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ELECTRICAL-INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<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 />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment )
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service [Veter it{r'18 .za-C A 7
<br />l-S.nrtr:rrFINALt,l l2-Sl'1 'D)
<br />Notes, Remarks, Etc.\u
<br />OWNER BTIILDER DEI,CAIIATION
<br />I h6cby o,Irm und6 r,6.hy of p.iury lhal I d.\cmfl film lhc ConlrtctoB Liccn* Llw lbt th. follovin8 r.en lS(.?011.5
<br />Busin6s d lrof6ion Codc): Any Cry or Counly {hich Equn6 a F il to .onsrucl, a1t6, inpor., d€trolirh or EP.t my
<br />srrucruc, prtu ro its tssuu<., abo r.qun6 rh. srpli.d lor such Fflnil ro fil€ a s'sn d st.lddl ihd h. or lhc is lic.lM' pEu t
<br />ro rhc provisn'ns ot rlE Conticrors Li..nsd Lrw (Chaflo 9. comnm.ing wilfi Sdlion TOI]O of DivBion I oalhc ssins aild
<br />Ptua6ions cddc) or thal h. or shc i!.x.mpi thdcFon md th. b6it tur thc rllcs.d dalFion. Ary violation olSErF. T0ll 5 by any
<br />.pplico ror a Fntril subjels lh. applicanl to 6 .!vil pc@hy ot nol norc the nv. hun&cd dolles ($t00).
<br />l. s o* ns ofrhe propdry. o. ny @plotd wnh *a!6 s rh.t $lc compsBation. sill do tlE worl md lh. srnxluc b ml
<br />i ad.d or ofia.i aor 3rl. (Se 704,1, Buins d PNfBioN Codq l hc Co.lr.clois Lic.M La* doB ml apply lo u oMq of
<br />rh. pmt<y uho toil6 or imFD!6 rh@q &d vrb do6 such *orl hifl*lf or h*lf ot threush his o' hd om mploy.6.
<br />provddl thar such nnpmloE sNnoli ald.d orofiqld for sL lf. how6d, rh.bildinA ot imFov.'ml is $ld eihin on. ra
<br />ol@nrpldt,n, lhc Osnn B!,]lld *tl h,v. th. hd.n oaproving rhd h€ or st c did d hnE oi inrlto!. lh. F.fEty tur llE purpos of
<br />lt t-I 2. c or na of rtrc propa r. dn .lclc'vcly c.nrad'ns *ilh licnMd .onr.dou lo coNl cl lhc p.ojccl (s6.7044 BBirszdd Pl!tosNncod.. Tbcaonrlltor s L(tu. Lrw do6 nor .pply lo ov.(oltrcp.ny*ho b{ildsor ifrpror4 rhsdn,
<br />sd who o n t3 for such Fojds with a ContEcro(s) licos.d pu*mr ro rh. ( onl,ccloir Lic€N liw).
<br />Ln.i.hd mdd Sdii.
<br />G," t"lttltg >.\!a[!:!![1-!]1!t!!sr}l!91uI(L^&Utg!
<br />I hd.byrmrm undd pdrlly ol pcjury onc ol thc follo{ins daldat'on3
<br />-l
<br />ha!. dd uill mimain r Cdilicatc of CoBat lo S.la.lBurc for workfrs conD.osrion, s pmrid.n lor by S(rion 1700 of rh.
<br />tjhor Cod€, ror rh. pdfol:mc. of rh. $o for *hich th. pmn b issu.d
<br />Ihar.andtrillmaintainsork.rs comp.Mlion $urrncc, as r.qun.d ht S(t ion I700 .l rhc l.abor Cdd.. for th. Fiol:Mc. ol
<br />rh. wort for which lhis p.mil is isuqt My *ortdv comFMion i6u c. cmiq dd polty ounbd d.:
<br />]t{!.-,ry,r'", *,1'. p-r"rmnc. otrh. qo,t ror \h,ch rhis p6nr is iss!.d, I sh.ll not orploy any pt600,. ey n@s.Pmo *comc utjeir rtc sorr6 Nmpoen.n la$s .rc6lifomi'. md asr rhar irl sh;[rbc.;mc Nbj.d ro rh.
<br />"r!ls' mmp.Nlion prcvisioB of Sc.rio. 3 700 oarh. Lrb.i Cod., I slEll. lonhsith comply *irh ihoe provisioE.
<br />W RNINC: Failurc ro su. workca' .omptrsarion .ovd.Bc is unl.wlul, ud sharl subjd e anPloF lo oiminal pdallE ed
<br />civil nn6 up ro oo. hund.d lhosdd dollEs {1100.000). i. .ddnion lo lh. cos of conp.erion. d,nts.s 6 proridc,j aor lh.
<br />Cod., 6td6r dd axorrcy\ f6
<br />t6
<br />lr4LASArlA!
<br />I hft6y al'm trbdd p6.lt, of p6jlry lhal I m licsu.d uodo rovtion of Chdptd 9 (enlmcins w h S<lio. 7000) of Division l
<br />ol rh. Bsine ud Pmf6ioB Cod.. .d my lic.M it in lull to,cc dd clldr
<br />l,iccNc CIN
<br />-Lic€nsc
<br />Numbq:
<br />Ijolr,tIllr(lIoNIENDllclcE!(x
<br />I h6Eby aflirm unds rE ahy ol paju, rhd th6. is 0 mdtuclion lodins lsocy for lh. psaollMc. of lhc uorl ror shkh lhL lffin is
<br />ilsucd(S(. 1097, Civ. C.)
<br />AIIIIIAILDEqJAAIIAT
<br />I hd!ry ofnn und.r poallyolpsjuryonc ofrhc aollo*ios d6laBtioN:
<br />D.@tuion Pmtu-Asberos Notificalion F.daal Rcsulalions (Tirl. 40. Pan6)
<br />R.qundl knd of Norifiotion
<br />-l
<br />.qrii lhal Ihc lcdml r.gubtio6 rcsdd,U abGG rmoval sc not applicablc to this lr.itt
<br />-6l*r, fi rr',r r rr"r. .ua rr'is appli(d rcn ed narc thel Ih. ahov. infomaion i! coF..l I lsE io conply * nh aI Cny .nd Counry
<br />-odim6.6 Md Star. L.M Ebrins to buildins coBlrucliotr d hrcby rurh..t. EFffiloliv6 ollhis Ciry od Couly to 6tB upon tlE
<br />abolc 'lqltrncd prcpsry for ituparion puiFsd
<br />(cotcrnrora*arstenrru,", d -/L
<br />("..i,*....rpano' KHIEM (+t t"/a1/18
<br />Communications Cable
<br />Sub-Panels
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