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APPROVALS DATE tD/stG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />I nterceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Rough Water Heater <br />POOL/SPA <br />Ptrap/Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />M isc <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 er"\/--9-t9-J)e{r, <br />Notes, Remarks, Etc. <br />Ou,.n.Duildd D.clarrrion <br />I h.rchyaft'rm und.'Fn'lryofp{lurv rhar l.mcronrfl fororh.(onradoG l.'ce.etrwaorrh.aollourgroson(s.c?oll 58sin6s <br />and Proa6sionCod.): nyCnyorCou yNhichi.qut6. p.rmt toconnrud.ihs. imp!o\r. d.molBh or r.pat .ny sltuclur.. prior ro ns <br />is3uan... also Equir.s rh. ippli.rnl forsuch p.mn ro nE. si8n.d sar.m..r rhar h.or sh. is lic.nscd prnu.nrr.rh.pmvirio6ofrh. <br />contlclois l-(cBed kw (CrEpli e. Connr.ncrns wnh SdlD,70oo ofDrvurcn ] orlh.lruyn6, and trore$'oN Cod.) or d{l hc or <br />3h.i.r.nprrh.r.fronrndrh<baisaorrh.rll.t.d.rmfllon Antliolii6.ofSdri6nT0lll 5 by i.yrppli.rnr aor. p.mir subjcd3th. <br />lrplic!.r ro icivil p..rllyottur'rdr.rh.n li!.hu.drcddoU.E($500). <br />L a ownd of rhc poptny. or ny .hploy6 with wag6 d! rh.t ml. .onp.Nlion. will do th! ro dld fic llrucluc ir not i .d.d <br />or ors.! for $1. ( Se ?01., Butin6r .nd Prof6tioE Cod. Th. Conhcror't Lim Lt* dq rct .prly to .n owB ol th. r,6p.ny <br />who b!il& or improv6 rh.@n. .d *ho do6 suh sort hielt or h6*llor lhrclsh hL or ho Nn .oployc. povil.rl Ihli .u.h <br />improv.m r! .rc ml int.nd.d or olln d tor sL. Il, hoscvcr, lh. buildi4 or imDrore. i! sld wilhin of,. y.& olcomrlaion. th. <br />OsG"Build.r will hr!. th. bBd.n ofprovin! rhar h.o. !h. mt blild or inrrolc lor rn purpo..olul.). <br />-L <br />E .snr ol lh. prop.ny. im .r.lNi!.1, .onrocine wth liccB.d conk.crm ro coBrtud rh. prcj.d ( S... 7044, Bosinsr ud <br />ProL$ionCod. Tn. Cont.dois Lic.nF rrw do6 nor .pply ro.. ow ofpropdy aho boil& or inpror6 r[.r6n . lnd !h6 <br />co.r6.t. for luch proj.ct wnh . Conorcto(3) nc.tued pui.r.nr ro rhc Conlnaoai LiEne Lrw ) <br />I .m .r.mpt mda sftrion .4. & P C torrhis.c.son <br />WORI(ERS COMPf, NSATION Of, CINRATION <br />I h.r.hy irfi m undc. p.nall, olprjury.n. ot$. rolLwi.e d.clurlioBl <br />_l hr!.udsillmninliin!C.nifi.!1. oacoB. io S.la-lmurc lor *ork.( comp.nsrbn. 13 p.ovd.dlorhyS.cron3?00ofrh. <br />lrho. Codc, tor th. p.rromu".. oirhc soik lor which rh. p.mit is issued. <br />/6k d wrll mnibr *mlds' omp.Ntro. msur.nc., 13 r.qutr.d by Serion:l?oo ofrh€ t!$or Code for rlE p.raornEn..ollh. <br />.omp.nst6n insu6n....md I o\(L <br />l@W1X1LD <br />(Thit serio. nccd noi bc conpl.t.d ilrhc pcmir k for O* hundrcd dou!6 ll I 001 or 1.., <br />tormanc..flh. work lor whi.h rht p.rmii is I shlll ml.mphy.ny D.Bon in <br />ial3hould h..om subjd lo rh. *ort.,s'' omp.nsrion bws of Californd. <br />ion37@of lh. l,borCod!. I <br />3eur. worl.B of,p.clron an onploltr lo diminil p.nohic mdcivil <br />mr8.3 $ providcd lor thc Sdiof, 10?6 of <br />IICENSELCAIIaACTAB! TC Tq! <br />I h@by .[m ud.i pcnrlty ol pojurr lhrt I e lic4.d &.ld prcvision ofclurld , (@m.n.ins with Sclion 7000) of Dieirion ] oa <br />rh. BNin.n rnd Prof6sioN Codc. r.d my li..BC i! i. lrll foE. dd.nei.q'*"*, ?- *"D <br />S_)-t\-rv ".",,,",",, <br />(otsI!1lElto!!!!Dl!c_acE!cY <br />I h.r.by lffim undcr pdalry otprjur! rh,l ihft. i! r .oBttu.ri., l.nding ,8dcy ao. th. rcrlomncc ofrhr sork aor $hich thk prmh is <br />hsu.d (Se 109?. Civ. C ). <br />AT&ICAUJi.OECIAAABAN <br />D.nolirion lmils-k6.slos Notilictrlion F.d.rrlRcsul ion! (f ilk 40, Pln 6) <br />R.qut.d Ln.. olNolifi crlion <br />I.cnirtrhil th. f.dral Erul.tio.i ..grdinB ah6roi cmovrl..c.or lppliciblc lo rhir proj.cl. <br />yffirrrrt t luvc ua rur aptic*ina rl. rh'l th. lbovc infornrion is conccl I !8rB to comply snh all City snd County <br />ordi ac6 rnr, Srd.truchli.g ro ud h6.b, rulhoriz. rcprenlltivs oarhie City and Counly <br />'o <br />.nrq lFn lh. <br />!bov. acnr ion.d prcD.ny for i <br />Iu,r l <br />PLUMBING.INSPECTOR RECORD i <br />\Pe.mil-lnspeclion Foims\Plumblnq-lnsp€ctor Record.doc 03.31.06 <br />Water-U nderfloor <br />Tub/Shower Test <br />Gas Service <br />t <br />fin6 u, lo o.. hmdr.d rhoBmd dolls (1100,000).in lddilion <br />rkt bor Cod., inr. nrnd brn.r's td <br />3*_ <br />-------T_----- <br />I