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HomeMy WebLinkAbout043-730-020p * ' rKFNNICOTT CONSTRUCTION CO. 1020-69B#10 LdP`Mac�ia . Vents— 214-70P 925-69P (SEE 'REPORT Evap Cooler- 231-70E 1 Lot 20, 10 LaPlaclta Chi o (new single family) 6-7o 4 Mrs. Henry O'Neill (formerly Alwad 10 LaPlacita Way, Chico (NEEDS REROOFING PERMIT FOR CARPORT See letter) 6".� . ^-_- �= _-- . #1382 Pe rmit 76 arport/SF)6�A 043-730-020 94-0130B_.:� _---'--. J0ES ' . LA PLACITA WAY; CHICO woouSTu,E/oc ' ` + S 0 1 O O 6 s f �• O O 6 r. •.':w'�%�:RRiiVi '�'R'�'�4" ..1,.�t+.n'+�T.-__•,..,��_ _"^Y7�+sryln•.�r��r�r+l�..FyM�•l+1yy�;�y�{�"'-'^ f i i COUNTY OF BUTTE = DEPARTMENT, OF DEVELOPMENT,,SERVICES - BUILDING DIVISION w• 4b 7 County' Center Drive - Oroville, California95965 -Telephone (916) 538-7541 PERMIT No. APPLICATION -AND PERMIT 9q- oil o ASSESSOR PARCEL NUMBER 043-730-020 ZONING R-1 BUILDING PERMIT OWNER - JAMES W. HUSOME TELEPHONE ' 342=2688 SQ. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS r t 10 LA FLACITA WAY CHICO. CA 95928` 0 CONTRACTOR'S NAME t, { ` i OWNER t , TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500. CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 20.00 LENDER'S MAILING ADDRESS .. f :' �(� Permit Fee $ 35.1111 ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS {:. Penalty S BUILDING ADDRESS ` 1 IALACTTA WAY. CHICO. PERMIT FEE $j5 X00 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVSION'S NAME PARCEL MAP I Each gas water heater or vent 15.00 USE :OF.;STRUCTURE 7 SF a Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK t New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other JOY Describe Work: WOODSTOVE I _ PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 _2 Main Service ( 800V OR LESS I 23.00 200A OR LESS Main Service ' 200A TO 1000A I 46.00 ti NEW CONST. DWELLING OCCUP.SO. OR ADDNS. ( & ACC. BLOS. I 3.5C FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) O 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. 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) El am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS I @7.50 POWER APPARATUS I & SINGLE OUTLET CIR. Ex. -Occup. ( I OUTLET OR FIXTURES 20 @ 1.00BAL..50 Ex. FIXED APPLNS. OR Occu P• ( OUTLETS (RESID.) EA. I 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 - Cooling Hood 6.50 Ventilation PERMIT FEE $ 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 and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County �iinconsequence of the granting of this permit. �t a)(''r d Date / �% Signature df`Appl1cant OU diwner�❑ Contractor ElAgent 1 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 S occ CONST. TYPE TOTAL FEE $ 55.00 HAz - D. FEES IMP FLOOD I COF PARCEL PD HD ISE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work e for which fees have been paid. DIRECTOR OF•PUBLIC WORKS Date d PERMIT, EXPIRES ON I ./ `� �hs, a [da te) 153 6$88 t �) ` , Receipt WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 043-730-020 94'-0130B HUSOME, JAMES .W. -10 LA PLACITA WAY, CHICO WOODSTOVE/SF 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 043-730-020 ZONING R-1 BUILDING PERMIT OWNER JAMES W. HUSOME TELEPHONE 342-2688 SQ. FT. OCC. BUILDING V LUATION OWNER'S MAILING ADDRESS 10 LA CITA WAY CHICO CA 95928 CONTRACTOR'S NAME OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace A 1,500. CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $ 35.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS LA-PLACITA WAY, CHICO PERMIT FEE $ 0 55.0TO 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 USE OF STRUCTURE SF VX Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W 20'00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities O Installation El Other Describe Work: WOODSTOVE PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLOS, ) S0 3.5C FT.. NEW CONST.MULTI-OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 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) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 820L. @1.000 Ex. Occup.FIXED APPLNS. OR (OUTLETS IRESID.) 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 Cooling Hood 6.50 Ventilation PERMIT FEE $ 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in co ce of the granting of thJs permit. /F Date g ignature Applicant Owner ❑ 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 $ 55.00 HAZ• 1 O. FEES I IMP I FLOOD I CDF PARCEL PO HD ISS E This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for which fees have been DIRECTOR OF PUBLIC WORKS By44:AA? PERMIT EXPIRES ON l h provisions to do work paid. ) Q g Date �v J Receipt No. 1536888 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT i W,..rz-t;�F •-ow- N a. rmyr . �„c� ny- e„w,: ►'1 A COUNTYOF BUTTE - DEPARTMENT5r-p OPMENTSERVICES - BUILDI,�G DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 PERMIT APPLICATION DATASHEET OWNER �lGsUS4M� /3 ��.3��QZp A. P. No. Proposed Building Use Building Inspector Date f At time of �imit application, I was advised the following data must be submitted prior to permit processing and/or issuance: ? DATE RECENED BY 1. 