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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG COMMENTS OWNER BU I I,I'ER I'f,LCARA'NON <br />I hs.by am,jn undd toally olp6jxD,Ihar I m cremg Fo6lh. Co radon-Li.d* LrN forthc aollowi.s.@n (sft7011.5 <br />RusinBs sd Prof6sion Cod€): Any Cny or Counly *hich r.qutd . psmit lo .odru.t, .lt.a. improG dmolish or rqEn dy <br />nrudue. ru ro iis issuecc. also requirBlhc applic.nr for such p.mil to lilc o sisn.d star.m.nt rh.t h€ or sh. is lico$d plmu.nl <br />ro thc prcvisioN ollhc Conlmclols Liccns.d llv (Chaptd 9. (bmn.ncnrg Nnh Ssrion 7000 of Divhion I .llhe BNinN and <br />Prolesio.s Cod.) or lhal hcorshc is cx€'npl lh6cEom and thc bos6 rorrhealLc]lcdcrdnrrnn. Anr vmlarnn oaSaron 7011.5 by.try <br />lpnl(n forip.m \uhJ*tsrh. apph!.nr ro actr'lr,.Ehl nlnor mflrrhd li\c hund,.d 'jnlh,s rt5mr: <br />l. 6 oNn6 oflhc [op€ny- or my €nrplors silfi \ra86 a rh.t $lc compmatiotr. $ ill d{, lh. r or* and rlE slnrcluc b nol <br />idddcd or olId.J aor slc (s( 7044. B si.6s od Pror6sions Cod€r I h€ Conrnctois t icre Law dos nol npply ro d o\rd ol <br />rh.F.ps1y sho hril& o. imp.ov6llson. .nd who do6str(h $o hinE.lf o. h.*lf or <br />'hr.r!h <br />nis or h6 or$ .mploy.6, <br />providednmr sNh ifprovdft.rs a. nor inrmdcd or ora.d ror sle. Il hov6 ar lhc buildin! or imp.or oncnt is Fld Nirhin one )s <br />olco'npknrn. rh.Own6 Buirla trill ha\c r brdd orprovins thal hc or shc did ml t{ild or ilnp.ovc thc popqty for th. plrFs ol <br />I. 6 own€r ol lhc ,ron6ly. m .xclusiv.ly c.nn ad in8 wilh li.drsed .onl,acloB io consrtu.r lh. pojd (S.. 704.1, BtrsnN <br />ann Pirision codc: Th. Conrtucxtr.s Lic.ns.l-.rv do6 nol apply ro.n otrn( oflropq1! Nfio builds or nnprolcs ltr6n. <br />and sho contracrs lor such proj.cG rvirh.ro ihecontrcl.rs Li.6s. bN) <br />Iatrrc\(upludcrS(li r <br />D&CI.AMITO! <br />I h6eb, amrnr utrd.r !€nrllyof pdluryoneof rh. follorin! dccle.rions <br />I hav. dd Rillmaimaina (-dificar. of CoB6t $ Sclllnsue for \rork6s' cof,p-ret ion. * Froid.i for bySdtion.1700 orthc <br />l,bor Grd.. tor tli€ pdaonne.e ofrhe \ o* aor Nhich lhc p6nn ie isu.d <br />lhavcaodwillnr.intiin(orkssconrpeNalioninsrrmc€.asrcqunedbtSdionlT00ollheL.bo!aod..forrlEpglonnanccof <br />rh€ work ror u hich this p.mil is issu.d. My $orko s comp.nsilion insumnc. .micr md policy nrmb€. sc: <br />I ceniltrhal hrl[pdaoi,nanccofrh.v.ik aor\vhich rhisplmir is issu.d, lshallnor onplo!.n) pd$i inany ran.d <br />sJ 6 ro beco6. sutj6l lo lhc s o*<s' coop.Nl io. l!\rs ol ( alilomi.. and .sr Ihal if I should bc.oDc ubj6l lo lh. <br />\ro.kss' coinpm3ati.n povbn'ns of sdrion lT00 oa rhe Labor Codq l shall, lonh$irh comply wirh lhos pruvisi.* <br />WARNINC lr.ihtrc to sur. {orlcu conlpdBati.n cold.gc is slrllsuli.d .n cntloicr tu oinrinal narlrla.rd <br />civil lin6 ur lo on. hundr.d thotrsdd dolla6 ($100.fi ion, dan.ls rq p0id.d for rh. <br />sdion 1076 oi rh. L.tnr Codc. ir cr6t aM <br />I hd€by armn unds Fnal'y oI pnjury fiar I e li@erl u.d- p.olision olctaflo 9 (commftins wirh serion 7000) ofD ision l <br />oi rh. BBio* And PrefdioB Code. ald oy lic€ns is in ltrll aorc ud cff€l <br />Lic.ns.Claas: <br />DnIa cortrrclor <br />colsrBucuoNl,llotNcicE <br />I hd.by airm undd lEnrlry oaFjury lhd rh6. i! . m.5rtu rio. hrdi.8 !sd., aor rh. poaommcc oao. sorl for wfiich rlri! Fonil is <br />bso.d (Sd 1097.Civ. C )Ldd.'sNrr. <br />AIIIICANLDIS,AXAIION <br />I h6t!, aJrm uidd p..alry of pdjury oh. oaihe aolrovi.s dccbrat io.s <br />D.nohion Pmns Asb6rG Notin.dion fcddal R.eulatiotu lTnL 40- Pfi6) <br />Ratun d lnk oa l',rolifi.alion <br />I..nify rhi( I hnye rad rht rtpli.ario ud a!.e ro comph sirh all cirtand c.unry <br />ns olrhis Ciryed counryro enld tr|fn rh.ordimk6 and srar.l-a$s <br />at{ve'ndrrion€d F)p€ny <br /> ppli.rnr o. &st Sisn.L/=5:Jt <br />Site-Work <br />Underground <br />Light Standards <br />S pas, 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 / Grounding / 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 />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />I/eter Release <br />Rough <br />Service Meter <br />FINAL l/-7 - /8 J)olo1z (rr) <br />Notes Remarks, Etc <br />Pole Bases <br />I .dirylhal lh€ f.<lcr.l r*trl.lioB re8{dinB stEslosionov.l!€ mr qrplkable b lhis proid