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HomeMy WebLinkAbout027-270-026J r 027-270-026 06=1933 BALDRIDGE, CLARK 7925 RESERVOIR RD;'OROV.ILLF,, Cont: OWNER' ' AG BLDG' ' I f o• r r 027-270-026 06=1933 BALDRIDGE, CLARK 7925 RESERVOIR RD;'OROV.ILLF,, Cont: OWNER' ' AG BLDG' tI4�,,S�Z 7-27-26 LOREN4�"�L' E ONA 7925 Reservoir Rd, Oroville Permit ##171-78MH2(existing site) Issued_ L en' eona l % A27`27-26 7`2 ervoir Rd., Oroville Permit #785_78P,E(uti ELEC CSS SUPPORT STRUCTURE REQ. ` COMPACTION TEST REQ. n 1 �a tI4�,,S�Z 7-27-26 LOREN4�"�L' E ONA 7925 Reservoir Rd, Oroville Permit ##171-78MH2(existing site) Issued_ L en' eona l % A27`27-26 7`2 ervoir Rd., Oroville Permit #785_78P,E(uti ELEC CSS SUPPORT STRUCTURE REQ. ` COMPACTION TEST REQ. n 1 E] BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT NO. M -I 3 Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO.�� d -70r (DoeA�O ZONING OWNERf 6_"'T PHONE N _ OWNER'S ADDRESS 7'i z LOCATION OF BUILDING 1444 716 © A ® -7 USE OF BUILDING ,o [ l P SIZE OF STRUCTURE _' X' = SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL CONCRETE C/ OTHER (Specify) TYPE OF SIDING / ( ROOF CO RING / FLOOR TYP ESTIMATED COS O�NSTRUCTION AG Building shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as follows: 1"m mmtn FRONT mIV10 SIDES , _t�/�U REAR AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the re uirements in effect at that time and before occupancy. /1 Date `� %f�;� Signature of Owner Permit Fee -$109.98 Receipt No. The above described AG Building is White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant from a building permit. Date _�5(J67 5 • iPERMIT NO. 785-78P,E t' PERMIT EXPIRES ',OWNER Loren Leonard 'CONTR. owner (LOCATION (A.P. 27-27-26^ , f 7925 Reservoir Rd., I ri• t _ �tt f i i• i t e r r 1 i Temp. Power Pole Called PG&E Temp. Elea Serv. �r Called PG&E oe Temp. Gas Serv. Cal Ie• 4164E N y OB FINALED vc/ (Date) _ f (Signa ure) 0 Finish X I Dults tAderground 1 rior Lath 2UIntilation ennanent oor Closeri ,I Inal MOBILEHOME UTI (TIES - - - - - - - - - - --------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION, - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS _ Od All- lae .� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING !t ck y FI wall Skil Piping arm Para ets Vt Floor Main Idg. Restr m Finish 2 Floor Foo 'n s Window 3rd loor Stem i I Siding To out Slab Roof SheatNina Water PI In Piers Roofing • Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for physical handica ed Conformance of ex. Ix structure Appliances Gas Piping & Tes Temp. as Slab Final Sanitation Patio r IREP ACE Final Footin s Footing IF V El-I&TAICAL isonry Walls `i Throat / r Rough Reinf. Steel , Final Fixtures Bond Bea FIRE SPRINKLEFX Motors aming Test Water Htr. ucco Final Subpanels Mesh MECHANICAL Grd. FauldProt. Scra h Heativill I Servicef Finish X I Dults tAderground 1 rior Lath 2UIntilation ennanent oor Closeri ,I Inal MOBILEHOME UTI (TIES - - - - - - - - - - --------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION, - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS _ Od All- lae .� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7.ci tynty Center Drive — Oroville, California 95965 Tel ephole: 534-4541 APPLICATION AND PERMIT auinonze representatives or the county or Butte to enter upon the above-mentioned property for inspection purposes. Date Z-2,2_ 7 9' G-t—�'•--[��= �,--�' +` Signature of Permitee or Agent Receipt No. I U!I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. DIRECTOR OF PLIBLIC WORKS BV Date ,�f / —! G Bit ding permit expires Date ���— 7! BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address t/ 1 Telepho N �- • Contractor %A VT— Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address P I an Check i ng Fee &/or Penalty Permit Fee PLUMBING No.1 @ I FEE y URepair PERMIT FILING FEE $3.00 , Each Trap 1.50 drainage or vent piping 1.50 A,��� �--� A. P. No. -� Zon' Water piping 1.50 Each gas water heater or vent 1.50 F&e< Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 , EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 06 Bldg. PlJoelRecd Parcel A64oval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ $ �° LD C 'T� 45 AA Ey- S J .v 6 -7/ T ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00 Main service 100v OR LESS �O 100 AMP OR LESS 5.00 SinSingle Family Duplex Mobil Home Others 9 y ❑ P ❑ ❑ Main service EA. ADD•L 100 AMP 2,50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. OR ADONS. ACCLBLDGS.LING CCUP. Y\ 20Sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y NEW CONSTR. BRANCHMULTI-OCIRCUITS) NON.RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. (SINGLE OUTLET CIR, Ex. OCCup(OUTLETS OR FIXTtIRES g 100 Ex. