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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Underground Pole Bases Light Standards Spas, Pool, Founlains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER LZc-2o s-( r r> Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rough) N,4eter Release ,-7r'2c D'rr'.J t o) Rough d4n-at g..C tot Service [Vleter 2.-24 - 2.o al lo! 2-??-ac e.-1, ts9 Notes, Remarks, Elc. OWNER BUILDER DET-CARATION I hdeby amm uidd poall, of Fjur, 'ha I m .xmp fmD $. Contra.loE Lic s Law for thc follosiry .qen (S( 701 I 5 asif,*s md ProaNion Cod.): Any Cily or County which rojunB a Fmit lo coslruc1. ahd, i'nprovc. ddnolish or rcpair ey slruclur€. lrior lo hs issuane. also rcqutG lh€ @plicet for such rFnir ro 6lc a 3isncd ndmd rhd h. or sh. b licftcd tlNni lo lh. rovisions ofth. aonlr.clor's l-iccns€d l-.w (Chaud 9. Comm.ncins wilh Sclion ?000 otDivision I of(h. BNi.6s dd Prctssions Codc) or lhat be or sh€ is dcnfl thd.liom ed lh. baris lor lhc allcBcd .rmption Any violalio, ot Sdioa 70115 by any arplicaor for ap.ftil su6jcsrh. rppli.anr ro 6 ciril p@hy o a mr Dorc rh& fivc hund,.d dolles ($500) ' l. s owns oflhe prop€rly. or fty coplor6 rvirh *dr6 6 lh.t elc cooroslio.. sil do th. *ort md tt sloclr is ml inrod or oftaed for el. (Sa.7(x4, aGin* dd PofBioB Cod.: Th. Co.lr.dors Lic.E Ij$ do6 nol lpply lo e osq or lh.pmpely who buil.ls or improEltcsn. dd who doe such \wr* hinsclf or h€scllo' rhmueh his or hr oM.nployds. prolidd, rhar such inrmvm6 d mr iddtldl orollrnd lor $1. ll ho$66, $. buitins o. imrmffiat is eE wilhin on. )@ orompLro.. thc O*ns Build6 siu hav. $. hrdo oarroyin€ ihd h. or sh. dt nor toirl o. i,nForc fi. popdy for th€ p{.pos of I. aoNnerofrh. pr.pdr. an crclusilcl, conrading trhh licd*n contra.tou to coNrud thc !,ojcl (56 7044. Bsm< and l'rnf.sionCodc'rheConlraclorsl-iccnseLawdo6nolapDlyloano$.erorfop.nyvhobuildsornnpm!6lhseon. and who .o.rrrds for su.h t 6jds $nh a Conr6do(3) licm0d puGrmr lo theConloclors Licds L.s) I @.r.'nfl undd s€.rion 4.51q I htrctry imnn unJer Fnany o r f6]ury I h.vc and Bill mainrrin a Cd ifEalr of Consdt ro Sclf-l6u!c for *ort6 cohFerion, 6 Fovid.d Li hy sd(ion l70o o ath. Labor Codc. for rh. pdaomecc oflhc Nork lor which th.pmii i3 isu.d. I hav€ and will moinloin Nork6 comp.Nalion iNuBncc, 6 r.quned by Strion l70o .flhc Lrbor Cod., for ih. pdfomanc. of lhe vort fo! rvhich this p.mil is issuql My sork(i comFosalion insu.anc€ cMicr ud Flicy numbd ec: I ccnilyrhar inrnc!.rronnan..of$.Nork ior whi.h this pd'nir is i$!ed.I sh.ll nor BnployanypeBon inany drn€r $ a 'o b(om. sbj{r 'o rhc qolt6' conpasorion lass ofc.lifomia. and asrE rhal il I snouu bcc.me subj(r ro rh. $0116 com!.Nlion pBr isiom of Sdion 170$ ol ihc Lahor Cone. I shall. fonhs il h comtly wilh rh,e pnn iriod WARNING: Failurc ro ru.. $orkds ..mpmrion cov.o!. is o.la\fol. md shnll sutrd .n €nployo lo ainriml p6Fhi6 and civil llns trp t. o.e hondred rhorsd d.lltus in addnion lo ln€ con otcomp€nstio.. damqes 6 pro!'dcd lor rhc s..ri.n 1076.filr I rhy(-.d. nn6d rnn ri .tq I hocby nmrm lnder pcnahyolp.rjuryrhar I m I'e.s.d undd tmvirion.l( h.prd 9 (.ornnEn;nx \viih S.clion 7000) ofl)irhion l of lhc Ausioes d Pmlssio'Ls ('ode. d nrvl(cN t io tullnm.od.fict COAiIBU{JIAIJDNDIXC.AGIICT I hmby 0rrm und€r pcslty of prlury lh3l lhs. is . conidclion kf,din-! asocy lor lhe pdfomdcc oalh. {or! for which lhi5 pdfrt ie bsu.d(Sr 1097.Civ C ) AIIIICANLDECIdAAIIOT I h*by afm undcr pdalty ofp€rjury oncollhc lollovin8 deldalionsl Dc,mlhiod Pd nnstub*ros Norirrcarion F.ddlRc8rlarioB (TnE 40. Pd6) Rcqutcd Lell€r ol Nolificalion I cen iry lhal th€ Lnral rcsulal iod r.lardin! 6b6los rmo\ al ar. rct appl'cnhle lo Ihii proj.cr lo cohpl, with.[ cnyand Coum] afiis Ciry r.d Coonr, lo 6t6 upon th. n*n*qa."1,y', pAA/,\A .sllrlilZatw* Site-Work FINAL ,,,,, /2-5- lg