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MECHANICAL.INSPECTOR RECORD <br />APPROVALS tD/stG,COMMENTS OWNER BUILDER DETTARATION <br />I h@!y arm ond6 po.Iy oapgjury rh,r I m d6pr noh rbc conr..croB LiccM t w ror lhc folto,)vnu r.en (;d.?011.5 <br />BosinB r.d P.olsio! Co&). Any ciry or coury whKh r.qutrB . psmit to oNrud. !ha. 'nprovc daElFh o! 4{i( dy <br />sr crlrE\ Fiorlo irs is@cq also r.quir6 lhc appli.&t lor such Fmi ro filc d s'gtr.d srdsnat I h, h. or 3h. b lcotsld PucuMl <br />lo UE F$visio6 of rh. ConlBctois Li@cd bw (ChsPld 9. Cosndcirg wilh SBlion ?000 of Division I of lh. Busin6 dd <br />Prcf6ioro Cod.) or rh.l h. or sh. is cx.ftfl rhdrtoo &d rhc bais for tnc dtScd qmplior. Any viol.lion oaselion ?01 L5 by dy <br />lpplic. lor a pmil subjEls th. appli@l ro r olilponlyotiot morclte fiv. hu.dtcd dolla{t500). <br />-1. <br />s olle ofrh. FoFty, or dy @plor6 wilh wBe ,3 thcn $b @nl,cNdio.. wil do d. vort ad tlE lttnc@ b ml <br />i ad.d oroft<ld for !d.(Sd.?Or4. BuinBed PrDferios Codc Tl'.CoilE rols Li.@. t w&6noltpplytodotcot <br />ticplDFty vho hili or il4@c orsEn &d who.!06 sEn wfi hitulf or l6.lf or threug! lu or hs oh dployc. <br />provid.d li.r cucn ioprcvoEr$ @ nor ir dd.d or otu lor slc, lt how@,lhctoildnu d iBFDrErEl b $ld Mthit.d. rs <br />of @pki,A tn. O*rs Boilrb ein hlE,t t{rdat olFoliog di lE6drdd sl build or idPruw thc FqEr, t r dE grpo*of <br />I. s oM6 ofrh. prcpqly. m cxcluiv€ly conthclios $'nh licdsd .oflr.crou lo coNlrucl lhc Foj..l (56. 7M4, BNinB <br />dd P,otu6ih Cod.: Th. Co 6ctor'. Li..N. kw do6 nol rpply lo e ovnq ofproFry who blilde or inprcve thaon. <br />d.d who .onr€crs tor such pr.jels wirh 6 Coflado(, lic6a.d p6!el o th. Conlrscrols Licdc Law). <br />,16 <br />io!-, B. <br />I l? <br />l)|( l.\lt.\ II()\ <br />I hs.b, amm und6 p6ah, ofpEjury on€ oflhc folloqins deltralions <br />I hlc dd will minrain . Cfii6.{c olcoNnl ro S.U-lsurc lo. ert@ onpddion. s previdcd for by Setior 1700 of th. <br />t bor Co.le for rhc Ffomec. ofihc wrl lor stkh thc FmI it aucd <br />I hovc and will mainrain worl6 .omr.neslio. iEeanc.. s r.quncd by S6lion l?00 otfi. tlbor Co&. for thc psfomac. ol <br />li. sork tor which rhis pdnn ir is.d- My work6 orpolliotr iBuMc€ cdid &d lDli.y ,umbo a.l <br />_Erpnca: <br />S{rio. 3076 ofuc Lahor code imd6t &d.nome,v s fc.r <br />DEC!,ABAIIA! <br />I hscby amm under poalry of pcjury lhal I an licds.d und6 pmvision ol Chlpld 9 (conmdrin8 wnh Scclion 7000) of Dilisio. l <br />of the Busins and PmfBioBCod., dd mylictu. i! in full forc. Md cf..l. <br />Lic.N.Clas:- <br />-Lic@Nubq <br />CqN!:IBICUAN.ITEIDAGTCruCI <br />I !ftty .lIrD onda F.aty of Fjury 6, th@ n . otdoctbn hdiig .gacy fo, th. Ffot:@s of th. vort bi enict $j! pani b <br />i$ucd (se.1097, civ. c.), <br />a.Slltca.Nl.legdSallo! <br />! hortya1fimund6 pcn![y ofFjury on oafi. aollowin8 ddledions: <br />Dmolirion Pmils'Asb6r6 Noriiotion F.d6al Rcgulario$ {TnL 40. Pdn6) <br />Rotutcd t lq of Nolificalion <br />I c6ify rhd rh. f.ddal r.gulatioG r.ssdiis sb6tos Edoval d. .or .pplicdbl. to rhi! prcj..l. <br />I cdif, rhd I h!v. r@d rhie dpplicdion od slar. lhal lhc abov. infomalion is cotr.ci I ag6 lo conply with all City d (ium) <br />ordinancd ed Sral€ liss ElatinN lo boildi.S dd h6.by .urhortu r€r.enslivG otlhis Cny ed Couly to 6t6 upon dE <br />flbovc n6lion.d prcpsty for <br />Applice( orASdl sigmtxrcl <br />,2 <br />s/1tlt' <br />Appliances <br />lr,4etal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />tS&rt, 1.te*Wn--1lz4lt9 TV1"r) <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rouqh Ductwork <br />E*++vg'r- ?AA <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Ranqe <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 <br />FINAL volzlts T ->) <br />I ut <br />DATE <br />Notes, Remarks, Etc. _ <br />-l <br />6riry thar i! rh. pdforuc. ot6. wo{ for wnicfi thi. p6mil is is.( I shlll .ol @ploy ay Flotr i. y Mrd <br />$ s ro b..oo. $bj..l ro {E workd' conpdaion law ofcalifomii. md !!re lhd ifl sttould teoe 3ubjd lo tc <br />worl6' @DFsrionprovbidof Sdion3T00oflhc t bor C.d..l tulL fonhwilh@tplywilblho$povi3ioB.. <br />WARNI]iG: railN ro g@ w&E!'compdaion covdisc is uibwtul, ed 3hrll sbj€r e dpL]6 ro dimh.l Ftsti. ed <br />cilil 606 up lo ooc hu&.d ttournd dou8s ($100,000), ir lddnion to rh. con or coop..5rliot d.d.gd 6 Prclid.d fot in <br />I