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HomeMy WebLinkAbout042-590-015FFranklin Brazell f cul-de-sac off n/s Cussick Ave., 400' N/0 Shasta Ave., Chico AG BLDG. EXEMPTION - 12/26/79 Frank Brazell NE/S @ end of Tandy Ct., Chico Permit ##060-80B;P;E;M(new s-ingle family) 4?�07 042-590-015 03AG234�, CAMPBELL, ROCKY 610 TANDY CT, CHICO , Cont: N/A AG EXEMPT BUILDING' IL B0% -17514 6142 5qU- 015 Campbdt, 4ckq (010 Tandy C+. Chic, RMU* Gam %016-1755 042.580-015 Campbo-11. Rocky = Cfl 10 Tandy of. Chico V'* lYbLI N ScAar logy M-081 V-0NV'-% Clnl n Cans Iwo ion rte�� 6 �1 BUTTE COUNTY NOV 12010 DEVELOPMENT ACES , Bud" ountyDepartment of D elopment Services TIM SNELLINGS, DIRECTOR I PETE CA , ASSISTANT DI OR 7 County Center Drive Oroville, CA 95965 (530) 538-7601 Telephone (530) 538-7785 Facsimile I www.buttecounty.neVdds www.buftegeneralt)lan.net BUILDING*PLANNING*ADMINISTRATION AFFIDAVIT REQUESTING DUPLICATE PLANS (California Health and Safety Code Section 19851 —19853) The official copy of the building plans may not be duplicated without written permission from the certified, ---licensed; orregistered-professional, if any, who signed the plans-and-tner: **I hereby_request.dupiicate copies of the building plans on file.with.the_Butte:County.Department of ...—Develolament Services Building.Division for: /i __.___._ _.._...... „ Assessor's Parcel Number: <-{ 2- �z l Permit Number(s): Located at: - _CL L4 -d �j Cr. l G O %7 (Address) (City) (Zip Code) I am aware of the following three provisions of the California Health and Safety Code as follows: 1. That the copy of the plans shall only be used for the maintenance, operation, and use of the building. 2. That the drawings are instruments of professional service and are incomplete without the interpretation of the certified, licensed or registered professional of record. 3. That subdivision (a) of Section 5536.25 of the Business and Professions Code states that `a licensed architect who signs plans, specifications, reports, or documents shall not be responsible for damage caused by subsequent changes to, or use of, those plans, specifications, reports, or documents where the subsequent changes or uses, including changes or uses made by state or local government agencies, are not authorized or approved in writing by the licensed architect who originally signed the plans, specifications, reports, or documents, provided that the written authorization or approval was not unreasonably withheld by the architect and the architectural service rendered by the architect who signed and stamped the plans, specifications, reports, or documents was not also a proximate cause of the damage. Current Building Owner: R40 AV Design Profession of Record Signature of person requesting copies: Printed name of person requesting copies: (�'a 1G Date:120o Contact Phone Number:_ e ��j✓� Address:leC4- ce- 61- Reason for requesting duplicate set of plans: L,57 FOR BUILDING DIVISION USE ONLY Owner Permission- Date Sent: Date Received 0 Professional Permission- Date Sent: Date Received 12/7/07 o(�annfj /-�u-mwwd -to, 1--z" tra)e_ - BUILDING DIVISION COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541 AGRICULTURAL BUILDING EXEMPTION PERMIT PERMIT _NO. � /7 D✓✓{{ `'' l Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. ASSESSOR PARCEL NO. D -1 Z,,455®v ! ZONING s n i OWNERC&*�i 0 Q_ „ (, PHONE NOG�� 0 OWNER'S AD� F�SrS� � (^ �„' �, tz 957 -73 LOCATION OF BUIIL✓DING�� f � USE OF BUILDING--�,� � e Q() i' / ' nr L+C 0��� W,O��i� ro SIZE OF STRUCTURE `X ✓ / ' _-2 �`�SO. FT. TYPE OF CONSTRUCTION: WOOD FRAME —A— STEEL CONCRETE OTHER (Specify) TYPE OF SIDING i I ERLNG i� i RM- FLOOR TYPE s � b t$oo0. ESTIM:TE COST OF ONSTRUCTION o� l���e D� �Il�,� ��t nets 1) AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of thb applicable County Orcmances a follows: FRONT SIDES REAR/v AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields. AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a mobilehome, and 23 feet from a commercial building. AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a mobilehome, and 40 feet from a commercial building. I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy. Date 12-6 2) Signature of