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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Ro ol Top Equipment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Solfit Rouqh
<br />Ceilings (T-Bar Rough)
<br />IVleler Release
<br />Rough
<br />Service Meter
<br />FINAL btftt 5 /{q4 (rV)
<br />No.tes, Remarks, Etc
<br />4 L
<br />1l')91 tN:
<br />OWNER BUII,DER DELCARATION
<br />I hcrcby affiirn undcr pcnolry oa pc+ry rhar I m crcnp' In,n rhe Co.rr-t6 Li..n* La* fd $e follosi.s ex$n ( SN.7oil l t
<br />Busincss uid hoic$n,n Gdc): Any Cily or County *hich Eluircs a pcrmir k, cotrslrucl. all.i nnpmv.. dch.lish or mp.n ,ny
<br />slruciurc. I]lin !o ik hsuam, dls Equhs rhc ,pdicanl lor such Fnni lo nk a sisn n stal€mnt thrr lE o. stE is liccnrd pucurnt
<br />ro rhe F,virion\ ol thc Conrrucrols Liccn*d Law (ChErcr 9. ConmcrcinS with Scction ?fiD of Divhion 3 of thc Busincss'snd
<br />Pmfc$iotrsCodc)orrh.rh(orshcistrc,rllrhcrcrionrndllrbosnfo,!i.allcscdexcmrri.n.AnyliolarionofS(lio.?0:ll5bruy
<br />aptlicrnr for a pcrmir suhF.ts lh€ {'dicanr lo ! civilocnalryornor fr)rc rhM fivr hundr.d dollrs ($50{}).
<br />L as osrcr of rh. nloFny. o, m, cmplorlcs wirh slscs as rncn sh d,W.nsrrion. ,ill do rh. *u( ndEslrutrismr -intcd.t or olt r.d ror sL {SN.7044. Busin.s Md Pn,tcssk ns Codc The Conrsdoas Liane Lae &rcs mt &prly to M o*r, oa
<br />rh. 8rpcn, wb tnilds or impmks ttrNn. od who docs such w.i* hinN.lfor hcr*lf.r rhrcu8h hk orhoo*n cntloy.cs.
<br />theidcd rha! such inlFrcrrcnB m nol intcM.t o. off.6d foi slc. li hokB, rh. hilding or iryllmmnr teH wirhin om Fr
<br />uf con9lcrion. rhc O*rcr lruihcr will harc r,E hrd.n or rmvine rru hc or shc dn mr bdild or inpmrc tlk pnrFny 16r rtE purixM or
<br />I. ar o*ncr ol rhc rD!.ny. !m exclulirely conhdinS ,dh li.ctr*d .onhcrou r. on{dcr lrE
<br />')oj.{
<br />(Scc 7014. aus'rs
<br />rd horc$irn codc Thc C.6k .rors Li..ns. Las docs nor orplrro uowncroflropcrtysho nuildsor imlrovcs rhcrNn.rnd who contBcrs rbr such proitls wirh o Conrr!.r'rls) lkcn*d pt(mr b rhc conksdoi.l-ien* Ltr*)
<br />-l
<br />!m cxcnrpl lnds Section-. B & P.C. lor rnk uson.
<br />O{ner
<br />!YOA6!B QIIIINSAIION
<br />IIIILAIAIIAN
<br />I hcrch, rlfinn under,renrhyol!.rjur) onc olrhc lol[,winc dNl,rrriotr\
<br />Ihalca.dsillnuinrainoCcnifralcofconr n) Sclll.sur ror *or*cts otrD.nethn. as pmvidcd rd by S(iion 37m or Ihc
<br />t,bor Codc. for rhc p.rr.rmR. ol rhc "ort l.r *hi.h rl.n pe,n i\ ir\ucd.
<br />I hak lnd will minrain *orkcrs compens ion insurmcc. 0s rcquircd by Sd ion 37m of rlE bhor Codc. lor
<br />'hc
<br />p.riormmc ol
<br />,l
<br />Mv*
<br /><f5 u
<br />/8
<br />ir rh. Nnonnrn.col rhc qork frtr $h.hrhi\ Fnnir is n{rd.I\hrll or cndoy rnyFrv,n
<br />'n
<br />rnynmn.r
<br />suhjccr k, rhc sorkes conDcrs.lion hwsofCnlin,.ir. lnd l8rcc rhar if I should bccom suhjcct lo th.
<br />workdr d,mFcnsrion pnriri.ns ot Sclion 3?00 oi rhc titrr Oic. I sh,ll. fo.lhBilh onrply wilh lhos rovkions.
<br />WARNINGT rrilurc t' *.un sork$J .onlrn\di(,n .ovc ic.1 Jn cnlPk)ycr t, ri'ni'il]--.fJlri.s rtrd
<br />n h rhc cod of.on]Pcnsrrion. J nE.\ r\ fn,lidrd f rhr '.T h
<br />{ucrlsullc0Nl8 cra.a
<br />D[rtdlAl.tQN
<br />I hcEl,y aafirm un&r pcnalryolpcrrrylh.l I m [ensd undn povision orChafla 9 (commRing rirh Sccrion 7000, orDivision 3
<br />of rhe Businc$ and Pofcssio.s Cod., ond nry lkcnsc is in full fue md.ft .'
<br />1. 3
<br />6,24 5c/, B
<br />F+,oTL.U-vE >JZZ4
<br />!1lNrltr!11lalrllul).Gllaul(I
<br />I h.Ebt lrrm und.r p.n,liy of p.rjury thd ln@ i-. r oiirocrion bndine agfty for lh. p6fo!i1@. of rhc wo* for whih lni! Fmn i!
<br />issucrt (SN. 1097. Civ. C.).
<br />AIILIIANLDECI.AB{IIA!
<br />I ffir,mnn und.. Fn,lry orFrjuryon. ortnc rnuoeins dslsalions:
<br />Dcmlirn,n Pcrmih Asbc(or Nolificari.n Fcdcrul RcSul.rions (TilLrO. Pan6l
<br />-R€quncd
<br />lf,rrcr oI Norilkarion
<br />lccniiyrhd rh( fcdcril rlxlrrion: rBrdi'rg r\ no\rc.Dvrlarr norrppli.ahlc t, rhnrruJLcr
<br />oBrN
<br />'o
<br />cnryrly sirh ullCir) ond qnunry
<br />,vc! n, rhi\ Cry ud Cqhrvro c.r* uFn rts
<br />*"3falf'e
<br />a
<br />5
<br />Ixa,cr'' Ad,tcs
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