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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS tD/stG.COMMENTS <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 />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough)-45 <br />Ceilings (Hard & Soffit RouqM rl <br />ICeilings (T-Bar Rough)zl-n t\ <br />Meter Release <br />Rough <br />Service Meter <br />FINAL ( <br />Notes, Remarks, Etc <br />OWNER BUII,DER DET,CARATION <br />I hdcby amm und6 Frahy ol Fjury rhar I m .rcmfl nom th. Contra.loB l-ic.ns Lav lor lhe followhs 'cen (sd.70315 <br />BBinBs a.d Profsion (odc): Af,y Cil, or Counry \rhich rcqut6 a Fnil lo coNlrud, alrd. improvc. ddrolish or EPait my <br />srruclur.. rior to hs is co also Equt6 rhe ryplicdt for such rE ni ro fi|. a s,sncd n'ld@( lhat hc or shc n lic€B.d p6uan <br />ro rh. FovisioG oarn. ConrEcroas l-'en!.n t,w (Cnap{d 9. Commdcins *irh Sclion ?000 olDivision I ofrh. Busins od <br />Prolcsions Cod.) o, thar h. o, sh. is cxmfl Un ,ioo dd lhc h6b lor rh. .ll.8.d .rmplion. Any violalio. of S.dion 70.r Lt by a.y <br />ltpli..nl aor 6 p6ni lobjdc lh. applicer ro acivilp.Mhyofnol morcrhan liv. huodrcd dollds ($500) <br />1.6 oM6 olrhe prop€ny. or myc'nployd wirh \Gsd a rhct $lc co6t Narbn. will do fi. work d th. slrucl@ is nu' <br />imdded or of6.d aor slc (s*.?044, Bui,6s dd PmlsioB Cod.r Tnc Coilrtclo s Lico6c L.w doe not apply lo an o\v.6 ol <br />lhe rropdy wno boilds or imprcv6lh€En. md sho do6 such s.!t hims.laor h.6.llot rhr.ush hi3 orna oM cmrloyeG. <br />poeid.d that su.h inf,ovmdrs m nor inrakH or or6.d ior sL. It lrc*q6. lhc buildi.e or iryrov.man is $ld sirhin on. ,w <br />ol.onpl.ro& rh€ (Nncr Blildd $iI havc rhc hid@ or previnE lhd h. or sh. di.l nor biild or inp.o\€ !h€ lIlpdy Lr $. pnrFs ol <br />-!. <br />6 otr 6 ofth. Frpdn m .rcl6iv.ly codr.crir8 wnh [c€6.d conlEclo6 lo .onslrucl lhc poj6r (Sd 7044, BBhs <br />r.d PDltseion Codc: l h.Conlrrcroa! Liccnsc kw do6 not apply ro d ownd olprot nywho builds or improvG thqon. <br />dd sho o'llracls aor such Foje.rs *ilh a Co6t6.to(r) licd.d p6mr ro rfi. conrEcioas l.ic€e Lav). <br />I dn e\enrplunds S{lnn, <br />t/t*/t <br />I hucbv nllnn, undur pc nhr.lpdi PIe!r!! llllll <br />-l <br />harc ard \rill nainla'n a Cenilicarc ol Colen l. Scll lNUrc lor rvorkdr (n,pc.srio . rs provided lor by sernrn :1700 o I ih. <br />Laix,r Code, lor thc pedonna.ce of ihc sorl for slrirh rhc pdnir t irsu.d <br />_l havc rnd rvill nainrain wo,I.rs comp.B.tion imu,anc., a r€quircd by Sdion 3700 of th. Lrbo. Cod. for lh. p6lol1Mc. oa <br />rh. *orl fo, which lhis pdnil k iqdL My wrk6r onpas.lio. iNurucc ceis ed policy .umbd dc: <br />l'o1'cyNunrbd: llxpncs: <br />I ccnirythal in lhc pc.lomaflcc oflh. wo* for n_hich lhis p@n ir isstred. I shallnor enploy aoy pson in dy franncr <br />$ 6 tu beomc subj(r b rhc $.d(6' conpd$r ion laM of C.lifoflria. ud alre lhat ia l should bsohc subjet io lh. <br />w6rkcc conpcaralionpiovniorooasdtio.l?00oathchh.,code.lshall.fonh$ith.omplysilhlhoeprovisio.s. <br />llALNlNC: I'ailule io Ku€ wolks' coopc,sarion covsagc is unhsrul. .nd ddl subjel or mploy€r lo omindl ,aalri6,nd <br />civil fin6 up to one hundr.d lholsdd dolld <br />Sdiion 1076 ofih. biff Codc i.rdsr d.tur <br />l$l in addnion tu rh. coe ofconDcflelioa. dmas6 * Fovid.d for ih. <br />tt <br />I hcEby amrn undd poEhy of p*Jury r m li..nrd ma6 povision of Ch.pls , {comm6.ins vnh Sdtion?000)oaoivision I <br />ol rhc Bsins dd Pror6sio6 Cod.. dd 6y licsc is in aull aorc. a.d .lT(t. <br />CO!$AICIIONIINDING.dCENCI <br />I hqlt y rllm u.dd FDI'y ot Fjury lhd lh@ ie a oNtdclion kndirg agdcy lor lh. pGhmoce oa$. sor* for $'ni.h llie Fnil b <br />issu.d (Sd. 1097. Civ. C.). <br />AITII(SNIDECLAAAIIAT <br />I hqlby allnn unds poalry of p.rjury on. of lh. followirg d..ldal ionsl <br />D.mohion Pmits-Asb6ror Noxic*ion Fcdaal R.sudions {Tid.40. Pdi6) <br />R.qun d L.rtd oaN6lircdion <br />I cdiay rhd $c fedgal r+rlrtioN r.Srding shGros roo\ al dc nor appli.able lo rhts ,nj<r <br />Lion dd srar. $ar rh. alrv. inlomdion n coftdr. I .E e'o complyunh all Cnyand Counly <br />ildi.s coGlru.lion. a.d h6.b! a hort. r.F6dtariv6 of this Cny ed Cooly lo 6rd upon Oc <br />Cco<+tr rf+/ra <br />DATE <br />dl?n <br />^J44 <br />q. <br />LiccB.ClN, Lic.MNumh.r: <br />- <br />Drt.: cortr..lor <br />I <br />tt <br />i-