RC-17-700Miami Shores Village
Building Department
10050 N.E.2nd Avenue, Miami Shores, Florida 33138
Tel: (305) 795-2204 Fax: (305) 756-8972
INSPECTION LINE PHONE NUMBER: (305) 762-4949
BUILDING
PERMIT APPLICATION
▪ BUILDING ❑ ELECTRIC ❑ ROOFING
❑ PLUMBING ❑MECHANICAL ❑PUBLIC WORKS
--C JOB ADDRESS: 9 -I0 N 2ND %NV a_ .
51-1
FBC 201U
Master Permit No. RC RT fR ®0
Sub Permit No.
❑ REVISION ❑ EXTENSION ❑RENEWAL
❑ CHANGE OF ❑ CANCELLATION ❑ SHOP
CONTRACTOR DRAWINGS
City: Miami Shores County:
Folio/Parcel#: LI— .3 Zo6 - 013 . Z 35-0
Miami Dade Zip: 38138
Is the Building Historically Designated: Yes NO ✓
Occupancy Type: Load: Construction Type: Flood Zone: BFE: FFE:
L,p.NI> c•ke LLC.
OWNER: Name (Fee Simple Titleholder): V.M flAerT. Phone#: )l(oJ 290 -moi 5
Address: 114 NI a 5-9
City: %'i 1 A -M L State: 1=L., Zip: 53 13 .
Tenant/Lessee Name: Phone#:
Email: 1MFO 0 (2u8c..4C' r4' .. C.0 PA
CONTRACTOR: Company Name: Phone#:
Address:
City: State: Zip:
Qualifier Name: Phone#:
State Certification or Registration #: Certificate of Competency #:
DESIGNER: Architect/Engineer: Phone#:
Address: City: State: Zip:
Value of Work for this Permit: $ Square/Linear Footage of Work:
Type of Work: ❑ Addition ❑ Alteration ❑ New ❑ Repair/Replace
12�-�:.2 - 1=Ic4&-'-cam I�
4 Description of Work:
❑ Demolition
-7®
Specify color of color thru tile:
Submittal Fee $ Permit Fee $
Scanning Fee $ Radon Fee $
Technology Fee $ Training/Education Fee $
Structural Reviews $
(Revised02/24/2014)
CCF $ CO/CC $
DBPR $
Notary $
Double Fee $
Bond $
TOTAL FEE NOW DUE $ &00 .W
Bonding Company's Name (if applicable)
Bonding Company's Address
City State Zip
Mortgage Lender's Name (if applicable)
Mortgage Lender's Address
City State Zip
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has
commenced prior to the issuance of a permit and that all work will be performed to meet the standards of all laws regulating
construction in this jurisdiction. I understand that a separate permit must be secured for ELECTRIC, PLUMBING, SIGNS, POOLS,
FURNACES, BOILERS, HEATERS, TANKS, AIR CONDITIONERS, ETC
OWNER'S AFFIDAVIT: I certify that all the foregoing information is accurate and that all work will be done in compliance with all
applicable laws regulating construction and zoning.
"WARNING °TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF COMMENCEMENT MAY
RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS TO -YOUR PROPERTY. *IE. YOU INTEND
TO OBTAIN FINANCING, CONSULT WITH YOUR LENDER OR AN ATTORNEY BEFORE RECORDING
YOUR NOTICE OF COMMENCEMENT."
Notice to Applicant: As a condition to the issuance of a building permit with an estimated value exceeding $2500, the applicant must
promise in good faith that a copy of the notice of commencement and construction lien law brochure will be delivered to the person
whose property ii subject to attachment. Also, a certified copy of the recorded notice of commencement must be posted ,at the job site
for the first inspection which occurs seven (7) days after the building permit is issued. In the absence of such posted notice, the
inspection will not be approved and a reinspection fee will be charged.
Signature
The foregoi
OWNER or T
ument was ac now edged before me this
IS day of YvAa—( , 20 1.
Ta>11-4 l"IN•T2 , who is pe
me or who has produced
\\��1�t\�*IIyO%d ir
identification and who did take a cath,.••'"••.. y' ori, identification and who did take an oath.
