|
PLUMBING.INSPECTOR RECORD
<br />DATE ID/SIG.COMMENTS OWNEN BULDET DEL(i{RATION
<br />I hcrcby amrm lndci Ftuhyof pcrjury rhar I d cxcmpr fron rh. Co dctoB Littr€ kw forrhc fouowing ma$n (Sd.70:11,5
<br />Bu.irc$ oJd Prcfc$ion Codc): Any Cny or Cddy *hich rcqubca . IEon lo 6nnru.l. .lk. impmw, d.mlih or Fpon my
<br />structuE. prix ro irs hswc. &ls Equncs rtE applkot for su.h pemir ro fitc a sisncd slar.mar rh lr or slE is liens{ plljWt
<br />to ih. FvBjons ol dE Coitmld\ lkeosd ks lclapler 9. ColmBin8 whn Se&,n 7000 of Divtion 3 of lh. Busincs .nd
<br />PmGssions Code) or lnal lr or she is crcn{,t lh.rclioo &d lh. b.sis for thc dhg.n q.trplion. Ary tiohlion of s€rbn 7031.5 b, 8ny
<br />appltunr for r pcrmir slbiErs rhc applicdr lo a civil pe.lhy of mr mrc d$n five hu'dred dollffi (1500).
<br />I. ec o*M of rh. p@Ffly. o. oy eo0hyrcs wnt w!86 8 thci. $lc o,qEnelion. wil do tlE wo* {rd llr irErh is tul
<br />inl.n& m offcEn lor sk (5(.?044. Busimss sd EDf.ssions Codc: Ttc Clnlr.clor'r LiccnF bq &cs ml t0ply lo d owr of
<br />thcp6p.ny wh. hiu! or in+,bB tlEmtr dld who does skh wo,l himlt or hcEll o, lhmu8n ht or tEr own cnployei
<br />provid.d rhar tu h inpotmrLr @ rc| hicodad dolt ild aorMl.lL horc@, $c hlildioe o. irpmkftnr bsldwhhinom )Er
<br />of corphrbr lhc Ovrcr Buitjcr ,i[ hlE rlE burio of povinS rhll lr or fic dil mr build or inptoe $c fopdry f6, t\c nu.poe ot
<br />l. as .wncr nl rhc ptuFny, m eiclnsivcly conrturing {irh liccnscd &ntBdoN ro conslru.t lh. pmj.cr (sm. r04. Aurinc$
<br />ond i\otssion Code: "rhcContracrols LiccnFs ks docs not applyro !nosiu oapmpcny sho b!ilds., inFro$s rhmon.
<br />ond who o mck for such pmlcds * n{ Conrmcrodt liccnscd l)unMr ro rhc Conrracrols Liccn* t *)
<br />lhr( Osntr
<br />IO8f,Ef,S:SITITENSAIIIIN
<br />DICI,IBAIION
<br />I h.rcb, rrtrhxnd., p.n lryollE ury orc orfic followin8 delmrions:
<br />I h.vc rrn will rirhin a C.nirsi. or Co.scd lo S.If-IBUE lor wk6s 6mp.nsdion. c pmvidod for by Strtion 1700 of lll
<br />L6or Codc. ror rlE pcrrolrl1,re of dE e* fo ehich rh. pdmir i! icsucd,
<br />Ihavc.ndwillmainiainwor*c6 conp.ncorion insuruBc..s rcnuned by Setion 3700 of$c tihor C.dc.lor thc pcrfomme of
<br />lhc uork lor vhkh fiis Frmil is is$cd. My work rs sml,cNlion insummc cuicr orn poUcy number de:
<br />. 5T41€ FudD
<br />\a1'7 3io 1-(- 2otd.
<br />-l
<br />cenirirhrt in rhc rcrformre ofrhc wort for whicn rht lcirnir is isslcd. I ihall mt cntlo, a., Fron in aiy mnncr
<br />$ a. b h.@trc bje.r ro rhc w6rk6' oopor.rio! hws btc.litomia, and d8ft rhd if I snould he.om subj.{ lo lh.
<br />w.rt6 cooFoiari6n povirio8 ols.dion l7m of rhc Ljbor C.dc. I sh0ll, fonhwith 6mt,ly witn the pruvtions..
<br />WARNING: Failu.c ro wurc wo*cis on{rcnsrrion cowmgc is lnlsw6rl. 6rd shall subirr tu cqrlo}!. |o ain ul Folra. ud
<br />civil fircs up lo om hundrd rhousid {iolb^ (Sl0o.0o0). in adnirion ro rlE ost of drqMs ioe d.mgc. a!,ovltcd lor rtE
<br />Sation 10?6 ol lh. l,tor Codc. int rcsl a anmy s f..s.
<br />D'",6-(-lt
<br />DIiCI.AIAIION
<br />I hcNhy llfinh x.df Fndxy orl).rjur! thn' I am lien\cd undd Imvntun otCh.prs 9 (mnrmming $irh Scclion 701)0) otDivnion:l
<br />ol rhc lrorincs aid Pn,tc$io,s Cod.. aod m, lkens i\ in flll r'orc on cntcr
<br />I-iccnsc ctass: B I-iccnsc xumtcr:1 t4 3'z 2-
<br />D'r.,--a -(-r3
<br />soNsraucuoN$NDtNilc8g
<br />I h.eby alfrd u.d* Fnnlry ol p..jury fiar rhcm is a conslo.rh. lcnding a8cncy for lhc Fyfomncc ot thc ert for ehich rhis l)cnln iq
<br />iiscd lS(,309?. Ci! C.)
<br />APILICANIJIECIAAAIII]N
<br />I hoa*,y timundc, Fnllr, otFrjuiy ox.f rh. follo*ins d6l&arions:
<br />Dcablilion Pcmik.Arbcsros Noiific0lion FcncEl Rcgulllions (Tnt 40. Pan()
<br />-Rcquftn
<br />hncr of Notilica&'n
<br />lrrnifyrht rhc fcdcful r.AUirriotrs rclarding r\hlio\ r.nn,vrl ffe ior pllluhlc k,rhn ttu|d.
<br />rh,!c ntnri,nrd nn,tcny nrr i'rsI(rt,n purF'sr\
<br />Appllonl or At.nt SlBrrl!8.?rl+€' ts-4_
<br />I l['k
<br /><d-t-ll
<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 />Bool Drain
<br />Tub/Shower Test
<br />Rough Water Heater
<br />POOL/SPA
<br />P-trap/Drain Line
<br />Itrlain 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 />Rough Plumbinq
<br />Final Gas Test
<br />Meter Release
<br />FINAL qlsltg -,/-<a4ril
<br />N otes, Remarks, Etc.II
<br />APPROVALS
<br />-l
<br />an .rcmpt und6 S€rion-. a. & P.C, for thii E&{i,
<br />cor,.A.,or ?,W G-t,*
<br />Lcdr\ AddE.'
<br />-
<br />Back Flow Device
|