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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE tD/stG.COMMENTS OWNER BUILDER Df, LCARATION <br />I h.Eby all(o uodr p.M]ly ol p.rjury rhrr I d .x.mpr fms rh. Conrldfi Lic.Bc L!tr for rh. following M$n (Ss.701 1.5 <br />Blsincss ard Profcskn Codc): An, Cny or Count, which r.qut6 a l.trn lo condo.r, rha. iopmv.. &mlih o. rq!,t rf,y <br />rmcru.., t.h. ro iN isu!nc., il$ rcqutd rh. atplio for ruch pcmir ro Iil. r iisn d 3r .mnl th, lr or !h. i! liened l,trtulrr <br />ro rh. torilioN ofrlt Conradol! Li*.ed Law (Chafl.r 9. Cono..qo8 wirn S{tion 7000 of Division I olth. Buiinc$ snd <br />Poa.lsion. Cod.) or lhst lE or slE is .xmpr rhcatum and th. tEiis for $. lll.scd cx.6rtio.. Any vhllrion olsclion ,03 L5 by lny <br />glplicht for a p€mir subj..rs rh. lrrlicad b a civil p.Dlry of Nt mr. th& nv. huidEd dollm ($500). <br />_1, os owr otrh. pEFny, or my .dplorri wnn erSd lh.n sl. 6q,.Mri.n. will do rlE mrt &d 6c ffirtE it mr <br />i .rxLd or otr Ed li,r sl. (5(.7044. B*iN and Pmlsio* Code -lllc CorlE.lor't Lto* kw &d ml tlply lo d 6wr of <br />rh. I,mFry who buildr or iqmro tlEol\ dd vtn &s s.t hlk hiNlldr h.h.lf ot lhmu8h hi] or hd om . rlorcr. <br />povid.d lhar sch impoEHn! c mt inr.d.dorolM lor $1. I[l[mE lh. hoildiis or tiobtE i. sld wioin 6E ta <br />of6dI,!rbl\ rlE Own Brild6 will hlE $. hliLn ofDrorng rhd lt or CE did mr hild or in{,NE lh. pFp<ty br rh. puipo* of <br />_1. dr owr ofrh. por.ny, o dcluri8ly co.rhcti.S {irh li@.d contmtoB lo onRrucl th. nojdl (Scc. 7044, BusE$ <br />ard PDLsirn Cod.: I h. Conrdclol3 Lic.M L,w do6 mr apply ro b ovnd of lmpdty vtD huilds .r impmks lh.r6n, <br />and who onrrurs ror 3uch Dmj(E wnh r conuero(s) lic.Md puea l! rh. Coirr.crq ! Lic.M riw). <br />_l rn .xcmpt und€r S.crio.- B. & P.C. for rnis reqon. <br />tvoRKriRs' coNtPtrNsA t'toN <br />Drcta8altQ! <br />I hcrchyamrm undcr pcmllrolpgjuryonc ofrh€ tullowio8 d€chhrn'ns <br />I lsrc and uill h.,nlah a Ccn ifEat. o tcotrTnl lo S.llltrqr€ tu wo c( conlp.nstlion. .s pmvd.d fot by Secl ion l70o o alh. <br />tjk)r Cod., r'or rh. lcrronMn.. olrn€ qolk for which rh. r.nnit i. ic$ed <br />It$veond*illmarnr.in{orkescolP.nsdoninrtRm..asrequr.dhyse.rotrlT0oofrhcL.norCode.forlhcnrfodanc.of <br />1q <br />soitob.oh.lul,jdtorhcso.c'onllE.idrio.lawiotcalalomi..rnd.8m(hdiarrlbuldtEomrubj.cltollt <br />s.t6' @np.6ar mn Dmvision. otssrion J700 dt rhr litDr C.d.. I dull. lonhwilh mmrly with lhc ,mvkiod . <br />wARNlNc: ljr'lrc ro sur. cbrkcn' comp.nsnon srcmg. N unlawtuL and shall subjet sn mrlorr ro ainrinal p.Mhin..d <br />cNil fin.r u, ro .* hundi.d rh.nsnd d.lld (Slm.fin), r .ddrion to ih. co{ ofcom,'cnulion, d!ros.r ai ,rovd.d f.r lh. <br />Sstion 1076olthc Lrbor (\d.. inrer.pr lhdt6 <br />I heEby arm rnd6 ,.@hy of pdjury lhd I am lienFd urd.r ,mvirion ofchanld 9 (ohmocin8 wirh Scrion'1000) of Dnhion l <br />of rh. Bu.inc* a.d Pofd.io cod.. did ny ft.n* B in tull foE. rnd ?f.cr <br />& <br />,",., 11 <br />coNs] RUctroN I [Nr)lNG aGr-NcY <br />I h.r.br 0mirn nnd$ n mhy oi Frtury thit lh6. $ . connruc' ion l.rxlins rs.n.y fir rht p.rf.mncc .l rh. wotk for *hich rhn pemil F <br />sfl.d (Se. 109?, Crr C ) <br />ATfJ.ISANLIIICIJSAITO! <br />I h.Eby 0fm md.r p.mlly of p.rju.y oE of lne aollowinr d(hBt ione: <br />D.o.lnFn Pcrmn*Asb.si6 Nolilicar ion lr.d...l R.guln' ioN ( l ill. 40, Pan., <br />R.qui.d L.n.r of Noiiicalion <br />-l <br />c.n iry rhor th. f.d.El Esul.tiors Esardinr asb.stos Emsl arc mr .pplicabL h rhk ,,mj.cr <br />_l ccniay rh,r I hsve r.ad rhi. .ptilic0rioh and sral. lhsr rhr rlhr! i.formrion b coret. I ast ro od0ly wirh .ll Ciry aHl County <br />.nlimncc\ rld Srxrc l.iwsruhr'ngu aulbrn. r.pre*ntarivcs of lhi3 Cty ard couniy lo cnr.r uF. lh. <br />atFvc menlioEd Dmpcny lor <br />ADpli..nl or Agenl Slgmlu i(DliL.-& <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <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 />POOUSPA <br />P{rap/Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbinq )L 6& <br />Final Gas Test <br />Meter Release t\ <br />FINAL L tu \l \,utl{.14 ) <br />Notes, Remarks, Etc I \- <br />Ir <br />6ri.r .rn Dolicy tumba e: <br />a I <br />+< <br />ladcrr Adttd! <br />-