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PLUMBING.INSPECTOR RECORD I <br />APPROVALS DATE tDistG.COMMENTS om4'Build., D..leni@ <br />I h..6y rmm ud.r podty of pdjuT 61 I rn .xanpt fdm dtc C.ntrx$n' UclM trw fd $c folloPint r.3on {G 7031. t Bulin.tt <br />ud Prof.lria C.d.): A.y City s Csnt wtricn tlquir. . Fmn to cdEtuc! .lta. iniF*., &noll.h d rqdt ltl) trtifilr! Fo. lo iit <br />i$!a@, .l!o rcqdB th. rpplidr f6.sch p.6nlo fl.. rar.<l (rraMt lh.r h. d th. L li.sn.d Ptqr ro d. Prwiti@ orfi. <br />C6EI!6!U. !dlry (Cl.pG,, Comadnr,lth S.cd@ 7000 ofDilitio 3 of6.BulinB. &d Prcf*ioit Codo) dl.lh.or <br />rh. ir q6p! 6ctm sd th! h&k f6 lb. .ll.8.d qqnpli@ .Any viol.li6 of s.ction 7031.5 by 6y rPplimt fd . Fnn rubl.a. ln. <br />.lpliar b . civil potrlty of not mor. ih5 fE hurM &llrrl {5500). <br />-I, <br />n (M6 of lh. rioFty, q ny anployd *ith w.s6 s dEir &1. conpoustid, tilldo t! wqt ed lhc arllctao n nor inr6d.d <br />@ffd.d fd 3d. ( Se.?oaa, Buiid 6d PrcfdiN C!d.: ft. Cdrtuld'r Licd. kq dc not .P9ly lo e Ma of dt. PrcPdtv <br />eho buil& d imrrovc' lh.$ot. tnd pho dc rud wdk hi,tclf or hat lf 6 drcudt hn { ha o*r.6Ploy6, Fovidcd d1.l tuclt <br />inPfotemu e not inia.tlrd d ofidcd fd !.1.. If, h@Gv4, lt. buildiii or inprolm@r it told widrii 6e y@ of cmplaiol O! <br />Omn-BuildF will hr* d. burda of p.@in3 lh.l lE or tlE nol blild d imP.otc fo. !h. purPG. of 3.1.) <br />_I, s @nr of rh. prcr.ny, m .x.luiv.ly 6tr&titr8 tirn li@.d c6tu1oR to 6lr'ucl thc pojlcl ( S@ 704a. Euind ad <br />iioldrim C.dq Tt. ConEl ror'r Li.4c t dod nor.pply toe oud ofF.r.,ty who buil& G inFov., lt.r.e, dd *ho <br />cdtr&t3 fd !!d proj@tr ajd! . C@Fr.td(!) li@cd Pt6@r ro lh. C@tr.tqt Lic.nk t w.) <br />_l d cr.mpl u.dd Scctio B &P C ld this rdon. <br />WORI(ERS COMIENSATION DECL^IAIION <br />I hd.b, affim unda pa.lty of Fjury 6,. of lnc folloeitr8 d..lu.ti@l <br />-l <br />firy. dd vill msiilli. . C.nificd. of Cotucnr to Sd f-lBe ld wdto!' cmP.i3!li6, 3 provid.d fff 6y S.cion l70O oflh. <br />L.bd Cod.. lor $. !.rfffiee of th. ,ort ld whicn $. Fmn n i$!.d <br />_I hrv. sd will Bnint in *<f,!d' .ompcnrldo. iruuth@. ! rcquir.d by Serion rT0O of lh. L.bd Cod., for ln. !.rfomrn* of tl. <br />wolt for which {ri! pmh is i$u.d. My wo*6' .omp.n$rion inluMc. @ic .l policy.unbo e: <br />Policy Numb.r <br />-Er9ir!!: <br />(ThL rcd6 nad Dot b. @t!,pla.d if 6. pqnn i. fd Or. iu&.d dolla lllo0) a l4) <br />ofth. wort for *h'ch thn p.mn it i$u.4 I thtll <br />hM of C.litmir, ud ,8le tblt if <br />ofrh. L.bd cod.,l !hdl, fmhwirh <br />dou6 (tl00,000),ii.ddid6 <br />I hr.by !f,im 6&r !.nrlq of p6j!., thlt I n li@.d 6dn prc tio of C1'+16 9 <br />!h. BEinsi md ProfBio6 Co<lc. Dd li.d. ir in tull fo@ &d c6e!. <br />olpajury dlll t@ it. @. .rio of $c vdt for *hich thi, D.mit it <br />, civ. c. <br />A.I,ILICA]iT'S DECLAIIATION <br />D.moUriotr P.nni!-A!b4t6 Noti6ctri6 l lt r.l R.8d8loa Gidc 40. !.n 6) <br />_ R.quir.d Lal.t ofNo!6c.dcn <br />Ko,^ <br />fi. f.d.nl r.Erlatiod rcBadii8 ab.!16 <br />I hrv. gd thit rpplicado ud $&c to .orply qirh .ll Ciq Md <br />ordinecs &d Sr.lc Ltw! r.l.iing b buildinl <br />.bor Mion.d prcp.ny fq idpetion <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <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 />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 />trYDIE!rrl <br />Rough Plumbing <br />Final Gas Test FEBOI I 0t9 <br />Meter Release <br />FINAL <br />Roof Drain <br />Notes, Remarks, Etc. <br />t dr't Ad.hq <br />r--__-] <br />I <br />,t <br />I <br />I