HomeMy WebLinkAbout007-360-057�3 75 7
Ray E. Johnson, Jr.
715 Kings Canyon Rd., 1 North,
Park Sub,'Chico
'Permit #6601-79B,P,E ngle
family)
7-36=57
FRED ROBERTSON I'7
Permit#3134-87B(reroof/SF)
-007=360-057_ _. , " 01 1982
WILLIAMS, GREG
715 KINGS CANYON CHICO'
,CONT: WATTS PLUMBING`
CHANGE OUT H2O HTR
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007-360-057 01-1982
WILLIAMS, GREG
715 KINGS CANYON CHICO
CONT: WATTS PLUMBING
CHANGFOUT 1420'HTR
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT C ) %� lr
ASSESSOR PARCEL NUMB
ZONING
BUILDING PERMIT
OWNER
LEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS M ADDRESS J +
/••J,4lAA ��
CONTRA R'S ME
NE
'
��%J 90
CONTRACTOR MAID ADDRESS
y •� � 9'S �3
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUILDINGADDRESS f �.�w _J _ _�_
// .J1 /�'!►`f/.Y►.
1
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF�< Duplex ❑ Mobilehome ❑ Other SPECIFY_
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00 5
'
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U61ifies ❑ Installation ❑ Other ❑
Describe Work: /�
L�aot i
Gas piping system i - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 020.00
PERMIT FEE
ELECTRICAL PERMIT Fling Fee 20.00
Main Service z�owoa'ss 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full fgrce and effect. �j
License Class (2- ,�56 Lic. No. L -5 1
V
-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
-
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( a ACC. BLDS. 3.5¢FT.
=RESIIDD T. MULTI -OUTLET Ca 7.50
POWER MPARATUS
a sING. OLlRET CIR.
�(, OCCU OUTLET OR FIXTURES 20
0 @ 1.0 0
OWNER
Ex. Occup..OU�7S palp°Eq 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insura� ce cargore a�policy number are:
Carrier f�T/_"�iit�i++
Policy Number 0�:o "y/- • 5�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.) ,
❑ 1 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers compensation -provisions of section 3700 of the Labor Code, I shall
forthwith comply with those ov Ions.
/
X ger . Date r /6
Signature "of Applicant - 0 Owner ®'Contractor ❑ Agent
An OSHA'permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in heig
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
loc
14 'c�
CO �PE TOTAL FEE $
HAZ.
p, IMP
FLOOD
CDF PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate 'above for which fees have been paid.
l7/�., _
By DDyate i
��X.G� tg
PERMIT EXPIRES ON D/11.4-
1i}
/ Dale
Receipt No. 5 IS. a.�
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
WHITE-D.D.S.-B.D.
rr
COUNTY OF BUTTE - DEPARTMENT OF DEeVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-754 PE NO.
(Rev. 12/96) APPLICATION AND PERMIT C- >-i)
ASSESSORPARCEL NUMB //�//�� ���/•�
ZONING
BUILDING PERMIT
OWNER ,,
SO. FT. OCC. BUILDING VALUATION
OWNER'S _[ADORES / f
R'
CONTRA OS ME �l y .^
TE ONE J
CONTRALTO MAILI KESS
qsci -4.3
CONSTRUCTION LENDER
'
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS /
15_ LG rL&A
Energy Plan Checking Fee $
h,
PERMIT FEE S
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
'\ SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water
Water piping
15.00
gas water heater or vent
15.00 S[
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 'l
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W
(920.00
PERMIT FEE S
��
ELECTRICAL PERMIT
Fling Feel 20.00
Main Service z00A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full forcce' and effect. 2 Syy^'
License Class 156 Lic. No. � 11 /OV / Z'
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zoo To
46.00So
NEW CONST. DWELLING OCCURSO
CCU
OR ADDNS. ( a ACC. BLDS.
3.50FT.
N"�R610 MULTI-OUTLETUrT.
