|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNT'TllUII,DE& DTTI,CARATION
<br />I hcrcby afrnr u cr p.Dalr, o, Frjury dd I ..x.nDr fbm rh. CodncloR' LilrM tiu lor E follo*in! EMn (S.c.70115
<br />Busincss ,nd Pmlas$nrn Codcl: Any Ciry.r CDudy phf,h rcqurc. a pcrmir ro onifl.t. rlrcr, impmvc, d.mlish or ep.tr sy
<br />ntucruc. pri} ro irs n$aN.. itqr Equn.s rh. alllican lor sucl p.n to liL r rirEd sr:r.nEn! rh.t lE or sh. is li.ctr*d pusa!
<br />ro $c prcvisionx otthc ContKroas l,iccn*d lf,! (Ch.Ac.9. Conrrcrci.8 wirh Scdnn 7l)00 of Divkion I ofth. Bosin.s dd
<br />Profesions CL'de) orrlEr lr or dr ir.x.n'fi rturctoDrnd E hars forrlE allc8ed ckmprioo Ar, violarion ofS€rior 70ll.5 by My
<br />opplico lo. o p.nnir suhj(rs rh. applicdrrorcivilp.Mhyornormrclh,nnv.hundrcndola^($500).
<br />l. $ oler.lrh. Omrcny. o ny.'n0loy.cs wirh wi8cs rs rhcn 5l. cono.ndion. silldo rhc *o* a'd.h. stlww is mt
<br />inr. d or uflcral Ir sL (S* 7Ur4, Businrss ,nd Prolssions Cod., Tlr Conrerols Gcds. L., do.s nor .pPly ro u own.t ot
<br />rhe IIDp.ny vho honds or i,{mE: rLtu4 rrd wls d(s sh $olk lins.lf or lErslf or rh'otrgh hk u h.r o*n.nploFs,
<br />provihd lhal sucn nn[,nrmds e ml imcndcd .r .llq.rl Io, salc lr. ho*cE, tlE t{ildin3 or nryr.wft'n ir sld *inin of y.4
<br />ofconpbnr E OwEr Blill.r wil havc rtE h{nLn or proviry rlq lE o. sh. di'l d bui! or inpmvc dE pDpoq ror d. prFe o,
<br />5-4, n. o**. "r,r," p,.p.ry. *h cxctusnrly codr&in8 ,irh li..tr*d .otueroB ro cusrrucl rrE Foi{ (s&. rx4, BusNs
<br />arn iioi:ssin Code Th. Contccbi'i Lftns. tlw ddr nor {ply ro otr over of pop.ny *lto buildr or ir,pov.s rh.m..
<br />and vho conuds ,o, $ch l)rt,J..ts *irh r conrftro(s) Iiccncd p!r@ h iE Conu..rq r Lt4* kw)
<br />&u,aurpr uraq sctp
<br />u1)tsKEBltl!)lr$ll ra!
<br />I)Ee! 8t[IL9!
<br />I lErcby alltD u.d.r pcranr oI pslur) otu or rtt lblt,wiiS dccld.rirB
<br />-I
<br />h:v. $d eill ndn(.in r c.nrn(aE uf coNc to S.llltrsuE lor *ol}c Lu{Gnsarion, a ptiviJ.d lor by S.cion l70O oi ttr
<br />Ijru Codc, tor thc Frlonr$c ot thc eort fd $hi.h rh. pd.rit ! isrmd.
<br />_l hay. and *iU nuinrdn *ork.6 cor{E,sarion iNuhr.., as Equt.! by Sarion 3700 of th. bbor Cod., for rh. FrfonE f,. ol
<br />$. sork for vhth rhis tt mir i! i's{d. My ,ort.B mhp.Mion iNuIec cMii ui Frliy nunhc, m:
<br />PolicyNumh.r: ErpiEs:
<br />S_! e'1it rt r i, d. Ixrf"*.id or rlr work rur vhich ns p.rBir N ssu.d, I rhlll nor cnrloy any p.don s ry m-rcr
<br />s as ro hccom subj.ct ro ihc w.lk.N .onlp.ns.ri.tr laws of Cihfomi!. and ryrc. rhd iI I Jhuld b.com sbjcd ro rtE
<br />soi{ss.onU.n\atio.p'oli\iuBolS.diunll00otth.tiborCDd.,Istull,fodhwilhcotrp!*nhihosprovGions..
<br />WAI{NING, F ilurc to €cur. *or[.n comp..ssrion c.v.tu3. ii unl.erul. ond $all subicr an chplor€r to diniMl p.niki.s nd
<br />civrl liEi uI' b on. hundEd rlousa.d dolhn ($loo.Uro). in addiriotr b rlE uod of conD.'MtioD. dffi3.r a povid.d fD. rb.
<br />S.clion 1076 of thc t:tni Codc, inrci. .nd dNncyt L.s.
<br />3 oi? a 1ro/or / uuS
<br />ucENsEp-cqNr&cro8
<br />DEqdAAIIAN
<br />I hceby 0Jfrrh urd.r p.Mrry o, p.rjury rhd I .nr ric.nsJ uBl.r provlion o, Ch4rd 9 l.omENi,8 wnh Sation ?00o) of Divisio! 3
<br />oa rh. Busiess dnd Ptuf.siotu Cod., rnd m, lic.n.. I in lull lorcc.nd cll(t
<br />Li.cD\eClJS l,iccDrc NurnDr:
<br />g)ISII.I]qINJENDIIGIGEBSI
<br />I hcEby .mrm und.r FDlty ol pcriury rhd lh* ir r c.nsncrion hndin8 .8.rcy lor tnc Ffme. or lh. vtrl for rrri.h thk p€onit i3
<br />issu.d (S.c. 3097. Civ, C.).
<br />AITUCAITLDECIdBA!!9!
<br />I hsd'y afmr und., Foaly oI tf,rEr, o,! of thc fo&,ri.3 del{ariont
<br />Dcmlition P.rtuit-A$.stos Ndficdon F.dchl Rcguldioni CInh 40. Pd6)
<br />-R.quiEd
<br />L,ucr ol N ituati,o
<br />_l ccni& rh'l th. lcd...l r.Suldio6 rc8ndir8 arb.ilns Emvd G mr aprliablc to 1& Proj.d.
<br />ttl cality th{ I lur Ead lnis +plksrion .nl {!rc rlr.r rlr !h,vc inlornurion n comd I !c@ ro 6nply qirh rI Cay ana CouDry
<br />ordilEsd .nd Star L{rs Ehrins ro buildinr codrcrio dn h.rcbyruthori2! rcr.crMlivcs o,lhir Ch, ind cody to..is upontr
<br />!hor. ftnli.,ktt p6Fn, ror in.Fcrior purFM.
<br />Appln nlorAEflrSipn.r g4z'
<br />,5a /va/ar l,-,n(
<br />**,5/7/so.t,
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor tt.Z
<br />Bonding / Grounding / UFER tT P/Tt r) cn/ Er D /
<br />Transformers t
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soff it Bouqh
<br />Ceilinqs (T-Bar Rouoh)\I
<br />[\,4eter Release 1 4 Vt)X\dL -+T d t
<br />I I
<br />Rouoh I
<br />Service l\/eter tv /l )a-t- W67
<br />FINAL ql'rz
<br />"4 >&lAJ,^t+8,Nptes,,Remarks, Etc.
<br />q 6v
<br />J {L DCu
<br />I lr
<br />Rev. 08 07-2015
<br />c
<br />1.7-
<br />> Dff-n
|