NOTARY PUBLIC: A, �� 0 2 2% NOTARY PUBLIC:•cn
•U�
Signature
CONTRACTOR
The foregoing instrument was acknowledged before me this
day of , 20 , by
, who is personally known to
as me or who has produced as
Sign: �. - p*
°....":)
s (k .S. .Sign.
t
Print: �,-,��bb oIW ...140Q`a` Print:
Seal:iloiSeal:
APPROVED BY
(Revised02/24/2014)
Plans Examiner Zoning
Structural Review Clerk
Prope Search Application - Miami -Dade County
Page 1 of 1
Summary Report
Property Information
Folio:
11-3206-013-2350
Property Address:
9710 NE 2 AVE
Miami Shores, FL 33138-2311
Owner
SHORES LANDING LLC
Mailing Address
714 NE 59 ST
MIAMI, FL 33137-2326
Primary Zone
6400 COMMERCIAL - CENTRAL
Primary Land Use
1913 PROFESSIONAL SERVICE
BLDG : OFFICE BUILDING
Beds / Baths / Half
0/0/0
Floors
1
Living Units
0
Actual Area
Sq.Ft
Living Area
Sq.Ft
Adjusted Area
13,544 Sq.Ft
Lot Size
19,500 Sq.Ft
Year Built
1946
Assessment Information
Year
2016
2015
2014
Land Value
$507,000
$429,000
$370,500
Building Value
$770,000
$731,616
$618,212
XF Value
$0
$0
$0
Market Value
$1,277,000
$1,160,616
$988,712
Assessed Value
$1,196,341
$1,087,583
$988,712
Benefits Information
Benefit
Type
2016
2015
2014
Non -Homestead Cap
Assessment Reduction
$80,659
. $73,033
Taxable Value
Note: Not all benefits are applicable to all Taxable Values (i e. County,
School Board, City, Regional).
Short Legal Description
1 53 41 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 3-4 & 5 BLK 18
LOT SIZE 150 X 130
OR 23462-2095 06 20051
Generated On : 3/15/2017
Taxable Value Information
Previous Sale
2016
2015
2014
County
Exemption Value
$0
$0
$0
Taxable Value
$1,196,341
$1,087,583
$988,712
School Board
Exemption Value
$0
$0
$0
Taxable Value
$1,277,000
$1,160,616
$988,712
City
Exemption Value
$0
$0
$0
Taxable Value
$1,196,341
$1,087,583
$988,712
Regional
Exemption Value
$0
$0
$0
Taxable Value
, $1,196,341
$1,087,583
$988,712
Sales Information
Previous Sale
Price
OR Book -Page
Qualification Description
06/01/2005
$2,165,000
23462-2095
Sales which are qualified
02/01/2001
$1,035,000
20224-2435
Sales which are qualified
07/01/1985
$788,000
12574-1861
Sales which are qualified
06/01/1976
$230,000
00000-00000
Sales which are qualified
The Office of the Property Appraiser is continually editing and updating the tax roll. This website may not reflect the most current information on record. The Property Appraiser
and Miami -Dade County assumes no liability, see full disclaimer and User Agreement at http://www.miamidade.gov/iinfo/disclaimer.asp
Version:
http://www.miamidade.gov/propertysearch/
3/15/2017
Detail by Entity Name Page 1 of 2
Florida Department of State
tPa VrffPl a taar' ts,P Pipa:t</a
Department of State / Division of Corporations / Search Records / Detail By Document Number /
DIVISION OF CORPORATIONS
Detail by Entity Name
Florida Limited Liability Company
SHORES LANDING, LLC
Filing Information
Document Number L04000070308
FEI/EIN Number 20-1672500
Date Filed 09/27/2004
Effective Date 09/27/2004
State FL
Status ACTIVE
Last Event REINSTATEMENT
Event Date Filed 10/07/2010
Principal Address
714 NE 59TH STREET
MIAMI, FL 33137
Mailing Address
714 NE 59TH STREET
MIAMI, FL 33137
Registered Agent Name & Address
MATZ, RUBEN
714 NE 59TH STREET
MIAMI, FL 33137
Authorized Personas) Detail
Name & Address
Title MGRM
MATZ, RUBEN
714 NE 59TH STREET
MIAMI, FL 33137
Title MGRM
MATZ, GLADYS
714 NE 59TH STREET
MIAMI, FL 33137
Annual Reports,
http://search. sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail?inquirytype=Entity... 3/15/2017
M EA,
cOF3ut, rinG Encln__
717 Pore de Leon Blvd. Unit 309A
Coj*,Gables, FL 33134
?el: (305)205-9334
t%A#30186 PE#61606
Feb 21, 2017
Building Official
MIAMI SHORES VILLAGE
Building and Zoning
10050 NE 2 AVE
Miami, FL
Re: 40 Yr. Recertification
9710 NE 2ND AVE
Miami, FL 33138
Folio 11-3206-013-2350
To Building Official,
Ismael Naranjo
The building at the referenced address was inspected on Feb 21, 2017 and as described
in the attached Electrical and Structural Report. The inspection was based on
'Procedural guidelines recommended by Miami - Dade County Building Department. Our
observations indicate that the building is structurally and electrically safe for its
intended use and occupancy. This property also conforms to chapter 8C-3 of Dade
county exterior illumination code. The illumination test was performed was after dark
with an Extech 300 light meter. With and average Ft Cd of 2.7 a high of 10.6 and low of
