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PLUMBING-INSPECTOR BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS oWN ER ItTIII,Dl]R DEt,CARAI'I0N
<br />Auii.\\ r' Pturli\\iir CnLl: An! Ciry or (irnrj_ *hi.h rc'lutcs r p.nnir b.onntucr,llr$. inuov.. tLnrJli\h L rc, r{n}
<br />inklurc, fri(rh irs nnhrc. rl$ rcrturcs rhc nfpli.r tur \uch Fnn[ h filcn si8ncd nnrcmcnr thnl h.or shc i\ lkcn\.d nuruonr.
<br />t, rhr pmfi\ion\ ol rhc Cu rrctr'\ I-ic!n{d I trw (Ch+rcr ,). Connncn.in! wirh S.cti{ni 70ft) ol Divi\ion I ol rhr Bu\iN$ Jn,l
<br />Pnni*nnrr Cod.)nr rhrr h:or.hc hc\c rfl rlMci. lrrdrhrhn\nn{rhcrlicScdcxcnr ior Anyvi.hln,nofsc.li)n?0ll56yany
<br />iptll.! tur0rdnrirsuhj..lsth. nplli(inrn,r.ivill]cnrhyornortr(tr thi ,ivcIutrlrcLld.llns(S5 ))
<br />-1.
<br />oi owncr of rhc lbtrcny, or my emnlorrcs warh wages os rfict slc ory)cnelidr. will do rhc M'rt ard ilE slnd8 is nor
<br />inldtcd or ofcr.d fo. slc (Se.7044. aurim$ ud Pmf.ssionr Conc: Th. Conlrdolr Li!f,* tr* docs ol aorly ro u oser of
<br />rhc phFny stn hrilds o, ir$bB rhc@n, ,rd *h. d.* sh wori hirs.lr or hc.slr or
<br />'hmuBh
<br />nk or hcr own cmpk'r.cr,
<br />providcd d! such inpmEmnls e ml inrc'xkn u ofic,ld fm sle. l( tD*cri rlr hiuins or inq,mwmr i.5llr wirhin om ,w
<br />of@n!)Lri,tr it! OvM Builhr eill laE tlE h,\rcn ol p@virg ihd rE or srE dil ml bdld or nrFmE dE p,opsty fn llE i,oqm of
<br />-1.
<br />os.vnsofrhc [trorcny. arcxclusivclyconr.lcring wiih li.cns.n conrcloF lo con(tucr ltc F)j.ct (s(.7044. BDru.$
<br />Md Rbr$rbn Codc: Thc Co.tre'or'r Lic.nsc Law d..s nolopplyro {nowncr ofpmpcrty who 6uild\ or nnF,nvcs rhcr.o(.
<br />and Bho ofltmchfor slch lmrels sirt a Conrkbns) ti.rnsn puFlanr ro rhc a,nrB.rols t.kcn* L!w)
<br />I urcxcnrpr undcr Sccrio
<br />WOf, (FXS' COIIDANSATTON
<br />DECI.IIBAIIO!
<br />I l"crcby !film lndcr rEnoh, of rsj!ry onc of lhc tolloeins dshnl ion!:
<br />Irthtr (r c. ntrrhcl^-rtunnrn.colrhc $ofk i,n *hich rhc Ii] nir si\\i.d.
<br />-l
<br />hovc 0nd will min.,io eorlcu ompcnsalion insum,rc. as rcquirn b, Ssrion 1700 6lrnc Libor C.dc. roi ttE pcrfol1Mc of
<br />is tsEd My work€6 .omrEnsrion ins!ruh--c .nri., ul Fni.y ntrn'lxr d.
<br />-l
<br />ceni,yrhar in $c potormrec ol thc a6rk t r whichthh podn is irsu.d.l sh,ll nol cmtloy any rcrson in ony tunnc,
<br />F $ ro h($m subiEr ro lhc wo sl mmpcnsrion bss of Cdifornh, and.sE rhlr ifI sholld b..68 subirr ro ltE
<br />kic6 &,pcns0rion p$lkionrofScdion S?00oarhc Lihor Codc.l sn lL fonhwirhconplr wirh thoel,ovisions..
<br />WARNIN(i: liailtrrc r. $!r. work$r .onr.nsarion .olrrAc
<br />cnil finc. uI Io nn. hui'cJ rhuu\Jnd Jrlhr\ '!l(Yr./rI)'. in
<br />Sccrn,n 1076.lrhr Litxtr Cudc. inrcr{ Md rtroiny r fLr\
<br />lfiY 17 2010
<br />I hcrby afinn undtr prndr! rf Frjury rhlt I ar li.ctrwl undcr tlovnion ofChnplcr 9(co.trmncina {ilh Serion 70fiD ol Division 1
<br />of rtc Blsnrs m.l Pmlt$ion\ C.nc. iid myliccis n in Ioll Lrcc ,rrclrc.r
<br />\ oct<en
<br />CI]NSIf,JJCIIANI!!DI!Ii{i!N!I
<br />I hdrby alttni rnd.r Fndlry.rl).rjxry rr',r rhac i! a consrrudi'i Lnd68 agcm, fnr lhe pcrlorroncc ofrhc $oA aor shkhrhis Frnri' is
<br />hslcd (Sc..3097, Civ. C.)
<br />AIILICANI.DECI.AAAI]AN
<br />I hddry.rm uid6 ixn.Xy ot Friury orc of dE lollowir8 d(l{srionr:
<br />Dcmtnio. P€rnnsAsh.sros Noriti.lrion R&61 RcguLrio6 (Tirlc .10. Prn6)
<br />-Rcq!ncd
<br />krrcr o, Norifrarioi
<br />_l c.nity thlr rhc fcd.tul rceulnri.trs 6e,rdine r\t {osr.frrvoldc trot {Ilicoblc lo rhis pnjccl
<br />]6 , ,
<br />"""
<br />,*o *o opplklrion ud $0rc rh.r rh. firtc inrornursn is corer I as@ ro 6dtly w h all crly ant couniy
<br />oldinorccs rtrd Sldc ljws rcldinB to b! ildins conslfuct
<br />.bov. m.riorcd proFny ror inspccrion *fAtdrilt
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />lnterceptor/ Clarilier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Rool Drain
<br />Tub/Shower Test
<br />Bough 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 />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing fta t/rc 9->tl larLtY
<br />Final Gas Test
<br />Meter Release
<br />FINAL y?,/h flb6
<br />Notes, Remarks, Etc
<br />Area/Storm Drain
<br />Miscellaneous
<br />(.t.\4
<br />".HlY ni 1!l
<br />L.ndc N3m:
<br />-
<br />t_
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