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J` BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
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Owner:
Address: -/�
Tenant:
Building Loratio
Type of Inspection requested:
1. Housing ".2.
4. Work W/O Permit
A.P. #
Date of Inspection
Inspector
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Financing / / 3.. Change of Occupancy to
Other (specify')
Present use of building:
A. Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower: t
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:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Stairs:(Rise, Run, headroom, 1'HR, Tolerances,Handrails)
15. Comments:
B.
Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
4
D
C. Electrical
1. Service and ground:
2. Receptacles: I
3.' Fusing: s
4. Comments:
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D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4. Comments:
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Energy:.
7. 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. Problem or violation (give complete description):
2. What action taken (give complete description):
3. What action recommended:
A. Information only - file.
B. Hold for ten days, then write letter.
77 C. Write letter.
D. Other:
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