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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS ()\rNtiR Ill .lrllR Dt:l.caR^l x)l\ <br />I h.r.i!' illnn unde. peElrr- {!l r.lury rlmr I ilD er.irrfl rnu rh. Contqcror! Ltrcnsc I rw lnr rlE lirllow'ng rcanf(se rl) l 5 i <br />I]$ucss ind fi{,fe*on C.d.I A ! C(y or c.u y qh,ch rclurcs ' I'.nn u .. nrucr. rlie.. l1Ptuvc dcnnlhh 'r rcnitr mY <br />(rucrurc. pnorn, s ssu.ncc. rl$ rcq rc\ rh. ipn|c. r hr sucn n nn u,ils! sisEd shr.mcnr rhd heo.slE s I'ctnsc.l tuNJrnr <br />h rhc ln)vhidN ol rh. C.fiicrois l,rc.nrd l-ns lcl[ntr s, ('(nnrncrnB * h S..rnn 70(x) ol lrlMn ] ol rhc Susrness ind <br />I'N lesronq Cod.) or rtd lf,ors[c isexemlr rherelro'ndnd r[.lr{\ [r rhrilleScrl.rcfl]prion D! 1trrlrrtrn'olScclimT0ll5 ht tnv <br />xprri$nr lor. ndint sul,jsh rhe amlic.nl ro icivilp.Drlryolnor nxtcrlfn filc hurkeddolhtr ls500l <br />l. d o$krorlhe Imn ny. or nryoinl.)mr sirh r.8cs rs thci, q,E (nnp.nsttion. will d,, rhc w.rl.xllh€ stuc1@ i{ n{ <br />'nre.ddl or o[t..d lnr slc lss.?044. Business.nd Pnrfcsrio.r Cod."l hc Conlracloas l,icc.rc 1..\'i.cs nol.Pplvro nnd\rc.ol <br />rhc !$p{nt $h) hoilds or iftmve tlll]mq arxl *b d* {ch sll,l( [nns.lfar hcr*lfo. rhn'u8h his or h.r o$n cnlplo)lcs. <br />piNicd rh.r s.h 'qto!.ftnrr .E mr olnkn or oflslal litr slc It tr$6 tr- thc h{,ldq! .t trllPrntftnr is *,kl s[l$ oE ]w <br />ofcotrDGrion. lhe (h rcr B0ld.r wrll tst! rlE I tdm of pmr'ns rh.r tr or drc dit nn butu o. trll'm* lhc PFp.ny lot rh. purrn{ ol <br />-1. <br />N owrr .l'l he fl oD.ny, nn erclNrlcly c.6h.nry qlrI I'cena{ .unta.loN lo c.nsrrucr rh. pm]ecl (Sa. 7l)44 Br<i"'s <br />axl Pm,ission Code lh.Conlraclois Liceni. Ls* does not.mlyro rnosner.f[openyn'ho huikhor inrp rolcs l hc.e' n. <br />nnd {ho conk ch ao uch rnj(ls xih . conrm.ro( s) lc.nscd puNnnr h Ih. ( onlffl,tr s I &nsc Law) <br />a- <br />nnd.r n.mhy ofr€rjury orc oftht f.llowin8 deltmlions: <br />-l <br />h.E in(l sill mainlain t C.nni.rlc olconsnr ro sell ln$e lor uo*ds conip.trsrnrn, 6s pnrvi(lql fix bv setlon 170(r o r (hc <br />I- rtr(trl., forrhcpqt mic.orrh.worli lor*hrch r[crem N lsiu.d <br />I l$r. ind *rll drinr.in rod.rt com!.Bdtr. insxhnc.. m rcquned ny scclon l',00 of I h. Lnlnr cod., for rlE pcnn@nc' ul <br />rh. nn.k fitr wh,ch rhr l.rmir is ks.d M y wor!6 c.nDcns.r nn insu,.nc. cari.r 0'n Fnicy ilnh.r m: <br />,'olicy Nutrrh$-Ijxnms <br />-l <br />c.nify rhd in rh. r,..aormrc. oflhc wort lor which rhis prDil is hru.d. I iholloot coPlova.vr€r$n in aov @nn.i <br />$ arh *$ft shjd lorhcmllm om!.Norion laBof Calif.mi!, tnd alG rh ifl shnuld ttcom. slbi*r rolh. <br />*oltn mmnenslionnhririons olSdioal?00oflh< Latbr C.dc,l slhu, fonhwnh cooDly wilhlhoE poviiionr. <br />wARNlNc: !'.il!a ro *uE wdcN' ompcBario. 6rm8. ii uihwtuL ard shtll sb.id & dn,loF to ainiBl Fmkis t.d <br />in odd ion ro th. cd of n,n. dams.s !s tmvi.d lor rh. <br />di rhe lu$Ess ml Pdcsq.rF ( od.. rfrl r!lic(trk r( nlrllliEtflrl.l]i.i <br />Contrrtoi <br />coNsTRucitoN I nNDlNc acFNcy <br />I h.Ehy .mrm und.r FMlry o f Dc.jury lhd lh.E is 6 co.ndclron kndinr ls.tcy fo. th. ,'crftmlncc offie qort for which rhir lamn ie <br />is.udl(Scc .1097,Civ C.) <br />Lodciu Addrs: <br />- <br />A.ElllcaN:LlllcllEal&! <br />I Mftnyi,limund.r p.nalry.lpcrjury one of lhe following d(l.mlions: <br />rrenhlili(,nP.iinn$Asb€sldNoLnc ion li.delol Resllqrionr(l(1.40,P.n6) <br />R.quircdLctleroiNori orion <br />-l <br />caii& rhar th. H.ml es!k! ioN rcSdjr8 .sh.n$ rcmhl a,c mr tprltab,. lo Oii pmic.i <br />-l <br />cd r ly rhar I hirc Ed thir aprl <br />ordimncGand Srdr. L.ws ELti4lo <br />n and rtar. rhd fi. sl'or. iraomrio. k cold. I aart ro 6mrly wil <br />ins cotrdocrio.. &d h.r.by lurh.riz r.nr*d i(aofrhi!Cny.nd <br />itbve nrnlionc<l nmpcny f.r <br />ApDlicrntrrAgenlsiB,t',.) <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rouoh Water Heater <br />POOL/SPA <br />P{raplDrain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rouqh Plumbing <br />Final Gas Test <br />Meter Release b) <br />FINAL r <br />Notes Remarks Etc. <br />Miscellaneous <br />L.rr^ t4jit?lq l,?o 1 <br />ud.]