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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS OWNER BTIIt,DER DEI-CARATloN <br />Ihrrchyrfln rndcr Fnrlrr,,f Nrjury rhd I lor cxcmtr frorn rhc (i'ntrck^ l-i.. \c lrs tur rhc folbwinB r.!$n (Scc 70:ll5 <br />l]trsirBs rkl h.fc\{otr C(rlc) Atr} Cirt .r (i y shth r.quitus r Fynrir tu con{fl.r. rllcr. i.rrrov., &rmlist .r Erxrn any <br />\rn'clurc. priorro il\ n\u0ncc. als rcqun$ lhc rmlicMr ior su.h pcnnirk' nb r sisncd lltcnEnl rhar hcor shc ir lic.n\cd ptEud <br />h' rh. ptuvirions ofthc Contlcrur's Li..trscd Lrs lchryr( '1. Comncirnrg wirh S..rid ?00O ol Divisn loillrc Bu\ir.\s and <br />l'rcilsrions Codc) or rhrl ltr or shc n crcnrtl thcr.lrom Md rhc hlsis tu rhc allcBed .xc mpl io n. An!violalionofS.clionTO.ll5l'yany <br />rpr,licinr ntr 0 |I nrit sul+ctslhc amli.r.l lo!.njlDcmlrrot not nrrc llm lilc hu r.d dollars (S5m). <br />l.r\ osncrolrh.F,r^- !.rrni,c rnl('yLr\ rvirh wrlc\ \rlrtv'1.cont(nsain .*Llldorh.* rk ntrd rlr iehrc i\ ml <br />inrdrlL\l .rolLr.i lor srlc rS( rO]J.llr(irE* rn,, ftolt$ions (-'rlc thc C.tuturois Liccosc lis dacs n.r lpplyro trn.smr of <br />rhc F)rrd, qh) huilds or nnnro\c\ rhcRrr. md slx' d[\ {rh *ork hnn\cLIor hlr\clfor rhn)rlh hi\ ur hci ow. r.Vr.).c\. <br />-1, <br />as owmr o{ ltc pmrcny. !n .rclusilclt contro.lin8 wilh liensd .onrn.1oN lo connod dr lmjdl (Scc. 7044, Bu\its <br />d Pnrrdsbn Codc: Thc Contrloar Liccnsc Ll{ d@s nor ot tly ro an ownf of propcrr, who builds or im,,rows thcrcon. <br />snd who co mls lor sNh proj.crs with ! Co.h.to(s) lhnst purs@l ro th€ Conlr.clols LicctrE Lrw). <br />I !m ercmrt undcr Set ion , B. & P.C. lor lhr rc!'on <br />tlof,f,Ef,tlroMfliilsAllo! <br />DECIAf,AIIIIN <br />I hcrchy affilnr undcr pcnulrt.f per.iury onc ollnc followinB d(loarions: <br />-l <br />halc lnd Bill nEinruin r Ccn iararc ol Cons lo Sclalnsurc ftr sortcn c.mpcnorion. as I^,idrd lobySdriodl7mof rhc <br />LJhgrCodc.lorrhc pcrlofltuRrorrhc wort lor trnich'hc Frmn s F.ucd <br />4h .rn,leillmmrdr[o (.(' ."m!.nsattr'n ,n\di,nrc, sr r.qui.cd bys*lion ]7lD orrhc trktr cod., tor rhc lcrlormlncc of <br />rhc sort ro, which rhii lcml is iqecd My wartoJ conp.nrara.n inslrd. (shr srxl F,lty.un$.r ec: <br />VQl( <br />v5450rqbrt q.t, <br />_l enify rhal in rhc Frfo.mrc. orfic wort for whi.h rhis pomi is L$md.l shr ll nol .nQloy any lEson in any hann6 <br />s er to tE onE subjfr lo rhc wort6 ompcflslion l.$ ofcrliftrnia. lnd rEre.lhlt ial rhould ttcotu slhjctl lo lhc <br />mlkcn mntEnsari)n pmvlsions ol Sedio. lr00 of lhc trhor C.dc, I slull. fonh*ilh comply wilh lho* !m!ision\.. <br />WARNINGT F,illrc ro s.trE voll.tr soF.nsalion ovctugc i* xnl,waul, ond shall subJccl !n cn{rlottr h .nninal Fnalrt nnd <br />.ivil fincs ut, ro om hundEd lnousnd dolltrs (Slu),om). in addilion lo lhc cost of comFnssrio[ dlmscs ar providcd ior (hc <br />x":"T <br />ol fi. Ijh'r Cclc. inlcrcsl ond atltrmy\ fes <br />l1 ,l <br />DDCLAAAUAN <br />I hcrut'y trlttu hdcr pcnllryol p.rjrry rhar I n lnrisrl urtcr povisi.n ol ch,rrn e l.onnmmin8 virh Sccl ion 7(rJO) oa Division .l <br />oi rhc Busncs\rM Pro fcssio n s Codc- {xl my liccnsc is inIullfoenndcllal. <br />)i-"* <br />(n",.-W <* <br />caNirAl!JloNlljN0lNlirl0lil(:l <br />i\nulrsc. 1097. Civ (.1 <br />AIII.ICANTI]EIIASAIION <br />I lmhy afiimr undcr pcn0lry ol lertuly nnc oflfic followins dcclururionr: <br />D.molirion P.rmirr^sb.sos Norific{tion tcdcml R.Suldions (Tnlc t0. Pd6) <br />Rcquii.d lJncr of Norli.orion <br />I r.niiy rhrr rhr ttddrxl 'r[rhri{'n\ Ngrdi'r! r\h.(.\ rcnnNrl]'r ior rfdnrhL ri ilri\ I'rqccr <br />nbovc mnrioncd pmprny Inr in\tEtnrl,urFs$. <br />)cU-ar - er.,r se-r..,r?..-.-t1-tI <br />UNDER GBOUND <br />Waste & Vent <br />WaterUnder floor <br />Gas-Underfloor <br />Building 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 />Tub/Shower Test <br />Ro ugh 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 />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler \ <br />Sanitary Sewer/Cap <br />Back Flow Device <br />A. <br />Rough Plumbing 6-A4Y fr]l/1d <br />Final Gas Test <br />A <br />FINAL 9-A-tY y.tLfia <br />Notes, Remarks, Etc. <br />t <br />Meter Release <br />D.ler Owncr: <br />tlL 1l q, c 1o0 <br />i"11 '8 <br />LrnJ- . J,i. \