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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG,COMMENTS OWNI:R BT'ILDER DEI,CARNTION
<br />I lrcrchy 6fii,n undcr ncnrlry of pcriurt rhdr I a0 crc'npt rfl,n rh. c()nt,ck Ltctrs Liw rnr rhc ,allo{iis furq,n (s..71).11 5
<br />Bu{inc$ r.d Pn,fc\\ion Cdc): Any Ciry o, counry whi.h r.qrncs r pcrmit to lurrrucl- alrcr- ifrpt,v., dc,nolnh.r rFt rnt
<br />dru.turc, Ennb irs is\u.ncc. nl$ requtcs thc 4lli..nr lnr su.h n(rnril l{,lihr \isn.d {aicnrnr rhor hco. sh. n liccn*d P0'su r
<br />h rhc ,lrorilionr ot rhc Corna.locs Li.cnrd tjw (chnprcr g, Connncncnrs qirh Sccrion ?m0 of Divisn,n ] olrhc ausinc\s otrd
<br />Pm,c\\tnx (l'dc ) or rlrd hrorshc i\excmfl rhcrcnomrtrd lhcnasis aor lheullc[cJ cr.'npr n Anyvnn{tiotrofsccri,.?0]l5hrony
<br />ipllic.nr Lr iFrnrir sul,jcch lhc applicln' h rcililpcnrliroaror 'turcrhanljvc hundrcd dollm ( $500)
<br />-1.
<br />s owncr of rhc p6pcny. or my cnployes wirh *ag€s !s rh.n $b ompcnslion, will &! llF wt oi lh. n&r@ n @l
<br />inrcnd.d or ofrercd for sk (Se.7044, Bu.iNsr .nd Rofsio.i Cod.: TIE ContEdor's LirnE b{ doei nol !9l,ly lo 4 osM of
<br />rh. prcFny wtb hiLli o. inprDE dE6n, dd wto dG Mt m* hinsetf or hcelfor $rcugh hi! oi hcr own enplotecs.
<br />pmvilcd rhor such imrmEIErs e hl hred.d oro,Ictud for sk, lf. hoeEr, tlr t{ildinS or i4mEmnt i5 sold {ilhin onc tsr
<br />olonpLrb.. l,E Owncr Bui!.r vin tuw E budci ofldvin8 ttut hc or sl* dil mr hild or inqmE ilE pspciy aor dE lurEs of
<br />-1.
<br />0s osncr of rh. Fopcny. d q.lrsivcly conth.ring wirh li..nsd .o.lreclos lo consltucr rlt tmirr (Scc. 7044, Buw$
<br />snd hofcsi,nCodc Thc Cont6croi s Liccnsc LaB docF nor am,l, to an owno of nropdy vho builds or impolcs lhoon.
<br />lnd eho conrEcls for su.h pruJ.cts wirh a coflBdo(, li..n$d ,u6urnt to rhc co.rddolr Lk.!* bw).
<br />-l
<br />am.icnpr !nd€, sc.ri.n- B. & P.c lorthirrc.$..
<br />D.le- O*Dei-
<br />woRxEes'aoMPErts tro-
<br />DICI.AAAIION
<br />I hcEby a0irnudc, pcnalryorp.rruryom ofrn iollosin8 dBbrolions:
<br />-l
<br />hlvc mduill nmi.roir !Ccnia.rrcofconscN b s.lllnsxrcfoi worlcr'.onDctrlrri{'tr. rt providcd fdbysc.riotr 37tx)olrhc
<br />ljtr Codc. l'or rhc pc!,nr.urncc oa rtc $ork ft, which th. tdnir i\ i*ucd.
<br />I hav. and will.uinrnin workcrl .onIE n sol ion iNurirEc- 0s rcquircd b, S$rion.l7lx) olrh. titxtr Codc.lor lhc pcrfdrdan_c.f
<br />rhc work lorvhEh rlis Frnil i\ hsucd M, wort6 omncnlatEn in.u,atu. ffi.r ri l,olky numbs arc:
<br />camr [,k,1, -/a\ rr5h /ut
<br />-l
<br />ccn ify thor in thc 0c ormrncc ot rh. s.ik td qhi.h rhis Frnir h i$ucd. I shrll nol cmOloy dny ptr$n i, my mlnncr
<br />s N ro b.sm subFcr io ih. mltsc conq*nsalirn laws of Califo.ni,- and as@ ihai if I should b..om subiNt lo th.
<br />*ork6s' smpensr ion pmvhions of S€lion 3700 of lh. Latn! Codc. I ehlL lodh*nh smPly wilh lho$ Pr.visio.s
<br />WARNINC: Failure r. *nr. qork rJ.o.!rcnsalion covcmBc is uflli,tul- lnd rhsll subid an cmPlotcr io aiminrl pciahi.s and
<br />ciil fincs up lo oft hundred rhous.nd dollrs ($10o.00o). nr rddilion to rhc cosl of.ohp.nsai
<br />Scclion 3076 ofrhc 1,0tx, Code. inrcr.sr d,noiiry s fccs.
<br />DECI.ASAIION
<br />I h.rby rmrmundft Fn.ltyofpcritryihar I !m liensd undcr nmvnn,n orChal)ld 9lconuErcins silhStclhn 7fixD orDivisiotr l
<br />of rhc Btr\incsDtul Pr.LsrionrCndc. rd my liccnsc is in fulllbre lnd cfltcr
<br />,,.-* "t*,
<br />G' Li.cnsc Numhcr I ooryq4
<br />o"", --1. ? -ttr. cormc.r-.--ErA?$ft^
<br />calsrBllcllasl.lNlllNclli[N(r
<br />Ihckty!lltuutr&rpcrullyottxrjurtrh rhcd i\a.oNrru.ri)i lctrdir8 s8cncy lor rhc Pcnnr@i.t.frhc w.rk Lr $[ichrhis r--miri\
<br />tr\n'd (Sc.. 1097. Civ. C )
<br />AIILIIANLDECI,AIAtrO!
<br />I hodry .fm undcr Fn.lry ot lcl,ury oE of rhc followiig d(lahrioni:
<br />D.mlirion Pfinils-Ash.sros Notificrrioo F.d.rrl Rcsulerions (Titlc 40. Pari6)
<br />-Rcquircd
<br />t rrcrof Norifioli,n
<br />-l
<br />cenili rhar rh. ,ed6al Egul,lions nSarding asb.slos rcmval rc ml applkdbh lo rht poiIl.
<br />-lrr6fy rhd I h,vr rc0d rhr opDlrarion ard {arc rhar$c lhovc inforurion Bcoret.l rSrc lo.om!,ly wirh lll Cit, ad Counry
<br />i'!foNn..s,nd sror. he! Ehrins ro hurld,nsconirudiotr, Erd hcrcbyrulhorizc rpEsnlltiws olthi Cily lnd Co! ylocorru,bnrh.
<br />.vc mnrnnEd proFny ror i.\lr.rnrn
<br />Appllc.nt o. &e.l Slg@loft
<br />-
<br />^,., 12' le'
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />I nterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary SeweriCap
<br />Back Flow Device
<br />Rough Plumbing V4tl,t >b?f{
<br />Final Gas Test
<br />Meler Release
<br />FINAL 6/6/h s0a9
<br />Notes, Remarks, Etc.
<br />Area,/Storm Drain
<br />Roof Drain
<br />t ndcl: Addrc$
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