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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underf loor <br />Building Sewer <br />Area,/Storm Drain <br />lnterce ptori Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Pipino <br />Gas Piping <br />Rool Drain <br />Tub/Shower Test <br />Rou gh Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn S prinkler <br />Sanitary Sewer/Cap <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL A1z{1*5'\S <br />Notes, Remarks, Etc <br />( <br />OWNER EUTLDER I'ELCAIIATION <br />I h.dry lffirn ud.r F€ lly of pcrury fi.l I M cr.mpl 6Dm llE C.Drrulo ' Lt.e t4w lor tlE followiiS l!@D (Sc.?031.5 <br />Busire3s lrd Phfc$ion Cod.): Ary Ciry or Counry *hth r.quircs ! Fnir to oE{ru.1, !1t6. irprow, &mlilh or EFn 4y <br />slru.tuE, r rcils h$.@. als EquiE rlE a0dicer for seh lEmit ro filc, sisN<t $rr.ftrr lhll lEorshcb lkctrEd'prunl I <br />ro rhe Fovirioni o( r,r Conrrcroas Lietu n kw (Cnapls 9, Commmin8 wirh S.ction ?Om of Division 3 of rhr BBh.., d I <br />Pmf.s.iotu Co<L) or lhd lr n slE h cx.ru rlEEhon cnd tE besis lor rlE llkgc{ .x.trpthn. Any viohrionofSclhnT0Sl-5 by rny <br />rlplis for a Fmil subjelr dE .ppli.et r. . .ivil lc@lry ol Nr mr lh4 five hudr.d dolter (S$0), <br />L ns o( crol rh.pn,J{nt. o.mvcn, orc.\ eilhqrsc\i\ rhcr (nc(,nncn\dhn. *illlo rlE}orluJ rtr (nrrur. is nol <br />rhc poncnv $ho huilJ\.r iDDmksrhc'orrDi sh. docs\rhs!trk h'nNclf.rh.r\clforlhoulhhrs orhrroqnc Dhrecs. <br />_1. osovMof rh. pmf*ny. {m.x.lusivclyco rering with liccnEd @ 6doN ro coNrrucl th€ Fbi.t (S*.7044. Bkircs <br />arld Pblti\i{ Codc: Th. Conrmbls Licensc Liw des nor apply ro ,n ovncr ol pro!.ay who bnilds or imtrov.s rn r6n.8id *n6 (rrEcrr lor su.h |roi(ts wirh a Co turo(s) li.cnsd r,us@ir to rhc Oonf&roas Lkcn$ L{r} <br />-l <br />M cx.mp !nd.r Sstion- a. & P.C forrhis lwn. <br />slr8trE8l..ltoMrEtAlA! <br />DT'CI {RATION <br />I h.cby a,[rm undcr pcndty of Frj!ry one of th. folk,winS deb.rrionr: <br />l-rh.r (_( c. ln' rhf lt'rann d or rhc work rrtrlhich rlt Nnnir j! ir{'cd <br />_l h.vc and pill minllin vorks .oqEnsarion insumncc. as Eluucd by Sdhn 1700 of ihc btio. Codc. for lh. rdfollM of <br />rh. qork lor which lhis Frmil is bsEn. My sort6 onp.ndio, i$ume @ic. ard !.li:y numh.r e: <br />l.cnirytha! in rhc pcrtbrtu'rc.f rhc qork lor rnict rhis !.rnril is hsucn.l shall nol cmpby!fly pcrsfl in rny moimr$ sbtlo'k jubFd rorhe {ortcts €nD.ns,rnro hwrof Califomin. d aE@ rhar if I rholld li{oft \lhjccr !orrE <br />wor*6! cohlxn\ n,( tmvisio.s ol Sftri.n 1700 ol rnc tjtnr Codc. l shlll. aonh$nn conply *irh fios pmvnb.\ <br />WARNING lailurc ro scurc wortcrl <br />civil linci u, k, onc hutrdrcd thoustrd <br />Serio. 1076 of rhc l nlnr Co{lc inrcred <br />shall subjccl !n .nFl.r.r to diminrl Fmhi.s d <br />cos ofcoq,cns(tio.. d|m8.s !s rrovidcd lor lnc <br />llIrlI2l-8,lIION <br />I t Ehy ffrrn und.r pcnrxy of pdiury rhd I u licc.sd u.dn }rcvision of Chapld 9 (@,tmrci.B ,nh S..rir. 7000) ol Divilio. 3 <br />of llE ANiEri rd Profshm Codc. nd my licdr i! in tull fod ad clIdr <br />C-?l , c 6s la+'L- <br />o,r.,OS l(t '!o I <br />I furchy rltntrr tr dcr lf,trtrl!y.lNuuryi*{rd (S.c rl)97. ( iv C ) <br />herc is a onirrdr,. bndi.g agcky for rhc Frforruftc.f rhc work f.r *hich thh Ifmn is <br />APH TCANT DFCI ARATION <br />I hod,y lnim uodcr pcnllry ot lerrury one of lh. follo*in8 dehmtions: <br />Ocmnirion Pchrns.Ash.sros Noriication Fcdcral RcSukions (TirL 40. Pd6l <br />-Rc!utcd <br />brtcr o( Nolifelion <br />I.cnilirlrtrrrhc fudorrlrc!!lxro { rcgrdinS \hc{o\ rtrr)vrltrrd mr rptlic blc h rhi\ pnii.rr <br />Back Flow Device <br />l.rl. . \JJ'..\ <br />and Coum, ro c.l.r upon tlE <br />ocf tbf "ur