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ELECTRIGAL.INSPECTOR REGORD <br />APPROVALS ID/SIG.COMMENTS Om6-Builda D€clualion <br />I h.Eby .ftm und.r p.nalty of pdjury lh.t I h .xmpr fom lh. C6Ls.roE Lic.nsc Law fo. th. followiry rcaa Ge.r03 I 5 Buin6 <br />dd Prof*sion Cod!): Aiy City G County which EqutB ! pmit to 6s1tud, rlr,, imprv., dmolirh or r.pat uy ntudw, Fitr ro it! <br />issuucc, lbo Equir6lh. +pli6l f6 Nch p@n b 6l..Ei8n.d nalm.nt lh.1h.nsh. is liehr.d plEudtro tic A.otisioc of thc <br />ConrBctor's Licas.d Law (Chapr.r 9, Commdcin! uirh Scclion ?o0o ofDilisio I ofthc Buin6, ud irofEions Cod.) or $sr h. d <br />sh. i! cxcnpi thcrcfrm ed thc bah fd fic allcg.d cxcmption Any viol ion of Sccdon TOl l 5 by ey applicut for c Fmn tubjccB tha <br />applicul ro . civil pdrlry of nd mor $e fi!. hundrcd dollde (1500) <br />_1, a own.r oa fi. p.op.ny, or my .mploy.B witn wae6 a rh.ir solc composnion, will do th. work ed th! !u!ct(c ir not inrod.d <br />or olfftd lor salc ( Sd ?044, BusinBs sd Prol6iotu Cod.: ThG Conr@ror\ Lic.ns. Law dc not rpply to n o*n.r oa rhc prcpci, <br />whobuil& or improvB d.@n, ed who d6 luch work hirucllor hedfor $rcu8h hii or hcr @n cmploy.Bi Fovid.d $r ruch <br />improv.mcnb e not i.lhd.d or ofidcd for s.lc ll how.v.r, thc buildins .r inprovmat is sold wnhin ohc y.s of co6pl.tr6, thc <br />OwncFBuild.r willMvc lh. blrden ofprovins that h. or shc nol build or imprcvc aor d. plrposc ofsal.) <br />_1, a ovna of lh. proFnr, o qclusivcly conEetins vnh liccns.d coFacro6 ro cdsnacl thr rrcjet ( Se.7044, AEins ud <br />P.of6sion Codq Th. Conturors Lie.s. kw dG not apply ro e oM.r of ,ro?dry who build, o inprovd $a@n . od who <br />contEct lor su.h plojds with a coittuto(, lien$d puEuet to rh. conk crq 5 Licosq L.w ) <br />_l d cx.opr und,i Selid <br />-8. <br />a P C ftr thii r.en <br />WORKERS COMPENSATION DECLARATION <br />I h.r.by afilft unda p.nrlry oapqju.y oic ofib.lolloviiS dccl&alioru <br />lh!v. md wiu maiitair. CcnjficaE olcoiscir to SclfJtuur id vortft' corpdsation, a povi.lcd for by Scdon 3700 ofth. <br />L.bor C.d., for th. p.n@@ of $. vo* for shich fi. pmit is is.4 <br />Policy Numb.r Expn6ddffid;;for Onc hqn&cd dollm lllOol or <br />comp.ns4ion provisions of SNtion 3 of$. t4o Cod., I shdl, <br />D <br />WARNING F.ilur. ro .@ur. *ort?R compcnEdon covdag. <br />fin6 up !o o. hundr.d thoGud .lollm (t 100,0o0),in .ddnioi <br />th. Llbor Codc. int.rd ed bmcy's fB. <br />6 providcd lor rhc S.crion 1076 of <br />LICENSED CONTR,\CTORS DECLARATIO:,I <br />I hdcby allm lndr pcn.lty oi pajury thal I d lictued und.r prcvision of Chdptr 9 ( <br />th. Bliinds dd Prof6i6s Cod., dd hy licnsc i5 in tull fo@ sd dI@r <br />I h@by 5ffim uod.r p6.lty of pqjury $.l l1l@ ir r cdsEuctid I <br />i$u.d (S.c.109?, Civ. C.) <br />arrucarr]UoEclarllltox <br />D.molnion Pcmns-Asbet6 Nod ficaIor F..t El R.sul6ti@t (Tnl. a0, P.n 6) <br />_ Rquircd Lcxq oaNoiificaiM <br />]L I carify $a <br />lhc rcd.ral rcgularions r.Srdin8 <br />I hrv. r.!d .nir .ppli c.rion cohply witt all Ciry ed Counry <br />ordindcB d sI3r. L:ws EhrinS lobui City ud Counry lo ar3 lpon $c <br />a-g-oL - <br />abov. ncntion.d prop.ny for <br />7 <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 />Rough EVblrrEi\ <br />Service Meter <br />FINAL t 'FH n r znrl I <br />Notes, Remarks, Etc. <br />onrru sJ, ZW, ES, 667 <br />DATE <br />Drrc O*rcr _ <br />_l hav. ed will h.itllir wsk6' @mpaMlion iEur&cc, s Equicd by S@lion 3?00 of thc L.bor Cod., for $c psf(m&a ol rh. <br />wmt for vhi€h thir Fqhit is i55u.d My wo*@ cmpcB.lio ii!!o@ 6i6 &d polic, iunbcr @: <br />L.nds'5 Ad.l6r