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ELECTRICAL-INSPECT R RECORD <br />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 />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Fact ory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rou gh <br />Service [\,4eter tt <br />FINAL ro\\9\r9 ./.L("tfiq) <br />Notes, Remarks, Etc <br />OWNER BUII,DER DELCARATION <br />I h6.11 arm undd F.aI, of pajury thal I m .rmrl fiom (he Contadou Licffi riN aor ln. follosiu l.en (56 7011.5 <br />B6ins sd hofsio. Cod.): Any C y or Counry \vhth r.qut6 . pqrnir lo onslrucl. ah6. imptuv.. dtiolisli !, (?dn dy <br />srtuctuc. prior ro ils issu&cc, aLo ieqln6 rhe applican for such psrn ro filc r sis.cd srarod thai h. or sh. is licoi!.d puBu.,rl <br />to th. prcvGions olrhe Conr.acbr's l-icds.d l,au (Chapld 9. Comm.ncins uith Scdion 7000 ol Divisio. 3 oarhe aL\in.al add <br />Proa*ioG Cod.) or (har lE or she is cr.mpl th@t6n dd rh. b.sa aor rh. all+cd .rmplion. n, viohlion ofsed 6n ?01 I 5 by atry <br />applicanllorap.flnilsubjdslheapplicdltoacivilpmahyofnotoor€lhanfiv.hundreddollds($500). <br />l. a ownd oflh. pmFlt, or ry .nploy6 Nnh wa86 6 th.ir el. compGalion. sill do th. solt dd thc sh(lu. is rer <br />lo|a.H or ofi6.d aor el€ (Sc 7044. Bshs Md Prof€ssioN aode t h. Conhcloas LEffi lj$ do6 nol .pply ro d o$e .a <br />lhepmp.ny uto boilds or inprove fisqrn. ud who dG such s!r( hims.lr or h6Ell or lfircush his or hd oM .mplo}.6, <br />proridcdrlMt such improvondrs a. nor inrdi.d or odq.d aor sL. I[ lDwa6. thc buildiru o! implovcrHl is sld virhin onc ]@ <br />oacongG1io( the orqr Buildd wil na( rnc bu'do! of presns rhar h. or shc drd iol build o. imFo\r dB pmFly for lhe plrpos oa <br />I. s ownr of th. prop6ly, m.xchsivelycontacti.B with licc.sed contmcloE ro coaslru.t th€ projd (Se.7044, a6ns <br />Md ProtA3nn Cod.: th.Conrracroi s Li..6se l-aw d.6 nor aDply ro an o*ne oaprop.ny*h. blilds or isprcvd thso!. <br />and who conlmcrs lor such projEts Eirh . C.irmclo(s) licdscd puBuel ro rt€ ConrEclois Lic.*. l-r) <br />-l <br />d dmpl und6 S<lion- <br />uaa6Ea!:(9!If[NSAIAX <br />DECIABAIIO! <br />I hscby amnn u.d6 FEl, oI psjury oac olihc folloBin8 d(leaiioNl <br />Ihav.ordwillnMintai..Ccnificai.ofCo6cntroSell-lrourcfo,wo 6 o'npaslion.6 provid€d for byScrio.I700 orrhe <br />L,b.r Cod.. aor rh. lEaommc. of th. wo* for which lh. pdhir i3 is!.rl <br />! corify rhar ,n rhc Fforhan €ofrhc sork lor $hi.h rht psnir i! issu.d. I shall nor.hpn)y an! p.uotr in rny mann6 <br />s 6lo b$on'. bj4t lo rh€ sod(m composalion laus ol C.lilomia. and asrelhnl iiI should b..onesubj(r lo'h. <br />\rrk6s'comp.flsalionprovisioEols€c1ion3700oflhcLabo!Codelshflll.follhuirh.on&ly$irhrho*pmvGiotu <br />wARNING: Failur€ ro *urc 10116' codr..sd n n cowsc is unl.\vlul. and shall subjer e dployfilo ainin.l pcnahis and <br />civil fin.s up lo onc hundEd lho@nd doll6 ($100,000). in addnion ro rhe cost olconp.Nalion. dam0l* as provided tor rh€7lfraif F Ns r,naaini^l 'oR=--ffi <br />I h@by arm undd paalty of p.rjury lhot I m licds.d unds provision of Chaplg 9 (commacins *'nh Sdion ?000) ol Divi3io. l <br />of rh. arsin*e Md Prca6sioE Cod.. od ,ny licm. is in full forc d .fier. / <br />1') <br />I h@b, aff@ uda penaly of Fjury thd thq. is a @antudion kodnB agfty for lh. pafolllEc. of thc mrt tur "tich lhis p6nn b <br />b$€d {Sc. 3097. Civ. C.) <br />ATTLICANLOPCTAAAII9! <br />I hq.t'y aflim undq Dorahy ol psj!ry onc of lhc foll$v ina d(lardions: <br />Ddnolirion Pdmirs-Ash6ros Notilicarion [dd.l R.gr larions ( rnb 40. Prn6) <br />Rcqtrned Lcus olNorilication <br />I csl it rlEr rhe Ldsd rc3ulalioB csedios 6b6ros ranoval s. nol applioblc ro lhi pmjd <br />I c6rifythat I luveredrhisapplication mdsrai.rharrh.sbo\. infonnatiotr is cond I a8r ro comDly tr irh all Cny and ('ounry <br />ordnmncG dd st.'c k$s rlalin3 bui ld in8 consrd.t ion. a hd.6y aurlNrize reprsrariv6 o f rhis Cily dd Counry ro 6ra uF n rh. <br />aborc nEd bned pmpdly lor <br />,\ppliont or.\g.nl Stnrtr <br />APPROVALS <br />Communrcations Cable <br />I havc a.d will nairlain * ort6 conp.@tion i6uru.c, a r.quncd b, Sarion 1700 oalh. rjb.r Cod.. fo! th. pgfomanc. of <br />rh. (mk rorqhi+'hBptr s isu.d Vy $orld' comp.Nri.n iEdmc.cni6ud polic) numba e <br />,*'..' fr.c.{f--l"<l Enol:c<u atr Co , <br />poriclNumbo.- tt'l<'N 15tZb't!1f ,,,,,^,'tf lf >o!g <br />Cod. inrdd ddrdolrb