|
li TRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COfuMENTS
<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 />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Roush
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough
<br />Service Meter /,4
<br />FINAL 3-7-24 c).*ryl
<br />Notes, Remarks, Etc.
<br />o\r NEk BtitLDER l)ft t"{'AR4t]0r
<br />I hd.by lllmn undd FElly of Fju.y thlt I ffi .xmpl no'r llE CodrdoE l trcu li* lu rh. follo*ins ..an (Sd 7011.t
<br />Buin6s md Prca6ion Cod.): Any Ciry or Cou y uhich rcqun6 a pdnir ro cutrntucr. dtd, mFovq danolni or r.p.t iry
<br />rdu.. Fi,r lo iB isu c., rbo r.qut6 rhc rpplicer lor ruch p6hrl !o fiI. r lqrcd ndEMl rhd lt o, ,h. u licd!.d FltiLrl
<br />b th. FolilioB of dE Co.udoi! Lic..s.n Law ((]$pG c, ConE..cins wilh Sdrirn 7000 ol Divirion I of lh. Bdit dd
<br />PrcfNioN Cod.) or lhlr tE or slE n a@pr rh6.tom d rhr h.rn lor rhc nhs.d .rmFbn. Any vhhn'n olsalion 701 I 5 by uy
<br />applicul for ! paFil eubjat rh. lpglicst ro !civil pcohroloor eE rhr nlc hundEl {hll8 (1500)
<br />L e ow ot rh. p.oFiy. or dy dplo,6 wi$ 1186 a $d sl. c.mFdiotr si[ & ln. mrl !d 0E rrurE i! ml
<br />i a!d.d trofrqd for rL (Sa.?044. B6u* 6d Eoaaioo Co<L: Thc (tlrr&ld i ticd L.*'do6 ml pply lo eow oI
<br />th. FFty *,lb hriliL tr in ..€ tlEo( nn wb &6 edr s* hiNclf or hdylf or tlmu8h hir (, hd on @plo]6.
<br />prorid.d th, ech i'qlvoEn! E Dl irod.d orolEld for $lC I( ho*M, tlE [iLliry d inqsdEi it $B wrhb ffi Jd
<br />of o'pldb( rlE O*E Brrldd win hlE rll hnla olFDvirB tlE lE ot tlE dil dr hiB d inpoE rtE FrFl,6r tlt F pd.of
<br />l. a olc of rh. FoFiy, m d.lci*1, codxluU wnh li.aE d codr(oE ro on ncl rlE Fl6t (S<. 7O{4. &6ltB
<br />r.d ADtsir Cod.: Th. Comrdoi! tictr L.r dr,6 mt rptly ro 6 owE ol FoFry s ho b!rl& o. improv6 'hs6n.ud *tF @lf!.r! ru ech Fj.(! wnh ! Conn tdl!) lilB.d Fr6qd b
<br />'h.
<br />Cotu-c r k@ t,u ).
<br />I m .rdF urda Salio,
<br />D.r.: O*n6:
<br />UOIAEALIIqUIEdTAIQ!
<br />DECIJSAI{I!
<br />I lE.t'r' .rm und6 F!.lty otFJUry on. ol th. lollosnu <t.hr.rioB:
<br />I h*r -d will Eid.ir. CdrifEd. of Coe'r lo SdllM for @.td ooFrrio,\ . FowLd tor bt sdion t7@ of E
<br />L.tG Co& fwrlE Ffqll&. of d. vdt lor *tlth dE p6in i! iq.d
<br />x,h!v..id will mirtli, *o 6' onFM6n iMlec 6 rotuitrd h S6tsn 1700 oldt L.t!.r Co<L. lor rh. prfut1e. ot
<br />Myuort6 oEFsEn ilEru. ctu rn pol., n@bd ft
<br />4,ru.t -z:l-r1!l'",dc1to 7 *( att-
<br />I cdirytur ull* Ffonr@. of th. worr fd whkh th6 F,trn n.$.( I rhrll mr aDploy ey Fsn b sy nuE
<br />e alohaoEr i.<r rort h 6 omFMion trs! ofcdifomit .rd qaE thd 'rl rhlld b<oc $bjet torlt
<br />snrl6' orq6llbn FovnioE ofs..ron I700 of rlF L.&r Co&. LndL fonhwirh or.el, q nh rbr Fovi!.B
<br />,
<br />wARNI\G: railuE b sE. $0116 compdEbn Nv6!s. s unL*rul. ttd !h.ll tut <t o oplllF to cimi.n Fdb !x,
<br />cril 6.6 up ro oE hudr.d rhou!.nd.blla (llm,ooo). in.ddn .orp.urion. dm+6 ! F i].d f.r rh.
<br />L$o. Cod.. ddd sd droflEy.s ac
<br />2.-
<br />I h@by amd undd podry olFrjury thd I m lic.,el k'n of CbdE 9 {con:jmulg wilh SdlDn 7000) of DirBbn l
<br />of lhc BBitB ad Aof6io6 Cod., al ny l(.e ! in tull fore drj.lld
<br />L ".*cb$ C)vLl|,Llt tc lD ,**"n,d{o7(u
<br />o,,".7l pln^'*K
<br />I hftby a,Im undcr pqdlyolF jury lhal rh6. E a con1run6.m{.so., ao. rh. pdfonMc. oarh. mrl tu which thi! Fni ir
<br />issu.d (Se. 1097,Civ. C ).
<br />L€nd6 s Nd.: .--
<br />AEILICANI.DECI,A8AUA!
<br />I hdlby a.{fm unds p@alry of pdjury o.. of th. tollowins dclealioro:
<br />D.mfiion PmneAsb€ros Norification l.ddal Rqularion! (lirl.40, Pin6)
<br />R.qutcd lixr olNorifdio.
<br />I cd it lhll thc ldldal r.sul.lioa cg&dihg abdos Gnoral d. nol amnclblc k, rhir lm ldl
<br />#**x,';:;;y;r***rhi rh.il$r. inf.m,i.n t..rd I .Bre b c.nply w( h lllCilylnd Counly
<br />.ulhorie rgrendi!6 olrh& ( n, !,J C.unlyro 616 uFn r
<br />abov. Mrion.d prop.ny fo, iNldion
<br />Appllc.nr or ASor Sitnrtur.t lrkzr
<br />Rev 0B-07'2015
|