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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS Om6-Build!. DccLrnidr <br />I h@by .ffinn ud.r ,.ndt, of r'.fjuy thd I rn .xdp. fm lhc Colll'r.tdt' Lic.t$ Lre fd dtc folloPirs Ertoi (c.7031.t B!dt6 <br />rd Prclain C.<L): Ary City or Couty rhicll tlqqiB . pnir to 6Etuc1 .1r.. irqnv., .ldnollth d n?.ir ety d!.al,! pria to ir. <br />irrurc., .lro r.qulE th. r!'pli6l fs&ch FEit !o lil. r riin.d.maMl $.1lE c !h. n [cau.d Pu66r lo dt. Fovi.ioo of 6! <br />C6nrdo.'t Ucs'..d te (Or$.r q CqtlMcl.a wifi S..t@ Tooo of Divirid r of dE aqnd ud Prcf&id C.d.) d $lt h. 6 <br />rhc i. cxarlpt th.dtm &d th. boii fd lic .ll.a.d a6pr,@ .Any viol.dd of Sccdo ?0! 1.5 by Dy rprliot fd . pmn e!i..l. thc <br />.pgti.alt to . cilil !.r.!ry of n.i tl@ th6 fiE hurH doll.tt (SJ00). <br />-I,sogMofth.Fc'p.ny,ddr.m!ldy..!vi$*{c.r6.ntol.cepar.idr,*illdo0tc*o*eddl.!r.nmt.otintadldd ofi.Ed f6 3.1! ( S@.?0r4, Bui..., sd !6f.!.ioir Cnda ThG cdi@rctrt Li..@ L.q d.d not lPPlt to 6 omc of lh. PrcPdry <br />pho tdil& 6 imFwc, thc!.d, lxl *ho d!€ tMi dt hi .lac t6t lfctrou8ihhahd.m cnplorlcd Fovid.d rhr,uch <br />ir,provmhu d. ,or i!l!r&tl d oft r.d fd r.1.. If. hovlE, th. buildi.8 or i6,fo*h h rcld *i$in @. y* oacomPlcdon, thc <br />OMcr.Builda will hrv. rh. bt {a of pmvins rh.r h. d rh. trot b{il.l d inFov6 fd d'c Pu.!6. ord!). <br />_1, s omd of dE Fotdry, m .xcluivlly @t Btiri wirl lican d 6E-td to @utue th. pbj@l ( s6. 701a. Bai'@ ad <br />ProfsiM Cod.: Thc ConE .t ,. Ucat,c L th.r !o!+ply lo& om6of prop.ny who build! ( imPrcvd th.rEn, lrd Pho <br />@E .t3 for ruch prnj.cB *irh . cdE| ro(4 li6Ed p{tlur ro $. calfllor'J Lic.M trw.) <br />-I <br />m.xcmF un.h Srclioi <br />-,8. <br />& P C. for thit EBon. <br />WOITKCSS COMIENS IION DECLARATTON <br />I h*by aflim mdq p6dry or pdjury @. of lh. follsin8 d4lrdi@: <br />_l hsw.nd will tuintlin. C.dfiqr. of C 6t !o Sdr-lnM f6*ork6'cmpolllid, t! Fovidcd ld by Setion l?00ol0. <br />Lrlor Cod., fd l.h. pcrfdt@e of &. *o* fo. *l ch t. pmn it ie$.d <br />_t nrv. sd rill nsinllin e6t6' .dpa{ljo isumcq 3 rcqliGd by S..Ii@ ,rO0 of $. Ltbd Cod., for tu p.rfmo.. of ti. <br />wdk fd which $i! pcmit t i$ucd. My rc*6' cdPddid iNu8e c.ri.r rd P.licy imbs a.l <br />Aon^^ <br />nor bc cmplctcd if 6. D.mir i5 ao O.. hui&d dolla {1100) tr <br />rhc Ffo.m$cc of 6c *dk tr phi* dlit pqnil it i3u.4 I lhall <br />bcle $bjccr to dE eo*d ' .mpcullio l.w, of c.lifmia ud tgtE lh.l if <br />01tn. Lsbd Cod., I rhall, fonnwi$3- <br />WARNINC Fdl@ to t4uc wotd' .mpcnnlion covdt dn hplord to .nminil pmahi.! sndcivil <br />6rd up !o ac h@inld lnol,&d &Ud (tloo.ooo),h .ddiliq lo <br />rh. Lrbo cod., irr@r ed .tro.r.y'! fcB. <br />, d.n.86 a Foeidcd t6 $c Seio. 3076 of <br />I hdby .iifr und.r larlty of Frjut, lh.l I m 6.kr pNiris of Chr9r6 9 ( <br />(h. BEinss od Prof6lid Cod., ed my li.tu. it in tull tde ed .ff*|. <br />I h@by .f,id uid.r p.ndq of psjlry drc Uq! h . cd,$!aio <br />i'sd (S*. 309r, Civ. C.). <br />lo. fi. FrfffiM.. of th. wdt <br />AEI,TC4IISDECIABAIIaN <br />Dqnolirion PmiB-Albcnc Norifrc.lid Fc<ldrl R.8ul. N (Titlc 40, Pm O <br />_ RcqunEd L.td ofNotific ion <br />ro .omply wi$ .ll City ud Co!f,ry <br />of lhir City md Coutrty. ro st6 uF. $. <br />rbovc marimcd ptup.ny ad inlpcdio! purpd6.,o o <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <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 />POOUSPA <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 />Water Service <br />Lawn Sprinkler <br />Sanitary Sewer/Cap <br />Back Flow Device <br />Rough Plumbing f EIJ <br />FFRN.?lI0 <br />Meter Release <br />SAMC 6.43, 2{0. s56, 667 <br />FINAL <br />Notes, Remarks, Etc. <br />Area/Storm Drain <br />Final Gas Test <br />Polict NunbGi-BxPB' <br />a <br />L6dq! Ad&s. <br />- <br />---+- <br />I