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ELECTRICAL{NSPEGTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Ow..FBuild.r Dalaation <br />I h.eby amdundrF.!|ry of prjury lhd I m.xdp( tom rh. ConhcroE' Lico!. bw fo! thc followin8 r.&. i5@ 70ll t Buin6 <br />dd Pof*sion Cod.): Any City or Cou.ty which rcqute i !.mn ro .onitncl, .l tcr, inprov., d.holish or rcpair ey 5tBclu... prior lo its <br />issuMcq .ho r.qut6 lhc lppliol for ruch Fmn lo fil. a si8rcd statcmcDl thdt hc or shc is lic.hs.d p!6udt to th. Fovisioc of rh. <br />Coiiractor'r Licci&d Law (Ch+l.r 9, Commcncing *nh S4lioD 7000 ofDivision I ofih. BBin* dd Prcfgsions Cod.) or fial hc or <br />shc is .xcmfl th.rcftm ed th. b6ir fq $. .ll.g.n .r.mption Any violaiio. oa S.clroa 701 I 5 by oy ippli@t for . pcmn subjGs rh. <br />applicul lo a civil pcnalty ot not noE $d fi va hun&cd dolla {t500) <br />_1,E omd ofrh. prop.fty, orny chploycB w wag6 6 rhct solc conposation. will do dc *o!k d thc strucru. is oorinlad.d <br />or ofi@d for s.lc { Scc 7044. Buin6s bd Prof6sionr Codc T1. ContBcror's Liccns. Law dG nor .pply !o an ownd of rhc propny <br />enobuil& o! improvglh.r@n, adyhodo6 such york him.lf or h6.lf or thrcu8h hi! or ha @n cmploy6, provid.d $.1luch <br />improv.hoti d. nor iit idcd or ofcrcd ror salc If, ho*cvo, ftc buildiis or ihprovcmor is sold wilhiD on. ycd of compl.non, 6c <br />OwncFBuildcrvill havc lhc burdn ofprovins thet hc d shc nol buildor imprcrc fe th. plrp$c olsalc) <br />_1, s oencr ofthr propcrty. m dclusivcly contretins with lic.nrd conrr.croB ro consrtud rlE p'oj.d ( S.c 7044, BNin* ud <br />Pr.f6ion Cod. Thc Conmcbls Li*nk L.w dc nol .pply to x ownd oapropqty ,ho buil& d improvB rhoM ,6d who <br />contracB fo! such prcjats *ith 3 c!ntac!o(, liens.! puB!&r to lh. co"racroir Liclosc La, ) <br />_l m.r.mpr u.d.r S.clio .B & P.C. for dis @on <br />PolkrNumba &pir6: <br />J"*not bc compl.!.d iiihc pmn ir fo! onc hund,cd douau {Il0o} o, k$) <br />thr pcrfomec. of rh! wo,k for *hich rhii bcmn <br />rh. wort.6 ' cohpdirtion l.ws .l Calif@il Md <br />compasalion prcvisions ofS.clion l7O0 ofth. bborCodc.l shall, fonhwnh <br />-t4-o <br />WAANINC Failur.ro s.curc wq*6 comp.nBrion <br />lin6 !p ro oo. hundrcd ihoNeddollN (1100,000),i. <br />rhc Labor Cod., inl.r6r dd .rtom.yk f.6. <br />oycr to cnhinal p6a,ri6 &d civil <br />dcd for lh. S.ction 1076 oa <br />LICENSED CONTRACTORS DECLAR^TION <br />I hcrcby .fim und.r p.n.hy of pdjury rhat I D licos.d unda provtion of Ciaplcr 9 { <br />lhc Busi.ds d Prof6sions Cod., lnd my lic.ns. is li fullforc. aid cliccl <br />-z-4 - ol <br />I hcrcby amm undcr pcnaliy ofp.Dury thar lhd. i5 a.onslruction l.ndiDsascn.y lot 'pofomancc of rhc wdk forwhich this pcmit jr <br />i5su.d (SE 309?, Civ. C) <br />Dcmolnion Pcmns Asbatos Notiiicarion FcdcralRcsulaxons iTitl. a 6) <br />_ R.quircd L.!d of Norili@tim <br />ffii*i;comply wirh all City ahd Counr, <br />Ciry ed County todld upon lhc <br />abov. mcniioncd plop.ny aor insp.clion <br />-a6 <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquing <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />EXPIRED <br />Rough <br />Service Meter FEB O I ZUI5 <br />FINAL 6^rl.r iM r6h ria ta, <br />Notes, Remarks, Etc <br />Communications Cable <br />Sub-Panels <br />YIB(EBE.COMIIXIAIION!ECIAIAIIO! <br />I hcrcby affim sdaFn.lly ofF.jury o.oflhc foll@iie delu ioffl <br />_l hav. dd willm.inbin 6C.nifierc of CoNitro Sclfinsur. for woitcB conp.nsarion.6 p,ovi&d for by sqcrion 37oo oflhc <br />Labor Cod., ld tn. pcrf..Fflc. of l.h. wo* for vhich thc p.nn t i$u.d. <br />_l havc od *ill maintain vqt.R @mp6$lion i6uoe, a Equtcd by Scdio 3700ofth. t$or Codc.lor dr pcrfm ccofthr <br />qort tor whicn $n pqhil is itsu.d My qdtm' comptrlris i$!rm@ cMia xd policy numb., s. <br />kndcr's AddBs <br />ffi <br />tl