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APPROVALS DATE ID/SIG.COMMENTS OWNER BUtI,DER DETTARATION
<br />I h6.t' .mrm und.. Funy ot rlqjury lhri I m .ranf fmm rh. Co txl6 l r6e l,u lor rk followry r@n (Sr 101 I t
<br />BBin6! rd Pmfdio. cc!.) A.y ( ny .r Counry qhih '.qur6 ! pdnir ro codtuct. rha, imgrorc dmlth or Ep.ir' )
<br />nru.l@ FFr to ir3 isucc, .!. r.$rn6 rh. +rlker fot s.h pdid ro 6L r !*i.d nioMl lh, h. or tr i! lkaE d Fed
<br />io rtE FornioB .l rlE (-onrdorr Lic.E d L.n' ((1 6( 9. Comft'.! qnh liclir 7O0O of DNitn. I of rlE BBilE dd
<br />PmfdhB Cod.) m rh.r tE or nE s 6.nrF rrE fmm od ilF tcb f.r ilE dLs<rj ddn,lan Any r 6hi6n olsclion 701 I 5 b),uy
<br />rpplicul fo, r F ir sti..r rh. qrli.ei ro . dr il Fch! ol mt mrc lh.n lir. hu.&.d d.lln (lrm)
<br />l, 6 o*c of ih. F)Fd). m ml dplo)E uilh uss6 s lhcir $h @f,Fdion. {ill $ rE ust td lrE ndE ir d
<br />i dtd.d or ofi6.n for sL (56 70rl.l. BuiB dd PiofBnG Cod. llE co rrlo.! l,(d llu &6 mt +d, lo e ouE of
<br />rh. FoFr) *tr tlirih or !nrrm\6OmG lil sh &B*t uad fiinqltor h6*llor rhtou3h hi. hdoen69h)6.
<br />For iLd rh'l 3uci imFor!ffir3 ft d iddi.l o.ofiet 6r sL I( tn*6q, rlE hl tii* Dr inF$ffi i! $ld silhin oft )d
<br />ofcotrpkrion. llE o*E B{itis *ill h.* rlE hdo oaFDrilE lhd lE or JE dil ml htild or nrlror. fic FqE, 6r llE FrFe of
<br />,. Borns ofrh. pr)ro1r. on crclu:iv.ly .ontadlns (irh li.d!.d connadoE ru cotr3rrcr rh. I'lld (sd 7o1r. Blrn<r
<br />and Pini*iii. (ird. I h. ( ,)nti.ntr r Licdsc l,aN do6 n l apply lo M otr nd of ffop.ny q ho hoilds or improvd rhdmn.
<br />and sho conrricrs lor iu.h pfl!.cr3 $nh, (\nta.bn, li.nscd DuBunl io rh. (i,ntsctr'3l.i..N.lr$)
<br />I d.rdor und6 Sdn)n
<br />D.r. ()iner
<br />lrot(alSi aoiiPaNsA rlor
<br />DECI.AAAIIAT
<br />I hd.bt amnn u.d6lEnnlr) ofIEJ!+ rn..frh! follo\r! d(Lrdr6
<br />I hr. rn $ ill mirrlh. (-61ifrl. of CoMjl ro s.lf-l6d fd f,.rla otrp.tEdFn.6 F\ iLd aor ht Scrion 1700.trl!
