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ELECTRICAL-INSPECTOR RECORD
<br />OWNER BUILDI.R DEl'ARATION
<br />I I'aEb, .,Im ulda rE[ly or Fjq- ltr I m dm{r 6Dm rh. (bdrsr6- Li@ l^ 16r rlr follor.os len tsa 7011.5
<br />B'aitB .,n Prcldi.i Cod.) Ant Cit or Cou,'ly $lltfi r.q!n6 . Fni lo odtud. .Is. inFNc &imlth 6r rF., Dy
<br />nruc1@, ri to iri (iuM.c, lLo r.qii6 rh. rpplrml for such tEmr ro 6k . lign d rrdmr rfid lE or sh. i lirord p@!,n
<br />lo llE FoltioN ol llt Conrrarolr Li.6*d L.\. ((lrFd 9, Conmdin! unh Sdion 70tlo of Oirilion ! oa !h. Bllind .nd
<br />PiofdioB Co&) .r rhd lE d .lE ir sdF rhd.fon -d rlE hca fo. llE rlkr.d ddrann A,ry r bL|hn orsdion 70! I 5 by uy
<br />.rpli.dl lor r Fnh rubjel! th. .tpli..nr to . rilil pnuhy ot mt mr. lh$ lir. hulxt d &rll$ (t500,.
<br />l. a owF of th. Flpary. or my @plot6 rnh *!sd d rh.n $t NnFlniotr $ill &' E *rrt sn $.rflxl@ E mr
<br />irq'd.d d ofrs.d for -k (Sc.7ol!l, B'!iB Dd Prof6i'B Co&r TIE C.rrtrtd 3 l-i.G I^. dd mt id) ro - otrE of
<br />llE !.oFi, *lb tlili 6 iv..r 6 lhds ,tl *lh &s uh *rxl him.lf or hdllor rlmoth hir d tE orn dpkrtd,
<br />Folidcl rh.l tu.h inpmlqEd! e ml hl.xLd orolErl frlr sl. If, hoc6. rh. hoildins or irt]ortlrd ir Flj $iti onc yr
<br />of onpldi(a tlEo{G AuiBc *rll ltv. rh. hnln of Forna rhr lE or rh. dU mr h,iu or inp.sr E Ftllat aor rlE F"IDt of
<br />-1, aown6ofth. Fmpctr. m.rddiv.ly $ntaclins wnh lico$d.onirrkrE ro connnd
<br />'lE Fojdl (S€. 7014, BBind!d frntaion Co&: 'thc Conr,rrois Lk.@ lr$ d.6 mr.rp\ ro D ownn of FoFnr- sho blrldr.r ihphro rhn6n.dd trh' o,ir-r fd Nh Foj.tr3 shh. ( odrdon3t li!&d IlBrEr lo tL Comxld t Liuk L.tr,
<br />I a' ctanfl rtrrld SRIn'n
<br />l).r. Oxn6
<br />\rrrRhr:Rsi ( o Piiia^ noN
<br />D-ECT,AAAUO!
<br />I h6.h alltrutrdo ncFlr\.flEj ^on.rlnrlr)ll0\n'!JNltuirk,n!oI h.r. lrl sill mi,'.in r ('difr!r .f ('nMi !o s.lt-l e,. fq r.rld' sripdn iil)n. 6 F.rd.d lor hr S(hn !',00
<br />lltor Code for ln Ffomm.oath.$.lt lor{hichth. pmil t ntudl.
<br />Vlh^G.!n*'llBuu*o 6 (drFd.o irJlse B Gqlild by Sdi{ lTOOoldE t !dCo&,tutlsl6f(tlr1'G.ot
<br />rlE rnl lor wltth lfir Fnil L ii..l My mrtq oiiFrrbo ie)Jt. triud Fl4 nmbd c:
<br />,,",,"' .ST4 rE &rt/€w.sA tz'oa,r ,t\t-t. F.A
<br />'..- rzf /t7
<br />I c.nifr lh.l in rh. FforroN.alh. c.{ tu shi.h thi! pdtrn ir istu<d. Llull nol mrh} ur Fen in ur mmF$ E lo halc &tif,l lo llE rgld snFdbn lts! of Crlifomi{ en rgc rhi it I lrbuld b.(o'E eb.d h rlE
<br />ub*a3'.on{EBdi.,.provilnBofs.dio.l7(rolrlEl,hxC L.lJdLrMh"nfio'rylt$irhit rpro\kn'N
<br />\f,ARNINC F.ilur.lo cu. ynt6 .om[lMn..ord.S. ir
<br />.iril 66 !I' lo oE tud.d llFuxnd &ll.R (tt0o.ux,,. in rdd
<br />lul, tnd rh.ll {lr.{r an o fbrq lo dmnf,l t@ii6 t d
<br />rhc.osr ol.nmn Nrn,n. din,a!6 a\ |Io\ il.d lor llE
<br />:::""'tLry)^f
<br />I h.r.h! srfinn urdo rmall,- olFjul rhal I dr li.6rhli lr'o\irtr$ ol ( hifN 1) (m n cncnls \ih Sc(rir Tolro) f l lrr^(n, I
<br />ot lh. llGiB DJ PNfsirB c.dr. ii nr lt.e s
<br />'n
<br />aull fo(r,rl.tld
<br />B 735/i z
<br />'/r"1,,,,,,,..",.. K
<br />I hdlB .rm und( F!h) ol Fjuq- rhd rh<. u . mlE L.dr{.9d, f.r lh. Faonffi. of rlE $.rl ntr trhi(hrhiFni bisu.{ls< 11097. (i\ (')
<br />a-?ru(all.[EgLasauq!
<br />I hd*r nIm u.dd Fnrlr) ot FJur_ or ot rlE tolb*'ing dcLrd bnt
<br />D.mhirn P@nr.ArtErd Norificlrion Fd6!l R.BuhrioN l1nl..l0. Pd6)
<br />R.qun.d L.fio of Nolifr..ti{O
<br />I cat ry tnd th. fcd.tl r.suld ioa rsrdins sb6toi rmr i .rc frn 4tlt.bl€ ro rhi! tnrFd
<br />v/r .-,ry,r,, r r,,,.,oa,u .ppr iorio. a il.r.rhdrn !tn\. ln(rmurin ir corc.l I 4,a ro s,rylv \ ilh lll ( ymd ( ounryodim6 nrd 9'l. lrs! Eliils ro hildins c(
<br />thr\c n6lk]..n Ford) fo. iEFdbn pqr
<br />\Itlli.rnr o, \!r r \i!tr*r rc
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Unde rground
<br />Pole Bases
<br />Light Standards
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />f!1e Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Transformers
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To E ut ment
<br />Facto ry Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Meter Release
<br />Squgh
<br />Service Meter
<br />tLlT ltl ,/.14E1T.I
<br />Noles, Remarks Etc
<br />bo lrl hd.b, !urh.@ r.F<fln 6 of r
<br />":,:^,';);;/;*
<br />I ISite-Work
<br />Spas, Pool, Fountains
<br />I
<br />I
<br />I
<br />II
<br />Bonding / Groundinq / UFER I
<br />Torqueino I
<br />I
<br />II
<br />I
<br />I
<br />I
<br />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough) |
<br />I I
<br />I
<br />FINAL
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