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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondrng / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Roush)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 2 lVe)
<br />Notes, Remarks, Etc AIt
<br />OWNER BUTLDER DELCARATION
<br />I bq.tt lftm uida Frh, of Fjury lhl I a sdF ttE lhc Codfflm U..c L.w ft1r lh. follosiB 16r {S6.?0ll.t
<br />BGils !n Pmfdnn Cod.): Ary Cny o. Cdiry *itt naltiE ! Fnr lo @rutud. .lc. r+.u4 daDli$ or rFi m,
<br />{rucrue Etu ro il. iBlec..l$ rEqiG lh. Tdir for Mh FEn lo 61. i'g.d rdaEn lltr lE or.lE b li.a!.n plBd
<br />ro lh. !.DvtioE ot rlE Cont,sld! Licnt d ttw (Chrpls 9. Comociis wilh Sslion ?0o0 of Divnion I olllE Buit.s Ed
<br />Pol6.B Cort , d $d lE s tlx ir ad9r rh6.noE sd rh. hGir tor th..lLr.d adFioi. Aly liohion orsdbn 7011.5 by uy
<br />.pplic.d 6r ! Fhi $bicr. rlE .rplicd ro r .ivil FEny ol mr mE $6 fi!. tldttd d.'llrt ll50o)
<br />-L
<br />a omd of rh. FlFly. or hy onDlo,6 wilh wrB6 s rlE $L.omFBdkr,will&ln.Mrt!dftnulciel
<br />inai.d orqd tuiL{Sc.?o,L, BdiB @d Pre&siod Cod.: TIE conncrq t lxqBlr* &'6 d +Plylo-offiol
<br />rh. FoFry * lb hlll d in$mE lrE@ rd rlD &E st Kn hi@lf or hd*lf ot rhough hi! d hd o*n alpbt6.
<br />pmviLd lhll ruct improvsEln, e @r do.t d oroinad 6. uL If. h.raG, dE bu,tths or in|prD\6ld a $Lj *ilhin orc )€
<br />ofoilplaioE tlE(rns B{iBq sillh.E E hldct oaFolilB rld lE or 3lE did ml hdd or inp.o!.tn. p.oFl,6rlE F,poeoa
<br />-1.
<br />d own6 of rl! FDpdtr, @ a.losiv.l, onlr..ling wnh licdBal co'nr.c1o6 t6 @M.u.l ltE F Jccl (Sc 7044, 86'8
<br />drd Pr!frsba Co& Tfi. Comr..lor. l,icdc Lr* dJ6 Nl ipDl, ro 6 .wn6 olFopsl y sho blildr or inprev6 tha6,r
<br />.nd slF 6lnr.1] nx sh Foj.s *nh . Coffidlt) lid!.d pllJsun lo 0E Cdr..dd t Lt6e L.\ )
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<br />m ddfl !nd6 sciion-, B. & P.c. for tha l!e.
<br />D.r. orE:
<br />llrr8f,fltgruEDdrAno!
<br />DECIAS{DqB
<br />I h6cby cmm und6 pcaly of pajury oM offi. folh$'in8 dal4dioNl
<br />-l
<br />h.r. s'd will ini; r Ccrirr.tc of Cond b S.ll-lc@ ln wln' 6mFrtoi, s F!!i,.d lbt ty S<rion 1700 of rh.
<br />Labor Code ftr lhc Ffolrr@. o f lh. worl for {tri.h th. FEil i! isu.d.
<br />14 t're !A "ltt -u.io *nrld coEFldi'n ueme 6 Fqud t, s6riu 17(r't orrh. Lrbo, co&.6rtlE Ffo.ie. or
<br />rlE * t for *tkh rhi Fnn i isld Mt wMld onp@.io. ilffE. ffir id F ir nuobd G
<br />6"^;k- Strdc, -Gd@nc@
<br />wco o.l.Aott
<br />-l
<br />cdify $,r in rh. lEloffi. of th. *. for which lhir psmil i! is!.d. I sldl mr otrPloy .ny p6st it oy DUE
<br />$ 6 ro b@m !t*d b tlE N.is'olpd.b. L*! ofc.l'lomia ad *c lhi if I tlbuld b<om $nd b llE
<br />$o.t6 .onFMion FDvirioE olsdrn 1700 ofrh. tlbd Cod.. I ddl fonfi$nh .odply r irh rn r Fo\il,B..
<br />I*ARNINC FlilE lo su. $rt6 ompdsiln cor64. n uhlaul. &d srdl $bjftt D 6doF lo oimdl pdltis ad
<br />cnil fin6 !p ro oE hu,&.d rr66!td d.ilh^ (tlm.om). rn c.mD.Etion. d!'r.s6 a rmlit d 6r tlE
<br />s..rion 1076 ofrh. l,bor Cd.. 6.< ed.nq*,
<br />-", 3.1. tq
<br />lJLu-\8.\Il0:
<br />-B --"e\8{8
<br />3"t. '6\
<br />I ffit rlrm u,*r FlXy of Fjury lhd thq! i! . ofrkiioi lslditrs ad, t r dE FforM! of rh. *!.1 6r *rti.h rh! FEr .
<br />isucd lsd.1097, civ c.)
<br />AIfJ.IIAILTDC!.AXAIIAB
<br />Ihdrb,.tr Drn&F yofFjuyo4of E foloe'og d..lrabc
<br />Dqehhn P66n!.Arb6ior Ndilic.lion F.dq.l RcsuLliod (Tirl.40. P.n6)
<br />_Rquicd hrr oar*ri6dim
<br />)o .arify rha fic f.ddrl rcslLtrM Esntns sbBror rmtd s. rcl 4rlE.bL ro rhi Forcl
<br />fi.^,,irhr I h.v..ad rhn ippltaion ed $n. rhi th..t \. infonnrbn 6 cotrdl I tsr ro ooply wnh lll ( ny.nd cou y
<br />dn Srd. 1.tr! Glrur ro bu'ld .uhro. rcFerdtra of thir (-ny ed courry lo ai6 upon t,E
<br />rh'!t Edrion d p$Fd, ror icF.li9.
<br />Applic.nl or Aiol \asn.lur.
<br />l'.rnrile n.m€ ( prlnlll
<br />V'E'EN
<br />I h@hy ![im unds psu]ry oa p6jory lhal I m lica!.d undd lttrvithn ofChaPs 9l.1imdci.s unh S..lbn 7000)oflrivirion t
<br />of rlE SGi!B dd ProEsFB Cod., rn mt li@ a h 6lll ,or !n .IIln
<br />L.ndd , Ad<iB _
<br />'"" 3.(.t!
<br />Life Safety /Low Voltage
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