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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS Omd-Buil.ld D.clmlion <br />I h6.by .flid ud6 parlty ofFdury lnn t u cxdpt fom d. Contr&toB Licdc tlw for $. iollowing Eson Gcc.7ol L Bsin.ss <br />dd P'ofosid Cod.) Any Cit/ d Counly whth EquiG . p.frit !o @6r!uc! .ltd, improv.i dcbolish or r.pa;r oy strucru., pnq ro rc <br />ilsue€, .l!o r.quiB lhc ltplicbr ftr rucn Fdi( (o fiI. . ,i8n.d natmat dlx lE or sh. i! lic4.d pu^@l ro lnc Fovisi@ of th. <br />cdFdorl Lic6$d Ltw (Cl'.pl6 e, Co@ddns *irh s*rion 7000 of Dvi3i6 I of dE BBin$ ud Prof.siMs Cod.) y $1 h. q <br />sh. i! .xdE thdcfrd 6d thc bsi! fa d!. .ll.g.d d.ftrptim A.y violdjo. of Setio ?03 I 5 by &y applicdt for e p.mn subjccts th. <br />applter ro a .ivil p.n.lry of nc( nc $e fivc hudrcd doua (3500) <br />_I, B oMd of th. Fopr.ty, d my mploy.d wi$ e.a.s d th.i sol. cohp.tuarion, will do lhc work ed rhc shcruc ie .o( intad.d <br />or ofir.d fq 3.lc ( Se 70.14, BNin6. ad P.ofB!i6! Codr Ttc Cotuiorr LicmE Law dG nor .pply ro own.. olih. pro!.ny <br />who builds n imFov.s tldM, ed who d@ lEh wdt nituclf d h6.lf or throu8n hi! d hd own mploy.4, Fovid.d rhar such <br />imFovd@rs d. nor inldd.d or offdd fd rcl. li h@.va. |n. building d improv66r i5 sold wilhin on. ,cr of compldion, rh. <br />Oo.FBuildcr will nav. th. bud.n ofprcvin8 lnat hc o. sh. nol build or improv. for th. purpdc olsal.) <br />_1, a oMr oa tn. p.op.r9, @ cicluilcly cmf!.d.g wirh li.tu.d .dE&rm to cosdcr t!. Foj.cr ( Se ?044, a8ind ud <br />Profdsio Co&: Ttc Contr&t l! LieN. kw d.., mr +ply ro M oM.r ofprcp{ry *ho builds tr improvd $6cq , &d who <br />cmr'ets fo' such poj.tu wiin i Coimdo(, lim.d putsudt to 6c cmtutor's Lic6s. Law l <br />_I m dmPt sd.r S*ri@ <br />WORI(ERS COMPINSATION DECLANATION <br />I hd.by .fiim 6dd party of pdjury dc of rhc foll@ins d.cl&rriffi <br />_lh.vcedwilltui ,ir. Cdti6c!& olCosatro SGII-IB@ fd qork6' compa!.dd, s prcvid.d lm by S<rio 3roo of lh. <br />L$d Cod., for dE p..rf(fu.. of rhc work fqwlich $. Foir it iltu.d <br />a_l h.v. od srll roinllii *dt6 .dFlMm iBufue. s r.qliEd by S6tio 37oo of $. kbor Co&, for lhc p.,fm&cc of th. <br />wmr ad whid ti! pdmir it t$.d My *ork6' cdp.eatio in'umc. ceid ud poli.y ihbn a.: <br />Iolky NMb6 !&tB <br />(rnir s*rion nccd nor b. cmpld.d if $. pdrir ir fo. on. nlii&.d doll6 ll I oo) d k$) <br />-l <br />c<ify rhd ii rh. Ffm6e oa lh. vo* ae which dtrs t@n ir iisu.4 I shall .or copto, dy poson in uy nen.r ro 6 iob..m subjd b ln. wnk6 ' .omFE ti@ l.ws of C.lifomil, ed .*r* fiar if I should b.cd. subjd to r[. wd6 <br />cmp.roarioi provhids ofs.crion 3700 oflh. Lrbd Cod.,I ihall, lonhwiri conply with <br />&a //- 2 g- @4- A <br />WARNINC FailuE to s.cuE *di6' cooFs€ri@ corrogc ii $l6wlul, dd rhall rubjcd 4 cmploy( ro dminal p.nd q ed civil <br />fine up lo mc hundrEd tnsdd doll6 (t100,000),in addirid ro lh..os ofcomp.ns ion, d,m!g6 s provid.d for $. S.ction 1076 of <br />tI. !360r Codc, inrmr ed cnom.yt lq <br />LICENSEN CONTR CioTS DEcl ,ATTATION <br />I h6.by afiim m.Li pa.lry of poj!ry rhll I m li@m.d u.tcr provtid of ChrPld 9 (com.n€ing wnh S.dio. Tooo) of Division 3 of <br />rh. Buin$ ed PlofBion! Cod., ed ny lic6. ir in tull fdc. Md .li.d <br />-*- n'.=' czrdaq <br />CONSIRUCf ION I ENDING ACENCY <br />I h@by .fiim sdd p6dty of pajury $d $@ k a l8ructio lddi.s lsmcy fo! $. pnldDmc. oi $. ,ek fo which dli3 p.mn is <br />isu.d (Sd. r09r, Civ C.) <br />APPLICANI'S DECLAITATION <br />Dcmolitim Pmn!-Alb6tor Notifi.adon F.dad tu8uldj@3 (Tidc a0, Prfl 6) <br />_ R.quircd L.t6 ofNotificati@ <br />_l c.niry lh{ tt. f.dcGl rcsohdos r.sardirg abdd hovd E. nor +pltabl. b rhis p'oj.d <br />.jal ;ddfy dlal I nar @d lhir applic*ion dd ,bL rh4 ln. a!ov. infmnon i3 .d.cr I aara ro comply with all ciry &d counry <br />ordinec* Ed Slai. Lr$ rcl.iilg lo buildir! corlr'uctjor, ad nd.by authonz. E!rc!6Eriv.s of tnis Ciiy sd Coury lo o|.r upon ri. <br />/228- - q <br />Site-Work <br />Underground <br />Pole Bases <br />Li ht Standards <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Bu ilding <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 EXPIRI io <br />Rough I.L.B U I lUlv <br />q/\t\rc R-a3 9qo <br />Notes, Remarks, Etc. <br />Spas, Pool, Fountains <br />Service Meter <br />FINAL <br />v" o<\,-* <br />-