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PLUMBING-INSPECTOR RECORD
<br />DATE COMMENTS owNuR $t[t,t uR o]:LcARA'lIoN
<br />I helchy ainn uM$ |fMlry.l lf,rtDry rh3r I .rcDrnr lmDrh.O 'rcron l.i(n\c l-as rn, rhc tulk)sirs r.r{nr rs(?lr:ll5
<br />8tr\inc\s aRl ltotc\sloi (i,Jc) ry Ciry .r C.nrrt Rhrh rcqunc\ r Ilnnir t) .o itucr, i,lrcr. inrnrc. dcnxnnh '{ ftt tr Jny
<br />r, rhc pmvi\i,nr\ ol lhc Contd.l(tr \ Licctrrcd trtrv {Chdpi$ 9. Co,n'n..cnrg wirh Sc.ri,)n 7firo of Divisnnr :r ofihc Bu\nr\1 rnd
<br />P$rr\\i,ns CoJ.).rrhir heor she n.xcnrpl lhcrciroNmd rl[lnrsi\ l rlrrllc[cicxcnl n)n.AtryvnnIionofscdimT03l5hyrtry
<br />xt'tlir0rttrrF-dir\uhju(rsrhcrmlicrrrr)rcililDcnrlrroiflormrcrl[nlivuhundrcddollrrs(S5([)
<br />_1. !s ow*r of rh. I,oIEny. tr hy rtrployes with waE s !s rlEt sk onpensrioo, wiu do ir e6t n'd dr nd@ ! mi
<br />bknd.n 6, o,tcrcd t6r ek (S(.7O14, BusiN$ and Ptoacssions Codc Th. Conrncrtr's Lt ne Llw do.s mr rp?ly ro !n osE of
<br />lhc popcrly vho hiilds or ir@rcw tlE@( ud *lD dB sh wrt hinklf or lEmlf o. tlrou8n his or lEr os cr@loy€.s,
<br />/ovid.d rhai sn.i intohrcnl! a mt irrcnded tr oltcEd lq sL. lt h.w@. dF l ildiig or inperm i.sldwio rom JEr
<br />oa coiDhtio[ rlt Oqncr Blilds *i[ hrw tlE butrhn ohtuvh8 thd lE or shc did @r ttriH ot inpow llr ,,nFry fir tu puFe of
<br />-1.
<br />aiosrc.oflnc pmrcny. !m€xclusiklyconlmcling wnh [c.*d contmtoF ro otrstruct llE pmFcl (Se.7044. Busrrcs
<br />ord Pmr*sbn Codc: Thc Co.rtuloas Li.cnrc Llw dcs nor applyro !nowns oflmFnywho builds or impmEs rhcmrsid who onrEcts aor such pmr(rs virh o Con &to(,liL{.$d pusuor !6 r Cofltuiols Lic..sc L:w).
<br />I d' c\cmpt undcr Sccr
<br />W(IRKFRS' CoITIPENSATI(IN
<br />DICLAIAIIA!
<br />I hcrcty trffirm undcr rcn0lr! ofp.rjuryonc ofrhc followin! dccldrllio6s:
<br />-l
<br />Mvc ud *il! mi.r,innCcnifrc cofconscnrloSclflnxureto,sorkqionpcnslrion,&s,('!idcdforhySc.rion]7ff)oarh.
<br />L.horlla lur 'h F r.'nm. or r\. $olt ln, *hi.h rr'. nflmir h nsucd
<br />Vhu\ c trnJ $ ill nurnrorn lnrlcrr (ornllcnsalrtr rns,r]nc., N nYluind hy Sccriotr 3'7ot] of lhc bbor Codc. for rlr Flbflmcc oa
<br />rhc *orl forwhichlhis pcrmir is is$d. My sorkcrl .omlcnsrn,n insumRc c.fti.r 3M Inlicynu.$cr ml
<br />cunc, ' ,\g La a[ |q- wcST
<br />L'.+13C1/?rl
<br />I ftdify lhar in rhc pqtirtunc! ofrtu uotk lor whth rhh Frmir is irsucd. I shall nor smployany I'cmr in atry herr
<br />m m lo h.mm subixl io ihc woB.* mnr.osliion hws of Califomh, oid asB fid if I slDold hccom slbjccr ro rhc
<br />workss snp.ns,rio. pmviiions.rS.clion.r?00 ofrhc hbo. Codc.I shlll, aorhsith @nply qirh lhoc pmvhioni.
<br />I,VAIINING: Faillrc to *curc worlcn'compcns ion covcngc N xnluwtul. and shtrll subj.cr on .nploFr to rininal Fmltts lnd
<br />civil ,inc. !F lo nrc hhdrcd lhousand dolles (!100.000), in addnion lo lh..osl ofcoq,cnsstion. dom8cs 0s providcd aor lnc
<br />Sc.rioi :10?6 ofrh. ljhor C{xjc, i c(n &d drofty\ aics
<br />,",",' q-l 9- I 9,rppran,:ts
<br />IIEILAf,A]ION
<br />I hcrcbyalllrru cr lcnrhr.r,'$jury rhlr I.0lie.\cd undq nDvhn,n ol'Chrptcr I (co,nnrncing wiih Scclbn 7000)ofDivision l
<br />or rhc Bulitussrtul Pmfc$ionsCodc, ut nry liccnsc h in tu ll nrc !ft1 eritcl.
<br />bzl sb 7It
<br />1- l8- t ?
<br />issucn lSrc .ll)97-Civ. C )
<br />AITIICATLDEq.AAAIJON
<br />I ho*,y afrm utuhr pcnalt, of Frrrry oa of rh. follo*ins dalmr ionr:
<br />D.ml ion Pcrnits'Asbcsros Norificlrior tuchl Rc8ul,rions(Tirlc40, Pan6)
<br />-Rcquircd
<br />LrrcrolNorifi cdhn
<br />l.cnilirh r rhc fcd$Jl rcgulai.nsr8ad A \hc(o\ rcN)vrlrrc ml rnnli.rhlc l,' rh( pmj.cr
<br />-l.cnify
<br />llrar I havc Eod lhix lpplicllion and slltc lh tnc lhvc i.forftrion isotrRr., leG lo omply wirh allCily.nd Counly
<br />o.itiDftcs md Srarc lj*s Ehrins ro buiHing conshcrio.. {d hcr.by aurthriz rct,r*nl.ritcs of rht Cir, od Counry ro cflrs uFn rlE
<br />abovc .Enrioftn top.ny for iNp.rlion
<br />Applicanl or Ascnl SisnlluE
<br />14IA
<br />1'r (L9
<br />UNDER GHOUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Water Piping
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lVlain Drain/Pool Pi pinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<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 It
<br />FINAL /0/b4 ff fr4 Xr-l)
<br />BemarksNotes , Erc I
<br />+
<br />APPROVALS IDiSIG.
<br />Waste & Vent
<br />Miscellaneous
<br />t ndn i Add6r
<br />-
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