1.0 Ft Cd.
In order to avoid any possible misunderstanding, please be advised that nothing in these
reports should be construed, directly or indirectly as a guarantee of any portion of the
structure. To the best of our knowledge and ability this report represents an accurate
appraisal of the building based on visual examination of observed conditions to the
.. ... . . . . • ••
extent reasonably possible.Vo watr49ae>»4rkearOsentations are intended.
a..• -.A4 -ti;•
♦
0 ••• \O E
.s•
Sincerely,
Jorge Arocha PE
...'9..
. ,• . C
�• . t *. _-
� TATE OF 1 <v
4 IC3p` ••
g,C.R1 VAS -400
' MIAMI SHORES VILLAGE
BUILDING DEPARTMENT
APPROVED
BY
DATE
ZONING
STRUCTURAL
/J,
ELECTRICAL
i a
1��1f-fy
f>,
PLUMBING
MECHANICAL
BUILDING
3L/A).
SUBJECT TO COMPLIANCE WITH
ALL FEDERAL, STATE AND COUNTY
RULES AND REGULATIONS
The building at the referenced address was inspected on Feb 21, 2017 and as described
in the attached Electrical and Structural Report. The inspection was based on
'Procedural guidelines recommended by Miami - Dade County Building Department. Our
observations indicate that the building is structurally and electrically safe for its
intended use and occupancy. This property also conforms to chapter 8C-3 of Dade
county exterior illumination code. The illumination test was performed was after dark
with an Extech 300 light meter. With and average Ft Cd of 2.7 a high of 10.6 and low of
1.0 Ft Cd.
In order to avoid any possible misunderstanding, please be advised that nothing in these
reports should be construed, directly or indirectly as a guarantee of any portion of the
structure. To the best of our knowledge and ability this report represents an accurate
appraisal of the building based on visual examination of observed conditions to the
.. ... . . . . • ••
extent reasonably possible.Vo watr49ae>»4rkearOsentations are intended.
a..• -.A4 -ti;•
♦
0 ••• \O E
.s•
Sincerely,
Jorge Arocha PE
...'9..
. ,• . C
�• . t *. _-
� TATE OF 1 <v
4 IC3p` ••
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING'S 50 YEAR STRUCTURAL
CERTIFICATION
INSPECTION COMMENCED:
INSPECTION MADE BY:
DATE: 1 2/21/2017
PRINT NAME:
JORGE AROCHA
INSPECTION COMPLETED:
SIGNATURE:
DATE: 2/21/2017
TITLE:
PROFESSIONAL ENGINEER
ADDRESS:
717 Ponce de Leon Blvd, Unit 309A
Coral Gables, FL 33134
DESCRIPTION OF STRUCTURE:
a. Name of Title:
SHORES LANDING LLC
b. Street Address:
9710 NE 2 AVE Miami Shores, FL 33138-2311
c. Legal Description:
1 53 41 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 3-4 & 5 BLK 18
LOT SIZE 150 X 130
d. Owners Name:
SHORES LANDING LLC
e. Owners Mailing Address:
9710 NE 2 AVE Miami Shores, FL 33138-2311
f. Folio Number of Building:
11-3206-013-2350
g. Building Code Occupancy
Classification:
6400 COMMERCIAL - CENTRAL
h. Present Use:
1913 PROFESSIONAL SERVICE BLDG : OFFICE BUILDING
i. General Description:
1 STORY CBS STRUCTURE
Type of Construction:
CBS
Size:
13,544 Sq.Ft
Number of Stories
1
Special Features
NONE
Additional Comments:
.• ••• • • • • • ••
•
•
• •
.
