Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />)rii( <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underqround <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Buildinq <br />Under Slab / Floor <br />Bonding I Groundi ng I UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Roush) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilinqs [-Bar Rouqh) <br />lVleter Release <br />Rouqh t/2, ln lYKrTl /a - <br />Service lVeter <br />iTap;-euFINALtilwl M J ) <br />Notes Remarks Etc <br />,D <br />orvNFtR l)r.t.('AR,\TloN <br />I hcrchy atlirft undcr Fnalty of pcrjury thal I am cxcmpt lrrm lhe Cililrack)n' l-iccnse hw lilr thc lbllowing rcas)n (Sor.70-11.5 <br />Busincss anl Prolcssi()n CGlc): Any City or County which rcquircs a lErmil k) construcl. allcr. improve, .Jcm]lhh (]r rclIir dy <br />structurc. prirr kr ils issu.mc. nls rcquircs lhc applicanl lbr such lrcrmit k, lilc a signed slalcmcnt thal hc or shc i{ liccnscd pursuill <br />k) thc pn)visi(|ns o[ tln G)nlHclor's Liccn*d Law (Chaplcr 9. Commcncing wilh Scclion 70()0 of Divisirlr .l of thc Rusincss,and <br />PrulcssionsCodc)orthutheorshciscxcmplthcrclionandthehasislorthcallcgcdcrcmption. Anyviohtt)nolScctionT0-ll.5byany <br />applicrntlilraltnnitsuhjcctsthc applicdntk)acivilJrctr{llyolnottrx)rclhilllivchundrcddollars($5U)]. <br />as owncr ol'thc pn)pcny. or my cmpkryccs wilh wagcs as thcir solc conrpcrtsalion. willdo tlrc work and thc slructurL' is nol <br />intcntled rlr oll'ercd tirr sale (Sec.7(X4. Busincss and Prolbssions Crxlc: 'l'hc Conlraclor's Liccnse Law docs nrtt apply lo an ttwncr rtf <br />lhc pnrJrcrty who huiltls or inrpnlves tlrcrcrln, and wlxl drrcs such wrld< himscll'or hcrscll'or lhnlugh his rtr hcr own cntpklyccs. <br />provided that such irnprovcnrcnls are not furtcmtc'd orollbrr'tl lirr salc. It. hrwc-r'cr. thc huikling or inrpnrvenrcnl is sokl withinonc yc:r <br />of'complction. tlrc Owncr Buiklcr will havc the hurdcn ol'proving that lrc or slrc drl mrt huikl or impnlvc thc pnrJrrty tirr lhc puqxrsc of' <br />salc). <br />_1, as ()wncr ol'thc propcrty. am cxclusivcly contracting with licensed conlraclors to conslnlct thc projcct (Scc. 7044. Busincss <br />and PnrfbssklnCotlc: 'l'lrcContractrlr'sLiccnscl.awdocsnolapplyltlanowncrol'prop^-rtywhtlbuildsorintprovcsthcrcttn, <br />and who corrlrtcls lirr such projccts with a Conlructor(s) liccnscd pursuanl to tltc Conlractrlr's Liccnse [.aw). <br />_l am cxcmpl undcr .Scct B. & P.C. lirr <br />I hcrchy alf irnr utttlt'r 1^*traltv ol p.*rjury ttnc ol'thc lirlkrwilrg <br />_l havc rurd will nuintain a Ccrtilicatc o[Conscnl lo Scll-lnsurc tilr workcrs'corn1-^.^nsation. :ts providctl titr hy Scctiolt J7(X) rlf the <br />Latxrr Crxlc, lilr thc p,.-rlbrmarrce of thc wrlrk lirr which thc pcrmit is issucd. <br />thc work lirr which this prrrrit is issued. My workcrs' conllr-nsalion insurancc r:an'icr and prlicy numbcr are: <br />Policy Numb.'r: Expircs: <br />fuScertily that in thc Jrertirrnrancc of thc wrlrk lirr which this Jrcrmit is issuctl. I shall not cnrploy any pcrson in any manncr <br />so as to heconrc subjcct to the workcrs' comJrcnsation laws ol'Calilornia, and agrcc that il'I should hccome suhjcct to thc <br />workcrs' cumpcnsation pnrvisions of Section 3700 ol'thc Latxlr Code, I shall. lirrrhwith conrply with those pnlviskltts.. <br />civil tincs up lo onc hundrcd thousand tftrllars (Sl(X).UX)). in addition lo lhc ol compcnsation, dantagcs as providcd lirr thc <br />Scction J076 ot'thc I-atxrr Crxlc. inlcrcst and allortrcy's I'ccs. <br />u^*,' 6- ?.? - / 7 <br />I hcrcby at't'irnr undcr ;rcnalty ol'pcrjury that I artt liccnscd unr.lcr provision g lconrnrcncing with Scctrrn 7firu) ol'Divisiryt 3 <br />of thc Busincss altd Prol'cssiorrs Crlr.lc, and nty liccrtsc is in lirll lilrcc nnrl cl'li'ct <br />Liccnse Class: Liccnse Numhcr: <br />Dale: <br />W <br />I hcrcby allirm un'lcr Fnaltyof Frjury that lherc is a crrnstructirn hnding agcrcy for thc lrrfotmnce of lhc w(trk lbr which this Imit ir <br />issucd (Scc. JG)?. Civ. C.). <br />Lcndcr's Name: <br />I-cndcr's Addrc'ss: <br />APPLICANT DECLARATTON <br />I hcrcby all-rm undcr pcnalty of pcrjury onc ol'thc lirlkrwing declarations: <br />Demolition Pcrnrits-Ashcstos Notification Fcdcral Rcgulalions lTitle 40. Pan6) <br />_Rcqu ircd lrttcr ot' Nol ilicatktn <br />_l ccrlily that thc l'cticral rcgulations rcgarding astrslos rt-nxrvalarc nol :rpplicahlc lo lhis projc'ct. <br />ordinanccs antl Statc- I.aws rclaling to huiltling :urtl hcrcby autlxrrizc reprcsclrlativcs of this City and Couttly lo ('nlcr u;xln lhc <br />alxlvc' mcnlionctl pn)pcrty lor inspcction <br />Applicant or Agenl <br />Pernrilee nanre <br />^r".' 6- flr' /7 <br />r>,.t"'lc'L5 '(?