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ELECTRICAL-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dam pers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Llonding / 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 (Rough)
<br />Ceilings (Hard & Soffit Rough
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rough
<br />Servrce Meter /F|NAL ,/2/ rr t,1.b )
<br />Notes, Rema S tc
<br />-t
<br />OWNER BUILDEI DEIJCARATION
<br />I h6.t,.ifm uidd Fulyof Frur,! lh, I maalpr 6on rhc codndd Li.ff tn for rlE follorits lB,.(Samll5
<br />Bui.{ !d Prcf6i'n Cod.): A.y Cny or ( ord, rni.h ,.quG . Fni to odN. .n6. trr{mve &mlit' m lqd oy
<br />rud@ Fi,r io i'r isue.. .L GSri6
<br />'h. +pltd for e.t Fd ro 6k . rip.d inaBl $r h. or rtt it li.qt d ptulr
<br />ro rlE F!v!io6 of 0E Co.rrrldi t'enr.d Lr* (clrrrd 9. Conn*Ds wih Selion ?000 oa Dn nion I of lb. B6ilB ,i
<br />Pmfdionr Co&) or lh.l h. or .hc ir .rm/ rhs.6oo .nd th. b.!b for rlE Jlq.d d@p{ioi. Any violtlion of S6,rbr 701 I t by ey
<br />applicul tor . Fnil rubjdls th. tpplicel lo r civil p.ully.f ml morc lh liv. hun&d dolldt ($5@)
<br />_L B o\G of rlE FoFry, o. ny alplor€ *ih *.s6 a thci. -L omFdb( *iI iL dE *dt !d dr rndr ii ml
<br />inroxLd r or6.d fd el. tsd.704,1, B6iE sld PrDacl,E (-.d. Tt ( orr&rd i Li.w t v &d.Dr +pt lo e o*G of
<br />tlEFlFry *tn hill d iqorqrhda -d *ho &6uh rgl hirelf o, h*lf d rou8h nir n lE ow atplolc.
<br />Ford.d rh. uh ,iFor.d. ft Ell nGtd.d d6frild 6r nl lt,lbsq. rtE hriBitrB d irysllrd ! $ld rdb tr )a
<br />ofcdrnhi4 0E O*E &l da will hrE rlt h!rb! otFDri'B tli Ir s tE dt mt hdd d inF.or! llE FoFy &r dE Fr!d. ol
<br />-1,
<br />sosns ofrn. Frpqry. n c\clBircly codrLlins snh li.o!.d cotrrriclo6 ro enerud ih. F,r.tl (s(. 7014, BGhd
<br />md P,Dfudrn ( o&: Th. Contrucloir l-i.m!.|,w do6 nor rf4,ly ro m o*nd olpropdy qho hui[b or inpruvca lhoor.
<br />lod u,fio conrslt nr srch Fojcft *nh i (i'mlcrorls) laqE d p!6uu' rorh.co r.dDr.I-ic.elrw)
<br />-l
<br />u .rmF uId6 Sdrcn U & PC lor
<br />'h!r
<br />r.e,n
<br />ll'oRxEns cottPr\s7rrtoN
<br />DECIASAIIO!
<br />I hs.by .mm unds pqElq of parury oft ofrhc tolL$ dB &.b.lioB
<br />, h$€ sd *ill mintlin. C.niaEdc oa(-ot6r ro SdtuBuE ad strtdr' o,hp.nor'o., u rwidqj tu bysdtio.lT00ollhc
<br />kbor (ndc, ro. rh. pafomdc. oa$. wort lor wfiich ln. F,nn b isu.n
<br />_l h.v. .rxl vil! Flindn *or*(. .omFBdi'! iMc. s r.quiEd try Sdrion 1700 olrlE trlD, Cod.. fo. rlE FfM. of
<br />rlr $orl IG tr hrt lt! Fnd E sr.d My rdldr'otrpdssn ueE( saiE nd pol.) nunbc &
<br />cq; ktv1ticltn ?tnn,4 tl/|/I1\--wLe4n oEDl-
<br />_l .diry rh,l h lh. pdaomffi. of rn $orr aor wfirh Lhn rEmn i! rtual. l rhlll mt mploy My pqer u uy nilc
<br />s B lo b..o,n€ rubj..l to thc wort6' comrqurl ion Lws of Cdifomi.. md rsG thd if I should tE onc .uqd ro in
<br />sorld cohp€N.lion provbioB of S.<1ion 17(x) oalh€ khor Cod., I null tonhwi$ @mrly vnh lrbr thvaioN
<br />r'VARNING I @ h m. *ml6 on{Ediln mr6rg. i! u.L$tu|. dd thdl rbj.rl e dnploF lo oinittl
<br />cn'll nn6 up ro oE hundd ltould &rlla (tlm.om
<br />s<rirn 1076 of rlE lih, Co<lc, imq.3 &l tndr.r- r fc
<br />of comFBlion. dan sd d
<br />-", , 12-tth/ rh
<br />l)trl,!tula!
<br />I heby .mm u.&r Fn lty of Fjlry lhll I m lico!.d @d. Forilion of (t!pi6 I (olMacing wnh Sel
<br />of rrE BuitB ed hofBioN Co&, rd dy la.@ ! in tull forc en .llcr
<br />**r*' A o ,*
<br />-,,' l2 /r9/rA c,.,*,*1-t/
<br />?7tt V)Yl nt'L
<br />s2lilltl.)\LlNlll!,-xil,M
<br />I heby imm und6 Frrlry of Frury rhd thd ir ! on!ru.1ior lEdins isft, fo. $c p6fomM. of rhc worl 6r *tict $n p6nn t
<br />ku.d(sc .1097. civ c )
<br />AIfiJClIL[ECtt8Allo!
<br />I h.dy lrEn un& Frlly of Fjur- oE ot llE lolbx inS d6ltrrbE:
<br />Daeliion PmirlArbd6 Noifdhn r-.d€.| R.suhioc (Tnl.4(r, Pd6,
<br />-Rcqutol
<br />lirld ol Nori6caio.
<br />I cd'6 r hi I h.\. @d rh! rpglEd h. -d rd. $, rh.. rfotub. L cotrar I l*iE lo 6npb *'irh .U Cdy.nd C.u y
<br />ordiffid ri srd. t.ss EIIB
<br />'o
<br />b.
<br />aho\r I6l[Ed FoFrr for iBp<hi
<br />rcFeirr6 of ili! ( ny ,! (b@r) ro ord qon tlE
<br />Applldnr or ardr Slan.rue
<br />rcmire ..n'. (pntrO: )(.
<br />K
<br />9r
<br />'rt1 L b/1fl
<br />APPROVALS
<br />u.o,* - t&)@./--
<br />-l
<br />.dify thd rhc f.d.r.l rc3lhlio6 qadin8 $b6los rmv.l s. ftn rrrlMbL to lht Fojd
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