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APPROVALS DATE IDiSIG. <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Life Safety /Low Voltaqe <br />Fire Alarm / Dampers <br />Under Slab / Floor <br />Bondinq / Groundinq / 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 & Soflit Rouoh <br />Ceilings (T-Bar Rouoh) <br />Rough <br />Service Meter I <br />FINAL t\rt"1"1 T <br />Notes, Remarks, Etc <br />I <br />I <br />ELECTRICAL-INSPECTOR RECORD <br />t)tl!, <br />I hcr.hy afilrm rnlcr p.n,hy or Fcrjury rh,r I in cxcmrr iru. tr'. Cnotot^],l Liccnsc ti* ftr rhc folk)win8 rcrs (S..?0315 <br />Bu\incss and Proac$i.n codc) Any Cily or Counly *hicn rcqut . . Frmir ro consrd.r. ulrcr. inDrov.. dcmlhh or rcron any <br />$rucruc. ltrior ro ns issum., !l$ rcquncsrhc {plic nl for such permir lo lilc, \ismd srsr.ft.t <br />'h'! <br />tror sh. is licencd purelnl <br />b rh. phvni,nr.frtr Co.lr .rocs Lic.ns.d tlw (Chrfl.r 9. ConnrncinB qilh Scdion 7m0 of Dilisio.I or rhc Busincss and <br />Pmfc$ions Codc) or rhol h.or shc ncrenrfl lh€rcfiom lnd thc l,a\is forrhcalhBcd.rcmprbd AnyviohiionoiScclhn?0115 hyuny <br />aprrlico tnr ! p.rnir \ubj(ls rh. dppli.am ronciviltcmhy.lno! imrc lhe 6vc hundrcddollds(S5Lxl) <br />l. ns oprcr ol lhc prclEny. or flry cmploles Nilh wtrscs os lh€ir solc comptis.rion. will .!o rh. smk and lhc sltrtr n nn <br />inleftlcd or olTcrcd for ele (S6.7(X4. Bu\ines lnd Pn,tc$ions Codc Thc Contklor's Liccns trw drcs nor lt'Ily to an owfti oi <br />rh. Itr,rrny wk) hoikls.r infdb rrrNn. ril who d6 rkh qork hnnsclfor hcrsll'or thmu8h hn or fier o$ncnPloyccs, <br />lroridcd rt such nnrrowmnh m nor inldricd o. oflabd for sh. ll, homvcr, llE trildiry or imlroEmnr is $U airhin uk )tr <br />of.dfpl.rhn. rh.O{n.r Buiu.r will hjw rhc ttrdcn ofpruvin8 rh{ h. or sh( dilmr build.r inrrotr ln IDFny tilI rlt Nrlr,e oa <br />-1.,s <br />oprcroflhc |,orcrty. !mcxclusivclyconlruclins $ilh liccn\cd @nira.iis ro.onstrud rfu pr+d (Ss. ?041- Blnn$s <br />and l\ifcs\iJn C(rlc Th. Conracror's Li..nsc Law (lei nor ap|ly ro in owmr of p(,J,.ny wno builds or inprovc\ rhcrcon. <br />.nd who snrmdl for slch pmrck *irh a Conr6c'.(n liccns.n pulsldr ro rhc Contrcrois Liccn{ hw) <br />I Ncx.nrfl undcr Slclion-. B &PC forlhkrcaea. <br />D.t: oRmr: <br />wonxrn{' coilPENSAiItiN <br />IIECIAEA.III}! <br />I h.rcby Dmiftxnd.r pcndlry oilxriuryorc ofrhc followirS dc(lorolnx$: <br />I hrvc atolrill nEinrsin rCcnifi.ri.ofCo.scntt, S.lf.ln\urcfor sortss. compen\arion. as prcviJcd f6r by S.trion l7m ofthc <br />lrtnr Cndc. f(r rhc pcrf.rtun.i of rhc wor* for *hi.h rhc ldnir is hsucd. <br />-r <br />havc and will mainllin wortcG comrc.sllion insurarcc. !s rcquicd b! sNrion 37m ollh. tibo! Codc, for lhc pc.rormec.f <br />lhc wort tu whichlhistcrmir is issu.t Mr*ork6s. o(pcnslriln inrurtrtc.micr !.d I[Ity numbct sc: <br />/ltcr' <br />_lceniiy rhar in rhc pcrf{xtuftc.f rh. *ork fd whirh rhn r.rmir is issucd. I shall nol cmDloy rny pcren ii rny nrdnnct <br />b as ro t$om subjcct b lh. wo.kcc' .omNnsarion lars of Californi{ !.d asd <br />'har <br />ir I rhoold tEcom suhicr to ric <br />*o&.E.onpcn{tionpmvkionsofsdion:lT0Oofth.L.tDrCodc.l\tullnrdh$irh.o'q,lywithrlnc[ovisions. <br />WARNINC I'iilurc to surc *orkcrs cotrDcnsu!t)n corcr!!c i\ unhwrul <br />"ffi"***"*"*t'***tt'*.ivil ftr( uf nr om hDndrcd I *^".^yiru <br />7 /t7l/t <br />LICENTIDJANIAAJIAf, <br />DECI,ASAIIA! <br />I hcrby arnro und., p..alr, of pdjury lhnr I dr lien*n undc. rovhionolCnuplcr I (con,ftncins wirh serion 7000, olDivkion l <br />ol rhc Blsim$ and Pmlc$6nr C.d., md ny lic.n$ ir in rull lorcc ml clicl <br />1 7 <br />CONiIf,UCIONIENDINTi.{{;EtrCI <br />l,Erchy aifi,6 udlcr pcnalry or p.rjury rhd rhnc ir a.onirucri.n hndin! sBcncy for thc lerfortunce orthc worr ror which rhis t'cmit h <br />nsucd (S( lL9?. Civ C.). <br />AITTIIANI.DEOAAAIIAN <br />I h.i$y a6lm under pcnalty ol pcrjury orc of rhc follo*i.s d(hdr ions: <br />Dcmlnion P(mih-Asbcsros Notificalion Fcn rol Rcglldions frilt 40, Pan6) <br />Rcquircd trn.r of Nolifrorion <br />I .cnilirlDt rhc lcdcrd rcsublioos reB[dins lshe\los rcnmval,!c nor {di:ablc ro rnis [+cl <br />-l <br />ccnilylhnl lh,vcrcadrhi\rprlicdri{$rndda.crhrrrh.inroirn!!ionircor€r lrxrerocoB)ly$irhallCiryandcounly <br />ordinrnccs and Shrc La*\ rcb'nB b scni nrsollhisCitylndC.rnryrocnrctut nlh. <br />ahnc n*nrnnd pmr.ny rbr <br />clp p"n <br />/, /, <br />COMMENTS <br />t ndcrs Ad&rs <br />Communications Cable <br />Buildinq <br />lVleter Belease