|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNER DUILDFI DELCARATION
<br />I hcErry arrm und.r Fnrh, nl FrJur, thd I !d cicmpr fmn rlE C.nt*tB l-i..n* lj* lor rh. follo*ing rc.sn (".L 7(rjl.5
<br />Bulin.li ,n Phr.rrion C.nc) Any Cny or (-o!nr, ehth rquiB r Fmir r. ..n3ruc'. .11... irprow. {L.rnnh or qet lny
<br />{ru(1m, Fn. k' it asu.m, .ls EjuiB rlE {rlltd' ror ru.h Fmn t, fik. ii8Bd {.l.mnl lh.t lE or rh ir lianrJ p{Eqfl
<br />io rtr Imrirnn\ of l|E Co.r-lq ! Licn<d Ir* tch.prs 9- Co|ftri.S wnh S..rb. 7fix) of Divtirr I of lll BuiEr! rG
<br />Pnrr.sirns (ixi.r or rhl lE d rh. ir .kirt rhmftDn rnd rh. h.r$ rd rtE .llq.d .knplion A.y viohlhn of S..ihn 701I J h, iny
<br />llplic! roraF.irnilsubjcltllErF,'lic!trrlo.civilp.n.hyof,lrmGthanfithurdEddolh6ItJ00)
<br />_l- $ ow6 otr,. FFny. d n, GrprrFi wnh *lscs I rlEt $lc 6npc.dhn. will d. Ew*rndr{rrEi E{
<br />d.in d do|f.r.d td qk(Sd 7(x4. Bu.iB. r , Pror63ir6 Codc Tlr Gnald s LirE t *dr6d{plylouo*d.f
<br />rlr Fqdy *b hit! tr !,rFB llEsn .n wL: dE rh q{i hinEr q lsrla 6, rhmllh hn ry lE. own.mrloFl
<br />Fovidcl rh.l $ch imrmwE.h m ml -I.rldl d dH for .h tt hoEE. tlE huiliiina ( irqmrEnl s sld wirlin oft FdotorpLli.tr llE ()vEr Buat s willluE 0E rtrnLn of taovinS rh, lE or shc d Rn hild or inpfl,B rh. trcFd, f.n lnc IUTI.E ol
<br />-1.
<br />$ o$F .l llr ImFny. m crlu.iEly cod*iiq *irh lrcnr.d ..drd$F nr onsdl ilr Imil| (Sr 7lr|l. Bur-rs
<br />rnl P$ftsih Cod. Thc Conr&l r Lk.n€ Ir* d6 mt rmly r. r. oEmr or J'.l,Fnv ulrl r'uildr or inpn,tr lrrcr6'.-
<br />0n who onrmclr for ruch pNFls sirh ! CD Edonr) lien€d p!6@r
<br />'o
<br />ihc Conrrrcrorr l-icn* tjw)
<br />I r crcnU urki{ Sr..rxn,
<br />l)er. Osmr
<br />IU)A[ljl5:(Ullff!,5rlll0tilJIrgiaAIA!
<br />I lrrrh!riln,inld p.nrlr\ ol trrrtrrvuk,rrlx l'n[,$i',!,l(h'rr()nt
<br />I h.E.d *ill mituh r ('dafsk of c.nr.r ro S.lf-lrrft rd w,l6 d'rrtEdirc.. Frvid.d for t'y Sali,n ]7& oltlt
<br />l,lbr C.d.. f( rli,irl()l\rEe 6f rl- mrl fd sllih rlE trnir i i{nrd
<br />-l
<br />haK ind will minilin sod.h' ..r{xn{' i('n insunm.. 0t rquiEd by Ser i'n l7m of lnc liti, Cod.. n, rh. p.,fo,turr or
<br />rhc *ork for *hahthir Im rs E*d. My q!nl6 or{ENti,n r.slffic dtraa rnF,lirnomb.rc:
<br />I difyrhl rnrttFftnENof rlE *ort kn *hihrhir Fm t i.rEn.I rhtll mr .r4try.ny pcr$. inD!DnE
<br />q,.rbtEscluhiito!,rq,t6or{EElhIL$ofc.lioru..d.srrh.,irlrtnlldt!.i,ftr4Fihrn
<br />*o*s o't{En{rhn I,Nni,K or S..rion lxm.l rlE t rn (-qL.I {Ell. rdh*irh 6n9l, sirh rlbr Frvnirn
<br />WAINING: liiluc b .re *0116 snFndbn 6@8. ir lnhwtuL rnd nEI suhFr s drphF to oimid Frrs i,n
<br />rivil fift. up ro or hundFl rlhuern dold ltlm.q)[ a. rldirir. to rh. sr ol6qEnt li,n. A r.t .r Flvikn fDr llr
<br />sdir. 1076 o, rh. lid cd&, a.'rr.r .d .r*fty\ t6
<br />lr.l.: Apdldnl:
<br />r rcrrrsrn crtr.Ittctrn
<br />-'-Df{IIXAIIO!
<br />I lEE6y rlTrn un&r FE yol F'lry lh,l I rn tEnid unilr F,rirbr of Ct{ s I (@tlmtins with S.dn.7qD) of Divnbn l
<br />oI rh. auriE$ ird PlEE*irr Co&. rd my l..n* a h tull roRr .ri .lTcl
<br />Illltt[8u!]u0tttEN!!!ri.Ati!Nra
<br />I lEEl,y trrm undd FBrry oI Frrury lh, rlEr ir r Nnrru'ii'n t.dinS !s.r, ro, rh. FrdmN of rrE krl ror *htn rnn Isnn k
<br />isEd tsc .1097. cr c L
<br />AIILIIINIIEIIJ8AITO!
<br />I hdr:t'y atrm unld F.rty or F rry om ofuh. tulh*i.8 .k{Lnr irnr:
<br />I)c bliri,n P.rnni Arlrdor tlo'in.db. F.d.nl Rqllir bn\ iT[ l. ll(). Pd6)
<br />Rclurd t (d ol t*riff,rtbn
<br />-l .dill
<br />'h.'
<br />rlE ftnd.l ErlLlbns E8sdiry .rEtu. rflr,v.l orc mi lrd{rtk io rhs t)loFl
<br />_ l(cnilyrhdlhlKrcsJrhi\rpt'l'csri()na srrcrilrrhcrh,v.tr,lnrbri{ni\comdIrBir{r'cohplyB[hull(-riyud(iny
<br />onl'H'rcs afrlSr!r.lr$\ ftl,ri$ (, hlildin! con!tu(ri,n. ur, h.rchf a!rhon.. rctnc{nhlivc\ orrhi\ Ciry otrd Cotrnly ro cnrcr lrxr rh.
<br />]Irnc nrnrx'Kl n(,pcn] Ir in\F11rnr purFa\
<br />ADDli.rnl or ,l*ml slgmluF
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Lite Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFER
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Sollit Rouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release
<br />Rouqh
<br />Service Meter I
<br />FINAL +L1 tg -.(,,1il E w
<br />Notes Remarks. Etc.J---------------
<br />ID/SIG.
<br />Site-Work
|