|
ELECTRICAL.INSPECTOR RECORD
<br />APPROVALS DATE OWNf, N AUILDEN DELiJIXATION
<br />I lrcby.lrro !sr., p.n yorFrlryrhd I mcr.nq nom dE Co'rndo^ LitB Li* lor rhc t l,owhSr.en (S..-r031.5
<br />Burin6s sol Prof6rion Cod.): Any Cn, or Cdir, whth EaliB r Frnr ro oNtu. nr6. introt. &mlih o. Erni uy
<br />rhd@. Fn. h i8 irsm. .lso Equi6 rlE lFI iar for trh Fmir ro fr! . sisrn nLmfl rh.r h. o, ir. n lic6.d Frrd
<br />16 rh. p@vi!b$ oa 0E Co mrm s LaEnrn L.r lctsfls q ConrBmins *hl S.cri'n 7m) of Divki,n I ol E ausiEss md
<br />Pmrcrshns Cod.) d rhor lE or rlE i! ctunw rlBcf,om.rd rlE lcrii ror lh. nhlsd.rcnprion. Any vhhlbnofselbtr 7011.5 by oy
<br />rpplk..r for d lEmI sublr8 tlE .ppli.r.r k! . .ivil p.nrll, of mt mE lha! 6v. hlidan d.I8 (t500).
<br />l. n\ os(r ol rh. ln,Nny, ur nry rmpk)yc.\ wnh srsr( rs rh.ir elc c.mpcn{lion, lrll rlo rit uitt orl rlr sLlE i\ ml
<br />irrckL.rollrrcdlnrsL(Sa7l)4.4.Bu\irc\sandProLr\t'n\c(i.Tn.Contucrollt-i.cnscljwno$nol!{)plyloanowmr.f
<br />thcph,Fny wh) huilds or irrprovcs rh.un- u who d($ \uh x)* hnnscll o, hcr$ ll ur rhn'!8h hir or hcr own cnDloyccs-
<br />Inv cd rhlr such imprcvcrnt {e r, ir{crrLr, or olfsl fd $lc I l. ho*.vrr. tlr lEillinr or impn cnMl n $B $ilhin om ytr
<br />of.onpkri)n, r lE O*fti auiu6 wrll hlE lhc ttrn,cn d nnrnr8 fid l*.,slEdid D! hill] or i'qnrE d. m,dy for E rlr,Deot
<br />_1. tr\ o*rt oa r h. rnFnr. m .rc'usirclr..nr&1in8 enh liscd .onreto^ lo omrnd rh. For.cr lse 7o!1. Busiffi
<br />dn PtDn\rin Cod.: Thc Codrsroas Licne Li* dB nn "t!?l, ro zn owftr or proFd y uho buildr or ir{mts th.roc
<br />nnd sM 6 dr{ ru.Eh Foirs wnh ! Crnr rrrlo li!trcd n{lrunr rorLc..nncrd r Lir.{ bvr.
<br />I Ncr.Nrr unds SdDn,2.-Zs_41 ,,"".. X \qrr,5ft- V,-
<br />wotl\iL\' (llIrPIjN\\'fl(lN
<br />Ir[ct AEaIo!
<br />I hcrch, dflno utrdrr l.r8lryorrErjuryonc olrtf, fdl()wirrr d..hrutionv
<br />-l
<br />hlvc uj *nl flu trrrd. a CcnifEar. ol C.i$nr k' tull.lr\urc ior worlh L$nl.tr$rnnr, !s ,n)vid.d for by SNI ion l7m of Ihe
<br />trhor CGl., ntr rh. rnLrlllk-.--c of lhc sod ti" whi(h lh. pc.nril n irsucd.