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID,) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. DI certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No., @ 1 FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PE PERMIT FEE $7 .S auinonze representatives or the county or Butte to enter upon the above-mentioned property for inspection purposes. Date Z-2,2_ 7 9' G-t—�'•--[��= �,--�' +` Signature of Permitee or Agent Receipt No. I U!I White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have be aid. DIRECTOR OF PLIBLIC WORKS BV Date ,�f / —! G Bit ding permit expires Date ���— 7! NOTc°-All I Be in .ACCArd^�nGe CInd.'' ., of a~nGnli+V 171:e!ZC '1 0 'for ,l1c ^c't`e use in the .f+�is set of .plans and specifications MUST bb. Un!fbr-m Building, Plumbing 8 Machanlca! Codes and KGr.t or. the 'G�l at =i! 'ii7 s'S ?t :l li is elni!`;dfi91 �p the National-�le`ctricc�I�.0-o-de. mal•:�arT� �:�--��s- �`+• :.�''.._ �:.:._..��;n ;�,rrr�-�ith�o-ut written .per misson fronn the Department of Public. Works; .0' f huff®. • The 61 . Setback shall be 5 ft. from the '0 ir-d 50 f;. from the •6 '� maxi Sept -;c system and location • ' cenierlire or ehe rt:•a!, permitting i r —to -6e as_per r.,�.urn c� 2 ft. eave overhang but.f�entirely i►ite County Health Dept. Ree out of all easements. i ff '• /''.11 ��E 11 l `� coMCC-I ion shall be •_..� .- . '^ilt, d2 the ` ear _$+ ' mobile home _ o.� t`�L_i:� � Groad)-side of fhe home mobile Q_z 7r Z-7 VzA-- 1� •A per roi i. will be required, for the rnstalia+ron oY-fne-rrrobitehOne . M 1747 RA_.-� 7f? BUTTE C _ QUNTY- SUILDING t l EPART�1E�y ----- --A-p- - 1 - ..,.._ ._ .__._ _..._ _ , _,. - ___ _ � ...�------------- ---- -. _ _ _e___--_ _ - - - � _ -.- _-_ . _�_ .. __ _ __ _ - - - -- -- - _.- -- - -r-� - -_--- ---- ---__. _�__�._ _--__ . _ � PERMIT NO. 171-78MHI (existing 'site) . PERMIT EXPIRES10J7 OWNER LOREN L . - LEONARD CONTR. Owner LOCATION (A.P. 27-27-26 j 7925 Reservoir Rd,.Oroville z 4 Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED- (Date) I (Signature F FI Framing COUNTY OF BUTTE — DEPARTMENT -OF PUBLIC WORKS BUILDING INSPECTION RECORD Water Htr. BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers ' Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for phsically handicap ed Conformance of ex. structure Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL F FI Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M21316EUOME INSTALLATION - - - - - - - - - Support Water Piping �� Drainage 4.. Elec. Continuity Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? YesV No. 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes No 3. Are footings and supports properly.sized, spaced, and braced as ner approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Ye;X Yes,No 5. Ifmor than a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is f xible connector of adequate size and properly installed (1/2" ID`min.)? (Sec. 5566) YesNo /41 B. Test - Does water piping withstand working pressure or 50 lbs. air test? Ye SA -No C. ow - 'fornia a pr-ov6d—, oes station have backflow device and pressure -relief valve? Yes_ No_ 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes No B. Does it have minimum" per foot slope and is it properly supported? Yes No C. Are any leaks detected in drainage system after runnin -gallons of water through each fixture including washing machine standpipe? Yes No D. If,_coach 1sn9- c+'atp of Cal' approve o tion have required trap and vent? Yes No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobi home gas line iiilet without reductions other than the mobilehome connector. Yes`' No B. Test OK as per following procedure? Yes No 1. Open all appliance connector valves. 2.. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No. 9. Electrical A. Is service large enough to provide adequate amperage -to mobilehome (must equal rating of mobilehome with a minimum of 100 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes,. No B. Is there proper clearances around panels? Yes No C. Is power supply cord,or feeder assembly properly fused? Yes No_ D. Is continuity test satisfactory as per the following procedure? YesNo 1. De -energize electrical wiring system of the mobilehome at the pe estal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. , 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA —� Manufacturer and/or Namestyle Length W idth Vehicle Serial No. &rZ, State Identification No. Additional Information or Comments: COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordancewith the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number % '7/-' 7.f' for the following location: -7 9.2--5- Owner- Owner's .2._SfOwnerOwner's Address A242e-�? '5- 7717 Mobilehome Mfg,,. ` %% /�-�-8 Model Year ��pp_ r Insignia No. �-�,/ 4 �-t- -67-Serial No. It is hereby certified for 'occupancy at the above described location and may be occupied. Director ofiPublic Works Date `-' i oma" / 7� By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BU-ftE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, — OrQvi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT 171-7J9 /,0-7 ��, p p y Ins BUILDING Owner / SQ. FT. I OCC. BUILDING VALUATION Mailing Address V 47.q,5' if a -SLS VO r Telephone No '" Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. y Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. __2 _ / f? Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F e d'sT W.C. nla tation Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I PPprking lans Declaration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. Plans Recd 4f Parcel Appr Plant provol Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �+ �J Main service 600v OR LESS 100 OROR LESS 5.00 S Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home 10 Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW OR ADDNST ( ACCLBL GS.CCUPLING . &) 2¢sgft NEW CONSTR. MULTI -OUTLET NON -R ESI D. BRANCH CIRCUITS)2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) BAL21 01 Ex. Occu FIXED APP LNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 CoI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner. so as to become subject to the Workmen's Compensation Laws of California. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned ro ert for t ' ' MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ s r, zaLgQ $ TOTAL PERMIT FEE 1$,301— O This permit is hereby issued under the applicable provisions of I P'. on purposes. Date / X✓«Lr� ��� Signature of PerD,5:9- 'or Agent Receipt No. 14 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. ` ,,` DIR R 0 UBLIC WORKS /� BY " ` Date z/- " —2 9 permit expires Date BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name: ALAI) __,e �j, p,p A,- /a 3. Is the site currently under permit? Yes / • / No 7 (If yes, furnish permit number ) OR Is the site an existing site? Yes /� No (If yes, furnish two (2) plot plans.) 4. 'Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes No ( If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- ,p o ', Amps 6. What is the mobilehome site service rating? ------------------ Amps 7. What is the mobilehome site circuit breaker'rating. le d Amps 8. Is there any other electric load to be served by the mobilehome site service? ------------------------------Z - - ZW;- Yes /�%� No (If yes, identify the load and size: (Load) jam (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- `� (in.) 10. What is the type of gas service?'----------------------------- Natural / / LPG / 4-1-- 11. What is the gas pipe.length from meter or.tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) (This information not required if -pipe length less than 6 ft. on natural gas or less than 50 ft. on LPG.) BUTTE couN� .BUILDING DEPARTMEI�� p. !_ ,' MOBILEHOME S PPORT DATA If other than Mobilehome Mfr.4 d IV furnish Setup single wide, Model No. Year'Z_ WidthC_:Z (ft.) Box Lengt(ft._) Tagalong or Expando Size 612 --ft. X-Q—�) ft. (SHOW SUPPORT DETAILS BELOW) Footings (check one) Single On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). O All center 1c;4 supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single Wood either Aim A pressure treated o: O foundation grade. ME (ft.)(in.) (in.) (in.) E] 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.) � U y' Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) I 4 ---Tagalong or Expando, show support details. -�� (ft.)(in.) (in.) (in.) -- Typical Support (in.) (in.) Footing Size (ft.)(in.) (in.) (in.) -- Max. Pier Spacing- pacing Id4�G -- Max. Overhang (ft.) (in.) (in.) (in.) (ft.)(in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. Owner: Addres Tenant:- 4e_ Building Location: Type of Inspection requested: BUTTE COUNTY DEPARTMENT"-OF'F'UBLIC WORKS L 1. Housing N 4. Other (spe Present use of bu �( 2. Financing v❑ A.P. # 7��G Date of Inspe tion /� Z Inspector ,l 3. Change of Occupancy to A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6., Heating facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: h p 12. Connection to water supply: 13. Rubbish and garbage facilities: 14. Comments• B. Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: . C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: - D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating v nts: 4. Comments: '5640 ;'VW 7- "ec" (continued on back) E. Other 1. Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. Improvements: 7. Zoning: 8. Comments: G. Field Problems or Violations 1: Prob11 rrviolation (give complete d scription): c2•Q-iv.vt� - — - _ i 2. What act' taken (give complete descri tion): 3. What action recommended: A. Information only - file. / / B. Hold for.tea (10) days, then write letter. C. Write letter. D. Other: _%' ll� M. 77-