|
ELECTRICAL-INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEtD/stG.
<br />Underoround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bondlnq / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Rool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouqh
<br />Ceilinqs (T-Bar Rouqh)
<br />Rouqh z")Service lvleter nil lt\w(vFINAL
<br />Notes, Remarks, Etc I_t
<br />\
<br />OWNER AU[DER DEI,CARATION
<br />I hcrchy allirm under p.Drlly ol pcrjury rhtrr t m cxcmPI lmm rhe Cohtncro6 Ltctr* l-,N ror lhc hlnrwins r'asotr lsc''70lll5
<br />lldsinc* add Pioicssiotr C.ncrr Any Cny ot Counl, ehich nlutcs a penlir ro ..nsh,cr- ah6. imFrovc dcnmhh 'r RIrn rtrv
<br />nrucrue. lrior ro ils itsurm.. ,ls rcquncs rh. arPli.snt for su.h Fr.ri! ro tlk n siarcd slnrohnr thot hc o, rhc is liccnrcd Pur$anr
<br />b lh. ptuvisions ofrtE Conrtlcktr s Liccnsd Law (Chafl.r g Commcrcins sirh Scdn'n .70(x) ol Division 3 ol rh' Ru'in's 'nd
<br />Pmfc\ldN Codc) or lh0r hc.r\hc i( crcnDl thcrcftod add rh. hasis lorrheau.Ccdcxcmplion Anv vi.l,lionofSc.rk'n?0ll'5 $von,
<br />,pt'licafll for tr p.rmir \rbjdrsrhc amlicurro acivilFnahyofnol moErlkn 6vc hund,cd dolhs ( $sOO.
<br />l, I oqNr ol rhc lr)r.ny. or my cmployceF wirh siScs .s lhcir s,lc .onltns ion. willdo rh. "tA oi rh. xrtutm k 'hrinrc .{ orolTcdl ror slc lSs.7IX4. Bu{ncss afld Pmlcssions Codc: Tic Contacr.r's Lkcns Lrw der ior tJ,rlv ro o*'trof
<br />rhc F)rfry who blilds or iq,mvcs r,rcNn- and *h. dds Mh qorl hims.lfor lrtrcllot rhooBh hh o. hcr owncopl'yc's'
<br />t,ro,i lcd rt !r ru.h imrmtrmok m mr i{cndcd n oiarcd ior sk li h.stts. rh. hdiklir8 or inl'mkmnt is $ll q'irhh onc ,u
<br />;rco'ry)lcrion. rlE Ow;r suirls will hrw lhc hr&n.t rrcvin8 rhd tru +c dil d n{ild or inpmuc lhc Pr,lcnr aor rhc l)lrlnE of
<br />-l-
<br />0s.*m,orrh. pmrcny. amcxclosiv.l!.onoacrin8 with licc n\.d .o.tr0cl oF t, ondfl.r the Pmjccr (Sc. ?04'1.l,u{ncs
<br />a th,fL*shn aodc:'l hc Cnnrn ntr s Liceos.ljw do.s.or llply lo roo*n.r ofrrcIlcrlv *ho huilds or im,,olca rhcrotr'
<br />lnd sho.Dmachlorsuchpn,Jc.(vi$aConia.ro(sllicch\ddPusunrrorhccoM&toisl-iansctis)
<br />_l mcrc'npi u.,lq Sal {U ;-Da.4vg .
<br />lt()RxIr\. r'(r\tPuNs^11()N
<br />Drc! 3aua!
