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APPROVALS DATE tD/stG.COMMENTS
<br />UNDER GROUND wldlWaste & Vent qlnlto,'Jr{ )
<br />Water-Under Iloor \t--/
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />,.\
<br />Rough Plumbing 5/Y//8 <fFar 77\hv)
<br />Final Gas Test
<br />Meter Release rA
<br />FINAL 7-zrlr kWt).
<br />Notes, Remarks, Etc.
<br />PLUMBING-INSPECTOR RECORD
<br />orvNl:ll DUIt.DER DFL( ARA r()N
<br />I turcby dflirr uiJcr pcixlry (,r prqury rhir I dr crcn1Pr kom rhr C.ntdo^ Li.ctr\c bw fd thc n,lk,si 8 rci\in rs..r0:11.5
<br />lusirc\s r Prntssiotr Cdc) Any airy or Counry Ehi.h r.luncs r tcrnir ro con{n'cr, rlrcr, iDDn,vc. dcnmhh ,tr n'n!n itry
<br />nddu'c. pritrl.' il\ n\u .c. rk. rcqunc\ lhcq'rli.rnr li,r.u.h Ennir n, fil.r \isrrd (lllnxor rhll hcor shc i\ li.cn\rr N^urii
<br />ro ihc nmvisnff ol rhc (in mcnni l-icc.scd l-rs (Chrnlcr 9, C.nnncr.in8 *ilh Scdiotr 7(xn oi Division I olrhc &rsnE$ rtrd
<br />lroli$bnsCoJ.rorrhlr t( or\tu i!cxcnrnr rhcrcliomrnnrhc hrsis lorric rllcgd crc lprnr Anyvn,Lri,,nofS(rihl0ll5hyrny
<br />rtpli.r rturn rnrir \!hjr.nrhc frli.rnr!) rrivilrcmlrtolnornrftrhd fivc hrndrud dollr\ ($500).
<br />-1.
<br />ss opncr of rnc pmp.rly. or my cmployces wilh w.8cs ec lheir soh ohFnsqlioo. wiu do dE tulk sn de sttulm ir nol
<br />iin.ldcd or ofcrcd fd slc (Se.7044, Busiese lnd PtDf.ssiom Codci Thc Co.r&,rdt Lixn* tlw dds ml ,pply b D osmr oa
<br />rh. nn En, who tuilds or irymws r*p.. ard *no d6 ffh srl lihscl or h.Nlf d threugn hk or h( o*f, .q)loyas.
<br />prcvned fid such ifrpsEmB @ d Lrcn Ld d oficr.d for $lc. lI tbEE, dE trildtr'g or inprcwd.l b eld Dirhii 6m )E&
<br />ofotrnk
<br />'on.
<br />rl* Ovn( Suil,.r will lurc rhc tDdcn orF.ving dlr h. or dr di, mr tuild or in9roE thc nNrcly for 0E purP$ of
<br />l. tr\ ow .r of ihc f,op.ny, m .xclu\ivcly .ontkri.g snh liccnscd .ontdo^ tu .onirucr tlr lroFt (S.c. ?Ul.l. Busrncs
<br />!d PDfssimCodc Tnc Conl6clol s Liccnsc Llw docs mr orpl, ro un owrcr of Iml]cny sho t uilds or imp.orci ih(con,
<br />and who co.trLrs for such pmjcds wnh & Con,tucbrls) ltcn<d nuBuni k, $.Contmror! Lkcns hw).
<br />-J
<br />m cx.mpt undcr Sccrion-, B. & P.C, for rhh rce..
<br />I .cnify fiar in rhc p.rrorMrcc ol rhc work aor which rhi* pqnir h ilsucd. I shall nol employ .nt pcAo. in any mnnc,
<br />$ as lo bcom subjd to lh. eo*sl .ompcnsarion hws of Cllifomin. ud s8E lhlr if I should hccoft $bi6l 16 llE
<br />*ortn3.onp.n$lionlJmvisionsofSetion3?moflhckhorCodc.Ishrll,lodnwnncompl,*ilhlhosprovliio.s,.
<br />WARNIN(; Iirilurc t, {curc $o*.r{ comnti\r'i,,n covcn.[c i\ trrL*r!]. id ntll suhi.r nr cnrrloycr ro dmiml rnllri.s urd
<br />civil firs up k, orc huo{jrcd rhou\rnd dolh^ (Sl(x).txx)). ir lddirdr to rhc co{ of.onrp.isatnnr. d, D!c\ !1F,ridcd lor rhc
<br />Srrn,n.10?6olrhc l.rtn' Codc, i'nqc( andr ortuy s tur\
<br />I h.nht affirm und.r FMhy or pelury thd I !m lie.rn und.r I,m ofChlt 16 9 (commftin8 sith Sdion,000) ofDivkio.l
<br />of rhc Busi6s and Pmfcr ioni Codc, ard my lt c.sc h in tull aor.e arn catccr,
<br /></2, /rt.\ I / -\t
<br />cttustnuctin r orontt; lt,ENcv
<br />is\ucd rsN l(D7 cn c r
<br />I ccniltrh ih. ltd.rrl reguhrioN mgsding ash.no\ rcnr,vrlarc.or 0pflic0blc Io lhnrroJccr
<br />l.cnilvrhrr I hrvc rcxd rhi\ rlr|]liutoird {rrc rl rlr rd.raon ic conrcr. I .816 lo comply wiln all Ciry and Counry
<br />ordiidnei rnd srar. Ires nhrinS ro blihira con{dcrion.
<br />rho\..rrirbncd F)p.n, tur i.\
<br />lpDlic.nr rr ,{[ctrl Skn!lrn:
<br />ofrht Ciry lnd Cou.ryro cnr6!I.nrtE
<br />Fill Line/Back Flow
<br />Water Service
<br />}IIBf,EBS.I;I}IIIETAIIAN
<br />NIiCLAf,ATION
<br />I h.rcb, ariirm ondr Fn,lry or Frjury om of lhc lollowinE d..hraiions:
<br />-I
<br />h.vc .id will minldn a CcnifMl. ofc.nscnlo s.lfinrur. ro. workeB mn{Enstion. I pmvitcd lor b, Sccrion l70O ol rh.
<br />t hor C.de lor rh. p.domftc ofo. wod( ror which rh. Fmh ir ksu.d.
<br />-l
<br />lEvc,ndwill mointoin sorkc conpcnsatior insursrcc. s mquird by Sccli.n 3?0O of lhc L.bor Code. for thc ll.rfollj1i@ of
<br />lnc rcrk for whth lhis Fnnil Ls ks.n. My wo*c6 mnD.nsar ion insur c cekr ard lblicy numbd E:
<br />CaEs
<br />qfzr(ry
<br />Lxndci\ Addrcss
<br />A.TTUIANLI)ICLA.BAIIOX
<br />I lrnbylnlmrund.r J*Nhy orlxrjury onc ofrh. tulk)wing d..ld{n (:
<br />DcN,lirn,n Pfini( Albrno\ Norin.ari tcd.ral R.AUhti,nr\ ( l'irlc4l), PLn6)
<br />Rcqnirud t.rrcr of Norifi .rri,rr
<br />i '//t
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