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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEN DALCARATTON <br />I hddry alfrnn lodd pcirlty olpdjury rh,l I m.rand 6!h rhe co oddt Lic.nlc trw for rhc lollowi.B (!Mn{s&.7011, <br />BGir< ..d Prof6ioo Co&): Ary Ciy or cooir, vhi.h r.qun6 a Fhn lo Nllntuct dd, imp.otq da@lilh o. rFn ey <br />srruclu... Fior ro it! i'suucc, a&o r.quir6 thc appt@r lor su.h p6mn ro filc ! siSn d $.Idai thrr lE or rhc a liccsd pGuarn <br />ro rh. provisio of di. Contl&lols Lh.nsd L.w (Chapr6 9. Com.ici.e wfi Setio! 7000 of Divnio! 3 of lhc B!3itus! e(, <br />PrefBions Codc) or thal hc or shc i! d@pl thdd oh dd rh. b6L for rh. slks d adption. Any violfthn ofserbn ?031 .5 by 6y <br />applidl for . p@n uubjdr! lt sp?lic..r lo a.ivilpallyofoor mrcthe fiv. tutrdEddolLB(1500). <br />)(r. u omo ofttrc popary. or E, @plor@ w h *.s6 s rh.t $lc.onpo3nion. *iU do th. woll ad thc dnnr b @l'dord.d or ord.d for sol. (Sa.704,1, BNtrs sd ftof6ioG Cod.: Thc Contr.cld r Licgg rtw d{r6 ml ,ppty ro o oM6 of <br />th. FlFly wbo t{il6 or inqb6 rnqE . od who do6$ch s* LiMlf o.lE!.lf o,Grcugh ni. or lE oq @ployd. <br />prcvid.d thd iuch inpre@ons @ mt tudd.d orofsld for d.. li hostE, rh. h,iBine or inpo\tt]@ i! $ld wind o..,@ <br />ol@oplrioq th. O*G Build6 will hov. ths hdl6r ofFoviry rhd he or nE did ml h:ild or imldv. lh. Fopoty for d& Faro$ of <br />_I, a omd offic prcpctr, e qclBi!.ly .ofl.acling qnh cda.d conmdoG ro cotrrttu.r lh. projd (Sc. 7044. Bsia6 <br />dd trnkbn Cod.: Th. Conldcloir Licmc L€w do6 nol rpply lo m oNtrd of propdty who builds or impDv6lh@n.sd wno conn3.l! hr such proje'3 wnh r coimdot(r licdaqi pueer lo rhc Conrracroar Lhce Lrw). <br />I an crchpl und.r Secr <br />t- f- zol P <br />I b@by alrm nrdE poEl'y olpqjury <br />_l tur. tud will mai.lain o CqriliQr Co.sr ro SdH6urc tr M.k6s .onrp.n$lbn, a Eovid.d aor by sdion 1700 of rh. <br />Lruor Codq lorthcpdt'mecc ofrhc sork for which rhc pmrir is is rd <br />I hav. and will noimain wo*(s compftalhn iBur.nc., 6 rcqrircd by Sdion .1700 oath. tibor Cod.. tor lhc pctolrrffi. of <br />th. work for $hich lhn p.mil is isd My srk6r compdslion iBumcc c6ir ud poli.y numLs d€: <br />-l <br />cdiry 0!l in rh. pdfol]rrle of rh. work for which rhis pmit Le Gucd. I shaU ool @ploy any p6son in dy md.d <br />s a to beoh. subj..r ro lnc m 6'@nFE dior la$ otcalifodia. Md '3c rhri ifl !!o!ld b<oc aubjd to dE <br />srtr6' enp.Mlion provisioN olsrdion 3?00 of th. Lnbo. Cod.. I stall. fonnvnt @mply lvnh lllo* pBvlioN.. <br />W RNING: Failuc Io *ur sork6' compcNliofl <br />.ivil nn.i ut, lo on hu.dr.d rhoMd doll6 ($100 <br />S(rio( 1076 oftheliborCodc. inldEr and snon€y i <br />hjd a! dnploro lo siminal lenahi6 od <br />ddnasG a ,ro!'dcd lor rh. <br />D,t. // - 5'- 7r{ P^ <br />I b6.bt rlrm undo Ftslty ol Fjnry tlld lica!.d undd Folisioi olclBprc 9 (@@@i.g wltt Selk D ?000) of Divilion 3 <br />I <br />LicoscclN: l-io.nscNunbq <br />COIIIBIJCIIOITIIDIIGACEM:! <br />I hseby sllrm nf,da pcnahy oa psjury rhal tt6. is . .oauuclioi k.dii* agocy hr the p6fomd.. ol rhc work aor which rhis pdnir b <br />issu.d(Sd :l097.Civ.C.). <br />AIIIJCANI.DECIAEAIIO! <br />I l'.dry aftm unds p6aly of pcjuy od ofllE follovirg .l6lrrlk'B: <br />D.Eolilio! P@it!"tubdos Noiflcarioi Fcdaal R.guladotu Onk 40. P.n6) <br />-R.qun€d <br />Ldls oaNolificlrin <br />-l <br />cdiry thal lhc fednal rc8llalioB ESEding atotos r@ov6l ec nor applicabl. to thi5 pr.jer. <br />-l <br />cdiry fi.d I h.v. rad thn appli*ion ."d i. cor..l. I rgre io comply snh a[ Cily a.d Cour, <br />r.pr6@lai6 of thi! Cny .nd Co"nly ro 616 upon rhcordinsnc6 dd Slal. La*s cb'inB ro bnilding <br />abov€ mmtion d pop.ny aor <br />ArDli.dr orAsdr sisBhu.: <br />Pmnc nme (prin0,_ <br />Z o1 <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <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 />Openings <br />lnstallation <br />F.D. Dro p Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech.z/tr/u z +an <br />Final Test <br />Meter Release <br />FINAL >/la lra €zlrroro -t/ 6? -, <br />Notes, Remarks , Etc <br />Pre-lnsulation <br />lnsulation <br />oa lh. B*inB dnd PofsioB Codc. ed dy licc. is in tull fo,cc dd €r&l <br />/' t-' <br />f ---T------ <br />----T------ <br />= <br />I