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MECHANICAL-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />Appliances <br />Metal Fire Place <br />Eva porative 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 Range <br />Other <br />Hood <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openinos <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release \ <br />FINAL 1/a1ltX zdf,lt <br />Notes, Remarks, Etc., "l I \./ <br />OW'I{EIR BT,IILDER DELCAR,ITION <br />I h.rcby.mrm undcr p..alrt oa p.{ury thll I ucxehfl tFo rhe ct drlo6 Lians Llw for fic tollovin8 r.a$fl {S€c.m]l.J <br />Busi.es aid Prcfession Cdc): Any Cn, or Colnry *hicn rcquircs r pcmh ro construc( !h6, in{rmv.. &mlkh or m!6n My <br />slrudr., Fir io iis i..uare, ako EquiEs fic appli.rfl fo, such pcmii ro liE r sigmd rier lhai L or dE is !a.sd puod <br />ro rhc ro"isio.s ofrlx Conrr&lor'3 Liensd La{ (CMpr.r 9. Conmncing with S*rion 7000., Dieishn I oarlE Busin€is dnd <br />Porcssao.s Code) 6r th.r lr or shc i. qcnpr rhcEfion and rhc bssh for rh. allcgcd crcryrio.. A., virurio. olscclion 7oll.5 by any <br />applicd fon Fmir subjNk rlE lppli.a,r ro..itilpc.alry6fer @c rh,i 6v. hudnd dolEs (S5m). <br />_1.I o*M of rhc Fol.rrr. or ny cntPloler q h q.8es &s then sb.ohrcMrion. *illlh tlE w* dn tu 3rn&r@ i5 mr <br />hlcn cd or ofrercn for sl€ (Sc.70{4. Busifts ed Prof€ssior3 Codo TIE C! reroa. Lk .s ks doc. nor arply to d owmr of <br />llE pmrErty who bdlds or in{,mB llsb( orn who dm. s.h wlt himrcllor lEelf or lhmugh hh or hcr own cmrlo}rcs. <br />pbril€d rh.r skh in'rhEcir'eDl htcndednofr.Ed for sb.lf.lnro6. rhc hiildilgor inprrftft nshpnhinorcFt <br />olonplctbn, dE OwM BuiB.r sil n6r $* butkn ofprcvin8 tlEr he or dE dA mt h]ild or ingtow rt popsry aor tll prpoc of <br />L N.wftr.rrh. popcnr. umcxclutivcly conrBdiis virh liccn*d conrncr.nro clnsmd rlE pmill (Sd 7044, aurir$ <br />ad Pmfsshn Codc: Thc Cotrrractols Liccns. L,B dm. nor r,'ply lo an owncr olprop.nysho builds or impov.s thcrsn. <br />and who sntracls for such pDixts wirh a Co,tturo(s) liccnsd plru ro Oe Conrlchr's LkIn* Li*). <br />-l <br />m ex.nfl ondcr Sdion-. B. & P.C. for rnis Ea\on. <br />EOB6Etsd:.CAUD'NSAIION <br />DICBBAIION <br />I lrcrchy rlltr utrdcr lttrrltyol fcrjury.nc ol rhc foll.sn! dc.lnrnridr{ <br />lhr\r3 tsillnui.rxinJCdi,icxrrofCon\.nrhSclfl0\urclnrro'1.^ c.n{.r\rri,ni. r\ pfl^idcd tur byS..ri( 17(lOolrhc <br />I'h { ar Jc. li r rhc NrhlnL trr rirh. tr rl li' sh.h rh( nfl nni F tr.usn,/ <br />rlt Rork i(r w[ich rhi\ p.i,nir i\ isDdl Mtqurkrr'conl{tr\r,iqr iNuflnuc.rtrirr dkiEricy u ft.. rd: <br />U \4 <br />-l <br />ccnify lhar in lh. !.no.mncc oi $c wort for which <br />'his !.rmn is i$ued. I snal not cmploy any pcson in any mnncr <br />e ai lo b€om slbjd ro rhc *rtdt omr.nrdtun laws ofcalifomia. dd !e@ rhat ir I should be6m slbir! to 0E <br />s.rts comtc.sltion pmvhions of S.dion 1700 ofIhc Lator Code,I shall.lonhwnh.onlly *nh tb* tmvhions. <br />WARNINC Flilurc ro $curc aortcr omp.nsdion covcnSc is unl,wtul. ond snoll sul,Fl m cmdorlr lo sjninar Ftulas and <br />ciril fincs qr lo onc hundrcd rhous0nd dolloF drtrrgc\ r\ nrcvidcd ntr ihc <br />Ssr ion 1076 .f lnc Lilnr Cod.. inlerc <br />Lolt* lttr-l <br />I h.dby ,lirn uid( p.nalty of Frj4, lhd I an !.cn*{, !od.r povht,n ofCh,prd 9lconmmin! wirh Sccaon TOOO) ofDivisiofl -l <br />of rhc Busincs and l,rofcsstns Cod., md m, liccns is in rull f e ond clfd. <br />1 <br />I hceby afirf, &der ncnalry of perju.y Oal lhcE <br />issEd (Scc. 309?. Civ. C. ). <br />tucrioo lending .Cr nc y f. r r hc p.rfonmn.c oflhc worl lu which lhir pcrnr is <br />mrly sirh rll ciry.od Coutrr, <br />Ciry!'Lt Counry ro cnrd qFn rhc <br />(.aftsll< <br />o*,. ?os* lvts.xance Setnc.as lxc. <br />klrlls <br />,lppl.l( :,tr,tr tx r't,r*nl0n <br />I h.r$y rritnr u erJrrrhy.r tx.juryoncolrhc nnhwirs d(llrdtnr\ <br />D. mlirrn Pcrn,ia \tino\ Norifi(ri(,n Fcd.ful RCEUlrridx(lih J0. Pan6) <br />Rcquircd l-crlcr ol Norillerrion