|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS
<br />Site-Work
<br />Unde round
<br />Pole Bases
<br />Li ht Standards
<br />Pool FountainsSS
<br />monumenlSiNS
<br />Life Sale /Low Volta
<br />Fire Alarm / Dam rS
<br />Communications Cable
<br />Buildin
<br />Under Slab / Floor
<br />i Groundin / UFER
<br />Translormers
<br />To uetn
<br />Sub-Panels
<br />Air Conditioners
<br />Roof To E UI menl
<br />Facto Wired Unit
<br />Walls Conduit
<br />Walls Rou h
<br />Hard & Solfit Rou hCeilinS
<br />Ceili T-Bar RouS h
<br />IVleter Release
<br />Rou h
<br />Service lvleter
<br />FINAL 6
<br />Notes Remarks, Etc.
<br />()\lNtri lI ILDI,tR trl.( ,\lt,\ ft()NIhcrcby{ifirnundrrp.n{)ryorp.rjuryrhalIa.renrfltmnrrhc('onr,ft,n.LrcctreLrwrorrhcto o* srcrsn(:ir70 5tsu\n..\ rnr proh<n n cndc' Aiv c t ., counr) qnth rquic. o ncirnl L, fl,nnrucr. atrcr. mt-u,. J*tr'h "r nrau{.y
<br />sl'ldurc. pri(tr n, its hsurk., aho rcquncs thcapptic0tr 'or su.hrcnni o filc. (igncd idcnrctrt rh l*rr sfu i\ tacensd pur;.nr
<br />kr lhr Fovhions orrhc Conrncrois Li.cn\ed liw (Chnprd 9. Com,ncming qnh Scclion iuD or Oivhion I of ttu BNnr$ and
<br />Pnlfc$ion\Codc)orrhd! hrorshc h rxoq, rhcrtom.nd rhchsis ror rhc a|cScd cx.nprnrn Anyvi.t i.norseri,n?0.]l5byrny
<br />afplicrtrl lor r Frnir subcds thc stflicanr lo !civitpc0trtryofnor Nncrhatr flvc hundrc{tdol \(!5OO).
<br />-1.
<br />0! .wn.r .t the pnrF.n y, or ny rmDloFcs wirh w4cs as rhdn vrb .onpcn\rr ioi. *i[ do rhc sork Md lh. {Mm N mrinrdrhtl orofcrcd for elc lsr?014, Busincs {nd Pmfcsn'nsC cr Thc C{)nkrroi s LiLusc Lsw doc\ nor appty to an o*Rr ofrhcnmlfny wl.(r huilds or imFmksrtLroD. rnd wlr, dms such sr k )rnnsell .r tNrcltor rhn,r8h hk ", h", n*; ";,phr.*.tbvkl.d rhol such i'ntmvcrds ar nor inrcn&d otitr&t for sb I I h.sc!cr. rh huikting or inpi{trlmnr ir skt *irhin onc ,t]ror orylctiotr, rr. Okrcr BuiLlcr *ill hre rh. bunlcn or prcvin8 lhd rr or rht dij mr huiH or nrydt! rhe nolgly for dc l]l,th{ o,
<br />-1.
