|
ELECTRICAL.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<br />Site-Work
<br />Under round
<br />Pole Bases
<br />Li ht Standards
<br />Life Safet /Low Volta e
<br />Fire Alarm / Dam ers
<br />Communications Cable
<br />Under Slab / Floor
<br />Translormers
<br />To uetn
<br />Air Conditioners
<br />Roof To ui menlE
<br />Wired UnitFacto
<br />Walls Conduil
<br />Walls Rou h
<br />Ceilin Hard & Solfit Rou hS
<br />Ceilin S -Bar Rou h
<br />l\ileter Release
<br />Rou h
<br />Service l\4eter
<br />I t9FINAL
<br />Notes Remarks Etc
<br />( r\\'i\ut Irt ll,Dl]{ l)lll-( \r,\ I ll)N
<br />I hcrcby affirm undc, pcn y ol !.rjury rhai I m .xcnr fnn rhc C.ilr.croa Limn$ bw tor rh' lollowinS rcabn (S'c'?0115
<br />Bnsnrcss and Pefcsion Codc): Any Cily or Counly whith ruqutcs a pcmir b .onslruct- llrcr' improrc. dcmolkh or rcIlIn uv
<br />nrudue. priorb irs issudc.. trl$ rcquncs rh€ alnlic,nr r.r such Pcrmi t' nh I siSncd srarcmf,r rhtrt hcor xhe i{ liccnscd putuanr
<br />lolhcEolhionsofth.Contractolsl-i.cns.dLnw(chl0lers'conlmcncinswilhsc.lionTlxloofDivhi{,n3oflhlBtrsincss,nd
<br />Pmfs$iooq Codc) or rhal hcorsh. iccxcmfl thcrefrcm.nd th. bash lor rhc 0llcecd cicnPrn,n Anv violslio'urscclhn?0ll5 bvaiv
<br />{tli.ml ror a p€rmir subjck rtc optlicdr ro scivil|[nrhyofnot m.rclhln fivc hundr.d dollrs($5m).
<br />-1,
<br />as ownd oihc pmp€ny. or
<br />'ny
<br />cnployccs wnh wdBc. 0\ nrn $b onPhiarioo sill do rh' "olk and the nfldrrc is nd
<br />iibidcn or offcrcn im elc {i(.7oi4. B;sies dnd Pmfc$ions codc: Thc onnrlcrois Li.cnE tis dftr nor lmlv ro !n 'wn'r ot
<br />rh.Imlcrly whot ikls or im0rovcs rh.6n, dd who dcs {ch wo& hnnsclfor hc*rlfor lhmuEh !h.r hct owncdployccs,
<br />p-,ia.a rr,n .u.h inlporcmnh !rc ml inrcndcd ofi.Ed for slc lt h,wcRr. rhc t{iHi'r8 or improwEd is $ld wirhin one ttd
<br />;fc.nplcrhn. rh os.cr EuiU( will hivu lhc burdcn ofltr.lin8 thar,E or \hc did N build or imPnrvc lhc pmFnv lor lh' rlns or
<br />l- sosftrofrhc pm8ny. m.xrlusivcly conkdnrB wirh liccnscd .onr0(r,F k, connrud lh. Prejcc' lscc' 70'u. Btr\i"(
<br />,M PrtrGsi,. Code: Thc ContKi(x c Liccnsc Law dms noi aptly ro ofl oNifi ot lroFnv wh() builds 'r inrproi's rhcrcon'
<br />a.d who conlach ld such fi)iech *irh. ConlBdons) licc"*d pununr ro rh. Cont.cktr\ Lt'n* tjwJ
<br />_l mrercm undcr Sc.rio
<br />lIl,8[Etls:l0Mrrlsara!
<br />DECL/|SdIII)X
<br />I nercby rrf uM.r Fnalryof!..ru.yore ofrh. fouowirE delmrionll
<br />I h,vc ldt qill tuimain a Ce'1iarlrc ot cl'nk ro Scli:lnsu,c r* wo.kcu coqtns.rion. $ FTded for bvSNrion 17m orrhc
<br />ktu C.d.. for lh. D.rfomftc ol lh. wolt aor which th. pcrmil is nsu.d
<br />nr'in wortcn comp.osnrn'n insutancc. A r.quncd by Sccr ion l7m of lh! ljhor Codc. fu rlE Fdnnmrcc of
<br />in\urM.c crtricr arl l.li.y nunrhcruc
<br />o C)v
<br />t.cnifyrhar in rhc l.tfornunce ofrlt wor* loi shich lhh Pc i! is is\'.d l rhrll nnr enrllov'anv!cr{r in anvnrnrcr
<br />easr.hc."m{hrcirorhc*ork..omFnsarionlrs\orcrliLmiu.mdtrlrcdhdifl\houldtrc.msulrdroItE
<br />uorkcr' .on,Fnsarh [ovhio!1 of sdcrion ]700 oI I hc Lrhr codc. I \hrll lnnhwirh .onuly s irh rlnrs otoYi\hns
<br />WARNING FliluE ro <cur. workcrs co'qcnsrli,rn colcrrEc i\ unln$lirl. aid !h ll suhjccr an 'y.r k) cntrii'Il |rmhi\ r
<br />.ivLl fircs u! b onc hundrd lhousrntl olhr\ (tl(xr.(xx)r. in 3dJirnnr n) rl( coi otcoN|rn
<br />Sc.!r'n 10?6ofl,lc l-Lbur C..l, rnrc'd atrtldrnrftv \ ri{\':)' ZA?7t s^ -" ---' nd( /,rfh{' / lrcrarrD-(aNr&Mu,E
<br />DECIISAIIA!
<br />I hcrehy affnn unds r.nuhy olpc+ry rhar l,m ri.vn*l un<lcnroisio. ofChlPlcr 9 (drm,rcNins qirh Scction ?mO)otDivision 3
<br />of lhc Busnts and Pbfc$ions Cod.. and myliccn\d ir in lill lorce o.d cff.cr
<br />l/'"",", b4'{'3 ,,**",* xr Ut t 6r,/
<br />I!}NII8I]EUONTENDINCAIiINII
<br />I h.rcby rnirD udcr lcnahyolFrjuryih,t rhcr. h t con(rucri(,lcndnr8 qscncv tur rhc p.rlhmncc ofthc work r{x whichlhi\ pcrmir k
<br />hsuc.llscc 1097. Civ C )
<br />I c.nify th.t rhc tcdcral
<br />-1--. " ", ,",..,. " "flr,"*"..Js.. r-,"' ^r"
<br />I !s!e t,.o rrly snh Ell cirymd (outrry
<br />\ olrhis Ciry ird CotnrJ_ ro cnr.r uE,n (ht
<br />rtx,r nr rknrd pm|xnr_ n)r r(
<br />Applimnt or Aecnl SiAn.(ur.b-ar'/!
<br />Soas. Pool. Fountains
<br />Sions (monument)
<br />Buildinq
<br />Bondino / Groundinq / UFER
<br />Sub-Panels
<br />1tJ (?y
<br />Ll
<br />AIELICANfDEGASAUA!
<br />I hodry atrhn undcr llcnrlr, ol Frjuty om ol rtc rolbenr8 dcl&ar ion{l
<br />Dcmlirion P.rmils.Asb.stos Norifictriotr Fcdcral Rcgnlariotrs (Tillc 40 PM6)
<br />-Rcq!
<br />ndd L.rlcr of Noliftnri.n
|