|
PLUMBING-INSPECTOB BECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OIVNUR NUII,DF:R D!:I,CARATX)N
<br />I hcrchyrtftNu d.r Nillry()l !.4ury rhrr Iin.rclnrrrc rhcG m.ttr! t.i.ctr* L,w turhu illoqin8 rciu lscc ?1t:11.5
<br />Bu\ir.\\ u ltoltsi(r' Coder A , Ciry or Counry which rcttuir$ r pcn.ir ro con\lnr(|, lllcr. i'nDlrvc. J.nnnin' r rltr'tr rtrt
<br />{nr.rurc, p'inn, irs n\urnrc.trhordqun\rhc$l]li.rnrir\d.h|Innik,ril.rn!i.d{rrcnf rlrrrh.orshcislic.n\cllF.suitt.
<br />t, rhc ,ovni{nN oi rhc (ntrrrrr{r'\ Li.cn{d ljN (( hlnlcr 9- (in ncmin8 *ilh sccrion ?(xI) ot Diri\ion I ol rh. Bu(inc$ rnd
<br />PR,f.\\iotr\Co c)orrnrr hcor!hc ircr.'np! rhdrulionrrnd rhc hrsi\ n,rir rllcgcd dx. rlrii,n Anyvnnnrn ofSNtiinTr)11 5hy{ny
<br />rml1.ntrr tur r Nnnir $hj..r{ rhc aplli.ntrrbr.ivil|)cnrlryoffortrtrtrcrhrnlivchundrcddollfts($5U,
<br />-1.
<br />as o*.cr ollhc pmpcny. ({ nry cmpkrycc\ sirh \la8cs rs rhcn snc cotrlPcnulii,.. ailldo rhc work rftl lrt {turm i\ to
<br />i,n.nddd.rollcrrdn)rql.(Sc..7Oj4,Burirosrtr{tPturr\\ioisC(xL:'lhc(i,.hrcrtr\l-l.cnsLowd,*snotonDlyro!nouNrol'
<br />rhcl,^)ncny $lntuilds.r i,q,ols rhcNn. and sho d€s such sor* hiNcllor h.r{lrorrhmurh hG or hcr osn cnlpkryccs.
<br />pnridcd rhrr\kh i,npnr(r (d ,int lrl oronaR{ f(n sL ll ln)}r\ ur, ttr huiBnE ur i,qrmEmnt isv)tlwnnin m}rs
<br />ol ory,lcltru. rtE Owncr Luildcr *ill hlvc lhc hurno ol pmri,g lh{ hc or shc did nol ttrild or irrrN! lhc i,n,rEny lor rhc luqrt ol
<br />-1.
<br />er o*ft, of thc Impdy, am d.hrikly conrrrctin8 *irh licensd coflradoF io conner rlE pN,ccr (Scc. 70,a4. ausincs
<br />end ftD6:$bn Codc: Thc Conlrutor's Li.cns. L.w docr.or applr ro r. owner ofpmp.ny sho builds or improws rhc@n.
<br />and qho o.rmrs for slch loFcls *ifi r CoflrEclo(s) lt.nsd plau ro rte Contracloir Liitre Li*I
<br />]IOAtrI&i:CIIMIENIAIION
<br />DDIIA8AIIqN
<br />I lEnby afrirn uodc. Fn,hy of Frjury onc of rh. following dechorionsl
<br />IhrvcnMsrlliBi'rrrCrni,i.{.ofCunsctrrtuS.llln\urclorB.rkcr'.onrFn\arnnr,Npmvnbdturh,Sciionl7{l(roirhc
<br />lrtxn Cdc.lbr rhc EnbnrBn.c olthr wor\ (trwhich lhc Dunnil i\ issucd
<br />I h0vc ,nd will m0i6rri. workcn' conp.nsdion i.suroftc, as Bluimd hy Sdlion 1700 of $. , ibor Cod.. for thc lErfolmre of
<br />thc work for *hich lhis p.rnil is issu.n. My *orlcB @rq*.srrion iosur4€ caEk. ut polky num6.r m:
<br />Polic, Nunrber:Jxpi c.
<br />-l
<br />c.rlify lhd in rh. D.raormrc oflhc work lor shi.h lhk lErmil is issucd.l sh.ll nol.mploysny FNn nt any maner
<br />*, N k, hcsft slbrcr ro fic ertqa on cnglion hws of Catifoni!. aid ase lhd if I slbuld tEom iub.itrt lo rtr
<br />sorts'conpcnsdionpmviriorsofSerionl7mofrhckborCodc.Idull f.nhsirn onply {irh lto* pmvicions..
<br />WARNINC: Frilue ro surc work.s .omp.nsrrion covcE!. is unhwful. ed stull subjcct oplor€r lo qi itul pcruhi5 dd
<br />civil fincs up
<br />'o
<br />orc hundr.d lnouend doll0s (tllx,.ulo), h oddnion l. rhc.ost of cohl,cnsslion. damBcs ar revidcd ir rhc
<br />S.{rhn 3076 of lhc Lrbor Coda inrcrcs &d
<br />5*re 'B
<br />ufJ:lAnallltN
<br />I hcEhy.ffirh undcr pcnih, oa lcrjury rhol I !m li$n{d undcr pmvhion ofChaprcr I (.ommei.-! wirh Seri,n 7m0) olDivisn,n l
<br />of rhc alsiFss..J Pmrcssions Cqjc. alt
<br />'ny
<br />liccnsc is h rull for.c,fil.fitcl
<br />Y
<br />- /b-19 c-r*u".)4*
<br />carsrf,lJ(lt()Nttitutcna[ll;r
<br />I lf,r.l,f rflinn rnd.r lEnrlrytrftrrjuryrhi rhdr. i\l.ond c!r,nLdingr!.,f,tforrhc|1.rfonn.Nc.lrhcworkhrshichrhispcn.ilis
<br />isxuL\ lsc. 10t7, Civ. (l )
<br />ATTI.ICANI.DECIdBATI}!
<br />I tora'y rmd lid€r pc.llry of,criry om 6f ttr follo*ing dehrrions:
<br />Dcmlirion Pcrmirs-Ashcstor Nori,iorion F.ddal Regohhns (Tirlc 40, P3n6)
<br />-Rcqoircd
<br />llllcrof NoliLz on
<br />-l.cnifrrhurrhcfcdc.alregulllionsrlardin8$lr{osrc'novrlurenorlPpli.{blctorhhpmjcr.,["-,ry,r'", I ro,".,a,r"" "ppr",,on/orllmm$ rnd Sitrtc t e{EhrinS rohu,ldr
<br />ic coddi I !8re lo .ondy *irh !U Ci! y !d County
<br />,urhoriz. rctmscnrotivcs ofrhh Cny lndCounryb cnr.r qr,d dr
<br />ehoh mnri.n.d pmFdy to. in+.dio.
<br />ApDliclnl .. A|tcnl SlAtulu
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underlloor
<br />Buildino Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />P-trap/Drain Line
<br />Main Drain/Pool Piping
<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 Plumbinq lh1 tt(fuuorw-ltl/
<br />Final Gas Test I
<br />Meter Release
<br />FINAL &r/\.rL ./t?---'-
<br />N otes, Remarks, Etc.Y
<br />POOL/SPA
<br />-l
<br />am crcn! tnds S€clion-, B. & P.C. lor lhis Blson
<br />Drlr: Om..:
<br />,"", S--1€-/9
<br />-------r-----
<br />I
<br />=
|