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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS
<br />Sate-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monumenl)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq i UFER fiax48 a<e 2 t-7
<br />Transformers
<br />Torqueinq rOzf-/fi 2c 2,:.+B (-J +,&^
<br />I
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Ivleter Release /a2?- tB 44,)
<br />Rough ro-ilifi 'Sa an
<br />Service Meter
<br />3 2
<br />-2
<br />FINAL
<br />Notes, Remarks, Etc
<br />OWNER BUILDER DELCARATION
<br />I hcrchy rafirm lnder ocnrlry of pcr/ry rhnr I an €r.hpr fr,f, rhc conlrocros Li.ens L!* for lhc follosinS rc.$n (Ss.?011.5
<br />Busincs und Profession Codc) Any Ciry or Counry qhkh nguics . lermir ro conntucl nlrm, inProvc, d:nnlhh o, Epan uy
<br />srtucrurc. prt, ro n\ tsudftc, s rcquncs th. .ppltan! for su.h Frnri b lilc x siBftd {arcmnr lhol lE ot shc n licen*d pui a
<br />ro lhe Dovhiotrs olltE Conrrrroar l-ic.ntd tiw (Chaprcr 9, comnrnci"s wirh Sdion ?Om of Divkion 3 oflhc Busincss and
<br />Pmlc$n'ns Codc)orrhar h.orsh! iscxcn lhcrctromlndrhct^lshrorlh.ollcgcdcx.nflbn.Anyvn,hlnrnofSari,nT0ll5by,ny
<br />{lli.0nr ron pcnnn subj(Is lhc e,,tlicotrr ro !cililpenalrroi.or turcrhitrnvc hundrcd doUars (Sstro).
<br />-1,
<br />ss oune. of rhc pFFny. or my .nplolms wM wagcs !s thcn sb compeniarion, will d. lhc wotk dd rhc sltur!re h nor
<br />inicrkd or ofl.r.d for sal. (se. x}44. Busimss md Pmttsions Codq Thc Con(acloa s Liccnsc bw docs nor aDDly & a owncr of
<br />rhc r$tEny wh. huildso. ir{mwsrlEmn, ud *h., des .h w* hnnsclf or h€trclf or llhlgh his or h.r o{n cfrPloyecs.
<br />ptuvidcdrhar such mJrormnls e mr hroded or olt En f.r sk. li h)mlci thc building ot i npl*rd h eh wirhin orc }es
<br />ofd,r{,Lrirn. ltr O*nft Bui!.r will h,vc l,f, honlcn of rovins thd nc or sh. dil mi hild or ir,TroE tnc pmrny fdr 0r purpo$ of
<br />4 osowncrorrt pnrrnv. amcrcl!\ivclyconitucring enh li.cnwl.onracbs ro consrruct ttr lmj*r {Se 7014. Busimrs
<br />md ElfLsshtr Code: l hc Co.rdcl.r's Licc.* hw docs nol,tply lo anowrc. oftrcncrly who builds or impmves lhcr@n.
<br />and eho conrrch ror such rml.ck *nh a Co mclo(r) I icenscd ,u iFuant ro rhe C.nthcror's LtcnE L€w).
<br />-l0r
<br />cxcrrpr undcr S&r
<br />trcf,f,ExlllotdPrNsAro!
<br />DEII,AIA.IION
<br />I hcrhylrtudundcr p.n yortdlury orc oilhc lollosnrr n..hralnn'r:
<br />-l
<br />hulc !d *ill mainrdn d Ccn iaret of Con*nt lo Sclr.lnsurc for *ortcF d,dp.nsdion. as Imvidcn fu ty S&r io. 37m or thc
<br />Gbor Codc. rbr rlrc pcrformrc ol rhc wo.r fm Rhich Ihc psm n ns$d.
<br />I lrr!. r J *,ll riitain qorkcra conucD\rrion insuranc.- r\ rcquncd bySccrotr:lT0Ool lhc l-lhrCodu, t)rrhctcdoirnrtrccoi
<br />rtu work rn whi.h rhis Ni,nir is i\\'d My work.r' conpcnsri i,tri i'surrtr.c cnr ricr md Anicy nunrhcr m:
<br />I ccniii thar in rhc lcr{orrorcc orrh. work rd whi.h rhis lcirnn is hsucd. I +rll nor dnfk,y xny,,.Mn in rny mlnrr
<br />$ $ ro tKom slbFr ro rh. workcrJ .onqrnsarion laws of Calinxnia. uft] alm I har ir I stn!6 tE.om subjccr b rh.
<br />workcli omp€n\arion prcvisn,ns .r sNtion 3?00 of lhc tatxtr Codc. I rhsll. fon hsnh omPlt wirh rhnc Imvnions
<br />IVARNING rribrc ro r.urd workcrJ..nDcnsdion covcnsc i\ unln\tl md sh,ll hycr x, sn iml FnaLric\ utr
<br />drnurgcs !s providcd ftr rhcro.nc hu rcd rh.usnnd dollrrs (Slu).(xx)). in tul{
<br />Ssri,)n .1076 ofrh. Lalbr C.d.. intcrcsl rnd olknrcy s lccs
<br />,-3-(8
<br />LICENSED CONTRA(]T(}R
<br />DSCI.AAA.UON
<br />I h.rby 0fiirmu cr lcmlly ol pc,jury rhr I am taccnsd uRhr povGion of CnlFq 9 {6nmn.inB withSelion7000) otDivirion l
<br />6f rhc Bulincis ald Polc.sions Codc, sd m, liccnse is io flll forN a,rd .fict.
<br />CONSTRfICTION I L'Nt lN(l A(;ANCY
<br />I hdrcby rri n und.r pcnaltyolpcrjur,finr rhcrc n a con{ru.rirn L.dir8.8cmy lbt lhc P.rr.mBtu. olrh. wotk torwhichrhi\ pcdir i\
<br />isslcd (Ss. lO9?, Cir C )
<br />ATILII;ANLI&IAAAIAN
<br />I hcE-by utrm under lenaxy ol Frjury otrc otlhc follorinE d(lararionil
<br />Dcmnithn Pc.mik-Asbestos Norin.otion FcdcEl Rcxulat ions Ont 40, Pon6)
<br />-Rcquircn
<br />l,llcrol Ndifdlhn
<br />l.cnilyrhrr rln'fcdc.ilrc3ullli{,tr\ rcgrdin! rshcdo\ rcnnnrlrR oi lfPli.rhh rolhi\ nDrcr
<br />I ccnilirhd I lDrc rcr
<br />ordi'[i.c\ rtrd Sr(c L.w(
<br />xM n{Drioncd Frupdr"
<br />ApDli(tr orAE€nlSIam
<br />rh.rrhc0hr$ irli,nMrion t corsr I rra& t, ..n/y q ilh 011 Cil, ud Counry
<br />rize rcprccnurnr\ olrhn Ciry 0nd Counryro c.rcr u[x,n rlt
<br />i g-/€
<br />IDiSIG.
<br />Sub-Panels
<br />Air Conditioners
<br />w", f'd- t I
<br />:
<br />I
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