Laserfiche WebLink
ID/SIG. <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 Ranqe <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 />,/r:r,Above Hard Lid <br />Above T-Bar 419lt4 iw <br />^r/44,U I <br />Rouqh Mech. <br />Final Test <br />Meter Release <br />f/'h"r6,,.99 )FINAL <bril-t q <br />Notes, Remarks, Etc.vt <br />II <br />MECHANICAL-INSPECTOR RECORD <br />OWNER BUILDER DEI-CARATION <br />I hrcby arrm undq F rlly of pdjlr, that I @ dcmpl 6!E ln€ contEclo6 Lic6( l,w lor lh. followiog !!&n (sa 70ll.5 <br />Buin6s dd Prcl*ion C!d.): Aly City or Counry whkh r.9uir6 . Finit lo connruci. al6. ioProve {tsrclish or rAit D, ' <br />$ructua ,iitu lo hs ts!!u.. ,l$ r.qund lh. llrlicel fo, soch Fnnn to filc a sis.cd sul@@l $!r h. or dE b lic@.d Pul:@l <br />ro Lh. prcvbiod of rlt Conlr.cld ! Li6B.d Llw (Ch.pld 9. Com@ing wnh Sdion ?000 oa Division 3 of llE Buti.s ed <br />PEf*ioos co&) or dul h. or sh. is €xmo ft@lioo &d fic h4sn for th. allcg.d .rdFior. tuy violadon ofsalior ?01 I 5 bv dv <br />dpplicant for a Frnil subjdls rh. rpplicsl to acivil pcnahyotrct rcr.ll$ fiv. huidrcd doltd (t500). <br />I, s oMd olth. eoDaty, or oy @plo'6 wilh *Es6 s lhci. $L omFo!.lioi. wiu do 0E wor* dd tlE slru.t@ i! ml <br />i od.d oro,I6.d foreL(Se.?044. BsitB ed ProfGioN Cldc ThcCo DcrdsLicdcLlw&6not+dvlo@oscof <br />rh. p'DFiy wtD hiil& or imFov6lb@q ed who d(E scn @'t niMlf or h@ltor throur] hb or hd om.r!lovc, <br />lrovid.d rhlr such ioFowtr!fls e el inrdid.d orofbld br elc lr. ho\ffi. rh. t{iEils or ioFotdd i, sld ehhi. on. rE <br />ito.qUm rt O*o euiraa qnl haE $c hndo ofFlviry $d hc or shc did ml toild or i,tFovc lh. Flpcty ftt th. Frpo* of <br />-1. <br />s o\hd ofrh. p.oFly. m q.lusivcly co ...li.g shn ficos.n coff..ro6 lo @ndflci tlE Fo.i*l (S€. 7014. &nilR <br />ad P,oG$ih Cod.: Thc Cont ..lol! Li.@. l:w doq ml !9ply ro d oMo ofprop.rry *ho build! or inprcve thd6( <br />ed who @ntads rd luct p.otsrB with a contr..to(O lica!.d plBu$r ro th. Cod6cror'r Uc.N L!w). <br />I an .Enfl und6 sdion-, B & P.C. for lhis l!e.. <br />D q otn.r: <br />][aB6E8[CAUTEISAT]a!pEcLalallaN <br />I n@by amm unds pcMlty of pqjury onc ol$. tollo$i.8 dcldalioG: <br />-lhav. <br />ed $ill mai ain a Cmifi.akoacoMr ro Self-lNlrc fo, rvo.kst @nrp.neri6n,I p@aided aor bvSclio,1700 ofth. <br />trbo, Cod., for rn Ffomarc. oflhc {ofi for *hi.h lh. psnil is issucd.p hqvc and will tuin.in wort.G comp.tualioo itu@tuc. s r.qun d bt Sdtion 1700 ofthc bbor Code for $. pdamMc. oa <br />tn€ work lor rvhich rha p@{ i! isu.d My .ospsaron iBure.. cnid did policy tumbd e.: <br /><>-"/ -e-3-14 <br />-l <br />.cniay lh.l in ln. Ffomnc. of lhe work for which thi Fhil G isucd. I 3h.[ nol mploy sy pden in an, nuB <br />s 6 to b€omc subjd ro rh. wo*@'comFsrion k$ ofcaliloo& sd rsre rh ifl sholld beo'nc eubjd to tlE <br />worta'.onpoelionp.orisioBofsdion]TOOofth.hborCod€,lslEll,fonhsihomplywilhthocpottiod.. <br />WARNING: ttilurc lo s(c wotk6' comFosaliod colcEg. is urltwaul, md shall subjd e onploF to oinin.l ro,hi6 dd <br />ciil fi.$ up ro orc hundrcd rho@d dollEs 1$IOO.OOO). in addirion lo U. cos of cospcdrion. d,m86 a ptovid.d aor th. <br />Sdlion 10'76 oarnc tjhor Codc iolqdr dd .lrotn y , fs. <br />12---\ <br />I.ICENIEDJANIIACIIB <br />DECI3AAIIO! <br />I lErcby aflirm undd poah, of Fjury thal I dn lic€6.d u.der rorision ofChapts, (conocncinS wilh S.dion 7000)'ruivision t <br />of rh. Eusin6s .nd P,oa*ioN Codc, ed my licffi is in lull foE. ed .ilr'. <br />q^'?9A1 <br />collllngclla!..LElDlNclcElcr <br />I haby ltfm udd p6!Xy ol Fju.y lhat tlE i3 t oBirucrbn bldi.g tg@cy for lhc Ffore. of tn.6* 6. *tlicb lha Fni n <br />isucd (Sc. 3097, Civ. c.). <br />L..dd! Ad&d: <br />- <br />ATTI.ICANLDICI.ABAIIAN <br />t hctby anid undd paaty ol pdjury onc oI the tollo*i.s dclaai io.3: <br />Ddoliion PmiG- sbelos Noificslion F.ddl R.Sul.lions (TnE 40. Ptn6) <br />-R.quned <br />Lcttd of Noi6crlin <br />-l <br />.dit rhar th. r.donl r.erbtioB Gsedjrs sbdo! Blov.l @ nor sppliabL to thb 9ojer. <br />Z cdiry rhd I h!v. @d rhB lpphc'r ion 'd std. rhd lh. abovc infomario! is .@6r. t a8rd lo @mply wirh r[ chv ard CouDtv <br />/oi!ti!l.rc dd Stal. L{u Elalry lo hlldmg .oBmd iol! &l h@hy authoria rcp1eddiv6 of lhis cirv ed Coutv lo dla uloo $. <br />abov. Mlio..d popcly aor <br />Applicsl or 486r Sisnalu.: <br />APPROVALS DATE COMMENTS <br />tl <br />i---+--- <br />fT <br />-l-- <br />^", // -zo- lL <br />*. lf-zo-rd