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ELECTRICAL-INSPECTOR RECORD <br />DATE rD/stG.COMMENTS Oen6-Builda D.clrarion <br />I h.rcby afim u.d.r padry ol pdjury th.t I m .xopt lom !h. conrB..oE Licos. L.w for thc followinS Ea@ G@.7031 5 Esinot <br />-d Prcf6si6 Cod.) .{ny Ciry c County which Equir6 r pmit to @nsiac( .lld. improvc. dnolish o(cp.ir dy srnclu., Fq ro irj <br />issuec., rl5o r.qun6 rh. agpli@t for sucfi pcmil b fi|. a si8n.d nalmhl lhal hc or shc n liccns.d puBuat lo lh. protisions of dc <br />Contractols Lic.ns.d L.w (Chspr.r 9, Conmocjns pirh Scction 1000 ofOivision 3 ofth. Bain6 ud Prcfeiotu Codc) or rld h. q <br />sh. is cxcmpt th.Ef'm ud thc b4is fd rh. .ll.e.d drmptio Any viohtim oi Srction ?03 L5 by ey applicdt for a p.mir subj.cB th. <br />applicd lo a civil pcnalty of not moE tid fivc huidrcd doller (1500). <br />_1, d owncr ol lhc Frp.n , or ry cnploycd with w.gG a lh.n solc conpdsarion, will do th. worh ind thc rtrucrurc is not inrodcdq offeld ar sr. ( s€ '70a{, Bainds Dd Prcfeidr cod.: Tn. Contub 5 Li6t. La* .106 nd .pply to s omd ol drc prop.rq <br />whobui,ds orihprcv4 $d@n, dd who dG tucb worl hiruclf or h6clforlllou3l his or hcr qn dployci provia.! dBt iuch <br />improv.mac e. not i.lod.d d oaf6c.l fd sal.. Ii how.v.r, rh. building m inPIovmat ir sold wilhin on. y.s of @nplcll@. lhc <br />Own.rBuild.r will hav. th. burdd of provinS th.l h. d !h. nol build or improv. fo $c purposc oi s.l.) <br />_1, 6 ovnd of fic prop.ry, m dclsiv.ly @rtutin8 *ilh licftd contr&1oB lo c@hd th. prqi.d ( Se. 7044. BEind ud <br />Protasion Cod.: Tlc Conu-&tor'3 Li@ns. Liw de nol +ply lo s omcr of prop.rty who buildi or improvq fio@, , od who <br />coitl-&B ior such p,ojd! wirh r C@r'&to(, lieircd pl6uer lo $. Coira.tofs Li6s Lsw.) <br />_l @.xrmpt und.r S6rio <br />WORJ(ERS COMPENSATION DECLARATION <br />I hd.by affim undd p.ndty oipdjury om ofdr. follNins ddl@tim: <br />_l hayc &d will mainlain ! Ccnifiel. of Co.rcnr ro S.lfiNUE for *ork6 @mpasrrioo, s prcvid.d for by Sete lTOo of t. <br />L.!or Codc, ro d. p.rfmcc of ln. ,o.t ld which thc pcnir k t3ucd <br />_l havc ed vill nairt in wdk6i cohp.nlation inru@c., 4 rcqut.d by Sccrion 3700 olthc Lrbor Cod.. for tl'c pcd(mec. ofuc <br />woft fo! which lhis p.mil ii irsu.d My wort.R c@p.n$don iniur c. csi.. d poli.y nuobq ar.: <br />.x:"::^ <br />ts-.*. *i,*,. <br />not b. cmpl.r.d if rh. pmit is fd Oi. hund.d dolla lll00lorl <br />rhc pcrfomdcc of lhc *o rorwhichrihpcmit <br />!h. workm compcnsalion laws of Calitomi{ lnd <br />of lh. Labor Cod., I shall,o <br />WARNINC: F.ilurc to !@E wdlc6' @mpos.rid <br />lin6 up lo onc hun&.d thoumd doll6 ($ 100,000),in <br />fi. L.bG Cod., iniEr sd .lrm?y's fB. <br />dm.e6 a provid.d for tc Sccrion 30?6 ol <br />I hcrcby rfiim und.r po.lty of Fjury lhat I o licos.d uod6 pbvisioi of Ch.pto 9 ( <br />$. Bsin6s ad Profd,ions Cod., ad my Iic..3. is in lullforc. od cff.cl <br />I h.Eby amm unda pd.lly ofpdjury dr d'@ k. c@rt'ucti@ ladint lg.ncy for lhc pdomsc. of !h. wa} fo which thir FDitir <br />isucd (Sa. 309r. Civ. C.). <br />ADPLICANT'S OECLAR TION <br />D.holinon PffiiE-Asb6rc Notincdio F.d.El R.Bulatio! (Tnlc 40, Pal 6) <br />_ Rcqui.d t nd ofNorificario <br />abov. hcnrioncd prcp.rty for in.p€4tion purpN6 <br />/-o <br />I <br />"b <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 />Transformers <br />Torquing <br />Sub-Panels <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 />EXPI RED <br />Rough <br />Service Meter I-EB t'I ZU[' <br />FINAL tlaM{1 A-it , <br />APPROVALS <br />Notes, Remarks, Etc.