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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 />Bonding / Grounding / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof To p Equipment <br />Facto ry Wired Unit <br />Walls (Conduit) <br />Walls (Rough ) <br />Ceilings (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />I\ileter Release <br />Rough <br />Service Meter <br />FINAL ,-q-u \,MII <br />Notes, Remarks, Etc v <br />OWNER BUILDER I'ELCARATION <br />I h6eby amm unds Feally ol psjury tha I d dmpl from thc Contmclou Lic.m. Law lor rh. louoeiie lmi (S(.rrl'1.5 .Bsind ard Pnf6ion Codc) Any Cny or Counry Nhich r.qun6 a pfni lo oNrtucr. alra. inl,.o!., ddnolisl or Ep3ir , ' <br />3mclBq lrior to irs iedcq aLo rqui6 rh. .pplicdr fo, such Fnil ro 6L a signcd natm6( thd h. or st b [ccos.d p6urd <br />lo lh€ floviiions ot rhe Conraclor! Licens.d Lav (Chaptq 9. Conrnrencins wilh Sdion 7000 ol Divisio. :] oarh. Busin.s md <br />Profsio.s Cod.) or rhal lE oi rhc is cropt fiftFoo ed rhc bdsa aor rh. allcg.d .rmFio.. Ary violaiion of S..liotr 701 L5 by ey <br />applicant lor a pdnil subjats lh. applicaDl lo r civil pmhy o f not morc lhe fiv€ hu.dEd dollm ($500). <br />_1. a o$n6 oarh. proFny. oi ny onployG $nh *!g6 a rhcn sk comp.sarion. tr ill do rh. "uk r tn srul@ b nol <br />intmd or ofi€r.d aor elc (Sc.?044. Auiis d PmfssioB Cod€ '1he Coiracroa i l,ic r Lov dos not a$lyloanoMdof <br />fi. Frpdy *hd buil.hor iEFo!6ths@ll. a.d who dc churlk himclf orh6.lf or rhmugn hi3 or hd o$T .mployc, <br />proyid.d Ital such imp.sEE ieml inlad.dorordld aorsL.I[ hoB'6, th. hliBine or irnrDvdFn is$Uwithinon.]a <br />olcompldio,! th. ow.d Buildd will nav. $. hrdd ol pm\ing tha hc or snc did nor build o. inprcrc th. pmpqly tor lh€ purFse of <br />l, a o\sE o flh. |xopErr, an cx.lusiv.l, contracling with liccns.d conkacloE to consrrucr thc proj*r (Sc. ?044. Bc'.6 <br />nnd ADli$ion cod. Thc Conlnclol! Li.ds. tr* d.6 nor rpply ro m ow.d o apropdy qho hilds or improvG th6on. <br />ed who contEcls for suct rojcdr wnh a Contra.lo(, licmcd puB@r lo rhc co.tr..roi3 Lic.e l$) <br />-l <br />atrcr€mpl und€. Sdio!-, B. & t.C. for lltt 16.. <br />Drtt: Or.d: <br />llatrtrElLt.qOutrltallQ! <br />D&C!A3AuO! <br />I hereby amd under !.nalry ol rcrjury o.c oath. aollorving d(larario6: <br />I halcudwillmoinlainaC€nifrcaleofConsorto S.ll-lnsuE fo. Nork.a'conp. larion,6 Fovidcd forbs{rio.1700 oflhc <br />C,;;; <br />for rhe pe foflnMcc oflh. $ork for which rhc p6.n is issu.d <br />LVill maintai. *ort€6' co'nrEEarion iNurancc. as rcqln.dbySarionlrT00oirh.bborCod..lorlhep6fonnarccol <br />'trpsvri,,ninntr.nc.' rr <br />4 <br />_I cdify thar i. rh. pal6lr@.. of the *ork fo. qhi.h (his Fdir is issued.I shrll nor mploy any p<Mn in any mdn6 <br />e 6 to b.come subjdr ro rhc sork4' coop€@lio! la*s of Califonia. ed asr& lhd ia l 3holld b..o,n. sublet lo lhc <br />$$116.onrposrio.povisioNofSsrionl?00ofthcLiborCo{lqIsh,ll,fonh{nhcompl,s'ilhthosl,rovisioB.. <br />WARNINC Failur€ to Ku. *orkc6' comp.Narion mws. n unl.vful. md shall subj{t dr dnplorq to anninal pqukiB and <br />civil nnes up to onc hundtd rhoMd dolla ($100.000). r addiridn $ fi..os ofcomp.,Ealion. d.n.B6 a prolided ror the <br />trlerst andfiorn€y's fs <br />DECI.AIAIIA! <br />I h6.by arnn und6 F.ahy or Fjury lhal I e licsls.d ufld6 p(ovisioo olctaos 9 (comne.ins $ith selion 7000) of Dirision l <br />.l ilr nrsn,RrAid Pr.rasionca.d. ,nd mylicme is ir nill ldccddcfiEt. <br />stqqv< <br />COISIAIJCIIONIEIDIIGICINCI <br />I hcreby ailrn undq poalry or !.rjury that !hs. is a.odrucrion lqdins 4ocy for rh. p6fom6c. ol(hcqork for qtichlhis po.it is <br />is$ed (S(.3097, Civ. C.) <br />ATIII(ANLIECIAEAIIO! <br />I h6cby aIIm undd poahy oi pdjury o!. of lhc followins d(lmlion' <br />D.nolilion P.mneAstcros Nolificalion F€ddal R.8ulalions (l'nb 40. Pd16) <br />-Requtcd <br />Lclrs of Notificalion <br />-l <br />csi i! rhar the lcddal rcsulalions rcssdins sb€slos rsno(al uc nol applicable b rhis p(j.d <br />I coiiryrhar I h.( i6d thj! appli.arion mdsralc rhar rh.abolc inlonn,rion is.ord I a8re to comply $nh allCilyand Counly <br />ordinm.6 &d sr.r. tiM r.larin8 ro blildinS coNrrncrion, ed hd.by aurhort€ r.prMrari!6 of this City and Counry ro <br />ab.v. m.nrio..ri pio!.n, hr irot .r <br />,\t,Dli.rnr or Atur SixnNrtr.c <br />,\rte I <br />\ril ID <br />[0 <br />L.nd.i3 Ad&s <br />-