HomeMy WebLinkAbout027-070-024027-070-024 PERMIT#98=1025
DUFF, Cindy
6625 Upper Palermo Rd., Oroville
Cont: Butte Roofing Co. �c
Reroof/SF
027-070-024 05-3245
DUFF-SMITLI, CIT,'DY REV TRUSI-'
6625 UPPER PALERMO, PALERMO
COnc WOLFE ELf_CTRIC
CLEC PAI`EL C/O 1 jpA.L 17 ``i -G!
1 1 �
BUTTE COUNTY PERMIT NO.
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 638-7636 (OROVILLE) (530) 891-2834 (CHICO) BP053248
OFFICE #: (630) 538-7641
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS 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 force and
Issued Date: 12/12/2005 APN: 027-070-024-000
effect. - ' `' `l `;a1
c, o License N ber: y`-'�"(
License Class ; .
Date: la 12 b� Contractor:
Site Address: 6625 UPPER PALERMO RD PAL
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Description: NEW 200 AMP PANEL
Contractors' Stale License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
DUFF -SMITH CINDY REVOCABLE LIVING
to its issuance, also requires the applicant for such permit to file a
Owner.
signed statement that he or she is licensed pursuant to the provisions of
TRUST'
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
DUFF -SMITH CINDY TRUSTEE
she is exempt therefrom and the basis for the alleged exemption. Any
6625 UPPER PALERMO RD
violation of Section 7031.5 by any applicant for a permit subjects the
OROVILLE,'CA 95966
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, 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 (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: WOLFE ELECTRIC
provided that such improvements are not intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
1.300 PARK AVE
proving that he or she did not build or improve for the purpose of
CHICO, CA 9928
sale.).
(530) 345-2800
C3 1, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: WOLFE ELECTRIC
O 1 am Exempt under Article 3 of the Business and Professions Code
1300 PARK AVE
Date: Owner:
CHICO, CA 9928
(530) 345-2800
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
License #: 844427
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 the Labor Code, for the performance of
Architect:
the work for which this permit is issued. My workers' compensation
Engineer:
insurance cam r and policy number are:
4 CUM
Carrier. % .
(`
y U 5 c,cy-'I aLpa'
Policy #:
otaLSquare Ft: 0 S.F.
O 1 certify that in the performance of the work for which this permit is
Valuation: $0.0�
issued, I shall not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Census Code:
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 provisions.
Date:
Applican
WARNING: ailuro to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
_
CONSTRUCTION LENDING AGENCY
This permit is here y issued under the applicable provisions of the Butte County Code and/or .
I hereby affirm that there is a construction lending agency for the
performance of the work for which this permit is issued (Sec 3097 Civ.)
Resoluli n `t work in icated above for which fees have been paid.
Q .
Name:
By: D,ate:1 P
14S
Address:
PERMIT EXPI N:
• (Date)
Cl I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8 Safety Code is not applicable to the scheduled construction of this project.
O Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substancfan tcial form or document of Butte County. I hereby
authorize represe tatives of Butte County to el n r upon the above mentioned'properlytor inspection purpo s.
�
Ny�Print �
OXA�
Name: l Signature:
Date:
❑ Owner YJ Contractor O Agent for Owner ❑ Agent for Contractor
8. C. Building Permit 01-16-04 pg 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
"PLEASE PRINT CLEARLY"
CONTRACTOR
Name i„1 �1 t)
"—
Address '7G`�/—y
_T
City � V _ ' C�
State
Phone Fax
PhonelJ��
Fax
E-mail
Lic. #C 1�—�
Cls v
ARCHITECT/ENGINEER
Name
Address
City
Zip
Phone Fax
E-mail State License Number
APPLICANT NAME
Name 1
Address
City
State
Zip
Phone
Fax
E-mail
sr --
y TURE
ILE�u
For office us6 only:
Zoning
Flood Zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
05-5,
BP
BIN #
LOCATION,
AP# Ua
Propetly Add i!OD U � 1� I G'i
Cross Street
LENDING AGENCY
Name
Address
Description or Scope of Work:
66 qyf')
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
required.
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:
Amount: - Bldg
SRA
Sheriff
SMIP
/ Other
Total
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
fora permit. INCOMPLETE SUBMITTALS WILL NOT BEACCEPTED. ALL PLANS MUST BE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
o .2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to
mobile or modular homes.)
❑ 6. 2 Flood Elevation.Certificate, wet -stamped and signed (if required).
❑ 7. Detached Accessory Building Form, filled out by the property owner (if required).
❑ 8. Sanitation and site plan approval from the Environmental Health Department.
❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER!
❑ 2. 2 Data sheets and installation instruction manual.
❑ 3. 2 Marriage line information.
❑ 4. 2 Floor plans.
❑ 5. 2 Engineered Tie Downs or Foundation plans.
