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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDER DEI'ARAIION <br />I h6d,, aflim unds pd'aly of psjury tlur I m qalpt tDn rh. conlradon Lic.ns. L{w for th.lollowi4 rcen (sd.70.11.5 <br />BBinqs md Proft*liof, Cod.): Any Cily or Counry wti.h rcqunB . Fsn l! cotursc1, oltr, ihp.ov., drnolbh or Ep!i. oy <br />smtlu.. pfir b ns i$u4q .tso Eq{iB rhc .ppltet ror sucn p6r,i ro filc ! sisi.d n,indl that h. o} Clc is lic@.d pulT@r <br />lo ln pEviiioB ofth. Conrndois Lic.ns.d tlw (Ctupt6 9, Comcncing with S€crioD TOOO of Division I ofrh. BBin* ed <br />Iof*ions Cod.) or rhst h. orlh€ is cxdpr rh6.&on @d th. bais for rn au.s.{ doption. Any riohion ols.dion 7011.5 by dy <br />.pllicet ror apaDn subjGtthc agplic&r lo . ciril pcnlty of ior NE d'd li!. hundrcd dolls (1500). <br />-1. <br />B oMd ofthc propdty. or ny cdplo]B wnh wagd 6 lh.ir elc @hpcnsrion. sill do rh. wdt &d th.3lnf,t@ ir @l <br />inra{.d or olto.d fo sL (56.7044. AGI.B ed PrefdioN Code Th. coirE.rors LtG@ l,w &6 nor eply to u otrrc. ol <br />llE poFly who bdlde or imprcE lncur. ed wno do6 such @rt hims.lf or h6.!f or lhrcush his or ha oM mploy.6. <br />Fovitcd ihar such imFoqEft G mt idod.d oro,Ictd 6r s]c li holl^G. rhc hiure or unFovoEn s $ld {ihin o. 16 <br />ofoopldbl! rh. O*ro &iild *in haE dF hrdd of polin8 thd h. or sh. did rct hdd or iDrrov. lhc poFry for tn. purpo$ of <br />-1, <br />B owrd ofrnc propqry, @ qclsiv.ly codrerinS wiin fica*d codBcrou ro ond4cr lh. Fojd (Sa 7&4. aui.d <br />ed Pohsion Codc: Th. Conlr&toar Licm. LaN do6 nol !p?ly lo d omd of propdty q,ls buil& or inpo!6lhdo.. <br />od sho cootncls for s@h Foj*rs with a cn.nrado(s) lictuat poB@r ro rhc conlrrcrols l-icdc kw). <br />I tun€rcnr unddS(rion_,B & PC lorriis rc6on. <br />]loB(EAl:q0MtlNiArIa! <br />BEC!48AIIg! <br />I nd.by arm undd p..alr, oap6lu.y one oflh. followi.8 ddldalioBl <br />-l <br />hav€ od Nill msinl.in a C.nilicarc ofcoMr lo S.lf-lBrr. aor workcB @nip.nsarion, s prlvid.d tor by sdlioo 1700 o arh. <br />Labor Code for rh. psfonnmc. of Lhc work aor $ti.h lh. Frnil i! isucd <br />YI h.".andwrllm nkm *orl.R'codpret'on rEur c€. d rcqut€d by Sdion l70O of $. I.tDr Codc. aor tn. pdlonnmc€ ol <br />rhe wo.k forshich this pm i Ls irsued My workdl onpcBation iBur&cc cdno ed policy.umbd d.: <br />/,*I a t., ra,.<..- C..a +\^{ t, <br />(Jsb sao6rs6 to I rq <br />-l <br />ccniry fial in th. praor,Mc. otll'€ wort lor which lnis Fmil is tsu.d. I shzll nol mploy any pd$n in ey ndG <br />$ a to beonc rub.d lo Uc wort6' conra&rion laB ol caliromia. ed asr€ lhar if I should b..om. rubjd to rh. <br />wo.l6 compdation provisioB of S..lion -1700 of rhc l:bor Cod€. I shall, foahqirh coorl, wirh rhor pmebioN.. <br />WARNING: Frjlurc to su. wo*6' onpBotion cov6a8. is unlNtul. ud shall subjd dtloyd to coninal FEhiB od <br />civil fin6 ut ro on. hundr.d rfiosnd dollm (S100,000). in addnion to lh. cosr oa comp€nsslion. ddte6 6 provid.d for Oc <br />Sd:tion 1076 oalh.I$o. Cod., inroGr ed dlomr'! f6. <br />uc[!sIulltNl&tcl!.8. <br />Df,CLtx ro! <br />Iholbyamnnuiddlcn ! ofpsjurr'nrar Ln li..ffdr undcr ltr{rdn)i ol ('hpre I (.oDn.n.tu-! with Sccrion ?000) oIDl\ 6rcn 11 <br />or lhe l\6ins and Pnfssiors(ode. ed dy h.€nsc is m rlllrorccud ellacl <br />CLo qqf aaS- <br />It o <br />COIiIAI]CIION.LEIDINGIGENq <br />I he.by aftnr udq pe.aly of Fjury lh.l lhft G a cor&ructkJn kndb8 agdcy for th. Ffoll@c. of rh. wo* lor *,hich thi! FEir i <br />isu.d (Sc. 309?, Civ. C.). <br />]{}PLICAI{I DSCI,A RATION <br />I hdlry offnn lnda Daaty ofpaiuy onc ofrh. followin* ddldfliosl <br />Dcnolilio! P@is&bBto! Notiftcalio! F.{61 R.gularioB {TnL 40, Pat6) <br />-Rcquir€d <br />t 116 of Notifi€.lioD <br />-l <br />cdiry lha the a.dsal r€8llalioN Esedi4 abclos rcmovrl de nol spplicable to lhb lroj*l <br />-l <br />cdiry rhar I hav. rqd rnis appliqlior ud 3rr!. $ar $. .bov. if,fomxlion is cotrd I asrc l. onply wnh all Cily dd Counry <br />ordin.nc€ ed Slar. Lrwr r.lali.e ro blilding co.sro.liotr dd h6eby auhodr r.pG. arivB of rhis Cny dd Counry ro drq upon $. <br />abov. mstio..d prop.ny fo. iBpcdioi r,/4ta <br />. Pmn enmc, D,,: Ba,r. ci" s't<-.u\ <br />pliances <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 />!ough 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 />lnslallation <br />F.D. Drop Test <br />\ <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release -a <br />FINAL ?-ltlL4T()u ,eq) <br />Noles, Remarks , Etc.tL I <br />V <br />(,,,"' ufa/w