|
ELECTRICAL.INSPECTOR RECORD
<br />ID/SIG.COMMENTSAPPROVALSDATE
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht 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
<br />Transformers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Soffit Rouoh
<br />/-\Ceilings (T-Bar Rough)
<br />14.YDLIMeter Release ot-5-17
<br />Rouqh
<br />Service [\,4eter
<br />FINAL t0-10 -)7 k-Y{.16\
<br />Notes, Remarks, Etc.
<br />OWNER TUTtI'N DEITCAR TION
<br />t h6ctr lfIm uidd pauity ol p€Jory lhd I m qd,pl tom llE Conra.roE Li.qg ltw aor lh. followi.g r.&o (sc 70.! I t
<br />a6!B !n Prof6.b. Co&) A,y cny or corry wial llquiG . Fni ro odru<I. .ta. itFovc. damlirh or lP.n r,
<br />,isruc Fi..ro nr iEre. rlo 'rqri6llE {pli:d ror ult Fni lo nk.3islEd r.od !lEdliit[.!Ed Fr-d
<br />ro 0E Foeilio6 of {r Cotrtr-ld r LitB.d t,w (Clupld 9. ComchS wnh S.(.n r00O of D*irbn I 6l llE B6ind -d
<br />PmldioN CorL) .t tllr lE or !h. n crdpl lhd.froo ald lh. h.ris for rt .llcs.d ddpion. Any vblrioD of S.dnn 701 I 5 by my
<br />.ppltd 6r ! Fiir $br.cl3 tl'c .rplion rc . civil pohy ol ml n:w lt& fivc hun&.d doU.r (1500).
<br />-1.!o$EoftlEFoFry.doydpbr6rah*laoB
<br />Ei ibomFEib[ *ill& d!.sdt rn rErrErE. r'r
<br />i,rai.d d otu for i& (Sd.7044, Bui6 od PrefdbE C.<lc TIE Co.rtrro'. Li.ae L!* &'d 'bl .lpry ro o ow of
<br />fi. p.bF! who hlil! d inF!61hq6,r. .d who do6 Mh MrI turulf or h*lf or tlhuBi hi! n. hd om anploy.d,
<br />F!vi{,.d lh.r 3uh iqorq'B, c d nad dotrEld 6r EL. l( horlq. dE hlilli'g ot utp.lvaEr i std rriin @ tc
<br />of o,alai^ dr (,sE &ril4, *i[ h.E dE hda olFlvil ln lE r .t dn 6r hlB d n!.oE dt FlFry tu dt F.F* o,
<br />,. r ow ofrh. p.oDdy. m qclBiv.ly .orrr..iins sith licdBqj co'rr&io6 lo 6rE4c1 th. Fol( (Sd. 7044, AEi.@
<br />nd hobi[ codc Tn co rdorr Licm l* dc tul rrply lo d osE of FoFly who hrild. or ntrFova ths@r
<br />.!d "tb olr.xu fa *t Fojdr! *ii . Colrtdt!) li€E d Flrur lo lh. codt-rd . Li.@ l$).
<br />\:ffiTttl
<br />TE TAAIIq!
<br />nd6 pduXy of Fjury on. ofih. folhsi.g delmtioN,
<br />Ih.v..nritl inlin. ( dif.!t. oacoNd ro S.ll-lBR 6r wrtd or+odirtr s ForiLd br by Sdioi ]tu of tlr
<br />t bd Code ld rlt Ffoffi. o f lh. *ut ta $ll.h 0r Fni' ir i!u.d
<br />t ll!v. !fld wi ll i!inr!i. *orld .omFN ion irour.m.. s rcquircd hy Sdlion l70ooflhcl,borCod.. for th. pdfomm€ of
<br />rlt wrl fo *nih thn Fmn i! is.d My f,mt6 @nFBdio, iBule. @id.IdFlky Nobs e:
<br />I Grit tlu i. lh. Ffol rc of th. $o.t tr shi.h rh6 Fmit i. btu.d. I ndl bl dploy o, pq$. it ut lffi
<br />$ B ro t@m {qd ro rh. rdt6'..rDt 6.ion Ls! ol(.l'fofrir .d.sc dlr ill .hould baod $Ual lo d!
<br />s*6' @dpdl,lEn Foririoo ofSdbn:!7m oflh. tibo. Cod.. I dEll. lo(hwnfi Nndy *nh rlt* pollnB
<br />ltAtNlNC Fnh,G ro su. strrld' o,rFdio. 0\6+. 6 urhs6:l tod lrdl rutid x dtrploF lo (diol Frrb !d
<br />.nil fiB up ro oE hu'*t <l rhosnd dolls (t1m,000,, h lddnd lo llt .or of .omFditn. d!tr sd ! Fovid.d ror rlE
<br />1076ofth.t bor Cod.. i ddeddbngrf€
<br />ADputur:_
<br />!CEME.(PNIAAI.]qB
<br />DSJJAAIIA!
<br />I h6.iy ,lfm undd Funr of Fjury thn I 6 li.6B.d lidd pr.virb. of (]EFq I (o,tlll4ins vnt scdb. 7000) of On ilirn 1
<br />ol rh. Bund. dld ftol6ioN codc. rd m, licl@ i! io tull foN ai.lTct.
<br />r ?.4la %
<br />(oltrauLflo!.lrEDlxc.acElcr
<br />I hdry .lTm ud6 FrXy of Fj!r] tld fi?. i. ! odrudbn ldldins .B.rq 6r t FfM.oflh.e* fot *tict lhit Fni it
<br />irscd (sd.1097. aiv. c ).
<br />ATIUI;AILDESAAAIIO!
<br />I hce, .IEr uqrE Fult or Fjury oE of rlE tollowiq &drdioN
<br />t).mlnion PolnlAib<3oi NoiifE iotr F.ddl R.8ulrioN (Tnh 40, P,l6)
<br />R.quir.d l!r6 of Ndiftdhi
<br />! 6i8 lid rh. Ldd.l r.ruLioB Es&!ry 6t6!6 lEEul s. (x +9la!bh ro rhir Foin
<br />I (alitlhd I ha. rBd thn appliarioo lrl nrr. rhar th.n'k infomdion n corctl I lrr€ lo @mdy with lll Cily.nd Cou y
<br />ordine6 .,n Srrtc lrs Eldi'B to hii!,lirs .orutu.lbtr dn nd.by Mtnriz rcFddri6 of lhn cn y !d C@ ylo s'lr uArndt
<br />!bo( 6rion d F+dt for iEPerbn F FE
<br />1 I$**-,-..*-,"..,*. /t
<br />!*u* -..,rn',, l/
<br />t7
<br />I
<br />I
<br />I
<br />I
<br />tt
<br />I
<br />I
|