97,50
a PSNGELEOPUTL�ETT iS
Ex, Occup.GLmG OR FIXTURESIR
SAL @ I:y�p
Ex. Occup...FLIEDs � ) E
q
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensatior I sura�r ce carqp"end policy number are:
Carrier 7747
Policy Number CSX) 6Q4^ 547
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any ma ner so as to become subject to workers'
c pe sation laws of Caldornie, an agree that if I should become subject to the
w rkers compensatio vision of section 3700 of the Labor Code, I shall
f hwit comply wit thos ov' ions.
a Date rig
natur f pplicant - Owner Contractor ❑ Agent
OS permit is required for excavations over 5'0" deep and demolition or construction
rAntures over 3 stories in heig
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEI: S
Mobile Home Installation Fee $
Energy Inspection Fee $
,�9�
1?- c�
� TOTAL FEE $ `�),
HAZ. p, IMP
FLOOD
COF
pggS
ro
HD
SUE
`�
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
*' ^tr
By �y—� ��-L!!� Date
PERMIT EXPIRES ON 91916.9-
ate
Receipt No. _1 y °�
WHITE-D.D.S.-B.D. CANARY -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Ivor -
5a
Lool'u"w UAM
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO./,t- r
7 County Center Drive - Oroville, dalifornia 95965 - Telephone: 916/538-754
to -46 APPLICATION AND PERMIT /
AS SSO PARCEL N MBER s
ZONING
BUILDING PERMIT
ow ER
r F , i t�
TELEPHONE
(�'
SO. FT. OCC. BUILDING VALUATION
`K'i,�) �6 G 1 t/
OW / � M! ` ►ING nCl.i DD�ry-r O Ca � •� 1 !1 `�
CONTRACTOR'S NAME
� � f _r � �
1, P d ( "I t Y\•
T_E�EPHON,�
(Jr
4 t!
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
/
Total Valuation $ / (.
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .4
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS /
Permit fee
$ 4 -
PLUMBING PERMIT
PLUMBING
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDDIVISION AMEtt PARCEL MAP
/►�►e I, � l J1 E ``
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [!�' Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aooV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check.one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
Icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
ontract-
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. (DWELLING OCCUP.$) +/zltsgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR ULTI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
(POWER
/POWER APPARATUS &)
OUTLET CIR.
c
Ex. Ocu zAL@
Occup(OUTLETS OR FIXTURES eL030
FIXED APPLNS.
EX. Occup. OUTLETS IRE SID)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
I Contractor
$
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 property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
corts@qudnce f the granting of this permit.
against, aid Couny,in(
I C�_ \- / � - �
XDate
Signature of Applicant — Ownerrr-iZUffConrrocror ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over -3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.T7
I
I FLOOD
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
r 1 )
B y ;._ �. JLC L{fi/
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date���/� I
/ ! ,
Receipt No. L<.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
,e F, 50
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO./ 7
AS SS O PARCEL"M-
ZONING
BUILDING PERMIT
OZVER -TELIE
e o s c-
- 05
SQ. FT. OCC. BUILDING VALUATION
3 ,
�jr
ow ��—gyt�GJDDI_dX'(
CONTRACTKR'S AME �(
ELEPHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2
o
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ ?,iE, G
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$ .
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUB�uDIVISION j
Ma Y IIME`�
ARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: _
Ll ¢i2lYv�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check -one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is in full force and effect.
icense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.6{) yzQsgft
OR ADDNS. l ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
(POWER APPARATUS e\
SINGLE OUTLET CIR. !
Ex. Occup OUTLETS OR FIXTURES .220003030
AL0
Ex. Occup. OUTLETS FIXED P(RESID. IRE A.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�l shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid ount in c qu nce f the granting of this permit.
y F
X r Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
(/ /
TOTAL PERMIT FEE $ T�(/
OCcUP.
CONST*TYPIJ
I
IFLOOIDIPARCEL.1
Pa I
No
I ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated abov for which
D E R OF. PUBLIC
By
PERMIT EXPIRES ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
`
Date !�
Receipt NO.
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your.building permit; No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and terials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) cI UQ_ signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed -
construction:
Name
Address City
Phone Contractors License No,
4. I plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work. -but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security Nu ber -
Date IL
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
-IUA
667:1-,79B,P,E,M
Temp. Powe/r Pole-zz,
PERMIT NO.
