|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />JLC.J-Underground ll-11-t1 z:,712
<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
<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 Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL tl''|rt-0 J), (.h 'v()
<br />Notes, Remarks, Etc
<br />ollnr-a autLDEt DELAR rxrr
<br />I ls*,y .lfm uidq Fut! of Frry rhi I e doqr fi$6 llE CotrloR tac ls for th. follouils .6Jnlsdrollt
<br />Bu'na dd Profdioo (.d.1: Ahy city o, coudy "hifi r.qlic r Fhi lo cndruct. .ts. iiFot.. dam[$ or q , m]
<br />3ttudr. Fnf ro il! inl@...ho r.qnt6 rlE eplkd for sh Fnil lo fik. iErd ,rffil lhn lE or nE i! Iic.E d PUEd
<br />ro rh. FlvnioN or 0E Conltrloit l,icc.!.d L!*' (ch.F6 9. Cdmmfting wnn Sdion 70ft, of Oivirbn I 6f th. l]Nnd .nd
<br />Pmasio.. Co&) or tar lE or !h. ir ddpl rh@6on !d lh. b.rn for lh. .llcscd .idrnion Any viohion or Salnn 70:l I I b, lry
<br />lpplic&r for r pcrnn subjrri lh. .plli.ur ro ! civil pauhy ol ftn n.r. tho fiv. hundr.d dollu (lioo).
<br />L s o*F ofll* goprt, d it mphlc *i$ $.86 s rh6, $L omFuihr, f,ill &r rlE w(ri rn 0E !^(c i! n
<br />idqddr d oltad fo. sL (Sd ?o{4, BuriE &d ProfdioE ( od.: Tn Conrxtd . lidg tr* &E nol +pl} b x orffi ol
<br />rh. rnTdr sho hrild d irryDrE llE@ rd rtE .tE *h q,t hd!.ll or hdrlf.. rlmo3h hit or hG o*n dphlB,
<br />Fov*r.d rhr Mh imF.\stEar n d nai.d r oilsqj i, nl lt ,r\rw. rlE hlil&B or invrr'rqld a sE fihh @ \t
<br />of s,r?ldn( $. (\6 &!U{ tr lIE dE hlnar oaFD\r,B $r rEortEdnd hul, m,iFnE $. F!Fl, 6r 'lrF,Feor
<br />L ar owhd ollhc I'op.ny. dn .rcluriv.ly conl&clins uil h lic6n n .oiln<lo6 r. Ntutud rh. Ft'lel (Sd 70{4. tnEuRr
<br />ud,h'tursirnCod..Th.co.ki(ktrsl.ic.nsL.*do6norrtllyro owndofprop<nywho buildsormprov* rhdd'..
<br />.nd $ho cof,rr&ts for 3uch FojdJ silh . Corlrdo(O lt.rcd p{Eur ro rh. ( odr&tor'. t-lcd. L*).
<br />t er.rmfl !.d6 Sel$n tl & P( turh6rcMn
<br />1!A8AE&r(A!UrdtAIlO!
<br />DECl-ARATION
<br />I hgctry.tlim und6 pqulryofp6juryoft oflh. followiq &rl& ioB
<br />I hivc d will mainraitr a Ccnilicdl. of CoMr to sclf' l ur. tor *ork6 comtnBr io.. .r ,nvid.d for by S(rion :7(x I of lhc
<br />I lbr ( ode lor rh. pafome. or ln. s!,1 lor stkh I h. F tril ! isu.{
<br />I h.E rnd *ill tuinrin *0116- conFMir. ilrffi.. s rquird b-v Sdlion lrm of lh. lrlFr Co&. aor rlE Ff.lm. of
<br />rh. f,ort fd *iih lht Fhi ir GEI Mr wcl6 onFdio. iBurmc 6ir tn Ft$ tunhr E
<br />PolicyNtrrl(
<br />lenilylhd inthcpdlo.manc.oflh€$orl for q'hich lhir Fm( i! aocd,I sh.llmr dntk'y.nyp<$n h tfly6otrF
<br />$ a $ b(.ft sbjcr 16 !h. $n*d .dnFMio. h$ of (.liromn, Ed .gR llln it I $ouH b.(om 3uti..t lo rlE
<br />uorl6 c.mFerion tmvilioB of sdhn lTm ol rh. l,tsr ( sL. l dEll. fonfir'nn onply [ilh lhos pmvi.hc
<br />$ iNlilG tnrlm ro su. *trt6 FnFE h. .ors'3. n unl.*tuL di shdl sbFd x dplolq lo sii,Ml FuiF rxl
<br />(nrl fin6 up ro oE hun<L.rl ihouend d(l
<br />Sdrn'. 1076 olrlE btnr C6da inldd nd
<br />ro tn. cd ot coor.N.lion. dn .sd B Fosi.n for rh.
<br />I h64ry dlm u'id6 pauX) of Fjury rhr I m li€u.d qld FrlLk n ol cl[prE I (anlffirs qilh Serion 7(m) of Dn kbn !
<br />ol rh. Bui6 rrd Prcf6$6 Co<L. !d Ey lE.B a h tull fora rd cfid
<br />b
<br />I hady .lIm ur{rn FuIy of Fj!r, rhd rhs. ir . odrudhn Lndins lSfty for lh. Ffotu. of lh. sort for $hi6 lfii Fmil t
<br />MCd (!iG 1097, Civ C.)
<br />l,*L r N.tr
<br />AITUCAILTEOJAAIIA!
<br />I h6rtr.rm und6 p6.hy olpsjury on. oflhc fouowin! dsl&Ixoor
<br />Dddin,. Pmils-Arb6kr Nolinc ion l,.dd!l RBubt ioN (1n!. 40, Pan6)
<br />Rqrnol [.ud of No{'frnhn
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />Sub-Panels I
<br />I
<br />I
<br />I
<br />I
<br />I
<br />!l Esubha Esidins abGros rm\.| e mr rpplalbk b rh6 rrojc]l
<br />rtir .r,plKllon &d r!I.lhd lh. .lio!. 'n,orinrcn a cnr.d I +tc N comPry wnh.[ ( il\ lnd (!ulr
<br />,,.," ////f /v
|