HomeMy WebLinkAbout078-120-04136"75-41
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2362 Via Lat
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Pertait #1 P,EM(newsingle
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078-120-041 06-'1771
PUTNAM, WALLACE
2362 VIA LATON, OROVILLE
Cont: COMMUNITY ACTION
WATER-HEATER .4.
I
FA
�7$ • X20- cq I
16
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDMNS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
EW HLTH CLEARANCE
DATE JOB FINAL.ED: 1 ' 4,
SIGNATURE
i •
X078-120-041
06-1771
+' PUTNAM, WALLACE
NOTES 2362 VIA LATON, OROVILLE
`•
•
Cont: COMMUNITY ACTION
°°"`y
WATER -HEATER
-k—c a..ru a.w
ti r L
APN:
Permit No.
Owner.
Site Address:
Contractor.
Type of Permit:
i.
i
F
t
t
}
e
SRA
FLOOD CERTIFICATE EQUIRED
FIRE SPRINKLERS REQUIRED
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDMNS
SUBSTANDARD HOUSING LETTER
ENCROACHMENT PERMIT
REINSPECTION FEE PAID
EW HLTH CLEARANCE
DATE JOB FINAL.ED: 1 ' 4,
SIGNATURE
�=OK
o = Not OK
MANUFACTURED HOMES
DATE PERMANENT FOUNDATION SOFT -SET
.1 Zoning -Setbacks -Easements
2 Soils; Special MH Support Sketch
3 Sewer; Loctn-Test; Fall/C/O-Concrete
4 Wtr, Loctn-Test-Easement Needed -Regulator
5 Elec Loctn-DIrncs-Dmd Amp -Concrete
6 Yard Gas; Loctn Test -Wrap Nat ❑ or LP❑
Inch Sz Ft Lngth
7 Blckng; SzSpacing-Marriage Line
8 Gas; MH Test-Demand-Valve-Cnnctr
9 Elec MH Cntnty Test-Crossovers-Breakers-Clmcs
10 Drain; MH Test -Fall -Flex Cnnctr
11 Wtr & Sewer Connected -C/O to Grade
12 Gas and Electricity Tagged
13 Tie Downs ❑ Foundation ❑
14 Exits
15 Cert of Occupancy
16 HUD LabeUlnsignia Numbers Serial Numbers
MIS CELLAN EOUS••
DECKS►COVERS*CARP0RTS •GARAGES
1 Zoning -Setbacks -Easements
2 Figs; SoilsSz-0pthSpacing-CnnctrsSteel
3 Decks, Girders/Jolsts-Dcking-Brcing
Stairs-Duard/Handralis
4 Wood Awn; Posts-Beams-RRrs-_nnctrsShthg.
Frmg-Brcng
5 Alum Awn; Columns-DnnctnsSplice-Decal-Encisrs
6 Carports; Wndws-Doors
7 Electric
8 Frmg; Sills-Anchrs4tuds4btrs Tnisses
9 Siding; NailingVeneerStucco-Lath
10 Roof; Shthg-Roofing
11 Ext; Steps-Doors-Landhigs
12 Braced Wall pnls
1 Setbacks -Easements
_ 2 Soils; Compaction -Structure Stability
'3 Pool Structure; Steel-Cnnctns-Thickness
-7—
Dead Men -Lining .
