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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Sal ety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundino / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />lt/leter Release
<br />Rough
<br />Service Meter I
<br />FINAL tolnll'K
<br />Notes, Remarks, Etc.t-r
<br />OWNER BUILDEN DELC RA'IION
<br />I h.rcby !fiirm und.r ,..alry ur Frjury rhar I !6 c{cmpr lDm rhc Co.rracron l-icen\d l !* tu, rne li,llowing r.aso ( ss ?0! 1.5
<br />Busnrs and Prof.$on Codc): Any Cily or Counr, which rstuircs u letuir t, .oiitucr, ulrcl imfn,k, J.nolhh .r rcp any
<br />sltu(ru,c. prior lo its i$uaRe, als regun s Ihc,ppli..6r r(x such lEmir b filc, \ilned (arcmnr rb,r rEor shc i{ li.ctred pursunn'
<br />ro rhc Eovisions orrh. Conrd.i.is t-iccnrd Le (Choprcr 9. Commcncnrs wirh Secrn)n ?fiD oa Divhn,n I olft Bu\inc\s aid
<br />Pmlcsions C.dc ) or rhr! h.or sh. is.xcnu rh.dfio utulrh.he\isi.rrh.alhgrdcr.nnrn,n Anyriohrn,n.fseri,.l0:ll5htrry
<br />applicanr lor ! rcrmit subjcds rhc o,'rlicont lo dcivilFn,xyornor trhr.rhatr rvc hu trdrcd dolhn ( S5u)).
<br />-1.nsowncrolthcl)rol).dy.ornrycrplotccswnhwaE.s
<br />rh.t solc compcnsari()n. *ill do dr *dt rrl ih. slMuE s nur
<br />i cdL\t or ofi.Ed in slc (Sa.?()44, Bosimss onn Pn,tessnins Cdc: lhc Conrr0cr{n s Liccrs Llw dcs not alply t, r o*Nr o,
<br />rhc pmF{y who builds or impmvc$ rhcmn. ld who des skh wor* hinr\.lf.r h.sclf or rhn,ueh hn or h$ own cmflotc.s.
<br />prolidcd rhar such impoEmnh e nor irlcnlcd n oltciql ld slc Il lf,'wcw. rhc tuikli.g or imnnnenrtrt is sB wirhin on. )!u
<br />olonuLritrr. rh. Owncr BuildLr wilt h.rc th. bxrd.nofF,ving rh h.orrhcdidiorbuiH.rinpDvcttEImtrnyf.rrh.puqx'sof
<br />l.$.*turo,rlrpmpcny.rmcxcld\ivclycoDka.rirgwirhliccnsc.dcontr!.trsbon{tu.rrhcprojccrrS(7().l4.Bu\i"rs
<br />aftl hni\\ion C..lcr'Ihc C.Dtr(ois l,i.enr l-aw (lncs n.i apfly ro rn o$ncr ofpn)pcny who huild\ or innr,lcl rllcrcon.
<br />and who crnnrad\ for ruch troJc.( wirh rContnct'rls)licenscd purn'Jnr t,rheConrrdor's l-iccnsc t.ns)
<br />Ixtr,crLn,ln u cr Sccrrl
<br />D lr (rrncr.
<br />woR(l ltsl conlt,tNs,rrol
<br />u[cLu.trlloN
<br />I hcrchv rrrirnr utul.r rmlryrf Nrturt otrc ofrlr fdi)Ni'rg d.clxlrirnN:
<br />-lhalcmdwillnEirr0inBCcnificarcolConscnlroSclllffurctuw.lknsconrpcnsariotr.0srloridcdl'or6,Section.lTlI)ofrhctihor Codc. for lhc F..lorminc. ol rhc rol' lor which rhc pdnrir n is\u.d.
<br />h$crndwillfrri' rin *.rkcr! co'npcnsrrnn, in\urrn.c. is rcttnircd 6tSccri{,n r7{xr olrhc l,rhor C,)dc. tnr rhc p.rtun,ff(oI
<br />Nlv .oD,Irtrslri,r i'r\urrD.c urlc n Fni.y nurhrr rc
<br />4z5L\fi c-tq
<br />-l
<br />ccnilylhut ir rhe lxrfornmkc or thc qork fd whi:hthi\pcnnn is (su.d.l rh.ll nor cmFbyrnyr.hon nr ntrynranmr
<br />so a\r.t*dmf, bjc(brhc*o ri.oDFnlJlion l!r'sol'Calitu'nia. rfrli8rcc llur ilI sh.uld h.conr ubjccr t,rh.
<br />*.Ad( e'nrcnsarbn provhion\ orS.dn,i.r?00 ofrhc uhtr Cdc- I rnlll. nlnh*irh (rnnpl, *irh rr$* pmvi\i,,n\
<br />WARNIN(;: rrilurc h {curc workcr( compcnsiliqr co\cruc r\ unlnqtul. nr \h!ll {,hjccr un cmpl.ycr ro dminrl pcnrlrh\ rnd
<br />cilil finc\ !r, h onc hundrcd rhou\and dolhr isl(x).Olx)). in addiiion r. rh. co( of .onrncnsario!. da'm8c! rs prolidcd f{n rhc
<br />;;:"'?lci ;-'""
<br />*'l;;;' 74-Ll('FNSllt) (UN ru.\UT0lr
<br />IIJ:LASAIION i
<br />I l[rcby.mnrundcr p.nalry uf p.riury rhdl I rm lien{d ondc. Irovtion.fChrpr..9 (ft,mm..i.8 wnh Sdlbn 7000) ofDivision l
<br />.f rhc Blsincs lnd Pmlcsions C{ne. ,nd ny liccnsc is in rull foN lrn cffc.l
<br />t6oL/,cG7c-( o
<br />7 11
<br />qNSIf,ICIIONI.ENDAGACINCI
<br />I hcrcby.mrm undcr FnlhyolFrjury lh{ lh.rc is a connrii,n h.dins rg.fty ror rtlc prlorntrd olrh. w.k for $hicn rht lrnnn is
<br />issurd (S.c.:1097, Civ C),
<br />auj.lcaNfDticL$ uqa
<br />I tinby linnxhd$ nrialry ortrrjury onc orrhc fdk,wnrs dcclarBtions
<br />tlcmolirion Permils Astcslos Norificalt,n l.cdcr0l Rcsuliriotrs (rih4{r. Pndi)
<br />Reqtrn d l.rrl.roT N.riltrtio,
<br />I.cnrfy rhrr rh. r.d.Blrcsullri.ns r!rlnrg ash-*o\ rcnm\rlarc forJrlli.nhI k' rhn pn,jcrr
<br />I ccniiyrhal lhlr rcldrhisrppliclrtrtrudnrlcrhd rhc rtnvc rtr,oxMrion t.oral I rEeroconUrly
<br />ol(linan dsrtr SrarcllwsrchrinsrohiklinEcon(rucrirxr.ondhcrchyaurhorizcrcnre\cnrrrilcsolrhisCiry
<br />,\pplitunt trr AI.nt Sianolrr.
<br />', D,.<-
<br />'JQDC k
<br />rndCounrJ n,cnr.ruF "ht
<br />{/qlr
<br />t;ql
<br />APPROVALS
<br />)-./L
<br />I
<br />rtx^c'mnii,,ncJ nmpcny,nr i',\pccrion
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