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ELECTRICAL-INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />a ns (monument) <br />Life Safety /Low Vo <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bondin / 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 Rou h <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL c 8-43, <br />Notes, Remarks, Etc. <br />Ownd-Buildqr D.cladoh <br />I hd.by ailm undc. p.nalty of p.rjury thar I d .x.mpt fm lhc Cont@to6' Licasc L.v for 6. follouing Eson (i.c.703 I t Bsircls <br />ad 9rcfssior Cod.) Any Ci9 o, Coq.ty which quiB a Ptmn to comhc( ah.r, imprcv., d.molish or rcplir ey slructurc, pritr lo il5 <br />iss@c., also lcquira thc a?plienl for lucn Fmn to filc asigncdstarna( $at hc or !h. is liccnscd puEuur o lh. Fovisiotu of rhc <br />Cont@ior! Licdlc! La* (Clapu t, Conn ncing wnh S.crion 7@0 of Divirio. 3 of ih. BNi.6r dd Prof*ion! Cod.) or dar h. d <br />3h. is cxmpt rh@f,m dd th. bsn ftr rh? .ll.8.d .x.npio. Any viol ion of S&tion 703 I 5 by &y appliot for a p.mil rubjeE rh. <br />lppli@r ro r civil pc..lty of io. mo. thd fivc hurrlrcd dolls (1500). <br />_1, 6 own.r ol lh. Fopfty, o. Ey cmployG vilh *.86 a th.ir rol. .mp.nsrlion. *ill do 6c work ud rhc llluctu. is not inGdcd <br />d oild.d io salc ( S.. ?044, BGin* ed Pof6siw Cod. Ttu Contrro!'s Licdr. t:w dG.d.pply to e o*n.r oflh. propcn, <br />who builds or imprcv4 tn.Eon, ad who da iuch worL hituclf or h6€lf or rhrouSh hi! or h.r own employ.6, provi<lcd rhal i!.i <br />improvfi.nB e nd inlcndcd or offd.d fm {1.. lf, hqcvo. fic buildiig d ihprcv.n.nr k 6old withiD on. yd of conplcxm. lh. <br />Ownd-Euild.r will hav. 6. bu.do of proving thar h. d ihc .ot build or ihprov. for dE Du.p6. ofsalc) <br />_1, a ownd olthc prop.'ry, m dclsiv.ly @Dreiina wi0r licos.d @nr.cro6 to conslrucr th. prcjcfl ( S.c. 7044, Buin6 M.l <br />Prcfsid Codc Thc ConE@ro/r Li@n& lrw dG not.gply to d oM6 olpropdty who buildi or improvg $r@. , ud who <br />@r&a for ruch poj*tl *nh c cntr&[o(, li6!.d pnBu&r ro rhr conracbf! Lic.nE Lav ) <br />_l h cx.mpl undlr Selion <br />-8. <br />& P C ftr rhis r.en <br />WORI('RS COMPTNSATION DECLARATION <br />I h.r.by.ffi m u.d.r pdalty of pcnury oD. of rhc followirS d.cldarions <br />I hav! dd will mainrain a Cdincal. ol Cons.nt ro Sclf lnsurc for workcB conp.nsaid, s prcvid.d fo! by Sarim3TOO ofth. <br />Labor Codc, for rh. p.rfroe of $. woi( for which thc pcmn is issu.d <br />_l hav. dd will maintsin wdkcE' coEp.nsarion isu@e, s rcquiEd by Scction 1700 oflh. Labor Cod., for.h. pafoma.. ofrhepde for shich rhis p.mn it is!€.l My wo.t6 @mFnstio. insuBncc 6i6 dd p.licy nuBb.r s. <br />PolicyNumb.i Exptcs <br />lThn syion n*d norb..ompl.r.d iIrh.pm tr rorOn.hundr.ddolldi ltl <br />y' c?n'fyd,{ <br />'n <br />th. pcrfmucc of rhc trork forwhirh rh6 p6m 6BU?4I <br />tu.d. subjc(l <br />'o <br />$. *ort6 ' Lmpasrid lrB of C.lifomr., od ag(c fiar <br />l70o oftc l-3bd Codc. I shrll. fontwnh <br />o <br />WARNING Failur. ro s6uE work6' conpcnstion <br />fin6 up to on. hundr.d rhoured dollM (1100,000),in addnion <br />rhc Labo, Codc, inlcrduddom.rk f.6 <br />s provid.d for lhc S.ction 10?6 oa <br />I hacby aflifr und.r p.nalry olp.rjury $at I d liens.d uiddprovision of Ch.prd <br />fic Busin.ss dd Prof6ioff Codc, and nr liccnsq is in aullforc. rld cf?cr <br />I h.r.by aflim undcr pcnalry ofpcrjuly thar ln@is plrimancc oi$c wdk fd which <br />tsucd (Scc 3097, Civ C.). <br />APPLICANT'S DECLATtATION <br />Dcnoliion PcmnrAsbdtos Notilicorion F.d.El R.Bulations (Titl <br />_ Rcquircd Lcrcr oa Norifiori@ <br />_2,tf.f.a 6c tcddtt tcE larioB E8ddins <br />j: I canry da' I hsvc Erd !hi! lpplidid ud l <br />ordiimc md srarc Llws r.l.rins ro buildins Md Cou.ry ro .nt r uro. rhc <br />.bov. m.nrion.d prop.dy fd ispccrio g- <br />APPROVALS <br />tcndd : Add,6: <br />Sub-Panels <br />EA},,F ED <br />rr-uUl ruiS <br />s