HomeMy WebLinkAbout035-420-0624 -
PERMIT NO. 3860�80B,-P,E,M
PERMIT EXPIRES. -
'West State Homes
OWNER
'CONTR.
owner
LOCATION (A.P. 35-49-69
5296 Crestridge Dr., lot 80, exestwood
i
Sub #2, Oroville
Temp. Power Pol/
Called PG&
Temp. Elec. Serv.
PG&E
Called
Temp. GJ/Serv.
Ca PG&E 4LI
JO
VZD
(Date)
(Signature)
COUNTY 00 BUTTE
DEPARTMENT OF PVBLIC WORKS
E�95,01eander Avenue, Chico — Phone 343-4211, Ext. 70
—1,,:County Cente� Drive, Oroville Phone 534-4541
Skywa y - -'nb , Llliott,Road, Paradise Phone 877-3435 1-4
CORRECTION NOTI'd,
06 /c
BUILDING OR PROPERTY ADDRESS
A routine Inspection indicates. that the. following violations of County Ordinance
exis I t at the above address and should be corrected Plea . se notify this o4fice
'when correction of work is completed. If you have any question pertaining to this
matter,.or nie -pddl�ebp please contact this office immediately.
explanation
p.—N P,4.Al
13
C-' - -t
Inspectorm- Date 0 C—.'
Telephone
1� '4
533-2000
....North Burbank Public Utility District
4 1960 Elon Street
OROVILLE, CALIFGANIA 9S96S
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to f inal approval by Butte County of a Building or an Occupancy Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,,
must be submitted to Butte County.
Applicant:
Applicant Address:
Applicant Phone No..
Property Location (s):
A. P. No. (s):
WEST STATE HOMES
5424 BEAUREGARD WAY, ORANGEVALE, CA 95662.
916-988-7175
5296 CRESTRIDGE DRIVE, OROVILLE
CRESTWOOD NO. 2, LOT 80
035-42-0-062-0, 1
..4
Fees Paid: ALL FEE8 PATD
Application for service approved:
North Burbank
Public Utility District
AUG. 12, 1980
Inspection(s) made and successful test(s) observed:,
Location- Date:
By:
North Burbank Public Utility, District release to close permit:
By:
Date:
, , 1; 1 . I
Permit#
INSULATION CERTIFICATION
Numt)er Ana Street
City —C,;—..t y
10t.80,
Subdivision
Lot Number
DESCRIPTION
-OF INSTALLATION
ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
EXTERIOR WAILL
Mater'ial Fiberglas s
Br t and Name Certainteed
Thickness (inches) 332,11
Thermal Resistance (R Value)
CEILING,
Batt or Blanket Type
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Loose Fill Type - 'Fiberglass
13 rand Name Certainteed
Minimum Thickness (inches) 911 Number of bags 47 Weight per bag lb
Area Covered Ift 2 1 1169.,
Thermal Resistance (R Value) 2 5"
FLOOR,ELEVATED
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
FLOOR.SLAB
Material
Brand Name
Thickness (inches)
Thermal Resistance,,'R Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
HEATINGSYSTEM GasFurriace
Make
.Model Description
Rated Bonnet Capacity
DECLARATION
I hereby certify that the above insulation was installed in the building at the above locat;on ir. conformance with the
current regulations setting Energy Conservation StandDrds for new residential buildings (located in Title 24 of the
California Administrative Code).
General Contractor (Builder) License Number
Signature and Title Date
Hawkins Insu JjDjj--Q-0'-,--jnC. 378407
,,,Zb,Conlr C71 r (insulation Applicator) License Number
0,
Fires, 9-25;..80
Signature and Title Date
CERTIFICATE REVIEWED BY Pate
BIN -029 7Building Inspect on Ofr-ice)
V
RESIDENTIAL
ENERGY CONSERVATION,STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN .
INSTALLED IN CONFORMANCE WITHCURRENT ENERGY CONSERVATION REGULATIONS
AT :2- 5��' 11/67 17e F6
(locatiori)
BUILDING PERMIT NO. A -6-P. NO. 7-1
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(C4eck each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls 411X
Floors
Walls
Ceiling/Roof'
Ducts
Circulating Pipes
APPROVED"HEATER-
APPROVED WTR. HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES— e_�
m
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONS ERVATION REQUIREMENTS AND AGREE TO.
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulat.ion Applicator Name r- 7- Z
(please print)
Signature of
Insulation Applicator State,Contractors
License No. 37,?4zO
General Contractor/Owner Name IlVe Jr/ ,C, /� 2!� ef -7'
please print)
Signature of ";?- r -
General Contractor/Owne �L
State� contractors
License No. cFb/i?
I
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
PERIMIT NO.
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date)
Signature
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDER15L-OOR. (Plans) OK except#'s
Date
FRAMING (Continued)
4,-fo-g�nq requirements_Setbat�-E jm2n�
-48- Property Line Firewall & Openings
Main: Soils r Fd _ 1 4 . Depth
-St6el--El . T � " Ftg
49f�Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
,ge-Ftg, G_�rage; Soils -Steel- 17 Z7' Ftg. Depth
68. 6 airs; IN idth-Headroom-R i se -R un- Land I ng- Fire Protection
orches & Decks; Soils -Steel- D
ZZ
pod on Roof overhang -Attic Vents -Rafter Outriggers
5&.-Irry-v
_�-P
rastemwalls, MAin; Steel -8 lockouts-Wrapp*--Ista
52,.-liding-Nailing-Veneer
v ".temwalls, Garage; Steel-Blockouts-Wrapli-ed--Slab
58._§,Uweo Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
-2. -Pi��Fir2RLace Ftg.-Steel
Glazing Area -Glass Protection -Skylights-Plastic
-5. . all_
Ae Fittings -Test -2 way C/0 -Sewer Test
--Shear Walls; Nailing -Bolts
_*5.
--9-Gas Pipe; Size -Anchors
4,0 -Water Pipe; Test-Anchors-Regu lator-Sery ice Test
_14, Electric; Underground
4,2-.- Plenums & Ducts; C learance-Material -Support- Ins.
tX- Girders -Sills -Anchor Sol ts-Joi sts-Vents-Cri pples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
9 A ef"t
Card -BI
Date Card -BI Date
Card -BI
rd -B ��P Date
Date a _Q U
Date
FINAL (Pl*rs-)XOK except #'s
Card -BI Date �r�,Z/YMard-B I- Date Z'_
Date
/ /
_-Pt-WtABING (Permit) OK except #'s
Ar
j$,,txt. St6ps-Door & Sidelight Protection -Landings
A?o.�Smoke Detector
k-
__
-Iccess-Combustion Air
14.,.,,Water Ht.CVent-
r
rnace; Vents -Clearance -Comb. Air-Connector-
!11,Garage; Above Floor-Ducts-Mech. Protection
J00"gpdroom Exiting
>rPipe; fast & Anchors -Nail Protection
Zoe'D.W.V.; Test-Fttngs & Anchors -Nail Protection
-Ul-r-Shower Pan: Test, First Floor -Tub Access
& Bath Fixtures & Tub Access
Tub & Shower, 2nd Floor -Tub Access
M-*-Elec. Trim & Subpanel; Breaker Sizes -Labels
Igo-*Sas Pipe; Size & Anchors
-6.0.- Stairs & Rails
-60. Fireplace or Stove; Clearances -Hearth
6A.-_19ec. Outlets at Wood Panel; Int. & Ext.
