Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
024-260-077
24-26-77 -2896-90E WATSON, Richard 169 Archer'Ave, Gridle Contr: North'Va11 E_I ric (new elec sery/sf WATSON" RICHARD,b24--'-26=0-07 .169 'ARCHER AVE., GRIDLEY L AGRICULTURAL EXEMPTION PERMIT492'23) 1 tt BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENY'`OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (916) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT Y111 ERMIT ba � 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. O �4- 0- C»-1 - CJ C� ZONING S OWNER ` E q ; 1 ��� PHONE NO. Sy_ 56�2-cj OWNER'S ADDRESS I LOCATION YF B DIN1 G _ J 1111 IzD�i'-� USE OF BUILDING /Cfi SIZE OF STRUCTURE III t-�7 SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME STEEL Z,_ CONCRETE OTHER (Specify) TYPE OF SIDING ROOF COVERINQ FLOOR TYPE 0I'lCI'�C:i� � ESTIMATEDr �COT OF CONSTRUCTION "IIJI $ AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances as follows: FRONT ,a �n-- SIDES 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. AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation USGS Datum. I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms 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 requirements in effect at that time and before occupancy. Date /2 — /4�-- i� Signature of Owner oot�!�' Permit Fee - $50.00 The above described AG Building is exempt from a bu.ildino permit Receipt No. /-So 33 FLOO P7' P.D.Y ROOFIN�C ISSUE Manager Building Division BY Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant h -.cFi'"t'`'j(i"''"'M�'T"arr'�r'i'i-ltt"�" r�..�tir^�'r.y.��i.vort�a� L,t� Zy,Yf'�:-• Y"i'b",�-"."',• -. .. COUNTY OF BUTTE -DEPARTMENT OF DE „LQPMENT SERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER GI���9/� D !� j4%S(J /t Y, A. (v Proposed Building Use Building Inspector Date -,26-0-0 /-*;-> /6 7g- At time of pelmit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ,7 DATE RECEIVED BY 1. All items have been submitted. ..................................... . 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3_ Complete plans, 3/4 sets, signed by preparer of plans . ..................... . A. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form . .............................................. 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). ... . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $......................................... 11. Impact fees as shown on attached schedule. ............................. . 12. California Department of Forestry plan approval/fees. ....................... . 13. Flood elevation letter (100 year flood) by California Engineer . ................. . 14. Sanitation and plot plan approval Health Department . ............ 15. City of Chico plumbing permit . ........................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .... ... Pre -Inspection requ-e-sF- 20. Pre -inspection for required. .. to Building Inspector (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... 23. Owner -Builder Verification (Given to owner , Mail to owner ............ 24. Recorded copy of Agricultural Acknowledgement Statement . .................. 25. Letter of signature authorization . ....................................... . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . ..................:...................... . 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... 31. Existing violations/expired permits . ...................................... 32. Plan check list . ..................................................... 33. -34. When you issue the permit, process as follows: ail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By -- The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works �"^'"`I.��'c'' � ,�. _ t �. . - e,9X h � i arr..,: t � bt:�r,*i 7'; � +•a< i„ yi ai;i .? � y,h y,i '� •�f:T,�L `q:'' � j�.k'.r i�rxi. �y� -i'�*+�a'm%�'.4v�v - i..'. Sr-r"iifrY�' }r:Y �r?"LFY ? "'A�t rr`:a' '4,1/'� '''�...: ��t ++'! rn 'r 7th .