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MECHANICAL-INSPECTOR RECOBD <br />APPROVALS DATE ID/SIG.COMMENTS <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 lnstalled <br />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Flanqe <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 t, <br />FINAL /a/t <br />Notes, Remarks, Etc. / <br />\ <br />Oi{NER EUILDER DALCAN TION <br />I hocby atfirh undd l)cn y ofp.rju., thar Id.rc,nfl noo $c ConlBclou LLu* Lle forlhe following @sn (Se.?031.5 <br />Busincss rnd Prof.$io. Codc); Any City or County vtich Equncs c Fmn lo onnrucl 8llc.. improvc, d.mlnfi or rcpli! sry <br />srru.t@. Fio. ro irs hsu0Nc. dso r.quircs llE qrplicet for slch lEnnn to tb a rigncd sl.lemnl lh.l lE or drc n ficen*d I,wsuj <br />ro rhe F tisions ot rh. ConlBcrmt Lien*d l,w (Chapr.r I, Commmin8 sht S.ction ?000 ot Divi.ion 3 ol6c Busin.ss ad <br />Pmf.sskns Codc) or rhrr lE or slE is .r.n{ rhceFoh and rlrc le(ir tor rhc .llcecn .xcnprion. Ary vioLlhn of Selio. 701 L5 by My <br />omliconr for ! Dcrdir .lbisrs rhc aptrlicd 16 a.irilpc.ilryofmi @e tur nvc hundEd doll&s ($500) <br />-I. <br />s ownr of rlE FoFny. or ny cq'hr{s wilh elg€s os ficn $lc @npcnerion, wi! do tlE wort dd $c nrElm ir ml <br />inrcn Ld or ofieEd lor sh (Ss.7044. BtiiErs a.d PNfcisions Cod.r The CDnlrcld s Licn* Llq d*s ml alPly ro u owB of <br />ficp6Fny slb tditt d inpros x6n. rd who (lod sh mrt hih*lfor l*Eclf or dtuugh his o, hr ow..mploye! <br />provAcd $d sEt irymltrtu e rcr inrcod.d orotu for eL. lt tbEE rF boining or i,prudnt h $ld wirhii om rq <br />ofconphlion th€ (n,Er Buib6 wil lEr tlE bu(hn of rtuvins $!l l* or d* did 6r build M inprow lhc pmFny for llE F!!o$ of <br />L as ounf olrnc tbp.ny. on cxclusivcly co reclins $ilfi lic.n$d s,iractoF r. misrud <br />'b. <br />proj(l (Scc. 7044. Busim:\ <br />a Eof6sionCodc: rhcConaldolrLkenrctrwdftrno.applyrornosncroftropcny*hobuildsorihnmrcsih.,.on.d.d who .onh.N ,br $.h p,ojers wirh o Contru]ons) lienscd pu6@nr ro rh€ Cont dors Li..M tiw). <br />_l !m crcnpt undcr Sedo B & PC.lorrhi{cr{,n <br />l)xr <br />w(tqt<F{s coMPn'{sarloN <br />DECI.AAA.IIOB <br />I h.rcby amrn und( pcoalry of,Eju,y orc of lhe folbwing dehElions: <br />lhurtadsillnu,i'linnCcnificrlcofclrsctrrtuScllltr{rclir$.rkd\'.orntcnsrri(,n,as!(,!id.dntrbrSc.rior.lr(x,oirhc <br />litmr Codc. for rhc t^-rlortuE--c ofrhc wurk nr $hich rhc |)(rmt ii isrucd <br />ta hrvor.d qilln$nntrnr workcd conll}cNarion in\urrn.c. as r.quncd 6y s.crion:]70(r urrhc ttrrborCodc. hrrh. Il.rfonutucor <br />rhc Bork forwhi.hrlN n nir i! hsucn. Mfworkcrr.omn(nsdion in \urrnct carfur dd F,li.y nunbcr rc <br />'rc (oo,7 <br />l,oo ot I <br />-l <br />ccnilylhal in rhc rcrformtre otthc *ork for which lhis p.rnn h hsucd. I sholl nor cmploy any Pcrsn in lny @ftr <br />s {r rd tEcom slhjcd ro rh. wo*6c compcnsrion loss of Califomi( ud asE rhor if I should b.mm subJ..l lo th. <br />workoi..mrcnslrionprovhionsofSelion3?OOolthcL{tn!Cod€.Ishrll tonhwirhonll)ly *iih ttr$ Povisions.. <br />WAf,NINC: Failurc io su. worlc* comlEnslhn ovcEg! is unLsfll. lnd sh.ll snbj.rr ..phltr lo qiminll l)qulris and <br />.i{l nnci un ro otr hudEd rhou$.d dollss ($100.fi)). in sddilbn to tu o{ ofcomFnslion, daru8.s as provided lor dE <br />&",., <br />n 1076.fih. I itnr arxl. inr.{( 3nd <br />TCINII]LCQtrIMCII]T <br />DECI.A&UII]N <br />I h{ehy,fiirm trndcr plnalry or pcrjnry Ihrr I an liensd undd I'oririon ol ChrFcr 9lconxft.cin8 wirh Sunin 7{x[)) olDivnion 3 <br />ol rhc Busincssond Pmfc$ionrCodc, (d my licc \c i\ in tullrded clfccl. <br />K ()lo <br />Lltsltk <br />SNIB!qION,.Ir!NDAG.AC!NCI' <br />I h.rby !flirmun&r Fn.lryolFjurylh.l tt E ir. siiMtiotr lcndiiS &gfty for dE ldfomR of lh. turt for qlrih lhir tBmil is <br />icsu.d (S.c. 3097. Ci!. C.). <br />AfII.IgANI.IIEIJ/NAIIAN <br />I [,rnya$imundcr ncnrhyof pcriury otu orrhc rolb]in8 du.lddions <br />Dcnr'liridP.rnrirr A\h.dosNorific.rion Fcdc.rl RcxuLnnnx(,lnbt0. P!n6r <br />-Rcqutcd <br />Gtlcr o, Nolirrrrion <br />-lccnify <br />that rhc acdcralrcEnlnri,ni es,rdinS asb.rb\ runFralarc.olrppliiotL lo rh roj.tr. <br />I .dify rnal I hrvc rcad rhis applicsrion dn slak rhar rhc dtfvc into@lion h .oret. I !E e b conply eirh 3ll Cily and Counly <br />ordin{rei and Srarc Lt*s Ehrine ro building consciion. ond hcrcby aurhori2e rlrcMlsrivca ol lhis Cily lnd Couflly lo ..16 upon tlE <br />ohovc mnrn'ncd poNn, fo, insrelion turlBscs. <br />P ^.u:las ri ro <br />ztn2797az <br />Lrnds.' Nm: <br />- <br />- <br />^,", ef r a/r t <br />I <br />I