|
PLUMBING-INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS O*E-8{il(16 t>.1&.rir
<br />I h..!,.ftn urrlr Ffltt of Frn, r!.r I d .raF fom dr Co'n,.c.r' Lm L.r 6. Efolbw!|l.oiE,s,|J &uic.
<br />ed Prcfi.... Corr): Arry Cry d (-ord, rn.n nqriE . DaEi lo @dr!s. .IE, qroE. d@li,r q ED.i o, noc1G. ;ir b .
<br />bure. rL rqt,E dr +plird 6r.!d Fnitro 6l..!r8!.<l fir@d rt lE or lh. i ltco.rl F r{d ioin Folitbd oflt
<br />Co.rnc.d t Lo6.<l lr* (ClrF. 9. Comc'rs *,rt S-rih TOOO of D'vn.n , oa rlF B6rEr .!d ftolaioE Co&, or rh' h. d
<br />rlE n.x.ql tt@toE.d rlE b.ir tu llE ri.r.d @rrion /\., vbldioo of Sclin 7oll.5 by my.rpli...r 6.. Frn rbr6 ln.
<br />.Crliod !o . .i!il pcony of mr sE rh& nvc hddr.d &lLn (1t00).
<br />_1,rowEol.h.pDD.nr.orny@rloyd*iow!r6!llEir&lccorp.unon.*illdorlEvort.ndrh.fiud@nmti.td.dorofir.dlo.d.(Se?oa.,t6rEr]dProfBrirCod.Ti.co.hde.Lset*d6d.p9tro.n.lff.ltupordy
<br />*ho hlik! o, ioFo€ rhd6o .arl *ho d€ Bn sdl hielf or lE .llor dhus! hir or lE n dphy.6. p6vit d thr rEh
<br />io'rortftd! & Dt ir.nd.d d otrdld ld ol. lt lhdd. rlr h{iltliry or @F!v.rd nFE*inhc rs of @rpLti,6. rlE
<br />olrE-B{iLla wiil l'.8 rh. bud.. ofFiv'la ltr rr d.r. rEt bild or iE roc f drF ro..ofuk)
<br />I a orE 01ln. top.rr. 6 d.tu iv.l, @n d'4 lirt li..d.a @ .-id! ro @Brrud llE FDj.( ( S<. ,044, AuiB Erl
<br />Pre6...acorLTlrco,r..<roarLd.tydo-drB,tou.wolFoFtyri!b{'lndmFoE,c..!nrtlo
<br />omd. ao, ldr ,.ordt trh . Conrl.fu(.) l'.d!.d D.!un b .1, Cod,l&ar Lge bp )
<br />I rn.r.'npr u.dd s(ndn .l] & P ( nn rhi r..r,.
<br />laaf,[atcqMllllArq!-0r948A
<br />I Lr.by rmm und6 p.Mhy or Fjur, oE of th. folt u iry dcLd iod
<br />I h.vc rd,ill oid.6. C.6i,i.d. olcoctr io S.lf-lM. for s.l6 qrFd.q s Foln.d 6. b, S-18. ,7@ of iE
<br />Ldor Cod.. aor lh. Ffodr. ol tL rdt 6r rtth rt pqEi i i.!.d
<br />_l hv..d sll drr.'. dtn qiF-r6 !!uE ! ..$utd hr S.au !7o of lb. arld C.de 6. dr Ffo.lne of it6rt ao, wnah dln Frr r d{.4 My dt6 @rq@rFn idiJ,.e 6i..d polty i@ba d:
<br />(Thir r..rion Nd nor b. .oDpl.rcd iarh. pmir i! fot OrE hun<,r.d doll6 ll I O0 | or Ls)
<br />I c.niry rhrl in llE Ffol rB of ll'. rort ld wnkn oir Fhn b u!.n. I rhlll mr mploy E, pcFn in m, dna r a ro
<br />h(.m iubFd ro rlE nrl6 @mFdrsn ls of C.lifor.'., .d .s,e drr 'f
<br />I rrbuld b@G rcbrer lo rlt lur@'
<br />codgan rbn FovibE ols<<ri'n lr@ ofrtE t tor Code I th.ll, ftlnhsilh @rgly *nn fioE F6'ii'N.
<br />Applr.In:
<br />*AtNlllC rln . .. i@r. wlo @nE@.rir 6q.3. ! uLrtul ud .lrll &l*tr D dpbF to oEi!.| FBtr. ..d ovil
<br />f@ rp ro c hrrr!.t rho!.eil <ot ( 3l @.@).b.ddiir ro dE or of .!edrio., d.r..r6 ! Fovi.t d for l! Scri! 3076 of
<br />tlE L.hor Cod., 'ddcl rn.ndrry r t-
<br />LICENSED CONTNA(.TON,S DECI ARATION
<br />I haby !fllm u.d6 pohy of Fj!ry lh.i I u lic.!*d udr povnio. of Ch.pt6 I (6mdci.i *irh S.dion 7@0) of Diltb! I oa
<br />rn Buies .!ld Prof6rio6 CorL. .rn ny lic.@ i, i, tull foc.nd.fi..r.
<br />cqllralgralJJlDllc.AqElcx
<br />I ha.6y .ftm ulils Foly orFrury dIr IlrR ir . oErnErb! !rd!'a ra@, tu llr D.f.lrtlc olrE *dt 6r viin rnir FDi n
<br />iit!.d (s6. loo7. civ. c ).
<br />Lrda r Addr.s _
<br />a8f u.cAxl:]t 0ECtdEArIa!
<br />D.mlibn PmiB-Atb.rror Nodft.ti.o rcd6d R.rultrbB (Tnlc 40. P.n 6)
<br />R.qu@d trr6 ofNoifsrbn
<br />I cait thI $. Gd.rl E3lLtir Ellni'r a!.!r@ 'qDr.l E Fr .rrla.bL io th! FDir
<br />I 6rify lh I l!v. Ed lnit rp?liriE .,n r& dtr {a .toE i.brnrio. i @rrEl. I .tc io @rDly *ih .ll Ciy rn Cordy
<br />rdind6 .tn Slr. l-M Ehq ro bildina .ddrEliE Dd lrr.6y tdnoda ..!.* aird olrna Cay .nd Coony ro 6nr uF. rlE
<br />.tow Edbr.d FlFiy tbt ilt,ccrbn p!,po.d
<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 Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back 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
<br />Meter Release
<br />FINAL
<br />Notes, Remarks, Etc.
<br />M:\WP51\P6fitl-lBp.clion ForrE\Plumbing-lnsp.clo. R!.o.d.doc 03 31 06
<br />Misc
|