ELECTRICAL.INSPECTOB RECORD
<br />APPBOVALS DATE ID/SIG.
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Slandards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Bu ilding
<br />Under Slab / Floor tl AI A
<br />Bondinq i Groundinq / UFER aabw WA
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinqs (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meier, Release t.-l A'an&r 11
<br />Rough
<br />Service Meter t,t ,a2
<br />FINAL NW IN wu
<br />Notes, Remarks, Etc
<br />OWNLA AUIDEf, DL'T-CAN TION
<br />I h.rcb, trrrm !nd$ p.ndlry or p.rjury rhdr I dn cxcmtr fr{'n rh. o)nr,oclon Ltcn{ Llw tor ,bc rollowi.8 t!i{,i (Sd 7oll5 '
<br />Aunrsr !d P,oacnbn Cod.) Any Cdy or Cood, shth d{!@r r Fd ro NniM. .xs, irp..vr. &mkh !{ r.F dy
<br />ntudk, tntr b n. irsudR. .l$ E1]uiB
<br />'h.
<br />!tpl.,nr fo. ruch Fflnl lo 6L . siSmd (lrcmtrr rh.l lt oi dt i! li.sEn plm.t
<br />ro rlE rm,vtt'N oI llE ConrBtoas Lirtrsd lj* (Ch{rcr 9. Co,mri.B wirh SNi,n TxxJ of Divishn .1 ol llE AusiE$ ..d
<br />Prnfc*i8 Co<kror th{ rE 6 rhc ir cx.nir rh.ftfton rnl rh. lrris rnr rtE rrhg.n cr.n{ihn. An, v,Lri,n ol Scclion 7ol r 5 hrm,
<br />ntplicrd lnr a p.flnit subjccts th. lppltun' ro !civilpcmltyoroflr mrcrhan fivc hundbddDlltrh (t5lx).
<br />_1..r owB. orrh. tn,Fdy. rtr ary cnlPloF.\ wtrh *r8cs &r ltEn vr! d'r{Enerion. will do lh. wdt lrn i!rn(@!6r
<br />inrlaioj oroficEn tor {k (S€ 71x4. Busimslod P,.fcnbm Cd.r TrEc.dtrror's Licnc tiwd.BmrrprlylouowE or
<br />th. Flrny *t trildt or nqrE dF,tr rn *E d(x *h s'n him-lf or h.rclI d rlmuai l$ 6lE oyn.ryk'Fl
<br />lfl,vidc{ rhlr such nntmEmnh G n h'drd o. orcd for slc lf. busL ilE t ildrB nt iqmErd ir $rd *irhIn oR )t,
<br />of..rybrntr iE (xB BoilLr *i! tEE rlr htd.n ol Int*lE rtd lE r {r dil n'r hild or in{mE tlE Frqly fd rE lrrpoe ot
<br />_l-.\orE.filiF,IEny,!n.r.lur!.lyc. rklr! w h lk.ned co.rdra ro onqM lrr I!D,.{I ISs 7Ol., Burims
<br />arll Pt[to\sin C(ll.. Thl Conrmrols l,ic.nsc tiw drr mt apply lo !. oen.r ofprcF.ryeh' buiHr or iq)ftrvcs rh.ron.
<br />rrd eM .onincrs tn so.h prcFk *irh a c. mk,n n hcncd puFunl lo th. onrrsrols l,tcns ljw I
<br />_l lnct rpr !'drr S<rion_, B. & P.C rorthnrca$n
<br />D.l. Om
<br />won*tr-" c'olrlprrrsarlol
<br />DE{JaEdrlLlN
<br />I h.rl,y r,lrD rnd.r FElry .t Frury oft ot th. rdhurS d..lrn! bnr:
<br />_l h:* rnwill minrrh rCdir..r.olco^- ro s.la lnsr. In wt6 o.qEN.rion- B rrviLd for b, S.{ri,n l7O0 o, rlE
<br />Lrt'or C.'dc. for lnc p€rf{]|mrc oflh. kn! for stich rh. p€nn h asrEd
<br />'t! U* na *irt *,m.in **dr'corF.rsrhn iNlre. ! rquld bys.<nnrTtDoror uno. (d1.. ro,rlEFl(,'lrINol
<br />$. vtrk nn whi.h lhir Fmn is irs.d. My *ork n' snlEnslion intuBrc cMtr rd Fli, nunb.r @(l.t--,t p, ,. ,,.1 C,. < r*"
<br />FeIJA ? t (Y6Y I ['(r.
