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PLUMBING.INSPECTOR RECORD <br />APPROVALS ID/SIG.COMMENTS olyN}]ta 8u t LDriR Dt:t_cAR n()N <br />I lf,rch! rllirtrr tr ndcr li.nrlry ol p.rjury rl"r I inr cr$fl li onr rlN (itrrlr(nrA l.icct* l-a* lnr rhc fn bsi4 rcl\nr lscc 70.1 1 5 <br />Busnrs\ aM Prrc\non (odc): ADyC yor Cotrdy shi.h rdqunr\ r pcnn k, cotr{ru.r. ilr$. impturc. dcnmlth or Epdr rtry <br />k, rht S,visnnN.l rh. Contrcror\ Licci\rd If,s (Chrprcr 9. ('onnrc'(ins virh Sccrioi 7(xX, of Divi\ion:l ofrhc Bu\inc\\ ,nd <br />Iroli\sior Codc) or Ihrr l* or shc iscrcnu rturcrro rtrd rhc hr\i\ tur rhc nllcScd ucmtrion Any vn,hion ol Sstt'n ?0:l I 5b,iny <br />rrpli$ tn a pcnnir suhjsls lhc applicln, n) acivilp.n(lryornor nMd[ r liv. hnndrcd dollan(S5m) <br />l. rs owm. of rhc l,oFny. or ny .qJlorss virh vo8es N .h.i, $lc conp.nsrion. *ill do tlE 96t dn dE smrw k mt <br />itrlcndcd or ofcr.d for sle (Se ?044. Busincss !.d PiDfcsiom Cod.r T h Conhctols Lkcn- tjw do.s nol $ply lo !" owrtr oa <br />ih. tFlany e,E ttilds or iqrcB dEEtr u'd who &E uh w* tiNclf or hcmlf or llmus! his or l&r oan cntPlort.s. <br />,mvidcn lhar such inproEm.ts e ml hlcnd.i o. ofrcrd fi, sL. ll IFEE, rh. buildi.a m iqmEmrl ie sld wnnin oE Fa <br />ofsnphlion. rrE OwE Builhr will haE tlE l[rd.i of pfling rrEt lE r sh. dii mr b'rild or ir{mE lh€ FDrEty for $c |[rtr5 oi <br />L as owM of lh. popdy, 0m .xclusiv.ly conlrd.rin8 *irh lkcncd .onrdon ro snsrcl llE ,mirl (Se. ?(r44. Bunms <br />dxl Pr'f6iin Codc: l hc ContEcrol s Liccn$ Lav do.s ml lptly ro an owncr of pmncrr, sho l,lildi or imlJrows 6ostr <br />a.d who co.rftrs for such tmj.rB wnh e Comdo(O lkcnsd puBmr ro fic Conrador's Liccn* tiu). <br />I m crcmD' uider Sdion , 8. & P.C. for rhh rcen <br />Lrhor C'(nl..l(tr rhr pcrlanmr( o, rh. sork lnrl!liiclr rh. p.nnir L n{rd <br />-l <br />h.vc !trd will nEinluin *orkcr' co'nrEtrsslion insurunft. as rcqutcd by Sccrion l?m ol fic L3bdr Codc. lor rh. p$folr1@e of <br />lhc work for which lhh l}cmir is iNcd. My qorkcF omr.nsalion insuftncc caricr aid Poli.y nlnber e: <br />-lcenifythurinthepcrforturceotrhcworklorwhi.hrhisI'.rn <br />t isucd. l rhqll Bn cnploy any p.rsn ifl rny manrcr <br />s as lo tf,sm subj.rl to Ihc vo*o^' .omn nsaiio. laws ol Cllifomi!. rnd sgE ihal if I sholld tBor subjdl <br />'o <br />rh. <br />*orl$ .omp.nerioo IJrcvtions of Sdhn 3?00 of rhc t r. Cod.. I sh,ll. fonn* h sryly *irh rhos Imvhio.s.. <br />WARNING: FsiluE ro surc w[6'odp.nsrion srm8 is unL*tut. ad shdl suhjd an mplorr 16 cioim] FMhia.d <br />civil 6ncs u! ro ore h!.dEd rho!$id dollc (illD.000), in lddirion to lhe cosr of corpcn$lior. da@g.. ss pbvid.i for tlE <br />Setion l0?6ofrn kbr Codc, inlftsr and rnon y\fes. <br />uclltrDl;aNuAlJaa <br />DECIJXAIIQN <br />I hcrb, am,m undcr lrcmll y oa pcrjtry rhnr I !n lien$n ondcr Forision ofChsprq q loonrftinB wirh SRri,n ?000) olDivhio.3 <br />of lhc Busimssand Pmfc$ions Codc. ad my liccns n itr tull rore mdct$l <br />Li(cns Clals:-Lift e Numb6: <br />Datc: <br />CONSIAS:IIONIEIDINqIqINII <br />I hcrby afiinn ulxllcr Fn,lryol|rrjury rhd lhcrc isa coNru.tiotr lcndinB r8crcy lor lhc pcrlornEncc ot rbc sotk ftr whi.h thn tfrnln is <br />is\ucd (Scc. :1097. Civ C.). <br />dIrJIIANLII[!I2!3dIIA! <br />IlrrcbtaUinnundcrp. akyof pcijurtomoirhclollowirSd.clnErn s <br />Ucmlilion Pcflnilr Asbc(osNorificarion Fcdcrul Rcs!Lrn,ns('lnb40. P!n6) <br />_Rcquircd lrncr of N.rificlriod <br />l.cnifylhdrh.r.d.r.lESul,rionsEBrilingnsh.sosrunD!,l,ru.ralpli.nblck,lhisnmi{l <br />-lccnilyrh <br />lhavcrcldrhisarplicarnnrudlrarcll rrh.rhrc irronnrrn i\..nmr Ir8i.rt,.omPlyrirh.llCirvindCou y <br />ordinancc\3ndSraretitr\rchritrEhbuil.lin8co(rucrion.rJhcrcbtrtrlxnirrrtrcsdrtrrilc\dlihisCnyrndCountyroenrcruttlh. <br />nhnrc nrnlidrd ro]rny tu in\Fcri.nr purBr\c\ <br />Appllrinl o. Ag.Dl Si*noluE: <br />UNDER GROUND <br />Waste & Vent <br />Water-Under f loor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceplor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />ater Piping <br />Gas Piping <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <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 />Back Flow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />FINAL A-r--B J/rJsl v(E") <br />Notes, Remarks, Etc <br />DATE <br />IaEaEESsrMIENSAI1AN <br />DECI.Af,AIXO! <br />I ncrcby afiirm undr pcndry of psjury onc of thc following ddhmtions:-------r----- <br />-------r----- <br />i-