Card-BI&FL_
Date 9 F -f-0 Card -BI Date
618' !�4t. Fixt. & Appliance; G rnd. _A2P@e"q-- Cook I ng Clearance
Card -BI
Date Card -BI Date
Ae��c. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except R's
V' Garage Fire Door; Sw ing-Land i ng -C loser
f2t.::T�C. Duct in Garage -Damper
JW."'Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Ija-Garage; Above Floor-Mech. Protection
--@e-.Fixture & Transformer Clearance -Ins. Protection
&_;w�lec. Receptacles Spacing -Lights & Switches at Doors
Ibl-PW., Elec. & Mach. Equip. Listed for Location
j2,-1-1z:_e Boxes & No. of Conductors -Stapled
Receptacles in Garage; (G.F.I.)-Ro5ex Protec.
23--RolflTx Installed Close to Edge of Studs & C.J.
D nsu lat ion- Foam- Looked in Attic jQ*es
96 -eV -1p. Ground made up w/Mech. Fasteners -Bond Gas & Water
--*-1
ja,"Gvard Rails & Deck Construct ion -Post QApf __1
pe -12 -Appliance Circuits in Kitchen & Conductor Size
jtA-�-Edu-V4"&-&-8ruwrTroTe-Mr-Drairfgg-e & Wood-915-th Clearance
4ak-6-6-44.�es
-eo---Subfeed Wire Size I / ga. Cu or AI-A.C. Wire Size ga. Cu or Al
.Pilr nge Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
lu�ted Neutral E]Yes D No
L;;A�Following
instid.: Drivg,,-1fFYes No: Walks FTTes [:3 No:
Planters E)Yes E'_rNo
aao,le2ice-Riser Conductors & Ground -Main Disconnect
-49& StunqE�wn-Fni2ish
w' -Motors-Mech. Equip.
20--,Lquip. Clearances; Panels
---30-Clothes Closet Light -Shower Light
&ZV95&�rc
' Unit.
- , Dsc� nect-Clrnces-Brkr. & Cond, Size -115V Outlet
&W."' Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Card B -I
Card B-1
Date Card -BI Date
Date Card -BI Date
-7Q.. Water Well; Disconnect, Electrical, Plumbing
terior Elec. Trim; G.F.I. Receptacle -Underground
A
6rf Ventilation throughout House
k' Gla ss Protection
Date
MECHANICAL (Perrnit) OK except #'s
o ections from Previous Inspections
g rr
Tpst-Meters Tagged; Gas -Electric
Card -BI
Card -131
31. Av@-Ducts: Insulation & Support
_--_M2-._Ven_t_Fan:Exhaust above Insulation
4 Condensate Drain & Overflow: Size & Grade
34. Furnace -V_ ; Access -Comb. Air-Relurn Air Vent -115V outlet
-25--.Attic Access.&- Platform, if Furnace in Attic
Date Card -Bl_ Date
Date Card -BI Date
66w< Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Z
Card -BI
Card -61
Date Card -BI Date
Dat !�-Bl Date
Card -81
Date, -BI Date
Date
FRAMING(Plans) OK except #'s
Commpntq at Final-
ga�'_ per material & Anchors
31'.WaLl.w. Studs -Nailing, Spacing & Bracing -Plates -Sound
j�.-<aring -Wa-Ils o-ver-G-irde-rs i--Flo—or Nailing
Draft -Stop in Walls (rat proof)
4Q --Eire Stops; Furred Ceilings -Stairs -Chases -Tub
0 --Header & Beam -Size & Bearing
��.�a.gers-Posl Caps-Anchors-6onnector-s
<95 Clng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfng.
t4 --Fireplace Ties or Type A Flue -Fireplace Throat
JW� &__�om —ex Protect i on -Draft St�p-lns. —Saffles
4&e'6W5_Jrrr�._Win5�ws or Exiting Doors -Sill Hpt. & Dimensions
44---Garag-e Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
0 K
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
.1. Zoning Requirerhents-Set6hcK -E' . M.,
q� apements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK.except #'s
1. Zoning RequiriBments-Setbacks-Ea6ements
2. Soils: Specla:1 MH Support-Sk6tch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location-Test--:Fall-C/0-Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
J
4. Water; L ocat i on-Tes t- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Ampq-Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatior�-Test-Wrap: /"'L"ftd P' Nat. or/ /"L"ft./ LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec:
Card -BI
Date Card -Bl Date
Card -BI
Date Card -BI Date
Card -B]
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
Card -B I
0 bite
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line -
2. Soils; Compaction-StruCture Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect ions- T h ickness-Dead Men -Lining
4. Electricity; MH Test-Crossov6rs-Breakers-Clearances
5. Drain; MH Test -Fall -Flex Co'nnector
4.. Elec.; Receptacles and Lighting; Distances-GF1
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater -
8. Gas and Electricity Tagged
8., Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lgh1g.
