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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />Ptrap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler --'..Sanitary sewefb'ap)t-4-11 y"wa
<br />Back Flow Devibe/
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release lt\
<br />FINAL l--''t-,"1 X'\fl-YI
<br />Notes, Remarks, Etc.V
<br />OWNER BUILDER DELCANATrcN
<br />I hceby atlm !nd.r ,.naliy of p.dury th.l I u .r.n r tlm lh. conlncloB Lic.ne L5w for lh. lollowin8 .d$n (s6.70115
<br />Bmine! rnd Prcascion Cod.) Ary Cny or Counly whrcn r.quir6 r Fmit lo 6nrrxcl, chd, inrmE &mlih or c,Eo ey
<br />stocr@, prior ro irs iMtue, 6lso EqliB tlE .rplidl for $ch Fhir ro liL a sis..d 3lar.mnt $d lE .r srE h liccnkd !!Rad
<br />lo rh. lmvirioB oI$. Contridoa! Lic.tr*d l,w (Chafl.r 9. Conm.rin! vith S..lion 7000 of Divisio. I of thc Blsin*r 6nd
<br />Pmf.sions Cod.) o.rhd tE ot sh. is d.mpr rhrE6.h ard th. hmi, for rhc all.r.d d.mprion. Anyviol.rio.ofs.sionT03l5hya.y
<br />arrplid lo. a p.mn tubjrrs rlE aDplicrfl ro a ciril t'.Nhy ofhl ma t& tiv. huidr.d dotl6 (3500).
<br />-1,
<br />is ownd of rhc pmp.rty, or ny cmnlorrd eili qrs.r sr th.n hE 6r{6$rion, eill do tlE v!.t rld dE nndw h mt
<br />ilnqid.d or ofio.d hr sL (Sa.7041. BBilB 6nd Prcftsiore ('.d. Th. Co Ecroas l-in- Lrq.hebr
<br />'I)pl,t6
<br />eow.of
<br />!. l6Fn, srn brildr or irprcE {tEtur\ aid vho dd ,en k& hims.laor hclf or rlmusln his or h.r oM .tlploy.6,
<br />pmvid.{ thlr sch id{mft i e ml i drd.d doitu tu ek. li lbwftr, th. buildog or hr,lEE r i! $H wkhb o* }r
<br />6f6,r?kiidl" t& OwM Build will lB! rrE hnd.n ofpEvins d.l h. or .tE d'd mt t^ild or inpoE dE pmFly i)r {E plrrD* of
<br />_t, 8 osEr of lhe t)rcpdy, am.x.lusiv.lycodEcti.t wirh lic.N.d contracloalo @trddd ltE tmitt (s6.7044. autrs
<br />and h.f:srn Codc: l'h. conlncl6.. LiceN. Law d... .or lpply to Eo own.r ohop.dy who buildr or imDov$ th6on.
<br />ond sho odmcl3 for such pmj<ts wiln a Co mcto(s) lt6ed nuMr to llE Co.rr..1oas Lic.nr. hq)
<br />I an.xertr uDd.r S(!o0 . B & I')(. lir rlns r.rn,n
<br />laalili8s:tt]lltElra.ugN
<br />DECLASAIIA!
<br />t h..cby .mrn uod.r r..alry.f,sjury one ofrh. lollos18 deLrdi ions:
<br />I hav. ad will ,ruintain a Cenificare ofcoNenr ro S.ll.ltrsuE Lr workBa cohp.n$rion, as r6rid.d aor hy s(16. 1700 of lh.
<br />bhor Cod.. aor rhc tslom..c. of rh. wo* for which rh. n rmir ir hsucd
<br />flf r'*. ""a " '
<br />rr .,^"" .-ksr comnenc'uon rniurtrnc., as rcquned by s(rion l?00 6l$. Lah.r cod.. for rt ,erao'mrc. of
<br />,ht wmk lor whrcIh?nemd h \u.,1 M) so' r d smFNron mlamr. q1H and F'l'cv iuhhn -c
<br />,,",. l4t<t_l S.-l SCc:lzs1t) _ ^ /, ,/._--
<br />p"*,Numh.LFrcv 5Z9dpStO/O . -/.' //1 //'7/ // I
<br />-l
<br />*dify rnnl
<br />'n
<br />rh. rerf.mrc olrh. qo* I|r {hrh rhr n rm N 'rfl.d. I \hrll frr .mFl.i nny ncmn in atly man*r
<br />s mrohc€onE bicrloln wo*crC conlp.nglbr law ofcalifomi.. .nd asEe rhar ilI shrlld bsoft 3uq.cr rorh.
<br />rort.6 mnF.nsdion pmvisionsofs€crion I700 ollhe Lrhor Code,I sholl, tonh*rthomplysirh ttr€ nmvhi,rnr
<br />NARNIN(: |rilure to *Nru r'orkcrl con,p.nsirnn ertri8e loF to alninal p€Nhi6 ad
<br />damas.s os rrcvid.d lor th.rhous3nd dollrs (1100-000)
<br />I h.r.hy rlll(nuni.r penalr, or p.iur! rhai l,m hccnql tftvision olch.fld 9(commfting wnh Se'm ?000) ofDivisioo l
<br />of lh. BuiRr lnd Pmf.siioN Codc. lrd my I
<br />(l)Ls_lIIL(1tONL!NUl!.!,1(Url]
<br />I heEby im.m undcr !.mlty of ne.Jury lhd lh.r. h 0 o.nrud ion l.ndins asency for I hc pdiomomc of lh. so* fo. wnd fiis tEmn h
<br />ts.d(s€ 109?,civ c)
<br />A.TILTCANI-IIICIASAIIQ!
<br />I lh!n) J,llmund.'l. rlr!f f t$iuryoDcoir[. nnb$'n! l.{hrrrtrtrN]
<br />Denx,lni,r P.nnns Ash!{os Nor'lic,k,n |.dc$l lt.!uh{()ns ( I nle 40. Pxn(,)
<br />Retutr lsrroiNor'ficrrnn
<br />-l
<br />cdify rhar thc f.dcml rcslbl EDorlorc frn aorlicanl.lo rhh nmjcct
<br />-l
<br />ccniay lh8I I h.ir r.od this is.onsr lagr€ h cohnly*irh rllairy.ftl (-.uniy
<br />ordiMnces lnd s!!r.l ius El rt0r\.m.r\ts of rha C y.nd
<br />.bov. Mlion.d pon<ny
<br />/\as
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