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PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent fls/lc 5\?rfr <br />Water-Under lloor <br />Gas-Underlloor <br />Building Sewer <br />Area/Storm Drain <br />lnterceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Piping <br />Roof Drain <br />Rouqh Water Heater <br />POOL/SPA <br />P-trap/Drain Line <br />Ivlain Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service '-t /lttt tz >\<Y <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing (tt/Y 9\g{ <br />Final Gas Test t0/.L5lx iN.8S <br />Meter Release iA. <br />FINAL l-4-7,0 u,\_l[il\ <br />Notes Remarks Etc. <br />OWNET BUII,DDR DET-CARATloN <br />I hcrchy nflil r dcr Fn,hy or p.rjury rh.t Innrcxcn!, rm r rhc cotrtrcktrs Liccn\el]*forlhcfollos'insltasn(Scc70,115 <br />0urn'cs od hoicssn'n Cfllc) Ant Cir, or Coutrry which rcqutcs r p.rn,ir ro consdcr, rhcr. i.rrtuv.. dcnnish ur NtJn Jny <br />(ru.rur.. pritrb irs i!$!ne, rls r.quimsih. atpli.rtrr f(tr \u.hp.rnirro lil. r (igftd srdcnrnt thar tror shc is liccn{cd nur\uanr <br />ro rhc provnir)ns ol <br />'h. <br />Contmcrols l-iccnscd Law (Chllrs 9. Connncncin8 sirh Sdcrbn 7lx{ ol Divhn,n .1 .r rhc ansnrss .nd <br />Itolt$ion\ Codr)orth$ hcor\hc n.ic.rrl thcrclrotrr Md rhchisir ln lh! lllrcd dcnDr nnr. Atryliobrionorsc.rirnT0ll5by,ny <br />rppli.od nn ! p.nir \uhjcch rhc rrnlicui rorcivilpcnlhyolnor Nn(rhrn rivc huMftdJ.lh^ (S5tn). <br />_1. &r oencr of th. pmlBrry. or ny cry)lores wnh q38cs as thrt mL .onrcnsdion. {ill d.! tlE qod( an<! thc irE1e ic mr <br />iniei{.d or ofecd for sle (se.7044. Busj..s ed Prcf6sions Codq Thc C.nL&toas Lie.s tlw &,cs nol .pply h an o*Nr of <br />rhc rqrl, *lE toildl or iqrcEs ftaEn. lrn who &B tut s* hiNclf or h@lf 6r rhDlgh his or hq ow, .rlplor{s. <br />lmvirLd lhal such inFllwnl3 @ ml htod.d ffofr..sl for sb. lt hokE tlE $oildiry or irynftft'n it eE wnhi. @ J@ot6r?Lrbn. r owcr BuiBe willhE 0r hlda ofFrviit rlu h. ot,lE dit @l toild d ilproE Oc pmFry for Ill prlos of <br />_1. 0s owncr of rhc rep.ny, ao cx.lu.ircly corra.rin* wirh licenrcd .o.rB.r6F ro oneflcr ll.4 projel (5.c. ?044. Busim*! <br />arn Eo6ssbn Codc: Tfic ContEtols License bwdocs nor ryply ro eoener ollrcpcny sho blild. or iq&vcs lh.r6n. <br />rnd qho oora.rs forsuch lbjels wnh aCo.rlcro(olin*d pB@r brh. Conhdols LiccM rjw). <br />Lm .rcmpr und.r Serion , B. & P C. ior rhk Eason. <br />laxtrD&li:.coMtlNlallaN <br />DICI.ASAIII}N <br />I h.rchy .fiirm undr Fn lry of psjury om ollrE followitr! del,mlioNl <br />-I <br />ha* dd willrEinrai! a c.nifrarc ofcon*nr k, s.lf.Insur. for sorkss con{Ensarion. as Fovidcn for brS6ri6o l?m otrrE <br />tl maintain workc^ compcnsrrion insuru.cc, us rcqlned hySc(rionlToijorrhc b&rCodc. fo.lhc Frforroncc of <br />pcrmir n isNl Myn{rldl <br />I ccniaythor in rhc pfiaormncc of lhc *ork for vhi.h lhh Frmlt is issucd.l stull mr cmploy an, pcMn h lny n1@9 <br />s Nto ltonE sutj{r lo rh. eics compcNarion h*s of Califoni.. and rgN rhd af I rhould hcrom snbjRl lo lh. <br />ert6' codpencdion povishns of S*rion 17ft of rhc L.tnr Codc. I slDll tonh*irh 6nply snh rho$ pmvhions.. <br />civil fines ut lo orc hu <br />surc workc6' comocnsal ion n unhwtul. lnd shall \lbjsr d! nploycr ro mminnl pcMhics md <br />addirion lo rhc cosr of.onpcnrurion. dam8cs rs providcd for rhc <br />I h.r.byrrlnr u Jr t^-.nrlr, of Irtrjrt rl,xr I Jn, <br />LI(ENSID.qONIIACIAB <br />DF(:t ARATI(}N <br />liccn{rl undcr prcvhioiftlChapt.r 9(.ommfrin8 wnh Sct <br />Codc. ad ,ny liccnsc is in <br />q <br />APPLiCANT DECI ARA'fIoN <br />I lrnhy.ninn xndf ptnrlry of!.rjuryotr. olihc followin! del,rarions: <br />Drnmlili.n Pernrils Asbeslo\ Norifi.liion FcdcrxlRcsulrrii,ns (lnh tll). Pan6r <br />-Rc+ncd <br />Lxrr.! olNoiilicdtn' <br />t==; <br />ifr rh.r <br />'hc <br />fcdfialrc8ulations EsddinB osbc(os rmlal!rc nor lprlrabh ro rhi pojd. <br />ion end srotc rhrr thc alnlc infornur ion h colmr I ngN r) c.ndy *irh all City ond Co!trI, <br />odinun.cs lnd SIlrc tiws r. <br />rhJrc r.ri(mJ |r'op.nrlai <br />,\!pli$nl or,\Arnl SiAntrl <br />consrrucrion. ord hmhy aurhorizc rcpr*nurircs ol this Ciry and <br />b <br />Tub/Shower Test ntrrhc!.rfortuncc orrhc work f(tr shi.h rhc p.nni is n\ucd <br />CONIIAIJCIIONIENIIIOC.f,AEICI <br />I hcEby amrm u*in Fnahy of lcrrury rhor rhcrc is . connrucr bn lcndinS oScmy fn. rhe pcdommc of rh. wor* for $'hi.h rnis Frnil is <br />i\\ucd (Sc. 1097, Civ C ), <br />lJndfl r NJmc <br />-