|
ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.APPROVALS DATE-COMMENTS OWNER BUILDIiR DI'L(IRATION
<br />I lEr.hy amrm unrLr Fnaky of p.rluy thnt I d .r.mp{ fEm (h. Cotudctor' Lic.ne ljw itr th. follo*hg r.x,n (s( 7011 5
<br />Au\in.s a Pruf.$nrn CdL)r Any Ciiy or Coudy rhich rcqu,Es a lE.mit ro mnrtud, ak.r, inptov., d.mrish or EPi. iny
<br />itucrm, prbrb ns ksumc.. al$ Equn.s ik arpli.rn. for schF mirb nl.a \tn.d nd.ftnt rh{ IEor slE s lt?nsd l,usu.d
<br />& rh. F,vtions ol : Conrmcrois La.nEJ bw (Chapr.r 9. Colffifting v(h Srtiotr 7(IX) oI Dirision 1 .f rh. Blsin.s tnd
<br />PDf.$ioD Cod.) or ttBr h. or sh. L .x.npr thdriofr aixl rh. brsis for rh. alk3.d .r.q*b! Any viJbtb. Df Sdiot 7031 5 hy any
<br />amlican( fDr. D.rnir subtets rh. apl,ltrniroacivilp.nakyofnorDr.rh,nfiv.hundftddoll&s(1500r.
<br />_1, a\ owtur ol rh. ,f,,IF y. or ry onlkry..s wiih wa3.\ a! rh.i sk .omp€nsd n, *iU do rlt *st and ih. rM@ $ dn
<br />inrcdLd or.trcr.d for uh ( Sc ?u4, Bulims and Prol$i,n\ Cd.: Th. Cont*r.r'r LNnr bw c! nur atllybmolnerof
<br />ih. pDrEny whJt ilds or intn,v?s rh.d,n. rnd wh. dBuh Nrk hims.lta' h.rElror thrcu8hhn oi h.r own.mploy..s.
<br />pnvid.d drr \kh iryroEftnt\ ft ton i .nlal or otr Ed for sh Il hweEi rh. tuilring or inlxMr n$Uwlhinon.Fa
<br />ofcompLoDn, tlE Orn.. Aurll.r wrll haE th. bod.n.ll,Fviry dd lE n, slE did mt t iU or iiiJtuE th. nniFny tu rh. FUIE{ ot
<br />-1.
<br />as ow*r .f ih. Ircn ny. on ci.lu.ively cD.tr&1mg $ilh lic.nEd .odrado6 h mtrr d rlt ptol.cr (Ss. ?044. Bu!n.$
<br />md PrDLssbnCod.: lh. Contdols Lic.nsc Lle rlo.s not apply h ornd of nnD.ny wlf,) huilds.t improv.r 6.'.nn,
<br />o whr..nrrEtuluchnnjedswnhaCodcch(s)li..n*dplrsodhrllConua.(tr\La..ct2*)
<br />I h.r.by rlfirmundd p.ndry.fl.4uryon? Dfrh. followin3 d(hmno.s
<br />_lhavcandwil)minrdnaC.nifrd.olco'enrroS.lflnsur.trtu*.d.omr.rsr n,as pn)vid.dl hySccrnn1700oI(h.
<br />La&r CoJ., for rh. p.rformnc..frh. wo* for whi.h ih. p.mit h hiu.d
<br />_l hrve.nd$illroinr'in wo*.ri co'np.n\arion ihurak., ri r-.quiEd b, S..rirn lTtlr] ol $. Labor C1)d.. tor rh. Dcrforurc. of
<br />rh. hrk f.r which rhh p.rnn n isu.d. My wolk.n cory).ner irn insuraN. cmi.r rnd F,hy numb.r u.:
<br />Policy Numb.r:-Elpn s
<br />-l..nify
<br />rhlr in rh. F fomrnc. oirh. wo* itr $hrh (h'\ p.rmn i\ n\u.d, I shall nor.mrloy anyp.rsrn, nny mtrr.r
<br />v, sbhed'r hrd ro rh€ rorkds comFnsarion h*s orcalinnir,.id,38. rh.r ifI sh.uld tE om ubj.rt rorh.
<br />wo*.rJ.onrEnenonpruvreutrrois.d0n37u).Irh.Lit C'rd., ! \hn[ n)nh$irhmmd, snhLlbs l,6v(,.ns.
<br />w,tRNlN{;: ,J3rlur. nr vcur. *nrk.r\ comFnsar r cov.n!. n unhqtul, rnd \tu'llsubl..r ai crUrl.y.r b lrimiml n naxF\ 3nd
<br />civil ,li.\ uI h o0. hundcd rh.tr$nd dollr^ (tl(x).tr{xD, in adJni.D r, rh. .oi uf somt nMrion. dimq.s rs pmvid.d nn rh.
<br />DgqlJEaIIo!
<br />I h.Eb, affrm und.r p.&hy of p.iury LlDi I m lt nso.l !nd.. proviri, ofctuttg 9 lomrBi,g eiltl S.dirn 7Ul0) of Divirirn l
<br />of lhc Busincs ud PrnLssi,trs Cod., ad hy li..n* is in tull fot. a cffer.
<br />I-ic.tr\echs Li..is. Nun$.r:
<br />AO],ICANIIECI,IIBAIIA!
<br />I hadry atrm und.r t nrlry of Ftury ok oi rh. followin8 dGLrdiors
<br />D.mrir n P.rmit.Astrnos Norilicdion f.d.ral R.Enhrn,ns (Tirl. .l(). Pd6)
<br />R<uird kn.r of Ndif.arion
<br />-l
<br />.cn ily rh! rh. Lrl.hl rc3!14 idnr Eg,rning a\[.{.s Enxval aE nor 4l,licabk ro rhii proi..i
<br />_l c.nify rhd I hav. r.ad rhn applicarion z'rl qac rhd dE ,lnE inf{trro(ion i\ cotret I .38 fu .Dnply sirh all Ciy and Canry
<br />orJinan(s 3nd Srlr. L!!sEl.!n3n) hu connrucrioi, at h.Ehy aurhni! r.pr.\entariv.r ofdrii Ciry rnd Countyio ?trr.r uFnrh.
<br />,^,, s-Jl,-,A!pu.a.t or ABdt si8mt
<br />Tf+*fiA In-A^i \.1
<br />I
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Sions (monument)
<br />Lite Satety /Low Voltaqe
<br />Fire Alarm i Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor .- l. ,l ^.tl I ,a
<br />Bonding i Groundino / UFER @ttYtdl Kt/ra '/0fld0
<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 />Ceilinqs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rouoh),a
<br />qlr/eter.Release ailc/2/hUttlt M(U.L6{J^1lr"l)r U{OAA ffitX\
<br />Rough -r- l- t Lt--r ^fi
<br />Service l\ileter 'Pr[d4 fiKft UdhA.r'
<br />FINAL llLtl)l lyffit n\/r6
<br />INotes, Remarks, Etc
<br />Flev. 08'07'2015
<br />Contractor:
<br />(:ausll!.cuq!-!lNlllclcElcl
<br />I h.nby rfltrn undd p.n0liyofr.ryry rhd rh.E is a con{rudnn lcndin3 !g.my tff rlE p.rfoMc. of(h. vu.k for shth rhn lErmir k
<br />isruci (S.c 309?,Civ C )
<br />bfrkr'e Addr.s:
<br />-
|