Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE COMMENTS OWNER BUILDER DELCARAIION <br />I icrchy lmrn undcr pctrdly ol pc,jury rh l am cxcnrl from th. Conh.n,n Liccnsc ttrq lor lhe follosin8 lea\on lscc703l5 <br />Blsinc$ and Pofc$t'n Codc): Any Ciry or Coutrry whi.h rcquits n lEnnil lo .nn(ncl. rhcr. improvc. dcelkh '{ EI'rn Jny <br />{rucrm. llrlrb ils hsum.c. sko rcautcslh. attlic. for such pcrn l lo filc ! sisEdsrnrcmnr rha( tEor shc h lten*d puNanl <br />ro rhc p,ovisions ofth€ Conrra.toas l-iccnred La* lchnpr.r 9. Corm.n.ine wilh Scclion ?0o0.f Divisn,n I of rhc Brsin.* and <br />Pmlcsions Codc) or rhar lE or {he h.xc6pl rhc,crion aod rh. basis ior lhc dll.Scd cxcn{,tion. Any violuli.nofS..rio.70ll.5 byany <br />appliclmlqapc,nnrubjcc(rh.,ppli.anrro..irilp.nah!Dlnotnrrclhorlilchundrcd{loll$(5500) <br />_1. !\ oencr ol thc rn'Fnr- or dy cnl|JlolEs wirh strsc\ x\ rh.t v,l. co'nprns.rnnr. \'ill do rlE *(k ajd rhc stur!rc is r <br />i'n.nd&l .r oltard f.r ulc (Sd.7I)44. ausincss and PreLsions Code:1hc C.,nrocrois t,iccn\c tiw docs nur dpFly l. atr owncrol <br />rhcpEtcny who bnilds or inDorcs rhcmn, rnd whodocq{chworkhins.lforhcr.clforihrongh hi\ or hcr own c ,rl{,yccs. <br />prolid.d rhnr such inr.orcrBnh N mr i.rctrdcd or oftad Io! !'t ll h)scki rhc htiuing .r iqk vcmnr h srd wilhin onc }fr <br />of.o.pk(bn.rh.O$'ncrauihnwillhrlclhchurdooiDrovirBthothco,\hcdidn l ld or i'ry,rovc rhc pn,pdt nr rtE pu4Ds of <br />LN.wnoorrhc')(,p.ny.ancxclusivcltcontrndinswirhliccnscdconrla.rorsro.rnsrdcrrh.Eojftr(sc.7044.Bu\irclr <br />an<l Pdashn Codc: 1hc Conlrscror s l-iccnse La* dnc\ Nr arplt h an osnf o r lnt'c ywh. buildsor iNlrovcs rhcrcod, <br />nnd who.onlrNkforsuchproj€hwirhaconrrucbds)ltcnscdlununrrorhcG)ntr.ror'rLiccnsch*). <br />-l <br />amcxcmpl undcr Scrl <br />llal$i&51(aNllNtjljlAN <br />UEIIA.BIIION <br />I h.rcht nlllrm undcr J--^nolryoflciuryonc ofrhc rbllosiru dcclarlrions <br />IhDv.mdwilltuinraindCcdili.drrolCotrsetrrroSclf.lnsurc(trworke^ coarpcnsrion,0\ pr.vid.dlorbtScction.lTu)olth. <br />tih, C.dc. for rhc ,.rfom... .l rh. *oA ror whi.h rh! p.mir n issucd <br />-lhrrcr <br />dwillDan rin workcr' cotrr.trsrriu i'r\urancr. x\ rcqrnrd bysc.riru rTulofrhc lrhorCodc. fir ihc Icrronutuc or <br />hrhi\ p-nnir t i\\ul\l My worku!.on,Fn\rri{n ir1\trr .c.nrlcr ud poli.y rumhcrrrc <br /><-P- <br />,cl)4Co,:'{?)(3 <br />_l.cdiryrhar in rhc rcrroman.c ofrhc ror* lir whi.h rhis |xflni t hnrcd- I shall nor cq,lo, aDl Fri,n ifuny mnmt <br />so tr ro tEconr subicr ro lhc *alkcr' compcnerion laNs of Cllifomia. and +rcc rh ir I should h.$m sul'jc' lo rhc <br />workcs com!.nsarion prolisionsofScclion lTO0otrhc litnr Codc- l jh:ll. ronhqirh.omlly wirh lhot pn)visinns <br />WARNINC I'.ilu!c t' {rurc }orkcr( conp.n\rrnnr co l. and orll suh|:d rn cnDloFr h oininrl ,f, rlric\ &d <br />.iril lincs uD lo olc [utrdEd rhouund dollrl (r rhc co{ ol conr!.nsdion. dxnugr\ r\ Fnidcd ntr rhc <br />UIILIBjI]OI <br />I hcruhy (lrnnundcr prrulry or pcrjorr rhd I an lmn..d utrdcr tmvtion ofChaflq 9 (connf,ncins *irh s..riun 7ID0) olOivirion 3 <br />oi rhc ausircsslnd Profcssions c{ c.'&d 6y liccnsc is infuU ror& dld cfic.t. <br />:""j{QlLn,r z r>{ <br />Lbl tL <br />ca!$rllgtQxLENtllNclcEltr <br />I hcrby amnn und.r lEnllly of pcrjury rhar lhcrc n a co.srMrion b.ding aecRy for thc rrformrc of rha *ork for whkh thh Frnn is <br />ksu.d(So 1097. Civ. C ) <br />APILICANLIIECIdEAIIO! <br />I lanby allm und$ pcnallyofpcrj!ryonc oflh€ iollowin-s declaralions: <br />Dcft Ihn,n Peinn$Ash.sos Noritlcarn,n l1.dcEl Rc8llations (Tillc 40. P!n6) <br />Rcqnncd L.trcr.aNoiiftri on <br />-l <br />ccnityrhar rhc ldcral rcsuhrn,n\ rcgrdnr8 Nh.{osr.,R,vtrln'. noramlicible io rhh pn+cr <br />I c.nitrrl r lh \r 'rd rlrnrttlic <br />oklinrmr\ rn,lSrrrc Irus rcldi'rg ro htri <br />hc ftovc inhrnEtion is cotrcd I rEN t,.unply wirh nll Cily ond Couory <br />nhrivcs ofrhh Cny rnd C.unlylo ctrr.r trFrlhc <br />rbovc trEtrrioncd nroDcny,or in <br />,\ppli$ri.r ,\Acnl SiEtr$l nkls<44A /49 <br />ia 1ie <br />Underoround <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 />Buildinq <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquerno <br />Sub-Panels <br />Air Conditioners <br />Rool Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouoh) <br />Ceilinos (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rouoh) <br />Rough <br />Service lvleter <br />h//v/ t4 '"\4( <br />Noles, Remarks, Etc <br />ID/SIG. <br />Site-Work <br />It/eler Release <br />FINAL <br />Lcndcrr AJdrcs: <br />-