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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE IDiSIG.COMMENTS ()wNltR Et,tLDER Dl:l-Cl\taA floii
<br />I hcrchy rffinn un,t.r pcnalr! of perJury rhd la'..rca,nr fmm i)tr Crrfmclort Liconse Lr* li,r rlrc i)11()r'i0! rc.enr lS.\.70115
<br />Sunnesc akl lrolrsion Codcf Any C[! or (,{nry whLch rcqurcs i Nnn( ro lrnNrrucr, n]r(. nrnovc, (letrrrlah or qrr rnv
<br />nn,cr,re, nnorro (s F{fncc. rh. rcqtr res Ihc rrlnl'rr tn \(hr'(nn n),ll€r sSnr(l sarcn.nr rld )tor slt ^ lc. k{! , rnrinl
<br />r. rh. lnrions olrltr (bnh.lois LLcenscd l-in (Chi[er r), (oNn.nc ttrIhSecrrn701)lrofDtrision]olrhtllr\nr*rid
<br />Itofcsnn\Cod.) orrhxr h...stu isr\€nrpr rlEr.ftu,mrndrhchisL\ fff rh. rllrEed .r.nrNon Anyri(n.rionolSdnDTl)ll j htntr!
<br />arrtl'crm ln. r ncmi \!h]ch rhc .pphi r b . .ir,l rnlhy o l nor xr.rl!.nlnchund..\ld.lliF(S5{)l))
<br />-1,
<br />s wM oflh. pmrEdn or ny chplorH wnh wrsc$ ai $.n $b @nB'.dralio., will do lh. mrL .t d rh. s.d@ B @r
<br />i ad.d or of.r.d for 51. (58.7044, auiffi. md Pmf.sioB Cod.: I h. Conl6clols Lkry t w do.s ml aply to .n ow6 of
<br />th. pop..ry Bln t{ilde or lrR'oE lhd6.. r.d wh dH Mn s* hims.lfor h.*laor lhrelgh hb or t( 6wn .mploy.d.
<br />rlmvid.d lnar 5uch inprlvlm.Be mr i .itr orotu 6r sk.l[ lD9t6, tLhildilc or h{mvmm is mld within om Fr
<br />ofon&latut\(h.OwturBdld.rwillltsr.h{rdnofpolinstlltlEorslEdi!fl'ihriuorinIioE$.pmrqly6rllE,,urlsFol
<br />_1, arowm.ofrh.nmp.nx mqclu,irlyconrEcri.! qnh li.ctr{d codEc,ort 6nidd rhc pmj..t (S( 7041, Busi*s
<br />ond PniE$in Codc: Th. Conlrr.loas Li..ns. Lrw do( .ot rplly
<br />'o
<br />0n owm oapmpcny tho boilds or innmlcs rh..6n.
<br />.id who mntncr3 for scn prcjell wirh . CodEcto(s) lic.r*d puMr lo rh. Co.trlc1of s Lic.nre LaqJ.
<br />_l rm.x.m und.r Sdrio. ,B.&P.C.lorIhsr..$n.
<br />]!a85E8S:grU$!SAItONllcl.aaalla!
<br />I hcr.hy.mrm und.r D.mlly of D€jury oE oith. folh*ins ddbEtio6:
<br />_l hnv. rd will @i sin r C.nili@r. of CoMnr ro Sdf-l,M fo. porldr' @np.nslioq 6 ,rcvidcd for by SEtion l?00 of fi.
<br />Lrkr Cod., for rh. p€t llllae of th. *vt for which th. p.mn b isru.d.
<br />_l h.v. and wiu @i.r6i! worl.Gi comr.B ion iNhmq ar Equn.d by S.clion l?00 of llE hbor Cod., lor rh. lEfollMc. of
<br />rh. mrt for which lhii p.mn is ieqr.d. My wo*d omFnsarion imEncc 6icr &i ,olicy Dmhd @:
<br />P.licyNuobd: Errn s
<br />I c.ni&thol in lh. perfo,numc oftlE strk for which ihir r.rnn ir kfl.d. I shrll mr mDloy any p.r$n in any manncr
<br />$ * ro h.6m. snjet to (hc wo.k6C mmn n$l ion lass oac.lifomia. Md lsrc. Ihlr ifl .nooB bc.oG flbl.cr ro ih.
<br />wort6' ory,.nsrion ,mvisioni ofsdion l?00 of rhr htnr Cod., I drll, fonhrnh @ndy wirh [k ,mvirions .
<br />wAf,NlNGr tnihrc ro sur. mrt R oop.B.tion sv.r.!! h unlawtul. and sh.ll sobt€.l .n drlort. ro fimindl Fmhit.nd.til llm! up ro orc hurttr.d rhorsnd d.llN (5100,000), in .ddnion lo lhc co$ ofcompcastioo, d.ru8ca .s provid.d lor ih.
<br />sdrion nr6nlrf. bt,r cod.. rnreEq 0nd lnorrEy
<br />,^., t5/t t noor-",,i(W-e ,
<br />' rclRiT c(rl\tn^( rox
<br />tllcr ARArroN
<br />I her.hy alltn unde. lcolhyofpcrrury rhm l th l'.rn{n udq tmriirn olchrtrerr) (smnEncrns *ith scnon 7m0)ofD'vir'on l
<br />ol lheBusinssand Pmf6sionsCodc. and myliccnsc K in tullforc. ord eftsr
<br />c53 33)
<br />t r-
<br />cotsIal]crQxl,uilrlgc.A(ilNcl
<br />I hereby oiirntu e,lxnilly.lr.rjrryrhdrh.{c's.c.nsiflcr(,nkhd'ntsi8.mylorIhep.rform.nc..frhcwo.klorwhichrrnr|]tnnitr
<br />hslcd(Sec 10e7. Crv C )
<br />Af,fl,rcaNfDEclAaallLl!
<br />I tmhyommund.r nen.hy of p.rjury on. of rh. follosins dslff alions:
<br />De,mlnion P..mire-A.b6tos Notifi.llion !€dcml kqlhlions ( l l. 40. l0n6)
<br />-R.quted
<br />l-.u.r of Nolifi calion
<br />-l
<br />cgrlakf ,hc'dc'Jl,.lU10,,.n. Es3rd'nE \ht*ns
<br />!(".,0 rr,,r t r,-. *,a'r,^"rnrr3 r,n uJ {rr'rh. ,hc
<br />rcnrovala,e nor nmli..bl. ro Ihk tml..r
<br />info@Ii.f, is oEat. losrlo mmnlysni allCirytnd Counly
<br />.di.aft6 md sur. Lawi rbring 16
<br />ahov. m.nriord pnptny for inrpdr
<br />r.prcErrativ.s olrhis ciry,.d counlyto.nle upon rh.
<br />//t
<br />/,+t'"'
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor /bal -,u-)
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq qe 117,61 t ,{,(&erl;
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P{rap/Drain Line )y' r -.tci
<br />Main Drain/Pool Piping ,7lt l(')
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line t7 /,4' A
<br />I
<br />Miscellaneous
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL g1z*rl 1l//t(u)
<br />Notes, Remarks, Etc.
<br />POOUSPA
<br />Gas Service
<br />Back Flow Device
<br />j
<br />tindd'! Ad&.s:
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