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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Ownd-Buildd D.cl&6tion <br />I hdcby amm undd Fn.lty ofp.rjury thd l m dmp fm t. Contreb6' Licas. L,w aor (h. followinS lson (se 70ll 5 B6inc$ <br />dd Prcf6sion Cod.) Any Ciiy tr County which Eqoir6 a p.fin to cmslru.l' ah.r, imprcv., &molish or rcpat My slicluE. Fid to its <br />issuucc, slso r4uir6 thr applicul fu su€h pmn b fiI. a siSn.dsratmdl tnd h. d sh. is licns.d p6uMl lo ln. prorisioro of lhc <br />Comra.1or's Licascd t w (Chaflr 9, Cmnocing wi$ Sccdon 7000 of Division I ol th. B6in6 &d Prol6ioN Co<L) c dd hc d <br />sh. is cxmpr lhfti,om d d. b6n ltr dr allqcd amptio Any violariu of S.crion ?Ol I 5 by &y applic t ftr a p@n rubjds rhc <br />appliol lo a civil p.nalty of not -orc the fivc hundrcd donss (1500). <br />I,6 o*n( oa rh. prop.ny, or 6y .mployc *ith *ag6 a oEn sol. conpc.rltio.. will do thc vork .id thc srructuc is nol inradd <br />or olf6.d fd s.l. ( sd 7044. B6h6 ed Pof6sion! Codc thc Cdtncror's Licds. Ll* docs n.n ,pply to d own6 of thc propcn, <br />who build! dimprovBlhmn, ud who do6 such wort hiruclitrfid.lf or thrcu8h hh or hd own mploy€, provided lhar such <br />improvmac e nor ihtndcd or ofld.d fc s.l. Il how.v.r, th. buildin8 tr improvmat is sold Bi{hin .n. yd of cofrplctro, th. <br />Ownd'Buildd will havc th. burdm oa prcvin8 thd h. or 5nc nor build or improvc fd $. purpGc ofsalc) <br />_1, s owna of $c prop.ny, m cxclsiv.ly contuiinS wi$ licas.d .ortrcroB to co.rblct th. p@j.ci ( Se. 704r, Bwin6s dd <br />Proasion Cod. Tn. ConE&tols Licdsc Lu* &cs nor +ply ro d owna oa prcp.ny *ho buil& q imp'ors hoeo . ud vho <br />@nrrrcrs ror ruch prcjcds wnh a Conl,elo(, liqsd puEuet to rh. Contr&tors Lictrc Law ) <br />_l n.xdpt u&r Sedon _,8 & P C f* fib rcao <br />WORI(ERS COMPf, NSATION DECLARATION <br />I hd.by .fim unda p.ndlty of pcjury oD. of {h. aollowi.S dal@tiN: <br />_l havc od *ill nainllin . Ccnifistc oa CoNdt to S.l n!!E for work.R omposalio, c prcvid.d ftr by Scci@ l70O offi. <br />khor Cod., for thc F.f(x]@@ ol tn. *ott for wlich dc Fmn is i$ucd <br />I havc dd will mainbin *dt6 @opcnsaion irouEncc, s rcquiEd by Scclion l?00 of$c Lalor Codc, aor thr p.rfmdcc oflh. <br />work td wliich $is pcmn is issucd My wo*6' @mp.nsalion insuuc. ffid ud policy nmb.r arc <br />Poli.yNumbd Expic <br />;ffi;not bc .mdd.d if lhc pmir is ro, Onc hun&cd doll6 {1100) or 16, <br />lh. pafomuc. of lhc wort fc whicn rht pamn t isu.d, I shall <br />la*s oa Calilonir. ed a€t.c lnal il I <br />l-o5or Cod., I shall, ionhrnh <br />d dolld (1100.0m).in addirion ro <br />I hdcby amm lndd p.nalty of p.rlury inal I m liccied uidq provtid ol Ch.prs 9 ( <br />i3 in aull fNc ud cff.cl <br />Lic.ns. Nmbd <br />of p.ljury rbai th6. i! a consttuctioD of th. wsk lqwhich thh p.mit is <br />Civ C) <br />artllc trLiDEclAaArlo! <br />Ddolirion Pffiis-Asb6tos Nodfiqrion F.d.rd R.Euladons (Ti& ,10, Pm 5) <br />_ R.qut?d L.tr.r oiNoiiljcltion <br />b mply wnn all City &d Counry <br />z 2/: <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 Elrh.\tru <br />Rough FFA-r <br />Service Meter 4VtJ <br />FINAL ,^,YIu o-4i. 20 ,, 556. 667 <br />Notes, Remarks, Etc. <br />D.rcr Oha <br />6 provid.d for li. Sccdon 30?6 of <br />I