Owner Permit Fee - $60.00 The above described AG Building is exempt from a bIlding permit. Receipt No Manager Buildin Division B Date White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant AGRICULTURAL BUILDING Exemption from Permits fG / owner of the property located at (please print) Assessor Parcel, # q2-- '3 L,/ '7 intend to. construct an agricultural building on this property that is not subject to permits. a L-// k "3 �� /' L,0 �j \ Agricultural building is defined as follows: Agricultural building is a ))) structure designed and constructed to house farm implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not bea place of human habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a place used by the public. I, understand that if I change the use or occupancy -of this building in the future, that I will be subject to the necessary.permits, inspections, and approvals from the Butte County Building.Department. Signature of Property Owner Date / t `-'fa •- COPY TO CHICO OFFICE 12/27/79 - - 1060-80B;P,E,M PERMIT NO. Y i PERMIT EXPIRES Frank Brazell OWNER CONTR. nrenPr a LOCATION (A.P. 4.2-34-71 port. ) NE/S @ end of Tandy Ct., Chico Temp. Power ole Called G&E Temp.E ec. Serv. 2-1 Cal! ed PG&E Tem/Gas Serv. ailed PG&E v / OB FINALED Z �� (Date) (Sign ure) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC 7 County Center GSivq Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT WOR e/ Q '/ authorize representatives of the county of Butte to enter upon the above-mentiQ ed property for inspection purposes. / X Dat �P Signature ofa or A Receipt No. 3e�it 61 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. DIRECT R OFFPU LIC WORKS BY %!�� °1�t Date Building permit expires Date , •—z •r, BUILDING Owner r�l��l�- U�/9��-L� OCC. BUILDING VALUATION///R kSQQ.FT. S 3f�•oo Mailing Address -0• 8/o 1666 - M 5312.00 C'T! CiC! C/i . �%�7� Tel � e Z t O0 Contractor Mailing Address Fireplace 750-03 Total Valuation .00, Telephone No. Permit Fee IV 3.00 Building AddressC 5� '� -T-�, 1 tV Ian Checking Fee /or Penalty O Permit Fee 1 3 /'?, J90 31 SZ Czo lz�—i PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.00 Each Trap 1-56 /&,00 /s IC0 IJ 09-T-(4 �'/-Z-PCL. %1.. C if • Repair drainage or vent piping 1.50 +� ^� p,, A. P. No. I `" -3 4 --71 f 1"C/(ZT �p Zoning�8 Planning Water piping 1-{,6- 2.0V Each gas water heater or vent 1,.@@- 0,00 ao/s �I!C. S ' ire Dept -LIF i re Zone Use Permit Gas piping system 1 - 5 outlets 158 000 EQA Parking Plans Parc Declara ' P r 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI s Rec'd P rcel Approval 1 Plans Appro Lawn sprinkler system 2.00 NEW He ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ ,57-ciO .$ Z5- 0© ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 3.00 600V OR LESS Main service 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service(( EA. ADD'L 100 AMP 1.00 NEW CONS. ` OR ADDNST t ACCLBLDGS %) 20 sq ft 156"70 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 le of: style NEW RESID. / BRANCH CIR T NON-RESID. ` BRANCH CIRCUITS)2.50ea NEW CONSTR/POWER APPARATUS sl NON -RES ID, (SINGLE OUTLET CIR. // EX. OCCUP(OUTLETS OR FIXTI IRES) BAL@1 Ex. QCCU FIXED APPLNS. OR p.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 rV I am exempt from the Contractors License Laws of the State of California. LAL Permit Fee $ $9.78 $_,5q %C 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 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 J,00 Heating At�Q OO d 00 Cooling / 7— Ventilation Hood 2.00 .vp 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 State Laws relating to building construction, and hereby Land Development Fee $as Da TOTAL PERMIT FEE $� ]L authorize representatives of the county of Butte to enter upon the above-mentiQ ed property for inspection purposes. / X Dat �P Signature ofa or A Receipt No. 3e�it 61 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. DIRECT R OFFPU LIC WORKS BY %!