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PLUMBING{NSPECTOR RECORD <br />OwicFBuild.. D€t..dm <br />I hftby .ffim u.d6 Fn.lty ofpcjny $!l I 6 .x6npi fm $c Cdr&ro6' Lica& h* t6 tc fotlowii8 r6.n (!.c.70j 1.5 Basin* <br />ed Prcf@i@ Cod.), Aiy Cig o. Cou.ty *hich ..q!iG ! DaEit to cslrrcl .]ld, impro!., d.dotirn or Ep.i. ey e^cror., prid ro irtiM@. dro 'lquiB !h. ediMr fd !!c[ Fnn ro fi|.. di8n.d sllrddr rhll h. dih! it tie$.d pu6u&r 6 t! proviris; ord& <br />cdE*rd'r Licaed re (ch+16 9, Com6ci.s ail Sc.ri6 7000 or Dviri@ ! of th. Bsins dd P.ot6i@ Codc) q rh.t h. d$. ii qanl dr4ron Md $c bgit for $. dl.E.d d6pri6 Any viol.ta.{ ots.cid ?or t t by 6y.ppti6t fd rFmir $bjec lh. <br />applior ro t civil paBl9 of tu lle th& fiv. huidred d6ll4 (t5oo) <br />_1, E o$o of lh. Fopary, or ny orloyq *iln *rg.! r rtcir tol. c@F!!rim. *il! do dE woi( od tc arucr@ h .or inLn&d <br />or oft rd fd !.1. ( S@,70aa. Buirs sd Prcfeid Cod.: Tn C.nr!.ror'i Li@s lrw dod nor irply ro e osd offic propldy <br />wto bqil& d imFovd thdlofl, sd who &a Nch vdt hi@lf d h6r.lf - rheg,' hn d ha oM mplor6, Fovi&d rh.r ruchimpbvdalt ..!.or inHd.d s offd.d fq r.l! If.h dd,Inc buildi.S 6 inFov.l@r ir sotd wnhin o.a yd of @mptaioi, rhc <br />OMd-Buildcr viu h.v. rhc burda ol FovinS $ar t. 6 !h. Iol blild d imroec f{ tt. plrD6c of 3.1.). <br />_1, 6 Md of rh. FFry, q qclsiEly @h.rina wirh li.ai.d 6Eri.6 ro co rucr ln€ pojftl ( Se.7oaa. Buitre ed <br />P@fsi6 Cod.: Th. Coor..ls'r Licae Lrw d.d &r +ply ro e omo of prcFty wto b{il& q imrrov6 lncrcon . sd {ho.6!i.r. for e.t projert eilll t coir*td(r) ricd.d polr@r r. tn. c6E&1ot Li6e lrw ) <br />_l M cxmpr ud6 Sen6 .B. & P C. for rtir rc&r. <br />Ouc <br />WORXf, IS COMPENSATON DECL{IIATION <br />I hdcby affrm 6.Lr Fdty of djury 6c of lh. lollowinS d..luai@: <br />_l he* hd sill iuianh . Cdii6clr. of Co@tto Srlf-IeE f6 *dtar. cornpoGti@, d !r!vid.d fd by S*rior 3?OO of ltjc <br />t".bc Cod., fddrc Ffaharc of thc wdl f6 whi.i rltc Fhn t i@!d <br />_l hrv. adwillmrinuii *dtdi mF.s.ri@ i,l!rmc. s rr4uiEd !y S.dion 37oo of$c labd Codc, for $. p.rfomee otfi.wo* rq whict ti! p6f,n k iiiucd. My vdt6 cmpcn!&ioI insu@.. qiq &d policy nuibd ar.l <br />a^.,.*-.*L*. <br />nor b. @mplacd if lh. Fnit i fd Or. hundEd doll@ Il I oo) or ls) <br />th. paf@a@ ol Lrtc vo* for whict lhi! pcfrir h is!c4 I alln <br />lhc vqt@ ' c@pqs.ti6 lsws of C.lif6ir, sd oer6 6rl <br />@mpasafion Fbviri@ of Sdio t700 oflh. L.bd Cod., t shdt, fdhwitn <br />b <br />WARIIING: Failurc io i.cu. *ori6' cohposation cov.Eg. is d mdoys ro eimiial Fn.lri6 ud civilfir6 up ro 6. hundrld thouud .1116 (tl oo,ooo),in .dditio. to rhc cr 6f d&u86 a DrovirLd 16 rhc Sanim 30?6 of <br />(hc Lalor Co&, inc.6t dd anmc)'r fc6. <br />LICENSED CONTR,{CTORS DECLARATION <br />I hGbt affim un.ln D.n.lry of p.rjury lhlr I o licdrcd udd provki@ oa Ci.pa 9 wnh S.cion 7000) ofDili <br />dic Buins &.1 Prcfdi@ cod., sd my li@.. h in rull l@. md ctrG.i <br />I hd.by ofiim undcr D.n.ltyi$!.n(Sc 109?, Civ. C) <br />of Fjlry th.l $d h . c.{tu6io, lodiig .iary rq th. Frfmecc ot fi. wot for *hich rhis pcmir i! <br />altl.lca]lT's DEcl,i{f, TtoN <br />Dmolition PmiE-Asbeld Notilldion F.d.r.l Rc8ul.doni (Titl. 40. P.n 6)_ Rcquii.d L.ira ofNodli.lrid <br />lo conpl, *ilh dl Ciry ed Coumy <br />.bovc Mr6od Fop.ny lo ins!&lim pqD;s <br />APPROVALS DATE tD/stG.COMMENTS <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 />Rough Water Heater <br />POOUSPA <br />P-trap/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 />rinklerLawn <br />Sanitary Sewer/Ca p <br />Back Flow Device <br />Rough Plumbing EXP IHtsIf, <br />Final Gas Test I onr6 <br />Meter Release rrtr <br />SAMC 6-43., 55A.7 <br />FINAL <br />Notes, Remarks, Etc. <br />ol [ii Cny $.1 Coo y !o dtcr upo th. <br />Tub/Shower Test <br />I <br />c.ni8 trt I hrv. Bld 0ri! eplicri@ &d siarc