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DATE ID/SIG.COMMENTS OWNER BUILDAR DELCARATION <br />I hdcby alfm lda Fnrlly of Fju.y $.1 I M qdpl EDn llE ConlRclm Lic.ns. kw hr th. lollosing ,q$f, (Se.7011.5 <br />BBii6s ard Proi*ion Cod.): Any Ciry or Coury wnich r.quir6 a Fnh to corurru.l, ,lto. inprcv., &nolirh or rprn uy <br />srrtrclu., piior lo t. i.sudcc. 6bo Equt6 th. lrplicst for such Fnil to fiL a siSrcd srdmdr rhn1 lE or sh. is lica.d puM.,! <br />rc rh. pmvisioN oflh. Conrldoi3 Lic.n*d r,w {Ct.ptq 9. Comdcif,g win Sa1io. 7000 of Division I oflh. Bsins ed <br />Pmfsions Co&) or lfi.l h. or slE ir d@p{ Uqctoo &d ft. hs!!r h. rhc .lLscd qdpion. Ary liolarion ofsdion ?01 ! ,5 by &y <br />arplic@tfor.Fnnislbjcrslt.ppli.6lroacivilpcn.hyoinormElnanfiv.hundr.d{,ollc(S500). <br />1 <br />-1, <br />a oMd oflhc Fopaly, or hy snploya wnh wrg6 d lh.ir sl. @mp6sdion. *iI & $c worl ed tlt lttu t@ b tul <br />inlad.d or oft6.d tor eL (S8.7(x4. BBios ad Prof.ssi.B Cod.: ThE Cont,rciolr Lic.@ Lrq doe lot apply $ e ose of <br />lh. ptiFry wfio hil& or imFDB lh@!. nd wlD &6such @rt tiro.llo. ndcllor ltrcu8h his or tE om dplolE s, <br />previd.d $d tucn inpNvoE s e tul i, q{tcd oro,I6.d lbr *L. lf, fiouaq,lh. hriunB or imFrmon i! eld widun on. }s <br />ol@oplriorl $. o'rn6 A{iB6 win fi.w tlE trinko ofFDvi.g {u l'. or 3h. drd d hild or i,rFDv. fi. p,pFiy lor lh. pipoe of <br />_I. a oM6 olrhc pioFry. m crclBiv.ly corlncrirs wnh liccns.d contrdcro^ lo constucl rhc poj6t {Sc. 7044. a$o* <br />Md PtoftsinCod.: Th. Conlt.clols LicG. t s dc nor apply lo eo*nq olprop.rly who buildr o, ihprov.s lnsof,, <br />od qho co,nrads ibr such poj*1s rvnt . Co'macto(s) li.c.d puBrht lo rh. Contr.crois Licms tiE). <br />_l @ cxdfl ulda Sdio,!-. B. & P.C. forlhit rc&o <br />D.re: om6: <br />wotu(Eiri' coMPorlsattoN <br />I}ECI,IIAAIIAN <br />I hd.by allm ond6 Fnalty ofpsjury oic ofth. follosins dftlerliotu: <br />In v.&dwill@i rin a Cqdfic.rc of CoIMr ro SdllNurc for workd! 6mp.n! ion,a providcd for b, Sciioi 3700 ofrh. <br />L.bor Codc. for th. pnfolr@.c of tlc @lt lor which rh. Ff,n b isucd. <br />_l ha* &d vill oli.tain wo.I$! conp.tualion insuranc., 6 r.qun.d by S..lion l?00 ofrh. bbor Codc. lor rhc pdfomd.. of <br />lhe wrl fo. which lhis p.mn is isu€d. My erkd compssalion imuraoc. cnia ad policy flumbq 6c: <br />Poli.yNumb6:_Erpnc <br />-l <br />cdi8 thar ii rh. Flomncc of lh. nolk for Nhich lhis pmnil is issued. I sholl not cmploy y pqsn in Eoy mdnde a to beoD. subjet ro thl wort6' comp..ssion laws orcaliaomia, dd asE $dl if I rbould b..oe rubi..r ro ihe <br />vork6' mnposliotr provilioN of Sdiioi l?00 ofih. Lrbor Code I sh.ll. aodh*nn o'nply s nh lbs pmvisio6.. <br />WARNINC: Failuc lo sfu wort6 comFtuarion ovs.8. is unla!tu|. ed shall $bj6l 6 dployd to oimiel poahi6 od <br />civil 6n6 up ro oi. hundEd thoMd dolle (S100.000). in lddnion ro rhc cosl oa comp.Nalion. ddlgcs a providrd for lh. <br />Sslion 1076 oarhc t bor Code int.rGl sd ltormy'r fG <br />Drl.r_ App[o.l: <br />ucENtEt-coNrtacratuigr'aalla! <br />I haeby arm und.r pcn ly of p6j!ry lhar I m lic.ns.d u.d.r prclisio. of Charra I (.om.ociog tr irh S..rion 7000) of Divbion l <br />of rh. Bosine ud Pma6sios Codc. and n:y hc€M is io lull lo.a ald .ftcr. <br />Drl.:_ CotrlEdor: <br />cotiLSlJ(ft0N_LrtDlrcrlclillc} <br />I hd€hy amrm undcr poallr o I l'Tjur Ihil lhcc is a consrrud ion lodin( a!oc) for rh. pE nrmance ol lhc \ oA tu shich rhis Itnil is <br />6Nd (sc! 1097. (iv (.) <br />AI&TANIDECIJBAIION <br />I ha6y rtrm u.da pa.lry ofpojury o!. of lnc follorins ddhlaliotu: <br />DsDolhion PmiIr-Ash<ro. Norific.lion Fcd@l Rc8uLlios (Titlc 40, PEr6) <br />-R.quiEd <br />t-al6 of tJoliS.nioo <br />-! <br />cdiry thd rhe a.dqrl qulatioa Eeading abdor rooval a. hol appliebL to this p@j.d. <br />-l <br />ccniry thd I hav. Bd lhjs rpplic.tio! ed ftrc rhd lhc ahor ilfoml.lion b corcl, I .erc io o6ply wi$ all City @d Co@ty <br />ordi@6 dnd $dlc Ll*. cldirs ro buildin8 coturrucriotr ed hE.bysulhorirc r.Fenl.liv6 ofrhbCiryddCou yto dlouponln. <br />abo!. Mrioncd p,DDd, for i6D.crio! prrpos. <br />Apptc&t o. Ar.d Signde_ <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Compressor <br />Misc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Delectors lnstalled <br />h Ductwork <br />Vents <br />lollet 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 />f,.ough Mech.I ta)U T rxt@*Jz 4 <br />Final Test t UI <br />Meter Release ll <br />FINAL 472t .i) <br />Notes, Remarks Etc , --F__--),t-/ <br />MECHANICAL.INSPECTOR RECORD <br />APPROVALS <br />Furnace <br />llrt r"-: I <br />Lic6*clts: I ic.IllNubE'-