Electrical Inspection Agency                           Electrical Inspector                           

	BONDING    (680-22) EACH OF THE FOLLOWING ITEMS SHALL BE BONDED TOGETHER FORMING A "BONDING GRID" IT IS NOT THE INTENT FOR THE BONDING CONDUCTOR TO EXTEND TO ANY ELECTRODE, OR SERVICE PANELBOARD		OK	NA	NC
A-1		CONDUCTOR IS NO. 8 OR LARGER SOLID CU. CONDUCTOR INSULATED, COVERED OR BARE
A-2		METALLIC PARTS OF POOL STRUCTURE INCLUDING LADDERS AND DIVING BOARD(S)
A-3		CONCRETE REINFORCING STEEL (IF ANY EXIST)
A-4		LIGHTING FIXTURES FORMING SHELL (IF ANY EXIST)
A-5		METAL FITTINGS 4" AND OVER IN ANY DIMENSION
A-6		PUMP MOTORS, POOL COVER EQUIPMENT
A-7		METAL-SHEATHED CABLES, RACEWAYS, PIPING WITHIN 5' OF POOL HORIZONTALLY AND LESS THAN 12 ABOVE MAXIMUM WATER.
ITEM NO.	GROUNDING (680-24 & 25) ALL OF THE FOLLOWING EQUIPMENT SHALL BE GROUNDED WITH AN EQUIPMENT GROUNDING CONDUCTOR		OK	NA	NC
B-1		SIZED PER 250-122 MINIMUM 12 GA. CU.
B-2		POOL LIGHTING FIXTURES AND RELATED EQUIPMENT
B-3		PUMP AND OTHER POOL RELATED EQUIPMENT
B-4		PANELBOARDS
B-5		TRANSFORMER ENCLOSURES AND /OR JUNCTION BOXES
ITEM NO.	CONVENIENCE RECEPTACLES (680-6)		OK	NA	NC
C-1		CONVENIENCE RECEPTACLE, 125V 15 OR 20 amp GFCI PROTECTED
C-2		LOCATED BETWEEN 10' AND 20' FROM THE INSIDE WALL OF THE POOL AND LESS THAN 6'-6" ABOVE GRADE
ITEM NO.	PUMP OR MOTOR RECEPTACLES (680-6)		OK	NA	NC
D-1		TWIST LOCK RECEPTACLE > 5' FROM INSIDE OF POOL AND GFCI PROTECTED CIRCUIT
D-2		STANDARD RECEPTACLE > 10' FROM INSIDE OF POOL AND GFCI PROTECTED CIRCUIT
ITEM NO.	POOL MOTORS (680-25(c))		OK	NA	NC
E-1	GFCI               WIRING SUPPLYING PUMP MOTOR IS GFCI PROTECTED
E-2	GROUNDING	EQUIPMENT GROUNDING CONDUCTOR SIZED PER TABLE 250-122 BUT NOT SMALLER THAN NO. 12
E-3		INSULATED COPPER CONDUCTOR (UF CABLE NOT ACCEPTABLE)
E-4		INSTALLED IN SAME CONDUIT AS CIRCUIT CONDUCTORS
E-5	CONDUIT OUTSIDE	RIGID METAL CONDUIT, INTERMEDIATE METAL CONDUIT, RIGID NONMETALLIC CONDUIT, OR TYPE MC CABLE LISTED FOR APPLICATION
E-6	CONDUIT	ELECTRICAL METALLIC TUBING USED ON OR INSIDE A BUILDING ONLY TO PROTECT CONDUCTORS
E-7	FLEXIBILITY NECESSARY	WHERE NECESSARY, LIQUIDTIGHT FLEXIBLE METAL OR NONMETALLIC CONDUIT WITH APPROVED FITTINGS
E-8	INTERIOR OF ONE FAMILY	INTERIOR WIRING IN A ONE FAMILY STRUCTURE OR ACCESSORY STRUCTURE MAY EMPLOY ANY WIRING METHOD RECOGNIZED BY NEC CHAPTER 3 THAT CONTAINS A 12 GA COPPER EQUIPMENT GROUNDING CONDUCTOR
ITEM NO.	LIGHTING FIXTURES/PADDLE FANS (680-6(a))		OK	NA	NC
F-1	NEW FIXTURES	MINIMUM 12' VERTICALLY ABOVE MAXIMUM WATER LEVEL OR MORE THAN 5' HORIZONTALLY FROM INSIDE WALL OF POOL
F-2	EXISTING FIXTURES	MINIMUM 5' VERTICALLY ABOVE POOL IF WITHIN 5' HORIZONTALLY OF INSIDE WALLS OF POOL
F-3	INDOOR POOLS	LIGHTS ALLOWED WITHIN ABOVE DESCRIBED RESTRICTED AREA IF ALL OF THE FOLLOWING ARE PROVIDED 1) LIGHT IS TOTALLY ENCLOSED TYPE 2) GFCI PROTECTED AND 3) 7.5' ABOVE MAXIMUM WATER LEVEL
