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MECHANICAL.INSPECTOR RECORD <br />Owl!EII BUILDER DEI,C{R TION <br />I nfttry.Lm u.<Lr Fulry olpsjury fill I d cx6pr froh th. Codrr.l@ Lic..* Le lor d!. followi.g rdsr (S€ ?011.5 <br />Buin6s dd Profdion codc): Any ciy or co$ry which r.quirB r p6nl lo cotr(nd. dl6. ihprovc. <lanolbh or ryqii er' <br />sbucrs.. prio. lo irs isueq also r.quiB th. !!pti.er to, sucn p6Eil lo filc . si8n d $6lddt thal h. or $c i5 lic@$d puios\ <br />ro th. Foviliom of lnc Conracroit Li4med bw (Chaptd 9. Comndcing with Sclio. 7000 of Diviiioi 3 of lhc Buine eg <br />PorBioN cod.) or rhlr lE or shc ! q@fl odcfrlm md Oc b6sii ror rn ahe.d ddprioi. A.y viobdo. olsdtioi 7031 5 by ey <br />,p?licml for aFnil subjelrLh. rlplicel lo a civil pdrllyofnol mrclhd fiv. hu!d..d doll6s ($500) <br />-1, <br />6 oMd onhc prop.nn or my mplolrB wlh w6g6 d rhtr eL comp@aliorl wil do lh. rork dd fi. nnd@ it @l <br />flodcd orol&r.d lors.lc (Se.704!, BEin6 &d ProlsioNCodG: Th. conlBclol! Lic.e t w dod nol lpply lo d omd oa <br />lnc propst, who hril(b or i'npov6 rlEblr ed who do6 $ch @& hirelf or h@lf or lhmugt fiit or hs om .nployc, <br />prorid.d rnd iu.h nnFDvqrcrl3 e mt inlo<Ld or orcd aor sL.l( hopd6.lhc buiBnB or inDro@r i! eld witih oE rE <br />of@npk io[ tL ostr6 B{itb si! h&c iic hrd, of!.oviie tha h. or slE did ml tui]d tr itrlov. ll.tc pioFr, br {E F4o* oa <br />-1. <br />s oM6 oaltc propqly. u .rcl$ilcly .orlreling with liccB.d co.lrtcroB lo @mrucr th. ptoj*1 (sd. 7044. BGinB <br />ed Poftsbn Co&: Th. Conl{c16i3 Liccnse Law do6 nol arpl, to n ownd oaprcp.rly Rho builds or inpos rhaoll <br />od sho corrracr aor lucn Fojei! wirh a Conr!.ro(s) licccd puBudn ro fic CodE.lq r Uc.e l,w). <br />_l m .r.,nfl und6 Sdlion , A. & P.C. for lhis r@.. <br />Drler O,n€r: <br />uEclalaua! <br />I hd.br.mrm onda poalry of p<Jry on. oath. aolloNins d(lmalio6: <br />I hav€ nd Nill nEinlain a Cd ificet. ol Coreor ro Sclt l6urc for *ork.B' conlP.nsrion s Eorid.d for by Salion 3700 ol rh. <br />l,b.r (-ode for thc pdaonmcc o t th. woll for shich thc pmil i6 irsu€d. <br />-l halc ard will nainrain work{r' conpd.tion ilsuru.c, s rcqnir.d by setion 3 ollh. Labor Codc. for th. Faonmce of <br />6 <br />-l <br />cdiay thal in lh. p..lomdcc oflh. worl for which lhis Fnn is iesucd. I shau nol dplo, et pdsof, in any mmr <br />s s .o beon subidr b lt€ tro*qs o'trpqsalion la* otcdifomia. ed asre rld if I druld h..om. srbjel h llt <br />worte'comFNliorprorisioNofsclionlT00of$cLaborCodc.lslull.fontsith.oftdy*nhthospovisios.. <br />WARNING: Failur. ro s@ works' @mp.6nion co!.69. is mlasau. hd shall subjdl d dplorq lo cimii,l pctrXiB ud <br />ciril lio.s !p ro oo. hontlrcd lnoxsmd dolles ($100,000). in ro lhc cost oI.o'np.Ear dmog.s 6 ploYided for the <br />Codc, iord6r dd.tlq..y' <br />D[(lrlaAuqtr <br />I h€aby aflinn undcr lcnll(yoip.rlury rhr I m liccnln unds t)mvision ol(-haprs9 (co,n'ncNins $nh sdrion 7000)ofDnisnrn I <br />of rhe Dusinessand l',ol6sions cod., dd tur lic.ds. is in aulla!r.c d clTel <br />\ <br />ZOR <br />co!!r3!g:to!.tE DllGlGENq <br />I @ .firn undd pally ofFjury thsl tta. i i @druclion hndi4 a8.ry fot rh. p6fomlle ofti. *!* ro. wbic! t[i! Fnl b <br />hsucd (sd. 1097, civ. c.). <br />AlllLcAlr"D[crA8 rlatr <br />I ht.tt alEm uidd Fh.t, oapqjury one oa rh€ aollo\rinr del.tal ions <br />D. $lition Pdlnits-Asb6los Nolificalior Fcdqal Rcsulalions ('rilb40, Pan6) <br />Rcquncd Letlo oa Nolifieion <br />I cdiry $ar thG f.d6,l r.SularioN igdding cb6ros rmov.l ec nor a@licablc 16 rha proj..1. <br />-l <br />cerS rhat I halc ,6d Oi. applicalion dd 3at tll.l lhe inforn ion is coGr. I 6cic ro .ornpD vnh dl Cily ed Counly <br />ordin c6 ard Sltlc Liw Ebling lo blildiig coosrfudio(a{honrc r.FMlativB of lhis City dd Co <br />.bove menlioncd prcp€dy ror <br />APPROVALS ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Irtl isc. 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 Ranoe <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.ttL/h 4g <br />Final Test <br />Meter Release <br />FINAL 4nln ,(/t9@ <br />Notes, Remarks, Etc. <br />7 <br />DATE <br />Hood