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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Appliances
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Ivlisc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Range
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<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 />Meter Release
<br />FINAL ,-zs-?u Er,< t olt
<br />Notes, Remarks, Etc.
<br />OlVNtiR IIUII-DllR DI,iI-( ARA tl()N
<br />{nk1urc. frirrh ir\ 'snh ... rho rcqtrtrc{hc {Dlrifr n! nrh Fnni h li[i \rsncd nabnrnr lhrr hcor \h. is Ii..ns.l purn']d
<br />r,) rhc p(,virion\ ol rhc (.nrn.kn s I iccn\ed LJ* (('hrnrerr). C.unenci'rg sirh S(tnn ?(X)O of Dnni(r .l ol rh. Au\ni\ rid
<br />rmh.rrnrrr.rnrir\uhJ..krhcaf,!li.rnrr)n.i!Llncnrlrtofnorftr hrrlirchutrdrcd(lollr{lS5([))
<br />-1,
<br />as o*ncr of lfic pmrcny. or m,.nllrlo,tes wnh *ascs us rtcn $b 6ntF.snrion. will do rrE wo* rnd EskurE ir mr
<br />inlcnd.d .r ofcrcd lor sle (Sa 7u4. Busincss rnd PmLssions Codc: rnc Contreclols Liccnr Lir dcs mr qrDly ro { osnf ol
<br />rhc Iftpcny who h4iikrr or ii$68 rh.@n. aJld who &rs skh qork hinicll or h.rclf or lhmu8h hh or h.r o*n cnPloyccs,
<br />llovilcd thll such in]Irowmnrs aE rn idcndcd tro,fcrcd for slc. tf, hoEE, il* btrildine or hr{mwmnl is sld wnhin orc Fu
<br />ofconplchtr rlr Owrcr Buildcr will haw rnc b'nncn of Fmving fid tE or rh dn ml build or tqmG rhc l,oFry lor rlr nlrtbe 6f
<br />a/tv
<br />7A/1. .h i ,tr ns L,r rhc tml (ny. Jrn c\.lui ' cly c"nrr r irs Nir h licc,r\(i conrrNntr\ h con(tucr rtu ls)icr (sc{ 704r. Bu\ircss- r"J t'|rurG.rn,Co'lc fhcLi'nrr*tr.lrrn\rLr*'l!c\ioraptltk,rno$n$off'ropc.tshohuildsornnprorcrrhcrcon.
<br />nd qho.u nrr\ li, {rh pn!.d \ wnh r Conrnrh ( 9 lic.trr.J Nrsurtrl r' rltr Conr(ttr \ l -ncn\. t:u r
<br />v
<br />t(
<br />I hcrcby riltm undcr rcnolryofFrjury onc oalhc nnbwin8 d(lor0li,,!s
<br />-l
<br />lEvc 0!n will minllin r C.nafrrlc of Con€ ro S.lr l.$rc fm srkac ompcn rrioL a pBvi.lcd for by Sdion 1700 of tlE
<br />trbor Codc. for lh. p.rforoa of lhc @rt for vhkh lhe Frmil is ns!€d.
<br />-l
<br />haw and will mainllin wo*c6 comp..sdion insuEkc. I rquircd b, Selion l70O ol thc bbor Codc. for lhe De.foruc of
<br />rh. vort ior qhkh 6b p.mn is is$.d. My *orkcB omlErsrhn insurare caisr e'd lDlty nonbcr m:
<br />Cnicr.
<br />in lh. ll.fornrrc. of lhc wort for w hi:h lhi. pcrmil is hsucd. I shlll aor c'nploy en, pc^o. in any mnncr
<br />ldws 6rCalilomia. lnd agm rhrt iil should tEconE suhlccl ro lhc
<br />rhc Lthn Codc.l shall. fonhwith comply wilh lhor lmvisions..
<br />{hicl n)lh.r* (.r\.onlnLtr\rrioi
<br />wolkc^ con{ro\rrionpDvnioisorSc.rio.l70Oor
<br />WARNING: Failur. ro wxr. so,k tr smlcnsri.n .ov.raec is unlNtul. r"d snall sul,r$l on cmrloylr ro dinin,l lfDlris and
<br />.^,-" r".l,,l-,.,".,",'
<br />,,","4(t/ao
<br />i.n, diilgcs rc fiovnldl for rhc
<br />/4-tL71
<br />DEEI,6X6.LI0N
<br />I hcrcby !fln6hder prnrlryot ncljrry rhar I en li.ch{rl undf F)!isn)n orchlprd q (oanrEEins *irh S$lion 70(D) orDivi{ioi.l
<br />ol rhc Burirc$ ond Prcressn,ns Codc. and m, liccns i\ i. lull t8a dd eflc.r
<br />COXEBIICIIONIENDIIIG.ACE(I
<br />I lEEby aflirn u..l( FMIyofF iu.yin r Oe i! a@!n dh. b.di,8 lerEy lor thc pdfollrrlfu of dr ed( for which tht Frnn b
<br />irsucd (Sft, 1097. ci!. c.).
<br />dItulAIu)ncLlaarlan
<br />IlrNbyrllirrrutri$I,c Iyor'trrjuyoncnl rhctrll,,$ins(lcc]rrari,,N
<br />I)Inv)liri()n I)cflnirs A\E({o\ Norilicrrirnr lrcdcful RcsuIrnnr\ fr |C.1(r. Pnn6)
<br />Rcqutrcd lrrrcr ol' N.rli.xriotr
<br />ffi:,ilynftr rhe tldcrrlrcstrlarions rcsdi0s r\h.{o\ runr)vrldc n.r drplicnhlc to rlris rmjcc'
<br />i onturion n cor.ct I a!IL! io mrplt wilh aI Cn] rnd Cou.ly
<br />onlinanc$ rel Srar. trss elarin! ro -:iJryff*
<br />.'I---T-_-
<br />rhxr ncnrn,tud pr,!.dr li,r i,r
<br />Amlic r or sc.' si8tur (hlh
<br />Metal Fire Place
<br />Grease Duct
<br />Nrhbcr,_Exptcs:
<br />-
<br />llrdd r AIlltBr
<br />-
<br />I
<br />=
<br />i-
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