❑ 6. Sanitation and site plan approval from the Environmental Health Department.
D 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER!
❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!).
❑ 4. Letter from Engineer or Architect for truss design review.
❑ 5. 2 Energy compliance design and supporting documentation (if required).
❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required).
❑ 7. Statement of Intent for Non -heated and A/C (if required).
❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer.
❑ 9. Letter of intent.
❑ 10. Hazardous Material Form.
❑ 11. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 6-16-04
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027-070-024PERMIT#98-1025
.DUFF
Cindy
6'625 Upper ;Palermo Rd.s Oroville
Cont ^;Butte Roofing _Co.
. Reroof/SFt' . S 19v
e
COUNTY OF BUTTE -DEPARTMENT OF DE)FELOPJAENT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 `� PERMIT -NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMB R
y
O
ZONING
d
BUILDIN PERMIT
OWNERTELEPHONE
/!1
id f�
•
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING DRESS ��
Vft• 7
C CTOR'SS NAM ^ TELEPHONE
C RACTO MAILING ADDRESS
CONSTRUCTION LE DEA
Fireplace
LENDER'S MAA G ADDRESS
Total Valuation $
ARCHITECTORt IN EER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ •D
ARCHITECT CA EN INEER'S MAILING ADDRESS
/t!
Plan CheckingFee
$
BUILDING ADMESS IO&OIJ
C/L-/L-
Energy Plan Checking Fee
$
$
PERMIT FEE'
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
t
SF yam. Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Filing Fee 20.00
800VOR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
ii
9 (commencing wth Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full f0 ce and effect.POWER
License Class Lic. No. ,��74oeg �
OWNER -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 OCCUR
OR ADDNS. ( a ACC. OLDS.
SO
3 Sa FT.
NEW C
NON-RESIDONS.T. ANCHMULTI-OUT
I cLETTS
@7.50
APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
BAL @ .50
FIXED APPLNS. OR
Ex. Occup. ourLErs RESID. EA
5,00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
-tet,-__ PERMIT -FEE
s
WORKERS' COMPENSATION DECLARATION
1 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.
I 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' c mpensation insurance car ler and policy number are:
Carrier )"
Policy Number
(The above sections need not be complefed-if completed-ifthe 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 provisions.
X J V-) ��- ___ Date _� Qi�
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ OU
HAZ.
D. FEES 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
indicated above for which fees have been paid.
�'t } '
B y Date l
- f
PERMIT EXPIRES ON ^ i t
Date
Receipt No.7 %/%.1
WHITE-D.D.S713.0. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD•APPLICANT
COUNTY OF BUTTE- DEPARTMENT 006EV'LOPMENT SERVICES -BUILDING DIVISI
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-754v / JEMILNO.
(Rev. 12/96) APPLICATION AND PERMIT o ®(
ASSESSORPARCELNUM ER
ZONING
BUILDIN PERMIT
OWNER _^ a
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIUN ADDRESS - 9s
C CTOR'S NAM
FTELEPHONE '
5
OR' MAILING ADDRESS /f ��
1 8 /`r�iiCt
TION LE DERMAID
r
LFireplace
G ADDRESS
Total Valuation $
OR GINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT E INFERS MAILING ADDRESS
�
Plan Checking Fee $
BUILDING AD ESS was
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat Pum water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other�16
Describe Work: A,
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI G W
920.00
PERMIT FEE S
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service zuono.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 fo Ce and effect.
License Class Lic. No. '5 f, 7&Q ®
OWNER -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 I000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
SO
3.5QFT_
NON-RESNE IIDT g ANCI c cUEis
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @ I.00
BAS @ .so
D AP
Ex. Occup. OUTELETSR PUNS E D.OEa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 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.
)CI 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' c mpe ation insurance cary'er and olicy number are:
Carrier C
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number
(The above sections need not be comple e I 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, 1 shall
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
forth 'th comply with those provisions.
,of
X _Dat
4,c,nt
Signature of App Owner ❑ Contractor Agent AnOSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
FEES IMP
FLOOD
I'Inot
CDf
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable
the Butte County Code and/or Resolutions
indicated above for which fees have been
Bjc 7i <l' ate
PERMIT EXPIRES ON
D
provisions
to do work
paid.
/p<
�c� p
teJ
Receipt No.
