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APPROVALS ID/SIG.COMMENTS ONncFBuitd.r Dda6lion <br />I h.r.ty.firm undd p.@lry olp.lury rh{ I M.x.npt forn lh. ConrscloE Lic€ns. L.* for !h. aollowinB i4oo G* 7OlL5 Bsin6s <br />od Prolesiotr Codc): Any Chy or Connl, Nhich rcquir6 ! p.rmn ro coErrud. ahF, inpNv.. dcnotirh or ,.pit rny Nclur.. prior ro ils <br />irsu!ft.. .!ro rquirG fi. lpplicanl for iuci Omn lo fiL a !i8..d slaldcfl thal h. or sn. t [cm.d plBud ro rtc pmei.ioB of thc <br />Conlrlcloir l-rccns.d Llw (Ch.pl.r9, conmc.cr.s w h Sdrion Too0 of Drvision I of rh. B6rn6s lnd Prof6sions Codc) or rht h. m <br />rn. is .&np thdcfrom ud rh. bais aor rh. all.*.d 6.6plhn Any viol ion of Sd ior 701 L5 by dy .ppli.!d tbr ! pann eubj.cls th. <br />aDplic.ntlo. civil p.ulty olnd mor. than livc hundrcd dollm ($500). <br />l,tsownrofth.piop.ny.ormy.,trployce*irhw.g.!.srh.irsol.compcnsation.willdorh.wo.kandlh.slruclu.a!oorinrnd.d <br />or olt ..d fo, sl. ( Se 7044, Burn6i rnd Prof6sions Cod. Th. Co.tricrois LiceBe ti* do€ nol apply lo !n owrcr oa rh. prop.rly <br />rvho builds or inprov.s rh.mn, od Nho docs sucn wort himclaorh.Mlforlhbo*h hi. or h.r oq..nploy..s. provid.d rhol such <br />impror.d.rls !r. nor inl.ndcd orofi.Ed for slc. Ia howcv.r. th. buildins or impror.m.nr is loB *nhin on. ,cr ofcodpldion. $. <br />olnn.Buildcrwillhtv.lhcburdcno,p.orinsth.rh.orsh.norbuildoridpbv.forth.Furp$.or3ok). <br />_1. c osn.roffi. prop.ny. !m .xcldiv.ly contdcrins wirh lic.flFd.onlnclos ro coBrru.r rh. p@j.d ( Se 7044, Bulin6s and <br />Prcf.srbn cod. Th. conlr.crofs Lic.N. rrw do6 nol .pply to an ostur ot prop.ny wno builds or improv6 lhcon . md who <br />conrad3lor !!.h prord( wnhr conmdo(s) hc.B.druBu lo th. conhc{ol3 Lrc.ns. h* ) <br />q.4.1r- <br />WORI(ERS COMPENSATION DECLARATION <br />I hd.by rmm lndr pcMly of tnjuD-, on. oi th. folloq in* d(l.ratioB: <br />I h!v. ed v ill nrinllin t C.nifiol. of atBor ro S.lf.l isur. fo r Nrk.c .omp.Mtion,c prolidd aor b, Setion3700ofd! <br />L.tor Cod.. for rn plrloruBc offt. worl tor which rlr !.dh ir bsucd. <br />I h!v.md *rll frr,ntrin $orkeB @mpcMnon rs!6nce. .s r.qlird by Sfttun u 70O ol th. L.bor Cod., lor rhe pcrforrun.. of thc <br />uod aotwhich ihi.p.rm B arued My wo,k.B comp.nsrion inslEnc.6rEr.nd pol'.y nunb...r.: <br />PolicyNunbd:Ertncs <br />(ftn saliofl n .d f,or b. compld.d irlhcFnnit is tor On. hundr.d dolh6l$l00l.rl.$) <br />l .cnif, th.t in th. pcrfomnc. oalt vork aorwhichihis p.rmn is i!s!.d,I shrll nor .hploy lnt pdon inlnym.nn(so6lo <br />b.can.3ubr.cr ro rh! workes @mp.nelion b*s ofcalifornn, rnd.src rh8l 'll should b..oo. subred to dr. wort.c <br />&:r 70Oofih. kbor Cod..l sh.ll. fodhwht, <br />_ _ ,ADplic. l <br />.omrl' *irh rhosc pDvisions <br />WARNING E rlurc lo seuc workss. comp.nsto. cov.ns. h unla*lul, !d stull slbJd .n .mplot{ ro oininrl ,. lti6 lnd civil <br />6nq up to on. hudr.d fioc.nd doll6 (S100,000),in addnion rolhc.on ofconp.ns{ion. d.m.n* s Drovid.d fo, rhc S.crion 3076 oa <br />lh. htor Cod., ini.r6t and atror..y's f6 <br />LICEITSED CONIXACIORS DECLAI'AIION <br />I hd.by llfirm undd pcdhy ofp.rjury lhar I u lic.ns.d lndo povision ofch!flo 9 konn.n.ins wnh S(tion ?000) ofDivision 3 of <br />th. BBin.s lrd Pro&.rioB Codc. md ny lic.e is i. tull ao(r 6d.ffer. <br />t.r.tu ctr*,?2 _ LE.e Nuob6 u1D472 <br />(!!i!:8.!cllQtr!!i!p!xclc.E!cY <br />I hcrcby trmrfl und.r pcmll! ofp.rtrryth.l lhcr. t ac.n tu.rion l..di.B 3g.ncy rar th. pcrfon@ncc olrh.work lor$hichrhh p.rinit is <br />i!s!.d (Sn. 3097. Ci!. c.). <br />Lcnd.a3 Nlne _ <br />Lnd.is Addrqr <br />at[Ltca!.IssEclAaarqN <br />D.nolirion P@iB-A.b.sros Nori,i.dion F.dol R.suldionr (Tnk 40, Prn 6) <br />RcquiBd tlrrc, of Notifiqrion <br />I c.nifyth.rrhc acddrl r.tularions r.srrding asb.stos r.dovalarc not.ppli.5bl. ro this proj*t <br />I.cnify6al I havc r.ad 6G.Dplictrtion and 3t.t. that th..b.!. inforntlion k.o(..1 I igr.. to conply wirh all Cily and Counry <br />horizc r€p(s.nratits otlht Cily and Counly rocnr.! upon rh. <br />,,^,,at"Q't4 <br />Appliances <br />Metal Fire Place <br />Evap Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Range <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings r <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release <br />FINAL <br />M 1\Permil lnspe.tion Foms\Mechanica -lnspe.lor Recorddoc 03 31 06 <br />MECHANICAL.INSPECTOR RECORD <br />OATE <br />Other <br />I