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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OWNE[ AUILDER DEI.CAIATION <br />I hd€by strtrm uDdq paalty ofpdju,, ltd I @ qmpl 6on tte ConlrocloE Lic.ns. t w tor rh. aollowiog r.Mn (Sc.?oll.t <br />Buri.s rld Ptofeion Codc): An, Ciry or Cou'rly shich r.qui6 a p6nn ro coGrru€1. a[o. inFovc {knolieh o, r@ir dy <br />stNcnrc. p,t'r lo its isudc.. als rcqun6 tb. applicMi aor 3ucn Fmil lo fi1. r si8ncd sl.l6@l thal h. or shc is licd*d puudl <br />io lnc pmvkioB of$. Contnctois Lic.nrd t s (Ch!9r6 9, Comcnci.g wht Sario. 7000 of Divnio. 3 ofrh. BsinB ed <br />Pbfsions Codc) or lhot h. or shc is d.mpl th6.6.o md lh. b.rir for $e all.*.d d@ption. Ary violario. oascdb. ,031 .5 by my <br />rppli.Mt fo. a FfrI subjeB rhc arpli@r ro.cilit p.rrlryofiol tur. thd fiv. hundr.d dollars (1500), <br />I. e oMcr oflhc Fop.ny, or Ey @plor€ wilh was6 6 rh.ir ek onlpos.iioi. qill do th. sodr ed lh. srf,Gle b nol <br />inloi.d oroft6.d for eL(Se.7044, Bmins 6d PlDf6ioc Cod.: Th.Co r!cror'3 Li.N t w66nolrDDlyloeowof <br />thc pr.p6ly *ho buiftL! or inF.v6 rhdon, ad *1'o rt 6 s@h $irt him.lf or t6.lf or thrclgh tris or nd oM dploy6, <br />,mvid.d lh'l ruch lnrolddc @ rcl i d!!ed dortu ror elc tr. hotrdq, rh. b{ildi.g or inpr.€E i! sld whhin on. ys <br />ol@opkrio( rhc OsG Blilda wiu ha( thc tifrt oaprorins $d h. or slE <tid m hlild or inprow lh. Fopdy tur $c pltrpo*of <br />_I, aostrooflhcpropary, edclusiv.lyco r&lins snl' UcmEd contra.loB lo conslruc1 lhc projed {56. 70,t4, B6in6 <br />ad P,DGsio.Cod.: Th. Conhctols Lic.m. t * dc et apply ro s om6 of p6p.ny wfio buildr or improvB lh(6r.and who oflhft lor $.h Fojcrs *nh r Coturclo(s) licd!.d pG@r ro rhc ConrE.lols Lica* bw) <br />-ldcxedpl <br />und(Sdion ,B &PC forrhis lwn <br />D.ie: O*trer: <br />]4OB6EAT.CAMXENSAIIO! <br />DECIABAIIO! <br />I hftUy alrm undd paaly otDqju.y oa ottn. fouori.g rlc.hralioNl <br />-l <br />h.vc Bd will tuintlir . Ceflifierc of CoMr ro SGlalN@ for worken' ompenerion, E Fovid.d for by Sc.lion 1700 of rlE <br />Lltor Codc ro.lh. Flo.D c.of th.mrt for whkh $c p@h i! i.e.d. <br />_l ha!. Dd will ndinr.in wort6 ospaa6lion iBllmc., s r.quiEd by S.rrion l?00 ofrh. khor Codc. for rnc pqfod.re of <br />th. worl fo! which this pdnit is issu.d My worl.R ompos.lion iBUtucG @i6 ed policy nunb.r e: <br />cni6: Lt A oA-1 )^rtu <4\/A <br />U)bsotbtt orE'/o. /*/? <br />>u ( <br />DECIASAIjON <br />I h@t .rrd tid6 paElty of Fjlry rhd I M li@ts.d ud.r Fbvilion of cl'sflr 9 (@mnrcii8 whh sdbn 7000) of Divtion l <br />ol thc B6in6 6d Pof@ioa Codc, ed oy lic@ is i. tull fore dd .lIer. <br />c-aa '7b9 ozc/ <br />il- t- lt P,c 4raS <br />SIISIAICUOT'ADATiACI;II:I <br />I h6eby arfm undd Fftlty oi Idjury rhar rhs. ie a coNroclio. lcndin8 agscy ao. rlrc psfoflnmc. of rh. e.rt for sfiich lhis p6mir is <br />issued(sd 1097,Civ C.) <br />AEIL,ICANI.DECIJAAIION <br />I hErU !trm uidd p.trllty of ldjury orc ollh€ lollo*in8 deLBriod: <br />D.mohion P@iL-A!b616 Nolili..tio. Fcddal R.gularions (Thl. 40. Pel6) <br />-R.quircd <br />Ldrd of Norifi cnion <br />-l <br />csriry thal lh. fcrldal r.sullliore Egedin8 6b6los rdoval @ not appli..bL lo lhis pmjel. <br />-l <br />crrify rhar I hfl. rcad lhb applicsrion and $arc rhar $. atFv. inlomar ion is cor<r. I egrc ro conply wirh lll Cny and Count, <br />ordirocc dd srarc Lrwr dai.s ro b(ildinE .onnrudio.. ud hd.ty aulhrn€IrenariG of rht Cty dd Couty ro dr6 reon tlE <br />atov. nolio..d lEpdy fo. insp..lio!i)uApplic&r or Agdl Signatue: <br />'A)c ,oPlS <br />Il-t <br />Appliances <br />Metal Fire Place <br />Eva porative Cooler <br />Furnace <br />Misc. Equipment <br />Duct Work <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 />Fire Damper <br />o penrngs <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rou gh Mech. <br />Final Test <br />Meter Release <br />FINAL //1"alE Ml16 <br />Notes, Remarks, Etc <br />Compressor <br />Pre-lnsulation <br />Grease Duct <br />I cdriry $d' iD U. p6ro']rec of rhc e'l for ehich rhi. Fmh i! iBu.( I slull rcr dploy @y Fsn ia Dy nmd <br />$ alo b..ooc lubjd to rhc w oJ conpasarion bwr ofcJitomi.. ed sg6 rhar ifl should beoe sbjd rorlE <br />erta' @apats ioi prcvitioa ofsdtion 1700 ofthc L.!or Cod.. I slsll, lonhwnh comply vhh rho$ pbvi3ioc. <br />WARNINC: FailuE lo s@ wo*6' eipstsdion ovd8. ir ml5vtuL dd slBll 3ubiel e 6plo)s lo sihii.l Fdli6 &d <br />civil fa6 u9 lo oe hudr.d $ou$td <toll6 (1100.000), in rddnion ro $. 6s or compdltion. d&r!96 a prortcd for rh. <br />S(tion 3076 oithe t hr Code im.r6t and ,nonEy's t6 <br />--f------ <br />tt <br />I <br />=