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ELECTRICAL-INSPECTOR RECORD <br />APPROV,ALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Unde round <br />Pole Bases <br />Li ht Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Volta <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under Slab / Floor <br />Bonding / Grounding / UFER <br />Transformers <br />Torquin <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Facto Wired Unit <br />Walls (Conduit) <br />Walls (Rou h) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />FINAL <br />Notes, Remarks, Etc. <br />Omd-Buil.lq D.clra!@ <br />I h4b,.ffm urdq pa.ll, oiDdjury rhar I m.x6pr fom !h. Con!_&ro6 Li.6sc L.w for lt. followin8 lgo. Ge.rol|s Bui.s <br />Md Prcfcim cod.) A'y City n Coury which quir6 a p.nit ro onrrucr, sltr, imp@v., d@oliih or Ep.ir e, irucrr. p.id !o iE <br />i$uec.. als aqut6 rhc appli@l ftr tud plmn to ilc a sign.d siatddr $at nc or shc h lic6r.d puuurr ro di. F.ovilions of rhc <br />Conlrertrt Lic.iEd L.w (Ctaprd 9, Cfrhcncing wnh Selio 7000 of Oivision 3 of rh. Bsin6 &d Prcf*ioic Cod.) or lhat hc or <br />shc is .r.mpt thd.fron ad fic b6b lor lh. ollcscd .x.nption Any violarid oa S.c on 701 I 5 by my applicol for . p.mir subj@l! lhc <br />sppliMt to. civil p.n.lty ofnor morc th& fivc hundrqd dolla (t500). <br />_1, a oMo of $. p.@aty, d my .dptoy.c5 wi$ w.g6 s rhcr sol. conpasalion, will do rh. work dd rh. srrucr@ i! not intad.d <br />or oftd.d fd sd. ( Sd 70,1t, ABin6 ud Prof6sioM C.n Th. Conri.lor's Lic6sc L.r ds nor alply ro { owrcr of tt. prcpcn, <br />who buil& or imp.ov6 rho@, Md who de! lucfi wort hi@lfo, h6clf orlhroush hir dh.r Nn oployd. prcvid.d rh such <br />ihprcv.m.nr5 u. not inlod.! d of.rcd fd salc Il how.vd,ln. buildin8 or imrrcvmar is sold within on. yar or cohpt.lon, rh. <br />OMa.Buildo qill h.vc rhc burd.n ol poyins $ar h. or rh. nor build or i8prcvc for lhc pu,po5c or sl.). <br />_I,6 ownaof$. prop.ny, e qclusiy.ly confrc.in8 wnh liccnrcd coEacroB lo constru.t lh. proj.d ( 56.7044, Buin4 ed <br />ProaBsion Codc Th. CorEBctoai Liccnsc Law do6 rot apply 1o d oed ofpropdry *hobuil& d improvq thad.6d who <br />coio'acl5 lor ruch plojcds wilh a corr&ro{, licar.d puBusr ro rhl conrracrorr 1i...5. Lav ) <br />_l d cx.mpt undcr Scclio. <br />Dai. _Oeor: <br />WORKERS COMPENSATION DECLAIIATION <br />I hd.by amm und* p...lty of p.rjury on. or rh. follNiir ddldiois <br />_l havcddwill maint.in a C.difier! ofcoscnr ro Scif-lnsuE aor wdt6' compqsafion, s prcvid.d forbyS*ion3TOOofrhc <br />tibor Cod., ior th. pdforMcc of rhc wtrl( for which 6c p.mn is isucd <br />*l havc sd will miniain wdt6' mpc.ldioi iN!fuk, .! qui d by Setion lToo oftl. L2bor cod€. rc$.pqfome@ oirh. <br />wor* ld which $h pshit i5 isruad. My {ork6' @npa.lrion iuim@ *id sd policy iumb6 s. <br />e oflhc Labor Cod., I shall, fonhwnh <br />c> <br />WABNING Failur. to r@urc work6' @DF.r.rion covcEgr t <br />,inB up lo dt hundrcd fioqud dolls (t100,000),in addition ro <br />rh. Lrbo. Codc, inlcrdl &d.noh.y\ fq <br />oycr lo giminal paalti6 sd civil <br />on, dana86 a provid.d for 6c S.ctioh 1076 of <br />LICENSED CONTR"{CTORS DECLARATION <br />I hfi.by allm und.! padty oa p.rjury drrt I h licaEd uDdq provisio. ol Clafld 9 Gontt. Busin6! ad Prol6sions Cod., dd my liccnsc ir i. aull forc. !.d clfccl <br />I hceby affim unds Fnalty or pajury rh.r $@ is . coudcrio, lodirs !a6cy ror lh. <br />issu.d (s.c 1097, Cir. C.) <br />ofrhc work ior which lhk p.mil is <br />APPLICANT'S DECLARATION <br />DfroliriM P@iri.Aib6los Notificarion F.d.r.l R.8alati@ (Tirl. ao, P.n 6) <br />_ Rcqui,.d L.tr.r of Norific.no <br />l.crritv lh th. (.d.rol r.eulatrons rcoard'no e(ha{d <br />/ t carfy lh:r I h.v. rc.d rhE aDh@ion Md!d.thd to comply wnh Ell City &d Colnty <br />ordinecB &d Sralc Laws rclari.g lo building oflhh City ed Cou,ly [o..r.r upon tn. <br />.bov. m.ition.d pmp.rr, fd iNperi@ <br />-o <br />o <br />IrIEIJ <br />trtro <br />^ <br />onHC &43, :90. sso. ea <br />ln. paeit n fd Onc hundr.d <br />cdiay tn in lhc pdfoms@ or ln. wort f6 <br />subjccr ro rhc *o (6 compatado.laB <br />[ -T-----H