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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE COMMENTS <br />UNDER GROUND <br />Waste & Vent <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 />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 />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />EXFIRED <br />Rough Plumbing <br />Final Gas Test I :gg _ r ZUI , <br />Meter Release <br />FINAL <br />Notes, Remarks, Etc. <br />Omo.Buildd D..banofl <br />I h@by .Irm ud6 pddiy of pqjury lh{ I D qoPl f@ thc CoE&rdt' Ucae L!* fd $. foll@in8 ,t.s (s.?01 I I suin6 <br />&d PDfslo. Cod.): Any C,ty or CMry phiclt rcquiG ! p6nit to c@Eud, dL. irrFow, &nolLh or E?6ir My tt uct!.., Pnq lo it! <br />inudc., slro r.quiM rh. !9pli@r td rucb Fmir lo lil. r riged slttdnot fill h. d 3n. it lic4.d puEuel lo lt. Foviiidi of thc <br />Com.t6! Ucarld rr{ (Chl'a 9, Cffiit8 wilt Seiion 7000 of Dvi.id 3 of thc aain@ ud rlof*id. Co<&) o. th.r h. { <br />5h. is cx@pt tha!fioo.nd $. bih fa 0E.ll.s.d qdFio Aiy violrd of seti@ 701L by oy.!pli6l16. P!frn tubjcc6 $. <br />sDDlidfio . civil pa.lry of rc{ nort thd fi!6 hs<!.d &llN (1500). <br />_1, d o*n.r oi rh. Fopdry, or ny dployG wnn w.e6 B ln.t solc ompcnsclioi, will do $c work od thc structw is nor int.nd.d <br />o! olf.nd fs ud? ( S@ ?0,1t, Bsin& ed Prof*iod Codq Thc Conu.ad'r Li@. L.w dc nor apply to e Md of dE prop.4 <br />who build, d ihFov6 tffi, dd rho .h6 rucn wdt hi@.lf or hddf d th@d hk 6 hd om oproy4. Fovitlcd lhal such <br />improvmall ec nor inrcnd.d or of6cd fd srl.. lf, hwcv6, th. hlildinS d inPrcv ml ii lold *nhin onc ye of 6hPl.tion, $c <br />oM6'B!il&. sill havq $. ba'ltln ol Fovii8 6ar n. d shc ior build d imFov. fG tn. pu'pGc of s.lc) <br />_I, s omd ofd. proFny, M cxcluivcly cdra.lins *irh licmr.d connBtm to conrhcr lnc prct$l ( Scc ?044, Busi.6s ud <br />P.ofdion Cod.r Th. Cdtlctd ! Lic4c hr dc nor .pply lo u owna of Fopcny who buildr c idprov6 lhcr@ , dd *ho <br />conireE ftr ch projea *illl ! cot&td(4 li.d.d p&@t to fi. Cor'ldort Licd. kv ) <br />_l M .rmF u&, Scti6 <br />-B <br />&Pc.rdrhi3llen <br />!@8EEET9!4IIIAIIOIECIdBAIION <br />I hn by aflim undd p.mlty of pqjury onc of t. followitrE dcclaElifir: <br />_l hsvc 6d eill mint in . C.niliclr. of Conr.nl lo S.lfJ uE fd wdk!'.'cmPc$lrion, s Fovid.d idby Sq.rror 3100of $c <br />rlbd Cod., for t r. pdforue of thc wdt fd whid lhc Fhn t i$!.d <br />,l havc 4d will m.in!.in wct6' cmp.nldio i6umc!" a rq!i..d by S@lion !700 of dt L.bor Co<!c, fo, lhc pi.fom&c. of $c <br />w6t for shich thir Fnil i! irsu.d. My rdtd! conp6!.3rid its!6c. qnq d ,olicy runb.r d. <br />d;;;rcr bc @mpla.d if lh. pqhil i! fm On. hudr.d dolle (l l00l 6 16) <br />t. FfoB&e of th! wo* fff which this Fflir ii i$u.( I sn.ll <br />$c wort@ ' cmp@.1j6 l.n ol Cdifmia" ad agre th.r if I <br />oftu r$d Cod.,I !h.ll, fd{twith//- o <br />WARNING F.il@ !o kN ,o.t6' @mpquatio civil <br />fin6 up r. m. hB&.d $ou6d dolle (lloo.0o0),ii ddid6 |o $c .6r of compo!.ri6, dm!6 a provid.d fd $c S&tid 3076 of <br />th. t !orc.d., i a!.lDd !tto6.yt f6. <br />LICENSED CONTR,\CTOR5 DECLARATION <br />I hq.by aitm ud.r padty of Fjury rhlr I n lidcd ed.r proeiii@ of O'+tn 9 ( <br />$. BEiD6 r.l Prcfqiffi Cod., d my lic4. is in auil f(re &d.lt*l <br />-t(-o <br />I ha.!, .mm u& Fdt, of p6ju'y thn lhc ii r caoeu.rid l6dit! {@y fa 6. pdfdtMe of tn. wdt fd *ticn lhh Fmit i. <br />i!u.d(Se 3097, Civ. C.). <br />APPLICAM'S DECI,Af, TIOI{ <br />D@olitio P@ir.-A!b6tG Noriric{i@ f.d..al R.8uldron. (Titl. 40, P.n 6) <br />_ Rcquircd rrid ofNodticdion <br />I dito lhll lh. f.d6rl Efl <br />)d,^n,n**^* <br />lalions r.g&ding 6b6t6 <br />comply wi0r dl City.nd Counry <br />ordi.ac6 ud Srat Lrw! rcl&irt 10 blildina iy sd Courry b drq rpon lhc <br />-1(- <br />I <br />I <br />tD/stG. <br />Water-Underfloor <br />Back Flow Device <br />.bov. @mim.d pmFry fm isFcrio purpo.6 <br />I <br />= <br />= <br />-