HomeMy WebLinkAbout026-010-062Mayne s
, 4A Baggett.Palermo Rd.,app.2 ml.
N.
of Messi ve.," alermo
-PWj
9,77 , (util.,MH) ,
E
GSUCTURE REQ. CTEST REQ. 000 ;
O-01-62
P mi k61 0-
�i4-0
i �"dd � Gfll7 O j � 11
a PERMIT NO. 6099-77P,E
PERMIT EXPIRES
OWNER Mel Haynes
CONTR.- owner
LOCAT ON (A.P. 26-01-X 62
S Baggett Palermo Rd.,app.Z mi.N.of Messina
Ave., Palermo
4 CT
4
A
Y
k
r
'r{
0
3
I
u.
Temp. Power Pole
Called PG&E
(d Temp. Elec. Serv.
,1 Called PG&E
i Temp. Gas Serv.
r
j Called PG&E
JOB
FINALED
(Date)
(Signature) i
i
f
i
h
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome locatedwi.h required separation from lot lines and buildings and generally
conform to plot plan? Yes' 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 per approved plans? (Note
possible variation at spring shackles.) (X
Sec. 5082 & 5083) Yes No
4. Is the mobilehome level? (Sec. 5088) Yes No
5. If :Ze than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes-/Y� No
6. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B Test - Does water piping withstand working pressure or 50 lbs. air test? Yes_ No
C. - coach is not California approved, does 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 k" per foot slope and is it properly supported? Yes No
C. Are -any leaks detected in drainage system after running 3 -gallons of water through each
fixture including washing machine standpipe? Yes_ No_
D, pp ove oes station have•required trap and vent?
Yes_ No
8. 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 mobilehome gas line inlet 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 �f/' 100 amp) and other facilities on lot, i.e., Vater pumps,
garage, cabana, etc.? Yes R No
B. Is there proper clearances around panels? Yes X No
C. Is power suppJyYco,rd;-or=Beeder assembly properly fused? Yes_ o
D. Is continuity test satisfactory as per the following procedure? i Ps U)� 1. De -energize electrical wiring system of the mobilehome at the pedest
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 GY��
Length Width
Vehicle Serial No. �2L`77
State Identification No.Xo�-3V/9/
Additional Information or Comments:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwaII
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers'
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Po
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas PipingTest
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heatino
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTI ITI S - - - - - - - - - - - -
Elec_ Service
Elec . Pedestal
Water Piping---7—Sewer
Gas Piping 02
B E OME,4NSIAL6AIM - - - - - - - - - - - - - -
Support y-
Elec. Continuity
Water Piping
Drainage
Gas Piping /-7 2 77
DATE `` REMARKS OR -CORRECTIONS p�
,yo
ioa
(NOTE: An entry must be mad on this form each time you visit the job si e.)
COUNTY OF BUTTE `— DEPARTMENT OFPUBLICWORKS
�y 7 County Center Drive — Qroville, California -95965 609Y7
Telephone: 534-4541 /
APPLICATION AND PERMIT
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 94 41ee t,Telr
S FrR C,�
hone NoLS
�
Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building AddressS
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 ,OD
Q Q_y Al O
74 f jvV4f
Each Trap 1.50
t
Repair drainage or vent piping 1.50
Water piping 1.50 �.
Each gas water heater or vent 1.50
Zone V r�fi af'o0 Oplx
%� yr 1-Y
A. P. N . 1z6 — Q / — ' Loning & Planning
Gas piping system 1 - 5 outlets 1.5U
Each additional outlet .30
Fees
W. .
i n
Fire Dept.
FireZi_m_
Building sewer 5.00 (J.
EQA
Parking
Plans
Parcel
Declarati
Parcel Ma P
ImprovementsLawn
sprinkler system 2.00
Bldg. Plans Rec'd Parce ApprovalPermit
Fee $
$ o
NEW ADDITION
❑ ❑ UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 3,dD
Main service 1000V OR 0 AMP ORLESS5.00
Main service EA. ADO'L 100 AMP 2.50 U
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service 1100EAMP oR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
500 SQ. FT. MINIMUM
NEW CONST. DWELING OCcup- &) 2¢sgft
OR ADDNS. ( ACCLBLDGS.
