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APPROVALS DATE ID/SiG.COMMENTS
<br />Appliances
<br />Evaporative 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 />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 />6H puzt* aa7-/o/4//P &'tta*/rz-
<br />Rough lfiect
<br />Final Test
<br />FINAL to/s//k Ar/o/n /.t? -
<br />Notes, Remarks, Etc.
<br />MECHANICAL-INSPECTOR RECORD
<br />OWNER BUILDER DELCARAIION
<br />I hcEby alfrm udd p.Mlry of F iu,y rhd I d cicnpr fen rhc Co.rrr.loB Ltcns Law for $. followin8 Eren (S€ ?0J1.5
<br />aurinBs n.d P.ofe$ion Co<tc): Ao, Ciry or Counry Bhi.h rqliEs a Fmn to €nnruci. atld. improw. dcmlhh or Eprn y
<br />shcln, prior lo ils i$umcc. ro rcquircs thc !!pli&l for ch lf,.mit h lik a siB*d tutcmnl th8l hc o! shc h liccnsn ,,ursa
<br />lo ihc povhbN 6r tu Conrrd.tor* Lk.n*d tiw (Cnnpif 9. Conmcncing wirh Sc.lion 7000 of Divhion 3 oflhc Busincss and
<br />Profcsions Cod.) or lhal ,r or rhc h cxcq,l ln rcfm and lh. hasis for rnc ollcgcd cxcnl,tiotr. Anyrhlationofsation7031.5byony
<br />al,plicrnr for ! I,crn slbjecls rhc rpllicont lo a civil l)cnolry of not mre rhu fivc huidrcn dollus (5500),
<br />-1.
<br />.! o*mr ollll. pmFny. or my chrbrrcs with waEca I lh.n $t oryrnsltun, *ill do iE tu* ud ll! 3lndm n rcl
<br />inlolded o. ofr.rd ror qlc (S6.7044. Bu.ims md Prold.ions Codc: TIE Conlrdol. Lt.ns t-v &B mI .pply lo an owr of
<br />rhc rrDpcrry wlE blius or iqma tlErtr and eho dG scn h hinrlf or hcnclf or thbrgh hit or hc, o*. cnolorcs.
<br />lrovidcd ttut such improEmnts e ml inl.r'dcd orofi.rEd to. Elc. lt tEwcE tlf, toildiry m itrprowmnt is Fld *nnin om Fr
<br />of complcri.n rtu Oqrcr Blildd sil hdw dE buhn oflovinS lnd tE or she dil mt hild or inprDw lhe pDFny for dE p!4DE of
<br />Ldsowmr.trhcpopcny.0hcrclusiv.ly.ont,cring*nhiic.ni.dco r*roB ro con(rud r h. Fsjcd (Sa.7044, Busrnc$
<br />snd P,trrLx\bn Co.tc: The Corrlcroas Lic.n.e ttq doB mr aprlyro d oencr orpioFiiy vho builds or inprovcs dcrcon.
<br />and *ho co acls ior sch Fljccls wirhr ConrEcto(s) lirnk{ pursnr ro thc Clnro.rols Lkcn* L3e)
<br />I am.rcmd mdcrsernn ,B &PC lorrhtrc.on.
<br />Drl.: Orn.r:
<br />uoatrE&l5;oMtEtarlqN
<br />DECI,AIAIXO!
<br />I hcrcby ,mnn und.r pcMlly ol pcriury oB oarhc Iolhwi,B d(laElions:
<br />I hr\t rnd will nDinr inrCcdnl.rrcofCohcnrkiSclflnrurrlnrqrrk.(.onlrtrlrrtrnr.as pmvidcd i(tr hySc.ri,nr:17(x)oIrh.
<br />LrhrC, c. turrhc p.rbnrunccorrtu ktrI for \hichrh lrcnnir is is\ucd
<br />5Un," uuJ *,u u,,rrni, *,trk.[ c.Dpen\rlion iNu. r.c.,1\ rcqutrcd hysc.ri,r lTlx)ot lhe rf,bor(-,xk, nnrhc ncnonrun.cor
<br />rh. work lor whichrnismrn,ir is ksurd sorkcs compcnsltnnrnrurrncrcrtrirrmdFrlicynumh'm
<br />?
<br />_l cdifrrhlr in rh. F.r.rrEN ofrhr work roi whichrhh pcidir is i$trcd,I shlllnol.nploy any rn6on in any mnmr
<br />so as io lxsd subicr lo th. wortcd ompem0rhn Ilvs ol Cllifomiq and !3@ thd it I shoult b.com suhjer ro rh.
<br />work6' onp..salion pmvisions of Scclion ll00 of th. titnr tuq I dEll. fonhwith comtly eilh lhoe pNvisiotr..
<br />WARNINC: Failorc r. kcurc w.rk r{ .omncnidn,n ..v.agc is unl,wlul. d shall \ubrccr 0n cnrrlo)cr ro rinrin0l icnrlric\ lnd
<br />, nil fi tr. ut rn. T l-Lnd'r'l rh u.rnJ J llJ'.,J|fl|.rtY',irio. ro rh. cos ofconll.nerion. dadgcx !s lnlilcn for rhc
<br />CD 6G7?S>
<br />APPI ( IANI- DT](:I,ARAT( IN
<br />IlErc$yrlltnruNl.r|cnnliy.l ncrjuyorcotrhcn,lb*in8dc.lr ion\:
<br />Dcnx,lirirr l).irnir\ A\hc{o\ Norifi.dii Frdrnl Rctuhrn ! Iliilc J0. ftr6)
<br />Itcquircd IJrlcr olNolili(rri')n
<br />-l
<br />ccnif, thd rhe fcdcral r$hrio i rS.ding alhcsros rmvll @ or rrdtdblc ro lhig pmj.{r.
<br />-l
<br />ccnily rhal I havc rcad rhh ryoliclrion Md srat. thor rh.otorc inlbrmlio. is coret. I lFe ro.omdy sirh,U Cir,lrd County
<br />ordimncc\ nnd Srdrc lrws rclding ro buildin8 coneru.rion. &n hcrbr rurhoriD
<br />trbovc rctrritnrd pn,]tny lnr
<br />Aftll'(r ro' /\gcnr S'Etr m &
<br />f\Ietal Fire Place
<br />Above T-Bar
<br />Meler Release
<br />s
<br />LICDU$,ILCj.UUAA!I1)A
<br />IIII;LASA.IION
<br />I hercby rfirmundcr ocmllyolncljLtrr rhlr I ur licctrrd undcr pmvi\i.n olChstE, (on.rn.i6g wirh s..ri,)n 7IxJ0) ol'Dirisi.tr 3
<br />ol rhc Busircss,nd Pnrfcs\ios Codc,ond mr liccnsc i{ h rirll lnre ntrd clitcr.
<br />CONUAI(;IQNIENDINIjrIjjDNjjI
<br />I ic,chy rrlnn undcr,f,trnllyol n$jury lhul lhcru h J con(rucrion lcndi.s nscNt n)r rhc lcnnrnuncc orrlr Rork ror Ehich rhG |Ernt is
<br />isucd (Scc 1007.C1! C ).
<br />I unJr'-. \xi r
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