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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OlINET BUILDEi DAITARATION
<br />I ba.b, rlfm u.& po.Iy of FJ!,, tnr I 6 ddpl ioh th. ComrroB L.6e t * tor rn. follo$f 16[.(5< TOll ,
<br />Buitrs .,'d Proferion Cod.): Any City or Couruy which ,.quna . Fmit ro onarud. !hq. iEFove ddnoli.h or lt.n &y
<br />nratuc Fqro n! isec &6 FqliE dE +li! ror fth Fni ro fr!. iiq.d lrroEr 0!rh.6t i lko!.d Fltr
<br />ro tlE FDvitioG of dr Corxblr LiB.d lrw (Cn Fs 9. Coffiiq wnh Sdio! 7000 oa Divbio! I of llE Bui6 rd
<br />Proa4iotu Co&) q thrr lt or dE ir donfl rhd(&oo ad tn. bli hr llE dLg.d ddEid Aiy virLtioi of $dbd ?011.5 hy &,
<br />.p?lkd tu. FEir rbrd! rlE pplicrd ro . civ Frnyof er mEt,E 6vc hodr.d d.,[e! (1500)
<br />_ L s oNG ofdr FoFlr. or Dy cnplot€ wnh w+d E fi.n sL @dFtdbr! wiu & O. $sl !d tlE nruc@ b ml
<br />itrai.d oofft,!.|tur rL (Sc.704.1. &6i,E Ed PDft$bE Codc TIECo r-ld.tilEt *&€erdytoeo,Eof
<br />th.plrFly wlD bil,i or imFDE oEol\ tld pho &6 uh s.l hiNcll ha*ltor l|,Du8,l tu m hd oM dployq
<br />FviLd rh.l och nnFo\ErEB Emt iroi.d noi&d tu rL If. how. tlE b dlr or inlFDlEGr i -ld *thn' oE )s
<br />of.cqrr&. th.OrG ellE win bEtlE h,ila ofFovDs r lEn aE dil iDi h,iB q i+oE lti proFly h. tt F,laol
<br />L s o*c oatlr FoFy, m achlncry s'nrrriu *irh lr(4.d (olrm6 ro otul rh. FoF {56. 7Oa{. &ai!6
<br />.d Prot im Co&: TtcContE roir Licdc Llw <t{6 oor lpply ro d own6 of FoFl, who builds or improvd th6on,
<br />ed vho @in-1r for$.h Fljdrsiit. cod.(3) ltc!.d plru,n lollt Codr*ld ! ti64 Uw)
<br />_ I d .rmpt uLla scrion .ll .t l'( lorrh'sr.as.n
<br />raxliEal-.(arlfllIA-ua!
<br />DECIJAAIIA!
<br />I h6(a! amrn und6 Fah \ or Fju^ o( ol rh. folLr n8 .L.l[arhB
<br />I h!v. rn will minr.i. r C6rifE rG olcoElr lo Sdll6@ fo, srtd 6mFdb.. d F.viLd lor ty SElion 1700 of lhc
<br />L.b.. Code fm tlE FfM. or$. w* fo. *ni(h dt FDr i ber.d
<br />CltrE iii *ill di riD h 6 omtEMhn iBuffic. s r.qu-!d hy Sdrbn l7m of $. t hor Cod.. for tlr Ffollm of
<br />rlE w.t fo. stth rhir Fni i! is.d My wnl6 onpslaio! ilBlllle oi, ti ,Dliy nmbc R:
<br />c'i' :-1*' rrl t o
<br />-
<br />,ou., n,"oo -fu144c O t q1 ?8 2-G L )
<br />I carr8 rn.l B tlE Ffolmrc. of rlE l'orl fo. *hih lhi! Fsn i! n$o( I ndl mr mpby uy Fen in ay tuE
<br />$ a ro b..oN subjer loln worta' $mposrio. llw of Cllifomn. &d asE rhd it ! 3hould t co6. $bjd to $c
<br />$.rt6 compd.lion FllirioE of Sa:lion lrooofrlt LsIq Co&.I ddl. adtunh @m9ry wnh r- IiutioB
<br />WARNIN(;: F.ilurc h sr *mtd omFsion cova.sc is uL*tuL !,rl 3h.ll tubjd o 6nploF ro EimiD.l FElli. .,rl
<br />.r,l fiG up 16 ok hu,!d rhoN.,i doll6 (1100.000). i. r&n!.con or co,rp.dio( dr Bd B F.vlLd for fi.
<br />srMn 1076.frh.lit r (ixL int6d and
<br />Dtr.: L- L(- 'L )
<br />Ltl[lsl0-CAtrrl^fiAf,
<br />DECi I&AAION
<br />I hGrt'y .frm un& Fsny of FJur' $r. I d li.6!.d Er& Flvtb. of Cbcrq 9 (ooffilu uin S6rbn 70@) of D'vnnd l
<br />of thc BuitB dd Proaeiod Co&. ad nr ltc@ a i. tull aoE jd.ltct.
<br />L-r c ldo?te)
<br />1-Lt'l- -
<br />carlrBuaxrltlIBlrxclcllcr
<br />t h6t y r1Im urds FBlry orpoJury rhd rhfr it. sllni4rb. bd,!S.g*, for lhc Ffoffi. of llE e* 6r rtth th! padl i
<br />islu.d (Sa. !0r7. Civ. C.).
<br />L,xld.! N,d'
<br />LEdd i Ad&6
<br />ATTUCANLIECI,ASAIIO!
<br />I hddt'afEh u.dd ,6.!, oaFjdt or of !h. folhf,in8 d.(lI.l bnr
<br />Drmolilion l6Tire-Asb6rd Nolincdion Fdrail R.snlllionr (Ttl. 40, P&16)
<br />r.gohrioN ElediIs stErG roF\ J uc oor @plilbL lo
<br />'ha FDjd
<br />csrifyrhd I h,v. r6d rhi*.tFli..ridn eld 3r,r.rhd rh..b.v. infomrFn s .ordl. I .grc ro .oEpl, wifi dl any .rd coury
<br />r.FelnivB of thit Ciry !d Co@ry to 616 upon rtEonlM 6 .nd Sttl. k*, dd ry ro bu'Uhs,/roaMj9tr -d h6d,y .dlmdz
<br />dow trEirEi.d FoFrr rd !q<rb!46&6 L-._--
<br />Appll(rnl or Asml shnrturt
<br />Pemrr*nrn'.rprin,): ?"'L G
<br />z-zl -Lt
<br />Site-Work
<br />Underqround
<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 2-26-a
<br />Transformers \)
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Meler Release
<br />Rouqh [,-- ,^- Q-2"2*-h $)I"/{\
<br />Service Meter
<br />FINAL Z-A-2,4 L/V 0u
<br />Notes, Remarks, Etc.
<br />Rev 08-07-2015
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