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. PLUHBING-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS oIVNI'R BUI LDER DI]LCAITAI'IoN
<br />I h.rchv ,flnD u l$ n.Mlty o, n.nuo rhir I i cxempr ft,m rh. Coni,.crors l,rccns. l-.w lar lhe loll(t*'nS rcnmn lsec!/0ll 5 '
<br />trusrnes ind tmf.snn Cod.) An, ciry.r Counr! whth r.qun.s r pcrmt r. connrud, slrd, nn,)rorc. d.mlish or rcnar any
<br />srrucrurc. nrK,!o irs Nsudcc.,l$ rcquires rhe 3npli.i lor such ll<nnil i. file a 3{hed ndomr rhar h€ or shc is licc.kl num.nr
<br />h rhc F)vi,ions olrlr Conrh.rori Licctrscd t..w (Chrrrtr e. Connn.ncirs qirh sccrron 7000 .rDivlsi.n :l ofrh. Ilunnds rtrd
<br />l'm fcsi,rni cod.) or rh Morrl'c n.xcDnt lh.rcfnnn and thchisn nxihralLS.d cr.mprio. A.yvioldionorserionT0:ll5hyany
<br />rtrlicrd f.r ircm cunr(B rhc rrnhcinr h acililreorhyot rer frftrh.i filc nundrcddollnts(55001
<br />l, .s owncr of lhc pmpcn,. or oy ehplort{s wnh w0!.s .s rh.n $lc an.pens,rDn, \''ll do nt qnrk a.d llr ,tn{lue r r
<br />rnre(kd or oiIeEd ftr s,l. (sr ?o4,4, Busiru$ rnd Pnrt ssnnF Codq'l hc conlradois l-ic.ns. hs'does ml april, (r in o$E of
<br />rhr pmpdy q txr burldc or i.{'mrB tE6a s *b dms such *r,rL hmrcli o. hcRllot rhmugh hF or htt osn .mplot?es.
<br />nrori.llrl il[r guch nnrn'vdftnB .rc mr inroncd n ofsed nn $E I I lx,$d'.i rh. hinldrtrS or imprtrlrd F $ld Nt[rn .m )@
<br />oioDnlcrnn, rhe Oq'n.r l,ur[+r *illhn(s thc bundnoap$qn8 rlmr hc or d]e did frn hu,ld.r im!n,\t th. Pmpdy lor rh. l)lqr,*oi
<br />l. rsowncrolrhe Jrmpdy, m.rclurtcly conrmcrra qllr lEnrd c.nrracrosr..on(rud rh. pmicl (scc 7M4, ausms
<br />idd Ptuli\sr). Codc lbd(onlraclois l.rcens.l.,w dms not itnlyki nno*n.roipon.ny*ho Suilds dr rhnnnes rhetsnr
<br />rnd sho coolnclr nr ch nnlcck wnn r Gn mclo(, lcctrred puFu]nr urh.(onltaclors License La*)
<br />I am.xcnrpl undq Sclo
<br />wo l(on-s'coMPeNsarloN
<br />DECITAEAIIA!
<br />I lEEby !0i 6 u.dd p.nslty orpsjury o* of$. folk'sta del@tioB:
<br />-l
<br />h3re inl will mai.hin r cedilf,rlc ol(inscnr h Scll lnRlrr in sor l.E conrpensrion, ns lnfded Lr hy Sation lT00 o t rh.
<br />LnbotCGjc. turh.psnrru .of tneso& ntr whichth€ nc.inir n Gsut.l
<br />-l h.v. rnd will minlri. MrI$ coin .B6t ion aNoncc. .3 Equircd by Sdlion 1700 of thc L.b.r Cod., for $c orf.moc. of
<br />rh. wo* for wnich thb D.mir is ii$!.d. My workdl @nD.datioo i@Emc trid lid Flicy Duftb.r d:
<br />Pc'K\ \unbfl
<br />-Ext'(1
<br />-l
<br />anify thd i. lh. Frf.rum. oalh. work for c,tich lliB t rnit iN as!u.d, I lMll ml .mploy .ny d$n m .ny nEft.
<br />6 .! h t-oD. sbld b fi. e*d'owr.erio. la*. of Califomia .d orr lhd f I should b.coB sbJ..l to llt
<br />wolkds'omp€rslionpmvisionBofSdli.nlT0Oolrh.labrCod.,l$all,forlhvilhcoq)lywnn$o*Pmvisiont
<br />WARNIiIG: FoiluG ro cm mrt6' onp.rulrior 6!@s. ir uLwtuL t d !h!ll sbjdt d drytott to 6imi t pdelri! aid
<br />civil ,incs up Io orc huidrcd ln ed dolldB (I|OO.(IOO). in.ddnion to lh. @3l of @t4mstao.. dsmgd .s prcvii.d for lh.
<br />s.dion 1076 of rhc lahor cod., ints.sl hd inonay'! G.s
<br />!lc!:!lli[-caM! craf,
<br />DTCLATUI'ION
<br />! hdehy.mrm und.. p.MlryoIp.rtrtry$!t I am lic.ns.d und.r pbvhion ofCh0ntd t)(comemrn! wilh S.dion 7000) ofDivhion l
<br />of th. Buiirc$ and PoI:3soN Code, trd my licctrE is rn fuu lore dnd .lter.
<br />Li..nr Numbd
<br />C.ntr..r.r:_
<br />caairBucuq!..tElDulc.acllcr
<br />LEEb, .,ttrm ondd ,ctuty ofrc.Jury thd lh.rc t . odrnrcrion knditU !8tuy fot lh. psfolrlrsm oflhc e* &r stich thh lGma i
<br />i5s.d (Sc. !097, Civ. C.).
<br />AIILIIANLDICLA8AIIO!
<br />I lftnr 0fiimu.d.r,€nrhy otp€rj!ry ok oafi.lollowin3 d.clnmtionsl
<br />D.mlrion P&nik"Ash6tos Notilic.li.n f .d.nl R.tsrlrrnns (, nlc 40. Pan6t
<br />Rcqun d L€(.r of Notifisti.n
<br />-l
<br />c.nit rh.r rhe fcd.nl E8llario^r ES.rdinS 6sb.s1G ,tmwl 5rc ml qt lic.bl. lo tha Foje.l
<br />I ceniryrhirI harc rcad rhiramnc,tnrna lsritelhal lh. ihve inlomxrlrr Ncon.ct.I.3retocomplysrhdllcryand Counrv
<br />ndi.ancesnndSkretswrrcl,riner.burldmrconcruclio.,ondnrehyaurtnriar+r.s.nr0rivesolthi3Cilymd(b,nrvb..(.ruponnE
<br />nts!.rRnriorcd pmn.ny for itrspdion puFk.
<br />{ppllr.ht or AErnr shnilun:
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P{raplDrain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing lLlu,q 5LK
<br />Final Gas Test
<br />Meter Release
<br />FINAL 0_ilxt g 4\K6
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />POOUSPA
<br />Water Service
<br />I
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