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PLUMBING]NSPECTOR RECORD
<br />APPROVALS DATE tD/stG.COMMENTS osG-Bdl(b D€la.ti@
<br />I n@b, rfm o& Fdty of pdjury lhll I m cxdF fm tt. coir&rc' Li.!M te fq
<br />'hc
<br />foll*ii8 6m Ge.?0315 BwinB
<br />md Prcf6i6 Cod.): Ary City d CMly *hid EquiE r Fmit to @!iwr. d!6, irllovc, (btuli.h d ,!Prt ey ttE w, Fid lo ir.
<br />is@cc, d$ r.quiB tG.ptli@r ffret Frir ro fi1.. riSD.d raqrEr fi.r tc d rlE ir lica8.d Fd6l6 Oc FviriG of Oc
<br />Cdtrrdor'r U.d.d te (Ct Ba 9, Com@ils *ilt S61i6 ruo of Divi8io 3 of ln. Buind 8tl PDf@i@ Cod.) or th.l h. q
<br />rh. ii qaryI tldftdn ald thc b6ii fd dE !n.g.d aatpiid .Any viol.Ii6 of s61i6 70] 1.5 by &y .ppli@r fd 3 Fni 3ubjGds rh.
<br />lppli@t to t .ivil Fn.lt, of not !'@ the fiv. t@d!d &116 (ltoo).
<br />_1, B Md of $c FlFry, d my @Etorc ai$ wrglt o ihcir $1. cqnpa.doi, eill do th.,ql dd lh. nr!.tE ir no{ inlqd..l
<br />d of,dld f6 rd. ( Sa.?044, BuilE rd Pofsi@ Cod.: I'. CdErtu'r l-ic6. l* dc nd .pply to 6 ow of lhc FoFt,
<br />who b{il& s ioprlvB lh.l@, ud who do6 rEh wdt hi@lf d t*lf d rirc!8r, hir c h.r ora oploy..., Fwid.d lhlr 3uch
<br />inPlolqma e not imad.d 6 oflald f6 r.1.. If, h@ad, th. hildirs or imEov.lmr k 3old qiuin @c ,@ of 6nplaio! Ur.
<br />Omq-BuikLr willhlE th. hrild ofFovinS tu! h. d rhc not build d i Fovc fd lh. p{rp... of!d.).
<br />_I, a 6M6 of rh. pr.r.ny, m acluiv.ly 6l'&rh3 witn li.a!.d.mlr4lm to @lrud lh. Fojar ( Se 704a, Buin6 e.l
<br />Prcf6i@ C!d. Th. Csrdq'r Litu ljw dc nor apply 10 4 om6 of Fop6ty who b{ildt r imPIDvd rhtu , Dd who
<br />@rel! fd 3ah Fqiett eiln B C6Dr.to(O li@.d p!l!@r ro ln. C@r&rd! Lic.@ L.w ).
<br />WOiXEXS COMPENSATION DECLATAAION
<br />I hmby lfiim ud.r p.nslty of pdjury 6. of rh. follNin3 d6h,l1i@s:
<br />I h.v. ed will@jrr.in. Cdjficn! o{Cdltc ro Sllf-laGfq wdf@'c@F..5im, E prcvi.Ld fd by Seri@ 1700 oflh.
<br />riDn Cod., f6 rh! Fftue of th. wdt ftrwtich th. Fnn i! isucd
<br />_l htt ed eill otu in dt6' @rpon ti6 ir$r&c.i a rcqli.rd b, S!..i6 3?00 of th. rid Cod., fd $. pafdre.. of rrE
<br />wnt fG shid thi, FDir i! Gu.d. M, wodctr' cmF!.dq) i,.llmc 6i6 ud policy nmb6 e:
<br />Poliry Nmhr: ElpiB:
<br />(fti! r..iid r.Gd tror b. caiplcr.d r $. Fhn i! fr On. hu&.d &lrdr {1100} * 16)
<br />_l..nir,lhlrif,th.Ffqfrncoflh.qortfcsnichrnisFmitiiisucdIlhdlnarhployey!66ineynunoioaiobem rubjel to $c wdL6 cmF!.dm hs oacdifmia ud.gE lh.t ifl ihould hGorrc lubj6l ro tn. *atd'
<br />cdpa!.d@ prcvi.id of S.6i@ l?0o of d!. t$d cod., I rhdl, tdlh*ith c6ply wi& thc Flviri@ .
<br />WAnNINO ldl@ io lew wqL6 .@rpoilrio @vc.ra. i5 ulawful, ad rh l rubj@t M @ployd 10 qimin.l ,..dri6 ud civil
<br />fin6 up 1o o. h@drEd liousd dollm (l100,000),in .ddili6 to dE c6r of @mp@.1i6, dlrEg6 a pmvid.d fq li. S..tin 30?6 of
<br />th. t tc cod., inlaBr &d !!ncr'3 f6.
<br />I,ICE!,$D.GONIaACI9BETECI,ASAIIO!
<br />I hd.ty !m6 ud.. pddtl of Fjqy lh.t I 6 li6't d 6.&, Foriiid of Ct!4t6 9 (.ffiiit aitl' Sed6 7000) or Divilio I of
<br />Uc Buin... Edrrof.3tiduCodc, &dmy lico8c t i! i flre D.t.f.d-
<br />CONSTNUCflON LENNINO AGIiICY
<br />I h@b, .fiim uda. F[lt, of p..juy firr th@ ir . c@tu.rid l@dinS .8fty fd lhc Ff6lr:,e ot Oc rdr fa *nid ll!! Fmir it
<br />isr.d (Sc. 30r?, Civ. C.).
<br />allLtcANl:tirrclladflqN
<br />Ddiolirid P6in-A!bab. Nori6ctd6 F.<!a.l R.8ul.li@ (Iidc 40, P.n 6)
<br />_ R.q!ir.d t.dl6 ofNodficaid
<br />_l cdiry lhd th. fcd.6l Eguldions rc8.rdin8 6kot tlmval e. nol appliclllc lo lhis poj.cl
<br />_ I cq!ry $'r I h.v. 6d thir .rplidid Dd !E& lh! tn. r!.v. infotuim ii ore. I lAr ro 6hply with aI Cny d Cdnry
<br />orditrs.6 ud St & k* El.ling ro buildinS mEucti6, od h@by e1horizc rcprBaulivd of this Ciry ed Cdnty ro ard uFn fi.
<br />abov. motidqd proFty ftr iBpetion porpdd
<br />f-zzZ/ai
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />Ptrap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill LineiBack 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 FYrrl
<br />Meter Release
<br />f,- l t
<br />FINAL
<br />.:+,r\r!t U..iJ, ZyU. !:5r.1Notes, Remarks, Etc.
<br />Fo.hs 03.31.06
<br />Misc
<br />_l o cxdF urd., S€ri@
<br />-8.
<br />& P.C. fa ltt E @-
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