4 Elec Rcptclsit ting; Distance -GR
_ 5 Elec Pool 4ting; 15 volts-GFI
_ 6 Elec.Endsrs; Conduit Entries Terminals-Disted
_ T'Elec Bonding; Metal w1S*-CrcItn9 Egp-Htr
_ • 8 Elec Gmdng; Eqp w/5' Crcltng Eqp-Pool lghtg
Boxes-Enclsrs-pnlboardsansultn to Main Conduit
9 Health Dept AppM
10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche ,
12 Endsr, Fencing -Alarms
13 Bonding, Diving board or Slide
Drawing
#s'
o = Not OK
RESIDENTIAL (Single & Duplex)
DATE JUNDERFLOOR
1 Zoning -Setbacks -Easements -Flood -Slope
2 Ftg Main; Soils-Elec Gmd Ftg Dpth
3 Ftg Garage; SoilsSteel-Elec Gmd Ftg Dpth
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth"
5 Stemwalls Main; Steel-Blockouts Wrapped
6 Stemwalls Garage; Steel-Blockouts-Wrapped
6a Hold Downs and Special Anchrs
7 Slab, Steel Wrapped
8 Piers-Frpic Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
11 Wtr Pipe; Test-Anchrs-RgltrService Test
12. Elec Undrgrnd
13 Plenums & Ducts; Cirnc-MaterialSupport4nsultn
14 GirdersSills-Anchr Bolts-Joists-Vnts-Cripples
15 Acc & Vntitn
16 Insulation
DATE FRAMING
1T Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces-PlatesSound
19 Bearing Walls over Girders !&�fir Nailing
20 Draft Stop in Walls (rat proof) -
21 Fire Stops; Furred CeilingsStairs-Chasers Tubs
22 Headers &"BeamsS &'Bearing'
23 Hangers-Posf,CaQs-Anchrs!Ciinctns
24 Ceiling Joist4VW Iles-Purlin-Roof Brac-TrussShthg
25 Frpic Ties or Type A Flue=F' Ic Throat CImc
T. :
26 Attic Acc; Si &-Rutz pr.tc,tn*-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill lit & Dimensions
28 Garage Fire Prtchi Framing -RC Chanel
29 Prprty Line Firewall & Opngs' .
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run4_andtny-Fire Prtctn
32 Plywd on Roof Ovrhng Attic Vnts4Utr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Are PrtetnSkyLts-Plastic .
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 insults Wails -Ceilings
39 Infiltration Walls-Wndws
4
DATE JELECTRICAL
40 Fxtr & Trnsfrmr Clmc4ns Prtcbi
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFl
47 Subfeed Wire Sz oa ❑CU or [:3 AL
AC Wire Sz ya ❑ CU orDAL
48 Range Circ -9a ❑ CU or ❑ AL
Oven Circ ga ❑CU or El AL
Insulated Neutral ❑Yes 0 N
49 Service -Riser Cndctrs & Gmd Main Dscnnct
50 Eqp Cimcs pnts-Motors-Mech Eqp
51 Clothes Closet UShwr Lt -Spa Lt
52 Smoke Detector
UAIL IPLUMBING
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
54 Wtr Pipe; Test & Anchr-Nail Prtctn
55 DWV; Test Fittings & Anchr• Nail Prtctn
56 Shwr Pan; Test. First fir -Tub Acc
57 Test Tubi & Shwr, 2nd fir - Tub Acc
58 Gas Pipe; Sz & Anchrs
59 Fire Sprinkler; Test
60 Yard Gas Piping
0
DATE IMECHANICAL
61 AC Ducts Insuttn & Support
62 Vent Fan, Exhaust abv Insultn
63 Condensate Drain & Ovrflw, Sz & Grade
64 Furnace Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm If Furnace In attic
DATE IFINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-Clmc-Comb, Air-Dnnctr
In Garage; abv-flr-Ducts-Meth Prtctn
69 Bedroom Exiting
70 GFl& Bath Fxtrs & Tub Acc-Spa
71 GFl Arc Fault
72 Elec Trim & Subpnl, Breaker Szs & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clmc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Gmd Air -Gap -Cooking Clme
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fine Door, Swing -Landing -Closure
79 AC Duct In Garage -Dampen
80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Pimb; Elec & Mech Eqp Listed for Loctn
82 Elec Rcptcls in Garage (GFl) Romex Prtctn
83 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Dmge & Wood -Earth
86 Clrnc Dmge Planters ❑ Yes ❑ No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Pimb
89 Vnts abv Roof, Pimb-Appinc-Frplc-Cimc to Opngs
90 Wtr Well, Dscnnct, Elec, Pimb
91 Ext Elec Trim, GFl RcptcWndrgmd
92 Vntltn thru House
93 Glass Prtctn
94 Corrections from previous Ihspctns
95 Gas Test -Meters Tagged, Gas-Elec
96 Wtr & Sewer Cnnctd-C/O to grade -FID Apprvl
97 Energy Cmpinc Cert -Other Certs
98 Address Posted
99 Fire Sprinkler
o`er o' mss.
