|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE IDJSIG.COMMENTS
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor Ir AI .a
<br />Bonding / Grounding / UFER LWI?t Am,lk w6,/
<br />Transformers I
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Bool Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />Ceilinqs (T-Bar Rouqh)^,4
<br />Meter Release vDL/3/U(filt M{gI -t
<br />Rough /./--/atService lrileter 4Ar,/rv o'(&/ra '!orYd
<br />FINAL (rlauD/rfty)M)4W
<br />Notes, Remarks, Etc.
<br />t,
<br />OWNLA BUII,DER DELCAR]{TION
<br />I h.rch, !flirm u*L. It.elr, o, Frrury rh.r I m crcrgr iilm lh€ Co.rEcroF Ldo* ti* ror rh. rblk,wn8 d$n (S.r 70ll 5
<br />Ausim$ rn Pn,f.sl)n Cd.) An, Cn, or Cou y whah Eiluic . pdni to snr&1. rh€. iqrot. &mnih ,{ qln o,
<br />dtur@. F, tr ih Gs!re!, rlv' rcixiB rtr .prli..nr ror such Fmi ro liL r sEftn ll3rcdnr rh, ra or itE k lkcntd lx,sd
<br />ro rlr rmvNi,ns or rlE C.dk--rft r Li.nrn k* rchnprd 9. Conmmng enh Sftri,n irn of Diriiion I o, rl. Aurit( rnd
<br />Prnt *bnr C.xL) or rhr lE d \rE n.&.rr rrEFfton dd rlE h6is for r rll8.d crlr|Ilhn Any lioLl b. ot sdnn 70115 b, !n,
<br />np?li..d ror . Fmit {btth rlE q,i i..nr k' . civil pcBh, of rcl mrc rMn nv. hodtd &,lhB (t5u))
<br />-1.
<br />ar oqBr orth. tmFny. or my crphF.r rrh *.sH s llrt sb onFn{.te.. wil & rh sft.d rlE rMe x d
<br />i .nlcd ryoficEd fF slc (Ss 7{X,1. EBcs d ProiBirE Cod.: Th. C.ffi\ titM L.v &d mr rl,t y r. e olE oa
<br />rlE FrEny rho hllllr G irqn6 dElEn Md *lb &. *i wI hilkltot tr-lf or rtmuln hr,, lE o*n.,rpl,yal
<br />pmvircd rh.r sh iryrsmi'lt G d{ iddld.d d ofiatn ,c sl lt hnrtE, dE h(ildi't d in+FErd ir r,a pinin m )a
<br />ofcrnDtriE dE O*E Blildd will h.r rrE h,*ii or Fovirg dr rE m dE dd d hoin d lqmE dE FFry ls 0E IUIIE of
<br />_1..(osEr orrrE tntEny. m.r(rurilclyco'{tdiry *ilt ltcn<i co on{ru.r rlr lror.r rsc( 7(l1.r. InrMs
<br />arn h,Lstr Oxk Th. Conkdor'r Li..nr trw d€s mr elrrlyro
<br />lnd sh. onrtu1r ln uh I'l,rd! *trh. Codrdoni) Ii.n-d pu
<br />I !N.rcmlr !trdd Salr,nr' -- .) --i """''t(
<br />I hckhyafllr uftlcr !.tulryol pcrjuryoB ollhc follow
<br />_l h,h dl will rtuinram s (cn rlaurc iConsnr k) Scliln\urc lor woikcis lanlpcnsri'n, {\ Irovd.d 1,, bySccri,n:17{X)ulih.
<br />ulrn (ixlc, itr rh. trrformn.. ol rh. *.* tu whrh rh. pd$it is issud.
<br />_l hnk ,tu] *,ll minrr'n *ort.6 omFn,r! iDn in$rrrcc. 6 rcquiEn hy Sd io. 1700 of rhc lrtxn Od.. rd rh. p.rfdlm. or
<br />rh. *d nrwhrhrh(lErmn rr Fsdl. My*o.k* otr{Ens.lhn imunrcc fftr.rd lhliy.ut*f,re
<br />P.lry Nuntt.
<br />-Erpi(\
<br />_l c.nirt rh.r n rh. lErro.mE ol rrE rort rd uhkh $ir Frni is irE+ , nrll ml crl! 1,, .n, Frstr i. rn, nmm
<br />$ s b t ar lubFl lo llI *trt6 o,Fn..lbn L*r of C.liromh. t.d 'gm rhd f I rtrNld tEor ubF.l lo rh
<br />s*6'omFNdhnpn'irb.t.fS<di,n.t7moarh.LrrrtC.d..l{Ell.fonh*irhsnply*nhtll(Fsvi.hB
<br />Jdll6 r!l(I).(,l)or. in dd i.. ro rh. co{ ol.oWru#;;
<br />DECIIXAIII]!
<br />I h.Ehy llfirm uid.. Fuh, ol por!ry rhll I m liGnsr u(hr Fovirion of Crtrtid 9 ($lnmmint r h Ssli,n 7(xL) ofDivkhtr t
<br />ol lh. Bu\iB\ rn Pmlcrsioni Cd., dll ny lt.ne t in flll totd ,'d .fid
<br />IAU$.If,U!:UONIENDINq.A(i!!I:I
<br />I h(rc|,y otn,. u'rLr FMlry or trrlUry rh'r rh.( i\ r co.(dcrx,n hndinS .g.my fn rtE FfonMNc ol lh( *ort ttr whih rhn Frmil i!
<br />i\.!.d (scc ltre?, Civ C )
<br />A@!{;ANLDEIIJEAruA
<br />I h.ra, ltrm ldLr Fnrriy ol Fir,, or or rk rolbpin8 &(Lnl bN:
<br />Dcmnnirn Pnm'i.AttBtx Nnifx.ri,n k r.l Rc3uLlio$ (Tilk 40. Pin6)
<br />RcqumJ lrrkr or Mr'rirrnn
<br />,/ Zfl ..n ir, rh.r
<br />'r. r"r","r EsuLrDE (srdins 5h.r
<br />/L\.d,!'rr 'hi I h.E E.dths.n -dnn.d nd. rhd rmrl I rsr !o $nirry * hrUC yrni ('ounry
<br />onlindtuct d Sr.t.l:l(e s diwi orrhir Ciry1r, (i'udy k'..rd qrtnttE
<br />rh^r nrtrrknr,l f','Fnr r,f trrtt.r _^,,. d/-J7-u/
<br />Aa4L-C-ApDli.anl or,lxrnl si[osl n DZ
<br />,"."r"" --,",rr",,, D(
<br />t n].l . Ad,rr..
<br />-
|