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PLUMBING.INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />a ?G9
<br />Notes, Remarks, Etc
<br />OWNER BUILDEN Df, LCARATION
<br />I hcEby amrm undcr p.mlty of Frjury lh l m crcmpl fiD'n rhc Conlr.cloB Ltcns L,w aor thc following !q$, {Sec.70!1,5
<br />Busincrs s l Prcf.sior Codc): Any Ciry or Colnry whth BqliFs ! Imir to otrdruc1. ,116. inpDG d.mli$h M ,qdi. ey
<br />stiu.turc. prbrh ns hslee, also rcquncs lhe rpnlica for s!.h p.ml ro fiL ! rilEd siar.Eni tul h. or shc b lich$d IUNrnt
<br />!. lnc Fovlsionr ol tlE Contmrols Lkcn$d L3u (Cnlprr 9. Conmrciry eiln Sc.rion ?(xD ol Divigion J ol llE Busimss .nd
<br />Pofcrsions Cod.) or $d lE o, she h cr.nfl tnetiom and rle lEris lo, rhc {rkg.d cx.mflhn. Any vi,hlion of S..rbn 7011.5 b, an,
<br />lpnlicmt for a Fmir subhds rlE sprli.anr lo a civil p..alry of ml mrc lhm nvc hundtd douds (S500).
<br />-1,
<br />ai oand of rhc ProFny, or my .ntlotes wirh aaSei N ftcn ek oqEnsrion, will do 0E wo* ..d t}r srurE b ml
<br />ied.n r ofl.trd ld nlc (Se.7044. Busims ..d PrDf*.iore Cod.: TIE C.lnr..ltr e Lt.ne tlw &as ml drply rd m owr ol
<br />rhc ptuFrr, who hriHs or irSftB dEEtl. &rd,b &B sudr Dsrt hidrcll or h6ctf or thou8h ht or lEr oen.,phycs.
<br />pmvi.k lhal reh in'piDtm.Ls E mt inl.,'.1€d dofr.r.d lor *L. ll. nosE dE tditting or inpr.wmnt is FB onhin om ]s,
<br />olonphb,! dE Owffi AdUs will h.E rt h!&n otprDvhg lh.r lE o. slE dil mr hdU or ioprlE dE FDIEIy for 0r puqm of
<br />-1.
<br />as o*M of ir pq,eny. d crclusiv.l, .oorr&rhg snh U(ncd conlB.tou lo conslrucl rlE poj.d (S(. ?044. Businss
<br />aid Pmh$i,. Codc: Th. ContE rol s Lkensc Llw dcs nor apply ro owr olpmpcnyqho blildsor inplo\E.lh.rcon,and eho conMk fr, ruch Foifs wth r comEdorl3) lkfnr.d pu6Mr ro rh. c. mlm s Lau$ t!w).
<br />I mcrcnrpl u.dcr Serion .8 & P C. l'or lhh rc.son
<br />E!}Bf,EIS:.COMTENTAIION
<br />IIECLASAIIA!
<br />I hcr.byafaum undcr pcnnlryof p.rju.yom of rh. followin! d(l drions:
<br />Ljtx, C(xlc. k)r rhr l(rfu rnrc of rhc work r(r sh i.h rhc lMlln ir N{Rd.
<br />-l
<br />luv. .nd will minhin wo.lrcB cotr{.$llior insuramc. ar rcqun d by Selhtr 1700 of Oc Lrb.r Codc. lor lhe Frfomncc of
<br />rh. work for whtt rhis p.rhir is islcd. My *ork6 ohFnsdion inoe. 6i.r ,id polk, nunhcr ec:
<br />upaaeD Ab(/-1
<br />()-74 cto /z--tq
<br />-l
<br />ccnify rhar in rhc pcrforturc. olrhc qork lor whththis pomil i. iqs!.d, I shall nor.q,loylny p.tron in any mmner
<br />s as (i bc6r rubirt ro lh. work 6'omp.nslion kws ofcalifomia. lnd lge lhal ifI sholld t .onr slb,c.l ro rlE
<br />worlcs @nFn*tion povisions ofsc.lkrn 3?m.f ln. t bor Codc l slEll. fonhwnh conply *ilh lhoc rtulilioB..
<br />l!rc ro suc *ortcN oftpcnrarn,n corcrisc t unbsrul, und shall sut'irr on cq,lo'tr to aininal lEmllis and
<br />dom8cs !s plolidcd fitr lhc
<br />u!-[:NltilrJoNlB (Ia.B
<br />DI:CLANAII()Ii
<br />I h.tuby rfinN uM.r ltnrlrtol l'irjrry rh.r I rm ldRd und$ le,rrnr ol Chrprs 9lcomrmNing $irh Sccrion TUIO) ofDiri'un.l
<br />of ihc A!\i'rcssrtul Pn,f.snrh CoJ.. n,vli..tr{i\ntullf{RcI cflo.i
<br />2J 7AB4o
<br />tb Ptt 't"4rTa ,,Z^
<br />coNsra!.qu0NlljNuric_&{il,xtI
<br />I hcrchy.flnd und.r |Enllryof pcrjury rhrr ihcrc i\ tr con{ru.ri)n IndiJ,g rgon.) ntr iM p.'nmhrrc.frhc sork lot *hrh rhi! Nmir t
<br />n$cdrsc. :1097.(_1v.C l
<br />APILICANLDICLABAIIIJ!
<br />I hcE{'y dlm undcr pcnally ol !.rjury om ofrhc dlowins dccldrrions:
<br />Dcflnhbn P..f,ir$A\bcsros N.rifi.lrion Fcd$al R.gulrrions (Tillc.l1). Pan6)
<br />-R.qutcd
<br />t iicrof riorifi.ulhn
<br />-l
<br />c.dily rh l hovr rcad this appl iotr and (arcthlrrhcabvc infornulion is con&r I dgcc ro mqly vith rll Cily and Coutrly
<br />ordiMmcs and Srltc t wsrcbli.slo in8 consrrucriotr. 0d hcrcb, rls.ir rcIne{nldi!.r orlhis ciryad L'ounly ro cntq ul[n rhc
<br />ltrrvc mnlioRd por.dy for
<br />,\ppliont or A(rnl Si*tu10 2€</,/^n oS/zt '€.
<br />7T4I9TAJ'&
<br />WaterUnder floor
<br />Water Service
<br />FINAL
<br />_l ccdiryrh,t rhc rcdcmlrc9l.'io.s rc$rding
<br />"strslos
<br />Emvtrl{rc not ip0ltabL to this pmj.{l
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