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APPROVALS DATE ID/SIG.COMMENTS OI{NIiR BUILDDIT DXI,CAI'ATION
<br />I h.rcby affr undcr pcDally oa p.rjury rh.l I e.x.n,pr rbm lh. co Ecto*' LiaM Liw for ln. follosins Geb (S.c.70]1.5
<br />Busi.c$ ..d ftofcsirn Cddc): any Cny nr Coudy whth rcaotss r lEmit to @.(rcl, !lrs, inprdtc. d.mlkh.r ftp.n ey
<br />srE@E, trior ro nl nsrm., ale Rquins rb. rrrlidr fo. $ch rErnnl t 6h ! si8ftd sllr.rnr rhd h. or $. i! lic.Nai 0udud
<br />ro th. pmvisionr .fth. CoDtreto. s Liccn&d Irr (Choplc! 9, C.hmfti.! whh Sccrbn ruo of Divisioi I oathc Busincs lnd
<br />Pmf.$n,N CGL) or t'i lt or sE is cieq, nEdltun.nl rlr bab for rlE.lh8.d .rcnrrnion. Anr riohri.n oI Strbn 7031.5 b, y
<br />orplican! lo. a pemn subj*ts rh. appli.dnr roacilil!.Mrryoinor mc lhon nv. hundd dollds ($sLxl).
<br />l, is olBr ol rhc pmrcny, or my .'nnloyccs sirh *d8.r a. rhcir $lc compc.sdion, will do dE *olk EJ th. {iem ii mr
<br />inr. lal or ofi?,.d for $L (Sd.7U1-1. Bosir.ss .nd PDlarsio$ Cod., Tb. Co ,eroas Gc.trs b* &Fs nor {ply ro M orEr oI
<br />(E lropd, vl[ b{il& or i,I'o€ rh.tutr dxl wl- dd sEh *)lt ltnx.lf o. lrrylf or rh'ough h; or h.r o*n.n+lo}es,
<br />pmidcd rhat such in[aJvc,fttrkr.mtinr.ndcdo.dllRidlorsaL,f,hoscs,th.h]ildrBorllpokmnriseltwithinoncrd
<br />ofconrpldi(,\ dE OwrEr Build.r will hrv. rh. b{nLn olpovin8 rhd lE or slE di, d hrild or inpmE dE pBpay fo. dr Plrpoe ol
<br />L $owftrold. pDpdy, dm€rcltrsirclyodetiry *nh lic.nsJ contado roconrrud IIE pDj.d (Se.70a4, BuliEis
<br />and Pn,liisd Cod., Th. Cotrtrctor'i Lic€nse k* d*r nor aullyro.rownd ol propeny wlto buildr or improv.r rh.ttor.
<br />snd *ho c.nrek ,or :uch l,or..k virh r codmcro(s) liccBd ,ur@ b iE Cronrador'3 LktM bw)
<br />lg48&ts:(ourDNr r9!
<br />DtrCI,Af,trTO!
<br />I b(cby aflrnr udc, lcmlry.lr.rjury onc ol rlrc hlb$ing dccld.tn,tu
<br />-l
<br />hav. dd will ndnriin. C.n car. of Con*nr ro S.lf-lnsurc for wodcJ mnp.6ation, a prDid.d for by Sdxon 1700 of lh.
<br />. t hor Codc, (",rhrFrlqlrb..f rhc*o,i. ror }hrhrlr pomi nn\u.d.
<br />ffi"*,,,*,**,-' *"rL.6'{n'pt aro 'n{E'Ec. rs rc{liEd hy Sarjon 37OO or rh. t:bor cod., ror rh. pc.romEN. or
<br />\ ihc ior or Eh(h rhs lrmi tr LucJ My so,tnt' mmFMrh ^lMtc @H utl t$lxy nurto e
<br />\ri"rN,.b..4 [!CA tl.loo l\ q E*pi.'a
<br />_l dnify rhlt indr p.rfornunccolrhclDtkfor*hichthNlumil is issucd.l shall rcr crploy 6y pcnor in My nrmner
<br />$ asro b..om subjccr ro rhc *o*ch ompcnsrion law\ ofcllilbnir, and r8rce rhd iII sh.uld b.cor sobjcd to th.
<br />*oikas co rp..s.ri DorsioNoisccrior l?0Oot$. Lahr Ood.,l slull. fonhwnhon9lr vnh(b$ pDvnioN..
<br />WAININC: fsilur. (o €urc m*.6 omp.nr6rion covcnac is unla*tol. ind sh.ll .ubt r u cr.ploFr to ainiul FnrhE and
<br />civil firEs up tu oi. h$dr.d rhous d dollatr ($100.000). in addiriotr ro rlE co{ of.onp.,Mrio., deEg.s a pn,vid.d lor lh.
<br />(\E
<br />DI,lCt-ARATIOI!
<br />I hdby drtrnr undcr p.Mlry ol p.rjuly thar I a liccuqlu.rprovilionofChlprs9(onrmnciruviLhS6ri,n7000)o,Diriio.3
<br />of th. auin s and Pmf.sionr Cod., drl m, lic.ne is r aull to.c ud cftar.
<br />q5tLl7)
<br />I /rr / Aoao T.)^ E-1.( [(\(-
<br />cox$$lcuotrElltlclsElg
<br />I hcaby.fllrrn undc, pcnahy ot pcrjury $dr rhcrc is i.onntuction lcndiry eacn.y aor thc F.rorhtftc o,thc aork l rhkhrhisP.nnit n
<br />irsual ls{. 3097, civ. c.).
<br />4I!!I9A!EDEC!434!!01!
<br />I lE&y efm und.r p.n.lry oI ocrjury o.c or lhc follo*ios d€lralions;
<br />D.mlnio. P.rn ls-Astrsloi NolifE,lion F.n d Rcruhriom (TirL.l{J. Pd6)
<br />_Rcqun d Ir 6of Nd,fi@tion
<br />_l .driti rhd rh. Icdcril rc8ulriioN rc3ediry axbesror rcmlsl e mr appli.rblc to rhil Proirr[d .crrfyIIL( I hlcrcalth\ imti.. i(i c rlui rhc rh,vc inntreion is &id. I ugre to coqJy *ilt r! Ch, tud Connty
<br />ordim.s Mll Sr.rc Ds. rcbri4 r.hG 3rd h.r.by auii$dr rcF.eMriEs of rnir Cny and Coury b c.ts uFn 0E
<br />-trh)\. rrcnrioncd pop.dy lor
<br />u,2 / Ll/ :.c+o1
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding i Grounding / UFER 1
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unil
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilinqs (T-Bar Rouoh)
<br />lVeter Release
<br />rl la ^a
<br />Rough 'tHlrpp AUll0tl4 (,t9
<br />Service ltrleter ,l
<br />"4FINAL4HlNal'trura M$)
<br />Noteg Remarks, Etc
<br />tJl
<br />ELECTBICAL-INSPECTOR RECORD
<br />t
<br />Rev. 08-07-2015
<br />*)rit fi;1tlfrinl ti\L
<br />Drr.- ouNr
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<br />S(tion 1076 orttu bbor Codc. int&cs.nd itorrcy\
<br />,.,.3/y/Io !o
<br />L.Dd6l N.m
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<br />trnd.' 'A'ld'c-.-
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