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ELECTRICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG COMMENTS Ocffi-Euild6 DElutio <br />I bqtby r6mutd€pcadtyofpsjurythd'I macmF ftmthrCorffir'LiccaxI:w&rthobuowirgrc.m(87031.5 Burirss <br />ud Ptoftsrion Codo): Any City tr Colty which rcquis r pqmit to qltruct, rlta, imDrcvg rtmlirh q rcprir uy rtnrctrc Fis o il <br />irrurm, do rcquirg tfE lPpliod 6r sch psDit to filG . tigncd tartmEt thrt hc or &G ir limrcd purstd !o tb poviriu of thc <br />Oonrrrrra': Lisrcd Lrw (Chrpta 9, Commriag with Sccim 7000 of Divirion 3 of tho Burim rad Prefqriou Codc) or ttrt hc c <br />tho itqmptths!&om ud tbobuitfrrdEdl€Gd ffiprim.Aryviohtioof Sccrio 7otl.5 by uy rpDtiomfor.pmh nDjG.ttthc <br />rppliiltt ro r civil paulry of rrt rilrc thu 6w huldrcd do[a (t500). <br />_I, u m of thc prcpety, or my oployu whh srg6 u $cir slc mpodioa will do th! wuk rDd ttc ruuanm it Dt idad.d <br />or ofrcrcd for slc ( 56.7044, BuitB ud Prcft$im! Coda: Thc CfiErct6'r Licce Lrw dG rct rpply b u ffi of tho propcny <br />wlD buildr s impros tlmt! Dd r^o dG uh wL hirelf or lself or thogh bit ff bs om oployc.!, poidd thtt sdr <br />imgrmmsdr e Dt irrGtdGd d ofied fd da I( how, rhc huildiig d improm.d ir sH pithil G y{ of orplaiolr' th3 <br />Grnr-Buildq will herc tbc hrda of prcving thrt hoor sho mr build rimprorc brthc prrpoocof llc). <br />_I, u ow of ttc prcpgty, e eluiwly ffitrurir€ wirtr lieE d mtr&loa to mdrud thc Fojc.* ( Sc. 1O+t, Buin6r ud <br />Prc&[bn Codc; Thl Cotnttor'r LieE Lrw ds Dd .pply to m ffi of pro,psty who huildt tr imDm€ tlEu , .!d who <br />mblc! for uch prcjr.$ with r Cootncor(:) liard purum o thc Cooancor'r Lime hw.). <br />Duc; <br />I hccby.frm utds r.-O rr*i- *ffi <br />_I $rc ud will mrintrin r Csrifrcrrc of Cmt to Sdf-Iw 6r wrt6' onpastioo, u previdcd for by Scctiotr 3700 of ttc <br />IrFr Codc for thc pqfontrc of thc wrk fq c/tich tha p@dt ir iscd. <br />I' I hrvc rod witl uintrb worka' 6trp6rriu in$nDcg u roquird by Socim 3700 of th.lrbor CodG, for thc pcsforure of thrG*m *nicurtir ps.it iri$ucd. Myrirerta'mpcnltio!idrcenia rd policyunbor m: <br />A r.,.6e-c I A ^, Z,rl,r2- l c-L l^, . <br />Policy <br />(This section ne€d not be pcrmit is for Onc dollars ($100) or lors) <br />this is issLlod, I shdl not employ sny pcrson in any mEnncr rc !s to <br />to the workcrE' <br />u <br />WAnITIING: Frilurc to ffi wqt6t' oEperdim wrgp ir uDhwtrrl ed lhdl Dbj.(t u @ploy6 to einiul F lhi6 .!d sivil <br />fitr6 uD to ooa hrndrcd thdrnd dollrn (3100,000),in ddftie !o rhr ort of oopanntbq a.-tpr g pryidcd for tho Scaioa 3076 of <br />rt Irbor Codcr iilqst .td .tomcy't fcca. <br />@ <br />I h.tdy fim uodq pcorlty of pcjqrytha I u liconrcd udr povirion of Chrpta9 (oruing wirt Sociio 7000) ofDivirbn 3 of <br />thc Burirc$ rd Profc$iora Codg Id Ey lire ir ir full foiac md cffcct. <br />LiccnrcNumbcr 2qol 4OA <br />Date:A r-. A LA a-rh- <br />OONSTRUCTION LDNDINC AGENCY <br />I bstby efiim uds Fulty of FiEy $rt th* ir r mrmraim lcadiag $!rEy for rlE pcfomrm of thc urut frr shich thir pa.Dir ir <br />iN.d (S6. 3097, Civ. C.). <br />ladc.'t Nlre: <br />[.ender's Addrcss: <br />APPLICANT S DECL/\RATION <br />Demolition Permits.Asbcctor Notificstion Fedcnl Rcguluionr (Titlc /+0, Part 6) <br />_ Roquired l,cll,s ofNotification <br />I Ertiry thet tlE ftdqd rcguletiou Fgrrdirg ubstor moul e rct +plioblc to thi. Drcjccr" <br />_ I wti$ thu I hrvc rcrd thb ryplicethn .d fir! shrt th. rbow iofornrtio ir qrcct I rgre o ooply wi& dl City rd Codyqdim rnd Stac bwr nlrtirg to buildiog urtnrrioo, rod h.Gby .r[horbG rrylaa.dlinlr of 6ir City rd Cointy !o cda upoo rbc <br />rbow mcrtimod prcpcrty 6r inrpcaim prporu. <br />ApplirotargEat j&: Ddc; <br />Pmittcre(pda); <br />Site-Work -*-Underground 'Drf <br />Pole Bases <br />Light Standards <br />Spas, Pool, Fountains <br />Signs (monument) <br />Life Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communications Cable <br />Building <br />Under SIab / Floor <br />Bonding / Grounding I UFER <br />Transforrners <br />Torquing <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rough) <br />Ceilings (Hard & Soffit Rough <br />Ceilings (T-Bar Rough) <br />Meter Release <br />Rough <br />Service Meter <br />^.l .?.4- <br />FINAL I <br />1,r 7 7.( D YW 6-/ <br />Notes, Remarks, Etc. <br />t, <br />in the pcrformance of the <br />the workcrg'laws