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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<br />Site-Work
<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)t*ila*zIvleter Release ?/*//?"i
<br />Rough
<br />ld,/42Service Meter ?/,P/z*-JtbzetZFINAL?/aa/pi ,
<br />Omd-auiBc, Dftllr.rion
<br />I h.r.}y !fiim u.dd p.mny ol pejury lhit I & d.mpl fom rh. Co.rndois Lic..s riw for rh. aolloein8 r.en (@ 701 I 5 Busin.s!
<br />ad Prof6sio. Cod.) Any C(y o. County which i.quircs r p..mn b onntud, rh.r, imp.oe, dcnolish or rcpiir uy ntucre, p,ior ro nsiisue, lho r.qut.r th. lppliqn for such p.mit to 61. isisn d sEr.m.d 6!l hcorsh. is lic.o$d Ducuel lo rn Drovisionsoflh.
<br />Conrlcr.ls Li*nsd l-!* (Ch!flf 9, Codm.ncinB wirh Sccrion 7000 ofDivision ] of th. BNn.ss lnd Proi.ssions Cod.) or th.r h. o!
<br />sh. h .x.mpt ih.r.ftom md rhc bai! fo. thc ill.g.d q.hprion Ary vio, ion of S..rion 701I 5 by ey lprliont for . p.mn sbj.tu rh.
<br />rpplicanr ro r civil p.n.ltyof.d mor. lhan iiv. hundr.d doll$ (t50o)
<br />I, a oMr of lh. pmp.dv, or my .nployd vith yig.s !r rh.n sl. @mp.nsdio willdoth.wo,ka l ih. rrutu. k nor inr.rdcd
<br />or ofE.d for !.1. ( Se 7044, Bu"nds ud Poi.$ions Cod. Thc cohr..rcas LicG.* Llv doc!.o1lpply to u oM.r of rh. pop.ny
<br />who builds ot imp.ova $C@,l- &d who dcs sch *ork himelfor h.elf or $d8h his or hd oM.nploy.6, provid.d $1 tucfi
<br />imprcv.ne s rc mt im..d.d or otr r.d for $l! Il howcv.r, th. building or improv.mcnr is sold within onc ycs ofcoEplction, ih.
<br />O*r.FDuild.r willhrv. th. br.dm 6fp.6vi.g th h.6r lhc nor build or iEprov. aor th. purpoe ofs.l.)
<br />l, c oM.r oflh. prcp.rty, !m sclueiv.ly @nr!din8 wnh l..ns.d conr.dors io con(tuct th. !.oj@t ( Ss 7o,lt, Busin.$ ed
<br />PoLssion Cod.: Th. Conr.dolr Liens. rrw d&. noi .pply ro d oM.. of propdly *ho buildr or idprovcs thdcon , ad who
<br />.onhcrs for tuch prqels wiln ! Co Ecto(, lic.n*d puEulm ro rh. Cofurtuls Lien$ rrw )
<br />_I m q.6fl und6 S.ction -B &PC lor this r.e.
<br />!!o!E[8!_eo!!]!rsdlorrpEq4aarxD
<br />I h.i.by llll.m und.r p.nrhy olr.rjury on. of rh. rollovina d.clmrion!
<br />Ihrv.mdwillm,i.t.inrCcni6qrcofconsc lo S.la-IN.. aorworkm ohp.nslrion,.s provid.d fo. by Sdion 3700 ofrh.
<br />I-!b!r Cod., for lh. p.domonc.ofrh. wort iorwhich rh. perhn i. issu.d
<br />-l h.v. Md will m.inuin eorkdt @dp.nsition intusnc., !s r.qun.d by S.dion 3?00 of 6. L$or Cod., for lh. p.rfomr.cc ofth!
<br />won( for Bhich this pmit is ilru.d My workd' @mp.ns.rion in$m€. qri.r Md policy nuEb.r!r.
<br />PolicyNumb.r. Expt s
<br />Gnie stion...d nor b. 6npld.d ii . p.mn ir for Onc hudrcd dolhB {SI0o) or l.s)
<br />_I.di4, thri in th. pcrfom.ncc offi.wort for which $h p.mi( t iss.d,l shrll no cmployrnyp.&n in uyndnq& as ro
<br />be!m. $bj.cl lo th. mrkss omp..s.tio. liw 3 ol Cali for.ii, i.d .s,cc thit if l shou ld t€cor. su bj.ct b rh. work.6
<br />comp.nsiion provisions of,".7-1o-S6ton l7O0 ofth. tjbor Cod.,l !h!ll, fonhwnh omply wirn rhoe pdiiio,sIL\rD "^ 4,SJ\--.)--
<br />WARNINC Frilur. ro !@r. work.B' @np..s.ion @v.r!s\ unhu,tul, Md shlllflbj.d u .mploys to riminrl p...ltis &d civil
<br />fin6 up ro o.. tu.dr.d rhousd doll6 (t 10o,000),in tddilion .o th. @n olcoEp.n$tion, &m.e.s s provid.d for fi. S.did 1076 of
<br />th. Libor Cod., i .r.sl rnd lnoh.yt les
<br />I,ICENSf, D (-ONTRACTORS DECI,ARATTON
<br />Ih.t.hylmrmu.d.rp.nillyofp.rjuryth l m lic.ned u.d.. pmvtion oachlpr.r 9 (@oncncinSenh S6don 7000) ofOivkion 3 oi
<br />rh.Busi...!rnd P.of.$ioN cod.,8nd my lic.nk ir in tullforc. rd.fld
<br />1-lo -lz
<br />I hcr.by tfnm ud.r p.ulty of pdjury dul d{. i5 . @Bttuctio. l.nding !g.nc, for th. p.rfom!.G oflh. wo* for which rnii pcmt i!
<br />its.d (Sa 109?, Civ C )
<br />AEUCANI!DOEI BIITS!
<br />D.oohion P.hil'^3b.nos Norificlriof, F.dr.r Rcgul{ions (TnG a0, Pan 6)
<br />R.quir.d L.n.r of Norifi cdion
<br />I c.diry thit lh. f.dc6l r.sulalions rcslrding 6b.nos roovil ir. not rpplic.blc lo thk prcjd
<br />I cdiry .tur I hav. rad rhir rppli.lrion Md d. rhar E sbov. iniom, io. h .ond I .9... ro cohply *nh nl Cny lnd Counry
<br />ord'm.c.s.nd S13l. L.ws rchring tobuilding @.srrucrion, ud hceb, &$orize rcpcsntstiv.s ofthis Cny a.d Counly lo.nt.r upo.l.llc
<br />rhov. n nrio.ed propeny
<br />I ^n -.;.T5 7- /o- lz.
<br />I
<br />6.mf]nsp€cton Forms\Elecln@l insp6cnon R€ctrd d6
<br />COMMENTS
<br />cri6
<br />-
<br />Underground
<br />Notes, Remarks, Etc.
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