|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<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 lo-21'11
<br />Transformers
<br />Torqueing
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouoh
<br />Ceilings (T-Bar Rough)
<br />lvieter Release Ul >\-lo-Jd - )q )r,Wtd
<br />Roush icfPQ la-71- )1
<br />Service Meter ^\-/
<br />FINAL la-z"t- l\
<br />Notes, Remarks, Etc V
<br />4
<br />OWNER BUtLDf-f, DETI'ARATION
<br />I h6.b, amnn u.dd F.ir, .f FJUi' thrr I m.rmpr fron rh. Co rucroB l.i.tu lr$ for rh. folb*hg ren (5..7011J
<br />Burin63 tnd Profdhn Co&): Any ( nr or Cod! \hi.[ rcqutrB r Fni !o 6dtu.1. .Id. irprore d.rFlirh or ..r!n Dy
<br />itucru.. ri'. b ft is!m., lho r.rlln6 rh. qnlicsi fo. such Fmn to fiL r liso.d iatul llr, l! 6r dt ae li.a!.n dl,3d
<br />ro rh. FovirnrE ol rL Contrcroa3 l.i6sd lrtr ( ( hiprc 0. (_.mn in8 r nh Sd ion 7(xx) ol Dirision I of rh. BBiB ed -
<br />Pn,fBnnr C6{.) or rh.l rE M nr k .roF rlE.tom ed rn bdi ror th. .lkp.! .roF ion Any retdion of scdi.n 701 I t tD ..y
<br />stplicad f.r r Fflnit shjalr llE qlplic.nl to . ci\ il pd.h y o f ml nFrc lhM li\ . hu(,r.d dolldr ( l5m)
<br />l. ar oMd .f rhc rturarr, or ny dployc sirh $s86 s lh.t hl. omp.ns.l ion. lldolh.qakdrh.nid@tmt
<br />i ftLd c of.r.d for rL (Sc 70,fi, BuilB &d PmfdioB Co&' Tlr aodralla! lIcM l,tr &E mr +pl, lo 6 osF of
<br />rhc FFq \tet kl d i.pro!6 tlEF.. in $lr d.€ n*h *nd hims.laor hq*lf or llmu8h hn or hc os @plor6.
<br />p.ov il.d rhd r!.h uqrofoE lr E ml hlErld o. ollqEj ir sk ll ho$6 6- ltE h!il,!€ tr !qro'!6r ir 5ld sihi nE \d
<br />or.dllhnc th. (xc ttoild. *ill h\! dE hnl. oaFnrnE thd lr n Jr dil d trild o. iqrclr dE FlFry tu lh. F,Fr 6r
<br />I. so$ffi.lrh.F.Fry, mcr.hBnrltcodhdin8 $nh lic.B.n coirr&1oE ro cotrnrucr rlE Foj.rt (s( 7cl,l. &arnd
<br />!fl1 hrrkiJn ( odc: t h. Co.rrrroir l-i.@c lr* &6 nor q'ph ro e.$na 6lpr.rdy sho blikL or imp(n6lhq6n,
<br />sd "ho oddr lor $ch F.j.<r *hh. ( oddo(3) lt6vJ fil^rd rorlE (hirrroi.l ice ls,
<br />I s.rmfl trnd6 Sdirn
<br />l).r. onrcr
<br />$ ()Rl(f tL(i ( (lntiE\sartoN
<br />IEOAAAIIAX
<br />Ihd.tr.mnntrnd6 !.n.n\ olrEi'trr oNorln fnlnNinl &rl ilk,N
<br />I h!r. ud N ll mainrlin . ('diaRar. oa( o^st h S.lf-tnrur. ntr rvortss coryensalion. s lro\ id tor hy S-ri.n ll7ll0 of th.
<br />l.t(.r ( o&- for ln p6rolll]tr. nfrh. NrI ro snih lh. Fnn n Lrn d
<br />I h.\ ? .nd $ ill m.inr.r $ 0116 romlEasri.n !BunE.. 6 r.quircd h Srl i,n 17(x, of rh. llb.r (.o&, fot rh. IEtffi. of
<br />:,:::5ffiH'ffi,'g*;:""t\{L/t1
<br />Icdria)lh in th. pdto@r..frh. rork ad $hi.nrhir prmir i irsu.d. LEllrol mploy u) ps$. in..y n6ns
<br />$ a ro tr<.ft iutid ro th. $dld mmFBii)n h\: of (-.lif.mn. r.d Bd ihd il I .tbuLl t<oG sbra-l lo 'lr*ort6.ompoerionFovbioNofS.<lion1700ofrh.LltDrCodc,lJatt.lonhNnhconply*nhlhorFbvnioN
<br />$ARNIN(| hihtrc k) sur. \orldr &'nto3arn,
<br />.r'l lin- up tr oE hundr.J thoustul dollB ltll
<br />s(rFn 11176 0f rhr I 8br GrL. inrdcn ind ithr6'
<br />an dl'l('rn b m'n.l lE..hs ed
<br />,,r.., .6futq
<br />I h6.l,r lrm uftl6 r.oh) .I Fjur-' rh, I ffi lic un& F\iionof (tupr6 9 (.$!1ffii.e qnh
<br />ol rh. lru.in* Md I'Nfsi.B ( od.. drd nry licm€ is in lull forcc od .ITdr
<br />l71o
<br />t>tt4
<br />4
<br />r "^. r"-* t I
<br />...-","..r Vi r,,'ur-f
<br />7>?s-G
<br />b dT@
<br />(a! f,jtclla&LEdtltrcttiElt}
<br />I @ .rm unda FEh) orFjuh. rhd th6. k r (olriMion lrnhs.rq: for llE Ffoffi olrrilorl 6r {tin rhi Fni it
<br />isrd.d (s( l$,7, ( iv c )
<br />drll.l(atlt r(Id8aua!
<br />I h.6) !ftn !.&r p.BXy of Fj'Jry oE of llE foltr* l'!3 &(hr.l'o6:
<br />D.mhion Pdnir! Arhdor Notificrion F.{6.1 i.!!Ll b.s (TnL 40, Prn6)
<br />RaDn.d L.ltd or tkifi(,ion
<br />r.*a'ir,r 6tEnG r6m15l d( mr {'elt!bk ro ihn pojd
<br />I .a.e ro Nmpb trnh rll Ciry
<br />^nd
<br />(-onnrr
<br />6 otlhisC vmd ( ounr! kr mra qm rh.
<br />6hn. n6ri.n d [o0.n\ lor ErEi
<br />,\|l|lli.inl or.lronl Si!nrltr
<br />*AJJ'/\\
<br />,.,"'b /L 1(1
<br />rD/srG.COMMENTS
<br />\ )/hi
<br />Sub-Panels
<br />Vil-.Ur
|