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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS ID/SIG.COMMENTS OWNER BUII,DER DEL('ARATtON <br />I hdclry amnn undd Fnalry ol trjrry thar I m .r.mfl fNm lh. Contadon tic.N t s aor lh€ follosins rden (S( 70l l 5 <br />Busin6s ond ProfBsion Co.lc) Any Ciry or aounty shich r.quilB a psnit ro cofunrud. ah6, improv.. dmlish or ftr6n u), <br />srruclur.. prior to irs isu&cc. also dtund rhc qiplicul for such p.mn ro 6lc a sis..d $lrmor rhar tE or 3h. n licG.d pu'sudr <br />to th. pmlilioB of lh. Cona0cbrs Lic.nkd Li* {Chsptd '}. aonn.ncins wirh Selion 7000 olDilisioo :l ofrh. Busi.6 &d <br />kofsn'ns Codc) or thar h. or shc is cxmpt rhdcEom and rhc basis lor rh. all.lcd .r6prio.. Any violario. of Sdion 7011 5 b, any <br />arplica.r lor . pnnir subj.ds rhc applicd ro a civ il p6rhy o f nor mor. lhe 61 . hrn&.n dollm ($500). <br />l. s owna olth. poFny. ormyonplo)6 vilh *'ar6 s lhcir sl. om!.Gd'on. \,lldo lk\ok ed rh.itudft is mt <br />im6d.d drofid.n aorel.(sd 70,1.1. Busin6sdd Pmf6i.ns Cod. rh. cont.doas Licm* kw .Ld nol a,rly lo an orrq ot <br />the I'opaly {ho toilds or imr.lE lh6a!. od who do6 such Eolt hinscllor hcelf orrhrcugh hB or hr o*n.mplor'6. <br />provid.d rh.r srh nntmvmds a. nor inra .d or oll6.d aoi eL. ll ho*Bq. rh. tlildi.€ or inprovon€rn is $B wiihin oE )@ <br />oi conll'laion. $. OMd Buildd $ill hav. rhc hrjd or provi.s rhd h. or sh. did nor hrild o. improv. th. pr.Fly for fi. purFE of <br />l. aosndolrh.prop.ny, m.iclusively.onmdinS $nh licc.dconlmdoBro consrrud rh. pmjd (S(. 70,1.1, IlBr6 <br />afrj hlr6sir Codc: The Conrrac(tri Licc.sc Law do6.or apply r. rno*ne oaproti<iy Nho 6uilds or nnprovd th6on. <br />rnd who co.nnds aor such projdts rirl' a ConrEdo(r ltscd puEunr lorh. Cortraclois l-ic.Le t-dw) <br />DECttA{IlAr <br />I hd.br anirn undtr p6rh, oi Fjury on. oalhc rollotri.8 d(1driio6: <br />Ihale,ndsill Eintain . cdiarc.r. of ( .nsr io s.ll{Nur. lor $ or k6 conlPos.lion. s Eovid.d lorbyS{rtu.1700 orrh. <br />l,atFr Codc ior thc p6lbmocc o f rhc Rodi for *hich thc pmil s issu.d <br />I hsv. snd will nainrain work6 conpd.tion i6ur.n... 6 r.quircd by Sct ion 1700 otlhe ljbor Cod€, ror rh. Fdfoll1@. ol <br />th. \eork lor rhich this p.nnit is issu.d My {ork6 conrpasalion iNurdce cdis d policy numbn 6e: <br />I coliayrhar mrh.Iifforfranc.ofrh.work for shichrht psn is irsu.d,I shrll60r mploy y psson in rnymun6 <br />F ato b.(om. bld lo lh. sod(61 mmposalion laNs ol(.lifomir. andasGlh, il| should b.(oe rubjcl rothc <br />sutds'comp.Eaiio.plorisionsolScclionlT00ofthcLobo!Codelshsll.fonh{ilhcomplysirhtkepNvisions <br />$ARNING Failu. ro rcu. sorkEc conrpdsarion covm!. is unlar'tu]. md 3hall $6idl an dnplols to aininal pdEhi6 ind <br />to on. hundrcd rhourand dollars l$llx).0])01. in lddilni lo rh. coi ol. <br />f rhc l-atu codr, inr66rdddrone-,s 16 <br />L7 <br />DECJ.ABAIIOI <br />I hmby iiltrn u.dd p@lty o I Fjury th.t I m lic.nEd undd prcvisioi of Chrpl6 I (comntrins qilh SccrFn 7000) of oirGion l <br />of rhr Burin6s dd PFa6si.a cod.. aI1 ny licosc is in lull Lrc. ed .Itd <br />Licd.ClNl <br />ca! f,ucrloNrElDtlc_aaEl.Cr <br />I h@by artrn tr.dr paahy o I laju.t thot ii6. L a coNtudion lddinS .e6cy for lh. psfomecc of lhc \!rt for siich lhn pdmir is <br />$su.d(sd 1097, Civ C) <br />AIIIICANLPPCIAEAIIAN <br />I hol$y a6in u.do p.fulty ol pajury on. ol rh. followi.s d-le'lions <br />D.holilion Pmil3-Asbdros Norific.lio. F.ddll Rcsuhr ioos (TnE 40. Pan6) <br />R.quiE! L.rrd olNoaicdion <br />I c6tify rh.l th. f.n6d r.guhtioB r.gdirS ab-tG rmo\ dl s. not .pplic.bL lo rhi,s prujd. <br />I .6rify rhar I hav. r.rd rhis applic.rion and slat€ rhar th. atov. inaomarion is cordl. I asr6lo conply Bnh .ll Cily and Co@ry <br />odinnncs nnd Slal€ l-a\vs rclilin3 to huildins codn(ion. uxj hd!h) auth.rnc <br />rorr Lc-:i::il,=% <br />.6 of this Cny &d Co@r, ro aro upo! lh. <br />-r, "/'+/'1 <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 / Grounding / UFER l,t- -r t- t < <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduil) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rouqh) <br />hrleter Release <br />Rough <br />Service Meter t2-l?-tq D.<t-l t- ; <br />FINAL 11--|z-l 1 Y'tr4 1.,7 <br />Notes, Remarks, Etc. <br />DATE <br />,^'_71{ffi