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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />/(,t4,4O.B onding / Grounding / UFER It t1 )
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To p Equipment
<br />Factory Wired Unit
<br />Walls (Roush)
<br />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release II q-i0t)
<br />Rough 0t @rt @
<br />Service Meter
<br />FINAL z,t6A
<br />OI'VN ER BUILDER DE1,(ARATION
<br />I hcr.by ,rnb undd pnalty oa pdjury fi,r I d ercmpt iiom lh€ Conllaclo6 Licsc Ij* lor Ih. fouovins r6on lS(.701 L5
<br />t usin6s d Proaesion Cod.) Any Cily o! County *hich r.qun6 a p6nil $ .oftrru( alro. inpov., dmolilh or ,{Fit my
<br />slruclu., Fior lo ils issu cc. also rcquir6 th€ +plicml for sx.h Ff,nil ro fil. a sign d sldmml rh.l h. or sh. is licas.d ptBuml
<br />to thc prcvisiobs ofrh. Contactols Lic..*d I-a$ (Chaptd I, Conrne.cinr wirh S€ction 7000 ol Division I of lhe Buine! a.d
<br />Protsions Codc) orthat hcorst is cxc,npt lhd.6om ud rh. bejis hr rhe all+al .xmtrioi. Any liolation o f S.cl ion T0l l 5 by any
<br />appl'.ul aor a Fftn rubjdls th. appli.anr I. a civil pmly o, nor mor€ the five hundrcd dollds (S500)
<br />L a own€r ofrh. prcpcnr, or my mplorB wilh wr!6 6 lh.t sl. .onpftdion. wil dd dc erl od rh. dtudrc b ml
<br />inlctdj or olldcd ror sl€ (Sc 7(x4. Burin* ud Prclsios Cod.: The Contrmrois Licw Law do6 ror apply ro M 6sM or
<br />rhcFlpqly who toil& or imp.ov6lh{En. ard who d.6 such po* tnns.lf or nwlf or itmush hb or ho os chPl6y6.
<br />provid.d ln3l 3uch ibpmlmrs e nor inl6& or oitdld 6r sh. lf, hosa6, lh. hildi4 or imprcv.lml ie sld rvhhin one ,w
<br />oaco,npldion, th. O*M Buildd wiu h6w llE hndar ofrrovins tht h. or sh. dd rcr buikl or i6Fo!. $c proFly fo. lh. puflos oa
<br />I. 6 o*nd of rh. piopsly, m.x.[sn!ly codBcti.s r'irh lic.s.d.ofuado ro odtud th. proj..l (Sd.7044. B6ns
<br />ed Piorcsb. Codc: Ttc Cortra.hrt Li.cosc l-aw do6 nol epply ro an orvn.. o tDrcp.ny who builds or inpror.s rhd@..
<br />ud *ho contracrs lor suct proj.ft wirh a Co do(3) licftcd pBMr to rh. Co.lr.clors LkN llw}
<br />.t.nfl unds S(,fui-
<br />7lL+ lt7 X \ )"\-
<br />I hs.by rflirm undtr pmahy olrrjuq onc ot thc lollowinB d(l0r.r
<br />Ihar.edpiuminlai.6Cdlifi..otCoBdrroSclf-lnsur.for$ork6.omp€Garion.6prlvidcdforbySecrionI700ofrhc
<br />l-abor Code. for lhe !6fom.cc ot lh. Nork for wfiich rh. p@it b isued.
<br />lhalcand*ill'naintainNorlc6 colnpeGarion insuranc.,6 requnedbySelionlT00oflhct borCodc.lorlhcpsfomflnceol
<br />rht Nork aor {hich rhis p6n i. iroed. My wort6' .o'npsd ion iNurmc€ cmi6 ard Flicy numb6 r.:
<br />I ccnilylfiat inthcpqtormarc€ofthc{o.k tor vhich this p.rmil is issucd.I rhallfloi grployanypsson inaoyn M
<br />$ s lo bdone subjsr o rhc sortds omp.sdion lav! of Califomi.. dd agr.. rhd if I .hould b..omc subjal lo th.
<br />rvolt6 com!.os.lion pmvisioN oas.(ion l?00 oi lh. tnhor cod., I shall. fodhwnh comply wilh rho* povisiore.
<br />WARNINC: Failurc lo s(ure {ort.B snrpostion cor€mgc is unlaNful. Md shall subjEl an qnplo}s lo oimioal pdahis and
<br />o\it linls L| ro one hLndrrd rhousrnd ioth^ (t in addition ro rlE cosr olcomp.nstion, damrscs .t pro\idcd ior rhe
<br />\ lqE- ,-l
<br />L
<br />I h@by amrm undd pqmlly ol psiury lhal I m lic6s.d
<br />ol theBusinedd Prcf6iomCod.. and mr li.s. i3
<br />DI'Ct,ARAl'ION
<br />un,ld Fn1ti 'i ofChipl,+9 (oimmcinE with Sation 7000)oaDivision l
<br />ca!ffaucroNr[lDtrc-AcE!(r
<br />I h*by .mnn undd luany o a pdjury tha' ihde ir a .oirru(ion lodins asdcy tu rhc pGlomece oalhe so'k lor \ti.h rhh pmnn ii
<br />issu.d (S(.1097. Civ C.).
<br />llodq\ Namcl
<br />AITUCANLDECI.AIAIIO!
<br />I helty .Irm unda p.nally ol Fjuy o.. of the follo{ ins d.<lddion.:
<br />D.molnion Pq,nni Asb6ros Noti6orion F.dn l R€sul.lioru(tille40. Pan6)
<br />Ralun.d Ldrtr of Notiflcdion
<br />I coriry lhal lh. Gdml r.3rLtioB Eaardins sbdlos rmoldl tr. .oi dpplicabl. lo lhis pmjd.
<br />,."'rary,n"yl'n"r..,O,no
<br />"rplicrrmn
<br />dd srr.rhr rhe 6bor inromlllion ie.od..t.I i8rc io cohply v h aU cn, lnd counry
<br />odhe.6\lSrkkHErdiIs16.brildinBcotudioi.xldha.r,adho.aF\Mr'h6orrtuscr,edComNrodr6upon,h.
<br />--"ffi:,:-5$fu ++,*-/_ -," !tr4 t7
<br />,*u*.u."/*r, ffi
<br />Walls (Conduit)
<br />b 11 .,t
<br />("t1 /
<br />6,.6 ,V-7
<br />Notes, Remarks, Etc.
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