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HomeMy WebLinkAbout035-214-004r - J -.- r.... �� _ - �r sca -.. •-, _ _+� _ r _ M.�T - � •- -r._ '•-�� -.r � .�M.� -y - ._ _.. � � _ � «- • r .` � _T -r _. .- .. ' '� - '�� 35-214-40 -q WILLIAM SPEC 4539 Baggett R�.y Orovill& _ Permit #3136-76E (complete rewire & ser. ch) Contr: Young Electric �J7 35-214-•y erm/l17736�0lace 8-76B,P re lb P p g,water & drain in Kit.�c_laundry area & inst. new siding/SF) 035-214-004 93-402 5 SPEER; WILLIAM -' - 4539 BAGGETT RD.,.OROVILLE / GAS LINE,WTR HTR '&- WALL HTR/SF /g9� ���.��..--pF;y� .. - ... f��+. ,�'r�"r_Fr�r,�..-rr�,w•�..: c;.ny�,��;��-{.: v...,,a,[?*,a'•,s+,;,�"-,..'xr.��5���•r3iS7`�*�'�'a"ray..i�s�rsiv`+i?J'7�"��wA"'��x���r..:�rJi�.f�!,�,'-},` � � ' �� �� .y n i i � .� . f ,� �� � �: ' � ' r ,f . n /—s—�� + , ' r'��� % /� �' y �/ � .. ,� ._ 1 _ � _. i i r � .� + , ' r'��� % /� �' y �/ � .. ,� ._ 1 _ � _. i � .� + , ' r'��� % /� �' y �/ � .. ,� ._ 1 _ � _. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Califdrnia•95565 - Telephone (916) 538-7541 PERMIT No. APPLICATION AND PERMIT ' /0 ASSESSOR PARCEL NUMBER XHUNU 035-214-004 ZONING BUILDING PERMIT OWNER Ju 9 WILLIAM SPEER TELEPHONE 'S0, FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS {y 4539 BAGGETT RD OROVILLE 95966 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Stix Fireplace CONSTRUCTION LENDER "F UNKNOWN Total Valuation is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS t Permit Fee $ ARCHITECT OR ENGINEER s LICENSE N0. ► Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4539 BAGGETT RD PERMIT FEE $ .OROVILLE PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP I Each gas water heater or vent 15.00 R5,00 USE OF STRUCTURE SF ON Duplex ❑ Mobilehome ❑ Other SPECIFY I f Gas piping system 1 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home �S G 1 W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 11 Describework: GAS' PIPING; 14ATER HEATER, WAMAFURNACE PERMIT FEE $ W.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 800V OR LESS) 200A OR LESS 23.00 Main Service (• 200A To 1000A ) 46.00' i NEW CONST. DWELLING OCC P. OR ADDNS. ( & ACC. BLOS. ) SO. 3.50 FT. " l J CONTRACTORS LICENSE LAW, ; I declare under penalty of perjury (check one) ! ❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. 1 License No. Classification I, as the owner, 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) ❑ I, as the owner, am exclusively contracting with licensed contractors.t(Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST.MULTI-OUTLET, •NON-RESID. ( • BRANCH CIRCUITS ) @7.50 ( POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) BAL @ 1.50 Ex. Occu FIXED APPWS. OR p (OUTLETS IRESID.1 EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating WAIL FURNACE L5.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws relating to building construction, and hereby authorize representatives Of the County of Butte to enter upon the above mentioned property for inspectiori purposes. I also agree to save, indemnify aneep harmless the County of Butte �against all liabilities, judgments, costs, d ex en which may in any way accrue ffgainst said Count In c nseq^ue'ce o h ra frog - of this permit. X Date G"...�b Signature of A pscant j% Ow er' C1 Contractor ❑Agent An OSHA 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 $ 85.00 1 1 HAz- I D. FEES IMP I FLOOD I 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. j s DIRECTORIOF PUBLIC WORKS By Date PERMITEXPIRESON 28 DCc qq (Dare) �• � / i'� Receipt No. t_ > / '7 / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT J COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER X J%X@X X 035-214-004 ZONING BUILDING PERMIT OWNER XSRXX WILLIAM SPEER TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS BAGGETT D 0 OVILLE CONTRACTOR'S N453 AME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 4539 BAGGETT RD OROVILLE PERMIT FEE $ PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15,00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 15.00 USE OF STRUCTURE SF OY Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New 1:1Addition ❑ Remodel ElUtilities 1:1Installation ❑ Other EX Describework: GAS PIPING, WATER HEATER, WALL FURNACE PERMIT FEE $ 50.00 Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( 1OOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) 3.50 FTSO.. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. , Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES) B2@100 Ex. .Occup. FIXED APPS. OR p (OW UTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating WALL FURNACE 15.00 Cooling Hood 6.50 Ventilation PERMIT FEE $ 35.00 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all Butte County Ordinances and California 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 an eep harmless the County of Butte against all liabilities, judgments, costs, d ex nses which may in any way accrue against said Count in c nsP e o r in f this permit. X Date Signature of A cant Ow er ❑ Contractor ❑Agent An OSHA permit is required for excavations over 5"0" deep and demolition or construction of structures oveer/3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 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 Indic d above for w 'ch fee have been paid. D7CT OF UBLIC WORKS n By Date PERM EXPIRES ON Z)4gc— 9L� (Date) Receipt NO. 5r �'i WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - Deoart6ent 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 materials for construction of the proposed property improvement (yes or no) 2. 1.(have/have not) signed an application for a building permit for the proposed wo k. 3. I have contractef 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.Number Date /,-::" 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 toour off.ice'before we are per- mitted to issue the permit. t—'f- �i�'l �i"�— .rn•'� 'mo=d i. �a sa[ • _ 3l Date Inspector �— REV 1 /92 r COUNTY OF BUTTE BUILDING DIVISION :x R=s DEPARTMENT OF DEVELOPMENT SERVICES ..; 1469 Humboldt Road, Chico, CA - (916) 891-2751 ' }; 7 County Center Drive, Oroville, CA - (916) 538-7541 Sf 747 Elliott Road, Paradise, CA - (91'6) 872=6307 CORRECTION NOTICE Y` OWNERERMIT NO. ' << A routine inspection indicates that the following violations of Butte County Ordinances exist at the r. above address and should be corrected. Please notify this office when correction of work ..,x is completed. If you have any questions pertaining to this matter, or need additional explanation, please cgFdact this office immediately. t—'f- �i�'l �i"�— .rn•'� 'mo=d i. �a sa[ • _ 3l Date Inspector �— REV 1 /92 r a 06RMIT N0. . 3608-,76B,P PERMIT EXPIRES OWNER. William Speer ( CONTR. owner LOCATION (A.P. 35-214•-Vy ) .4539 Baggett-Marysville Rd-, Oroville 4 s a t Temp. Power Pole Called PG&E Temp. Elea Serv.% Called PG&E Temp. Gas Serv. Called PG&E ' JOB 11117177 FINALED (Date) (Signature) . COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION REPWORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor l" Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwaII Siding To out ov Slab A Roof Sheathin Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings . Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handica ed Conformance of e structure x 1 Appliances Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing I. ELECTRICAL Heint. steel Final Fixtures Bond Beam FIRE RINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHA ICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole i Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATEllq' / REMARKS OR CORRECTIONSOr ,` (NOTE: An entry must be made on this form each time you visit the job site.) if ^ :. i " ,b.. 6 `• = '" tr:"ip�'.7. a v r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — '16roviIle, California 95965 Tgl ephone: 534-4541 APPLICATION AND PERMIT -WAN* Y i'y — uuuc — aIllal UF/UII Lim above -m n o ed property for ' pe do purposes. X Date 61119A Signature o ermit a or Ag t Re eipt No. _ N te-D.P.W. — Yello essor — 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. DIRECTOR OF PUBLIC WORKS By- Date $vi Ide t permit expires Date BUILDING OwnerSQ. Mailing Address "/53 FT. OCC. BUILDING VALUATION � � el ephone No. Fireplace Contractor ` G C-1 Total Valuation Mailing Add ess Rr�' S O Permit Fee Plan Checking Fee &/or Penalty 0� iv i i Tele 1 r one No. Permit Fee $ Building Address"� c -T e PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 _ 01 { Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �—� Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees I W.C. Sartitta'ti0n kireDept. FireZone Use Permit Building sewer 5.00 EQA —Plans ParkinDeParcelon Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER [' ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ` ,aD �� / /n Cwt. Fe'TCi ' t.