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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER EUILI'ER DEICANATTON <br />I hd.t, lmm undd pallry ol pdjury rhrl I d .rdpr frsn ltc ConrEcloE Li.*c Law lor 16. follovi.s it$n (56.703 L5 <br />Busin$ od ProtBion Co&)r Any Ciy or Co@ry shich r.quiG . pdnir to orstud. rt6. imp@lq dorolCt or Ep.tr my <br />sllu.luc prior lo il! Lsu.e .Lb 'quir6 th. .p?ltol for such p6Di b 61. a sigrcd slddcn lhd lE or sh. n [csa.d p6uanl <br />lo lh. Fovilios of tlE Conu&lo* Lic6&d r:w (Cta/6 9. Comrci"S wit Sstion ?000 oa Division I of thc Bueins md <br />Pofaions Codc) or lhlr h. or 3h. it ddpr thcr.6o'r dd rh. b.!is for lh. allcS.d ddplior. Aiy violalion of Seiion 701 1.5 by any <br />appli.ml for ! pamh iubj..l! rh. rrpli@l lo ! .ivil pcohy of ior norc rho fivc h!.drql doll6 ($500). <br />l. a omd ofrh. pioFry, or ny aIplor6 wth w.s6 a rhcn sb 6nFE rio{. siu do dE *trl eld rlE !t u6@ b Dr <br />i,ndd.d or ofisd for sL (Se.7044. Bai66 dd Prlfq.ioB Codq Tt. Codsld r Lic@ L.w &6 rot Sply lo o owna of <br />rh.pllFry slD hlit! o inq!6lhq6r 6!d $tb dc $.b en hitulf or h*lfor lhr.ud hi! or hd ou dplo,6. <br />prcvid.<i lhlr $ch inFowMrs ft Dl inlsxt d orolEld hr elc lt how@. dE hlildiu n inFo!@EI h eld vihb @c r@ <br />of@nlldk)tr $. 0'*16 Builda win h.w tlE hrd6 ofpDviig thd lE or Jlc drd @l hnB o. irFot lnG FoFt, for lh. F,!oe ol <br />I. do$@otficFoFry, dcelBiv.ly.ofidcrins wirh lic6s.d @ radots lo.onqtuc1 rh. projd (56. ?044. Bs'ie <br />and PtDfdsiod Codc: Tn. CoDtraclols Licd. Law do6 .ot apply to d oM6 olprcFny eho b!il& or ihprcve thd6n. <br />aod who @irads for su.h prcjcdr wih , c! r.do(s) lic.tu d puBuir ro rtc co'itadoas Li..e L!w). <br />_l m ddfl un<!r Sc.riolr . B. & P.C. forrhi.r ld$.. <br />D.t.: O*nd: <br />]UOBTSEi:.CAMIINiAIIO! <br />oEgLaSArp! <br />I hs.by r,Im u.dq Filly ofp6jlry o,c oflh. followi.e dcl-dioB: <br />I l'.v. ad *ille.int!i! r Catifrnc of CoMr lo Sdfitts@ for wo 6 edp.r!dio., a Forid.d fo. bysdtio,3700 offi. <br />Lltor Co&. for $. p6folr@c. of lh. mtl for *tich rhc F6nn i is.d <br />I hav. sd will n.i.t8in $o*d conprutiof, iNum.q a cqlir.d b, SElion l?00 oa$. rilor Cod.. aor lnc pafomoc of <br />th. *ori aor which this p6nn is Ls.d My *ort6 conp@s.tion isudcc cmi6 6rd policy numbs e: <br />CA loool ?2ttt t /,t <br />I cdtiry rhar ii $c pdton@cc of th. sork lor whi.h rhi3 p.mit is issucd.l sh.ll rcr dploy ey pos. i. !.y mmnd <br />m 6 to b€om. subjdl lo th. m 6'omFnsrion l,wr of Califomi( Md rgc (hd if I slbold heorc srbj..l lo lh. <br />e,I6' coopo$lion pBvltiotu of Sdion l70O o,lh. Lrbor Codc I sltrll. fonhsith co'nply wiIh lhoe ForieioB . <br />WAnNING: FrjluE lo K@ srl6 conpsrliof, covar!. G ml.vtul.d oploydlo lnminal psEltt3 and <br />civil fin6 up to on hrndrd thousnd doll6 ($l ion. d!,ru*.s !s pro\ idcd for lhc <br />Code. i €r6t and lllomcy s <br />25 <br />I hs.hy slrm urdc F.ally of psju.y lhn I e li6!.d u.dd Folision otchaptd 9 (on]llmiiS with Selbtr 7000) of Diyision l <br />of lhc Bcio* ard I'rof63ioB Cod.. dd ny licc@ is b tull for& &d.lIdl. <br />c53 :7bo <br />Oite: 7 <br />(2llirBuclol-tErqlNliilliEr.cl <br />Ihd.htannnun s|*i.lryolfsi ,rhr rhG.ls. $nnnkb fundin!asort)lorrhcrEionnMc..irh.sorllorshilhr[isrs irn <br />issuctlts( :1097. ctr c ) <br />atttlcAxfDlct aaaIIoN <br />I hd6y .fm und6 FoaX, oaFrjury ore oitt aollowi.B dcla'lio.3l <br />t,.molition Pdmn!-tub6i@ Noriic.rion Fcddal Rc8!hio6 (Titl.40, Pan6) <br />R.quired tals of Nolificdlion <br />--,1csli8 thal lhc f€dmlr.8ulatiom EstrdinS 6betos ar. nor rpplicobl. lo rhis pmjd <br />I c.lify rh.l I hav. rad rhi! ,ppl <br />o.di@c6 &d Slal. Lts EldlU to <br />cord. I asc lo .omply wnh 6ll Cny md Cou.ty <br />r.prenaivB oatlis Ciry dd Co@ly lo dlo lFd tnc <br />abovc 6@ion.d popcny for <br /> prrlic. or Agml Slsnrture: <br />^,hJVb,t <br />t /zrlz <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Buildin g Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />G as Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOL/SPA <br />P{rap/Drain Line <br />Main Drain/Pool Pi ptng <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Waler Service <br />Lawn S prinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL <br />Remarks, Etc <br />;<-/s4 -rr'eSafi (r) <br />Notes, <br />c-i.,---ElEEEl--oti!C4(=