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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BUILDEI DELCARATION <br />I hcrcb, lmrm under peMlry of tE.Jur, rnd I d cr.npl from rhc ConrmloE Liccne Li* for rhc following @rn (S.t.7011.5 <br />B$in.$ arn Proac$io. CodcJ: Any Cily or C.uty *hth .cqlirci a FftI ro 6NlM( rli6. ioprow, .hrcfth or Npat {., <br />rtrlcru.. rrt r lo its issulncc. ds riuircs lh. appltrnl for sh ,Emil lo nb d siSncd slltcrcnl lhll h. or sl* is lic€nsn pursu, <br />lo ltE prcvisions of tlE Conhcloas Lien$d L{w (Chapter 9. Comm.rcing wirh Seclion 7(m of Divi.ioi 3 ol rhe Busii.s rid <br />Pofcsions Codc) or rlEt hc or stc is cr.mpt rh.rcfron and rh. b&sls for thc .lLg.d crcmprion. A,y viohtioi of Sdbn ?031.5 by any <br />applicabl lo lfmii {h}xr! rlE .pptic! lo a .i!il pe.lhy of nor me U.n fivc hurdrcd dolles ($500). <br />-1. <br />as owns of lh. pmpcny, or ny cmployec wilh wagc. a rhcir sk @np..srio., wil do thc mrt ard dr sletm i, ml <br />inrcndcd or oll.Ed aor sh (SE-7044. Brsircis sd Pmfcssions Codc: Thc Cr.thcl.is Ucctr€ L* .ro.3 mr rpply lo !n owm of <br />rh. Flrcty who hikG or inrms *Nn. ud sho do.s sxh tu* iinNclfor h.r$lfor rhhugh hi. or hd om.mployes, <br />lrovid.d rhor su.h imFnkBirs e mr hkndcd qored lor$lc.lf. t x@i i* tsiuinS n inqrcEMr is sld whhin oft )e, <br />of.orplclio( llc Owrcr Blildcr *ill hat tlE hlden of prcving thrr h. or sh. dil ml b'rild m irpmw fi. popsly for 0r porpoE of <br />vfl*.*,.,r...,,,r.n'.,mi\.rr.rcr),,,r,rr,1Etrhh n,ir.,..\nr,.rr.Hu!T\.,U h,,k*i (1,1. lhr(-t{ rJ(ini, Lrcn..l..'n J',r\ rr rmlr- n, ni .wrr or fiotcrty sho hui]ds or nnFov.s rhrrcotr. <br />md Nho @nt6c$ for such pmFck wirh a Conrrack,ns) liccn$d purru ro rfic Contractols <br />I r ror. ,jn tklcr Srcr <br />,.*,-b-:-lZ <br />I ll.rcby um.m und6 p.n lty of n€iury oe of rhc <br />l:ft, Co(|.. LrrlNJ,cnoflurcc.rrtu rvijrk ri,r \rhir[ rlt Nnnir n i\ucd. <br />_l haw and siu minuin {orlcn .omncnrarion insurarc. I rquicd by Serion 1700 of rh. Labor Code. tor dE F,to,il1'G oa <br />ihe wort for whicn fih IEmi is i.ser,- My works' orp€tu rion inlumc .eic. altd polb, nlnbe. @: <br />\ikl ccnrfvrhnt rnrhc n rr.tr uftcrrrhc work rn whrh rhis p.rmn is issucd. I shdllnol.mpk,t un, pcson inanyronE <br />ll J\ro ksm.uhiNr ro rhc qn,tcr\ omFn{rinn Ltrs ofCrlilnmh. rnd agN rhd rfl shnuld t(onE suhFcr b,hc <br />lLr Lo ', c.nFnsu.r Ir or n nns nl Scc! ion .171U .l lhc L{tnr C.nc. , rh.ll. ionh* h comlly wirh rh* fhvi},nn. . <br />WARNIN(;: Frilurc b sur. work rJ .onFnsark,n .oknsc i\ lnlawrrl. md sh"ll \xbr.{r an c.rk)rr lo ftnn.,l tBtrlrics inrl <br />i'Il..ii;#,::,:T.,I:tiTlJi:tiiT *: <br />,,", b'12-lr A <br />lls\ (ll0l).l)ll0r. in dirn,n t, rhc .osr of ioredamgcs as pmvidcn for lhc <br />I hcmhy rlflflnrnddr prirhyoftf,rjury rhrr I rnr I (co,nNcncingwirhS..rirnT(X{))ol Dni\ion:i <br />of rnc Businessond PDfesionsCodc. md nryliccns h <br />caxflBtJcuotrrllDlNc-aalNqr <br />Ih.rcby rfinnr lcr Fnrlr,ofpcrJorvrhtrr rhcr r a .onrrud i,,n hf,di'r! rgcRt nnrhc p.rfonrui.d ofih.*ork tur shi.hrhtr linn a <br />i\sucrt (Scc. .ll)97. Civ. C ) <br />AtPrlc6lfD[cLrr.8 uoN <br />I hrr6,allimondcr pcnlhyorperjuy onc of rhc follosins de.l alionsl <br />Dcnnlirit)n l,.mirsAstr\tos Norificlln,r Ftdcial RcEUhrions frirt.1o. Pan() <br />-Rcqut.J <br />l.llcr ol Nrifi slioo <br />I .drfvrhd rh. fcd.r.lEruLrons Ellrdru ssb$'o! Emvdl m m' otdtr.bh r. rhh Imje'. <br />tfl .srify rhlr t havc,€ad rht unrlicurbo u.d srurc th.r thc otovc nrfomrion iscoret.l !3@ ro coqJly wnh lll Cirylnd C6ury <br />rncc\ r Sric I rw\rL in8 k) huildin8con(rucriqr r t hcrch,rcEc\cnrarivcs olrhk Ciryxnd Comryt, Mtu. uF,n dc <br />lbovc mtrtiored porcny ftr inslf,ction ,'urposs. <br />ADpli(trnl or A,:enl siannlu 6-ra-lI <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />I nterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Tub/Shower Test <br />Rough 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 Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL b'29-18./,).{*u(t'g <br />Notes, Remarks, Etc. <br />Policy Nlmbcr:Jrnie(: _ <br />t^ n,lcr\ AtlJn... <br />UNDER GROUND <br />Rool Drain