ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS OWNER BUtI,DER DET-(' R TION
<br />I hscby ,mrm u.&r pailry oa pdjury rhd I &n dopr from th. ( o.tr&tw Licar. trw for lh. tollowihg r@n (S( 701 Lt
<br />a$in6r .,n Profdion Cod.) Ary Cny or Coudy *han ,cquic r Fmi to .odrud. rh6. ihprovc &nolah .r r@.n Dy
<br />rrud@ Fi{
<br />'o
<br />fi *le.. .ho rcquG rlE +pltd lor Mh Fmn ro 6lc. rbn d cidiEn lhr lE d i. u lk.tld F Jlr
<br />r. !h. FoltioN .a rlr Conrf,ro.. LtmFl lrs (Ch4rq 9. Comdinr wnh s<thf, 7000 ot Dnirio. 1 of ll! BBi6 6d
<br />PR,fNiors Cod.) or rh.r lE or 3hc B odpr rhddso &d rh. 6..L i.r rh. rll.8.d .rdfli.r. Ary violll io. ofs.crrn 701 I t b, ..t
<br />$pli.ot lor . p6ni ubj6t3 th. 4plic rkr!civilp.EhyoImlmrc$dfiv.hu.di.{d.ll4(t5m}.
<br />L s o$c of tlE F!F!). m hy dphld rnh *rs6 s rh.t iL omFdi,n. trill & llE q* !d tlE ii.tG ir Dr
<br />llndtd.d o, olld.d for $L (s6 7044. Bdi'B &d frofr.rhB Co& Th. Co.nr&lql l-rae Lr* tb6 m' +ply 'o
<br />e osE of
<br />rh. Inolqly *lr hril& or nprDr6 Eatr xd *ho &E sh mtt hin!.lto, tdclao. $6urh hi. or hd oM.mpl.yG,
<br />Fo! .n thd $.h inForqFi! e Fl irad.d oro,bqt rd 3tt I[ lb$6s. tlE ho'ldlr or inFlvqEr i' sld sahin m tt
<br />of(on ldbr ir o$G Boilta ri[ lrE rlt hrr,ar ot Fowt lhl lE G ,i dd or bild d ingb\. ttE FrFy 6t ll! F4o!. of
<br />l. N os,6 ofrlE pmrqty. m dcl*ivcly c(nrrelinll *nh li.e*d o,'lrldou to Ntrrlru.l llE prljd 156. 7044. &atrB
<br />ltd Fntsid ('od.: Thc CodBroa3 Lic.M t!tr rL,6 ml pl) lo e o* E of FoFl) *h. boil& ot impro\6 th6@f,.
<br />ed {lb .odms fd kh Fnj.dr snh t Codrrro(r) lid.d F,mar lo rh. C.nrd('3 Lad te).
<br />I M.rdnfl und6 Sdion
<br />D.r. O'.d
<br />tl oRxF qs;-'oM Pti\sATloN
<br />IIICI.AEAIIO!
<br />I hdcb, rmrm und6 Fnrlryof!6rory- on.oflhc follosiry d(l,rslions
<br />I luvc rid *1ll mdlh r C6lifE!. of coFd io s.lr-16u.. for rortd ompdaax'l! a F.vi&d for b! Sdion !?m of E
<br />L,t{r codc f( rlE Ff6|le. of rlE snt frr {t!ah rlE Fmn i nsu.n
<br />I h!v. a.d will n.inrsin *o.k6 conp.nsll ion iNurlnc.. s r.quircrl by sdri,rn 17(D oI lh. lrhrr (tdc, tor lh. psfom&.c o I
<br />rh.trorLforwhichrhipcnilirns.dMyu.rldconFtsrioniNu,...mknldFnicynunh<sc
<br />Poli!) Nu,nb€ - t\Fird.
<br />'f I .dl,6 th.r 6irE Ffollrl.c.f rh. *orl ld ubkh thir Fhn is isu.( l slsll et dplot e, Fs. i. dylmE
<br />$ ! ro b<.@ $tiFl to tlE wr6 omFEdbn L$ oac.lifoDir. &i Cc tl|d 'l I rlbuu tGom itill to lli
<br />*ortd' snFld6n FlirhB of Setion l?00 olrlE t hq Code I irull fonh*nh cohpry wnh rho- FDvtioE .
<br />\TARNINC: Flilur.lo qu. llrld srnDdeion cort+. i! unh*tuI. Md I abd mrhF lo (min l pdrtb t xl
<br />ro oE hurd.d rhousld <a (lloo.frxr),
<br />'n .ddnru h rh.I comFE ion. &,Ds6 6 Forit.d for rh.
<br />I hd.b) .mrm un&r r6,ny ol Fsjury rhd I m ncds.d undq F ndr(hprd 0(omffiin8 wrh S.cri.n 70(D orDn8ni.r
<br />or rh. Bnsi.R! ifti P6fdi.N(od.. ed my licds. ir in full lorcc md .flicr
<br />,,,.r,',rr",. C/Q
<br />,h,. t /t21+.--
<br />b 7q
<br />ca fla!,t(:IlaNr[jtDlficlcli!(t
<br />I h6.t, 6llrm u.dd FEII, o I FJur] lhal ific B ! coBlrucr iln Hris .xtuy for rh. paf(,lfuc. ol lhc u orl hr rn(h lht Fmn it
<br />ilsu.d (s* 097, ( i! C )
<br />Affu(Alt[EgdaalloN
<br />I h.q rfm uid6 Frlr of Frury oE or lh. follovins d.(bnn.r:
<br />Drfrrlihn Pmde^rbdrot Norificdion F.ds.l R.3!|,'hE l'hL 40. P!lI')
<br />R.qtrn.n I dr(olNorin(oii('n
<br />I .sriE rhd rh. f.d6!l r.suLr i.6 Esrdhs Bb6rd. ram\ .l e. fl{ qDlicatL lo l[i! Foj.rl
<br />f c6l it rhd I h'E rcad rtu nFplicdirn &d st c rh.l thc c,ntunnnt($6.orc.r Ialreroc.nrnly\ h.l!(ilyrnd(-o!irv
<br />..din!nc6 !.d srit.lrus Elarinr ro hrildint codqnrcr
<br />rth!. nmrioftJ nn'D.n' Lr
<br />,\ppll..nr.rArdi skn.lIF
<br />*nn'r.\ nrt qtnnn: &tlb
<br />r.F6ddiv6 oarhn ( ny dtt Coury ro 6tE uFn rlE
<br />_,, t/4 pe
<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
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)-\1"42
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)2_-a v)Llu
<br />lv'leter Release
<br />Rough
<br />Service Meter
<br />FINAL V,-!L)l
<br />Notes, Remarks, Etc
<br />(
<br />r
|