|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Life Safety /Low Volta e
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Under Slab / Floor
<br />Bonding / Groundin / UFER
<br />Transformers
<br />Torquin
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Rou h)
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />h
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc.
<br />Oma.Buit.tr Dctr.d6
<br />I h*b, .ffim u.d.r Fi.lty of paju.y th{ I e .xdF lm rh. C6r...otr, Li6t. kw ls rh. follo*inr llld (G,70, r J Bi.in4
<br />xd Prcf6io Cod.) Ary City d C@t, rhict q{iE r Fni !o coruucr. drr, imFlE. doolirt d qrir sy 5rBr@. Fid ,o irrrBa.q rko EqliE rh. lpplior fn sld pq,i.t ro fi|. r ti8r.d tr.rcffi! tll.l h.6 rh. t li6r.r, prtrql lo tt. FDvti@ of rh.
<br />C6trEl6! La6!.d Lv (Ch.Fd 9, Cm<iry ?id S.cin 7@O of Divnio I of lnc Buin ., ud PFfG.dm Cod.) d U.l ,!. rrt i! .rmp. ttdtm nd 6. bdr fd ri. .ll.a.<l .rcmFi6 Any violrrim of Sdi6 703 ! J by &y .p?t,6t la r Fhn tuUait dll!
<br />+di@r ro r civil Fnrlry of rd tl@ 0,e fiv. hundr.d doud (t500)
<br />_1,! okd of th! FDpcny, a m, aplorG wirh wr86 n lh.i. el. @nFnrri6. willd,orh6 wdt Md th. rlEdqc i! rot i adld
<br />d olt6d fa t l. ( S- 7oaa, B6ilB 6d Prcf6id Cod. ri. Cdrddt U.aE t dc nd.rdy ioo omrof tn. Fqar,
<br />who bcal& d ihFlc !ho6, rd db d€ ean *dl hnnt lf d hd.lf 6 rhdai ht q hd M hptorccr, Fqid.d ln.1 Nd
<br />imprcvdfurs @.d inrad.d d o,Idld f( t.lc Il hry.va. fi. buildir8 d imFot66r ir rold virhin d! ya of @6Dta@' $.
<br />OrM-Blikla rill luv. dE hnd.n o{ FonnS tnr lE d ,lE not b{ild 6 inFot la lnc FrF.. o{ !.i.)
<br />_1. a osd oadE FoFt .6 dclsiv.ly cdlfuina wilt! lica!.d or.d!.r to @InM
<br />'n.
<br />pojcc ( Se 70.., Bsa6 6d
<br />Prcfdi@ Cod. In. CdtErd! L'ccr* Lr &€ ior .fPl, ro M oms ol FAary who boil& q nEm€ ln.!o, , Dd *r.
<br />dtuo f6 tuh Foj..lfiln . C&Es<, li@.d Flnur |o rh. cor&rd t Li.ae Lrw )
<br />_l m.rmF u.Lr Serioi _,8 & P C fd 6t G&n
<br />O*ra
<br />WORKERS COMPENSATION Df, CLA'T TION
<br />I h.lrby rffim undn Fn.lty ofp.rjur, nG ofth. foll@in8.hclu N
<br />_l hrv. ud uill Einujn . Cdt,icrrc of CMt ro S.lfiNqrc f{ *qkd' ffip6lrti6. u prcvid.d fq by Serid l?oo of rh.
<br />Lrbd Cod., fa 0!. F fdrlrle of th. rdt f6 rhid !h. Fhi n iru.d
<br />_l n vc 6d sill inuin r td' cdpdr.tifi anrlru@, r Equird by Serj6l70o ofrh. t bd Cod.. ad dlc FfallltE 6f tlE*6t fd *hd lht Fnn i inu.<l I't, *did'cdFdio iBuma 6i6 !d Flicy nuhbs E.
<br />Iol'dlJEb? Etr6
<br />ITttr taxon n..d nor b. co.rpl.Grl 'fdE Fmn i! rd On. hundd dollu Itloo) l{,
<br />_rad'6 th{
<br />'n
<br />dE Fltu@ or tn. *o* rd Eh'cr rltr pdn't tr Eu.4 I rhJl nd mdo) My p<sd
<br />'n uy nknd rc ! 6b.ctm bjal'oth.qo a cmpoDlFi l.u of C.lifomi\ ud.gE U.r if I thould bdmc bjdrorh.*dro.
<br />mFndim Foytid ot Sdid ir00 oa dE tL. Co(h I rldt, fain'irh .mply ,idr
<br />o,, cl- < -, y' Z" ^*t Zr.
<br />WARNING F.ild to kun *dt6' cmpal.lion.ovd.a. n unl.rful, ed A.ll sbjd u mploya lo EiDin.t po.triq 6d civilfic up ro d httrdd.[qed &llr (t100.0@).h .ltdd6 ro 0E cd of cmF!.ri6, d! sB ! Flvid.d fa $. s6ri6 ]076 of
<br />rhc Labor Codc, inrddr ud lndD.y t fd
<br />LICf,NSED CONTRACTOiS DTCI {RATTON
<br />I h@br .fllm urdd !6.1r, ol Fjury 6.l I n liqt d @dr Flvni6 of CluPls r (@i.8 yith s.di6 ?om) of Dvitio I ot
<br />O. Bq,i< &d Prcrdi@ Cod., ud m, lic@ ir itr full ro@ ,xl .ttd
<br />o",e..l C -P ,/o /
<br />^r-
<br />' CONSIRI]CTTON LTNDIiIG AGENCY
<br />I hac!, .flim srla Dodry of Fr6y rh{ th@ t . c@i.ucio ladiit .idry f6 rlr. Ffclre. of 0!. rar fa *hich lhi! Frn i,
<br />nru.d(Scc r0t7,Civ C).
<br />A'TLI' NTIS DECT {R TION
<br />Domlind P@ir3 A.bd6 Naifi.aio F.<kr.l l.rut.li6, OnL .0, P'l 6)
<br />_ R.quiEd L.nn of Nori6crid
<br />-l
<br />c.n'q/ht d. f.ddl ESul.[ E8r.!ns rbd6 lmv.l e not.pplcrbk brh't Foler
<br />--,,r@tb dld I h.v. Ed fin Elidin md ,& tlrd th. dDw infmaio ir ffit I.sE locmptyndr.I City Dd Cerryddhuc &d Sltl. Lt*r r.hins t blildint conrucrion, lId h@by Nrhoir EF!,ordvc ofthi. Ciry Dd Colnr, ro 6rd {pon th..!.w Imri6cd FoFty fd i.rpdr6 FrF.6
<br />Building
<br />Walls (Conduit)
<br />Ceilings (Hard & Soffit Rough
<br />EXPII lEn
<br />l-EB 0 'lDl,.l
<br />*,c-* /" r
|