ITEM NO.	DISCONNECTING MEANS (680-12)		OK	NA	NC
G-1		DISCONNECTING MEANS PROVIDED LOCATED WITHIN 50' AND IN SIGHT OF EQUIPMENT AND MINIMUM OF 5' FROM INSIDE WALL OF THE POOL
ITEM NO.	UNDER WATER LIGHTING FIXTURES (680-20)		OK	NA	NC
H-1		SUPPLY CIRCUITS 150 VOLTS OR LESS AND GFCI PROTECTED
H-2		TOP OF WALL MOUNTED FIXTURE LENS MINIMUM 18" BELOW NORMAL WATER LEVEL
H-3		TOP OF WALL MOUNTED FIXTURE LENSE MINIMUM 4" BELOW NORMAL WATER LEVEL IF LISTED AND IDENTIFIED FOR USE AT THAT LEVEL
H-4		UPWARD FACING FIXTURE ADEQUATELY GUARDED
H-5		FIXTURES THAT DEPEND ON SUBMERSION SHALL BE INHERENTLY PROTECTED AGAINST HAZARDS OF OVERHEATING WHEN NOT SUBMERGED
H-6	WET-NICHE FIXTURE	FORMING SHELL HAS PROVISIONS FOR CONDUIT ENTRIES AND CONDUIT EXTENDS FROM FORMING SHELL TO SUITABLE JUNCTION BOX (SEE 680-21)
H-7		CONDUIT IS RIGID BRASS, INTERMEDIATE METAL, LIQUIDTIGHT FLEXIBLE NONMETALLIC OR RIGID NONMETALLIC
H-8		NO. 8 INSULATED COPPER CONDUCTOR IS INSTALLED IN NONMETALLIC CONDUIT AND TERMINATED IN FORMING SHELL AND JUNCTION BOX
H-9		TERMINATIONS IN FORMING SHELL IS ENCAPSULATED IN A LISTED POTTING COMPOUND
H-10		END OF FLEXIBLE-CORD JACKED AND CONDUCTOR TERMINATIONS IN FORMING SHELL INCLUDING GROUNDING CONNECTION IS ENCAPSULATED IN A LISTED POTTING COMPOUND
H-11		FIXTURE IS BONDED AND SECURED TO FORMING SHELL UNLESS LISTED AND HAVING NO NONCURRENT CARRYING METAL PARTS
H-12	DRY-NICHE FIXTURE	PROVIDED WITH PROVISIONS FOR DRAINAGE OF WATER AND ACCOMMODATING ONE GROUND CONDUCTOR FOR EACH CONDUIT ENTRY
H-13		CONDUIT IS RIGID METAL CONDUIT, INTERMEDIATE METAL, LIQUIDTIGHT FLEXIBLE NONMETALLIC OR RIGID NONMETALLIC BETWEEN FIXTURE AND PANELBOARD
H-14		JUNCTION BOX IF USED INSTALLED PER 680-21(a) (5)
H-15	NO-NICHE FIXTURE	FIXTURE IS LISTED
H-16		MOUNTING BRACKET HAS PROVISIONS FOR CONDUIT ENTRIES AND CONDUIT EXTENDS FROM FORMING SHELL TO SUITABLE JUNCTION BOX (SEE 680-21)
H-17		CONDUIT IS RIGID BRASS, INTERMEDIATE METAL, LIQUIDTIGHT FLEXIBLE NONMETALLIC OR RIGID NONMETALLIC
H-19		NO. 8 INSULATED COPPER CONDUCTOR IS INSTALLED IN NONMETALLIC CONDUIT AND TERMINATED IN MOUNTING BRACKET AND JUNCTION BOX
H-20		TERMINATIONS IN MOUNTING BRACKET ENCAPSULATED IN A LISTED POTTING COMPOUND
ITEM NO.	JUNCTION BOXES AND ENCLOSURES FOR TRANSFORMERS OR GROUND-FAULT CIRCUIT INTERRUPTERS (680-21)		OK	NA	NC
I-1	JUNCTION BOX	LISTED AND LABELED FOR THE PURPOSE
I-2		THREADED ENTRIES OR HUBS OR NONMETALLIC HUB LISTED FOR THE PURPOSE
I-3		COPPER, BRASS, SUITABLE PLASTIC, OR OTHER CORROSION-RESISTANT MATERIAL
I-4		ELECTRICAL CONTINUITY BETWEEN METAL CONDUIT AND GROUNDING TERMINALS BY CORROSION-RESISTANT METAL INTEGRAL WITH THE BOX
I-5		INSIDE BOTTOM OF BOX IS 4 IN. ABOVE POOL DECK OR GROUND LEVEL OR 8 IN. ABOVE MAXIMUM WATER LEVEL WHICHEVER PROVIDES GREATER ELEVATION
