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MECHANICAL-INSPECTOR RECORD <br />APPROVALS ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulalion <br />lnsulation <br />Smoke Deteclors 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. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release I <br />,\ <br />Notes, Remarks, Etc. <br />OWNEI BUILDAS DE1IARATIOII <br />I hq.!y dlm uds Flty of psjsly tbd ! m .rdp inh tk Co,ffmoB Lic6* Lrw ft,r rh. rotlosins ltan (Se.r!31.5 <br />BsiB !d Proflrir Co&): Any Cly q Co! y rltt Fqri6 . F i ro onrtu(r. .ld. ifrpror!, .bElbi or rD.i uy <br />ll,udEc Firr. ir illeq.totqi.tlETdirn6r*iFBnb6L.!t*drrdEr rll.lEornriliqlcd F r.n <br />lo U. Fovijod of $. C6nmdorr Licd.d Llw (Ct iq 9. co!1l!@ili eib SErio! ,000 ot Oilhbn I of tl8 Bsio6 .!d <br />PrDhi.ru Cod.) q lh. h d.lE i aartr ltdrfoh.n th. h-i fd rL.lkr.d qal'piio.. Aiy ftlrih otsetbi 70ll , ty &y <br />.?plk.nr for . Fnit &bjc$ rlE eplior ro. civil pdhyof ior mEfie n!. hunM&116(JJoo) <br />-L <br />. ffi ofrlt FoFrr. d o, qbr!. *irh *.s6 ! ttdr -L o.q.dF.! $i[ & dE $dt !d lt. ,.rxiE . !l <br />itrdrLd { o,[@d fo sL (Sc.7oaa. &!ir!.! dd Pbfdior! Cod.: TlE Coirr-rq , Licog b* tb6 n6l {ply to u om6 of <br />dE FlFly *b bdn E nry.oE tlEE! d $tD do-rdr Et tin df or hdrlfo. lLoIsh hir d is d! atPbr.6. <br />FoliiLd th.l iNt itr+.D,qErt e d nailcd GolErd br.L l( h.\{.w. rtE h[rirr m inF!ffi il -ld *ihn @ )cof.orybk IllEO*G Boil,6eiu lrrlh.hnknofFwinslla lrorrlE did iol hiu itr{.Dw 0E FbFr, &rrlrF F.of <br />-1,Eo*iqoftt <br />FlFrr. 6 acl!.ilcly o r-tiEvnh fi.or.d.onr(6ro stErucr rlaFi( (56 70aa, Bui.- <br />ri llDtan Co& TIE Codr-roar l-i.@ L.w &€ Dt ryly t. , omd of FlFry lllo hil6 d inpror6 tla@rrdd who odo.l! tu suct FDirL wnb . Coor.&lo(, !..!.d pud!.nr ro rh. Cotnr&toir LicdE L5w). <br />-l <br />ffi.rmF u.<Lr seri.. _ <br />wotxFa,(' coM?FnSlTtoN <br />DEclJAAIlo! <br />I ha*r 1116 sr& p6.ly of Fj!., oG ofilE 6lbsi'E .lchnb6: <br />-l <br />bw -d will uilr.ir. Cqrii.rcotcola ro sdf,l!'d 6' Nt6 oryErioi- B FDvid.d ror byscrh !700 of rt <br />L&. Cod.. f!. dr. F6.!EE oftlE *ql fd $tkn ri. Fni ir il,.d <br />_l LE.rn *ill6rld.i' erlar clopqr.lb. irg!G.. ! 6qgid b Scrb. !r00 ofrlt t ho. co<L. tu rh. Ff.rlll&of <br />tlE El 6. *ttt thi F6i i iro.il My rqtd otrlqrbtr iElE db iil lofi.t @nt6 G <br />I .ait $d i! rhc Frollie. of fi. wrt for $nth fiit Fmi n isuc4 I Jull mr atrploy o, p6s. o o, nm6. ! ro t<or ruh to rll. wra'@rFrabn Le! olc.tifomia rd *d rhr if I tDuld b.or $t cr ro rlE <br />e,t6' @rq@.iotr FlaiirB of S<rin !700of UE L.bd Cod.. LtElL frrt*ih otrd' s nn dE Foriti6 <br />WAI]YING: F.ihE lo ff 6t6' onFlrbi ot'drg. ir u.brtul. !d.ldl $qd D al9loF b oimiMl tdli.. -dcivil tn6 up ro oB t!,rd.d rlbu,'d &116 11t00.000), in .ddni.n ro rlE @n .l corpcBdioll. d.n{d s lrovilcd 6r ihc <br />SEri.n 1076 of Et ts Co& htE!, Dd.loriEy r {,2't2 <br />Lt{'rlsf,r co||trucnot <br />!!ct48Ago! <br />I h.rt, .fra @& ]ary of Fj!ry &r t 6 t@..d lork Fiba of cl.F6 I ((on!EtB *tl S.dbo ?ltl) of Oivilb! ! <br />or lt BriE-.i?bir.i,n Cod.. d 6y lio. b b tuI 6G -d.ft.1. <br />.-,-o*,( <br />(AifiAI(IAIl.liDllCTTCLl(I <br />I ha.by rfli nondd tBuhr.f FJ,"r_rhd rhd.ssco6trudNn kfrn,r ufr' aor lltrpslonrinucofrhcsfrl for \hi(hrhspdnir i! <br />isu.J (s( 109r, (-'v C I <br />Ldd., 3 Ad&{ <br />AIEIICASLDECIASAIIO! <br />I hcdy .n'r6 undd ,6.1y otFju) oE ot rh. folhe ing d<Lnr ios <br />Dsmkiotr P6mieA!b.n6 NorifnrFn F.dall R.suhtion Irnk40, Pd6) <br />R<quiEd tlra of |5|ift.ion <br />-l <br />cdiry dlr 0E rcdo.l c8drir '!r.ditB 6b.r6 lft$l & tur .Pdt bL ro rhil PiDr.d <br />-l <br />cdiry{ l l!,c.6d dir .ptli.dbn &d n.r. th'l thc .h'v. inforElion it corst. I lgc ro 6nplt f, nh dl Ciry rnd Couot, <br />ddiue€ &d Sm. Lei ELq to hrildirs .odlsrir @d hd.b, ldto,irc i.Ferii€ ofthit Ciy ed CouU to qnr <br />'+o. rlr <br />.toE rEiE d FDfdt, td <br />A!!lt.r a Ald siflrc Y1,'.1'\a. <br />IIID'IfIiIIT/ <br />DATE <br />1ililJ/-+/ <br />FINAL