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rD/srG.COMMENTS OWNER AUILDER DEI]CAILAIION <br />I nftB arrm uida paElty of pdjury ltd I d .r@pl 6@ thc Conrt.r6 Uc.ns.lnw for lh. followi.S ta$n (S4.r0ll.t <br />Buin4s sd Piof*ion Cod.)r Any Cny or Counl, which rcquir6 . pdf,il lo condrucl, alt, inFov.. danoli.h or rP.n &v <br />3r&cruc. ,.b. ro irs iBuecc al$ requiB $. ,ppli.d fo, locn Fnril lo fi1. . sisn.d sla@@l thar h. or C'. b lic@.d p@el <br />lo rh. proBioB oa $. c.nE.d6! Li@n .! t w (chapro 9. connacirB wilh setio. I)00 oa Divilion 3 of thc BBi&s ed <br />PbfBsions Cod.) or $ hc or sh. i5 qdpl lt@noE ed lhc besis for thc dlcgcd .r.m!rion. Any violado. of S.cliotr ?01I 5 bv aot <br />rpplicaor for a pdnil lobjcB ln .pplicEr ro a civil p.Bhy ofnor noc rt.n nv. hu.&.d dolles (1500). <br />-1, <br />s oMq of lh. popdiy, or my mllor6 wilh wa86 s lh.ir sL odPdsdon. wi! & rh. wut dd rhc ffd@ i noi <br />ir od.d or ofi6.d for saL (Sc.7044. BBins ud Pr.fdiotu Code Thc Conlrrclols Licals kw &6 tot .pply lo & oMa of <br />t6.FDFly wlb t!il& or iry.!6 thao,! .rd *ho dod $ch w* tirelf or h@lf or rlmueh hB or hd om drllovc <br />providcd rhrt such imFovoMli @ lol lnad orolt,ld lor $L. ll hoxtE. dt luildi.g or iDF!6EI is eld withii on. va <br />olconDldio!. dE Olle BliuE will hd. th. hrdd otprcviig thd tt or !h. dil ml bui6 ot i.prow $. FoPatv lor tlE FnF* of <br />-1. <br />sowofln popdty. m qclusi!.ly cobuacling wiln lic@d conl@clou lo coclncl lh. prcjd {Sft. 7044. BLsinar <br />dd Proiisih Cod.: TtE Conlrr<loar Lic.e hw dod rcl .pply lo u ow.q of propdly sho blilds ot inprovBlha@n <br />ed who @ ncls ror such pojcls *nh a c!!tnclo(9lhosd pmuir ro th. Conl6cror3 Lic6. Lsw). <br />-l <br />m .idpr u!&r S!.lion . B. & P C. for lliu !con. <br />1DORKERS' COMPEIISAITON <br />BECI,AMIIOX <br />I hd.byailmn und.r F.ahyolpdjuryon ofttc tollowi.g d<laatioN: <br />-t <br />hrve dd *ill @inrlin 3 Ccnificalc olcooFr lo s.la-lNrr. for mlkdt .onrpcnstion, s Flvided fo. by serion 1700 of th. <br />Labor Cod€, lor lhc pqlommc€ olthc worl fo, ich thc p@il i3 issred. <br />-I hav. ed will main8in wo*.c .om!..!tlion iGuranc.. N r€qut d try s<tio. 1700 of th€ tlbor Cod. fDr th. pqfom c.ol <br />is isu.d, My wo,kdi comp.Mtion insuec. cmid md policy numb6 aciF^. <br />.l(I 22/? <br />-I <br />c.niry lnal io th. psfoll@c. of rhc sotk fo. which thtu p.mn is i$ued. I sh.ll nor dnploy .ny pdsn i, oy mmd <br />$ s ro b{omc subjer b $c ed(6' compostion laws ot Calilodk, dd t€te lhd if I should bdooc aubjdl to thc <br />worl6' omPs$rion ptuvisioB ols..lion l?Qo oalhc tjbor Co&, t sirll. fonhwith onPly wilh lho* pr.vtioN.. <br />WARNINGT l_.ilure to slE *ork6' comFnerio. co!da3.e ddoyq to 6nnin.l FBlli6 dd <br />to orc hundEd lho@d dolls ($100.U10), in drD.gd B provid.d for lh. <br />Se(io. 3076 .f th. bhor Cod€. inrdd od <br />,*", )l - 14 -)p l{ ooo A4 <br />LlcEllE-cotrrBAcrof, <br />DECllSAnO! <br />I t d'y .ffd uid,r Dallry of pcjlry lhs! I 0n li6s.d &da Fovlion of Ch.pl6 9 {omtuitc wnh Seliot ?000) of Divilio! l <br />of rhc Buir* dd PtufBioN Codc Dd Dy [q@ is i. tull forc dd.IL.l. <br />bi s- <br />I hmty amrm lidd pomllyotFrjuryrhar lhse is a coNlnrclion lodin8 aSocy forlhe pGlof,nancc olthc\ork lor which lltu ptrnil ie <br />issucn (Se.:1097. Civ C.). <br />AELICAILD&CIA8ADqts <br />I hddr, .&m ud6 p.rally ofFjuT onc ofth. followin8 d..ltarioG: <br />Damltion P@ieA!b61o. Norificdioa F.d@l R.rublioB (TnL 40. Pal6) <br />-Rcquircd <br />L. d of Notifi..do! <br />-l <br />carily rhar th. Ld@l rcslLrioB ESdding 6b6los rdoval dc noi tpplttblc lo lhis pojdt <br />-l <br />cdit ttol I havc rqd lhis ion ,nd slri. rhd thc .bor c md'on i(cond I0Uero (omp\ tr hallCirvsndC"unry <br />ordna.c6 ed star. llws rFetaril6 otlhi! cny dd couly lo .nlc woo lh. <br />Appliances <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 />Rough Ductwork <br />Vents <br />Toilet Room / Clothes Dryer <br />Residential Range <br />Other <br />Hood <br />Tvpe I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openinqs <br />lnstallation <br />F.D. Drop Test <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech.4/ttlo z fus-rk /il <br />Final Test {-- <br />,lI <br />FINAL 1Vl4il,t ,t"lgtL wr E*?N <br />Notes, Remarks, Etc I I <br />MECHANICAL.INSPECTOR RECORD <br />APPROVALS DATE <br />L.dn'! Nu. <br />- <br />ah,r n6r ion.{ popcny lor *-bzq <br />Meter Release