30134028 - Permit - Laserfiche WebLink

Home Browse Search

PLUMBING-INSPECTOR RECORD APPROVALS DATE ID/SIG.COMMENTS O\\ h.rBuild.r D(limri.n I hcr.bv.lT"nr uoder p.mtvofp.rlury ihrr Lfl.\.n,pt aorfl Ihe ('onrndo6 Lrcenselr!forrh.lolro\y'n!rasonG..7orI5B6:ri.$ 8nd lrof6sFn(od.) A., Ciry or Cou.iy shth r.quir.s a p6nir ro coNr(d, alr... imrro(. d.nnniih.r r.lii. dny irucruc, priorlo ns issuinc...kor.qun.srh.arpli.rnrlirsuchp.rnrittofil.rsiSn.dn.t.n.nr rharh.orsh.islic.ns.d rucuan othcpmviiotrsofrh. (ontacnn'\ L'c.nscd L,w{Ch8Drq e, (omnr.ncrnc w hS(r'on?o00ofD'vt'on:lofrhell6'n.rstr Profsno.! Cod.) or rhnr hc or sh. G crcmpt rh...lromand rh. b.!k forrh.dll.g.d.r..$tion Anyviol.rionofS.criotr?011 5 lrv .ny .pplicanl f.r. p.nnir n6j.clrltc .pali..nr to r cnil p.nahy olnor Eorc rhn.lir. hondr.d d.lla6 ($500) I. a owM or lh. pmp.ny, or ny .hployct with {196I thrt solc cohp.hs.lion. qill do th. worL &d thc alruct@ i! nor i @d.d or ofi.r.d aor el.( S( 7o,{a. B6ind..d Prof6.'od Cod. li.Con.cloltLi..B.bwdo.snor.pplyro.nowndolfi.poFny wno builds or improva rh.Eon..nd who doe rwh wort hirMlror h.h.lf or throlsh hb or h.r own cnrloyd. protid.n lh.r.!ch inpm!m..l'aEnori.nd.doroll6.dlor$1..litow.vr,rh.l'oildi.8orinprev.ndBsold*irhinofty...ofcodplaion.rh. Oc M.Buildd will hlk llt tnrd.n of proviq lhlr h. or rh. mr bdld or imp.o\. lor rh. puaos. of !!t.). _1, a o{ftr of lh. prop.ny, rn dclNiv.ly cont@iins qith li.cN.d co.tnctor to @romcr thc lojftt ( Scc. ?044, Busina3 6d Pbfsioh Codc Tl.Co dcror'r t,iens L.w do6 nd rDgly ro .n o\l@ ol prop€ty *ho boil& or ioprov6 lt.r@n , .nd who @nrncrs aor ruch pror.d! *nt ! co.'Edo(3) lica.d Dua@nt !o th. co r.ctoi. Li@o* t w ) I m cx.itrpr und( Sdtion .B.&PC ror rht r.don. Oun r: WORKf, RS COMPENSATTO]I DECI"{RATION I h.r.by rmm und.r p.nalry olp.rjury on. of rh. followi.! d*h.rtioB: I hav. tnd Nillmainltin a Cc! rific . of Con*nl ro S.la.lhsur. ro, *orr.rr' cof,p.nston, 6 pro\ d.d aor byScrnn l70oorrn. lrtrerCodc. tor lh. p.rfonnrnc. olthc *ork lo, qhi.h rhc pmi is issu.d. I h.v..nd willnlinrrrn *ort6- @mp.@tion insurne,!r r.qutr.d by S..tion 3?0o of t. lrh.r Coda aor th. tdlormncc of rhc wo.k for which $B p€rmir ir issu.d My wort.R @mp.n$ion iBue.c .eir ud policy .uobd ec: {ThLrccrionn..d nor b..onpl.'.d ifth. pcmn ii for (h. hlndrcd doll3c l$1001 or l.s) _ l enily ih'l i. rh. p.rtomr. ofrh. wo,t for whkh rhis p.nnn i! ku.n.l3hll.or anploy iny p.Ron in n, nrn..rso s to b@m€ hjet to th. sdr.R' emp.nsrion bws ofC.liforni.,.nd.sr* rlut ial should b.com.subj.cl 'o drc !ork.6' conrpcn$rion pblisioos ofs*rion lT0Ooalt Llbor Cod.. l rh.ll, lonhwnh compl, wirh rhN. prcvision!.. ff nri W,{RNINO Fsnorcro rccure*o,keB'conipcnsd.oncorcras.Ennh*ful.sndshsllsubj.cran.opL*rrocriri.rlr.nalri.sa.d.ivil fitr.s uD ro otrc hundrcd rhotrsand dolh6 ($100.000).in rddirion r. rhc cosr oacomp.ns.rion. damascs trs pro\ id.d lor Ihc Sccrtun 1076 or rhc La6or C.d€ 'nre'e{ ind r ornrv's f.6 LI(ENSED CON RACTORS DECL Rl\'T!ON I h.'chy iffion undo n.nalryoap.rjLtry rh ldftI'c.ns.d!nd.rpro\nionolChrpterg(commcncin!sirhSccrion7(X)0,orDi\6ion:l.f rh.11'Nin.ss ind PiolcsioB(.d.. atulny li(.sc i! !n aullto!.c and.llel CONSTNUCTTON LiNDINC AGf, NCY I h.r.byafirmund.rp..rhyorp.ioryrhar rho. i3 . coBrrudion kndins.s.ncy for ln p.rf.mn€. of rh. work ror ehi.h thie pcmir is i.sucd(Sa. 3097.Cir. C ) AtflttANflDtq4aallo! D.m,ni6n Pmis-Arb..r$ Noili ion Fcddl Rcgulrtio (Tirk 40. P.n 6) * R.qunc.l Ltts of Nolific.lion I c.nify rtat rnc f.d.rl r.sulir io.r r*,rdin! abclo! r.movrl a. nol applicsbl. ro fib prcjst _ I cnit rhar I hlv. Md lhi, lpplic ion ard sr . rhlt lhc !bo!. info@lrion i! comd. I igre lo comnly {irh !l! Chy .nd Cou y ordienc6lndSlllrLlwrElllinSrobuildiiS@cftdion.rrdhdcbyr!$o.iercpt6mlllircsofoirCity.odCountyto.c]uoortn! rbovc m.diorcd prcFny f.r icp€Iion puroc. UNDER GROUND Waste & Vent Water-Underfloor Gas-Underfloor Building Sewer Area/Storm Drain lnterceptor/ Clarifier TOP OUT Waste & Vent Water Piping Gas Piping Roof Drain Tub/Shower Test Rough Water Heater POOL/SPA 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 Back Flow Device Rough Plumbing Meter Release tl FINAL t0il il\/lfir Notes, Remarks, Etc tl orms\PluDbing lnspeclor Record.doc 03.31.06 Final Gas Test F -