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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELC TIATION <br />I hd.bv altirm sdd ldally of Ddiury llsl I d .r.nDr iiom rh. Conlrrro6 Li..ns. t,!v for th. followi4 rcmn lsa.7oll.t <br />DGin6s ed Eol€ssion Codc)r Ab, ( ny o. Cou y $nich rcqut6 . p6nir ro conntucr !nd, impro!., d€nolah or rr.n dy <br />strucru€. Drior lo its isudc.. als r.qut6 lh. .pplicMI for such Fflnit lo filc a sign.d sral@ml lhol hc o! shc is lic.n*d lGudt <br />ro rh. provisions of ih. Conlracrois Lic.dsd lrw (Chalrl6 9, ComorinS wilh S{lioo 7000 of Dirion I ofth. B6incs ed <br />Pofessions Cod€) o. thar hc or sh. s crcmpr lhd.6o,n Md rlE bsis lor lh. all€c.d .xmprion An, violation olstrrioo 70115 bymy <br />,pDlicdaorapdmisubj{isrheapplica.rroacivilp€flahyofnottor.rhdnv.hundr.ddollds(5t00). <br />I. s oM6 ofthc prop61y. or my cmplo)G with wau6 s rh.ir $1. conp.nsalion. sill do the { orl dd lh sMEis or <br />inroded or of.red for elc ( se.7044, a$inB and Prclsions Codq Thc contrc.toi s Lic.M lnv do6 ool 8ppl, ro m oMd of <br />rhe lmp.ny pno boil& or nnp.o6 rhtu( ad *ho doe sch mi{ hims.lr or hdglr or rhtotrAh his or ho own cmplo}6. <br />Fovid.d rhar such impmr.lMs & ml i adqj orofl6cd ror s]. l[ hoqd6. ttc hildins or i'nFor.lmr ir $ld qithin orc Fe <br />.l conpldion. rh. Orhr Buildd vill h,v. lh€ bql6 ofFovins tha hc or sh. did mt hrnd or i,qnlc lhc prepdy 6r th. p[!os€ oa <br />I. s own6 of lh. prop€ny. m .xcl6ir.ly conrraclios wnh [cm.n conkrcloE lo @Blrud rh. pmjct (S( 7044. BBioB <br />d Poi*sion Cod.: The Conlraclois Liccnse Law do6 nol spply lo &owns ofPrcPdywho builds or iiprov8 thron, <br />and who ontmls for such Fojet! wilh a Conrrdo(s) lic.Ned pu6uIl lo lhc co.t!.1oi! Li..M tiv). <br />I dcr.md mda Sauon . B & PC forrhir r@n <br />]laa6[ag.CauruNs rla! <br />DIiCIAAAIIQ! <br />I h.rcby atlm utrdq p.naltyofpdjuryon offi. following ddldarioNl <br />-Ih,r.& <br />{illmnnain a CenificalcotcoN€nt to S.l .sure aorrvorlsr mnD.nsalion,6 prcvidqllo.bySelion1700o|lhc <br />t bor Cod.. lor rhc loaomec. ofrhc wort for lnich rhc pdmit is isucd <br />Ylr;tlr;ainrainworlr6conp.Barioditror.nc..sr.!utdbyStrlio']T0oofrh.L,botCod..forlhcpdlonrd..oa <br />lhis pflrn is issuql. Mrworkgi conp.nsotion insula!.c cams &d ,.licy numbd dc: <br />C c_ <br />Z <br />-l <br />cdi!lhar in rhc psform croflhervo lor *hich thi! Fmn is i!su.d. l shall nol nploy any p.Mn in any mdnE <br />so 6 Io b€co'nc subjar ro lh. worlds' .omp.rario. lows olcaliaomia, Md agrc. lld if I should b..o,n€ sbjcl to 'h.sork6' come.Galion prorrions of s.nion 1700 oalhe ti&rr Codc. I slEll. lonhl nh .o,nply with rhor previsiod <br />IIARNINC: !ailu,.lo suc wor!6' comp.Galion co\'@se is unlaNtul. and shall subjd e oplorE lo annintl pduhi.s and <br />civil lincs up ro ooc hundr.d ihoused dollss (t100.0m). in addnion ld rhc con ofconp.netion, dmag6 !i p.ovid.d fo! th. <br />n a6t md 6rtor.ey s tG. <br />b <br />!!CITAEAIIqd <br />I hd.by arm undd iE rhy of psjury lhal I m licsed udn prori.ion of Chapls 9 {omdd.i.s \ ih S..tiotr 7OCi0) ol Division l <br />ol rhe B6in6 ad Pofeio6 Code, and Dy li.@ is in lull lore d clf{r. <br />cr <br />{jI)IIIAIJCIIOIrIIIDIIG.AGEA(.I <br />I hmby amm u.d., pcnElry oaprju,lfi,r tbde is t conslruction lodins !rd.y for rhc pEfom ccof theNrk lor "ticn lhb pdnit i, <br />isru.d(s(. 1097, Civ C.). <br />A.EIIICANLDEC].A8AIIOX <br />I hd*,armund6 p.oaltyofp6ju.y on oflhc follo$iog dehBlioNl <br />Denoliion PmireAsbGlos Nolificatior Fcddal Rcsulalions (Tillc 40. Pan6) <br />-Rcqut.rl <br />L-.tlooaNotifi calion <br />I .diry rhar th. f.dml r€sularioB Esadile sb.nos @ov.l ee ml appltablc to lhis ptojdr <br />-l <br />cdi& rha I havc rad $i. applicarion ud slatc thsl lh. abovc infoftulio. ir con .1. I osi* to omply vnh aI Cny ..d Cou v <br />o,d'nan.ndd srde lj\$ , clalinx lo buiunu conslruclion.rurhorizc rcpr6{iativ6 o f rhis Ci <br />aborc mdtioncd lrop.ny lor irspdl <br />,\DDlic!tr1or,\,tc t SiA .lorr <br />4-9 <br />';u{ <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Groundinq / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinqs (Hard & Soffit Rouqh <br />Ceilinqs (T-Bar Rouqh) <br />Meter Release <br />Rouqh <br />Service Meter <br />FINAL l-27-11 <br />Notes Remarks Etc <br />Air Conditioners <br />/r\ <br />y <br />^aJ[) <br />n"yl..*,k)$coO64?o4 r*p,** <br />L.ldn'! ad<tr6 _ <br />I <br />----+---