Laserfiche WebLink
\PLUMBING.INSPECTOR BECORD <br />APPROVALS DATE rD/srG.GOMMENTS OWNI]R BUII,DER DELCAIA'N()N <br />I hclcby rltm u.dcr Nnalr, of lcrjury rhrl I cxcnu riorn rhc cotrtr.k J Liccnsc ljw nn rhc iollorin8 rcrsn (Scc 70ll 5 <br />Ausincss 0tu Prolc\sn'n (tdc) ny City or CouNy w[ic[ rcquncs . rflnil ro consrrud. ills. inl'rolc. dcmni\h .r 'crln u, <br />srucrurc. prior lo irs issuancc. llso rcqlncsrhc amlic l r'or such !f,rnirto lik 3 \i8ncd (lremnr rhtrr ll or\hc i\ lrrn\cd pr^arnr <br />b rhc flovi\nnN olrtE Conkfloi\ Licctrsed li* (ch.rr$ 9, cl)mnrNing snh sccrion 7000 of Divisnr..l ol rhc Btrsinr\\ nnd <br />Ptufc\\ion\ Cod.) or rh3r hcorshc i\.kc rrrrhcrr,i.Dan,lrhchr\islorrhc!llc8cdcxcnrpri.n AnyviolarionorSccrionT0ll5 hya y <br />.pllicanr lnru nci,nn \uhjatsrhc rmli.an' h n .ivn pc.nk! .r ior m,c rhrn llvc hundicddollars rs5(x)). <br />_1. as owner of rh€ I,DFdy. or iy crDloy*s qirn *agcs as rhcn sk coryEnsrion. *ill do th. wrk aid llE irrEt@ ir mr <br />iit nd.n or olf.rcd fo, $& (Se.7044. B$incai and Profesio.s Codc Th. Conh.roCa Uccns kw des .or ,Iply ro e owmr of <br />llt pmFfly v,x, builds tr inpoa thcmi, ud who de3 scn sll( hins.lf or bcisclf or lhmugh hh or h6 own cm!hlr*. <br />r,ruvi(M lh,r 3uch i,lmwftdrm mr i.rddcdorofcrcd forsh.ll howcw. tnc bildins or irplftmnl hsldvirhin (rur <br />ot@rmbrao rh. O*dr Buikb $ill hlt dE t{dcn of !rcvin8 lhd h. or sh. dil mr }Dild or in{,mw lnc po!6ly for tlE purlbs of <br />-1. <br />as ow.cr oI thc pmpcrry. !o .xcluii{.I, .onrturing wirh licen*d co.rracro. ro on{rucr rlE pmi$ (Sc. 7014. Busim$ <br />ard Eaftssion Codc: Thc Contactol s Lic.nrc kq d@s mr lptly ro !n own.r of prop.ny who builds or impmvcs thcreon,and {ho co ra.6 ror such lmjccB wnh a Conrr,tu(r) liccn$d plrunr b rhc Coora.rq\ LEcnk Li*). <br />UABESS:IIIMPEIIAIIITA <br />DECI.Af,AJUON <br />I tcrc6, am,m lndcr pcMuy of r.rjury o* of rhc followin8 delaElhai: <br />-lharc <br />Md trillminra o Ccrrlicarc oaA,nsnr lo Sclf-lnsurc for workcr' .onwnsrr bn- rs Dmvidcd tn, h,Ss.'ri(,i.l?(x) ofrhc <br />L3txtr (_o{c- ior lhc psloi,roncc of lhc work rbr *hich rlr ,)mit i\ ksucd <br />I havc trnd *ill mlinrain worle.a conf.nr,lbn iftu,skc. ss Equtcd by Seti,n :1700 or rhc tlho, C.dr, for lh. p.rlormnc. of <br />rhc eo.t f.r shhh rhh Fmn i{ hsxcd. My work6 @dpcnsurion in.uEnce.n* d{ policy.umbcr m: <br />-l <br />ccnily rhrr in rhc pcrfonrrn . ofrh. work for whih rtir Frmir is issucd. I shall not.nployrn! pcmon in an, ru.ncr$ db tEo,nr suhjccr ro rh. *ortcn compcn\dion luss ofcoliforni!. and lEE rhar ial should tE{om \lhrcsl ro ttc <br />wulkcn.ontn\arn,ntn,visions.rS.cri6nlT0OofrhcljlnrCodc,lshall.fonhwnh..mdy*iihrh.epm!iri.ns.. <br />WARNINC: Failur. lo suE workeE omp.nsrk)I .owEB. is un!.wiil. $d shall slb,cd e c,phrlr lo dimiMl |aelras.rtd <br />civil fincs !p ro onc hhdr.d rhoo$nd dollm ($100.0m). in .ddirio. ro rhc osr of onFns.don, dles.s as ooritcd lor lh. <br />Sdion 1076 ofrhc bhor Codc. inr.rcsl ud anomy! lcs <br />LII;ENIEO.CANIAASIAA <br />DECI AIIAT(i]{ <br />I h.rhy rfliii!.dcr pcnllryorFrj!ry tbdt I m li.cn*d u.dcr pr,!i\i.n orchrprr9 (conrmmi.S wnh s.crion 7ux)) ol'Divisn'n ] <br />ot rhc Dusirc$ !n.l Profc$trn\ Cod., !d my liccns is in full lbrc! uxj cfrcr <br />Corlo.lo.r_ <br />caNsr&]!: 0NtiNIIxclGE!(r <br />I hcrhy rllnm undcr prnrl(y.l t^-.rurylhrr rhcrc i\ r.oNru.rim lcBlin! r8.ndy k{ rhc pdrlarmrn.c ol rtu s.rl1,, I hkh rhn Itrn,ir n <br />i!{rc(l(Sc. 1097. Civ C ) <br />AITLICINLDE.CI"AB{IION <br />I lurhy jnnund$ pctrrlry oft,crjury otrc olrtu lnlbwnr! dc.ld tun\: <br />D.nri lir i(r Pcrmir\ slr\ro\ Nori6ur ion FcdcBl RcguL ions r-l irlc J(J. Pfi 6) <br />Rcquircd Lc(.rolNorilLdn r <br />-l <br />ccnify thlt rhc fcdcrat rc8llatiotrs Ega,{itr8 ash.sros nmval m mr apt li.at k ro rhn Inj.{r <br />odirrn.cs 3trd Shlcl-rsa rcldilr3t' huildingcon(rucrtnr rnd hcrchyndlFrtc rcprc{nrxlivc\ of(hi\ ( iryrD.tCornryk'.ir.r uE)nrhc <br />at$c nrnrn)ncd pn'Fny hr nrlpc(riotrlurtRr <br />Appli.nrl or Aeerl Sianolu <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipinq <br />Roof 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 />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release 6) <br />7,f,t -id da€tc,)fd? <br />Notes Remarks , Etc. <br />d4.a,_tz '/z-r d,/;- I a1/tl <br />Gas Service <br />Water Service <br />FINAL <br />n -. l; 4a,u,*,-rl i /1A*/,.,t-Lr----.- <br />/tV,/B Lo+ ,Z-zil <br />-l <br />Mcx€mpl undcrSalion-. B. & P.C. forrhisrcasor <br />Dote Ovn.r <br />Li*N. Cbs: Liccns Nubdi <br />- <br />L.nder'r Nrm _ <br />I ctr,1./. AdJrcs <br />I <br />tl <br />------T_----