. •
• • •
•
•
•
•. •
•
•
• • ••• •
• • • • • • •
• • • • •
• . •
• • •• • • •
••• • ••• •
•••
•
• •
•• •
•• ••• • •
• • • • ••
••• •• •• •• •
• • •• •
• • •
• •• •• ••• ••
•• ••• • •
hl
BUILDING STRUCTURAL RECERTIFICATION
1. DESCRIPTION OF STRUCTURE
a. Name of Title:
SHORES LANDING LLC
b. Street Address:
9710 NE 2 AVE Miami Shores, FL 33138-2311
c. Legal Description:
1 53 41 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 3-4 & 5 BLK 18
LOT SIZE 150 X 130
d. Owners Name:
SHORES LANDING LLC
e. Owners Mailing Address:
9710 NE 2 AVE Miami Shores, FL 33138-2311
f. Folio Number of Building:
11-3206-013-2350
g. Building Code Occupancy
6400 COMMERCIAL - CENTRAL
h. Present Use:
1913 PROFESSIONAL SERVICE BLDG : OFFICE BUILDING
i. General Description:
1 STORY CBS STRUCTURE
Type of Construction:
CBS
Size:
13,544 Sq.Ft
Number of Stories
1
Special Features
NONE
Additional Comments:
0
Additions to Original Structure:
2. PRESENT CONDITION OF STRUCTURE:
NONE
a. General Alignment Not Good, Fair, Poor, Explain if Significant)
1. Bulging:I
NONE
2. Settlement:
NONE
3. Deflections:
NONE
4. Expansion:
NONE
5. Contractions:
NONE
b. Portions Showing Distress (Note beams, columns, structural walls, floors, roof, other):
NONE NOTED
c. Surface Conditions- Describe general conditions of finishes, noting cracking, spalling. Peeling, signs of
moisture penetration & stains:
ALL IN GOOD CONDITION
d. Cracks- Note location in significant members:
Identify as HAIRLINE if barely dissemble;
NONE NOTED
FINE if less than 1 mm width;
MEDIUM if between 1 & 2 mm width
WIDE if over 2 mm width;
e. General Extent of deterioration- cracking or spalling of concrete or masonry; oxidation of metals; rot or borer
attack in wood:
NONE NOTED •.• ••• • • • • • •• �`,��%%twitsi
- .•. -• 1,,, q,
.• .. .. . .�.�
f. Previous patching or repairs: •. • • • • • • • • • • • • • MINOR PATCHING SUP �`+• G E Nvi
g. Nature of present loading indicating residential, commercial, other estimate magnitude: ?-�N
.... ... ft. • i4 0.61,1
• • • • • • • • •
• • • .
• • • • • • • •
••. • 4100 • ••• •
•
•
•
• •• • • • • • •
• • •• •• • • •
• • 000 •• •
• • • •
• • • • • • • • • . •
• • • • 000 • •
3. INSPECTIONS
a. Date of not ice of required inspection:
b. Date(s) of actual inspection:
2/21/2017
c. Name and qualification of individual submitting inspection report:
Jorge Arocha PE
d. Description of any laboratory or other formal testing, if required, rather than manual or visual procedures:
e. Structural repair note appropriate line:
1. None required
x
2. Required (describe and indicate acceptance)
4. SUPPORTING DATA
a. Sheet written data:
b. photographs:
5. MASONRY
c. drawings or sketches:
BEARING WALL: (Indicate Good, Fair,
Poor on appropriate lines:
a. Concrete masonry units:
good
b. Clay tile or terra cota units:
good
c. Reinforced concrete tie columns:
good
d. Reinforced concrete tie beams:
good
e. Lintels:
good
f. Other type bond beams:
good
g. Masonry finish- EXTERIOR
1. Stucco:
good
2. Veneer:
3. Paint only:
good
4. Other (Describe):
h. Masonry Finish
1. Vapor barrier:
good
2. Purring and Plaster:
3. Paneling:
4. Paint Only:
good
5. Other (Describe):
i. Cracks:
1. Location- Note beams, columns, other
NONE NOTED
2. Description:
,j. Spalling:
1. Location- Note beams, columns, other
NONE NOTED
2. Description:
k. Rebar Corrosion- Check appropriate line:
1. None Visible:
NONE NOTED
