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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER DELCARAAION <br />I t@by .rm und6 Fndly of pGjury thd I e adpr toe lh. ConlEcloB Ucoe L.w for ttc followir8 r.en {56 7031 5 <br />BNins ad Profesion Cod.): Aly City o. Coudy which r.qutd E panh lo o.sdcr, tlls, inprcv.- d.mlbh or Epdn &y <br />sEucr!"c. rbr lo irs isuec.. slso rcquiG lhc lppli.dl for such Fflh lo frh s 3iEn d natddl $a h. or slE b li.@*d p6u& <br />1o th. povkioN ol $c Cortreroi3 Li.o5.d rlw (Ct piq 9, Comftins with S..lion 7000 ol Divirion I ol th. BBitrs ud <br />Proi*sioN cod.) or lhil h. o. dE k qmB fidEod ed fic b.ris lor lh. tllce.d d@plion. Any violalion of Selion ?01 1.5 by &y <br />applhdr aor . psnn &bj6rs rhc llplicm to a civil p.Mly ol oor morc ths fivc huidrcd doud (S500) <br />L 6 o]rM of rftc prcpdy. o! oy @plo'6 wirh wrs6 s rhcn sb onpdE iion. wi[ (t)lhc*ul &d dE ltittE is ml <br />ioradcd or o,H fd ek (Sd.?044, Bsi6 6d PDfBioB co&:Ih. ConE4lor's Lic6& Llw do6 rcl tp9ly lo d orrd ol <br />rh. poFiy who hil& or inFov6rrE@n ad sto dra {ch @rt him.lf or h6*lf ot lhrcuBh ti. or ta om dploy6, <br />providcd rhar snch inprcEndlsdml i ad.d oro,fftd 6r slle l[ ho*dd. rh. toildtrtg d iDFoveil is dd wnnin oi. rs <br />of@nQl.rion, fic O"G Buit& wil hsv. th. hda olprovilE lhd h. or sh. di.l ml toild or iE!|lw lhc plopdty for rlE prpoe.a <br />I. G oma ollna F!p.rly. 6 €rclBivcl, co.tBcling with licftcd co.hclo6 lo @r5ltu.l llE p.ljd (36 7044, ABinB <br />and Eofisiod Codc Thc co stor's Liccnk Lrp do6 ml lpply lo d own6 oaprop.ny qho buil& or inprove ths@.. <br />ed *fio conrE rs ror such ptojcds wnh a Coitado(!) lic@.d p6u,r to rhc co.tiaclor'3 Licffi. L.w). <br />I dnex.mF und6 SNlion-. B. & P.C forrhis r.en <br />D.rs Ortrs: <br />!98688!:COMtBIA!IA! <br />D[CIA86IIO! <br />I bs.ny llIm uod6 paaty orpdjlry om ofth. followinS deldalioG: <br />I hav. ed will roinrain r Cdi6.!r. of CoMt to SGlf-lB@ flr wotd ohpcdio!. 3 Fpvrdcd lor by Sdion 1700 of th. <br />Lalor Cod.. fo. rh. Ffotue oarhc w.r foi *trich thc polir i! is.{t <br />I har. and will hainlain wort6 cosp.Balion ins@c., s r.luircd by Sd ion 1700 of lh. t bor Cod., fo. $c pofoi]@.. of <br />thc work for whi.h rhB pamt i3 is.d. My wort6 o'nFssIiof, imutuc. @ir dld policy nunbs &.: <br />€tterzs;-"-J lsl*r,.u, C"{ leo() I tzlIt I <br />I c.nily Dt in rh. palontuncc ot rh. *ort for which rhis Fnh is issucd. l slsll ml dplo, aly psen in lny ndM <br />s s to b@d. subjd lo lhc md(c' comFosarion bws ofcalilomi!. ed asG $d if I sl5dd b..omc subjd lo lh. <br />qort(6' coopaMrion povisioE oascctiof, l?00 ollh. L.bor Co<,.. I $arL forlhvilh corPly wilh lhoe previlio6.. <br />W,{RxrltC: FliluE ro su. work6' coop.@lio6 @!@g. is unlawtul. and shall lubjd e dploF to aimiial peulk dd <br />civil fin6 !p ro on€ huhdred ihouend dollm (1100.000). in oddiiion Io lh€io.. damss6 d Fovided for rh. <br />inlddr md dlomy s 16. <br />25 <br />DDCI,Af,ATqN <br />t hfrby alkn lodd pciitty of Fjury lh.l I @ [cE*d un<ld Fovisiot of Clt piq I (mMi,g wih Sc.Ib! 7000) .rDivhhn r <br />of rt. BEil@ ,rd liof.seioE Cod., a.d oy lad. i! in tull foE dd dt ct. <br />c9) <br />calsrauclloN-lElDlflc-dciilct <br />I hmby,rtrn lndd paahy oflsjurylhar lhse 'r. c.nsrrucliun lMding 016., forlhc p<fom4.c ofrh.$o,k lor trnich Ihis ponri n <br />tsued (se.:1097, Civ. C.) <br />AIIIICAtrLO&CLIBAIIA! <br />I lEd afi'm uodr laahy of Fjury on otrfie followirS dele.tions' <br />D.mo hiob Pmns-Asb6ros N.tilicat io. Fcd6al Resular ioN (Tirlc 40. Pd6 ) <br />Re{tut€d klld of Noli6c!tion <br />I cqrifyrhd I hnv. rad this.pplicalion I.srcro cosply vith .U Ciryand Colnly <br />o.di@.6 ud Sl'lc rj*s rcbliig lo r.pr6otaliv6 olrhis CiyedComrylo 6t6 uponlnc <br />abo!. ftdrioo.d p.op<ly fo. <br />Appli.d or Ag@r SiSDru€:zfu1o <br />Appliances <br />I\4etal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />Misc. Equipment <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <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 />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 />FINAL L-f-/S -aahA <br />Duct Work <br />Meter Release <br />Notes, Remarks, Etc. <br />-l <br />.diry rha fi. f.daal rceul6lioN Eaddhg sbGtos Emvd e. ful epli.abl. to lh! pmtdt. <br />I <br />I