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PLUMBING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS OWNER BUTLDER DEI]CAITATION I lElby .{rm uid6 pcrlty ofFj!.y fid I e !r.E9l 6od rh. coffi.cro! Li..M L3w for rh. follo{i.8 reen (54.7031.5 BBinB atd Prof.sion Cod.)i Any Cny or Counly which r.qoiB a pq,nil lo snirucr. .lld, inrrcve d.mlbh or R?.ir d, !6u.ruc lrior lo il5 isu.tu , ak4 rcqut6 lh. .pplkfl for !u.h Fm lo fiL a 3isi.d staroor llBl h. or sh. h lie!!.d plt rrir ro rhc pmvilioro ollt Coiloclolt Li..n*d Lrw (Chap6 9. Co tr.mi.8 silh Scdion 7000 of Division 3 oflhc Bui!6 ed P&aNioE Cod.) or tb n or rh. n ddpl rlE fiom ard ltc b..ir for lh. .lle.d .r@plioi, Any liol.lion of S.clio. 703l.5 by o, .ppli..nt for . p6,nn sobjcl3 ilE arplic&t ro a civil pdalry of 6l mtc $q fiv. tundr.d dolbrs (1500) l. ('\r@ ofrlE FoFry, or my.mplo,6 wi$ rt86 s lh.ir $lc.o6pa5dioi. willdo lhc wo* dd th. sitr@ i! @t intod.d or ofrd.d for eL (56.7044. BuinB rnd PrDfsioB Coda Th. Co, ..cr6 3 LitB Llw dod nol tpply lo an ow of rh.Flpdy eho hil& or ir9roB thd@i! .rd who &6 sn rcd. him.la ot h*lf or $n!!h hi5 ot hd om onploy6, provid.d rhlr 3uc[ @FlroMs @ ml ht6d.d orofidd tut sL IC tow.ln. bildiry or ihpovmr( i! old wilfiin on. v@ ofohplctioi. rhc Omd BuiLla will lErc rh. h{dar ofFlvi.B lhal hc or !h. d'd nol blild tr inProrc 6c Plpdl, for llE PU,?o* of -1, sown6 oflhe 0.op6ry. M qdEiv.ly cof,lr*lins wilh lico$.d @il.tdoE 10 condMl lhc rroid (S( ?o4'1. sGrn6 ..d ho&sion Co&i ft. C. E loir Licdc L.w do6 nol spply lo e oe-nd of propdly { ho blild5 or nnpto\B lhdon. ond wl$ o'nr.crs for such Foj<|3 sirh . CoilEclo(r) lic.nicd pueill lo llE Conlocloas Lic.@ t { ) I m.r.mfl undd Scr ""{ /2 t/( "**, I hs.by a,trnn und6 p.nahy of p6j!ry on. ot thc followinr delratioar: I h,v. .d *ill mainrain o Ccnific.i. of C.Mr lo S.la lNo.. for Mrkd comtEmt n4 6 pror dj for hy sd nnr l?m o ath. t bor Cod.. lor thc p6fomdc. otrh. wor{ hr whi.h rn. pmnn b islcd. -l h!v. 6d {ill @i 16 wo d conpccalion iBuffce s rcquir.d by s..1ion !?00 ofthc tlbor Cod.. aor lh. pdlomec of lh. qort for wnicn lnir ponit i! is.d. M, worL@ cotnFMlion iNudmc cari6 ed polict nlmbr ac PoticyNunbd: l.cnify lhrl b lh. pqfonnm.. otlh.srk lor whi.hlhii Fmn is issu.d. I shallnol oploy ary pdson in any m,nnd s s to bccon€ lubjdr lo lh. @rt6'compftdion hw of C.lifomia. d tsc rhal ifl snouB bc.orr..{bjd lorh. wortd' sDrqslion prolisioN of S.clion 1r0o of lh. Labor Codc. I slutl. lonhwilh cornPly Ni!!' lho$ phrbions.. WARNINCT F.ilur.lo suc s!rl6' comrc@tion qwda*. is unlawtul. and sioll lobjar ai anPloyd to qnninal FEll6.nd civil nn6 up ro onc hundEd lho@nd doll6 llloo.ouor, Serion 10 76 of rh. Lator Codq inrad lad ,lbfty s fc.A U'(IATIAI!,I ol lhc tlusin6s drd Pml6si,)nsQnl., tod mr li.cnse h nrllfi!1ed cll(r CONSTRUCTION LENI'INC A(iENCY I h@by lmiin u.d( Fnllry o lFdury lh.l lh@ tu . onttuclion lodinB .8ocy for lh. pdfon@c orlh. Nork lor {ti.h lhG pani i! issu.d (56 1097, Civ C.). lrnd.r'r Nam.: -AIILIC NLOECL$AIIq! I haEt'yafnnundd Fnshyolpdjury on ofrh. aollo$irs d{lo.tionsl Dmolibn Pmits-tub€ros NotificrrnJn F.ddal R.strldions (l itlc 40, l'an6) Rcqut€d t.ell6 of Nori,i.6rion I ccriay lfid th. fldml r.gulaioG rcsdding sb.srG rom\it 5E ml ipplkabl. lo rhis poj..l -l .61ify thal I halc rqd lhb applild rh. ahov. infonnalnr. i!.or6t. I asr€ to .ohply *nh .ll Cilymd Counly ordinec.s ed sralc Irws Elati.g to building r.Drsctrr.ln6 olrhis ( iry and (i'unry lo cnl6 upon lh. /2-6-ra UNDER GROUND Waste & Vent Water-Under floor Gas-Underfloor Building Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rouoh Water Heater POOL/SPA P{rap/Drain Line Main Drain/Pool Pipinq Fill Line/Back Flow Pool Heater/Gas Line Miscellaneous Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release FINAL Pltf/rA =NfuYrv{al )r- vvNotes, Remarks, Etc \_-!_z