20170080 - Permit - Laserfiche WebLink

Home Browse Search

ELECTRICAL-INSPECTOR RECORD APPROVALS DATE OWNER BUII.DER DEI,('ARATION I h6.hy amr6 und( r.nalry of pdlury rhar I m .r.mpt 6om rh. (nnhcrou' Licd. L.q for th. followins llen iS(.?011.5 susin6s and Profdsion Cod.)r An, airr- or Counry qhich r.qune a pcmll to codnrcl. all6. mprolc. danolish or Endr sy (rucrurâ‚¬. prior lo its issudc.. als r.qutr6 thc applicur lor such pdnr (. fiI. r sisn d rddd rhd h. or slE is lic6s.d pBuril ro rh. Eovisioro of 'h. Conlractois Lic.ns.d Law (Ch0!r6 9. Commtrins wili S6lion 7000 of Div'sion I orlh. BBinc$ dd rrcfstuns Cod.)orlhar hcorshc G dcmpl rhgEfion ud rhc bsit for lh. ,ll.r.d .xoFion Any r ioldion ol serion 70115 br..', appli.d ror a pdmn subjeB rh. rpplicanrtoa.ivilpe.ahrol60rnor.lhofivchund,.ddollrs(S500) I, a o\nd ol dr Fop.ny, or Ey .mplo)6 wnh tr,s6 6ln.t $1.6mp?Mr io.. "dl dr lh. so snd Ih. slrul@ b not inl.nnd or oitd3l for el.lS( 70,14. Bosins ud Pro fcioN ('od.: t h. Conlraclors L,icsc LlN do6 nol apply ro e osnd ol rhc p'.I,61) sln' hrilds.r L.Irovd rh6dr,xl$ho &6 such *!rl hi6s.llor hdlclf.r rhouEh his o. h6 oM.nployG. providcd rnal such improvffils &c rer i.iod.d or ollqld lor slc lt fior'-.E rh. bilding or idpmffir iq k'ld *ihin o.. )d .f.ompllio., rh. O{ nd Builda Nill h,vc ih. buda oaFolin8 fid h. or sh. did ml boild or improw lhc pllpory lor 6. luroe ol I.6o$nrofih. prepdy. on c\clusircly conrriclins rvilh licm*d contrtrroBr. codrrucl rh. rrojel (s< 7044. BNin6 md Pn)i6bn Cod. Th. cont..t{ s Lic.ns. La* do6 nor rf4)ly ro an osna o t [op.n, wno builds or nnprcvd lh(on. nnd \fio conrrmG lor such projds Nrth a Cornraclo(s) licdsâ‚¬d purswr ro rhc Contacrtr-s Lictu. bw) ltun ercnrpr ufld( Sccrion .8 & P.C aorlhis r6on D.re o$rcr r(2a[Earro!!EErta]l9!u!(LuArq! I hercb!.mnnundspsah!olpsiuryoneolthe ldkNirI declnrrrhns I ha\. nd sill miniain a Cdilicar. of (.oBd' ro s.lilnsur. lor qorlds comp.rAal ion, 6 p.ovidcd for hy Strion .1700 of rh. Ilboi Gd., lor rh. lnforl@c. of rh. {ort aor "ikh rh. p6nit is isu.d I haleand sillrnaintain sorksi colnp.nsalion iNlrancc- 6 r.qut.d by S(rion l7cr0 ofrh. Lab.r Cod., for lhc pdtonnonc. of rh. &rk lor which lhis Fdir is ir3uqi Mysorkds conp.nlarin inru,mcc cmid.nd policy numbd 6c: I..nifyrhari.rh.pdform.c.ollh.rvorkforrlhi.hrhisp6Dirisisstred.lshrllnoidnployanypssoninanynenr $ as to brcor.. subjd lo lhc *0*61 comrFel tun la\!s of Caliromia- dd 8*re rhd il I should bdomc bjet tothc $ork6 compqert,. pF!,sionsoascction:lT00 ofrhc lrbor Cod.,l shall,fonh$nh.omply wirh rhos tiovisioB \\ARNlNc ljailurc lo sue \ork.u compdation corm!. is unlnLvful. and shallsubr(t .ivil nn.s !p ro on. huhdr.n rhousd dollds (1100.0tr0), in addiri ;,;T sdri.n 10?6 oarh.l-ihx( odc, inr.r6l nd auo.rct s a6 IDSJAAIION I hmby amrm unds paahy of psjury lhal I d licdsd unda provisio. oachapid 9 (.onn6.ins wnh Sdion 701)0) olDivision l of lhc ausinGs md Ploa6sions Codc. dd my lic*c is in tull forcc and cilccl COIiIBUqIIANIINIIINGICENCI I hftby amm undd p.nahy o f djury lhrt lh6. is r codtudion lmdins ostry for th. psfomec of th. q'o* lor {hi.h 'hi5 Fnn i! $tu.d (s( 1097. Civ C.). AIIII(ANLIIDCIAETIIA! I hor+,y alin undd p.nahy ol pdjury on. of thc follo*i.g d( ldalions: D.molilion Pdmils-Asb.sros Notification F.d6al Rcrulations ('lillc 40. Pan6l R.,tuir.d L.tt6 of Norificalion , cdify rhd th. Lddalr+olarions rcBedinS ab.slosrmo\aldc norapplicabl.lo rhis roj<l I s6rily rhar I ha\c râ‚¬ad lhis amlicarDn anrl narulhar rlE ahr\e inlonnaiion is..c1 l.sre ro.omplr sirh all( ily and Couory I o o'dinances and Starc l,aws relatinA to huildinS conslrucrion. ard Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Sions (monumenl) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under Slab / Floor tL t .a Bonding / Grounding / UFER lat'Jll't t:nilut '6t Transformers ll Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) [alls (Rough) Ceilings (Hard & Soffit Rouoh Ceilings (T-Bar Rough) lvleter Release Rough tt n^a Service Meter il pilq l kYl,lll4 'f (v ',(/41 I I lt I r<6 Notes, Remarks, Etc rD/srG.COMMENTS aho\c me nnEd propenyfor ? FINAL A,^ nt.rl