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PLUMBING.INSPECTOR RECORD
<br />APPROVALS ID/SIG COMMENTS
<br />UNDER GBOUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq -r-2 k"t.1td
<br />Gas Pipinq
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />It/ain Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rouqh Plumbinq
<br />Meter Release
<br />FINAL -21 D lilJ:r\t
<br />Notes Bemarks Etc.
<br />o\INI]N EUII,I)!:R D*]I,C RATX)N
<br />Ihfcht.lft rn d( ltM ry ol lcrjr! rh l nrclcilnrturnrhc(-dnr..rorrLiccnschwntrlhclolhq'insrca\on(s..70.115
<br />lhtrims rtu ln,ic$ir)n Cqlc): Afy Ciry or Cou y \[i.[ rcquirc\ r tnnir xi.oa{tucr. rlicr. nnp(,!.. tlcnx,li$ ur r['n Jh,
<br />d .ru.c. tri(n b n\ is\urtrc.. rln' rquitos rh. imli.mr ntr \!.hNnrirb lilc, \igncd {ir.mnt rlrrlEor dN i\ licctrrd ItrNrrnr
<br />k) rhc Uorisi{'ns of rh. Co racttr \ l-iccn\cd l:s (Chnnrrr 9, (inntricicnrs {ih S..ri( l(xll) of Divisio. .1 oi rh. ltustEs d
<br />.t'!lic.nr lnr a n:mil{rtjccls rlr rt'rlicinrro rcivilpcrilryolnor lwc,lun liv. hurdrcJ dolh (5500)
<br />-1.
<br />as osM of rhc trorny, 6r my csployeca wnh w!3ca as lhe i. sk comFn$rio.. vil do 0r aut !d llE slrm@ ir bt
<br />itrt.(h or.6cEd lot sh (5(.7044, Busincs .nd Pmacssions Codcr Thc Conn dols Lians L$ doci nor lpply t6 owmrot
<br />rlE lmFiry 'ivlh hrihr n in+.oB E6n..Ji wtb.ro* uh mrt hin$tf ot lEmlf or ltmugh n,! or h.. oq cnplolt.3.
<br />polid.n fid $ct idlowmm cmr hrcld4d or o,r.rd forsl..l[ hoErc( tla huilding or inqlwmnl is $Bqnhinorc Jtd
<br />ofo,plclion. rlE OwNr Buil&r wil IEE tlE bu&n of pmvhg thlr lE or shc dil troi ttrild or in0ioE th. Flp.ny tor trE pu4bs of
<br />-1,
<br />&r o*ftr o{ rhc lisp6!y. m.r.l$iwly .onrlcring wnh lkc.cil codBdo^ ro ontud lh. Imj.ll (Se. ?041, 8!siN:s
<br />ad PDfcshn Codc: Tn. Conlra.iols Lic.nsc Law dms not 0pplyro uowncr ofpmFrly who blalds o. imp@ve.lhercon.
<br />and eho co racrs fo 3Bh roi{lr virh d Conr.do(r) lkc.sn PIBMI lo rlE C.nka.lmt LirnF L!$).
<br />_l nn .rcnp! und.r 56r
<br />lg,8$ESEl]LEUldlAtrON
<br />DE(I.AI{III]N
<br />I tcEby lffi rnundd l.noll,oap.riuryoEolihc aollowinS&{lonlions:
<br />-lhr\c
<br />nl $illNn Ain iCcniricllcolcoNenr ro scll lN!rc lo,*orkcs n,n|xn! n,n, as rolidcd ror btsccrio..lT0trofrlr
<br />L,hrr codc.Io hc NrliJnrnr. olrhc so lorBhi.hrhct{fltr tGnrc
<br />_, hrE and will minllin *orics comFc.srrion iisuBrcc. as EqriEn by S*rio. 3700 of lhc L!bo. Code. to, E t rfo'Me of
<br />irNtr'rr...Ini.r nl |l,licy nuDhrr tr
<br />4-
<br />I &flify rhar h rh. pcrtorm8c ('f rhc wort foi whkl rhis p.rnil is isslcd. I shlll nol cmoloy an, lENn in lny ndnM
<br />$ !s lo tr$m subj.ll lo lic w.rkcn'onpen$rion lu*s of Cllifornia. lnd astc rhar if I *hoxld tE.om 3ubjecr h thc
<br />*o cn compcnqr io. pmvi\ions of Sccrion .l7l D of rhc Irtxtr c(xlc, I ll, ron hwirh onDl, wilh thos pmvnnrns..
<br />WARNINCT r{iturc to s{urc workcs'
<br />civil lincs up lo one tuodrcd rhoumnd
<br />Sccrioi 10766lrlr Libor Gd.. intcrcn
<br />lirl. r.d sh,ll hFd rn .nphF ro aimi l pcEhi5.nd
<br />rn rh. .on or om0cn$tion, dlms.s !s nrcvidcn for lh.
<br />ITII;LABAUAN
<br />I hcrcbvrl&r u cr ll..alr) oipcrjuryrhrr I anr liccnrJ undcr nDrki{'n.achsl,r 9 rronnri.iig *irn Sk_li)n ,un) .l Di!i\io. :l
<br />ol rhc Rusitrcss Md PtufcssiorsCodc. tr,xl nrr li.c \c is h lirll nrc .trd cl li.r.
<br />7
<br />,rrr,i-B
<br />I;9NIIXIS TNIENIIINCIIiENI:I
<br />lhc(bysffinnrndcrtf,nrlryofFrjuryrhdrrhcBk!co{fl.riontcndir8iecncyr'o.rhctcrrhrmanccolricsorkrorahichlhRFnnilis
<br />n\u.d (Scc .109?. Civ. C )
<br />AIPITIAtrIDECLIAAUON
<br />I ll1$yrfiinnu dcr plnally otncrjlr, olE ol rl'a follosnrs dalir$ions
<br />Ddmolirion l'.rnrir$A\h.Nos Norficari.tr l_cdcrul Rqnhrn s (1 [lc 4Ir, Pan6)
<br />Rcqun.d b(cr ol Norino!htr
<br />I c.nililhd lhc rL.d.rol rc8u br n,ns rcefdin8 asb.sos rc hHl,r. n.r ar i.nhlc to lhn Imjccl.
<br />64*-u",'-' , *,.-.0 *i\ trDnri.n,ion md/iiiunce.',na srarc ra". rctau"r i" r','r,r,r.
<br />is .oft..r l.!rc kr coqry qth 0ll Ciry0nd Counry
<br />rpr.scn'rriksol'his Cilya.d Counlylo e.rcr unon thc)
<br />*,", L3:@20
<br />rbn. rnn h.rch) rurhri2r
<br />ahrvc mnriotr.d pmp.ny fot
<br />Appliunl or ,{gerl Sitmtu
<br />L^,J
<br />IDATE
<br />L iJl'. 'lJ'.{
<br />Water-Under floor
<br />Roof Drain
<br />Final Gas Test
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