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MECHANICAL.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Pre-lnsulation
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Flesidential Ranqe
<br />Other
<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 />'v&-n;Rough Mech.fiht/14 ,')
<br />Final Test
<br />Meter Release | --\
<br />t&'tatlFINALt tlilt{ ,
<br />Notes, Remarks, Etc I
<br />OWNIIR Btrll-DI.lR Dlll-ciL{'lloN
<br />Bu\inc* rn.l Eolcsi,,n Codcl Any Ciry or Cotrnry rvhich r.qtrirc\ r Fnnii n) ..nndcr. rlrcr. nntiolc, d.'mli\h '{ rrNn Jn\
<br />nnrrurc- priqro ir\ h\u!ncc. rl\o r.qrtdsrhc nlplicrtr lnt uh pcnnirti fl. r signd {roncm rhnr h.rr dr i\ li.ctscd pururr
<br />pnli(adntrr,f,n!ir\uhjcrr\lhcrppL.rtrrk)r(ivillcnrhrolnornrmrhrnnvchudrcddollxrr(35rX)r.
<br />-1.
<br />0s owftr or rhc pmpcnr. or hy cdployes virh *ases trs rhrn sb comtcnrdion. will do tlE wrk ud thc slnr.lm h Nl
<br />ir{qxH or otrercd lor $lc (SN.704:1. Bnsift* !.d Pr.rc*ions Cod( Th. Conhdol s Li...* kw &rcs nol arply ro an owM of
<br />thc,,Dpcrty who hoilds or i,rrews tlrFo, rn wh: dm iEh wd( hinrclf or hcMlt.r rhmneh th or hd own cqrlolecs.
<br />p.ovidcd lh,r \!ch im,tr{,eftnE G mr hrcd.d oroflcEi ro, eL lf. thwi llE ttrildinS or inTreEEnl h $ld silhin onc Jtd
<br />of.o,ipblion. ltr O*mr Buildcr wil hss lhc hud.n of lmvinB th.l hc or slE dil ml tlild or itr9Dt r,\c potEry lor llE purlDs ol
<br />-1.
<br />as o$tur of rhc rmpsry, am .iclusirly conrdcri.S wnh li.cned .olrrlcron ro onefl.r rh. pmjd (Se 7014. Bu\irc$
<br />md PiDtusnn Codc: Thc Conra'ols Liccnrc Lru des mr lpl,ly
<br />'o
<br />soBncr ol!rcncny vho hlald! or imporcs lh.r6n.
<br />ond who N mcrs for slch pmi*ts wirh a G,nhcro(9 ltcn*d llBuMr ro lhc C.nr0cbls Lic.nsc L8w).
<br />I amcicrnDl uldcr Scctn,n . B. & P.C. for thn (8ion
<br />UOIKEEEJOMTENIA.IION
<br />PES.AAAII'N
<br />I hcreby sffiflnundcr rcnah y of pcrorr ofle of thc tollosin3 dcclarulions:
<br />-l
<br />hnte nl*ill mai rinrCcnificricorConsctrln,sclll',\urcinsorkcrsconlF*nrlriotr..s rovidcJforhySccrn'n:r7urolrh.
<br />LrhtrCodc. turlhc pcrtonrnncc olrhc *ort iorwhich rhc prnnir is h\ucd
<br />-l har and *ill tuinhin *ork 6 cor$nsari6n iilurre.. .s nqrt d b, Setion l?00 of llE L{bor Co{h. for ltt roftll:1r.m of
<br />rhc wort tor wtkh rhis lcml is iss*d. My erkc* .oml,cn$ion iosuonc. @i.r old lolhy numbcr e:
<br />Pot.y Nuhb.r:-ErpiEl
<br />_t c.niry rhar in rhc lxrrormK of thc eorl for wnich lht p.mit is issucn.l shlll mt emok,y any l.Mn in.ny nmftr
<br />$ N ro bcco'rc sbjccl to thc wottdl $npc,slrion hws of Cdlifitroiu. ann llrc hd if I should tE orB subjNt ro tlt
<br />wolkqs' onrFnsarion rmvhions of S.n io. l?00 oa rhc tlhtr Cdk. I rh8ll. Ionh*ilh onply $irh th.s ,ovhions.
<br />WARNINGT Failurc ro snn sorkcs con{.nsalio. .ovcngc
<br />.i\rl finc{ up ro oft hundNl rhouend dolhrs rslUo.omr, rn
<br />sdion 1076 of$c labor Codc. intcrcsl oDd 0llomy s fes.
<br />ll subjd an cdplortr ro dimi.al Fnahhs otrd
<br />ol.ohpcnqrior. da@g.s !s lrovidcd for thc
<br />,,,,,V-) ct-/0
<br />D[CLA8.trIp! .
<br />I h.Ebyilinnu crNnrhroipcrjurrrharIrnlic.nsluidrrnmlisi,rof(hrfr$9l.o.nENiraNirhScclionTlxx))ofDi(i\n.l
<br />of rhc lru\ir.ssrnd PNlcssirns Codc- md nry liccn\c i\ in l'Lrlllhc a'd cflrcr
<br />d[]Llr Nl[lisLrBAltlLf
<br />Ilu.hr_dlinnunJcrp.0rlryol pcrldrr" ncnf rh.nllk,\n,g J..r,rrnh
<br />lrrnrlrri,nr Id rir! A\h$r\ Norrlr.rri, ,,cdcrrl Rcgrhli(nr ( lrrl. ll). Prnt'')
<br />Rlqtrnrd I rrrcrol Norili.rri(
<br />-l
<br />ccnify rhd thc ledeEl eSulnlioor Egddine ab.slos E mvd
<br />I.cdilyrhd I hnvc rc.d rhis applicathtr ad srorcrhtrr I rsre ro cofrpty wirh rll Ciry cnd County
<br />ordinanccs lnd Srorc liws relarins ro building nprcsd div$ of'his Ciry md Counryio cnrcr n,xrn rh(
<br />rhrvc nx.ri(inc'l I)n)|Iny r,tr insp.crioi
<br />I
<br />Duct Work
<br />O*re.-
<br />I hcrby dfirol undo F.rx, 6l p.,ury fiar lh.E k 0 .onslru.rt'. lcndinS rgcrcy fo. rh. Ilcrforr1Mc .f rh. uor* lor which thh F,nril h
<br />issu.{ {Sa l097.Cif C ).
<br />L.trdcr\ Namc:
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