ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE rD/srG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<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 />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Rough w\(t\)
<br />Service Meter
<br />FINAL sb/rt ae/d
<br />Remarks Etc.
<br />.l
<br />OWNEA BUIII}ER DELCARAIION
<br />I lE.by rfrm uxb p6 y of Fiury r Imqcnq nDm rlE Corincrqr' Li.e Le 6r fi.lollomlla). (56.70115
<br />&!iB an Prcl6irn Cod.): A,y Cny or Counly *tth Etuc r panr lo @ldruct r!s. itg.Drt {b6lirh or E?.i. &y
<br />rEuclurc prior ro irr hsuoc.. a&o rcquiB th. rp?lnrr nr ruch Frn $ fikiriged d.,Ml thd h.or JE i lico!.d p6u!r
<br />ro lh. FltbioE of tlE Conrrrd! Lic. .d L.p (Clup(6 9, Com*irg wnt S.aib ?000 of Oivniou I ot iE Bsit6 &d
<br />P,!t6.b6Co<L,clhrdh.o,slEira@p(rh..io6rndrtEtGir6,th.rlh.dad$.a,rsyvioLtionofs.iridT0!lJbrE,
<br />appltot for . FDit ilbj*B th. .pjli(ol lo . civil poht ol @t mr. tha fiv. tu.d dollG (1500)
<br />_1, c 016 of rIE FDFrr, d n, anploya rnh r'.s6 . llEU *k on4d!ib.. *ill dr lt. e6t ,n dr rndE i! d
<br />idar&l orolT?.d fd rl (li6 7044, BGiB 6.1Prcf6irN cod. TIE (t, i..l6 r LraE ln &i6 ml +ply ro D orE of
<br />rh. FDtEry *h)buiLLorihFo€rhaai.d*t6do6BhM*hi r.lf or ha*lf o. ttmudh hir or h6 oM mphyc
<br />Fovid.d rha ruh inForsEc @ Nr iddJ.d o otu tu n]. ll ho6q. tlE h di8 or inpr.Gd b rld wibn' om
<br />'aofcm{ di^ r ().*E B{itilr wil h.w rE hrrta of FoEB dlr h d ir dn d hild n lFur {E FUFrr- 6. lL F,F& of
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<br />B ow oa rh. FoFiy. m sduirct co'f-ii's *'irh lEa*d corlrrroE k, co'Eru.r dE FoF ls6 7oa4. &ailB
<br />dn ftrtrihcdl.: Tt (o fftq r l.kc@ lrrdcmt 4lyro xo"Fof FoFysho h{ildlor inprorq tl,aon.
<br />&d u,ho conkls fo. ruch Flidr wnh. Co r*ro(i) ltdB.d porulm ro rh. co r.dd'! Li.dk hw)
<br />-l
<br />m.\mF u0lq S{l
<br />)v alr/
<br />I @ rlfim unii( p.uliy of rqury
<br />UigAiA[[N
<br />-l
<br />n!v.rd will inr.h r CErifEa. olcoEd lo S.lf-lM fq f,qt6, .fip.rIli.n, d Foyid.d tor b, Scrion l70o of tlE
<br />t to. Co& ld th. FfolIE ot llr wsi f $'iit dE Fni i! isFd
<br />I hlvc and will mai,rain wodc6 comp.Nlion iBu ...B ralund by 56l ioo 3700 oI rh. ljb(,r ( .d.. for rh. paaofruc. oa
<br />th. *ort for $hlh tht pqhn ! iB.d My *std comFudirn iMre cdE trd polic, n@tE r.,
<br />l.dlify$d inrn Frform e of rh. worl for whi.n thir Fnr is isu.d. l ihlu not mrloy &y p6!on in dy dd.6
<br />$ akrtEoft hixl lo rlE Elt6 smFEdhI ls*!oacdifomia ei *ra thd itl nnuld b..oftrubjd tn'h.
<br />$*a' ompqElrbn FrrEhB otsclion 1700 oflh. t t!. Code Lr[ fdnrnt onr]r tr nh rb. FoBbB
<br />$ARNINC: F.ilu. io suc *!rL6 coErrdMrio. coyas. i! unL*ful mJ lhdl slbjdl mploF lo sidi@l F!ti. &d
<br />tnil nn6 up ro oE hund.n rho6.,! &Urt (t100.0m). i. .dddin ro rlE rd of conFMli.n. du'.s6 B Fo\iH for lh.
<br />Sdrk'n 1076 ofth. ljhf (ii.. orad md turf
<br />Li!r.:tur_(a-u&(raB
<br />l)l.LLt&tuQ!
<br />I hcrcby allrm undd pdallt o I Fjury th0l undd FovilnrnoIChst d I (conmocins *iln Seclion 70ml oflrvEnJn l
<br />of OE &BilB ird ElrdioB Co&. rn 6y li6e 6 in tuU tore rd .,Tal
<br />LkGNunbq:
<br />(olslarlgro!.lr8Dllc-Acllcl
<br />I hd!t, .lTm nn<r, Frnt of Fj- r- rhi thq! ir . olBnrli,r la'di.B .8*y lor th. Ffoffi of lh. $mt for *nih lhi. Fin i!
<br />blucd (s(.309?, ( iv c.l
<br />ATTIJ(IIIIECIJSAIIO!
<br />I hdrb, ,trrd u.d6 Frhy of pGjury oE of fic followins &rlrrltioB
<br />D.moliion PdmitlAst6ror Norific ion F.d.r.l R.eul6l hu ( rill.40. Pan6)
<br />-R.qur.d
<br />l,drsof luituih
<br />-l
<br />cdiry ti rh. f.dd.l ..soLtioN ceadins Bbcro! l6evd e. ior @lkrbk !o ihi. pmjd
<br />-r -,r5r,, r r/" '-a ,r,i .rd.dbn Ed ,r. !h, dr rtF!. inronnasn s .old. I lsrc to ondy wnh dl (- y .nd counly
<br />ord,nffi6 td Srit Llq Eldns ro hrldrn* otrnddiotr rn hs.br .urhoriz. r.r@ldn 6 olrhE C ) dd Co{.o !o olA uF. rrE
<br />!tov. MFLtalEr for N t I I
<br />^ppndi,miAs'r,rr Pln:'/LL",1 ^,,, 3J 6lJ I,-,,.*.]l{/ RINWRI TartV I I
<br />Meter Release
<br />Notes,
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