Laserfiche WebLink
PLU M BI NG-I NSPECTOR RECORD <br />COMMENTSAPPROVALSDATEID/SIG. <br />UNDER GROUND <br />Waste & Vent <br />Water-Underfloor <br />Gas-Underfloor <br />Building Sewer <br />ArealStorm Drain <br />lnterceptor/ Clarifier <br />TOP OUT <br />Waste & Vent <br />Water Piping <br />Gas Pipeing <br />Roof Drain <br />Tub/Shower Test <br />Rough Water Heater <br />POOUSPA <br />P-trap/Drain Line <br />Main Drain/Pool Piping <br />Fill Line/Back Flow <br />Pool Heater/Gas Line <br />Misc <br />Gas Service <br />Water Service <br />Lawn Sprinkler <br />Sanitary SewerlCap <br />Back FIow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release <br />,/,s, <br />{zu(?rt/EUflrW hN1O TtktgFINAL? ltol vt <br />Notes, Remarks, Etc.7 <br />Owna-Builda Dclmtio <br />I hmby aIfim undr padty of pcrjury that I m qmF fdm thc CotnEtors' Lica5c llw ftr $c following ltas (s.7031.5 BsiDe' <br />md Prcfsiq Codc): Any City u Cunty which rcquiro a pcmit to mstuct, altcr, improvc, dmlish u rcpair 4y tfuctutr, pris !o it! <br />isme, also rcquirc thc appliilt ftr sch p6mit to filc I si8trcd stdmat thrt hc s shc is liqscd pmumt o thc prcvisims of dtc <br />Cqtrrcror'r Limrd hw (Chagt6 9. Cmrmcing with Sccrion 70(X) of Divisim 3 of thc Buine md Prcfcim Codc) c that hc u <br />shc ir cxmpr rhcfrm sd rhc boris fa olc allcgcd amptio .Any violrtim of S6tim 7031.5 by uy rpplimt fa I pcmir subjcB rhc. <br />spplimt !o a civil pctrdty of not mm thu fivc hudrcd dollm (t500). <br />_t, u oma of thc propaty, c my mploys with wrg6 6 thcir solc mpqtsatim, will do thc wo* md thc structw i! nd intcndcd <br />u offacd fa salc ( Se.7044, Bcins sd Prcfeiru Co&: Thc C6tr&1q'i Liere lrw dc not rpply to u w of thc prcpqty <br />who builds s imFove thm, md who dod swh wq* hiroclf c hmdf c thrcugh his c ha om mployce, Ircvidcd thal such <br />imprcvmmts e not inhdcd tr oflsrd fc salc. I( howcvr, thc building u imprcvmmt is sold within mc y6 of mplaim, thc <br />Omr-Builrtcr *ill havc thc burdcn of proving thst hc s rhc trot build tr imprcvc for thc purpoec of salc). <br />_t, a om6 of $c popcrty, m uclwivcly mtracting with limlcd mtrrcts! to ffisrrud thc prci61 ( 56. 7(N4, Buin6 od <br />Profsim Codc, Thc Cstretor's Liffic Lsw dc not spply !o m owna of propcaty who builds q improv6 thmn , md who <br />mtret ffi $ch prcjElr wi$ a Cmt".tc(s) licEcd ptlB@t to thc Cmt rctd's Lims Law.). <br />_l arn exempt under Section B. & P.C. for this reason' <br />Date:f)wnar' <br />WORXIERII COMPENSATTON IIECIJIRATION <br />f ha*y efiim udaFndty of FjEy oc of thc follwing delmtiou: <br />_thrvcedwiltminuinaCqtificrrcofCmtosclf-lromfawqlcrr'cmpaErtio,a poviddfcbyScrim3700ofthc <br />LrborfuG, forthc prfrmue of thc wct fqvhici thc pqmit is irrucd. <br />I harc od will minttin ws*c(N' onpaufim iBmcc. a r€quircd by Scdim 3?00 of thc kba Coda fq 6c Pcrfme of thc <br />ilqh fs which thir psmit i! isucd My ;oi*at' conparsrtim ircumcc mic md policy nmba ut: <br />Policy <br />(This wtim ncad not bc mplacd if thc pamit is fo Onc hundrcd dollffi {t100} q ls) <br />_l erriry that in thc pafomcc of thc wod( fq which this pdmit is isucd. t shsll not mploy uy pamn in uy mund so & to <br />bamc subjcr to thc wokcr ' mpauation lsws of Califmi4 ud agr that if I should bccom subjet to rhc wukm' <br />compcnstim prcvisions of Scctim 3700 of thc kbor Codc, I shall, f6rhwith comply wirh rhec provisions. . <br />Darc' Applicet <br />WARNING: F8ilurc to scurc wor*6' @mpcnsatio ovcragc is unlawful, md shall subjcct m cmploycr to oiminal pcnoltia ud civil <br />fins up ro oc hundrcd thmd dollm (1100,000),in sdditim to thc ct of mparsation, damags u grcvidcd f6 6c Setion 3076 of <br />thc Lrbq Codc, intmt ild 8ttomcy's f6. <br />LICENSED CONTRACToRS I'ECLARATION <br />t h@by 8ffim undcr pastty of pcrjury thd I m liqrcd ud6 prcvisio of Chapta 9 (macing with Setim 7000) of Divisio 3 of <br />fic Buin* ud Pmfcrios Codc, md my limsc is in full fmc ud cffca. <br />License Class: Liccnse Numbcr <br />Date: <br />CONSTRUCTION LENDTNG AGENCY <br />! hmby aflim uda pcnalty of pcrjury thst thqc is a onsEuctio lcnding agocy fu thc pcrfomucc of thc work fq which thir pcmit is <br />isucd (Se. 3097, Civ. C.). <br />I Lender's Name: <br />APPLTCANT'S DECLARATION <br />Dcmolition Pcmits-Asb6tc Notification Fcdoal Rctulstions (Titlc 40, Pan 6) <br />_ Rcquircd t:ncr ofNotificatim <br />_l crrrify that thc fcdcral rcgulatios rcguding 6bqtG rmoval rc not aPPlicablc to this projct. <br />_ I ccnify thd I havc rcad Ois applietim ud ststc thar thc abovc infomstioo is corcct. I agre ro comply with all City ud County <br />trdineB ud Strtc LaB Elating ro buildiog mtruction, ud h@by ethqia rcpGcnrariv6 of this Ciry ud County to qtcr upon thc <br />sbovc modocd prcpcdy for inspoction purpose <br />Applist or8g6t !ig.: Da&:- <br />Pmittcrm(FinQi <br />D