Boxes- Enc losures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -61 Date
J
Setback
Forms
Main Bldg.
Footings
Stemwall
Slab
Piers
Stemwall
Slab
Carport
Footings
Slab
Patio
Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Contldl
Firewall 70�,z
Soil Piping
P
Parapets
1st*Floor
Z/ Ay Restroom Finish %
2nd Floor
Windows U
3rd Floor
Sidina C,/,. k/
Topout
Roof Sheathing' AzA,-?J*
Water PIpIn-!
Roofing 7Z'� -7
Sewer
Fdn. Vents —
Fixtures
Garage Vents 4-� /W
31rinsuiation' /0 2,X:2
Water Htr.
Heaters
Prov. for �h.slcally
handiceippe
CoUjokmance of ex. p,
'—J,�PuAtuje
Appliances
Gas Piping'
Temp. Gas
BIN
MWE
W,A
DAF
P15M
/FIREPL:ACE
,'Kina!/
Grd. Fault Prot.
Footing
Heating /4 4 /
JELECTRiCAL
Throat X
Rough
25--W--
Final / \1
Fixtures
Underground
FIRE SPRINKLERS
Motors
P�Mnent
,�q Test I -
Water Htr.
L�, nal`� ::�o
Final 1)c
Subpanels
Water Piping
r,6 e-- /,
Mesh
MeCHANICAI-
Grd. Fault Prot.
Scratch
Heating /4 4 /
Service
Brown
Cooling I -/ -4f/
Temp. Pole
Finish
Ducts I_- 2��p 9,*- 5-'-YV
Underground
Interior Lath 4
Ventilation
P�Mnent
Door Closer U44�ill
� -F'rn-qP
L�, nal`� ::�o
MOBILEHOME UTILITIES / ----------------- Elec. Service
Ped-estal
Water Piping
Sewer
Gas Piping
NQJILEHOME INSTALLATION -------------- Support
Water Piping Drainage
Elec. Continuity
Gas Piping
DATE
go Rooms
REMARKS OR CORRECTIONS
q VAJ,4—
(NOTE: An entry must be made on -this form each time you vis1t the job site.)
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
J APPLICA-TION AND PERMIT
W4 0140, 4 "A
A SqkP R N t.;,M B E R
ZJA R C E L
ZONI
A
BUILDING
RMI
ROE/ SM 7 e5�5 4a
TELEPHONE
SQ. FT. OCC. BUILDIIGXALUATION
2- 7&7S - 12,
OWNER'S MAILING ADDRESS
2-7Z9 49D
OR'S NAME
XgY�3 S77niEF
7z- eoil/
06
T T_0R'S MAILING ADDRESS
rX!��ElOjqt6-,a 9S6_62
CONSTRUCTION LENDER LfN K,1.��
-
Fireplace
Total Valuation $
7& 3 - 0 0
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
zk,&��
LICENSE NO.
I
Plan Checking Fee
$ OZ)
Penalty
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
s 170—,00
BUILD E SS Z)4>/ Ve
'PLUMBING PERMIT
FilingFee 3.00
Each Trap
2.00 1610
Repair drainage or vent piping
2.00
Water piping
2-007
LOT NO.
g,o
UBDIVISION NAME
ISC
IPARCEL MAP
66 -a
Each qas water heater or vent
2.00 2.00
Gas piping system 1 - 5 outlets
2-0,0
USE OF STRUCTURE
SF[A--'DuplexM Mobilehomef-I Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
NewZ AdditionD RemodelEl tilities[:] InstallationD OtherF]
Describe work:
Permit Fee
$ 30
Contractor
ELECTRICAL PERMIT
FilingFee 3.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING _'3
OR ADDNS. ACC. BLDG?,b
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
Kand Professions f' 34e and my license is in effect.
