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MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS <br />pliances <br />[\,4etal 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 />Rou gh Ductwork <br />Vents <br />Toilet Room / Clothes D ryer <br />Residential Range <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 />Rou gh Mech.'ilt/ln 1ti fr) <br />Final Test I U\ ( <br />Meter Release <br />FINAL 7-t<-zo All^, Urt <br />Notes, Remarks, Etc <br />OWNER BUILDER DET-CARATTON <br />I hs€by .rm undd p.Mlly ot Fjury ln I I m d.Dpl aron th. Corracros Lic.me Law torrh.lotlowine ie! (Sd.?0.11,! <br />BBii* ed Pofsioi cod.): Any ciry or county *hich rcquiB 6 Fri 1o coGttucl. .116. n!prov.. ddnolilh or rjp.i ey <br />srructE, Fior to it! is@cq aleo Fqun6 thc applic&r ior such pomi ro nlc a si8n.d srdoor rh.r n or sh. i! licffid fir&rrrr <br />to $. Fovisioa of dc Co.rracbrl LiGn$/ Lrw (Chafld 9. Comdilg wirh S€rio! ?000 of Divieiotr I of rtc BNids ed <br />Pbf.sions Cod!)Glh.r h.orsh. b qdpr rhq.eonod rh.blsir fortt .lLg.d 6otr8iof,. Ary viol.rionolscrion 7031.5 br 6y <br />appli@r fo. a Fnir subjEt $c rp9li@t to a .ivil pcnaity of nor morc fia nvc nu!d..d doll&s (1t00). <br />&l * omo otrt . p.op.,ty. or dy .mplor* with w.e6 s ft.n eb @ipcBslior *dl do lh. work dd ltt !n{.i@ i! @l <br />intdrdcd or ofrcd for sL (s6.7044. aah* dd Prcf6ioB co&: Th. Coilr.ctolr Liccc kw do6 @l arplr lo d omd of <br />lh. ploFty who tuildr or inpova ln@a ed wno .b6 odl Eft hiG.lf or h@lf or thrcugn ti! or ls om dployc... <br />provid.d rh,l such inFolqld! e nor i'[ei{kd or olIsd for !.le ll howG, rhc huildiu or is9.ovdE r b $ld trithi! o.. )6 <br />ofcompldio!. tt Omd Buildd will h!v. d€ hr<!n of prcvhs thd h. or slE dil mr hiu or inprlE dE FDpdty for rh. Fr!o* of <br />_I. a oMq oflh. Fopqly, m dclusiv.ly .omr.dirg sih li.ots d .onl@.lou to coDsrrud lh. Foj..1 (Se. 7044. BBmB <br />tud P,trtusion Cod.: Th. Conr&toi3 Lic.N tlw do6 f,or ,pply io d own6 of prop.ny who builde or impm!6 rhr@n. <br />ed who co dds h*uch Foj..l3sith a codiado(s) licoed pua@r ro th.conrrrcrors Lictuc L.w). <br />D.re, t L <br />Sclion-. <br />a <br />DECI.ASAIIA! <br />I h@hy .rm udr p@dy of pajury o.. ofdG followils d.cldrioB: <br />-ln <br />vc od will Mi.t.b ! Cc fKd. otconhr ro S.lfiBurc lo. rcrldi @nptuetion, e povid.d lor by S6don 1700 o f $c <br />L5bor Codq for lh. pqfomec! ofu. ert for vlich dE Foit it isu.d. <br />_l hav6 .nd will hainlsin wo*.6' conp.rsado" iaumcq a r.qui€d by Sctioi 3700 ofthc trbor Codq for rh. p6fol:mc. of <br />fic vorl for which rhb F,Dn is is.d. My worksl @npdsstiotr iNuacc 6id ard polty numb6 @: <br />Aft carity rlur in ltrc pcrormMc. oafi. worl aor which ihii porul B Bsu.rL l shall .ol dploy ey pmn i. any m6d <br />$ 6 ro b.&nc subier lo lh. wo*6'conFtsltion las of C,lifomia. &d agE thd if I should bccomc subjd lo tir. <br />wo*6'comFMlionFDvisio6ofs.dionlT00ofth.LlborCodelslEll.fonhwilhcoDplywilh$osprovisioB. <br />WARNING: Failurc ro suc wolk6' .oop6s.lion cov@sc ir unldriul. ed shdll subjdt m mploF lo sininal Fulti6 4d <br />civil ab6 lp to olc huded rnollrnd doud ($100.000). in.ddtion '"d.-Z ion. dan46 6 pro\ided lor lhe <br />fiT <br />Llt . Codc. i.td.sl md .tmey'a"/-/l\t( <br />",.rnlr a,rn, *aroo I <br />DESdAAIIO! <br />I h@by aind uodq p.n lty of p6jury rhd t e licds.d utrdd DovGion ofch.old 9 (6Mocins wnn Scaioi 7000) ofDiriri.D l <br />of ln BGi,N Md PoaeioN Codc. ed ny licffi ir in niu ao@ dd .ft*t. <br />I i..6.t lN I '(dc Nunrb. <br />Dote Conr..cror: <br />cogsla!qlo!-L!!!t!G3cE!cx <br />I h@by .lEm u.dd Frrlty of ,6jury ttEr rlq. is 6 cotraociio. ladins ag@y for llE p€fom.m of Ih. BUI 6r *nhh lhb Foil 1r <br />tuu.d (se- 309r. civ. c.). <br />-l <br />.ariry Il,r th. f.dad r.gd.rioE E8E{ir8 db€tor @ovrl m @l qplic&L lo lhiu FojEl. <br />-l <br />cql't rhli I lEvG @d tti appli@rion !.d 5r.l. Oar rh. abov. i.fo,sErio! b coF*l. I lgc to cohrly with dl cily 6d cou9 <br />ordina.c* &d Sralc liws Elarin€ ro bu <br />abole norioned prepeny lu i6p.dio! <br />Appli@,'r tr AB6l SLErurc: <br />"-n* "*" ,r.*--l&I <br />autlrric,cF.stalir6 of this Cilyed <br />,tDsE. . <br />I <br />r8 <br />LendefsAddrs:-rpptc.riiiiiiiiiii6 <br />- <br />I lElty rrm uda p.nalry of pojury onc of th. lonowi.8 d*l@rions: <br />Dcmolilion Pdmils-Asb6lc Notification F.d6!l RcBularions (Till. 40. Psl6) <br />R.quircd l-.trd ot Noifietion