|
ELECTRICAL-INSPECTOB RECORD
<br />APPROVALS ID/SIG.COMMENTS OWNEX f, UILDEN DEI.CARATION
<br />I tEcb, lilim u.d.r FMlly ol p.rjory rhi I m.rq rmm lh. C6dkr6 Li.rne l,* nt rrx rol*!*int.cr$n (S.. m.rl t
<br />Bulnc$ !,n ProLl\hn C,'de) Any Cily or Coutrry *ticn mluirq 0 Fhil xr on{M rlrs in{,ruvc &n'lirh or EPrn .n,
<br />nE*tu , Fii k, iB ir.um. iro tq!i6 rtE.nPlt nt ltn rEh F.ni ro fiL. ng*d (tl.r.l rh.r lE or rlE ir lic.o<n Frlur
<br />t(, lhe n otision( ot rh. (nnltrxtr r Lk.6€d L,w (ch!pr.r 9 aonmrc ins * nh s.cr.n 70oo or Divni'n I 'l rlE llu\i*( rnd
<br />tn,t si,nr Co<h) or lhir lEordt k cr.,ir dErmoha'd rlE trtir ror rh. rlL8.d crcnprion An, vrrlirinr ofsqrim T0ll tbv.nv
<br />rJrlklnt (tr ! pcrnil flbFit rh. .p?lk!.1 lo ! ciYil Fut, or dn mE th.n fir. hudrd doll&. I'JoO
<br />t
<br />-1.
<br />* orE orrlE Ft,Fny. q ny cr?hFr v{h r.86 r tlEn sh d'ntlnsl$n. Eill do rlt *dt ri rrE tErF n nn
<br />mr.n&rt (tr ofi.r.n lor qL lsd.7(!l.r. ausiN &d Pmfc(hn\ (ixiq Th. Qn*r&1oi r La.trt tj* &B mr +Plv t, m oumr or
<br />rlE FDFny *h.l il& or inpr.Et ltEE)n. s:d rh &x sh wlt himrclfo' h.rf,lror ltmu8h hir or hd o*n.olllk,vcci.
<br />pmvd.n lhd ffh inimwdt & d irdrhi G ofi.Gi fir sL l( lbM. rtl tltldrla c irF Emd n $! eahin nE Fd
<br />of dnrrlcrirn- ttl O*mr Buitl, *ill hrE rh. t d.n of E vn3 dd lE or rlE dil mr hoild n iqmE d. Fn{dv f rlE Flqriof
<br />L aso*mroflh. noD.ay, !mcr.lxsiv.lyconlmclins wilh liccned conk&1on ro m.rrrud rrx,,l,Jcd (S(.7(114. Bu!in.(
<br />rd P$irrir Cd.: Thc C6.kr&, r LiccnF lis ddi el rptly n, m osEr o, p.oFd y *ho I'uilds or iopr6!.r I h.r6..
<br />.n'j *rr' d, kls ld ikh rrlrtls,Ih ! Gfldonr li!.cd pudurr h lh. ComNtr s U.ct* brl
<br />lrn', r rt!, rl(r \,.rIi
<br />$ot(t'f{ ( 0tlP}-'tsaTlol
<br />IllicllSalx]N
<br />I h.rcby rlllrmu.dc. J,clulryof|xlrry onc oilic lnllolinS dLtl,',ri.ns
<br />-l n.v. {d r ill mi.t.h . C.nirf,rt. or ( o.sd to Sclr-lnurc n, Nrrdr omP.nslln'n. rr pmv*Ld (t bv Sdrion lTlr) of tlt
<br />,hor Grlc. ror th. Irrlolr1lmc ,)f llt *o ror *hth BFmi i\ nu.d
<br />I hlvc ind*ill nuinrrin worr.rJ .onrP(n\oli,'n in\urot.. sr r.rtutrc hy Se.'ri,n .1700 or rhc uhrr Cr{r. tu rh. p.no,imrcc or
<br />rtE mrl r,tr whi(h rhi\I*.frr ir nq.d I'1, *qls' continsri'n iniuttN. .mkr lrl r,ltv nu mh(r &c
<br />-l
<br />c.n'ryrhd 'n
<br />rh.rE nrmB..frtc rork for f,hih rh,.ncrn A n\kd. ! \h!llfrn.n{'Lr an! Frw,n in.nl.unBr
<br />{' !s t, hL$!E {rhrrr n) lh{ $ort6 Nqtner kr l!$\ lC!l'hm'a, anl4N rh.r if I \hrld tt(m rul'l.tt io ilE
<br />sorl.6.onq*nsriotrln'virion\oISdrirnlTUrofrh.litu(irlc.lshlll.fonhwilhfnnfly*irhrhrsln'visiotrr
<br />WARNINC: tlifurc ro $.urc wortcn dnrpenwrion a,vcra8. ir utrlrwlul. lnd \hrll $hFr arr umDlor.r t' nniral trM[E\ and
<br />(nil fimr up t' ns hn.dRd rlr{{nd &'&r (3l(il.(tx)r. in 0dd ir k' rlE .otr 6tmqrn{rion- dru$s !' rrmvd'i |or rh'
<br />\(ri llrt (rrh! lihtr
<br />,,.,, 3l1lt Cd€. inrcrcsl.nl r trty r le\I
<br />l]l"rrlB,rL)
<br />I h.Eb, drrnulLr pc hyof Flry rhd I tm lRnrcd lnk Fr b.of(h.Fq 9tnn1fttri.8 *itS.albo 7u[) 'rl]iriri'n:loI rh. IlusiE.r md Pr.t sion! Codc. !d n, lic.nk n in tull n,c ord clld.
<br />I 'jlll lB {"
<br />coNsrlt ( _Tl(lN t a'tDIIlc ac'\(1
<br />I h.rchyafilrmundcrrEndryot Frju.ylh.l lllac tsco.nrudb lnding os.ncy ft, rhc t rrormn!.oflt soB lot which thir IEmn n
<br />trEn ls-i -r87. Cte C I
<br />l:,xki . Nlm
<br />-
<br />AE&TCANLIIEIIJXAIII]!
<br />I ho!6, r,fm unrd Fn.h y of lf,rJlty oE or th. nnbwin! d..h,!rnns
<br />lxmliiion Pdnit Ast {os NotifEali,n I{n fil R.guLr ii,r I TirL 4), Pan6)
<br />-RcrroiE{
<br />Li(.r ol r*rifr.lhn
<br />-l
<br />cdrify rh.r rlr ,c&ri n!!Lti,m Esldins ..rBnr tmtlrl G fl,| q$ltlhh ro thn l'mr{i
<br />-l
<br />.tnia, lhd I llt Ed rhh .t ttarion !d {dr rhd rh. rho!. inlon di.n h .rr..l I lstc b d,.!!lv Ehh .ll Cil v .rd Counr,
<br />onrnatu-c\ rd Srllr li*\Ehring k,t!iki
<br />nh{c mtrrtr'ftd on'l{n} htr insrh.lri,innuxADlll.rrr or Asdr skEluE L
<br />P.mllE dm r prinr r:w .rn Coury ro ftlq r4b. ih
<br />tblLs
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / UFER
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilinos (Hard & Soff it Rouqh
<br />Ceilinqs (T-Bar Rough)
<br />Meler Release
<br />Rouqh
<br />Service Meter
<br />FINAL /-2y-/f .J./4o-z /0\
<br />Notes, Remarks, Etc
<br />DATE
<br />,B &PC tu lnr Easn
|