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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNET BUILDER DELCAIATION
<br />I lxEb, llIrd ototl F lry of Fr,try rhxr , rn .r.qi frDd rlr C.frd(m l-rcn- b* for rtE rolbfing Efi{ (Sd 70ll 5
<br />Bulin6s rd Pn,r.\rirn Cdi.): A.y Cdy or (i{dy rhih ftlliB r Fmr b d,{M. nia. iI.... oE. &dnirh.r EFn ur
<br />{rudu. If,itr t' nl 6ruec. d$ rcquiF{ lh. o{'tlrd ro. rkh Fmr t, 6t . r(En {dcrn' lh.l lE or rlr ir lk.nrn lus.nr
<br />ro ih. tF,yni()nt or r,r Cont4tn\ t-ac..Ed ljw (Ctlrrcr 9. ConrrE-'int *irh s.crirn 7(xll 6r Oiriii,n I or$. Bulmrs r.d
<br />Pmf.ssnn\ C,xL).rrhxt lE.r.h. is.xcr{rr rlxrcfi,m md rlE h6n fo' rnc trlbt.d cr.mption Any viobrnrn or Sdr,n 70J1.5 by.ny
<br />applicad hr ! pcrnril {br.ch thc srrpliclnll0rlivilnc l'}olnot frr.lhun nvc hudFddolles ($5U)).
<br />-1,.s
<br />oeEr of lh. |n,Fny,.r m! cnl0hyt r *irh*.8.rBrtEn $L$n{tnsr{,n. w (h rsnt!n l,t {Mrw h ml
<br />i,radol or or.En ftr qlc ISa 1rr4. BuriEr! r.d P$fs.bns C.n : TIE (oilrxlo. r Li:ne trw dE [ll q'tl, b & owd or
<br />rlE lrrrdy rtb tlillr., iqmE 0ElEn lnl wll! &6rh kil hijklf or h.Elf or rl! ti h* ls or.crq oysr.
<br />provB.n rh{ 1kh iqmmd! n di irdd.d roflitd fr sl Il lr,{e. ttr Liuine d ift+.sffi N :rld *irhh m Fe
<br />o, oqlkriotr
<br />'lE
<br />O* F Bu dd *iI h.E llE luLn ol FlriB dr lE or tE dn r{ hild or inFmE 0E FFry fq rL Ir4nE oa
<br />_l- as nwEr ol rh. pmpcny. im crcluiiv.ly .onrr&rin8 wilh liancd conrrrn'n ro !r,.!rMr rl- l,r,rsr ( SN ?{E r. au$Ea\
<br />and Ar,fs\i,n (i'd.: 'Ih. C..rkroai Li..ni.l-u* dcr nor !rrl,t, osn.rofriol].ny*h. burldror imtn'vcr rhcrd,n,
<br />and $l3l.odB.lslhrsuchtriedsrnho(ronrEknlolacnsdpurluldk'rh.ConrrocroisLiccn{1.*)
<br />_l dcxcnlp| uds Sdion_. A & PC ttrrli\ E!w,.
<br />t).1. Oxr.
<br />raaf,E&ttlrallt!5A.llr]tr
<br />DECIASAIII)d
<br />I n.rny rfrim unrLr ,r lry o, pc.,ury om ol rlE nrlh*inF d.(kdi.nr
<br />-l
<br />havc unl will minrah ! Ccn ifEdc nr cl,nEnr h s.ll-Inrur r'or lorka. !sn{.n!dlion. as rmvilcd rn h, ssrio. .l7lr) .r rhc
<br />Labor C1t.. Inrrhcl.rLrftnc.ofrh. wo* n, whi.hrr* p.rmi i\ niucd
<br />_l h'!c rnd uillrui 0in *orkcrs conrlEnuri,n in{uBm.. ac rcquir.d h} Sc(ri,n l7(X} of rlE kh, Gd.. ri tr rh. Frfolr1m. ol
<br />rrE $o tu *hth rhn pcrnir is ir$d Nly $orks .oqEN.lion inru,lxc csir &d Flliy numtE e
<br />.-", *o*\- ->r.
<br />e"r.r r,,,r", L{ trr 6A qf43t<-----rirpirc, ts .\.\q.
<br />l..diry rhrr in rh Frfntutuc.f rhf, *ork f,r *hrh ihn Frmir t k\krt. I rhrll mr.r?hy lny f.Mtr rn rny mnmr
<br />$ aslo tFonE \uhjd lr th. work.n' ..ry.nsli,n &sr of aalifo.niu. ond .*N lhnl il I rlruld lE{nm ruttirr ro lrt
<br />mltc6' d,mpcnsl ion pmvhions of Scrion .l?lx) ol rhc litrr Cndc. I shrll. ri,nh$iln comrly *irh rhor pt,ltont
<br />$ARNINC l.r'luE k' *-urc srkc^ dnn|[nsr*r, dr.rJt. i\ u.Lisful. anl \h.ll \uhl.cr .n .mfl,)rr tr diDirol FMtics ad
<br />cr,l i,n.\ ut (, or txndErl rt ulhd &,lhF (!l(r,,(rlD. in ddiion k, rh. con or.on{Enqrtuo. darE3* .\ I'iord.n for rhc
<br />Sftrrjn 1016 ofrtf, lrhn('irL, inr.r{ rtol r onrr'\ ha.\
<br />-l{AR 01 2018
<br />IIICIJIAIIIJN
<br />I hcrchyrrln unn.r F.nsllyolpc4uryrh.r l0rn li(nqlutrd.r pmvirionof(ilpls9(.onrnEncins *irhsdri, ?(lr,ol Divi\ion 1
<br />.f rhc Btrsnr\\{n,l Pnr.\sirnsCod.. dxl trry li..n\c n in fullli,i( rxlrllr.r
<br />B { optq qq
<br />"'kllAR 01f010'""*'"\, F.
<br />ctl$iralJcurJNLErlra{iiiJidt}
<br />Ih.ftby iltirfrr lcr lxn.lry.rr.rlury rhsr rhcrc i\ r drn{tu.rb. Lnding !8.my f(tr rlE IEdnrnENc olrh. $od ntr whth rhn Fnn n
<br />iisucd lsc. :lo.)? ( iv (- I
<br />hn lca\ N{trr
<br />AIIIICAIIIISJAAfIT'U
<br />I hdrty.rfmui.L, F iyorFrFryoE ofth. r('ll,si.! rk Ln irn.:
<br />D.mlirirn P(mir Arb.(oi Norific{rb. }qLhl R.alldbnstTirk rl0. Prn6)
<br />R.quird tr c, ot &riaEii,
<br />-l
<br />c.nify lhrr rh. rcJcril r.8!h'ions E8ddin8 $trtusmmvrlac not lF iahLk'rhhpmFr.
<br />Sf-*-nr,t,"'..r,ntappltrrbnulsl!r.rh.rrrrulnv€rlomr,nncoftc! I lsB rD cornry *,rh lrr (,ry..d cotr.ry
<br />odiMKr !,n Slllc l,*r rcLlins lo
<br />.rrv. mnrr,mn ptutdy fur iniFd
<br />ir Elr.sitri6 of rtir cny.r!d c6! yro.nrouFnltE
<br />\Ipli.rnl or,\xrnr Silmium
<br />'emire
<br />n{n* r,rrdr: -D--"'.
<br />"1
<br />A;^
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monumenl)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipmenl
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouoh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rough i/Vt, q-i>ItElugt
<br />Service Meter
<br />FINAL v/rs 5-9e t\1614d
<br />Notes, Remarks, Etc
<br />,t/t
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