WHITE-D.D.S.- .D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
OFFICE COPY
Address 66 Z+Jy4®er—
9.0,-41j pltoidie-
G AS
Meter By Date
ELECTRIC
Meter By Date
DATE JOB F.INALED: I Z�Iyd
,SIGNATURE: ��. O
. =OK
MANUFACTURED HOMES
MISCELLANEOUS
DATE PERMANENT FOUNDATION Lj SOFT -SET
1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch,
3 Sewer; Loctn-Test; FallIC/0-Concrete
4 Wtr; Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-Clrncs-Grnd Amp -Concrete
6 Yard Gas; Loctn-Test-Wrap Nat Q or LPQ
Inch Sz Ft Lngth
7 Blckng; Sz-Spacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs .
10 Drain; MH Test -Fall -Flex Cnnctr ;
11 Wtr 8. Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs 0 -Foundation Q
14 Exits
15 Cert of Occupancy .
16'.HUD Label/Insignia Numbers Serial Numbers °�
DATE DECKS -COVERS -CARPORTS `GARAGE S
I. Zoning -Setbacks -Easements
2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel
3 Decks, GirderslJoists-Dcking-Brcing
Stairs-Guard/Handrails
4 Wood Awn; Posts -Beams -Rftrs-Cnnctrs-Shthg
' Frmg-Brcng
5 Alum Awn; Columns-CnnctnsSplice-Decal=Enclsrs
6 Carports; Wndws-Doors'
7 Electric
8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses
9 Siding; Nailing -Veneer -Stucco -Lath
10 Roof; Shthg-Roofing
11 Ext; Steps -Doors -Landings.
12 Braced Wall pnls
° 41P
DATE POOLS
1 Setbacks -Easements
2 Soils; Compaction -Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries -Terminals -Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg
Bozes-Enclsrs-pnlboards-Insultn to Main Conduit
9 Health Dept Apprvl
.10 Plmb; Cir Test Wtr Supply Test
11 Lt Niche
12 Enclsrs Fencing -Alarms
13 Bonding, Diving board or Slide
of
`
Pool Drawing
Ar.
= OK
0 = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
DATE IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Fig Garage; Soils-Steel-Elec Grnd Fig Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Fig Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd fir - Tub. Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/0 -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
el-°
tl Wtr Pipe; Test-Anchrs-RgltrService Test
12 Elec Undrgrnd
DATE MECHANICAL
13 Plenums & Ducts; Cirnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pitfrm if Furnace in attic
�c c
4`
4.
DATE IFRAMING
17 Sills Proper Materials & Anchrs
DATE FINAL
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
66 Ext Steps -Door & Side Lt Prtctn-Landings
19 Bearing Walls over Girders & fir Nailing
67 Smoke Detector
20 Draft Stop in Walls (rat proof)
68 Furnace Vnts-Cirnc-Comb, Air-Cnnctr
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
In Garage; abv-flr-Ducts-Mech Prtctn
22 Headers & Beams-Sz & Bearing
69 Bedroom Exiting
23 Hangers -Post Caps-Anchrs-Cnnctns
70 GFI & Bath Fxtrs & Tub Acc-Spa
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg
71 GFI Arc Fault
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
72 Elec Trim & Subpnl, Breaker Sis & Labels
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
73 Stairs, Guard/Handrails
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
74 Frplc or Stove, Cirnc-Hearth
28 Garage Fire Prtctn Framing -RC Channel
75 Elec Outlets at Wood Pnl, Int & Ext
29 Prprty Line Firewall & Opngs
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Cirnc
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
77 Elec Outlets & Rcptcls at Ktchn Counter
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
78 Garage Fire Door; Swing -Landing -Closure
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
79 AC Duct in Garage -Damper
33 Siding -Nailing Veneer
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
Mech Prtctn; LPG Appince Undr House 3" drain
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
81 Plmb; Elec & Mech Eqp Listed for Loctn
36 Shear Walls; Nailing -Bolts
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
37 Brace Int/Ext Wall pnls
83 Insultn-Foam-Looked in Attic
38 Insulin -Walls -Ceilings
84 Guard Rails & Deck Cnstrctn-Post Caps
39 Infiltration-Walls-Wndws
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Cirnc Drnge Planters ❑Yes [::]No
87 Stucco Brown -Finish
°'• ° °�°
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Cirnc to Opngs
90 Wtr Well, Dscnnct, Elec, Plmb
91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clmc4ns Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
92 Vntitn thru House
42 Sz Boxes & No Of Cndctrs Stapled
93 Glass Prtctn
43 Romex Installed Close to Edge of Studs & CJ
94 Corrections from previous Inspctns
44 Eqp Grnd made up w/Mech Fstnrs
95 Gas Test -Meters Tagged, Gas-Elec
45 Grndng Electrode Bond Gas & Wtr
96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprvl
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
97 Energy Cmpinc Cert -Other Certs
47 Subfeed Wire Sz ea ❑ CU or ❑AL
98 Address Posted
AC Wire Sz 9 ❑ CU or ❑ AL
99 Fire Sprinkler
48 Range Circ , ❑ CU or ❑AL
Oven Circ ya OCU or ❑AL
Insulated Neutral E] Yes ❑No
°�' °.�� 4
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clrncs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector