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MECHANICAL-INSPECTOR RECORD
<br />APPHOVALS DATE tD/stG.COMMENTS OWNEN BUILDf, R DEL(j]{NANON
<br />I hcElry affi,m undcr pcnulry ot p.rjury rh l m cx€r{ fioh rhc Conr&roF Liccns tlw ror lh. followin8 rco$n (5(.7031.5
<br />BNin.$ ,nd Prclcasion Code)r Any Cily or Counry whijn rcndas ! pcrnfi to snsldct. ahs. inpove .,cmlhh or Epan &y
<br />sidclurc. rrior k, hs issu&cc. also rcquncs ihc opplh!trI for such lErmir lo lile a sign.n (ltcft lhar lt or shc i! li(cnscd puM.r
<br />ro rh€ FDvirtoN ot Llr C.m@rori l-jftnsd trw (Chifler 9. C.n@EinB wilh Sdrbn ?0OO of Division 3 of lhc Busitu$ !fld
<br />Pmf.ssiotrs Codc) or rhar tr or she h cr.npl rhcrcfrom hd rhe bnsis for rhc allcS.d cftmption. Any violation olS6ti.n 7011.5 by ao,
<br />lpllicanl for a pcrmil slhj.rls Ihe applkanl lo c civil pcnahy of mt mE lhsn filc hundtct doll4s (5500)
<br />_1. ,s owd, of rhc prcp.ny, or oy eotloyes wirh w.8ci ar lhcn $b comp.nslhn. will do r vdk 8rd thc srElw is ml
<br />i cndcd or of.r.d for el. (Se.?oi!. alsimss and Pmfcsiors Cod.: Thc Conlmlols Liccns L{w d@s nor spply lo ad owft, of
<br />rhc rrop€ny aln hoilds or iq'oEs thssr otld who dG trt s* himself o, hNlf or rhDugh ha! o ho own .mplorr.s.
<br />provid.n thll such inprlwmnls @ ml int.drd.rotu 6r sh. Ii t *cwi ttE hoilding or if,tmrcmnl h eld *ilhh orc,u
<br />ofco$pLrion. itE OwM Buitlq will hlE rh. bo.dcn ohmving rhn lL or rne dil mr bxild or inpmw th. lmFly for tlE puqn$ of
<br />l. trs owft, ofrhc pmr.dy, !dcrclurivclyconr.e'in! wirh li.cnsd conr,.rorro snsrdd ilr tmr..r IS.c. 7014, Euemrs
<br />n ftll6sion Codc: Thc Cotrretols Liccn$ Low docs nor 0rply
<br />'o
<br />!n o*ncr ofrrclcny wno builds or imro(s rhcrNn.
<br />and *ho ommcrr for slch porecls enh a C.nlEcrono lccnsd pu6u rorhc Co.rr&roa* Licc.sc Li*)
<br />I amrxr'npr r'rncr Sr.riotr ,B &PC Lr rhis rcrn,n
<br />]IIIBrcBa.I;I}MP4IAIIAN
<br />DEC!.AXAIION
<br />I h.rcb, lmrn undcr Fnllly of Friury onc of thc following d-hr.tionsl
<br />Ih !r klwill ui'fui rCc ifi.rk ufcoi*nrk' Scllltrsurc n)r*orkc'r.o r!cn\!rn . rs |mvidcdtuhySccli(inl?oroilhc
<br />lrhn Cqlc. ftn rhc l}crfinrorur ol rhcwor[ for \lhich ihcFnnir is i\\ud
<br />lhLrcrnd willnuinrrnr qorkrr{ .o,qr n\dn in\uran... r\ rdquird byS..rn,n:lrmofrhc L;rhorC(idc.li}rrhc prrl.rnunccol
<br />rl(*.'lt,"l'trh,h'.n."niri.i+u"Jnl!(r'l(,.u'tr,\1,,'ri,1,ir^1r-r.!,.'ricr.xiFli.Jtrtrtr$crrc
<br />,-,.,,... Arr-w.., F rv\td.uest
<br />l-LrJCr.l r1-t-\82t)(
<br />I rcnll,v rhrr n, rh. p.rro rnrrolrlrtro*,nr\hirhrhnF.rnirn,\\ucJ.I\hrllnorcnr.yrny&riotrirrtrrnrtrn.,
<br />\) r\ro b.nnnc subtd ki rhc soAcrl .o nrrcnsr r n hwsolc,lrtun'i{ rnd slrc rhnrill \h.uld hccon n'hjc.i lorhc
<br />qo*cis.on{ci\nrii{pbvi\ir)trsofSLrlonlTmolrh.litrtrCrxlc.lrlull.,nnh*irhon{rysirfrlFeprovi\ii,i\
<br />WARNING Failurc ro Gurc wrkcrs' ompcn$lio. ovcmBc is u.laptuL lDd shlll slbjcl d chplorrr lo 6ini&l FMUbr and
<br />civil fincs u, to orc hundrcd lhousond do rlt
<br />Selion 1076 oiIhc Lbor C{tc. inlcrcsl and art3o,t\
<br />DI'CLT.EIIIAN
<br />ol rhc rlusiDd$ uJ Pr,li\\i,nr C.dr. rnd nry li.r \. n i', iullli,r( rqd.lflcr
<br />ao tb>b-?cr
<br />_a 3o.-c (
<br />€-_
<br />CONf,IBJJ!:IIONIIiNIIINC.&CINII
<br />I hcchy rfinm undcr pcnlll! oll)cqurr rhd rhoc i\ u con{tuclion lc.din! rltncy ror rhc p.rnnnun.c ol rhc solk hr which lnis ncnnir h
<br />n\nl (sc( 1097. Civ C.)
<br />_l.mily rhul I huvcrcodrhhdnplicarionod st crhrrrhc ori.fo nrn i\ c.rccr.I agre b.otrply wirh llCilyandCounly
<br />ordiM&cs Ntrd Slarc ljws rcl,ling I ri- rclrcenrstiv.s ofrhn Cnyand Cotr.ly io cnro ursn rh.
<br />.n vc nrnrioncd pop.fly for in
<br />Appli.!trr or AEcor Signrllrc
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace /://////-Urft-,/,
<br />Compressor b/ii/* t '.4"d-lp?--
<br />Misc. Equipment
<br />Duct Work
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors Installed
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranqe
<br />Hood
<br />Type I Hood
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openings
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />rl
<br />Rough Mech.vltlll( |',w-{r 1 6y
<br />Meter Release
<br />FINAL L tlu hl 4 'rl/1,6llv F
<br />Notes, Bemarks, Etc.!-
<br />Other
<br />Final Test Afll.lraNr.Dlict t3Allo!
<br />I hmh, amnn undo pcnrlryofp.riury onc orthc foll.wing d.climrions
<br />Dcnnriliotr PcrnrirL^st{{os Notific0rion ftdcrul RcBuhrions (1 irlc 40. PanO
<br />-Rcq!tcd
<br />Ldrc, of Norifrdion
<br />-l
<br />ccnif, rhnr rh. tcdeEr ,.8uLdbnq Egfudin8 L\bc{os .cruvd -c nor amlic{blc lo rhh pojBl.
<br />*,nf2.!S
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