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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS (,\1l\llR llUll,DItR Dl:l,CARA l'll)N
<br />I hr.ny rftn ! tid.r t^..nrlry (,I NrJUrt (hrr I rm dcnDr from rt Contr.tn\' t-irci{c l-a* lnr rM f(nkiwinS ra$n (Scc7lr.ll5
<br />Bu\ nct\ r lnnir\i,trr (- lo Afy Ciry ur C.trnry !hi(h rrqunc\ r lfn. kr cot{r.1. nlrcr. i,ntmvc. cnnni\h L tn,r,nv
<br />!) (hc pn,vti,'n\ of rh. Cotrrrr.ttr \ l-icci\rd I rw iChrpr.! 9. (.{nnnrn.inE *irh Scrrnnr 7U)tr of l)iri\i('n :l otrhc au\nr\\ rDd
<br />rmli.rl1l hr r Nrhir \rhi..rr rlrc rnJ,li(rnrl,) r.ivil,[Nlryulnornrtr.lhrtr rivc htruirctl,lol! rr (55{xr)
<br />-1.
<br />as o*rcr ol rh. I,oFrty. or my cnployes wiln *o8ca .i tlEir sh omp.nsalion. will do lh. vst $n dE slrrIt@ is ml
<br />nned.d ororch! for sl. (56.7044. Blsincssrnd Ptof.siions Cd.: Th.Co.relols Li.cM t w docs mt .pply ro D owffi of
<br />lhc llDFny who tDildr.r ii{mB dam.. .nd who de. Mh s* hinscll o. h.mlf or lhreu8n nis or lEr om.f,ployer.
<br />provi.lcd rtu su.h iopotrnls @ ml htcnd.d or orTcEn for slc. IL l[EE. ltx boilding or iqmrcmnl k sld within oft ,et
<br />or6n!)bri6[ rhc Owr BliUd wiu hiw tli hnLn of ,tuvh8 l|llt lE or ih. dit er hrild o. inlmrc dE pnpciy for 0E pr4e ol
<br />:!. asowrrofrhelopclly. m.r.lusiwlyco r&rirs *nh l&nscd conrreroF ro ensttu he rmj4r (sc. 7044. Blsir$
<br />rld h!&.sbn Co<!.: The ComEcb.t Lkcnrc Lrw does nol lpply ro o oond oa pmFrly who builds or inpmEs th.r6n.
<br />lnd who conntrt for sh Forc.ts w n a Conrmto(s) liensd tusu lo rhc Conrocrols LieM kw).
<br />-l
<br />am crcmrt undcr SNI B &PC forlhGrcason.
<br />"ffiffi*
<br />{hcrcbv Jfirm utrdtr r,.Ml'yolllcrruryom of rhc lollowrne dNld0n.n\.
<br />2Ll h.( drd urll rumra'i a C.n rararc of C.nsnt to Sclf'lnsuE lbr u m compcnsdion.ss rmlidcd for bySc.ridn l?fi)olrhe
<br />hbo.ad.,ln rhcll.rlnmk.olrh.woi, fmslrhrh.n6f,1 hF.u.d
<br />-l
<br />hlvc and sill mintoin *o*cr' con c8al ion insuEm.. er rcquircd by Salion 1700 of lhc ljtx, Cade. for lhc Frformk of
<br />rlrc work lbr which lfiis ,)cmir h hscn. M, wo qs comlcn,olion insu.mc cMicr ad Flicy tunbcr e:
<br />-I
<br />ccnir, thd in rh. l.rrorMncc ollh. work ror whichrhi*rc.nir is issucd.I shrll nor cmploylnyt mn in lny tunmt
<br />s us ro tc€onrc Nbr.l lo lhc *orkcG'.ompcnsal iotr Lw. ofcaliforni!. ond uN lh.l if I tholld bccotr suhjtr ro rrt
<br />ertc6 onpcnsalion pDvhn,nsofSNrion 1700o,rhc Lrbor Codc.I null. li,nteiln..oDl, wirh rh.* tovnione.
<br />W RNIN(i Faihrc ro E lre w.rk.6 compcisrbn covcD8c
<br />ctr,l fiT. ut tr, nrc hun'lrd rh,.u\Jn'l J,,lln,\ rSlrrr.(Yx)'. n'
<br />Secitr,n:10?a,ofrhc l-|hor Codc. inrcrc{ md ormv s flrs
<br />suhj€l an cmploF lo ainiml [!€Mltis ond
<br />j-9-r a
<br />DICTABAITAN
<br />IhcEhyffi.nu.dcrFMhyolFrjuryrhdIamli.cn*du.rFtuvirionolChltrn9(.omrEncin8virhScdn'n7fi)).tDivisn,nl
<br />ol rhc Businc\srnd Pr.le*io.\Codc, dd
<br />'ny
<br />liccn\c i\ i'r lull fttrcc atul.ff.cr
<br />f-8-,e
<br />COIEIAISUONIINDIIC.&GINTI
<br />I hcch, finn uftlcr Fnrlryol pcrjur] rh lhcrcisa.onnrucrtnrlcndins!$n.yr{rrhtl.rronntrtr.corrhcqorklowhi.hrhis|Ernritn
<br />issuL'd (Scc :1097.Ci!. C ).
<br />AEELTCANLDECIdBAIIJ,IN
<br />I hor-tly diim udo p.n!lr, of Frtury orc or lhc tullosing dc.hBrioni:
<br />Dcmlirion Pcmit$Asb.sros Notificrtion Fcdchl Rcslhlions (Titlc,lO. Pad6)
<br />+qdr.J tdicrnr Norifi dx
<br />v
<br />Et .zAl enify thd thc lcdcrulrcgul4ons rcg.rdin8.st{$o\ Em\!laE mr lirnlicablc lo rhir nmjcct
<br />-l
<br />ccrrily rhnr I fiavc rcd tht urplicurion dd nulc r anlomrion h cotrel.I aCft b 6nl,ly rnh !I Cny.ndCountt
<br />.rainarcs nnd sur€ tnus rcldins ro blildinE s of Lnis Cir, sd Counly ro. cr uFn th.
<br />ubovc m.l md prctEdy for
<br />]\DDlionl or ffnl SirElum:f-s.tg
<br />UNDER GROUND tl
<br />Waste & Vent sltr{IB ..1(Jt
<br />Water-Under f loor I
<br />Gas-Underfloor
<br />Building Sewer
<br />Area"/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT r l-
<br />?-22-r$Waste & Vent ,/4.- z.Z -
<br />Water Piping I
<br />Gas Piping to-z-18 @A\lf c,.>\{z-<-
<br />Roof Drain //-2f48 4.,.o*g@
<br />Tub/Shower Test Gr. zts*-z 21"-rz--
<br />Rough Water Heater -//2; F,zJ/
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<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 />Rough Plumbinq lo-Lt-t8 /-4Ar,
<br />Final Gas Test
<br />Meter Release /2-7-/4..4rzt
<br />FINAL /2-3r8 *zz (>>-J C:...L
<br />Remarks Etc.Notes
<br />2,(
<br />Policy Nunbcr:-Erpi4s:
<br />-
<br />kndi i Add6
<br />-
<br />Back Flow Device
<br />22 h),/zzri<. 116:12 72k/ /2,
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