|
PLUMBING-INSPECTOH RECORD
<br />APPROVALS COMMENTSDATEID/SIG.
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underlloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipino
<br />Tubi Shower Test
<br />Rouoh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<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 />Rouqh Plumbinq D-Y- 7> ov6tt
<br />fr n,l- t'hhilAFinal Gas Test
<br />Meter Release t/6t2,*,1 /lAd<.YD"+"A a) &/tk*FINAL T lult.q
<br />Notes, Remarks, Etc tt--
<br />)
<br />()\t\|l{ Bl'I_t)t,tk Dl:L( \R.\
<br />I h.Eby nrm undcr pcnally ot Frjory rhll I m cxcmfl fmn lttc Cantmlm Lian* Lr* tot llE tolh{i!8 rcasn (Scc.m3l.5
<br />Busincs3 .nd Pmf.$ion Codc)i Any Cil, o. County wnict rciuiEs o Irnh 16 onslo( .llc., imprclc, dcmolith or Epai. My
<br />sloclurc. prhr lo iri i.suamc. ako requiffi lhc {pltanl lor soch Fmi ro ,ilc a.i!Ed dllem fitl h€ or 3n b [@.ed luNrnt
<br />ro thc povisions of rhc Co.reror! Licns.d llw (Charr., 9, Co@ncing eith Scctbn 7000 of Division 3 of lhc Busin.rs &d
<br />ProfcssionsCodc)orrhlrl!or.lEhci.npllhcEftonddlhcbnshforthcalLgcdcrcrrrlion.AnyviolatioiofscdionT03lSbrtrny
<br />lpplicanl lor 0 pcmi subj.rts ltE rFpuclnl lo t civil peMlry ot mi mrc lhrn fiv. hunr,td doues 1$500).
<br />-1.
<br />r\ .s.cr olrhc prlrdy, rtr nryc'ntloyccs qilh waAcs.s licir solc comlcnsrrion. silldo rhc rwk md lhc slnrrua i\ i r
<br />i cnddl ororcrd ntr q[ (Se.- 7(x,1, Bu\ircs.and lt{,lc\\ion\ Cod. ]'lkConta.rr'\Lic..scliwJotsnorrlllyhrtrnwncrol
<br />thc pm|xny who l,uilds or imPIor6 rhcrtn, who drs {rh sork hnn\.lf or hcsclf o! rhrough hi\ .r h.. o*n c r .yccs.
<br />!fuividcd rhd su.h iDpmrcn.nis trr nor inrc hd n olfcnjil for !,b Ii ho*crtr. rl* t[ilding .r inlPtulctrttrr is {'ld wilhin oN $tr
<br />dr co rrldrin. rhr osn r auiuci will tnrc rh. trdcn ol'pm\ ins rhd r. or \h. dkt d huit or imPrort ll'. PnDcny tu rlf, l[rlst of
<br />l..\ wrcrolrhc nro|[ny. rnrcrclu\iv.ly.onk crin! sirh li.${d cotrn&br t, con(tu.r rh. tnrj.d (ss.7or,r- Bt\incs
<br />lnn 11 csbnCodc:Thcco lB.rolsLi.ctrsc Lrw d..s nor aprlykJ rnowncr o! pr.F ywh.buildsorimln)vcsrh.rco.
<br />rnd sho .onhclslor such l)s,icr\ snh r Cotrtt.rtr(, lactr{d pursulnr lorhcCodlrct r l-iccnsc tiw)
<br />-l
<br />ancicmpl undcr Serioo-. B. & P.C. forlhisE!$n.
<br />lu)lf,E8s:tltMtEtarxtN
<br />DEIIAMI1QN
<br />I hcrcby amrnt hdcr Dc.ahy of Friury om of rh. n bwin3 dchEtn,isl
<br />I hnvc ulwill mi ainu Ccnificur.olC.trsctrrr. sclllnsurc lo. workerr conrpLn\nrion. $ [ovid.d lorbyScrrbn:]70o.lrhc
<br />Lih, C(dc. nr th- Frlbnun(c ol rhe {ork iu $hi.h ik Pdmir is itucd
<br />-l har nnd will mainlain workcB cohpcnsara.. inlurunc., as rcqun d by Sc.tion 3700 ot rhc bbor Corlc. for lh. PcrforMc of
<br />th. wort ,or whicn fin ,cmit is hetd. My *o.k6 conF.slion insumnN atrt, ord polky numb.r 6c:
<br />ity rhlt itr ll* I,crformrcc of$e *ort for whkh rhisr.rnn is isslcd. I shlllnot cnplo, sny FRon in any tunM
<br />so as lo lEom sutjsr to rtr woit6 d,mpcnsr ion l,ws ofCllifomio, lnd asnc rh,l ill sholld lEom slbii! ro th.
<br />woltc6' cotr{rc.erion ptovirions ol Scd ion l'7tr0 of lhc L.h)r Codc. I \hall. fonhwnh .onrrly wnh lloe pn,virbN..
<br />WARNING: Faihrc ro @rc sotum $mFcnsllion .ov.ngc is lnLwfuL od shall subj.rl an c'qthle. lo nininll Fnthis ond
<br />civil li.c\ up r. onc h!.dr.d rhousnd doUdN (S l$.000), in addnion ro thc.osl ofcomp.ns.lion. datuB.r .s lrovikn for lnc
<br />ion 1076 orrhc tibor Codc, ir crcst ond
<br />8n e
<br />DLCIAT{IIQN
<br />Ihcrc6yrlltnrlndcrp.nJryolrcrjuryrh l rm li.cnsl undcr Pn,vi\ioi or Ch{,rcr 9 (.ommN ins sirh s i6tr 7u})) ol Division -l
<br />ol rhc Bu\ircs snd Prclcsions Codc. dd nlyli.cnsc ir ir llll lircc alclLcr
<br />7
<br />IIINSIXIJEIIONIENDINC.&CENCI
<br />I hcrhy ainn und.' Fnrhyorpcrju.ylhol lhcrc is a.onsrdclion hnd$r r8.trcy lor rhc !.rfffmrn.. ofrhc sork for vhich rhi\ Fmir i\
<br />i$ucd (Sc. lo97,Civ C)
<br />AIILI(^NIjIIIJ,IXAITO!
<br />Ilmbyrllimrndfi p:nrlry.ip.rjury onc ol rtr- rbll{,*ins dc.lanti.ns
<br />ftDnnnhn l,crmns Astr\ro\ Norili.,riotr Fcdcnl Rc3uloriotrs (1illcJ0. Prd6)
<br />Rcquicd lrltcr.l Norilturi{,'
<br />-l
<br />anitr rhrr rhc t d.ral E8uldions Essdins ashcsr rcmlll $e nor amlicublc lo thn poj(l
<br />rhar I hrw Md thn opDlic!.io. sd srdrc thd thc ihow inforndion is .orer. I l8E k! .omply *nh lll Ciry and Coury
<br />Srarc tl{s Ehring ro trildi.g c6n{ clion. d h.Eby aulhorirc rcFc*.ralircs olthh Cny sd Coonry b cnr* uB,n rhc
<br />ubovc ftirioncd popcny for iospcrioo
<br />aua
<br />I
<br />UNDER GROUND
<br />Roof Drain
<br />trnJ.i, Nrm:
<br />-
<br />knds i Ad<!,rs:
<br />-
<br />o6-as-f B
|