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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Build ing
<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 />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.V\\-tz
<br />O',ra-Burlds D€lrdon
<br />I ha.6y.iim und6 p.ndty of pfju.y rhrl I 6 qcnp| tm $. Cod..cm Lic.e lr* fo. r,E fouoeing l!&n (k ?0r l J Bqi..6
<br />8n Prof.tiion Codc) A.y Cily o. County whrch r.quir6 r poIn ro cl)'lmd, nrd, inprorc, d.tulth or r.?.n s, tutuq Fior ro nt
<br />iMGq nh r.qur6 dE .pllia fo, *t FBir b 61. r nsi.d rrdmr rh{ h. d nE ir lic.rd !l !n b rL p@.ioE of rL
<br />Coir&rd'r Li@i!.d Lrs (ch.pld 9, conm@ins wni Sedoi ?000 of DivilioD I of $. Buitrdr tnd Pmf6rio.r Cod.) d rh.r h. d
<br />ih. L d.6fl rndctum .id rh. b.t't fd iE .ll.a.d amprin Any rcl.rih of S.aih 701 L by ey .poli6r fy . pmn ab,.qt $.
<br />+rli.&r io r civil p.rhy of.or mr. fiM 6v. hrdr.d doll& (t500)
<br />I, E o\rc of rlE prepdy, or my.mployer wirh w.8a u rh.t &1. @nFur!o4 viu do th. Bort bd rh..lNc@ n mr i ad.n
<br />or ofra.d for ..1. ( Se 70a,l BqB .nrl P.of*'sr Cod. Th. Coffid r Lic.e trw .,o< d .pply ro 6 ogc of rlE ,roFry
<br />*ho buildr or iEproE rlE@4 ud wtlo ds Eh wort tuBFlf or hlr*lf o, th.oulh ht o. ta M 6ployer, p@dGd ltrt nch
<br />iiprewn.tu G d i dn.d or otr6.d ro. ,& ll hollc. 0E hildans q inFoltmd i! &ld wtii. c d of @orlair\ th.
<br />Ol@-Builda *ill h.v. lh. blrd.n of proving lhrr h. or rlE d build or improv. for rlE pu,po* of d.)
<br />l, u ow of rll prcFty, D acllrivcly @nt .crii8 *irh licdld 6 r.croE 10 @l!ma ln. projd ( Sa ?0,H. Bulnd ed
<br />P6f.s,oo Codc Tr. C6r@oar Lcn. Lrv d€ d +p, ro m ow of proFy wh. hoildr d iEFffi .6ud , !i d!.
<br />6i!r. aor Edt ,rcj.c! wi.l . Conr...,rd{, li6!.d Fll,d ro ,E Corndd! Lic.B L,v )
<br />_l e C&6F !.d6 S..tiE _ .B I P C for rnir tu
<br />D.r. OUE
<br />EaBXf,BS-C0t{IITSrIION_DfCtA86.rra!
<br />I h{cby lfiim und6 p.nrty of psjury on. ol th. foll.wi.8 d6lni.B
<br />I hN. .ffl will n.ininn . ccnjfiqt ofcoe to Sclf-l@e fo, Ert6 @hFutio4 ! pr@id.d fM by Sc1a6ITOO of rh.
<br />LrborCod.. aor lh. Ffoll'te of dEwr fo. lch llr Fiil ir is,.d
<br />_l h.!...d qll mi .in wrtd mp.Etio. m{lre, r Eqot d by Sdion ,r0O olrlE l$d Cod., ftr rh. FfolMe of tlE
<br />e.t fo, which rtn pqhi n ro.d My *ort.r' conp..dio. in$rue ffi.r od poli.y mmb.r s.
<br />ioliry Nunbc Etpirci __
<br />Ghjr ,.aid D..d d t chrld.<l if dE Fii i. &i OD brlt rd d.[.n {t100} d hd)
<br />I c.6it lhrr ii dt FrfolM offi. wrt fd which.hr FBir n i&r{ I rh.ll d alploy ey Fo i. my mrlE s r ro
<br />b*e. ebj.d to rh. E IB 6np.rrho. hwr ofc.lifomi+ 6d rgi6 rhll tft r[old b@E &bjet ro rh. vork.a
<br />comp.n on Foutiotrt ofs.dion l?m ofd. kbor Cod., I
<br />A+dion
<br />WARNINC F.ilut. ro @r. wnt6' @hp.dro..oEnt. t url.E{,|. .nd rhrll nhjd r.mploF to 6ini.rl p. ki6 !i.'vil
<br />nn6 up b om hundrcd tnd..d dollE(tlm,om),rn tddnior ro rh. @r of@mp.ndio., drm8.t I providd ior (h. S.dion 1076 of
<br />rh. Lrbor Cod., i .rd ud .nmy! ad
<br />LTCiNIED CONTR CTIoRIi DECLANATION
<br />I ha.6y .Ifrm uidd p.Ehy of Fjury lt l I e lienr.d u,!ds Ctuvitior of Ch.rG 9 {@mc.cin8 *ill Scljon ?00o) of Dieirion 3 of
<br />lh. Buridr ud frofi.iioB Cod., .,rl Ey lic@ i. in tull fora.rn cffct
<br />CONSTRUCTION LEIIDING AGENCY
<br />I ha.6y rfim unds Fn lryof Ddiury rh.l dEr n.6ifu d ladiig {qry 6r E Ffd ne ot6. eat lorwhich rti! Fnh nn$d(Se 3097.Civ C)
<br />AttLrcANrs DEcl_atatrot
<br />D.molirion Pmnl^rb.not Notinc.llon F.ddl R.SuLrio (Tt|. 40, P.n 6)
<br />_ R.qltd !!n6of N@6c.ri@
<br />I .ailry ln{ d! f.d6n r.guhrm! r.g.rdi.a .tb.ror .@v.l & rcr.ppiiqll.lo rhlr proJel
<br />_ I diry ir.r I h.v. E,l i! .rpliotir .,n d. rnd rt. lh.E 'nrqn iin i, or.d I .sr* @ ofipry rnh dl Cny [d Cdd,
<br />ordrM.c€.nd sLr. llq r.hinsrobuildi.B @drtu roq rd
<br />.bov. edro..d pmFfy fd rn D.dion
<br />EAI
<br />M \WP51\Pm'r lnsp.crrM F 106
<br />iulhon& r.pr.rnNiv.! oarhir Cty rnd CMr, to.^ro upor lh.
<br />{(
<br />Sub-Panels
<br />Meter Release
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