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APPROVALS DATE ID/SIG.COMMENTS <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 />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 />Rough <br />Service Meter l <br />FINAL '1 lb th 6.*'t / r>ltfr\- <br />Notes, Remarks, Etc-I <br />I' <br />OvM-Buildd DBhntion <br />I ha.by.fam und6 p.n y of pajury t[rr I u qdp! fom lh. CorErdlE Li@ trw forrh. fonowirS l!.e (s.7o3l.l Budyt <br />Dd Pbf.$ion Cod.): A,y City or Ctuty plicb EquiE . pan to 6DrEud, rlrE, iEpEv., d@oli,! or r.prt uy .hErq Fir to itr <br />iltDa,.1& rcqliB rho.pplioit fo. scL D6ir to O.. dgn d.trrafut rln h. d l[. ir li@d Freln rorb. p@itiod of rt <br />Contr&1dt Li@i!.d Lr* (Ch.gtd 9, Co@ei,g rith S*rid 7000 of Divirion 3 of rh. Bui!4 .!d Pnft..io C.d.) d tur b. d <br />. ir adpl ris.&os &d 6. 6dr for rn. tlg.d q@Fi@ .&y violli@ of S.dior ?03 r.t by uy +plidd flr . FEn Dlj.qr th. <br />rpplitul ro r civil pcnrlty ofld @E thr 6v. hudrld dols (tr00). <br />_l B oM6 of dE prepdty, or 6y oploys wirb rrso r ti.ir Dl. @Ep..Irior\ wi! do t!. mrt .!d lh! eua@ n .ol i.rad.d <br />or ofc'ld for d. ( Se.?0,r4, Buiru .nd Prctrtio.r Co.L: Ti. Contuo r Lic.M Irw dq not rpply b o ()lE oft6. prcpdty <br />wbo buildr or ibpres 1nd@4 ud *t'o d@ od wo* hi&elfd bddfor tbrcuC hi! d hd ou @plorEr Drcvid.d th.t &d <br />i6prMn6u & oo. int nd.d d otra.d lor ..1.. 4 hoM. t[. buildi!8 or iEp@EE d n sE wirni @ yd ol@E9ldio4 rh. <br />OwFBuildd wn! hrw thc hrd6 of previas thlt h. or !b. not h{ild or i6pl@ fo. th. p6poE ofrl.). <br />_I, u ohd of $. prepaty, 6 dcluliv.ly @trErdi!8 with lic..t d cotrE!.ror to @Deud 6. Foi.d ( S... ,Oaa, Buirar &tl <br />Profcsion Cod.: It Connraoir Lic@ lr du n t rpply to u ffi of preprty rto loildr 6 iDptoE thaE!, ltd wto <br />6nEr.1! ror pcb prcjE1! wirh r Codrdo.(r) lica&d lu'Er to th. Cdr.so.t Uqe Itw.). <br />I e .x.mpt ud6 Sdion <br />-4. <br />& P.C. fo. tht ,q&r <br />WORKERII COMPENSATION DECLANATION <br />I hs.by lfim uods p.ulty ofp.dury o.. of$! louowil8 d@lr.tio : <br />_l b!v. ud will dirnh r Cqtilqtc of CoM ro Sdf-tn r. for w*6' @dp.trtrioq , pdid.il for by S.<rio. 3?00 of rlE <br />Lrbor CodG, fo. ib. ,..fotu@ of rh. mrt for vhicb rb. paDn ir iD.d. <br />_l lw. &d will s.illrin mrkd' @mpa.tion ilei*q s ..quir.d by S.crio! lro0 of r!. trbor Codq for tL. psfolMe of rbc <br />turt for whict thit p.mil i! irs.n. My po*@' @ora!.!ion illtlme @i6 ..d pol,c, tuab6 e: <br />(I1 i$e1ion rcGd nor bc @6placd if6. phit n for oE hutrdEd donE (tloo) or l.o) <br />_l csdry thrl h th. Ffo, * of lh. mrl for *{ich ltit p6h ir ntu.4 I rhdl not @ploy rry ptun in uy bmd & r to <br />bdrn.$bjdiotnce B'@rpdltion l.w! of Crlifomj\ &d rgE thtt ifl lhqld b@n Dbjerbln. <br />.ortpcn ion provilios of S.dion ,700 ofrh. Lbo. CodG, I <br />wAaNlNG: F.!l@ ro !..@ *dk6' 6Ep@.tid .oEra. L u,hs6{ &d tlull sbj.6 u Gorloyd ro cioilrl p6.lrid rd .ivilfirq up to o.. nudr.d lhous.l dollE (t 100.000),ir ldditid to th. cod of@6r@rtio4 d.a.Ao u pdidd fo. rtl. Sdio! 3076 of <br />th. L.bor Codq i,ndat .rd fio*y! fd. <br />LICINSID CONTf,AcnoNS DDCI,ARATION <br />I h.r.by rfm und6 pcn&y of Fiury thrr I h li@"t d uda pEvirior of CttPta 9 (6madr8 witl Sctid 70m) of Divirio! 3 of <br />rh. Buin s ud P.ofr.rioN Corl., .!d n, licd. i! ir tull foE .d .E*1. <br />I n6.5y rft@ lada p.ndry ofp<;wy ttrt tlat ir r ourueio tadiag rgmcl erOc patu re of t[. Bk bretict 6ir p6n h <br />irN.d (S@. 3097, Civ. c.). <br />A.rttlcaNrii.-DlclAaAgoN <br />D.mlirior PmiteAlb.ttot Notifc.doi F.ddn RlgulrtioD (fidc aO, lln 5) <br />Lqlir.d r.at6 of No{ifclriod <br />I qti& tlrt d!. ftddn Egtrlrtio{ tlgrding .!!...or tqfuvd e lor rplliqbl. ro lhit prcj*r <br />J*ou, ,- , -. * *r .9pli.rrid D.t rhr. $r rhc rboE ido6triD it @d!.. I .86 ro c@ptyodMq Dd $4. rrs rdllilg to buildi.g con Eucrio!, Dd tatDy uth iD Ep@drriw of tli! City Dd Coud, r. ana upor thc <br />rb@. n.nriotud Drcp.ny for x/4 <br />!6ire m. (rn n): _ <br />I <br />ELECTRICAL-INSPECTOR RECORD <br />Fo.m.\El6clrical-hsp6cuon R6dd d@ 03 31 .06 <br />Transformers <br />Sub-Panels <br />t Dd6! Addr.$:_ <br />I <br />=