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ELECTRICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough)l\b t ct"D ryfy}fveyT- Ceilings (Hard & Soffit Rouqh t\\rct Dk)\/ta &k? Ceilings (T-Bar Rouqh)I lr lvleter Release Rough Service [Vleter I FINAL t-''ft'20fl)lJ@ttfu6{d NoJeq, Remartis, Etc lr d0, cl, I I \Y OWNER AUII,DER DEI-(:ARATION I hdeb, amm undd paalry of pnj!ry 'ha1 I M .r.ml from rhc ( o mcloE LicN L.tr aor lhc follo\rins !@q'n (S{ 70ll I t Ausinds od Prolsion Codc): Any Cily or Cou y \vhth r.qun6 a F.ril lo conerud. alld. imrNq d,nolkh or q;r dy srocrre pnor ro irs isue.c. rLo r.qut6 rhe ,ppli.d lor $'ch pemn to nl. a sign.d sr.rmmt rhar h. or sh. b licds.d pusunnl to rhe Fovisio6 olthc Conllactois t,iccnFd l-au (Chaprq 9. Com'ncncins trirh Serion 7000 olDivisio.I ofth€ lrusin* 6d Prolcsions Cod.) or rhal h€ or shc is *dpr lho.Foo dd lhc b6is ior th. allcg.d crmption Any liolalion ofsedion 70ll 5 by atr) .pplicad n a p.nni srbj.dsrh. applic.mtoacivilpenohyofnormorclhmiiv€hundrcddollars($500) l. ar oNnd orrhe pi,pcay, ornry e iplo16 wih \ralcs ac rlEii qne.ornp.nsarion. silldo th. Nork md the slruclu. s hr inro dl .rolTddl aorel.tS( 704,r, Busins.nd kofsions ( ode I he Conrlacroas l.icor LiN do6 nor apply rD m o$ne ol th.ln,pdy uho ho ds dr imFo\6 rhd.. tud who do6 su<h {ol1 nins.lfor h6ellorrtrc{th iis or hd o*n.mploy.6. provid€d rfiar su.h im[ro!'ndB e nor inrdddl or orc.d rnr ek I[ h6s6 d. rh. hrildinB or inllrovoEd t $ld rvilhin on( tar olcompkion. rh€ O$ nd ttuildE will h{\! lhc trrrdd of prorins rha h. or S. did nor build or in4m\ c $. .ioFlt tor !h€ purFE oi l. arornd.arheFor.ry, m.r.l$i\tly.onta.rn8 $nh lr.sse{ cont.dos'o consro.t thc proj€ci (S(.7014, aBhas and fllfsion Codc: r hc Contrrctois l-icense Law do6 nor appl! lo an osnr o r pror.ny Nho buil& or improvs thqsn, .nd sho onrmds lor $rh proj..a qhn. ( onrado(s) licns.d pruo0nl lolhe Cootradois l,ic€nsc l,a\) I mrc\cntr tr dd Srd o Drre osrer: woRKrrls-otuPrN.iATroN DECIABAIIIII I hdeby allinn r.dd pcnahyofprjurron of$. follosinS 'lclffarioBl I lEv. tuldsill 'ainranr . Cdific.rc of cotror h self-lmrrc for $ ork6 snrDosrion. 6 Drorid.d for by s<rtun 1700 ol rh. l{bor Code lor lhc p6tt man.r o r lhc *ork lor *hich ilE tmil i3 is$'.d Ihavcandwillman trnr worlds compersation in$mnce. as Eqtrircdbys<rion]r700{rrh.l-ahorcod..lorrhcpafomrnc.ot lhe rvork lor rvhicl lhis pennir is issu.d My \rork6 con,pqsarn insurtu.. ceiG od a)li., numb.r o.: I c.nifylhar in rhe p(formaic. oath. *.rk f(tr Nhthrhis psnii is issu.d,I sh.ll or enployanyFmon itr anydinnd $ 6to b€ome srbj(' 'o 'h€ *oltss co,npeB.lion la*s ofa.lifornia..nd asE rh.r rrI s,x,trld h..on 3ubjd ro thc workcl compeGalion pro\isions of Sdn,n 1700 ofthc Lab.r Codc. ! stall. ronhwnh.o,nplr {irh rhos. provisions.. t\ARNING: failwe ro sectrrc \orkei co,npcnsrri,,n co\o'n!r is rtrli\ tu]. t d slrll sn,i..r rtr dnphld lo cnDtsl l{rnlri6 rntl hLml'c(l {lnBinJ doll!^ ($lo(l ). in a,ldnbn r. rhe c.s ot.ornpcns.tion, d.rnaa6 6 proridcd tu rhc I h*by amfln lnds poalty of pcrrwy lhal I m I DI,CIAIA]IQX und6 pmvision orchaplo 9l.omnocins $ilh sdtion 7000) ofDilhio! l .l rh. Businssand ftoa*sions ( ode. md fly liccnsc is in nrlllorccod.n(r I hwby amnn unds rEaally o t p6luD lhal rh issu.d(S(. 10s7. Ci! C ). rion kndins aracy aor rh. p€fonnmcc of Ihcsort fo. $hichrhis t6nir is AjfucAxru[cLAlAIIoN I hsdry nfrnn unda r'f,nally olndjurr onc of th€ follovinJl dslrllions: D.nohion PdmnlAsbBlos Nolilimlion redsal Reruialions I lnt !0. I'an6) Requncd Ldrd oa Norifi.arion l.L,(r,.onrril\ (irhallCirvand(inrnr\ arns olrhis Ciryand Counrylo.nrE uE nrhe Transformers 0 . B & P( lor lhisre.so. E la zoa g I s Tv-->