ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/srG.COMMENTS OI{ITER BUILDER DEI-CAIATION
<br />I nady sflm u(la Fuh, of Fjury $a I 6 a@pi filD th. Conr.doE Ltqe L.r h, thc follovi.g '!en,(Ic 701L5
<br />BBi.B ard Prcldio. Cod.): A.y Ciry or Cou,ly vhah EquiE ! Fdhil lo @({tu 1. .x6, i,rFoE dorcbn or Ep.n ry
<br />rtrucrue Fi,to iB isllxq .Lo Eq'ri6 rh. lpplE&l tor *t Fni b nL !.i8r.d ]Irtul lhr t or!&alra!.d pu.rdr
<br />ro rh. FDlnrcB ot tlE Conr-1d! Lt63.d trw (clrplE c, Coffihs wnh S*rio. 7mo ol DivtbD I of llE Buit6 Md
<br />Prcf*irnr Cod.) or fi{ h. iE ir.xmpr rHrc6edrh. b.66 for tlE ilk8.d aaFion. Any viohbn ofsdior 7oll.J brthy
<br />.r9li.d for . pdDn $bjeB tlr 99li5l to . dvil F.!hy ot ml @E lh.n fivc nundcd dou6 (1500)
<br />- l. 6 ow@ of rnc FoFny, d nt @pLr6 *nh wls6 B lh.n FE onFuion. wili d, rl. wr rn E ,ME it ml
<br />iirod.d orolro.d for eL (sc.7o(, asiB md aiora6N Ccl. TIE Co'nrrld 3 Lidg t w dE ml +ply lo a oMd of
<br />rh.FoFry who hlill! or hFo6 LlEq ad *tD d6 Mh wt hnMlf or td*lf or lhFUSh hn or lE oq dryLryG,
<br />Fovrt.d 6{ kh inF!\ffi c mr idaiLd orotutd tur.]. l[ ho{a€, dt t{ild,.g n it+.Imd i! $ld wiltiD N }r
<br />of@mpkrb dr OtrE 0{itln willhlE tlt bdlbt ofFor{B thi h. d iE djd d hild or iEF!( d. FDFry arllE F,FE oa
<br />I, B osE ofilE FrFry. m.rclBiy.ly co.lrslins {th li.6..d c.fldoBlo coNtnrl rlE Ftricl {Sc 704i, tillB
<br />.d Fokion (bd.: Tl. Conrrdor'r t,icdc r,.s &a d +ply lo x 0*16 of FoFry *ho bril& o, inp6!6 $6@G
<br />Dd {lN mntds for Mh Frjat wnh. Co r&1orlr) lndt!.d Cu.er ro rh.C.tudoit Licds t w)
<br />I m .rcmfl un<ld S6tion .B & P C. aorrhb r6on.
<br />Drt.: _____ OtE:1ronxrisroiataNs^iibi
<br />DECIJAAIIa!
<br />I ho..by rfllm uid6 Frly of psjuy om ofllt folb-ig drlnb6:
<br />__l h!\r &d will minr.h . Csiiar.lc .f CoEEn to S.lf-lB@ fd srr6' orF6diotr G Fovit d for by Sation l?00 ol th.
<br />llbd coda for th. Ffo,lMc. oadE srt f rnth thc pqr i! e.d
<br />L/6r. -d *,lt *,,1u. "'o116' corDostrNn 'num.. s rcquiEd by Sdion -l7OO of lh. L,tor ('od,., tu th. Ffolfucc oa
<br />E *,r t- "t'*t' rt'o po.r , <uca uy *orra'onpoann irumc m rn Frt, n,obcr rc
<br />,,",", SIWL. FLI)9
<br />,',rr.' r"'rr", Q f Z 3 {/ ?-'--^-a/t/4-
<br />_ -.1 coriry rhd in tlE lqaolrlm. ofrh. wort for *hrh lhit Fnit it s!.d, I lhrll mt anplo, ey Fsn in &y ratE
<br />$ s h booft rut .cr to rh. w*d'onpqldion l,*. of C.lifomi^ rd {r lhr ia ! rlbuld bco@ sbj6t ro tll
<br />*oltd @.rFsrion FvtioN of sdion 1700 oallE Llt r Cod.. I $.11. aoan*nn 6mply whh thos FovtioB.
<br />WARNING: F ilurc lo cu. rMla onFMion cor6.ac s ulns{ul, ud aull subj.tl 6 anphF to simind FEnis ed
<br />ctr-il lin.s up lo on. hund.d rhou@kl &lld (ll cor of conFlllion, d.rue6 a Fovi,.d for th.
<br />Codq Ern6r ad dronqt
<br />1.o
<br />DECId8AII9!
<br />I horbr allm uidd F .!y of Fjq_ lht I m licqlcd @dd Fovition oachlFa 9 (omtrrq * nh Sctbn 70o.J) of Divilion l
<br />oi rhc Buir6 eJ ftofai,N Co&, rn my lk@ E e tull forc. !d.ltcr
<br /><-.-->
<br />I,rti:rDrle: 7
<br />(arsralJrJralttJlrac-AcEBcr
<br />I hatny lrm uftls Fo!h, of p6jury thr d6c i.. (oidtu1ioi l6din3 ady tor llt FIoll@.. of rt s* ror wtnt lhit pahn ii
<br />isloi 156 109?, ( iY. C.)
<br />AIIIICATI.DECEAAIIA!
<br />I hdd, lfm uds Flny ol psjury oE of $. bllo*irg ddL ios:
<br />D.mliion Pmnea!h.!o. NorilEaion F.dd! RcSulriou (Tnk 40. Par6)
<br />R.quiEd Lar6 of rldifdir
<br />gazd iry rh! rhc r.<16rl r .€uhr bE r.Br$ng 6bdd lgmvn e d .ppl..bk lo th6 Flrd
<br />,{n*,,**,^,n" '*,klrion ul !ral. rhd th. lbow irfotuion 6 cor6-l I lsrc !o .o,lpl, *hh .ll Ciry tnd Counly
<br />ordium6 ed Sr.r. k* EhllB
<br />!hrv. ,6ti!..d Fop.ny foi
<br />\pplic.nl or,\sMr Signrtu
<br />Prmlle trrmc ( prlnO:
<br />**'*.:::::rury"
<br />Site-Work
<br />Underground q trl'ze Dnr+f t?
<br />Pole Bases (
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Unsler-Slab / Floor
<br />Qonatocl Groundino / UFER flr ilto #Wq ftx tEd:to. h 9/q,-
<br />Transformers t
<br />Torqueing
<br />Sub-Panels
<br />Air Conditroners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Meter Release
<br />I
<br />Roug h to 6lto b{?tL-7
<br />I
<br />l
<br />FINAL t,r,-ffit Y
<br />Notes, Remarks, Etc
<br />Rev 0B-07'2015
<br />Service Meter
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