|
PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE tD/stG.
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underfloor
<br />Buildinq Sewer
<br />Area,/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipinq
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Tesl
<br />Rough Water Heater
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Pool Heater/Gas Line
<br />Miscellaneous
<br />Gas Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meler Release
<br />FINAL dl rt-lltr Tr,rt^'u /nil
<br />Notes Remarks Etc.
<br />O'I!NER BUII,DI]R DELCARATION
<br />I hcrchy ,lfirn xndf F.rlr) .f,,cuury rhar I a. cxcnrl fiorn rhc (nnracloF l.tcn{ tiw ld rhc rollowin3 rc0$n rs(.?olll.5
<br />Bu\i.c$ uNl ftolcsir anc) Any Ciry or ODnry which r.quir.s qx'nrir h .onstu.r, rlts, in'Ptorc. &'noli\h or rcPan any
<br />*n,.r!rc. prttrii' ih i\\urnc., llio rcqunc\ lh.,rll'.ad ntr\u.h |Rmii ro nlc. (i8ncd ilrcnf,nr rhar hco, \hc i li.cn*d pulsnr
<br />to rhc pn isionsofltrConlmcx,st-icc"sdLas(Ch0t'lcr9.aonnncncinE*ilhSucrn'n7(XD.aDivisiotrIollhcBusinc$ann
<br />l)l'lcsionsCodc)orlhrlhcorshci\cxc'nrlrh.lctronrai.llhcsir\isturhcallclcdcx.nlprnnr.AnyviolalionolS.cli'D?0.ll5hyany
<br />rrplicunrlaruFrmirsuhjcchrhc,tflica.rt,..i!ilpconlry.rnormdrurhatrfivchuMruidollln(S500).
<br />-1,
<br />I owrcr of rhc pmpcny. or my.mploles wnh *.Bcs a rltt $k onp.nerion. willdo 0E m* r,n $c flirre ir br
<br />iird,cd or oficr.d fd $lc (Se.70,1t, Brift*r and Prof6.ionr C6dc TIE Cldrs.iols Lir.F Llw .locs nor arPl, lo a owr. of
<br />rlE pmFry who buildr or iqmB rh.mll &n wno do6 scn 6* hinclf or neeltor lneu8h hi, c hq own cnphrcB,
<br />provilcd rhsr $ch inp.omnrs e mr inroi.d orof,dd 6r sh. If. inuw.. dr t ilding or irpr.Ecm h sn vihin orc )tr
<br />ofdnplclion. rlE Oqffi Builtd pill har $c hnd4. of pr@ing &rl lr d sl* dit ml hrih or itr+rot 0t pDtEty tor dE FIFE of
<br />-1.
<br />as osEr of rhe rhreny, am.xclusivcly conhcliig silh liccrsd co.lreclors lo snsldct th. loirt (Sec. 7044, B6im,r
<br />snd Edissioi Cod.: Thc C.ntEclol s Liccnxc Lrw dds mr rtply ro d own.r of trcp.ny who builds o. imprcrcs thdN..
<br />snd qho conrers for sEh poi*r$ wnh a Coirrdorl, lhcMd puEml lo thc Conlr!.|oft Lienc lj*l.
<br />-l
<br />!m cichfl under S<riJ
<br />va8$8lr-gIrMfENsAlJoN
<br />DECI.AaAUO!
<br />I hcr.by lmrm unds ncnalry ol pcr!ry onc .f rhc rolbwing d.clmrions:
<br />-lh{teMlwillmlinroir!CcnificlrcofCoiscnrlosclfli\orcturaorkrJ.onlxnr.rtun,uspovidcdInrbySccrion.lTO0orrhcLrbor cod..lor rh. pcrlorm,ncc ol$c aolk tor whi.h rhc pc.nril is nsu.ri
<br />_l ,Ev. a.d *ill mai ain wortcs compe.sarion imur.mc, !s rcquired hy Setion l?00of llE LlborCod..lor thc Frfolmre of
<br />fic Mrk 46. wnkh rhir Foil il i.$d My wortds BnlEnsrion i.ruEmc cetr atd Inlicy Nhber e:
<br />Itlicy Nutr$cr:-l,r|]i'c\
<br />-lcldifylndi.lh.p.rfoirMnccotlhcworklorwhichtn
<br />p.irnil is i$!cd,I shdll.or.mlloyanyp.6on inanymnncr
<br />$ aslo bcem subjar ro rhc workcn compererion ta*s.lolifornid, n.d 38re. thal if I should tEstu subj<r ro lhc
<br />*o*qs omncnsrion pbvnions ol Scdion l7{)0 or the Lab.r Cod.. I shlll. fonhwilh comply qilh rlFs rmvision..
<br />W RNINC: Faihrc b suru w(trlcr o,npcnqr orcngc ir unhwtul, snd shall rubj&t ,. emploF io sininol rsutis aid
<br />rnil finr\ 0p k, onc h0id.rd rhousrtrd 0o,fi10). in .ddirion ro thc osr or conlnc.erbn, daroecs as povAcd for th.
<br />7
<br />I hlrct y flnft unde, Frrlrr.{lrluryrl'ar I undd lsvision olChaprcr 9 (commrci4 -irh
<br />of lnc ausircss lnd Pmfcssions Codc. Dod d, licc.\c is i. tull lue rnr .ftccr.
<br />c-3 (3 Sap
<br />I hcruby Dfirmundcr pcnaltyofFrj!ry rhar n .rDr hidmC sBcN, f.r thc Fnorrotre ofrhc q.rk
<br />&ucn (Scc.109?. Civ C.l
<br />AIPLICINLIIEI;IdBAIION
<br />I hcEny diim hdc. pcnolry oa i,crjury onc ol lhc loUowin! dc.ludnnN:
<br />Dcmolition Pcrnits-Asbcslos Nolilicrion FcdcralRc-quhrn,ns (lirlc:10, Pd6)
<br />-Rcquncd
<br />klts olNolifrllbn
<br />ESsdinS astEslos rcnnvul orc nor1ppli.ablc'. rhis pmr.cr.
<br />nr (aicihtriricuhrvcidornrarionh.on.cr I 09rc ro contPlt wirh all Cily lnd Cou.ryI
<br />in-sconnructio od hmby aurbria ,cFcscnl0r iv.s of rhn Cny dCo
<br />7
<br />COMMENTS
<br />POOL/SPA
<br />Water Service
|