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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Omd-Build.t D.cl.ntd <br />I h.rcby fiim u8Lr pdolg of pajury d.r I m .xoF fm $. Cotrddr' Li63c L!* t( th. followins 16@ (s ,0! L 5 BGincas <br />ad Prcfsid Cod.): ADy City o. Centy vhich Equira . pcmit lo cdtttucl, alld, imFovc, ddolish or t.P3ir My llrudurc, Pritr lo il3 <br />i$uDe, dlo r.4uiE ri!.pplitur fd rlci p.mn to fil...irn.d.tsi@t thal tc or si. i.li.ced puBumt to 0E Prcvisiot orfi! <br />cdl'tld's Li6!d ljw (Ch!Dt6 9. Com@.ins witn s.clion 7000 of Divitio I of lh. ABind ed Ptof6ti@ Cod.) or thal h. or <br />sh. is q.mpr rh.tufroh Dd th. bl'ir ld thc all.B.d qaIprion .Any violsl,on of S..'lioi 7031.5 b, uy .prli@r fd s pcdn subj@E $c <br />rgplidr ro r civil porllry of mr tu $6 6E h6d.d dolla (1500). <br />_1. G oMd of Ibc prop.ny. d my mployB with slgq s lrt.n tolc cdpdsdio., pill do thc eork ud d'. sltuctut. is .ot i.t.nd.d <br />or oficrcd ld sslc ( Se.?04r, BGiid od PrcfBsid Cod.: Tt! Con@itr'5 Li..M Llw dG not apply lo & os.t ol $. p.op.n, <br />who buil.b or inFova fi.:6, ed *ho dd .uch votk hielf e h*lf 6 lhrcud' his d hd om mployc, Fovid.d rhd slch <br />imprcv@cnr8 s! not inl6r!.d d oftacd fd salc. Il, hopcva, 6. blildin8 q improvcmat is sold within on. yd of complcrion, ihc <br />OMa'Buildn will hlvc lll. burda of p.ovin8 li.r h. q sh. noI build d inprovc lor <br />'n. <br />p!rp@ or sal.) <br />-1, <br />B oqd of tll. prcpaty, M cxclqivcly corEttjtrg with li6!.d 6r&l6t lo 6.rr!d lnc prcjan ( Sc 704a,BBin63dd <br />Prcf4i6 Code Th. Coffircd'r Uene l,.w do€ mr lr'ply ro s ov... of FoFr, who hdl.b o i,irdov6 ih.1@ , dd who <br />c@tr .r. f@ ruct p.oj@u wirh r CoExlor(r) licqu.d puErmr ro tho cdlr|.lor'i U63! tn ). <br />_l m .xcmpt mds Sanion .B. & P C. fo. this rad <br />uaEeEBlsqlg4sAlaN-DIcLABAno! <br />I hd.by amm udd p.nalty of Dcrjory o. of$. foll@iDa d*l!dron!: <br />_l hwc dd eillnrint in rcati6.d. of Cdet to Sdf't.!@ for wdka'conp6en'or, ar prcvi.lcd t6 by s.dion 1700 of rhc <br />t$c Codc. f6 dtc pdfdlM@ of lh. wdl fd ehich lh. Fmil is isu.d. <br />_l h!v. Dd will n.inEir wdtar cmpdstlid in,lme, a rcquied by S.diM 3 700 of ln. ribc Cod., an thc p€.fomMcc of rh. <br />qort for which rbi Fnn i. &ucd My wo*d' cmFBlrie iNum@ qriq ud policy numb.r c <br />(IXis setion ac.i, nor b.@mrla.d if ttu p@il i5 fd On. huidrcd dolhR lll00) s lc{)6 lnar i, rhc pqfomucc ol thc wut fdvhich ltis P.mrl i3 isu.d, I <br />b..o. subjan 10 th. wod(@ laws of Califmia, d lsra <br />thc Lrbd Cod., I rhdl, idrn <br />G <br />doll8 (3100,000),i, zddili 'on, d.rDg6 s provid.d fd lhc S*rion 10?6 of <br />Llcf, NstiD coNTR^c roRs DtcL.\RA'rroN <br />I hr.by afiim u&r pc.alty of pajury thor I h li6s.d utrdd provisior ot Chap6 9 ( <br />lnc Bsin* ud Prcf6sid Codc, md icdsc is in full frc. d cilcct <br />ury th lh@ ir . c@tldo oafi. wort forwhich lhir p.mrl it <br />islu.n (S4. 1097, Civ C). <br />Lcndr'3 Nml <br />A'PLICANT'S DECLAR TION <br />Ddolnion Pmi6-Asb6ts No'ifidtio F.d6.l R.8uhios (Titl.40, Pm6) <br />Rcqui.d t tr of Notilic.lio. <br />I .gG ro congly eilh 3ll cir] and <br />rbovc moriocd prorcny fd insD*1,6 <br />5 <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 />POOUSPA <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 E)(PI t rLlJ <br />Final Gas Test <br />Meter Release FEB -I ZUI5 <br />qAirn rl-dt <br />Notes, Remarks, Etc. <br />Roof Drain <br />FINAL <br />Policy Nmb6 Elpicr _ <br />I <br />-------T------ <br />f - -T------ <br />IT <br />t_ <br />f-- <br />I