Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />rD/srGAPPROVALSDATE <br />Site-Work <br />Underground <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Building <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 />Ceilinqs (Hard & Soffit Rouoh <br />Ceilinqs (T-Bar Rouoh) <br />Meter Release <br />Rouqh <br />Service ltrleter <br />\\ ro \\1 L4ltnEFINAL <br />Notes, Remarks, Etc. <br />OWNER BUILDER DET,CARAT ION <br />I hd.by arm md.r Fnany ol psjury thot I m crcmpl fror! lh. (ontrlclon Liccr* l,aw lor lh. follosiinS r.e. (Sl" 70315 <br />Busin6s a.d Prof6ion Codc) Any Cn, or couniy wnich r.qut6 a <br />'lsmit <br />lo snsrtucr. .h6. inProve dmoltsb or r.?an ey <br />srrucluc, prior ro ns isuec., atso r.quir6lhc spplic l for such Fnn lo 6L a sisncd staloal lhal h. or sh. b lic.B.d puB@l <br />ro rhc prvisions olrhc Contacto.s Lic€trs.d Lrw (Chaptd q. Cos'ndcing wi$ Sdlion ?000 olDivision I ofrhc Busin$s and <br />lrct sions Cod.) oi $al h. or ih. is dmB rnBcfron ed ltc bass for lh. allcg.d .xmPlion. Any violaion of S.clion ?01 I t bv anv <br />applicer for a Fmn s bj6a rfi. applicafll to a civil pcMlty ol nol noe rne fiv. hund.n doud (5500) <br />l. 6 ownq ofrh€ p.ordly, or ny .mployc wnh sa86 6 ih.ir sl. comDsElio.. {ill do lh. \'dt ed lh. strucl@ i not <br />inrsd.n or ofln d lor el. (sd.704,1, BNi6 6d Prcfsio6 codc Tlt controclols Licce Llw do6 not tpplv to m o*ns ol <br />th.plp.ny rho bu & or inplov6 th@!. ad vho do6 such mrt hims€lf or hcself or rhoulh his or hd om dploy6, <br />previd.d lhal such iEprcvdd6 ft mr i 6d.d or ofiftn 6r ek ,l ho*ss, 6€ boininS or impmlool is sld vilhin on. )6 <br />ofompldion. tnc Omq Ruldd will ha( lh. hrd6 oaprovina lhd he or shc did ml hoild or nnpro,. lhe pmpdy fo, thc IrrD(e ot <br />-1. <br />s o*rd ofrn. p6pdy, m .xclNiv.ty conlr.cliog wirh li.6al .omr.ctou to osrrud thc ptoj.ci (Sd 7044. BumN <br />&d Pmlt$hn Codc Th€ Co.radoas Liccnsc Law do6 nor lpplyto M ownd of tropdy who builds or inprcvd lh6o.. <br />&d *ho codhdsfor su.h Foj.ft wnh a Conr6.ro(.) li.6.n pnBuf,r b lhccontaclors Lic@ k$). <br />I'merdd undds(r.. -B &PC. fo,lhisrc&n <br />l4!SSESElqMfEllArO! <br />DECIAEAII.O! <br />t hdeby am.n undd Fnalry oaFjury on. olth. follo\ciq dd alio6: <br />-l <br />havc dd will &inrain a cdificalc ot ao6€nl to S.lf-l.sur. lor qdrk.G onDenstion, 6 Doidcd aor by S*lion 1700 of lhc <br />L:bor Code lor Ihc psfo.r@cc o a{lt. wott fot $nich $c psmit is Lrsu€d. <br />-lhav.ands,illnainlainwork.rs'cor.p..salioni6uranc€,asr.qun.dbtSetionlT00oflhcbhorcod.,forthep(fon.a.ccofrhc vork ior yhi.h $i. Fnn is isu.d. My workdt c.arp<salion iEu&c. cmid ed p.licy nudbd e: <br />folrcy Nurnb6:-ErPt€s <br />I cdify thal in thc pdfom&cc ofrh.trotk for whi.h this r6mil is issucd l shau nor dnploy any pcMn in 8ny ndM <br />s 6 lo becotu subjst lo rh. *ork6' comp€osalion laws olcalifomq, dd t!r.. fial it I should b..on subjd ro lfic <br />wo*6' @npa&rio. prcvisioN oascdion 3?00 of lhe hb.r Cod., I sttrll. forl hvnt ondy wirh rhoe prcvisioN . <br />WARNINC: Failu!€ Io $u! wotk6' coDp.nelion covense is u.la$iul. d shall bj€d unplotd lo mnin.l pdahiG d <br />civil lin6 up to onc hundidl lhouad dollm ($100.00\) <br />serrcn 1076 otrhetibor Code nr6d dd onorne) s 16 <br />l. in addirion t() rh. .on otco ion, danasd a provided for lh. <br />I hE$y amm lndd pd0llyofpBjurylhal I d li..ns.d uodo lmlision ofChspts 0 (.inrMci.s wnh <br />ol rhc BNin6 dd Pml6sbs Code, and mr lico* ir in lull forc. ed cffal <br />o 17 1-Tglo <br />".,.\\/2? /(h!t-*-..--... <br />I h*by afim rndd poally of pdjury lh,l lh6. i! a .onnrudhr Lndins aefty fo. the FtontPmc of th. sork aor whict lhis I'6f,n is <br />isued (sd 309?, civ. c.) <br />APPLICANT DECI ARATION <br />I lE&,afllff und6 !€nslry ofp.rjury on oalh.lollosinSd.cl&ations: <br />Dcnolirion PdniB-Asbdros Nor ificar ion Fcdral R.sulariom (Tnb 40. Pan6) <br />R€quned Ldl( olNorifi cahn <br />-l <br />cnl iry lha! lh€ fedral rcgulalio6 E8,rdnr8 NtEslos rcmoval ee nor alpli..ble ro thb proi(l <br />-l <br />c6litlrhal I halcred this applicalio0 md slalethallheahr!. inroiinario. Gconecl t asrE ro colnpl, wirh all Cnv and Countv <br />ord&nc6 .nd slarc Ilws rching n6 ofrhis Cnr dd Cotrntyro 016 uI[. rh. <br />abo!€ nrol ioDd pmpeny lor <br />ADDlic,trt or ,\lcnr S,xnrrtr.r <br />r ! vI-v^v1_ <br />2'1 <br />COMMENTS <br />Pole Bases <br />Communications Cable <br />Under Slab / Floor <br />D,t", l\/Ll 1(b <br />I