|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEf, BTIILDEK DEL(ARATIoN
<br />I lr{6, !ffr6 unLr FDhy .f lErtury lh.l I m cri{i amn rlt Co rrrn L..N t^ Lt th. lirll'sh! fl$. rS.{ 7o.ll 5
<br />Bu\itrc$ un Pmtu(it Cnd.) Any ( iry .r (i,!nty shrh r.quirl . Ismil ro c'"qtl. !lrd. nrF)tc, &nl,hrh m Endn ,ny
<br />{d.rnft, Firtr to iri r!urm.. .r$ rcqlncs llk il'di.$r tu \uch Fmn t, fib . rigFd nr.fttrl rhll lE or slE is lien\dl I'uFUrnr
<br />r, r,E rn,!i.i,nr ol r,E Cont(rr'r l.acn*l l,r i(lufl.r 0, (i'nmEi4 *irh Sccrirn 7(1, ot Dnni'n 1 ol rlE 6him( tftl
<br />Prntssinx CId.) or rhsr h. or ih. k.r.irllt rh.i.ftom and rhc tE(n hr lhc llLs.d.rcq i,r ny \i.Ltra)n of Sdion 7l)l I t hy lnf
<br />lpth.s n, rFrnri s!hj.!rrrrE ipllrelnr r. rdvilpcMlryofrn nm(hx.llv. hlndr.i d.ll-s(S5{r))
<br />L os o*ftr or rh. lfi)Fny. or my.mft F.r *ith s!a.t 0\ lh.r {,t 6nqx.{rirn, *in &, E wt.!n llr ntur@ 6 n
<br />i,r.id.n .i ofiialn ro. eh rs( 7{E l, Burimii rnd Pmr.rti,nr cdk Tn ConrElq\ lid* ll* &$ mr {rly k' r. .vffi of
<br />rh FrFny rbr!.krintmsltm. rln dE uh *,i hirlr or lErtllo. rhreuth hi! d lE .r..inkrtts.
<br />,rovilcd rirr sEh F{'oEft rGnni m}d i*ofidRl (n sL ll krtts. E t'orlli.3 tr BtmEr ir g,ll *irhinoft ttE
<br />orohplcrhn. E O!rcr Buiur will hik rtE hrnL. rr Ihvin8 rh.r h. or sh. dit mt toild .r itrtmw llE pmrd, rr, rrr ,I.tr'* or
<br />-1.
<br />!\ n*ncr o{ rh. nn,pdr, rn cx.lhiv.l, .onrtuctir18 uirh li(n{d conlrNn,r n' conndd rh. l]nJj.d (S.c 7lX-1. Runn.(
<br />rd Pnft<r Crik Trr (intrrrktr r l-f,cne l ra dir\ d'l .mly h !n or frr of |trllld y sh. huildr nr imnrrEt rlkrdi.
<br />ud rh, mdfrr! fr rkh thFh pdh r G)nrEdon. litncd puBun ro rlE Codrdtr'i l.i.nt l,*|
<br />IrDc{.mlr 'rLr S(rinr .ll & P(- nr rhnlulr,,"b1 fi, -t Ll^( J \!oRlirRs c(r^rP!N\A't'Ir!N
<br />uLLlLAE Il0\
<br />U.i V^^lV6 Vf ro7 r ?
<br />I h.rcb! .mrm .nrl.r FMh y .f Isjtiry om ol ihc firlor ry .kth.{b6
<br />-l
<br />h.w rd rill rDinrm. CdirE.k of Con{ lo S.lf lBuE tu rr*Ldr drFndiln. .r Ftrvij.i for b, S.(rion .17(l, or rh.
