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MECHANICAL-INSPECTOR RECORD <br />tD/stG.COMMENTS OWNEf, BUI',DER DELCARATION <br />I h6.by lflm und6 Ddal! of Dajury $!r I e d@rr from lh. Co r.cloB Li.dE Ltw for rh. followitB l@r {Sd.7031.5 <br />B6ird rnd Ptof4iotr ('o&): Any Cil, or c.udy whkh rcqunB . pdsi lo @Bl,trcl, .lta, inprove d.tnolilh o. !t?at et <br />srd.lu., Fir to ns iste.. .t rcquir6 th. @plkdt for s.h !.rm lo 6lc a ri8n.d stdffit lhri h. or 3h. i! li.ctre.d Pumiil <br />ro rh. Fn!i!i.N of rt Conrnclr! Liclnsd Llw (Ch,pl6 9. Colmdi.g wnh Sclion 7000 of Oivirion I oa lh. Buind md <br />PmacsioB cod.) or lhal tE tr sh. a q@t)l rhcdro@ &d rh. hsis 6r $. .lLscd .xapriotr. Ary yioLion ofsdik n 701 L5 by &y <br />applicer lor r pc6i 3ubjet. tlE .p?licml to a civil p6aly oa ml nor. thd [v. huadr.d dolld] (S500) <br />-1. <br />s olrG of $. Eopeny, or 6y mpbtE w r w!a6 B llEt s!. rc6posdio,!. wil & ii. wo ed lhc rtidE n ml <br />i"rdd.d or ott6.d aor slc (Sc.7044, B6i!B &d PDfBioN Co&: TIE Contl clol, Lk.e L3v &6 rct !9?ly lo d oBnd of <br />lh.Fopsry wno hiiLh d i4.DG tha@ ed *no do6 pcn *o* hiB.lf or h*laot thrcu8i hi. or ta om.ilploy6, <br />Fovidcd rtd luch iBFlvoEr! &bl i oi!.d dotrd.d tr $le ll howM, ln. hlildiIs s irEovE@r i!oEwinhon.'@ <br />ofcoipliirl thc o\,c Blildr wil brw tlF hmL. ofFDviry $d h. or rhc did rcr hlnd ot imFDE tE FoPdty for tlt FrF* of <br />I. s ow ofrh. Fopary. m Grclusivcly col'lddins snh licded contldoB lo coneNcl lh. pioj.d (Sft. 7044, Bui6 <br />ad Prctosin Cod.: Thc conlr.dolr Licru t * d6 nor .pply lo o ownd of prop.ny *to buil<L or inrrcr6 th@.. <br />ed who cotllncls fff 3uch prcjds wnh ! Conttub(s) li.osd !uu@d lo th. Conl,rciofs Licce tlw) <br />-l <br />m .r@pr @d6 sc.rio.-, B. & P.c. tor rhi! l.@tr. <br />$oaaE8!:-co!4tENtar.p! <br />IECI.ASAIIQ! <br />I lEcty arm urrtd p6!xy ofFjury on. ofth. followile d*lldioN: <br />I hsvc &d vill mi 6nr s Cdific.lc ol Consr to sdfiEu. for m.k6a conp.n$rion. s Forid.d ao. W Saliot 1700 onh <br />t bor Codc for rh. Ffolffi. of rhc @lt tu which rh. p6mn n i5!!.d. <br />I hav. and *ill nainrai. work.B .omp.N.iion i.ffiq s rcqut d by S..lro 1700 oath. t$.r Cod€. for lh. p6folll@. of <br />lh. $ork lor $hich th! psnit i! ircel. My *orkm ion iBuMcc .ar6 &d Flk, nnmb{ &.: <br />l..nify rhar in rh. pfilormamcollhc sort which rhis p6nil i5 i3sucd, I shrll nol dploy any pd$. in o, mma <br />s 6 to bBomc subj.d to rh. won6 conpaldio! taw! of Crlifomia, md osE th.l ir I 3nouB b<on. lubjcl lo lh. <br />m*G' .ompcelior provnioo of Serioi 1700 of thc rrtor CoiL, , shnll lonhwith cottly vi$ tho* FivnioB <br />WARNING: Frilr. ro Km *ort6 onpasdion covdsc i. unlawful. Md lhdll sub)al u oploF lo 6imi,i F.his sd <br />civil fb6 up lo on. hnndr6d lho@d do <br />sdrion 1076 ofrn bbrcode inl.r61.!d <br />drENrion. dam86 6 prcvid.d for lhc <br />uglll,lJl(t]ll&llllx <br />I}ISIJtsATI!)N <br />t hody allm unda padty of Fjuy lh, I u u€.!..1 ud6 Flvirion ofchrltd 9 {.offii.8 wnh setb. 7000) of Divilio. 3 <br />of thc Baine ed PrcfdioB Cod., rrd Dr ltou I in i forc. dd.1161 <br />o <br />AIIIJCAII.DECId&IDO! <br />Ibctbyd&Dsod6po.nyof FiuryoEofrh.folowirS&cb.lit : <br />Dmolirion Pmnr-A3h.ro. Noifrdio. F.d6rl R.guldioG (IhL 40. Pd6) <br />R.qui..d tlrtc ofr{oti6.n , <br />I .alify rh.l $. f.ddsl r.sul.lio6 r.senins ab6tos rm\ rl dr nompplkabl. lo this poj..l <br />-l <br />cqlat $d I hav. ,6d rhs lprli.arioD ed ilsr. rhsr Lhc storc infomllion t .or.o I rgr- to comply wnh su city dd cour, <br />ordinanc6 dd Slat. I $s clalins rclrenndiv6 of rhis ciy ed coury to drd uoon dr <br />Aabov. mdliorcd prcpqry lor <br />- <br />^.,14/q <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 />//\ <br />Toilet Room / Clothes Dryer v-7-Flq Vlj-l1r) <br />Residential Ranqe <br />Other <br />Type I Hood <br />Type ll Hood <br />Grease Duct <br />Fire Damper <br />Openings <br />lnstallation <br />F.D. Drop Tesl <br />Above Hard Lid <br />Above T-Bar <br />Rough Mech. <br />Final Test <br />Meter Release /n\ <br />FINAL 4-17"r'1 x.p+1u <br />Notes, Remarks, Etc <br />APPROVALS DATE <br />COIIIBI]CIIONIEIDINCIGEA.CI <br />I h@by aalird undd pcnalr, o I Fjury rhal rh6. is . onslrud ion Lndins asdc) ror lh. pdfoffi. of Ih. elrl fot s hich rhis pdfti b <br />issu.d (Sa.109?. Civ C.) <br />l..nJ.''\ N,n'e <br />- <br />,+ <br />Vents <br />Hood