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APPROVALS DATE ID/SIG.COMMENTS Oma-BuiftLr D.cl&lrio <br />I h4by.fllm ud.r p6dry of Fdory fi{ lMGxf,F am $. CoriEroc' Lic.n* be fq rh. folloqint rcad (N 70! I t BainB <br />&d Pmf..id Codc) Aiy Crty d CMt, *hich rc9!i6 r Fnu to @N$lcr .ltd, iFprov.. .lrtoliih tr Eprt &y lEkrut' prio. to iE <br />i!ru-c., .ko rlquic $. +pli r fd ru.h Fhil lo frl. r 3i!r.d ,rlld6t ln.t h. o h. i! licar.d pun6t ro rt. Prlritimr 6l th. <br />Cmt&rG ! Lis.d Lle (Cnrt6 9, Cm,tl4inl wilh S6lid 7000 of Ovitid ] of d. BBi.d sd PmfBtis! Cod.) thx n. or <br />th. n .xmP( tn@flm ed !h. bri! fq $. rll.i.d .xd9tion Any viol.li6 ol Scdo 701 I t by .n, lppli.d ad t Fmn lubjeB fi. <br />.p9li6r to . citil p.nnV oa nd ll@ tho liv. hnlr.d &lla (1J00) <br />_1. s ownd of d. Fopdy, tr my mployd wifi w.a6 s th.n loL .6p. .lion. *iU do th. woa ud $. !h.td. i. nd inr..d.d <br />tr oftr.d fd !!1. ( 56 ?04a, BurinB ud Phf.sion! Cldc Th. Cor&ror'! Li.ar. Lrw de! nor lDDly b M own.r oa <br />'h. <br />pr.r.ny <br />who builds d inFoe6 th.en, sd who do.r ruch wd! hielld h6.la* drcu8h hir tr h.r on.mploy..s. Fovid.d !tsuch <br />imp.oyftnl3 & nor inrcndcd s offdld fd tlk lf, ho*or, th. b(ildrng or imprcv66r is sold anhin on. y.o olcohpldion.lh. <br />Ownd'Builda willhiv. th. bur&r ofpbvi.S rh.t h. s!h. nor build or impror. for th. purpc. olsal.) <br />t. s own.r of 6. prop.ny, m crclBivcly co.r..1i.i *irh lic@t.d contui* to con{ cr fic poj6l ( sft 70.{4. adindr Md <br />Pmf6lio Cod. Th. C6idor'r Lica4 L.e dc nd .pply ro x owra of p.or.ny *ho buil& r inprov.s lhdon , ud *ho <br />c6r&s for luch prcj.cB *nh . coofuro(, lic.n!.d plBuur to d. cont&ror's Licnr? L.w ) <br />_l h.xmF undn S.ci@ <br />!oatrEa5lq!&l!$n0!_arc <br />I hcr.by.{Iim und.r p.nalry 6f Frlury on. Dfrn. follo*in8 deldions <br />_l h.v. sd will tulntrjn r C.rlifid. of Cdrdr |o Sclf-!tuuE ld wo.l6 cmF.sllion, s prcvid.n fdbyS.dio lr00of$. <br />uhq cod.. fd th. F rdfuc. of lh. *olt for *hich $. p. it ir isu.d <br />_lh.v. d *ill roinrin wdk6t comFnt.rion iNUMc.. s rcquiEd by S.si@ 1700 of th. LlLd Cod.. for rhc Frfmc. of rh. <br />*orl for*hich ti!Fmtirirsucd My wort6 .mpG1io insuruc.6idad policy norb.r.E <br />_l .fiify rh.r ii th. p6fd1ue of tn. *dt fd ?hi.h tnit Fdn t isu.4 I rh.ll nol dploy oy Fsn in uy mend rc a lo <br />b...m subjd ro th. rortd ' cmp. nion l.n of C.lifmi!, ud lge lh.t ir I ihdld b.cm tubjd to thc *ofi6' <br />.mF.gtion p!.visionr of Strtis 1700 of !n. L.baCod.,l rhill. farhvith cmdy silh $d. prcviti@t <br />WAix ING Frilur. ro rr.urc wdka c6Fnai@ .ov.r.8q it unl.wful, sd lhdl sutiel & dployd lo Fimrill F..luB ud civil <br />fin6 up lo onc hud..d 0Eu d.loll3 (lloo,oao),i. rddhioi lo fi...n of cdFrtarion. d.d.aB a providcd fd th. Sftlio.,076 of <br />lh. Labq cod., in!.rd &d .tl6cr', ld <br />LICENSED CONTRACTORS DECLAXATION <br />I hebr.mm ui&r Fllty ofFrjury rh.r l6liensd uid.r prcvili@ ofCh.pld 9 (.mmncin, wilh Setion 7000) of Division I of <br />ln. aBiiqr rd Prof6tim! Cod., ud my li@r i! in tull f@. Dd.fi.cl <br />CONSTRTICTION LENDING ACENCY <br />I h.rcby amm uhd.! Fddrr.f Frjury thar rhft is i conr'tucton l..d1n8 aSacy for Ihc pcrfomonc. oarh. *ork for trhth lhu p.frit rs <br />iss!.d (S.c 1097, Crv C) <br />Alturaar5..Dlc!,AEAMN <br />Dholnion PdiB-a$drd Ndificlrid F.d.r.l R.gul.riw Clirl. ,10. l.n 6) <br />_ Rcqsi !d t,ltn ol Nodfic.ri@ <br />_l ccfiif, th ln. fcdnl c8ullli6r E8rdjng sb.sr6 rhovrl e nol .pplicibl.lo thii Folct <br />_ I c.nify d!.r I h.v. c.d rhi! lpglidion xd !d. d.! $. .bovc infmdion i cotr..l I 48,6 ro cmdy with n! Cn, ud Cdnt, <br />ordinsc6 ud St6r. Llwr nlrin! b buildin8 cotuructio. ed i.Gby.ulhdiz. rcprdolarivB oflhn Cny dd Ctunly lo dlr upoo dtc <br />r!.v. mon6.d Fo?.ny fd inJp.dion p!.ror6 <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{rap/Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Gas Service <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 />\slNAL- b-Xptw_3-26-7t Ft4h) <br />Notes, Remarks, Etc. <br />PLUMBING.INSPECTOR RECORD <br />CEiF <br />Poli.y N,.b--Expnd <br />- <br />(Tht ecrioi ft.d ior bc.6rld.d iflh. pod i! fd On. hond!.d <lolla It l0oI a ld)