|
ELECTRICAL-INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS OWNEN BUILDER DDI-CATATION
<br />I lrrch, amnn nnJ.r ttMxt.)rFqury rhrr I dr.rcnrfl rron rrE G)nr(h LEcn€ ti* for rtr dllsi'rs R&,n (lit mi.rl 5
<br />Bu\in(1 .d ftof.nhr (dc) Any Cny or G,unr' *h*h rcquie\ a If,rnli r(, connod. ,lid. irgn*t. dcmli<h nt r4un uy
<br />{ru.'urc. Fitrro ir\ i\{rutrcc. rle rcqut$ rh. anpltr turuchlrr. r' nh r iSmd rarcmnr lhal lror $c r li.cnsd riuoanr
<br />k, rh. Frvhons .l rtu Contmktr s Liccnsd li* (Ch0pr.r e. Connn.tuins wnh ss.'rion 7m0 iif l)ivr\ir'. :l ol lh. ausiftss ond
<br />l,or$\n)n\ c(d.) or rhlr hc Dr rhr i\ crenjt lrrctiofl !trd rhc hsis for rh. !lLrcJ crcn$ion An, vnnllio.olS(li,n 70.1I t byu.y
<br />npfli. trtforrp.n rsubjc.krh.,pplicanrklr.ivilrnlhyoltr(nnrrclhuilivchllnr.ddoll,!(1500)
<br />_1. as owr dtrhc,i.Fny. d ny cnproFir *irh s{3.s as lh.n oL mmrEtr{don. *ill &' dt e(t iti rh. nnde t d
<br />id.nLd dofi.Bl f sk (Sd.ro44. B$im;.nd Pmr.shnsCodc, Tlt Co'rhdolr Lirns tiw diE. Er,rplt ro m ormr of
<br />rlr FDpcny stb hildr or anVrDB dEDn. rd who &B *h wr* hirelf or h.Rlr.r rhreu8h his or lEr oen cdilorct.
<br />pmvil.d rh.r rEh inF,rm'r3 s d ntrLn dotu fn qL. ll tDwB. rhc io'r|in8 d i,ImEmnl ir $! wnhin om yut
<br />ol €rptriotr rlE Owmr BuiLLr wil IEE rlE t!d.n oa Eoving rh.! h. or rlF dil n{ l{iu or irvsw dE Proldy lM rlr F,poe ol
<br />L J\ .*mi ol lh |I 'lEnl, ur crclu\i{ly .rnrrNrirr wirh liccnsrd coni!.rtr\ h mn{rud rh pn,F.r rs.. 7(N,l. B!\rrcss
<br />rtu PDrc\i,n codc: l hc Cotrrrucnr'\ Li..n$ l-r* J,$ ton aflly ro m ownfl lln I'cny who 6uild\ .r nnprolci rhc'.on-
<br />rtu, who co md ! tar {(h lr,'Jc.!s *ir h a (inrrdkrn s r lrcncJ pu^unr n, rle (innrkloir Lkctr* tis r
<br />-l
<br />d.rcnfl onln Sdrio.-. I &PC rorrh$ Er$.
<br />l).re: Orn.r:
<br />ry( l{t( r'Rs' c'()[rPr\slTx)N
<br />DICLAIAIIg!
<br />I hdcby rlltrm un,l.r prm ryol txrjuryotrc ol lhc,nllistr,g J(lrrdnxr\:
<br />-l
<br />h!!c a,rl will minl{in ! CcnifErc or Consnr io S.laln E re Mrl6 .o,IEnerio.. !3 FNvtcd lor t'y Sarion 3?00 or th.
<br />t tnr Codc. for lh. rsfornwc of llr wo fd shi.h lh. tEmn ir is.trcrl.
