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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.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 / Groundino / 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 />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Rough
<br />Service Meter
<br />FINAL to/zv/14 D AanzL -y81
<br />Notes, Remarks, Etc
<br />OWIIER Bt'ILDr,R DELCARATION
<br />I h6.ty alTm undd FElry of pajury lhrl I m Gropl Eoft lhc Conlr&loE' L,c.na lrw lor llt folh*in8 len (S* 701LJ
<br />Bstrs . d ftnfGhn Cod.): Aly Cn, or C@iry Yhah r.qun6 . Fnil lo snitu<r. .fta. imProvi d.rcM .r re.ir oy
<br />tudE Fir ro r$ n r4., .L. EqriE l,E Tpli.! for $h Fnn ro lil. r 3bn d rroEn lhr lt o. tr i li..6.d plNd
<br />ro rh. FovirioB of dE Coturdi LEsr.d l.s (C1416 9. Coffi6* $dh Sdh. ,000 ol D!!it.. I of E BGiB ad
<br />P,lGsioN Cod.) or $n b. tr rh. ir Gtmp! lhsdtoo rtd llE b..! aor $. ntScd dqnFion Any lbLlion of Sdlion ?01I 5 t,dv
<br />applicei aor r Fhit sbjdrr lh. .pplicMl to ! .iv il p@hy oa ml moE thD fivc huidrcd dolbB (1500)
<br />-1,
<br />s o*E of rlE Fopanr, or n, 6pbt6 sih w.A6 s llln hk onFqioE "ill 6 dr N.t .n ll. !'\.rG 6 d
<br />srdilqt d otrE d fs -L tse.r(x4, BuiB dd Prot6l$d Co&: TIE ( o,r,.dq r Lt@ l& &6 d +ly ro t osE of
<br />lh. pmrary wts hril& oi i,nF.€ lhd61 tn elb &6 u(h wrt hi@rr or h6slfo. rlmlBh hit d hd om onpk t€.
<br />pnvii.d th.l $ch inFo\q6t' e mr iddi.Ld or ofi6.d lor e].. If. ]nw@, rh. biktiis or inlFivml ir 5E wnhin on. ,a
<br />ofomptdb.. rtE ()*E Eilda sdl h\r dE hrda ot Fovi.s 6a tt d JE did Dl hiu d ,!tFov. lh. F!F, 6. tlE F!ro- ol
<br />el.) I
<br />-1,
<br />B 0*16 of rlr FDFtr. m.r.bn.l, codrdins Rnh lica!.d codrtloR
<br />'o
<br />codNtt llE Frjal (Sd ?04'1, Bd!6
<br />afll Pmtsir codc Th. Cotrrr.cld'! Lics. t.iw do6 not .pply to s ow.d of prop.ny wh. buildr or iiprovd lhd $n.
<br />.nd \ho odtu$ tor 3u.h F.jds wnh ! cot rdo(, l[.s.d puu&n lo rhcconltrd tLt@In)
<br />lm.rddulddsdion .B &PC ior th6 l&tr
<br />D.t.: Oxn6:
<br />$onKaRa,aollrPENsarroN
<br />lEclllAro!
<br />t hd.6)' lrm lnds FEr, of IEJUO oa olilE folbri.g &dI.nB
<br />-l
<br />h,v. ,ld will m,inrah o ( .nificaF ol Co.$r lu S.lf-lNdr. for mrlsr .omp.@r.n, s F.vil.d aor by Sdlioi 1700 of th.
<br />lrlfl Cod., tor rh. FfolIMc of lh. "o tttr *hich tlE Fdn . Br.d
<br />-l
<br />hr\c.rd $ill idlh $ortdr' .o.p.6.tio. i.ffi.. B rcqriEd h Salion l7{x, of rrE L.h., (-od.. fot lhc Ff(,trm. of
<br />O*t^l
<br />3wc vx+z
<br />-l
<br />cairy lhd io rh. pdfornme of lhc f,o.t for *hich thi Fot i! ieal.Irh3ll ml6ploydy tE$n in Dv m E
<br />$ ( lo b6m lobjel lo th. so d'coopdsdio. l,s of ( tlifomia ud.*mfin ilI rhould bdo'n. ruttJd to lh.
<br />*ort6 comFuion proviiou of S..li.n l?m oarh. t htr ('o& I JEll. fonhqnh oq)I, *nh rllos Fovaio6
<br />UCEIIEDI;I'NIB T]OI
<br />lEll.asAIIO!
<br />I h6.by.Itm undr pdBhyofpgjury thd I e lica6cd un<!i F,lisioi offt.plq 9 (comd rg *nh S.dbn 7000)ofDitilrln:t
<br />of rlE BsiB rri Prol6.nN (.o&. rn ny lioB t i nrl fod td.ltar
<br />)
<br />211 *"^"- -G hea
<br />gllsl8l]cllg!.rErDru jic!!(l
<br />I ffiy imm utr& Fnalry of Fjury ld lh.. ir r oDllruciion lodins.adct for th. pqfollMcc of lh. wotk aorshichlhi! Fnil ir
<br />aurl (Sc 10q7, Civ. C.)
<br />affu(;AtrI.0lflJlallo!
<br />I hn6r.iftm un& FEhy of Fiury oE of tlE followir* &{bdioG'
<br />Dnnoh'o. Pmir..Arbdd Noriicrlion F.d6rl R*uld iont (T'llc 40. Pd6)
<br />R.qun.d k 6 of tloriicdion
<br />-t
<br />..1i5 rh. llE f.dq.l '.suhrbB r.B.dinB stdot rmn.l u. ml {?l{bl. ro rha ItoF
<br />-
<br />I cdliiy rh.r I h!!r rad rhi! .prlicalion ed rlot. lhd th. atrv. intorul ion it roE .1 I i8,e lo .ooply $ ilh aU Citv tnd ( {'u v
<br />odiucB ard Sld. Ir* Elrtrlt to hildin* codrudion. dn tr6 ofth6 Cny.Ai (_ounly to
<br />!to\. nErioEn p.oFr) lor iru+dion Frpo.-
<br />Appli.rnl or Arol shnrlurc -----*r-tj.4{t,l-t
<br />*e ?p"4
<br />IMeler Release
<br />WARNINC Fatur. to sm trnrkd' comFntn,on e\6ix. ! unb*r!I...d shdl tubJ<cr d 6pht( ro ainiMl Fui6 ed
<br />lvil nn6 up ro onc hundr.d lnoMd doll6 (ltOO.oOo). h aldtion ro th. cosl of conFulio.. d.h.36 B p.ovd.d aor lhc
<br />s..ion 1076 of rlr t bor c.d., i d.n ud.none* r fs
<br />,-,
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