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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OwiF.Buildd Delaido <br />I hftby .Ritn 6&r p.mlry of pdjury tll I m cr.hpr fm $. Cotr .tosr Li@. L!* fd thc lollowing r*6 G.. 7Ot I .5 B6inBs <br />ud Prcfoi@ Cod.), Any ciry orc@nty which r.quiB. pcmir lo ffinlc! ilr6, inprov., doolirh d.Gp.i dy snucrur., pdq ro iB <br />i$u@, 6l$ tuquirB tn. .pplier fd such p6nar to fil. ! signd stllandr 6Er h. tr 5h. ii li@.sd ptBuer lo $. FovirioE ot $. <br />Co r&br! Li.ft.d l3 (Cn!flo q Cmcing vnh sc<rion ?0oo or Dvirion ! of d. B$ii6s dd Pbfdior CodO d lhr! h. d <br />sl. b d6pr dqltiom ud $. bdi! fd dE all.t.d dsnprim Any viol.rio of S6dd 7o3l 5 by d, lDplic5lr rd . p.mit subjeB $c <br />.ppli*r ro r civil por.lty of nd tle thtn fiv. tu&!d &llM (lJoo) <br />_1. 4 osd 016. propaq. q hy dployG wiln sis6 s rhci. !o,c codr6s.rim, vill do t. wolr sd $. rsucru. is nor inr..d!d <br />or offed ftr t.l. ( Sa.704.. Buir6 3d rbf6i@ Codli Tlc Conh*ro.t Li@s t{w dB ror rppty to & oM6 oa $. propdr, <br />who buil& d inprovd thcnor. Bd who do6 !o.h wo* hiturlr or h6df d th@sn his d ha o*n .hploy.6, D.ovid.d rh,l such <br />improvodE @ nol inrddd or o$qd fd r.lc. If, h@d6. nhc building or ioprcv@ar ir sold wthin oc y6 of cohptaior, rh. <br />oM6.Buil.Lr will hav. th. b!r&n of proin8 ts! h. c rhc .ot build o. iBprcv. tor lh. pup*. oi s.l.) <br />_1, a Md oalh. prcFrty, o.rclBiv.ly en&tinS wnn licmscd conr&ls ro coslrud iht pDj.( ( 56 ?044, Busi.*s Md <br />P.ofsi6 Cod.: Tn. Cdmdort Li.fu lr* <106 nor .F'ply io o om6 olpmpcny vho buil.k tr imFov6 $.r@ , dd who <br />col@6 ld luct prcjeE *irh ! c6t ero(r) li@6d pullul ro fic C@r&|oi6 Liss. L!* ) <br />_l B dcmpt udd Scctio .B & P C aor $i5 r@o <br />IIOf,T(ER5 COMPENSATION DECLAR TION <br />I hdcby aflitr utuLi p.ndlry of pqllry o.c of rh. foll.wi.8 d@lmioii <br />*l harc ed wau nrinllin. Cmificll. of C6r6 ro Sdllsurc fo. wdtd @mpcnsari6, a! Fovidc.t rtr by S.cdo. tToo or rhc <br />rrbd Codc, fd dt. pdfcFrlc! 01lh. sdt f6 whi6 lh. p6nir i! isuctl. <br />I havc &d will mdnEin w6t6r cdF sdrion iNaM4, s Equircd by lqtid l70o of rhc Lrbor codq lor $c pcr{omsc. of rhc <br />wo.k for qhich dir pmit i5 i$u.d My vorkdi' c@p.s.lion insu.ecc @ia Dd Dolicy numb.r ffi <br />b. cmplc|d ii tt. Fmn is fd otE hu&.d dolls (lr0o) trls) <br />,dfomanc. of th. wtrt for which lhtu p.mir ii isiu.4 t shalll.s of Cllifmi& Md aerc our il <br />Labq Code, I shnll, lBthwilh <br />wsk@' comFnsado @vhgr it dployqrociDioal pcnald6 and civil <br />doll6 (1100,000),in .ddni6 rc rhc c@r of cmp.nldion,.lh.86 s providcd fd thc Sccrion 1076 of <br />ihc hbor Codc, inrcEsr ad anom.yt ffts <br />LICENSED CONTRACTORS DECI,ARATION <br />I hcr.by affim undd pcnalry of p6lury rh{ I m lioscd unda p.ovision ofCh. d9( <br />thc BBin6 ed PEfdiN Cod.. erl my <br />Fjury $d tll@ b . @,rtlctim l.nding .Bac, fd th. Frfomsc. of 0E eo.k for vhich rhis p.mil is <br />issucd (s( 1097, Civ C) <br />ATELTCAiVTS DECLTRATION <br />Dmoliion Po iri-Albsros Nodfic{ion F.ddd t!8ut.rioB (Tirt. ro. p$i 6) <br />_ R.q!i&d t n6 of Ncriic.lio. <br />{E ro @ply wirh all ciry ad counly <br />3bovc noddltl pmFry ln anlr.llim <br />UNDER GROUNO <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 Pi erng <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 S rinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing i:*''r=n <br />Final Gas Test <br />Meter Release FEB -I 20t9 <br />FINAL ,u, 906, u67 <br />Notes, Remarks, Etc. <br />Polic., Numb.r_ErprB: _