|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.OWNER BUILDER DELCANATION
<br />I nd.ty rlrm uda po.ny of FiEy thr I d a.rry 6om dE Coffio6' LtoE t * 6r tn follotrins ,B]i (S< 7Oll.5
<br />Buin* dd Prcfdion Co<l.): Any Cily or Couny $nth r.qtn6 . Fni lo mdru.( .r-, iqoG ddmlirh l4.! dr
<br />iElElE Fs ro i9t&.. .bo r.quiE tlE lppli. hr tu.h Fnn lo 6h.3€rEd nr6er thr tE or rr d lic.,!.d ptlE !n
<br />lo rlE F.vtb6 ot th. Coor-td! l-i.c8.d Ltv (clrfld 9. Coim*ins snn S.dion ?000 of Divirion I of th. Buind dr
<br />PrctdioN Co&) o. thl lt q Jr t q.EF rhq.foo .d rlE bci tu rlE.lLs.d gonp.ion Aly ri,lnb. of Sdi..70ll.5 !y ay
<br />rpplnur for r p6nn &bj6l! llE .ppliul to ! civil pdhy otmr mrc rlE tv. hu rd rt llrs (lJoO).
<br />l. 6 ow of lh. FoFir, c By aryL)€ sii srs6 ! $.n ob onp@dFn. sill do tlE Ni rn rlE trnEr@ . or
<br />inloid.d oro,I6.d ftr d. (SE ?0,14. BuiId Ed tEldio6 ( o& Ttr Co r-tdrtiuELry&-dTdyto&orcof
<br />rlE FoFty vi. tuld or ltp.DE tha6r\ rn w6o rha sh mlt hilMlf o. h. lf or d$I3i hL or lE oM mploy6.
<br />Fold.n ld *h .![DEErt n d ,raiLd d otuld ti Et. ll lbw. dr hildi's q irssqdn i -ld vithii otr ]6
<br />ofoEpkiotr tlE o'ma Bojl& will b.E tlr hldsr ofFlvq 0. lE d dE d'd d hrild 6 i4roE dr FlFty t dr F,pc ot
<br />fri,f::l, a usq o I
<br />'lE
<br />p.oprry, E oclurv.l, coMiry wnh kaB.d co'ir-rm to odirr tlt Flixr (S<. ,0,1.1. ltrG
<br />ad ADtlir Cod.. Tnc Cdranor'r Li.d. tw do6 mr oely ro 6 oMa of DrepGry eho buildr or ihprcld tlE@l!ed *ho odrar' tor *t Foi-lr wnh . coffio(O lt@.d Faud ro iE Conraldi tnq4 ln).
<br />;,:":_?l,Tjr+x.*-?Z
<br />I hftt'y ! lfim uidq rs.lty of pqju.y om ol lhc tdlowin8 d..ls.rbB
<br />I h!v.rn*ill Eid.b. Carifd. of CoM, b S.lf-lnl4 l hrt6 oopd.io.. a Flri.Ld 6r bySarb.]T()O ofrh.
<br />t bor Code 6r lh. FfolM. of th. mn aor etth th. F6ir i itucd
<br />I l.v..nd will m6rr!i! *o.td comp.dnion nEulltr.. - r.qut d !, Sdnn l7m of dE l$or Co&, 6r rhc Ffolr1@c of
<br />rhc erl for whah $n pnnit n is!.d My world @hgqlrion iEurM. ffir nn Flty o6bs t.:
<br />PollevNubd l!p6' -
<br />-..i!! L,ry,r'., i" rr'. p-r"M. oIoE work rm Ehkh fiir For !r b.u.d l:ldl mr apb, sy F-. in t M
<br />r n lo b@E ubJd
<br />'o
<br />rlr s!*6 orqdrsion Ls of Crlifomi( ud .er thd if , aruld beoc ubjal lo llE
<br />wid' ohpqE lion FrvtiB of S€rbn 1?@ of rlE L.td Cod., I idl. tulnwth onpt with rE Fo rio8.
<br />WARNITG failurc lo se wortd conFlinrn .ov6!s. a ul&tul r dlll ebj.tr e dnphlE lo dimid Fdi6 !n
<br />cMl nD6 up to om hund.d rho@d doll4 (tloo,Ooo). in.ddn'on lo Oc coi of.omF.srion. .lr[Bd ! prorij.d ,o.lh.
<br />(-.d.. hrqd !d don r-. fc
<br />(-..,
<br />I hd.t! rrm u.& FDny of Fjury thi I o lr66.d und,f('han(d q{..nrfrd.'n! slh sd_tk 7r,00).llr\isk)n 1
<br />of . DGiB Ed PDt6..d Co<L, in iy lioe B m nrtl loN rn.lldr
<br />coNsrntrror I mDlnc acFr\cY
<br />I ha.!y.rt6 r!& Fdt, olFiu.y $r 0E i.@d.!cri,ladt rdy tur rh. F6.rc oto. wt tu *ntb rb Fnit i
<br />iru.d (sd. llt?. civ. c.).
<br />AIIUC^NLDEOJAAIIq!
<br />I h6rb, .fl-m unl6 Flrhy of Fju,r oE of rh. folt'uirs &.LraFB:
<br />D.mlniotr Pgmirs-Alhdro! Notirrctlion l-.dG!l R.*ulah6 (Tnk 40. P&r6)
<br />RcquiEn ldld of ldilf,{ih
<br />&d Co@ry lo ard l4on dE
<br />,, I (d,6 rhd rh" r.dml ESuhho6 Elddms Ebdr"s m .al &. nor.pplk.hk'u rh6 F.i{!
<br />II..-'U,* , t*,* *b lpolErFn id rd.rh& trr rtF\G hrol Fn !cffi I larE !o eqtrt
<br />ordll1d6 ad Srx. Lrs Elnitu rn boildinx mBrrudiol! ard h6.by lulEriAq* drv6 or'hn Ciry
<br />/60\. d.'Ed FoF) iy !Epc,".gry-1. // -\appr."r o.4-r s6-r,. '0ULfu X-.
<br />?.m,,ron.{p,,.,,: TIL"\-il,uuv T Ald-rrtw.c Ht,
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />I
<br />Life Safety /Low Voltage x
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER Yq/)f tlulvl
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof T op Equipment r
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release 7lZt//*fti//r/
<br />Rough t)
<br />Service Meter I v2)/t€f t//Ult{
<br />FINAL tillL lr]Iil'l l*.1
<br />Notes, Remarks, Etc
<br />Ix
<br />COMMENTS
<br />I I
<br />I
<br />I
<br />I
<br />l
<br />I
<br />I
<br />II
<br />I
<br />I
<br />I
|