ELECTRICAL-INSPECTOR RECORD
<br />DATE tD/stG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundinq / 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 Rouqh
<br />Ceilinos (T-Bar Rouoh)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL 0-t1-24
<br />Notes Remarks Etc
<br />-t
<br />OTrllPX BUILDE' D"rlRATlO
<br />I hd.by .fiim u,& Flny of pcjury rhr I d add 6oi th. Coirrf,ld Li(6.l* for llE folbeiry lrn (Sk.7oll.s
<br />8uii,a ,i Prcfdion Cod.): Ary Cny or Couny wiah r.qui 6 r Fnn ro @dru.r. rld, inProv. &mlih or tt?.t ot
<br />!ItoC1u.. prior ro il! isumc, .ho r.qri6 rhc rlDlicu{ f.r !u.h Fni to filc a ssi.d nda6l lha h. or th. ir li.d.d PWol
<br />lo th. FDlilioE of0E Conr*iol! Lic..!.d trw (C1'4{s g. Codtming with sd6. 70m olDivnion I of th. Buifu{ 6d
<br />PtufdhN Cod.) tr thn lt r iE b qdrd rlEdroE !d rhc b.i' for rh..lL8.d aal8i,tr. A,y vnhbn ofsetbn ?0ll.t tty oy
<br />rpplkld fo, r p<mn sbicu t E 9p[cd b . GivilFuty oltul @E 6a &! hlnd.d &ller ($oo)
<br />t, s ouc of UE FoFty, or E, @pbt6 {'nh $.a6 E r,En ek mmFatb.. *ill & 0E $st .n tlt !fldE it d
<br />hrod.d notrd.d br rL (S6.7(X4, AGilB sd kofdiod Cdj.: Tn Codr*ror'. Iiae lr* do6 @' lp?ly ro x ow ot
<br />rh. FDrEly wlE b!il& m i,rF.v6 th.or !d who &E Mh F* hinclf or h.elf ot
<br />'hro!8h
<br />hn or hd oq 6ploy6,
<br />pmlid.d th.r sucn i&Fo\d1Et e br idoi.d or ottaEd for s]. lf. how6s. ln. h,irirng or i4.eaEr ir bld wi'hh m )s
<br />of snpldioE tlt Ornd B,il& *i! h&. $. Urda of Fliig $r lE, dE dii ml hrtd q irglE lb. FF, 6t rlE F P*ol
<br />t, d oqG of rlE p..Fry. d dchlivc'r! conrrsrins vnh n..!.d .onrrl6 b odtud rlE FoFl (Sa 701t1, Bui!6
<br />!d hDkih Cod.: Tn. ContEloa! Lactu L.v do€ @t g?ly ro u oms o t FoFiy *ho boild. or 6pro!6 lh6o..
<br />dd who @dr*r! ror 'rh Fojd' wnh . conre-io(3) ltdB.d p(6@t lo
<br />'h.
<br />Cofldd'r Licdg L.w).
<br />I o .ropr u(b S€r@. . B & P.C. fo, lhir ra).
<br />_ (,i!d
<br />[aaxl8s](o!,I!dtallq!
<br />DECIAAAIIA!
<br />I lE.ty !,Im undd Frhy of pqjury oft of lh.bllopios dclrdo6
<br />Ih.vcadvilldi.i..Cdi6.rl.ofcolsdlloSclf'IEu.forsrtdconj,atcbn,sFDvitdforLtySarionl?00ofth.
<br />lrtd Cod.. for rhc Ff('rllllE of tlE vst for Enth tt Fhn a is.d.
<br />l t***,U,*,-**6 cotrpdrbn i!!@q B Eqlnd btscli,n t?oo ofllE t hor Co&. nt,dE Ffdllecof
<br />rh. worl for *fith $it Fin ii is,.d My udtd @oFE bn ilEllltc ffir !d polty nuba &
<br />c..l- - 0f4ft[_f-t roy.r 0e9!Ldr1rL1
<br />^,",^,,,*,'C)UO\ \\F.o t
<br />-Erp6
<br />. tn/ tq/)O
<br />-l
<br />cqr'lylhlt d0E Ffotu of0r *orr fd shih thir Fhrl s it!u.( I{.llNld!9b,eyF$trinxymm
<br />$ d ro b6E $t!d ro tlE rsr6 onpdldon Ls of Crl'h'nr.. !i tsc l[, ia l ltbuld haoE $ttal io llE
<br />h 6 coEFBdiot prcvlioB ofs.6bo ll700of$. L,hd Code l Jdl. fMtwntmrply wnhrhor FDB6B
<br />WARNINGT trilur. to su. mrt6' composlion coydsc i! uhstul. Md rhlll tubl*l d aploF lo oiniitl Fdt dd
<br />.til liM up ro on. hun&cd llEE d &'lLE (t100.000). i. .ddtb. lo rh. cor of.omFiudioa d!n!s6 a Fo\rdcd f.r !h.
<br />sdhn 1076 of E Ldxn Co& nnqd ad fio.Ey'3 fG
<br />DECj3SAI!O!
<br />I h@h, 6mm u.dr poulty of pajury lha! I D [6E d unda Fovnion of Cha$6 I (6mnm6g qirn Setion 7O0o) oaoivnion I
<br />ot rhc lrailB rnd Pr.laiioN Co<t , .rrl sy li(.M b in tull to.a !d cfld.
<br />r,.*cr.. 1 t :lt)
<br />^,",
<br />rh?llvlk)_L(.*'sbd. hL7q53* M{\."n wl{f'qu
<br />qaltlBrJcuolt.LlllaclcElgl
<br />I hd*y rlEE u,r{b p6.ry ot pqjEy rh! dE! ir . @Inrudbi ladin, lsdy fo. l|. Ffoltlr. of 1II. Frl bt sti.! thi! Fhl ir
<br />iu.d (Se. 1097, Ci!. C ).Lxla.! N.f
<br />AIIIICAII.TECI4AAIIA!
<br />I h.*t !tr m und6 Ft Xy orFjury oE of llE tolbwing d..LiniN:
<br />Dotuliion P@ir+At!6r6 f&rindiotr l.ddl R.auhiod (Inb 40, Prr6)
<br />R.qoir.d tdra of Nolifdih
<br />I carify th.l rh. f.dall r.sulllioN ,.g!din! sbator r@vd e. nol +plkabl. lo lh!' proj-t
<br />It[l cc'it lti I Lw Ed fiL .rdxllDn id r.r. rh, rl! .tDv. irrotubn ir cdrdl. I tg6 ro oip/y *in .]r cn, !d coud,
<br />'ilil!ffi6 ad sl.r. L.{ drq ro b.ildrs @tui6E .d ha.!r rrlbria q€.t iE oflni Ciy ed cou!{y lo qn6 l4oarh.
<br />anil1
<br />.hn. ,Fhn d pflrFr] nr ftpdionDurn s
<br />,rperi..* *,rs-, srin.*.418d1
<br />n-.rr*n..erpano,F *t J Vi
<br />,Stcxil
<br />INrt
<br />Rev. o8-07-2015
<br />APPROVALS
<br />-",rot l-aglN
|