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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monumenl)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Torqueino
<br />Sub-Panels
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Rouoh st(//6 b\16
<br />Service lVleter
<br />FINAL 1/0/l,r '>1>gY
<br />Notes, Remarks, Etc t-
<br />OWNER BUII,DER DELCARATION
<br />I h.Ehy aartrm x.dcr p.nrlry of Fcrjuly lnal I om cxc,npl lmrn rhc G)nrEcroB t-tcnsc tiw ror thc lollowiry rca$n (Sr 70.r 1 5
<br />Btrsincsl and Profcssi.tr Codc) An, Ciry or Counr, whth rcqrirc\ n ,.r.rir lo cotr(ruc|, llrcr idpmv., d.mlish ur mnrn itry
<br />(rucrurc. priu k, irs issuotre. also r.quircs rhc {plicanr rorsuch Frmil lo filca siEncd darcmnt rhrr h.or shc h licctr*d pusuanl
<br />ro lhc |,ovisioni orrh. Contruclors Licensed tiw (Challer 9. Conmcncing *ilh Sc.iion 7000 oa Divisn]n 3 orrlr Busnrss lnd
<br />Prolc$ion\Codc)o!thrlheorshchcxcmprrh..camhandrhcharisnrrh.alk8cdcxctrrl,tn'n.Anyln,hriniorsc.rionT03l5byrny
<br />Utlicont lor 0 pcmrit subjEls rnc atpli.aor b a.ivilp.n,xyol.or nDrcrhan fivc hundrcd doll,B ($5m).
<br />-1,
<br />a\osncrofrhcInoIcny. ancx.lusivclyco ructins with liftnscd contdcror\ro.on*dcr th. lmrcct (Scc.70.t4, Bu$ncss
<br />,nd Pn)l6sid Codc: Thc Conlrocty s t,iccnsc L* docs nor spnly ro moNmt ofl,ro,Erry wh{, builds or in ovcs lhcrcon.
<br />and wbo conracrs rd sr.h poje.^ts {ilh a Co m.lodn liccnsci lltr{uni ro rh. C(,nt..rtr s Li.cnsc l:w)
<br />-l
<br />amcxcmtr uMcr SsriorL- B. & P.C. for this rcs$n
<br />D.r.: Ow:
<br />]tl)8trD8U.CA![ENAr0li
<br />DECLASAIIAN
<br />I hcrcby !flnnr uMcr pcnnltyolpcrjury om dlrhc rdlow$! dcclrmrion\r
<br />lhrvcmnEillnminrair!CenirEtr'c.tCon\cnrr.s.lalNurcrd*orlcndnlpcnsarion.trspRrvidcdrorby56lion3T0Oolihc
<br />tihor C.d., rorrhcpdlo nurcc oflhc wolk for *hich lhcIlcrmi n n{ucd.
<br />I hrvc and willnmintiin workeF conrrcn$rion insuhk.. ri i.quncd bySdnnr:lT0Ootrhi lihor Codc,lor rhc PcrLrroncc of
<br />nr \htr h rh. '{'i i.i\\urJ
<br />il4;Jr^*,r!(,clr{^
<br />(,i trNurxtr.c cnnicr rral lniry numhrr Ic:
<br />1..^6_
<br />,,,,,,,"'..l,,,,,,", (?dwr^)co $Q6$-t,\.\.\
<br />-l
<br />ccniiy rhd in lhe rEnormrcc orrhc work rrtr whith rhh r(rnir h tsucd. I ntll nor cnDk,y any Nmtr in lny munn.r
<br />s s k, hccorc srbjed k, rhc workdc canp.nsdion laes ofcalifonria. and rrr.c rhnr rrI fiould tE om ubjcd t, rrt
<br />workc compcn\rri,,i ptuvir$ns olscclion 3?m ollhc hhor Cdql sirll. r.nhwirh conrply wirh lhosc pmlkb.t
<br />luE ro *curc qorkcn' €o m!.nsol ioo colcEac is unlnwrul, ,nd shrll sutjal !n cnpk,rlr tu dnnintl lcMhics and
<br />or. hnrl'.rl rhotr+n(l Jol!xr\ 1\1ix).lx)i)
<br />'"CI5-2U"TB:J:::"'
<br />co{ o{ conDDn\rrnn,. drnr8c
<br />,r,,,",AUG
<br />I hcEhy aflifln ! nd.r pcnrlry of pcrlury lhli I an lien$d undc ing silh Sccrion 7Ulo) ofDivisirr 3
<br />of lhc Busircss nrd l'mlcsn,ns Cod.. .nd my liccnsc is in rirll forc and elf(r
<br />{)10o17q1
<br />*"*sc-sg 2018 Fnhr""
<br />CONEII!,I TQNTENDINIi.EODNI
<br />I hcrcby lflitrnrMcr pcnrlryurFrlury lllJl Ihcrc i\ n conslruclir hn(lirs trctuy ror rhc Pcrtnrnmncc otdrc work ft, whi.h lhk |Em{ is
<br />issucd (scc.109?. Civ C.)
<br />AfIIJCANIOEII,ABAIPN
<br />I h.n ry drmr undcr !.n.lly of pcrjury orc of lhc followin8 dsluarionsl
<br />Dcmlition Pelmits Asberl. s Nor in.at ion tudcr{lRc8ulalionsl'titlc 40- Pun6)
<br />-Rcquncd
<br />L.lr.r ot firnifrarion
<br />I.dirythar lhcltdcBlrcgllarions EEarding lsbc{os rcntvrl $. no' ardi.rhlc ro lhn p,ojccr
<br />Zzl ccniry rhd I h.rc rcad thh applisrion dd narr rhat rh. ,h,!. inronrrrio. is corar I asrft t, onrly wnh .ll ciry nnd couty
<br />ordrrk.sa srdc titrsrcbrinS t,buil{lio!ruoui-rcprcscnr ivc\orrhiscirya.lCounlytocnrcrunotrrhc
<br />atx)lc nf,nrioi.d F)p.ny for iN
<br />,\pplirxnl or \lonl SiI] lurr
<br />1rut'f I ,t't *"A,UG @8 20.18
<br />I
<br />DATE
<br />Transformers
<br />Air Conditioners
<br />lt/eter Release
<br />-1.
<br />as o*icr of rhe pn,Fn y. or my c'ryloyes wilh *a8cs rs thcn v,h compcnsdion. will do thc $ort lnd lhc sridm c or
<br />inrcftln ororTcrcd ror slc (Ss 7044. Busjmssand ftofcssioN Codc Th. Conro.rols Liccnst w docs nor 4ply k' an orrcr of
<br />rhc pmp<ny *ho buifth or irymB rh.mn, md eho dds sn.h sd( hinrrclfor ncrcltor rhrcrgh hh.r h.r ow. cm0loyccs,
<br />Drcvidcd lhar such i trcEmnrs e dn intndcd oroffscd I(rsalc.If. houcwi thc larikliu t. imPmvcEnr ir $ld wirhinonc rr
<br />of.orphrtu.. rlE Owrcr AuiB.r willh!re rhc hordcn ofpmvin! rhd nc or shc dt nor t ild or iml,rore rhc pnrFny for rlE purFc of
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