|
APPROVALS ID/SIG.COMMENTS Ohr-Buil& DEldid
<br />I h@by .mD uidlr F.lt, of ,ajury th.l I m.raF fm lh. ColrErdr' Lic.e t * fq $. follo*ing @6 (E 7o3l 5 Buine
<br />ed Prcfaio C.d.): /r., Ciiy 6 C@t, *ticn ,tquiE r Fnjl t6 .oE rd. .ltr, imFoq dadilh d Ep.n &y irtlfuq Frd lo nri.ue. .l!o rcquiE th. .rplior fd n t pdir ro filc . !iF.d lrlt.ful rhlr h. d rlE i. li@.d pslMr !o UE p.ovinw ot tn.
<br />C6tdd! U6t d trr (ChQla e. Cdifui.i wni S.ci6 70oo of Divirio ! otdE BBiB &d Prof6t6 C.d.) alll! tE d
<br />3hc t qnTr 6ctlr6 hd dE b.rt fa $..ll.S.d adp.io An, rioldie of S6ti6 70r l 5 by Ey pdidr fG. Fnn rubj.6 rh.
<br />.pplior ro ! ciiil pqdly of n.. ,le 0E fiE lud.d dorla (troo)
<br />_1, u M6 of lh. FEFnr, d rn, 6plq6 *i6 *ts6 s $.ir rol. .mF!rdi@, will & $c sdt ed thc !Euc@ ir .or inl6d.dd ofd.d f6 d. ( Se 70r.. B6i!B d PrDldid Co& Thc C6r*ro.'r U@ ls dG nd sl, ior ffi oad* pirar,
<br />rh. b{il& d inFo€ rlE6. lrd rho .lG .dr *dt hiell d h6.lf d rhtuah ht a ha M ddoyd. Fo"id.d $d sciihFol66ll a nol i srd.d d offald f6 dc lf. h*d6. thc buildint d imFv.,rnt i! sld,idri. o. yd of cfrpldiq!| ln.OrE-Buil& nI h.E ilE hrds! ot ForinS tl'd h. a nE .d boild d itrs,Dv. td dE p!r!c o(rlc)
<br />_1. B ohr 016. Fqd9. D acluiv.ly @r..rjna iln li6!.d d!I6 b o.ruc dE Fq..r ( Se ?0.,r, Bui6 edPrcfsid Cod. Tn CdE adl Li@ L., d6 i...pplr to o ffi of FFt, -lb t{il.! ( imFoG $a6,Dd rto
<br />cobi6 f, rmh Foj*! virh . coE&rd(, li@.d Fast !o th. cou.cdt uGdE rrw )
<br />_l M.rmF udd S.cd6 _,8 & P C fd rhir r{6
<br />WOIIXEIIS COMPf,NSATION Df,CI.ANATION
<br />I h.r.by !flim unda D.ndty of D.rjury q. or $c followinR d.clm ms:
<br />_lhM!d*illtui rin. Cqii6r!. of Cqgrro Sdf-|ffi fd rrtd'mFlrin, E Flvi<Ld a6 by S61i6lToo ofrtE
<br />Lrbd Codc, ld UE Ffdrme of $c rst fd which lh. FDjt i! i&.d
<br />_l havc Dd,ill6.inl.ir *dtd cmFr.rim iNumc., s rc{uirrl b, S.crio ]700of th. LihtrCod.. ford'. Ffo e ot0Eiql fd *lid $n Fni it isrd My ruta dlpsndja iNllr@ si6 -d pdic, nu,lb6 e
<br />Poli., Numb.r &pid
<br />(n!it r.ci6 i..d id b. drDl.id ir in. Fnn ir ad Onc iun<hd &lbr lt l00l r 16)
<br />_l c.nify 6, in ih. Ff(x]ise of dc *dL fa qhi.h lhi lEmn it isu.{ I rh.llnd dploy ey 160 in uy Mrd ro ! !obe.e 3ubj..r ro rh. rdi6 canFndio hs orc.lifoir &d.t E rhr if I rhold t@.8 objd ro rh. ?dt6'
<br />cmFuri@ Fovili@ of Scln l'700 of tn. L.!.r Cod., I th.ll. aonl*lo cmpt, with tho. p.oviridt
<br />\VALNING Enl@.o tc@,qtd' ffiFraio. cov{a. it ulnful. -d rril &li6r i dlroya r. rini.d pautti6 r'd.ivit
<br />finq up lo d. hun&ld 0Dsud dolli (llO0,OO0),ii lddirio lo tnc .ql of .mFB.li6. d&.ta d Flvi.Ld f6 $c S6rion 3076 of
<br />th. L:!.. Cod., inl.d 3d tnmcy r fc
<br />LICENSFN CONTTACTORS D'CL qATTON
<br />I ha6y rrlim u& F.lt, of Flory $d I m li6n d ur& Fowio of OrFd 9 (.dlillE,na ,nn S.di6 7@o) of Dwim 3 offi. Bsi.a u.l P.ofdi Codc. ud h, ti6* ir in lull aoq dd.tL.r
<br />CONSTRUCrION LINI'ING AGf'{CY
<br />I hd.by rf,im 6& F.l9 ol Fjury thd !n@ ir . .q!ruci6 l6dinS .a6E, la $c pdforl:e of $. ,6t tu rhich 6ir Frn i.
<br />isuld (Sc loe?. Civ. C )
<br />APPI ICANTTS DECI.ATTATION
<br />Damlino P6ni6-A!bqr6 Notifc.d6 F.&.1 R.S!hi@ Oid. a0. P.r 6)
<br />_ N.quircd t lr.r of Nodfic.do
<br />_l drfy rhd lhc f.dd.l r.aulr,r'd ESrdinS sbd6 @r.l e not .pptrc.bt. !o rtir pmjd
<br />_ I €rrry d I h.@ rad lnn .pdido on trac lh. r,E .!o* infd1dio it tu I .AE .o @dy nd' .tt Ciry lrd CMryqdi.a@ &d Sltr. trs rchrini b buildini @ldrrclim. md hd.t, turhdiz EFdamivq of drb City ud Coury to dt6 upoi 6.
<br />.hov. lMrio.d Fqat, fd idFcdd plrpc Y/ <------:'C're ./" /
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers FXPlElErr
<br />Communications Cable
<br />aUG I I ?nD
<br />Building
<br />Under Slab / Floor wrv o-.ro, zw, 556, 667
<br />Bonding / Grounding / UFER
<br />Transformers EX PIREU
<br />Torquing
<br />Sub-Panels AII:I U 0 tutr
<br />Air Conditioners 13 290.556.667
<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 />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />ELECTRIGAL.INSPECTOR RECORD
<br />DATE
<br />- .a- .1
<br />La&'r Adrtd
|