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PLUMBING-INSPECTOR RECORD <br />()lt NEi BUTI,DER Dlrl-cafl Tr()N <br />I hcrchy rlltm u.dcr ,ttnrlry of ncrjury th.t I inr cxcnu Iturn rh. Cont..roK t,iccn\c ljw tur rhc tblloving rcrsn (S.c 7011.5 <br />Bu\nrs lnd Proicsnrn Codc): Any Cir, or Counry shich rcquirc\ r lt nrir lo con(rucr. llrcr, i.umvc- cmli\h or rclan !., <br />ltrudurc. lritr ro ii\ i\luirt . lho r.qundthc iptrli.rnr f{tr n,.hp.mir ro fi|.a sistud {arcfthr rhr h..r \rr i\ li..n$d prr\ldr <br />rr rh. ptuvi\ii,n\ ol rhr Conrmcu\ | i.cn\cd hw (Chuls 9. (tmilcncnr-g -nh Sc.lion 7U(x) ol'Divk r I oi lhc ltu\ircsr rnd <br />Pnntssnn$Codc)orrhrr hcor\hc i\.rcnrfl rh.r.fr. odrhchri\I{nrhc,llc8.dcicmprion. An!liolarionolSc.thtrT0.ll5hyany <br />lpllicrnlhr!p.nnnsubjcchrhc.mli.dnrro!.irillcnrhrotnorfrDrcrh,nlirchundrddollfft(55m). <br />-1, <br />$ own* of rhc floFny, o, my cnDlorEs *nh sascs as th.t $lc snD€n$rioa. will do rL *orl aM $c srnr1m h tun <br />inlcd.n or oficEd aor $lc (Sc.7o44. Busims md ftDfesio.s Codc: The conhrd'3 Liccnsc ljw &.s mr lpplt ro m oenc. of <br />rh. pDFny wth hrik& or inplbEr rh.tun. tun sh. d6 wh mit hi.B[ or hcrelld rhough hi. 6, h.r own cmllore.. <br />pmvidcd lhar skh impmlllgls w ml id.trd.d trofr.En for $lc. li bwE $c hlildit{ or nqrctErr is $ld *ntin orc t@ <br />of @mplclioc lhc Oarcr AuiE6 wiU how llE burdcn of pmvirS lhll tf, or nE dil ml tdild or irpmvc lhc popcry rtr lh. IIiIDE of <br />_1. ar o*trr ol fic tmFny. an erclusivcly.onlrlclin8 *irh liensn co trtoc to conntud rh. Foiccr (Sa. 7044. Blsinc$ <br />ond PDlsabn Codc: Ttc Contmclor! Li..nsc Law d@s nor upllyro Mown6 orproncny who buildsor inprelci rhcrcon.rnd who anr'zcrs for slch Imj.rts wilh tr Co nlB.r orl, l i...scd purousr ro rh. C.nrru.tols Lk ns L!w) <br />-l <br />d cx.drr !nd.r S6tiofl-. B. & P.C for lhir @$n <br />Dole: Osne.' <br />wof, t(ER\, coMpF{sarIoN <br />DECI,/IAAUOts <br />I hcrcby lmm undcr p.n y of rEjrry orc of rh. follosinS deLnlions: <br />_l hlvc dd willminrsin a Ccnificat. ofcoistrr ro Sclfinsure for workdl onpcnslion, es rovidcd for bt Sdion 1700olrhc <br />Lihor Codc. forlh. pcrfomm oflh. *or* lor which th. pcmn h i.su.d <br />I hr,c und willnrinruin sorkc,i .oftrEnsllion insurulcc. a\ rcquncdrySccrn,n l?OOolltc Llhor Codc. tu rhc pcrformncc ot <br />pcdir i\ i\{i.\l My*orkcr\'.onwnsulion inslra.cc caricr ard policy nudhf uc: <br />vrJ(o no?o \. t.li . <br />-l <br />ccnify tlul in thc performrcc of llE sork fs whicn fiis tdmir is Gsud. I shlll ml cnploy lny psson in lny Mrcr <br />$ os ro tEom iubjd ro rhc qrt6 oolcnsar io. bps of Cdlifomi4. ad l3re lhd if I shoub bccom subiccr ro rlE <br />work6 @nFns.tion pmvisions of S.dion ST(r0 of rhc L$or Codc. l strll. fonh*nh Nnply wirh thos povhioos . <br />t{AtNlNC: FailuE ro ktrr {o*cB onp.tr{rir corBsc i! lnbwlul lrd ihdll rutirr d crll)lo}rr ro diminar Fm[ics r.d <br />.ivil fincs up ro oft hundrcd rhouend dou6 (Slm.o ),. i6 lddario. ro rhc.o{ of on{xn.drion, dame.s I provllcd aor fic <br />I hcruby nffirn undd p.nallyofFrjurtlhat I an li.cns.d oI Chiprd 9 (.o,nrtuncin8 wirh s11i,'n Tlxx)r ol'l)ivrirn l <br />or ih. BusiE$ ,nd Pmtcsrions Codc. rn my li.cn* h in full fo@ dd cficcr <br />\oqn1n. <br />*,fr.[Ya? J(rl[ """"*,* <br />IONIAIJCIIONIENDINGIIiEN(:XIhcn$t lnnr!nJ.r lrnrlry.lp.rJurr rhrr licrc istr.1'n\lndi(nr Lnding uECm) I{tr lhc Nrr.mumc olrh. trork ld shi.h rhh F.n,it is <br />i\\u.d lscc 3(B?, Civ. C ) <br />AIILTCANLIIECLAE.{IP! <br />I tEmt y lfilnn undc! I]collly of p.rjury ooc ofth. lnlb*ing d..r0roltuns <br />O.rml(idr P..rnirsAsb.stos Narificorion Ferlcrll R.8ul0ri.trs ('I'irl..l0, Pf6) <br />Rcqun.d Ixfl cr or Norirr.ali,r <br />-l <br />cdrify rhlr lhc fcd.al qobrions Essrding aslEtus rcmvll m nol .Ipli.abt ro rhis lDFcr <br />ccfliry ltu I hnv. ead lhis applhadon ad ,31. rhd $e abw intoruioo Lr .nftr. I rgr* ro conply eilh rll Cily lnd County <br />bdinnnccs od Sr0lc ljws rcl.r ing ro huildi.B coneru.rion. uxt h.rcb, rh,i2d rctrc\cnruriv.s ofrhh Cnyand Counlyro.nrs uoonrh. <br />abovc mmion.d po!.ny fd anstE rirn <br />,\pplicanr.r A(rnr Sisntrlue: <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDEB GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underf loor <br />Buildino Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipinq <br />Rool Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trap/Drarn 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 />L awn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing f/t glt 9.tz uzw cl <br />Final Gas Test I <br />Meter Release <br />^6<{Notes, Remarks , Etc. <br />I <br />I <br />--fr8-1" ?0rs <br />FINAL