|
DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarifier
<br />Waste & Vent olrJ. . .,-d)
<br />Water Piping v'>1"I n*w,?-/'
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />lwwalWater Service dtlt 'u1 ,y
<br />Lawn Sprinkler ttr 0r
<br />Sanitary Sewer/Cap d.rl ,tql l^4wil^f-z4t
<br />Back Flow Device I IU
<br />4?"rae/Rough Plumbing ,t'F7 -iz)il
<br />Meter Release
<br />FINAL 6ln,ltn 6)
<br />Notes, Remarks, Etc ulrrf
<br />--t,
<br />PLUMBING-INSPECTOR RECORD
<br />()\\ Nt R 8l I tr,:R t)l I ( \R\ll()f\
<br />I hBcby amrm unds Fmlty of pdjory rhar I d .r.mpl fnm th. Co.trlc1oE Li.cor. Lle fo, rlE follori.g,a$n (36,70115
<br />Buliis attd Pofsion codc): Any Chy or Co!.ry which r.{!i6 a tmir ro @crruc( ahq, inpoE, &mlilh or EEt my
<br />d cru., pri.,rlo ns iMmc, !I$ rcquiB rlr rqpli.!fl h, $ch p.mil ro liL.3iSncd ar@d 66r L or dE ir lic.n*{ pudur
<br />lo $€ pmvisions of tlE Conltulor! Lic..sd Lle (Choprft 9. Commcncins vnh Sc.rion 7000 of Divhio. I of llE Bu.iocs od
<br />PmGseioa codc) or thd & or 3h. h dcnpl rhcrc&on Md rh. barii for rh. all.g.d e,@ptior Any vi.l.iioo ofs.dion r0l1.5 by.ny
<br />applia.t aor . Fmn sbiElt th. .rplic5.l ro . civil p.Mlty ofmt mE lh.n fiv. hundr.d dolld (J500).
<br />-1,
<br />&1 nwRr ofth. ,mD.ny, or my .rDlort s oith sa86 aB rh.ir sl. @mp.Narion, will do ihc vr,rt lrn llE NctE ic mt
<br />int.ndsl or 6r...d fnr sk (se 7041, Buin.r. .nd Pble{riom Cod.: llE Conrr.cloas Lic* tiw .Ld ml apFly lo m owt.r of
<br />rlE pmrEry *tn tlitdi or ia{m6 tlEol\ od wlI &B sh @* hidr.lto. lE4lf or rhreu3h hir or lE oM .mphy..i,
<br />pmvid.d lhd s.t inpmffir e ml inl.dd or o,k 6r slc. lt tsw. tlr hildos or irqhEErr b $d wLh'. .ft Fr
<br />of@r{rkrbG rlE (nvn.r Blildd wall h,r $. hodcn ofpovi.e tlEr lE .. dE dd mi build or nrpmw tlp pmFi, for tE nuqn* of
<br />_l..s.wn.rofilr polaly, @.r.!$&lycod.srinS w(h li..md co mdo^ro oMrucr lh. pmJ.cl (Sa. ?(u4, BusB
<br />and Pofa$hn Cod.: 'l lE Cotn.idoas Lic.ns Llw docr ml lnrly to !n ou.r dttml.ny wlo blild. or impov.s lh.ron,
<br />a.d Nh. qr @kt sch p{j.n! wnh a comtucro(r) li..tri.d DuRu.m x, rhcCodr.dol3 Lic.nsc Law).
<br />_l m .x.q't ud.. Sc'io
<br />!98rE8S:CA!,l!NtAr.laN
<br />Drctd8aua!
<br />I lEEby amm undd p.Mlry ofFiu.y oc oirhc hlhwi.e ddldios:
<br />I rhtr (nd.. lnr rh€ pcrla.annc. olrh. $o* 6r \4nrh rho |[nnt * A{,rn
<br />_l ha!. ,nd w'll @inllin $orl(.c coin!.*ari.n oru6 .., nr Eqln.d ny Sdr ion 3?00 of th. tlhor Cod.. for lh. p.rfomftc 6I
<br />t.mn F Bocd. Mywor*m' comr.rsrio. insr.nce cari.. ard Dolicy nuDhcr dc
<br />WARNINC: ftrilurc ro surc ertcF omp.ndion co@r. ir u.h$tuI, nd $ill bFr tn mploF to o,riMl prmiie and
<br />cNil fin.s !p to orc huDdrcd lh.lsand d.ll.6 (t100.000). in addiiion ro rh.6r olcomp.ns.rio.. dam8* rs rmvid.d fir rh.
<br />S.crion 1016oaln kbor Cod!, im.rcn and !flomy s aes
<br />DDCIABAIION
<br />I h€enyomrm und.r rcniltyofp.tury rhtrt I !n lrcetrEd und.r pmvisionofchoptg 9 (comfr.ncing wnh s<lbn'7000) ofDivhion l
<br />oa th. auflBr dnd Pn,f.ssbB c.dc, and ny licctrr. t in irll forc al .,Iel
<br />'(0 U
<br />o.t, . rl.llll I c-,fi co.t".t,,r/ lh/ AUll-A
<br />I n* rf,T,l / -- - t,,
<br />C!)lsllt.LltlQlll:Il)lllir\ell)'
<br />I her€hy amrm ud€r Fnnlryolpdi$yrh,r rh6. R r oBrtucron k,llirs 8lcncy turnr pdfonmn.c olrh. snk lor sfiichlhis rmi is
<br />issu.d (sE 1097. civ. c )
<br />attltc NlDncl^aaro!
<br />I h.Ehyimnnunder p.tr.lryof Dcrturyone olrhc lollo*inr dcclarorn,ns
<br />D.nblir'.n Pdmns AslE{os Norificdbn l;.d.tu| Rt!.ullrn'ns ( l dl.40, Prn6)
<br />R.qun.{ I-.rr.r of Norifi c.rion
<br />APPROVALS
<br />TOP OUT
<br />Final Gas Test
<br />I c.nit rh.l in lh. pcrf.rmom.ofthe work tor shich rhis r.mil is i!cu.d.l rhsll dn.m0loy dny !.Mn in.ny nrnmt
<br />$ as ro !c.oh. sbi(l r. rh. wo,Im' coorcneron laws otcalilooo,
<br />^nd
<br />i8Re rhar ia l sn uld h..om shjet to lhe
<br />s.lt.m' emp.nstrn llhvhions ol se.ri6n 1700 of rh. L.tnr cod., I ststl. fodhwirh 6n{ly wilh lhoqmvhbN .
<br />'flu lr
<br />lJ Icdrlyrh, rh. Lrl.rilEsul,rnm rcFsd'n,. !ch4r.".dmrilaE nor.nFlN.bl. h ths nmjd
<br />,f&.o'0 ,*, , t* -o,"..rplr.,hn &rJ r0,.,hd rh.4qv. 'n,.m,rn '(.omr l.rretommFlys hrll(iryJnd('.un,,
<br />li,d'nan..!and sr,. b*! Fhr'nr ro h 'ldrnE..niru,ton.anlh.rhy,urhnr,...nrRnriri\qofth.!Cn)andCounlylo.nrnurnnrh.at$v.ftnr'on.dDmEd\ro n.*d-..Lnm*J, I
<br />.,*.-**.n*'* * - ,b, W- -.'ylb|-.ftz..df
<br />Pcmx..n.h.rprin,, * WiW WUL r
<br />--
|