ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Li ht Standards
<br />.9pas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salet y /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Groundinq / UFEFI
<br />Transformers
<br />Torquerng
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equrpment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soff it Rouqh
<br />Ceililgs (T-Bar Rough)I
<br />l/eler Release 5/b//,(.-&;
<br />Rou gh
<br />Service It/eler I
<br />FINAL sDt/tf .44ar;
<br />Notes, Bemarks Etc 7:7q
<br />OWNEI BUILDEI DEL(ARATION
<br />I hcr.by orrnr utoi.r Fn.tiy or Frrnr, tn I m .r.@r fho E ConBnn l]os t w for rlE ft,ur*ng E $n ls.c mt I t
<br />BuriBr in Prof.si,n ( odr, A!, Cny or Cd y *hih ft{!i6 . Fn x' $n(nri- dr6. ihprov.. d.mlnh or Ei!.ir .n,
<br />ddd@. priorlo ilr issurftc. rho krfli& rlr !fi,|i!nl ln rkh Fmn ro fil. r iisEd ndcmt rh.r lE or rlE i( ltqcd l)!r.d
<br />ro rlE Fori.nn. ol E cMr t t l-iur{ Lw lchpk 9. Conftrh8 $irh Sccrim ?(I[ ol Diviii,n .t orrlEqlunr( rnd
<br />Ptltcs.iont Codc) or lhar lr or dE is.rcmp' $cErmo rnd ttc horir for thc llLgcd€r.n rion. Any vbldioi or S.rrin 701I J bt tny
<br />{rDlkrnr ror r,Emr $brcrs rlt .pgli..r ro . civilFoly of ol mE En fik tudr.d &,lls (ir{D)
<br />-1.8o*Erolrh.t,oFny.ordycnq,hFca*iihpr86rsrtrcst.rnriEn\arnr*
<br />&l,Ewr.rd0EffiRirt
<br />d.t.d uolt En nn d. (Sa,0,1.4. Busir* r.d Pnt $irns Cd. rh. c.nkrkr\ l-tcn{ L,* dEs trol $ply ro !n owffi or
<br />trE FDFn, stm hrilh or rVm6 rlErM..,n {b d6 qi rrrt fiih€lf o.lEmlf or rlroulh hir dlE os cnployK
<br />pmv'd.d th.r ruh in!.rEedr E Dr i'l.ndel o. ofid.rl ii', EL lL to*cE- trE tlirtins or inpmwmd n slj *ilhin oE )rzof!T.r!'ltm rlr O*c alilhr wiU lI.E E hlr,.i or FbvuS rln lE d i. dn d l!i! Ir itqhE rt FIdy fq rlf IirFrc ot
<br />_1. .r o$m or rh. In,p.ny- rr .xcturir.ly conr&iins *irh ti..nyd .nd.&r!( ro $n{o.r rtr pnFr (scc ?($4. tru{m$lal h.t<rir Cd( Th. conr-r.r'r Lic.nc uw dftr nn rp?|, k, .n o*Nr ot roFd y lls hu'Hr or rqh,Es rrEmn,rnd rrb ddr&r! for rct rmirls Eirh tc(,nrElono licnEd prnMi tu fi. G).rr.rm r Ltcn€ tr*)
<br />I m' d.nfl unr.. SNri,n
<br />D.l. O*n..
<br />ll (ln(EIl\' ( r rtt Pi \sA'rrr tn.'
<br />IICLANAIQN
<br />I lrr.h! rnn.r un&r Fnrheflndlury om ol rh. rr)ll,tr trl.rLlnrrntr
<br />_l h!!r dni *ill mirrdin. C.niar.r. nrcoMd ru SdilNE ror $!rt6 oqEn ri).. 8 Flvi.n tu h, Sdtn.l?m ol E
<br />L.tIr clll.. ftr rlE ,Eform ol rrE frrt fd *hi.h rh. Fmn ir irsud.
<br />I h:\ c ,nd f, ill ruinr.in *orlcF .oqxn<.rir in\,rrB-'.- !s rrrun d $y Sdri.n .Ulxr of tlr t1irn Cod., ntr thc ncrfotmna of
<br />rh. eork nr*hih rhkrEmil ir irqBl. M,*o .6 (,r{x .tim inrusN cur unl.liy numtrr r.
<br />-l
<br />cldify rtut in tlE F fortuB! nr rh. *ork td *hah rhn pcrmn tr BrEn. I ihrll rn G,ry'1,)...y FB). m rny dnEr
<br />$ I t, h.Da rnl|rd n' rh. knisr'c'n{m{r ion llws ol C.lifomn. md +R rh/ il I ilrrld tF$m irhFr ro rlE
<br />w lkdr c.nFdsrri,n Imvirir .a Sc.ii('n .17{n of r h. l,t (hr., I rlEll. rinh*nh 6'rply $th !lb- ,Nvirir6
<br />WARNINC llliluh b sut work.is'
<br />.Nrl lim{ uI ro oft hundEn il$u{nd
<br />SNr ir :1016 of llr lihr Cftl., rnro.d
<br />D."<=== -->
<br />nsc h unhwtuL ud lhall rbFt e cnphFr k cinwl FEh; tnd
<br />. h .ddtFn ro rlE d of otrFdiotr &rE .r ri FltiLd rn' rlrI t.v lta lt€
<br />DrcLrrr TroN
<br />I ltEbt !fltn und6 Fflhy ol Frury lh.r I o Le.:d !hd.r Fo$nr oa Ch.|lr6 9 immndina *irh Sc<i,n 7(Ir) or Dirii,n l
<br />or llr Buricr.nd Plffns$E c(n.. !n my kcns is itr 6rll n,c. .n&t
<br />I
<br />I
<br />;ta 1:-_\,
<br />( IONSTTUC-NON I RNDIN(: A(IrN['Y
<br />I h.Fby rJlrn u'itr Foh, or Fri4 lh.r rhdr h . on{nErhn lndiE .N.rt for rlE Frfffi of rlr yrt tor rti.h lni Fni ir
<br />trucd (S.c 1097. Ci! C).
<br />AIIIII]ANLIEIIJAAIIO!
<br />I lErj,y rrm udc. Fn.lry oa F rr.y oE or lh. folrqi,e d6.lrnii,.r
<br />I).mniion P.rmitl.Arh.{ot Norifi..ridn F.dod RcsuLti'nr (Tillc,l,0, P66)
<br />-R.qut.t
<br />knur oI Ndil.sri,n
<br />_l..nil, thd lhc rlrleslr8ubrhtrs e8sdrng.rtr{o\ rctrDvald. tur Epdiebk n, rhir l'n,Fr
<br />I ..n'fy lna I hrE rc.d rtn .pplid io. rn stllc lhd tlE sinv. rnntrmnon is .orcd. I ogM x' ror{,ly r h 6lt Cil, a.d ('ounty
<br />oilinari Dd sl!r. t,*! Ehrin8 ro boilding oturi,n. In ,EEby .dlbrir rF.erilaB of rhir ciry d court ro .nr6 uFn
<br />'tE,h\r nrnrirrdnn,pcnylor 0r q
<br />Applir{nl or tl.nl sUnxltrn
<br />C,4rA A Y lzLT!.-,,-n1
<br />IG /8
<br />COMMENTS
<br />lrndel( Addrc$:
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