2. Minor patching will suffice:
3. Significant but patching will suffice:
4. Significant structural repairs required:
I. Samples Chipped out for examination in spall areas:
1. No
X
2. Yes (Describe color, texture, aggregate,
general quality)
• • • • • • •
•
••
•
• • •
•• • •
•
•• ••• •• • • • ••
• ••• • ••• •
• • • • • • • • •
• • • • • • •
• • • • • • • • 0 •
• • • • • • • • •
••• • ••• • ••• •
• • • • • • • • • • • •
• • • • • • • •
• • • • • • • • •
• • • • • • • • • •
• • • • • • 0 • • • • •
••• • • • ••• • •
6. FLOOR AND ROOF SYSTEM:
a. Roof:
1. Describe (flat, slope, type of roofing, type roof deck, condition)
WOOD JOIST WITH MEMBRANE BUILT UP ROOF
2. Note water tanks, cooling towers, air conditioning equipment, signs, other heavy equipment and
conditions of support:
3. Note types of drains and scupper and condition Cooling towers, air condition:
PORT SCUPPER
b. Floor Systems
1. Describe (type of system framing, material, spans, condition:
NO WOOD ON FLOOR, CONCRETE SLAB
c. Inspection - note exposed areas available for inspection, and where it was found necessary to open ceilings,
etc. for inspection of typical framing members:
7. STEEL FRAMING SYSTEM
a. Description: GOOD
b. Exposed Steel:
c. Concrete or other fireproofing - note any cracking or spelling, and note where any covering was removed for
inspection:
NONE REMOVED NOT NECESSARY
d. Elevator sheave beams & connections, and machine floor beams - note condition
8. CONCRETE FRAMING SYSTEM
a. Full description of structural:
TIE COLUMNS ERECTED WITH TIE BEAMS THROUGHOUT INTERLOCKING CONCRETE BLOC
b. Cracking
1. Not significant X
2. Location and description of members affected and type cracking
c. General Condition
d. Rebar corrosion - check appropriate line:
1. Non visible
X
2. Location and description of members affected and type crac
3. Significant but patching will suffice
4. Significant - structural repairs required (describe)
e. Samples chipped out in spall areas:
1. No.
X` %��t1 i iA
2. Yes, describe color, Aturt•3sarelate. geder'�I quality:
`` 0 e
••
•
•
•
•• ••• •• • • • ••
• ••• • ••• • •
• • • • • • • • •
• • • • • • •
• • • •• • • • • •
• •• • •• • • •
••• • ••• • ••• •
••• • • • • ••• • •
• • • • • • • •
• • • •••- • • •
• • • • • • • • • •
• •• •• • • • •• Y•
000 • • • 000 • •
9. WINDOWS
a. Type (Wood, steel, aluminum, jalousie, single hung, double hung, casement, awning, pivoted, fixed, other)
WINDOWS ONLY ON STORE FRONT AND BACK DOORS WHICH ARE IMPACT
b. Anchorage - type & condition of fasteners and latches:
ANCHOR BOLTS
c. Sealant - type of condition of perimeter sealant & at mullions:
GOOD CONDITION
d. Interiors seals - type & condition at operable vents:
GOOD CONDITION
e. General condition:
GOOD
10. WOOD FRAMING
a. Type - fully describe if mill construction, light construction, major spans, trusses;
Wood JOIST SYSTEM SPANNED 4 WIDTH X 12 LENGTH FT
b. Note metal fitting i.e., angles, plates, bolts, split pintles, pintles, other, and note condition:
c. Joints - note if well fitted and still closed:
WELL FITTED
d. Drainage - note accumulations of moisture:
NONE NOTED
e. Ventilation -note any concealed spaces not ventilated:
GOOD CONDITION
f. Note any concealed spaces opened for inspection:
NONE NOTED
•. •.• . • . • • .•
•
• • •
•
•
•
.. ••• •• • • • •.
• •
•
•
•�
••.
•
• •.• • •
• • • • • • .
• •
• . • . •
• •. • . •
.•• . ••• •
•••
• . .
• •
..•
• .
