Laserfiche WebLink
MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Irrletal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />lnsu lation <br />Smoke Detectors lnstalled <br />Rouoh 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 />Above T-Bar <br />)rC*a 'cilRough Mech.i-/0 ) <br />Final Test <br />I <br />FINAL )u\r/l.{tth1a ) <br />Notes Remarks Elc ffii <br />Olvl{ET BULDAR I'ELCARATION <br />I hcrby a,Irm und6 Fndry oi pcdury lhll I u crcmpl fiom lh. conttuloB Liccns lrw tor th. follo*in8 ,cas. (se ?03 1.5 <br />Businc$ ad ProfBiion Codc) Any City or Co! y which Eqlias r lEnir ro co.sldd, trltc( inPr.vc. d.frniqh or qrn sy <br />ddw, rior ro its irsutrm.. aho nqlircs llr afllicsl for such Fmir lo nk a sigmd slltcm lhd lE or sh. k ltensn plrsa <br />ro rh. Fovisiors of$c Cont@lor's Lkcnsd L.{ (ChlFlcr 9. CommEins wnh Setion 7000 ofDivishn I otllE Buin is and <br />Protcsiionr Codc) or th.l tEor shc is cxetr l lh@from6d rhc blsh for rhc dlcecd .xcq,lion. Any lio ld io. hl Scdiin 7031.5bymy <br />epplic..r fo. a pcrnir subjars rhc applic.ni ro 6 civiltcnaltyolnot mrc lhn. fivc hundrcd dollas (S500). <br />-1. <br />a\ oerc. ol rh. popcny, {tr my ehployEs *ith w.8cs as lhct sh cohl,cnerion. sil do tlE *ort 3Id tlE sttlde ar rei <br />inlcftkn or oltcrcd for sL (Se.7044, aush.si Md Pmfe$ionr Cod. Tn Contdols Lkcns Lls &ts mr q,ply ro e owmr of <br />lht l,oFny shd hrikrr 6, ispDrs llEotr a,n wl[ dos Mh Mrt himscll or hcelr or rhmugi hk or lrr own crqloyc.s. <br />providcd lhsl such impmwmnls @ ml intc'idcd 6r ofM lor eh. tf, ho*ch. fi. huilding or iilmsmnt is sld ehh{ 6tr }t <br />of snpLrbn lhc Ovrcr BuikLr will IEE tlE bodcn .,f ImyinS $al h. or dr dil mr build or inpow thc PqEry fot rhc Frpo* or <br />LosowmrofrhcpmFny.!icxcllsilely.o.mdingwirhlien*d.o,{cloulo.on(ru.|lhcpmj&l(S(.?044.Busu.$ <br />ad PmLsbn Codc: Thc Corlrrcrol s Liccnsc trw des Dot dpply lo rn owncr of proFrr, who hlilds or iryrovcs tt.rcon. <br />and who @ntra.B lor su.h Prlj.rls with ! Cont,ado(s) liensd l)uax. io thc Contru.lols Liccnse L!w). <br />I rncxc.rpr nndcr Ser <br />D!t.: O{ner <br />]}OXf,E&511:allfENlA-II1)B <br />IIILTNAIII)N <br />I h.r.hy rlfinn u.dc' Nialrlol Dcrj(y o.c ol rh.lnlbwin8 dr.lnrnnx <br />lhrvdJnd*illn rindCcni,l..r.olC'rr.trr!)Sclrrlnrur.litrq.rlci\'ron fr mn.t\ [ovidcd ljlr hyS.crnnr ]7(X)olrhc <br />liti, Oilc. trrhcFnnnru.colrlt \oA l,trshr[ rhcNnnir i! is$rd <br />pcnnn h i$uct My *orkc6 n n ior@re.a er !d lDlic, nlml,er eel <br />\q4y-D-1\\04\X2ro 4 <br />-l <br />ccnitlhal in thc Fnhrmadc ofrh.wort for *hichrhis pcnnn k hsucd.l \h!ll.dr.n loylnylEson in lnyn@M <br />$ as k, hconE iubicr ro rh. workcn o pctrsstion hws ot Cllifomia. a.d ng@ rhd ii I should bccom subjdr r. rhe <br />wo c^ omncnsarion tmvisions of Seclioo :llOO of rhe ljtnr C.dc. l \hdl. tudhwith.onPly vnh tho* pmvnions.. <br />WARNTNC lailnrc t, $.urc sorkc ompens ion covc,lsc i\ lnhwtul.shall sutjel !n cr{,hF ro ooj.,l Fmlltl lnd <br />. il rii.. up n, onc hundrcd thousand dnrhF r$lm.Ux.)r. <br />i crc( nrt rrtmcy s lic\ <br />LtL v19 <br />I h€fby arrm ld€t pcmlry of F,jury lh{l I m liemrd un .r pmvisio. of Ch.t to 9 (@nGFinB vnh Sc.lbo 7000) ol Divisio. J <br />ot rhc Busi6s rnd Pmfcssions Cod.. ard ey lk.ns is in tull foE. .nd elI6t <br />D ttl <br />I h.rhy rlfifln utulcr p(nrllyolDcrjuryn', rhcrc is r c.tr(Dcr <br />is\u. (Sc .1097. Civ C ) <br />hnding a8cfty for rhc prfomkc of thc *ork ao! whicn thir F.oit is <br />t n<Lar Nm'- <br />A.TPIIIAILIILSIABAIION <br />Itrrh, imundcr pcnnlryolpcrjur! onc oitlk Ibllowine drcl$trnrn\ <br />Dc'fr,litt,n Pcinrir\ Ash.slns Notiiicrrnnr Fcdcr!lRc-!rhrnN ( rirl..{). Prd6) <br />Rcqxi^*d Lcllcr or Nolilicurion <br />-l <br />c(nify lhlt thc tcdcEl rcEnlaii.ns Egsrdin8 {rb.$os rcnsvrl aE not lrplicablc ro rhir !rcirt. <br />I .cnili rhd I hrvc rcad lhh lprl <br />ordin.mcs lnd Srarc Lr*r ml,ting <br />'o <br />rh.rhMnndnnrrirnr i\cotrccr.Irgrcck,.o UywirhlllCilyrndCotrnry <br />horia Eprenlalivcs of llts Cil, lnd Cotr.ry io .nr6 u,,on tL <br />ak'!c mnr i6tud tnrpcny ntr <br />Applicsr tr AB.nt Signaturc:- <br />W'I <br />Pre-lnsulation <br />7-< <br />Meter Release <br />LoVV <br />1'8- <br />to-lacl? <br />lt <br />I <br />I <br />fT <br />fI <br />i-