PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE ID/SIG.COMMENTS OWN'EN BU&DEN, DALCARAIION
<br />! lEEby s,Irh lndcr p. lly of pcrjurt rhll I m ckmpr n m rlE ConrmroF Lic.ns Ls* for rh. folloehg @sn (Scc,7ol l.5
<br />Bu.incss atd Protcsiion Cod.lr A.y Ciry or Crufly whi.h rcqliEs a |rfrn 16 @nsrer rlrs, irlpore d.mlish o. Epot ey
<br />strldurc. Fkr lo ils is$'N. rt rcqdB lh. rpplicol fo. sh Funi lo ib r sigrEd na.tcc rld lE or 3lE i ,iensd lrilut
<br />lo llE protiiioni of tlE Conrrcror'! Lienrd Llw (Chaflr 9. Comtuin8 eirh Scdhn 7000 o{ Diviion :l of thc A$i*s rnd
<br />Pmfcssions Codc) or rh,t lE tr sh. h cxcmpl rhrcnom and ihc lEsi. ror ih. 8ll.e.d crcr$hn. Ary riohrion of Sc.rion l03l.5 by any
<br />alrlicanr lor a l)cmit iuhiects rhc 6pli.an ro ! cilil pctulty of tur mr rhln frve nln(,l.d dollds (5500).
<br />I.x\o*Nrolrhrfnrny.orn,),cn,fLovcc\*irh{ngc\asrhct{,.cotr,lcn\nri{,n-(illdorh.qork rld(nr.tuti,trur
<br />icnllel .rofl'ercd f,tr {rlc (S( 7rX-1. 8unrcl\ rtrd l''olc\n rsGrlc lhc(intrkn\l-r.cn!rljwd.csnor3prlybmo*n.rol
<br />rhcpRIf,nv wh, htrinl\ or i'npn csrhc()n.! whod{f,\\uchso'thi'ntcllorhrr{lforrhruu!hhi!orltt.$trcnrtnovcr\.
<br />orron'nLitin. rh.Osrr Btildur willhNrhc hurdenol rvinr rhnrhcor\hcnLlnolhuil or irnnmt! rlr p!,txiy hr rhc l[r)* or
<br />-1.
<br />acowmrollhc potEny. mcrclusivrl,conro.tine wnh Uccnscd co m.loFtosnslru.l llE,,mr.t (Scc 70'14, Busimss
<br />and t\iissiD Codcr Thc Conr&hCr Li.cn.e Law docs ,or q,rly ro en 6sn . of pbp.ny who builds or iq),.B th.rcon,
<br />snd who .onlmcls for su.h Foiccls virh 3 Conla.ro(s) licc.B, puffWt to rlE Contlero. s Litn* L!q).
<br />Iu.km undcrselbn , A. & P.C for$ilmsn.
<br />o",., Q-Z.o /9
<br />lo8trE8sgrMgN$AroN
<br />DECIdAAION
<br />I hcEby slfirn und.r pcmlly ofFriury om ofln lollosinS deloriors:
<br />-l
<br />n re .d will miirai! | Cenili.{e .f Conror ro S.U.ln.!E for srkqs' mnFNrion. a FDvidcd for by Sedon lr00 of rh.
<br />t$or C!d.. fd lh. F,foltt1,N of 0E mrl fo. shbh tlE p6nl i! hrucd.
<br />-l havc .nd will maifllain worlcs' compcnillion insurarcc. as EquiEn by Scction 1700 of lnc L!6or Codc. lbt rlE Frfo,rj1m. of
<br />thc wrt {o. ptish ltis lcmn is i$€d. My work€s mmlEnerk'n i.slEftc cani.r ud ,,1k, nlmbc @:
<br />L,)tx t f,lo-/-l
<br />-l
<br />enirr rhar in rhc r.rrornEmc orlhc worl for *hich lhis p.rnir is issucd. I shlll nor rmplorany Fmfl in afly Mm.
<br />$ as ro tEcotu slhjsr ro rh. wo*m coajltnerion bws of Califonia, and acE lhar if I {holld lxcoft {bj(rr to rh
<br />worts odp.oiarion pDvirn,ni ot Scdion ]70O d, rbc l,n$r Codc. l dEll. fonhshh 6iplr {irh ihd$ pmv(ions..
<br />WARNINGT Fdilur. r. wnrc *orlctr' comFnsrn,. stcrrgc is unLw6rl. lnd $rll sub.jccl 0n cry1lorr. ro sihin.l p.tultic\ lnd
<br />cilil nn* up !o oN hurdEd rhousnd dollas (!l(x),filo). in ddiion lo th. cosr of.orryf,nslio., dam8cs as rrcvidcd {or lhe
<br />Selio. 1076 olrlE kb.r Cod.. inlcrcar.nd.l
<br />,*, 9'Zo't8 YWa-
<br />DEIIAMIITN
<br />I hcrcby nmrm undcr pctulry of lc jory rhat I am li.en*rl undc. tmvisb. dtchipis 9 (..@*ir8 wilh sdion ?uJO) of Division 3
<br />oI rhc Bnsimss ond Px,fcsio.s Codc. ud my licctrs is in tull foc .rd clT6t.
<br />,,,.,Q-St rJ5-
<br />9-zt-tZ
<br />coNsraulI&NIENDtNli.dcINl;I
<br />I hcrcby dlirruRlcr p.nulry.l l,crJuly thlt lhcrc isr.on\rucliotr kndir8 lBemy i.r lh. pcrfonruncc ofrhc {qk for whic[ Ihis Fi,nir i!
<br />h\u.d (Sc...1097, Civ C.).
<br />E-SIIIC NIUL:r4I.BAIIOL
<br />Ilrrhvx n ru Jor t).fu1r! oltrlury otrc.l rh. n'll,)sfiB d.rlx.rrnnr
<br />Domjlir(,n Pcnnn\ A\hLno\ No(ill.rrion I.d.rxl RrSUlxri,)n\ (l irlr 10. l,M6)
<br />Rcqtrird t rr$olNohl,.r!.0
<br />-l
<br />enifyrtar rhc fcdcBl ,€rlkrn,ns aesdint lsbcsros rcnrvalurc qor applidhlc ro rhir lf,*xr
<br />-l
<br />ccniry rhd I havc End fii. lmlic0ri.n &d iai. rhd $. ahovc intornniof, is cor.d. I 08re lo co.ply rilh !U Cn! and Counly
<br />ordinaft.smdSr.trwsElrlingrohuilllineconsrd.rion.,rdh.icbyauhoriur.,rcs.nttiwsoflhisCnyandCouiryrocnlq,ponlhc
<br />1-zt't6
<br />UNDER GROUND rl
<br />Waste & Vent I tr)fr W 'lfu.EA-@ttt
<br />Water-Under floor tr L:----
<br />Gas-Underfloor I
<br />Buildinq Sewer I *utn-lt*-ti/tl'tv
<br />lnterceptor/ CIarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipinq
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough 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 />Rouqh Plumbinq
<br />Final Gas Test
<br />Meter Release I I
<br />FINAL 4l^6 K, U/[/tr'/l,fr I IV
<br />Notes, Remarks, Etc ryIr
<br />Try
<br />zl'il lyl
<br />Area/Storm Drain
<br />-t
<br />{ytNu.
<br />.h . mnti,,mJ nmncd) f'tr in\ngrhnrulF,{\
<br />;;,,;;, ;, ^;;, ;,;, rxa* . {\. y-a^.
<br />Pcmi,trNme(pri, /4-7 | /r\G+
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