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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Spas, Pool, Fountains <br />ns (monument) <br />/Low VoltageLife Sa <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rou h) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc.56,667 <br />OwnB'Build.. D4lr.li6 <br />I h6.by affim ,ndd pcnalty of p.riury thor I m almpt fom lhc Co.n..roa Li63c Law fd lhc aollovins Eao G.q 701 I 5 BGihB <br />and PrcfBsion Cod.): Any City o. County vhich EquirB r t mil lo .onsruct, alt.!, imprcv., d.nolish or rcp.t dy shcturc, Fi{ ro iB <br />issuec., .lro r.quird lh. appliot aM luci plmir io lll. . si8n.d rlarmdr rh.t hc or rlE ir li..ns.d pu.iuet to tu provisi@s ot 0rc <br />Contracbr's LicMd Llw (Chrplct 9, Comn.ncin8 with S.cdo.7000 ofDivi6ion 3 oathc Burinds od Prcfc$ioi, Codc) or th{ h. q <br />sh. is lxoF rh@frm $d tha b6is ftr ih. all.8.d acmption Any violdion ol Selion ?031.5 b, aiy apllicd! lor a pcmn subj.d! thc <br />applicer ro ! civil pd.lry of io. mor rhe fiv. hundr.d dolla (1500) <br />_1, 6 oMcr ol lh. pEopsty, o. ry chploycd *i|n wagB a thcir s6lc .onpcNrlon. will do rhc *ork Md th. structrc ic not inr.ndcd <br />or o6.(d id srr. ( Se ?044, a6in6s ud Profdion5 Co.ra: '11. ConrBclor's Lic.ns. La* dB rd apply to .n owno ofthc prop.ny <br />who builds or improvG thdcon, d vho dc such woll hinscll or h6clf or rrough ht or hrr ow! cmployEs, Fovidld Urr such <br />improvcmcnB d. not inlad.d o, olfftd for sal..ll howry.r, dc blildinS or improv?mdt is sold wnhih on? r@ ofconplcnm, lhc <br />Own.FBuildcr willhav.lhc burd.n of provin8 that hc orsh. nol build orimprot? ior th. prrpos. ofs.lc) <br />_1, a o*trq of lhc prop.rry, m cxclsivcly contr&ting vnh lic.ns.d .onkacroE to conslrud lh. prcj.c! ( S@ 7044, Buin@ dd <br />Prcfgsid Code Thc Contaclor's Lic.E. kr dG nol apply ro ow.d ofp.op.ny who builds or iEprov.r thaon , 6d who <br />coitds for sch proj.di wnh a coiri&lo(, lic.ns.d puNuar ro thc conracto' s Limr. L.w ) <br />_I a.xmg lndds?cdoo <br />IABtrEBLCO!4EENSAIION.OECLABAIIoN <br />I h.rcby atfi m und.r p.nalry of pcrlury onc oarhc following d..ladio.s <br />_l hav. ud will hointain a Clrtificat of Conscnt to Sclfi.surc for w(t6 .mpasaion, a povid.d for by Sctiq 3700 ol rh. <br />Labor Cod., for th. Frfotl@* of d. wori fd which rhc pcmn k is!..l <br />_l h3vc od will mlinr.if, vdt6' comp.Nation iisu@c.. a rcquird by Setion 3700 oflnc Lrbor Cod.. for rh. pdfome.. of$c <br />wo.t ior which tis pmir is issu.d. My wort6' @mp..stion iBun@ @i6 dd policy numbn dc <br />Policy Nlmb.r Expir.y _ <br />dffi"#;d#;fo! On. hundrcd dollas Itl0O) or16) <br />t i$ocd.I shrll .or .6ploy oy F6on in uy men.r !o s lo <br />700oflhc l-3bor Cod.. I shall. fonhwnh <br />urc |o saur. vort6 conpdstion .ovcra8. is <br />finB up to on. hun&cd l]1o6dd.lolls (3lOO,ooO).in addnion ro cosr of qo;pcrs.tioi, damigd 3 providcd for thc Scc{o 1076 of <br />ih. L.bor Cod., inicBt d atomcyt fc6 <br />LICENSED CONTRACTORS DECLAR,ATION <br />I h.r.by Im und.. p.nalty of p.rjury lhar I d licds.d un&r pmvision of ChlpEr 9 (comm.ncing *it Sarion <br />thc Busin4. dd P,of6rioos Co<h, &d my licdlc t in full torcc dd.ffat <br />undcr p.nalty of Frury dE1 th@ ii . @nnr!.tio lddi.B .gdcy fd dr. Frfmac. of lh. wdt for *hich rhi5 pmir i <br />i$ucd (S.c 3097, Civ C.) <br />AIPLICANT'S DECIT\RATION <br />D.holnim tcmiis.Asb6toi Norificadd F.dcal Rcsul.tjonr (Tirlc.0, Pm 6) <br />_Rcquircd L.ndof No fic.rio <br />_6^" <br />th. fcdc.al rgulalions rcg{ding Bbat6 roor.l d. not <br />I havc rcad lhk .rplicarion dd Ig3r@tocomply wirh all Ciry dCounry <br />ordinacs Md Slal. t w! ..l.ting lo buildine v6 of$n Ciry and Counry ro.nrcr <br />.bov. m.nrio.cd propcay for iorp..tio 4 Z./ <br />Light Standards <br />Under Slab / Floor <br />Ll,tro <br />L.nd.r's addB <br />I <br />t <br />=