|
PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDEB GBOUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area,i Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Ivlain Drain/Pool Piping
<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
<br />FINAL 1l>rl te w{9
<br />Notes, Remarks, Etc.
<br />oWNI]R BTJII-D!:R DEI-CAR-{TION
<br />I hcrchy rfiirnr trRlcr nctr.lry of pcrlu.y rhar I urcr.nr fmrn rhc C.nricro$ Liccnsc lrw for rhD lollosine rcN,n (Scc7011.5
<br />Bu:inc\\ ul Pdtrsi,)n (dc): Any Ciry o! Couiry qhi.h rcquircs r pcrmir k, con{tu.r. rlrcr. improvc, d.nDlNh or qxfi dry
<br />{tuciurc, Irirb irs Gsxrn(. rl$ rLltuir.! rhr rprli.mr nrskh lj(hnir ro liLd (i8n.{ sdcmd rh hc or shc i\ lien\.rl I AUmi
<br />h rnc po nnr\ oi rhc Conrrrctr's l.ic. {d liw lcha|ncr 9, Co ncNin8 wirh s...oi 7(xxr.r l)ivni :l oflh. ausiN( and
<br />Irhfc\ri(,tr Codr ) or rhd hL orrhc Ncxctrrpr rhcrcfro .trd rh. h.\i\ nJrr,r dllc8.d crcnrlrion Anyviol bnolSccrio.T0ll5byany
<br />0Dplicrtrrror.r-*.nril hF.rsrl"e rlflicinr ro rcivilI)cnalryolmrnDrclh!n fivc h!ndrcddolhr (S50u)
<br />-1.
<br />&i opft, of fic nrcFny. or my cmplorrcs eitn w6gci a5 rh.ir $h ompcns.tio.. wiu do ltE wdt md tlE slrEl@ is ml
<br />inr.rH o. of,cftn for rL (Sc.?OL. Busircss ud Pr.f.ssions Codc: Th. Conrrsro\ Ltens L,p rh.s rct {pply ro o osmr ol
<br />ft trepcny *ho hrilds !r in!n6 tlrc@., dd who dG tuh &Il hidcll or IEEIf or lhbugi hir d lrcr om.nploy6,
<br />fovidcd thor slch impmwMrs @ tur intcricd or oftrcd for sL. ll k wEi r,r hilding or inll@tu.r is sld wirhi. oN )46olorpldbtr rt Oerc, Build.. eill hrw tlE hnL. ofpmvii8 du lE or stE dt mt hrild or irprDE lh. FDFry for llt p!qb* of
<br />-1,
<br />isoeftr.fthE poFrly. !m.rclusiwlyco mllin8 wirn licc.*d c.nrB€lou lo.on(rucl l,E rmjccl (Scc.7044. Busims
<br />o'd h,f6\i,n Cod.i Thc Conteror's Li.cnsc llw do.s nor dprly b rn ow.cr or propcdy who bdlds o. improvcs lhcr.on,
<br />and wno onltris for such I'oj.{is pur\urnr t, rh. Contr.roi\ l-i.cn{ l-rwr
<br />-l
<br />ancxcmpl undcr S(l
<br />I hcrchy Jlltn !n,lur pcmhyorprrjury
<br />I htrvc $dwill 'tunnrin u Ccdi6.dt ol Conscnr r)lNUrc for wort.F Nmp.ns0riotr. as tDvidcd lor by Sdi6n l70o oI rh.
<br />l-ntx)r C,nl.. l,r rlf pcr,o un.c of rhc sbrk lar which ihc Il.rnit i\ isdcJ
<br />-l haw md will odnrain work r' compcnsslion iNurmc.. rs rcqutud by Sal ion l?00 of th. kbor Codc. to! thc p..fomE. of
<br />lhc Mrk tur *hkh il r Fmii is issEn. My worlGl onvEnelhn insrBmc .Mid &d polky nunbcr m:
<br />-l
<br />ccnif, rhat in thc pc orm.cc of rhc sork for which rhn perdir ir ir.Nd. I sh!!l nol cnploy ny p.son in ony mnnei
<br />$ as ro bcom Nbj..r to rhc wmk6 omr.nsarion hws ofc.lifomi:. snd lgN thot il I shout llMm subrer ro rtr
<br />{ort6' .oq,cnslion pmvisio.s of Sdion 1700 of the t tor Cod., I shlll. tonhwnh 6nply wnh rhoc povisions..
<br />WARNINC: tjlihrc b *curc (nkrr q,v.rasc is lnlxwrul, drd shil rubJc.r {n mrk,rr lo rimi.al Ittulrb ai.l
<br />civil ,lncs up n, otrc hundrcd lhous dollrA io. ro t cost ofconFnetion. damScs as providcd lor rlr
<br />sNrion ll)?6ofrhc l, nrC.dc. inrcrcd and 4
<br />I h.nb, lftun und.r p.n lly of ldjury ision ofCilnrcr 9 (comtuning airhS..rion 7 xDoiDivnion:l
<br />of lhc Busircs and PofcslioB Codc, .!d my licn€ i! i! tull fo@ ad .6el
<br />-Li..ns
<br />Nunbci
<br />COIEIXUqUOXIDNDINCIGENS
<br />I herchy amr.r un<b, Fralry ot pcriury rhar thce is a co.irudbn h.dir8 08cRy tu $. FaornEmc of lh. work for *hi.h rhis Fmn ir
<br />tsued (S(. 1097, Civ. C.)
<br />AIILICANLIECI,ABAIIq!
<br />I h6d,y {trm und.. pena[y of pe+ry orc ol rh. folhsing d.cLBiiom:
<br />Dcmlhion Pcmns Aslisros Noiflc.rion Fcdr.l Rcgulnrions (Tirlc 40. Psn6)
<br />_Rcquncd krrc! o, Norifrarbn
<br />E8lrdin8 ffitr{os rcmv.l!rc dl {pplicnblc lo rhis Dn,Fl
<br />n cndEcr.I ag1e r. cohnly wnh allCilyond Colnty
<br />rcprc\enraiiver orrhi{ Ciry,nd Cdunlylo cnrqr uaon
<br />,nA/ze 2rl
<br />Rool Drain
<br />Miscellaneous
<br />Conlmlor:-
|