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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER I}UI I,DER DET,(] R TION <br />I h.r.b, amnn lnds Fn.ky of Fdju,t lhil I m crcNfl nom th. Conkados Lic€nsc l,a$ forlh€ follo$ins (Mn(sa70115 <br />tsusin6s and Prolssion Code) Any Cny or Counly *hich lequt6 a Fmir ro .odrtu.t. ahd. impmve ddnolish or r.p€t any <br />srrucrure Irior lo irs isuanc.- al$ rqun6 rhc applicd lor suci p.m'il ro lilc a siSned sratenent th h€ or sh. is licds.d Nanr <br />ro rn€ pmvisio.s.frh. Contactois Licenscd ljs (Chart6 a. Conmcncinr $nh s<rio. 7000 oaDilhion 1 oflhc Insiffi and <br />Profssio,s Cod€)or thar hc or sh. t.i€opt lho..r(n. dd rh. b6ir lor rM allq.d er.mplion Aoyriolaliooofs6li'n 7031.5 byany <br />amli.anlaorapd,nitsubjdlsth.amlica.tro.civilpenellyotnolmor.lhanliv.hundreddollEs($500) <br />L as oMcr orrh. rtuD€n!. oi ny {nplox6 rvirh Na!6 d thcn sk compcGal ion. \ ill do lh€ *ork dd rne 5tudsc i! ml <br />inrekLd orofatd fd srl.(56.7044. B$in6s3nd Profsio.sCode l fic Conmcroat I -ic63c IrN do6 nor spply lo an o$n6 ol <br />rhe pfrrFly sho buildr or impr.\6 rhdn, anrl $ho do6 su.[ \.& hnns.laor hdslforln,ou-qh his or hcr own cdtlo-ve6. <br />providcdlhat such iotmvenors 6e not intod.d or otf6.d ao' slc. lL hoq 6 d. rhc huildins or imr1ormd d $ld \vhlrin on. ts <br />ofcomrl€l ion. thc Ornr Buildg \ill havc lhc hrrdo orlroi iog dEl h. or she did nor build or imF.v. rh. lmpdy lor lhc puqrF of <br />l. asoNtrtrofrhe ropcnr- tu e\clusiv€ly.onrracrins \''th licc{sed oilimros <br />'o <br />.omhrc[hc pNjecl (S(.70J.1. R6io6s <br />and Por6sion G)de:'I hcCont0cl s Licensc l-aw does nor.ppl, to an oNna ollrorEny sho builds or impro\cs rndon. <br />.nd Nho contracrs lor sucfi IrojcG \nh A C.nlncl.(, liccns.{ purn6.r roln. Contadois Li.re L.s). <br />I aD e\enrfl undE s(tbn <br />Diler Owne.: <br />\\oRKERsiaaiirPtmirarN <br />DECLARATX}N <br />I hLyebv amon unds p6ahyoirErirryonc ollhe follos inx d(ldaliois <br />. I tovc ard will 'tuintai!. Cdrificereoaco.hr ro S.lf-l6urc lor $ orldi .onp6s.lion. 6 pmvid.d lor bySdion 3700 otth. <br />l,sbor Codo lor lhc Ffotuc. o t lhc wort lor vhth lh. lonir is issu.d. <br />YLba'c ana wirt marnrarn q.rt6' conp.Eahon rBurnrc.. s r.rluiEd by Scl io. l70O 6f lh. Lrbor Code. for rh. pslor:m.c ol <br />'rh. $orl tor $hich this p.flni is iN.d. Vy s o' ke \' (orpflsr"n 'n!ud(..ffid d\d polic) numbd e.: <br />crfrt@ <br />"",,",",.*.,lrl[ r5D1(zotj r,i,*,-f.l lL ltq <br />I ..niay lfiat in lh€ Ftomaflc. ofrh. work tor \rhkt lhis p.rhir is i.3sucd, I shall not @ploy rny pd$n in any mmnq <br />s 6 to b..onc suliet to th€ wort6 .obptualion lavs ofcalilomia. 6d aB@ lh8I ifl should b€comc subj.c' lo lht <br />workm comp€osalion prcvisions of Sdion 1700 ofu. Llbor Cod., t slEll. aonhwilh comply wilh !ho* OoritioB.. <br />WARNING: Failrrc ro seu,e $orkq! $nrpsarior .ovoase is unla$iul. atr(l shall suhBr an onplo'n ro dminal p.nalti6 And <br />cilil ljn6trploonchr rcd lhotrsand dollars ($1C{-000). in add(ion ro 'h..osi of.o,npeBarion. ddnascs 6l,ovid.d rorlh. <br />Sarnnr 1076 ofrlrc kbor Codc, inrcrd and arrofty s les <br />*,. = l:r /-l!applonr, <br />DESJSAII(I! <br />I heby afiifln und6 p.nllty o f pojury lhal I !m licosd uod.r FovisnJn ol Chapra 9 (snn ..in8 wnh Sedn,n 7000) oa Division l <br />of lh€ ausin* ed tuolsionsCode. d mr licds. isin full for. ed cr*r <br />cto <br />l,^ <br />4+-5+g<.2 <br />?l3 t V\vl^l- Sa\atL <br />colsrBucuoN_tllD.lNciclNg <br />I hmby amrm unds p.oalty ol pdjury lhat rh@ i! a on$tuction hdiiS rg@y for lhc psfommc of th. $d( tur *hich lhi! Fmn i3 <br />issu€d (S(.309?. Civ. C ). <br />Lf,ndo s \atr. <br />ATTI,IIANLDECIAEAIIO! <br />I hertyarmlndq psrhyolps.jury onc of rne aollo\ri.g d(laarions: <br />D.molilion Pnrnirs-Asb6tN Nolilicalion F.nsal Rc8ul ions (Tillc.10. Pan6) <br />R.qun.d Lcll6 of Notifi calion <br />I cdiry rn.l th. f.ncal ..lolarioB r.gedinE sb€ros !6no!al a. nor applicabl. lo I <br />PLk.arii *,ar t I'a'" e"a rris arplicarion ud sd. rhd rh. rbo\. i.romarior is cond. I asr6 to cohdysnh aI Cnyrnd Cou.iy <br />riv6 ofrhis Ciry ad Countylo.nl6 upon <br />^," I lzt ltq <br />ordi..n.6 <br />^nd <br />shrc LaNs r.,aritrE lo buildiir.oisrrucrnu <br />alxrlc msrioned lx,lrlny lo nsp.rr io <br />'\Ppri.trnr or ,\!.trr sisn,ltrrr <br />Ya \4 <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 />Communicatrons Cable <br />Building <br />Under Slab / Floor I <br />Bonding / Grounding / UFER ll7lwu 6 <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 Rouqh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />I <br />Rough il11*i4 d Nhd,O w <br />Service Meter ?1t1l3b J furfui s@-/ <br />FINAL 7lrbfln Tz{d <br />Notqs, Remarks, Etc ,r l2taf . fuiltrl <br />D*rm 10 +ltalt1r 01 <br />I <br />lbfioe <br />lDa/bt