DEPARTMENT OF DEVELOPMENT StKVILtS
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 53B-7541
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penally of perjury that I am licensed under
provisions of Chapter 9 (commencing'wllh Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. 4
License Class: License Number: �g����
Dale: Contractor: CAA
OWNER-BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec: 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter. Improve, demollsh, or repair any structure, prior
to its Issuance, also requires the appllcanC for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9, commencing with Section
7000) of Division 3 of the Business and Profes@Ions Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ I, as owner of the property, 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, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, (he owner -builder will have the burden of
proving Thal he or she did not build or Improve for the purpose of
Salo.),
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7.044; Business
and Professions Code: The Contractors' Slate License Law does
not apply to an owner of property who builds or Improves (hereon,
and who contracts for such projects with a conlraclor(s) licensed
pursuant to the Contractors' Stale License Law.).
❑ I am Exempt under Article 3 of the Buslness and Professions Code
Dale: Owner:
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarallons:
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of file
Labor Code, for the performance of the work for which this permit
is Issued.
9 1 have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code,'for*lhe performance of
the work for which this permit Is Issued. My workers' compensation
Insurance carrier
and policy number are:
Carrier:
Policy
❑ • 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 workers' compensation laws of California,
and agree that If I should become subject to the workers'
compensation provlsldns of Section 3700 of the Labor Code, I shall
forthwith comply wllh those provisions.
Dale: %" 2—Y --r`i
rl-
Applicant: L�
WARNINeflure* lo' secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
BP061771
Issued Date: 07/24/2006 APN: 078-120-041-000
Site Address: 2362 VIA LATON ORO
Map Index:
Description: WATER -HEATER REPLACEMENT
Owner: PUTNAM WALLACE E JR & PEGGY G
2362 VIA LATON
OROVILLE, CA
95966
Applicant: COMMUNITY ACTION AGENCY OF BUTTE
COUNTY INC.
2640 SOUTH 5TH AVENUE
OROVILLE, CA 95965
(530)538-7559
Contractor: COMMUNITY ACTION AGENCY OF BUTTE
COUNTY INC.
2640 SOUTH 5TH AVENUE
OROVILLE, CA 95965
(530)538-7559
License #: 617201
Architect:
Engineer:
Total Square Ft:
Valuation:
Census Code:
to do work
0 S. F.
$0.00
DO
thethe appllicableprovprovisions of the Butte County Code and/or
)ove for vytfich fees have been paid.
Dale:Z-
PERMIT EXPIRES ON:
of
Address: eafel
5505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
O I hereby certify (hal the use of this facility shall comply with Sections 2
handling and use of hazardous materials.
Safety Code Is not applicable to the scheduled construction of this project.
Cl Notification In accordance with Section 19627.5 of California Health
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have -read this appllballon, that the above Information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and.slale laws relating to building construction. I acknowledge It Is unlawful to eller the substance of any official form or document of Bulla County. 1 hereby
authorize represenlalives'or.Buttte Counly'to enter upon the above mentioned property for inspection purposes:
Prlht Name:
. C r �, 1..�11_Cf C Signature:
Dale: _
❑ Owner
❑ Contractor
❑ Agent for Owner ,rilAgent for Contractor
B. C. Buildinp Permit 01-16-04 op 1
o�VTr 0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0.:� - w BUILDING PERMIT
0 0 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
0.. ' 0 OFFICE #: (530) 538-7541
0 BP061771
0
c�U P1'�y
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing* with Section 7000) of Division 3 of
the Business and Professions Code, and my license is in full force and
effect. .
