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APPROVALS DATE tD/srG.COMMENTS <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 />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 />EYPIer rrt <br />Rough <br />Service Meter FEBOI:t0t9 <br />FINAL GA <br />' cer7, vJrcra667 <br />ELECTRICALNNSPECTOR RECORD <br />Oma-Buildc Dal.ralion <br />I h.r.by lmm und.r p.ndry of ,.,jury thd I m cr.mpt fm lhc Co.tr.co6 Li@nsc Llw as (hc aollowi.g cBon {s.7o3l t Bsi.B <br />&d PrcfBsion Co&) Any City s Couty whict ,cqui6 a p.mir to onstrucli .1t .. improv., dholi$ d E u xy iftcrw. rid !o iE <br />iss@cc, .lso rcquiB th. applidl for suct pmt to lllc s sigr.d n.lchot $sl h. 6 sh. k limcd pur'u r to dr. proyiri@s of$. <br />Contra.lor,' Lha.d lre (Cn64d 9, Cmhodn8 wi0 S-ds 7000 of Divisid 3 of rhc Bsin6 6d Prcf*ionr Codc) d ${t nc d <br />shc is .xmpr $hfrn dd rh. bsii fd rh. all.Scd amptioi Any violario of S.ction 703 I 5 b, ey .pptior for s p.mn rulj€G 0E <br />app,iol lo a civil pln.lty of no. n@ thM fivc hundr.d doll8 (t500). <br />_I,6 ownc. ol rhc prcpdry, orhy mployc wi$ uag6 s ih.irsolc.ompa!6rion, *ill do lhc wort ed $. sulcruc is nor irrd.t d <br />tr off@d a6 sdc ( se.70:14. BusinB dd PrcfdioN co<L. rh. Conreld,r Licd. bw dc nd appty io u own.r of rhc atrop..ty <br />who builds or i6prcv6 th6.@, M'j who d@3 such work hiru.lfor h6dtd firoush hir or h.r @n cmptoycd, Drcvid.d |nal luch <br />implov.mfib e not inradcd or offd.d for srl. If, howdcr, thc buildinS or improrcmqr is sotd wnfiin on.yqof compt.ld, th! <br />Own.FAuildd willhav.lh. blrd.n oaprcvin8 thal h. or !h. nol build or imp.olc f6 rh. purpGc ol!alc). <br />_1, 6 ownd ol rhc prop.ny, m .rcluiiv.ly conracing wnh lic.nscd coEacrors to consrod rnc proJ€t ( Sa. 7044, Busin4s dd <br />Prcf6sion Codc Thc Conl,?lor'! Lic.n5. Law do6 not apply to e wnd of propdly who buildi or inprcvd lhacon , md *ho <br />conrrds for such p'ojcds wnh a conrero(, lica$d pu6u&r ro rhc coirradors Licms Law ) <br />I m .xcmDr un&rS.crion B & P C. for this r.6on <br />WORKERS COMPE'ISATiON DECLARATION <br />I h.r.by aflim und.i r.nalg, ofpcrlury onc oflh. tollNin8d4lr.tions: <br />_l h.v. {d vill m.inlaii a C.nillol. of Consnl ro S.lt-lNlE fm wort6 omp.ns.rion. a grovidcd lor by Sed6 37OO of th. <br />L.bo, codc. for d. Frfmue or th. work ror wni.h lhc pcmir i3 i$u.d. <br />_! hav. od qill mrintdn wo!6' coopcnsation iNuacq & rcqutld by S.clio. 3700 of lh. Labor Cod., for rh. Dcrlm&cc oi th. <br />work aor which lhis p@ir is issucd M, wo*cB' mptr.rid i.!urD.. .ffiia &d lolicy nuhb.r ac <br />compmsatim provtions of 3700orlhc Lalor Codc, I shall, fonhpith <br />..C' <br />WARNING Failur.ro s.cu.c *orl$' comp.nsarion u .hploy.r to aimin.l rhalrd dd civil <br />finc up ro on. hundEd rhoGad doll6 (J l0O,00O),in .ddiion ro <br />thc Labor Cod., irt Bt -d dloh.yt fB <br />d.mag6 a providrd for UE S.ction 30?6 of <br />I hcEby amm und.r p.D.hy oi pc.jury th.t I m lieN.d unda prcvision of Chaprd 9 ( <br />fic Busin6s &d Prof6sions Cod!, dd ny liccnrc h in full fore Md.ifar <br />I h.r.by aflim und.r ,.n.lry of pojury lh.t lh@ h a construcrio. lodinS agcncy for <br />i$u.d(S.c.3097,Civ C.). <br />p.raom.nc. of rh. pdk f6 whict thit pcmn is <br />APPLICANT'S Df, CI-ARATION <br />Ddolnion Pmirr-45b6!oi Noriric.rioi l.d@l Rcgula ols (Tirl. 40, Pln 6) <br />_ R.qui.n L.no ofNoi{iotion <br />y wnh.lI City ud Counry <br />abov. m.ntion.d propcny for inspcclion <br />--o <br />is City &d Cou y to cnlcr upoi rh. <br />Sub-Panels <br />Notes, Remarks, Etc. <br />p.mn is for Onc hgndrd <br />ceniiy rhd ir rh. pcrfomM.. ofrhc work for <br />ro rhc workcs ' comp€nration laws