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) '2.50ea
NEW CONSTR. /POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
1 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) BAL@1
Ex. Occu FIXED APP LNS. OR
P•(OUTLETS (RESID.).EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 , D0
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ , (�
$ ,2
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.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 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
-eiz_
`
TOTAL PERMIT FEE
...r...��,,....�„�� vi anc vUU11 Y vi ouuc .0 CIIICI UPUII uIC
above-mentioned property for inspection purposes.
s
XIF= Zc2 Date
Signature of Permitee ent
Receipt No. / Ad fj�z
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 'd.
DIRECTOR F PU LIC WORKS
BY Date /1 -2-0 — 77
(ding permit expires Date I ZZ
NOTE: --All Materials & Workmanshi,pQ Shall Be in
Accordance with Recognized GoodPr�+kea� e nd
of a quality prescribed for the S Ws
Uniform Building, Plumbing & Mec antral "a and
tlie''National Electrical Code.
::,is set of plans and specifications MUST- be
kepf on the job at all times and in is unlawful to
make any changes or alterations on sam wftoui
wrif,ton peemission from the DepartnwO of Fvll�-
lic Works, County of Butte.
The 444 Setback shall be S fR fmas the
side property line and 50 f1. fom *
centerline of the road, pernt9MRS.
rhum of a 2 ft. eave overhang
out of all easements.
3x6,13. 1 C,
1
Wfe-tn �yhe-s. ..
u r l
Septic system Ho" OOIW —
+g--d+-�eest-1� be es per
Butte County Hearth Deft. Re.
quirements.
A per'. -"j will be required for
°*allation of the mobi6h..
�v
0
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on the left (road) side of the mobile
home. \
t3UTTE COUN-11r.
BUILDING DEPARTMEN T
APPR1QVED
COUNTY OF BUTTE- — "DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Qroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ol+ caa „ar VeS VI me %,uumy ul tsurne to enter upon ine
above-mentioned property for inspection purposes.
XDate
Signature of Permitee'ort
Receipt No. VT
",:2
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 been paid.
DIREC OAF P IC WORKS 7� D
By—Date,
permit expires Date S o'KJ
BUILDING
Owner IIAV
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 's ti
S r e. q Teleph�� No.
T0,3Fireplace
Contractor
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee
Building Address XCL .1
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
2 f
Each Trap 1.50
Repair drainage or vent piping 1.50
p
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Gas
— Z Zoning & Planning
piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
W. Sanisatierr
Fire Dept.
Fire Zone Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Improveme
Lawn sprinkler system 2.00
Bldg. Plans Recd Parcel Approval
Plans pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑Y-
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Y1 Ict ( -CO r Q 10,
Main service 600V OR
100 AMP ORLESS5.00
Main service EA. ADD'L 100 AMP 2,50
Single Family ❑ Duplex ❑ Mobil Home 93 Others ❑
Main service 100EAMP oR LESS 25.00
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. / DWELLING OCCUP. &
OR ADDNS. \ ACC. BLDGS. ) 20 sq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONST. POWER APPARATUS &)
NON- R
RESID. (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) BAL@..21
Ex. OCCU p•(FIXED APPLNS, OR
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
I 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.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE J$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 Ik State Laws relating to building construction, and hereby
(o
TOTAL PERMIT FEE
$ 3o
ol+ caa „ar VeS VI me %,uumy ul tsurne to enter upon ine
above-mentioned property for inspection purposes.
XDate
Signature of Permitee'ort
Receipt No. VT
",:2
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 been paid.
DIREC OAF P IC WORKS 7� D
By—Date,
permit expires Date S o'KJ
1. Owner's name:
2. Installer's name:
Is the site currently under permit? Yes L No
(If yes, furnish permit . number )
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
3.
