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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OW]{ER AUILDER DELCAAATrcN <br />I ho.by allm 6do pculty oapcjury [d I m.r@F tw rh. C. rrclo6' Lic@ bw tor lhc folloqioe 1a$! (Sc,70] l.t <br />AEins od Prca*ion Cod.)r Any Chy or Cour y which rcqutd ! Fnn lo onstuct alrd, impolc dotrofisn or EPln oy <br />sEu.luc, Fior to ils iss@c.. also r.qui6 $c alplicdl lor such FrmI to fiL a iig..d 3rar@6r rhn h. or sn i! li.tu.d pueol <br />to th. prcvisios of ln. Conr@roas Liccn$d tjw (Chrpld 9. CoIumdns wnh Sccrion 7000 ot Divbion 3 of th. Busins lnd <br />Prof*ions Codc) or rhit h. or rh. t dmpl dudom &d rhc to!i! for thc dl.gcd cronpiioi. a,y violalior of Saliot 701 L5 by ey <br />applicor lor a Fsil subjei! rh. rpplic&t lo . civil po,lty of nol moE lin fivc huidr.d dolb6 (J500). <br />fA.A. * *^. * r* **y. or hy cdplo,6 witr wa86 s rhcir elc conrpoBdio.. {i[ do &. Nltt ed t!. srru.rw is tur <br />i.tqd.d or ofcr.d t ' elc (Sc.7044. B!si.6 dd Prof6lio6 codc Thc Cod.rclori Li.@ L3w.los mr ryply lo e oMa of <br />th. Plop6l, who tuikl or i,,F!ve ttoEr ed wno do6 st wlt hirelf ot hcBllor llDush hi3 or lrd oM @ployc <br />provi&d rhil such imFolc6l3 e d nna&t oroltold flr s.L. I[ hoM. th.tui]dine or i,n mMEn is $ld uthi! oic ta <br />ofohpLtiotrfi.ol*rnBuildwiu halcln.U!&nolPtovirs fia h.orsltcdid @l h dor @FDE dE P'DFry ror thc FdFos of <br />l. s ownd ofrh. lopety. m cxclsivcly contr.ding with lictrcd coiracloB lo cointucl Oc phjan {s€. 7044. BBin6 <br />ad Elf*rion cod.: Thc conradofs Li.cEc l-aw do6 nol lpply lo & o{nd ofpop.ny who buil& or impov6 fi6@n. <br />ed who @nt6c1r for sucn ptujdls sith a C., @ro(, liccE d pBuer lo lh. Cormdoi3 Li.d* Lrw). <br />D. & P.C. for this rEen. <br />DECI.ABAIIO! <br />I h@by afiim u!d.r podty olpsjury on. ofthc aollowing d.clealioB: <br />I h!!. 6d sill minlai. a Ccni6dr. ofc.nsl lo sdANu. for wo.kc omFaalioi. a Fovid.d for b, sc,lion 1700 of th. <br />ttbo, Cod., hr rhc pdfo,l@c. of thc vorl lor wtich llE p6ril i3 i!!!.d. <br />I hav. and will mai oin wo*6 comFmalion iBurrncc. as rcquircd by Sdlioo 1700 oflh. t bo. Cod.. for thc FIommc. ol <br />thc wort for whkt lhis pmril is isu€d. My wort6 .ohFMrio. icu6.. c&i6 @l policy nusbd 6e: <br />r/Zallcdraythdi.rh.psfolrMc.ofrh.vortforqhrhlhisFhiri!issu.d,I3hallnormployuypdloni.,nMdh e lo bcom. $bjer ro rhc @*6'conFaarioi h*. olcalifomia. .d lac lnd ial lnodd beod sbjer ro tlr <br />wo d' mnFsrion ptuvisioB ofs.dion 3700 otth. L$or Codc I 3ndl fodlNilt @nply with thoE prcvilioro.. <br />WARNINC: Frilurc ro suc wort6' .omFMrio. @v@!. b mhwtul. ed shall subjd e dployd lo ooiBl FaLt dd <br />civil fo6 up ro oi. ho.drcd lhoend dons ($t00.000), ii a.ldnion lo rt cos of cohp€darion. daMgd 6 Fovid.d for $e <br />Codq im.Bt 0d.liotry s aG. <br />IIIJ]NSID-(IINIBAI]IOA <br />UE(jdBAI(lx <br />I harh, arm uid6 F.nny of Fjury th,l I m licdlscd unds FDvision ofchspld 9 Gomdins wih Sddon 7000) olDiviliotr l <br />oa $c BGin6 &d Pof6ioB Cod., ud my tic@ i! in tu! fo@ &rd .Ird. <br />CANiIAUCIIONIINDIIC.ACITCY <br />I h6.bt .mnn uf,dd F"all, of p.rjury lhat lh6c is . mnnEdion hdins ardcy lor ll& potuil@cc oalh. wort for shich this pqinil is <br />isu.d {s(.1097, civ. c.) <br />AT8IICAII.DESASAIIO! <br />I h.*t rnim undq p@rXy of Fjury orc of fi. fouowins d..l,r.liodi <br />Ddolirion Pfrire&bdro! Nodficarion acd66l R.sukrio$ (Tnh 40, Pd6) <br />-Rcqun <br />d l,ld of Noriftdlr <br />_l c61iry ft6r rh. l.ddal r.guLtioc Es{dile aberos mov.l d. @t e?lic.bL ro thir projct. <br />TA .ai,fy th,n tl@. ian$b.ppli..lio. dld nd. dlt rhc aboE ilforDdion is corrqr. I lsE ro adply with ltl cily md Cou.ry <br />odil@6 sd Star. lts Elaliie to buildiig coMucliotr &d h66y.ulhoria rqG.ddic of lhi! City ed C.u.ly to aIa upoi llE <br />abov. r6'ion.d pmp.ny to. iNF.lion purros6. <br />Applicol or ABmt SigndluE: <br />Appliances <br />Metal Fire Place <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 />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech.9l'*iltX I i..nrrv&,/??) <br />Final Test /r <br />Meter Release <br />FINAL tlDLlltt 'l(l,rA^tu,"U r71) <br />I al 1t/ <br />Hood <br />Notes, Remarks, Etc. <br />I <br />I