ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,I}ETI DELCAR-ATmN
<br />I hcrby .rfirm undfi ,rnrhy of p.lury rh8t I m .xcmpr rr.m rh. Cona.loF Liccn{ L.w lor ltc tolbvin8 Eav,n ls..70.ll 5
<br />Busincss ,nd Prorcssion cod.) ny Cily or ConDrt shth r.quios r Fnnir ro con(rcr. rllc!. iryrove- .kmli\h .r ftrlt aiy
<br />rrruclurc. Ilnorlo ils hsuoncc. aho rcquncsrnc omlicr.l lor ruch pcnnil ro lilca \i8ncd ddcmnr rharh.or shc is lrcnscd Fuuurir
<br />b rhc pmvirio.s ofrh. Conka.ttr \ Licctrsrd La* (Chllprer 9. (nmmn.ins *irh sccrion 70q) of Divhion I ol rh. Busirr$ ard
<br />I'n,lesi,nsCndc)orrhrr lEorihc i\ cx.nrrrrh.r.fnn.and rhc l,urt for rhc dl.B.d crcmpti.n AnyviolrlionofSccli.nT0ll5nyany
<br />afrlic,d n, drcinir {uhjcc(rhc aplli.a,rl lo a c,!il p..dlry oi mt nucrhan fivc hund.cd dollm (5500).
<br />I. osncr ofrhc pnrFny. or 'nyc'ryk,rks *iri *agcl ar rhrn v,h conv*n\dn,n. willdo rh w.* 0nn rht slulurc h frr
<br />i.ndcrl ororcrcd ror sdlc (se.7(}l4, Busi,rc\s and Pmfc$ions c c ThcCofru.lff \ l,iccnsc l,wdo.\ troi dmly hano*ncr.f
<br />rh. nor.dy who buil& or inDmvs rtEmtr. trRI qkr dd\ \uch w(r* hnnsclfor hcrcllor lhDugh his or hcr o*n cn,rloyccs,
<br />polidcd rhrr lucfi impokm.h rc nn inr.nd.d or ollcrcd fo. \ak lL lx,wc!r. thc t{iklin8 or nnnmrcmlll G sold Nirhin dk lt
<br />olconq,Eldr. rlEowncr ltuir:La sillhlvc lhchurdcnoflmvirSrhnt hcor{E ir fr,lttiuor i'tEo!. rh. lnlFiy lor rtE puqn\c of
<br />l. is ow.rr ol lhc p(,pdy, anrcxclusivclyconlncting*irh li.cnrd nn Dclorlo llnstruct rh. rnjccr (Scc 7(n4. Bu\inc\\
<br />lBl EDftsstnt Codcr Thc Conlracrols Licensc l,sw dNr nolapply ro an o*ncr otti(,tcdy wh. builds or imtrovcs lhcrcotr,
<br />an who c.rmch r.r such lfoj(ts wilh , Gntru.fttr(s) li.cn$d puBudnr to rhc Conrlacrois Liccn{ lj*)
<br />I rmcxcnrfr u.dcr Sccr
<br />Dsl. Orner
<br />I1!.BXIBSj:QuIENSIlI!)!
<br />DI1I.A.8AII}N
<br />I hcrchf d0ntrr utrdcr !cnihyolJrriLtryonc olrh. tull(N irx rlc(lnfuri([1
<br />-l
<br />hrv. furl will .uinrsin r c.d ificatc of Cotrknl ro Sclf.lNurc for Rorkcn comncnsolion. $ Ir.lid.d fttr hy sftrn,n :17(x) or rh.
<br />kbr Cod.. for thc p.rLrturcc .l thc work lor which lfu pcrmn is hsu.i
<br />I havc lnd *illmtrinuin uorkcri comp.nsdi(,n itr\uErce- ar rcqutcd bySccri,n.lTm ofrhe tibor Codt. for lhc lEihrmncc ol
<br />rl'd \rorlt f(r ql,ilh rl,i\ N,n,ir n pC My *dkn. .omp.^"r,.n 'nurbfrc caEH lnd Inlry numhr ur
<br />f7\4fw\1Vr"V
<br />c^i z\ \t
<br />I ccniryrhar nrrhc pcrb.tun.c orrh.*ork for shich rhi\ p.r.rir t i\\ucd.l rhrlltror ctrrtlorany p.ron inrny rtunncr
<br />s) rsh bcconrc subj..l IoIhc wo*c6'conDcnsrlnnr hws.iCrllonria.ond uErcc rlDr il I\holld nc.o c{hl.crn,rhc
<br />wolkcr' conlf'cnsatnnr rrcvisbn\ ol'Seclion :1700 ol'lhc Lstu Onlc. I shnll. a{,nhsiih .. Dly wirh 'h){
<br />pnvhior\
<br />WARNINC r,ilurc h \ccum workcn ompcnsdnrn .dvchgc is unlawful. nnd \hrll subjc.r 0n cnrlo}lr t' oi'ninal lEukics ond
<br />.ivil fin.s ut b onc hundr.d rlx,xsrnl dollrs (Slm.ooo). in addiliun lo lic corl olcomF.nqliotr. d nSci rr rrovidcd for rhc
<br />sc.ri(D 10?6 ofr)r lf,htr culc, ir fic{rM [onry's
<br />^",
<br />-l ]I,.11
<br />IECIASA:III]!
<br />I hcrcby rmrn undcr pcnrlryofr€rjury lhal I !n li(ns, lndcr rm6ion orChaplr 9 (comnrming wiln Scclion 7fi)0) ot Diision :]
<br />ol rhc Businc$ end Pn,fcssions Code. ond my ltcnsc is in full forc and cLEl
<br />,r" -l C.,<t-\G?-\\o \.il lx
<br />taNslf,l]l:IrlNL[NDlNclcllcr
<br />I hcrcby.tfirm undcr rcnrhyofrErj!ry rhd rhcrc n a.onsrdction lcndinc (8crcy a.r rhc FrldnEncc olllr work for w,richlhn Fmn i{
<br />issucd (Scc.:1097, Civ. C ).
<br />dstc mnrnncd rmlcn, lq msFrlnnnurns s -r.
<br />Appri.rn,or^p6,sism,u\ NA> /
<br />p€m.ename,prin,,, Jo )fui t"rttli^ l-r-''q I
<br />l-\('s
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Si gns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soff it Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />lVleter Release
<br />,A
<br />Rough 7-Zo-tg h-tLtr)
<br />Service lvleter
<br />FINAL 7-7t-14'lwfiv4t,21 .,r{>)
<br />Notes, Remarks, Etc vl
<br />L.ndclr Addr.(
<br />-
<br />i lIIU!:AIiLDlil.td&Uta!
<br />I lrNby rin n undcr jicnrlrt ol tdjuy o rc nl lhc loll,,wirrr dc(l {riin\
<br />I).Nniri{)n Pcnnir\ A\hc(o\ N.rifi.nrtr)n [;rdcful RrBuhri(,n\ II'r1r.10,I)d6)
<br />Rcqum,l 1..(.r of Norifi .trri(rr
<br />-_l.cnilyrhJ IIB tn.rul r.g,,Iri{,n\ r3r'di'rga\h(no\ romnrlr.c trrt]tl'.xhlcn)rlrisfhl..r
<br />1
<br />I
|