7 z
Issued Date: 07/24/2006 APN: 078-120-041-000
License Class : _ License Number:
Dale: Conlraclor: C V, f7 �4�
Site Address: 2362 VIA LATON ORO
OWNER -BUILDER DECLARATION
Map Index:
1 hereby affirm under penally or perjury that I am exempt from the
Contractors' Stale License Law for the following reason (Sec: 7031.5
Business and Professions Code: Any city or county which requires a
Description: WATER -HEATER REPLACEMENT
permit to construct, alter, Improve, demolish, or repair any structure, prior
to its Issuance, also requires the applicant' for such permit to rile a
signed statement that he or she is licensed pursuant to the provisions of
Owner: PUTNAM WALLACE E JR & PEGGY G
the Contractor's Slate License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professlons Code) or that he or
she is exempt therefrom and the basis for the alleged exemption. Any
2362 VIA LATON
violation of Section 7031.5 by any applicant for a permit subjects the
OROVILLE, CA
applicant to a civil penally of not more than rive hundred dollars ($500).):
95966
❑ I, as owner of the property, 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, Business and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
Applicant: COMMUNITY ACTION AGENCY OF BUTTE
pp
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
COUNTY INC.
proving that he or she did not build or Improve for the purpose of
sale.).
2640 SOUTH 5TH AVENUE
❑ I, as owner of the property, am exclusively contracting with
OROVILLE, CA 95965
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code: The Contractors' State License Law does
(530)538-7559
nut apply to an owner of properly who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' Stale License Law.).
❑ I am Exempt under Article 3 of the Business and Professions Code
Contractor: COMMUNITY ACTION AGENCY OF BUTTE
Dale: Owner:
COUNTY INC.
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penally of perjury one of the following declarations:
2640 SOUTH 5TH AVENUE
O 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
OROVILLE, CA 95965
Labor Code, for the performance of the work for which this permit
(530)538-7559
is Issued.
,cn I have and will maintain workers' compensation Insurance, as
required by Section 3700 the Labor Code,'for the performance of
License #: 617201
the work for which this permit Is issued. My workers' compensation
Insurance carrier and policy number are:
Carrier: %���-� 1nlr Ste— »Y�
Architect:
•I
Engineer:
Policy S; � o y of
.
❑ 1 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 workers' compensation laws of California,
that If 1 should become subject to the workers'
Total Square Ft: 0 S. F.
and agree
compensation provisidns of Section 3700 of the Labor Code, I shall
Valuation: $0.00
forthwith comply with those provisions.
Census Code:
Date:
L�
Applicant' -
WARNING: eflure' to' secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
code, Interest, and attorney's fees.
Gd
CONSTRUCTION LENDING AGENCY
This parmlUs hereby Issue er the applicable provisions of the Butte County Code and/or
Res ullo to do work- n cat .6bove for'Vhich fear, been paid.`
I hereby affirm that !here Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Civ.)
By Dale:���+�—V
en
Name:
PERMIT EXPIRES ON: (D
Address:
T=
Dare
❑ 1 hereby certffy that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safely Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19627.5 of California Health &
Safely Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
that the above Information Is
correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
I hereby certify that I have read this application,
all county andslale•laws relating to building construction. I acknowledge It
or document' of Butte County. I hereby
Is unlawful to alter the substance of any official form or
authorize representatives of -Butte County to enter upon the above mentioned property for inspection purposes.
c►_Cr ey
Signature:
Print Name:
Dale:
❑Owner C3 Contractor
❑ Agent for Owner for Contractor
`Bulldinp
S. C. Permit 01-16-04 op 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR rNSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
"'PLEASE PRINT CLEARLY
APPLICANT SIGNATURE
X
F r office use only:
OWNER
Last Name
lvG'Ales—
irst Name
Address
L
City ,
State
State
Zicl p 'r
Phone
Address
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
F r office use only:
CONTRACTOR
Name
lvG'Ales—
Name
d -
City
Z.
State
Zip
Phone
Lot #
Address
E-mail
State License Number
City
State
Zip
Phone
- Fax
E-mail
Lic. # ,
Class
d
APPLICANT SIGNATURE
X
F r office use only:
ARCHITECT/ENGINEER
Name
lvG'Ales—
Address
d -
City
Z.