2. 3_ 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. All items have been submitted . ............... . Plot plans, 3/4 sets, sigme by�preparer of plans. .......................... . Complete plans, 3/4 sets, signed by preparer of plans. ..................... . Engineered plans and calcs, 3T ets, with wet signature on plans . .............. Hazardous Material Form. ....,.................................. . Energy Design Compliance and supporting documentation . .................. Statement of Intent for Non -Heated and A/C Buildings . ...................... Engineered truss details and layout in duplicate (required prior to plan check). .. . Mobilehome data and manufacturer's installation instructions, 2 sets. ........... Feesof $......................................... Impact fees as shown on attached schedule . .............................. California Department of Forestry plan approval/fees......................... Flood elevation letter (100 yeaeflood) by California Engineer... ................ . Sanitation and plot plan approval Health Department . ............ City of Chico plumbing permit . .......................................... Piot plan and business license approval from City of Biggs/Gridley. ............. Planning approval for (A) Use: (B) Parking: Contact Land Development about (A) Improvements (B) Drainage. .......... . Driveway permit (construction approval required prior to occupancy)...: . Pre -Inspection n:queis -- Pre -inspection for required. .. to Building Inspector (Date) Contractor's license information. (No., Name Style, Classification) . .............. Certificate of Workmans Compensation Insurance . .......................... Owner -Builder Verification (Given to owner , Mail to owner ............• Recorded copy of Agricultural Acknowledgement Statement . .................. Letter of signature authorization . ...................................... . Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... Letter of intent on building use........................................... Mobilehome utility clearance . ......................................... . Documentation of legal access . ....................... .............. . Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements. ............. Existing violations/expired permits . ...................................... Pion rhark list When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pic , pat office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone = mail Counter by _ Date Plans checked by Date . Plans approved by Date Sets of plans on hold in _,-,rile cabinet AP folder Copy - Department of Public Works I COUNTY OF BUTTE - beepartment 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 maabor and materia _ for construction of the proposed property improvemen yes o no)'- CD (have/ ve not) �- gned an.': n application for a building permit. proposed work. 3. I have contracted 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 AddressCity 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 S'g d: ,.X Property Owner Social Security Numb r 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 to our office before we are per- mitted to issue the permit. s PERMIT NO. 1382-76B PERMIT" EXPIRES/ _zz / .OWNER Henry O'Neill 1 . CONTR. owner LOCATION (A.P. 42-36-20 10 La Placita Way, Chico c: Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Da �•- V • V (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) Main Bldg. Footings Stemwa I I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Walls Reinf. Steel Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE REMARKS OR CORRECTIONS Piping t Floor ti Pl—r (NOTE: An entry must be made on this form each time you vislt the job site.) PLUMBING LECTRICAL 4 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT -76 auuwnce ruproz eurf rlves or trio county or tsutte to enter upon ine above-mentioned property for inspection purposes. �X may' � - I C/ /-42G•G�J Dat A.5— Signature of Permi a orAgent 1-6 Receipt No. ZcP4- 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. DIRECTOR OFAUBLIC WORKS BY 111�/Iding permit expires Date 7 % BUILDING OwnerSQ. Le�� FT. OCC. ILDING VALUATION Mailing Address'® •�,• / W %¢ Tel ephoXe No. Fireplace Contractor (lJ A / 67A0 Total Valuation 0, C> Mailing Address Permit Fee jF7 *J`— Q PI an Checki ng Fee orPenalt % © C) Telephone No. Fee $ L 0 O /S TO, © / �1 P%6C, ` /i /� Building Address /� r! 4 Gt/ PLUMBING No. @ FEE PERMIT FILING FEE $3.00 C14 ! G 0 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. — 3 (cs -- ® Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W. . Semteli•en Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 BPlfirTT.ns ec Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER® ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 cV cc �j rY1 Q 600V OR LESS Main service 100 AMP OR LESS 5•00 Cex Main service EA. ADD -L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others Main service OVER 600V 25.00 100 AMP OR LESS Main service EA, ADD•L 100 AMP 1.00 t NEW CONST. OR ADONIS.