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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG,COMMENTS OM6.Buililt Dccb.tid <br />I h@by .fiim ud.r Dcn.lty of pdju.y $d I m q.mfl fm th. Cont'..ioB' Licaac L.w fd lhc follwin8 t6@ (!e 701 L5 Bcira <br />Dd Prcf!$iof, Cod!) Arry City d C.unry which 'tquic i Fhit to cdcucq !lta, im9rce., d@lith q rcrrir sy rnudu.., Fiq io itt <br />isu@,.lro EqliB rh. pplic! for ruch Fnn 10 fib s ritncd ndchat $.1hc 6 3h. b licc.d psusr to dt! prcvi5i@r of $. <br />Cstn.1dt Licd.d lr (Ct'.Pla 9, CMcins wiln Sldid 7o0o of Diviti@ 3 of th. Bain4 dd Prcfcsitu Cod.) d O.l hc d <br />shc t qdpl $@lim ed $. batir fa tI..llaed q.epli6.Any viobrioi of seti6 7031 t by ay applior fo. pamn tubjcd otc <br />.ppli@r ro ! civil pcnalry of ro. noe th6 frc hudrld dolla (1100). <br />I, s oud oa th. p.oFrry, d my frploy6 *ith wrg6 a lncir 3ol. compdatior. eill do tl. work 6d O. smdu. t ior inrod.il <br />o. o0@d 16 r.l. ( S* 7oaa, Buiodr ed Prcf<ionr Co&: Th. C@r.&!or! Liffir. L.w dG nor .pply b u om.r of rhc ArcFny <br />who blil.L d imFoG $q6, ad who 1106 ruch w6t hituGlf d h@lf 6 $rcustr hi, 6 hn oM @ployc, Fovittd lh luqh <br />inprcvtut! ar€ iot i 6rLd d oficr.d fd s.1.. If, howdr, 6c buildirs d imprcv.mor is sold eiuin @. yd ol cmplci6, $c <br />owrd-Boil.lo *ill hav. $. burd.n of p.ovins lh8t h. or sh. not blild or improv. for $. pua@. ol sil.). <br />_1, a M6 of th. pro!.r9, m acluiv.ly .dmctinS qidi li@.d contr&loB ro coiEEt $c prcje! ( S.c 7044, Bsin6s &d <br />Prcf$id Co&: Th. C@t!.lo'r Lica. Ln &q .ot .pply to a om- of prcrlr9 wio builds d imFove lh66n . &d who <br />Mft.r3 fd !!ch lfojeE ,iih a cdr&1o(r) lietu d p6@r ro rhc c6ne!oi3 Li6* L.* ) <br />_l e d6n$uda S..d6-8,lL P.C fdrhi. r4d <br />WORKERS COM}ENSATION DECLARATION <br />I h.r.by afiim ud.r p.nahy of p.rjury on. oathc aollowing d.clrations <br />_I h6vc 6d willmjnoin 6 Ccnilicdc of Cmat !o SclllniuG lor wdl6 .@Fnrdion, a providld fr by Sqli6 r70o ofth. <br />t bo Cod., ldtn. FforM@ of lh. wo* fd which th. Fmit ir i$urd. <br />_l h.v. ed will tuinlain wqt6r .mpoErion itut@c.i a ..quiGd by Sdion l?00 of $. t bq Cod., for U. p.rfom6@ of $. <br />wod( fd wnich th pont h i$u.d My wd*d' cmp.n!6ri6 ii3uMc .dia ed poli.y .mbq a. <br />PolicyNumbs: ExpiE <br />fian *)y'i.cd <br />uE-.',i1..,r. <br />Dorb.mdd.dif lh.p@n i! ftrOn.hundr.ddollau lll0Ol or <br />rhc*o for which lhn p.mn ir i$u.4 I <br />hvs of Califomia md asr.c lhal <br />I h*.by amm !n<Lr pcnalry of pdjury |n6t I d lictucd lndd prcvi3i@ ol Claprd e <br />Z- <br />ofpdjury ih.l rh@ i! r contdction I of thc work for which $is p.mir i! <br />) <br />aErucANBtDEC!.AE4M!.Dndi(6 Pmns.Arb6td Norificlrio r.d6.l R.8!llli@ (Tld. .0. ?at 6) <br />_PLquir.d t n6 ofNod6crd6 <br />absrG Enoval Bo noi rppli.abl. ro tit <br />.hovc Mri6.d p6p6ty fd <br />UNDER GROUND <br />Waste & Vent <br />Water-U nderfloor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Water Piping <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{raplDrain 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 />EYf,tII tFlt <br />Rough Plumbing <br />Final Gas Test FED -I 20t9 <br />Meter Release <br />,u, oto, oo/ <br />FINAL <br />Notes, Remarks, Etc. <br />Waste & Vent <br />li6r. is in full aN. dd.flccl <br />tt <br />T-