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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />L ight Standards
<br />S pas, Pool, Fountarns
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fi re Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Bondins/q6[m/UFER /-to-t1 2.7?
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />lrileter Release
<br />Rough / -00'1,?lZczl
<br />Service [/leter ////44
<br />FINAL u T lrg ,L//il:t/
<br />Notes, Remarks, Etc.II I
<br />OWNER BUILDAR DELC X-ATION
<br />I hcrci,y !fli,n undcr pcnllry ol Fd,ry rhar I m cicnpr nom rh. Conrracro* Lteo\c L:u tor rlr followirg rclbn (Sc. r0l l.5
<br />Busircs .nd Pmr.sion CGLr: Any Ciry or counry whi.h r.qxid\ a Frnil ro c.nsrcr, lllcr, improvc. dcrmlish or rcrBt ,ny
<br />rrtucturc. pritr kr its tsuaNc, ale aqutes thc a0/icant for sucn lrrnir ro file a siBrcd srlrcnrcnr rhll hc or rh. c liccnsd puN0nr
<br />to lh. pmvisi.ns ol rh. C-onlmctoas Lk.n*d hw (Ch"prd 9, Condcncing wilh S€clion ?(xD oi Divhion I oflhc Bucincss and
<br />Pmtcssions Codc) orrhal h. or shc h crcmpl lhcrclmn0nd rhc bd\ic ror rh. alkScd .xcsption. try viohlion ofSali,n 7031.5 by any
<br />atplicul lor a pcrmil .ubjccrs thc ll)Plicant lo a civil Fn,h y of nor mrc lhon nve hundrcd dolle\ ($5m).
<br />L r\ owtur of rhc pn'leny, or my .nrployccs wnh hrcs r\ rhcn vnc omptnsdn,n, aill do rhc soA and rh. sMuE is rct
<br />ntctrdcd or ofl.rcd Lr \al. (Sd.7t)44. Busircss trd Pi.fcsn,ns (.(rld: Th. Coftlclofs Li.cns ljw docs nd rtply to an o$ncr ol
<br />rhcIn)pcny sho ir,ilds or impm\.s rhcE,n. ud wlr oc!su.hwo*hinrcllorturclforrhn,ughhilorhcrownc tk,rc.s.
<br />proviJcd rh{r such imDrclcnrnhNmli cndcd or.r1crn f.{ salc.ll hou.vcr. rhcbuiklirgor imnrcEnrni is s,kt wnhin one ,tr
<br />olconplcliolhcowncrBuildcrwilhovcthcburdcnol|fl,vitrBl,n rr or snc did mt bui[ or nn!(x lhc pn'pcny f$ rhc purF)e or
<br />-l-
<br />as o*rcr ol lhc prclEny. rm cxclusivcly conard inB wilh licc.scd confudor ro cotrdrucr I hc pmrc.r (Str 7(xt. Bt\im$
<br />!ftj Pnr$si, C,{c: ,-hc Cnnkacroas Li.cnsc Lrwdo.s n.r sprlyk, rnowncr orproFnywho huildsor imDro vc s licrcon.
<br />,nd *h. conrrocrs for such !rcjccrs wirh a Conr.!cx,(s) liccn{n pu^uod ro rhe Conkncroas Liccnsc uw)
<br />IJn.ldtrlt unncrsccrn)n .B &t,( knrhi\rcJ!)n
<br />Dale Olner
<br />tulBf,[&lra[ltrNltauo!
<br />DII:LISAIIOd
<br />I h.r.byrrfirrnunJ.rpculryof pcrjuryoncorrhclnll,,wi'rgd(hr i.ns:
<br />I h&tatrd will ruinlri,rnCcifi.cofconsctrrhS.lllnsriclnrwoikch.ompcNiotr..srrovidcdnrnySdionST(x)ofrhc
<br />LihItr Codc. idrhcpcrformrnccorrhc sorr ror*hichrhc pemir n i$!cd
<br />r_l o\
<br />0 L 7
<br />-l
<br />cenilyrhrt inlhct'.rformneof lhe qo* tr, $hEh rht pcnhn is issucd.l sh.ll nor emlloyrnyp.6.n in anymnnner
<br />v, $ ro bc$m sobFr io rh. sodr.B cornpctuarbn hws of Cllilbmia. lnd lgfte rhar if I sh,u)d b.Mn subjccl ro lhc
<br />wo*.rs, co rFnsr io. pmvisions oasr.tion l7m of r Lntrtr Cdrc.I {hDll. fonhwirhmnrply wilh rhos llovGions..
<br />WARNIN(): Ijrilurc to surc worken .omFnsolion covcm8c n unhwirl- ad
<br />c\ xn ro .trc hnndrcd lhuuslnd dor,n."n* r"*,h-r" r",- , -ag-tto\t'Y
<br />I hcrcby rflhn u.d.r r.nalry or r.rjury rhm Ltr' lil
<br />of rhc Busirc$and PnrhsinsCodc. dnrylic
<br />I]I(IJ.BIIIO!
<br />si h SNrir ?(xx,) ot l)n i\i{n, l
<br />^ .,.)4/)
<br />I h.rcb, lnirnr undcr pcnohy of |)crJury lhat lhm is ! constd.tion Lnding ,gcncy for lhe !€rformncc of lhc sork ror shich rhh pomil is
<br />issucd (Sc. :1097. Civ. C.)
<br />AITLIIANLIECI,TBAIIO!
<br />I Hry nfiim und.r F.ahy ofpcrjuryom oithc lollowi.g d.cl,r,rions:
<br />Dcrmtiion P.i,nirs Ash.(os Norifi.atrn F.dcral RcSulrrions (Tirl.40. Pf6r
<br />Rcquncd k cr oiN.rific.rirtr
<br />-l
<br />ccnilyrh rhc Ldcrrl rcguhlions rcBordin8 .shc*os Emov{l ffc no, rpflic.hlc ro lhhproF._t
<br />I c.'rilyrltr lhnv. rc:tr] rhi\ rrpLi.ari x d (rrcI
<br />Under Slab / Floor
<br />H lllal
<br />h!
<br />6
<br />trndcis Addc$
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