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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />ns (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communicatlons 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 (Rough) <br />Ceili s (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc.AMC 843' <br />OhcrBuild.r D*letid <br />I h.!.by ailm undE p.n.lty of p.rllry $at I o .xnpl fm lhc ContnctoE Li*ns. law for rh. followin8 rcson (sc.ro! I 5 Bwin4 <br />dd Prcf6ion Cod.) Aiy Cit or Co{ity which rcquirB a ptfrit ro consttucr, rlt r, iDprov.. d@olish or rpair ey tuctu., ,nor ro ir! <br />issuecc, also !.quir6 lhc +plisnt for ruch Fmir ro filc 6 sign.d stal.ncnt thal hc or sh. is licas.d pu6u l to $c provnions of $c <br />Contr.dolr Lh.iscd Law (Chafl.r 9, Conmacin8 vilh Scclion 7000 ofDivision I olth. B6in4 od Pofsions Cod4 or dat hc or <br />shc is .r.npt |h@fM dd th. bat fd rh. dl.8d .xmption Any viollrion oa S@!on 701 I 5 by uy a?plitrr fq a ,6nn subj€tt th. <br />appliqnl lo a civil p.nalty of not morc lhd ilvc hundrcd dollm (1500). <br />_1. 6 own6 olihc p.opcny, orhy.mploy6 with w.8d $ ihcirsolc compos.rion, will do ttc work End thr rrrnct@ is not inradcd <br />or 6ird.d lor sar. ( Se ?044. Bsin6 ud Proa6ims Cod.: Th. Conr-&rd's Li@* L:w dos nd apply b u ovnd of tfic prcldy <br />who build! or imprcvG th.r@n, dsho doB luch *ork hiNclf or h6.lf o. rhrough hir or h.. oyn cmploycB, provid.d rh.l ruch <br />inprovd.nr! e nor inr.ndcd or offd.d fdr.1..It ho*cvcr, rhc buildin8 or improvoar i5 sold Grhin on.y@of cohpl.nd,lhc <br />Owns-Builda will hav. $. burda of provinS $at hr q Bh. not build o! improv. for rhc pu,rGc oa sal.). <br />_1, a owncr of drc propcny, d dcluiv.ly conrerinE widr licctu.d conlr3clo.! 10 co"srruct rh. proj.cr ( Scc ?0.a4, Bqi.6s dd <br />Prcf*io. Cod.: Thc Conrr&aror! Licos. trw dc .or apply to & ovnd oi prop.iiy who buil.h 6 inprola rhftq , Md who <br />co.rer for such prcj.crs with r conracb(, li6sd puBu&r ro thc Conr&rors Lic.nsc L.w ) <br />_l @ qcmpt unds Seioi <br />WORI(ERS COMPENSATION DECLARATION <br />I hcrcby affim ud.. pcnalty ofprjury on. ofrhc follovin! d€cl&atioB: <br />_lhaycddvillm.inlain!C.rlifiqrcofcons.nltoS.lf-lnsuElorwort.R.onp4.ti6.s povid.d fd by Sctio 37OOotth. <br />Labo Cod., fo thc p.rfm@ ot$c *ort for *hich rh. pmn is ilsucd. <br />_l havc 6.1willmrinEin wct6 c@pcede iMu&@, s Gqlircd by S*rion 37OO of rh. Lsbor C.&, ad t. pdfm6c. of 6. <br />wdk for *hich lhn pmn i isu.d. My wo*d' cep.rstim iuu e csi6 u.l policy nombcr d.: <br />Policy Numb.r _E{ptr.s <br />Ar**n' ,r" <br />bc compl.td if rh.p.mt ir aor Onc hundr.,l dollas Itl00) or l.r, <br />pcrfomd.c otlhc vork for which rhi! Fmir n issuc,i, I sh <br />salion laws of Califomil ed l8re thll ]J <br />?OOoflb. Laboi Codc. I shall <br />dolls (1100,00o),in addiion lo damagG $ providcd for th. Serion 10?6 of <br />i.r.rcs ddaron.y! rc6 <br />LICENSED CONTRACTORS DECLA&{TION <br />I h.r.by a$im undq r.nalry ofpcqury rh.r I e lic.ns.d undd Fovision ofChaFd 9 (.on6c.cins wirh S.crio, <br />rhc Businqs rd Prof6nons Cod., ad i5 in luu fore ed.lf.cr <br />oflhq worl lor which lhi! p.mt i. <br />,Civ. c <br />I ..ditv fia! d. {.d6al rcrulatoni rcrardmc-1.,, <br />^*, ** -^ ^,*',.,; -;agr.c ro comply wirh allCi <br />ordinece dd sur. Lawr.chdig lo building <br />rb6v. n.nlioncd proFny fn ihrp.crio. <br />ID/SIG. <br />APPLICANT'S DECLART{TION <br />Dcmohion PmiB-Arbsld Norificarim F.d.El R.guladoi {Tn!.40, P.n 6) <br />_ Rcqut?d L.hcr of No fistion <br />Under Slab / Floor <br />EArrr' <br />t ,ntqfEu <br />290, 55b' bo'