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PLUMBINGiNSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS Omcr-Buitd.r Dr.l.ruion
<br />I ha.t'y .Eitu !nd.r pcndry of Fjlry $.r I m crary. fm 6. Col'!d6, Li@$ hw f* th. rotl.win8 @@ (B ?ol LJ Bsinos
<br />ed Prcfeio,r Codd: Any Cny d CMty whid rcquiE r p.mn to cfirn! dr.r. ihFovc, dloolish or Ep.ir &, !Eu!e, pnor b iEi$m@,.1$ Equi6 rhc tpplic$t fq iud Fmil ro filc. rigr.d slal.fur lhr h. tr sh. ir ti@cd ,6uet to th. Foviri@s otrhc
<br />C6uerd'. Li6s.d tjw (Ch!p16 q Commacir8 wirh s*rion 7000 or Divirioi I of th. BGiicss dd prcr6i@3 C!d.) 6 lll.t hc d
<br />rhc ir *anpl thd.fiw ud rt. bGi! fa lll.,ll.8cd qan ioi.Aiy violnim of Serion 7ol1.5,y e,.ppti@t fr ! Fmn subjcd5 tn..ppliar lo . civil paalty of noi noE rt8 fvc hudt d doll6 (1500)
<br />_1, a owncr of 6. FEFrty, dDy nploy* eidr w.se s !n.ir 3ol. cmF$rim, will do thc *or! &d th. lhde ii oot inradolq ofsld fd rdc ( S@,70a4, BBind &d DrDf6i@ Cod.r Tac C@lrIr6'3 Lic.e trw doe no( lpply to u omcr of thc proprry
<br />who buil& d inp.d6 0,a!on, rd sto dG suc! wo* hinclr or ncr.ll o !hs8n hii a ho own dptoy6. Fovid.d $c suchimprov.lMl' @nd i arLd d oflcr.d fr !d.. Ii howaq, rh. buildjnsdimprcvmntk@td wnhi. oncyd of cmptaion, rh.
<br />OMd-Build6 will h!v. rh. buda of povii! rh$ hc or rh. .or build 6 imp.ov. fd fi. puror. oi sat.)
<br />_1. s ouo of Ua prop6ry, D dclGivcly @i...d.8 wth licar.d hr&rotr to coD rud $e pojcct ( Se TOaa. gsi.B dd
<br />Profeion Cod.: Th. Cortr.cd" Lic.e Lrw dc .ot repl, ro e @i6 of Fopsry vno blilds d imlrov6 lh@n , ud whooE&E fd rEt prcj*.t *ilh . cdE*io(, ri@.d ,lltt@r ro th. c6Er.ro.r u@e tlw )
<br />_l m .xm9r u&r Sed6 .8. & P C fd this B6
<br />WORI(ERS COMPENSATIOI{ DECLARAT'ION
<br />I hq.by aflim uid6 p6dty of Fjurr 6c of ll1. folldirg daleritu:
<br />_l lN. &d will m.i.tai. . Carific'r. of Cdl6l to S.lf-I.lurc {or w6ld' 6rcn!&ion, s provid.d for by S@rion rTOO ofrh.
<br />Lrlor Cod.. fd0!. Frflru@ of $. -o* fd qhicn lhc pqhn ir is&d
<br />_l havc &d will h6inLin w*k6 cmp.ns:'rion iroUrue.6 r.g!t.d by Seion lToo otth. Labtr (on., for $c p.rfomuc. ofth.
<br />wort for which this p@it is i$!Gd My wdtd cmpcns.lid insur cc @ia dd policy numb.r arc
<br />Poli.y \umbs _ErprBohtynraan.,r b. cmpi.r.d ifrh. Fm;t is for On. hundrcd dollE {1t00) d l€s)
<br />ih. paf{ru@ of dc *o& fq which thit Fmir is i!ru.4 I shal €mploy uy pssoi in eybem. llbjar ro thc sodc6 la$ of Colifmia, ed aSra th td
<br />ofrhc L.!d codc, I shall.
<br />fin6 up ro o.. hudrd $tuud dolls (l100.000),in lddili on, d.ha8B d prov,d.d fs lhc Scdion 3076 ol
<br />th. L.bd Codc, inrcrBl d.!r@cy! 16
<br />L!CENSEO CONTRACTORS D;CLARATTON
<br />I hcr.by lid u&, pdalty of P.rj!ry fi.tl d licd.d undd pb!i.i6 ofctaprd 9 (@mm.icin8 drh Sfttion ?OOo) otDivnion l ot
<br />ofFrjury lhlr thE! ii . @n.nucrion ladinS 16 thc p.rfomecc of th. wdr ld rhid lhii Fmn ;
<br />i$ucd (Sa 1097, Civ. C.)
<br />AIPLTCANT'S DECI,,/TI TION
<br />Dnolitio Pmn!-A!b6l6 Nodfrcltioi F.d..rl Rcsrldi@. (T ..0, P.,t 5)
<br />_ R.{dr.d tanc ofNotific.ddr
<br />I c6rii/ rhal rh! f.dml Eguhdons r.8rdin8 sbd6 rcmoval !r. nor arpti..btc ro lhis Droj..r
<br />-,f
<br />-*.try oa r r,-. *,a,rri. apti..t-
<br />6idri&cq ed Sl.r Lrw! rctdiis b burtdi
<br />I 38@ ro cmply ynh .ll Cn, a"d Couity
<br />atovc tMd6.d p.opary a6 iN!.!ri6
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pi ptng
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Gas Service
<br />Water Service
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />t-r g lt
<br />Rough Plumbing ttr\r a
<br />Final Gas Test ERQ _I ?0rc
<br />Meter Release
<br />SAMC 8-43, I agu, cbb, oo
<br />FINAL
<br />TOP OUT
<br />Tub/Shower Test
<br />Rough Water Heater
<br />Misc
<br />Lawn Sprinkler
<br />Notes, Remarks, Etc.
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