|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEITARATION
<br />I t@6y lrm o.da Frxy 6f IEJury lhr I m udF 6on tlE Coirrldfi Lic.M l* fot tfic followq l6&n lS.. 7011 5
<br />Buins dd Profdioo Co&): Ary Cny or Coury vhich ..qun6 i pdri ro ointod, rlra, inFoE ddtrolirh or lF.ir ey
<br />3r!(t@, Fhr ro 'l! isuec .b. EquiE tn. rppltd ao, ruch Fni b nh . li3lEd nioMl thr h. or rlE i licd.d Frsri
<br />ro rh. F$vniod of tlE Conbrtd! Li*nrcd Lry ((hprs 9. Coffials trnh Scrioo 7000 of DivtD. :l of tL BuiB Ed
<br />PNf6aooCodc)o.$fllEdJrna@,lrMDmrddrbaii!fo. E.ll?.d 6aFhn Ary aioLlbn ol Sdion TOl l 5 b,&y
<br />.t'pli.mt fr" . Fmil $br<l! llr +pliot 1o. civil pannt of 6r mrc tnd liv. hu.d,!d &lbi Iu00).
<br />_1, a ouc otrh. FDFty. o my @dor6 rnh srs6 a rrdr $h NdFE hn. $I d. tlE strl lrl tll n!'rlE i mr
<br />inEd.d orofi.ftd fd $L (5-.7044, BuiB Dd PrDf6i.d('od. TIE Co r.cld r |rou l,* &6 ml +p,,lo6ogcoa
<br />ltE FFiy *ho hriltl d in+.o6 E@ ed s'lb d6 nrr! rdt hi@la6r hd:.lf o. rhoolh ha d ir o$ dlphtc.
<br />Fovir.d rhd $(l' iqDErdr c 'd irr.t d qoG.d 6r sL ti lro6s, . hiildir or irs!!6Gr !.rt *iho tr tc
<br />olorstlirr {E Orc BIilb sin h.E dE hnb! oaFori.! rh lE 6 rlE dd d tdld G ngs\r tlE FDFI, tu tli F,p6. of
<br />l, 6 osG.f rlE For.!y. m aclGir.ly coffiina $hi t.a!.d co'rrd6 ro ordxcr rlE FF (se 7Or., 46!8
<br />rrn AnbdrCo&,-Ih. Co.rdo.! Lke b*d€mr @ry16 ro$E.f FoFy $h. t il.L or iDFol€ rn6o..
<br />ed *ho 6 tu! fd 3rch Foj.{lr wnh ! Coffio(r) lils.d Fla6 ro rh. (-dddi I roq lrJ
<br />-l
<br />M.tmpr u.& Sclion-, B &PC to.lh6rdei
<br />lt.r. O'rt
<br />1r oR(rra-a6aiia\.sa'l'toN
<br />DTSdAAIIA!
<br />I h..t, rllirm !n,16 poulry of Fjury oG ofd. fouosi.s d..br ioB
<br />_l h!v. .d will rinrlir ! cErifEdc otco@r ro s.lt-lnle tor rorldr' @mpdlrioR 6 Fbvi.Ld for by S<ibn 1700 of th.
<br />t!b.r Cod.. ad rh. Ff.lrm of tlE *ort ao. *nkh th. paEn ie isu.d
<br />.rl h!v. &d will mdhhin wo*6t comFrs,rion iNu!trc. s r.qun.d by Sdhn 1700 orrhc lltn Co&, fd th. rafo,lMc. ol
<br />Il'. $r'l k, sl',(h rh'\ |Enntr 's
<br />My worlda conFsdDn iEuecc .ffo di trli.y numh.r R:
<br />4L1 L\ \-V G'( <
<br />I c.niftlhal in th. psfonEncc ollhc work tor which tfiis p.rmil B irsuqj,I shalliol dnploylny pdk,n inan, r nd
<br />$ uro 6Lom. subjal ro rhc$0*6 compasrion la{s ofcalifomir dd +c rh.' if I rhould h.rom. iuhr.d to lh.
<br />*0A6r' cohr.Nr ion pn,visiotu oasalion .1700 oalhc kbor Cod., I srdl, fodhrirh comrly wirh ilrrs tNvirioB
<br />WARNINC: liulurc lo sE wort6 onFtsnion covqDsc s ulkstul. md drll3ublfl u oplorr to oinintl FEhB rnd
<br />(ivil lin6 up ro oE huMn d rhoed doue {ll0O.00O). in .d3nE, ro th. .o< .f comFMrion. ddr*6 a proviLd lor lh.
<br />sd'on !076 of rlE tsbor Code i 6.3 ad non y '* V-<-__Dr,.: 3-7/4
<br />ucElsEDtorraacraa
<br />DECI.aaAIION
<br />I holty .lIm un& pnuhy of Fjury thi I @ liG!.d ui& Feriii6d ofol,prs 9 (arnn*ing ghh Sation 7(J0O) of Uvnion i
<br />of lh.Irail6 !d PEfdioB Co&. rd Ey ltqe ir h tull ror rd.lI.cl
<br />L-< r)(oOVtL').
<br />'>r14 4
<br />carllarcla!.lldlllqlcElcl
<br />I hdlbt .,Im uBla Fdy of Fjury dlr tlEr i . od.EtioD ladi8 isc' for rh. Firrffi of r,E $$,I 6r *ntt
<br />'h! Fnl ir
<br />ie.d (sc 1097. C,Y C)
<br />AIII,ICAILIECIjSAIIII!
<br />I ho*r!trm ur& Folll, ofFjuy oEofth. tollo*ina d..l& tB
<br />D.m.hi,n Pdtil+Alb6ior Noiific ior Fcdsrl R.SuhlioElTnt{, P!n6)
<br />-R.quiEi
<br />l!16 oa tlotifrc{ion
<br />-l
<br />cdiry rhd lhc Ld6d r.sulalioB rtr-di!-s shGlos movd u. ool arphablc kJ lhB rq(1
<br />I cor,0 rhar I h!v. ,ad rhts irplicnion ed slarc thd th. .bovc infotuion i! coEal I .{ra lo .ompry *nh lll ('il y tnd Counry
<br />odide6 dd Srarc t!s! cldi,E ro buildn'g coctn rior ad hc.by ruthod. rqrMrdiv6 o f lhn City ud ('ounly lo dl6 uFn trF
<br />llu. mdrtr,n.d ImtEny fu Np6ion purp.B
<br />^ppr(rnr
<br />or As.nr sr.n,rurc -i!-< '\- rn", 3.-7- I 1
<br />Pmr,cn.n.(prrno, ti),-L t{
<br />Site-Work
<br />Unde rground
<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 (Rouqh)
<br />Ceilin gs (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />Meter Release
<br />Rough
<br />Service Meter
<br />FINAL
<br />Notes, Remarks, Etc
|