|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE tD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<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 (Rough)
<br />Ceilin gs (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter I
<br />FINAL 6\\\\\Lltrq(\'J
<br />Notes, Remarks, Etc
<br />OWNER AUILDEN DEITARATION
<br />I h6.t'y lmm utdd FlXy of Frjury $.1 I d ddpl from rh. Contr.lor' LicoE ll* for th. folloeiry t@r (Sc.?0:t1.5
<br />Uuin6! r,n Prcfdion Cod.): Ary Cily or C@.ty $hich r.qun6 . pdmi! l. oldrucl. dla, improvc ddmlirh or l!?.n o,
<br />{nEtue Fir ro ilr iM.. .L. r.$G llE +li.d for sh Fnn b 6h r 3ur.d iiqEll lh. h. ot tlE i! liaB d F,sd
<br />ro rlE ForBEd oI rl! Cotutu'r Liiard Ls ((a4(d 9- ( ollllb4ns sih scrioo 7m ol Diviri'! I of dE BGiB -d
<br />PNlaioB Co&) o rhr lE d rlE i agI'r rh-.noi! &j rlE h-ir for rlE rllq.d .sigibi any !6rnirn of Sdbr r0!1.5 hr Dy
<br />.pplicd aor ! Frni sbjcr rlE rprn.d ro r .ivil p6.Iy of @r moE thr. fie. I'udr.d dollB (1500)
<br />-!.
<br />s NE o[rh. FoFr', or 6y opbli€ *nh w!s6 s $.n eE sdpoudhn. f,iu rt tlE sut nd th. ridE a hr
<br />idci.d n ofi@d ltr el. (Sd ?0a4. BciB rd PiofciB (-od.: Tll Conr.dd'r LaoE L.r dE 6r tirlr ro o osc of
<br />rh. F$Fty *ho hlil& n iq!6 dE@ in etb & r:dr *rrl hrelf or lxrdlor tl,ou3t hir n td oE inplrtq
<br />Fovi&d llu! ru(h inFlEEn! 6 Dl inod.d o, ollEtd frr -].. lf, ho\rt€, trE tEiLn ! or inFoEEi i' iU wi,E N )d
<br />.fco,npLior\ $c Otr6 3uild, wiu lf,w tn h8ln of F.vii8 ta lE or dE dn d hild or itr'prtrvr ltc Fopory tur 0E F,Fsof
<br />l.6NEolrlrFoFt). da.lBndy(o rdrs enh lcq!.d codxtmto oenrr dE FoFr (s6 704.1.lb6
<br />.rj Phks6 Co&: Th. Conrdoi I Lr.e lr* dod mr ,9ily to d oq G of Fopaiy who boil& or inprov6 lh64n.
<br />lnd who codEcl! for ruch Fsl.drwnh r Codru1o(r) licdd psulr ro lh.(-onr&i6r'r l-(.e t w)
<br />l ,u .\.,nnr unJr s(r,.,.1lqln tuz
<br />Ihq.by amnn und6 FElryofFjur' on oflh. fouowin8 d..b,alhN
<br />I hlErn f,ill hllb t C6r'r..r. olcoMr lo Sdf-lM rc mt6. m.lP.rurior\ 6 Fo!i,.d 6r by Sarbn l7m of lh.
<br />t,n, Codc for th. FfllrtllF of llE wi fn *tkh th. Fnn i is.d.
<br />_lh.vcedwillf,ainrtinwo.rr'@mFN(ioniNran..ar.quiGlbySdn.11700oflhctlborCo&.forlh.paaol:Mc.or
<br />tlE *orl fo. *hth thir Fbn it isEl My wl.r onpas$n i.!il]am. C&ir lrl Flq nudb6 i.:
<br />PolicyNumb6_l}ptG
<br />l.diry rfi,r h rh. Faolrlu. olrlE sort tr whth rhn Fmn ir isu.d. I Jdl @r 6nphy &y F5. i. Mr nuF
<br />b d lo baod $b6r !o lh. *(16' olqd.ibn Ls of Crlifomi.. rd rec lh, il I ibuld h..oE $Ual lo dr
<br />*ortd @tr{EldDn F.vilioa of sdion lT00 of rlr t L, Qn , l JdL rMhwnh .otrlpry anh rlr- rrDviriE
<br />W/iRNNC: Fn[r. b m Mil6 onFtsdion .ovdg. i! unl.*tu|. ud ,uU 3ubjd s drloF lo aimirl Fllb &d
<br />.nil 6n6 up h oR hnxt d rh.lsd &U6 (tl00.0no). in rldlrion ro lh. co! or.orl[t6iFn, &asa 6 Fovidcd for llE
<br />\Er rt)74 rrh.lrh/ ('
<br />,rrrr,1l q ln o:!. mr6d &l.nq'r]'!
<br />I hd.by .rEh uds Fdty of FJUry ili I m lac@.d @<h Fo{bn oaorpld 9 (6Mi,rS wnt Saib. 7000) ol Dn.n^ I
<br />of rh. B6iB sd PrcfBirE Cod., -d my lEo* a i. tutl foc nd.lE r
<br />Lic.* Nubd:
<br />g)!llaitcllIt!.t!!Dl!!l(i[sgr
<br />I hd!6, rrtm ueld F.,lty of Fjurt rhd tha i! d codtu rbn ldldina .g*y for th. Ffolru.. of llt worl lir shich thi IEnr ir
<br />i$u.d (sc 1097. civ c).
<br />L.d.r'r Nm
<br />-
<br />AIIIICAXLIIECIISAIIII!
<br />I hd*r .rm uidq F!.!y of Fjur- oE ot ll! followiq &clen io6
<br />D.mlitbr Pd y^ehd6 Ndifirdior Fcdcrl Rc8uL{ioN (Tir l. !0, Pa16)
<br />_R.qut d I dla ol" Notifical(r
<br />-
<br />I cdi! rhr rlE f.da.l rquld{c E8rduu atdos r.m\ .l E d 4rlrrbl. r., th6 FoJ..r
<br />-l
<br />cdiryrhd I h.v. rcad rhn rp,lEdion sd rtrr. rh.r rh. at r. irfomnn! L! cor.d l,8Gtu.omtry qnh lll( ntdd Counry
<br />o.dintu6 ud Srlt. l,,s r.lrins ro hildins cotr{ru.ldi. &d hs*,} lurho.iz r.ri6ddivB o I rhir ( ny ed Counry ro nrd uFn rh.
<br />!hn. malbr.d poFnl ror
<br />Appllcrtrt or Aadr shn.llE 2orrw ".,.ilrq lrq
<br />I
<br />CEi, _
<br />--------r------
|