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MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS ol,E-Buildd D..Lflliotr I h...by rffirm und{ pcully oap.rJury rLr l .m.x.mpt form rh. Conr.cioB Lic.N.b* for rh. follovrns 160. (3.. ?011.5 BEi\6! &d Pror6sion Cod.): Any Cny or Coutyrhich r.quiE r p.mx !o coB@(..lrd. imprcv., dmlhh or Ep.ir ey 3rtutd.. pmr l. ili a3onc.. rls r.qui6 th. tpplionl aor !u.h p.rmn lo fih r ltGd $lrmfl th.t lr o, rh. h li..Md puEet lo th. pFvisio6 oatn , Conlncrolr Li@.!.d L.w (Ch.prd e. Comm.ftins $nh s.crDn ?mo ofDNsFn I oflh. Bcrn6rod Prol6rio.. Cod.) or rhrl h.'rr 3bc i!.rcnfl tha.fron.nd rhc bBi! for rh. il.s.d .r.nption .Any vi!l.t6n ofs.(ion 70!L5 by sy.pglic. for ! pcnnn !ubj*l! tn. .rpliqn' to ..iril r.Ehy ofmi mE rh& 6!c h@dr.d dolld (1500) _L6 o*ffi ofth. pEpcnr, orny cnploy*! whh Nrsd is rh.t lolc comp.nsrion, willdo th. *orl qd rhc trrucru. i! nol inr.nd.d oron r.d ror n,. ( S.c 70,ra, Euh6r !.d ProfBrb.s Cod. Th. conr.dor'. Lrc.6. L.w d6 nor rpply 16 rh ow.d or th. pNpmy *h. build! or inpror6lhtun, dd wrE do6 lBh worl hiN.lf or h.6.lforrhrou3h hir or hdosn.mployd, provid.d rh.r tucn irp.ov.n.nr! !r. nor im..d.d or offd.d ior r!L. lf, how.vd. thc tlildirs or improEicol i. skl wnhin.nc ycu ofcotnpldion. rh. OsE-Buildd eillhrv. th. bud.n olprovin! ttlt h.or sh. not build o. inprov. for lh. pues. oa!.k) L a own( of rh. propcnr, ro .xclulir.ly co.rr.criq with lic.N.d conr.dos Io coBrrud ln. Foj.d I S( 7044. B6in6. od Prol636n Cod. Th. Connrdoa! L'ccnt. trs d66 not lpply to e ownd o, p.op.ny wno blildr or improvG th6sn . md who contrca for such proj.ch w hacontrcronr l'c.nr.d pucuanr ro rh. I m.r..rfl undn Sdion I h.r.by rflim uhdo p.tully ot p.rjury on. orln. folloqins dald.iioB _l h!v.od will rlimrin. C.nifiqt.olco@r ro S.lf-l6urc lo. vort.6 comp.uror $ p.ovil.d lor by SErion l7o0 ofrh. Itbo. Cod.. fu rlE Flo!rr@. of rhc soit for rhich rlE Dshn ir irrud. I ht!.rnd*,llnr'.[G worl.6 @mp.Nt on mru6na. !t r<utr.d by S*! ion ]?00 of lh. L.bor cod., lor rh. p.rlomn.. of th. *or[ for whthihr p.rh B isu.d Myuorlsr comp.nrlron rmur&c. srs un p.licynumbs.r.: ( lnl! s.clion n..d ml h..ompld.d ilih. pmi n ror (h. hu.,jr.d dolls ll l00l or ks) I ccnify lh.l i! thc p.rforrorc. oflh. work aor which this Ddmir is isu.d,I b..e. hJdtlolh.wrl.E .omr.ns'on hwiolc.l'fornr. r.d.sr*thrr lot.ny p.^on in iny nrnn.r so a ro comp.ns ion lro\tioc orSccrio. l7m orrhc Lrtor Codc. I rh,ll. WARNINC F.'lu,.16 i(ur. mr[.u comp.nsro.rn.mploys ro cnnnnrl pemhL6.nd c'v'l fi.d up lo on. hmdr.d $o@d dolle (S100.000).in .dnirion ro llE .or ol rrE ttbor Cod., inr.rBr .nd rtrorn.y r 16 ion. &m*.s 6 orolid.d lor rh. sdlion 1076.r LIC'NSED CONTRACTORS DECLARATION I h.r$! iliim und.r p.uhy of F.jury lh.l I h lic.nFd ud6 povtion of Chlpid 9 l.omfrci,B {ith S*lion ?00o) ol Dn isio. I of th. BBi!B rd ProfBsioB Cod., ud nylic.il. i3 in tull foE md.d.cr. CONSTRTICTION Lf NDINC AGf, NCY I h.r.by tilm und.r p(uhy of psju,y lh.l lhcrc is r coNlruclion lcndinB rs.ncy for rh. p.rfomMc. olth. work for shi.n 'hb p..nit is isso.d ( s(. l0)7, civ. c ). A}PLICA]ITIS DECLANATION D.mkion Poriretub. or Notilicdhd F.dqrl i.Sul iou (Tilh 40. P.n 6) Rcqun.d Lar6 ol Noliliolion I c.nif, thll rlr a.dml Esulsions r.aardina ab6ros r@!.1.r. mr rppli.lblc ro rhi! pNjer lc.niry thlr I h.!r r.rd rfi n lpplicll ion ud st.l. th,r rh! lbovc infomliion ncoF..l.l.sr..rocomply*nhsllCiryandCoum, ordimnc.s rnd sl'l. L.ws r.l inS loblild .o6rtudion.udh.r.byiurhoriaErm .ti!.soarhi!CnylndCounrylodl{uponrh. rbo\cn.ntion.d prop.ny for i /-//-/v Appliances Metal Fire Place Evap Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Rough Mech. Final Test Meter Release / //D//iFINAL "LdrtM:\WP5l\Pemrl-lnspo€Uon Foms\Mschanrc.l-lnso€clor Re.ord doc 03 3l 06 Poli., Nunbd: Smoke Detectors lnstalled Grease Duct Above T-Bar