40127449 - Permit - Laserfiche WebLink

Home Browse Search

MECHANICAL-INSPECTOR RECORD APPROVALS DATE ID/SIG.Oqnd-BuildE D.clararion a I n.r.by lmrd und.r p.mlly of p€rru.y lh.r I !n ex.mfl lorn th. Conxtclors LE.ns. Law for th. lollowins rolon G< Tor l 5 Bsin6s md Profcasion Cod.)r Any Ciry ot County whi.h c{uir6 r pml to coBlru.1- ahd. inprovc. d.nolish or r.pri !try sttu ts.. prioib ns issuf,cc. .le rcqli6 fic .ppliur fo. s!.h p.@t to filc . siBtr d slltmfl lnll h. or sh. i li..Md puBlsr ro th. povilioB of ltc Co,ta.toli Lic..s.d Lt* (Chtpr..9. conmcncna wnh S.clion ?0oo ofDivnion, ofrh. ari.63.nd Prof6tio6 Cod.) or $d n or snc is cxcmpl lh6.Eom lnd rhc barh for ih..ll.*.d cr.npioo,Any viol ion ofS.clion 7031.5 by sy applicant fo!. p.mir subjec th. lpplicrnl lo r civil p@!rof nor oor. rn& fi!. h6dr.d doll6 (1500) l- a owr oa thr pop.ny. or ry .mploy€ wirh u.a6 a th.t !ol. coop..$tio!. will do lh. Norl !.d tlr !1ru.lm G not irr6d.d or o,I€r.d for sl. ( 56.?044. a6i.* ,nd Prol.$ion! Cod. Th. Cofll,lctors Lrc.B. L.w do6 nol arply ro rn own.. ol th. pmpcny wno buildr or inprov.s Ih.r.of,. sd who doB.(h so niis.lfor h.aclfor lhoush tis orhd owr cnploy.6. pDvid.d thlr luch ihprolcdcnl. e.or i.tcndcd or otfcEd fm!.!..I( h.w.vr. th. blildibs or inprcv.m..r ir 3od vnni. oo. y.r o,.ompl.rion. rh. Ou,nd-Build6 will h.!t rh. budcn of provi4 thr hc or rh. nol build or iopro!. ro, rh. purpo* of ial.). I, s ownr ofth. prop.ny, ao.rcluliv.lyconrr.ding wnh licru.d conk!.io6 ro coBrrucr lhc proj.d ( S<. 7044. B6inc$ ed Prof.!fun Codc Th.Cofilaoas L'c.us Llq dod norlpplyro.nosn6ofprop.nywho buildr or imprcvd rncr@n . a.d who contrcrsror su.h pror4r! w h i Coorrlcro(s) lc.nsd pu6u.nt ro rh. Conr.dor! LE..* L!* ) _l m .x.mpl lrdd Salion !&a6Eas.ga!4l[!lAra!_DEcu I h...by . mnn unds pcflalU ol pdury on. of lh. roUowinB d(laatiorcl I hN. and Nill @inlrin s C.nincatc of CoN roS.lilnsur.lor*oit.B.on$ensstion.as provid.dforbyS&tion1700ollh€ L.hor Codc. for lhc p.riormancc oflh. wolk [,r which th. pmi b i5!!!d I h!v..nd will m.i.tin *o .R onD.Mrion inrur.n.e, a3 r.quned by S..l'oi l?m ofth. trtor Codc,lor tlE p.rformoc. oalh. qork tor *hicfi thi p.rmn B i,su.d My worle* @hp.hel io. $rure@ @dcr ud polE, nlnb.r !r.: Polic, Nunbd:_Expiq: (Thi! ielior n..n @l b. conpla.d if lh. pmi i! for Onc hundr.d dolle {$1001 or h$) l.cniay lh.l inlht pdforr11ei of lh. *o forshichlhis p.mn is isucd., shrll.or mploy any p.6o. ioanymMn.rio 6lo bem. subJEl lo rhe uorkss comp.nslon Lws ofc.[for.E, and asr.. fiar ilI sholld h<om. sub]d to (he w6rk.is conp.ls.lionprovisioso,S.criorlT0Oofth.hborCodc.I.hall.fonh*i$.omply*iihihosep@visio.!., Darc:_Apphcanr WARNING F! ur. lo kur. work.B @mp.Nloa .ov€rsc is u.l.wf!I. rnd shtll rlbjet .i .mployd ro gimiul p.MI i6 lnd ciyil fo.s up ro on. ho8,t.d rhousd dou6 ($ 100.000),in eddirion ro rh. con of codp.tu'liotr, &n4@ as prcvidld lor th. Selio. 1076 of dc L!bo, Cod., 'm..d..d ll|ohcyt fG UC!!!ELCOMAACII)aIpEC!.AA4I!o! I hE.by ritm u.d.r p.u[y of pftjury th.r I m li.cn*n urdd pbvtion ofchaprd 9 {@mcncins snn S.clior 7000) of Divi.ion 3 of th. BBincs a.d Prolsriorc Cod.. md dyliccM is in tull fore and.fer. _ Lic@ N@b6 ea!ilBuc!!ax1!!!D!!c_4c-ENc! I hdeb, amm u.dd p.ntrhr ofprjury rhrt rh.r. is i coNrtucrion l..dirs asc.cv lo! th. p(aoflna.cc olrhc sorl ior trhi.h rhis p6mh n issu.d(S( ll)07-Civ C.) aEttgAul-plclaSarqN D.mlition Pcmils-A.bcsloi Norifi.liio. Fcd...l R.lullliors (Titlc 40. Prn 6) _ Rcquircd L.ttcroaNotifi .ation I c.niry rhlr rbc r.d.r.l r.rulations r.sddins sb6ros rdrcval ar. not.rpli.abl. ro rhis projdr. _ I cqlit rnnl I hN. r.ad rhis .ppliclrio. ud rhl. lh.r rh. .bov. i.fomario. is .or..r. I .EE ro .onply wilh rll Cny and Counry ordina.cB and Sbr. lrws r.hrin8 io building coEtn.1io.. .trd hftby .ulhoriu r.pc.nt ri!6 oflfiis Cny snd Couty ro at.. upo, fi. sbovc ncmion.d prcO.ny for iDDFrion purpor6. Applic. oragdsis.:_ Appliances Metal Fire Place Evap Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork Vents Toilet Room / Clothes Dryer Residential Range Other Hood Type I Hood Type ll Hood Grease Duct Fire Damper Openings lnstallation F.D. Drop Test Above Hard Lid Above T-Bar r- Rough Mech,t-YflWr, H..l,"ll 1 Final Test F- Meter Release FINAL lt/r//u //,1.1/- MlWP5 J\Permit lnspecUon Foms\Me.hanical-lnsp6ctor doc 03 31 COMMENTS -------T------ r------r----- I