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ELEGTRICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OMd-Build.r Dtcluatid <br />I hftby sffim undd p.nalq of pdjury $at I m cxdpt lom lhc Co.lrlcld Lic.nsc Law for thc following 160 (sd 701 I 5 86i.6 <br />od Prcl6siotr Codc): Any City or Codty which Equir6 a pcmn lo cdsruct, alr.r. ihprcv.. d.molislt or rcpair &y sLlcturc, p.ior ro ir5 <br />isumc., alrc rclot6 rhc appli@r for such Fmit ro filc a sig.d nat.mar ln.t hc d sh. is licoicd p6uel lo dic Fovisio$ oa ln. <br />CMlr lort Licasd La* (Ch.pld 9, Cmm.n.ing wilh Salion 7000 of Divisio 3 oflh. BEin6 ed Prcf6rions Cod.) q thct hc s <br />rhc ii cxmfl thd.arcm Dd (h. bais fd t. all.B.d cxordoD Any Uolari@ of S6ti@ 701 I 5 by &, agpli@l fn 3 p.mn ,ubjEls th. <br />applimr ro ! cilil p.nalty of nor m@ dd liv. nundr.d doll6 (t500) <br />l. s owncr or tfi. pepcny, d my mployc *ith was4 a ficir sl. cohpcn$tion, will do rhc wort ad $. s!ructurc is nor inlodcd <br />or oit@d fd sal. ( Se 70,14, Bcinds od Prcr6si@s Cod.: Th. Cdd.tor's Licds. ll* .te nd apply to d o*nq of th. prop.ny <br />*ho build! o, inFov6 thd.d, dd who dc such wort hia.ll or n6.lf d dircugh his or ha wo c6rloy.6, providcd thar su.h <br />improvchcnb e nol intcndcd or of.r.d fd salc Il hoscvcr, thc buildiag or ihp,ovddt h sold uithin onc y@ of €ompLn6. rh. <br />O*nd-Blildcr vill hav€ lhc blrdd of provins that hc or sh. nor build or imprcvc fd $. purpc. of 3alc) <br />_I, a owna oa th. prop.ty, m .xcloiia.ly o.@ting *i i licd.cd @hcto6 1o @nsttucl lnc Fojcl ( S( 70aa, BGin6s od <br />Prof6lion Codq Thc Contulor's Lic.n$ Law dG noi epl, io e omr oa prcp.ny who bualds d anprcv6 $ocon , ed who <br />cotr&ts for such projdE wnh a conuzcto(, li63.d p!6usr ro rh. conhcrors Li@.s.In* ) <br />I @.rchpr unddsccrio. _,8 &PC turhisrcGofl <br />ESBXEBiEOMIEISA.UO!-q <br />I h.r.by aflim undcr F,alty of pcrrlry onc ol tn. followins dElmions <br />_l hav! md eiu mai.rai. . C.njfiqtc of C6a1 ro S.llJnsur lor wdlc6' @p.os?'rio., a povjdcd ld by Satim 3700 of rhc <br />Labor Cod., fd thc pdfomae of $c work fd whi€h th. p.mn is issu.d <br />,l havc md will mainbin wortcr' comp.h$rion i.su@cc, 6 r.quircd by Sdtion 1700 of rhc Labor Codc, for dic Frl(mMe of $c <br />wot ad snici dis pqmit is isso.d My eorl6 @mptuation ituu.&e @id dd polic, nuhb.r ec: <br />Policy Numhdr ' Expt6(Thi7bnr..n hor bc @mpl.r.d if th. Frn n tor Onc hundrcd dollm {l100 } or 16) <br />thc psfoll]ecc of th. wor* fd which fiis pmn is ksu.d, I shall nd <br />b;m. subj.d io rh. wqlc6 comp..sation laws of califomir, dd asrc. rhst ill sh <br />) -L4-o <br />\4ARNitG: Failur. ro reu.. wo.kn' @pcnsaton covdagc e mploycr ro simin.l p.nalti6 ad civil <br />6n6 up to ooc hun&.d $oaad doll6 (l100,000),in additjon 1o <br />$. Llbor Cod., int6d Md rtuh.y s fq <br />dmaa6 6 provid.d for d. Sccrid 1076 ol <br />LICENSf, D CONTRACTORS TJECI-ARATION <br />I h.Eby aliim uhd.r p.nahy of pojury thrt I m licdscd und.r p.ovrion of Ch.$d 9 (com <br />th. BBin6s dd Prof6ions Cod., ed ny licdsc h in iull forc. md .Ifat <br />)-u - oe <br />I lh.rcbyrmmuhd..pd.llyoap.qurythddacisacoonructionl oain. *dt fd *hich rhit p.mit it <br />issu.dls.c 3097, Civ C ) <br />AIIIICANIIOECIAEAIION <br />Dctulnid Pmia-Asbetc Notifiotio F.da.l R.grlrrim (Titl. a0, P.n 6) <br />_ R.qltcd L.ucrof Norifi cation <br />-'y"lhc fcdcral rqulations rcgddin8 6b6tos <br />I havc r.ad $ir a9pli.{ion dd <br />d Cou.ty lo dt r upo. $cddinscs Md Statc Laws Elarin! robuilding <br />abovc m.nrion.d propdy aor insp.dion <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 />lVeter Release <br />EXPIRE :D <br />Rough <br />Service [ileter Pr-rJ : I I ,UIJ <br />FINAL ST c 6-4,3 556.667 <br />Notes, Remarks, Etc <br />comFnsarion provisios ofS.qion r70ooflh. tjbGCod.,I shrll, fonh*th