|
ELECTRICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Founlains
<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 z/lt+l 19 -.{4ffi,)
<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)zlt*l(1 .Z/2fl4
<br />Rough t/rlq qr,6X
<br />Service Meter
<br />44.dfz.FINAL 1/L7lt),)
<br />Notes, Remarks, Etc
<br />OWNT-X BUILDER DZLtrAIATION
<br />I i6rt, .fIm und6 Fdly of parury lhd I m .tmF ,!n llE ConhcroE Ltag lls for lh. ro owiry @)n lsa.To] Lt
<br />BBins rld Profdion Codc)r An, Ciry or Cou , which r.qui6 . p6ni ro coBlru( .l!d, inprov., &nolilh or Ep.n u,
<br />itudue Fbr lo il! isu.c. r&o ..qur6 $. rp?limt fo..uch pdn,t io nb r 3ierd $ddar rhd lE or lE it li€!.d Fl,!d
<br />ro llE FsviioB of rlt C.nrrxror'! Ltd!.d L.w lct.pra 9, Comdins \ irh Srrio. 7000 of Dirilbn l ot $. B6i6 rd
<br />PrcrBiJu Cod.) d rtd lE or dE 6.r6iF lho.Aon.,!d rlE b6it hr dr.lk8.d anqion Ary violdi6n ot Sdbn 70ll J by o,
<br />.F?li.ml for t pdni 3ubiels lh. rpplic.nl lo . civil p6!lt, of .ol mr. lho fiv. tur(H dolta (tt@)
<br />l. a o*c oltlE rreFny. o. ny dplolc wirh $!s6 a rlEir $L moFErnior. sill & ir wdl etd rlE sr'41E ! mr
<br />iiaiql or 6fi6.d f6 r]. {Se 704,1, BNiB &d Plna6io6 Co<l.: TlE Gdrard'r ti.c rr* dr6 mr sly ro r ouE of
<br />llE FFry l lD hril! r q-E tlEq rn $ ho d6 rd' sut iin*lf d hdslf N rhmutt hii d lEr .f,r drphtE.
<br />rro\ ilGl rhn sfi imFotlEi! G d ilnd'd.d orok f.r sl. !i lF6!,llE hrildi!ts ( itrsoEEr a $ld wnhf,.E )a
<br />of.onpldiotr rlE O$trd BliBd trill hrE lh. hrda olrmvif,g tld hc .r nE dil ml hrld or nqrE lh. FDtEly 6r tlE FrFE.l
<br />l. Go$n of rrE FoFr, a d.n!n.L co rdh! rnh I.d!.d.o doRro codtud rlE FaJ.<r IS( 7044, &1rr
<br />!d hrlso Co& 11. Co r&roar l.'c@ L!\' &E mr l,?ly to u otrnn of FoFrr *no buiB! ot irn .0!6 rh6@tr
<br />rnd *lE 6nffr for iuci Fojdtl wnh ! Coffio(i) laqE d poBd ro th. codr..ror! Lt@ t w)
<br />I m .rmpr ud.r S*rio.
<br />la8liE8g.cAUfElSAUA!
<br />DECllXArlo!
<br />I hdct , lmrm und6 ,.n.lly oapsjury onc o I th. follo*inB dftldEri.B
<br />I hr. rn *ill mint.n r CslifEl. of Colgn ro S.lf-lBE aor Nsl6 of,EqE hc B Fovi,.d tor !y Sdlnr 17@ olltt
<br />L,hx cod.. for rt Flffi. of rlE $rit ld {trkh rlE Fnn ir iq.d
<br />I hivc .nd wiu mri.t.in sort6 comFsltion iBuraoc., .s r.qutr.d hy Sdr ior 17r() of rb. ttb6r C.&, lor th. FlonnMd. oa
<br />ltu \rork tor which thn pmir is isu.d My q,ork6 comrdsllion irourucc cdnn and thlict nudbd e:
<br />I Gtify lhal i.rh.Ffornlm.of rhc worl ao.which rhirFsn i! i$u.d, l3hrllnol dploymyF$. i.lnymunq
<br />r 6 ro tEom sutj.{
<br />'o
<br />th. vortd'mmpdiio. h*! of Cniaomi^ .nd 4r lhd if I {$ul,C tEom sbidl to llE
<br />(.rt6.omFdionFb\irioBofsdhnllm6f!h.l,hdC6daIJdLfonhsnho,pDwnh$o-F.virid
<br />WARNIN(i FaluE ro sur. e6rl6' cofirsBarnn (orslrc,r unl!r6'1, .nd shrll subj(r .n mrl,']d ro aihindlrmhis bd
<br />.ill li',6 up ro on. hu.drdl rhouend d.llid lll0o.firo)in dddnion lo rh. .ost of .omp.Mrion. dm{.r a ptuvidcd fr lh.
<br />{
<br />Dpcrasauo!
<br />I h6.b, amrm und6 ,.Ghy of Fjury rhd I m li.a*n unda Fo\ irion ot( h4,ls I (coMtri"s s ith s..ri.d 7000) oa l)ivsbn l
<br />ol rh. lrGtrd,.d Prnt6i.d con , rn my ke b m tull for.. rn.r<
<br />ffi
<br />b
<br />vn $5i4\tr
<br />CONSTNUCTTON LF\UNC AGENCV
<br />I tdlby.lIM unli p. hyoIpajurtrhi tl!.c n..oinMrbn lcndhe .34y for rh. Fftlllrr. of th. wo* 6r *ti(h lhn FEt ir
<br />isu.d (Sa.1097. Civ C.)
<br />L.nds.t Nm.
<br />affl.ltaNlDfctdlalla!
<br />I hodry .rEr uodd Fr.hy of pqjury oft of lh. following &ludioE:
<br />D.eldio. Pmil!-Alb6rd Noriar ir. f.ddrl Reulrild (ThL 40. fd6)
<br />R.quiral tard of Ndi6dioi
<br />I .(jily rhn rh. r.rjoll,.!uhn,fu (Bedi.8 atrskr rdouldc nor rmlic.bl. ro rhir rmj.rl
<br />I.drirhcIls.radttir.pplktrionrdrdcrhdrh.itr.inrorninnEcotr..iIrcrdro@rq!l,rni. Ctt.dcounr!
<br />ordi N6 ud Srar. L,$! Ehtrs ro boitdins cotdrucrhr nd lE.t ) lln brr r.rr.sid n 6 of rhB Cn' rrd Cou.rt to
<br />abov. iMrion.d prcpdy lM iEtErion{
<br />ADDU..nt d ^rdl shn.iur. /
<br />Polri r0.(p.lno:r/rm VtrE,
<br />,.,. {.c
<br />Meter Release
|