License No.r_7 Classificati onl force and
1, 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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CON TR. MULTI -OUT L _ET 2.50 ea
No N . RESISD, BRANCH CIR C', TS)
NEW_CONSTPL (POWER APPARATUS.6)
NON RESID. SINGLE OUTLET CIR
Ex. OCCUP( OUTLETS OR FIXTURES 50 @ 25C
BAL@10�
CCUP.(FIXED APPLNS. OR
Ex. 0 OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ 33 S��5
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permi ' t 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.
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 shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee �.00
Heating (00"000
4 g -S
Cooling EVA- P
Hood
2.00
Venti lation
Permit Fee
$ in?
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 ot
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 liabilil�qs, judgments, costs, and expenses which may in any way accrue
against nqu e the granting of this permit.
i Coun in c no -7— 215-70
X Date
Signature of Applicant Owner R Contractor El Agent X
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structu're.J$ --over 3 stories -in I;ieigh.t.
Mobile Home Installation Fee $
-Land Development Fee $
T RMIT FEE/0' $
OCCU . 'GROUP
I TYPE 01 C..ST , ._FJ
4
r
PARCEL
L��,/HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT0,151 OF PUBLIC
Bv
FIEAIT iXPIRES Date
the Ile
r1e0olfto n sf�b�o
fees have been paid.
WORKS
. Date7-3
0,/ 1
Receipt No. -i2n / —
WHITE-D.P.W.,''i%217�9?4 _JqM/PI'NK/- -OAR, GOLDENROD-APPLI CANT
�o
Z",
7o, oc)'
m t1be
A,, etback of 5 f t.
s and setback
�--roperty line
of 50ft. from the r1ad
centerline shall be rlear of
ent exce _j I
structures or equipm
rhang.
-for a ft. eaveoVE�
"al- _7 9
tions MUST te'
of plans anA specifica
ef
This, s
kept on the jo6 at all times and it is unlawful to
alterations on some without
make any -.hon'qes or
written pe �Missio'n from the Department of Public
Wo-rks, C unty of Butte.
WoO-OA-441074 9yowle 5
See Mcsfer Plan on file for building
plans.
BUTTE Ccl_�ATT
BUILDING DEPART"'NA
NOTE:—All Materials & Workmanship Shall Be 11ry
Accordance with Recognized Good !Practices and
of a quality prescribeJ 4or f he Specified use in the APPROVE,D
Uniform.SailAng, Plumbing & Mechanical Codes ond
,the Natio'nal Electrical Code.
4dl
Telephone
533-.20W
North, Burbank Public Utility District',
1960 Ehon Street
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BU I MING SEWERS
This verification form must be submitted to the Butte County Department,of
Public*Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Priortofinal appr'oval.by Butte Countyof a Building Oran Occupancy,Permit, a
copy of this verification form,: signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant, WEST STATE HOMES
Applicant Address: 5424 BEAUREGARD WAY, ORANGEVALE, CA 95662
Applicant Phone No.. 916-988-7175
5296 CRESTRIDGE DRIVE,-OROVILLE
Property Loc4tion(s):
CRESTWOOD NO. 2, LOT'80
A. P. No. (s): 035-42--0-062-0
Fees Paid-, AT.T. ERRS PAM
Application' f or service zp proved:
North Burbank
Public Utility District
AUG. 12, 1980
Inspedtion(s),,,made and sq,ccessf u 1, test (s) observed:
Location: Date:
By:
North Burbank Public,Utility 'District release to close permit:
Date: By:
v
Gemm op CUM
C57i 0 cunto want*
AUG
®r