|
ELECTRICAL.INSPECTOR RECORD
<br />APPBOVALS DATE rrts.t COMMENTS
<br />Site-Work ,
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFEB
<br />TransIormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soflit Rouoh
<br />Ceilings (T-Bar Rough)
<br />[/eter Release
<br />Bough
<br />Service Meter
<br />FINAL q q \rj ,a L416)7-OA b,tL,.A
<br />Notes, Remarks, Etc
<br />_Y
<br />OWNER EUILDET DIiLCARATION
<br />I lE..b, lrtrm uid., FBhy ot rcrrury lh.l I m cr.npl lmm llE G)lntd6 lj(fl. trr f.r llE folt *iry o$n (sft 70l l 5
<br />aunnc$ rn Pmfcs.ion Cod.): Any Cily or Counry *hth r.qotc\ , Fmir r. .onrhxr. dld, imlircE, .Ldrlirh o. EFn .ny
<br />(Ndur., Fi,r ro ir! iisutE. iw,.q!i6 rL.ptlird nn hFm hfikr{8*d(llcrrt th.l lEo, rlE k lk6rn puunr
<br />ro rh. Frvirhnr of r (-onurn, r Lt.n*n l,w rch.lrd 9. (onsErins *irh Sftrhn 7fiD ol oivnhn I or llE-Blrircs and
<br />PDfcsrionr Codc ) or lhar tt or rlE n .rcmpi rrhi.6on rod rli tr\n ror fi. rlr.Scd .r.nl'lbn. Any viohri,n or Sdhn 70.r I 5 h, rny
<br />.pplai.r l . Fmir .!hi.rr3 tlr {irlt.nr ro . ciril ,Edty of B,r mr. rh,n fi!. huitfti drlld! 13500).
<br />-1.
<br />.1 0*6 df E F.Fny, d mr.rproFrs sdh wrFs.r lh., $L oqroqtion. *ill dr, r,r *rk.,n rE {[1u i\ r'r
<br />inrdLd or olf.En fd qk (S*. ,(N4, Burim$ ond Pnrf.s\i, ('ode: Ilic Gr'turd t l-r.trr Lr &F ,r, qrr,l, r. - owr or
<br />rri rnlFny *tn hiil& d iqr.B ilErr .,n *b ds kh u*t himcll u lEclr or rhFush hn q hrr own .,rrL',@r.
<br />n trvil.r, rhrr .kh inDi.wntdr E ftn idcnddl r, oflcEn tu {t lt lrN.w. rtE hiiUins d irti*ft i! $E Y.hn m ld
<br />of dfipkrih. rh. owE ariE . {ill h.E tlr hrd.i oi FrwB rhr lE r {E dn d rlill or inImE t E pn'rdy for rh. JIrID$ ol
<br />-
<br />l. .i owEr nl rlx F,Fny- !D dcluriv.ly .orrErins sirh liccnsd $.rrr$fi n, d,nriM rr lrnFr ( Sd ?Orr, Bhftri
<br />uxl h i:tin Cqj. Th. Conk.ror'r Lirns. bw d(a L{ .!01, r. m osE ol Forrrl y r ho blild! or Lnpn*s rh.rd,n.
<br />rnd shl fi,nhr\ rm trh FDFr rith. Contncrr,ns) lacnBd punud lo rhc G)hrrlcior'r Lt.ns hw).
<br />I n.rcmd unLr Sdnn .B &P( nrrhFrcNun
<br />D.t. O*rr
<br />lllrlAl8s:rrrlttEdtarlll!
<br />IIEII.A8AII(N
<br />I hcEb, alfirm undd F llyorFlu,yomof rlr lolb*ina &.L6rirB
<br />Ihev..n$llminronaCdiaEdr.nlcon€ bSclf lNEldkrkn c,niindbn,.i rhvil.n fo, bySdion:lln orrlE
<br />trttn ( .nc. ftr rlE Frrdee! ol rlE q rd whth ttr rEmi ir ntucd
<br />_l har .d *ill minrlin sorr6 con{rnsrrhn iniuraN., es Equir.n hy .eqr ion .}r(l(l nf llE uhor Codc. ritr lh. P.rfomNc of
<br />Ic.nrt_vrhdirrhcFrfornrLnccolrn!*ortlorshthrnhncrmii1i1lkd.Ith.llft.rq'Ly.ntFvrmrnytunkr
<br />w' n, tEor $hFr brhro*-t (,np.nurion br\of Crlrfomi.. rel reE lh,i if l\h,uld hdont hAirtorhc
<br />*.rkcri cnmri\Nrion ln)viii,'nl of S.d tr)n .t70O uf !h. I rktr (inc. I $.11. fonh*nh (,ry|t wirh rk,c pnr i<bnr
<br />tt,\RNlN(; Iailur r, q.cu'. tr,tr|.^ (otr,trtr\rri, , (
<br />rnrl lnr(\ trt) n) oN hutrdrctl rhou{n(l (lol[^ (11(i,.1
<br />s(rtr{r ro7.!n rr'.lnhr (
<br />\bltzt)
<br />I h.rchy lrird u.d.r p.nalryofpcrlrylnd I !m liansn unds Foirni ofChlprd 9 ronrmrin3 rirh SErbn ?m)l ofDiriri'n:l
<br />ol rh. BolNr rid Phr.rii,6 ( 'i., rrd m' la.n{ n in tull ao^! un cflNr
<br />uo q .>
<br />r)rr. b
<br />L.
<br />[vr1
<br />I h.fth! rflnn undcr Fn.hrof Fijlry rhlr lhcE n r ornrucrion krxli4 rr.rt lor rtE FadltIE. ol rlE *sl n
<br />lrnd( \ d&.!\
<br />AITLIIANLDLS.AAA.IION
<br />ItEttry amm uhncl Fn.hy or Frjxry orc ol rh. nnbainS d(hr.hn!
<br />l)cmniio. Psn r A sftx t{orif.d.n F.rkral Rc8rhtirnr rTn|t 10. l'.n61
<br />-R.qnEn
<br />l.[cr of Ndir$ri
<br />r{le d qflarbk h lhn pmi(.
<br />E hrordbn ir ffi.<r. I rsr 16 drqrly *arh .ll Cil, rn (.oudy
<br />pr.{ lnrs ol rht ( iry Md Q)unr} r. c.r6 ulrn th.
<br />I
<br />Applldnl or Alml SIanoluE
<br />L*fi..n...rprinrr,4
<br />,{ Q- /)1
<br />nr!.n (Sr Ir97. Ci! C.)
<br />l.rhl s Nrm
<br />I
|