BUTTE.COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
OR
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? --=-------
------------- � APs
6. What is the mobilehome site service rating? --------------------- ate-== Amps
7. What is the mobilehome site circuit breaker rating? ------------- L Amps
8. Is there any other electric load to be served by the mobilehome
siteservice?
--- ------------------------------------
-.------------- Yes No /r
(If -yes, identify the load and size:
(Load) (Amps)
9..
What
is the mobilehome site gas .P Pe size? ----------------------—(in.)�
10.
What
is the type of gas service? --=--------------------------
Natural,/ / LPG IL4-
11.
What
is the gas pipe length from meter or tank to
the mobilehome? L -,5— (f t.)
12.
What
is the mobilehome gas demand? ------------------------------
2,5e) O � (BTU)
(This information not required if pipe length
less than 6 ft. on natural gas
or less than 50 ft. on
I
i
MOB ILEHOME SUPPORT DATA
If other than single. wide,
Mobilehome Mfr. furnish Setup Model No. Year
Width -,(ft.) Box Length Y_Z(ft.) Tagalong or Expando Size €t: x- -ft.
(SHOW SUPPORT DETAILS BELOW)
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).
All center supports measured from front of
mobilehome unless otherwiseecified.
eV OV
� �� Footings (check one)
-14 W a Al Single El -T. Wood either
N. A pressure treated or
foundation grade.
(ft.)(in:) (in.) (in.) T 1. '1Ej 2. Other (specify)
Center support
Center support
locations*
footing sizes
Supports (check one)
(in.)
[�]}- Concrete block.
2. Other (specify)
(ft.)(in.)
---"'='L
(in.) (in.)
m Tagalong or Expando,
show support details.
(ft.)(in.)
(in.) (in.)
(ft.)(in.) (in.) (In.
(ft. (in.) (in.) I (inf.)
*If center piers are other than drawn above;
draw in. -locations, spacing, and dimensions.
'-xEL'�j -- Typical .Support
T. (in.). Footing Size
�� -- Max. Pier Spacing
(ft.)(in.)
-- Max. Overhang
(ft.)(in.)
8UTT•E COUNTY
BUILDING DEPARTMENT
G AUNTY OF BUTTE. — DEPARTMENT OF PUBLIC WORKS
i lI
7 County Center Drive — Orgville, California 95965
//O/`
-%'%
Telephone: 534-4541
((�
/
/
APPLICATION AND PERMIT
BUILDING
Owner J
SQ, FT. OCC. BJJILDING VALUATION
O q QCk
,0-0
Mailing Address S
f7
sk4/ o Cl �,rel-p�?e o./c30
Fireplace
Contractor 6d 14
Total Valuation
Ili iP
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $
Building Address s
PLUMBING No.1
@ FEE
PERMIT FILING FEE $3.00
Each Trap
1.50
)00 Ic U2
JJ —ss I
drainage or vent piping
Water piping
1.50
1.50
Each gas water heater or vent
Gas piping system 1 - 5 outlets
1.50
1.50
A. P. No. � —
�/
-� t7
Zoning & Planning
Each additional outlet
.30
Fes
W. Sanitation
Fire Dept.
Fire Zone
Use Permit
Building sewer
Lawn sprinkler system
Permit Fee
ELECTRICAL No.
5.00
2.00.
$
@
z
EQA
PlansParkin
Declaration
Parcel Map
60' R/W
Improvements
Parcel Approval
Plans Approval
Bldg. Plans Rec'd
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
PERMIT FILING FEE
J$3.001
.6
Main service 1000V OR 0 AMP ORLESS5.00
,fit
Main service EA. ADD'L 100 AMP
600V
Main service 00 AMP OR LESS
2.50OVER
25.00
a.
co x
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP
1.00
NEW CONST. DWELLING OCCUP. &
OR ADDNS. ( ACC. BLDGS. )
22syft • GV
O U
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS)
110-
-2.50ea 1
H a)
o f.a 10
NEW CONSTR. POWER APPARATUS &
NON-RESI D. (SINGLE OUTLET CIR.