<br />l.tv Cdi.. tr rlt ltn(mN 6trrE m* ld wtih rlE Fni i ir(En
<br />_l h.w !d will minrrb ,ort6 (nrEnqri'n inrunr.. a\ 6l!n n b, Sdhn lrm ol lL llbd (-.'&. ror 'h FrrftmE ol
<br />rlE wl nr *fiit rnir Fon ii hral My wo,ld onlfdir. 'Nurre otrir ltrd F ty tuDt i d:
<br />_l ftnirt rhai in rh. F,Iormr..rrh. $orl f(tr \hf,h rhN Jrrmir F i(Ed. I \hlll rl.rr{rli,v trnt Frvrn in..y m.B
<br />v' .1r,lB-m {hrd k, rh. *{rl.B .a,mp.nui'n h*\.lCrl'lomi. rtol iBE rh.r rtl sh.uld t. orE uiFr n) ilt
<br />w.rlcr (nrpcnsri',n lrmvtion\ olS(rhn.17(roofrh.ljhr Cul.,l+ill. f(flhf,irh ronrfly virh rll'{ Frrnn'nl
<br />WARNIN(; Frilorc k, (uru *o .F ()nlliNitDn .o1$,8c 11 rnl0trrul. rnd rh{ll \utFr nn cntk,)tr ro trinidl FMhi\ !d
<br />civil itrc\ trp h o'r hrdlrcd rlx,uenl d.llar{ rllu),fiX,), rn rllnion li' rhc.on olconPt srio[ drmScs !r ptnv ci rnr rh.
<br />SNrxrf, .11176 of rlI lrhn (irk. 'nr.r.! nd rnorn)'r
<br />,,,,", z frl U r,r f Le I Au^ -t t t* -tL Ir."
<br />DEllLdEAIIll!
<br />I h.rchy llfirm und$,i(nolrynfncrjury rhlr I s'n lienarl undd F,virion ol( h0p1..0 (.omaENins rirh s*rbn 7(l(r)).rt)ivirion.r
<br />.r rh. B!\i6s r.d Pmf.1.Dn( Cod.. .d ny l..nc ir in tull ftw an crkr
<br />IOBSIAISIIJXIIdDIN1;.AGEN{:I
<br />I hcrchy nrlnm unncr,rcnalryol trcqtrry rhsr rh.rc i\ a..nn'trion LMirS 03.,try f{n lh. rErrotMR.'c ol (h. *orl ntr whi.h rhn pcrmi n
<br />tr1u.d (S( .1097. (.lr C )
<br />l.rL,'t Nrm
<br />AEUCANLII&:IJSAION
<br />I hddry.ni unL. F.dl! ol Frrury nE of rh. follos inr &.hd bnr
<br />I).ff,liri'n Pcrni( Arbdr! t{l i6c!ti[ F.rLr.l R.3uL!irs(Tnt.l0. Pd6)
<br />_Rq!ftn hrd .f l&iifulion
<br />I.crlilyr r rh.lidcrrlrcgtrhri,ih '.!ml Sr\lf,!,r'r nn l!rc n.r{'drrhlu n)ihi\ I'ollrr
<br />l.diry rhd I lEv. Eat rhA rtrflt.rion ltn.l!r. rh.r rlr rrs!. iifttrdn. n.ffi I .38 lo mr?ly rirh rll Ch, rin (i,!nrr"
<br />.ftj'nrrc.r lnd sr!r. lras Ehrna
<br />'o
<br />hdildinr $n{d.ri,n. dxi h.Ehy .uthon,. Elftcnl.riEt ot ltt Cir, rnd Coxnry ro .ntd ut[n rh
<br />ih,vt trnrr,ftd nm|Edy lirr in<
<br />1,1".J^ ( Ar-
<br />/tt rtv tJ etl A\)
<br />Apt'li(ml trr la.nI Sl,rM tL t4^'
<br />Ttir K^€r)
<br />ilcu1uf n
<br />Site-Work
<br />Underground
<br />Liqht Standards
<br />Spas, Pool, Founlains
<br />Siqns (monument)
<br />Lite Salety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<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 (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />l\4eter Release (/,4/r$ t.i>r r#/l
<br />Rouqh ,l rl t
<br />Service Meter l'|,h"bla fvvtvt
<br />FINAL ,lll,{ 5.Trt TLIG*#
<br />Notes, Remarks, Etc I
<br />I
<br />Pole Bases
<br />I
|