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PLUMBING.INSPECTOR RECORD <br />oM6-Build6 D€lmti@ <br />I hd.by s0lm uda p.ndty or pqjury $.r I M !x@pl fffi th. C6b-&:o6' Li6s. l.:w fq lh! follwiry radl (34.?01 L5 Bcind <br />ed !Df@i@ Code): Any Cit, d C@ty *hich r.qri6 r Fnjr ro @!l'w( slrd, imProvc, dmolith n rcp.i. My tt!ct!G, prid lo i6 <br />iMc.,.lro rcquic $G.ppli@r fd such p6nil lo filc ! risncd sl.rcmat diar h. u si. is li.6!cd Plder to th! Prceilior of $. <br />Cot'&ror's Licc.d rrq (ch!fl6 9, cmcirt wnh S!.lim ?ooo of Division 3 oa thc BBi.6 ed Prcfdi@ C.d!) or th.l I'c d <br />rhc ir q@F u.rcftm ud dic ba3h fd thc.ll.8.d qdpd@ .ADy violnich of setion 7031 , by ey .pPlisr fo. Fmil iubjqc& lt. <br />appli@r ro a civil pa.lry of.ot morc ttu fiE hu(nd doll6 (l5oo). <br />_1. s omq of rh. FoFny. or ny mploy6 with e.gd u tn.i. solc .@Fualio, will .tc! thc qdl ad rhc aEetu. i3 .ot iitcnd.d <br />G ofl@d fn sd. ( Sc 70a4, B6ind od Prof4i@ Cod.: TiG Conr!.lr'i Liw L:p d.E nol rrply b e om6 of $. prcpcny <br />eho b!il& d iDFovc lnqFn. {d wno dla tld qolk hirelf r hdclf d rlrclsll hit s hd st 6nPloy.6, Fovid.d th.r such <br />imprclcnml! e nor intadd or or6cd f6 3.1G. It how@q,6. building 6 idprovmor ii sld rioia @. y.r, of cooplajo, t. <br />omd-Buil&r wallhsv. $Gbord.o olprcvinslh h. c !h. nor build q inprovc fot thc p!.!dc oft.lc) <br />_1, B oma of lh. proFny, m.rclBiv.ly conE&ti.s eith li@.d @nb&b6 !o.mhct lh. prcjd ( Sd 7044. BNin6! ud <br />P,ofdioi Cod.r TiE CmE&tolt Li6!. L.w doc nol apply ro d omc of p.op..ty who blilG c ihptuvq thaen , ud who <br />conrEB ror lch projeE with a Cduelo(5) lica!.d pG@r 10 th. conturmt Lic.tu. Law ) <br />_I e adF uda Sccrio <br />-8. <br />& l.c. aor rhi! Bd <br />WORI<ERS COMPENSATION DECLAR TION <br />I nftby !fiim unda po.lty of FjuI dc of ln. foll@in8 d.clarrio@: <br />_l hsvc &d *ill nsinBin a Ccnifi. . of C@6r ro Sdf-l$w for wd*6' @mp.ns.ri6, a prcvid.d fn by S4tid 3700 of th. <br />Llbq Cod., for $c Frfn rnc.ofth.*o fd which th. pmn b isu.d <br />_l h.v. dd will nainlain erl6' compai.ti@ iMu6e, 6 rcqut.d by Serion 1700 of $c L.bo Cod., 4 tn. P.rfomuc. oa rh. <br />woi( fd whi.h $is pdmn is isu.d My work4' cmp.s.lio insutucc 6id dd policy iumbs & <br />Policy Nmbcr-E,pir6 <br />rrht !9rn ia! <br />u(^,u,n*u <br />6-.,,i,j".,'r" <br />ior bc @mplacd if lh. FDn is fn Otr. hud,.d dollm {3100 } d 16) <br />lhc Ffomdc. of lh. vo* for whid lnt Fen is isu.4 I sh.il nol <br />hq of C.lif6i., ed ry!. $.l if I <br />Mp.rilrio. provisims rhc Libd Cod.. I sh3ll. lddpid <br />vort.E comp.nsalion covqagc vil <br />doll6 (l100,o00),in addnion ro rh. <br />i @t &d abh.y t f€ <br />I iB.by a,lim undd p66lry of pcrjury m licn3cd ud.r p.ovirio. ofCharr.r <br />thc Frfom cc of lhc wort for vhrch lhis p.nil u <br />3097,Civ C.). <br />ATPLICANT'S DECLABNIION <br />Ddolirioo Pmi6.&b6loi Ndifi.dim r..Lr.l R.gulaims (Tid. a0, Psr 6) <br />R.qut.d L.tta of Norilic.rio <br />a8e lo cmply vitt.ll Ci9 0d Couiry <br />!!ov. mari@cd F.?.rty f6 i p..tion <br />APPROVALS DATE tD/stG.COMMENTS <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 />P-trap/Drain Line <br />Main Drain/Pool Piping <br />Flll Line/Back Flow <br />Misc <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Rough Plumbing EIU <br />Final Gas Test t ,nm <br />Meter Release rclJ <br />SAlitC 84i r.290, 556,;67 <br />FINAL <br />Notes, Remarks, Etc. <br />UNDER GROUND <br />POOUSPA <br />Pool Heater/Gas Line . <br />Gas Service <br />Back Flow Device <br />D@ OMr