( DACCLBLDGS.LING CCUP. &) 20syft MULTI -OUT LET NON-RESID NEW CONSTR. ( 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 st le of: %� Ex. Occup(OUTLETS OR FIXTURES) 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 ® 1 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. I certify that in the performance of the work for which this k 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 Heating Cooling Ventilation Hood 2.00 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 TOTAL PERMIT FEE $ Ji C auuwnce ruproz eurf rlves or trio county or tsutte to enter upon ine above-mentioned property for inspection purposes. �X may' � - I C/ /-42G•G�J Dat A.5— Signature of Permi a orAgent 1-6 Receipt No. ZcP4- 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. DIRECTOR OFAUBLIC WORKS BY 111�/Iding permit expires Date 7 % Mrs* Murry 01yea1 to LaptscitA Way Chical. California 9$926 ftAr Mrs. O'Noult March 22, 1976 REI Building PaMit (AV 42-36*24) With rafavmte to the ah9we subject and your lattOV detect Match 15* 19761. 1 bAve discussed We mater with the butte County Pl4aniag DeParftMt and 01=6 this buildt" was constructed befare you pmhAoad the. property.*, it will be considered As a UOA-coafoolog us*. it you will contact the Chico office and obtain .8 building Paoli for re",ofing the carport, we will. Inspect that work. Valesi there ore hazardous . attuctunt problems relating to the construction of the oaMoorts, which would rtmuire correa- times. we will not be cmevuad furthest. i Thank you for your e0op"41tift Concerning this wattero Should you have any questIAM concerning the abovas pl"se feel free to Contact us" ,M dd cc: Planning Department valeMtSeadvicko, Building Inspector, Chico Yours very ttulys, - Clay C"ttoorry Director of Public Wotka 47. OGRI; Assistant Director FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Information,/) Director Dep. Dir. E Sec. f I Rd. & Br. Mtce. f Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. i Mapping Drng./Permits Sub. Checking Right of Way / 04N 4,� 4 `�/ U� March 15 Mr. Clay Castleberry Director of Public Works 7 County Center Dr. Oroville, Ca Attn. Mr. J.F. Glander Dear Sir, �v J Ref your letter.of March 4, pertaining to Buildiug,Permit AP 42-36-20. In your letter you stated your office was advised we had constructed a carport on our property at 10 La Placita Way in Chico, without a permit and in violation of building codes Somehow, your office has been misinformed, as we have made no construction whatsoever. The carport is exactly as it was when we purchased the property two years ago, from Mr. and Mrs. Manuel Valdez. (With the exception of roof repair.) I have called your office and talked with Mr. Sweet and Mr. Lawson, and was advised to write your office explaining this situation, and it was suggested that perhaps we might obtain a variance to allow the carport to remain as it is. It would be much appreciated if you would advise as to the steps we may take to apply for such a variance. Respectfully, Mrs. Henry O'Neill (Mrs. Ada Alwoo ) t. CO,I, pUeOP BU77F 'VAR I 71976 Ada B. Alwood, etal 10 LaPlacita Way Chico, California 95926 Dear Me. Alwood: March 4, 1976 RE: Building permit (AP 4236.20) With reference to the above subject, this office was advised that you have con- atructed a carport at the above address without obtaining the required permit and inspections from this office. Our Chico inspector advise* that the carport is constructed on the property line which also to in violation of the zoning five foot (S ft.) sideyard require- ment. It vould•appeer that the carport would have to be removed or reconstructed unless you could obtain a variance from the sideyard requirement. Would you please contact this office and advise us of your intentions with regard to this matter. JFG:dd cc: Planning Department Dale McKendrick, Chico Building Inspector Yours very truly, Clay Castleberry Director of Public Works J.P. Glander Assistant Director FILE NO. BUTTE COUNTY (For Action 1, 2, 3) Public Works Dept. (For Informations/) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop Equip. & Yards Ref. Disp. Bldgs. & Grds. Bldg. Insp. Admin. D & C/Traffic Const. Rd. Des. Br. Des. Sur. & Loc. Mapping Drng./Permits Sub. Checking Right of Way Owner: Addres Tenant: BUTTE COUNTY DEPARTMENT OP PUBLIC WORKS SPECIAL INSPECTION REPORT Building Location:.lD Type of Inspection requested: A. P. # `t` o� ` :�) (o — -;) b Date of Inspection d Inspector 1. Housing / / 2. Financing 3. Change of Occupancy to . Other (specify) Present use of build CAAFM`7� A. Sanitation (Housing) 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: D. Plumbing 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.' C oent s 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 Lt) l7 -/-/&IT A P Z1,, complete description) : E2L6 &X / .2� 2. What action taken (give c;nplete description) : 3. What action recommended: A. Information only - file. / / B. Hold for ten (10) days, then write letter. C. D. Write letter. Other: RF—FF-�e-/D rPkA 1N1A1G- bk /