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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNUR AUILDI.]R I)EI-('ARA'I'IoN
<br />I hrrcby nfirnr undc(,.trilry oI pcrjury lhrr I rm.x.'npr lionr rh. GN1t.r,n Li.ctrsc la* ntr rhc rollosirS rcison ls(.1r.11 5
<br />Bu\incls .lrd Pr(nt$irn (odcr: Any ciry or Counrr_ shich rcqtrt.{ . Fni io c.n{tu.r, rlta. inwovc. denrlnh or rcnrn Jn)
<br />(rucrur.- pritrro ii\ nlurtrr.. rho r.qoir$thc lllfli(rtrr lat iu([ p.nnir l,) lilc r (ig .d nnrc *nr thrr ltor shc n lic.n\cd pursurtrr
<br />k, di. fm$nrtr ol rhc (ttr(!.ntr s l,ilrtr\rd lls lchxpid 9. Cotrnrcn.o8 sirh S.crioo 7lxx) oI Di(ision ] oi rhc lturinc\! r/]d
<br />l'rolt\\i,nN Cod.)or rh3r h...shc i\ cxcmDl rhcrclionand rhc hi\t ntrrh. nllclcd crcnl! i,,n nvvi.lirionofS..ii}r70ll5hyrny
<br />srpli.rnt nxrpcnnit suhjcch rhc pplicrnrlo rcivilrc rlryol rx nnnc r1[n livc hund.cdiollrr\ (55(x)).
<br />-l-r\
<br />owncrorrhcpnrFny,ormyem oyccs $irh * ascs ns rh.t $l. .o rtcfsar i.n, will do lhe *ork od rh {nduc t Nt
<br />ind cd oroltaicd Lr\rlc(SallB4. Bu\irc$ lnd Pn,l.s\n,n* C(xl. lhcConrrlcttr\l,icctrrlisd.c(trorrfflyrorno*ncrof
<br />rh. prondy \rlt)triusor in[n,rc( rh.Rnr url {ho .les $.h *orl hi'h.llor h$tlfor rlt ulh ht or tur .$n c'nnh)}.cl.
<br />[ovi'1.{] thsr su.h impmr cnrn( m fr{ in.d.{ or otlcErl li, *,b ll hNrl.r. rlf build'n8 r irnPmrcnrnr is skl *irhii o . }l
<br />ofconDLriD. rlf, Owncr Bui0cr *illh$t rlr hxnhn offl(,vin8 r,rr h. or shc dil n, bdld o' imlft,E rhc la)lErly li'r rhc purr{{ of
<br />l.n\,,tncrorrhc!n,|cd!,r i.!rlNlvcly..nrdifg$irhli..t\:d.o a.tnt)(n.rrlxln(ljccrlSc. l{}r1. Bn.i"r$
<br />rn,l l\uli(\in fxlcr Thc Conti.rt \I i.cn\cLr{ doc\ norrt,Jn!t) iosicr.l t'r,Dcnr\ho huil \ or i'rln)u$rhcrc.t.
<br />inl qho conrrad\ntr\uchrxscr\s[hiC(drn(rn(nlic.tr{alnurnr rhihcco tr.rtr-\ l.i.cn{c l;rvr
<br />-l
<br />oh.xclnpr undcr S.cliol
<br />-.
<br />B, & P,C, I0 rhh nason.
<br />IQBf,.E8Ii:IPMIBSAIION
<br />DESI.AEA:ITON
<br />t ltftby a,fi.m ud.r Fnlhy of ,'dj!ry orc of lh. foltooiiS d€liilioB:
<br />I hrrr idsill miinr!ir rCcniicrrcofCon\c rroS.llln\ordntr\ork!1iconDcn\rri,n,, \ Px,vdcdturhyScclion.l? )nfrh.
<br />li'htr Qxlc, fr rhc F,rfoanrmc ol rhc rork lir shich rhc pdnnir i\ isucd
<br />-l nuvc rnd *ill manfdin worlcn .omp.nlrnion insuftrcc. N rcquiod hy Ser ion ]700 of rh. Labor Cod.. 16, rh. l).rfornrEc of
<br />rhc ,ork for whi.hrhill.nnirk nsuel. My compcnsdion i$ufuncc.rnicr rtrkl poli.y nunrbs rc:
<br />\s.l \II' .l_-11 \Lo
<br />-l
<br />ccniry rhd i. tu p.rf.tmmc of thc sork nn ehth rhir pqmh ir ns@d. I shrll ml cnPliy dy Fnon in a.y lmffi
<br />$ Btobeoms($Frro rs Lcn omFnsrion Lwsofcalifohia. Md 4ie thai ifl should tLtotu slbirl roth.
<br />hi.cc onp.nsltn n pmvisbN of Scrion 3700 of ltE kbor Cod.. I dtrI. rodhwiih onq,!, wilh lhos Pmvlrjo.s
<br />WARNING F ilur.
<br />'o
<br />$nrc wo.kc.\'co.rreosariinr.arvcr
<br />.ivil fincr up ro.nc hundrcd lhou\lnd doll.rs (Sloo,fixD,
<br />ssc ir unltr!tuI. aod lhrll slhjd! an dnploytr to aiminll pcmllks und
<br />I h rhc con oi co'nncr\dn,n
<br />::lldlsgi$,r,,orrr )<
<br />lllqABil'IloN r
<br />I h.rby firnund.rlr.trrlry.lpcrjurylharI li(nst undcr In,Yi\i' ol Chllns 9 (connrtmin3 wirh Sc.r ntr 7{rD) oI Divi\ion I
<br />oI rhr Businc\\aid Ptulc\\n,Nco{rc. $xl nr} ltcnsc is i. fullli'kr dclri{i
<br />ltr].D.."*"..
<br />I hcrcny aifinnnftlcr p. rlry or!.rj'try rhd lhcre is. con{rucri,n ktulins r!.fty ror rhc lf,ri.flnntc ol drt work ror shi.h lht Nmi n
<br />nsucn (Scc :10.)7. Civ C )
<br />AI[].ICANI.I]8!:LAAA]ION
<br />I h.'rhynilir und.r l)tnrlr, oltcrjuy on. nlilF li,lldvi'rg d..l,trrrirxrs
<br />Ocnrnii,'i I'eraih A\b.{o\ Ntrrifi.rrion I'cdcral ResJlsltnr\ ( Iirlc,ll), Pn'r6)
<br />-Rcquncd
<br />Lcrrcrof Norifi.rrn r
<br />\s;;ffi;rcgulalioN rgarding shnosrutuvdlrrc ol lrrli.abk ro lhB tmtrr.
<br />bo i\ comr. I eBN lo s'rqly sirh all Cty and Co!trly
<br />rizc Eprcsmillivcs ofthh Citylnd Co!.ryro cnl6 uFtrllE
<br />\ rlfli..rn od srlcrhd lhc nhoE irronn
<br />at$vc m.rioncd Dmpcny fo! itrspccl
<br />\tpli nl r,\!.trISiAn l rr t o ID
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underlloor
<br />Buildinq Sewer
<br />Area,/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main 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 />Rough Plumbing
<br />Final Gas Test
<br />Meter Release ll
<br />FINAL 'z//l/?.O *'/q )
<br />Notes, Remarks , Etc. / '/
<br />Back Flow Device
<br />L
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