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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COtI/IMENTS OWNER BUILDER DELCARAIION
<br />I h.rchy dlfrrn uhdfi pcMlry 6f pdjlry rhal I M .rorlpr fDn rlt C.nrdon' Li.cns lts aor lh..following Rosn (56.7011.5
<br />Busimss 0ri Profcssion Codel: Any Cily or Counly shi.h EqniEs a Fnil lo onsttucl, !ltd. itr{,mvc. dcmti{h nr Eptr oy
<br />sttucrw. prhI ro its nsuan*, dho Equncs $d lirplicanr for such pcmn ro filc , sis*d arcmnt rhtr la or rht ii lk.n$d pumdl
<br />'o
<br />lhc rrcvisions of0E Conlrelor's Liccnsd Lrw lchdpt.r 9, Comncncnrg wiln S.dion 7000 of Divhion I oflh. Bu.incss und
<br />Pmfcssions Cod.) or tur lE or slE is crcd{,r rlErcfom ard llE tqsir for llr alkBcd cictrprion. Any vioLrion of Sc.rhn 7011.5 bFny
<br />apnlica aofu I'crm subjcctr thc amli.am ro ..ivil ncnalry ol mr mE rhln nrc hu,ldEn dous ($50o).
<br />-1.
<br />as owmr of lhc ,,orcny. or ft, ctqrloyes wilh *ag.s !s lhcn wh compcisorion, will do lhc worl dd itE slid@ ir ml
<br />inlciiH or ofcEd ,6r eh (s6 7u4. Bu.i*$ ua PE csr,o8 C6d.: Th. C.ntdtr 3 Lt.nF trw dEs ml a|,P,y lo an oDtur of
<br />lh. FoDcny win toilds or iq,mh llEmn, atd uho &Es sh qrk hin$lf or hmlr ot lhsu8h hh or h.r own.ml,k yes.
<br />lmvidcd rh{ tu.h idpokmdr m mt inrcndcrl or otrcr.d r.r ek. ll hoscE th. h{ildinS or irl{,mrcB h sold within oic,*
<br />ofcomplctior ltE Owm! Buildr wil naa ttt budc. of tmving rnd tror sh. dil er l ld or in{hE rhc pmFny for tlE puqDsof
<br />-1.
<br />a owmr ol rhc pq,cnr. an cx.lusi{cly .onmcling wnh li.cncd .ofira.lo* ro o.srNd llE pmjel (Sc. 7044, Ewimis
<br />and Eof6rbn Co<ic: Thc Conrrurol s Licctrsc L{w docs nor apply k, 0n ovnd of pepcn, wno builds or inprovcs th.r.on.
<br />lid who o,'r6di {o, su.h ,mi.h with r Q,nreto(s) lk ned pun@r b th. Conr$lols Li.rr* L3w).
<br />Irnrucnrprrndrr S(rri{nr . tl & PC lnrrh,s rcxnin
<br />D"l. (r*n.r'
<br />llontrE&tr!)MrilsAfla!
<br />ltEctAIAMN
<br />I hcEby llliflh n"dcr pcMlty of p.rjury om oflhc folbwnr[ delrlln,*]
<br />-I
<br />h,v. .t*l will milrai! a Ccniaarr. of Conent ro ScltlNurc for m.t6 sn{rnsaIoo. &q lbviH tot by Snrion 1700 of rhc
<br />lrbo, Cod.. for lhe,qfomEc ol th. *ork f wnhh $e 06nn i! ir.ucd.
<br />X* -o *u, *tot..rk n comrnsdion insmrcc. s rcquir.t by s€crion 3700 orrhc kbor co&. ror rlE Frro'llEtr. of
<br />lh. wort lor *hich rhis Fm ir iin cd My wo*6 @ryrnsllii,n iMuM. .dir lrn poticy numts e:
<br />a
<br />I ccnily rhrr irrhc pcrfomun.c of rh. *ork Lr shi.h rhisFiinir ir issucd.I drallmr
<br />e as lo bcconE subrsl lo lhc aok6l comlcnsarion lawsofcaliforni!. ddage$ ial rnouU
<br />*ortcB.ooD.nsllionpmvhionsofs$tionlT00of$ct tor Codc.l shrll. fonh{irh corply wnn thoe pm*ions
<br />WARNINGI F0ilur. !, s..urc workcs omp.nsdiotr covc.aSc is u.l whl. rlld shlll uhlcct on cmpLr. lo dninal Fmkics and'
<br />civil l,nci ut ro onc hundrcd lhouslnd dolla^ (Sl0OJ[0r. in.ddnion ro lhc.osl of comri.n$tion. d!'usci ar provid.d rr, rhc
<br />:^:,^ i/2Tfr**.H::,. [ %-..-.....-
<br />L('FNS}DCONTR ('T(}R \IrEgdrallo!
<br />I h.rcby,ffifln !ndc. Fo0hrofpcrju.y thal I om lienscd undcr FovisionolChnplcr 9 ($m'rcncins wirh Sc.lioo TUxr) olDieision 3
<br />of rh. Busi'rc\r md Pbf.\lion\ Codc. lrd ny liccns is h tull ide d cilccr
<br />cz c-3G v55G
<br />raxcrxuclrcNI[dDllcacllll
<br />I hcEby alitrm under Ftulry of l,crjlr, rhar rhce i3 a co$rDcrion hnding {scNy for rhc Frforromc of LE krk for shich fin tEnn k
<br />ksucn (Sc. 1097. Civ. C.).
<br />Appliances
<br />lVletal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />ItIisc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rough Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<br />Other
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openinos
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rough Mech.
<br />Final Test
<br />Meter Release
<br />FINAL (-{v tr/r?/il-,fuz)*'?r'tu--
<br />Nqtes, Remarks, Etc.
<br />ftft) p\ru\r+ uaro N-palc C,r,W L\-1,,2."-\ . t/e-.t -x
<br />"-r.r* te
<br />A.PILICANI.DDII/AA.IIO!
<br />I trr'6y a0jm under Fndlr, otle juryotrc oirhc ti,llowi.C dNlorbns:
<br />ocrmlnion P.rnirrAsb.ios Norin arion fcdctuI Rcgnl,rions (Titlc 40, P,n6)
<br />-Rotutld
<br />tf, lt$of N{rification
<br />-l
<br />.cniry th0l lhc fcdcral rcsuhln,ns rcFrnins {slEslos rcnnv.l urc nor apDlnlnb ro lnis pn,j$r
<br />l.cniiyrhdIhrvcrcnd$ir+plic.rionu srobrhalrhc!h,r itrhandion hcotrccr ,a8rsrocomply*irnollCiryDndC.un'y
<br />ordiotrnccs lnd Srlle ties rUrins b huikliig conrrrudiin, and hcrchy uunoriT. rq*.{nrdircs ofrhn Cny ond Countyh cnrd utnn rlE
<br />lt$vcmnriotr.dFoFnt ra, m.r(l":I5rl,5 / /
<br />Amhc,n,.'A'cn,s,Endru,c +'t- ",,. 7ft1/18
<br />PrnnNJrFd, /Za-? 7-,+U-"-ra> /
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