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ELECTRICAL.INSPECTOR RECORD <br />OWNER BUILDET DELCARATION <br />I lEcb, .rno u.&r Fnnry of F ,llry ihd I m .rcn$ nom ilE Coffi6 Lt M Lu r(tr llE folh,i.B r..in (Sc.loll., <br />BlriG$ ul Prcf*a,n Co&): Any Cit or Cd y qhrh EquiB . Fnt lo odnrt rlld. it!!rcE &lblnh or tit n -y <br />nMuE. rn ro iG n$m.. cl$ r.quiE3llE .{,pli.ol for iEh IEmiID lih r lisrd ndcmnt rhd rE or .h. i !k n*d plmd <br />ro UE lroviibnr of tlE Conrdd r Ltc.*d Lrs (Ch{rd 9, Conmrin8 wilh Setion lmo oa Divnion I of llt Buiircs &d <br />PtuLsbnr Co&) c rh, lE n dE i. .r.nq rhddrom .,n rlr tl.s! fd rtE rlLr.d .r.n+rio. A.y vadbri,norsdb.'70ll5byoy <br />tntla&r for.Fmn rubFrt tL .t'plt.nr ro tcivil p.dr,of Er DE rhrn nv. hIdr.d dolEr (Slm). <br />l. 6 o*Br of lhc FDIEny. or my .nph)E! *irh *as6 N rltn ht omFMri.n, wil do 0E wdl .,n ltl slnIlN t mt <br />itrdd o. oll.rd fd qL tse 7Og, auliftrr dd Prbfdib.. Cod.] TIE Conr-1q r lirn- l,s {h.r d +ply ro or8 of <br />rlE FDpqty *to laild! or nthE rlEtu( .d wls d6 nn h* hirell or h.*ll or llFqt his s hd o*n.ryk F.. <br />pmvil.d rhrl ruch ihFowr*s E ml htcidcd o, oftEd nn sb lf. rbsm. rtE ttrilin! or inplMmd n $b withh orc ).5 <br />oforrplcrbn. rrE o',ftr au[&r will h.E rtr hnLn ofFoviry lh.l lE or nf, dil ml lxild or i,!sn,E tr FDrEi, ror ih. FrF. or <br />_1. .s oerr of rlE tmpcry. m .rclusiEly .ontncring qirh lidn*d .oinrf,roa Io 6IMd <br />'h. FDFI (Se 7044, Busms <br />rd EDEitir Co&, Th. ConltEroi r Lic.nc hw d&i hr .p?ly lo u ovnr of FoFny vho boildr or inDovc! lt.rdn. <br />.rrl wtb offirff trh F!i.{r f,irh r coddon s, la.tr!.d pdqlr io0r colr..r6 r lff uw). <br />_l am .r.mpi un&r Sdtion_. B. & P C. ror lni.r Er$n <br />D.r.- <br />- <br />Orc- <br />- -lrotf,EEs:t${rBtarlltdpEctd3All(a <br />I lErcby .ltrm undcr t'. hyof Fjuryoft of tlE folhvin3 ddhr.thnll <br />-l <br />hlk rd lill mi m . Cdifr.k olcitlst b S.lf.l6uE ld qrt6 otrFrElbn. r Fbvit d for b, sdb. l7m of l,r <br />L.ntr Cod.. fol rlr Ff(,ilr1!c ofrhc vb,* rd *hah rh. lEmjl is ilsu.i <br />ffi t," ", *,,, *r,in *116 .ontrNrbn GunB., s Equrd by sdlnn rrm or rli ulbr c-od.. ror E Fnre ol <br />rlr *,rl lq *hrh rhr! rrrtur a $Ed My*0A6'sqr.{.n rnud.q.. lrn Flk} nu <br />,."",", -UtLzetttl <br />",.,*,.*, Vfl1\rYD q4 SEzzl7 ...*. \Q <br />a <br />'/ rlzl <br />-l <br />enify rhlr in lhc Frli,rmncc ofrhc worl tu whbh rhn F nlr is riiicd. I sh.ll nol cnrphy any p.r$tr in iny mntur <br />$.!robd,mlubFrb E mrtdi onFnsrirn Lwi ol C!firomia .rd {r tlEr ifI {n!U b.tor bjdr ro rrE <br />*,116 onp.rda,. ,'.tnirB or sdi,n l7u) of rh. tjEr C.d.. I irll fnih* orl,l, rnh rlb. pr'vtra'6.. <br />t <br />lurc lo sw mtlcc' cotrqEnori.n fl,rcna. is unlrrfll. d .hrll subjer rn cmploltr x' aimi l ltNlil Iom hunJr.d rlbuind dollr\ rSlm.fiI).r cof,p.oqiion- drm:.r a pDvit d for <br />1z),r,,.'l/fi e- <br />I h.dhy annflundn FnalryofFrJUry rhlr I r lNn\od ufrlcr Imvnion oa Chaflcr 9 l.onm'*ing snhS.trr)n 7fin)ofDivM <br />ol rlE Bu\i'rc$ rnd |ton$i,n\ (-inic. ril mr lic.nt n in full li,rc .d.ilact <br />I;9!EIf,I]SIANIENIII!Ii.{C!!II <br />I h.rby lllim undcr Fuliy of Frrlry rha lh.r t . .on{Mi(n lcndq !3cmy for rlE lErlofluR-'c of rhc *o* for rhah rht Frni k <br />nrEd(sa :rr97. cir c)t ndcls Nrm: <br />A.EIIICAII.DECIdSAITA <br />I hort y !.trm und€r Fnlhy of ltr]!,, oft of rlr folloeins d(llrtionr <br />D.mlni,. PdmiB-Asb.snB t{dirEihn tur.l R.3uLrhn. (TirL1l{). Prn6) <br />Rcqut l.llcrolNdifuzlhn <br />enily rh.r rL Ii&.1 EsuLlirnr csldins rsh.ios (nrql n n ,ppla.bL h rhil FrFr <br />l.cdifrrhrr lh.!c rfi,l rhrrrynlrnri, and nrrc rh rh.nh)vu inftnnuri,r x.ntrc.r I rgr\- ri(omply* IullC[yotrd Counry <br />.nlmftcs lnd Srrrc tiwi EUIin3 lo hu tru. rt'.* .l,wi of rhn Cny .d CouIrtr*c tr.ri,ftd ,,oFn! n, mFr <br />\ppli({nl orArtnl Si,tn trru <br />APPROVALS DATE ID/SIG.COMMENTS <br />Site-Work <br />Underground <br />Pole Bases <br />Liqht Standards <br />Spas, Pool, Fountains <br />Siqns (monument) <br />Lite Safety /Low Voltage <br />Fire Alarm / Dampers <br />Communicalrons Cable <br />Buildinq <br />Under Slab / Floor <br />Bonding / Groundino / UFER <br />Transformers <br />Torqueinq <br />Sub-Panels <br />Air Conditioners <br />Roof Top Equipment <br />Factory Wired Unit <br />Walls (Conduit) <br />Walls (Rouqh) <br />Ceilinos (Hard & Soffit Rouoh <br />Ceilings (T-Bar Rough) <br />Rough I <br />Service It/eler L <br />FINAL '//7/n 7.,/ .#L 6r\ <br />Notes, Remarks, Ercn ' t t- rlJ <br />R.lv 0A O7-2O15 <br />,",.\ /ll '1. <br />Ivleter Release <br />f-------T------ <br />I