PLUMBING-INSPECTOR RECOBD
<br />APPROVALS DATE ID/SIG.COMMENTS
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor c/aarrqa 6?z'I a\- _ZOgl-3of
<br />Gas-underfloor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Piping
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<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 />Rouqh Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL lL[4[\,t lrH/J
<br />Notes, Remarks, Etc.
<br />()tl NFiR l U t t,DUR DUl,(.,\ RAlt( )N
<br />lluri'u\ iRI rtnit\loD (o,lc) Ary('iryor Coniry trh'ch rrqurc\ r p.flnl ro.on!od. rlr.r. irJr)v.. dcnx)l(h.tr n'Fn r'!
<br />l'roltsio \Co(lc)orrhar l{ or\h. irxcDln rhcrcli(mn rhc hr.i\ fo, rhc rll.g.n.rcnDrn,n ir!iolrri(inolSc.rhn70ll5hvtr.r
<br />rlifli.rd tur aNnnn ruhlc.rs rlrc rtrt)l;.rnr k) rcirilnc rlry ol mr 'norc rlhi rih hutrdrcd dollnh(i5{Xlr
<br />l. $ o$ rcr or rhc Fmlrdy. or nr] cnrl loy.cs wirh *r!c\ r\ rh.ir ol. .onlpcnsrio,- tr ill do rlt so& and rhr {tu1uN i\ n,l
<br />idc.n n or o,ic(d ror slc ( Sc.7(!4. Businc$ and Pmfcsinns Cod!: Thc Conracror! Li.cn{ hw doc\ n t rprly ro !n .uncr or
<br />rhc F)I.n, *h. ttuildi or nrynxts rh.ftr,i. d Rlx, dr\ such wolt himsclf o, lEr{ll .r ihmu8h hs .r hct orn cnlloyc$.
<br />DrnvidcdIh such nnl'orcmn( rE not inrcn $ nomNl d $b lt ho$*di Ih( tniklin8 or i,r{dtnxm is $ld wirtinom )qr
<br />ol cnn1)Lrir rlf o${cr Buildd wrll h,vc rhc h rdc. .r tln,!in! rlu h. or \hc dil nor t{ikt or in{fr)vc ft pmrd} tu rh. ltrqE$ ol
<br />-1.
<br />$ o*ncr ol'th. lmncny. !r. cxclusivcly .oorraclilrs wirh lielrd conrn.r,s h co,ndd llE lrn,i.r (sc.. 704'r. ! .i,r.'
<br />aid rt,ft\si,n Codc Thr (i,nrr.cktr's L(cnsc Llw docs nor |lt,rly ro otr osn.r ot p(,ttdy sho builds .t imF,vcs thcG,n.
<br />ld *ho ontra.h tu \uch lrojsrs sirh r C-.ntd.bi, lnrn*d l)ursulnr rorhcConr,aclois t-tcn{ tiq)
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<br />amcxcmfl unlcr Sccr
<br />IIABTEf,.L.COMSINSAII!,I!
<br />DECI.AEAII}N
<br />I hcrcby itfirn hdcr pc.nhy of pftjlry om of lhe rblbain3 dehrntiotrs
<br />I hrrtrJxl$ill hirtrinr(cnili(ilcolCon\cnrfu Sclfln{rc nrR c .o rtctr\rtiotr. !\ pmvitlcd nr hrSccrion.l?(x)olrhd
<br />lrhrCo(lc, f{trrh. p.rf.nnrmcofrhc qork lor[hich rhc pcnnir i\ i\\ucrl
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<br />hovc and *ill mlinlain wortc6' conDeo$lion insursno, 0s rquncd by Sccl i{in l7oo .l rh. tihor Codc. lo, Ih. FfornEtra of
<br />rhc qtrt for shi.h tlis pdnn is ksr'd. My sorkftl .onqxndion insuDm .!rkr ,.d Flay numbcr N
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<br />ccriily rhri in rh. pcrroirmN ofrnc *ort i'ft which lhis Pcmit is i*rucd. I shlll nol enPloy lny pc*on in a.y nMncr
<br />$ as lo bccom sutrjd to rhc *.rtc6 oop.nerion Les of C.lifornio. ad r8N l,ur if I rh.uld h..om subJctl ro llt
<br />*orlcrs.otrpcns.tionpmvhio.solSccrionlT0oofth.birrCodclsh.ll.ronl$irhotlplywilhlnoslmrisions
<br />W,!RNIN(;: l'ilurc ro ccurc *orkc^ .ohpcnsrrtrn \rag. ii unlnwful. and shrll sobjccr s sntlotcr to cimitul lEnahtr ahd
<br />.ivil finrs up lo oflc hlndrd lhDlrbnd doUan ($l ti r[c cor oi cofrFn\arion. drnn[c\ ur trcvi]c.l n, rhc
<br />S.crion lil76 of rh. lrtn C.dc
<br />"",,,t /zl Q
<br />I h.rc6y nrtrn uM.r ,E.0hy of o€rj!.y Ind I omvishn of Ch!flq 9(conmfting snh S.dion rom) ofDivnion l
<br />.r rhc ausiers ond P$f$sions Codc. ond my licnse h in lirll f.ne and cuLtl
<br />I h.r.l)y (lnfr trM.r |{nilryoI|rlJtr')"rlirr
<br />rnul(Sc. .l(li)7. Civ C.)
<br />n lc.diu trAcncy fin rhc Frf(,mn.c of rhc aork ln shi.h rhi\ N, rir is
<br />Roof Drain
<br />APILICANLDIig,/ rBAIro!
<br />I h.rct y anim !nds pcnalryoi0(rrtryonc ofrhc foU.wnrg d.cldarkrns:
<br />D.molirion P.rnrirs^sbcsos Nolii!!rion fcdcal Rcsllll hns ( lillc .10, Pd6)
<br />R.quncd Lctlcr olNorilEol6n
<br />n8ultrrions L-sardnrs h.ro\ r.n)val ar c nor intlicihlenr lhh ptu,&r
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<br />rcad rhic lppltarion .d slalc lMl fi. stow
<br />,nd Counryn) cnlcr urxnr lh(
<br />*LsfC"*er@!.a
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