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ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor AI
<br />Bonding / Grounding / UFER h- 6-,ktlh,lh
<br />Transformers 6-but '*r
<br />Torqueing 7
<br />Sub-Panels l/l)
<br />Air Conditioners /)I
<br />Roof Top Equipment v,w[\
<br />Factory Wired Unit
<br />Walls Conduit) 6a;-,. a'2 lA
<br />Walls (Rough) \'*-'a-o-1 I
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 6-6-1
<br />Notes Remarks , Etc
<br />9
<br />OWNER BUILDER DEL('ARATION
<br />I hd.tr drm und.r Fdry of Fjlry tl', I @ .r@pl tot rh. ConlrdoR Li.dr L.w for rlE huo*iry rs]i (Sq ,oll 5
<br />EsiIB !n Profdbr Cod.): Aly Cny or ClMy *nkh ..qui6 . FDi to codM. .16. inFore &mlit! or lF.i i't
<br />md@. Fu ro t! Bulrr, .lo ,.qi6 0r +pltdr ror tct Fni! !. nL. iisr.d qrald rhr lr or r'. a licoEd Ftulr
<br />ro rh. Fovniod of r& Contr.crdi Liei!.d L.w (Ct4r6 e, ('olmcin8 *nh Serion 7000 ot Divirio. I of rh. Buik od
<br />P@fsion. Codc) or {ul h. or dtc i dd,l rhdcfroh Ed rh. b.rir for lh! dLg.d doFhn Ary violdion ofsdbn 7031.5 by uy
<br />spliut aor . FEn $bj<l! rlt rpplkd to..ivil p.ulty of hl ma lh& nr. tun&.d doll-! (1500)
<br />_L d o*G of rrE FnFry, d 6y orphr@ wnh w.s6 6 rh.t sk onFs.Ibr, will rr 1II. *st rn Enn E urcr
<br />intadcd or oll6.d for $L (Sa.?o44, BqilB rd ProfBio6 Code Tlc contEclol r t-ic@ Llw do6 nor ,9?1, ro o oMd oa
<br />$. rr.Fry sbo hriltb d inqo6 rndE( irl uls dE *h Kri hilEll or h€*lf or llNu3h hi! or ha oM dph,<
<br />Folir.d ihr ult itrFoEd e ol irrd.d offq.d t rL. It lDrw. r hoildiB or iryo€ld b $ld rihn tr ]a
<br />or@ry&ia lh. OrE turh *iU ltE t hrda of FDvirB il{ lEd tr dn D' hrild n !,gDF ln. FoFry 6r llE F paol
<br />_I. B o*c ollhc FogEr'. 6 nclBir.ly co'uEritu \'!t lrs!.d mtuec to onrrucr rlE Fq.rr (56 70.t1. 8r!IB
<br />,n FDhir Cod.: Tt. (.D'trdq , Lke l,* dG @r @ly to ! o*c of FoFr, r'ho b.ild. or imp.or- fid6r
<br />lnd uho onrr&1t for rBh FFr snh ! Conr(o(r) !i.!!.d Flllld ro rhc Codrctd r Ltce L.{)
<br />I u .roB ,nd. s6rio
<br />D.r.:. Otrr*
<br />$ oR(rns- aonrpENs^rm,{
<br />DECIdSAIIq!
<br />I hd.5y rmm !..1d FEly of p.J!,, oE oirh. folbvi.s rk<lgnio6:
<br />I hr. rt *ill @Dim. Cdiar.r. olCo66t ro Scl!|EU.6. wldr conrFstim, s Foviid for b' S.nir 1700 otrlr
<br />I$.r c6d., lu rh. Ff()lr1ec of rhc wrt fo. whicfi rn pq n ir is!.d.
<br />,l hfl..rd sill dinr.b wi(r onlld{io. i[umc 6 Equed b} !<ii.n l7m oatlE t bor (_ode tu rll F6mm. of
<br />lh. w* lG whth lhu Fnn i iE d My wl6 oqoErirn ilEllla.6t rn pola, nMbd ft
<br />_l cdiryrh'r i.rh.pai,.rlm.otrn *ort lor which ltn Fmtr n Bu.d. I 3fi.11 tur drploy sny pd$r h &t hai6
<br />$ 6 ro b6oft iubj<r r. rlE wrt6' @mFBdion la*! ol c.liromn! .!d lsG th, if I rhould baonc 3ubjet ro rlE
<br />q 0*6 @trrr.Nrio. FovirioB of Sdion l7m of dE t bd ( od.. I st lL fdlh*nh @m9ly *in lho. FoyilioN
<br />WARNIN(; Failur. ro s@ wortd onrEldion €ov6rs. s unl.{tu|. .Id stEll lubjal e orloF to mul FuhE i.d
<br />.i!il nn6 up r. onc hutrdart rhousd doll6 (1100.000), in lddnion kr rhc cor ol comp.Brion. d!.!e6 a provid.d for thc
<br />sdti.n 1016 otlL l,try Cod.- ilr6.d !d ddEy r aG
<br />1,/a /rt X,wIEESAIIA! ,'
<br />I ha*t .lIrB !.dd Frty olFJ!ry Or I e !.6.d 'rib For6D! ol Cn Fs e (@nffiEe *'. h Sa(.. 7o(tr) .l Dn i!i,n l
<br />of rn BdiB &d P,Dbbd Co&. !n ey li@ b n tuI loE ad cfiqr
<br />,,.," L/a1t't (
<br />SI!AIA!CII!TNI.!!DI!IiIC!!CI
<br />I h!!U) .llm lnda ttEt' of Fjlrr th, thd. it . odMhn bnirB +G, f.r rlE Fftffi. of 'is.d(Sc 109r, Ci! c )
<br />atrllcatr.lEct4Earlo!
<br />I ho*r'!,rm !n Lr Frhr oa Fjlrt on. ol lh. follo$in! d(Lr.r b6:
<br />Ddhldion Pmire^lbdt6 llorifE rion F.dd.l R.sulri(E lTnt,10. PJ16)
<br />R.q0iEd trlf of Nrxif<dirn
<br />I .dify iht rlE fdrs.l GguLrird rqldrls stdos r6m\ .l r. m! lp?ltlbL to lt! Foixl
<br />-l
<br />cd,blhd I tEv. Ed rhi.ppl-dion an !r.rhd rh.an'r. inlotuion 6 mtrd. I .tc ro .omply *nh .ll ( ny rd Couiy
<br />ordi@.6 ad Std. tr*r Eldine ro brildq connruclion. rnd h@br.urhon7. r.prBot'ln6 of thn Cny Ed Counlyto 6rs ur{n th.
<br />!bov. mlirn.d FoF t nn nsFli.n
<br />,tpplidnl or A*dt sh6.l!a t1o/q
<br />tr;lll
<br />sfrtlN
<br />'ata
<br />III
<br />/-'6n'
<br />\-,/4r\
<br />'l'v-w-
<br />Y'\t#01
<br />q+9tr2
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