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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE rD/stG.COMMENTS owN!:ll Ellt t-DuR DEI-CARAt tON <br />I h.r.hy.mm utulc. n.nalry (Ji t'.lury rhit I .m .r. rrr fnnn ihc (onlruclor' l-ic.ns. li* lor rh. ftrllo$in! rd$h is( 70:ll 5 <br />Susrncss .nd ProiesFn aod.): Any cry or Counry !'hrch requies a p.mi k, .o.{tu.r, altci intruv., dcrmlhn or relitr my <br />nrucfure,nri,h s issuonrc, rLso reqrnes rh. arrnl(a brruchFm b ilei siSnel sd.nEnr rlfl h.ors[e is lic.nsed pudur <br />kr lhc pn)visions olrtu Conrrscro, s t-icen$d L.u (Chorrs 9. Cotrnnencins wirh s.crt,. 7000 olDtr(im I olrhc Busine$.nd <br />IroGssNrsQ e)orrhor h.orihc Nr(cmnr rher.fromaid rhehlnr i.rrh..llrr.d.xomnri.n AnyviolilnnofS.crionT0ll s hyant <br />0pp[ca ntr i r.nntr sub]e.rc rh. rprrlic.. o.crvrlp.m[yofno' nxncrMn n!. hundren dollusl5500) <br />-1, <br />a omd offi. rDp.ny.6r ny GripbF3 with vrSd s lh.t sl. otrprulion, pildo tlE wo* lld tL tn6@ B br <br />i.lorH o.ofra.d for eL (Sa.7044, BBilmMd fmf.ssioN Co<Lr TtE Co ndol3 Li6s Law d.6 mt q'ply rc rn owE. of <br />the Drop.rry sho bil& or inrreB trEsl! r.d ets &B sch h* him..llo. h.Blfor l,llush his or h.r oq cmploy..r. <br />pmvid.d lt.t Nch in mRmrs E mt intdd.d or oftard i,r sh. l[ lnw4rr. rh. blildi.e 6. uqimEEor h $ld * hin ok )@r <br />of@n!)blio,l. ttE OsB Buiud wil hrE tE buldo oflmvil8 rlEr lE or sh. did ml hild or inpoE Lh. pmpdy li,r $. IarFc of <br />_1. 8 ow, of (h. lorsry. m .x.h.nrly mdElin8 wnh lic.nr.d co.ld.F lo orrrod rhc pmjct (s( ?044. BN'ms <br />afld hDfr$bn Codc: l'h. ConrEcroas Liccns. Lls do6 mr aruly t e owmr otto!.ny wth blild. or imrm!.s thoon. <br />and sho o,rnds for sch p6r.!E with a co 6do(r) lic.Md puBu.,rr ro rh. (offircroi3 Lic.d€ lls). <br />-l <br />dm.xcnpr und.r Set,on-. B. & P C. for rnis rcas.n <br />Drl.: Oflmr <br />]gaSSESS.CAMI!N!AIIO! <br />DECI AEAIIA! <br />I hdby amm u.dd p.nlry of D6juryoc ofthc followus d6bEtuu: <br />_l luvc lrl tr1ll nurnrain aCcnLllcxre.lConrenrn, Scl,rln\ur. ftr\rdrkor conlEnsdion,.s Frolidcd f{trhySecri,'n.l7Ol)nIlhr <br />Lalu C.de. lnrlh. perlonnrncc oilhc work tor shic[ lh. ncn,il ]s h\ucd <br />_l hak and willmaimain wod<.B co'nrJ.ri.lion insumm., ai EquiEd by n l?00 olrhc Lahor Codc, tor rhc p{aomanc. of <br />the worl ir whrchilieP.n}(- -, CY.'/ 1d)ur/JCliis/b <br />eavn" *,vJ/flJQpTe/8 /? <br />I cenrryrt rnrlEn..hmnnceoilhe $ork lhr sh chrhF pe.rn I rs is cd.lrhrll n.rrmpl,y <br />s d 16 b.6m sbier ro rh. s,ld'6o!..siion bu olcrlifod& ad agR lh.l ill stDuld b.@ft $bj(l !. rh. <br />w6*d' 6mtr.eri.n pdlrio8 ofs.crion 1700 of lh. tibo. c.dq I slEll, fontwilh oriDly Bilh ltt* tmvarionr <br />WARNINC ljrilure ro ccur. {ork.^'con,lcnslnn ( ?n8e <br />'sciril linca up to one hundrcd rttr,usnd d.llat. (5100,000). in <br />int.rcsr ond.ttotuy's leer <br />I h.rcby rilirm und.r n.MIty of Dsju.y rhil I am licen*d urxLt vtion ofcl!1pr6 9 (..od.(.s wth Ser6n ?000) of Dirhion l <br />oa rh. Busimrc md Pmfdeion3 Cod.. 3r'd ny Iicnr is in <br />(l)I BL!llI!}_LtIl)r,],1iA!i]:l(! <br />I ho.6y alrrn under l).nilry ol leDury rlD! rh.r. i.. snrrudion lddi.s asency forlhe psfomarc. olrh.sotk for whth rhis p€mit ic <br />i.su.d (Sa 3097.Civ. C ) <br />L.ndr'! Addrc$. _ <br />ATILICANI.DIig.AAAUOB <br />I h6tiyammun<ld n.iafiyof!.rjury orc ollh. following d{l.rarions: <br />Dcmlitiotr Pemik-Asbestos Nolincdion [.d.r.lRrsul ion ( l irl. 40. Pan6) <br />-R.quircd <br />Lerr.r of Notificario! <br />-l <br />c.niay rhd rh. fcd.dl rc8llarao6 agediit ashdos Emld e ml +DliobL b lnii ,bjdl <br />-l <br />c.nify fid I turr E d thi omlicrr ion sd sr.r. rhot rh. ohot inlomdion ir 6ftc1. I .erc ro 6nply wirt rll Cily rnd Counly <br />ordin.re3 ond Slar. taws Ehriry lo buildins corortucr iorL !r'd h.Eb, auttsrir rfienbiiv* olinh Ciry and Cou.ly lo cnld urnn lh. <br />6bovc @nriorcd pe,r.ny lor in3l,.c{ion luqD5B <br />AppUcrnl or E.ni sttrrruE: <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ 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 />POOL/SPA <br />P{rap/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 A <br />Sanitary sewer/cdd;/"1 \"vJldl <br />Back Flow Devibe./ <br />Rough Plumbing <br />Final Gas Test <br />Meter Release //\\ <br />FINAL -)"1 *\/,LJU <br />Notes, Remarks, Etc.