Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />APPROVALS ID/SIG.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 />Bondinq / Groundinq / 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) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilinos (T-Bar Rouoh) <br />It4eter Release <br />Rough <br />Service Meter <br />FINAL 6////s ryWr\ <br />Notes, Remarks, Etc l) <br />OWNER BIJII,D'R DF:I,CARA IO'T <br />I hd.b,alln undd p6,lry of pdjury lhal I m crmpl 6on lhc Conttcroa' Lic..F Lt* forfi. aollowinr rwn lS*.?011.5 <br />Busin6s ad Profsion Codc): Any Ciry or Counry whth rcquirB a Fnt lo codnrcl. ah6. inprovc. d@lnh o. r.9.n My <br />slrucluq pn r ro 'rs NUec., .l!o r.qun6 rh. 'ppli.d lor such Fnnit Io fil. a sisn.d slalmot rhdl h. or sh. i lico*d puNMl <br />to thc rrcvisions oflhc Contrclol! Lic.ns.d k* (chaFd 9. com.ncins wiln Sdion 7000 of Divbion I ofrhc Bosincs dd <br />Prca.sions Cod.) or rhar tE or shc is .xmpt lhd€fiom ud rhc bass to. thc all.gdj .r@Fion. An, violalion ol Sc.l6. 701 I t b, a., <br />applica for a p6nil subjccrslh. aprlicdl ro a.ivilp.naklofnor ror. ths nvc hundr.ddollus($50o) <br />-1. <br />s oMooarh. prcpdr, or my cmployG wilh wass 6 thcir Fl. NtpdBrior sil d. th. sork 5d thcsluluc; tui <br />inrqd.d or olId€d for sl€ (Sc.704.1, BGins dd Pr.asiom Con.: t h. ao'nrlclois Lic.N ljw &6 er apPly ro M oMd of <br />rh. por6, who htuilds or iq,ov6 thqon. ed who do6 $ch m* hims.lrot heltor riruush his or hq oM.nploy6, <br />provdol rhsr su.h nnprolmoB e mt ido& or off6.d aor eL ll ho*66. rh. hrildina or inprovoMl ir sld s'nhin on. )s <br />oacompLtio,1. rhc Ovnd Bril.tr will h,v. lh. hrd6 of provrB tha h. or s\c did er bqild or nnprov. $. pNpdy tu, lh. puipo* ol <br />-1. <br />6 ow6 of th. Fordrr. @ .r.lBiv.ly conlraclin8 with lica!.d conlrcdoG lo co'alNd lhc pmjd (sd 7044. BEm6 <br />md PJ!tosion Cod.: Th.Conrrlcroas Lic.nsc lrwdo6 not apgly ro dow.d ofprop.nywho buildsor inlov*rhdoo. <br />and s,ho contEls for such Fojds with r Conlrdo(s) lica$d puB@l lo lh.conklcrors Li.N tjw). <br />_l D.x.ng udd Sdrio <br />tloBli!f,fl9)Mf[NsarMr <br />DDCI.A8AIIII! <br />I he.by amm u6dd p.mlly of pdjlry onc of th. folloNinr dclratmns <br />-l <br />har ad will naimain a cdific.r. ol Co$ar to S.ll-lNUr. for *crknt .o.rp.n!!rion, s povid.d lor by Sdion 1700 .lih. <br />Lsbor Cde lor lhc pqfotu.c of rh. @lt ao. whi.h rh. pdnn ir isucd <br />lha\.and*illmaintain*dk.rr'comp.Garioninsuran...acr.quir.dbyS(tionI700ollhcL,ahr(o<t,aorth.FlonMn.cor <br />llE work for uhich lhis psnir ir iisdl My wort.rs .omp.Borio. i6oranc. c&i6 dd pli.y nuhbd e.: <br />WARNINC l_ailur. io suc vort6 NmD.n!,n,n covcEr. is unl,*tu|, md shall subjdl 6n enllloyo ro diminal Frhi5 ad <br />civil lin6 up ro on. hundrcd thollgd &Jll6 ($100 <br />s-iion 1076oarh. Labor Cod.. inls6l and ttrorey'3 <br />,,,.5/t g t7 <br />undd tioltio; of Chaprq 9 (co,nnMrins *nh <br />ol th€ Ausind od PutNioE Codc, &xl fty lic.M L in tull aorc. ed .fIet <br />Ut)q rzr{? <br />€/t{_7 r1 *"^ <br />I hs.by artr,n und.r Fo0hy of p.rjury rhd rha. s . co8roclion kndb8 +6cy for lhc psfomuc. ollh. wo.k aor {hich lhis psnn b <br />i$u.d (Se 1097,Civ. C ). <br />AIIIICAILI)EIIAIAIIOB <br />I hslby.rm uidd pa.hy or psjury on€ of lhc follon ins dclmlioB: <br />D.nohio. Pmns Asb6to! Notiiotion F.ddrl R.grlaiioN (Till.40. Pan6) <br />R.qut.d Ldr6 of Notiicalion <br />I cdiry $d rh. Lddal r.luhtioN r.sedins Gb€slos moHl a! nol arDli.abl ro Lhis Foidl <br />-l <br />corify rhal I harc rcad rhis apllicaiion r.d shr. lh0t th. .bor. inlomarion is cor(t. I a-!,G ro .onpl, with 0ll cny od aounr, <br />odmancs sd Sratc liNs rclalins ro h!'6 ofrhis cn, md Counrylo 6t6 upon lhe <br />abo\c narionen propcny lot imp€l <br />Applicitrr.r Asol Sig ilrrc <br />t)? <br />DATE <br />Policy Nunb6 <br />-Expr6: <br />- <br />I c.rlifylh.l in th. pdformmc.oflhc wort for uhich rhis pcoil is s!.n,I lhall nor mploy ypd&ninanymend <br />s 6 to teom. subjd lo rhc wori6' ompos.tion hws of Califohia, and lgc lhd ia l lhould b..om. subjct to th. <br />won6' odpnerion provisiore of Sdion I700 oflh. t bor code I slEll. lonhwifi conplt wnh llbe prcvisioB.. <br />I h6eby amm und6 pdalty oa p(jury rhat I en <br />L.ndfl ! add6s <br />*.., t7/q/ <br />--------T------ <br />t---+--- <br />tt