I-6		BOX IS LOCATED AT LEAST 4 FT. FROM INSIDE WALL OF POOL
I-7		LIGHTING SYSTEM IS OPERATING AT 15 VOLTS OR LESS--- A FLUSH BOX IS USED MINIMUM OF 4 FT. FROM INSIDE WALL OF POOL AND FILLED WITH APPROVED POTTING COMPOUND
I-8	OTHER ENCLOSURES	THREADED ENTRIES OR HUBS OR NONMETALLIC HUB LISTED FOR THE PURPOSE
I-9		PROVIDED WITH AN APPROVED SEAL (DUCT SEAL) AT CONDUIT CONNECTION
I-10		ELECTRICAL CONTINUITY BETWEEN METAL CONDUIT AND GROUNDING TERMINALS BY CORROSION-RESISTANT METAL INTEGRAL WITH THE BOX
I-11		INSIDE BOTTOM OF BOX IS 4 IN. ABOVE POOL DECK OR GROUND LEVEL OR 8 IN. ABOVE MAXIMUM WATER LEVEL WHICHEVER PROVIDES GREATER ELEVATION
I-12		BOX IS LOCATED AT LEAST 4 FT. FROM INSIDE WALL OF POOL
I-13	PROTECTION	JUNCTION BOXES AND ENCLOSURES MOUNTED ABOVE GRADE NOT LOCATED IN WALKWAY
I-14	GROUNDING TERMINALS	JUNCTION BOXES AND OTHER ENCLOSURES CONNECTED TO A CONDUIT THAT EXTENDS DIRECTLY TO A FORMING SHELL OR MOUNTING BRACKET IS PROVIDED WITH ONE MORE GROUNDING TERMINALS THAN CONDUIT ENTRIES
I-15	STRAIN RELIEF	THE TERMINATION OF FLEXIBLE CORD OF AN UNDERWATER FIXTURE IS PROVIDED WITH STRAIN RELIEF
ITEM NO.	CORD AND PLUG CONNECTED EQUIPMENT		OK	NA	NC
J-1		ONLY USED ON STATIONERY EQUIPMENT RATED 20 AMPS OR LESS
J-2		AND NOT USED ON UNDER LIGHTING FIXTURE
J-3		CORD IS NO LONGER THAN 3' ON OTHER THAN STORABLE POOLS
ITEM NO.	OVER HEAD CONDUCTOR CLEARANCE		OK	NA	NC
K-1		ANY OVERHEAD CONDUCTORS COMPLY WITH CLEARANCE OF NEC 680-8 SEE FIGURE
ITEM NO.	UNDERGROUND WIRING LOCATION		OK	NA	NC
L-1		UNDERGROUND CONDUCTORS ARE NOT LOCATED UNDER THE POOL OR WITHIN 5 FT. HORIZONTALLY FROM THE POOL WALL UNLESS NECESSARY TO SUPPLY POOL EQUIPMENT
ITEM NO.	PANEL BOARD- WHICH SUPPLIES POOL EQUIPMENT		OK	NA	NC
M-1		REMOTE PANEL WITH AN INSULATED GROUNDING CONDUCTOR SIZED PER 250-122 BUT NO SMALLER THAN NO. 12 INSTALLED WITH THE FEEDER CONDUCTORS AND INSTALLED IN RIGID METAL CONDUIT, INTERMEDIATE METAL CONDUIT, LIQUIDTIGHT FLEXIBLE NONMETALLIC CONDUIT OR RIGID NONMETALLIC CONDUIT OR
M-2		MAIN PANEL GROUNDED DIRECTLY PER NEC 250 OR PANEL IN AN ACCESSORY STRUCTURE WITHOUT ANY METAL WATER LINE CONNECTING BETWEEN THE TWO BUILDINGS

Date of Electrical Inspection                        

Nonconforming Items:                                                                                                 
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            
                                                                                                                                            

I hereby state that the above referenced installation was inspected on the date indicated by the undersigned and this form was completed by the undersigned and accurately depicts the installation as inspected. Any and all conditions that do not comply with the requirements of the National Electrical Code have been noted above.