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ELECTRICAL.INSPECTOR RECORD tD/stG.COMMENTS OWNEA AUILDM DEI{AN.AITON I hq!b, rrm und6 F.dty of Fjury lhd I m.rmpl from lh. Co n106 Lic6Elstorlh.folb*i,El.un(Sd70115 Butin6r ird Prof4ion Cod.): Any Cily or Courry which..qun6 r rEmn to @nntu<l. dld, irp.ovc .L,Doliefi .r r+.n y rdd6e Fnto ilr ilutE. rlo nqoi6 rh. Trlktd for trh Fiir ro nLr3Bn ddi6Mr rhr lEor!h. i! IkdE n F{Bd b rlE Fn6bE ol E conlrstdt l-EoGd ti* (146 9, Coffii.8 wkn S<rion 7000 of Divnioi I of dE ll6in .nd Pmf.sioN (b&) or rh! lE or 3h. L d6F rlE fio6 !d tlE b6ie for rL.lh.d qnFri. An, violaFn or*dbn,0r I 5 ht uy dr+lrdr tor ! FDn luhjco rhc !!pli.ur ro . .ivil p. nyof6r m.crho fiv. nun&.d d.tla (1500) L s o*G of rh. rmrEl), or Ey dph)6 q'nh *!86 B lh.ir 5k NnFun6.. eill d. rlE ${at lrl llt rrErE i! mt darll ( olfd.d ld elc (sc 7(x{. Adre dd Prtrf6irB cod. Tt codmtr r Li@ L.$ &6 ior +dy 'o e.sG or llEFFry rlE h,itl ulporqllEDr rnvb d6sn *ui tlelf or hE*llor rlmugh ni! or hd o"n.rplorG. Folill rhd s.h mForlrdsnmr !rd!d.n doftr.d tu3.l..1( ho$tâ‚¬. E htiuir* or lrEmrErEi n nll *'ihn om )r ofcohpLrin! rh. o\m6 B{'tlr will hrE rrr htrrl, oap$vins $n rE or !h. dil mt boild or imFlE lh. InIEIy tor lh. Fl Fs or L a o*G 6l rh. F.Fv, m d.hBir.ly coffiin8 *nn lt.Bn .odd6 ro odru<r rlE Fj.rr (Sa 7O!r. &6n6 ,rt FoErin Co&: TIE Conlr-1o.3 LtG L,s &E el !ppl) t6 e o*hd of FoFny u ho t(ild! or i6For6lts@.- sd $h. 6ldM! tu 3o.h FlrEri "nh. Codd.(i) ltaB.d pu6u,I! ro rh. Co'rr&1d r t,tdg tlw) I m.rmpl und6 Sction IlrBriESlCOUt! 51lIlO! I,;g.d8art!r! I hcrchy amnn und6 po.h, olpgjury on. of lh. lolh*ir* ddlaralions I h.\..n *ill minr.in r Cciiar.r. ol(olEd ro Sdf-lEE rm *sl6 codpdrFi. a Fo\itG, for by Sdion 1700 oarlE t bd Cod., 6. lh. Ff(lllrre oallE mtl 6r rnth rlE Fmi it isual I hrr. ind s ill ma'nllin worr6' comrxnral nn iLrlrrN., B rdtun.J hv sdrion 17ur .r rh. t bor(i,d..lorrn.prnnnrnc.of rh. snk tN *hich rhii trn is isu.rl Mywort6'coht ner ion iBumrr. .sid dd linily nu,nb6 dr fl<tz Fa"t"L>os / 'tza4 I J:oe4 I c.ni! rh6r ir rh. Ffortunc. oflh. roil lor *hich rhn Fhil is i$ud!.l sh,ll nor dnplo, any Flon in uy mund s aro tR!ft $bid to rh. mrr6 .otrlpdudbn h$!orcJilomia !.d rsr rhd 'tI .hiuld b..or.uli..t ro rlEqort6' cotrlP.rsdhn FrviirG of s.crior 17m of tlE l,hy Codc I dull r.nl rhondl*nhrn rF!ith6. NARNIN(;: Failor. io Fd. {ort6 .ohFMion co!m{. i rnl.q tu l. sd shlll rubjdl M 6plo)6 r. dmiml Fluhi6 .nd rhc cosr ot(omr.Nt'on, &mrx6 a! trofid.d ntr th..i!il nn6 up ro on. hundr.d rhodsnd ddl (SI00(xr0), in.ddinin k) seri)n 1(176 of rh. lrtrtr (.{e inr6d md ! hcby .mm un&r Frlty oa Fjury lld I m licds.d unl6 ED\lmn ol ( llnltq I (comd ms \vilh Sdi\. 7000 ) ot Dn ision r .l lrE tt!n6 ed PniB&6 Co&. id h' lrcu s 6 tull l *,rl.n^r7 / r^r. L,.d.t'ts - 9! U t'tlr, 1rD.t. [L./ -: L9 a: 1Q*tq I hdlby,rm odr F l(, oaFjory rhd lhd. i! a.odtulrnf, lrdin8 r*fty for ltc Ff(,lruc. ollhc trnrk aor $hkh rnB tffir i! issd (sd 11097. C'r. ( ). ,{PPLICA I\T DECI-ARA IION I hdq .trm unda F rlr, of Fj!ry om of in. lollo* ing d..Lrdihrr: Daelnbn Pm!r}A!b.no! Noliftdbn l-.d6!l R.suht6N (Tnk 40, Por6) Rcqunql r!16 ol t{ii6<iio. I csl ify rhd th. Ld6ol r.sularioN Essdins sh6lor rdroval oc nor lorli.abk ro ihi! I,\!cr I (dit rhd LBr. r.al rh( @lkdhn nn rd.rhd lh..h\. 'nfotuiin 6(dd l.*ratommdy *nn.llt '1) lrd ( out\ ordirucd .nd Srd. b{r Elding rn hn6t dhhz rqenrng \'i. cn, rd Cout, to 6nd '{!n di rhn.nBrnn J preFnr nn \lIlirntrro' \[e r \i,rn{rtrn /,2-2e -D Site-Work Underground Pole Bases Light Standards Spas, Pool, Fountains Signs (monument) Life Safety /Low Voltage Fire Alarm / Dampers Communications Cable Building Under SIab / Floor Bonding / Grounding / UFER Transformers Torqueing Sub-Panels Air Conditioners Roof Top Equipment Factory Wired Unit Walls (Conduit) Walls (Rough) Ceilings (Hard & Soffit Rough Ceilings (T-Bar Rough) lrleter Release Rough Service Meter FINAL U/L t/i? r..M\t e/DtK Notes, Remarks, Etc APPROVALS DATE f&-- ln /r-- I I I I I I I