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PLUMBING.INSPECTOR RECORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under Iloor <br />Gas-Underfloor <br />Buildinq Sewer <br />lnterceptor/ Clarif ier <br />TOP OUT <br />Waste & Vent <br />Water Pipinq <br />Gas Piping <br />Rool Drain <br />Tub/Shower Test <br />Rouoh Water Heater <br />POOL/SPA <br />P{rap/Drain Line <br />lvlain Drain/Pool Pipinq <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 />Rouqh Plumbinq <br />Final Gas Test <br />Meter Release <br />/-Att^orcFINALtlalu m ,z) <br />Notes, Remarks, Etc.a <br />OWNER BUILDER DEI.CARAIION <br />I krchy amrm !.d6 F.ilry of lEijuty rhll I am q.np nom rld C.nrr.do Lic.n* l,w for rh. follo*ing rjbnt(S*.?Cll.5 <br />ausin.ss ad Proa.sbn Con ): Any Ciry or C.lnry whi.h req rcs a lrcmir lo onntucr alrd. iruroec. iletirh o, rp{t sy <br />srtucruc. Fior to ns issare, !l$ <br />'lquncs <br />lhc arpli.ul fo. su.n Fmi ro nh , stEA 3d.md rh,r h. or sh. ii lt nsn pursst <br />ro rh. prcvbions ol t}! Conrretoas Licnsd L.s lch,prr 9, Coomftin8 with Serio. ,0OO of Divliion I of ihc Burin.r. ajd <br />Prcfc$hns Code) or rhlt lE or shc n crctrpr rhcrcfomud thc basi! for rlE allclcd q.itDrioo. Any viobionofselion ?031.1by lny <br />aptlicrd tor ! pemit subjds rhc aplllicoi io !.ivil pcMhy of mr mE lhm livc hundrcd doller (1500). <br />I. r\ oNNr of rhc nmFny. or nry c nrployN\ vilI qlscs !s rhcir slc conDrn\]rion. sill do rlt No* urd rh. {turu. i\ nor <br />irlcrnd or.ficrcd lor slc (S( 7(l1.r.llt\inc\\ od [!rdt\n,n\ Codc Th. (iJitkt(t s l-iccnsc lrq docs nollplly n' in osrcrol' <br />rlrptuFny *ho builds or inlt'mr$ rl!cB)n. dtrd qk) doc\ n'.h wlk hir\cllor hcn.ll or rhRn'gh his or h.r o*n cnrdoyccs. <br />nnrvnhn rtr luch iplovc'rnkdcnorictdcdorollcRlnr\rk.llhoqcltr.rlthuikliU r in]])ourrd i\ {,ld $irhi" utt }tr <br />ol.onrflcrinr, rl[ owncr Buikls q'illhavc rlx huilcn of l)(rviu rhd hc or {r did ftn t{ild or irpruvc lnc ptu,f,ny ,in lhL purlDc ol' <br />l, .s owrcr ofrh. ,mFny. m .xclusiwly .onrEcrins wirh licctrEd .onrm|o6 ro omrud UE pDlrl (Se. 7o4.r. Buiiftsr <br />lnd Eo(situ Codc: Ttc Conrdroi. Lic.i* Lae doc. ml ,|)Pl, ro an owncr of,roF.ny *lm builds or impoti lheton, <br />and sho co.r&t! for iuch Flj.rts wnh a ConrElro(s) li.ed ,usunl lo rhc Contracrois Liedc b*). <br />I ! crcmlr und.r S.c <br />]t!.8[r8t]!0Nrr!t rQl <br />I h&cby nnn <br />' <br />uDdcr r.ndhyorNau <br />DIII.ABAII!}N <br />I hrrc r0d (illtuiirrinaCcnili.arc.lCrrsc t) Sclr l $r f(trwnrk$ cdu'.r\rri,n,. r\ p(r idcd larbySc.totr 1701)ol rhc <br />Itrh, (ftIc. ntrrhc!.rtondncc orrh. trork f,tr*hi.h rhc pcrmir i\ iss!.d <br />_l h,vc and willoaint,i. wortcB onpcnsation insBrc., a rcqlind by SElion 3700 oflhc Lrbo. C.d., ror llE pcrforMrc of <br />lrE wrk for whih (hn pcmil is issu.d. My *trt6 onpcnslion ins!rorc cuir aid Flty nuF !.r a.: <br />-l <br />ccdifylhal in fic pc.formncc of thc wort for which lhis pcrmn is isslcd, I shall nol cnploy any l)cNn in tny ourcr <br />so s Io b..oG subjdr ro lh. w 6l orycnsrioa bwsofcdiaornia. and a8B Ih if I rhotrld bccom subjmt lo lh <br />Mrk6s mopcnsalion pNtisionsofSclion lr00 of thc t2hor C.d..I slEll. fonhqirh.odply wnh thos Povisions.. <br />WARNINC fuilulc lo su,c trrtrkcn'comp.nut .overasc i\ unh*hil. .nd sh,ll suhirl rn cmplorr lo snninrl tcMlris dnd <br />civil finc\ uI lo om hundrc.l rhou\rnd dolld\ (m,Ooo). in lddirio! ro lh. cost ofcomFnsdion, d.mgcs !s pmvidcd lor thc <br />sc(ri(trr.ro1).lrhc Irlxf co .. nrdcnltrdrl <br />ca"€ <br />I hcrby rlllrflu.dcr Nmhyofp.rjury r fmvision or Chut d 9 lconmnci.S wirh scdhtr 1 0) ol Divhion l <br />ol lhc Busincss rnd Pmrcssions Codc. mn my liccnsc h in tull forc ud cficcl. <br />Licqns. Cla$: Li.ens Nlhbdr <br />l)xrr ( !trnrnll!,. <br />C9NEIAUCUOAIENIIINCIGENT.I <br />I hcrcby aalt undcr Fnilry ol p.rjury rtu rh.r L\ a .o.{ddb. Lndin! r8cmy nx thc lcrlbrroN or rhc work ritr *hth lhis Firnh is <br />issucd (se.lo97.civ. c ). <br />AIILIIANI.DDILAXAIIQN <br />I trrcby nl]nm unds lt]n! hy of p.rjur, onc.rihc firlovins dc.lurnrn\ <br />Dcnhft iotr Pcflnirsasbcslos Norific0liotr r,cdcml Rcsularions ff irlc 40. P!n6) <br />Rcquir.d IxI$ of Notilicdrion <br />Area/Storm Drain <br />trndcis Addm$: <br />- <br />_l <br />e?-g/3p w