• •
•
•
•
•
• •
• ••
•
MINIMUM INSPECTION PROCEDURAL GUIDELINES FOR BUILDING'S ELECTRICAL 40 YEAR OR
RECERTIFICATION
INSPECTION COMMENCED:
INSPECTION MADE BY:
DATE:
2/21/2017
PRINT NAME:
JORGE AROCHA
INSPECTION COMPLETED:
SIGNATURE:
DATE:
2/21/2017
TITLE:
PROFESSIONAL ENGINEER
ADDRESS:
717 Ponce de Leon Blvd, Unit 309A
Coral Gables, FL 33134
DESCRIPTION OF STRUCTURE:
a. Name of Title:
SHORES LANDING LLC
b. Street Address:
9710 NE 2 AVE Miami Shores, FL 33138-2311
c. Legal Description:
1 53 41 6 53 42
MIAMI SHORES SEC 1 AMD PB 10-70
LOTS 3-4 & 5 BLK 18
LOT SIZE 150 X 130
d. Owners Name:
SHORES LANDING LLC
e. Owners Mailing Address:
9710 NE 2 AVE Miami Shores, FL 33138-2311
f. Folio Number of Building:
11-3206-013-2350
g. Building Code Occupancy
6400 COMMERCIAL - CENTRAL
h. Present Use:
1913 PROFESSIONAL SERVICE BLDG : OFFICE BUILDING
i. General Description:
1 STORY CBS STRUCTURE
GUIDELINES AND
Type of Construction:
CBS
Size:
13,544 Sq.Ft
Number of Stories
1
Special Features
NONE
Additional Comments:
INFORMATION FOR
0
RECERTIFICATION OF ELECTRICAL SYSTEMS OF THE FORTY (40)
1. ELECTRIC SERVICE
1. Size:
Amperage=
3X (400)
Fuse=
Breakers=
x
2. Phase:
Three Phase=
x
Single Phase=
3. Conditions:
Good:
X
Fair:
Needs Repair:
4. Comments:
3 POINTS OF SERVICE DEPICTED PROPERLY BY ADDRESS AND IDENTIFIED PER UNIT
2. METER AND ELECTRIC ROOM
1. Clearance:
Good: X
Fair:
Requires Corrections:
Comments:
• • • • • • • • • • • •
•
•• ••• - ,�,,• t�t IIiI4rr,,_
3. GUTTERS •.• ... .. . • • •• S`,`V
1. Location:
EXTERIOR
Good:
X
•`•AaoC
Requires Rep"--... GENg '-
2. Taps and Fill:
...
Gpod,
•
Requires Re.\
Comments:
: a
: . : : rt/a:: ; t /NO Al Y.
• ..
••. .
.•
•
.... ...•
• . •. •. •.
• . . •
•••
.
• •..••.
.•. • . . .
• ..
..••
.
• •
• .
• •
•••
•• ••
4. ELECTRICAL PANELS
1. Panel #:
A
Location:
INTERIOR
Good:
X
Requires Repairs:
2. Panel #:
B
Location:
INTERIOR
Good:
X
Requires Repairs:
3. Panel #:
C
Location:
INTERIOR
Good:
x
Requires Repairs:
4. Panel #:
HP
Location:
INTERIOR
Good:
X
Requires Repairs:
5. Panel #:
Location:
Good:
Requires Repairs:
6. Panel #:
Location:
Good:
Requires Repairs:
7. Comments:
5. BRANCH CIRCUITS
1. Identified:
Yes:
X
Must be Identified:
2. Conductors:
Good:
X
Deteriorated:
Must be Replaced:
3. Comments:
6.GROUNDING OF SERVICE
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
7. GROUNDING OF EQUIPMENT
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
8. SERVICE CONDUITS/RACEWAYS
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
9. SERVICE CONDUCTORS AND CABLES
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
10. TYPES OF WIRING METHODS
Conditions:
Conduit Raceways:
Good:
X
Repairs Required:
Conduit PVC:
Good:
X
Repairs Required:
NM Cable:
Good:
X
Repairs Required:
BX Cable:
Good:
X
Repairs Required:
11. FEEDER CONDUCTORS
1. Conditions:
Good:
X Repairs Required:
2. Comments:
12. EMERGENCY LIGHTING
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
• 0 • • • • •
•
13. BUILDING EGRESS ILLUMINATION •.
•
• _•
• • •
••
1. Conditions:
2. Comments:
14. FIRE ALARM SYSTEM
.• •••
•• • Good: ••
• ••• • •0• • •
• . r- - - - •
• • • • • • •
• • ••
• •
X
Repairs Required: ,k�`�,s. "„"'I r
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1. Conditions:
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2. Comments:
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15. SMOKE DETECTORS
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
16. EXIT LIGHTS
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
17. EMERGENCY GENERATOR
1. Conditions:
Good:
Repairs Required:
2. Comments:
na
18. WIRING IN OPEN OR UNDER COVER PARKING GARAGE AREAS
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
19. OPEN OR UNDERCOVER PARKING GARAGE ARES
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
20. SWIMMING POOLS WIRING
1. Conditions:
Good:
Repairs Required:
2. Comments:
N/A
21. WIRING OF MECHANICAL EQUIPMENT
1. Conditions:
Good:
X
Repairs Required:
2. Comments:
22. GENERAL ADDITIONAL COMMENTS
•
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