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PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under lloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Boof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq
<br />Final Gas Test
<br />Meter Release ln ll
<br />FINAL lot a7lfi n.lX)I 'tNotes, Remarks , Etc.H
<br />rnn a 1r.4 n1-.. Jt'-r 4.V
<br />,Ar'I Ita*\r
<br />()nN!:R nulI,DER I)Ut_CAll/lTt0N
<br />I furcby rflirn uidci ttrtrr]ry of Frrury rhd I n'n c\.mnr tnm rh. Cotrrxcon l-icctr{ tr\ ntr rh. i.ll',*irg fttrsn (Sc.7oll 5
<br />Arsind\\ rtr(l l'rorisi{r CdlN): An, Ciry or G'utrr! {hich rqrnc\ | |xn ir k, .onnni.r. .lr.r, mffovc. dcNni\h or Eltr'ir iny
<br />nDctuc. pri{n ro ir\ i$uanc.. !l\o rcqunc\ rhc {Ilicrnr nn \u.h pcnnlr ro nta \isncd nricf,rnr rhl hcor\h. i\ li.cn\rd Drr\a.nr
<br />h llN ,rtri\iors ol tltr Conrracroir l-ircn{d Lrtr {ChrDrcr 9, connmDcirt *nh Sccri,r 7000 ol l)ivi\ion I or rhl utrsin.s hJ
<br />Pnri*i{nr\ Codc)or rhrlh.or\hc nc\.trrpr lhcrcrio rnd lhc hasis lorrhc illc8.dc\cmprion An) !i{nrrt,oisc.rioiT0rlS hyr y
<br />rmlicrrnlrr!.rmirsrhjc(lsrhrflpfli.airt,icirilpcnrlryoln{lnnncrh!01_'v.hrnd.cdd.ll ^(!5U))
<br />-1.
<br />&s owmr of rhc pmpcrly. or ny cmployes whh *!Ers as lhct slc comFnsat ion. will do thc wk a,'d tlE $nxlE ic ol
<br />ilrod.d or o,tered tor eL (56 7(x4. B8iftss od ProLs.ionr Codci Tht ConMols Lhcn$ Lxe doc. td tpply io an owNt of
<br />Ihc riRrrEny sk, noikls or nrqeB tu@n. .d who d6 sh *o* hims.lf or h.Mlf or firoqn hn or tcr oq cn'ploFcs.
<br />tmvid.d rhd such inpmwrcnrs e ml hlcd.n or otrctd for elc. l( lekrr. tlr hiuiig or anweft n eU wilhii om )ax
<br />of coqt rm 0E Osn$ BuiB6 *iU h.w tlE hld.n ol poing rhar lE or shc dit not t rE o. itpmw thc pmpoly for x plrpo$ of
<br />-1.
<br />as o*ncr ol th. Inolcny, ddchsieclyonhcrins wnh licenscd conrEcrosr.nsmd rh. pmlr (Ss.7044, aunmrs
<br />end Pislssion Cod.: Thc Contuclor's Lic.nr. Law docs .ol atply to e owncr ol prot ny vtn builds or inrrmvcs thcEon,
<br />u i sho @ntmcrs for such pmFrs qilh a C,nhcto(, licnsM ,unulnr ro inc Conrrabls Liccnr L!*).
<br />-l
<br />arcrcnDr udrr Sdio
<br />Orner
<br />TQA(EIILCO!4IENSAIION
<br />IECIASAIIQU
<br />I h.,.by 8ffrn u.d.r !.nahy of rcdury o.. of thc follopa.e &{la,'ionsl
<br />Ihdvcddlilltui ni. a Ccnmcaic orconsnr b sclr-lnore for so.kcrs. conD..sarion, G pmv edrorbySslionl7molltc
<br />Lrhor Gnc, aor rhc I].n'ormrmc oftli worl f.r which rh. pcrmil is issucd
<br />2(.hrvc ana wirt mrlntain wortcB compcnsali{,n insDrancc, as tuqutcd bysccrnrn 3700orlhc ljhor codc. Inr rhc lcrfotmnce of
<br />thc *ork for which lhk Fcmir is issd My wortcn coht nsarion insurlncc cuEicr un plicy numbcr uc:
<br />c^.x,, F-v&A-ts4- L*TL
<br />'|L Oaa &3 S )LLt Og-ot-t?
<br />WARNINC: ljailurc io rcu. *orkcn con,ncnsrrion .ormsc i\ unh*lul. and \hrll suhi.r rn .mployf ro .nn'iml FNltic! ard
<br />civil fine\ up to otu hundrcd lholend do
<br />secri.i 3076otrhc hbo. Codc. imcrd rnd
<br />oq -)4- t8 r4--2
<br />l)l( r \11\ I r(,\_
<br />I hcrcbyalltDundcr pc.!ll, ol rErjuy rh l liensi undcr nrovision of Chlptcr 9 (.a,6'tuNins wirh S.dion 7000) oi Divh iotr 3
<br />ol rhc Busirc\srnd PtufcsionsCodc. rd uy liccnsc h nr tull fttrN md cl'fsr
<br />c78 c I S4o qS
<br />,,,,, Oq-21'( 6 --4,__-
<br />I hcrcby nrinn u crFmllyol!.rjuryrh{rlhclcis{conrhcliotrtoilirBrAcncyn,rhcpcnnrtunccofrhcaorkrarwhiclrhlsFnnirir
<br />irsmJlss .rm7. Civ. C.)
<br />/r/w
<br />AIIIJCANLPIILdXAIIO!
<br />I llnht ndlnn uMcr pctrrlryofpcrjury om of lh. followi.E d(10ru'ions
<br />D.nrlirior P.nnirrA\h.sos Norin.arion Fcdeful Rceuhn \ (Tirl..l0, Pul6)
<br />Rcrtui.d kricr oiN.tifldk)tr
<br />guding lsl$los rcnrlol arc nol applic,blc b rhis rtujdr.
<br />n,n n.om.t I oBra to conDly qirh all Ciryand Coury
<br />riz. rrEscnrdrv.s olrhis Ciryed Countyro cnrcr lllon rlr
<br />rtul nnrc rld rh.nh)!r i'rr(nrur
<br />.otrsrorrnnr,. t h..cbr_rurln)
<br />--zA,r"o Lora
<br />o"", O 9 -)t-tf,
<br />IAPPROVALS
<br />Gas-Underfloor
<br />POOL/SPA
<br />(/
<br />-l
<br />c.rrity rh in r he Fcrlortuie of rhc Borl Iu shi.n thi\ Dc.mir h n\ocd. l shall nor cmploy aoy pers. in any fr0nmr
<br />s N .6 txrom srbrc.[o rhc wo*c( coqrncarion hws of Californid. lnd agm
<br />'har
<br />if I should bc.otr subrccl lo lhc
<br />*orkc^' ooFnrario. pmvirions ol Serion :r70.J .r rhc tir.r C.rte. I shnll lonhwnh cohrly with lho* pmvisions..
<br />in tudnion k, fi. coel of conlEtrsli6n. .l,m8.s .s providcd aor tn.
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