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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS o\INER BTJII-I'ER DCI-CAIIA'T'ION
<br />I hcrchy rlltm uidor NMlrv,,f Ic{urJ_ rlrr I rr c(cnrnt lionr rlt 6nrcr,r\' t.ic.nr Lrw frtr rh- fulh,trirl8 rc:qr lscc 7l).11 5
<br />llrsinr\\ ,'rl Pn,L$i{{ Cnlc) Any Cily or Counry shich r!quir.\ r p.nnir b .otrnru.r, rltct. intFovc. dc'nnth or rcI[n rny
<br />{r.iurc. pri(rr' n\ s\urtrcc, rl$ rcluncs thc ptlicanr br{'.h n rnnr ro fi}.n liFtrcd sdcnMr lhd tuor \hc i\ li.cn\cn lur{ritrr
<br />tu rhc lroriri.ns oi rhc Cnnlrncttr s l.iccn{d tjw (Chatr$ 9, Co.nncncin! vilI S.cri{nr 7(XX) of Divrii,n :l ol lhc IJusirrc$ trnd
<br />Pn,fcs\ion\ Codc)orrhrr hcor\hc i\ cictotr rh.nrro r d rhch$is tur rhcrllcgcdcxcn,Plt,n AnyvnndnnrolSccrionTO.ll5byrny
<br />lPtlicanr io r p.rmir !ubj(r\ rhc altli.dnr b r .i!il lEtu liy ol or nuc lh3n l ir. hrn rcd ddllrs l$5U))
<br />-1.
<br />as o*nd of the lnrp.ny. m my cnplo)qs wilh rrgcs s lhen mh.ompensdhn. willdo llt sort a,i tE strsl@ is nor
<br />inridcd or orcrcd for sL (56.?044. BusiEs and Ptuf*sions Cod.: Thc Conu-&ror's Lic.F tzw &'d ml !rpl, ro u ovrcr of
<br />rn poFny who buildt or i,r{,mrs th.en,,id ehod6 sh mlt hiNclf or hcrrlf or thtulgh hii or hc, owtcmploy*i
<br />noti&dinri iuch i.prcvwfi e ml inrcnrhd orotu for ab.lt lDwq. rhe hiiuing or inlptmc issld*itthmyqr
<br />of@doleii.r'! dE Ors Buildcr win har llE hod.n of Fovin8 llEr lE or slE did ml hlld or ingtot fic pmFry lor llE I)qnE of
<br />-1.
<br />Nsowi.rof lhc tEFny. ! cxclusivclyconlr.cringwnh li.cnscd conlracloF lo on,ldcr tlE pmiel (Scc. ?04'1. BGimss
<br />a.'d Aorssion Coder Thc Conkstort Li.cn$ llw dms ml loply lo an o*n( or flopcny sho builds or imPots th.reon.
<br />cnd who mnrmls for slch prlixrs sirh a C.nmcto(O ltccns.d pu*uml lo ltc Co.nadols Liccosc Lrs).
<br />-l
<br />amcxcmpl unds Ssctio B & PC lor lhis rcaet
<br />-
<br />owEr-
<br />WORI(FRS' COMPiNSATI(IN
<br />DECIABAIIAN
<br />I hcEl,y olfinn undcr pcMlty df pcrju.y om ol rhc loUowin8 d(lmlions:
<br />I hirc uxl willnun rinaCcni&Jrcofcoi\.t!krsdlfln\ur.litqorkcn conlcnsrrnnr.r\ ltulidcd lotbySarion:l?(x)ofrhc
<br />Lrln,C(dc. for rhc F.rtu lrccoilhcwork for*hihlhrl)crhn i\ nsucd
<br />-!
<br />havc lnd will tuintuin worte^ comFn.alion inslEmc. !s rsqund ty Scdi.n 3TL$ of thc Lihor Codc for lhc pe.rormencc of
<br />lhc work for *hi.h rhls pcrnir is is$Ed. My wortcs .on{En$l ion in\uahce cmi.r i,rl Fnicy oumbcr m:
<br />PoucyNrhbci ElPiE
<br />-l
<br />ccnifyrhar in ihc p.rr.rmnrc oflhs qork for *hich rhh lc nI is issu.d. I shlll.ol cmnlo
<br />s 6 ro bc..m subicr ro rhc $b*dr' o,nFndion hvs of Cnliaomia. an<l astc rhd if I sh)
<br />workcr( comFnsarnrn provisionr of scdion l?m of lhc I iktr Cric. I shill,
<br />WARNINC: Failurc ro ccm *ork is $n!.nslion svcasc
<br />cnrl finc, uf rn onc hundrcd lhou{rnd dollm (11tl0.000r. in
<br />u cnrJ,loylr lo dimin,l FMhics rnd
<br />nD.nstion, damges as pmvid.d for thc
<br />Scclio. 10?6 of lh. LatDr Cod.. inr.rci and
<br />DEILIS{IIQN
<br />I hcrchy.lft underplnalry.rf'oriuryrh.r I rm lilrtrrdu cr prcvisi{nr rchrPrcr9
<br />of rhc B{nncs\nnd Pmfcs{ion\Codc. ud ntylir.n\c n ir fullfur.c..dcllc.l
<br />,irh S(rb.700Ol ofDivhion 3
<br />"",., ?-"1-'?-/( """'*'*,
<br />cIllllructroN-LENDINli-&GENq
<br />IhcEb,.firnunddFnltyof,cqurylhsltlEoiia.o.sr.lio.bndinsr8cftyforlhcFrfolrrecof0EsMkforwhihlhbFmih
<br />hsucd (Se, 1097. Ci!. C.).
<br />A.PPIIEANfDEILAXAIIOT
<br />I Lrhy amnnuid.r pctr.h! ollE.jury onc ofrhc nnlo*ins d$lmrnrns:
<br />lxMlirion Pcirnir$Astcsros Norificnrion F.dcrrl RcBxlJn rs (lirlc.lO. Pllno
<br />-Rcquncd
<br />l,crrq oi Norifi cari,d
<br />, ccnilyrhlt lhc riderul BsuLlnnrs rcSudnr8 oshdb\ lctrr,vrl lrc Dor rPpl
<br />I ccnni lnal I havc rced thi\ orpli.rlioo dd { lc lhd thc db.\t i.fo.ndi.cotrd I dgm ro$mplywirh lll Ciryaid Cou.ry
<br />ordi'@cc\ and shrcLd*s rcltnina to huildins rc0rcsnllrilcs otrhh ciry dd cou.ryro ctrld lru llr
<br />,lx,rc mnrir,n d lmp.ny lor inspcclion IrEr-Es 1'-//
<br />Appliances
<br />It/elal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />Smoke Detectors lnstalled
<br />Rouoh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranoe
<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 />Rouqh Mech.
<br />Final Test
<br />Meter Release A
<br />FINAL lo-z-l(%.\I{-401
<br />Notes, Remarks, Etc
<br />.lppttur or aecnr siguruo,--^-
<br />c*t * ** tp,i^t ,ZL 11 y'r oj7il-
<br />lnsulation
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