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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS tD/srG.COMMENTS Ow.a-Buildlr Del4a on <br />I h.'.by affid undr Fn.hy 6f p.rjury rl.t I m .rmpl fm rhc C@ractoR Licc6. llp for (h. tollowin8 Eao Gcc 701 I 5 BEi.6 <br />and Pof6ioi Codc): Any City o Colnty whicn rcqutd a pcmn |o co.rfdd, alt(, in .olc, d@olbh or r.pii, dy snactur., Fior ro ik <br />issuMc., ako r.quirs $. applisrl for such p.mn lo fiI. ! sign.d srarn nl dDt hc or sh. is lic.ns.d pursu-t ro rh. p.olilions offic <br />Conlractofs Licasd Lav (Cha$o q Cohnddns wilh S.cion 7000 of Divnion 3 ol thc Bunn6 ud ProfBsions CodO or t1l6t hc or <br />sh. i! cx.mpl thcrcfrcm 6d th. b6is ftr lh. all.g.d .x.mption Any violilion of S4tion r03 1 .5 by y applicdt ftr a p.mn Nbj.cts lh. <br />applicdt to a civil pcnalty oiior morc rhm nvc hu!&.d dolla {1500) <br />_i, a owncr of lhc propcdy, or ny cmploy.6 wnh wo86 c rhct solc compcnrarion, will do thc *ork aid thc shduE ir not int.ndcd <br />or oil6.d fo salc { S.c 70,14, BainB od Pofeions Cod.: Thc Co.taadt Lioc"sc L.v dc .d lpply lo d owncr of !h. prop.n} <br />*ho build! or improv* 6aco!, dd who dG ruo wort himcla or h6da or rhrcu8h hn or hd @n .mployca, Fovid.d $atuch <br />improvcmdls s. not inlqd.d or oilrcd lor s.l..ll how.v.r, rhc buildi.go improvchcnt is sold wi$in o.c y*of codpl.no, thc <br />Opn.rBuild.rwill hsv. thc burd.r of provirg tha h. d!h. nd brild or ioprovc a6 &. purpdc of6alo <br />_1, a owncr of rh. prop.ny, h dclciv.ly conr&tin8 wi6 licenscd oilar66 ro coiltoct thc prcjet ( Scc ?0a4, Asin4 ud <br />Profgrion Cod.r Th. Contr&lors Lift.s. L.w do6 not lpply to d owncr ofproFny who buil& or inprovG thdcon , ed who <br />corracB lor such pDjccr5 with a cot6clo(, liEns.d plBud' to rh. conractors Lic.ns. Law ) <br />_l m rx.mpt undd Sdion <br />la3trEaicgr48Ersargx_Drc <br />I h.rrby affm und.r p.naliy of pdjurl o,. ofdc followi.B d.clda ons <br />_l h!v. dd will m.iniain r Ccni6st. of Conic ro SclfjnruE lorworkes conposa oi.a providcdforbyS4tio3700ollhc <br />Lrlor Codc, for lhc p.rfoM@ ot'nc *ort for *hich ln. p.mit is isNcd <br />_l havc ed will msinEin wdt.6 conp.nsarion iNurd.., a rcquiGd by S.ction 1700 of rhc Labor Cod., lor rhc p.rfomd.. ol il'. <br />wort for which lhis pmil is isslcd My wdtn'c@Fns.ri@ iNuro@ @id od polic, nlmb.r d. <br />PolicyNumb.r: Expirs. <br />J,^',",n**,n" <br />b. complct.d if th. p.mn is ior On. hondrcd dolld {l100 ) or 16, <br />ofrh. work fd *hich this <br />Labor Codc, l shsll, ronh*irh <br />workcE comp.nsalion covcraS. <br />thoGad dolla (JrO0,O00),in dditi dam.B6 6 Fovid.d for lhc Sccrion 3076 of <br />inr.rcd md.(omcy! f.€ <br />I h.r.by aflld undcr poalty ofpcrjlry lhal l m liccnscd und.r provision oiChaptr9 .ncing wnh S.dion 7000) <br />ihc Busin.$ Md ProfBrons <br />olp.rjury lh.r lhft k. conslrucrion l.n ancc oilh. wnk fc which rhis p.mn is <br />i$u.d (scc 109?, civ. C) <br />AP}LICA]\T'S DECI-{R,{TION <br />Dcholition Pcmils-Asb6r6 Nolifislion F.d.alR.8uhio.s (Titlc 40, Prn 6) <br />_ Rquircd rr(6 of Norillc.ri@ <br />I aSrc.locmply wnh sllCiry md Counry <br />abov. mcnlion..l proD.ny fm i.rp..lio. <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 />Torquing <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 />Meter Release rn <br />Rough EED I ,ntc <br />Service Meter <br />FINAL iAMC 8-43, 29r <br />Notes, Remarks, Etc. <br />DATE <br />), 556, 667 <br />T---