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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWNM BUILDER DSTIAIIATION
<br />I hceb, dffm undcr FElry of pcriury th, I m crcnq from $. ConlncloF Lkm L.r fot *E fou,owing !!gr (S*.mll.'
<br />Busincs md Prcfcasion Codc)r Any Cny or Coudy vhhh Equircs a Irmil lo connroc1. .llg. iqnow. .hmlhh or EPln oy
<br />shcnft. fio! ro ni i*um., also rquiEs ltE lpplicanl for such Fmit to 6h . tigEd slalcm lh,l hc or she i! liem.d ,[rs.rt '
<br />ro rlE lmvisioN of df, Conrtutd! Liccn*d Lrw (Cltspkr 9, Collftmirg *iln Scction 7000 ol Divi3ior 3 of thc Bosirc$ ed
<br />Prcf.sions Cod.) or thll hc tr lhc i! ercDl,r llE.dioB $d IIE b.sh for llr atLg.n .xctr{llion. Any liohion of Sdlb. 7011.5 by tny
<br />{rplkafl to. . Froir subirl3 rh. sppltlnl ro s civil Pcnalty of nol mE th,n fiv. hundt d dou&s tt500).
<br />-1.
<br />as owncr oa rhe pmpcny. or my .mdoyccs *nh waecs 0s llEn st cotlltnerion, wi! .lo lh. *ort ard lhc slnri@ i{ nor
<br />inrod.d or ofieed h. sk (sa.ro44. Busircss and Prcf€ssions crdcr Th. Conlmff's Liccn* L!, docs .or aPpl, lo m o*rcr ol
<br />lh. pmperly wtD tdilds o inPtb6. $d6tr aid *ho dB $cn w& himell o. ttelr6r rhsugh hh m h.r own.,npbr6.
<br />providcd rh.r rkh LrFoEmds N ml bt.ndcd orotu for sL. lf. tbwE rh. hlildiry or invotmm Li $ld winin m }te
<br />of omptrbn. r,E OvM BliUd wall h.E ltr h'rihi of t svin8 lhd hc s slE did 6l tdild 6 inprDE ln. I,opsly for fi. pqN ol
<br />-1,arown(oarheporcny.r'ncrclusiv.lycontetinSpilhliccn*dcool.er.rroonsldctllElroiIt(S..7Ol4.ausims.Jd PDf6sb. Cod.: Thc Cotrrr!.rols Liccnic L{w do.. mr lptly to an owncr of l)loi*rly sho huilds o, inPrcks thcrsn,
<br />and *no .nnrEcts fot skh Fojds with a Conh.lo(, li..nEd I,!6unr lo lhc Co.radolr Liens L!*).
<br />I mctc'ml undcr Sc.lion .8, & P.C. lor thn t@n
<br />YIIE6EIN:.(:QMIDNSAIIOI!
<br />DECIJXAIION
<br />I lErchy amrm undcr pcMll, 6f tdjury 6m of lhc follovi.S &.lmlions:
<br />-lhrrcnBlqill'uinr!i.aCrnificdr.orco(c
<br />b Sclr hsuE lor Ndksi conpcnsrion. !s lmvidcd for by Scction l70o of lh.
<br />tlhn C'odc. for rhc pcnormie ofrhe wodr tor which thc pmil i, issucd.
<br />I
<br />71 hrvc '.d e 'll mainGm $n*6 ompcnsutFn insur.E., &s rcqliEd hy Sd ion l?OO of rlE l'Ibor Codc. rot rh. I,crtommc of
<br />r srk fo. whkh rhn pcmil is ksicd M, sortes oq$eri.n insuBre odio ed Plty nunlxr @:
<br /><rlr h) .1
<br />qzttS.5P. I1
<br />-l.cnirylhd
<br />in rhc p.rformre of llE *ort for whhh rhar !.mir is ksucd. I shall aol .nlloy rny IEMn i. any mnrcr
<br />s s ro tEonE $bjecr ro rhc s*cB'onD.nsllion laws ol C,lifomi!. dd agl* rhd il I should t ro'tu \lhjdr ro ih.
<br />mlksa comncosarion l,rvisions of Scdio. 1700 of ltc Laitr Code I sl^.dt. fonhwnh mmtly with llh* Iftviliors
<br />IVARNINC: Failu. lo slE qo*€^ anpen*lion covcaec is unhwtuL atrd shall subjd e cn tloFr lo cihinal ltMlics ard
<br />.ivil nncs !p lo orc hundrcd rhousld doll6 (Slm.OOO). in addilion to lhc €osl of co@.nslio.. drm8.s !s ttsvidcrl for rlE
<br />Seiio.:1076 ofrlE kh.(Cod.. inr@n and lomy N f.ca,
<br />I lErcby !ffrm und6 n n lly ol pcrjury lnll I !m liens.d urlcr Fo,ition ofctaPld 9 (onftftirg *iO Serioo 7000) of Dilist'n l
<br />of lh. BNimss ad Prctersions Codc. a,i my li*n* is in tull foc !d .ff(l.
<br />B
<br />*,,, 5/lo/18
<br />IA!!IB!&:UA!IINDI!C.AIiIN1;X
<br />l ncrchy !fltm !id( Endlry of Dcriury lhol lhsc is ! construclion hnding agc..y for lhc PTfomncc of lhc wort lot {hich lhis Flmil is
<br />issxcd (s.c 109?, Civ. C.l.
<br />AITUCA!'LITILAX{IION
<br />I h.nty rilinn r.dcr Ntrrlty oll(rju., o'rc ofrh.lollowinB dNLtritions
<br />Dcnx,lirhn PcnnirlAshc{or Norificalion Fcdchl RtArhn,n\ lTtlc,10, P0n6)
<br />Rcqun.d lttrcr of Noliicort,n
<br />-lccnilyrharrhcrcdchlrcgulrrionsrcadJirsnstE{osrc
<br />rvalec ornit}i.lhlctorhislroJrcr
<br />8I.rn'lyrh. l h!{ rcJdrhr. lfrl'corhnrnd {rrrrhJrrhc rhrlc irro '$tion is cotrccr l asiN ro.smPly wnh all Ciry trnd Cou iy
<br />ordiM er ud Sr.rc Liqs EL inE lo StriEn,g consrtu.rbn, and turcby turhori4 rcprc\.nrari!.s o f ihis Cit, aM Counly b cnrd ulon rl*
<br />fi,lc mnri.ed fmFdy ror inslf,rtion prq,oss
<br />/\ppliGnl or adl Si8tulu
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<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 />Roof Drain
<br />Rouoh Water Heater
<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 />Rough Plumbing {//:,/k ,'iffi tEV-g
<br />Final Gas Test
<br />Meler Release
<br />FINAL {/:l/tz LE nl^-,,Y4
<br />Notes, Remarks, Etc.
<br />O9[i
<br />5l? t; ttq,
<br />D. ' s/to /lt
<br />4t1". t/o
<br />urc.-gJ !111J1)-
<br />Tub/Shower Test
<br />POOL/SPA
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