�,r1�'1��1+c•i�+�':� '�"7 f _ � COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION -AND PERMIT PERMIT NO. ASSESSOR" RCEL NUMBER 77 ZONING SR1 BUILDING PERMIT OWNEa WatsonSO. RichardOWNER'S TELEPHONE 846-'2954 FT. OCC. BUILDING VALUATION MAILING ADDRESS S Archer Ave. Gridley 95948 CONTRACTOR'S NAME North ctric TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS 1; , Penalty $ BUILDING ADDRESS 9 Archer Ave, Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Crldlgy Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFRJ Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10-00ea TYPE OF WORK New❑ Addition ❑ Remodel❑ Utilities❑ Installation[] Other ❑ Describe work: noig al Prtri r_al service _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1001 OR LE 0 AMP ORSLESS 101C 10.00 10100 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 Profess �o/ns Code and my license Is In full force a effect. License No. ` ��IA3 Classification 1 [� ❑ 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) y I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Profusions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. I 2/z¢sgft NEW CONSRES'. RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS) 2.50 ea (PO /POWER APPARATUS .&) OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES .20@50 + ZAL030 FIXED APPLNS. OR EX. Occup. OUTLETS (REST D,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Ho g 15,00 1Jr.00 DreQ insp.15.00 Permit Fee $ 50.00 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. 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 g 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 County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte againstTOTAL all liabilities, judgments, costs, and expenses which may in any way accrue againo said County in c nse uence of the granting of this permit. X ,�/G.���1- Date Zia- c%� Signature of Applicant — Owner ©`Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 50.00 FEE $ _J_" A. PARK I SCHL I FLD I PAR I PD HD ISSu This permit is hereby issued under Bions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC I.,—eipt By PE EXPIRES Date— MTELLOW-ASSESSOR, the applicable provi- resolutions to do have been aid. p WORKS Date ��2' y L.,on.T.CoI No. 70801 -D.P. -INSPECTOR, PINK COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Cai�,fornia 95965 - Telephone: 916/538-7541 APPMAMN AND PERMIT • ASSESSOR RCEL NUMBER A 24-2�-77 ZONING SRI BUILDING PERMIT OWNER Richard Watson TELEPHONE 846-2954 SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS c er Ave. Gridley95948 CONTRA CTOR'S NAME North Va 1 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Energy Plan Checking Fee E$. $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 16() Archer Ave. Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Gri (11 QV Solar or heat pump water heater 20.00 LOT NO.'SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ffk Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home Is G W 10.00e TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation❑ Other ❑ Describe work: new electriral cervi rP _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service j00VAMP OROR LE LESS0 10.00 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 Profess ons Code and my license is in full forcea effect. License No.�274(0 X33 Classification C ❑ 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 CodePrE_15.00 for this reason oa ADDNST DWELLIN GOCCUPM S. 21/2¢sgft NEW CONSTR ULT' -OUTLET NON-RESID BRANCH CIRCUITS) 2,50 ea POWER APPARATUS a SINGLE OUTLET CIR. ) EX. OCCUp(OUTLETS OR FIXTURES 2AL03C 9LO 30 Ex. Occup. OUTLETS ED �RESI 0.)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 15.00 Permit Fee $ 50.00 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. 171 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. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling g 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 again s Id Cou ty in ns ue ice of the granting of this permit. X Date �' 9p Signature of Applicant — Owner 9��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 $ occ CONST TYPE TOTAL FEE $ 50 .00 FIg2 I CUA I PARK I $CHL I ELD I PA7 HD Is su This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By l PE EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date ;Z-L_P ��2-Z— / Receipt No. 70801 WNITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ��``���r..p'�-�'1'•�''•y�jr-��'�^+�".'4�: � 7Jti �� �'t`Wer'x"i':�ti,'�-+:.1�I�5^«��-31�.()'v.r'c��;.,P.^da'N-�'f..,�cc+}�+n-.t.