amm undd p€nolly of psjury lhal I d qop no6 rh. ContracloB' L'ccns l-a$ tu $. followiry ..&n (sft r0.r-1.5 <br />BNi.6s md Prolsion Codc): Any Cny ot Counly vhich rcqutB . Dctr( ro .odru.l. all6. inptov.. thnolish or Epar ai, <br />slrucruc. rd lo ns slscq slso r.qun6 thc agplicel for skh Fnn to arl€ a sisnc<t srahdl rhat h. ot sn. n lr.r*d pma.l <br />lo rh. pmvisions ofrhc Cotrlroclois Lic.nsd Lir (Chafld 9. cof,ndtins wnh Setion 7000 olDivision 3 oarh. Bsi.s @d <br />PDlcsio.s Cod.) or rhd hG or shc is qcdrl lhdctom dd rh. bdt lor lhc all.!.d .xdnplion. Anv violarion ofs..1bn 70J i s bv ev <br />,ppli...r tor a pnnn subjelsth. applicet to ocivilpdakyof.or ho!.th fivc hundi.d dolles ($t00). <br />-L <br />s omd olthc prcpcny. or nry mploy6 virh tr ass d then et conpossiion will do lh. \ort axl UE sxl)dw n mr <br />inradar droIld.d aor slc lS€.?044. BBin6 d Prolsions Cod.: Th. ( onhclori l,icdE tiw dosnot applvlodown6ol <br />rhe p,lp€ry pho bil& or inprovB lhqen. ad s'ho do6 snch mlt hnNell or h*lfo, thmulh his or hr o*n cmllov€6 <br />p'ovd.d rhrr s!.h i"r9rovarci s 6e tul htoddi o, orald aot eL. l( ho!6's. th. tn dins ot ihprovenat is eld wilhin 6m )d <br />;aco,npleliotr lhc ol/nd Build€r vill ha( lhc htrdo ofprovins lh, hc o' shc did ml hlild or impNt. th. pDpdq lor lh. pu.Fe of <br />l. s oMd oflhc p6pdty. dn .rclusively codading snh lic€ns.n coih adoE to cointu.l tnc ProjEI (Sd ?044. a$in6s <br />a.d Pioisi.o cod.r ThcConka.rols Licensc tiu do6notaptlyio o\Ynd olpropdlv who buildr or imptoves th6on, <br />.nd who coolBcts for su.h ptojccls *irh aCommdo(s) lic6*d plnumt to th€ Contacto.s Li.m. tiw) <br />-l <br />m .x.mpl undd SElion- B. & P.C lot fiir r6on <br />!!8trlSE.c0MEEdlArI9! <br />D&CIASAIIO! <br />I hacby ar,E undd Fnahy otFjlry oft oath. aollouins ddlaa{ioN: <br />-l <br />hav.6d will m.hrqin a Cdi6.!t. oacobml lo S.lf-lBurc for *orl6t onD.nsrion, d Fovid.d aor bv Selion 3700 ofth. <br />Ldbr Cod.. aorlhcpdfomucc ofth. mrk for which lh. pcm n bsu.d. <br />-l hav. sd will hainl.in wo*.B comp.Nlion isl@cq6 r.q!ir! by SEtion 3700 oflbc hbor C.de fot Oc pofolll@. oa <br />rl for qhKh th6 p.mi t l$u.d M) *orLd-+--1> ,/ /1 ,, ,/>- ,-:ry iBurmcc cads and !.hcy nunrbd rc: <br />qaa aa d tJ/a 4 <br />-l <br />cdify tbar ir th. pdaomanccollhc sork lor which lhis pmi is Lssucd.l shallnol flploy aoy pdson in any mdir <br />$ s b b€.omc subjct to thc *0*6 comp.ns.lion la*s of Cslifomia, Md as,c thar il I should t .omc slbjdl to lh. <br />worke' .o,npNlion prolisioN ol Sarion 1700 ofth. kbor Cod.. I shall. tonhwilh comlly wio lhoE ptolisioc <br />WARNINC Failurc lo src rcrL6 conp6trion covdgc i3 unlssful. and shall subler d mPloy6 to sitni,Bl FEltie md <br />cilil 6n6 up lo onc hu&ed thousd <br />4i <br />LlqiulnD (o)[&!cmt <br />DECL!tsAUa! <br />, hd€by smr xndd pcmlly ol p.rju.y rhal I m li.asai und6 provision olcnaoo 9 (o,nn6.ir8 *nn S.dion ?000) 6rnivici.n i <br />oa rh. B6in$ ed PofsioN Codc, ed 6y li.de is in iull lorcc ed .fiNl <br />e 6-7t <br />COIIIAJJCUO!.IEBDINGICENCI <br />I hcEby .mrm und6 Foahy of pdjury lhar $@ is a on(tuclion lmdins ssocy lor lh. p6fommc. oflfic worl hr shict rhis Finir is <br />ilslcd (Sr 1097. civ. C.). <br />ATTUCANI.DECI.AEA:ITqN <br />I @.trnuund6 paahy ofpsjury on ofrh. following dal@lionsl <br />D.eolirion PmirsA3betos Notificrtion Fcd6.l R.Eulalions OnE 40, Prn6) <br />R.qut.d Laro of Nori6.alion <br />-l <br />c6ri8 thar lh. lcddal r.sllalio6 E8rdh8 shcstG moval m not .pPlic.blc ro thi! Pojdl <br />-l <br />cslityrhat I halcredrhisappl icarion ud stat. that lh. ahovc inlonnarion is codeci larldroo,nplt\vnhallCnyaDdCounry <br />.rdin3n.L\ znd Srrte ,r\s r€lrlitu o L{ild rcDrs4ratives ollhis cirydd coumylo 616 upon th. <br />atD\c rnmlione{ propql, ftr <br />,\pplic{nl or pe l Si8n.lr Drt€l <br />/<l- "L!B€/ZTE u/,/8 <br />Site-Work <br />Under ground <br />Pole Bases <br />Light Standards <br />Signs (mo nument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dam pers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondin / Groundin / UFER <br />Transformers <br />Torqueing <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinos (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough I}kfl,-l-P*n*+r \,ffi+aa 6y <br />Service Meter <br />FINAL 2/zl '4 --.1W a/, <br />Notes, Remarks, Etc 71 <br />DATE COMMENTS <br />io addirion to lhe cosl ol <br />Code int€ftn od atonrelt f.6 <br />L.nd..s Adds <br />- <br />Spas, Pool, Founlains <br />Sub-Panels