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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<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 />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / 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 Rouqh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rouqh
<br />Service Meter
<br />EINAL PLilL/N / I 't5/2or4
<br />Notes, Re'marks, EtL
<br />/1
<br />OWNER AUILDER DtrI-ANAfl ON
<br />t h6.by rlrm undq Frn) of Fiurt rhx I m q. pl n$n llr Codridoa l-ic.* lrs fot rn. ftrllowhg rdn (Sd 70ll ,
<br />Blsin* a(l Prol6lion Cod.) Any Ciry or Cou ) shich r.qui6 d Fi ro co'd cl. .116. inForq 4tulnh u. 8 ., ;y
<br />ri!.1ac Fnr to d3 !.@.. r!. r.+16 th. +did lor 3och Fmn lo ,iL r rs..d nddnd lh, lE or dr i! lkot d FErr
<br />b rhc FlvilioB of rhc Conttrrors Licds.d tiw (Ch.pl6 9. Comh.minr {irh Sction 7000 of Diviri.n I ofllE BlsiB &d
<br />PmfsioN Co&) o. rh.r lE or sl: s .r6pr tlE.f.om &d rlE h6it for lli .lle.d odiprion An! \ioldi,nofsdnt'70115 b'.ny
<br />ip?li..d l$ . Fnrr .ut'j<G rh. lpplic.nr lo i civil Fnrlry o t nor hnr. rho 6r. hun&.d doll&r (1500).
<br />l. s o{ffi oarh.F.tElr. ny dplo}s *nh *.ac s lh.t $1. eiFBdFn. *ill to $. srt d lh. rMrm i! ml
<br />nrsrlGi or o,I6.d tor $1. I s6.?or4. BBit6 od ElfBirN Codc IE cor..aloir LitB l,* &6 nor +91, ro o ow of
<br />E p.qd) $ lF blLl s rsoE dEd tn r b dE.rh $nir hrnelf o. h*lf or dmoah tu c lE orn .tPtct@
<br />pro\ d.d rh,r !u.h inFn\drd3e ml inlor&i qoltu lo. ule l[ trs66. rlE hildilB ff idFo@l ir $ld silhitr oE ]r
<br />orsrNrl'iion, drOuc Bdlc *ill lB\! Eh,&rofF trBtLlr tE did ml hild s irFow UE FlFly tu li. F,F-ol
<br />l. 6 o*c oarh. FlFrt, m .r.tun.ry .oedm* $th li(oed smetE to dnrsruc! rlE IhrF (S*. 7014, 86trB
<br />rnd Foftsin Codc: 't'hc ( oilBlor's l-i.cc l-!* do6 nol lrrply lo e o$n6 oaprcFry who blilds ot inprovd thaen
<br />od who .omraa ad un Fj.s wnh . c.tituon3) lraE d Fl,ur ro tlE Coir-'r( 3 Li6E L.*)
<br />I ru. cxonrr undd s(hon
<br />D.r. O*nd:
<br />rronxf,E.ao[iPEr\s rloN
<br />DECIJIAIIO!
<br />I h6.hy amm u.d6 p.oilry oaFjury om ofrlE f.Uoq in8 .LrLr.rioN
<br />I hr( &id will fui.rain ! ccnifi.rt. ol co.gr ro s.lf-lNm for qo 6 Nnps&lion. a Ftr\id.n aor bys.clion 1700 ofth.
<br />I lbor ( ode lv rlE Ffotuc o I rh. *$rt lc u hkh rh. Fn i! i.iu.i
<br />,::t*'ryry ffi;1#Lxrj],?1:h?s*'**"
<br />".,,",-;,*. 711;(o' ,,,,^ /lzt/2,
<br />l c<iiry rh in rh. pdtonmnc. orrh. *..k ror *hf,h rhB Fm, " "*a. , *,, ^, *oa1-, J. ,.,.r .-*
<br />$ 6 lo tlstr tubid b llE {ort6'omFsior h*r of C.lifomir od *6 $tr ,l I trourit t .oE rbrd ro tlE
<br />*orta snFneuonpmrtioNofSdion lT0Oofrh€ lrtEr (i'dc.l Jull.lonhq1lh codply *nhlhot lovilioN
<br />'cotrrposalnn cn!@!. N u.liqful, rnd shall sobl(r .n snployo lo aiannal Fuhi* rhd
<br />uu,l dolld lll0o-(rx.l), r ald bn ol.oBFErio.. &us6 . For'd.n for rlr
<br />I *,r* .llm und.r Frit of Fiury lhd I m lnEEl !*16 I'or66n orchqns I (codM.ins snh sdhn TqIr) of l)ivision l
<br />of lh. BBo< &d PbadioB cod..,ri my lk.e b h tull r.re rd.fidr a
<br />1_(2
<br />lt ...,.,...0(
<br />raruauqlloljtNDt8c-acElcr
<br />I i6!tD .rm un& Frny or p.rrury Or. rhdc . . @irrucrion lddnlg ,ssy tu rh. Ffolrucc of rh. m* for *tkh liB Fnit i
<br />Bru.d (sR 1097, Civ C.).
<br />ATTII(ANLDECII8AIIII!
<br />I hr!b, .trm uald po.h, of Fjury om ol lh. folh$ irg d,ELrll br3
<br />I).@hbn Pdn.-A!t'.nor Notifdio. Far6.l R.3lldioN ( rnt 40. Pd6)
<br />RquiGl Ldt6of Norifi .dion
<br />Bt6lo! rmovrld..or q,pliclhl. b lhis rit'j.d
<br />.rlomnhn bcotr.n I rsre ro s'nDly wirh ltl C t
<br />.dlFrn. rcrr6drnrr6 o r rhts Cn! .d ( on
<br />,\ppli.rnl or,\ent Sign.rure
<br />/P.nnrre un* (prh'rl: {--72c, t
<br />//P
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