<br />\ tu'. u,A *il ^inruln *kcr' co'rrEnqtion inurr*..8 rcqdftd by serirn rru or lh. rllxtr c.*. ror ItE Frfl)llrEflr or
<br />rhc *ork fq sni(h thir n mir is isrd My eols osrEsliln iffuEEc *ir rd rDlay nuntEr d:
<br />c\6>iq\
<br />",,,,,^r,
<br />orrAl -6vo - q(,( rt2z- ozo ro /<,r t zot {
<br />_l.cnjfy lhrr in rlE lErformN olIlE wort for wtth rhir tEmir is ii*n.l nEll mr cdpkry.ny FB)f, i,.rynl,mr
<br />s tr b t(om ruhFr ro rhc qrl6 onn hdion Lw! otc.lifomq.,!d !88.h, rI rnould b..om sdFrl lo llE
<br />eoi(6 onvf,nsrion ,mririonr of S.lliotr .17(Xr o, rlE titor Co&. I \hdl. tunh{(h snply {nh tn'. pmvtbns
<br />.iv'l rni.\ uI r. otr. lrtrnnrcl rhou\rid dolln^ lllrxr(). o adJiritr, r, rhc .o{ .l nnnprr\rrntrt. dn trlr\ r\ t(,\"1.d tu' ihc
<br />v'
<br />'-r[zrl z I
<br />DEI]U8AI&N
<br />I h.rby arrn ri&r Ftulry of Frrnry ih{ I d lilorn ui&. Fbvilin ol C1EI,|6 9 (onmriry *ilh S.rlio. rU!) .l Oivirion l
<br />of lhc SusiBs.nd Pmf*rioN Crdc. dd ny ltctrt i3 in tull rde.Id cird t
<br />1:1o c-.{G
<br />--\-ttrcn&-\hl\:l.z S wo'r1t wa'--.t
<br />SAIEIAILIITNIBDINGAGINCI
<br />I lf,nby afiinn un&. F'u!) ol pcriury lhal lhcrc n . .u{Mli,n Lndin8 .g.my lor th. Frfdmm. ol lh. v.rl lor whah lnk ttmil ir
<br />isrucdrsft. lmr.civ. c.)
<br />trd.is N!ft:-
<br />a.StltcASLDDClJBAItgl!
<br />I hdr5, ,rm ututcr Fnrlry ot Frrury om of llE folh*in8 dclsral i.rtrs:
<br />Dcmlirion Pcrmil\ Asltsror Norin.ari,n rt&.!l R.gol ion( (Tnt {0. Pd6,
<br />_RcquiEd l.ft r olNdifrrrbn
<br />r
<br />-l
<br />ccni, rhal lhc fcdcrul rcluhlions Eludill! !\h{or rc'hvrl irc not {pPlf,nhh !' rhr Pmj.tt
<br />[l(nifyrh l hn\r rcd rhh rpnlkdirn ari (!t. rh! rrE uhvc rnl.mur tr,n r lotucr IuFcrocotrqryu h sll cnr d'l cuunty
<br />nnhf rn.o\ rnJ srnr. lj*\ rLltr,[ n) hu,ld ! aurhri/c rcn(\ctrtrri!.\ ofrh's CIr rnd (i,utrryt, ctrrd ut!,h rtr
<br />ntnv. nEn'i.rcd pmF.l, f(tr
<br />ts ,.rQ3--, DFd6SJt<-\-
<br />\[zs/ z1
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lite Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bondinq / Groundino / UFER v//b/^t lllzuh fr8
<br />Translormers
<br />Torqueing
<br />Sub-Panels
<br />Air Conditioners I tl
<br />Roof Top Equipmen{W,t 6tlL/,,ua&ry
<br />Factory Wired Unit i
<br />Walls (Conduit)
<br />Walls (Rough)
<br />Ceilinqs (Hard & Solfit Rouqh
<br />Ceilinqs (T-Bar Rouoh)
<br />Itileler Release*rr
<br />Rouqh
<br />Service lvleter I
<br />FINAL 3/ lblir.t ftz/o 'dz6
<br />Notes, Remarks, Etc.
<br />Flcv 08.07-2015
<br />a5t,\erc{
|