Laserfiche WebLink
PLUMBING-INSPECTOR RECORD <br />APPROVALS DATE COMMENTS OWNER BUILDER DELCARATION <br />I h...by rmrm u.dcr pcMlry of !€qury rn l d crcnfl tbd rlE Conir&loB LtcM llw ,or rhc followiog Etr$n (SN.7031.5 <br />Busincss lri ProGg.ion Cod.): Ary Ciry or Coury which rcquiEs ! lxron lo mnltd.r. rlld, improv.. d.molish or Epnir uy <br />slrlcrurc, prio. ro irs tsum. .L{ rcqut* rh. .pplker for sEh F.mir 'o <br />fih 3 signcd slatcftir thor t or shc ic liensd nuNMr <br />ro lhe pftvisioni oftE Co.reioi! Lienkd t w (Clrpr.r 9, Comnctri.g wilh Seclion rmo ofDivtion 3 of thc Busincas.nd <br />Prcfcssions Codc) or lhal lE or shc is .x.mpl lhcEfion a.d thc basis for lhc dhScd .rcmplion. Any viohrion ofsedion 7011 5 by any <br />lP|)licai' fo. a p.m subjers rk amli.!.r ro a ciril lcnalry of nor mrc rh.n fir hudEd dolles ($5(x)), <br />_1. !s owmr of lh€ pmFny. m m, cmlloles wirt *!96 ss rlEn $h ompcnsrion. *ill do rlE ff.t and ltE slnErw ! rcr <br />i c.&d or oalcrcd fo o]c (56.70{4, BBiftis od PDf6!io.3 Codd Thc C.rlraclor3 Licnsc lj* rlms ml ql,ly lo M oncr of <br />llE Imp6ry *ho boint or im0m8 rltlrm !d who d.Es ocn work hihsll or hcMtf o. rhmugh hi! or lEr om.rlplorEca. <br />prorkhd rh,r luct inprc\Ecnt c Dl i'nd'd.d dolf@]tu el.lL hoEE, dE ttril,irg or i,pmwrnt k sE wnhin om y@ <br />ofonglcrior tlr Owtur Bui}:ls NiI h!* 0E hrkfl of Fsving $,r ttr or rlr dil mr build or itrpmE dr Fopqly fd dE puqe of <br />l. Ds osk.orrhc pbp.dr. ,fr c xc lus iv.ly conhd ing *irh lienscd.o mloE to con(ruclth. pmjecl (S(.l(4,l. Busrms <br />ad Aoissiotr Codcr Ttc Co rrctol s Licctrsc Lae dcs nor {'ply ro o. o{ncr otlropcny who build. .r inprovs {hcmn. <br />nnd oho co.r,r|3 for *uch rojccrs wirh. cdorodonr) liccn*d pu^u ro rhc c.nra.roas Lk€B tlw) <br />I mcxcmnr undcr S(riotr . B & P C for rhis ea{n <br />Drl.: Oen.E <br />SIIBf,EXS:COITIESAIION <br />DEqI,Af,AII!'N <br />I h.rcbt .lfirm undcr lcrully of rrjury oft o,lh. followhs dslmlions: <br />-l <br />h!!c ad sill minlain s Ccdifrar of Cons to S.r-lNuc for qolkdr' omp€n ario( d trcvided for by Sclioi 3?00 of tlE <br />Llbor Code for ln p.rfonEm oflh. w.rt fd ehicn llE pcm is nsBd. <br />_lhavca.dwiunrinhioqorkcs.onncns.rio.in*ur!rcc.&r,cqlircibySeriorST0ooflhet hor Cod.. aor lhe rc.fomme of <br />ftc wrk lor which rhh rcrnir is iqsuc<l. My workos .rmpensrnln inrurM.{triq orxt lDlicy numb.r Ee: <br /><-?4-r€: FU N, D <br />I if 1 a tf)1- t-74t< <br />-l <br />ccnify lhll i.lh. peformmc of $c *ort fm whtntnk p.mil is issucd. I shlll ml cnqloy an, Itasn in any M@ <br />$ !s ro b@m subifl ro <br />'hc <br />srk c ompcnsarion lsws ofcllifomi.. !d agc rhrr if I sh.uld bclom subj.rl lo llE <br />sorlc*'oDpcnsitionp$lhionsotSdion:lT00ofrhctrnrCodc,lrhall.lonhwirh6odywilithospbvishns.. <br />WAX.NING, r.ibrc ro sw *(t E onFrsrion cowBsc is unt.stul. ud sh,Il slbiEr u chploltr ro didii.l FMlri6 ed <br />.ivil ,incs up lo orc hu.dred rlEueid dolls ($100,000), i. lddiio. ro rhc .o( ot omFft.lion. damg.s !s prcvidcd tor thc <br />s(rion 1076 of rhc tibq code. inr@q ajr<l dbmr\ rs <br />( - l- lB nrro-,ALL <br />DECIAEAIION <br />I hcrcby arfinn uidcr ri(nahr{rpcrjnry rlr"rI ! liccn$d utulcr ps,vnn{ ol Chrfl( 9 (.offxtrci.e wnh Scd iotr 7000) of Divnion l <br />ol rhc Busircssand PmltssionrCodc, id my licensc t in tull rbre and cfitct. <br />1t4 872- <br />o"r",3-t-tB co ncror 9k? g-r- <br />taNilx!(I&drtx0ll{iJr{i$ill <br />is$cd lsc. l0i)7. Civ C ) <br />AIfI.IIAII.DES.AAAIIT}N <br />I hfr'l,t nfllnn undrr pcndhy of pcrjury oro of rhc lollowinB delaml io.s: <br />D.mdlirion PcroirsArb.nos Nori,l.dtun l+d.rrl RcBulnrbns (Tirl.,40. Pd6) <br />Rcquircd kncr or Nolifrcdinn <br />l.drlv rhtrrrhc lt crrlrc(uhri(if(rcxddir{r\hc(o!rcnx\rlrrcfolupl.rhl.rithi\|m)iccr <br />&r ."n iry rr,r r r,*" ,".r rr,l\ rnpL'.nriod rnd {rc r) rrh.rh rrrNho rJny$(hrrLtrtitrdcoldy <br />lnovc mnriotrcd lmpcny for i <br />Apptlont or Ag.ni SlsBluF <br />-*'r*ffi, z_<_*,. 8 -(- {?itt;? Pa"|c <br />Waste & Vent <br />WaterUnder floor <br />Gas-Underfloor <br />Building Sewer <br />Area,/Storm Drain <br />lnterc eptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Roof 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 />Pool Heater/Gas Line <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 Helease <br />FINAL 9l8l19..{/44(D <br />Notes, Remarks, Etc.lr <br />ID/SIG. <br />UNDER GROUND <br />Miscellaneous <br />L nJ.-'. N.'rr <br />L..dcas Addrca\: