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PLUMBING.INSPECTOR RECORD
<br />APPROVALS DATE COMMENTS OWNFJR BUIT-DT:R DET,CAR TloN
<br />I h.(hy lfti'm undlr Fnxxy or Nrjury rhrr I m .rrnu rturn (h. cotrh!.ln{ I-iccosc L'tr lor lhc lnl[,$in8 rrav,n (scc 70]l 5
<br />Ausir.i\ uri Ptufc\\i{,r Cd.) AtryCilror Coudr w[i.h rcquirc( r Frnir lo con{ruc|. rlrcr. tnpn,!c. d.tri,li{h ur Nfrrr'trry
<br />srflcrurc. I1lio!ro irs issuMcc. rho rcqlnc\ rhc apnliclnr lnr such lcnnit t, filc r signcd i]r.nrnr rl hr or shc i\ li(crsd nu^urnl
<br />ro rhc ,6vkions ol ln. Contacktr r Liccnscl Lrw (Ch.frcr 9. ComN.Nins $irh S.dion 7O{x) .l Dnt'.n I oi rhc ltusirrcss nnd
<br />lrolcsionsCodc)orrhnl hcorshc ircicmpr rhcr.rronand rhc h!\i\ ror rhc rllcBcdcrcnuion AnrviohrionotSccrionT0ll5l'triy
<br />trpllMtrr rttr r p.nnir subjccBlhc ltrliclnr to !civiltrmlryol no' nnrcrh fivc hlndlcd dollx^ (35(x)r
<br />-1,
<br />3s o*ftr of rhc Fopciry, or my crlplorri! wirh Mg.s s th€ir ek conFns.rion. wil do tlt wsk &d tlt srnel@ b mr
<br />iirqxLd ororclrd roreh (Sc.?044, BBiFs Md &ofcsioB C.d.: Tt cotrsdors Larn$ Llw d@r ior,!ply ro eowE of
<br />li. poFny *lb tlilds tr inptuB lh.d,L ed wlE dc Mh *or[ hituclf or heMlf or rhsug,l hB or lEr ovn .n{loyccs.
<br />pmvkt d thd such inpovEftnB @ mr intc'xLd d otu ft)r ste. l( ho,ffi, thc buildl.g or in rswm. is $!d vilhin o@ y.u
<br />of@nptrbtr Ur OwM Blilta sil haE {E hldcn otprovhS lhd h. d !h dn td buin or inpmE 0E popory fr dt FlFe o,
<br />l. N owm. ol rrE lmpeny. m .rclusiv.ly conlr..lin8 wnh ficcn*n conlncloF ro .onsmcl rlr teiEr {S(. ?04.1. susmess
<br />und Ealgihn C.dc: Thc Conrturols Liccnsc kw d@s nor ap[ly lo ,n ow@r ol p.orEny who l,uilds or nnprov.s lhe.con,
<br />dnd *ho conh.k lor suh rmieis with r ConlEcto(s) lians.d PunMr ro rh. Conr&has Lic.ns t w)
<br />I lmcrcmorundcr S(rion .B &PC forlhi c!{n
<br />TOBTESS]I:I}MPEISAIION
<br />DECLAXAIP!
<br />I h.ts6y afiirm undn Fnot, of psjury o* of rlr fbllowinB d*laariotur
<br />-r
<br />hlvcrtrrlsilltruinrrii! Ccniltrlc oi ConEnr ro Sclfln!tre f{tr ior*.ri compcisrrn,n. ds Pmlidcd ktr hy56--li,nrl?lx)oIrh!
<br />I-,hr O)dc. lnrrhclxrfonnrncc olrhc Nork lbr qhichrncpcnnir i\ i$ucd
<br />-l hlvc and will minrai. rortcB .onwBllion insututrc. d rcquircd by Sml ion 1700 o, thc L!bo, Cnde, for lh. psformmc of
<br />thc w.rt rar which{rF n(m r\ r\u.al Mr} r\.'c .i'mrrn\a1cn 'n\u'M.c.nicr Jnd rlicynurttl (c.-. t\tit"rqtt- 60,<\ -rrn: .
<br />cot j,RI
<br />-l
<br />cdify lha in dc pcrforNna ol thc sork for vhkh this lcrnil h irocd. I rhill noi .mploy .ny P.r$n in lny muncr
<br />$ s lo lE om slb.icd lo rlE vorkcn comF.sdio. laws of Califomi4. rnd ,eN lhat if I sholld b.toft slbjdr ro ltE
<br />wo*ql @mt nerion lDvi.inns.fsdtkrn 17006lih. tjbor Cod.,I shlll. fonhwirn omrly wirhrtns provtioos..
<br />WARNINC: Foilurc lo cclrc $o,kcri conpcnsalion olctusc is unlawrxl. md shrll suhF{t an cq,loyct k, siminrl ltmlri.s,.d
<br />.ivil fincs uD ro om hundr.d rhousaod dolhG (Sl($.000
<br />Sd ion ]076 of rtc L,tnr Co{c. i.rcrci Md itr my\ r..s
<br />), in dirt'n h ntc .o{ of ..nll).tr
<br />""'"' 1g$ 0&2u,s
<br />I hcrby ffir6 uhdcr pcnaltyofp.rtury th l um li.cnkn Ch+rcr 9 (.umm ine wirh SB..tbn ?0.,Ir) oi Divi\ion 3
<br />of rhc Btrriresi ud PFtcsrions codc. ond ny li.cn$ is in tuu forcc od cficcl
<br />I o ,14q,'
<br />I()NiIIIJ!.IION.LENDIXC-trAINCI
<br />I h.rcby lrllnnu crr-*{hyolpcrjuyrh$lhcrnacor(nrcli.nt n,gngcn.yforrhcNdohtrtcofrhcworknt\hi.hrhi\pcrn,iri\
<br />nrurdrSLt :ln)7,Civ. C )
<br />ATPUCAlflrECt ASA.rMN
<br />I h.r.by dim udcr p-nrll y ol pcrjury ok of rhc follosins dalaBi io.s'
<br />Dcnnririon Pcmit-Ash.stos Norilicorion ftdcral Rc8uldn,ns (Tirlc 40- Pan6)
<br />RLluir.d lrncr oa NolifKnliD
<br />-I
<br />ccnify lhar rhc federll rcgirlarions c8trrding e\b.ks rcmval arc ml ippltoblc lo thn pojtir
<br />J/tc.n,ryrhd rh^r rc rh,. annrkd
<br />f,dmiftc\rnd sutc tjqs Eldin! rohui
<br />aholc Botio.cd rmFny fd inrp&liotr
<br />ion and srorc lhnt rhc ltnvc i h c()rer. I !g16 ro .otrply with llt Ciry end Coonry
<br />Eprenrrliws of ihis Cily aod Cohry ro enr6 ufoi rlt
<br />/tpplic.nl nr A[.nl SiAnuh're JJe_ffi 2018
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Buildinq Sewer
<br />Area/Storm Drain
<br />I nterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Piping
<br />Gas Pipino
<br />Roof Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P{rap/Drain Line
<br />Main Drain/Pool Pipino
<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 />Rough Plumbing $llu/tt's\€46
<br />Final Gas Test
<br />Meter Release
<br />FINAL T3Ux t\ft\LA*5 L
<br />Notes, Remarks, Etc.
<br />ID/SIG.
<br />Gas-Underfloor
<br />Fill Line/Back Flow
<br />2018 ".,,..",..
<br />I cn,t,l \ AJ,ln \.
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