�� °1�t Date Building permit expires Date , •—z •r, Butte County Department of Development Services TIM SNELLING.S, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR 7 County Center Drive Oroville, CA 95965 (530) 538-7601. Telephone (530).538-2140 Facsimile www. buttecou nty.net/dds www.buttegeneralplan.net Office hours 8AM-121PM Mon -Fri And 1 PM-3PM by Appointment . ADMINISTRATION * BUILDING " PLANNING :Please furnish me with copies of documents I have indicated for assessor's parcel number(s) and address(s) listed below. I understand there will be a'fee of $.25 for the first page and $.06 for each page there after payable at the time the: copies are picked up. When, we have, completed :the request for copies we will contact you by phone. for you to pick-up copies and pay the:fees. I .also understand Butte County has 10 days to furnish these copies based on the California Public Records Act 6250. Assessor ParcelNumber Address Assessor Parcel Number. Address Assessor. Parcel Number. Address Assessor Parcel Number ,Address Assessor Parcel Number . Address Name of person requesting copies �oG(e u a6 Phone Number(s) 53D �S yl4/ Signed i Date l BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS SPECIAL' INSPECTION REPORT Owner: �� �.�.�L�. A. P. #-3y-%, Address: Date of Inspection Tenant:-%O/� Inspector Building Location: Type of Inspection requested: 1. Housing / / 2. Financing 3. Change of Occupancy to 4. Other (specify)�,TQ Present use of build A. Sanitation (Housing) 1 2 '- q - '? 1. Water closet: 2. Lavatory: JJ20 kl- -I- 3. 3. Bathtub or shower: 6•�-� 4. Kitchen sink: c4 J 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 D. Plumb in 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments:. (continued on back) 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): f 2. What action taken (give complete description): 3. What actioti recommen d: A. Information only - file. B. Hold for ten (10) days, then write letter. MC. Write letter. D. Other: /e/0 . 94c'. z,cLL RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT *,k N D e c' T- . o- A i c D C .4- (location) �lZ� � � _7/ BUILDING PERMIT NO. /a 6a _ La A. P. NO. THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or write N/A if not applicable) INSULATION: Slab Edge. ti,A - Fdn. Walls A,- A - Floors Walls ,, R ` n Ceiling/Roof 14 !� ►3 �' Ducts L/ Circulating Pipes APPROVED HEATER ,y APPROVED WTR.HTR. t/ GLAZ ING : Single Glazed /V •�4 Special (Insulated) A --o"* CERT. & LABELED WDS. & SLIDING DRS. !/ WEATHERSTRIPPED DRS. to,- BACK /BACK DAMPERED FANS INTERMITTENT IGNITION DEVICES CERT. APPLIANCES // I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please int) Insulation Applicator Stat Contractors License No.� 7c� General Contractor/Owner Names- o oT- dv a. -..r Tr Signature of (please print) General Contractor/Owner, o,-,7 Date Cct- 29-9-D State Contractors License No. O 7 THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE y DEPARTMENT OF PUBLIC WORKS . r1595 Oleander. Avenue, Chico — Phgne 34'!}'1211 , Ext. 70 r 7 County Center Drive, Orovi Ile --Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 CORRECTION- NOTICE BUILDING'OR PROPEVY ADDRESS i 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 matter, or need additional explanation, please contact this office immediately. Inspector Date �� (dash) ----- = OK 0 = No.t'OK K = Not Applicable RESIDENTIAL (Sifiigle and Duplex) (blank) = Not dealt with yet „ Date UNDERFLOOR (Plaaoj OK ex -`pt N's 7f ---Zoning requirements-Seibacks-E ent Date FRAMI Continued 48 ro erty Line Firewall & Openings -2.-f_tg,., Maur; Sens -Sleet- . Grnd.- ' Ftg. Depth 49 xt. Doors -One 3' -Check Garage -3rd story, 2 exits -a- g., Garage; Seils�Steel- " Ftg. Depth 5G--STa1 ,, idth-Headroom-Rise-Run-Landing-Fire Protection ,l _ Fig., Porches & Decks; Soils -Steel- ❑" Ftg. Depth 51 ywood on Root Overhang -Attic Access -Rafter Outriggers - terrtwells, Maim,-B+eekouts-Wr ed ailing-Veneer -6-StemwaUs, Gavage; Steef-BleW uts-W -SietY 7d Pius'-Firep a, Ft 54 - ip Screed-Fdn. Vents-Underflr. Access lazing Area -Glass Protection -Skylights -Plastic F -Fi s -Te -2 wa 0 -Se st r a Is; Nailing -Bolts ,0, -Gas Pipe; Size- nohors 14r-Wa4er Pipe; Test-Anchors-RegytLttor-Seryest ri , Underground ' Ple ms & 046s; CIe nce-M riai-Su rt- -S -Ant olts-,!aisle-V� fiai�te's Card -BI _ Date Card-BI OatoSy6Z PEEIi) � �aacB Card -BI Oate Card -81 Oate Mg— Card-BI Date I Card -BI Date Card BI Date s' Card -BI Date Date FIN (Plans) OK