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PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.Oma-auikls Dccldrri@
<br />I hr.b, .ffid u<t r Fnd9 of pdj'ry $.t I M cxmF fm $. Cor.d6' Lic.e L.w f( O. tollowins .6@ (ie ?0! 1.5 Bqin6
<br />ed Prcf*ion Codc): Any Ciiy or C@ry *htch r.qui6 t F6ir io cdnlcq .lra, ihFov., &molish or rcA.ir oy snucrq., pnn ro ir.
<br />i$w@,.lro.cq!i6 ln..pplicsr fd l[!l Fnn lo fiI.. !i8n.d irAl66t lbd h! d.hc i.limsd pu6u6t !o dE provkidr of U.
<br />Coi!&tor! U6r.d te {Ch@t r 9, C.maci.r wilh S.dioo ?000 of Divirio 3 ol tn. EBii6i sd Prot6ti@ Cod.) or th{ h. q
<br />shc i! lxd tlacfroE ed $. h6sir for the rlt.E.d e'hprioi Any viol.tio of Sc.tid ,01L by 3iy appli@r fr r pcmil subjcG 0'c
<br />appli@t to . .ivil p.nrlty of.d moE th fiw h!..ir!d dolls (1500).
<br />_1, s oqnd of thc Fo!.rty, d hy hpldya *ith wage e $cn 3ol. .@Fi$rio., eill do $. worll aid $. sLucrGc is nor iorcnd.d
<br />or offBc<l fd 3d. { S.c 70/14, BBi.6 {d trcf6i6 Cod.: Th. CondarM . Licd. ka d@ noi .pply to e oM.r of thc prop.ny
<br />who buildr tr iEFdc! rh.r.q, dd eho do6 3uch *dt hidcla q h6.tf d $rdgh ht d hd om mploy6, Foeidcd lh.1 3uch
<br />improv.mrrs e nor in!6d.d tr offdd for e!. Il how*d, rh. buildin8 d inprovdol ir rcld withrn onc yd of@hpl.lion, rh.
<br />OwncGB ldcr pill h.v. i!. bcdcn of Fovine lhar hc or thc rcr build d imprcv. lo tl]. purposc of 5al.).
<br />_1, s oma of $. pmpqry, o qcluiv.ly.ot' .lii8 vi$ lic6.d 6t'&rd! !o cdlnet U! p@j.cr ( s4 704rr, a6i.Bs od
<br />Prof*ionCo&:rh.Cotr..td"tUc4ct,&6.or.plytoooMrofFlrdywhobuil&dimprov6U.l@,ad,ho
<br />c6lre$ ad luch Folerr with n cdE&rd(, Ii.trqt FlR6r io 6. cdr'l rtrt uco!. l,w.)
<br />_l m .x.hpl u.&r S€tio _,8 & P C fd lnis r6d
<br />vaI5rSE-calaENlAIraMECIdBAIlOB
<br />I fid.by amm undr p.ndly of pcrjlry oi. of d. followiiS d@lDdiorl
<br />_l h!v. 6d will hliillii . C!,tificll. of Conrqr lo S.tf-lBurc fo. wdk r'' omp.nlatid, a provid.d fd by S.crioi l70O ol rhc
<br />kbor Cod.. fq $. p.rfrroc. of lh. sort ltr which li! pdhil ir i$u.d.
<br />_lhavc-dvilltuj .in vdt6i @np@.!im i !fu.t,a equir.d b, Sclrd 37m oltn. L.bq cod., forfi. pcrfoll@e olrhc
<br />*olt f6 wtid d t pnni is iscd My watd' cdDqE lio i@6@ si6 dd pdicy nuhb.r {.
<br />Policy Nmbd _Expir6*Z::::
<br />&"-",,b..,.
<br />"or
<br />bc @mpla.d il fi. ,6nn h for Orc hundrcd doua {Sl0o, 6 16)
<br />dE pafmDe of d. solt fd which $it p.mn ii i$u.4 I snall
<br />tu vort6 ' @mpas io. lawi of Calif@i., Md rgra thlr if
<br />oflh. tibd Cod., I sh'll, f6$wilh
<br />-o
<br />WARNING: F.jlln to 6ew wortd' c@FsariM @v6.9. it M mployci ro riminal p.nahi6sd civil
<br />6n6 up ro @. hu&!d ltomd dollE (llm,ooo),ii ..lditi6 to lll. cst of cmps{.tim, dn s€ B Fovid.d fa $. Scsiq 1076 of
<br />th. Labd Cod!. iirdd sd mom.y', l,o.
<br />LICENSED COJtTR-{CTORS DECLARATION
<br />I hd.by .mm snd.. Plmlty of pqjury th.l I e li@cd !.dr p,oviri@ of Cl.Fa I (
<br />th. Bqiid ud Prcfdi@ Codc, md my li.a. ir ii fsll f@c ed.fd.
<br />nB *nh Sai@ 7000) of Div
<br />-o
<br />I h*by !flim udcr pcr.ity of pdjury lhar d'@ ir ! cdEldio ladiis ollhc work forvhich $is pcmn is
<br />i.lucd (Sd lo9l. Civ C)
<br />A!!I,ICAdIji.D!SIAEAIOE
<br />Dqt'olitid Pmitt-Arb6t6 Notificlrid F.da.l Prtdrier (tidc /o, Pal 6)
<br />_R.quicd t lcr orNodfcnion
<br />_,f""
<br />-A *,itr rtt
<br />lhc fcdcral r.gulatoN r.gdding 6b6to.
<br />I n.v. Ead $i! ar'plicrlio 6d .l!&ro @mply wi$ all Cny dcoudy
<br />ordi.&6 ed sl!r. Lom chring ro buildint v6 of lhis Cir, ud C@,ty ro 6r.. upon 6!
<br />abovc m.nrion.d p.op.rty fs iNpccrio purp66
<br />\A^Jh
<br />-o4
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<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 />Fill Llne/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 />EED
<br />Rough Plumbing I EEL'
<br />Final Gas Test .FED-]I tmo
<br />Meter Release . -"v (,.9J, zE 0, 550, 667
<br />FINAL
<br />Notes, Remarks, Etc.
<br />COMMENTS
<br />TOP OUT
<br />POOUSPA
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