<br />I hcr.$yrlr;'nrndcrFnrh!or|rcrjuryo corthcrollo*irsd..l,mootrs
<br />-l
<br />hrvc !dwill tuinroin s CeniiEar. or Con* loSclf.lnsot rt, *orkcs otrDcnsrion, as Pmvid.d f(t bv SNtion r7u) 'r rh'
<br />tibor Code for lhc p.rrommcc oflh€ wo* t r which !h. Fnrir is Gsmd
<br />-t
<br />h!!€ ,nd sill nrinlrir *orkc^ comp..sarion insunncc. c rcquircd by Serion l7u) of th€ l3txtr Codc for lhe polormMce of
<br />rhc sork lo which rhis pcrnir i3 i3su.d. My wo m @opcnsarion insurrtre .ricr .td ,olicv nlnb€r nE:
<br />l.cnilil[{r ir rl'( pcrlnnMD..oflhc wort for whichrhis Fnnir ir i\\ucd.l shrll mr cinPh,lanvll(sotr i'r '0vnxnt'v, !\ r{i l*..^.oft {ftjccr ro lhc vork.rs conEn\ariotr las(oicrlironria. nlisrcc rhxr irl should s.( rcsrbjs..ilorltr
<br />wortcr{ coiltctrsdlior pmvnn n\ orsc.lio.lT0Oolrhc Lt}$r a)dc.l shall, r{nrhsirh condv wirh rh.s F)rnnrns
<br />WAININC] Fsilun lo scutc wor*e6 cunFtrsflrn,n cov€rasc h unlawtul. and shdl subjcct !n cnpl'rtt lo cnnitsl Fn'kies 'ndcivil fincs un ro oft hundrcn rhousund dollars (SIOO.Oi)O). in dddition to lhe.d{ ul.oq,cnsario.. d,nE8cs os flovid'd ror lhc
<br />st\tln]076ollhcht{lcndc.inlch{xndl.rmy'lcq}::;Eryv-T;;:'K ,4 ;Q,F,fi,
<br />, I..IGNSELCONIf,ACIIJB '
<br />DECLAAAIIQN
<br />I h.rcby amrm undcr F.alry ot pcrjuy lnd I sn liftnrt undcr l,otsionofchortcr 9 (.\JtumDcin8lirh Sdi'n 7000) orl)ivtion:l
<br />of rnc Blsincss lnd PDfc$ions Codc. od my ltcns i\ in tull for.c afli cfie.
<br />Conlr.clor:
<br />CONSTNIK:TIoN LIiNDN(; A(;ENCY
<br />I hcEby 0{irm lRlcr Fndlr} of pcdury lnll rhdc h a onsrflctirn lc.dinB a8crcv ror $c p.rrornErcc Df rhc wotk tor whth rhi\ Fmir k
<br />i$u.i (Scc. 109'7, Civ C )
<br />lrnd.''\ AJdrc$
<br />AIPIICANLDLCLIMfION
<br />I trrh, i,Itrf, undrr p.nlllynfFrlury om ofrhc rbllo*ing dftladions
<br />lxnFlirion l'cflnirs AslEslos Norifirarnin Fcderal RcEularions (Tnb40. Pm6)
<br />_R.rtnncd tl(crol Norill.rrion
<br />lccnifyrhri rhr fcdckl rc8ul{li,,trs frs&h8 nsbc(osrcnro\rlnr. .riDpli.x6l. b rhir |nol.cr
<br />--trqlilirh l hrvc rcrdrhi\ rppli.rrionmd{\(cihxrrh.ih,vc rt(i)nnrli(r noncd ltgrNhconrdywnhillClrvrnd(i)utrv
<br />;rrinrrcN;id srdc tnss rlrrits i. bnildtr! connn].ri.n. r h.rhy.nrho.i/rrrPrc\.tkriEsofrhnCirvMrrcotrr]rrr rcrul}rtlt
<br />.'l'{uIJi.,rJr',1f'l!',rtr',|ci',inN'P^li\/l.,...|..--
<br />\DDrnanror\Hen,\{Ann,um. f--$Lur 4//",11 , "'1'"/ ' 1."
<br />Site-Work
<br />Communications Cable
<br />Ir/eter Release
<br />r Lz-\tl- .--t{^-o- uar^ t \llulltb-TUv
|