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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS OqcrBuild.r Del@i@
<br />I hcr.by affm und.r p..al9 ofp.rjury $ar I d cx6pt fod rhc Co.racioR Lie.s. L.w lor ih. follo*in8 rcaon Gcc.roll 5 Busin6
<br />and Proicsioa Codc): Any City or Counry vhich fquir6 a pcmn ro coinrucr, ahq, ioprcv.. d.molish o' Ep.n dy luacrc. prior to iLr
<br />htuacc, ako r.quir* rh..pplic!.r fo, such Fmir ro lil. a si8ncd $ar.mor ind hc or sh. t licos.d puRuet to th. provirions of$c
<br />Co.tmror's Li.dsd L5w (Ch.pld 9, ChE6cin8 with S.dion 7000 ofDivhro! I ofth. Bsine dd Prof6sions Codc) or r8r hc ot
<br />rhc G d.mptth.roarm ad lh. bair folhc all.8cd.r.6pion Anyviolaimofs.ction7031.5by y rpplicet for . pcmn subjccE tfi.
<br />Bppli6! to a crvil pcnalt, ofnol norc the fiE hundr.d doud (5500).
<br />_I, a own.r of lfic proptny, d my cnployd wi6 waa6 6 thcn sol. comFntano., willdo $. worl ed ih. strucls. is no( ini..dcd
<br />or ofi.cd for.alc I S.c 704.4, B6in.sr dd ProL$ions Cod! Th. Conra.ror'! Licdsc Lav d@ nd.pply ro an owncr oa lhc proD.ny
<br />who builds or lfitrovq th?r.on, d who docs such work hinrclfor h6!ll6r throuSh his or h.r own mploy.?s, providcd tnarslch
<br />ihprcvm.nts dc nor irtadcd or ollc,cd for srl. Ii how.vd, lh. buildirs or imFovmcnt is sold qlhin onc yd of compl.iion. $.
<br />Ownd-Buildcr will hav. thc budd oi prcvins that h€ or+. not buildor improvc for rh. pul?sc ofsalc)
<br />_1,6 owncr oithc propcny, d cxclutivcly contactins wilh licenrcd contracro8 to construct $c prcj.cr ( S.c ?0a4, asin6s sd
<br />Profcsion Codc ThcConlrelofs Liccns. La* d6 notapply toe own.,ofpropul, whobuilds orimprovg rhs.on, Dd*ho
<br />.onrac$ fo' such prorda *trh aCont,cto(s) liccnlcd pusu l ro rhc Conmdor3 Lrccnsc Law )
<br />_l m .x.mpi udo Sedon
<br />WORI(ERS COM}ENSATION DECLARATION
<br />I h.r.by atim und.r Fnalty of p.rl!ry on. oarh. aollowing d..l@tio.il
<br />_lhavc d will naintlir a Ccnificatc of Consmt to Scl nsur. for workcs comp.nlalion, s providcd for by S€cri61700 oflhc
<br />Labor Cod., for d. p.rfmoc. ot th. work for which ih. p.mir is itiucd
<br />_l ha!. dd willmaintain *olcE corp.nsation rNurecc, a rcqutcd by S.ction ,7l]Oofrhc Labor Codc. ror th. p€rfom ..oflhc
<br />work for which rhis pmir t i$u.d My qortd' @mp.nsaion insurane cdicr dd policy nunb.r ar
<br />2{ary,r.,'^,r,"
<br />b. conpl.lcd if th. pn t is for Onc hln&cddoum {lI0O) or16,
<br />dollds (t 100,000),in addni dadage d prcvidcd for th. S4rion 1076 of
<br />llcEN.ED_eOlIBAErOsrDletAr4Uq!
<br />I hocby afllm uida pf,alty of p.rllry rh.t I o li@cd uidr Drovtid ol cll8fld 9 (
<br />d Prof6lons C.d., dd hy lr h in lull forc. lnd cff.ci
<br />ury tirl rh6. t a @.sFuction I ollh.wdk f6 which lhi5pmilk
<br />Civ C.).
<br />APPLICANT'S DECLARATION
<br />Dnolidon Pmits-A.bcbs Nodficadon F.d.r6l R.s!r.li@ (Tid. ao, P.n 6)
<br />_ R.quiEd L.trn of Nolific5li0
<br />I ccnifvrth lhc f.d.hl rceul.lioN rcredinr--,lo *^, **.* i, "*,,;" -;
<br />oldinac6 &d shlc Laws r.ladn8 tobuildin8
<br />abov. m.nlion.d prop.ny aq iNperion
<br />Z
<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 :cD
<br />Fgprl
<br />Rough (gJJ
<br />Service Meter tuu 4.43, 2gC , 556. sa7
<br />FINAL
<br />Notes, Remarks, Etc.
<br />PolicyNumbq Exptcs _
<br />ro@pl,,nh aI City d Counry
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