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ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUII-DER DEII'ARATION
<br />I hcctt .ftm u.dd p.mlly ot Fiury lh.I I m scmpr 6.n th. (nnrtdoF l-i(da L.w nrr rhc aollowol rdn(Sc70ll5
<br />tlEird !n Protdion Co&) Any Cny or ('ouny *hah Equi6 . tEd ro oddd, .16. i,4.ott &mlirh d E .n ay
<br />n^d4,Mlo ns i!w..Lo 'rqi6 tlE +ltst lor r.n Fni lo 6Lt !d..d lrrdiEn lht r.6r lE itlk.E d F tEi
<br />ro rh. Fovaio6 of $c Co.n&roi! I-ic6..d lr* ((1rfld 9, conmftins *nh S6lion 7000 of Divtioo I ofih. 8ulind ed
<br />Pmfdhnr cod.) or thll lE or 3h. ir .rmpr rhG.ftom 6d rh. b.!i lo. llr .llct.d .roFio. any violrion of SElion 70ll 5 byuy
<br />qlica ro.!FEnrubcrsrh..+plr!lnlo.orilpolyoletmrclha6\.h!n&.d&rllst(lJoO).
<br />l. s o"ffi ofrh. FoFny, or my dplo}tg *irh w.S6 s rhcir $L codpntsaion. will do tlE sdt ad rlr ridr t ml
<br />inrod.d .. olTs.d lor slc (Sd 7044. BBilB Md Eol|.i(rs Co&: 'I hc Cont.doi! l-i.ru Llw d.6 rot .pply lo d 0*6 of
<br />rh. FtrFiy $ ho t{il& d sqova tlEa ,n $ho dc uh Nrt hirel, or ha-lf or lhlush hi! or ha om drPlo!6.
<br />Fovij.d rh.r Mh FFD\!Er! G d iradcd q oturd ftx !t l[ ]nr6s. tlE hiis,t insstld ir -ld aiho w ]{
<br />ofNtrpLlhtr dE ()f,E BriEs *i! ltw llE h!d6 ofForus lhi rE or Jt dit d hrild o. inqDrt fi. FrFty fr't E Fllorof
<br />I. 6 016 of rh. F.pdry. m d.han!! oddiB snh lkdE d.odr-6 to o'dru.r rr! F!,.<r (Se 7o!t. effi
<br />,n hokir Codc: lt. Contdlor'r l-t.e t.* {b< tur qpl-y lo o6$6 ofFoFnt $h. h{il& ot inprord lh6on.
<br />Md who @ 6c13 fo. .h Ftrid3 wnh ! (t, r..io(r) licard puRun ro lh. Gnrrr(oa3 l-a.@ ta)
<br />I m.roF uftrn sftrion
<br />D.t. onr.r
<br />woRxrras col\t[r\sAfioN
<br />DISAAAIIA!
<br />ln6.b) rmrmunds p.nt) of Frur} oft.f th. f(nh* iq &(lTdhns
<br />lharra rv,ll ma rain a (d'firar.of(irBor h Sdr lBu'. for \$rlds .orntF$ati(,.. a [r\idcd for hySdrn:r7(x)oflh.
<br />l.bor (! .. lor lh. rf n,nne. of rh. r.rt for n hrh rh. Fnnt a tssu.l
<br />Llh,!..ndf,iUm.i .i. mrtd .oEFdllhn iBllram.,6 r.qun.d b Sdlrn:r70o oftlE lrh cod.. for rlE Ff{]ffi. of
<br />lh. wo.t for whi.t rhi! Fn n isu.d. My wort6 comFulion iMrm. ceid ad Fli., numhd ec'
<br />c*,L, L>,p3.€5> \-tl>Af4NcE; CAL^?^'I)/
<br />.",,", *,.o,J-t (,^J Cn\162 G zo70
<br />lzl cdliry rhr in llE rsfolrM. of ln *o,l fd uhth lhi! p6nn i! (u.d. I rhlll mr 6ploy uy Fstr i!.ry nl,JlF
<br />$ 6 16 b.<.c eqd b rlE *vt6 o,Va{ion LE: of(ilifomia !d cr lhi ,t I rrDuB h<oft etlr to rlE
<br />*0*6' omF@rio. FnvtioN oaserio.1700 oflh.l,tnr Code I itdl fotrh{nh Nndy *nh lbs FD\nhB
<br />\r'ALNIN(; r{ibr. n' Ku. qo,k6 onFN.lFi co\os. n uLtrtuL .h!ll 3ut*t u ddoF ro aiminal FlnE.d
<br />cnil fi.6 up to oE hun&.d llFusd (1111611100.000). in !d<h.n h .oc of omDcNrnn. dmteB a Fo\ir.d ror lh.
<br />56r'00 11076 ofrhl Llhr Cod., '.id.r Dd arontyi f6
<br />d
<br />I h6cby lmrm uod6 pcnlllyolFJlry lhal I m lEosal u.di Foyili.n of( haprd s (conmocins qnh Sdi,n 70001olDivshn I I
<br />oa rh. t urin6 sd PNfsioB Cod.. a'd my lE* n in tull forc. tid.fl<r
<br />,-*"*" a*,- -B --,,,)t/aLy'e
<br />tol4qat I
<br />(.",..a". l-oA56r$ co*r$oFnP Dc
<br />g)!$al1(ralt.L[!tl!ctc.E!I;I
<br />I h@by lllm u.dd FuIy of Fjury rhd thdc n ! odtudnn k!d,B .tacy for llE Ffotuc. of lh. @tt tur "ricn rhir tEmn i!
<br />isu.d (Sa :i097, Ci! ( )
<br />Irf,ds r \m.
<br />AIIIIIAILDECI.dAAIIO!
<br />I holtt atrm u.do p.na[y oa Fj!ry onc of rh. aollowi.8 dcbnlionr:
<br />DGtuhion Psiir}^rbdro Noti6c.tk. F.dd.l R.guhioa (Tn!.,1o. Pd6)
<br />R.q!i,!d t (6 ofNoriidin
<br />I ccrify thll rh. f.ddil rcrubrn'B Esrdins st sroi r@ovrl ac nor rmli.abl. kr ihis pmjd
<br />il cst rly rhd I llr. r..d rh! rpplrdi.n it i.r.rh, th. alr\. rfomdk'n 6 cotrd I rrEe lo comply*rrh all Cn) r.d (.unr)
<br />ordrrnc6 ind Slar.l atrr Glir.S h h,ldint &d hd.by.orhri,. r.Ir6drdir6 otrhr ( iry md (irunryr. ord ulx,nrL
<br />!t{v. m6rn'md Drorny aor iBD<1rn
<br />,\ppli(.nl or ,tsdlSknrlurc
<br />I'emil6 n.m. (prinll: @ 6^R V<$tNotz
<br />ilzr./t1
<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
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / 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 />Service Meter
<br />FINAL 6+z-r)
<br />Notes, Remarks, Etc I
<br />utat
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