Laserfiche WebLink
PLUMBING-INSPECTOB RECORD <br />APPROVALS DATE ID/SIG.COMMENTS oTVNER AUILDER DI:I,CATA'I'I('N <br />I hc'chy rfinm 0id.r fnrht., FrjrtrJ" rh l rm llcflrfl li.m rtu Onnrn ttq Li..n{ Lnw l.r rhc lnllrsi'rt rcN$ (Sc.70ll5 <br />a$i'rcss nid ltoltsim (-rxlc): Any Cily or Counry *hich mqun.\ n Nnnir ro cotr\lnrl. lirrr. nnPtulc, d.arolish .r rcl'n rry <br />{r.nrc. nri(r hr ilr hnr rcc. rl\o rcquircs rhc ntnlirx r r,tr \uch Frnrirk' lilcr sirtrcd (trlcnfnr rhrrrfor \hc i\ llccned Pur$mr <br />b rlE p(ni\i,,n\ of rh. Conk rr's l-i.cn*d t-nN lchi0cr 9. Connn.n.i'!! sirh Sc.rion 7(Ix) ol l)ivi\ion :r .f rh. Bu!nt\\ r <br />Pmf.\!hh\ Codc r or rhd! lf,or lhc i\ .rcnrr lhcrfiom rnd rh. hr\i\ ror lhc (llcScd cxcr.Pri{,n AnY \n,LrkrofSccrion roSl5 hJ int <br />rfri.a.rInrrp.nnilsu$jc.r\rh.aIIlicirhr$'ll{trrlry.i.ornrtr.rhxilhrhuidrtJdoll(lll5rX)) <br />t. is osn.rol'lhc ltro|Eny. orn,tc'nnloltc\ lvirh qdgcsNrhcn $tdnntlcn\xri,n,. sllldo rh. $.rk rRl rtE (uru n nor <br />idcBlcd or otitrcd f{n {1. (S(.7()4]l. Unsinc\s nnd ftolt\sions C.d.: 'fhu Cin ri.ntr sLi.cn\c L!$.locs nor nlPlyh uowncrol <br />rh.!n)F_ y wlN hu ilds or imnnn.s rhs(D, sd $tu dod nth *o* hnn\.ll o. hc^clI or rtrouEh his rhudrv .nPloyQ\. <br />pfuviln, rhtrr \o.h nnrror$Err\ dc.or idcRlcd ororltad lor! r ll. h){ Ntr. rh t'uildi'r8 or inwo\ cnEnr is {ld !n hin .nc $rr <br />ol.onroLliqr. rh.l)qrrcr Btiklcr willhrvc rh. bunLn ol pn)vinA llur lE or \t did nor t{ikl or rll['rn\c rhc pmFdy i, rlt PlrP{.f <br />l,.sowmrolrtu pnrdy, .m crlx\iv.ly conhcring with li.cnsdl.onrraclorlo consltucr rh. PDrer (Sc.. ?0.l4 Busirc$ <br />and Plofesion Codcr Th.Contrclols Licc.sc tj{ docs nor lrplylo.nowncrorPmr. ywho huildsor imFovcs rh.rcon <br />rnd who co m.]ls for such pn,rcrs wirh a co.rn.bd, lic.ns.d l)Ununl to rnc c6nrro.roas Liccn* bw) <br />B <br />It-U o\$.r <br />DECIdIAIIqN <br />I h.Eby !flirm lidr p.uxy or Frjury om of llE followinB &.lmrionr: <br />-lhlru <br />\eillnuinrrinrC.diitrrrcofonrstrrn,S.lllnsuan{sork.^.o rf.i\rrinr.!s pmvidcd tuthySc.ri.n:17(X)tl rhc <br />Itrhor Colc.lo' rh. lrrfontun.c.f rh. wnrk tu which rlrr{nnil i\ i\{'c,l <br />rl[ $orI hr w[ich rhn pcnnil i\ nskd ltly $ork$f .o.rtt \rri($ irr{trrtru. (ri.' x'xl F,ltt trtrNhcr irc] <br />Poln'\ Nun$c' E\n <br />-l <br />ccnilylhlt ir thc pc.nrtun.r ofrhc wod( ror $hi.n fiis Fcrmn n nilcd. LhuU.or cnpn y any Fmn in any nmrr <br />$ as io bcnnB suhjer lo llE rortcN ompenslion hs\ nl C.lia6rnia dnn a8rcc lhd if I should ttcom suhFcl io rlE <br />*od6c.onlFnslionFovishnsoaSftlionlTqJofllrLlhorCod.,lrh.ll.bnhwilhoddywiihrhospmvthns.. <br />WAIININ(;: liihtrc to scurc $ortcr\ conrpcn$ti{ni corcrS. is unrr{lul, rnd shall sut}cr an cmllortr k, sinrinal ,En0ltts !trd <br />civil fincs ut lo onc hun&cd lhousard dolla6 (5!O0.OO0). i. nddiion lo the^HriY' <br />t)tr(t 1BrluQN <br />oi rlE Bu\inc$ !.d lrofc\.i,in\ ftdc. d yli.crsc i! ir titll ln'.t rDd.llicr <br />Li.cn.cchs: Licns. Ntrtrrb.r: <br />Conlrn(lorl <br />gNqIaUSII()I{I!!DI!!iIGENCT <br />I hr.by .r0nn uMcr lEnrxy of pcrjury Inal rhcrc is a co.srtucraon t ndinS nScmy for lhc lrnb.tuftc 6r rhc *ort for whah <br />'hh <br />nc,nil ir <br />issocd (56. 1097. Civ. C.) <br />ATPI,IIANIIECLAEAISN <br />I hcr6, afl'm u.d.. pctrllry of pcrjury orc of lnc followint delelionsl <br />Dcmlition Pcrmns-Asti. .s Norific ion F.d.El RcBlbrionr (Tilh 40, Pfi6) <br />-RcquiEd <br />L.u.r of Norili.lti,n <br />I.cnilirh.t rhclcdcrulrcrul ion\ rsrdinB $h.(ori.n^!lnrc nor llpflicll,L lo rhn proicr <br />dt"Fr*tm;l*;'lr*u <br />,hovc nrnrn'ncd F)rcny for ins!.crior <br />n rtlrnrcrlrrrh.ruircinli,nnrli,)nn oSre tocomply*irh lll Ciryrn.l Counly <br />FslA a b <br />rhir Ciryunl Countyt, cnr$ uFr rlr <br />-,,,,L-L-aQ <br />UNDER GROUND <br />Water-Under floor <br />Gas-Underfloor <br />Buildino Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Roof Drain <br />TubiShower Test <br />Rouoh Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipino <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Tesl <br />Meter Release <br />FINAL Llt>70 VKMV .*fl <br />Notes, Remarks, Etc. <br />-I> <br />o^", tL <br />Waste & Vent