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APPROVALS DATE IDiSIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Building Sewer <br />Area,/Storm Drain <br />I nterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipinq <br />Rool Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill LineiBack Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Waler Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release A <br />FINAL ld.-l -t{6 <br />'4-yr-501Notes, Remarks, Etc. <br />I <br />(r\tNt,tR lllitLDtiR DIaI_cAR/\l to\ <br />I h(cby atfro und.r pcnalry ol F{ury lhlt I mqcq frcmrlE C.f,imctou Lic.nE Llw lor thc followirB tasn lscc7oll t <br />Busin.s a Pofssion Codc): Any Cily or Cou y wfith rcquircs . ILmil lo ons|tud. alls. it{o!.. .kmlirh or rP{i( dy <br />sl .rurc. pr6r b irs ksuffi.. rho r.luiEs rnc E rlicanr tor such !cr! r ro file a signcd irarcmfl lhd li or sh. ! liccosd pulu.r <br />lo rhc pmvi5io.s otrh. Contr&tm i Lice!*n !!w {Chanto 9, Coen ncing wnh Scclion ?O0O of Division I of rh. Busioc*'rnd <br />Prulc$ions Codc) or rh trorsn k.r.$pt rh.rcaDnard rhc basn lor rhc llkBcd cxcmrxion. Anyriolarionofscc'en7031.5byoy <br />applicsnr lor ! ,cmir suhjmrs rhc lppli.air to s civil l)etulry of not morc rhln fivc hu.dred d.llds (t50o). <br />L rs ownd of lh. ,hFny, or my cmplorcs wnh wo8cs ss lhcir sh comrcdalion. will d., rl* u,rt uld tlE rdE t mr <br />inrcn&d or ofrcEn for slc (56.7(x4. Busines dd Pinlcsion. Co<t r TIE Conk!.lols Lic.ns L.w drcs mt lpdy lo a. o*mt or <br />th.pmlEny who builds m ftpmwslrE@n. {n wk) d*s shs hinlrclf 6r h.Mlr or rhou8h his or lEr o*tr cmrlortcs- <br />prcvidd rhal such impormnrs e nor anl.odcd oroficrn tr]rBL.lt tsEvd, da buildinB or iqm(m issldenhinoEl@ <br />of sEpkth.. lh. owmr Buiner witl hat $c budcn ofpmving $!r lE or shc did br hild or inlhw rh. potmy for tu Oapoe 6f <br />-1, <br />oso*ncrofrtclmFny, rn.rchsiv.lyconrEdins wirh lienscd .oorr0doh ro onslrucl llE pmi.rl (Se. 1044, Bu\i"cs <br />,id Pbfcsbn Codc: Th. Co.tftrort Lic€nsc tjw docs.or lpplyb an owncr ofpmllcrlywho builds or inprows th6on, <br />and sho onrEcrs for sch pmj&rs silh a conh.!o(s) Iicerscd pusu.r r. fic c.nhactols Lic.ns l-v) <br />-l <br />!m crcmlt und( Ssl <br />t2E!t -EAI!Q\ <br />I hcrch, llfir undd pcnulry.l nf$c follow int d(ldll ion\ <br />-l <br />h.r ed *ill mi.lain r C.nitEltc of Coi*.t r. SclI.lnsE for wlGs' oopcnelion. as ldviicd fot by Sccrion 3700 of rhc <br />tttor Code. for rhc p.rfom of fi. *o* fo {hkh lh. p6nl ii &!cd. <br />-l h.vc ,nd *iU @inr,in {ortcs com!.nsltion insur.rcc. rs rcquncd by Se.'l ion ll0o ol rhc I lbor Odq foi |h. I*riormn.c of <br />$c work for *hi.h itu !.mn is iscd. My r.rkds s,nFnelior insunre cmicr .d policy .umtlcr ac: <br />-l <br />ccrliay that in thc lcnormrc€ oflnc wort for whicn lhk pcrmil h issu.n, I sh l nol .nPloy any l,cson inmymmtur <br />$ ri ro lEorc.4ublrl ro the workdc omp.r$ti,n lass of Crlifomia. and aBB th8l if I slFuld lf,com subjd ro th. <br />wo*ds co'nlEnetion pmvisio.s of S.dion lr00 of lhc t4or Cod.. ! snall foahanh.ooply wiih &oe povisiof,s.. <br />rvARNlN(;: l:rlluc ni sc.ur. s.rk.r\ ct n cov..aAc n Dtrh{rul. 0nd sh0ll subFl on cmplorr ro siolnrl pcdlri:s atul <br />cMl fincr up t. oft hlndrcd rhousnd dolls 100.fin1. in rddirr. h rhr.o{ofconIEtrsrliotr. d!rogcs 6 pn !idc{ lor rh. <br />S€r ion 3076 ol rhc ljhr Codc. inr <br />IJ(tirtlt2-L!)Nllu(l!ts <br />DIiII,IB]IIIT]}Ih.rhtrlftNundrrFnrhyofptijurJ"rl l on li.c.\dl undcr l,n,visnr ol ChrJ)ls') (connncncins $irh Scrri,in 700(, ofDivi\n'n:l <br />ol' (h. ttu\i'rcsrnd Pmlc\sn\ Cod.. a nN liccn{ i\ i'r tull f{)R nd clrcrr <br />L i..nsc C ln$:-Li.c nrc Nu$tEr: <br />l).1.: CoDlm.lor: <br />coNirnuquaNrENDlNc-trljlNll <br />I hc(-by nlllr u crt^-.rrhy.lltrjuryrh!rrhrrcis!con(ru.ri,in!.ndi',rrscnrynJrrh.N'linnrnccolrhcsorklhr*hi.hrhnpsniri\ <br />nrLcd lsc. l(rr7, Crv. C ) <br />AIPI,ICANI.DECI.IIEAIIO! <br />I H,y !trrm uder rnalry ot p.rju., otu of E folloairg d*hrarion.l <br />D.mlilion P.rnils.Asbcslos Nolificolion F.{€hl Rcslblions Onl..tO. Pan6) <br />-Rcqlncd <br />L.lrcr of Nolifi crtion <br />o\cnmval3,c oor arpltahlc ro rhis !n'irl. <br />hc atr,v. irronMlion h coftccl I ortN io onrpl, enh ,ll Ciry trnd counry <br />,DTB <br />PLUMBING.INSPECTOR RECORD <br />Gas-Underfloor <br />toqlilL <br />L n.t. . Ni,n.