ELECTRICAL.INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNEN BUILDER DALCARATION
<br />I hcEby afinn unJcr 0.tu)ry or IErJury lha I {n cx.rIpr lmm tlE Co EcloF Lic.ns Llw lo. rh. followinS rcosn (Se.7011.5
<br />liusincs and Profc$ion Codc): Any Cily or G,unly whth rcqritus a Fnir io 6.stdct. ,1r€. i,pmE. &mlht or Eur r,
<br />rrtuduE, Fi,r h, irs iriu ... .ls mquiE3 rtE drtlad fo. ruch rEmir ro lik o srsmn sllrernr rhd tb or JE k lic..s.d puMr
<br />ro rhc Flvni,nr ol rlr Co.tr&roir l-kns.n tl* (Chspr..9, comrci,8 *ith Sdlion 7000 ol Division I 6f rhc Buliftsr sd
<br />rnnc*hnr Codcr or rtur h. or sh. n crcn:pl rhscfrom. rhc borh for th. allcscd cicqrion. anyviokrbnols.1'lhn?0315byrny
<br />lltliclnr thr 0 pcrnir xubj.ctsrhc !rulicarr ro!.ivilp.mhyoftur mEthan riv. hundEddolLrs($5(]l)).
<br />l. .r osmr of thc Imt*ny. or ny cnploye! sirn *ascs &r ihcn sb .on{Endion. will .lo th etrk !n dE sruiE n n
<br />inrcnd.n or .flcrcd lor eL ( Se ?Oa,l. Busims &d P,or.$ionr C!d. Ttr C.nrrElols Li.uk Llw dEi mlrpply ro o ownd df
<br />rh. t'n,Jldy wtn hiiklt ff inrmr rhNn. a.n *ho des ut w* hirelf or h.r*lf or rhmuSh ht or h.r oun criploy..t.
<br />piovirr.d rhrt su.h inyr.Em.B e mt int.nddl ..olloql fc sL ll hEE- [E trilding r i,fmhmd i.5lI wnhin o F!
<br />nl !r,,rpLr in ilr ()*mr Buitld *ill hrE rlr hrrd.n o, Erd.! tld tE or srE dd ml t rild or inpmE tlr tloFly tu d! litrnE of
<br />_,. .r o*8. orih. I'.Iidiy, d.i.llsiwly tutudin8 wnh lictrri conrraclou lo mnnru.l llE IrcF 156 1X4, BuliEs
<br />d,n Pttt&m Cod. Th. Conlr*lor's LiccnE ll* drE! mt .gply lo u owtur 6r pmFrly *lF builds ot inPreE llEr.on.
<br />rnd *txl otudrfor ruch ,r.Fh *irh r c.fldon3) lt..$n puBd ro th. co rErois LirM ti*)
<br />I rmcrcnfl !ri.r ^Lr$n .B &PC forlhisrcaen
<br />O*mr
<br />]tlr&ilr5:ll)ltPitisAlloN
<br />!lit;LAB6.rt0N
<br />I hcrcny r! l,rn undc. JEn.lry oi Frury or of rlE follo* hg &lhnriotr3
<br />_lnrE r,!d will minrri, r C.niid.of CoM lo S.lf'lIlG fG hrl6 onp.ni,rir. s Ford.d forbySdbn l?mof dE
<br />L.Ei CeL, fd rlE ,Etu ol rtE wi ld vhth itE Fmr it isEd
<br />_l tuE. l w,ll m,ntrin *o,ldr' co'rictrnls. 'nshm.. .. rcquftd by Scrion l70O of ttE L.nor Cod.. fs rL FrorrtN of
<br />9Ywu?*"F,ry,;r1'P*fi.9
<br />L.r--1 t5:r-t-e/;.J2-\
<br />-l
<br />d'ry firl in rlr FrformE or dE *ort fn *ttt pcrdn is i\nkr. I {Ell mr .npby .ry pcmn in 8ry IUEi
<br />e r! ro bG.d rubjer ro rL *dt6 o.ttrra.,n hw! orcrrromia .,, .!r fic if I slFuld bt{c elbi.l 16 r!. .
<br />$rt6 conFnsrbn Frvni,n! or sdion r7m or rlE LIbr Cod.. I {dL onhyith onply rnh rlt. Fovibnr .
<br />lYAnNlNc F.iluE ro €E utrtcr onYtrsrbn subFr .n cnpbF ro aiEul FEli.i rrl
<br />.nil 68 up ro oE hundEi thoustn doll6 (tl .f onrf,erion. d.mtci { potncd ror rh.
<br />sd F. .1076 of rlE D&n Codc. hre! .!n dlor,
<br />- LlcEdrpllNrxtcpB
<br />DECTISAIIO!
<br />I h.Eb, rltsi ud.r Foly of Fi,y ihx I e limr.d u,n r F!6i,. of ChrPd 9 (otrmEx3 *nh Sc.tb! 7m) of Divi'ion :l
<br />of
<br />'rE
<br />BuriGr .rn Prof6si'.s Cod.. rn n, ltcns ir in tull ao@ ld .nd.'*Eq*-;
<br />cQlslf,usrroNlJNDlxc-acExcl
<br />I rFEhy !f,n uni.r Fndr, of lEpry rnar llEr n . otrrrElbn lnrding .*my ror dE Fdm ol ltE wrl for tnth lhir Fni i
<br />r{&n(S<.}tl97.Crt C)
<br />AIEISIINfDECIJBAIIO!
<br />I hdtrt drm und.r IEEIy of F Fry oE of llE touowir! {k Lralions:
<br />D.mlilioo Pcrmih-Ao.nor Ndif(.lion tucdl R.Suldi,nr (Tirk.lo. Pd6)
<br />_.Rcquiftd txtrd of tidifnlnn
<br />I cdl'y rhar rh. fcdcEl rc8ul{ions ,v!lrre mr rpplrJt'h b rhn po rr
<br />l..n'fyrhrr llu\c rcrd rhn rpp
<br />oRnnJ\\ rnd srrrc u!: Br
<br />lh)vc rEntbmd nmncny l'or
<br />/tplli.onr o. /ta$r SiaNru
<br />is c.n.ci. I agr ro ellr'ly *nh r[ City md Counry
<br />EFcnlalncr ofrhn Ciryrnd Cou y10,..16uFnrh' -. r/o/-"-
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Liqht Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding i UFEB
<br />Transformers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Rouqh
<br />Ceilings (T-Bar Rough)
<br />lvleter Release
<br />Rough
<br />Service [t4eter
<br />FINAL 5 \qlLl .l {'tnakA a, tl. Ao'.rr.I
<br />Notes, Remarks, Etc.
<br />lrhl(,'\ Ad'lr$
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