–7""0-51e)c. Serv-
Calle'd" PG&E
Y
PERMIT EXPIRES
JOti B
4,
1',
OWNER Ray E. Johnson
owner.
(Si na re)
CONTR.
44-38-102 port'.
LOCATION (A.P.
715 Kings Canyon Rd., lot 57,
North Park
14
Sub,, Chico
-IUA
Temp. Powe/r Pole-zz,
Called N PG&E dor
–7""0-51e)c. Serv-
Calle'd" PG&E
Temp. Gas Serv.
Called PG&E
JOti B
�w4k,
I LED (Date),
(Si na re)
p_ FIPLA l PerclitiL
10.�
p I -_. zs,
Entrezc te• _1 o Sideli� rotectioa
:co
Bedreo-
C r. & Ba`
elect . 7 I. ,s
r� a
it - _e o_ St e --_CI aces. Ee .
iy7tes &--:�J1=a r0•ed-� 1`r!G 00'�cing Cl`��TL,"Tce
'e Doo
^ager l
.Nate; _at2r-- Veg„a, Clea 2s, Co:abus- Ai nnector' rave
iec •Le_L1C�
& 40
in Attic "/ • es
oo?:_d underF1.00r-FT Yes
ollo:dr Installed: Drive ` es L� No;. Walks AC Cel j To; Planters or
WEn- /Yes o---Cr2atiag aai name-PXo3lee�s 7---7-Yes Ido
' .C.C. --`- ._ ct, Clearer r Cond;: -115V
!! en:s_" _�ecaf--Piui�_ t"-_a�1 _ ces Fireo
'Clear en�gs
T'atsv ? �1' -Risco Electrical. Pl � Lnry Cl 4-7t 72-7 t
2f Ex—te-io--�.I. ric'!a_� & G.F. .eceotacIe
2gloJtde-i.?t._i-at: ion ±''" ���YO��t House
�. 2 6 a las 5 L C _ ..- .-- -.__._ • .
a .1ECf.lOT:a •
3 s ±e '1ate_s
& Secaae �o �aected y V
3 erg Cr,� tlianc ertiTi cat -
S i --c: M) Card
I JF
PLU:-BLM!7-Above'Floor Permit No.
1:' dater Heater--Vent--Access--Combustion Air
2. Vater Pipe --lest & Anchors --Bail Protection
3. Drain Pie--Test--Fittings & Anchors --Pail Protection 42" Test
4. Shower Pan --Test, First floor --Tub Access
5. Test Tub & Shower, second floor --Tub Access _
_6. Gas Pioe--Size & Anchors _
7.. Sign Job Card
d -BI Date
dd-BT_ Date
Card -,BI Date
Card --Bl Date
ELECTRICAL --Above Floor,Permit No,
1. Clearance & Insulation Protection at Flush Light Fixtures
2. Elec. Receptacles Spacing --Lights & Snitches.a_t Doors +^__
3. Size Boxes & No. of Conductors ---Stapled
A. Ronex Installed Close to Edge of Studs & C.J.' � x
5. Equip. Ground Wade up :'z/Mech. Fasteners
6. 2 Appliance Circuits in Kitchen & Conductor Size-
7. Sub Feeders --Wire size L= ga. Cu or Al, Breaker Size Amp.
Insulated Neutzal, Yes = No �1
8.. Range Circuit [= ga. Cu or Al, Breaker Size j= Amp. --Oven Circuit J= ga. Cu o. -i:.?:.,
Breaker Size L= Amp. -
9. Servica---Riser Conductors & Ground
10. Bond Gas & Water Pipes
11. Clothes Closet Light --Shower Light
12. Sign Job Ca=d _..__....
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Date
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MECHANICAL- -Above Floor _ - Pemmit No.
1. A. C. Ducts --Insulation & Support
2. Vent Fan--E:thaust Above Insulation
.3. Condensate Drain & Overflow --Size & Grade
4. Furnace--Vent--Access -Comb.Air--ReturnAir Vent --115V Outlet i ^
5. Attic Access & Platform if Furnace in Attic
6. Sian Jeb Card _
Card -Bl Date Card -BI Date
Card -BI Date Card -BI' Date