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ELECTRICAL.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<br />Site-Work
<br />Underground
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER Ll rJ (ruxtq)
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)I
<br />Meter Release q II,\") )41fi
<br />Rough
<br />Service Meter
<br />FINAL \o utt(ri)
<br />Notes, Remarks, Etc
<br />I d_cfct4
<br />(
<br />OWNER BUII,DER DELCARATION
<br />I hd.tt .lIm un&r pa.Xr of Fju,y lhr I n a6!pl 6!d $. CodncrB ti..M t.$ 6r tlE frllh{iry lei (Sc 70] L5
<br />BciK .,'d Pmfsbn Cod.) Any Cry or C@ny *tth rcquiB . Fmi ro odM. s. htmq ddmli'h 9i ,tp., ur-
<br />lrrucrE Fo. to tu iswcq rbo EquiB lh. @pli.dl for !u.h Fmi' ro 6k a r{n.d sldtul lhr lt o.slE i! li.G.d ,610l
<br />ro rh. F.vthB oa dr Co&..b.! Lr.n*d L.w (CII.FE 9. Co@Minr snh s<ri6n ,000 of Diviri,! I of ll* BBand dd
<br />P.of.*sE ( o&) q rhd i. ( rlE ! a6rp( rndr&om -d rlE hGi3 lor th..llq.d ddlgbn ArytnldD.ofsdbn?0ll tbuy
<br />rpplicor t)r r pdrbi objelt lh. .rplicml lo . civil p.ehy ot ml mE th& fiv. hu.d.d, doll6 (1500)
<br />l. 6 osE of rlE FrFrr, s iy llphtG $nh *.s6 B dEn $k @np.Mi,n, triI 6 th. yul rn dE !'*rft it d
<br />IrqrLd rotrrd tor sL(S6 701-1, &!iB ed ProfdioB C.d.: Tt ( orrnd '.Liqglrsdo6drylyroxo\mof
<br />th.plopqry s'ho hil{L o' irymG lrl@i. ,d *h. &E $ch mll himt.lf or h*lao, ttNust hi. or hq o*t aployG.
<br />FoviLd fid sh rp.oldllfu @ mI ndd.d n o,H 6r r]. l[ lbr6s, irE hldd!{ c nFlrqFr b sld *ihi! oG ]r
<br />oroflFldia lE 6G &rldn Hll brE UE hrdar ofForir dr lE c tr rliil ml t!'ld !r+@!tdEltoFr,6. t E F,F..of
<br />-t.
<br />6 os E of ttE F,!aU. m d.lqit.lr.od.rl hg $ ah li(@d .. n6lo o.dru.l llt Foj.tl lsft 7014, EuIE
<br />!,rl Brtqr(bd. ItG Conlrr.loit Lic* L.r &6 ml tpply lo r otrG of F.F , rt hti!& or inprev6 tt66n.
<br />lod wha co'nEd! for 3uch piojd! *nh ! codr&!o(!) li.cu.d p66 !o th. comridot t l-ictu. lrw)
<br />-l M.roF u"& s..li,n
<br />D.t. Oan.r
<br />woRKrrs-aoME sarron
<br />DECI AR TION
<br />I t6.by .lrm undi Fnrlry da Fjur.v o.. of rh. aollosng d(L,dio6:
<br />-I
<br />h.vc .!d viu oot.h i Cdilti. of (tE to S.lf-Iffi 6r wk6! @mFurioq 6 FDvitLd fn bt Scrbr l?m oto.
<br />lltor code fd rlE Ff(ffi of tlE *v[ fd snth rl'. Fhir b i$.d
<br />_l hrvc.nd siu dii6rri.m (i comF6llion i6ue( 6 rcqun.d by scrao( l7o0 of tlr lrh.r Co&. aor rlE Ffotu. ol
<br />E rql ld *nih rhi. Fni ir i$cd My sqlo o!,FEibn i!El]ld. ffir in ,olk! norbd r
<br />c*,,., A ne,;co,r, Zv tulz't
<br />_l cdifylh{ inrh.Frfomnc.ofrh.*oll for whichrhtFm,r i! iBu.d.l rhlll mr otl 6.1 |.rsrn ,n any 6trffi
<br />, E to bare $bd ro lb. F,r6' @iFri6n Ls. olc.lifomia lrl cr rhr 'r I srruU baoc ruti.r b 'h.s*6' oEFsaior ForirtB ofsldo. 1700 ol rh. L&r ( ode I idl. fontunh mod) snh rho* pro\i3ioE
<br />|+ARNING t.iluE t. ffi $rtd' omgcrion ovs.s. b uL\'tu1 id.h.ll stt ( e @ploF lo aimud Frrb.ii
<br />cilil 616 up ro oe hudrd thols{d &lbr (ilur,@o). b lddnio. lo rh. coi of .omP.Mion, d&L36 6 FoviLd fo. tlE
<br />Sdrio. 1076 of fi. Lrb.r Code in'6d ud lllm.y ! ac
<br />z lr^ I t.1TT-
<br />I hdby .ttm urds D@d] of pclury lhr I @ n of Ct orq 9{snoBllB $nn sdhn 70(D) otDnBhr l
<br />of rh.8dN !i emfsB Cod.. .n oy lrG n D tull for.. nn.fid
<br />C.o//4C
<br />,,r,,, Zfi(11<
<br />I hdby lmd udd p..alry u I Fjury lhd
<br />'hs.
<br />n .
<br />islcd (Sc !09?, Civ C )
<br />rsocy forrhcpdn)nh.nrcofrh.wolk lor \hi.hrhN Fnnn h
<br />ATfIICAULIECTJAAIIA!
<br />I hody .rm und.r p6llry of Fjury on. of th. foll.oing d< hnlioB:
<br />tlmlhior Pmne^ltd6Nor'L n. falarl R.suldio6 (Tnk 40. Pd6)
<br />-R.qut.d
<br />ldt6 of Norilicdbn
<br />I .qriry lrlr th. f.da.l EglhbB E .di!s dbdd roDr.l e Dl irpl.tbL to rbi! FDj.tt
<br />-l
<br />cqrit rh.r I l*c @d lhi 4'glt lion .rn !l.1. rhd dE .bv. haonrd i,n ii cotrdl I .sE to onpl, wilh Cny.dCouly
<br />odtunc urj slar. t,$ Glii'rs ro hr li.l.otuior ald h6.b n6 ol rht Cnr- !i Coutrrt ro ors uFn $.
<br />3h\. nmri)n.n FoFlr n{ GlEnru puFc
<br />Appl.rrt or Atat shn.lur
<br />P*t* ^^" tc;"'t' (': 2 7a1-'
<br />,/,ol,l
<br />Pole Bases
<br />Sub-Panels
<br />t,,1., N"^k lr.,/L 5 an,o I >
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