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PLUMBING.INSPECTOB RECORD <br />DATE COMMENTS OWNER BUILDER OELCATATION <br />I tf,Eby aflirm uidc, pcnrly of Frjury lhll I d cicftfl t n rhc ConkloE Liene (nw for lh. followine @$. (5(.?011.5 <br />Buiincs. o.d Profcsion Crt ): Any Cily or Coufl, wnich rcquircs ! Feni ro oindcl olts, i'qrew. d.mlish or rclair dv <br />srru.ruE rior ro irs isslsftc. .ls rcquircs thc !,plklnl to. soch p.mir ro fik ! si8ftn slllcmnt $.r tr or sh. k liccMd pursil <br />'o <br />fie toritiols of dE ConlEcroit Liencd trv (Cn 0l.r 9. Comtrfting ei6 Sslion 70m of Divisio. 3 oa llrc Bu'ircss a.d <br />Pmfcasions Co&) or rnd h tr rlE n crcnpl lhcrefiom snd lh. lEsis ro. th. rlkBcd crcnplio!. An, vioblion ol S.clion 7031.5 bv.nv <br />apt liclnr (or . D.mn rubjdls lhc ql|llica ro t civil 0.mhy of ml mE lhe [t. h!.dt d dollas ($500). <br />I.as osrcr ol rhc pm|tnr. or rycmflorccsqirhss.r3slhct{,lc..mFn\arion.silldorh.wolk lh.srtocrm6tur <br />idcnd.d.ron.Edtusrlcise?01,{.tsusincs\rtrdltofc\$o\codc:tlrCofircttr'rLi.cnscLan'doc\iorl,Plytoanowncr.l <br />rh. ln)Nny wlm buil& fl irqrn,t\ rhcNtr. dwhoi$\such*o*hin,lclrorh.r\claotihiirilhhnothcto*octrDk)l.c\. <br />nl.onDtrion.lhcO{n.r Brild.rwillhivc lhcbunlcnotpn'vi'is drr Irors[cdid nor r iklorirrDn,vclhcPnrrcdrrorrhcPurTnEol <br />L 6oqi.!.fric pn,t^-.nr. rncr.lusivclycoffldirrs sirh li.cn{J.otrtrdorslo con\rflct rtf, l)fulc! (Sc. ?(,r'r. Au(in's <br />rtrd l\lLshtr Codc: Thc Cnnirdckn s l-iccn\c Lns docl n' n ol)nly nr rn o$n.r of loNn y sh. h il{l\ or i'n|rov$ rh.rco. <br />nod s'lli.onh.^ntr\u.hplojcckwirhnCo acktr(\rri(n\dl lnrsnnr rorhcL'bnt&t,'r l,tcn\.lj*) <br />-l <br />m cr.rpt ofthr Selion- 8. & P C fm this Ms, <br />lo8trE8E'lllMfErlArloN <br />DECIr$A.II0N <br />I hcrcby oltrrmlndd l.n ryof pcriryonc orrh. r.Uowing dcclarntiotrs <br />-l <br />h!rc nl will .uinr,in ! Ccn ific c ofconsfl ro scll.l n*urc for wotkss conll.ns0rbn N Pmlid.d ,or h, scclion l?00 of rhc <br />l,bor Odc. lor lhc N.aor@cc of rl'c wort to. qhich rhc pc.nir k (sucd <br />-l hrvc .M will Ei lin *ort r' corwDsarion insmnc.. trs Eqlir.d by Sarion 3?00 of rlE Libo. Codc. ror th. Frforj116re of <br />rhc work fo ehkh rhis ,.mil is b$dl My wotkda conp.rqlion in$lic orit 8Id F,lty nuhb6 @: <br />-l <br />ccnity rhor h ihc lErfortufte ol tr *ork for *hhh thn Firnil is i*ucd. I snrl ml cmplov lnv Fmn in any lMmr <br />s * ro t com slbrer ro rhc worl.s' mqEnslion laws of Cllifomi,. ud sSre thlt if I .hoold tEom $bj$l lo llE <br />s*cE'omFnsarion!rctbionsofsdion3?OOoflhctiborCnd..lsltll.fonhsln@oplywithlhosPtuvtio.s. <br />- <br />APrlionl: <br />UIINIEIJIONIBACIAA <br />DEII,dXAI]1IN <br />I ncrcby lrrn utu].r pcn lly ol r.rpry rhnr l ,n lid.$d undcr Imvision of Chnpr.. 9 (comflrcrcins $nh sNln,n Tlx)O) oi Divi\ion l <br />ol rhc Businc$ and Prnrcssio'N Codc. ud ny liccnr. ir in tull rd.c nct{ccl <br />c0lslallcuut.L[.NDlNc-acENcr <br />I hcEby 0mrn lndcr perall, of Dc.j!ry fial theB t a consl,uclhn lcndins sg.n.y fot lhc Frfomne of lh. mrt for trhth rhir Fmit is <br />igsucd (S.c.3097, Civ. C.) <br />tad.r'r Ad<nBt <br />- <br />AELUANLDECLTBAIqN <br />I trr.h, alllm uidcr l). rll, ol Frjury onc of rh. rolk,w inS dL\lftaln'ns: <br />DcNniiiotr Pcn.ih Ashcdds Norincltion ljc&ral R.snllr i{rl ll irlc .10, Pun6) <br />-Rcquircd <br />krrcr ot N.tirRnliotr <br />-l <br />ccnrryrh rhc r'cdcr0lrcBlUn,N mgding nshcsros rcnmv(l c nor amli.ablc tolhn ldjdcr <br />-l.dnirrrh,r <br />I h.vc rc lhisappli.arnr drd srrrc rhd lhcnh'!c inr.niurion k .orccl. I osr.c t, co,ryly snh r,l Ciiv and Connrv <br />ordinnnccs d srrc tiws rclaring to huildine conidctiotr. nnd hcrcbyadhorizc rcprcscnlarilc\ olrhi\ Ciry dnd Counrvro cnlur u,'otr rhc <br />atx'vc DEnrioncd tmp.ny aor instarioo pqb{\. <br />P.mila mm.lCdnl):- <br />UNDER GROUND <br />Waste & Vent <br />Water-Under Iloor <br />Buildino Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarilier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Pipinq <br />Roof Drain <br />Tub/Shower Test <br />Rouqh Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />lvlain 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 />Meter Release <br />-\FINAL 7-zq-e 4./'i4) <br />Notes, Remarks, Etc.\_------.' <br />APPBOVALS rD/srG. <br />Sr.rir :1076 olrhc trhr O'dc, idcic{ rtrd [t.rrrr's lN\ <br />Appllrol or A*ol SlAoluE: <br />Gas-Underf loor <br />Final Gas Test