PLUMBING-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNDR BU!LDEN DDLCARA'IIoN
<br />I hcrchy rfinD undfi p.nrlrt or pcrjury th,r I n.rcn,rr from thl C\,ntachn Liccisc ttrw ror rhr rdll('siig rcastr (SN.rol l.5
<br />BusnE\\ tr Pdlssi0n C.dc) Atry Ciry or Cotrnry which r.qunc\ n l.nnn n, ..n(ru.r. alrr. inDmvc. denmli\h r r.nnn d'y
<br />sru.rur.. [Mro nr i$uui.r, rho rqoi'c\rhc rppli.rtrr fitr u.h p.nnir r{' filc tr \i!'rd srlrcnrir rh h..r sh. h li.cn\cd puhtrrtrt
<br />k, rhr pn,vnnrnr olrhc Conkrclfi \ l,ic.n\cd L1w (Ch.rrcr 9. Cotrrnrcmil8 *irh Scclioo'7OoO oI Division .l or'hc Bu\inc\\ rnd
<br />Polc$i{trr{Codc)orrhrrhLorrh.ir.r. rfl rhcrcGo r Md rhc hsir in rhc rlh8 cr.nprn,n Anyvi,,l t orsLrrio,rT0ll.5hyrtry
<br />rppli.rrl li)r ! Dcmn nrhjccls lhc rDplicnni lo n.iyrlpcMliyorNt nnmrhrn livo huMrcddollus (S5m).
<br />-1.
<br />!s o*Rr of lhc pr.Fny. or ny cnoloy..s wirh wrgcr a rtrt $k .onp.nslion, wil(ll fi. wolt rnd r.1tr18is mr
<br />inlcd.n or oficrcn for elc 1Se.7044. Blsimss md Prof.srions Grl.: TIE Conlrelor's Liccn* Llw &,cs ml appty lo d owr of
<br />lh. pmrEny who build$ tr inpmvs th.6n, lxt wlh dB sch wll hircclf o. hcMllor $suah his or hs own cmployfts.
<br />!turided rhlr such imteEmrns e mt inrmdcd o.oficr.n fo! sk,lf. howeEr. rlEt ilding or irire$m is $ld wilhin onc Fe
<br />oioq,hthn. tlE Ownn Buitlc wil h.rc llE bndcn ofproving lh8l lr or slE dil mt build or inpr.N [f, pDtEly for thc P4ns of
<br />-1.
<br />trs owflcr of lhc lmpcny, 0m cxclu ri v.l, conn,crnrS wirh li.rn*d.onh'o6
<br />'o
<br />snsrud rrE lmj.d (Ss 7044, Buincs
<br />uid Ailcsihn Codc: Thc Conrocrols Liccnsc Lrq docs nor oFl,ly ro atr owncr of lrop.ny *ho buildr or i rmtc! rh6con.
<br />aod *ho .onrfl.k lor such pbitls wnh o C.nrncro(O lien{d pus@r ro rhc Conhcror's Ltcns. |'3w).
<br />-l
<br />{n cxc,npt undcr Ssrio.- B. & P.C lo, fiis nN,n.
<br />vr)ts.[}:tsllra!.ut NsarM!DEg,rl&llll)!
<br />I tcEby affirm u n p.Mxy ofFrjury om or E following ddl@rionr
<br />I hrr ud Nill nu,inrm a CcniltJrc of Consnl ro Srll l nrurc tu sorkcrs conrcnsar ion- r{ povidcd frtr hy SNti,,i l?m o I rhc
<br />Lohor Oxlc. nn rhc ncllonMncc ollhc work l'or qhich lhc lcnnit h hucd.
<br />_l h3w u'd will minain wort$ coq'cm.lbn i uh(q {c r.jlicd h, Selion .1700 ol $. bhor Cod., for lhe pcrfollrwc ot
<br />lhc wort for whicn lnis Fmil ir n$.d. My work6 omp.nsrion iftuEEc cMicr !,n p( [cy nlmbcr m:
<br />-l
<br />ccnili rhII in lhc pcrfonmrcc of ltc wort for whict lnir Frmil is hsucd,.! shall nol ctrploy lny pcson in an, @ftr
<br />so * ro bcoft subjccr lo lhc wo.k6'compcndi.n lows otcllifornia. Nd .Crc rhrl jt I should b{rom subjer lo llf,
<br />worknC cotrll..s"lion pmvisions ol Seiion 1700 of $c Llhor Codc I shdl. tonhwith ooply wnh tt[s pevisions..
<br />WARNINO: Failurc lo sure pdkdl strvrcrslion.orcaSc is unbwiil. lnd shsll subrel d cmFlo}lr lo qimi.ll Fdti6 ajd
<br />ciril lincs up lo om hutrded rtoustrd dollstr ($100.000). in addilion ro rlE cost ofoqrnslrion, da@s€s ai povilert for rhc
<br />SNrion 1076 ol lhc L€tu Codc.
<br />",,.,''t lz.,^1,,1
<br />intcrcsl ond altomy s tccs.
<br />I urct ti llltr
<br />I hcrcby rnnmlndcr rcmltyof FrjL,y lh0l , !m liccnen undcr pmvisiotr ofChrtrc 9(commnciry silh Scclion 7u)o) orDi!i\n,n I
<br />.a llt Bn\ilc$ rnd Profcsb.s Codc. and Dyli.ctrsc is in fulllarcc Mdcff..l.
<br />I h.ruhyamr trdcr p.ulry o r p.rjury rhar rh.rc i\ ! con\rrud hn Lndiry o8cmy nn rh. pffontutud of rhc wurk ror whi.h r hn Fnnit is
<br />issucd (Scc 3097. Civ C.r.
<br />I ccdily rhd I h,vc rcad rhi\ rptli.ari,n .nd n,rc rh.r rh. nbvc inft,nuion h .omd I aere !o mq,l, wnh all Cil y 3nd County
<br />ordin|n.cs rnd srric ttrss rLrirB ro buildirS axrt ria rc!rcscnrariv.s offik Cny md Counlylo cnls lron ltE
<br />rhi,lc Nnri(nrtlJ)r,p.nyf,tri'npe.rio]
<br />eppuor or eg.nr stgorue K =/%/-/
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under lloor
<br />Building Sewer
<br />Area./Slorm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P-trap/Drain Line
<br />Main Drain/Pool Pi ping
<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 />Rough Plumbing
<br />Final Gas Test
<br />Meter Helease 6a)
<br />FINAL ,1.7,t6 6A<,teY
<br />Notes, Remarks , Etc.
<br />APPROVALS
<br />Polkv Ntrnh.r EtniE.:
<br />oor, l
<br />AIIUCANLPEIjIABATION
<br />I M'y fnnumlcr pcnrllyofpcrjuryorc ollhc lolbwinE dccldoliotrs:
<br />Ixnnnirnr Pcrnirs^sh.sos Norifi.arion frd$al Rcauluriohs (IirL J0. Pon6)
<br />-Rcq!ncd
<br />Lcucr olNorif{ation
<br />I ccnify ihrl rh. fcdcdl cgnllrionr Ee!.dine {sh. os rcmlal alc nor dpl,licablc lo tnis pmF.r
<br />4ftrt/d4f
<br />Gas-Underlloor
<br />POOL/SPA
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