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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS onNl:ri BTJII-n!rR I)ELC,\L4',ll(,N
<br />I h.rchy rllirD undcr lrci3lr, ,)f pcqury rhxr I rnr orr 1Pr fu) rhr Gr t.rtr Li.cn\c l-arv li)r rh. lnl[)]ii! rdx{ti lsr( 7l):ll 5
<br />k, rhc Dn,risi(rF .f rlf, C.oh.u s l-LccDlcJ ljr l(hrpr.,'). Connn..cing trilh Sc(rtrin 7(X{) ot Di!'\i(r I ol rhc l}LAi',c\\ rnd
<br />rfplicrnr nn r Fflnir \!hjRr\ rlr nml(rnr h, !dvllrtuxyol n r n,c rlltr li\c hunlr.Lllolh^(Stfi)r
<br />-1.
<br />!s ovncr of rhc pop.nt or my cnplolcs with *as.s rs rhcn rcb ..mp.nsdion, will {b lhc wnt !M lhc smtI@ ir ml
<br />imerd, or oficed for elc (Se,7044. ausimss and Prof.siio.s C.d.: TIE ConlB.lols Licc.s ljw d@! noi arpl, b an owmr of
<br />lhc FoFny who boildr or itrIm6 lh.mtr a.d Dl& &B ss[ si* hinr.lf ., h.MIf or lhereh his or her own employccs.
<br />pbvtdcd rhd $ch iqmrcmnrs @ mt i.l.rn d orof.itd lor sb. lt lD*.E llt hiUins.. nr{htnmr k $ld vithin or yw
<br />ofcorDlrior rhc OqM Blildo will hrE rtE bo.dcn of tmvinC rhlt tE o, dE dA mi hih or impDt dE thDdly for rh. purpo* ol
<br />I.,sownftorrhc nstEny. amcxclusiwlyconrracring wirh liccnsd.onrr lnnro.lnndd rlt F.,j.cr (scc.7o4,t. Butinc$
<br />!fld hotustu Cod.: Thc Conrrehas Lic.ns Lrw der mr llrly ro an own r ol rmlcny who builds or impovcs rhdmtr
<br />and who onrtut ror such pmj.rlr wilh a Contnctor(s) lkensd puFunl to lh. Co.rEhr's Li.n* Lrs).
<br />-l
<br />!mcxchpl u.dd Sccrio
<br />lhrlr3' qill hl inirnCcnill.rrcolConscnrhScll.lnstrclirrorkcrrcomp.n\ari,,n,rstrrrid.dr(rhyS(ti,nr.r7lx)ollh.
<br />I rtxtrC{xl.- lnrrtu l[rfoi,,uiccolrlrrork n, which rlrc lfnnir N i\\nl
<br />-l
<br />h,v. and will oainhin workcs compcnsation insum.cc- as rcquiren h, S<tion ]7m of r kt'.r Codc. for lhc P..tormmc ol
<br />rhr sork f,n {hi.h rhn l].rlir iq n\ucJ
<br />..-.. Stz,t+ futtrl
<br />My wo.kEC .o'nrcnsdiotr i.summesricrad t!,li.ynuobq dc
<br />Qtlz (
<br />-l
<br />cenify rh.t in rhc perforMncc.rrhc work ror whi.h Ois pdrrir is issucd.l snollflol cq,loy any lcron i. a.y ronncr
<br />s as ro b.o& slhj*t to thc *oll<lG smpcnsolion hws ol Cdifonria. md bge lhal it I should b..om slbr.tt lo thc
<br />sorlcrs' comt .sat ioo povis io n s of Sccl ion I70o ol thc tibor Codc. I shlll, lbdn*n h $ mlny wnh I ho* provisio.s
<br />WARNINC: Frilurc ro surc *orkc6 onwnsin'n ot!6ge h lildwful. .Jd \h,ll subjcct cmllotrr to diohrl limki* aod
<br />civil fincs up ro onc hndrcd rnousood doUB {Slm,ooo). in ddirbn k!n$lion- drmg.r i. 0rovid.d for $.
<br />,rr-r,FrlI?
<br />IICIINIEII:IJNIXAI:IAB
<br />lrECInlXAIlllN
<br />I hcrchy nmrn undo Fnaltyorp.rjury lhtrl I am liccnsd u.dcr tmvision ot Chut'16 I (c.mmtui.C wilh S{lbn ?OOO) olDilnion 3
<br />ol lhc Busincss 0M Pmltshns (--odc. and !yliccnrchinfullaorctlkl.fttct.
<br />bt1q3b
<br />li r.t N,C
<br />CAISIAIEIIONIENITIMi{iENII
<br />I h.rchy0finmuDderIicndryot Frluryrh,i rlt irr.u{tfl.ri,i Lidn€aScncy f lhcnrrlirEtrccolrh.sorklorwhi.hrhnfnniris
<br />isrucd (Scc l0)7.Crv C ).
<br />AIIIII;ANI.I]TILABAIIAN
<br />I N,y allnn undrr rirnalry of p.rjury d* of rh. folbwing dclrat ionsl
<br />Dcmnhnr Ponrrs Ash.ros Norifi.0rion ltdcr0l Rc8uhtions (Tnt40, Pln6)
<br />Rcquircd tlrcr oi Notiircdi0r
<br />I..nilirh,' rhc rcd.ml aSularions rc8rdins r\hc(os rcmval . n.r rppli.ablc b r)'n proj.cr
<br />&lcdiryrh l hrvd rrad rhis r[t, ic onudsralcth{ rhcrh,vc irtonNli.n i\ comd lrgreb.onDlywnharlc,tyrndCottrry
<br />ordir mcsandSrrrc Itrs\rcl inBt)burld 8.onsldcl urhoize lcprc\ctrrriiv.{ ofrhil Chy and Counrylo cnrs upon rhe
<br />alb$ trErri{nrcd F)pcdy ior in
<br /> nlliunr or g.nr Sig Dr li t\IY
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors Installed
<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 />Fire Damper
<br />Openinos
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rouqh Mech.
<br />Final Test
<br />Meter Release
<br />FINAL lUn/lr aNqx
<br />Notes, Remarks, Etc
<br />Grease Duct
<br />EITEAEB!:CSMIEtrSAION
<br />DECI.AXAIO!
<br />I hfthy dmrn u.df llen Iy ol Iniury om of thc followin8 dd-sl ions:
<br />----+---
<br />tt
<br />I
<br />I
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