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PLUMBING{NSPECTOR RECORD
<br />DATE rD/stG.COMMENTS om.rBuild.i D..lenio
<br />I hcnby rmm lidcr paElty of p.rjsry tut Ln.rnpr f(rm $c CdEl.ion'Uc. cLt fdrh. followinsn{ton (rcc ?031.5 Budnart
<br />ed Pmlsion Cod!): Atry Cir, d co&ty vhi.h r.quis r permii 10 coturBc! .lta, im!@vq &drolhh d r.P.ir ey Iruc!u,., p.id lo in
<br />bru.s@, d$ nqdG th. !!pli.sl fd scl F.,nit to fl1. . .iir.d ndd6t drd h! or thc it li. .d
<br />'lrutt
<br />ro lt. provirtdt of$.
<br />coterort Lic@.d rlr (Chlpt r 9, CoMcins wi$ s4.tlol 7o0o ol Divition , ol th. Bsi.< 4d PtofBion! Codr) d lh.i h. d
<br />lhc it qmpt !h@6@ ud th. b3i. f6 60 .ll.s!d qcmrt@ Ary violrdon ofscctid ?031.5 by sy.Ppli.el fd ! pcmn ![bja!t $.
<br />lppli6i to . civil Fndty or tor m@ $3 6v. hun&.! &llrn (JJ00).
<br />_1, s Md of thc Ftp6ry, c rn, dployd wilh w.tq d th.ir sl. cmp.mtdon, will do $. *o* dd th. tLucl@ it nol inEnd.d
<br />q ofcrc.l fdr.lc( Se,7044, Eui.6.fiI?6fqtio C.de Thc Cotr&l* t Li@. bw dd nol rpply lo u ow.6 of ii. ttDpnty
<br />who bujl& or inFovs thcl@, sd who do.s luch eo't htn .lf d hddf or thEush hi! .i hd om 6ploycB, Provi&d $n $ch
<br />imprcv6m$ e ror ir&n4.d or oficrcd fd !a1.. lf, how.q, ltc buildinS r inPtovcmol it lold witin onc yd of @mpldid, lh.
<br />OecFBliftLr will hsv. th. htrda of provirs th.l hG u!h. not build d inprovc for ln. PurPot! ofs c).
<br />-I,
<br />s Mn of ln. prcpdrr, 6 cxcluivcly conttr.1i.8 wiin licd.d cdirr.rd to @.r.uc! tn. Prcjd ( Sa. 1044. B!,ina d
<br />Prcr6rion Code Th. Conm.Lf r Uctr. Lry d@t lor .pdy to u omd of popcrty who build! q inprovE dctFi , Md who
<br />cohr@i, fd ruch prcj.c$ *irh r coiErcrd(r) ti4ilcd psuat to r!. con@ior'! u@N. Llw ).
<br />_l6.r.dpi udns.dion
<br />-,B,
<br />& P.C. fo. $it raoi
<br />Z*,^*n6-".it.o o
<br />not 6. dpl.tcd if dr pmir i3 rq Oi. huidrd dollas {l I0o} d l*)
<br />ln. pqioftuc. of rhc pok fo. *hich oft p.nnn i i$u.4 I thdl not dploy sy p@on i, uy mond to s ro
<br />fi. qo*6 ' .mpcnlerio l.q' of Ctlifmia Md tgr4 ln{ if I
<br />t 3?00 ofrlt. Lsbd cod.,lsh.ll, fonhwirh
<br />io re!rc wortd' cmp.nErion cov.r!8. is r an oployr to criFi.il pmsltic! $d civil
<br />fincs up to or. hu&cd thos&d d.lls (l I Oo,ooo),in a.knion lo th. c6l of cohposrtion, d.m.8cs 6 Providcd ld d. S.clion 3076 of
<br />!h. Labor Cod.. rn'd.n sdltMcy i f.cr
<br />LICEISIDIOEIAACI9SfDECLAIAIIQE
<br />I hd.by rfild odi pmalq of p{jury thr I m ltd.d 6dd Prcei.im of ChrPlr 9 (.ffioidns eiih Sccti@ ?000) of Diviiq 3 of
<br />rh. Bsih* dd Proi.srio.i Cod., sd hy licd. ir in tull fo@ Dd.lI4r {s ofz--
<br />I hd.by lffim und.r pmslq ofprjury $.1 llld i!. @struction lndinS of ttu wdl for *hich thir pcmir ir
<br />issucd (Se.l09r, Civ. C.).
<br />AIII,ICANIILPECI.ABAIIOI
<br />D.molirion Pmi$-Arb.slor Nodficaton F..lin l R.rddio6 Gitl. 40. Prn 6)
<br />_ R.quir.d r,lld olNolifotim
<br />_l ccaB Lh{ ih. r.dqll E8rlatid. rc$rdn8
<br />;ry drt I harc R.d tlii tp?licltid Dd
<br />sbsrc @ovd .'! nol rpplic.bl. io lhi!
<br />3t rc d8l fi..borc infoiud@ i, coftcr I .gr.c to comply witt dl Cily &d county
<br />otdii4cs ed SEr. Llws @lrtinB lo buildin8
<br />abovc m.ido..d prop.d, for inlp.clid
<br />rcprcs.nhrivd of this ciry ed
<br />UNDER GROUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test t i,ill6 Ftit
<br />Meter Release Erar rrr
<br />EFtr=T 2fi9
<br />FINAL
<br />Notes, Remarks, Etc SaW(,Iicd Jlru, Eoer wv '
<br />APPROVALS
<br />Water-Underfloor
<br />!!84E$Sa!trE!S4UA!..prCId8XUq!
<br />I n*by afflm undq patally ofpdj!ry onc offic followins dccl.t!ti6!:
<br />-l
<br />h.v. od will m.intsn . Aflifi@tc of cdidt lo S.lfl.Llurc for wtrt6' cmP.itadd, a providcd for by sccrion l70o ofrhc
<br />Labor Codc, for thr p.ifmse of i!. wo.t fo *hich th. phit it i$!cd.
<br />_l hav. ed {ill mainhin wort6 ffip.tualioi inlutuc., B ,.quncd hy S@lion l?00 of $c Llbo Cod., fo! thc P.rfomec. of $.
<br />*o* for whkh $is pmt is i$u.d My wdkco' mpalado. iiiuac! cdia od Policy iumbq d..
<br />CMie
<br />Policy Nmb.r:-ErPiE'
<br />-_-T__ll
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