|
APPROVALS DATE ID/SIG.COMMENTS OWNZR BUTLDET DEI.CAR TIOII
<br />I hat$y .lE6 u!& F.h, of p6ju., dr I c qanpl ton $. cdc.crd u.!e Llw 6r rlE 6uo*il !B! (Sc.7011.5
<br />Bsild .rd P.ofcri@ Cod.)r Any Cily or Courry wnict '!qun6 . Fnir ro @drucr. .t6. idprcv.. damlih o ubjtry
<br />rnrruc Fu ro ir! i5uEt, .lo Equtq lt 4plial for st Fnn lo tu . .ign d nrqE l lh. h. o. tG a li..E d Fttld
<br />ro rlE FviiD ol rb cod.*ro.! Li6!.d L* (ch4ra 9. Colrttlci.B eilh S<lir 7(l)0 of Diviri,. t of dE Bdi6 nd
<br />PrclBbd cod.l r dlr lE d.lE i c,.!{. ttadm rd {E tir 61 ln. dkr.d aalFbr. Aly vnLbo of s.6iE ?01L bt Dy
<br />.p?t@t tu ! Fbn $billt rlE Tp[..d ro ..ivil pdhy olor eErhd ,ivc hui<hd &llr' (15@).
<br />_1. 6 o*E of rlE FDFrr, d dy srpk )c wnh wrs6 ! rhcir nlc @rFErb.. $in do ft wr .d llE trdE b 6l
<br />ird d ofiad fti rL (Sc.r0L. &.iE nd PDft.i!6 Co& TiG Cordrd t tic L& d€ 6l Qt lo e olc of
<br />rlEFrFty slD hdlil a iryD6 tlEE! -d lto dB 1dr st hiddf or h*lf d rhslAt tn d k oE qby...,
<br />FoviLdor &dr iryo€EcDr ira(tddotu S.-t.l[ how, tlt hrildi'e d iryBa. !to!*iib*,t
<br />oldFlai,\ tt o\rG B[ill6 viU Ift rh. hrr{a of.r@il ttr L 6 !b dd ibl buid d irp.Dr dE FoFly ftt $. FrFsc of
<br />-1.
<br />a ffi oflt. F!Fr. & a.N6i,rr, codait. wih l.E!.d .offi6 b deud tll Foi.r (s6. ,044. Er@
<br />d hDtd! Co&: Tt Coffidd! Lt.E L.* dc mr +ly to d o*E of r.oFt, vh. h{ildr or iAroE $aEq
<br />dd *tb comB 6r El Foi!! vi!. cod.do(r lia.d rired b dEcodtdd t Lt* L*)
<br />_l & cxanpr ui& S*rion ,B.&PC fo.6i! l.e.
<br />bn lo-lA-rc-c**,M
<br />DESIJIADO!
<br />I ha.ty rlTm ud6 pd.ny ofFjuly om ofrhc lbllosrg deLr.lioBl
<br />-l
<br />h.s nd will oi .b . Caii6or. otc.dd lo 5.{-16@ ror wtd .dFldo\ . FlviLd for b Seib! !700 orrrE
<br />lrbor cod.. ft.o. pd6.!E. oft 6t,.. ltid O. FDi i irEd
<br />I har &l rill ni,rin wortd corD.stlbn iBlltls.. ! 'q!i'rd br Sdit. :1700 olllE t bor Cod.. for lh. Ffffi. or
<br />rh. mrt fc rtth rhir Fnn i! ie.d My sdka @npasnion i8ue. @i6 !d Flk, .umb- d.:
<br />httyU
<br />I cgrily rld in llE Ffomn..olrh. sort for rhah lhir Fdir i3 iss.d, I liall.or oplor rn, F$n if, uy mdE
<br />e 6 ro b<o@ $bjd ro th. sortd'@np.Eaiotr L*. of cllifomii. ed tgr lh, if Lrukl tdom. $bj.tl to rtf,
<br />srt6 conFu'lion Flviri@ of S<rbn l7m of rlE trhor (.dc I slEll. fnlh*'nh ohd) wnh $6s FDtiiioB
<br />w^Rnlnc: Fn[E to En wtd @rlf6.b! @vc.3. i @L*tuL .rd ih.ll $bi.tr &.lPbF lo aiiid p@li! -d
<br />cMl fi!6 up ro oc hulrd rlDusd &ll4 (t100.000). h .ddnb! ro rh. cor of co@rrioi, d. s6 . For& bt lh.
<br />Serion 1076 of rh. Llbq CorL. i,ne.n od .non9 t f6
<br />I D -11 -'z"c''4)
<br />ucEllrrto[rSacrua
<br />DICIJAAIIO!
<br />I t@b, .rm u& Frly otFjury lhd I D lieN.d mds FDviiior of Ch.prd I (@@.hB ent Serion 7000) of Dlilion I
<br />ol tlE BqiE Ed ftotsioB Code .n ny lkoE ir h tull lorc -d.ltal.
<br />COMI &EO!,.|IIDI!E.6CIdCI
<br />I tolty .rfta u!d- Fdt, of Fiu.y 6r tb. b . orillah ladits t6y ftr tL Fflr"rc of tb. *tl fo. *itt ttir FEi i
<br />te.d (Sc. 3097. Civ. C.).
<br />Appliances
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer b. trr$4;p- ag,
<br />Residential Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<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 />.d
<br />FINAL ?J3/2t #hth ad)
<br />MECHANICAL-INSPECTOR RECORD
<br />Metal Fire Place
<br />lnsulation
<br />Grease Duct
<br />Meter Release
<br />Notes, Remarks, Etc.
<br />l5d6.t A.ba
<br />-
<br />-'ffi6'"^1'o'r-I briiy .l&b ulda pa.ly ofFiay oe oftb blbeilE dcbnbEr
<br />D6olii,n P6n+A!h..i6 Noriicdbn fcdad StsuLlba Onl. 40. Pti6)
<br />---&quhd r,a16of N.rlhha
<br />-l
<br />srit ttr lb Eda.l tlarldi8 lBnlll !t aolqEd c Dl {pli*L to lli FDi!.
<br />-l
<br />c6ily thr t l,t.E od Oa qt dbn -d ar. tld tb. .bort ilb.dir b .onrd. I rgrc !o @qly ritl r! ciy.ld Cosry
<br />ad@ &d Sr& t,slrlia ro billt.odrdi,!. d kr!, dbririFa.iE of{t Ciy-d C.rdylo da qdrl.
<br />&E d El9qtyb iEdiEFr,
<br />^*-. ^o"w.. (lyfl, n-a- 4ot-U|,r, o..,/ o -14-zs' q
<br />,*^-*qn,1, lAYl.'- o A,- Ca, l.-
<br />--------r------
|