� -+ ��� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION a�I �.c�� 7 COUNTY CENTER DRIVE - Q)';9VILL• CALi`FOHNIA 95965 -TELEPHONE: 916/538-7541 r PERMIT APPLICATION DATA' SHEET a Permit No. OWNER K-(C.d/IQAd LWLts01) A. P. No. 24- Z&-77 Proposed Building Use Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: • f DATE RECEIVED APPROVED I 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements, may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) . 001 Pre -Inspection for required Pre-Inspec.request to Building Inspector (Date) . Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, rocess as follows: Mail to owner. - Mail to contractor. t/ Telephone �4� and hold for pickup at office. Deliver w/inspector. Other . a Applicant Date I ?d -,go Copy of Haz-Mat Torm sent Health Dept. Fire Dept„ ----Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The.following data must be submitted prior to permit issuance 1. Index permit for above items No. "2. Additional items required: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by_phone---lnail—counter by Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by Plans checked Date Plans approved by Sets of plans on hold in File cabinet AP folder date Date r Copy—DPW 2N- W COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. Esiiformpa 95965 - Telephone: 916;'538-7541 cG� ft a spm APPLICAtION AND PERMIT ASSESSOR PARCEL NUMBER 2 - -77 ZONING BUILDING PERMIT OWNER 6hf� W�M TELEPHONE 64"f 4 SO. FT. OCC- BUILDING VALUATION i OWNER'S MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation S 1 Filing Fee $ 10,00 j LENDER'S MAILING ADDRESS Permit Fee $ I ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 'I Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ i < BUILDING DORESSPermit fee $ PLUMBING PERMIT Filing Fee 10.00 j Each Trap 2.00 j Solar or heat pump water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP iI Water piping 5,00 Each qas water heater or vent 5.00 f �/ USE OF STRUCTURE SF �1� Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New❑ Addition❑ Remodel❑ Utilities❑ Installation[ Other F-1 Describe work: �%'( ����QB /�/Ll� i//L(/! CO Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS dv 100 AMP OR LESS 10.00 O. JD )1 Main service EA. AOD'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. License 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. , Busine`ss and Professions Code for this reason NEW CONST. DWELLING OCCUP.h) OR ADONS. ACC. BLOGS. 2lhesgft i NEW CONSTRMULTI-OUTLET NON-RESID BRANCH CIRC ITS 2,50 ea POWER APPARATUS & SINGLE OUTLET CIR. ) S Ex. Occup(OUTLETS OR FIXTURES ZOfa SO¢ e AL330¢ FIXED APPLNS Ex. OCCup. OUTLETS RESID )REA.) 1 2.00 j Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 S. j Permit Fee $ 1 ' WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for S100.00 (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'Cooling 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 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 Countyof Butte to enter upon the above-mentioned property for inspection purposes.eb 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 said County in consequence of the granting of this permit. X 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 $ occ CONST TYPE TOTAL FEE OJ HAZ CUA I PARK t SCHL I FLD I PAR I PD I HD I ISSUE Th;s permit is nereby issued under sions .of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date , Receipt No. --A 'Z6 .I WHITE-O.P.W.. YELLOW- A99C990R, PINK -INSPECTOR. GOLDENROD-APPLICAXT PRE -INSPECTION F6r2 Tvl5S 2� S� OWNER: '2Ldmi4d Wa-KaCrn • DATE S - Za - LOCATION: j(o0) f frcko11 nl& njhQei, A.P. # -074-2/6-77 CONTRACTOR: X16 2T?+U NLEY ZONING i2 1---------- PRE-INSPECTION FOR: y DATE TO INSPECTOR ------------------------------------------------------------------------------------- ------------------------------------------------------------------------------------- PERMIT HISTORY: NONE AS FOLLOWS: TYPE OF OCCUPANCY ---=-----------------------------------=--------------------------------------------- ------------------------------------------------------------------------------------- t FIELD - INFORMATION BUILDING USAGE: 50,�mrd TENNANT• 4k 8 r 1 Cao /, x� [� I Al TD Pq-DCCUPIED HAS ELECTRIC FOHAS GAS HAS SANITATION FACILITIES u S Q HEATED -COOLED OTHER COMMENTS: L7 PERSON CONTACTED ACTION RECOMMENDED: ISSUE Q HOLD FOR OTHER: BY DATE