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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OWNER AUILDf, R I'!:LCARA ION <br />t hftby aflirh under pmhy of ltcrury fiar I m d.q!t noh rh. ContlcloB Li..nsc Liw hr lh. folbwins rcasn (Sa.7031 .5 <br />Bu.in6e rJrl Polcriion Cod.): A.y Ciry o. County which rcquiB a pcmt lo sNrrud, .kr, inpmv., &ml!h or al! My <br />slruruE nriorbnr isturmc, .ts EquiB rhc appltanr for scn Fmit lo fiL a sili.d qarffil rh.l lE or sh. t lic.n*d pu@rrtr <br />to rh. lmvi.ioB of tlE C6 tuld r Lic.n!.d Law (Ch,ptd 9, Co@.Eir8 wiln Sethn ?000 of Division I ot lh. B!.i..s lnd <br />Pmf.riiom Cod.) or ln lEorsh. k d.npt rlErc,ilmand llE batb for lh. all.s.d .i.nDrior Any viol.r6n olserbn 7011.5 by My <br />applica for o r.mil rubj.cls th. anrlica.tto!civilp.n6ltyofmrmr.rhr.fivehlidrcddollas($500) <br />l. ns o$er oi rlE torEny, ormy.nDl.yecs trnh r'.gcs N rhcn sFcnmp.n{l'on. w'lldo rh. (rd ar*l th. sMK !s mr <br />'nr.nd.d orofi.Rl li,r $lc (S< 7(N4.l]usiftssand l'nrf.snonr C{xle Ih.(onrrrcnn s LE.rse I-rN doa nol I'lyloinouaerof <br />'hc <br />nNp.ny wtr) burl{,s ur illll,ov$ rhcrdnr ann u (loN{t(.h \N hrmsellnrher{.llorlh$uBhhForhtrosncfirl,lyces, <br />,turidcd rhrr suclr inttuv.'*nh aE Bn Nd cd or oll.dl for srlc I I lhqBs. rhe hurldnrg or irnmv.nrnl is sld sirhin nne ).Jr <br />ofc.'rpkrk'c rh€ OwD.r !uild.. w(l h1k rh.l rdcnofnn*int rhnrl*orsh. dd d buld or inrpr.v. rh{ Dondy li'rrh.nuqr{ol' <br />-1. <br />&r oner offic pfrr.fly, u .rctusiv.ly co.r6.1i.B wnh lic.trrd .oll6doB lo co.nrud d* nmid (sd. 704{. Buii*$ <br />and Prtsirn Cod.: Th. ConrEctoli Lic.ns. L.w do6 mr apply lo M owns .f prop.ny who buil&6r iopmv{ iher6n, <br />ond wlr €onrEcls to' sch pojc.rs sith r coirDcro($ licenqd Dursurll ro rh. conhddt Li.cNc t w) <br />-l <br />!m cx.mpt !nd.r Sal <br />woRKItas, coMPuNsA'l.loNDtcttaaL! <br />I hcr.by ooim und.r FcMlty ofFjlry otu oflh. lollowitrs d6ladrios: <br />-l <br />hrr. xl {ill nnrllin r C.nrficsrc.lcon*nr !' scll-ln{rc tu \ort.re' con\petrs.lnn\ as fovden fo. by Sc.l on :1700 oi rh. <br />Labor C(1.,lbrlhc psrbtmancc otlhc *ork lor fiicn rh. ncmi n issued. <br />-lh.vcddrill@i rin m*. @ml.Brtion iBuBm.,I EluiEd by sclhn 1700 of lh. blbr cod., for 0E !6fo.1'lam of <br />fi. m* for whhh rhi! Foir n iq.d. My *dkEi @rp.oelio. iNEE. Mi.r .,n polcy numba e: <br />P.licy Nunb.r_Expircr: <br />I cdirylhd in lh. psformmcof ln work,or whicn rhk p.rmir s h$€d., snlllml coploy.nypm. i. a.yn..Rr <br />e oi ro h.@ft $bjftr ro th. rork6'omlcn.aron Lws olcalilomia. .nd .gc (hdt ifj slbuld b.con shrcl lolh. <br />{ollcr' mnnctrer ion pdvhions of s..ri.n 1700 6f rhc L6tor c.&, I slBll. fonhwirh mnply with ltns pmvisionr <br />WARNII,{G: lisilurc to suE q,ork.m omp€tr*tion mrmsc is unlaNtul, ad stall iuht .r nn dvlo}r. ro simin.l Fmltis ond <br />civil nncs !p to on. hundr.d llnlsand dollaB (Sl ), in addnion lo rh..o.| otco on. .lam8.r 8 Frovid.d lor lh. <br />Sccrion 1076orlh. tabor Code, i,lcEgt and attom.y's <br />I hcr.hyrlltmud.rrcD,lryotpcri!ryrlx l 3'nl'*narl <br />ol rh.llusinessond Imltssions Code,.nd myliccn\c k <br />.r 9 (omm.nci.s wirhsdion7000) ofDilision l <br />\62 \r b\ <br />I h.Eby rmm undo lEMhy.r p.rjury rhar th@ i3. oBrdctaor Lidins l8sy ror rh. prrom*c of rhc wo for which rhis pnml !' <br />istu.d (Se.1097, Ci!. C ) <br />ASTLICANIIECIASAI]O! <br />I hs.t'y 0lim und.r pcn.llyofp€rjuryonc olthe f.llowiry d.clamlions: <br />De ft,lrio. Ir.mns-Art sos Norific.r$n l;.dehl R.rulmi.ns ( lnl.40. P.d6) <br />-Rcquted <br />Lerlcr of Nor islhn <br />-l <br />c.n i& thar I lEr rc.d t I a8r ro otrl,ry wnh all Cil, lnd C.lnry <br />odininc.s md Sr.lc LlwF ir6 ofrhi. Ciry 0.d Countyto cots uBln rh. <br />ah,!c nrnrtr,rdtn,ncdt lir i <br />,\pplkrnr or AB.nr Sisndrurc <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P{rap/Drain Line <br />Main Drain/Pool Pipinq <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing 0-19 -16 /'/l tti 2 A. JUTSG) <br />Final Gas Test <br />Meter Release <br />FINAL olrlto't v{\,t+r ^dvz)Notes, Remarks, Etc. <br />Gas Service <br />Lend.i! AddEB: <br />- <br />-l <br />c.rrify inai th. f.ddrl rcsllariom Rgldin8 .sb.ios rcmml N nor aprlic$lc ro fiii ,)ht .l.