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ELECTRICAL.INSPECTOR RECORD <br />COMMENTSAPPROVALSDATEID/SIG. <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 / Groundino / 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)ll-zz-.1{)44.14 <br />Ceilings (Hard & Soffit Rouoh \4( <br />Ceilings (T-Bar RouOh)'- g"l7 \"V{rft <br />l\,4eter Release <br />Rouqh <br />Service Meter <br />FINAL '-E-l"l B-YJA <br />Notes, Remarks, Etc <br />phrvt$. he,blc,4)tl otxlE{ ?\ q4.}0JZ <br />l\7 <br />OWNER B!tLDER DELCARATION <br />I hscby amfln unds p.flalry of D.riury lhd I e q.,nd &on lh. Conlr.clos l-icense Lsw for lh. followin8 r.Nn (5€.70115 <br />R6in6s dd Prorerion Cod.): l\., Cny or cou y qhi.h r€quir6 a p6r.n to conlltud, .l'd, imPtov., &oolish o, Epar ey <br />srtuctd.. rior b t5 issumc.. also r.qutB thc arplictrl tor such p.oir lo nl. . si&n.d slllmdl thal hc or dE is licds€d pugml <br />to rh. provisio.s of rh€ Conloclois Licen$d tl* (Chaprd 9, Commcncins *ilh Sdlion 7000 of Dilisiof, 3 oalhc Busines ed <br />Prcf.sions Codc) or rha h. or .hc is .rdpl th6.tom d th. bcis for lhc all€scd ddfli... any violttion otselio. 701 I 5 by my <br />applica for al)mil subj..ls th. applicant lo acivilplEllyofnor noi.thm 6v. bundr.d dollds(t5001. <br />l. s o$nq ol th. D.oDsly. or oy coplorG wnn tr59- s rheit $lc conlpqstion, qill do IIE {o.t dd rh. slnf,1e E mr <br />inrqd€d or olrdcd fo, el. {Sc 7044, BNi.6 ed Prclsions Cod. The conh.lol s t,icds ka .L6 nol apply to e o*M oa <br />rne polEny s,h. llril& or iqror6 thssn. .nd lho doe 3!ch *o* hi'nsclf or h.Elf 6r rhtoqh hA ot hd orvn cdPlorte, <br />provid.d lhat sucn mFor/!@c & mr inroddlorolI.rql forsal..l[ hoN6's. rhc blildin{ or in|roEMr is g,ld within on rd <br />ofompkio( rh. Owns AuiEq will havc lh. hlda olFovi.s th, h. or sh. did noi hlild or i,nFovc $. FrFl, for th. pupoe of <br />l, 6 osnd o f lh€ Dror6l]. m .x.l6ively cor6&ti.s with licft.d contacloE lo .o$ltucl lh. pmjer (S( ?O14. BBin* <br />and hoisir Codc: Th. Conlrrcloas Lic6s. Law do6 nol aDplylo e o*nd oaDop.ny who builds or improv6lhEon. <br />ed *,ho conr.ds for 3uch ploj*c wih a Coflrad.(r licdsal puuMl lolhcconrtdors Lic.M t s). <br />I n exanpl und6 Salio!-, B & P( lorthis rcen <br />D.le: oaner: <br />I!986Ii8!:CAUIENSATAX <br />DECIdBAIIO! <br />I hqeby atlim und{ penalry of pcjury on. ofrh. followins d(lamlions: <br />-l <br />have dd will ,nrinlair . Cenificlrc ot CoMl lo S.lr-lNurc lor krk4l mnrpdsrion, s prNidci aor by Sction l70O of th. <br />Lrbor Codq lor rhc p6fomoc. o f lh. mlt for $hkh lhc pqnn is iisu.d. <br />_l ha\. and willmaintah work.i!' cou!.Natioi lequn d 6ts{rioD1700 ofthe Labor Codc,lor the prlontr ccol <br />ion iBurd.e.Mio $d polry nuobd e:rhc *oih for rvni(h lht p.mrit is i\su.d. My *orkdr <br />, <br />PolicyNmbrr Y Expn6: <br />I cenilyrhat inrhepsforoancc olrhc worL tur which rhis pgmir is issud. I shallnol onploytry pmn in aoy mens <br />e 6 to b6on subjd ro rh. woftm' .omp.Gatior Lws of Calitomia. od asre th, if I sbuld hc(om subjal 16 th. <br />Nort6 conp.Ntionl)rovirioG of sdion 1700ofrh. tabor Codc. I st ll,lonh*nh conDly snhthos previ3io6. <br />WARNINO: Failur. ro sdc {orl.u snp.mrio. ov@sc is uola*n,L dd sh.ll subjd .n 4ploys to dninal Pduhid Md <br />civd nn6 up to one hundr.n thouwd doll6 {$100-m( <br />Sdion 1076oarh. tibor Code. inla61tud onorrcy s ad <br />comFNrioo. dana!6 6 provid€d for rn <br />-//'2 '/9 <br />!&CIJAAIION <br />I hd.by rrm unda p@lt, ol pajury thal I d lic€flsqj undd proBiod oici.I)ls 9 Gomnmdtrs wi$ Seciion 7000) of Division ] <br />ot rh. B6ine &d Proldioro Cod., ed my liccN is in full forc. and .rfdr <br />N o <br />,*.,:)l:2D:18 ,^"*." <br />0n w'11 <br />I hcrchy arm uodd D.EIry ofD6iury ltal lh@ i. a codtudio. lddins aBdcy tor lhc poaomdc. oarh. "ort for which lhi! Fmt b <br />issu.d (se.1097, Ci! C.). <br />AfTLICAILDECI,AXAIIO! <br />I lErty afim undd p€oalry of pajury onc oa rhc iolloqin! ddldolions: <br />D.mohion Ps'nitsAsb6los Norificalion F.d@l R.sllariotu (Till. 40, P616) <br />R.qrt.d laldolNotifi qlion <br />Eaedine 6b6ros r6rmlsc nol a$,ltablc ro fiis pojal <br />nudstflrcrhatlhcabovc inioml.tnrn iscodd I asre to &nrply * iln all Ciry and Couoly <br />auirrt r.rrMt.tiv6 oflhis City d Cou.ty lo di€ ulon ilE <br />abore nrnlioned propeny <br />Appli.rn( or Agonl SiEn!lu Iilpernrire nrne rprinr: Xr ffi <br />o 8