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PLUMBING-INSPECTOR BECORD
<br />APPROVALS DATE tD/stG.COMMENTS OWN}]N BUILDI,R DEL(ARATlON
<br />I hcrcby rflnfl undcr lcn ly rn'pcrjDry that I onr crcnrtl lrcnr lhc Cnnlrackni Lic! \c ljq tor rhc r.lnrwint rcrvrn lsc. Toll 5
<br />Itusincs ! Pnntssion Cqlc). Atry Ciry or Counry *hich rcqutcs a Frnrir ro .o qtud, :rlrcr, nryrorc. dcmlisn or to?rn y
<br />{tuclurc. tritr nr n\ i\suM.c. lro r.qonc{'h. +tlk,ir tur ru.h t'crnln ro nb, si8flcd (rEnEnl rhrrhcorshc h liccn\cd plrslnr
<br />h rlr provisions olrh. Conrr"ctx\ Liccn\cd lr$ (ChrIrer 9. C{,m'n ncing wirh Sc.rion 7000 of Div(i.n I uf rhc Businc$ ind
<br />Pmlcs\i,,n\ C.rlc) o. rh h.or \h. s cxcn!, rh.rcfiumMd rlr hr\is ntr rhcrlkS.d.xctrrprior. Atryviohrn,nolSccliotr70.1I Sbyany
<br />untlico Inr r pcflnn suuc.hlh. omli.ul lo rcivillcna[yoltrol rorcrhn nrc hu r.ddollar\(55m)
<br />_1, d osMof rhe r!p.ny. or By enphyer sirh wlgcs as rhen eb.omFns.rion. *ill do lh. *r* sd tn slar@ i{ ml
<br />inrcnLd ft oflced fu ek (Se.70a4. Ausims $d Pmf.srionr Cod.: TIE C,nE&or'! Liens tjw dGs not gply lo an o*M oI
<br />lnc ImrEny *ln buius or ir{,tu6 dE@tr aid who rh.. Mh wl* hiru.r or h*lf or lhroud hi or hs oan .nployccs.
<br />povid.d ihd such irF.D\[Gnr m Dt iircd.d .r otu for slc. lf. howcw( tlE ttrilding or irprowEd n $! *nhin om )€e
<br />ofsnpLliotr tlE OwE Builld Nin h,E dE h!d.n ofFlvioe tfi6t lE or .t dn iot blild or inprek th. P'oFly for iE pu4n* ot
<br />_1. ns ounerofrhc nopcny. roex.luriwlyconhding wirh li..nsd coitdor ro coNru.l llrc pmr$l (SG.7044. Businqi
<br />a*l PiDissiMCo{tc ft. Conrsctol s Liccn$ L.w docs nor .pply ro e o*n.r ol [orcrry vho blildr or imrrovcc rhcr@n,
<br />and who onlncrs for suct |,oiccts sirt a ConrEcto(s) liccn*d lruNur ro lhc G,nlra.rm\ Li...* kw).
<br />IlmcrcmDlu crsdltn .B &P.C (o,rhAMsn.
<br />IOBSE8.ITAMIENSAIIAN
<br />DICI,AEAIION
<br />I hccby.ffirnund$ p.n0lry of p.rjury one oflh. followinS d(hm'ions:
<br />lhrvrrid trill uinrrinnCcdirl.nr..iCois.trrn)SclllisurnrworkcrrconrFn\dion.as pnvnbd kn hySucrnD l7{X)oirh.
<br />L{txtr c(xt. n, rh. !dnn,romc.irhc work n,r Nhiuh rh1 pcrnil n i\su.d
<br />_l huvc ,nd will minrlin workcs .omp.nsdrion insuturc.i as rcqnncd by S.cr ion l?m of rh. unor codc. for rh. l'qtomrc of
<br />rhe work for which thk Fmir is hn&{. My *orkch .ory).nsd ion inslratut c,ft., iJd polky numt.r ucl
<br />cxrir al*le FU^rD
<br />19)1AtD 1-t-?4t<
<br />I.cnifyrhai a.rhc !.rto,flncc ofth. *ork lor *hi.h rhis lErmil is iss!.n.1shall nol chrloy any !8rson in uny ronftr
<br />$ as to bcom sul,jal ro rhc krlrc oq&sario. la*s ol Cdlifoma!. and.88 rhal ifI shontl b..om ebtect lotl*
<br />qortcu compcnsrion pmviioas of Sdion 3700 of r& kbo. Cnd€. I rh.ll. tonheilh @mpl, qiln tlb$ I,ovisionr..
<br />\.,rtr{' rr' 6.{ rl-" L'}\4 ti,Lr.1rdc{ rlu rrl, r, } .lr+(*(- rt Y.l\ee-a
<br />LIJDILIEDI:OIIIAqIAB
<br />D[C!.ABA.II!}N
<br />IturcbyldnNund.rl..ahtolr.rjuryth.tIumli€cflrnu.rprcvGioflolChrylcr9{.o"rftncinssirhsccrkn70In)ofDivisbn3
<br />of rhc Burii.{smd Pn,fc*iod\ Codc. dnd mylic.n{ is in tull for.. rld clllrr.
<br />f2 qt6l 872-
<br />AIELICANLIIEIIASAIIQN
<br />I h6$y nnim undd ocnahy of pcrjury onc ofunc ,ollowinS delnrnr ionsl
<br />Dcmolil ion Pcrmils-Asbcslor Nolific,' ion Feddll Rc8ularions {Tnb tl,(). Pan6)
<br />-Rcquircd
<br />t ltcr of Nolifrarion
<br />_l..niayrh thc fcddhl rcCultrr ir,ns rsddin8 ashcsrx rnn,vd rE no! ntpli.ahL b lhis projccr
<br />ullccnrfyrhd Ihx\c rcid rhr\]nthcori.nufrl{Icrhd rhc rR
<br />'nroi'rurion
<br />i\ corst. l rsre xr c.mply wrrh rll c(, rnd counry
<br />ordinn6..q and Shtc hwsnlalingro buildi.Sconstruclion. d hceby aulhodc rcprcsnhrivcs ot rhis Cily a.d Counly to cnlcr Won th.
<br />ahor tu.rioed pDFny fo, insr..ri6n
<br />ADplicani or Ae.nl SagMlue:ffi.iir,-<-
<br />UNDER GROUND
<br />Waste & Vent
<br />Water-Under floor
<br />Gas-Underfloor
<br />Building Sewer
<br />Area,/Storm Drain
<br />lnterceptor/ Clarif ier
<br />TOP OUT
<br />Waste & Vent
<br />Water Pipino
<br />Gas Piping
<br />Rool Drain
<br />Tub/Shower Test
<br />Rouqh Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Main Drain/Pool Pipinq
<br />Fill Line/Back Flow
<br />Miscellaneous
<br />Gas Service
<br />Water Service
<br />Lawn Sprinkler
<br />Sanitary Sewer/Cap
<br />Back Flow Device
<br />Rough Plumbing
<br />Final Gas Test
<br />Meter Release
<br />FINAL frglrs -,(tl,ta6'
<br />Notes, Remarks, Etc.
<br />o*. I -(-'9
<br />CONSTRUCTIoN I FNDIN(; AGIiNCY
<br />I hcrcby dnnn undcr lEnaltyof,). jury rhil lncrc h s otrsltuclion kndins ascncy tu rhc lclfonuflc ofrhc wor* ibr whth rhh l)c,n r n
<br />i$ucd (s& lll97, civ. c.)
<br />lxRlcr'\ Ntrm
<br />-
<br />.",8-t-lt
<br />Pool Heater/Gas Line
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