|
ELECTRICAL.INSPECTOR RECORD
<br />APPHOVALS DATE ID/SIG.COMMENTS OWNET BUILDER DELCABATTON
<br />I h.Eby rrtrd und.t Ftulr, or Frrnry rhni I o .r.ml nDm rrE Cn r.doB ti..M t * for llE follo*ing u$n (Sft 7olt.lt
<br />Buci..$ lrn Pn'f.sion Cod.) Ary Cily o. Coud, qhth Er|liEr ! Fmn to corqd.t rlld. itrFot. &mlirh or tFn &,
<br />3lMr@. Ftu ro i|r irt!e.. rl$ EquiB rl! +pltur fu tuh F.rni lo fik a !i8r.d 3ln.dfl rhn h. or rlE ir lien<d Fr{rln
<br />to tlE FlvnirN or 'h Conrxr 'r Li.!.!.d llv (Cnrpk L Cmfti.8 pifi S6tion ?0(l) of Divnion I ol llE Buliis ]td
<br />PEfcsbN Cod. ) m lh.l lt c alE i. cr.q{ rhdlfrom .rn llE h.in for llE dlq.d crcn},lbn. An, viohrion oI S..lbn ?0.11 5 by .n,
<br />rririltrd ror r Fm! {bFl\ l,E .p}tr.ar 16 ..iril Frhy ol or mE th.! liv. hlndrd dolt4. (l!@,
<br />l. a owmr ol ttE FoFny. d my .rpkrF. *nh *r!6 { rtE, ilc onFMirtr *ilt do rh rdl rd tll llfu i! d
<br />id.id.d m off.Eil for r]. (SG to|., BuiiE &d Proa.li,N C6&, T& Conndr'r Li.tG L8 dG mr.pply ro 6 olF ol
<br />rlE FrFry wrn hoius d lqmB rlsqn &d wrh &.t rrt qrt hi.Mlf or lEElr or tllDush hn n lE ovn cnpl'F.!
<br />FDvii.d rhrr st uqr@lr:r E d irod.d ( ollald ir n]. U. h.}lw, rr b{iuiB 6 i.prffirEn B i5 wihi. m p
<br />ofo,phria dro',Er BuiEd wi! hE E h,rlo ofFovi! rlEri&dndhiBtringDEdtFDFr,6.llEF,Dcol
<br />I .Dcrcnr/ udcr S(ri,n
<br />D.r. ormr
<br />WONKFI,\'?OM PFNIi,r'TON
<br />DECI,ASAIIII!
<br />I hcrchyaln,nud.. Fnrhyolrrqtryonc.f lh.lirUoehr dc(br{tu.r:
<br />_l h.v. .d eill mintlin ! Ccnifrdc of Conrnl t, S.lt lnsurc for *orkds o,qEnsdio.. d pFvid.d ror bySdhi l?00ofrn
<br />bhor Cod.. ftr llE lErforflm. of rhc work for ehih rtu pdmil is nsu.d.
<br />_I hrk und will d.in'rh so,l.B d,nrp.n!.rio. in.unRc, .r rclun.d b, Sdiion l7m of dE bbor Cod., Ior llE Fno,rlac of
<br />ItE wor* ror *hth rhir FnI n as.!d My mrldc .onp.Nri.n i.slm. ffir .,n poliy numh.r e:
<br />-l
<br />..nif, rh.r in rlE rEdormLr of rlI m fq ,hih rhn Fnir ir i.ca! I dElt mr .,ri,r,, r.y pcm. i..ny nmF
<br />$ aro bcoE sbFd b rh w,t6a on9.ndD. Lrr or Cr[romir. .rd rrr rhr irI nbuld t cor rubr.l lo llE
<br />wortn otrpcMrbn FovBbN of sdbn lrm of rh. L.hG Cod.. I idl fsrhrnh otrply *nn lh3 FotnbB
<br />WAIIIINC: FrituE ro ls *vt 6 oqEB.ion ownlc ir uL,tuL rld lnlll ehFr e a$bF ro oi.id Frrar.dcMl fer up ro or tu,nEd tlhood {killr (tl@,@o). io rddnbn
<br />'o
<br />rlE d of onp.Erkrr .t rt! a FoviLd ld E
<br />Sd's. 1076 ol dE t hd Cod., or.d r,n drftr'r 16
<br />Drr.: A.ddr:"LrcENsp-(0Ntra:ii;di6x-
<br />DECIAIIIO(
<br />I h.Ehy .ftm un&, F..l'y of Frry lnd I u lictr:d u,*r Fovilir. of Olpts 9 {onmrinS wn[ Sdnn 7m) or Diviri'n ]
<br />ot llE BuiiBr.!d Prcf.tri,N Cod., !n iy li.e ir h h,ll foc 1d.,td
<br />TNiIBIJ TqNTENDIIG.&GENIA
<br />I hcEhy lf,irm lldcr lEelly or pcrjury rhrt !h.E n u oNlrucl ion hndin8 rscmy for llE p.rfomtuc of lh. worl rq whih rhn rEmi n
<br />i$ncd (S(.]097. Civ. C.).
<br />IIIUCANLDECIIAAI1!)!
<br />I hftn, rfm unlrr l*rk, of Fi!r, oG of rh. folrowinS d..Lnrim:
<br />Dcmkion P6mili.ArlBk r fblif.rri,n k -l R.8uhli,N Onh 40, P.n6)
<br />-R.q!ird
<br />tdrd o, tloritu.rbn
<br />I d ify rhd rlE f.rLr.l E,lhrbB EBr linS rst trroiEmvde d{,| a.bl. b lhir pmF
<br />I csrity rh.r I llr En rhn rmlornn !n nrr. rlll dE !!or infonEri,! n qrtt I .{rE ro on+, sirh .U Cny rnd Cooir,
<br />ddturs ud Sri. L.B ELri! ro tDildlE oninrlirn .id lEr5y rurb.iz EFt.diE ol tht Cir, .d counry ro .n'6 rron
<br />"E.bow m.rbEd FtrFn, fG EtErbn F,F's
<br />,1pplic,nr or.\seni SirDrrrc
<br />Site-Work
<br />Underqround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor lt
<br />Bonding / Groundinq / UFER 6ilUL(yldnlllt$,x6
<br />Transformers I
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soflit Rouqh
<br />Ceilings (T-Bar Rouqh)tt .A
<br />Meter Release llril4 Uh,th,Wlr
<br />Rouqh Ir Ir .0
<br />Service lvleter )Ll)rL.1l wau/m ,,h
<br />$t2l2t IMt/fu {@
<br />Notes, Remarks, Etc.ll
<br />L a olffi orrlt F,rdy, m.r.l!rihl, otudh3 *i.h lie,Bd offi6 ro otrsM llt Foi-l (Sd. ?(x4. BbiEs
<br />rn Atr&sinCo&: Th.Conrrrdr't Lirn* t * d6 &r.pply ro - owF otFoFny wlb brild. or impmEr rh.6n.
<br />ldd *tb 6trdr f.r Mt FDF! pnh r Cnrdr,li) lirtrEd ,'uEu lo llE Cofixlc t Litd L.t).
<br />Lians. Numt r:
<br />FINAL
|