�
1
N
Is a) 3
),I r --I
CJ ctt a)
1-4 p+ v
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
04 ^ pq
State of California Business & Professions Code under the name
Ex. Occup(OUTLETS OR FIXTURES)
BA@@T
al
style of:Ex.
Occup. FIXED ALNS. OR
P•(OUTLETS IPPRESID.) EA)
2.00
Temporary service
Mobile Home Facilities
Misc. Wiring
10.00
15.00
6.25
>, 4J M
a! C:bo
❑ Cd rA 4J
W •g
License No. Classification
_
N
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
MECHANICAL No.
$
@ f
v .w
� w o a –
WORKMEN'S COMPENSATION INSURANCE
PERMIT FILING FEE
$3.00
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured a aint st Iab'
Heating
i
for Workmen's Compensation. g y
❑ 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
ermit 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 property for inspection purposes.
X Date 7
Signature of Permitee or A nt /
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Cooling
Ventilation
Hood 2.00
Permit Fee $
TOTAL PERMIT FEE 1$ /�"I —
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 been paid.
DIRECTOR OF PUBLIC WORKS
By
Building permit.expires Date
Date
��'' • MESSAGE •
r
TO s?�
DATE ----3 -------Y- - j - - -- TIME. - -=--------
• WHILE YOU. WERE OUT •
.M R ------------J�`�` 9 --------------------------------------------------
Q. F -------------------------------------------------------------------------------------
PH O N E NO - ----- - - - . _:7 _ - -------------------
Telephoned - - - - C7 Please Call - - - - ❑
Called to See You - - ❑ Will Call Again - - ❑
MESSAGE: & Z----CAI._L-----;�i/4C,,<
-- ---------------
o
----------- ---
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERT"Y ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
y matter, or need additional explanation, please contact this office immediately.
Inspector Date APPI
PERMIT APPLICATION WORK SHEET
OWNER
Zoning Use Proposed
Permit fee based upon: 1. Complete contract price.
2. Partial contract price (explain).
3.- DPW Valuation (show):
Permit No.
A.P.
Approved
Not approved
At time of permit application, the applicant was advised the following.data or information must be
submitted prior to permit processing and/or issuance:
By
Date Received
.1. All items have been submitted. ------------------------------
2. lot plans in duplicate/triplicate.-----------
Complete plans in duplicate/triplicate. ---------------------
4. Complete engineered plans and calcs. ------------------------
5. Fees of $ ------------------------
6. Letter of signature authorization. --------------------------
�/�. Sanitation approval. ----------------------------------------
8. Planning approval for
9. Workmen's Compensation Insurance Certificate. ---------------
10. Contractors license information. ----------------------------
11. Parcel declaration, recorded copy. --------------------------
12. Access declaration. ---------------------------------_____--_-
13. Aunt Minnie information. ------------------------------------
14. Deed of access, recorded copy. ------------------------------
15. Deed of parcel creation, recorded copy. ---------------------
16. Parcel map, recording data. ---------------=-----------------
17. Pre -inspection request for
18. Improvements - plans required & DPW approval. ---------------
a 9•*�r
Bldg. Ins
During plan checking process, the
or information must be submitted
issuance:
1. Index permit for items
following data
prior to permit
above and in addition the following:
2. Applicant advised by Telephone
Mail
Other
3. Plans checked by Date
4. Plans approved by Date
When permit is issued, process as follows:
1. Mail to owner.
2. Mail to contractor.
Deliver with inspection.
4. Telephone ���3��Z� and hold
for pickup.
5. Other
Date /// a //-7 -)
Before permit issuance, all of the following
items must be signed or marked NA:
1. Zoning use
2. Legal parcel
3. Envir. Health Plans Sett
A. Sanitation
B. Restaurant
C. Other
4. Public Works Plans Sent
A. Street Imp.
B. Drainage
C. Permits & Fees
D. Other
5. Planning
A. Use Permit
B. Variance
C. Other
6. Other Agencies Plans Sent
A. Fire Dept.
B. Other