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ELECTRICAL.INSPECTOR RECOHD
<br />APPROVALS DATE ID/SIG.
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor g{-lg rJ4.70
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Bouqh
<br />Ceilings (T-Bar Rough)
<br />lt/eler Release
<br />Rough
<br />Service l/leter 8.1-tt f
<br />FINAL oi- ll- 1,,
<br />Notes, Remarks, Etc.l/
<br />OWNER BUILDER DFICAIATTON
<br />I h.rcby nLr under Fnoh, oa lerjury rh I m cxcs fon rhc Conro.los Liccn€ La$ tor lic followi.g Er$n (Se.?011.5
<br />Busincss ad Pmfcssn,n Codc): ant Cily or Coutrty vhi.h rcquircs a lcmi h .onslru.l dlrcr, improvc, dcmolish ot rcplt any
<br />(ocrrc. Iriv b n. issuatrc, ako Kluircs lhe alplicanr lb. suct ltmn ro ,llc N s(fld srdcm lhol lE or shc i\ liccnsd Pu*utn!
<br />ro rhc pn,vhiotrs oflnc G,nr,r.rorr Li.en*d tiw (Ch.ph 9. Com'ncncin8 vith Scc'ioo 7000 of Divhbn 3 ofrne Business and
<br />Prorcssnrn* Codc) .r rhar tEorshc ncxcm thcrcfromandrh.tsshLrrhcallcs..l.x.nprion.Anyvioh'ionofSaionT0ll5bylny
<br />lppli.ant for a p.rmir slbjers thc lppli.anr ro !cililpcorlrrotnor fltrcrh.nnvc hundrcd dollam (1500).
<br />l. sl own.r ofrhc t6p.nt, or my cnUloyrrs wilh {aScs os rhcn sE.oqrcnerbn. will d. rhi w.rk ud rhc slnri@ h er
<br />inrcndcd or oriered tar sL (SE 7044. Bxiin.s and Pi'of.*ionr codcr Th. Conlruclois Liccnsc tlw doer n.r apply ro anowm!of
<br />rhj ptutxdy wlr)t ilds or inprows llrrcn. md whr dms slch ullt hiniclfoi hcrulrorlhrouSh hk or hcr own cnploycei.
<br />rmvidcd rhrl ru.h impmnmnls c mr inrcd.il o. oficrd for eb lf. houcvci uE rtrirdinE or i'r{,mrcmnl h sld wirhin on. y.{
<br />af complcriotr. rh. Owrcr Blir]s will have rhe tudcn oi rmvins lhd hc or shc did frn b ild or i,qJb$ thc ,mFly fo. E llllDs of
<br />L ns owmr or rhc tmpcny. .m cxclusivcly conhcrins wirh liccnscd cofuadoN b consrrud Ilr In*d (S( 70,44. Burincr'
<br />lBl Pnf6sion Codc: Thc Conr,rkrt Li.cnsc Law docs nor applyro mosrcr oi pro!.ny who hoildr or iinprovcs ihcrcotr.
<br />lnd who conh.rs ti'r ruh rmjc.h wirh! Conrrucro(9 liccnscd l,ucomr b rhc Coaracktr s Liccns L!*)
<br />I rcxcnr undcr Sslii
<br />Osn.r
<br />UI)AtrE8S:JIMIDISAIIONp&cla-8atr9N
<br />I hcrch! rllir.r urdcr pcnrkyoltxrjuryonc otrhc i,ll,)wi're dcclrrrrnnrl
<br />I ha\r drd will minu,n r Ccnilicolc oi Ornsnl to Scll lnsurc lnr qorkcn conrl[rs,lon.$ Imvidcd ior hysmrion l7mol$c
<br />tixn Codc- tor rhc I].rromtuc or rhc work tu qhkh I hc ,)cnni n ksucd
<br />l hitc,nd willm,intJin qortcr' .onDensatii,n insuramc. os rcquncd by S..rion ITOO olrhs Lahor Cdc. for rhc t rlornBncc oi
<br />rh. work rorwnichlhn ncmit is nntn. Mywo,ks mopcnsalion in\urrc. .!ri$ ond nolicy nunrbc, @:
<br />-l
<br />ccnilylhlt ir rlE |rrlbrnl,i.cofrhc work lor Nhi.h ihis lcrnn is issucd.lshrll nor empk,yanylf,rotr in rtryrunncr
<br />{,,sr,h..o'n\uhjc.rbrhc{orls{co$pcnsarionlawsofClliiornia-rnddsrccrhdirIstk,uldbcotrEsubjccrt,rh.
<br />*orkdi conpnsarion tmvisions otScclion l?00oilhc hbor Cole- t \h.ll. nfhwirh comnly silh thosc Previ\i{nr
<br />WARNING: Frihrc b $.urc workcrl .omr.nn[tu .ovcroSc i1 unhwful. rnd sh.ll suhr(l .n cmplortr t, .,iminil FMhicJ and
<br />rivil llnc\ trn ro om huidfud rlhr\ntr(l rloll
<br />VZW
<br />i'omFns'| on datusc'i as povid'd ror rr*
<br />11076 0frhc tlhtr C(xlc inr
<br />11]fJ]!
<br />LllJrltul_taNlxr(.Io.B
<br />tItct,]\R.\'I l()ii
<br />Itufuly Jin r uidcr NnJryol to!i\i.nofCh0prs 9 (coflrncrcing wirh Scdion 7000) ofDivision l
<br />ltt l5 ?
<br />0
<br />I hcrby rflirn undcr Fn.lty of I.rJUry
<br />hrucd rs*.1097. civ c.).
<br />rhcrc ir, d,nitudi,n Liding rscEy lor rhc pcrroinumc orrhc wotk ior $hich ihn |Bnnir i\
<br />APPI IC NT DF(:I dRATI(TN
<br />t h.dt y nfir6 undcr r.ndxt ol Frjury orc ofrhc follo*inB d(lanrioh{l
<br />D.rmlirion Pcrnils AsbcsrosNorifi.drion Fcd.rdl Rc8ultr!ionsl_fillc 40, fun6)
<br />_Reqxir.d Lf, fl (.f t{otifi .arbn
<br />l..nir! rhdlrhc rtJdrl ft oulJ
<br />,-.L,,/,,,.-,.,"",,,,"ar"**,[s,rc r,"' rctarng r"
<br />5horc nEFrc\r,rd) f,r Me(r
<br />rions NBrdinB asb.slos Enmvrl rc nor ardi.trblc k, rhh prc)c.t
<br />i.rrionr nalcrhd rh.rh,rc ini(ntr ri(!r i\.onccl lalrNloconrplrsirh llCllyrnl(i lly,y:iwx and hcrcb, rdk,riz. rEcscnhtives olrfih Cnylnd Counryro cnrcr uFn lh.
<br />x-,1"W*-Mtu ltqlrfl
<br />5N8
<br />COMMENTS
<br />Sub-Panels
<br />n\
<br />yaz.pNtl
<br />ol rhc Busi.c$lnd Por.isionscodc, ond nrr liccns k in iu ll fo,e lnd cfccl
<br />L.ndc''t AJdr$ _
<br />fT
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