Laserfiche WebLink
MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE IDiSIG.COMMENTS OWNEX BUILDER DELCAAANON <br />I heehy afffm und.r !.ns]ry ol pcrjury th.l I @ cxcqtr fmm lh. ContBclo Lt.ns L3w for lh. lollowinS @{n (Se.?031.5 <br />Busincss &d h.lcsshn tuc): Any City or Colnry *hich rcquics r ,'6tur ro const .l. .[d. inprorc. d.mlish or Epsn uy <br />ntucnm. Firr ro irs is$am. {li6 cquin! fic applkai fo, sucn FrNt lo 6h ! signcd stltcm.t lhdl tE or shc is li.cn*d poma <br />ro rhc provishns ofrhe Contreloas Liened Lrv (Ch.prer 9, Cnnrcfting {ilh Scclion ?Om of Dithion I oflh. B$incar md <br />Pofc.si.nr Codc) or rhd lE or shc h .x.n l rh.nfram rnd rhc bssk for rlE llhBd cxcrq,tion, Any viokrion ol Scdion 7011 .5 by dy <br />alllicant for o pcmir subj(ls rh. appli.lnr ro !.iril Fflllryof mr mc rhd fivc hundtld dollrs (Ssm). <br />-1. <br />&s owrcr of rhc proFnr, r my cnplotEr sirh w.ec, 6 rhcir $E.omp.Nlior wil do tlE *ql( ut llE $n rei{mr <br />i ended orofic'sl for de (5{.?044. Alsinds ed Prcfcssiom Codc Th. ConrmroCs LieNc tle docs nol atply to atr owmroa <br />rhc pruFny *h! builds or nlpfts dEen, 0id who d@3 $ch slt hifrrlf or hcr*lfor lhmlAt tir or hcr om crlplort{r. <br />pmva.drhar such imFlwmnl'@ mr inrcndorofrd.d for slc.ll horrctr. rn hiBbS or invh*m k eld vilnii on. Fr.fonplcli,tr dE owm auits wil naw ilE bod.n of poving lhd lE or sh. dil mr tdih or nrpmr dE lnldry rd dE palx,e or <br />-1. <br />!s oqnc! of rh. l,DFeny. ad cr.h{ihly conllacr ina wirh li.cnsd .o.r,.{.s lo onrldct thc rmrrt (Se. 704.:1. Bu\imas <br />Md Aufssin codcr Thc Cont.cror's Liccnsc t?w docs Nr spplt ro a. owflcr ofprotcrly uho build\ or im!6v.s lhcrmn, <br />!trd who ofltEcrsfor \!ch p@Fk *irh a ConrB.rod\l liccn$d t)u6umr brhcC.ntnclols Liccnsc t s). <br />_l dn dcofl udcr S@rio B. & PC forlhn EN)n. <br />l!o85Els:lQuf[8rar10! <br />DECLIaAUON <br />I hercby alfim !.dc. ,cnalry of Frjury 6rc oa rhc tollo,in8 d{l@lions: <br />-l <br />havc ad will tuinrah r c.nifa.re of cons ro s€lf-losue for {orkdc ompcMrhn..s pmvacd for by seraon lru ot rhc <br />Lrbor Codc. for thc pc.formmc of thc worl for shi.h lh€ psnil is hsu.d <br />f*r lnd lill msimain sort.* coo{r.sarion insuDrcc. s nquircd hy Sdion lr0o of lhc l-Ihor Codc. to! thc rsroruft. of <br />o'lp.ndaon insuruncc ceier !d polty numl,c. dcI/rr/rr,,e/ <br />_l ccniryrhlr in rh.tcrrornhnl!.rrhcwork f.rEhkhrhr p.rni is issucd.l snilltrol "*;;;;z;$ or b b..om suhirt to rh. wrt.u'compcnslion laws ofcolifortria. and astc rhrl ia I should h..oc srbj.tl lo lh. <br />wo*.6' cory)cnsation pmvhions .a Ssrion 3700 of lhc tjlnr Codc. I \hau. tunhwnh comply sitn $os prcvisions.. <br />WARNINO: Failurc to ecuru w.*c^ .i6pcn$ ,n covrrrlc i\ unlNtul. rtrd thall subirl un crplorcr lo dio."l Fml'is nnd <br />cilil lin€s !p tn onc hondBl rlDlsund d.Ud {Sl(X).ooo). i. lddirion ro <br />'hc <br />cosl ofcoml,ensllion. dnmscs rt prorided ror rhc <br />inrcrr{ rid nnormy \ lcr\ <br />DECIdAAIII}N <br />I hcEbysmrmundcr !.n.lly of pcrjlry I hd I !m liccn{n undcr nnrision otChdfl.r 9 (.om,rcncin8 rnh SLtlion 70(XD ofDivision 3 <br />of thc ausi.Bs nnd Pn !$iotrs Coic.ond myltcn€ is i tullfin.c md cll..rc*)g <br />coNsralcroNlliliulNilcliNrr <br />issu.d (S.. .l(D7. Civ C ) <br />AITLIINNLIT:CLIBAIIO! <br />llmbyJtl u <br />'lcr NMlry olpftjury onc.r lhc tulkNirA dcclir rn,n! <br />Dcnnnnnitr lrcflnirsAd{{o\ Nolificrri{ !.dcrrl Rc!ul!ri,trr\ (l'iilc ll}. Prn6r <br />Rcqun.J lIrrcrolNorificari,,n <br />I ccdifyrh.r rhc ri{.i01 rcsu lnr iofls rcsadins arhcsros rcflDhlorc nor!ppli.$l.ro rhi\ poj.rr <br />I cdify <br />'h0r <br />I harc Bsd rhis rll,liclrion lnd srrtc thlr thc otnvc inlorrorion iscoft.r.I <br />ordinanc.s ond shrc Lf,wt rchrin! ro buildinq c.nsrucrion. 0nd hcrcby lurhorizc rcrrce al <br />lgre ro coq,ly wtn all Cily ond Cou.ly <br />rhtrc nriri{nrJ F)ncny for in\p..r <br />Apdicanr or A8cnr sknsr!,c:.t7 <br />"il"Tr";'- <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 />Rouqh Ductwork <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <br />Olher <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. <br />Final Test <br />Meter Release <br />FINAL //t ?'/41 &..,-r,taaplz// <br />Notes, Remarks, Etc. <br />Vents <br />Hood <br />.-n*^. X 7- <br />tt <br />tt <br />tt <br />I <br />f-- <br />I