ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountarns
<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 />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL l)'1ll/1) t)ualw 4\
<br />Notes, Remarks, Etc r
<br />?
<br />()\1NUt{ B( .t)tt{ DUt,( ARA t l()N
<br />L s owne oalhcFopcny. m etclusivelyconlnclins f,iih lic(B.d contracloE to coonrud lrE prcJ(11S<. 7(N,4. BGinB
<br />MdPluft.sinCodcTh.Conrra.roasLic..rl*do6notapplyk,&o$ndolp.opdyshobuildsorihpro!6thdon.
<br />and who conrBcts for such projc(s sirh a Conhcro(s) lic.s.d puRu r ro th€ Contraclois l-ic.N t!$ )
<br />I m cxmpl und6 Setion BA ( ro,
<br />frL.^t-",,.,y'i4r|- !7 "".",,1
<br />DECIJSAUq!
<br />I hd.by amm undd poalry olFjury orc ofrh. louowins dccldriod:
<br />I hav. ed will maintain a Cslilrsrc ot Consr to S.lf-16urc for work6 compqsal[n. a Fovid.d aor by s..iion 1700 of rh.
<br />hbor colq aor lh. pafotlmc. o f th. rcrt for s'hkh th. pdnn n is.d.
<br />I hav. and will narnram \lork€ts cofrpcosaxon '6uran c. &s r.Iuuld bySdion 1700ofrh.lrhorCod., forlh. pdlonrmcc of
<br />rh. *ork lor *hich lhis pari b arucd. My work6' onp€Balion iBue.c ceid and poli.y nombd tr.:
<br />?2, "*,ry,t, .,n *r"*c. oarh. worl aor whi.h $k p.mtr E i$*n, I shall not mploy &y pcr$n in any m4oq
<br />e a lo b€comc sbjd lo lhc wlt6 onpqsllion la*s of Califomia ud a€d lhlt it I should b<om. lubjd to lh.
<br />$orko com!.rearion plovisirE ols.dion 3T00 ot rhc Llhor Code l r\3ll. fonhs ith conply with rho* prcvisiom..
<br />WARNING: Failur. ro *cu. work6' comFcrtiotr .ovd8. i! lnl.waul. Md shall subj..l u odoys lo odnal FElriB ed
<br />cilil Iin6 op ro o.. hundr.n lhousd dollffi (lloo.moi, in addnion lo lh. cosl ofcomp.relior. d.m!s6 a provid.d aor lh.
<br />S6rion 10?6 olrh.liborcod.. int6dddattomo s 16 E;,',,,e [-/J- l1
<br />I I( IiNSUl) ( ()NIR\(',l()R
<br />UEILIBAII()I
<br />GOIiIEIqUAIIEXDIXCICIACT
<br />I hftb, arm u.da FElry of Fju.y thd rhe i! 6 @Brd.rb. Lidins 4ncy lor lh. pafolrr,.e ot lhc @rt 6r * hkh lhis Finn i!
<br />issu.d (s6 3097, civ c.)
<br />L.nd('s Nm.:
<br />ATTIICAII.DECI.AIAI]OT
<br />I EEby atrm uidd Fnrlly oa pcjury om of rh. followi.S deLdioBl
<br />D.dohion Ptuns-Aeb6lo! Noriicrtio. Fcddal Rcslhr ioB (Tirl. 40. Pan6)
<br />Rcqutrcd lllts olNor,nori{[
<br />cdify lhd th. f.d6al r.{uLtioB r.gsdinB 6b6tos ranoval e nor q,plicabl. lo thie proj.cl.
<br />.cniry $ar I h.vc rcsd this applicar ion dd srarc Ihar rh€ ah,v. inlbmalu n .orcd I rsr€ ro comply rnh .11 Cny and Coonry
<br />ordinanc6 d Srorc Llss rclalins to buildins corc1ruclion. sd hdcbyaulln)Ecr.rr6.darn6 ofrhh Cnymd counryio dl6 uponfi.
<br />abolc
<br />'nmrion.d
<br />pmp.ny lor inspdion "W"r-r-O 0
<br />,^I,l)li.nnr or Agdrr sigmt *"x
<br />,, r*^ ,*^*, { Tun. o,o-
<br />.6-23- )+
<br />APPROVALS
<br />Transformers
<br />I hd.by rltm und6 pddr, of pcjury $al I m cr.nB ftod $. Cont.do6 LkG. tiu for thc folloting rcasc,t! (5(.?011.5
<br />Busin6s ad Profdio. Codc): Ary Cily or Counly *hkh Bquir6 r p6'nt to connrud. 0ltr. inprotc &nDlish or ,.Fr ut
<br />srruduc. rior ro irs isud.c, a,bo r.qut6 lh. apphcst for such Fnil to filc s s'str d srd@dl rhor h. or rh. a li.nis.d lu6unn
<br />lo th. FovnioE of llE Conkoclor's Lic6s.d tiw (Ch.pta 9. CommcinS wnh S.clion 7000 of Divisior I oflh€ Busincs md
<br />P,or6ions Co&) or rhal tr or shc is ci.npr lhgEEom ad rhc b.sis [or th. allcrcd cxdprion. Any li.Ltion oasclirn 701 I 5 b, ey
<br />applicd lor . Fmir !!bj<c lh. applicml ro a .i!il pc.ahy of nor 60r. rns fiv. hu..lrol dolln (1500)
<br />1Pr. * .*. "rrt p."p-ry. or my dnplord wnh was6 s rh.n $k conp.Miio.. *ilr do rh. *od( a.d th. sltrEr@ is not
<br />i.loxLd or orq.d aor el. (Sa 7044, ONins .n'l ProfNioB Cod.: 1t. Cor r&1ois Lic@ tr$ &B tur aprly ro e .uia of
<br />th.pmrsly *hd toil& or rnp.o\6lh@n. ed wlb d.6 $ch *nr* himsclf or h@laor throwh ht o. h6 o*n €nployc,
<br />provid.d rhd sdch inprolmBmmri ai<Ld orofidal forsL.ll howM, fi6 toildiry or imrmvml issldsnhinonc)@
<br />oaconpldi.l! $. (xno tuil<h *in h.!t th. hrdo of Foving dir. h. or s1'. did rcl hild or ilFrv. fi. FDFry aor th€ po.pos of
<br />I hftby ailr u.dd FElr, ol Fjur! rhar I m n.aB.\t undd Fovisio. of Ch,prs 9 {co.mtriu $nh S.clion 7000)oroivnnJn.l
<br />ol rhc Busins ud ProltsioN Cod.. anl my licoF 6 in rull ror.. ard.fld
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