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MECHANICAL-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS rrlvNnR IrtiI.DtiR DEr,(',\R,\ fl oN
<br />rpFli.rfr ntr r Frnir\uh]r.r\ rhc dt)t]ratrrk) r.i!ilt^-frlrr_oltror hr rlr nv. hrfdr.dn l[ (:15(x))
<br />-1.
<br />I osncr of thc proFny, r, my cnDloyccs wilh wa8cs !s in& st comrcnolion. will do 0E wk sn dr smtn@ iq noi
<br />inicidcd or oEcrcd r.r sL (Se.7044, Busimsr and ftolcssions Cqle: Thc Codrlclols Lien* L!* dms ret q'ply b m o*rcr of
<br />llE pmlEny *,F ttilts or inli.s ttq6n. t d wrs dG sh mi( hicclr o. h.elr or lhough his or hcr own cnPloyes.
<br />povid.n rhrl $cn in{m\l*nls@bli.ndcdoroltrc.1lo.$lc.![hokq,lhct4ildhgoritpowmnrissUwirhinotu)br
<br />of@iDbtun. dE Ownfi Build6 *ill h!!c lhc hurdm of fovin! $!l la d che did ml boild or inqmrc ln. lmtfny for thc ,uqns of
<br />-1.
<br />as owncr of rrt F)p.ny. dn .rclusiv.ly cofllmctins uith liccn*d cont .krs lo snslruct ll- lmltr (Se 7(x,1 Bu$rcss
<br />a.d P$r6si,n Codc Thc Cotrlrrroi s l-iccn\c Lle doc. mr &rPly to M ownq ol rop.ny who builds or n4nves ttcEoo.
<br />sfld *ho conrmrs l'or su.h pmirrs wnh ! Cotrldo(s) liccn*d pu^!a brhc Conlroctor's LiccnE Liw)
<br />-l
<br />!,ncicmrr udcr Sc.ri(,r- B. & P.C lttr rhis r.x$n
<br />-
<br />o*r.ri--
<br />IABf,!8UCAI4PIISAIIOB
<br />DECI.IISAIIQ!
<br />I hcEhy nlnirn undc, Dctrlllr.iPcrjurronc or'hc Lllowire dcclffalions
<br />-l
<br />havc xl{ill!!'inn'inrccnnlcrrcorconrcnrroSclfln\urcnr*o cF d,nPcnsrlior. !\ pn,vidcd brbyScclion lTlr0olrhc
<br />L.ntr Cqic. ri,. lhe psnrmnc. or
<br />'hc
<br />sorr ror *hi.h
<br />'hc F.tnil n hsucd
<br />rh. *o.k tur \hr(l' rhi\ |{r riri\ i\n'c(l N1y$,tr1t.'\'.ofl|r.tr\rro tr\t'n r. rirri(r Jnn poli.y nun'h.r i.
<br />9-fx-(e euto
<br />' lt"bl ,9\- 7n\$l-ol -2.o t
<br />-l
<br />eflify rhal in rhe potormnc. of ll* work for whth lht Pdmil iq ksu.d.l shrll rct emrloy 8ny per$n in any monncr
<br />s $ b b..om subieYr ro Ihc sortc6' .onocnsdion Llws ol Califomia. lnd lse lhai if I *truld h. om subitr ro lhc
<br />worldl mnp.nstion pmvisk nr ol Seiion 1700 ol lh. Llhor C.dc. I dull. fodh{iih oiDly ,ilh lhos ,mvi'rions..
<br />IVARNIN(; I-rilurc ro $urc sorkcrr'.onDcn\rrion co\d'rlc 'r unli\tul. nnn \hrll subFcr xL cnll)loycr io cririnal P.Dhic\ and
<br />ciil fn.\ up ro ok htrtrdrcd rhotsrnd dnllrs ($l r-(xri)). i'r xddiri,n k' rhc.o{ of..tr nsdor, {lr rBcs.\ providcd inrhc
<br />S.cri{r.1076r, rtu hhtr(ixn. idcrc( rni Jkn,ry \ f.c\
<br />' 17.lo-!L,rpp,** !( June Tnc
<br />UCIU$LCONIIASISR
<br />DqCITIBAIQN
<br />I hcat y o nm undcr ncmlry ol pcijury rh,r I nn li.c.ed xndcr frcvision oi Charrn 9 Is'rrcncing Pilh Scc' i,'n ?(xD) of Divith l
<br />of lhc ausimss and Pmfcsrions Codc- lrrl fi, ltc.lc i\ in full b.cc ard cllitl.
<br />b rl.d?-rl q S
<br />IAIIIBIJCIIIIN.LENDINGTIOEIqI
<br />I hcEby offirm lndcr pcnalry df rcrjury rh{l th.rc is 0 sflnrudioi hndinE ag.n.y for thc Frtbtmicc ot rhc work for whiuh lhn lrmil k
<br />issu.d(s( lur?, civ c.)
<br />lrrd6\ A.ldEr:
<br />-
<br />dItuctNLDf:cLr.8II]gN
<br />I ltr.hy li ru .rpcnrlrlor t)citrryotrcolrlrc rnlL)wifr dcchrxrion\:
<br />Dcnoliri,)n f.! irs \h.{os Nori6.lri{r lid.rrl Rcgtrhri,',\ I Inlc.l0. P 6)
<br />Rcqutrcd blrcr ol Norill.ri,i
<br />-l
<br />enilyrhor rh. rcdc'trI rctrl0iions RSudins Nncslos rcmovllnrc ior lptlkrhlc to lhis,tn,rrrr
<br />df, ..n n, ,n, , t* .oo ,nr unlirdri,, '
<br />ud n Jrr I hJr th. rh)v. inroinEiioD h comr I ase r. .omrly wnh lll ciry und cotnry
<br />,4drftn.c\ SrrrcLf,u\FL rn8 rohu'ld n[..nnrucn.n. dt hcr.by rurkJtizc rcPree ltnriofrhilCiryntulColnrytocntcruponrhc
<br />tbok mn omrl pm!.ny lor
<br />Applica or Aicnr Signalwl .lL 17 / ,-or
<br />P*i""**rl*o,X JAYta -EP
<br />Appliances
<br />Metal Fire Place
<br />Evaporative Cooler
<br />Furnace
<br />Compressor
<br />Misc. Equipment
<br />Duct Work I
<br />Pre-lnsulation 912*1o7 *,wil,I
<br />lnsulation
<br />Smoke Detectors lnstalled
<br />Rouqh Ductwork
<br />Vents
<br />Toilet Room / Clothes Dryer
<br />Residential Ranoe
<br />Other
<br />Hood A
<br />T e I Hood 3-t 4- l1 J&za.! r.,nt+ 0L hr.td.
<br />Type ll Hood
<br />Grease Duct
<br />Fire Damper
<br />Openinqs
<br />lnstallation
<br />F.D. Drop Test
<br />Above Hard Lid
<br />Above T-Bar
<br />Rouqh Mech.
<br />Final Test
<br />Meter Release
<br />FINAL 6-7A-l\[^rL1('
<br />Notes, Remarks, Etc-;! trft ,u{It^lNl^'6 b4la! &(4r lw ,a
<br />)la0]p,!, t AUo+ (,rFlrHt v4QBff)*ra$El, XWI
<br />3-17--1', lt-het4,,b 0tt4^4.,c, J,J{-[J ft^--q. dL v.v,41d\ Pqu.O
<br />n\
<br />z-A-
<br />I
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