<br />-l
<br />hrE lBl sill minr,in eortcE cos{Ens(h. insurlR., &r BluiEd b} SElio. ll(n of 0r Utior C.dc. t6, rlE Ffoffi or
<br />ltr s,k fd which rhis r,mn i! is$.d. My 10*6 on0.nqbn iNffi cetr &n lbla, nun$.. el
<br />I.cdrry rh r in !h. Irrrorn!tur ol
<br />'hc
<br />$od rttr *h.h rhr{ If,rnit ir isn rl. I {h3llnor.mdoy rn, Frv'n in n.y nurcr
<br />w, n, lu.nE \!hF..'r h rh. *(,adl conFnsron hs\ nl C: irdnir, rid .Arcc rhlt rf I \t,ull Lcom \otJ.cr t, rrE
<br />sorkc^.ontci\sri{,npx*nn,rsorscdtionST0lrollh.lrhtrcrxl!.1\thll.fonh*irh.onl0lt*irhrh,tpn,riln,ns..
<br />lVARNll(; lirilurc r) {ru* $. c,',.onrNn\rrr)n (('vcrr!. i\ utL$t|. ud \lrl \u$r..r m rndolf k, (rtnml ltnJhi{ d
<br />sr(rnrr ror. L)r r L. l.Lritr cod..' .r.n.L nl. , i) \ nl \
<br />9c'^^^+r.. \ o./}, 1-5 - 'L \/
<br />LICEII!@-CONIX6CrAI
<br />DESJ&Ur0!
<br />I lErby {rrrm ondd ,)cMlry of Frj ry rh, I am lGMn !d.r phviran or ct pr6 9 tomnEEitrt wnt S&lbn mor ol Davitbn l
<br />ol rlE Bu.iBs lnd Prof.srbn3 Cod.. dd n, li.nE ii i! full for sn .fidr. i,
<br />sall:Ialljllo!.LEdDAli.AcElcr
<br />I lEEhy rmfln und$ FMlly of pcrjury llEl rlEr n . cotrsltocri,n lcndhs rscry ror
<br />'hc F.ronnn.. of llr srk for wnah lhis Fmir ir
<br />isrucd(sc. i097. Civ. C ).
<br />AIILISAM.DTSJEIION
<br />I hBd'y dIm !tuhr Fnolly of !.rjury oE ol rlt ,olhsin8 &cbnlionr:
<br />Dcmhio. Pcnnn3-tub.rrds Ndirr.ik Fcd.nl R.guldions (Till.:10, Pd6)
<br />R.quiR{ t ll$of lkir@don
<br />-l
<br />.cnify thal rh. tcd.r.l rcslldions rcB&dios lsb.slor Er$v.l orc .ol applicftlc lo lhir Dto (l..tt-
<br />I .dify lhrl I h,w rcad thn cmlt.rion ud stlr. $d rlr uhrvc infornuirn n c6rer. I .!E lo oBply wnh .ll Cny srd Cou ,
<br />ordiuB$ u S'{c la*s Ehtiiero hoildin8 snsrrudhtl. td ltrt'y.ullhri& etiEe dir6 orlhh Ci',.d Coun.,lo.nld ulr. tlE
<br />dnvc mnriord nh|iny for insDnrirn DUTFET
<br />rppu-r.'re-rsp.ru.M'h",1 SraI:q-L
<br />,.-u*-.,,".,, X- 1t" *n F* V-...- 1r..-t -1-r
<br />Site-Work
<br />Underground
<br />Pole Bases
<br />Lioht Standards
<br />Spas, Pool, Fountains
<br />Siqns (monument)
<br />Life Safety /Low Voltage
<br />Fire Alarm / Dampers
<br />Communications Cable
<br />Buildinq
<br />Under Slab / Floor
<br />Bonding / Grounding / UFER
<br />Translormers
<br />Torqueino
<br />Sub-Panels
<br />Air Conditioners
<br />Roof Top Equipment
<br />Factory Wired Unit
<br />Walls (Conduit)
<br />Walls (Rouoh)
<br />Ceilinos (Hard & Soffit Rouqh
<br />Ceilinos (T-Bar Rouqh)
<br />Meter Release tl ,4
<br />Rouqh A/*Y//n/4*t)rll ,IJlffU
<br />Service lrileter /^ t/- /\/.-2
<br />FINAL 9///*/d@/t ru
<br />Notes, Remarks, Etc.
<br />--+
<br />ID/SIG. COMMENTS
|