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PLUMBING-INSPECTOR RECORD
<br />DATE rD/srG.COMMENTS OWN I]R BU I I,D}:R I}},I,CARA I'l()N
<br />IlNrehyalliirnunderpcnrlryoillcrjrr_vrhar I im.rcn'ni ln,n rhc (onlmclors l-rcense l.aw Inr rhe nnnNrnr r.a$n (s.c7J.ll5.
<br />Brsn.s $d I'rofcsrrn Cod(): Any Cii! or C.unry rhich r.quircs i n.flnil n, !1rn{dcr. rhcr- i nrrrc, irn{rlFh or..ndlny
<br />srnr.rurc. nn.rn, s $urm., lh. r.lutr s rlE.ppi'c!m iin suchr.rnnrb filci nSndn srre rrr rhd htorsl[ ri ncenscd ,'ursinr
<br />lo llE nrnisnns ofrhe Contaclo.s l.rccnscd l.iu lChrnrer r). (innncDcrns w(h s.don 70110 ofDrvr\nn.l orrhc Busines rnd
<br />Pn,L*ronsCod.)orlhrr heorshe is.rempr rhcr.lir)lr and lhchnsi! inrheallegrd Etcmpri,,n Anytiolarbn.lSc.ri Tr)ll Shynn!
<br />rnll'(rrl,,riNmirquhl(rirh.anllrdmt,r.,!,l|1cnilrtor,rdofurhrnlivrl[ndr.iliollr6(S50r))
<br />_1. a owB ofrh. pftpcdn or ny.millorct with wrgd a ft.n sb 6np.@lio.\ will do ilE mrt {td rlE nnEl@ ie ml
<br />i,16.,.d or ofi.Ed for sh (Se 7044, AuBirc$ ard Pmf.*hN Cod. Thc Conl[dtrt Lh.tr€ t w {tB ml lrplr lo e otu of
<br />(h. ,,mFny who hlildt or inpmB th.6n .nd who &B Mh mlt him.lfo. h.Mlf or lhmush h,r or hd ostr .mtl6r!d.
<br />trevid.d rh6r ch inpoldErll! mr i,!.rd.d oro,&!.d fornk,l[ h.wM,0E t aldi.S or nqmwr.l ir$ldeithinoN rEr
<br />of er{,ldioA rlE O**r B!iB6 wil lEh rlt t rrkn otForing ttd lE Md'. di, Dl hlld o. inphE dr FoFry 6r llt pupoiof
<br />-1,
<br />asowNrofrhcl,mr.ny, M.ichsirtlyco ndins wnh lic.d.d conlado* loon$tud ilE pmtfl (sa.7044, Buio6
<br />od PoE$bn Cod.: Th. Conlr!€to!'s Lic..r. L.w doe .or apply to an owf,.r ofrrcn ny eh(, buildi or ihrov.s rh.64
<br />and (hr mnl@t, for s.h lojcts{itha ContEdo(r) lianicd|'u@nt rorh. ConlEcloas Lim* t {).
<br />-l
<br />rhcr.hfl und.r S*rion , B. & P.C. forrhF Ersn
<br />WOIKf, N,S' COMPINSATION
<br />DlCt AEAlll)!
<br />I h*by dmrd !ftt r nmlty ofDsjury oE oflhc fouoqin8 ddoral io r:
<br />_l hav. .d will tuintain ! C.nificar. oacon*nt ro S.lf-lmuE for s.kdt @np.neio4 ai ,Nvid.d for by sdrion 1700 of thc
<br />htor Cod., forin pdfolw oflh. mlk fn qnhh th. pm n i!$.d.
<br />_l hav. .nd will 6!i .in work.m coftp.n..ron
<br />'n
<br />urnrcei d. r.rtuir.d hy sdr io. l?00 o f the Lobor Cod., Io. th. I,.rIomrc. oa
<br />i6urm. cankr aid p.li.y nurbcr &€
<br />/ -r-o /7
<br />-lccnirythatinlhcFrfotmMofrh.vortforwhichrhhr'.mnisir.d.Iihnllmroploylnyr.Nnin8nymnmt$ tri to h.om subjd ro rh. wortdc mota*tion laq of Calif6mi,. and a8B lh.l if Lhould hMnr rubjet lo th.
<br />w.d6 coo{B qrion roaismn. ofsdrioo l70o olrh. Latbr Codc, I ih,ll f.dhwith smply wilh tts* pmvisbm..
<br />IVARNINC: liailurc lo Ecuc work n' comp.nsti.n covcnse
<br />cNil nn€s !p lo om hundrcn lhousnd dollaa (5100.000). in
<br />r rn .htLr$ ro ei iMl pmnis,nd
<br />d.m! r.,mvidcd for rh.
<br />Serion 10?6 ofrh. btx)r Cod.. i.l.r.n ad
<br />*".1/-H'a-ol6 erA
<br />I lFrcby a,it,D under p.Mlty o I D€rrury lhit l.n licensl und.r nmvision.fchmkr 9(comncm'ns sirh sccrbn 7000, ofDirisio. l
<br />of rhe Busin.ss iMl Pmf.$onsCod., r nry liccnsc f rn 6ll nrrc. iftl ciier
<br />L)
<br />I hdby .rtrm u.d.r FMlry o alcrury rhd ihd k a cohnruobb l.nding .8.fty aor rh. pqfomm. of lh. *olt for shich lhir pcmi i.
<br />issu.d(scc 1097. Civ, C.).
<br />aftucAxfuielAts UQ!
<br />I lmlry.fnn und€r ,cna lly of ncrrury on. ofrhc followrnr d(l.mti,rns
<br />Dcnol ion P.imn* Arbdkx Norilic.r bn lred..JlReguldionilTnle 40, Pin6)
<br />Requircd Lcxn olNorincdion
<br />-lc€nilythar
<br />rh.lcdcrsl rerlhrn,nr rsodin! ashc$s .€!nov0l ar. nornpplcsbL r. rhir tmjel
<br />-l
<br />c.niry that I h!v. Ead thh E rrlicot n iscord.l asE to smnly*ith.ll Ciryr.d Counry
<br />ordrMnces and Srar. L0vsrcldiryto huild rcIr.enl.rtrrs .lthis Cilyind ('ounl, n, orcr trFrn rhr
<br />xtxnr nrnttr,ned n.op.n' nrr
<br />App,lc nl or
<br />^srnlSkuturc:
<br />4a
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor rl
<br />Building Sewer *lorll 4 t itn.atA-
<br />Area/Storm Drain r{''t'
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rou gh Water Heater
<br />POOUSPA
<br />Ptrap/Drain Line
<br />Main Drain/Pool Pipino
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing ////0/tr /,/n//Yk,
<br />Final Gas Test
<br />Meter Release
<br />mh-rltlt A'Ahvl fl,( *(A
<br />NoJgsrRemarks, Etc I
<br />4/n//( Mrsz, 2 6116,(-
<br />I
<br />APPROVALS
<br />Gas Service
<br />FINAL
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