|
ELECTRICAL.INSPECTOR RECORD
<br />COMMENTSAPPROVALSDATEID/SIG.
<br />Site-Work
<br />Underqround
<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 />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service ftIeler I
<br />FINAL q//1,/ y't-7o -a.,
<br />Notes, Remarks, Elc
<br />Ot{NER BUILDER DELCARATION
<br />I hdcby .ffm unds po.lry oaFlurr'rhr I m a.nlPl Eom rlE contld lioe t * for rh. fouowi4 roi (s6.7011.5
<br />BBrs .rd arofGion Cod.) tuy Chy or Courny whrh r.qui6 . pari ro 6.ntu<r. .na, iDproE damllh or lt.n x].
<br />rruds.. Fbr lo iE isue.. .ho r.qrn6 thc.pplr@l aor ruch pcn h fiL. rislEd lr.ra6l rhd lE or tlE b licd!.d F4.d
<br />ro rlt FviioN of tlE Codr-rd! Lic.N.d Uw (CtuPra 9, Comdi.s *nh Sci6tr ?00O of Dilnbtr t olllE EGi,6 &d
<br />PmfdioN Co&) or rh.r lr or {E i! ddpr rhd.fmm &d tlr h.r4 for ih. .lk8.d .rsIlion. Ary viohlh olsdbn 7011.5 by &y
<br />$Dlt&r for. pdEn sbiru tlE .rpli@r to . dvil D.nrny olmt mE thr fivc hui<i.d &rlb! ($m)
<br />, l. s osc ot$. FoFry. c (y .rlphr6 rnh s.s6 s rh.r rlc @nFErn,,. *dl &, E wt -d .h. rfu i d
<br />i,noi!.d orolr6.d for ul. (SE 7014. Buins &d PmrsioB Co<L -rn Co,ffilor3 Lic@ Ltw {bB nol Qply lo e olffi ol
<br />rh. FoFry shoh d.d i,!. 6 Ea rn who dE ut wrt nielf or hoslfot fimuah ht d lE oE dph)6.
<br />F)vid.drhll luch imFDrElie Et i diLd do&!d tr !l lt fio$Bd. tlE hiEiry G irProrEcr a iB *nhin @ ya
<br />of co@ldioi. tlE o\{E B{itb will h.r 0E h,&. of F!\idg drr lE d rlE da ml hiE d lSoE lh. prcF, 6r tlE Frp6. oa
<br />t, aolcof tt D.nDdty, @ dclsir.l,.offiins wnh lkasd conrdoE lo old^rl llE Fljcr (Sc. 7O{,1, B'6iE
<br />erd hoisi.n ftdc: TncCo stof! Li..n* lre do6 mt rtply to u own6 o f ProFly who buildi or inpb!6lh6on.
<br />md *ho odds fn wh FlFtr wnh . aonrxio(, lilE d FJrndi rc dr Coa-rd! Lt@ L.w).
<br />I e crdF ldq S*lion . B. & P.C. lor lhit @..
<br />D.r.__Oud.-_.
<br />\riiirxxrs- co rPnsrnoi
<br />DECIJB{TIO!
<br />, hq.t ? .mm undq Fdy of psjlD or of th. fo[or !B dclr. D6
<br />!l h.v. nn *rll drtne . CGn'6.a. of Cocar b S.lllM fd w.l6 @mrdrio[ a rmvit d for b, Salbn ]700 5f ltE
<br />lid Coda f6 rlE Ffl,l]rl'e oltlE mtt fd whtn ln Fnn i isr.d
<br />Ihrw&d*illtuir.uwo d'o,q.6dir itMe s EqliEd by Sdion l70O oa{t l.bo cod.. fortlE FfM.of
<br />th. Mrl for wni.h rhi! ps,nir ! ie.d. My uortd omgqEnion irolle. 6iE dd lolicy ,unbs s.
<br />.* 91ate OEl,q^ r'altctl, fuwl
<br />e.r"yr,.* 4q3164r ilo r,pi-, S- t1'-b-2J- -
<br />_l c.r'ry rhd h rh. Ffolrlw. olrlE wo* fr whth fin FDn n sEd I drlt Dt oDphy mt FEn i. uy IlllE
<br />$ e ro bcomc ruBcr to th. wo d @hFBrdioi h*rof Cilif.mi& ed rg@ ltn ial buld bdomlubjd rc thc
<br />Nlt6 srpql.lion p.ovit.s of s<ib. l70o of d. utc code I tElL lolhunt otiolr sti iho. F!\ilio6
<br />$af,nfiC: Flilm h s@ ulrtd' o6!@rio. 016+. s 6l&tu1 -d rndl $bicr & dpbF lo oimd Frrk ad
<br />civil fin6 up ro o,c h!n<tr.d iho@d dolla (t100,0m). in .ddnion lo lh. con of conpaqliotr .lrn!8d a F.vil.d for lh.
<br />Sd-lion 1016 otrlE Lrtq Codc idd.i Dd ldrty r 46.
<br />o,".4't( I,t U> ^n srr: ;A, r r,b [,1n ,",_-
<br />r L( r \)rr' ( 1)\ rrt \r r'rrl
<br />DECIAAIIA!
<br />I h@b, rfim und6 FnXy ot FjB' $r t e li.a..d trrldd FDvirion ol OuPrq 9 (@mffi'!g wirh s<rbtr Im) oa Drlrion l
<br />of th. BuriN ad ProfsioB Co&. &td 6y lk.e ir b tull aor.. t d cII61
<br />l,c.e(ris Ctoq:E -%2o c"",-"",, __FLit!r,z U"try
<br />qalllaugllaB..LEdDltr(:AcElq
<br />I ho.ty ifrm undq pq!.ly ofFjury lhl lhd n. oinrud.i rndqB is@y tor th. Ffoffi oallE N lor stth $! Fnir ir
<br />Lru.d (Sa. 1097, Civ. C.)
<br />AflllgANl.lEsldsallo!
<br />I h.dy .Irm uD&. F[hy ol pdjury oe ol $. follouin! dcl,.rioB:
<br />[tookD. P@ie^lbdd Notili.dion f.dE R.sultrioB (Inb40. Per6)
<br />R.quir.d L<lls of Ndifttrbn
<br />! csliry $d $c f.d.sl ,.XuhrirB Eltdmg cbdos r6mul e. mt applobh to rhir FoF
<br />I cdiry lhd I luE od lh! eplk.rion Erl 3r.r. tli iE .bo\t i.aonDiion ir conEt I .srr lo @n9ly wii .ll Cny !i Counly
<br />ord.1!rc D<t Strc L.s Elr,{ to hlittint .oldrucin^ Ed hs.ty .ulbria rcFsnrid of ttu Cn} !d Coul} lo qlla l4on tn.
<br />iho!. l6rioncd pmp.ny for Np<rion puF.6
<br />Appronr orA.ar srrn'ru* drrrl/'/
<br />p-rr* n,..rpan,r, I philt+ I\, o.na_
<br />(t f / S"tt
<br />&ZD'I
<br />Rev.08-07-2015
<br />L(.* Nuhbd lo 9o 4 t t
|