<br />lYceniryrhlr in rtrFrlhrmreof rhc work for whkhrht F nr i! ii{cd.l rhlu mr.,rIIo, &y lEr$n in.nynuBt
<br />$ a\ ro trrrft 'rhFr ro rrE sx*6 on{nd$n Lr. .l C.liromi !n .3E lh.l if , llFuU lEed luhtsrr ro rli
<br />*orlsi .onFntdrion nhrvtt,ns oI Scd ion l7m or rhc ljnr O'dc, I rhlll. lonhwith .omply w ilh lhor p$tni'n\ .
<br />WAnN|NC: Fldurc b s.E w.rlcs $mlr.nuriotr NEEa. B ubwtuL 'rd shall rulrF! un ..lJl],)$ ro m nl Fmhi6 rld
<br />civil fiftr up ro om huBtrn rtu,lsnl dolldt (r100.0(xjr. in dlirbn ro rh. .o{ ol.onrF.qlion. d!fre.r 6. prur .d nn llE
<br />Sarion ll]76 of rL l,tlr Gnc- i.rcEq rxj dr(ftr\l.lz, ^**,,xrdn fo..c
<br />DECIJIATIJ!
<br />I rErb,.rrn unr.r FMty ot F.iry rhd I m lENd un&r p.olti{ of Chq q 9 (onmri.! *nh Sdir 7G)) of oilir.f, l
<br />of rhc Auiirs ,nd Ptu,.:liont Codc, dld m, lr.nr n in nitl foR 5n dIEl.
<br />L-Lo
<br />-Liccn\.
<br />Nxtr$.r (o-L96(+
<br />t,.r[ z r .",'-.,". ( Fru.\*. f,ore,r<r
<br />l9!ltla!J!.fla!..Ll8lllN!i-&cErt.r
<br />I }tr.rcb, !llnn utrdc! lEnokyolFrjuryrlu rh*r. n a con(dcri'n LoJhB trscn.y n, rh ldronrlmc.r rhc qork hr $hih thn Frmir il
<br />iswn {56. lo97, cit c )t cri Nrm:
<br />-
<br />^IS.ICANI.DECIAAAIA!lH)yrmm!ndcr I,ctrrIy of ncrjury orc utrhc {Dlloains dtlasrions:
<br />lxmliti'n P.rmirlAstErro! tLrifr.rii ri&nl R.guhrp6 (Tnh{0, Pd6)
<br />-Rcquncd
<br />L.ucr o, Norifrdi.n
<br />_l anilylhd lhr fcdcnl r.Buhtions k8odi.t u.bcsl$ lcn$vdl urc mr ipplt lcrorhtI,n,rcd
<br />tr&t .dry rh! r h.v. Eld rtt "pnran.ir urd rrrr nE mfohdim n.n|d I tere t, oq,ly Enh rll Cny un Counry
<br />onliMnc.{ r.d Srurc ljw\ Ebrins(' huildi4c , J h.'.l,yrurhor?.,.t,,.\rnrxri\r\ rlr[ \ (-'rv rkl(.({N
<br />t/+tcLL
<br />firr mdr,rcd |llFi\ ri{ in\F\Nr t'
<br />nrrr*, *n*-, r,*-r* [-a 6/lt-
<br />?l
<br />,I
<br />ulalllti
<br />itatirEtfulr'il4.I
<br />Rnv 08 rl7'2011
<br />COMMENTS
<br />,^a
<br />I
|