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PLUMBING.INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS {JWNER BTIII,DEII DIII-('AldAI'ION
<br />I h.rchy nlfir undcr Fnahy ot pcrjury rhd I nm cxcmpl fn,n rh. G)ftndoN l-i.cn\c tra lor lhc fdk'*irr! rc0$n (Src 70.r 1.5
<br />Bu\nrss rtrd P!.icsintr Codc): Any Cily or Counry *hi.h r.quircs I Pcrnir r, .on{flr.t. ollcr. inlt(,vc dcnnrlish ' r nNn Jnv
<br />(dcllrq ritrb n\ issu.ncc. !l\o rcqxncs rlr lpllicsnr ttr such Frnir o filc a sisncd (at.mnr lha! lf, or sh. n ti.cn$d fusumr
<br />b lhc pn)vi\io,! or rhc G, rucroas l-iccn\cd Lrw (Chilrcr 9. Connncncii! wirh Sccrbn 7(xxl ol oivirion :1 ol il'i Bl\ni's\ xnd
<br />l'rcri$tnr Codc).r rhnr trorshc is.r.nPr rheE orand rhc hr\n n,rhc nllcScd cicn,trn,n Any violnliotrolserkrT03l5 bvlnv
<br />,ppliutrr n, n Nnnir suhjccrr rh! amlicantroacivill)cnally.rnornuclhrnlilchxndrcddolhr\(S5U))
<br />-1.
<br />r\ o*mr orrhc rii)Fny.,, nly cnrtl,ryccs wirh wascs rs rhen v'b.omFnsornnr. $iU.lo rh. uork rnn ll. dd'nc i( frn
<br />ifcnd.J .r ollcrcd ltr slc (S.r.7(x,t. Busims\ and Prclcssion\ Codc: Thc Cnnrr.kn s t-i.cnsc l-aw doc\ nor amlv tu rn o*no 'lrhctnltny * lx, htrilds or nll0nNs rhcN,i. md \rh, des Qch uni( himrdll or hcrcl, or rhrorsh hi\ ot h.r own cnrrkr!..s.
<br />niovdcd thd Jucn i.,Iruv.m N dc mr i,rr.'d.n ff.ilcrul f(tr {rh ll hotr e\ cr' rhc hildin! n! irpriv.a-nr is $kl wirhh onc }u
<br />;f cotrlPliri,h. rhr Owtrcr ltuilcr will tmvc dc hodcn oa Foring llu h. oi shc did 'x, btikl ot irqwt fic nnrlicny lor lhc pu.IFs of
<br />-1.
<br />dsosmrofrh. Pn,lEdy. rnrciclu\ilcrycontr r i,rE rirh lic.n\cd c.n'i(r{s ro ..n(rucl r,t I'nrF.r lse-.. ?ol l Btr\iic$
<br />,' lhrssm codc: 'l hc Cont rorsLi.cn\cL{*docsnoran,,lyro.no*ncrorpn,nrt,xhohuilfiornnflolcsrhctcon.
<br />nnd *ho.nnkacrsfrfsuchl,('jccl\sirh,conr..rot{rltcnEdPurudhrhccotrkrcttrsl-hcn\ctjq)
<br />-l
<br />amcrcnr undcr Se 3 & P.C for rhi\ Exu'.
<br />woR(nqs' collPFNsaTloN
<br />DECI,AIAIIAN
<br />I hcrctry aafinn urd.r pcnlhy of pcrjutf oft ot rhc ioltorinS dr--luulb.\:
<br />-lhrvcurlwillnEinroin0C.nirklreorConsc.lroscltlostrrcrorvoriascomp.nc,rn,n.aslrolidcdlir$vsslion3?O0ofrhctitrr Grlc. for rh. Fcrfo,mncc ot rh. sort fm whth Ihe omn k hru.d.
<br />-l hivc rnd sill ntinrlin wotkcN comFtrsarion insurarcc. 0s rciun.d by sccln,tr 3?00 of rhc bho! Codc. tu rhc lllronmnc ot
<br />lh. wo fu qhich rhh P.rnil is is$cd My sorkK .ompcnsl ion insurde ffir ot Fricv nunb.r m:
<br />1.".
<br />trnlbcr: Exp
<br />iry $al if, rhc l)clformme of lhc work for whi.h lhis ,eroil is issucd. I shall not cnPloy anv nc*on in anv munncr
<br />slhj(l ro rhc worksl comF.marion lass oa Cdifomia. lnd tge thll ia l slnold tt.om subttl ro lhc
<br />workdl com!.ns ion nmvisions ofsdion 37OO oflll.l$or Codc,I shlll fodhwnh.om v wilh thoe prolirionc
<br />WARNINo: Frlltrrc b tcutc wolLc^n unhwrnl. md shlll slbid an dl,lorcr t dimintrl lctullics Md
<br />lddilion h lhc osr oa.onDcnstiion. damgc. as lovidcd for lhccivil ljncs trp b ok hun,lrcd lhoosnd
<br />srliri 10760frh. r rFitr(bdc. i' $c{
<br />cro "\LICENSED C()N t lLlCl{lR
<br />Dr!! xdr&!
<br />I hcrhy Jritmundc. p.!trltyoit rjury rhlr I rn li& sd xnd$ rolirion orCh.prd, (comnrctiis *nh S&rion 7rD0) 'rt)ivtion l
<br />ot rhdBurins d Frclcr\n,nsCodc. ud.ry liccn\c i\ in tull f(trc dclisr -/,'fa lLlt q
<br />a-(
<br />c()Ns'l lltlcT!()N LEillllN(; acENcY
<br />I hcrchy !,ltnr unJu l* ,htorrriur, rhnr rhcr. is a c.nslrudhn L.dins.!cmv loi lhc P(rfonun.c olrhc sork nr trhich lni\ Itnnir is
<br />issucdlSe :lO9?,Civ. C.)
<br />AIEIISANLDECIdSAUTTN
<br />I Er:by amm undct ll.iaxy of F jury om of rhc followin8 dNk olbns:
<br />Dcelilion P.rmils.Asbeslo! Norification tucEl Regolrlions (Tnb 40. Pon6)
<br />_Rcquircd t fcrof Norifr.ri,n
<br />-l
<br />ccnify lhd lhc fcdcBl ESuhtions rceortang sbcsos rcmval ad nor 3prlh06lc lo lhis nmi{t.
<br />-l
<br />ccnifr rhd I nrvc rcld lhis apdkario. snd slalc rhlr thc lhrvc inlor@lion iscotur.l dgts loonPlvsnh tU Cityand Counl,
<br />ordinuccs and srrrc hws El.ring buildine .onstrucrion. d ,rrcb, durbrnc rcIrcsnlltivcs ol lhis Cily lnd Counly lo cntcr upon
<br />x,vc nEnrtnrcd pn,jrcny ror ins *", Y/26/rc
<br />Waste & Vent 7-)t)-ty k"w)t
<br />Water-Under f loor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipinq
<br />Rool Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOLiSPA
<br />P-trap/Drain Line
<br />It/ain Drain/Pool Pipinq
<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 />Bough Plumbing 7-7d4f kwa
<br />Final Gas Test 7'7o-11 XJLTfl/\,{
<br />FINAL g->o-tz ,!.v{u)
<br />Notes, Remarks, Etc v
<br />s 4> !!(zo(<<\l€<
<br />UNDER GROUND
<br />Meter Release
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