|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII,DEtr DELCARATION
<br />I h.!c$y.ifiijn undcr pcnally oi lErjury lhil I m cxcnDr ftunr thc Contr0cron Li.cnsc Law lor lhc follo*ins Gv,n (Scc?oll5
<br />lrusines lnd Prot$ion Codc) Any Cil, or Counl, whi.h rcqunes r Frnil lo con(rucl. alls. impmvc, d.neli\h nr tun3n sny
<br />{ncr!rc. ,Ii,tr ro irs hslafte. iko rcquncs rhc +pliconr fu such pcflnir h lilc r \is*d rurc.E rhar h.6r shc t licctr*d puisuanr
<br />to rhc pmvniotrs offic Co.l!0crols Liccnscd tjw (Chryrcr 9, ConnrncinS with Scclion TOtn ol Divhion 3 oflhe Busines and
<br />P.ofcssionsCodc)orlhollEorsh.texemllthcrc,iommdlhctashlorrh.olkscdexcrytion.AnrviolrrionolSarionT0ll5byBny
<br />npplica ti,rapcmn suhjels lhe {,plicanr ro !cililpenoltyofnot frtrc Ih.n fivc hundEd dours ($50o).
<br />-1.
<br />0\ oBrK. of rh. prcFnr, or m, cmrlolLys wirh waScs as rh3n vnc c.nllrn$liotr. will do rhc volt aJd rhc stu1urc il fr,
<br />inrc.d.tl or.fcrcd ibr sslc ( SLr '7014, Bltiftr\ and l'rofcstuhs Codc 'ftc G)nrrcrols l-Ecns. ! is docs nol 'ppl, b ar owncr of
<br />rtc pmpcny uln boilds or iryB$ dlfr)n, and who dtus $ch wft hinrclfor hcsclfor lhouAh hh or bq owncmpk,recs.
<br />proli.lcd lhot such inrrowmnrs m rcr inlcn& ororlcEd for $h.ll how$q.lhe boildins or inlmrmnl hsld*irhinonc )cru
<br />oa.o pkrion- rrr Ow.cr Buiua will hvc rl* tiidcn ol pmvins rhor he or shc dit not buitl or inrevc {* Ir)pqiy lor rh. puqr* of
<br />Lrso*.rofrh.ln,pdnt,ar.r.lusivclrconka.tirgwnhliccn\.d.onkacto6k,.onsru.rrlrpo.tcd(S(.?O1,1.Burnc$
<br />nnd Pr,fssion C.dcr Thc Cotrtrctols Li.cnsc Lnw dms nor itply k' r.owncr olprcrcny whr) huilds or inrprovcs lhcrcon.
<br />od Nho conr,lcr lor luch pr+clr sirh a Conrracb(s) liccnscd Nisuonr ro rhc ConrEcroi\ Lien* 1,.*).
<br />limcx.n,nr und.r S..rit)n ,ll &PC i{n rhi* rca!,n
<br />OPn..:
<br />W(IITXFRS' (]OMPFNSAT(IN
<br />DIILABAIA!
<br />I hcrchyrllnnrun crncnalryolplrruryoncorrhcii'l[,winEdcclBr!ri{trN:
<br />I hr\r rlwillnDinhinrCcdifi.dcofC.nsctrrr.Sdl| lNurcfttr*d!kcG'.onlrnsarion..s pmlidcdlorhySNrioalTflr.lrhc
<br />l-rhrCod.. fffrtu p.rfoi,nJmc olrhc wo'k n,*hich rhc lrirnir n i\\kd ,Hns-%."Rfr,*.,t
<br />ncc cnriq ntrd policy nu.nhcr m
<br />,l harr0nd will m0i .in work.r'conrpcn
<br />rhc wort lor which n J,smil n issucd My N\jez-o
<br />I crniryrhJr
<br />'n
<br />rhrj,.rlarrnrncc n r^-rn,ir n nsr(I. I \hxll Dor lL)r rnv Ir'!m tr' adv rnM.
<br />\, r\tu^L.o rc \uh.Jtrrri rhc (Jl,lnDr rtrd n!tuc rlu i I
<br />ro'kcr\. ronlPci\rri(n, p(rntrtri\ o
<br />WARNINCT Frilwc ro surc *o*cs cnmocnn ion .otcri8c is .rr t, sitrti'[] Irnrhcs r d
<br />ciril fincs up !o orc hutrdred rholqod do
<br />":,dI4Et:
<br />II'cr.tJ!rllnm!fttcrp.nrlrlottrrrrtryrlr lrtrr lnu\cd trnd(r frr^ o ol wilh Sccli,,n 7U)O).il)iri\i{in l
<br />.l rhr Bt\im\srnd Pnr'c$nr\f?"*:"D 33I
<br />,",r1:$o ft1 A\g-r'-
<br />CONSTIIUCTI(}N LE{I}IN(; AGFI\CY
<br />I hcrcby lilnm undcr pcnalr, ol Frr!ry rhar rh.rc is a connrucr bn lcndinB ucrc, ,Di rhc li.rfordMc. ol rhc sorli ror which rhn Fmn ii
<br />ksucd (SR.-.3097. Civ. C.)
<br />I tErct,amnru er l*nn[y olpcrjlr, onc ollh. r'olkrwirr ncc
<br />Dcmtln PnnirlAshc(os Noriiicrrion I'cdcml
<br />-RL\tuircd
<br />k(cr of Norific.rion
<br />l..niIy rhar rhr fcdcrrl rcgu
<br />-l
<br />ccnifyrh.r I hnvc rc&]coEccr. lll8re toomply with allCiryand Counry
<br />ordinnnccr ond SI.rc Ijws rchrir8 Epn*nlllivcs olrhis city lnd
<br />atx,vr f, rirnra pn)n.n! lnr irN
<br />rN,---
<br />01 il \1
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Condrtioners
<br />Rool Top Equipment
<br />F actory Wired Unit
<br />Walls (Conduit)<:.a
<br />Walls (Rough)'/r- -'L L^ UI
<br />Ceilings (Hard & Soffit Rouqh ''5/,-/l !--
<br />Ceilings (T-Bar Rough)/o -/h
<br />Rou h
<br />Service lrileter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Itileter Release
<br />o? (ra \ t1
|