|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<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 Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br /><<ar(aFINAL,1 hcft, -
<br />Notes, Remarks, Etc
<br />--
<br />OWNER BUIT,I)EN DE[I]AR TION
<br />I hdtty .iTro uo.b Frhy oa Frjlry rhr I a aqqr too rh. Codrdc Ltu kv fo. llE follomg len (s< r0! 1.5
<br />lruird rd Profsion ( od.) Ary Cny or Cou,Iy wl'ih r.qut6 . Fnil ro codtu.1 1116, in rove &tulitn or ,.4.n dy
<br />$tu.ruc Fsto ir. die.,.lo FqriB rlE +drd for $ch Ftu lo nh. tiBEn lrlo6l thrh.ort&ilkaEn F{Ed
<br />lo rh. I'n$irbB oftlE ConlEcroir Licd!.d Iw (Ch!rr6 9. ConmdinS wnh S.{ion 1000 olDivnion.! ofllE &!6d lnd
<br />PhldioE Cod.)or th lE or ilE n da.9l rMoo.nd rh. b6ir for rh. dl.Aal dqnBion Anyvi,hlio.ots*riof,70lll5 b, tny
<br />.rpltsr fd . Fni $6i6rt rlE rpplidl lo ! .i\ il Fohy of mt mrc lhd fir. h!.d!d dolld (1500)
<br />l. s otr6 olrh. ForErr. d my onplotG wnh *.e6 d fi.n $k mmFurioc will & rlE 6i dtd dE rMr i N
<br />i di.d oro,Isal fn eL(Sa.7044. Bl,lllB ad ProfsnB Cdl. Tn Codr-rdrl-.@l,*&Eior+t yloeonEof
<br />rh.FDpqry *tD tD'l& or imFov6 rrEan, di wno dE 3u.h N him.laor fiGllor llftush hB or hd oM opLyd,
<br />rrovid.d thd uh m!!\oErl G d hai.d trotuEd ft, rl lt hoEq,lrt biLllt 6..4.o€ad i $ll siht uE )E
<br />of.oapldia dE orffi BuiBa rill lEw rlE hr,a! olp.orrf, u lErtEdd E{ hi'U ( n trn( 0E FoFy ,or fi. F,!o..of
<br />l, 6 o*E of rh. FoFry, d dcldiv.ly @tudirB *nh n.dE d.offioE lo c.ldrucl llE Fojer (Sd 7014. 88dB
<br />lnd Pntulin Cod.: flE Cont*loir Liccru. t,rw d6 not lprly lo & oma .fpr.pdly who buil& ot impnrvB lhE{n,
<br />d *h. odr*t' fd.u.h FrFrr $ nh r Co srdls) li.d.d F6uJr ro th.Co r&rofr l-aog lr*J
<br />I dn.r.mpr udd Sdnnr ll ,\ l'( l,n lh'sros.tr
<br />l).1. OrnF
<br />$(ri(rRs, ctnrPts[r^r toN
<br />D[gixauo!
<br />I hsct),flimu.ds pcnsh, oaFJur) omolrh. fdk,*mS dftledkr.
<br />I ll!v. rd will mi .in ! Carifr.]t otcolsr kr Sclf-lM t {uld' @opoltioE 6 FDvid.d for b} Sqlbn 1700 oalh.
<br />t,bor('d! rG E FrM. ol lh. m* 6r *tkh lhc Fnn i iB{.d.
<br />I hr$ rnd r ill tui.riin *0116' ..mrtuio. iMq 6 Gtu,.d ,' liatio! l7o0 otlh. l$or ( o&. for rh. Ff.lM. of
<br />tlE $orr lM s,lrh th6 Fmn ir isEI M, sml6' omlsEiio. iEurft. ffir dl polay nuEbd @
<br />I ccnrfy rhal b lh. Ffolrlrm.otlh. u{,i for *hrh rh'. Fnn B isu.n. I shrll mr d.ploy sy rqen in &} rdd
<br />$ B ro tE<!n ruqd ro rlE wo*6' conpdBnio. Lws ol Cllifomh. rd .sd lhlr ia I sbuld bcon. rubjdt ro th.
<br />ro.td onFltlion D.ovirioB of S6l[n 17@ oalh. tlbor Co<L l lhrll. todh*nn Nnply * nh lio* pDvirioB
<br />wARNlNc F!l!r. ro sR $ortor' NmrEMn..!rd.8c b unb\tu|. &d sllarl rubj.tl M dpkrrd to oiniml Fsni€ eJ
<br />crll fnE !p ro oE tunn.d fiour.rd do
<br />Sdtion 1076orrh€ ktor ( ode i c.n tnd
<br />Iht _A
<br />llas (tlm,ooo), i..ddnNn to t,E cos olco ( d,Eg6 a FoliLd tor rh.
<br />I hqlby.,Im u s Fdy oaFrry rnr I @ llcqlcd u.da Fo6ion of (ll+ta 9loIffiuB $nh Salbn 70001of lnri.hnl
<br />of lhc Blrind 6d Pmf6lioB Cod.. dd hy licck is in tull for. d .116l
<br />,^^-y 1Tu,rva,.r1z-
<br />caDsrau(alartl;liDllc-Ac[xll
<br />I hftby imm undq p.mhy ot psJury rhal lh@na mnllrudir knd'nst86cy f.r rh.Flolrur.of rh. Ntk toruhichlhitFni 6
<br />iFu.d(S( l0o?,(n.C)
<br />AIIIICAII.IESI,AEAUA!
<br />In Oy rtrm unit.r Flrlr) ol Flury oE or ilE ft,lh*i.e &<LrdhB
<br />D.nolitn,n Pmii]-Asb6lo] Nolific rn l.dsal Rc8ulat iooi ('rnk 40, Pan6]
<br />Rcrun.d lnlc.tlhiftiE
<br />y*irh !ll cirtand(h'n(y
<br />r ud counr! ro mrd ur'n rlr
<br />I cor it lhd rh. lo16ll r.EuLr(B rerrdin! 6t .ros rn.\ rl &. fr{ rppli.abL k'
<br />'hir
<br />pojd
<br />lcdrlyrhar I h.\c r6d
<br />'hB
<br />rpphrrion ed id.rhd th..n,v. innrmarnrn is coFel I rsrelocomtl
<br />o,dtun.6 rxl s,d( l,! i rld,lIt r. rrrldin! (.dtuct n.r i hd.b) ldhoru. rcF6ddN6 r'hsair
<br />*r-" -,-l- I I;;,;-;::.;,,*:;."'/'Wl rYr/,rL rh.
<br />Pcmhe n.rs tp.lnl,l
<br />q.l"ql
<br />at t7
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />ISub-Panels
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />L
<br />I
|