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PLUMBING-INSPECTOR RECORD
<br />OM6-B!ild.t Delmdo
<br />I ha.ty lnim ud.r F..lty of paj'ry $.t I o qdgt fom tk c6ln.rd' Li.o@ L:a fd 0!c folldir8 .!a@ (s.7031.5 Bqin*
<br />sd Prcfa$ioi Cod.): An, Ciry r C6uty whicl EquiB . pqrir b warrucq .1Lr, irtPtuv., dmtieh d r?dr s, fiuctw, Fid ro il!is6... ils rcquiG drc .pplimr fd iu.I pdnir ro fil. ! iign.d stsranar lhlt h. d thc i! lictu.d pB@r ro th. !rcvi3iN of rh.
<br />C@tr&td! Li@cd Ls (OrFd 9, Cr.i,Mcins vih Slaio ,00o of Divitim 3 of thc Buind od Prclsid Cod.) a lha t. a
<br />3llc b daryt $4from md rh. bair fa dc dl.sd.rdPli6 .Aiy viohtid of Seti6 7031 5 by ay ry?lior f*. pqhil'lbjer $c
<br />lprli@t io . civil padty of rd ll@ the tv? th&!d &lla (1500).
<br />_I, u oMa of 6c Eopa9, d ny dnployd *irh w.aa { $.ir &lc chFErri@, wiu do rh. work ed rh. rEEiE i3 nor inr6.Ld
<br />d ofiald f6 !rl. ( Se.7014 Buin6 &d Prcf6id C.dc: Thc C6Edror'3 Lic6. Llp d6.d tpply t s Ma of .h. Fopdr,
<br />sho bqil& d imFov6 o!.ta. ad who &6 sun dt hirelf d belf ( rhegrr hi! d h6 @r drloy.r3, lrsvi.Ld .lBr ru.h
<br />improlda& e not i.End.d d ofiqld fd 3.1c. If, ho{c!d,lh. t{ilding d inpt@ffit sld vilhin o. yd of@hplctior rlE
<br />Om6-Buil(b *ill h.E thc hlda of pi@iry tur h. d ,h. iot build d ihFsr fd $. purp... of !d.)
<br />_r, { omo of $. Flpdy, D qduiv.l, @lratn8 eid! li6!.d @leroa io .@tucr .i. proj.cr ( Sc. 7044, Auins sdlrcl6i6 Cod. Il'c CdEB.r'r Licte Lq &d rd qrply r. a om6 of piorat, wto bri,6 a imFoc rnoa , ed sho
<br />@EaE t6 iu.t rojd! ,ir! . Conu!.ro(, li@r.d p'ltler ro rh. C6r.&r6! Uc.M t w.)
<br />_l m ea$ ud6 S6d@
<br />EOBKEBIi.COMTE SAIION.DICI.AaAIIAN
<br />I hmby 6rfim udq F.slty of pdjury d. of tl'c followins d6lsdi$l
<br />_I hav. od wiu @i.trin 3 Ccnifidr. of C6ior ro S.lf-lB@ an wrt6' @mpa!di6, a prcvnbd fq by Scd@ l?00 oflh.
<br />t$.. Cod., fd lh. pdftue of th. wdr fd whicl' thc Fhil i! iEU.d
<br />_lh.v.edwillmi ain w6ld cmpoa.rio iMc., a ,cqui&d by S6ti61700 ol6c Lrld Cod., for fic Frfdru@ of lt.
<br />*dk fd *hich thh paDn i! ilsucd My *dr6' cdp6a.d6 itul![e 6ia sd polic, nmb6 e:
<br />Policy NEb6: Erpira
<br />(Thi! sadd i.d ftr b. 6rpla.d if6. pamit i! fd onc h6&.d &lld {1100} d ld)
<br />_lcairy$alinth.Ff(xrfu.cof,'cworkfdwhichrhieFmili!is.4IshdlnotmdoyuyFsoninuy@n6sosiobdec subjd b lhc wdtd ' tdFtulrio Is of Cdifmia od rg@ thlr if I snodd bElW sbj6l to tt. wat6'
<br />.@F.$li6 prcvisi@ oa Sc.rj@ l?0o of di. t bq Cod.,I !h.ll, fd0Nirh @ply wi6 0!6. Fovirid
<br />o
<br />WARNINO F.iluE to nlw ,0.t6!' .ompdri@ @vqE8G i! unlaE{ul, ed ih.ll tubjd a anployd to cimi.ll pcn.Xi6 sd civil
<br />6nc up 10 6c hu&d dloulad doll4 (3100,000),i. ddiri@ ro $c .6r of .@F.!1i@, &n 96 ! prcvi.Ld fa rtE Seriorl ,0?6 of
<br />dE L.!d Cod., itrtqB! ud !.l@cyt 16.
<br />IJCENSED CONTf, ACT1oIS DECI,A'I TION
<br />I t@by rffim uda pdt.lty ofFjlry ll.l I & licq!.d ud.r pr@iti6 ofc1.pl 9 (.dm6ciot wni s*ri6 ?000) orDivitio 3 of
<br />t. Bain6 6d PDfdi@ Cod.. ud ny li.ce ii in tull fd!. dd .r@1
<br />Z
<br />c0!9f,llclr0Nj.EnacrcE(r
<br />I ta&y.fid uda Frlty orD..jEy tr ta! it . 6!ird6 ladiEs ..r.dy fd tL F crc of rt rqt fa rt!i.[ lni, Durdr n
<br />is{.d (36 !097, Civ. C.).
<br />AIIIJCAIIi.DDGIJAAI&N
<br />Ddnoririd Pdir-Albd'6 Ndi6c.d6 F.<la.l R.surdid (Tidc 40, P&l 6)
<br />* lJquiEd r..ad of No(lidi6
<br />_l cdlify lh31 thc fcd.rdl ESulolios ESardirg 6b6lc tmwl e not .lplicoblc .o (his prcj.cl
<br />_ I cqdry lha I h.v. @d lnis lprlielis ad sl,& dd tn. rbov. i.fmnrio i3 6@L I rs@ .o @ply with dl City &d cMty
<br />ordiM6 ud Sr,& k*! Elding to buildi.8 c@Eldion, ud h@by uthoda EF6@r,dv6 of thi5 City e.l CMry ro 61cr uFn rt.
<br />rloE modm.d Fbodty fd iEF.tje FrF.6
<br />DATE ID/SIG,
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Underfloor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarifier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipeing
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />Ptrap/Drain Line
<br />Main Drain/Pool Piping
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Misc
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing EXPIF ED
<br />Final Gas Test
<br />Meter Release rEU U I
<br />AMC 8-43, 29r 1.556 AA7
<br />FINAL
<br />Foms 03.31 .00
<br />6
<br />APPROVALS COMMENTS
<br />POOUSPA
<br />Water Service
<br />Notes, Remarks, Etc.
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