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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Omd'Builda D*hmtioD
<br />I hqcly !flim unds Fsty of pqjlry thlI I rh .xoPl fom dE Connrco6' LicN Lrw aor th. following ra$n (s 703 I 5 tui.6,,
<br />tnd Profa.ion Codc) Any Cn, or Couty whi.i !.qoirB . p.mn ro aMrtud, rhq, inprov.. d.mlilh or rcpln sy rruclu., Fior ro illilruM, rLo ,.{!n6 rh. .ppli6!1 for ilch psoir b nt. . .i8..d 'l{@nr th.r h. o. !n ! li..ed pMu lo rhc previlioG of d&
<br />(:ont6doas LiccN.d hw (Ch.Did 9, Conm.Dciag pnh S6rio! 7000 ofDivirion I ot l,. Bsia6! ud prof6sioB Codc) or rllr hc orih. ir dcapt drcrctod&d !n b.!! for O..ll.gcd ddprion Any viohrion of Sdrion 7Ol I 5 by &y.ppliq.r fo, ! pftil tubj.6! rh.
<br />tppliod lo i oivilp.rhy of.or aor.lh.r fiv. hundr.d doll.R (ltoo)
<br />_,I, ar owM oi th. prop.ny. or my cnployG with wg6 .. rh!tr rotc @npcminon, will do th. work rd thc lruou. B
<br />or oti.r.d tor d. ( Sc 7044, Buin6s ! l ProlatioG Con. Th. ConEtaoit LieM Lrw dc mr rypty to d owe of
<br />who buil&or improv6 th6sn. ..d who do6 luch work hiruelf or h.rs.lfor $rough hB or hcr oM
<br />el int.ndd or ofd.d fot $h ll how.vq, rh. building or imp.ov.m. i!$tdwnhi.oNr{rof@
<br />OwrBlilds *ill h& rn burd.n ofFovi.8 lh.t h.or3hc nol burd or improv. for.h. purpo!. of k).
<br />-- I, a oFq of tn. prop.ny, !h acl$,vcly @ntd.1inB win lic.Gcd onhdoB ro 6Ndd .h. prolccl ( S€
<br />P,ofe3io. Code Th. Co ncloir Lienr. L.w do6 nor .ppl, lo u owr ofpropdry who brildr or impovq
<br />@nmca for !u.h prois with . Cormclot(, lic.n*d prBunr b lh. Co.hdor's Liee bw )
<br />I !d d.mpt und.r Sdo. ,B & P C for lhi! r!e.
<br />woRtiuRS ( ()MPf NsA I',toN DU(-LARA',tloN
<br />I h.r.by.trem unls pcDlty oip.rjlry on ofrn folLwilB del.drioE
<br />,l h.v.lnd rillmlintin. C.ni6ql.ofcoM ro S.la,lEu.. aor mrt 6'6hp.@l B p.ovdc<! for by S.cnon r?0o offi.
<br />Lbor Cod.. for Ih. pafomna ol0. *ork to, qnicn $e Damn ir istu n
<br />I h!v. and will m.inLin worlcR @Dp.ution ins!n.e, .i r.qun.d 6y S.diotr of lhc Lbor Cod., for rh. p..fomne of ti.
<br />*ork for whih rhi! p.mil i! i$ucd My workss @np.6ri6, Eoinc. oricr
<br />(This!dio.n .d not b..ohplq.<l ifth.pcrmn i! for On. hundr.d
<br />_l q.n,ry thrt ii dE p.dortunrc oith. wo fo' wtth d'i! p.mt I rhlU ,or.mploy Dy p4on r.r, tunnd $ !s ro
<br />berhc rlbjd io rh. wlrd' ' onp.Mtb. bet ofc.li6ornn,
<br />@np.NIion provnioN ofS.ciion 3700 oflhc tlhor Codq I rh!
<br />$!. rlI should beom. rubrdr b$e wo,lets
<br />@nply virh thok provi3ion3.
<br />Drt.:_Applidm:
<br />WARNING F.ilure io *cur. wor&cG' conp.drtio.
<br />fo6 up to on. hundr.d rhou$nd dollrE (11m.000),r
<br />de L.bor Cod., hrs6! rnd rnom.y r lB
<br />E unlrwfirl. lnd ilEll subjd .i .nlployd lo dioEl p.dhr6 lnd civil
<br />to lh.6s ol@bp.uri6q d.@gci d provid.d for fi. Sdion 3076 of
<br />I n.r.by.ffrm und.r p.olty ofp.rlury rh.ll !m uid.. provi3Di ofchtpt r 9 (@Bn.ncing wnh Saion 7000) of DivBion I of
<br />lh. Bsine$ lrd Prcf6iiom Cod., rnd my I
<br />Ln!@ NuEbs _
<br />Conr.rdor: __
<br />I hqc$y .61m undq p@lry ol pa
<br />isu.n (Se 1097. Civ C )
<br />th.t rhs. i3 t @niLucrion Lnding +.ncy for rh. p.rford.e of $c wo,k for which rhi pdmn s
<br />APPI,ICANT'S DECI,ANAAION
<br />Fd.nl R.gu.rioni (Tnh 40, P3n 6)
<br />.clulatDd r€gsrdirS Bbgtor rchorlrc rctlppliabl. b this pr+cr
<br />qd
<br />'r!,r
<br />.ppliorioi &d ll!r. Oll $. rbov. i.Io.mrioi i! @d..r. t rsrc ro @mply wiri .ll Ciy .!d Coory
<br />odiDdd ild Slri. hH r.lrling Io buil.lin8 @dr^cio[ rrl na.by .urh6ria r.p.a..nrv6 oI di. Cn, .rl Coury ro .nEr upo. rhc
<br />ibov. ncnrioEd Fop.ny fo, i.3pdion purpoi..
<br />A!pli-!to.r8. rig _
<br />Pdhin@ tum (pino: _
<br />Appliances
<br />Metal Fire Place
<br />Evap Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet R oom / Clothes Dryer
<br />Residential Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Fire Damper
<br />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Ft Etll ,EN
<br />Final Test trra I I ?02t
<br />Meter Release
<br />FINAL SAMC 8-43, 2 90, 556,661
<br />oms\M.chanic€llnspoctd R6@rd
<br />Type ll Hood
<br />Grease Duct
<br />Rough Mech.
<br />Dlts - O{cl
<br />Crtri.r -
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