|
ELECTRICAL-INSPECTOR RECORD
<br />APPBOVALS DATE ID/SIG.COMMENTS OWNER AUII,DI:R I)EI,CARATION
<br />I h.rcby !fllnn undcr lcn.lly 01!.rjry lhar I an cx.in8 ron rhc contn kd- t-i.ctrr lre tur rhc nnk,wirg r.&,. (S& 70.11 5
<br />Btrsn$s and fto,is\n Grlc). Any Ciry or (bunry whi.h r{ui,cr r Ennir lo mtrNrud. allcr. nnpovc. dcmolhh nr tuNn Jrl
<br />nrudu.e. r orro ils isuaNc. rho rcquircs rhc aftli.rnr for \khl.nnirt, filcn li8ncd idrnf,nr rhi Iror\hc n liL-sn\d tur\onnr r
<br />h rh. rovisions dfrrr cantdror'! t-i.c.rd ljw tchaptcr 9. CnmnEncins wnn Sccrion ?(xn ol Divnio!.1 of rhc Uu\inc$ anil
<br />t'mfc$ions Codc) or lh0r hcorshc iscxcnrpr rhcrcfnnnddihc h i\ lirr ihc allc8cd ddmpr i(,n Anyvt,larionofSccrirnT0ll5hyony
<br />rpriicanl ntr a pemir subj.chlh. aptlic.trrb,civilJ,cndlryofnor mft rhai rivc hundrd dollar\ (3500)
<br />I.so*mrolrh.propcny.amexclu\irclycontncrin8trirhlicctr{dcotrtr.ktrstocon{rucrrhclmjcd(Sc..70.Aunrc$
<br />rxl Pioic$iu Conc Th.Contncrot s Li.cnsc LnN doc\ nol lpflyro !nD$ncr olpropcnrwho huildsor inlprcvEsrhcrcon.
<br />rtrd *ho conrroch for such pmlcrs qith s Co.ricr.rlt lic..rd pursu r) rhc Cotrhr.ktr s Lk{n{ tiu)
<br />-lrmcrcmplutrdcr
<br />ScclnD .B &PC r(tr rhi\ rcNoi
<br />Dde Oqn.r:
<br />WORKFRS' (:()]tIPE,\SATION
<br />DIigI,IIAIIgtr
<br />I hcrchy altirD undcr pcmlty oI pcrjury orc ofrhc rollowing dc.l,rtrrion$
<br />-lhrvr
<br />xlwillnDnJirdCcnifi.drcolConslnrk,ScllIn\urdftrwo*crrconFn{rn,n.rrpRNid.dinhrSc.ri(,n.l7U}ofrhc
<br />Lr&tr Codc. for rhc pcrro.mnc. orrhc solk to! which rhc pc.mir h h$Ed
<br />_lhrvcntduill rd![tork$a.o'ntt\rroiin\urrorc.r\r{!i'oJhySccrnr17(x)onhclihorC.dr.trrhr rrod!tr.r.f
<br />ssul Mr workc( .unrFfsnri(,r i'isurrtr.c. ri$ ntrd F,li.ynu hdr rrc
<br />Cdicr: -498
<br />I.cdift ihrr ,n rhc lcrfornrd( {,f rh. work ttr qhnh lhi\ rcrnril i\ i\s'.d. l \
<br />m rsroh. nr suhF_r tu rhc q.rkcn.onlri$rion lru\.l (aliftntrix. and +*-
<br />nor cmnt,yatryprrqr inrny n nn.r
<br />,if lrhould h..on{ \rhr..r h rlf,
<br />*o.kcm' comFctrsdionpmvhion\olSccrnnrST(X)ofihckhtrOrdc.l shrll.fonhw
<br />W,{RNING] Idrlurc lo rc!rc s.ik$s .o'htrisdn,n cokrrge i\ rnl"\f un]ccr rn rmpnDrr k) rtnirBllanrlri.\ rnd
<br />civil fincs up nr onc hundr.d thou\rnd dolla 'np.nsrrnn,. drnugr\ a\ nn)rnlcd lnr ih.
<br />:::,Tfi/- q
<br />I h.rh, utfirm under pcnlltyofpcrury thot I an li.cnrn udcr ptuvhb. olChq'ls 9(.onmncnr8 wnh Scclion ?otro) olDivision l
<br />ol rhc Busirc$and Prufessi.ns Codc. nftl mylicctrk is in full f.rmMd.tf.cr
<br />q oZcSB. c-to
<br />"^,",
<br />"J74L
<br />I hcrchy ann'n undcr Fn,hy orltrj!ry rhnr rhrrc is ! consrruri,n bndirB a8cnc, io, rhc p.rfonrEncc oarhc w.rk Lr uhi.h rhi\ Frlir ir
<br />i\skd (sec.:109?. Civ C ).
<br />AIIUCAIIDIIgLA.IAIION
<br />I lrnhy .finn utulcr ncnnhy of pcrjury .m ot rhc folbwnr8 dalar ionq
<br />DrnxnirioD Pcflnils.Ash.sos Norificari Fcdcrrr Rcguhrn,ns (Tirrc.to. PM6)
<br />-Rcqutcd
<br />Lcllcr oiN,'lific t'i
<br />I.cnrly rhd rhc f.ddrlr.guhrn \ r.!rdi'rB ^h.(o! rr nrvrl nor rPti.rnh n, ihi\ tn!..r
<br />-l
<br />ccnirylnd I n3vc rcad lhis mDlicarion.,rl $atc I rio (concct.Il8m lo$mplypnh rlr Ciryakl Coutrry
<br />ordironccs lnd Srarc bwsrchritrs ro buildiqcon(horizc r.rrc€nrorivcs oilhn Ciry
<br />,tNvc nrtrtirnEd roN y tu ir
<br />Applicnnl or ,1ICnl Silnrtu hJ""l ;/;/;-"
<br />Underground 'tl,<lq Jb5 t0l tttr t {zl r" Qlc,-s\o
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab i Floor
<br />E9!ding i Grounding / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Ro of Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ce ilings (T-Bar Rough)
<br />Meter Release
<br />Aqqsh g/y/6 1+to-*z Zt'@
<br />Service Meter
<br />FINAL ilA //o *p-z ?-h^tr
<br />Notes, Remarks, Etc.
<br />I c t-
<br />4.,,C
<br />L o
<br />Site-Work
<br />') u ^+ d1 na .-
<br />l,.s owndr ofrh. pDIErly. or nrycmplolccs wirh wstcs rs Ihcir erlc coDr0crn i, r. willdo lh. sork dxl rl[ imturc is not
<br />inrc cn oroflarcd for elc (Se 7044. Busir.s Md Profcssiom C{xlc, ThcCuntr.rois t-iccnsc ljs&rs norattl,hatrnqic.ot
<br />rhc Im)IEdy qlt, b.ilds.r invn,{s rN,n. dxl whr d* s.h $1,r[ hnns]I o. h.Mlt.r rhn'xlh his .r hcr opn cnrk'rc.s.
<br />pn'vidcdrh.rskh iml,nrv.mnh m..r inic cnorottEalLrslc lL fiowcvcr ttc h,iklins or inporrrcd i\n)kl *irhin,,nc )c
<br />ot.onDLrioG lhc ONncr Alibs willhrvc rhc bordcn oiFi,linB rhd h.o,sh. did rx h{iu.r inlirnvc rh. pR triy for rh. llryNof
<br />tfid.lr AddTs _
|