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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Sarety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq i UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lVleter Release tt/6"/rs >l\(t
<br />Rough 7 /t$/ rc 9s'a^r
<br />Service l\ileter
<br />FINAL /^2,>2.D4{ lot
<br />Notes, Remarks, Etc.
<br />OWNER BUILI'ER DELCARATION
<br />I hcrcby allrm undcr pcnllry of pctury rh&r I am excmpr fmm th. Conrad.r'l-i..ns. Ljw for rhc nrbwin8 rcls.n (x(70315
<br />Burincss and Profc\ridn Code): Any Ciry or Cornrt which rcqxircs a pcrmn to conndcr lllcr. imlrova dcmlnh or rcpan atry
<br />irrucrw, rir b n\ Nuun.c. dl$ rcqun r lh. ,rtlicri ro. ru.h Frmii t. filc r siBRd (ar.mnr Ihll lE or shc i\ licdnrd puruad
<br />lo lhc FovGions ol tlf, C.nrretol\ Liccnsd Law (Ct!!ter 9. ConftminE *irh sc.rio.7000 ol Division I oflh! Businc$ and
<br />Pofesions Code ) or rhnr heorrhc n.xenpr rhcetrcdand rhc basir ror rhc kScd.xcii]ltiotr. A,yviohlionofscclion?0:ll5byriy
<br />aprliclnr ror.Frnir rubrc.h th. lmli.unl lo acivilp.naltyolnot mrcthln fivc hundcddoll{. (S50o).
<br />L N .wn(ofrhc |/oFny..r nry cmrlor.r wi'h wa8.s ai rhcir bh.lmFcnsiriotr. will do rn sort and llE \rndm i\ ft,
<br />intnd.d or ofrcrcd for sL rSe.T(}44. lrusims and Prcfcsions Code Thc Conrrucroi F l,iccnsc Lls d.c\ .or ll)ply
<br />'o
<br />rn owrcr of
<br />rnc poIcny who buit{s or impm*s rhc6n. dnd wlt) &Es soch hrk hin*lror hcrslror thouSh his or hc! owncmployecs.
<br />nrcvidcd th.r such inDmrcmnls N mt intndcd $ oficrcn for sh lt nowEr. rhc t{ikling or iqmktu is $ld {iihin unc t r
<br />o{.onplcrirn. rh. O}Nr auildd will h.r lh. b{d.n .f pDving rhd lr or shc dt d nliB or iDl)rot rhc IDIEIy aor ih. Dulb* .f
<br />-1.
<br />asowncroirhc pnpcrry, an cxclusivclycoorrcring $irn lian*d coorrct,n ro .ohdtucr rtr ftujer (se 7{x4. Bu{rcss
<br />!l{l Piuf6stun Codc: Th. Cotrt{dol s Licctrsc Lau d@s not {rply ro on own r ol propc , *ho l,uilds or nhtrovcs rhocon.
<br />lnd wh. 6nrE k lr rurh ptr,jcch enh d conrBcrr( t liccn*d puBua
<br />'o'hcConr!.rols
<br />l-i.cn{ 1,}r
<br />lrtr,.rrn,t u rl.r S..r(l
<br />D{le Ornq:
<br />wonxnns ctturrrs,trttw
<br />D&IANA.II!]N
<br />I hcrcby uffim undcr rcmllyolncrju,yonc ofrhc tollosins dcclararions
<br />lhrvr rn,l $lll n,rinli'r r Ccni6crr.ofCon{nr k, Sel n\Drcitr*orkcra.u rticfsdidr. s trivi cdlnrhyS.rri, .l?(X)otrlr
<br />lhor C{xle. tur lhc pcrlonurcc oirhc sork r{n *hich rhc l.mir k issurl
<br />!r if(1 $ill n[i'rrrin rorkcr\ comn i\rri{nr i',\rrrncc- a\ rcquncd bySc.ri,r 17U).lrh. L lar(iinc.l,tr rh.nrl,, n rucol
<br />)mrcn\arbn insur.ncc c0ricr 0nd plicy auarbcr m
<br />U ],L
<br />I .cn'fy rh in rhr p$fonMn.. ofrhc work f(tr Rhrh rhn pcnnir n nsucd. I shall nol.mpk,y My ltrr{m id dy mtrmr
<br />v, m x' B<.N \ul,jL{i h rhc workcri .o rr.nsal ion hw\ of Cllir{rmir ,nd rgft rhir ir I rhouk, tEconE suhicr ro lhc
<br />worlcF.oDnrnsrrionpmlti,)nsofS(rn,n.1700ofrh.LrhrC{ic.Ishall.linhsirhcondy*irhlhosFrvtions
<br />W,{XNINC, l'trilurc n) $curc worleri c.nDtnsarnn, olcralc i\ u lawrul. d rh.ll subjcd rr cilplo}! to criminsl Fmhi. Md
<br />civil fincs un lo .nc hndrcd rholsand dollan lsllx ). in lddnion ro (h..os ofcomlEnsalion. dlm8cs 0s Ilrovucd Lr rk
<br />'1p,i1i'ff
<br />DICIAMIIOX
<br />I h.rby afirn uM.r Fo,lrtorp.rru.y rhar I dm liatrsd undcr rovision ofCh.pler 9 (comftncins wirh s(lbn 70fiJ)olDivhio.l
<br />_":"":" :,*' p:sc'de
<br />aid n'|v ei:s
<br />t,,,"a+4n;4
<br />CONEIBJJqIIANIENDINC.IGIICI
<br />I hcrcby smnn undcr pcnlhyolp.iurr ttut tlErc h a oNlruclion kndins lscty forrhc p€rronMm. ofrhc *ork for shich$n p.rmi n
<br />issucd (Scc 1097, Civ. C )
<br />lxndei\ AddErs:
<br />-AITLICANLDEII,A8dIIO!
<br />Ilrsd'ydlimhdq p.nrlryotF jlry6m oarhr t llowins &claBrions:
<br />Demniliofl Pcrmils'AslEnos Norificarion F.dc6l R€Cnhrio.s (Iirk 40. PM6)
<br />-Rcqlncn
<br />lrncr o{ NolifBrion
<br />I rcnifyrhrr lhc lidc' rl rcguhrn,n\ rgeliu r\h.(o\'. bvrlJc tror+plicJblcto rhi\ pmiccl
<br />_yrl llulcrclr[i\ipt]li riq] l{rlcrlxIhdrhn.i'rf.nnr.otri\corccrlrsr(n,.olnl!irhill(irv
<br />ordinaNcs.nd Strrc hw\ rcl b huildinA.otr{n'.ri,rl Jrl hcrchyrtrrlffiTriinr{r rrnc\ol rhr\ (-iyrni
<br />bovc flEnri(,ncd ln)pcny io.1
<br />,\ DDli.mt or Ardl Siq Hl 4t \t
<br />Communications Cable
<br />Air Conditioners (
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