Laserfiche WebLink
MECHANICAL.INSPECTOR RECORD <br />DATE ID/SIG.COMMENTS O$NEN BULDER DSLCI{RATION <br />I rErcby a,Itrd und6 p.lalry or p.iury thar I d cicryr nnm Oc Cof,rrs.to6 Liccrsc Law ror thc folh*int rcasa (S.{.tt3lJ <br />Businc$ ait ProL$ion Codc): Any Cily or Couity which Equircs t lEmil lo @.31d.r. ehq. imprcrc. .hmlish or Epair any <br />srocrwc. prhr ro irs issuurcc. lho ralirs the ll)plicdl fo. $ch P.mil to lilc a sieftd sldcmnl lhol h. or shc b lienscd plNrnr <br />ro rhc ptuvhions of iE Coor@ror's Li..nscd Liw (Ch{rl6 9. Colmn inS wnh S.crion 7000 of Division I of rl. ausi.c$ lnd <br />PFf*rjons Cod.) or$al t or rnc is crcn9r ihertfionMd th. &sis for llE ol bScrl .r.,rpr ior. Any violllion ofselion 703,.t by on, <br />appltanr for a pcmir subiii. rrE .pplionl lo . cieil p.dlly of rcl mrc rhM fivc hlndtd doll6 (5500) <br />l, rs owncr of rh. I,mFrry, or my enrloyes wilh *!8.s as lnet $lc 6mp.nsalion. will do llt qo* nnd tlE sltElw ir ml <br />iflrcd.n o. ofrcrd aor sh 1ss.7fi4. Busiftss ond Profcssions Codq Thc Conlmctols l-iccnc lrw dms mt q'Ply lo an owrcr of <br />rhc pmtcny who builds or inrpmtr ttEMn. {nd who der skh mi( himsrlf or hcMlfor thDUBh hn or ncr oe..molorles. <br />pmvid.d lhot such iqmwmm s ml inlcnd.d orofqtd ror slc.lf.lrowcu. rlE b{ildinS or irqfttmni i! $ld *ilhir onc ){tr <br />oforl,brblr itr OwBr Buillci will lbw 0E lin&n .f !rcvin8 tlEl lE o. shc dii mr hriu or inpmw llE Imldl, to. ilr purF$ of <br />t..sownfofrn f,o!.ny. an ciclusitly conr.acring qnh l.cnsd coitracroft ro oiirud thc Pmjcd (Sec 7orl. Bu<incs <br />und hDf6si.n Cod€i The Conlmctols Liccnsc Lae does nol lpply !o anown r ofPrcn nyaho builds or imPmvcs lhcrcon. <br />and wh6 coorodl for such l)oids wnh a Conhclo(o liccnscd NBuanl lo lh. Contracloas Liccnse tre). <br />-l <br />an.xo!fl undcr Sdio B.&PC lorlhis!c!\on <br />Ito8rIBS:CAMtli|ilArloN <br />DICL$A.IIAN <br />I h.roby ir'h und.i p.tr.llyolprdurrot.lrhc hllowine dc.ldations <br />I hrvc arxl will nDnnah a Ccn ificlic ot C.n{nr ro Sclf-lnsurc lbr work$ conFnsarion. N Pmvid€d ru by S.crion STiDotrhc <br />Labor Gxlc. tu Ih. ,'.rforiErcc ol rhc sork ror *hih rlr Frnn is issucd. <br />4(Nc Md qin nainraii uorkcB comPcnsart,n inslramc. !a tqutcd by Scction 17(X) 6r rhc lf,hor codc. r(x rhc F.foirmnce ol <br />l'or *hich rhnFrnlir is hsucd. MyNorlcrr compctrs,ri{Jn iNumrNc crtricr and B'li.y nuf,h-r rc <br />C Ylr"F t- -sthz'z;; d92 7 93 <br />-l <br />anify rhar in rh. n rformmc of lL {ork for whi.h rhis prol i3 ksucd.l ihall not cq)loy any p.Mo i. an,,nurcr <br />s asro bccom subirr to rhe {ork6c comp.nsolion laRs ofcslifomia. lnd 68ec rhol ill sholld h. om subid l) lhc <br />sorlcrs comr.nsarion tmvhions of Sccraon 3700 of lhc Littr Codc. l slull. hnhwilh cotr{,ly *ilh lhos pEvircns <br />civil ,inc\ rp b on. h! <br />sw wrkcs' @mpcnrrit'n c.k unh*tu!. lod shlll suhirl an.nphrtr !o ciniMl pcMIts Md <br />ndrcn rhotrsnd doll&s r5l in 0ddiiotr ro rhe cod ot.omncnssrion. datuEcs.s [ovidcd for rh. <br />LI(fNS.E!-C0Nr&i.llAtr <br />DLeLABrlllgI <br />I hcEby lmrn und.r p.mny of F+ry $at I !m liensd und$ pmvirion of ChaPrs 9 (conmrir8 *ilh Sfttion 7000) of Dilisi.n l <br />or rhc Bushc$ lnd Ptu,.gi6nr Codc. 0d ny liccns is itr rull foc qd cfi1t <br />77960q <br />(l()NsTRUC tl()N LFNnIN(i A(iENC1 <br />I lrrbyrlltnrundcrpcnxlry.lD.rlurylhal lhcrc i\!con{rcri.n ldtlnr8r8ctcy trrh.N anrun cotthe*.rki(tthi.hrhisl}cnnir is <br />i*udd rsuc :1097..iv ( ). <br />Lcrdcr'. ,Il'.* <br />A.SPIICANLDESLAMTTON <br />I tBlby rlllm u Mcr pcnllry ofp.rjtryoft orthc nn(,winB dcclariri,ntr <br />I)(mnitr Pcni( Ash.nosNolilirarion Ftdcrrl R.Sthrnnrs(Tirlc40. l'>rno <br />Rl\lrn d Lctrcr ol Nolifi .arion <br />I cdiryrhll th. fL{cralrcruldirns 680tdin8 lstEios rcmlolarc ior.pnlk,ble lo rhis Porrti <br />-l <br />cenify rhal I havc rcad ltG applkarion a.d shl. thd rhc strvc infomdion (.oret.l !g@ rosnplyNilhsll Cnydnd Count, <br />eprcsnhri!$ ol this Cny and Counry l. c.lcr upon licodinanccs Md Sutc Lass tldinS l ilding con(tucrt,n, lnd hcrchrdrfi,fizc <br />.k'!c mtrlioncd rDrrcn, ror <br />Appli.d or ABc Signaturc:?ry <br />Appliances <br />It/etal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rouqh Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openinqs <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rouqh Mech. <br />Final Test <br />Meter Release <br />FINAL €/44/n lvtxu'rl?.t J>9 <br />Notes, Remarks, Etc <br />,UI <br />APPROVALS <br />Duct Work <br />I cn'lc''. \rA' <br />- <br />^" *a/t *' <br />I <br />I <br />: <br />I <br />= <br />=