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ELECTRICAL.INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Site-Work <br />Unde round <br />Pole Bases <br />Li ht 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 />Torqui <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Itrleter Release <br />Rough <br />Service Meter <br />FINAL c 8-43,s56 <br />owo.rBuildr Ddlaalin <br />I h.Eby arim und- F.alty ofp.rlury rh.t I m .ropt fom trhc Cotr..to6 I-ic.nsc ]. w aor lhc followioS caon Ge.703 L5 Aqi.a <br />and Proidioi Codc): Any City 6 Couity ehich rcquiB a p.dn lo co.sttucr, al&r, ihprcvc, dcmolish or !cp.n &y xrucrG, ,.id ro ir! <br />issudc., also ftqut6 rh. .ppli@r for rucn Fmi ro fi!. a siSncd srardoi rhat h. or sh. is lic.nscd p!6ud1 to thc Fovisions of $c <br />Conlrubt's Lic.rsd Lav (Chapl.i 9, Commcncins wilh S.clion 7O0O of Division 3 ol th. Bsin6s ud ftofdions CodO or tlat hc ot <br />sh. is d.mpt th.!.frcm ud lhc bais fG fi. nll.E.d dcmprion Any violation oaS6rion 70rl 5 by My lpplicat ttr. pcmn rubjets lh. <br />apgltot to a civil pn.lry oand mo& $u nvc hundr.d dolla (1500). <br />_1. s owDcr of th. propdy, or hy.hploy.6 with *as6 a rhct sol. cohpasrion. qilldo th. {ork ind rh. 'ln re i3 nor inrcndcd <br />o. otf.Ed for sal. ( 5.c 70.14. Buings d Prcf6sion5 Corr.: Tb. ContBcror's Lic.ns. La* des nd.pply to a own., ol$c proDcny <br />who buil& or imlroae in@on, -d *ho dc such wor! hiNcla or h6cll or rhrcu8h his or h.r oM .hployc6, p.ovid.d tial ruch <br />improv.mdB dc not inEnd.d or off.r.d fd sal..lf, hd.r.r, thc building or imp,olmot k sold within ohc y@of conpl.non. rhc <br />O*ncFBuild6 wil, h.r. th. burdd ofprovin8 thit h. orshc nd build orimpror. ao. &. plrposc ol5al.) <br />_1, s owncr of th. prop.ny, d cxclsivcly contr&tins wilhlic.ns.d conl!&toE to conshcr rh! prcj.d ( 56. 7044, Buinc$ ud <br />Proacsion Codc Thc Conracior's Lrccns. I-3v dG ror.pply to owncr ofpropdry who builG or improvg $6.d, ed who <br />conha.i! lor such lroje6 *ith aCot aro(r li@scd puEuu! to rh. Confrcror's Lic.ns. Law ) <br />_l m cx.mpt und.r Scctior <br />IOA.6EBS.CqMTEB,SANqE.PIC N <br />I h.r.by affim undcr padty ofpqjury on. of$. follo-ii8 &.la.li@: <br />_l hav. ed willh.inlair a C.nific.t. ofconsot to S.lfin5urc for workctr .@p.Badon.6 povidcd for by S6ti63700of $c <br />Lalor Cod., in $c p.rfmcc of lhc wort for which rhc pcmn i5 isru.d. <br />_I have ud will m.intBin wqka cmpciiarioi iNur&c.,6 cquiEd by Sfiioi 1700 of6. Labor Codc. for rhc Frfomecc olthc <br />wtrk for which this Fmir ir t!u.d My wokft' conpcisaioi insurMcc cMid &d policy nuhb.r oc <br />Policy Nlmb.r ExpiB <br />(This rd,on n..d iol bc @mlldcd if rhc pdnn ir lq otu hun&cd dous {l100 ) or l6d <br />#:ilrhat in thc pcfome@ ofrh. wolk fd *hich this pmir is issucd,I shall not cmploy ey p.uon in.n <br />las of Glilonil, dd.grcc drat il <br />Labor Cod., I shall. lonhw <br />,) <br />dolls (1100,000),in addilion io <br />thc L.bor Codc, inr.r6t sd ,tom.y s fB. <br />LIC ENS OI} CONI'RACTORS D f,CLAfulTION <br />I h.Eby aflim undcr p.nahy of prjury I6licascd uod.r pro!i!i6 of Ch.prc, 9 icohncocia s with <br />fic Bu$ncs and Profgsions Cod..lic.ns. is ln full aor@ and cifccl <br />APTLICANT'S DECL{RATION <br />Dcfrdiion Pcmir$Alb6tos Notificdion F.nd,l R?e!t&io6 (Tidc a0, Pdt 6) <br />_ R.quiEd L.rdoaNo fiqtio <br />,(*"r**i!.olBi I lec ro cffidy wnh all Cjty Md Counry <br />ordin&c6 &d Stal. Llws r.lding lo <br />rbov. m.nrion.d prop.rry fm <br />Epreniariv6 of $i5 City dd <br />APPROVALS <br />EAi'iii L.D <br />rE.u - |.UIJ <br />Notes, Remarks, Etc. <br />1