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ELECTRICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DELCARATION I hd.hy drtr,n undd pdaly of pdjury rha I M .r.mfl tom lh. Contraclo6 I-ictu. ll* aor rh. touosins raen (Sc.7o.ll 5. Busines sd Profsion Cod.) An, City or County *hich r.qun6 a lEmir ro con rucl, ah6. n.prcvc. d.inolish or r.p.t uv slrudu.. p.ior Io irs isumca also rcqun6 thc aq,licat lor such p<mil b 61.. sisn.d slolddl lhal lE or ltE i! licmcd pBudl ro lh. Fovisions of rtE Conrelor's Li.m.d rjw (Cnafld 9. Commcncing *ilh Sclion 7000 of Divison I ofrh. BGircs ed Pmf6sn,ls Codc) or rh h. or sh. is cr.npt lhsclion &d rh. hdir for th. all.!.d qoplion nyviolalionofsdlion70315 bvev .ptlicad for apnnit subjdslh. appli.amro tcirilp.nallyofnot morclh& 6r. hundred dollm($500) l. 6 oq nd oarh. pmFrrx or my cnploy6 wilh *ags 6 lh.n $b comFnstrioi, trill do lhc $ ork 5d lh. slntrE i. fl, i.tad.d or oifd.d lor elc (Sc 7044. B$in6s Md Proasions Cod. Th. Co.lrrtois tic.e ljw do6 nor @dy b m ounq ot rh. PIoD.ny *ho t[il&or i'nFoi6lh6on, ,nd \ho do6 nd k,{ hinsclf or h6rlf orrhrough his or hdoM cmployc. providcd lhol su.h imrmvdMuenoli c'(h ororscd forel. lt hosd6. rh. buildi.s or i,ni'offir ield withm on. )@ oacompkion. rh. Otrr6 Buildd sill h.v. th. brdo of provins fid h. or shc did mr hrik or urFo\r tirc F.poiy aor lh. pl!'pos ol l. sown6ofrhâ‚¬ prcpqry. m.x.l$iv.ly conrdinr rilh licosd .onta.rou to connrud lhc prcj..l (Se 7044. B6ins dd PmG3sim Cod.: Thc Conlracror's Lic.ns. L,* do6 nol.pplylo an o*.8 orFropdr who builds or nnprev.s rhddn. and *ho .odBds lor such proj.cls wnh a ConlFclo{s) lictu.n puBwr ro thc Codradoi! Li.4. ljw). I d e(mfl undd Sdrion UOAf,IAI-I;A!'IENTAIAI D[q.aaauod I hd.by rmm u.dd paally ofpsjury on. oao. follo{ing dcltt lioB: I h.v. and will mi.rain . C.nific . olcoMl lo Scll-l6tt. for worl6 enpd.lion, s Fovid.d lor by Sexon 1700 of lh. L.bor Codâ‚¬. lor rh. I)afomdc. oflh. mrt for *hich th. ponir i! au.d I h.v. 6nd will maini.h work6 comrdEllio. iBu.m... s J.qun.d by Sation 1700 of th. kbor Cod.. for lhc p6fom c.oa is isu.d My workds conp.$rlion insuloc..did trld plicy numbs rc: I ^,.r^,.* â‚¬UU N .,"*, I .\,1r1 I cdirylhal inlhcp.rroman.ofrhcqork fo!rviichlhis psm is i.su.d.I shall nol oploy any F.Bon in onvmund $ ar ro h..onc bjd lo lhâ‚¬ *0l}6 compderion laws oacaliaomia. and a!ft rhar if I 3hould b.conc subjd' to rfi. sortdt comp.nsalion p(rlisios of Sdio. I700 of th. tibor Code I shall. fonhtrnh compl, {ilh lho* prcvisioB.. $ARNINC Failu( l. strr. NorkBl comF.erion c.r.ro8. is unla$ful. a.d shall subj<r m onplold ro oimmal Fnahid dd cnil liocs up ro on. hundrd thoumnd d.Uas ($100.0m). in ion. ddnasc 6 prorid.d for lh. llhc tjbor ( odq inrq6l ud 6nomc,.-t 16 Df{J.dAAII9N I hdch, a,Itr,n und6 pc.ahy of pdjury lhd I ffi li.sBd undB proi3N. oach.pl6 s (conmtri.s *nh S..li.n ?000) ot Diviion l ol $. BGin6 ed Pmlsioc Codc, and mylic6* i! in tull lorcct d.lIdr l00q a1 .*,-^*(!a*t rr^ calua!.quoNLElDllcrlcE (f I h6cby alfirn undT Fnilr, of p.ilry lhar lh6. is a co[drulrio. Lndin8 .gdcy ro! th. FaonnMcc oalhc *orl lu shi.n rhir p<mil is A[T!.ICA IDECIdBAIIA! I halby aftm undd poahy ofpcjury onc oflh. foltowing ddleariorol Dmolirio. Pqnirs-Asb6los Noti6.d ion F.dd.l R.Sulalionc (Titl. 40. Pan6) R.{un.d klls olNoifi eioD flS'*,i',r',,r h0\. rqd Iht ippt'.ari.n dd slarclhat lhr i!.oEd I asre to conply trnh allCily and Counly .rc l-aws !â‚¬hlins lo buildin! aborc morioncd piotdt lor iBpdlion purpos Apl,licMl or ,l.nl Sitnrlrre Pmiremmâ‚¬{prrno: TTa r" rrf.l ^q l0 l6 "i;*-* Site-Work Underqround Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltaqe Fire Alarm / Dampers Communications Cable Building Under Slab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rouqh) Ceilinqs (Hard & Soffit Rouqh Ceilings (T-Bar Rough) Meter Release Rough .)l\o{,b FINAL 'l(q/t(a\ es Notes, Remarks, Etc i:"np4*_ _Li.m. Nomb.r q issu.d (Sc 1097.Civ. C ). L!nd6 s Nam.: . , I cdif, rhd rh. faldrl rcBularioB rsrding 6b6ros ronov,l dc ml appl@bl. lo this pbj..l z:-,/ 'b/ry/,,) Service Meter