Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Own.FBuild.r D.clesli6 <br />I hcEby arfim undrF.aky ofp.rllry rh I n.rmB fm rh€ ConlrrcloB Li6r Llw aor rhc tollowiis r.6on GG.703 l 5 Bu!in6! <br />and Prcf6iio. Cod.): Any City or County which rcqliB s pcmil locontlrucl, alld. ihprcvc. dcnolish or rcpan ey nruclur.. Fior to i6 <br />issuscc, also r.9ut6 6c applica.r lor such pcmil ro filc a si$cd 'l.tcmoi rhat h. @ rhc ir licas.d puBuat to $. p.oviriotu ot lh. <br />Cootraclorl Lic.iFd Law (Chaplcr 9, Connacin8 with S.clion 7000 oiDivisioo I oflhc Busins dd Pofesions Cod4 or $.t hc d <br />shc is cr.mF th.r.frm ud $. bais fG rh. all.8.d .x.mprior A.y violnlion of S.cion 703 I J by sy applicst for . p.on llbjcl! rhc <br />applicuttoacivil p.nalr, ot nd morc tho fivc hund.cd dolld (1500). <br />_1, s own.r of fic Fop.ry, d hy cmptoys *iln wag6 d rh.ir lolc comp.niarion, will do thc wor* dd lhc sloctu. is nor inrcndcd <br />or ofi.rcd fr salc ( S.c.?oaa, Bsir6s &d Prof.$ions Cod. Thc Con@clor's Licds. La* doe not apply ro ao own.r of rh. prop.n, <br />who builds or inprov* thc@n, ed who doe slch *ork hiaclf or h6!lf or lhrou8h hir or h.r @n.mploy.6, providcd drar such <br />improvm.nc e nor inrcndcd or oftcEd ftr salc Il howcva,lh. building or improv.Fcnr is rold witlin onc y@of conpl.rd, rhc <br />Owha-Boild.rwillhavclh.budcnolprcvingrharh.orsh.notbuildorimprov.forrh.purposcolsalc). <br />_1. a ownd ol tn. prop.ty, m .xclsiv.ly con!'rctinS with li..ns.d confrcroB to @.nrn t rh! proj..r ( S.c 7044, Bsin6s dd <br />Prof6sioi Cod.: Tlt. Co.taclor! Li*ns. Liv dos trol apply to o own6 olprcpdy whobuil6 o imprcva fi6co. &d who <br />conrads fd such prcjccrs wilh s Conrab(s) Iic4.d puEu r ro thc CoDhctor's Li.dsc L5w ) <br />_l m .r.6pi odr Sado. <br />-B <br />& P C ld dris raon <br />IAMEES-C9.!4TENSAIIAN.DECLAEAIIQE <br />I h.r.by affm ud.rpndty ofpqrury on. oafi. foll iig d.clrati@i <br />_l h.v.sdwill B.intdn r C.rti 6et€ ol Cons.ni to S.lf-l ns urc aor work6' conpcnsalion, 6 prcvid.d for by Sation 1700 olfi. <br />Labor Codc, ior dr. pcrf({1@a of t. *od( for which th. pmit is isu.d <br />_I hav. Mdwilln.ir6in wqk.6 @mpasarionic(dc.,d.cqui.cdbyS.ction1700ofrh.(ib6rCod.,lolh.poamsc.oarh. <br />wo* fo whid rhi! Ffrn is issu.d. My wortd' compcni.rion in!!rr... ffid dd policy oumb.r ar. <br />rThk s..rion ...d nor h.cohpl.cd ii fi. pmil i5 for On. hund,.d dollc {l I OO) or l*) <br />#,!,thr! in th. pafonMc. oaih. worl fo rhich is Dmn i! isiu.d. I sh.ll no( <br />.d b th.wortc$ compcnsalion lass ofCalifomir, and as.cc that ifl <br />d <br />ur. ro rau!. workc6' comp.nr6rio6 covdas. is an cmployo !o diminal pdaltid sd qivil <br />huidcdrhousdd dollu (ll00.0oo),in addnion to rhc c6t of on. dana!6 a prolidcd lor thc S.clion 3016 oa <br />UEEISEDI9NIAAEIOSS-SEEIABA],]OI <br />I h.rcby affim und.r p.!alty ofp.rjury rhal I d liccns.d undrr provtrion ofChaprr 9 (comm.ncins rh Scction ?000) oaDivision I of <br />tlc Suinc$ &d Prof6sions Codc, sd my licms. is in full foM and cflel <br />ofp.gury $d thc is a conshcrior l ofrhc wdk tor which rhir pcdn i! <br />issucd (S.c 109?, Civ C) <br />AITUCAtrLI.OECI.ANAIION <br />D.mohion P.mil5-Asb6r6 Noli,lcatioi fcdd.l R.gllatioff (Tillc 40. P..r 6) <br />Rcqui.cd Lctc, olNoillcarion <br />-H:thc rcd@l rcguhtions rcsardins 6b6t6 rcmoval d. <br />I hav. rcad thn applicdior d.l sar.rB@ rocomply wirn all Ciry d Counry <br />ordindcd sd Stat. Laws rclating lobuildrn8 ofthii City sd Coonty lo.nr6 uDon $c <br />abov. ncnlioncd proF V for insr.clior purposE <br />2-.-*^o-( <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 EYDIDI :n <br />Rough sra-l ,nta <br />Service Meter <br />SJ \MU &43, 290 556, A6-/ <br />Notes, Remarks, Etc. <br />FINAL <br />D . Ovne <br />tibor Codc, I sh.ll, fonhqnh <br />ih. L.bor Cod.. inr.rBr dd atom.y k f.6.-------T------