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PLUMBING.INSPECTOH RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OIINER $tIILDTiR DELCARA'I]ON
<br />I hcrchy !.fifln undcr p.n ry (,f p.iury rhrl I dn qc'lnt rnnr lhc ainnra.ttrr Li.cn* ljw ft, rhc rulk,sinS rci\otr (Scc.7(rll.5
<br />Burincs rn'i PR,f.$ion Cdl.)r A.t Ciry or G,utrly whirh rlltrncs i lrnnir ro .dnsru.r. uhcr, iDlrovc. dcnnnish or rcFrn !.y
<br />(ru.xtrc. pri h n( i$u.trcc..lq' rclun s rhc ipdi.lllll tu su.h Fanil lo ril.. rirned (!lcm rlurhro' sh. i\ liccnscd fu^u,!r
<br />ro rhc ,rovi\tr)n! of rlr (:u r!.rofs Li.cnsd trw (Ch!p!dr 9, C. nncmin8 sirh Scctn,n lU)0 ol l)ivhion I oI lhc Businc$ lnd
<br />Prclcsions C.dc) or rlxrr hcorshc iscxcmpl rhc.cirofl and rhchr\is rh,lnu allcscJ qe.rnri.'n. Any violdiotrorsl{rirr70ll5 hy ffy
<br />aprlicairiu I pcdir \ubjechrhc rytli."nrroacivilpcnohtofnornrnclh3nlivchuhdrcddollahiS5(D)
<br />-1.
<br />as owmr of llE po,'cny. or my cnpLlrcs eilh w.Eca &s rhci. sh smp.nslior, will rlo lhc wo* end th. stnrlN i5 ml
<br />inrcndcd or oficEd aor sh (SN.?Or4, Bosircss md Pmfcssions Codc: Tn CortrEcrofs Li.cn* ll* d@s ml q,!ly lo m owffi ol
<br />rh.fmF.y *tb buikti n inqmrs rh.6n. orld slD dc skh m* himsr or h.mlf or lhrcuelt his or Lr own crqilorsc.
<br />pmvidcd thar sucfi inpo\tft semli cirlcd q o[.,td for sL. lf. to*q. llE hiHinS or inp,lEmnl is sld wnhin om yc4
<br />of.omplctiotr thc OrNr Blitls *ill hew rlE budcn of prcvin8 lnll tE or shc dil d,t build or i,r{,hr rhc popdiy for tlE Ir.Fe ol
<br />-1,
<br />axowturollnc pmpcrry. !mcrclusilclr..orrdcrint sirh liened conrractJ6 ro consrucr rhe nmjccl (Se. rO44, Buiines
<br />and Pioftsrion Cod.: Thc conlr.clols Liccnsc Law docs nol alrly ro 0n owncr orpropcnywho huilds o, iapFlds rh..en,
<br />aod *ho conrrcts lor such rmjccrs with a Co.nr.ro(s) liensd lu^@l ro rhc C.d6d6a. Li.cns Ltrw).
<br />-l3neicm
<br />u..Lr Sdio.- A. & P,C. forrhlr E{sn.
<br />D.l.r O*nE
<br />T]Irc8I'g)MI!!TAIIIIN
<br />DECLANATTON
<br />I h.rcby amrn undn pcnixy or Dqjury om of rlE following d(lqark'nsl
<br />lhrvca,xl{illnB,nrrin3C.di,rJr.olCoi\cnrbScllln\urubrtrorlcra.ontcns$or.Npn)rdcdlarhySccli.n]?u)oIrhc
<br />trtu ('olc, rar rh. p.rfornuncc ofrhc *ork lnr shichrhcr.nnir is itsucJ
<br />-t
<br />havc and willmai air sorkcNr comr'.nssrion insursmc,0s rcquncd by Sstt,n:lT0o otrh.labor Cod..lorllE pctlorNoccof
<br />llE work for whth rhis pcmir is icn&n. M, *ortos omtcnslth. nFu,ucc (uic. a.d Plhy oudh.r rcl
<br />_l cdifyrhor i. rh. pcrfdrtu.cc ofrhc *ork for whi.h rhiq r.rnir k hsucd.l sholl nor.mploy any pcson in lny maflrcr
<br />$ as lo tEcorE subic{'
<br />'o
<br />fi. *n*6f .otr{Ensolio. lles of Californi!. ond .8rc
<br />'hal
<br />iI I should tEom sbjcn ro rhc
<br />Rortcs' .onpons ion pmviions of Seliotr 3700 of lhc tjtnr Gnlc. I shall. fonhwilh Ntr{,ly wilh lh.$ lrovnio.s ,
<br />WARNING: Flihrc b *cuo *orkcrs .onpcnrsrn,n colcn8c h trntuutul. dd \hall suh.,.cr rn c'ryloycr to riminll lEnlhics and
<br />.ivil lincs nt ro onc hunnr.d thousrnd dollrs I$llDJloO), in oddiri( b rhc cor ofcomFnsrlion. daroBes ds lrovidcd lor rhc
<br />Codq imcEsl and tomy s lesq>a
<br />I h.rchy rlltr utrJcr F-.n lry ol lrrjur, rhrr I'n lnu\cJ undcr wnh Sdion ?000) olDivi{ion l
<br />of lh. Busincs lnd Pofcssions Cods. sd ny ltensc is in rul iore utd cffer
<br />)4
<br />I hcEby !m.n lndcr p.nalry .t l.iury rh,r rhcrc B a .o.sruciibn tinding ,gco.y ror fic p.rfornua
<br />is\lcd (Scc.1097, Civ. C)
<br />hc wo for *hichrhis Frmir i\
<br />AfIUANNLDESAAA.IIA!
<br />I lrthyaflimu.dcr pcnuliy.tF{ury.nc of thc f.U.sing &cl'rdrn,n\:
<br />DcnFlirion Pcrnrih Asl,cslos Nolinc ion rcdcra| Rc8ulorioos ( l irlc 40- Pan6)
<br />R.quncd L!rrd olNorifi oti{'n
<br />_l adiay rhal
<br />'hc
<br />lcdcml rcSul,rions ESadinB aslE{os r.mval dc trot lppltoblc lo rhis poirxr.
<br />-l
<br />ccnity rhd I hae rcad rhir aptli.arhn aid narc rhll rh€ orc i.for.narion is .otrccr. I nErd ro onpl, wnh trll Cily od Cou.ly
<br />ordiratucs a.d srd. L.*s rbrinS ro auhoria Eqrc*.llrircr orlnis Cn y ,Jd county ro cnts ulnn rtr
<br />lbovc nrnrio.cd tmpcny lor
<br />Appt@i or AE .r Skmt!
<br />P.mli.. Mm. (pttn0 _
<br />L t/-
<br />UNDER GROUND
<br />Waste & Vent tD4-tA,4a-z'7
<br />Water-Under lloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />Interceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Piping
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />lvlain Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Helease I
<br />FINAL \\\-7\\9 Mt"1(t')
<br />Notes, Remarks, Etc.,
<br />,a k {+par-t -4^-L .*,,,0*-o,9/.D 5:/R-,/ /'
<br />Water Service
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