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APPROVALS DATE ID/SIG.COMMENTS OwNER BUILDEA DEITCAR-^TIONI,Ee.J.rm ur& Flty of Fjuy thr I m d.d9l 6m fi. Com.<r6 Lj..g llr lor lhc folbeng lai tscroll.t
<br />Burin6 dn Pr.f6ion CorL): A.y Cny or Cou'n, whkfi r.qun6 ! rEflil lo mtrrtuci ahq. imPotc damlirh or EFn my
<br />rEud@ Firrto irt i!]l8.. rto tlquc lh. +9lt fu Mh Fhn lo frbr.EEdnaffi lhrb.orrh.itlic@l Frnd
<br />ro rh. Fovi,bN oa rlr cotlr,rrr't L'q!.i be (a&Fc 9. CoMi.s vnh S61nn 70(tr of Dirlrio. J ot llE BoliE d
<br />Prci*rN Codc) oi rhd rr d ilE a dmpr ih@to6 rnd rlE b..ir aor lh. .ll.B.d ddplion. Any violdbr of S.<rir. 701 t .t urq s,
<br />.rrlk&r for r Fhn sbjdi llE rppltdl ro.civil polly ofmr eE rh., fiv. nun,,.d &'l!r (t500)
<br />-1.
<br />a o*nd of lh. lotHy, or m, mllorB uith w.{6 c rh.t el. ompqEiio.. *ill &, IE wt dld dE rruclr i ml
<br />indrd.d or ofr6.d for sk {Sa.?Or4, AuitB dd PDfdioE Co&: TIE Co.lrdr'3 ti.qg lrw do€ mr .r?ly to d o*E of
<br />rh.FoFlv rh, hilid inFors E6r\ tn *lb &6 st *qt h,relf or lE*laor rhmusn hir 6lE orn dgk tc
<br />p.ovid.d ltn ru.h inFuqEn! e rcl inlsld.d o otu nr .!L. lf, lnM, tlE budins or inlrtm' n $ld withh oc ta
<br />olcoflplair E (xE B{ilda wil h.E tlE hrh of Fovin* lnr lE or tE did ful h,nd o' nnFbE ItE FDF, 6r tlE F!F- of
<br />-1,
<br />s ouE ollhc FtrrEry. u.iclBiv.ly co'fiidirs *nh kdB.d.o.ndo6 ro codrud rlE FDldl (36 7044, 8616
<br />ed }\rkb. ( od.: IIE co,rrrroir Lk@ trw dr6 mr Aly ro x osE of Fop.ny u'l'o bu'l& or 'nFor€ Eotr
<br />ed who cotrr&t3 fo.3uch FnFr' wnh. CodrHo(r) I.6a.d pun@ !o rlE Co,{r..ld'! l,tGe trs)
<br />_le.rdF @& salirn ,B APC 6rlni! lrtr
<br />D.r. ortr6:
<br />.$oa[ESacoullNtarq!
<br />OECIJAAIIA!
<br />I h6cby lrrh undd pnulry of pGjury one ofrhc rollowrr d.(ldrnrN
<br />-t
<br />nlv. id will tui s . Ccnifr!. of CorEr 16 S.lf-lsu.G le wl6 (mFdlioe s Fovii.d fo. br SGli,. 37m oa E
<br />Llbor Code lor rhc pqfolfu.. of lh. wort lor *nkh $. Dc,nn it isucd
<br />I h,\. r.d {rll drinr.in Nrldr mmDcMion r.qun d by s<lb! l7@ of rlE l.bor co&. aor rlE Ffolrc ot
<br />ion ituurDcc ffnT dd policy nudb.r a:th. sorl for *h(h rhir Fmn i! inuai. M, workdt
<br />-l
<br />carrrylhd in th. Ftolfuc. ofrh.Ior $hi.n rhr Fn 'r r$ucil. I sh.ll nor mplot lny pqe. D dy me6
<br />$ d
<br />'o
<br />balG iubjd to rh. *$lld' comp..Ed ion hm ot Cllilomia dd asr rhd ir I ihould t .om iubFt lo llE
<br />rort6' otrrFdbn FEio6 of Sclir 1700 o,dE L,to, Co<L. I {ElL fod*it on9|, { nh rhor FovbnE
<br />WA|ININC Flrlur. b Kuc s'orl6' .omr6a .0\6!{. b unLwall. lrj shsll {bjEl d dnplolq lo oinintl Frlis.d
<br />.ni 6nd up ro oE hundal lhougld .bllrs {l .0m), i. lddilnn b r,E cot ot conpc6dio'! dd!g6 a FoviLd for rlE
<br />lx r\\r.r)( 0\lR1( lrlR
<br />TEClJAAIlqtr
<br />, hort'y .rlm u.& Frny of Frury lh.1 I d liEE d u!{,s ForiFn of ct+|d 9 (6m,Bin8 $nh Salb. 7OO0) of Divnio. l
<br />ol rh. BuIE Dd PrcfdioB Co&. rn ny fic.e n i! tull for..'d clT6r
<br />^,.74./ry
<br />coltsTrtucTloN r rnnrNc lc.rt( \'
<br />I ha.6r'.ilrm un& Fn ny of FirD lnr d'a. ir r odn,(rin lddi'rs.sdy lor rlE Ffolile. of fi. *{.1 6r rhth lhu Fsii a
<br />B!.d (sc. l0)?, ci! ( )
<br />I cd'ft rh,l lh. fdr6.l i+uhioE ,.*rdin3 6bdG rm\.i ,. m' .pl)li.bL lo rhi! proFl
<br />-l
<br />cdiryrhn I hr\GE d this lppli.rion rd r .rhrr th..h,v. intonndF. it coral l.garo..mply$nh.[Cit!&dC.u y
<br />ordiMN6 rnd Srd.l,$! r&lla lo r.Fert^ 6 .lrhir cny !d Couly to 6na ur{o llt
<br />dbo\. n6rionol pNp.ny fo!
<br />,\ppll..nl or.tr6l sh..lurc
<br />C---'1-,L/,s-{L€/z;
<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
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />FINAL Llcrlt,t t Vz{G lol
<br />Notes, Remarks, Etc
<br />ELECTRICAL.INSPECTOR RECORD
<br />Service Meter
<br />ASfAICAILDICIJAAIIO!
<br />I hddy elhn u.dd paah) of Frjuryon ofrh. following d..h.aliont
<br />D.mhion PmneArb.cor Nor,frcdion F.dsrl R.suLrEN llnb 40. Par6)
<br />-RcquiEd
<br />lllt6 of Nori6carion
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