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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