|
PLUMBING-INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNER BtIN-DIiR DI]LCAI'41'ION
<br />Ih.r.b, lftn rndd 0. rlrt,)l J,crjry rhd Inmcxcmnr li D thc Conrrlct^ l-ircn\c L.\r ntrthc Llk'{irU rcosn lscc7l).1!5
<br />Busnrc\s rfd Pnnt\sior Coilc): Aoy Cir, or Cotrnly uhich ,cqun s r Fnnir (i (otrsoct. {llct. inrProvc. dd xrish or rcUt Jtry '
<br />srucrurc. rink) ns is\urn(. rlv, rcqun.s rh. anplicrtrr ktr so.hn nnir n) lllc. siSncd {rl!n].nr rhxrh. r (hc n liccn\c(l puNlnl
<br />h rhc l,ft,rni(nrs of rlr Conticxn'r l-i.rns !;!w (Chrprc. rr. O,mftn.i'rS qiih Sc.riotr TlXX) of Division .l of ihc Bulirr.\( r.
<br />IdtslonrCodoorlhurht.r{hci\.xcn,pirhcrdi(nn!drhcha$\forrhcillctcdcxcmnrioo An}vialari(,nofSccri,trTtrlll5byrny
<br />arplicrtrr lnr r prrnrit \uhj.c( rhc rpfl,.rtrrnJ r.rvilpctrrlryul mr nxncrhm r_rvc hundrd dolh^ l55firr.
<br />-1.
<br />ss ovn.r of lh. poFdy. or f,y emplotrc! *irh wr8cs e{ irir $lc o6lEnsation, vil do lh. vqt ,!i 0E dBnn is ml
<br />inrcndcd or orcrd tor eL (Se.7o44. BusiB$ md Profcsrioft Code Tnc Conuelo. s Liccn* llP docc ml rydy lo 3i owmt oa
<br />rlrc FotEny wno hilds or ntpmB dro.. ,rd {ho dc *h s* himscll or lErclf or lhmugh tie or hd 6vn crl{Jloyei
<br />proviled rnlr 3u.h inprswm.l! m ml inLnd.d notu for slc. li ho@E,llE hlitditS q inpr$mnl is eld wiUii.6e J4a
<br />ofconpLriotr. tlE Ower Buildc, will tuw llE hrdcn olpmviig lul lE or dE dil m tiild or inPrct 0E Folsly 61 0t |lurthe oa
<br />-l-
<br />ss orrcr of rhe DmDcny. s ex.luiivrly .ontactirB wnh Uc.s.d c.nlrctoN to con(tucl lhc pmjccr Ise. 7014. BNrc$
<br />.Jn Pmfts\bn Codc: Thc co.lrscrolr Liccnsc k* des mr aprly lo ,n oend oa pmrcny wto blilds or impFver rh..mn,
<br />&nd wn. onrrdcri aor such rmj.cls *ilh. Conln lo(s) liccnscd ruru ro rh. Conr&ioas Liens Lau)
<br />-l
<br />m.xcq)t undcr Selion-. B. & P.C. for lnh rcaror
<br />nQnKE&5t!l)ut!!s llaN
<br />D};OAXtrIII]N
<br />I hcrchy !lrirD unncr !.nrhyorr.rjuryonc olrh. hlkiwirS d..ldrion\
<br />lhr\cxnd*nlnrn trin! Cenificar.olC.i\cnr k, scll ltr\urc Inr workcs confcn\ tnr.a\ pmvidcdntrhysc.rnr:17(xrolllt
<br />tlhtrCtxlc, frtr rhc r(rf(rtrwf,c.lrh $ork tnr$hi.h rtu |{nnir ir ns!&l
<br />-l
<br />hsvc ond sill m.intsi. sorkft corijl)ensurk,n insuBNc, !s Equir.d by Sdln,n 3700 of lhc Ljbo. Codc. for lh. pcrfonEre of
<br />ncn r i\ is\ud. MY $orkrA 0 rion iisunrcc clFier and Fni., nrmbft m
<br />1 \ .\. r,
<br />-l
<br />ccaifyrhor in rhe lcrlonumc olrhc wort for which lhis pcmn k hsucd, I sh,llnot cn?loy 0ny rcson in any tu.ner
<br />$ s ro b.ronr subic.l ro rh. wo,lc6 co&pen{ri6n tass oa Cllil6min. a.d ngrcc tnll if I snolld bc@m subic.l io l}E
<br />wo*sl cotrllrnqriofl lovisioN ofsdion lr00 of tlE t2h,r C.d., I sl'all, fonh,ith.ontly wnh rh63 pmvishns .
<br />WARNINC: F.ilur. ro scuE *o c6 @'npcnsdion o!.rsc i\ !nla*tu|, nnd sh,[ subF-l 0n cmllorr x, oimin,l pcroltis lnd
<br />citil fincr ut ro onc hudrcd tlmlsrnd dollars ($100.m0), in addirion ro fic cos olconvrnsntion. dlme.s as providcd for lhc
<br />:::'iiid' 0'$."101il
<br />I hcrchy nrfirnr und.r l).Nlrroflcrjury rhur I am I Isr!isionof Ch0ptcr 9 (ommncins wnh S(li Tfixr)olDivision3
<br />Df rlc B!si** nnd Pbrc$ions Cde. ud nry liccne n in Iull lore ad tffc.r
<br />\roilqs
<br />Dord ^..r4 6!! 4n 1X"""""" |'<r(u*"-'lllUlr uo ru
<br />CONSTRIJC'I'ION LENT)IN(i,T(iFNCI
<br />I hcrchy,r,l.n trndcr |}cnalrynlp.rju.yrhd rhcrc t ! or{rurri,n Lndin8.8ctr(y lor lhc pctlotruncc orrhc sork lor whth lhi\ pcnni n
<br />nsu.d (Sr. 1097. Civ C.).
<br />A.PTL&A I.DIILAEAITAN
<br />I lfR'by dftm utrdcr pcn!lly of tE j!,y onc.frhc tnlbwi.s dcclmiiotrs
<br />l)cn.li'i(r P.rfrns ArhnDr Nolific,iotr tjcdcml Rc3uldions ('lirlct0. Pdr,
<br />Rcq0rcJ L.rrdr.f N.rincarhtr
<br />l.cnifrh0l rhc tcdcrrlrcsul ri('ns tc! dins r\h.{osrc r,ulric nolrPfli.nhlc ri,ri'ir In'j.cr
<br />ffii.,",,tt^',irntr..tr,'r{r,(rhJrthcrtnrcirlom(n'ni\conccrIariL!t,.o'npl!qi,nlllcir,lndcounry-rdmrcc!on,lSr .lrtrsfthrin[r.bu'U'nF!n idcrion.Mhcr.byiurnori-rcIAcnrdiv.(.lrhhCnylndCounryrocnrc.uIx,nih.
<br />.bov. Bnrion d poFny for insncdio
<br />ApDlicsnt or Asent SisNturc:-l))11"
<br />PemiIe Eme (pnnt)r-9a
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under Iloor
<br />Gas-Underlloor
<br />Building Sewer
<br />Area/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipino
<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 />Bough Plumbing Yt(zy/to >\67
<br />Final Gas Test
<br />Meter Release
<br />FINAL 'Uutfi(6\{/
<br />Notes, Remarks, Etc
<br />APPHOVALS
<br />knd.ir Addns:
<br />-.(t-
|