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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS oqd-Buildcr Dc.ldrio
<br />I h@by rfiim und.r F.alry of p.rtwy inal I d cx.mpt fom lh. Conrr.cba' Liccns. L.w for th. followins rcaon (scc.703 1.5 Busi.Bs
<br />ud Prcfdim Cod.)r Any City or Couty which rquiG a Fmrr 10 costru.t, altd, impror., dmolish or Epan e, srucrurc. prior ro it!
<br />i$@c., also r.q!t6 th. appli@r aor such Fmit to filc a signcd rtatn.nr that hc or sh. h lic6s.d pusumr ro lh. ForisioB of lnc
<br />Cotraclols Licds.d kw (Ch!p1cr 9, Cmnscing wirh Sdrion 7000 of Divisio 3 of th. BBin* &d P,ol6ions Cod.) u rhd h. d
<br />!h. i! cxdpt thdarom ad $. bais ac tt. .ll.g.d cimflion Any violaiiM .f Setim 703 I J by &y applicMl ftr a pion subj.as thc
<br />appli@r lo a ciril Fnalt, of iot hoc d'e fir ludrcd dolld (t500)
<br />I, d o*nd oa th. prcp.n , or ny dployd with er!6 d U.ir $1. comp.ns,tion, will do th. work d lhc alllctu. is nor imc.&d
<br />or ofidrd f6 sn. ( Se.?o14, Buir6c ud PmadiM Codq Thc Cotutols Licas. L$ dG nol lpply to u @nc. of th. pmpcdy
<br />rno blilds o. ioprov6 $@o, sd who d@ such vort him.ll or h6.lf or Urcu8h his or hd @n .mploycB. provid.d rhar luch
<br />impbyddls e not inLdcd o, offd.d td salc Il now€vd, thc buildins or imprDvmdt i3 lold wilhin oo. y.e of compl.lo, th.
<br />Ovnd-Buil.la will h8vc thc burdm of proyins thlt nc d snc f,or build or inprcv. for lh. purpw ofsal.)
<br />_1, a Mr of dE proFny, e cicl6iv.l, co.F&ting wiln licdscd @F.cr6 ro @nsftct th. Fojer ( Sc 7044, B6h6 dd
<br />Proa6rion Cod.: nt. Con!&tois Lic@. Law doe nol rpply ro e om6 of rropqoi who builds o. imp.ov6 lla@n , ud who
<br />mntuLr fd ruch prDj* wnn . Cetub(, lier*n pffidr b lh. Cdlrdtr! Li.cN. Lav )
<br />_! m cxchpt un(hr Sedo _,8 & P.C ftr$istBo.
<br />WORI(ERS COMPf, NSATION Df, CLARATION
<br />I h.r.by .6im und.r parlty oa prjury on. of th. followin8 d.clmions
<br />_l havc ed will nainLin a Ccnifiqt of Cmor 1o S.lf-lNlE aor worLE conp.nsarion, a prcvid.d ftr by Seijo. 1700 of thc
<br />Labor Cod.. ror $. p.r{mee of i!. wnl ror which $c p.mir ir isru.d
<br />I iavcdd*ill maint in*dkcB conp.nsalion rnsur cc,s,cqutdbySectiool70OofthcLaborCodc,fo.thcp..fmac.ofrhc
<br />wolk for which 6t pmil i3 issucd My wo.k6' compmsation insuruce cmicr ed policy numbo uc
<br />Policy Nuobq Expn6
<br />(This scction nc.d not b. conplacd if thc pcmil is aor On€ hundrcd dollm 11 100 ) or 16,
<br />/*ir,,ru, ,n ,t'"
<br />F*".br..,o'r..
<br />fewhich rhis pmn is issucd,I
<br />a*s of Califmi , ed a8.c thar
<br />rh. L,bor Cod., I shall, fodh
<br />t mploy.r lo crininal F,
<br />dolld ($100,000),in addirioi dma86 6 providd for lb. Sdtion 1076 of
<br />i.i.r6i Md.trofr.y\ f&s
<br />I h@by amm und6 p.nalty of pdjury dBr I h lim*d undd povisiM ol Chaprd 9 (cinr with Scclion 7000) of
<br />lhc Businas ad Protdsions Codc, ud my liccnsc is in iull forc. ed cffccr
<br />of p.rjury lhal ths. h a conslruction of th. work lor which rhis pmit i5
<br />1097,Civ C)
<br />Ar.tucrllttDccl4aauax
<br />Dcmohion P.mit5-&b6tos Noincrdo. F.dcral R.guldions (Titl.40, Pan 6)
<br />Rcqutcd L.nd ol Noificadon
<br />_l c.nify rhar $. f.d6al r.sulations ESuding 6b6rc
<br />Ac.tuty .rdthav$. dthit applieri@ d
<br />ordinece ed Slarr Lrws rclainr tobuildi
<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 />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 />E)(:PIRED
<br />Rough FEt r z0i9
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
<br />Under Slab / Floor
<br />Meter Release
<br />abovc mDnliorcd prop.ny for ins!..tion
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