|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE
<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 />Sub-Panels
<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 Rouqh)
<br />Meter Release
<br />I I i
<br />Rough tUil))t '5
<br />Service Meter l,
<br />FINAL )lllllDLl iJ\
<br />Notes, Remarks, Etc
<br />OWNER AUILDER DEI,('ARATI(}N
<br />I hsct'y .rm undo p.aalty of p.rjury lhd ! s crmpl n n lh. Cont!.do6 l,icdE Llw foi lhc followi.s rcgr (56.70115
<br />Blrill* rn PNlab. cod.) An! cny .. ( oud! *hi(h Equn6 . Fni ro mdtud. tl!d, inFo\e rl'dtfi or rqrn Ey
<br />erucruq rtu
<br />'o
<br />it iMc. r&, Een6 rh. aDlier tor suh p6 n ro fiL !,aEd 3ldocd rhr lE or {r B lG!.d Fern
<br />'o
<br />rhc tn)rnio6 of rrE Conr&hl-! Lic.nsd tt* Ich!flr r), Com...ins $hh s..rion 70{O of Oivirion 3 offi. Buind ad
<br />Pmfsnrns Cod.) or lh6t h. or lhr i! .r.mpl rhocfrom drh.b6i5 Lr lh. rlh!.j .ronBion. Antvtrhlionofs.dion701Ii bydy
<br />a$lic.nl lor ! Fmil rubjds lh. ip?licd lo ! dril FElt) .f mr ntr. rhe fir. hui&.d &lla (!t(x)).
<br />L r NE of rh. FDFly. or m, mtlold wnh $rg6 6 rlEn.L c6n{EMhn, will do E rdt rd dt nnl1E i! mr
<br />intsdld or olls.d for $L {56.704.1, B6iB 6d ft!ft.liod Codcr Tfi. (t ra.roir LicG lis {h6 nor ,gDly ro d o$nn ol
<br />$. Fitd! wtb t!il6 o i,iF.€ tlEqa lld s h. dE *h *r,l hi@lr or hqslf .r rhrcu8h hir or hq om @plot€.
<br />Foid.d rh.l trh inFoEd. E d nod.d q ofis.d ft. sL lt,ls-s. EhiBilB.r irssgld i $ld \inn G )torcol9li& dEosc trildE *in lEEth.h,tLrolFD\irB fi.lEdtE dn d hiu i,p.D1! lh.F!Ft, ft,llEF FEor
<br />L c otrE of rn. sop6u. r.rcbncl! colnr*rins q nh li..G.d co ,.do. ro onrrud dE rrej.( (Sd 7(x.1, I}u!B
<br />dn Phkirc.d.: Ih.Cont(rori Lic@ l^'dc b! rr?ri. io eornd of FdF!,*t &il4r.r inFo\d lha6..
<br />a.d rh. o'rEl3 for ruch Fol..lr *nh ! ( odtuor(r) lilE d pllaulr
<br />'o
<br />lh. Co'nrrlm't Lt@ la)
<br />ldn.rcdpl un&r Sdlion
<br />D.r. Oin.r
<br />$oRxr'Rs (o[tPrNs^rtciN
<br />ul(ldndlo!
<br />I hd.l,r amm unds tE lrl.ftFJ a on..f rh. fIlhtr 'nt dcleat.nl
<br />- I h.\c !d n iU Eint.i.. Csrifk.r. of ColEI ro Sdfilu@ tur *0116 orpoarion, 6 FtrriLd for b, S<ihn 1700.f rh
<br />Lrbor Code for ifi. Ffoffi. of llE wdl for wnkh rlE Fmir ir isa,
<br />I hrv. id v'U tui.tlin uoria' cotrpcdri'n insff.. 6 rcquiEd t! S!.rsr l7m of rh. tr!.r Cod.. ao. rlE Ffoll,jtE of
<br />0E $srt f6 trttlr rh6 Fnn . is.d Mt *6td ooFlnon ilur. 6ir rn Fla.y numbd e
<br />t2/'/?o20
<br />1.firry rha! i. rh. p6folm.c. olrhc ror| for *hth rbil rEnn n rsu.d- I sh,ll nor @ploy.ny tEen in.ny mmM
<br />$ u lo b6om. &njd ro lh. *!lld' ompaq i.n lawr oa( dilomir. md .grc lfill ia l 3hould bdorc iubjEt lo tlEro.t6' mnFdion pmlibE of Sclioi 1700.f tlE lltrtr (-ode I rndl forlhnh ('npl! r'nh IEE Fllnird '
<br />WAiNlNc t.ilur. b su. $)rld' comFbdion ..rr.r.. s unh*rul rnd rhrll slbjd M onFloF lo (mm6l Fuhi! ed
<br />!tril nnd up r. un. hun&.d rhcusd dollm (lluu.uJ,r,addnnrn to rnc.on of(onpostion, d,EB6 N prorid.d for lh.
<br />Sdi'n 1016 olrh.lrbr cod.. if,rdd md
<br />y'6 /zozo
<br />I Hr attm unds FEh) of Frury lht I m I orclltprq 9 (coMrs rnh S.db. ToOo) of Dn i.bn I
<br />oa !h. llBilrs qd Pr.rsh6 ('o&. dd m! lr.a a! d full forc. En dld,B
<br />- lft/at ,,,",
<br />oSt63
<br />I ha*, .ltm 'r& Fdy of Fiuy ltn dE! ir . 6a^arir ladina ..c, fo. llE F6rlrr. ol th. wt tu "ti[ llti FEi ir
<br />iecd{se 304?, cir c ).Ldddi \m.
<br />AISII(AIUTECIASAIIA!
<br />I h6dr, .lfm un& Frhy of pqjury om of ilE aolL$ i.s ddl& ioN
<br />DaD.lirn Pmitl^lbd6 Nd'ncdir. r.d6.l l.suhr i,E (InL 40- Pd6)
<br />Rcqlircd t its ofNori6cdi{
<br />I cdit t[i rh. ftdd.l G8lLbc Esroi8 sb.no. 'mrd e lDl {"lttbL ro rhir FDi.r
<br />,l cdrify thi I l*. 6d lhi. rrfliahn rd n{. rh. dE rtoE in6ndnr ir cndl. I .gE lo conply wnt .ll Cily ad Codly
<br />ordinancF ud slal. l.iu,s rchl'nr r0
<br />aborc nElion d pFndy fo, iNp..i
<br />od h6.hyaurh.ri,. rcF6otiliv6 ollhir ('ilyed Counlylo flrs uFn ln.
<br />,\pplid.l or \96l Sir.r(u..,L," /-6'2ozo
<br />AWru
<br />,
<br />ID/SIG. I COMMENTS
<br />I
<br />I
<br />I
<br />I
<br />I
<br />II
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />It\ntlbltt'
<br />(.d,,rl ' llV Yc4 ,U-c
<br />P,r,.\ \un,h.r / AOtJ co!?t 13
|