�idt e3 2 LG` /}/VfrE, Main service ioo AMP OROR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service tp0EAMP OR LESS 25.00 Main service EA. AOD`L too AMP 1.00 NEW CONST. // DWELLING O ^ '\ OR ADDNS. %ACC. BLDG, �' 20 sq ft •Vy NEW CONSTR. MULTI-OUET 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�1 EX. OCCU FIXED APPLNS. OR P'(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ^ License No, 2903 / Classification �'"/� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code w requires every employer to be insured against liability for 71. men's Compensation. ve placed on file with the County of Butte a certificate of orkmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not em p Io an employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. 1 certify that I ve read this application and state that the above information is c rrect. I agree to omply to all County Ordinances and State s relating to u' Iding construction, and hereby MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation _ Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ i'y — uuuc — aIllal UF/UII Lim above -m n o ed property for ' pe do purposes. X Date 61119A Signature o ermit a or Ag t Re eipt No. _ N te-D.P.W. — Yello essor — 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. DIRECTOR OF PUBLIC WORKS By- Date $vi Ide t permit expires Date COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 / Tel ephone- 53¢4541 APPLICATION AND PERMIT X t Dat , Signature of Permitee or/Ag nt Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR (F PUBLIC WORKS Date '7--7_ % j( Iding permit expires Date 2-7 77 BUILDING Owner' SQ. FT. OCC. BUILDING VALUATION Mailing Address t4S 39 .QlIW PeTi r M69 3 Vj it e s ,�,� Telephone No. �"�f ` �V� Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ p� 9 6,�� ' r Building Address44,53!1 1 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 , (1D Each Trap 1.50 , Q() Repair drainage or vent piping 1.50 Water piping 1.50 ,S'D Each gas water heater or vent 1.50 Com-^ ,� A. P. No. �J Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Seftke� OA FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Plans I Parcel Declaration parcel Ma P 60' R/W Im provements Lawn sprinkler system 2.00 J d Parcel Approval Plans Approval Permit Fee $ Q NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 tt R LAGS. 111..' LU 6IN� VJnrelL R t '� Main service 100 AMP LESS 5.00 ` - eL1AfetA17.'1jJ I eW (�I d Main service EA. ADD'L too AMP 2.50 Single Family Eq Duplex ❑ Mobil Home ❑ Others ❑ Main service 100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. OR ADDNS. ( ACCLBLDGS.DWELING CCUP. &) 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR. POWER APPARATUS & NON-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) LL.1 BAL@1 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 ' l am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 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. fj 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. 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 authorize representatives of the County of Butte to enter upon the shove -mentioned nrnn crffr i ..#1.... ., o .. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of X t Dat , Signature of Permitee or/Ag nt Receipt No. 7 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR (F PUBLIC WORKS Date '7--7_ % j( Iding permit expires Date 2-7 77 E. Other 1. Maintenance and repair: 2. Fire hazards: 3., -Safety hazards: 4:•:Weather protection: 5. Underfloor and attic ventilation: 6. 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 (10) days, then write letter. C. Write letter. D. Other: BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL INSPECTION REPORT Owner: LA/We wg, A. P. # Address: Tenant: Building Location: Type of Inspection requested: Date of Inspection Inspector .�v-ds�r.�c! / /.1. Housing / / 2. Financing 3. Change of Occupancy to / 4. Other (specify/) 7 Q y� Presdnt use of building: A. Sanitation (Housing) A -e I 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 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. Comments• B. Structural 1. Piers and footings: 2: Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6, Comments: C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4, Comments: . 0, D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3.,,' -'Gas heating vents:. omments : (continued on back)