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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <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{rap/Drain Line <br />Main Drain/Pool Piping <br />Pool Heater/Gas Line <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing r latri <br />Ern . t ?n!q <br />Meter Release <br />uA^,rG o'43,zco. 556, 0 i <br />FINAL <br />Notes, Remarks, Etc. <br />OMd-Buil&r D@letioi <br />I h6cby.frm uds Fn.lty orp.rjury rhrl I @.x@ fdn fi. CmtrdioB Li6!. tl, ld rhc followins Md (!6 70r I 5 auli.d <br />ud Prcidi@ Cod.): Ary Cir, or Counry which quiE . pmnn b cd3ftd, allcr, imprcv., <larolilh o, rc?.t ay rErctu ., pri6 ro i6 <br />isiuacc, alio rcquka dE .pplicst fm $qh pdmit !o frl€ a rig..d ra&oclr ritlr hc or shc ii licqrcd p6@r io th. proeilio, of th. <br />conn&ldt Li.mcd Llw (Cta,16 9, Comcing wirh seri6 7000 of Dvbi@ I of thc BBin6 ud Pr6f@iG Cod.) or thc h. 6 <br />$chdhtthdftonedlh.bati3fdtlt.ll.Scdcxoprid.AryviolatioofSati670ll,by6y.9pli@lf@!p@itsubj@Eth. <br />.ppli@r lo r .ivil p...lty of rca @rc thu ,lw hun.lr.d d.,llan (1500). <br />_1. a omo of th. Fop.ny, o. my.mploy6 wirh w.8!t a $.i. tol. coop@.ti@, will do otc wqt ad $. 3lr!cuu? i! no( inlad.d <br />or ofsd ln !rl. ( se ?044, Bui.* Dd Pmfsi@ Cod.: Th. C@t&ror'! Li..M Llw dq .ot .pply to a ownc, of U. protEry <br />who buit& d imFova $.thn, td wto doq such wtrt hid.lf 6 66.1f 6 rlwu8t hii s h6 om oployd, Fovid.d lhd ruch <br />ihprcvqnds e. not inraricd d 6fffrd fd s.,c. Ii hwd6, rtc buildiDr d inprovnal i3 sold *nhi, o.c yd of @mpldid. th. <br />Omd-Builda *il! hae. $. bulda of Foliit Ihd h. 6 sh. mr blild o. imprcv. for t). pEp6q of !.1.). <br />_1, a @icr of O. prcpcty, n .xclEiv.ly cdra.lina ei$ licor.d c@u&toB ro co.tmEt th. prcj. ( S.c. ?oa{. Aqirgr Md <br />Profclion Co.L: Ttr Conlr!.Id! Li@!. k* .b6 .or lprly lo a omd of prcpqry who buil& s ihFova! tt@o , &d wio <br />cdrr&ls for scl, ProjeE ailh . Cetr&lo(s) li6!.d p66r ro th. Conb&tor'3 Licdc t w) <br />_l s qmpt url6 S..tid <br />-B <br />& P C. for fiis r.aon <br />WORKERS COM}ENSATION DECLARATION <br />I h.rcby afiim und?r laalty ofp.rlry m. oathc aollowin8 d.d4lioN <br />_lhiE &d *illtuinln.3 C.nific.t ofcNal!oS.lll6u.forworl6.onplnrllioD,6 Fovidqd fq by S.crion r70o ofrh. <br />Lebc Co&, fd thc p.rfmse of th. wnr fo. vhi.h tnc tmit ir irlucd. <br />_l hav. 6d will n3imain *6Ld' cdpalldd itul@e. 3e rcqlncd by sado. 3700 of $. Lald Cod., for 0'. lqfolru@ of lhc <br />wdt fd *hhh thir p6nt h islcd My eorr6 .dFnsrd6 iNufuc. @ia ed policy rMbi d <br />tolicy Nhbe_ErpiBl <br />(Tti! s@ti6 rcld ror bc mpla.d if lh. Fmit ir fd On. hurdr.d dolle {llo0) 616.) <br />-4.*^n^6...*1i.".fi. pqfommcc of lh. wqk for whicn fiii p.mit is i$!.4 I sh3ll nol <br />laPs of Califmi!, sd a8e lnd ill <br />corpnial]o. prov6iN Llbq Codc. I lhall. foflnviln <br />WA{NNc edt6' cdpaaado @v6rgc <br />dolle ($ 100,000),in addirion to d providcn lor th. Scclion <br />LICENSED CONTRACTORS Df CLAR{TION <br />I h6cby arlim udc. p.nalry of psjlr, $d I 6 licdcd ud.r prcvi3io. of Charl.r e wnh s <br />lhc Bsins ed ProtBrioN Codc, sd licaE is i. full fm. ud.fccl <br />oflhc work for which $ii pcmn is <br />ATILTCANI'S DECLAIATION <br />Dmoliti@ Pmit'-A!b6r6 Nodfc.rio F.da3l R.ial.dw Gid. {0. Par 6) <br />_ RcauiEd L.tra ofNolific{d <br />I cattr'thd thl f.dal r.tuldidr rcru.tne-/a^, *^ r r,".,^ ;.*,,; *;I 8BF. ro comply with .ll City $d Co$ry <br />ordin c6 d Star l-3ws Elalin3 tobuilding <br />lbovc morioncd prop.ny for insF.lioI <br />Waste & Vent <br />POOUSPA <br />Fill Line/Back Flow <br />Misc <br />Final Gas Test <br />Darc' _Om6 _ <br />------T-----