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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE rD/srG.COMMENTS <br />llaatrE8s:snMtDdtAra! <br />PECI.AEAIIQX <br />I lErchy o,Irn und.r p.tulry ol pnjury oft ofrlr following dalmlions: <br />I xh.r (,\l!.. li)r rh. rhrnxa.r ol rh.rn,nr rlirli rh. p.nn l r\ \{nl <br />I har and will o!i.rai. sort.B compcrerion insEm.. os r.qurcd by ser on 3700 of lhc Llt r Cod., ldr ih. P..tu.mmc .I <br />th. wort fo. which rhi! p.rmir ir is.d. My wortd compcnsal ion itr{6oc. ctri.r td lo,icy nlmber m: <br />-l <br />c.nify rh.l in lh. p.riorm0rce ofthe wort lot which lhis pcml is ilsucd, lsh"ll nol.hlloyany !.Mf, in tny m.nrer <br />$ .! b 6.sm $bEd lo rh. w(lrtft' 6n .nerion ,.ws .fcaliforni., and osE llst if I .tsnld b..oft $bjtl lo rh. <br />work6'omD.MrionpmvisioNolScctioolT00ofrhcl$a.Codalrhall,fonhanhonplywilhtth*I'ovhi6n3 <br />secrlor lirT6olrhc I rhr(i)d(. tr rrc{ rni atonD s lecs <br />.{pD[6 <br />- <br />-_ <br />LICENSIuCSNTAACIQf, <br />DICI,Af,AUq! <br />I h.r.by.8irm undcr r.nohy.r perury l hd I ao lien$d uhder !'ovisionolftaDrer9 (L\,nftnch8 $ilh Sdion 71100) otOrvir$n I <br />of lh. Busrn.$ and Poae*iorc Codc,,d mylic.n* is in tullfotcc. 1.lI{i. <br />IaNEIAIJqUI)NII;NDISC-6CDICI <br />I h.rchy.mm uad€r p.dllry ol nnjury !h rh.E h 0 con(rudion l.ndms .s.try for rlR Fqfomancc ol rhe *.rk ir which ltk nemit h <br />issu.d (sec. 10e7, ( iv. C ) <br />ASIUCANLDDCTAMII!}N <br />I lkt'y.linn under D€nally olp.rjlry otu otrh.loll.sin-{ d.clir0lions <br />Denmlnion P.rnn3-Asb.slos Norilicanon licd.El R+rlarn,nr (1nl. 40. Pan6) <br />R.qurrcd t.rter of Nolilicalion <br />-l <br />ccrrify th.r rhc fcd.ral r.$laiioB rcgirdi.8 Nb.sbr r.nbval m nor l{)plicdble l. lnis Pmiel <br />-lc.nilyrhal <br />I hrvc.eadrhis.pt,lictrtion n slrr. lh.r rh. lhor! rnlodar [)n is c.rd I .-sB lo c.mnly wirh ill Cnv.nd Countv <br />o.dinrrces ind sr"r€ ti{r chling tu buildins coNrucrnn. anl hcrchy durtsrz. r.rt.semnlirts ofrhs Ciiydnd counlvro.nrd urFn rh. <br />.hov. menln'md pop.ny lor i.ilerirn ,uryos.s <br />applc.rt o. a!.trt Shn oE: <br />Prfr{t.r n,m. (rrlnll <br />UNDER GROUND A <br />Waste & Vent 7-n-11 <br />Water-Under floor 2-11-lo,I q Y"v#l\J <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarrfier <br />TOP OUT <br />Waste & Vent 7-Z-n <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test 3-74-t1 <br />Rough Water Heater \_/ <br />POOUSPA <br />P{raplDrain Line <br />Ir,4ain 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 />A <br />Rough Plumbing 9-22-t1 <br />Final Gas Test .5-I <br />Meter Release <br />FINAL 6-t1-P <br />Notes, Remarks, Etc <br />owNlrRBulLDtiR DDl.cAn -IroN <br />I h.r.l1y amrm !.dfi o.nolry (,i pcriury l hsr I m ci.mnt lnrn rne ConlEcloB l-iceNe bw fo, rh. l.uouin* rcasn {S(. 701 1 J <br />ausn.ss ard Prol.sslon Cdc)r Any Ciry or c.uDr, wh'ch Rluts i Pcrmil r. consrtucr. 8n.r. ifrprove, &molish o. r.lltr any <br />srrudlrq pmr ro s iisuakc. dho rcqun* th. lrplrci.t ior such n€mrt lo fi!. ! sis*d ar.mem rh0t lE or she F lic€nt{t NNin' <br />ro rlE tmrisions ol'h. aonracbfs Lic.h*d l..w (Ch.pt.r 9. Comfr..cins wnh Seclion 7000 of Dilision 3 oi th. lrusincis dnd <br />PmLssions Codc) or thal hcorrh. n ex.hpr rh.rclro .nd rh. irsrs for lhe ill.s.d .xml)l.n Anyvml.tinnofssro.?0rI5lyony <br />,lpicd lnrap.m( ruhj€tsthc 0!Dli6nt lo.crrrlpcmltyofnor nxrc ih.. fir. hundEd dolhG ($500) <br />l. !s o{ n.r ollhl ltr,neny. ornycmPlo)Es wtrt tr.8*.s lh.t slc NnPeneno^ sdl& th. wod run lhc (duE s mr <br />hlci&l or otier.d for slc (So 7044, l,usine$ lnd P,olcsio.r cod.: l he aontra.ror's Licctrq liw d6.s no' 0mly ro ., oqer or <br />rhc ImFly *ho builds.r 'mpot€ dr@[ nl wh. rh6 sch so h'hs.lf or hq*lf.r liru3h h* or hd own cntployc6. <br />pnrvidcrl rhal such iq)mtrnk e Nr imdld.d or .llird aor sl. Ii hoq'ev{, rhc build'na or imnmr€mnr h sld *irhin onc r^r <br />dfcon'I,kro[ rh. o*mr Builds vill h.w lh. nudcn otrmvms rlEr hc r rh. dd ml l{ild or inDmtc rhc lm!.dy for tlE ,uqns of <br />L No{neroflhc pmll.ny. .m.&hrntly conrmcr in8 snh lr.trsed conracrl,fi i{, .{tridd rhc rhiecr (S.c 7044, aBn.s <br />a,xl Pn)lsrirnCod.:lh.ContracloisLicenseLa*doesnorapplyr.an.{'n.rofrmp.ny*fiohlildrotim,rm\tsrhn<nr <br />r.d sho comm.ls lor euch pmjac *irh a contBdodl] Irchsed trununr rolhc contdois Licc.k LtN). <br />-l.mex.nr <br />u.d.rS.clion-, B &PC f.rthisrcie. <br />LienE CLs:-Licd. Nlnbd: <br />- <br />D.t.: _ coorr."tor,- <br />L.'dat Add!*: <br />- <br />i'.w\ <br />t <br />Gas-Underfloor <br />/ <br />U <br />WWlt <br />Back Flow Device <br />kJt Lll <br />t.vL\