ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS tD/stG.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 />Frre Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Transformers
<br />Tqlqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment x
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release a '/
<br />Rough
<br />Service Meter 4
<br />FINAL r'63./et116 tl{l/r^+qd )
<br />Notes Remarks, Elc 'f
<br />x
<br />OWNER B!ILDER DEITARATION
<br />I My rrun ond6 Fulry of p6iur,! rh,l , m.imF inn rh. Coorddoa Li..e llw for rh. follovhs llen 15<?011.5
<br />ttlhs .,n Pr.asion (-od.): Anr ( ny or Coufl, $hth r.qu;6 r Fm. r. @dtu( .td, inpro\e ddmllh or lr?.r D)
<br />n,ucl@. Fn lo tu i'5le.. rto Equi6 lh. +dtd for uh Fm' !o nk . dei.d ffit rh. lE or dE i licds.d F!,d
<br />ro rh. Foviio.r of rlE (i'.rftrs! Lk6sd Lrw (Chrpro 9, Comtrins wih S<rhn 7000 of Divirio. I .r$. BBil6 md
<br />Pmf6ioB ('od.r or lhd h. or rlE a .rmpl
<br />'hdc6om
<br />Md lh.lrn for ih..ll.!.d amll(ion Ary eiohlionofsalhnr0ll.t b!.n,
<br />.*FmrfdrFni stidrrlr .r?lkdrror$'lFElr).rmr m'.'h.nn\.hundd(|.1116(lrm,
<br />:ry,^Y-. r*. *.*.). orny mFb'6 $irh wu6d th.r hrc comr.@n' \nr& th. $qt d th. shd@ ir mr
<br />inr6rr.d o ofncd hr s.l. (Sc 7044, Bui,B ud Prcf6ioB ( ort : Tlf Cor rlcroi! l,ic.e L,r d6 rcr &rly b d osd of
<br />lh. F!Fl! qtb buil& d ms$E llE6.. nd slF dE Mh srr hilMlr.r hdrlao. rhFust hn d h6 o*i drph}<
<br />Fovi.Ld rhd r@h intor€d!ftdnddolHft,-l. l( b6E. rlE tlild'q n lqD\qEr i$ld sthmoE )tnl.onphi^ Or o*G &rild( $ill hr( ttr hdn or Foring rhd lE m lrr dn ful hilil 6r lrpror dr FFiy 6r ilE F4r& or
<br />I. B osffi ofthc FFrv, m a.lBndy con.tliE unh hcd&d slrr*l6 ro onrntl rh. Frr(1 lsc 70.1-l,Il&6
<br />id hlt ir (-od.: 'rh. Co.lreloi! Li.d. Lts dod nor !t pl, ro & osn6 of proFny f,ho hlil4r or iBFov6 't6or.nd *h. ..ntmft aor !u.h pr.jds w h a c.nrmdo(s) licdi.d puBud ro rhc Co.t.(lor's Li.e
<br />!
<br />DES.A8AIIO!
<br />I hdv. drl witl roifl.in . Cdlificlr. ot CoEdr ro Sdf-lGu,. for w6.l6 co.rpoldion, a rmlid.d for by Sdio. I700 oa lh.
<br />L.bo Cod.. for rh. Ft(lr1m. of th. sst for *hth rh. pdni! ir is.d
<br />I h$..nd *ill mi.rri. f,nrtd' omFBrbn i@@. a Gqui,cd hy S.d.n 1700 otrh. t t r co&, tor ilE FfolM. of
<br />rh. mrt fo. whth lhi! Fnn ii iqxd M, mrla ..n asnio. iera. @i6 fd Flk, nunbq rcl
<br />Hr(\,.u- F!n6
<br />!{dii,h, . rr,. p.r.rm. of rh. $orr f.* qh(h rhi. FEn i! isu.<|. I drll mr dnploy 'ny Fsn i. m, m.llF
<br />- B ro hq.r $t*rt k' rh. rutd' otrporrbn Lwr ofc.lilomn. 3'd rr 'hr if I dEuld baor ruuFr to rlt
<br />*nrl6' oaIEE rion Foriliod of S<.rFn l?@ or rh. t b.. Co<le I idl aonhynh omlly u nh rho- FDyilhd
<br />&i rh,ll tuhjd d dntld!6
<br />cn'il fin6 ur lo orc hu.d.d rhoE nt rlou6llrm,ooo). '. .ddn !h. .or or comD.Mhn,
<br />yofpdilryrhar I m li.drd
<br />DECIAS6IIO!
<br />undd Fbvirionof (-h.pla 9 (onmfting Rilh
<br />6d Pmfdio cod., at 6yli.@ n
<br />(llirauflI0tLENDlxti-acf!(]
<br />, h@by smrm undd F..l'y of pdjury rhd rh@ n . $.!odirn hnairS .Ba.y fo. lh. Fnmmcc or rh. rorl tur whkh lnL tEnil b
<br />6.u.d tsa 1m7. Cn C,
<br />AITLIIANLDE(IJAAIIIIN
<br />I h.*y atrm uidd p6.ltr of Frury on. or rlE folh*i.8 rh.b.' io.3
<br />llnolirio! PdditlAibdor Nod,i.d io, F.da.l R.suLr ioB (l nl. 40, Prn6)
<br />R.qu.d l.iraotN.rifr.ibd
<br />lsr ro c.f,dr udh rll (-ir.nd cou.i!
<br />ahr\r molnrn.d pFt.ny ntr iNp.cl
<br />Appllo or rdlSkrluE
<br />r$'nh* nrr. tprinr): t.,t a,/)
<br />^r
<br />DATE
<br />-ffi
<br />l!2ry Mt $. t&tnr.sturioB Esririn8 dndt$ r@or.r &. nor 'pprkabr. b rhn nmjc.r.
|