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MECHANICAL.INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS Orns-Blilda DG.lulio. I h...by.lfirn undd p.nllty oaprjlry rh.t I.m qcmF fo.o fi. Co.lndoa L@8.t w lor fi! follo*iry,6son (36 701L5 B6in6t ird Pmf$ion Codc): Ary Cny or Coury which Equird a p.mir to oBmcl. rtr, implov.. d.nolkh o, r.p.ir &, lrruduc. prior 1o n3 issunc.. aleo Equn6 rh. .ppliclnl for 3uch p.ftn ro fiL . iSn d ilrd rhd h. or !h. ir licd.d pur'udr ro rh. povniotu ofrh. _ Conno.tolt LieGGd trw (Ch.pr.r 9. Com.GioS *nh S*rio. 7000 ofDivBi..3 ofrn. BBin6! lid Prol6rioG Cod.) o, rh.r ll! ot ih. i! .xcnB rhcfror ud lhc brtir for th. rlb8.d q.mflion .Any violllion of Scclior 701l 5 by .f,y .pplic.nt aor . p@i[ubjccrr tfi. .prlic. ro!crvilp.tutyoano! tur.rh& Ev.huodrddoll.B(t500).>(- ) r Is ouncr or rm pmpay, or my mployq w h wryB 8 th.t sol. comp.Nlion. sill do tn. wotk and rh. slrucluc G not i .rd.d or ofls.d for el. ( Se ?04,1. BBinB! .nd Prof.$iotu Cod.: Tnl Conlncloai Lie@ Lrv dc nor .pply ro u ow. of rh. ,op.ny who blilds or inprotc lhd6r, .rd who .106 sGh wo titulf or hâ‚¬R.lfor thoush hi! orhdown dptoyd- provid.d lh.l skh inprev.n. ! .E nol i . .d or or6.d for nlc. I( now.v.r. lh. buildins or irprown.nl ir sld wilhin onc yar oaclnplction, ln Owrr-Build.r will h.v. rh. hudcn of provi,s ihd h. or thc er build or ioproG lor lh. puQo* ofsL), _,1. d oq.rofrh. pmp.ny. .m .xclusiv.ly .onlnclin3 sirh liccB.d coorhclou ro coctrucr th. proj.ct ( Sr. 704,1, B$ifl.s lnd Prof.sion Cod. Th. Co.raclort Liccn!. L3v do6 nor lpply lo atr ou nd of propay sno buildr or inprevc th.r@n . rnd who @nt6dt for Bu.h proj6E pirh. Conr..do(r) kcnâ‚¬d puBunr ro lh. Contr.dols Lrc.nr. ll{ ) ol C..r'- \98-[EB!-9U].[IS l.t9t_D-t!.rla !g! Ity olp.rjuy otr. oath. lollowins d.clarario6 I hlvc Md qill haimait . Ccnifi.dc of CoBcnr lo S.lf-lNUr. for wr*6s .omp.nErio.. a p.ov'd.d lo, by S*r'onl70Oolrhe L.bor Cod.. aor th. p.rlbmnc. ofln wort for which ln Frmil ir issu.d. I tuv.and wrllminlsE workers @mp.Mrion insuEnc.. c ,.qurcd by S.ciio. J70o of lh. Lihor Code, lor lh. p.rforroncâ‚¬ o,lh. work for whrch lhi p.rDrl ri r$!â‚¬d My mrk.B @mp.nrlion hsuBnâ‚¬ otrid and po licy numbd .,.: Policy Numb.r:_Expn.s: (Tnie serion nc.d not b. conpl.l.d ifrh. pcm i3forO fiu.drcddollc I$I001o.l*)2<>J.di a, rhir in rh. pcrhmn.. of 6. wort for *hrh this Fnnit i! isiu.d. t rh,ll ror .nploy a.y 'on laws of(al'lorn'a. and 1700 ofthe lilFr Codc.lshso/ wo'keB comDâ‚¬nsrton covenn. * unlawltrl. and shnllsu rn.mployd ro aifl rml pâ‚¬n.lt6 .nd .rvn dolls ($100,000),i. lddnio. lo rh..os olconvcnsalio provid.d lor rh. Sdion 1076 of rh. kbor Codâ‚¬. rnt...n lnd atrom.yl fes llcElt8D_e9NlaACr9aipEClASAuQr I n.r.by iifird und.. Dcn.lt y o f ,.tury rh'l I m lic.ns.d und.r pov i!io. o I Chifl.r 9 ( conm.ncing w ilh S.dion 7000 ) of Dintio n 3oa lh. Bulin.isdnd Prof6sions Cod...nd my lic.N. is in fullaorc. ed.f.cr. LiccMclasr t,icc.* Nunbcr IXl.: Co mdo. CONSTRO(.TION LIiNDINO AGf, NCY I ncrcby.mm und.r r.n.hy ofp..jury rhal rh.rc t i coBtrucrion l.ndi.s ascncy lor lh. p.rlomlncc of$. wort for *hich rhis pdmt i. irsu.d (Se, 309?, Ci!. C,). L.nd.''r Nrm. _ AE!ICAU!.p[C!A8AU9! D.mlition P@il!.A.b.$o! Nodfcdio. F.&61 R.guhrioor (TirL 40. P.n 6) Rcquind tda of Nolifiolion ,_l c.niayth.r th. f.d@lrcsulations rcs.rdinssbBrosr.mortrl.r.nor opplicablc lo rhir roj.ct 7#::r"*';io. ed sralc rhar rh.abovc I '3r@ ro co'nply eilhrll abov. nenrioncd propcny lor /-)o/ Appliances Metal Fire Place Evap Cooler t Furnace I 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 t, Rough Mech.Tltoltt i/(,u4fr 7 I Final Test FINAL 7laofi?..(u.,( trfi/ M\dP5i\Permil-hspecUon Forhs\Mechancal-lnspector Record.doc 03 31.06 Meter Release f------T------ tl f------T------