ELECTRICAL-INSFECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Site-Work
<br />Underoround
<br />Pole Bases
<br />Light Standards
<br />Spas, Pool, Fountains
<br />Signs (monument)
<br />Lile Salety /Low Voltaqe
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Building
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER Llt-zt >*,{'tL
<br />Transformers
<br />Torqueinq
<br />Sub-Panels
<br />Air Conditioners
<br />Boof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduil)
<br />Walls (Rouqh)
<br />Ceilings (Hard & Soffit Bouqh
<br />Ceilings (T-Bar Rouqh)
<br />Meter Release 9-tc-zt r*|*42
<br />Rough 94*?r O---S .t/r-
<br />Service Meter Lv--2,tu! 47.
<br />FINAL Q-zl-z.tla..crP.lL
<br />Notes, Remarks, Etc
<br />Dkl OV ( -*ut- ifu.r.- A* 9.nt. ^ ?.-tt-lt Dt<.zt qL
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<br />OWNET BUILDER DtrLCAn {TION
<br />I hcr.t'y rlfm un&r Fn lry of D.rF y rtEr I m cr.q{ tDm th Codrlm licnE t u fq rh. tolk'win8 rcsn (&<.7011 .5
<br />Aurircrs !d Prof.sio. Codc): Any Cil, or Cou y *hth r.rluiB d tBmit ro conslnd. 8lts. itProt. dcmlirh or tp.n e,
<br />rrru.1E, rir ro irs h$ffi, at$ cq{^. rhc +rltor ror rEh Fnjt b nt . ri8md rlllcm,n lhu lr or rr t |td$n lu{d
<br />ro rlr Fovrsio.! of tlE Conrruro* Li.n$d t,* (Ch.F.. 9, Cotmrin8 vilh Sclion ?0m of Ditnion I of rh. B$it$ .rrl
<br />Pmfcsk'ns Codc) or rhrr ,E d ilE n cxcrpr rhq.!tum rnl rh. h.sis for llE tlt 8cd crcr{rion. An, viol,r6" of Sdhn 7ol Lt b, rn,
<br />.ppli(rni tor r trmii $bjNB th. .pflimr lo ! civil p.ml, of et mE $.! fivc huidcd dol!&. iire).
<br />-1.
<br />dr orN ol lrE ImFny. G mt .q oyE. wilh *.scr B rlEir ek .oqE^erbn. *il! d. rh. wt .d ItE rlrEle ir ml
<br />itrlcnd.d or 6fi.cd fo, slc ( Sr.7ot4. Busiftis ed Profc$ioN Cod.r Thc C.nlIxroas Lirn. lrw.!o.! aot 4rrly lo in o*rcr of
<br />!h. FDrEn, wlF hitli m inl|!6Es rrlbtr.,n who .lB rh w,* hiNlt or h6elf.r t,ugh hir d ls oM.npl,tt.s,
<br />pmridcd rhli skh drnutr.tu m d htdrdal ornfii:sl for qlc.li l$qlw.lL buiuiiS ot inir'Erd n$Bwihinom re,
<br />ofo,l,hrbn. dE OwEr BuillE uill lIE rlE h!r4r ofFovr'B lh.r lr d 5lE dil ft{ hiild or inp6E E FoFry fd [r paFE of
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<br />es o*ftr ol rtE fioltny, m .r.luriv.ly ontdins *nh lk.nsl contrelm 10 oNltrl llE risjcn (S(. 7o:8. aurft*
<br />drn hDisi. Cod€: TIE Conlmlor's Lic.nr L.w d(6 n lrply ro e 6*m. or pmFny Bho builds or imptor.t lhdon.
<br />lnd !h) o.rdt ft,r soch lilr.k *nh a CdrFcro(r, lk..r.d pu6ud b E ConlrEloar Ltcnc tlw)
<br />I dnrcrcmrl lidcr Scrioi .B&PClurrhnuatr
<br />Dal. ()emt
<br />rvotx ttus- cov rrr.ts,r'riox
<br />ll]:(l.$ars!
<br />I tLr.6y linni undcr r. alry ot pc4!ry orc of rhc folk)wnrI !& UrridN:
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<br />hle€ end eill dinrd. r Ccd,rkdr. or consnl h Sclr.lnsuE for krl6' ontp.nern,n, 6 Pmvidud ror by Ssrion l?00 or d.
<br />Llhor Codc. aq lhc
<br />'trlomh.
<br />of rk worl fd *hth rh. Fn n kiEd.
<br />-l
<br />hlw !d will minr.in wort6 mnqttrelioo i.@Bc. ar Elui,qt by Seran 1700 olrlE l,lhr cod.. for ttE Flffi ot
<br />cMi.r srn po[cy numltr el
<br />U.J*.:-\ ptLetl:-i lx€':c't:
<br />*,,*.*,,' R ,/L/ v \rzCfrrlr
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<br />(rnif rhur in rhc Fdornuh--c Dr rh. work lor which rhis p. nir ir tsucd, l shlll ml cmploy lny p.N'n in dny mnftr
<br />s as ri, rEom $br.r to rh. *vr6 mnFnolion lNs of C.lifomi!. ad lge rhd if I rlbnkl h..or rubr.r lo llE
<br />woricr' oq,n\srion lrmtisroni of Scdion l7m of rh€ t hor Ci'dc. I shrll, frmtwirh coqi, *nh rlh$ lrn,vhbns..
<br />llAllNIN(; Frilurc k' {.urc sorlcr\ comprn{l('n covcm8c r\ unbuiul. ud \h!ll {rhlc(r lrr cnDlo}tr ro lrin,ul pLMlril lnd
<br />.ivil lin.r uF k' om hundrcd lholsrd doua. (Sltlr.o(n),
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<br />aon b rtE ..d of on{Ensrh'! d.tus!. B Fotircd ro. rll.
<br />Sdion .1076 rl rh. Ljhn OxL. hrcrcsr ud artomy r lertlJC1/L \n,,,**)4
<br />!f,(Lr&[&r
<br />I hcEh, ,lrm und.. FMxy or Frury Ih{ I 0m liusd undcr Fovisb. 6, Chq,ro 9 (.tnmmine f,ni SEri)n ,000) of Dirnbn l
<br />frfr 1 9\)zfr
<br />STM:IBUqIIaIJED|IGJiIiBCI
<br />I trnby ",Irn udcr FEn, of Fr,try rh.r lh<ft is r 6n{(rri,n Lnla.g .8.8y Ior ilr FrfdnEN of tlE *mk fu {hth rhir Frmt ir
<br />nslcdts* ll)97. civ. c.l
<br />ADDI ICA{TNFCI AI{TION
<br />I hstby rliid L lcrlcnrhy IFrjury or ofrh.lollowinS dRhrutions:
<br />D..rnirion Pnnirs AtlE\ro! Norific.lio. tu.,rlR.EuLrbns (Tirk rl(), Pd6)
<br />R.qnr.d tJtr.r of t{d,ftlrirn
<br />,nrotnrirn ! cocr. I !sr( ro 6nply wnh r Cny .tn Counly
<br />rurhni/.npr!{nr !t\nt rhi\ C yn.dO,unryt' lnlcrulxr rh.
<br />dr'rc nrnriokJ pn{rn, fd / (Ll/21
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<br />ADplionl or lg.nl SiEolurc
<br />a/<^{,Aal l4
<br />^rr7\/t
<br />L.nds e Ad.l,B!'
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<br />iay lh, th. t ncd Er:lblions Es{dira lrb6ios eDrnl e fl,r ,rdt.bk ro lhis pmj.tl
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