<br />6 owtrd ol rhc l]o0dy. m .xcltrsivcly conracrins wirh ti.cnscd .o.rrekns t{r otr{fld rhc pn+cr (Sc. ?Ot4, su,nrsarn PDfe$i.n Cod.r 'I'hc G)nracrols Li.cnsc Lrw dm! nor trIlpty ro.n oumr ofpropcnywho builds ur nnpDlcs rhcrcon.and whd d,ntmcrs lor \u.h tn,jNts wirh , o)nh.r.(s) liccn$d FuBrmt h lhc Conr*rn\ t,icc.sc LIw)
<br />-l
<br />nncxcmpr under Sc.rnnr__ I &pC larihi\rcrwrn
<br />Drre: o*r€r
<br />wonxr:ni collprrr.i,rirol
<br />DE(]I ARA']ION
<br />I hcrchy otfinn,odcr p€Mlry or p.rluiy on. oilhc lottown's dcclar{ionsl
<br />-l
<br />haw dd will roinr0i.nC.niticalcofConscnrro Scltl n{urc ror worksi s,mpeNdion, sr nrovilcd for by s$Ii.tr J7rx, or rhcktxn c'odq aor rhc l)crforroftc olrh€ woi{ ro. which lhc rcnnir is irsucd
<br />Ihdvc d will mainkin {orkeN coflFna i(,r nFurrncc. as rcquncd byS.clion:tTtDotrhctjborc.d.. t{r thc pcriolnEm..r
<br />lhc wor* lo. wnich rhis ,crnr is issucn. My*orkor cory.nqdion insurrmc cmici,id poticy nun$d dc:
<br />Corlrucio.:
<br />CONSTRTI(]TION I FNDIN(: A(:FNCY
<br />I hcEtryrin undcrF.slr,.trcrJuryrh rhcrc ir a constd.ri.n tcdins!8cncyforrhcp€raormatreoflhcwork for wlich lnis Fmil i{issudl(Ss 1097. Civ C r
<br />lxnlcrs Addrcs:
<br />APPLICANI N}'CI ARATrcN
<br />I hn+ry dJror unds p.nax, ot pcrju,y onc of rh. roltowing dcc tarar ions
<br />D.molirin Pcirnir$Ashc$s Notincrn'n Fcdclrt Repulllini\ (Tnt &, pa(6)
<br />-Req!ircd
<br />txiier orNorifr.tiotr
<br />lccnilythd rlr redc.rl EsulorioN m!ndinslsbcsto\ rc'tu!ati,c or rmti.nbt. r,rhi\ projccr
<br />-l.caili'h3t
<br />I h!!c rc.d rhhlpllicll
<br />odinm.cs,Dd Slnrc L,w\ tuldinsro hu
<br />ahov. nriiiotrcd pn,r.ny frtr insp.crion
<br />i,r tukl i . thli rhc ihrc l
<br />lhhnAr.trerucri{ni. nrt hrrr
<br />rlnnrrion is.omr I rgrN toonpty virh dtt Cirytud Grunry
<br />hrnurholizc rcn.$nrrrivcsof lhisCitydtrdCoLdryrocnrd utionrr
<br /> ppli(nnr or A(ot Si!naturc
<br />Ul*-nPcmilec nrh€ Itrintr:
<br />A-l!*,.,Q-lGtY
<br />rDtrTil
<br />Bondi
<br />P.licy Numh.i_ErpiBl
<br />-l
<br />c.niry rhot in thc pc.rormotue ofrhc work ror which this p.r6ii i\ issu.d. I sh0lt nor.mrloy lny p.tron in,iy nu.ncr
<br />Y, as lo h..o r suhjcd to lhc wo.r.B'orycns ion l,*s ot Cllitomid. @d nsN rhar if I shouH rf,rom sbi.rr lo rl*so,lcis' mhpcn,ation nFsF,on( ul Sccnnn 1 /0U nt rhc bhor Codr. I .lB[. fndhtr irh mnrDty \ ,rr, r r,.* f., ".u. .
<br />WARNINGT Failurc to rNrc mrkc6 otrrpctrsli{rn cnvcaSc h xntawtot. .id shall subj..r an cmptorr ro ri rinal Jrm[ix and. il nncs up ro om hundrcd rtuu.lnJ dotlan tlloo,(xn). in odd m. ro rhc co{ ot comn .rrrion, .hmscs !s r,loiklcd tor rhcSrrtr.n.\0)6 oirhr titn Cndc. mrn*rr'd dhm)'c tF\ ^ n ^ ^,,. Qlzr( noon*",, KH4Nlt
<br />r f Etttlsln (.ovrIu(a(rR
<br />NECLANAT(IN
<br />I hc6hy rmnnundm pcn{ltrofpcrjury lhar I !'n lien$d undfi phvnjon ofchaprq 9 (cohnErcnr8 wilh sccrion 70OO) ofDivision lof rhc Businc* lnd kofc$ions codc, ad my lic.ns ir in tull foRr sJ*l .fld
|