|
ELECTRICAL-INSPECTOR RECORD
<br />OATE lD/stG.COMMENTS Ow.Blilda D*l'ntbn
<br />I h.e!y.flirm unde p.Elly 6i psjury rn.t I e empl lon rh. Contdd6n Li..B. Lre fo. rtc fouowing E&n (!4 7031.t Buh6r
<br />bd Prof.$ion Codc) Aly City or Cooty vhth rcqund . pdnn to 6Bnud, dl.r, ,hPott, &holith o, ,cD.n uy tlruclu., P,ior to il3
<br />nree,.bo,.qur6 th.lppliont for D.h pdnirb fiL. signcd Ice dll h. or th. s lieN.d pu.tsl b ln! PtovnioN of th.
<br />contr&r.a3Li€.!Lrw(ChrpG9.c.hndcingwnhsc.tion7000ofDiviriotr3ofttuBsinqrtdP.of6tiooCod.)ortt'.|h.01
<br />c i dmpr rh.rcfrom ..d tl& b.tu aor th. .llcg.n ampnon .Any viohion ofseron ,01I 5 b, oy rppliqnl for . Pmn iubjcctt l,t!
<br />rpplionr ro.€ivilt elry of not mor.lhrn fiv. hu.d.d dolLB (1500)
<br />_1, s omq of th. propdty, o. n, G6ploy@ -irh u8q $ l1l.t loL @hr@.!io4 will do th. work ind th. ttr!(tuc ! nol lnr .d.d
<br />or ofd.d fo, !.1. ( Se 7014, Buind!.nd Profslion! Cod.: lh. Conh.6l! LiQaG Lrw dos .ol.PPly lo u omd oflh. Propctty
<br />who buil& or inprovB thd@a .nd who do6 rlch mrk hin!.lf or h@lf or ihrou8n hi or hq om .hPloy.B, provid.d drr luch
<br />improv@.rlr .,. .or i end?d or off@d fot $L. If, howv4, !h. buildinS or ifrPowm. i! lold wirhin on. yd ofonPLrioi, thc
<br />oMs'Build.r qill hw. th. bur&n of provin8 6!r h. or sh. not build or ioptovc ror lh. purP6. of sh).
<br />_1. s oMd ofrhc !rop.ny,.m qcluriv.lycontr.ding with li..N.d @ r..1or lo @Errud rh. Projdl ( S.c 7044, Buin$ ..d
<br />Prof6sion Cod. Th. Conu.c.Cr Li@.s bw dos rcr +ply io .n ol,M of p.opsty who build! ot imPro6 dta@a . .rd eho
<br />@nl.'d! lor slch pbjet5 wirh r conr6do(, lic.mcd pusu.t ro $. confrd.a! Lies bw.).
<br />_I .E d.h$ lnds S*tion
<br />-B
<br />lE P c, for rhi! don
<br />EO8tsEBI.CAUEENIiIOIIIICIASXIIA!
<br />I h.r.by sffirh undd p.ulty of pojury orc of thc fouowins d*L ioN:
<br />_l hav. .nd will hli rin ! C.nifidl. of CoB.ir lo S.lf.INu.c lor w qt cohpcd.tio[ !3 providcd fot by Sdion ]7O0 of lh.
<br />Lrbor Codc, fo, thc p!.form.acc of thc m* for wnich ttu pdhi n isu.d
<br />_l h!v..nd *illm.inLin worth' @mr.ution ituulM, s rcqutcd bySr.t,on 3700 ofthc r:bo! CodG, fo.lhc Frfotmn@ oflh.
<br />thir p.rmn b nru.d. My vorkd @npcnsion iBlrm@ 6id sd poli.y nunb.t !r.:
<br />C-,t*Jv.\\
<br />.*,-, J- l)-or- o z
<br />ior Oft huidrcd dou.6 {1100) or 14)
<br />_l edirytur n thc p.rfor6n@ of tic worl fo, wnich lhis psmil ir iri!.d,I rhdl.ol.oPloy rny P.6on in By drnnc. !o .t to
<br />b<!m. lubjd ro rhc e m ' 6nP.nnlioi hB ofc.lifohir.nd r8@ b.&mc tubjd ro t[. wo (qr
<br />onp.nsnon provsioN of Sdtion l70O of th! ubo! Cod., I
<br />WARN[\G: Fiilu!. to !!cur. work.B' smp.nstlion t unhwtul. ud rhlll lubj.ct an cmploy.r to Eimiul p. hi6 rnd civil
<br />iiia up tooichuidrcd fiournd dolLrr (tI00,000),ii.dd
<br />th. L.bor Cod., intdEl ird ttrortuy ! f4
<br />to thc colt of co mp.nsl ion, d.tu9.! i5 plovidcd lot lh. Sation3076 of
<br />I.ICENEDIANIMCIqBTDICI,AMS9N
<br />I hd.by rtrrh unds p. lty olpsjury thd l.o liart..l u.dd provsioi olCh.Plc t (osocnqi,g wrJl S@lion 7000) ofDivision I of
<br />f6,i6N Cod., lnd 6y l@roc ir i. tull for@ r cfcd
<br />A-
<br />c0NsrBrJclr0lr.uDAclct&a.r
<br />I hccby dih undq P.tuhy ofpoj!.y rh ths.it. @Nlrudior lcndin8 rgci.y fo,oto P.rfomn* ofthc work for which $! p.nnn n
<br />niucd (S-. 309?, Civ. C )l2.d.a! Nrd.
<br />AITI,ICAUIjLDICLIEAUqE
<br />D.rohion l..hi!i.A!b4ror Noaliqtiotr F.nErl &lSuLliou Clitk 40, P.n 6)
<br />_ R.qun.n kttd of Nodfiqrio,
<br />_l eniry dEl th. Ldsrl r.guhrio ,.rr.diig abGtot r@Bl sa ml lppliqbl. t thn proj@a
<br />_ I clttIry 0!t I hrvc 'qd lnn rypldrion .rd r. rhr $c .bov. infor rion i. @rca I !3r* ro @hply *ith .ll Cfty .!td Co@ly
<br />ordiEnq lnd S[r. hs rchtiq ro Counry lo 6td lpor rh.
<br />.bov. m.ntiorcd pro!.ny for
<br />x
<br />*
<br />x !'tt">
<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 />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torquing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough a /ts/o?.!ti{,o.,
<br />Service Meter ^\
<br />FINAL 'r/U'}/l7.j -hu44.)GQ)
<br />Notes, Remarks, Etc
<br />APPROVALS
<br />ll
<br />fT
<br />:
<br />tl
|