|
APPROVALS ID/SIG.COMMENTS
<br />UNDER GBOUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Water Pipinq
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL 2h//3 /{/u( i (/o)) blll tn o,+7 lac,,"bor.
<br />Notes Remarks tk o4a
<br />OWNE!' IIUII,DT'T DELCARA'NON
<br />I luchy aflnm unrlcr lcnrlry ('l prrjur, rhlr I an licnrrl fFm lhc ConrEck,. Li.cna' lrs fd rhc ,bll.wir8 rca$, ls( 70:11 5
<br />Bu\nr\\ a l Pn,lc\\n,n Codc)r Any Cny or Curnr) w)riLl rcqutrcs tr nsnrir x, connod. 3ll.r. nryn,lc, dctrk)lnh nr to'Jrir t
<br />{rucrur!,l]rior n' ih is\uoncc. rho rcqtnc\rtu Tplicrnr tur \u.h Frnlir h liL, \ig.cd {dcn.nr rnar tuorsne n liccn\cd prrrulnr
<br />ro lhc tovsirnN orrtE (onk!.ff s l,icctr\cd law ((hrlrcr 9. C.mtrncins sirh sc.rion Tlxx).r Drvi\n 1 ot rhc Bu\trcs rtrd
<br />totusn,n{ Codc) or rh! r or rhc i\ chnrfl rhc^rrnn snd rhc ha\i\ lnr rh. dllc8cd cnnuion Atryviolari,rnolSr.rion 70.11.5 h, any
<br />rppli.rd hr ipcnnir \ub.je1s rhc rppli.anr lo..ivilr.nrlryol mr nxirclnan r'ivc hundrd dollr\(35m)
<br />-1.
<br />rs oe*r of rhe prepcnr. or 6y cnipk ycei wirh wagca e 6cir sh onFnsalion. wil do tE wtrk dd tlE dtu!@ it nol
<br />i .,x,cd o, of.red for $k (Se.r044. Eusimss lnd Prof.*sions Cod.: Thc Connlctor's Lktnc Llw d@. not aprly ro u own.r of
<br />E |'oFn, vlD hrillr or inprb6 ds6,! ed who .i* Mh ft* hims.lt o! hcBlf or teugh hi! n ls om mtpk yees.
<br />povii.d rh6r such idqftEft'nt N &r hrcid.d or ofia.d fd sh. l( tbsei dE hiui.g or irpmwmit i! sld *ini. oft Fe
<br />ofonpLliotr lh. Owftr Buildcr vil lEw rh6 hodcn ofpreving lhlr lE or drc did mt blild or iryor 0r ptDpory for tlr FtrFe ol
<br />-1.
<br />!s owftr ofthc IroDeny, edcrcl!\ivclycoft.rding *irh licc.sd conrmroN lo conslrucl llE lojcd (S(.7044. Businss
<br />ond ftolsi,n Cdlc: Thc ContBrors Li.cnsc Law dms not q,ply ro sn owncr of p.opcn, wlF tailds or inprovcs lher.on.
<br />.nd who sntmcrs for slch pmFcrs sih a Co ddo(9liccned DmuMr ro rh. C.nhcloas LiNnr l,*)
<br />-l
<br />a cxcmpl uidcr Sccrn,
<br />laEf,EEglI)MfENrAIg!D&CIrtlAIo!
<br />I hcrcby lmm mdcr p.nally oi r,.riury om ot ltc aollowirS d(bErions:
<br />trhtrC(xi.,lnr rtu n.rfo nnircorrhcsorl nntrh(_hrhcJtnnn i\ tr{r.(l
<br />ion insudrcc. as r.quncd b, S*lhn .l7m of thc Lihor Codc, for rhc p.nomorcc of
<br />I in{mNc crricrrndtroli.y nu rh$ ircl
<br />mc oirhe \olk ri)r $hich rhi!nor .mtloy rny pcMn in !n, mantr
<br />rc 3s ro t @ft subjcr ro rhc wdke6 .or{E.srri.,*r6l-ci!lifomi,. snd !8m rlEi
<br />trort.n conrp.truiion pmrsio.\ol SL{rn r irf rh. trt.r codc.l shall, tbdhqirh
<br />np.nsnrion .!v.r,g. is unlawlul cnDloycr t' cinind trtulri6 rnd
<br />ollm l$100,fi1o), in d
<br />lluiNui!_(l]rrxalro&
<br />I2IICLASAI&N
<br />I hcEby sllrm undcr pcnulry 6a lc.Ily rhd I am lic.nsd undcr pmvlsionofChlpld 9(commrcins *nh Sc.ri,n 7uD) olDivkbn 1
<br />of lnc Busincs lnd Prcf.sions Codc. ud fry licenc h in fuu fotc did crccr.
<br />CortEdor:q-
<br />AITIICAIIDECTAAAIIO!
<br />I h.r.t'y slilm undcr Fnal(y of p.rjury om of lhc following debhti,ns:
<br />Ocmliiidn Psmic.A*bcsros Notificarion Fcncrtrl RcSulolions fint 40, Prrl6)
<br />)lpl
<br />E
<br />PLUMBING-INSPECTOR RECORD
<br />DATE
<br />Water-Under floor
<br />Waste & Vent
<br />Gas Service
<br />I
<br />Etc.
<br />-f
<br />b
<br />sa!$[!]qlatr!NDluc-&G[Nqt
<br />I hcrcb, rfltn undcr lrcuhyotpcrjurylhal rhcrc i\ r coosrtocri(D hddnrS agcn.y fot thc l)(atornEne ollhc $ork for shich rhis IImi i\
<br />is{cil{SLr 1097. Clv CI
<br />I ., J.,-, AJJ,r\.
|