0104-083 (RPL)LICE."SED CONTRACTOR DECLARATION
I hereby affirrtt•ZAer%natty of perjury that I am licensed under provisions of
Chapter 9 (commencing with Section 7000) of Division3 of the Business and
Professionals Code, and my; License is in full force and effect.
License # 1 Lic. Class j Exp. Date
5 S,f J' _ o513El�(
Date''"�- !2`Signatu a of Conttor• Ufa •P� _
a r .
OWN EWBUILDER"DECLARATION `
I ,hereby"aff irm under penalty, of perjury that'l am exempt.from the Contractor's:
OPERATION
DATE
INSPECTOR
OPERATION
1 DATE
INSPECTOR
BUILDING APPROVALS
MECHANICAL APPROVALS
Set Backs
Underground Ducts
Forms & Footings
Ducts
Slab Grade
Return Air
Steel
Combustion Air
` Roof Deck
i Exhaust Fans
t
O.K. to Wrap
F.A.U.
Framing
Compressor
Insulation
Vents
Fireplace P.L.
Grills
Fireplace T.O.
€ Fans & Controls
Party Wall Insulation
Condensate Lines
i
Party Wall Firewall
{
Exterior Lath -
Drywall - Int. Lath
3
i
Final
Final
POOLS - SPAS
BLOCKWALL APPROVALS
Set Backs
steel
Electric Bond
/
�[
Footings
Main Drain
Bond Beam
Approval to Cover
Equipment Location
Underground Electric
Underground Test
Plbg.
¢9
Final
Gas Piping
,
PLUMBING APPROVALS
Gas Test
� �`�S �6
Electric Final
Waste Lines
Heater Final
Water Piping
Plumbing Final
Plumbing Top Out
Equipment Enclosure
Shower Pans
O.K. for Finish Plaster
Sewer Lateral
Pool Cover
Sewer Connection
Encapsulation
Gas Piping
7/
Gas Test
Appliances
Final
�-,j •�.y
COMMENTS:
Final
Utility Notice (Gas)
ELECTRICAL APPROVALS
Temp. Power Pole
Underground Conduit
Rough Wiring
l
Low Voltage Wiring
Fixtures
Main Service
I
Sub Panels
l
Exterior Receptacles
i
G.F.I.
Smoke' Detectors
Temp. Use of Power
Final
Utility Notice (Perm)