except q's Ca Date Card -BI Date DaePLU NG (Permit) OK except q's ji%t. Steps -Door & Sidelight Protection -Landings 5�. Smoke Detector _ 1 ' W er Ht.; Vent -Access -Combustion Air Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts- Hoch. Protection ,bedroom Exiting I er Pipe; Test & Anchors -Nail Profection Test-Fttngs & Anchors -Nail Protection 1 Shower Pan; Test, First Floor -Tub Access 6 . :F.1. & Bath Fixtures & Tub Access & Shower, 2nd Floor -Tub Accesa 4c. Trim & Sub anal; Breaker Sizes -Labels 19 as Pipe; Size & Anchors ails 6 Fi or S e; Clea ces-H rth 651'it. lec. Outlets at Wood Panel; Int. & Ext. Fixt. & Appliance; Grnd.-Air Gap -Cooking Gap—CookingClearance Card -BI Date Card -BI Date Card -BI Dat / g6 Card -BI Data ec. Outlets & Receptacles at Kit. Counter Date ELE RICAL Permit OK except H's 6 Garage Fire Door; Swing-Landing-•Closer 68.'��BdsJn Garage -Damper fixture & Transformer Clearance -Ins. Protection 6 Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Garage; Above Floor -Meth. Protection. 2 le .Receptacles Spacing -Lights & Switches at Doors P b� Elec. & Mech. Equip. Listed for Location ' e Boxes & No. of Conductors -Stapled c. Receptacles in Garage; (G.F.I.)-Rome Protec. 2 R mex Installed Close to Edge of Studs & C.J. Insulation -Foam -Looked in Attic 24. quip. Ground made up w/Meth. Fasteners -Bond Gas & Water 7A - 7 G,og &Deck Construction -Post Caps dn. Vents & Crawl Holei-Drainage & Wood -Earth Clearance Looked under Floor es Appliance Circuits In Kitchen & Conductor Size -/,Zou f{�G _ 2V/Sbleed Wire Size / / / ga. o A -A.C. Wire Size 41 ga. Cu or I 2 ange Circ. /-4�'/ g�a. Cu or AI Ov�fl'CireT/ / ga. Cu or AI, 1 sulated Neutral (des No ollowing instld.: rive es ❑ No; Walks es ❑ No; Planters s ❑No; Creating Drug.Problems ❑ Yes ido SgPe,ce-Rieer,eVM'actws & Gr d -Main ' connect 7 -gtpy�yaFinish s Clearances; Panels -Motors -Meth. Equip. 8.C -Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 39oi,oeClothes Closet Light-Sh ight V s Above Roof; PI •=Appliance-Firept.- earance to O ngs. -*'-Water- Well; Disco act, EledtrMa-rPlu g 88'-E rior Elec. Trim; G.F.I. Receptacle -Underground V�ation throughout House GI -Protection Card B -I Date � � Card BI Date Card B -I Date Card -BI Date. Date MECHANICAL ( r it) OK except q's j2 3 8 . Cor ctions from Previous Inspections Gas Test -Meters Tagged; Gas-Eleclric n ulation & Supportater & Sewer Connected -C/O to Grade -HD Approval 32 YLmt Fan; Exhaust above Insulation g Ener Compliance Certificate -Other Certificates 3 Condensate Dr WzOjW 3 urnace-V• ; Aca s -Com . Air-Return(Ai Vent -11 outlet - �c_n els & Platform if Furnish in Attic Card -BIS Card -BI Date Z Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI ,,-Date ' sU Card -BI Date 41-- Card -BI Date Card -81 Date Date 1477 FRA ING(Plans) OK except q's Co .Vents at Final: r 3 . Sills; Proper Material & Anchors 3 Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 earing Yralls over Girders _& Floor Nailing 3 aft Step in Walls (rat proof) _ ire Stops; Furred Ceilin s -Stairs -Chases -Tub (� ader & Beam -S' a & B=aaii g Vozd angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-_ Purling -Roof Brac.-Truss-Shthng.-Rfng. 44' irt�tM.'7-rias or Type &Flue-Firq iaro Thrnat-------- -- _ tic Access; Size & Romee Protection -Draft Stop -Ins. Ballets drm. Windows or Exiting Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing _ stucco COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS .. ,A .,. _ BUILDING INSPECTION RECORD Subpanels BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets list Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor StemwalI 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 p Footings Prov. for physically handica ed Conformance of ex. structure Appliances Gas Piping& Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footinq ELECTRICAL Masonry Walls Throat I Roucih Reinf. Steel Final I Fixtures Bond Beam FIRE SPRINKLERS I Motors stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec- Sery.ice Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - • - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS (NOTE: An entry must be.made on this form each time you visit the job site.)