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ELECTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG. <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safe /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Bu ilding <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquin <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilin s (Hard & Sofflt Rou h <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter B-f <br />FINAL <br />Notes, Remarks, Etc <br />_l a .x.mpt und4 S.ction '8. & P C ftr thii r.en <br />WORKERS COMP'NSATION DECLARATION <br />I h.rcby affim und.r p..ally of p.rjury o.e of $c following d.clmlions <br />_l hav.udvill B.inr.in ! C?nifiql. oiCmsor ro Sdf,losur.lor worlc6'(Mpasdion, s prcvidqd for by Sarion 3700 otrhc <br />L:bor Cod., fo d. pdf(rlmcc of lhc *or1( for *hich rhr FEit is isud. <br />_l havc ud vill mainbin workcr' cmp.nirion isumcq a rcquied by S@tion l70O oflh. Llbor Cod., fc ln. poiomec. ofrh. <br />work for which lht p€hit iE isu.!. My worta' compcnation insur&@ cdid e.l policy nlmb.r sc <br />*x:::" <br />G"-. '"u..r ," <br />no! b. compl.Gd if$. pmir is aor On. hur&.d dollEs {ll00l or <br />th. p.rfom c. ofrh.*ork ao.which <br />lhc *ork6 ' cMp.tualior laws of Cdi <br />compcnsation provisims oa 1700olrh. Labor Codc. I shall,o -o <br />WAINr{G: FailuE to saoE workcri @dp.trsrioh rubjccl & chployd b cnminal F. i6 &d ciril <br />fin6 up to oo. nuidr.d thouud dolld (Slo0,00o),in rdditioi to rhc cst @opcnsatioi, d.n.g6 6 prcvidcd for th. S.clid 1076 of <br />ihc Labor Codc, int.rd ud.tlohly i f.6. <br />LICENSED CONTRACTORS DECLAII 1ION <br />I hcrcby rlfim und.r parlty oa p.r!ry $.t I M licnscd und6 prcvision olchaptdt( <br />th. Sudn6s Md ProfBions Codc, ed my liccnsc is in full foE and.fi.c( <br />(2 <br />I hctby afll m undcr paulty of pcrjury th.t d@ is a con$uction lcndi oflhc wnk fr *hich thi pcmt t <br />isucd (s.c.1097, Civ. c) <br />AD}LICANT'S DECLARATION <br />Dlmdnid Pcmt$AlbBrd Noilicatior F.dd.l Rc8!l.tio.r Gnlc 40, Pon 6) <br />_ R.qunc! L.u.r of Nolificaion <br />-4,,"lh. f.d.ral !.8ul.tioN r.8dding irb6tos <br />I havc rad thk llplidioD ad sia!. <br />ordineco sd Srar. L.er rcl.rir8 lo brildins <br />6bov. n..tion.d prclEny 16 insD.dion <br />thi5 Ciiy ed Counly 10 .ntc, opo. 0'c <br />COMMENTS OMd-Build.r D.cletion <br />I hcrcby allim u.&r po.lry oipoju.y $d I m cx@pt fom d. Corlrdc'l-icdt. L.q forlh.follo,irg ,..s (sd.703r.5 Busin6i <br />ahd Prci*ion Codr): Any City or Couniy vhi.h EquiB r pcmit ro cdsrlc! shc.. ihprcvc dnolish q Epln 4y s(rldurc. prior ro i6 <br />isudcc, als rcqutB th. lPpli@l for such pmn to fi1. ! rig..d 'rf,ol lhat hc o shc t lieB.d p@uer ro th. Fovi3ioN of ln. <br />Conl,@rqt Ltc,Ed rrw (CnapEr 9, Com@ncing pnh Sdion 7000 of Divkion 3 of rhc Buirss dd Profqsiois Codc) or thlr h. d <br />sh. is crcmF th.r.from &d $c bEi! fo rt. .ll.8cd cxnpdm Any violarid of S.crion ?031.5 by dy.pplicer ior. p.mit slbj@n rh. <br />sppliHt to. civil p.nrlty ofnot 6G lhe five huidr.d dolle (t500) <br />_1, a oMd of rhc F@.ny, d 6y dployc virn {la6 6 th.i sol. compo!{io, will &.n. eorl ed rh. smcl@ ii nor iniod.d <br />o, ofi*d fd srl. ( Sd 704a, Blrn6r {d Prof6siotu Co<L: Tfu CmL&tor'! LioG. Lsq do6 not .pply b !n owna of $c proD.riy <br />who buil& o. im!.ovs lhd.on, dd who doa luch wdt hiru.lf or h6.lf or Lhrcu8h hi q hd own @ploys, providod $.t luch <br />inprcvdcnll ,c not inlcnd.d d offad rm sd.. ll hp.v6, lh. b!ildi.8 o imp.ovnar k rcld wi6i. on. yd of conpl.ri6, rh. <br />OwncFBuilds vill h!v. tn. burdo of prcving thr! hc or rh. .or build or improvc fd i.h. purporc of$lc). <br />_1. a o*nn of d'. pr@cny, M Grclusiv.ly @.mctinA pirt liccnscd .ob&ro6 ro cqslrucl th. prcjcct ( Se. 70,s, Buine ed <br />ProaarionCodoTh.Condactor'!Li@.Lawdo6nol.pplyroMownqofpropdtywhobuil&orinprovdlhc@,Mdwho <br />cmt@6 torcuch prcj@B w <br />' <br />a Cdr&to(, lien*d puB@r ro drc Coihc(qt Lien* Lr* ) <br />Sub-Panels <br />I ixplPtr t <br />7t l!t <br />_ _ __, -sv, ooo,W7