Laserfiche WebLink
ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEL(ARATION <br />I hd.b, smnn undd D..ally of pdjury th,l I m .r.mfl nrm thc Conlrr.lor Lic.ne t w lor th. follo* ing r.sn {5(.7031 .5 <br />Ausins ed Profdrcn Codc): Any Cit, or Counly which r.qun6 a Fnit ro coslrucl. all6- inp.oYe d.nolish or qht &v <br />slru.re Fff to ns iswcq also rcquir6 lh. applkdr for s,.h ,Efrit lo frlc a sisncd ndmdr lhal hc or slE i lid.d puN r <br />ro rhc p.ovisioB ol thc Conlr.cld $ l,ic.n.cd Law {Ch.pld 9, Com...irg wilh S(tiotr 7000 ol Division I oalh. B6in.$ ed <br />Pof*iotu codc) or $al tE or sh. is cx@pl lh6.tom ed ri. bdsi. iot ihc allcs.d cronFion Any violationofs..lio.?0115 byu, <br />applicmr aor o p.rnn subjcls rh. .ppli.ml lo , civil p.nslty oa ml mor. rh& fiv. hun&cd dollUs (1500) <br />l. s ownB otlh. !.oD.ny. or 6y oplord wnh wa*6 s rhcir slc .onpds.lion, will do ihc wo* od lh. sru.lc is nor <br />inrdd.d or otrq.d for sL (56 7(x4, B6il8 dd ,tofsioB Codq Th. Conlroclor't Ltcc Llw do6 oor apply to an of,n.r of <br />th.Etupdy who hril& or inpro!6lh@r dd *h. 66 tuch mrl himsclf or hq€lf or rhou8h hi! ot hB oq opl6yc6. <br />tmlid.d rh.i such impN\trls e rct unod orofia.d for sl. Il hoM.lhc toildins 6r in4ro!ffi G sld within un. ra <br />otompl.ln n. th. o*rd Builda will hav. lh. burda ol rrovins rhd h. D! rh€ dil ml hild or mForc rh. proFly tor lhc purFE oa <br />-1. <br />sow.6oIrhcFopdt, dncrclusir.lycontraclins $'llh licft.rl co.lr loulo cinerucr rhc,nojet (S( 704'1.8666 <br />anl PioGsion Cod. The Cdtrttdol s Li..s. Law do6 noi apply to u os'nd o f nrop.ny wh. huilds or improv6 thsotr <br />and rvho .onrr&ts for loch projdis wilh a ContEclo(, lic4Fl ,u6uMi ro rhc Contador3 Li(tG ti*). <br />I m.rmor undd Sdion .B &PC forrhBr.Mo <br />woR(FRS' C()nlPF"\SA TION <br />DECI.ASAIIO! <br />I hd.b) am.n undd pmalty of psjuy on offic follovins ddlddions <br />-l <br />h.v. &rl *ill maintain o C6rificalc olconsl lo S.ll-l6ur. tor erlcd conlpdstion. s Fovid.d fot by Sslion .1700 of rh. <br />L.bor Cod., lor $. pdfD'llfucc oalh. wo* lor rtich thc lEmi i! isu.d <br />I hav. Md sill mi .in edrk.rJ comFnsali.. iBura.... 6 r.qun d by Sd nrn l70o of th. hbor Codc. for lhc pdfomdcc ol <br />rh. srrt lor whkn lhis Fmil n 6u.\i M, wmkdt comp.Balion insuruc. cdno Md !.licy nu'nbs sc <br />-l <br />cnt,fy rhal in rhc pdfoi,nancc of th. vork fo. {hich rht Fnit is issucd. I shlll nor @ploy any F.mn itr any freM <br />s s to h..om. subjd ro lhc worh6 compaerion L$s oa(alifomia ad a{d rhd if I should b..om. subjd to th. <br />\ork6' compqNlion prcvisNB oasdtion l7o0 oflh. ktor Code t shall. fonhreilh comply{ith thoe p6!i!ioB. <br />WARIIING: Failu.lo suc sorkdJ comFerio. cov.m3. is unlawtul. &d shall subjdr M 6ploF lo 6imi..l psdli.s dd <br />civil lin.s up ro oo. hur&€d lhoudd dolls (tloo.o{D). i. lddition lo th. .or of .omFNlion. d!rus.s E Provid.d tor lhc <br />Sdlr.1076 of rh. Lab.r Code int6d ed lilm.y s ld <br />IECIJIAI,IO! <br />I hd6y aitim undd p€nally or pdjury lnd I m [..nEd und.r Fotirion ofchaptd 9 (con'ntrins wilh S<rion ]000) of Divtrcn 3 <br />oa rh. BusilB ed PoldioN Codc. sd oy licce a i, tull fotc. dd.iIEt <br />D.,",14v1!t <br />CO!:IIAIJCIIOIJ.}:NDTNGICEI.II <br />I hdhy ailm ddd Fn lly oa pgjury lhal lhqc i. t @(qodb. Lndiru ssocy rot rh. p<fol]6cc of lhc worl for shkh tnis Fnn ir <br />issu.d (sr 1097, ci! c) <br />AIflCASr.lEclAaAUIl! <br />I hdey allrft undd pdslty of psjury onc or tb. follow'ng dtlearioN: <br />D.molirion PmirvAshdtos Nolificatiof, l-.ddal RcsulolioB (Till. 40, Pan6) <br />R.qut d L.(d of Norificaion <br />-l <br />cairy rhlr rhc Lda.l r.8ulllioE ESodins sb6los rdoval r. not .pplk.bl. lo thi! poid <br />I cdil! thsl I h&. rc.d lhis lpplicario. atd al. fin thc .hv. infomalio. B corra]l. I ssr lo endy vnh dl Citv ed Coulv <br />odiMc6 ed Stal€ L!f,s ElarE ro blidi.g codruclion. ed hmby aulh6tn. r.Pr6.rnaliv6 oflh! Cily eld Counlv to 6ld upon rh.^!*I,iiT"L#!"W*,,.y'a,/s-- <br />Site-Work <br />Underground <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 / Groundinq / UFER <br />Transformers <br />Torqueing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilinos (Hard & Soffit Rouqh <br />Ceilings (T-Bar Rough) <br />Rough <br />Service Meter <br />FINAL tbihq n l4wt<<,6 ?4)urNotes, Remarks, Etc <br />o,,".tr>/Aq/rg....t....- <br />L.ndd'iNrm. <br />- <br />L.nd.''3 Ad&d: <br />- <br />Pole Bases <br />Communications Cable <br />Meter Release