<br />t bq Codq lor th. FfM. of rlE se 16 snth lh. pqnn ii is.d
<br />I h$. rnd $ ill m.rr.i. tr..l6 onp.@rnn i@drc. s r.qut.n b! s<rn. r7m otlh. lrb.r ( odc, lor tlE Fftu of
<br />rh. $orr fM rnkh rhir p6nn L is,.d Mr *ot(d' siFua6. i6ote. cdir nd lFli(y numlE !.:
<br />I ccniryrhal 'nrhc rEnn an..oirh.\rort lor$hichthisP.nnrl t isn'.d.I shl rl nor 6nfl,)y in! pdsn 'nan) mmnd
<br />$ d r b.nnr suhj. tulh.so'kdsconrp.nsarionlarvs{icaliaornia.imli*.alharirlshotrldh.{oi.sulld'rolht
<br />lorkdJ comlEBnrion p o\ ision\ .f sdn,n lt700.lrh. L.br ( od..lshill. ntr1h*ih cotrtply rvirh rh.r Pruviiors
<br />II'ARNING lirilu,. t! surc {0116 co'nlEshon co\na!. n unh ni shall(hj(l sn d!k,F ro siminal Fuhi. d
<br />.ivil lin6 up lo o.. hun&.d lhou{d dolld tll0o.mo}.ion, drn s6 6 pnrd.d for rh.
<br />s(rion 1076 ofrh.lrlfl ( dl. im6d sd inolF !Io,,..-94-?5 bt4 t ccto,r V
<br />UCEII@.CONIAACIqADEctlttrax
<br />I hd*t .,Im unl.r Fdty of FJury lhn I d lnlE d u,<b Firion of clq,l6 I (omltft'ns wnh sdion 7000) of Dn ailn 1
<br />of llr BG'B ..d Pr.f6hd Co&, nn hy tt* t h tull foc .d .fidr
<br />D.r. 01
<br />8qSZ3(e
<br />?t. Zolq (*k*|o,,
<br />(arirtrrl(rro!1,llll1lg-acli rI
<br />Ihd.hy ailrm undd F.naltrolpsjury rh lh6. is a coNtocrion kndinS t86cy for lh. IFnJm.n.. of rh. trork for \ hich this Fnni k
<br />isu.d (56 3097.(!v ( )t nd6 \ Narn.
<br />AITLICAIiIDE(:IJf,ATXI!
<br />I hd6, .Ifin uftb rF.I' o{ porur, oft .f rlE folbsing {k ls{n
<br />Damln.n Pot r.Arbdor ftdrlicrnn F.ddtlRcsulrhs( Ihk rO, Pd6,
<br />fdlR.qrn.d k,6 nr Nd,rEr.n
<br />i{ r.-it ,r'" ,r'. r.a-.r Esuldp6 r.s.'rfins 6b6td lm\d E d cdr.hL ro rh6 F!r.d
<br />I cd'b thd I 16. dd rhs rrrlr.rFn rn ,d. rh{ llE .IF!t infonrdbn i .oFd I .*ra lo Ndply * ilh rI Cn, ]d Counv
<br />ordin!rc6 dd Sldc l,\r Eldin* r. tuildint ll,rnt r.F.dd[6 of lh,r Cnyd Coun4 lo dlq qr.lrE
<br />rt \. mdron.n pnrp.n' n,
<br />Appli.rnl or,\Ecnl sis .ltrr.D,t" 9'? . Zt ZP t<
<br />5/lNDo.J^Ll r-.u*-.",n.r',, Olfad-ANDA-
<br />Site-Work
<br />Underqround ( 141)7) (il)9l%l11 ,,(.,{/(4/,T)
<br />Pole Bases I
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (T-Bar Rough)
<br />Rough [6u 9lf lt1 4/44(ry
<br />Service Meter
<br />FINAL ft7'llfhq Lu/{A
<br />Ijotes, Remarks, Etc.
<br />I I I o I ,,Zo co..af
<br />vl ,
<br />le.+ tu\ - no a{.G(e
<br />ort It/5
<br />Z I Lb., oV .1
<br />0t .,
<br />AA (*V 'rL .S
<br />0 )6 '-1t, L P^
<br />(a
<br />t4
<br />9 q\n/u5{! P* ru p1,*<t( f- {..n-,.'
<br />ELECTRICAL.INSPECTOR RECORD
<br />.ll & l'( n! thA,rx\ri
<br />Transformers
<br />Ceilings (Hard & Soffit Rouqh
<br />Meter Release
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