|
PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS owh.Fauild.r Dcciot ion
<br />I hc, cby rrfi m und.' p.nah, oi l)crjurl !h I anr crcmE fm $c Co.r,croE Li..ns. Lrw au rhc tolloq irs r $n'n lic 70.1 I 5 Bnritr.$
<br />ind Pr oL$ioi Cod.) Any Cny d Couty wnici rcqtriEs t p.mir ro connrucr, ilrcr. inDnv.. dcmolth or '.Ntr nny sh.ntr.. r],i.' r t lA
<br />issuin;.,ahorcqutifi.applicinlfots!.hp.mnlofil.rsgn.dnarcmc.lfirhcordici5|c.nscdpursrrmrorh.prov6ronsofthc
<br />Co.r'rdoi.Lrc.ns.dL!*(Ch!pt?rI,Cofrm.rcrtrswtrhS.cton7000ofDirtionr.f!h.Busines,ndProrcs5ionsCodc)or,!rh.or
<br />shcis.r.,nfldr.r.nomindth.bstlorrh.oll.e.d.rchtrionAnyvrol!rio.olS.crionT0ll5brany{prJlicairrornp.mnrrubj.ccrl(
<br />lpphcanr ro aciyillcnahyoa d mor. rnan fiv. hundrld dollaE (itoo)
<br />l.a\ d*$.! oi r[. Fop.ny, ormt.mrloyc.r wilh vaa.s 6 rh.n.ol. conrD.nsnrotr. w'll do rc sorl atrd rh. nrucru'! 6 ior n ctrd.L]
<br />o' ofr.ra fdsrl.( Se 7044. Buin.s sd ProL$ioN Cod. TlrCohtrcroas L'..ose Lrw des lor aflrly b ow.' ofrhcFropcny
<br />*hobuilG or imp'or.sthcmn, dwhod6such*o,kh'tuqlf o, h.6.llorrhrcu3h I'iso |., owncmployc.s,Pov'dldrhars!cr,
<br />impovcnl.nG rr.notinr.id.doroff.rcd for sl. li howevcr. rh. LruildnrB or inrpro\enr.nr r s. d wlil,ir on. v.rroicompl.non. rhc
<br />Or.crBuild.r*illhovc$cburd.tr ofpDvinS O h.o,sn.no! huiid o. imAovc for rnc pu,lDs..is.l.l
<br />_1. d own.roith. pro!.ny. id.rcl6r!cl, cotrnoctin8strhlic.ns.d conrackrs rofunstucl lhr prolccl i S.c ro,l4. BGiE$ and
<br />fiof.ssior Codc Th. Conractoa. Lic.nsc Li* dq not apply ro rn ovncr .f pnrFny sho btrrlds or impov.! rh.reoD. ind aho
<br />conrd3 aor ruch poJ.cGvnh aCmradorG) liccfls.d Plnuint tolh.Conrr.clor! I-ic.nr. Lr* )
<br />_len cxcDpr undc! S.cnon__,4 &rC rorlhi5,.$on
<br />WORKERS COMPENSATION DECI,ARATION
<br />I h.r.by rinm und.'p.nolr, orpcrury or. ofrh. followi.g d.cla, ions
<br />_lhlv.andw'lln.lnkrnaCcnificarc6tConscnrroSclf.ln\r'!i.rw.rlor'c.nDc.s ro.alnov'dcdro,bySccl'.nr7o0ol11{
<br />Labor Cod..lorrh. pc ntucc of rh. worl lor wh, ch nr. p.m rs irsu.d
<br />\ or k ror whi(h rhis pqmir is skd My vor t$ conrtEns$oi n$ut i .. .rt is dpolicy,umb..!r.
<br />(Tht !.crion nc.d not !c co,npi<r.d ilrhc lEmir is fo, Orc hu.drcd dollaE ill00l or les)
<br />,/l (n''J tl"d'n r\. po,o"'.J,.(. or rrE r Jrl i' \htr1 rtrr penrr \ *iucJ, l r'il .rt
<br />t(cdmr rubjccr ro rh. troA(u \on,p.nsr'on laei oi('rl'rNnir. MJ Js.. tl-r rl I$onl
<br />compcnilrion proviiions olsc.rion 3700oflh. Labo'codc,I shdl, forl[qth .on
<br />WARNING F.ilurcro s.c u r. wo' kcN ' co np..sarion covcraB. i5 un
<br />fin6 up ro onc lurdrcd $ous.nd dollq (ll0o.0o0).in rddnionrorh.
<br />ihc Labor Cod.. inro.st lnd anom.y s fc.s
<br />.r b crininal p.niln.,.rd.ivll
<br />.96 6 providd ao!rhcSccrn)n r07(, ol
<br />LtctiNsfD c()Nt R{(.,l1)l{s DEcl-.\ll.\ rl()N
<br />I hdcby.film undcr poalry olpciory
<br />'har
<br />lam lrc.n*d undci prolision of Ch.pr.r e (com
<br />-bl
<br />I h.r.by rmm undcr pdrlry olpcrjury thrr rlu. h i.oislldion ccofrl,.*.,h 1i,r qh'!h llns pcnn r
<br />tndls4 lOrT,Civ C)
<br />,\rPLt( AN',r's Dlj('t-AR\l tON
<br />D.'nol'roi Pc'rns
<br />^sb.!rosN.(ficinon
<br />r.darl R.gulid'nsl'rnka(r. Pd6)
<br />_ R.qutr.d l.n.rof Norific.tion
<br />H:,rh. lcdernl rcgul.iionr rcBnrdi.B ah.sros rcn$vala'. ior rDr,liciblc !.lhr
<br />lhrvcEldrhr rppL'clto rnderatc d' rh. J ,,r,n,l! \L r lr r:.'nta iI,
<br />ordnrmc.innd SI0!. Ln*s rclannB robuildinscon rucl Cilt andCounly ro cnro upotr rh.
<br />abo* o.mion.d popcny fu n$pccrio DlrpGq
<br />rr,u-n *.r."r191i-
<br />P.mnk. n:m. rrinrr )'a:<
<br />>4-r+-61
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P-trap/Drain Line
<br />Main Draini Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />EXF!EI :ri
<br />Rough Plumbing
<br />Final Gas Test Frn; I !0t9
<br />Meter Release st.A
<br />FINAL
<br />oJo,6u7
<br />Notes, Remarks, Etc
<br />ID/SIG.
<br />Citricr_
<br />o"d-.- - )-> ca-oL
<br />rlE BusnBs and Fof6siotu cod.. ddnrr licenr 6 rn full lncc rnd cllal
<br />Lic.ns.Cl6r __- Lrc.ns. Nunrber
<br />-
<br />c/,///7
<br />TOP OUT
<br />Gas Service
<br />Back Flow Device
|