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PLUMBING.INSPECTOR RECORD APPROVALS DATE ID/SIG,COMMENTS UNDER GROUND Waste & Vent Water-Underfloor Gas-Underfloor Building Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Pipeing Roof Drain Tub/Shower Test Rough Water Heater POOUSPA P-trap/Drain Line Main Drain/Pool Piping Fill Line/Back Flow Pool Heater/Gas Line Misc Gas Service Water Service Lawn Sprinkler Sanitary Sewer/Cap Rough Plumbing Meter Release t/ FINAL /vr'///r//J Notes, Remarks, Etc.7-r oMg-Buildq Dch io. r h.Eby rtrm udd p.dlty of lqjury $.l I u *nE fom $. C6 i<ror' Lil4 hw for lh. rolowir8 raoD (H ro3t 5 BBin63 {xl ftoftrlion Cod.): Ary City or county *iirh r.qltd . pmt ro 6Er.!d, !h6, inpIov., dmolnh or r.p.n dy rru6q., p.ior ro ii! irtunc., rbo G{uiB $.rpplio fo! lucb Fnit ro 6L r .i8!.d tnrmt ttrl h. or !h. n lieEd puru r. $.,bvirioB ol6c Conmdoai Li@E.d Lw (Ch!F6 9, Comocite *irh S&rion ?@O ofDivirior 3 of U. BuhBr &d Poft.rioG Co&) or rtut h. or sh. i! q.mPl thdltom.rd th. b6!n fo, thc rll.s.d a@rb. An, viobrion of s..rio, 70] L by.ny ryplieat hr. Damt !!bjc.t rh. lpplidnt1o a civil pc@tyofet mo.c En fiv. hudr.d dolllB (1500) I, u ohd of rb. poplir, o, oy eployd whh Mgs $ rh.n rcb @n .ution, qill do E sort od rn .mdurc ir nor i ad.d or otrGrcd lo. sl. ( 5*.?044, Buin6r rd Prof.lrior Cod.r Th. Cotrhctoie Lim. rre .loa not .pply to e ogM ofri. pop.rty who buildt or i6p.oB th6@4 .nd *no dos rul' erl hi@U or h@lfor daoud [ii, or bd om .Eplorc, Fovii.d rh. tuct ihprov@.nl3 @ @r i.r.nd.d o, ofrsed for sL. I{ nowvE, rh. bqildirS or imp.owmor i! eld enhio on. yd of@nplaio4 6. O\{M-Builda will h.w fi. bud@ of provi!8 rl[r h. o. .lE nor build or inpro* for rlE purpoE of sL) I, a o9E ofth. prop.riy..o *luliv.ly.oit rcilg wnh IeB.d @im.roa ro@ ruatltDroi&t ( Se 7044, Bsins.nd Prof.$ion Cod. TIE Co.rndor'r Licc.e Lu do6 rcr lpply ro h oMd of propedy wno buildt or ihprov4 rhqotr . Bd wno @iE dt fo. !o.h Eoj*r' wirh . conhqdG) li.a..l p@ud ro rtE conmcd! Lic.e Liw ) _I u d.npr und6 Sdrioo .B &PC forlnnr.&n ",,., ot-{?-411 WORKARS COMPENSATION DECLARATION I hd.by !fiim unda p.Elry olpdj!ry on. ofth. follov'nB dBlrnrbB: _l hrv. rnn will @i.r.i.. C.nifior. of CoEa! b S.la-lsur. lor wrk6 @npcutio\ c provid.d for by sc.ton l7m of rh. bhor Cod.. for rh. p.rforruna ofth. worl lo, lhich thc pcrEn ir iss!.n I hlvc lnd will roi dn wortd, @ip.Garion ieurncc, s r.qun.d by S.ction r?00 of rh. ribor Codq for rh. pc.fo@n@ of th. wrk for whicfi rhL p.rnn ! isu.d My *ork6t @Bp.n$rion iEurne 6nkr rn l polic, .uobq r. (Tli! G.io. G.d nor t conpl.r.d iflh. D.rmn ir forOnchund..ddour6lllm) or k!, _l .diry d$r n th. pcrrortun( of rh. worl for which rhk p@n i! ie!.{ r ih.ll er cnploy .ny p.6on in lny enn6 s s ro b..!n. $bJar ro lh. mrkd5 ' omp..erioD Ls ofcllifo.nn. lnd lsre rhlr ifl should b.6nc subjd ro th. worr.R' ns of Sccrio, l7o0 of rhc Ltbor Cod.,I ?-D ( WARNfNG F ilu. b du. work6' 6mp@.iio. @v69. i! unh*tuL rd ihlu Nbj..i e .nploy.r ro diftid p.Eltic .,l.l civil fin6 up to onc hundr.d 1hou6d dolltd ($l00,000),i. .ddnio. to rh. @31 of 6sp.Btiol1 d!ms.! s provid.d for lllc Sdion 3076 of rh. L.bor Co.L. iddd .nd .[orey'3 f6 LICf, NSED CONTRACTONS DECLARATION Ihcr.by.fiirmund.rp.Dhyofp.rjory$arIrnl.e.d! s provnion of Ch.pr.r 9 (6hm.ncin8 wnh Sdion 70oo) of Diviiion 3 of fi. BBin.si tnd Prof6iioB Code,.nd hy licese i in tuU for@ Nd.f..r I h6.by rfiirn uds p.dlty of p.rjury tur rts. ir. @Er .rio. h i.B.84y aor th. pc.fom.@ of t,!c *ort for $tich rhi! p.mh ir $ucd (S{. 1097. Civ C.) PPLTCANT'S DECI,/IRATION D.@hion P@iE-llbBlo. Nodfiodon F.ddl Rc8uLriou (Tnb ao, f.n 6) _ R.qut d Ln6 of Notiffotiotr _l eni& $!r rh. f..ldl rc8uLriotu rc$rdins sbalor r.mowl .r. nor .ppliqbl. to rli! troj..1 I eniry tnrl I h!v. rod this applidrion .nd !l!r! rhrl 0E rbovc intormrtion is @(&1 I !gr* to comply wni rll Ciry lnd Counly ordidNd ud Shrc L.w3 to blildirS cocmcro4 !.d h.r.by lllnoria r?r6.noriv6 of thi Cily .!d Coufl, ro drd ulos tt A:t7'47 I mbihg-lmpector Ro@rd doc 03.31.06 Back Flow Device Final Gas Test