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MECHANICAL-INSPECTOR RECORD <br />COMMENTSAPPROVALSDATEIDiSIG. <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Furnace <br />Compressor <br />l\ilisc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rough Ductwork <br />Toilet Room / Clothes Dryer <br />Residential Ranoe <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 />Rough Mech. <br />Final Test <br />Meter Release I <br />FINAL o//0//7l /K\alr ) <br />Notes, Remarks , Elc. | ' <br />olvNtrR 8u -DER DII-CARA nON <br />I hrr.htrfin u Jd ftrtrdlrJ-.i lcriury rlrr ! m excmnl lion rhc Conlrr.nrr l.Ec.c tlw r(tr rhc n)llosins rcnvr lscc.Tl):ll5 <br />8u\incs\ rtrd Pda\\i('n Co(lc): An, Ciry o! Counr! $hi.h r$tutc\ r p.nnr t, .on{tud, rkcr. irnpflrc. dcnmli$ ot rcprn ony <br />rrflcxtrc. prior r, ih issu ... rlso rcqun s rhc rtuli.r.r lar\uch t^_dn t) [1.4 \iFr.J {.rc rcnr rhd hcor lhc is liccdr.d pnsu.ir <br />t,rhcpnrni(nt\olrltrCotrcrofsLiccn{dl-iw(Chr.r9.C.nncmif8sirhSccrnn7fiX)otDivNn l ol rhc llu\incs and <br />t'r lcss[.!Codc) rrhdh. r\hc ncxctrrpllh.lckomnnd lhct!\i\ rt, rtu allcs.{lcxcnlitr)n Atri.h'n oiSsri()n70]ll5nyrny <br />rfpli.r hr r pcnnil!'6jccl\ rl.i- rlplicr hrcivilpcnrlrtolnor xtrrrhrtrllvchutrdrcrld.ll.rl$5lx)) <br />-1. <br />os oens ofrh. prDlriy, or my cnplores *nh (a8B Er rlEt $h @mpcnsarior wi do tlE wdt ad thc nnIlc n mt <br />hrcndcd or offercd f6r sk (Se.7044. Busiftss and Profcsio.s Codc Tnc Contmlo/d Liccn* Llw does nor aPPly lo M owncr of <br />ttc p'D!.n, *ho tiitt or in{nB rh.6tr rid who dG sEh w* himslf or he.*lfor llftlgli his o, h., own.mplotes. <br />provid.d rtar srh impm\tmnls e dr hroicd oroftrcd fo. eL. lf. hoEE llE hildin8 tr irfmtmnl is sB *nhin o( Jd <br />of@'rpbi6n. rlE Owmr Builds sill hrE lf, hrd.n oaFoviIg llDt lr or sne did ml b'iild or inpmt ln. J!rclrny ld thc lurlDc ol <br />W(!RKr.{S' COMPENSATTI'N <br />DECI.AXAIJON <br />I hcebynflirmund(lcnNxyorpdjuryo orrh. lbllowin8dcclmtions: <br />Ihr\ci! wrllnx'i nrCcni(-ErlcolConrcrrx,S.llllnsurclitrsorkr*.onrlfnsrrnnr.N Jt&riicdtorhysecrii)n.l?(x)ofrhc <br />Lrtxn Codc, ntrrhe!,.rrontun.coirlrc $ork nn whichrhc Fanir i\ i$uc,l <br />-l havc and eill nri.hio workcn coq,.nsarbn inswe , !s Equircd by Sclion 3 7m of lhc ttior Codc. lor lnc Dsfo,im of <br />lhc wort tor which this p€mil ir ir$ed. My wor*.^ comrc.salion insutucc aBicr ad poli.y dhho @: <br />Policy Numbcr:-Expncs: <br />-l.cnify <br />rhll in fic p.rformncc ol rtu porl for whichlhis pcrmn is nsucd.l rheU nor cnDloy,nyp.Mn in onymatrrcr <br />s rs ro b.com subj.rr lo ln. aortcs' coq)cn$rion hqi of Califoni!. dnd reN lhal if I should b.om subrtt lo lh. <br />works om!.ns.rion povGions of Sclion 1700 of lhe llhor Codc. I nall tnni*irh onply wnh lhos povisionr.. <br />WARNINCT Failurc ro *!d srk ^'con\rns.rion mvcmB. is unl and shall slbif,r d cmp <br />civil fincs op ro o* hundrd thousand dollrs ($l(x).{xD), in .ddirhn <br />Sccrion:1076otrhet b.i Codc, inlcrcs! md allomyt <br />I (:!TNSFD C0NTRACI'OR <br />IIECLAa,IUON <br />IhcabyaljtflrnndcrpcnrlryofFrjuryn r I m li.uql undcr pa,!i\n of Ch4rs I (connlEmirE sirh S..ri(,n 71XX))olDnl\nnr 3 <br />or rh. au\ircsr r Pn)rcs\ie$(.odc, I Dry liccnsc is ir lirllt{trlrtr .flccr <br />(]ONSTRI]CTI(N I T^IDIN(i A(:FIYC"T <br />I trcEby !fiirm undcr FMlry of p€rjury rh,r rhcrc ir . 6n{d.rbi LndiiS agomy for lhc ,Efoffi ol tlE e.t fo, whkh thh Fflh k <br />krucd (se. .l{197. civ. c ). <br />AIIIIIAN[DDILANAIII.IN <br />Itrrbyr nDundcrPcnr[volplrilryoncof rhciullosinsJ..larrn { <br />l)cnroliri,,n Pcrnir\ A\hcnos Norilicnboi t{dcrll RCEUlrrrn\ (Tirlr.l0. t'M6) <br />Rrqtrnd ktrr of Noiifi .rri'n <br />_l c.dify $ar rhc fcdcrnl ESrlorions EB{d <br />-l <br />enify rha! I hare E d rhigpplic.lion !d <br />odiflrn.cs (nrl shrc lr*\rclarirx rol'triUing <br />ohovc nEnlioncd rtr'pcny ior <br />EI <br />Vents <br />Other <br />_l. rsowncr.frh.Dn,ncny. r cxcb\ncly.orr.riry\irhli.ctr\cd.!tri.Lr,6l('con{n'crrlxpn,Jtcr(Scc7(pr.Btrfi.\\ <br />nn Pnfts\irCod.r TtuConr.aclu s t-iccnsc t-rw doc\ norrJ)plyr' ntro$nrr ol tn)f. y trho huilds or mfrovc\ rh.rcon. <br />unl sho.olrlrcr\ror\u.hpxic.(sirhaCi mcktr( \ r lirci{rl ,r^rnr r, rltr Cod rrroi s l-i.cn\c ltrs ) <br />_la qcarpr untl.rsc.ritu .l] & P.C. ntrrhi\ rcr$L <br />t ndr'r Adrtls* <br />- <br />rc'revalrc nor appli.*lc r. rhi{tmjccr <br />infoirurion is comd,I !C@ rosmply wnh trllCilyond <br />Aprl'.anr or Atrnr signarurc: <br />I