|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Boof Top Equipment
<br />Faclory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Ivleler Release
<br />Rouqh
<br />Service Meler
<br />FINAL (ltu/,,g4(W t,!
<br />Notes, Flemarks, Etc.
<br />OWNER AUILT'ER DI]I,CARATION
<br />I hrchy rotm uBld Fndr! or Fr,tlry rhd t m .r.irv' rtr,n rlE (r tr'.n Lt nc ll! ror llE follo*iq R,sn (s.( 1)lll 5
<br />Burimr. .tn Pmfc(i,. Cd.) A.t Ciry or Cady uhth r.nui,F r rsma n, d,dRr, rlh, infmta &n,!ih or qrr ,
<br />nrudurc. rinro irs iriurK, !l{r rcqnia lr ltplr! tu\khFm ro fiLr n8En sldkmd rhlr lEor il* i! li!.En punud
<br />l,' rh. I)fl)viai,rn. of tll c.nlrNnn s Lt.nsd llw lchq'lcr 9- Co'trmrcins *ilh Sccrn'n TllD or Division I ol lh. Butin.$ dd
<br />h,rcr{i,nr ( o<k) ff rld lr G rlE n crcq'r rlE!6om.d rlr i.\ir tu ilx dlcs.n crdrrir Any\hhrhnofserhn?0:ll Jhyry
<br />.ppltn r{, ! IEmi! ohFk rlr rfl i.rnrt'..irilp.Nlryotn dr.rh.n fi!. h!.dEl d.ltus (SJIX),
<br />l.a\nwEroarhu|n't{ny. 'crrlr\irlyro ta.r S $ irh ti..n\.d .oitn tr\ t, ..n{nd rlt tmj.(r rS( 7( g.l. Burims
<br />Pn,li1\n Codc l'h.C.nti.rtr-\Li(ctr\cl-i*ddNmr{'nlyr.!..\n.,olImpcny*tx'fiuild\trrnnp(^t\rhcnrr.
<br />trlt) n,nr].h nn uch I,oFr\ {irh r (i,nih-.ntrr\r lrcn\]] ru'\olnr rr rh. (i,drto1or \ l-rene lnrr
<br />I 3n,.ranni uf,,l.r S(rn,n "4
<br />I hcrchy trn nn un!e, r ntrlry or pcrju'/otu ofrlrc rblk,r\
<br />Dru.\&[tQt
<br />_l h.\ c ,nd tr ill mi' .in $ork.r' .otr{*nilri,n ihsxrrtu., rs rdtur.tl hy Sdl rrn :llur ol llx L.tnr (ine . fo. llE Frfollle. ol
<br />rlE *sl a(r rhkhrhr Fmi! i. rud l\ty|(trt6 $riindir. rhurtrmc.uir riF l.y nuniF m
<br />-l
<br />cenilyrhar inlhe plrlorE.cc olrh. *o'k l{tr shichrhi\ Frnnr n,sucd.Irhrllmr cnlfn'ylnyrrqrn in ynEnmr
<br />v) rr t, h.(rnr si'F1 h lhc *0*6{ NmIE.qnFn lr*r ol CaiiLrni.- rxl lgr I hnl it I sh,lld lrr.'ft tuhj.d ro rh.
<br />r0116. (rn!Fne! kr. tmrrirnt oi S.a-liln l Tur oa thc I ihr C(h. I trull. fdhr irh sq,ly c i'h rt$. F*i(io.s
<br />CO!IISII(I:I!JNIEBDII!!;.{{,i!ITCI
<br />I h.rsy drrm un&r FMlry .1 F.,ory rh, rlrR n . on<nk1bn lcnding .8ttry nr rh. FforNft or r,E eorr n, ahth rhir Fna i
<br />nrEn rs&. $97. cir c r
<br />l. d.r'! Nrtr
<br />-
<br />APPLIC NT DtT('I AT{TIIIN
<br />I hmtryrmmu Lr Fnolry of,EUory oru ofrh.lolhsin8 dcla..rienr
<br />D.mlni'n romnrArh..tx l{r{iri.{ion rrdlrl R.3uhr$n{ rTi'L tl). Pd6)
<br />R.9utrnl triicr nr tnifr.lbn
<br />-l
<br />ccnlyrhdrlE Lrkralrrlbrsnt r8uiin3 !d-{.! r.nrrl . { lml{.hk
<br />'o 'nir roFl
<br />.nlnrRc\ E{, Srrtc lj$\ rchi.t !(' hxrld,nF.on!,!.nDn. r'rl h.rcht inrhrrc rrl"c\ctrrrri\.\ olrhi\ ( ir! md C.unrv r).nrcr qrr rlx.*.r'"tr^'*' ,t, pL
<br />:::'::::^'" t' 2'* k6* ,.'"" E/" o d''<
<br />COMMENTS
<br />Site-Work
<br />_l.u\nwmrolrh.I'fl'Itny,itrmr!'nrhr.\wirh*{B$rirh.irq,kcon{rnuri(,n,willd,rlrwtrt. lh.nturenI
<br />dcnLd ,r ofi.rii tor ak (Sd ?t41. BuriE( lnd Pnrf.(r'n. Colc fu cl)drB*r\ lilnE lr* &xr d ryly tr.n owmr of
<br />rlxFrdy Btn rxiBr 6 iqmts rhqs. n wh, dE u-h *,I h'h(lf or h.rElr or th^r8h his d h.r oln ci?l))Er.
<br />nn'vided rhur ru.h inlruEEnh m mr d.n cd n ofiekl a(tr {L lt bErs, rlt trildiry nr in{,rcE Eir k sld qirhin .m Fs
<br />or.dnfhrim, rh. osk. BuiLkr *illhr$ lh. hrttrn orrolirrS rhar tr or rlf, dn Bn hild,r iDrn,E rh. Pnrrdr lir ItF IUrFc.l
<br />-l
<br />h.!r an tr ill rrmt.in r C.nrrE.r. ol c.,nqr ro S.lr ln.uE f( *irr6' o)nlEnd r,n, ., rfrvrldl tu by Scr0n I7ln of rlE
<br />tihor (lxL, ftr rrE FrlrnEm or rh. wrl tu whth rlE Fmil it FrEd
<br />WARNIN(; l'lrlurc h <urc xo,lc^ utrqrnsrrn.,r(rFc i\ un[*lul. urd $oll suhF-l !n cmpk'r$ r. diminlr ttMhar dM
<br />.N'l liftr up ro Dr hundrn rlx,uunJ r,<nhF (llr'o.irrrr. in aildnrr h ll* dl{ oa mtrtE.qiion, drtu$. r. Foritcd nn th.
<br />snrr,{,16,,,,h., rhn cd. *
<br />;:;MU7-
<br />I h.Ehy !mh undd lroohy.flErrury rhd I ! lEntlj u*hr Fovthn nf Ch{fid 9 (r.Ilmn ing w[h sdbn 7lx,or ot Oivnii'n .t
<br />of rhr Bu\in.( Md Phfcsibnl ( od.. id trry lhcn€ n ir full fo(r oxl cllecr
|