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MECHANICAL.INSPECTOR RECORD <br />APPROVALS rD/stG.COMMENTS OWNER BUTLDER DET.CARATION <br />I hcrcby alrn hdd l,cmlry of pcrjury ihd I m cr.nu fbm rhc Co.rEdoR Litns L!* for llE following B$n (5...7011.5 <br />Brdrc* ud Profc$ion Codc): Any Cily or Counly vntt Equn.s s |'gnit to onnod. aX6. inPt6va d.@lish or Ep.t my <br />srrucruE lrior ro irs issumcc. d$ rcquncs rh. lldicant aor .uch pcrmn |o nlc o ii!rcd sldcm.l rh ho or shc n ficcn$d Purstnt <br />lo fie ,hviston. .t tlE ConlE loas Liccnsn t2w (Cha/.r 9, Conmrcins w h Se.lio. ?m0 of Divi.ion ll of lh. B.sincs lnd <br />PFLssions Cod.) o. lhrt lE or shc n cxcd{,l lhcrc&om od ttt lEsis lor lhc alhgcd .xcr{,lion. Ary vhhlion of S*lion 701I t by .ny <br />applic"n' for s p.mir subjcch thc spp[.ad ro acililpenllryof.or mr. $rn nvc fiundEd douas (1500). <br />-1. <br />I o*M of the P.op.ry,6 my crn loyes wilh waes 6llEn $h coq,cNslion, will d..llE wrk ard tE $*lE ir ml <br />iirat d o, offerd fo, sh (Se.?0a4. BNimss aid Prefcssions Cod.: Th. Cofldcloir Ltenlc t w dDca .ot .pPly lo an o*i( of <br />$c Imrpdty who trillls or inpfts dEetr ,!d who d.rs sEh wort himlclf or h.Nlf or lhrcu8h his or hci ow. employccs. <br />lbvid.d rh.r s!.h irpmErnls ft mr inl.i&d dofrmd aor elc It n*cs. de trilding or iq'rcwm hsoEwithinorcFr <br />olsnphri,n, rhc OwE BuilrEr *ill hlrc rh. hrbn ofFDvin8 rhd hc or dE di.l mr t ild tr ir?rDE rhc lDtEly lor x prI,E of <br />-1. <br />$owmrofrhc lopcny, .m cx.hsitly corrdcrins sirh li.cned .onrml,B ro onsldct thc l,Djcct (Sc..7Ol4,3usm$ <br />u'rr Ptr,tFFiD Codc: Th. Conhcrors Liccns L.w dms nor s0ply to anowncr ofpnpcny *ho lailds or inDrcws <br />'hcrnn.lnd vho mntEctsfor slch pnJccls wnh a C.mddont lftnsd ll6us ro rh.Conlmcltr s Liccns Li*). <br />I amcr.hn' u(hI S(thn .B &PC torrhilMsn <br />Ov*r: <br />wo3f,E&uqoufENsArrQa <br />D&q!I'8^IIQ! <br />I hcrcby rifirm undcr pc.alry of pcrrlry.ne oal,t lollo{in8 ANb,alioos: <br />-l <br />haw aid pill tuintlin ! C.nifrd. ofco.* io Sclf-tnsuE for wdks oq,cnerbi. a prcvdcd lor by Sdior l7m ol lL <br />l$ff Codc. for rhc l,crformne offic wo* for shth rhc peml h Lieu.d. <br />_I harc aod uill @intdin wortcF .omlenrllion incuErcc. ss rcllircd by Serion l7{D of llE ribor Codc. tor lhc D$forrr$e or <br />thc *ort lor which lht l.rmi is irnr.d. M, workcs coqrcmatiotr insBsne .mkr 3tn l,oliy numhcr e: <br />-t <br />ccnify rhat in thc pcrforuncc ot rhc sork for whhh ihir pqnir k issu.d, I shrll nol ei'ploy on, pcron iD aDy nmrcr <br />$ ds ro lrcoft subjdt t6 thcmlkcr'conFnsnlion lars ofcalifomia. ond,se td ifl should b..oft subl to rheqolls cor{Ensrion lovhions of Seiion l?m of lhc L2bor Codc. I dEll, fonhwnh con ly wirh thos lDvisionr, <br />W RNING: FailuE lo surc wolkcB' co mpcn sal ion covcmrc n unhwtul. md shdl subjccl .n cmrlorer lo ainiul Fmhas lnd <br />cival fucs up ro oE hundrcd thous.d dolles (Slm.ooo), in rddibn ro lh. cos ofcoq)cnslion. d!tulca * prcvidcd lor dc <br />scclion 3076 ollhc tlbor Codc. intercsl and stlorrcy s fcci, <br />Appliont: <br />LlcD $D-COXIIACI]B <br />DECI.ABAII!}N <br />I hcrchy littm undq pcndry of p.rjnrr rhd I afl ltcn*d ufthr pmvGio. olChlrlcr 9l.onmncin! wi$ SG-'ion ?0OO) olDivi\i,D:l <br />oi lhc Ausincs d Prcfe$ions Codc. !d try ltcn* is in ltllinr.c,rld rllcct. <br />q)Nsltsler!!)Nl.I:Iulllili&lll' <br />i\\urd LSc. 1097, (-r\ ( ) <br />APPI !(:ANT T'F(:I ARATIoN <br />I [nny lfiirn undcr pcntrlry or p.rjury onc.a rhc nnl.qinr dcchhrirnrs: <br />Dcnrlirnm P.rmnrAsi.sos NorilEarion f cd.r!l Rq!larbor l'l'irlc lO. Pd6) <br />-Rcqui,cd <br />L.icr or Noril-rcrrbi <br />-lccriilyrhatrhcfcncn <br />rcBll ions rSrdnrg rsh.{os rcn)v nrc mr Bptliclblcb rhis Frjc.t <br />l.cnityrhrIllvcrc lhisaDnlic0riqrnl{!lerhrrrhcrh,v.if(m ion nconccr.lllgrelocofiply*ilh lllCilyrtrd Counly <br />.rdi'h..\ r d st,rc lrws rldrin8 !o buildins con(ru.tion. md hcrchyuurhorizc r.rrcsnrariv.s olrhis Cilyand Counry r, cnrd uFn' rhc <br />x,vc m[i(,n&l phlfny lar irsFrtion lurF'{rs <br />Atplicrnror AE. i SiSndurcl <br />Pcnnile n.m (prinl)r- <br />Appliances <br />Metal Fire Place <br />Evaporative Cooler <br />Compressor <br />lvlisc. Equipment <br />Duct Work <br />Pre-lnsulation <br />lnsulation <br />Smoke Detectors lnstalled <br />Rouqh Ductwork <br />Toilet Room / Clothes Dryer <br />Residential 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 />Rough Mech. <br />Final Test Nll <br />Meter Release / <br />FINAL //////P -.24w, <br />Notes, Remarks, Etc ?'-J L <br />DATE <br />Furnace <br />Vents <br />/2/7///,f 7// <br />L..dd i AddE* <br />- <br />F <br />--------T------ <br />-------r------