Laserfiche WebLink
PLUM BING.INSPECTOR REGORD <br />APPROVALS DATE ID/SIG.COMMENTS <br />UNDER GROUND <br />Waste & Vent <br />Water-Under floor <br />Gas-Underfloor <br />Building Sewer <br />Area/Storm Drain <br />I nterceptor/ Clarifier <br />TOP OUT lr^ <br />Waste & Vent ql,r-ZL fu{J4 <br />Water Piping <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 Piping <br />Fill Line/Back FIow <br />Pool Heater/Gas Line <br />Miscellaneous <br />Gas Service <br />Water Service <br />Lawn Sprinkler \ <br />Sanitary Sewer/Cap 4, <br />Back FIow Device <br />Rough Plumbing <br />Final Gas Test <br />Meter Release a,,1-LeFINAL7-24 2/42/@ -7V <br />Notes, Remarks, Etc. <br />\ <br />7 <br />I hqdry aIfirm uods poalty of pqjury thd I m qmp 8om rhc Codrtm' Licre try for thc folbwiog re[ (Soc.703l5 <br />Buine and Prcfebn Codc): Atry City or Cout y which rsquirs a pmn to ordru(t altc, inprcrc holbh or rcpah uy' <br />sruclur,Fbrtoits isuucc,dsorrquiEthceplixtforshpmit!oflrasigocd$dmt thatcorshcblissod pman <br />to thc Fovbioru of thc Cotrtac'ttr's Limscd hw (Chrpta 9. Commiag wilh Setiol 7000 of Divisioo 3 of thc Buim md <br />Profeiom Co&) m rtut hc fi shc is qcryt thsc&om ad thc bsb for thc s[Ggod qoprion. Aoy vblatbn of SBrbr 703 I .5 by uy <br />applimt for I pqmit sbjcBthc applicrd to s civil pfl[yof mt mGtt$ fivc hu!&rd dollJ! (t500). <br />-1. <br />I om6 of thc popctn u my mplolc with wsg6 s lhcir sh compasaion, will do th. work md thc rfudrc b mt <br />iltqd.d or oftrcd fq slc (Sc.7044, BBin6 md Profc*rioro Codc: Thc Cortrrclor'! Lic@ l.rw do6 mt @ly to m ow of <br />thc prcpsty who tuil& tr inptoG tllmo, ad who do6 erch w!* hirelf or hqetf or thrcugh hir or ha om snploycca, <br />providcd that sucb imtrowErt! m mt idodcd or oftrod for sh, l(, how, ttr buildiog or imFovarcd is $ld wilhin olc )ar <br />of ompl*iln, thc Ownr Builda wilt hm thc hrd6 of poving tha hc or drc dil mt tuild or inprcvc thc popaty for thc prrpos of <br />elc). <br />-1. <br />a ow of thc pmpqty. u qclGircly @otrting with li@Gd correloa to onnnrct thc pojcd (Sc. 7044, hlirB <br />ad Proftriim Co&: Thc Contnctor'i Licce l:w doB rct lpply to m omq of prcpaly who buitls or inprcs thqatr <br />ud who 6rtuB for swh Foirts with a Cofiaclo(s) lilmcd pnuaot to thc Cortrrttr'! LLlre ts). <br />-I <br />m qmDr utrd6 Sction , B. & P.C. for thb @!. <br />I hereby alTirm under penalty of pojury <br />Owner: <br />WORKERS' COMPENSA <br />DECLARATION <br />one ofthe following declarations: <br />have and will maintain a Certificate of Consent to Self-lnsure for workers' compensation. as provided for by Section 3700 of the <br />Code. for the perfonnance of the work for which the permit is issued. <br />have and will maintain workers'insurance.as by Section 3700 of thc Labor Codc, for the pcrformance of <br />rcarrier and policy number are:the work for which this permit is <br />Policy 12- 7O2 t <br />certiS that in thc pcrformance of the work for which this permit is issued. I shall onploy any pcrson in any manner <br />so .ls to become subject to the workers'compensation lau's of California" and agree that if I should become subject to the <br />workers' compensation provisions of Section 3700 of the t^abor Code. I shall. forthwith comply with thosc provisions.. <br />WARNING: Failurc to sccure workers' comporsation coveragc is unlawful, and shall subject an onployer to oiminal pcnalties and <br />civil fincs up to one hundrcd thousand dollars ($100.000), in addition to the cost of cornpensation, damages as provided for the <br />3076 of the Labor Code, interest and attorney's fees. <br />DF'.rLIII.ATTON <br />I hereby aflirm under paralty of perjury tha I am licensod under provision of Chapter 9 (commancing with Secrion 7000) of Division 3 <br />of the Busincss and Professioru Codc, and my licsrse is in full forcc and cffect. <br />Number: <br />Dpl/c t/'I <br />I hereby affrm under penalty of perjury that <br />issued (Sec. 3097, Civ. C.). <br />knder's Name: <br />CONSTRUCTION LENDING AGENCY <br />there is a construction lending agency for the pcrformance of the work for which this pennit is <br />Lender's Address: <br />APPLICANT DEC II\RATION <br />I hcr*yaffirrnundcr poralty of pcrjury one of the following dcclarations: <br />Dernolition Pcrmits-Asbcstos Notilication Fedcral Regulations (Title 40, Part6) <br />-Required <br />Lcttcr of Notification <br />_l certifu that the federal regulations regarding asbestos rcmoval are not applicable to this project. <br />with all City and County <br />and County to enter upon the <br />above mcntioned property for inspeaion <br />0 <br />or Agent <br />a <br />Appricanr:,Ok(f h 0rAU? O <br />LICENSEDTONTRACTOR I <br />Class:E <br />and <br />LA I^