|
ELECTRICAL.INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDIR DELC RATION
<br />I hcr.h, .flim und$ F.ahy ot rcrjury th.l I !m cxcml fmm rhc ConlracroF l,iccnsc lzw tor rhc follo*ing rc,h. (SN 7031 5
<br />Businc$ md Pof.$ion Codc): Atry Cily or Counr) whict rcquircs a lrmir ro .o.(o.r, rkcr. improvc. dcmlish or rclat any
<br />srrudurc. prior to irs issuancc. lho rcqriEs rhe applicanr lbr such pcrnir k, filc, siSncd ststcmtrl lh h.or shc ir lic.n$d pnNudnr
<br />to thc pmvisions of 6c Co.l$cr s Lienscd tiw (Chaflcr 9. Comnr.ncins wirh sc.rion 7txx) of Dilkion I oa rh. Blsi'rcs\ lnd
<br />Pmfc$ionsCodc) orrhar lr.ishc iscxcnllr rhcrcriomrnd lh. hrrh rorthcallcScdcrcmnlion AnylidarionotSudionT0ll.5byony
<br />,ptlica.t rorap(nhn subjcls lh. applicitrl ro.civillcflr[yofnol.nrcrhln 6vc hund'.d dollr (g500r.
<br />-l-
<br />r\ o*nc, oirhc pn)Fny, (r 'ny.'npk'yt{ wirh si8.\ a\ rhcn s,b conq{n\ lion, willdo
<br />'hc
<br />qork Id rhr iturm ir mt
<br />inrcndcd or ofirEd r(r $lc (SLr 7t*,1. Busincs\ ind P()fc\sn)n{ C,klc Thc Conlrcntr \ l-iccn\.I-rs doc\ tr.r rt1t)ly h N osr.r ol
<br />rhc pn,Fny *ho blilds or iqmvc\ rlrEn\ ond who dG\ ni.h $od hnns.lf or hc^.li .r rhn,ugh his or Mr o*n cmPloyecs.
<br />pm! idcJ rhlr such i prck.rn( r nur ir dxlL{ or o aNl tur sdlc. ll horcEr rhc t[ ildiry or in{,rowmnr i\ v,]d wirhin orc }r
<br />olcompbrion. rhc O*ncr Buildcr willhnr rhc bordcn olpn)ving rhxr hc or \hc dd tror htriilor iDpmrc rhc ptutdy r(tr rh. Nrlxxcof
<br />-l-
<br />asowrcr.f rhc pmpcnr. r cr.lusihlyconkkring wirh h.cns.d conracrors h.on\rrucl lhc lr{,Jc.r lScc ?0,1,t. Busnc$
<br />rnd Pturssrtr Codc: Thc Conka.his Liccnre Law do$ nol0pDlyro !. owncr ofphlr.ny *ho huilds o! inrflotcs rhercon.
<br />and *ho o,nrracrs fir \!ch pojNh wirh n C.nhct,(\ ) lNnscd puruini lr) rhc O,nhclol s l,icos. Lw )
<br />I rdcrcDpr undcr Sc.rntri , B & PC lnr lhhrcrlrr
<br />Drt. _ orn.i
<br />woRxEisr'o,\tPElvsaTloti
<br />DECL$A]I!J!
<br />I hcrehy amln undcr penalry.rrEjuryon orrhc rou.*in8 dNldarionsl
<br />I hr!. Md will mninrrr . Ccdific0rc of Co.*d to Scll- l,xurc lo $orke^ coDpen\di)n. as rovnhd for by Sar ion :l?lx) ol rtE
<br />lrhtr Cod., Id rhc pdf.rmne of rhc work ror which lhc !.nnit is isucd.
<br />-l
<br />hNc nnl slll nriirlnin $orkcn con,fi:tr\rrior i'trtrratuc. r\ rcqur.d hysc.rion rr(x)olrhc l-160r Codc. nn rhc Frfitrn'rn..nr
<br />ich rhhFe.nrir h i\$cd Mt *ork.r' nnnpcnsd ion in\und.c.ini.r idtni.ynunrhcr uc:
<br />-l
<br />ccniiy rhir in rhc pcrtunnli...irhc work for Nhi.h rhG l.rnrir is *sucd. I shtrll nol cmploylny pcNon in nny nrtrrcr
<br />s as ro h.&,rf, sol,jNi r. rho qo c6 .onr!.nqr ion l.ws ol aulilorni!- and as@ rhnr ir I qhotld lrrom sbjcd to th.
<br />qork.n $'np.tr*rion pmvnionsolSstion l7(xjoflhc L.tnr Codc.I sh.ll.lonh*irh conrnly wirh rho*,nrvhi(,ns
<br />WAIININ(;: Frilurc b e.ua workcr(.onDctrsolion .ovcrUc i\ unla*rul. rnd \hrll sobj.cr rn ctrl oycr
<br />'o
<br />Lyi Ml pcnalr
<br />.ivil in.s uf nr onc hnndrcd lhousrnd dollls (SIm.0(x)). in rddilion t, rh. .od or cotr1p.trs.r
<br />Scclutr :1u76 ul rhu Lih, Codc. inrcr.i rD JuurEr'
<br />,^"'36/( noo,,*^'
<br />I hcrchyelfirm undcr pcnalry.fFrjury rhd I rm li.cn{d und.r provaion ofChapler 9lcommncina wirh S.dbn ?ofi)) olDitision l
<br />of lhe Buline$ lnd Pnfcsioos Codc, sJd ny li.cn* ir in rull r{tr.. Ddl.lfc.r
<br />tt"t'"rt,r,,CUC,B
<br />".,"e/84:
<br />CoNSTRUCTION LENDING AGI'NCY
<br />I hceby alfirn undn ,cMlty of pcrjury lhal rhcrc h a onstruclion hding ascicy ro hc tdrorrorcc ollhc port fo, qhih rhia
<br />'lcdir
<br />G
<br />nsucd (Seo :1097. Civ C )
<br />AITLICANU)ECLABIUA!
<br />I hcnibyaltmtr u Fnrlry ollErlury om ofrhc lolloai.a d.tlordionsl
<br />Dcnroliriotr Pcnnil\ A\hcrtos Norificrri{,n Ftdenl Rcauhri{nrs fr h 40, Pdr6)
<br />k.qun.n I clcrof Noriliurion
<br />l.cnilyih{ rlN lcdcral Egu hl i(nN rcBrding$br{o\
<br />lNcdlrri lhrv 'rJdrhFrnrl\, '.nrrl nft'th. rh.
<br />n{l.rans. a \r r l rs\N],r'nE ! bu,ld'r (..qru!ri,n..'
<br />rrr)vrl[c i.r r!!lohlc r,rhis nDF_r
<br />.h,v.nrroflurionisconccr I ss'Rt.onrlysirhrllCnyrndCo,nly
<br />ouihoriza rcprc\ctr!rrilcs ofrhn Ciry ind Counryto cnrcr upon rh.
<br />abovc mcnriord nmrcny n,
<br />,\Dt)lirn rnr,\!. rSitnartr
<br />Prm,ike nanP (prinl):,
<br />".,",
<br />q/itf
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Building
<br />Under Slab / Floor
<br />Bondino / Groundinq / 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 />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rough)
<br />lt/leter Release
<br />Rough
<br />Service lt/eter
<br />FINAL
<br />^ltplR -rt^nn-JZ ,
<br />Notes, Remarks, Etc.L UI
<br />Communications Cable
<br />Zte/s*
|