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APPROVALS DATE tD/stG.COMMENTS UNDER GROUND Waste & Vent Gas-Underfloor Building Sewer Area/Storm Drain I nterceptor/ Clarif ier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Rough Water Heater POOL/SPA Ptrap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line M isc Water Service Lawn Sprinkler Sanitary Sewer/Cap Back Flow Device Rough Plumbing Final Gas Test Meter Release FINAL er"\/--9-t9-J)e{r, Notes, Remarks, Etc. Ou,.n.Duildd D.clarrrion I h.rchyaft'rm und.'Fn'lryofp{lurv rhar l.mcronrfl fororh.(onradoG l.'ce.etrwaorrh.aollourgroson(s.c?oll 58sin6s and Proa6sionCod.): nyCnyorCou yNhichi.qut6. p.rmt toconnrud.ihs. imp!o\r. d.molBh or r.pat .ny sltuclur.. prior ro ns is3uan... also Equir.s rh. ippli.rnl forsuch p.mn ro nE. si8n.d sar.m..r rhar h.or sh. is lic.nscd prnu.nrr.rh.pmvirio6ofrh. contlclois l-(cBed kw (CrEpli e. Connr.ncrns wnh SdlD,70oo ofDrvurcn ] orlh.lruyn6, and trore$'oN Cod.) or d{l hc or 3h.i.r.nprrh.r.fronrndrh<baisaorrh.rll.t.d.rmfllon Antliolii6.ofSdri6nT0lll 5 by i.yrppli.rnr aor. p.mir subjcd3th. lrplic!.r ro icivil p..rllyottur'rdr.rh.n li!.hu.drcddoU.E($500). L a ownd of rhc poptny. or ny .hploy6 with wag6 d! rh.t ml. .onp.Nlion. will do th! ro dld fic llrucluc ir not i .d.d or ors.! for $1. ( Se ?01., Butin6r .nd Prof6tioE Cod. Th. Conhcror't Lim Lt* dq rct .prly to .n owB ol th. r,6p.ny who b!il& or improv6 rh.@n. .d *ho do6 suh sort hielt or h6*llor lhrclsh hL or ho Nn .oployc. povil.rl Ihli .u.h improv.m r! .rc ml int.nd.d or olln d tor sL. Il, hoscvcr, lh. buildi4 or imDrore. i! sld wilhin of,. y.& olcomrlaion. th. OsG"Build.r will hr!. th. bBd.n ofprovin! rhar h.o. !h. mt blild or inrrolc lor rn purpo..olul.). -L E .snr ol lh. prop.ny. im .r.lNi!.1, .onrocine wth liccB.d conk.crm ro coBrtud rh. prcj.d ( S... 7044, Bosinsr ud ProL$ionCod. Tn. Cont.dois Lic.nF rrw do6 nor .pply ro.. ow ofpropdy aho boil& or inpror6 r[.r6n . lnd !h6 co.r6.t. for luch proj.ct wnh . Conorcto(3) nc.tued pui.r.nr ro rhc Conlnaoai LiEne Lrw ) I .m .r.mpt mda sftrion .4. & P C torrhis.c.son WORI(ERS COMPf, NSATION Of, CINRATION I h.r.hy irfi m undc. p.nall, olprjury.n. ot$. rolLwi.e d.clurlioBl _l hr!.udsillmninliin!C.nifi.!1. oacoB. io S.la-lmurc lor *ork.( comp.nsrbn. 13 p.ovd.dlorhyS.cron3?00ofrh. lrho. Codc, tor th. p.rromu".. oirhc soik lor which rh. p.mit is issued. /6k d wrll mnibr *mlds' omp.Ntro. msur.nc., 13 r.qutr.d by Serion:l?oo ofrh€ t!$or Code for rlE p.raornEn..ollh. .omp.nst6n insu6n....md I o\(L l@W1X1LD (Thit serio. nccd noi bc conpl.t.d ilrhc pcmir k for O* hundrcd dou!6 ll I 001 or 1.., tormanc..flh. work lor whi.h rht p.rmii is I shlll ml.mphy.ny D.Bon in ial3hould h..om subjd lo rh. *ort.,s'' omp.nsrion bws of Californd. ion37@of lh. l,borCod!. I 3eur. worl.B of,p.clron an onploltr lo diminil p.nohic mdcivil mr8.3 $ providcd lor thc Sdiof, 10?6 of IICENSELCAIIaACTAB! TC Tq! I h@by .[m ud.i pcnrlty ol pojurr lhrt I e lic4.d &.ld prcvision ofclurld , (@m.n.ins with Sclion 7000) of Dieirion ] oa rh. BNin.n rnd Prof6sioN Codc. r.d my li..BC i! i. lrll foE. dd.nei.q'*"*, ?- *"D S_)-t\-rv ".",,,",",, (otsI!1lElto!!!!Dl!c_acE!cY I h.r.by lffim undcr pdalry otprjur! rh,l ihft. i! r .oBttu.ri., l.nding ,8dcy ao. th. rcrlomncc ofrhr sork aor $hich thk prmh is hsu.d (Se 109?. Civ. C ). AT&ICAUJi.OECIAAABAN D.nolirion lmils-k6.slos Notilictrlion F.d.rrlRcsul ion! (f ilk 40, Pln 6) R.qut.d Ln.. olNolifi crlion I.cnirtrhil th. f.dral Erul.tio.i ..grdinB ah6roi cmovrl..c.or lppliciblc lo rhir proj.cl. yffirrrrt t luvc ua rur aptic*ina rl. rh'l th. lbovc infornrion is conccl I !8rB to comply snh all City snd County ordi ac6 rnr, Srd.truchli.g ro ud h6.b, rulhoriz. rcprenlltivs oarhie City and Counly 'o .nrq lFn lh. !bov. acnr ion.d prcD.ny for i Iu,r l PLUMBING.INSPECTOR RECORD i \Pe.mil-lnspeclion Foims\Plumblnq-lnsp€ctor Record.doc 03.31.06 Water-U nderfloor Tub/Shower Test Gas Service t fin6 u, lo o.. hmdr.d rhoBmd dolls (1100,000).in lddilion rkt bor Cod., inr. nrnd brn.r's td 3*_ -------T_----- I