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PLUMBING.INSPECTOR RECORD
<br />tD/stG.COMMENTS OWNER AUILDER DEI,CAiATION
<br />I kr.by lmrm ud.r D.Mhy of p.rju.y rh,l I d .x.mfl t m lh. ConlEcloE Liccnk Llw fo. ilE followiry llmn (S&70r15
<br />BBin63 rld PmfRrion C.dc): Any City or Cohl, *hich Eqlnci 6 ndmil !o oord.I, .116, idlgmrt, &mlirh o. qEir any
<br />srnclurq prior ro il. iesom., als rqlid $. .l)pltur f6, scn Fmi io lilc ! sisn d sleltffir $3i lE or slr is lic.tr*d Pulwr,
<br />to rh. tlovbaoG of(r Corrrscroar Lien*d Lrq (Chspl.r 9, Com.min! with Serion ?000 olDi!isi..3 6flh. Buin.s md
<br />PDf.$iorc C.d.) or thrr tf, or rh. b dcn r thfttod lid rh. t8& for lh. .ll.8.d cx.Dplion. Any viohtio. of S.(hn ,031.5 by .ny
<br />arpliml for . p.mit sbjdt' rtt applicafl ro a civil p.Mlly of mt @E thtr fivc hhdcd dollffi (3500)
<br />-1.
<br />e o9ff of rlE lm|Eny. or nry .roloF.r silh mglc s ttrn sb onF.clrioq will th th. vqt ad tlE {ture b mt
<br />i.rcnd.d orotr r.d for Ek (Sd.7044. Burima.d Pmf*ios Codc'rh.Co 6crdrLt.dLr{&d8nlpplyhanomrof
<br />rh. r,ondty elb lirildr q it{rcB lhqal\ sd wtb rtE sh sli li@lf or h.Ellor lhbugt hir or h.r om .mplorE6.
<br />pmvid.d rhsr tuch iDpmltE .eDl ii.d.d oroll6t forsl..li how,llt buiulE or bPNttd itDldwilhino lEr
<br />ofconpLrbl\ lh. Owmr Blilid will h.k rlr hd6 ot pbling llln lE or *E dn d hild or ihnrcE (hc ,F4dry 6r llE purF,s of
<br />I. m.wn.r ofrh. pr('Idly, om .rcl!!iv.ly conu!.rinE wirh licc.*d codhcroE lo .oNlrucl llE lml.d {se 7044, Busns
<br />and Potsiro Cod.: Th. Cont!.tols Liccnsc Low do6 mt apnltio snown.r olphFnywtn huild, ot improv.r ther.o[
<br />and who conlmcts for sch pmjcfi {irh . Co.l6do(, lienkd ,urse.t to thc Conlnclors Li..nc Ldw)
<br />_l oD crcnDl und.r S.clro
<br />WORI(ERS' COMPENSATION
<br />D&C!dSAIIO!
<br />I lE..t , lmm undq p.Mlly ofpdju.t oE ofllE following .L.l@loB:
<br />-l
<br />h.v.,nd {iU @inr.in r c.dii.ar.ofcons r. SclllNur. for $ort.rs comp.nslion ns pmvd.d for hy sd ion l7m oflh.
<br />Lahor Cod., fo, rh. nrfol]r@..f rn $ort lor which ln.,6mil is h$ed
<br />-l hsv..nd will mlintlin worl.B comr.nsalion insmtuq as Equi(d bySdrhn l?00 ofrh. Labo r Cod.. lo. the pdomnr of
<br />iBu.ft..afti.r a ,slky numb.r r.:
<br />L I 0[p
<br />-l
<br />c.ni& fid if, lh. Frformnc. of th€ wort for which rhi. !.rnir ir hEu.d, l shall mt cmnloy any!.Mn in 0ny manmr
<br />m * to bturc subtd ro rhc md(dl comt n6lion h$ of Califomi!, dd tgE lha 'l I .hould h4m subjd lo llE
<br />w.rtd' c.drcn.arion lmvisiom olsetion l?0O ofth. Labor Codc. Lhall, f.nh*irh of,ply wilh ltsr Pmviiioni..
<br />wARnlNG: Irrilurc r. scurc s'orkcs' cotrUlcn$rion c.kBBe is unlawtul, nnd shill iuhj4r an cmpl,,t€r t, rin:iMl pemllie and
<br />civil fn r uD lo onc hu lrcd lhou$.d dollln (.i100,00o). in addnion to ln nJn, damg., as ,nvided ior thc
<br />Cod., inrcrcs ,nd !tuney !
<br />l(
<br />,}ECJ.ABAIION
<br />I b.ehy amirn und.r p.Mllyolp.rJuryrhnl l.n l'.rh{d nnd.r ndvri'on olChltrs 9tconntEociry s h S.criin7l)00)olDivisinn l
<br />of rh. aunftss nnd Pmf.ssnns Codc, nn Dy lic.nE is in tull torc( and.tldr
<br />D
<br />lt
<br />CQSSTBUCUA!."LuBDINCICIXCr
<br />I h.reby aniirnundd pendlrrolpenury rhar iho. h. connddion lendi,s a-!.ty torrhc Derfoorm. ol'rht wo.k aor {hich rhr p.mir tr
<br />$su.d (s( :109?, Civ C.)
<br />dIII.ICANLD}.OAAAIION
<br />I lErt!'a,nm:und.r Fnilly.fpcUur) orc ollh. r.lb*rnr drlrarbns
<br />Demol ion P.rm'rr Asberkx No0ficartr'n ltdeml Re8ul Nns(rnle!0, ftrna,
<br />-Req0r.n
<br />L.(4 ol Noh66ri'n
<br />-l
<br />c.tury thsr lh. ftddil rcllhtiotu Eg.rd,n8 &ih..loe r.mwl 6E ml apFli.abk lo lhi.t ,!Dj{tl.
<br />4I c<tiry dtor t hle .qd
<br />'hi.
<br />.ordt I urc to mmply*irh lll ciryand cou y
<br />odi.akd and shrc LnwrElari.3ro rcDr6mtarir,6 o r lht Ciry snd
<br />ahove Dcn!uned pr'ldy litr
<br />I
<br />Itt tg
<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 Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOUSPA
<br />P{raplDrain Line
<br />Ir4a in Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbinq
<br />Meter Release
<br />FINAL \{1A\\4.,hr q.l )o^,k(\ AlI^q(\Y
<br />l]Notes, Remarks, Etc
<br />APPROVALS DATE
<br />Pool Heater/Gas Line
<br />Final Gas Test
<br />a"r,.".,.. A6 f
<br />Lendcr's Addrdi
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