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APPROVALS ID/SIG.COMMENTS (nYn.FBuilder l)alaraliotr I hd.by rttrrm undd p.dhyofFrjury lh,l I rm.x.mpl forn th. Cont.do6 Lic.n* L,w fo. rk follo*i.g llen(s7011.5 Buin6t ed Profosion Codc): Any City or County which r.qun6 r pomir ro co6m.r, .lr.r, io o!., &mlllh or r.pai. &y lttude. prior lo ils i5!uac. !]!o r.quir6 th. rppliar for ruch p.mil lo 61. ! 3isn d 3lrrd. thrr h. or 3h. i5 li..Bcd psurl ro rh. ptuviiiod ofln. Conrr.cro.s LieB.d Lrw (Ch.prd 9. Cof,morcins wnh Sdion ?00o oaDiri!@n 3 ofih.Bqi.B3 a.d P.of.lrioB Cod.) orthlt h. o, 3hc i! ci.mpr dEr.ioo 8ndrh. bai! for$. rllce.d â‚¬x.mprion.Any viol ion oaSdion ?031.5 by dy.pplici for. p.mn lubj.clJ th. rppli@l ro a civil FDlry of.ol noB the liv. hldr.d dollrG (1500). I, a o*tur ol rh. prcpdy, or ny .nploy*, wnh *r8d a lt.n lok conpcMrion. B ill do rn wort ud $. .rMldc d nor inrdd.d or offcr.d aor sl. ( S.c ?otl4. Busi63 lnd Proa.ssions Cod. Th. Cont6.lor ! Lrc..!.Lawd6B notlpply lo in o*nn otlh. php.ny who builds or inprovB thcrco.. &d who do6 such Nort him*laor h.elf or llroush his or hcr ow..mploy.6. prcvid.d thll such mpmv.m..a &. .or int.ndcd or orId.d fo. elc. lf. how.vcr. rh. buildins or imprcvcm. is rold wilhin orc y.,r oacomplclion. lhc olrffi- Blildcr will hrvc rh. b!rd.. of poviry thlt t orsh.nol buid orimprov. for ih. nupos. oa3.k).r(a ow6 of rhc propdy. a.n .icl$ivcly .oilradiig wilh li.ced .oir6.ro6 ro o81tu 1 rhc projd ( sâ‚¬. ?0,44, BainBs dd Profdr'on Cod. Th. Conrr.doi. LGG. t , d6 .or .pply ro & orffi ofpropaiy who build. o. ioprov6 tt6on , lrd {bo 6nhd3 lor $.h projd3 ,irh r conr..lo(, lrc.ned guBuinl lo rh. coriidoi. Lienr. lrv ) I dn.xcmpl undtr Scdion IABEEATCAUIIIIAIIqIIDICIAAAII9! I h4by !{ljm !.da p..rly ofFrjury oG ofth. folloei.s dcl@rioc: _l h.v. and sill m.inhin r Câ‚¬rrificdc ofcoc.nt ro S.laJclr. for wort.B @mp.Mr6n sr provid.dforbyser6nr?oooarh. L.bor Cod.. for ltc pdfo, n . of tt work aor uhi.h thc Fmi( i! i!!!.d. I h!v..nd willmlhtlin mrkds onp.Nrion insurn@,a r<urod by S.cr6n 3700ofrh. tthor Codc, for rh. Fraormnc. ol th. wort aor which thE p.rm 's irsu.d Mywort.6 comp.r*tb. imur.,@ ori.r.nd policy tumbcr el ('Ini! scrio. n .d not b. coepl.r.d irrh.p.mir i! for On. hundcd dollaB l$100) or k$) I c.nily rhal in rh. pftforfrrnc. of $. wod( aorshichrhir pdnit is b..am.subjdrorh.*orlâ‚¬rs en]pen$r'ohbwsofCsl'rorn'd,nhd comp.nsalion provirioE of S.clion 1700 orlhc tihor Cod., I 5'g- \9 WARNINC: Frilurc lo s6!r. vorkcs con,p.@lEtr covsase s unhwlul, lnd shlll sub6r !n .n,pl,ry.r ro cn i.t! p.Mln* and c'v'l aod up ro o.. hu.dr.d fiousrnd dolhB (ll 00,000),in addition ro rh. cdr of conpdsrion. drmagc! a provid.d lor th. Setion 1016 of rh. &bor Cod., inr.r6l &d alloh.y s f.6 LICENSED CONTRACTORS DECLARATTON I ha.by .tfim und6 p.uhy of pnju., rhlt I m lic.ns.d undd poviiion otchlFd 9 (@@dci.! wi$ saion 7000) ol Divbion ! of rh. BBitr s !.d PnfdlioB Cod., ud ny 1i..6. is in tuU lo!.c.nd .,Ier. t. -,l celilythar thc f.!@lEsulations r.sardinr asb6ros rdnovalar. nor applicabl. to rhis proJd lc.nily rhar I hrvc r.ad thisrpplicrrion ir.oGl I a!r.c ro.omply withallCiryand Cou.r, o.dinancB .nd Sl.l. L3*s r.l,lirylo aurhoruc r.prd.nkrnrs of rhirCilta.dCounryto.ntduponrn. 6bov. n.nrion.d prcpcny for f=3- r g Appliances Ir,4etal Fire Place EVap Cooler Furnace Compressor Misc. Equipment Duct Work Pre-lnsulation lnsulation Smoke Detectors lnstalled Rough Ductwork lo-t(-rB 7e 11 r-7 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 Rough Mech. Final Test Meter Release FINAL /24-1.8,'42:l /h Q-rJ-t Oz r-lnspeclor Re6o.d doc 03 31.m MECHANICAL.INSPECTOR RECORD DATE *", 5-0- 19 ****, ca!fla!eralrElullc-acErtv I hs.by rltrm und.r p.mlly ofr.rjorr rhnt drrc ir r coBkucrion l.ndins aa.nr, aor 'h. p.rfominc. ofrfi. work forNhich rhis pcrhir is bsued(S.c. 309?,Ci!. C ) L.nd.''s N.nE L.ndc''r Add'6! ATEUSAILIBIC!,68AIIAN Dc@lnion PmieAlb.sror No fr. ion F.d.6l R.Bularion! (Tirk 40. Prn 6) R.quircd trll6 of Notificdo. Pdm(r.. ndm. iplr!,: -------r----- I -------T_----- -