State
Zip
Phone
Lot #
Fax
E-mail
State License Number
APPLICANT SIGNATURE
X
F r office use only:
Zoning
APPLICANT NAME
Name
A
d -
Address
Z.
—
City
Page
Lot #
State
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
F r office use only:
Zoning
Property Address
14
162 c,
Flood Zone
SRA
I Yes I No
Occ.
Type Const.
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO
IT 71
BIN #
LOCATION
AP#
Property Address
14
162 c,
City
17—street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
0--- 4 .,f
Description or Scope of Work:
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
SSS. cv
Received by: / Amount: Bldg
SRA
Receipt #: Sheriff
SMIP
Date: –Other
Total
ocv')_')n_nS
jr
SUBMITTAL & PERMIT REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) installation inst, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans, all in
duplicate. ,
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Detached Accessory Building Form filled out by the owner (if required).
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed :to issue the permit. Additional items may be required after Plan Check and Planning
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ ..5. .Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ 8. Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts.
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530)538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
K:\FORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 2-24-05
M
I r ;
eAo;%:
PERMIT NO. 1.627;=83B,P,E,M
? PERMIT EXPIRES
s OWNER Wynoka Homes
1
CONTR.
Wynoka Homes Oroville
ASSESSOR PARCEL 36-75-41
LOCATION 2362 Via Laton, O�roville lot #41
Temp. Power Poler'J`-- L
OFFICE COPY ;y
Called PG&E
J
Address
Temp. Elec. Service
E
GAS Dat ef!
Called PG&E
Meter By
ELECTRIC patelZ�
Temp. Gas Service
Meter ey
Called PG&E
JOB FINALED (Da
Signatur
J OK•
O Not OK
Not Applicable MOBILEHOMES
- Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) G,. except N
1. Zoning Requirements -Setbacks -Easements
1• Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg:-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.us-res
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L':ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI . Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elect; 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 Lghtg. '
Boxes -Enclosures -Panel 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 -I
Date Card -B1 Date t
Card -BI
Date Card -BI Date
✓ = OK
0 = Not OK
- = Not Applicable
= Not ReadyeadyRESIDENTIAL (Single and Duplex)
- `
Date
UND LOOK Plans OK except H's
Date FRAMING Continued
Zo ' requirements -Setbacks -Easements
4Qa,'Property
Line Firewall & Openings
tg., in; Soils-Steel-Elec. rn / Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
g.,rage; Soils -Steel- / /" Ftg. Depth
�9.-6teire-Width-Headroom-Rise-Run-Landing-Fire
Protection
-
g. rches & Decks; Soils -Steel- / Ftg. Depth
emwall Main; Steel -B lockouts-Wr ed -Slab
5V Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
@2F 44weg UaiIing-Veneer
walls, Garage; Steel -B lockouts-Wra -Slab
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Pie ireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
AK Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
Water Pipe; Test-Anchors-Regulator-Seryice Test
11. Electric; Underground
2. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
C d -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
BI
ate Card -BI Date
Date FIN
(P s) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'a
FXV. Steps -Door & Sidelight Protection -Landings
5P.Smoke
Detector
_
14VWater Ht.; Vent -Access -Combustion Air
16/Water Pipe; Test & Anchors -Nail Protection
5
5
urnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
edroom Exiting
1$%D.W.V.; Test-Fttngs & Anchors -Nail Protection
17. Shower Pan; Test, First Floor -Tub Access
6
G-F.l. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
61.,"E
lec. Trim & Subpanel; Breaker Sizes -Labels
1 Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
63.
1 Fireplace or Stove; Clearances -Hearth
Alec. Outlets at Wood Panel; Int. & Ext.
Card -BI
le
Date 8{ Card -BI Date
6p
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
tic.
Outlets & Receptacles at Kit. Counter
Date
ELE RICAL Pe OK except N's
Garage Fire Door; Swing -Landing -Closer
6@.
•A.C. Duct in Garage -Damper
2 . Fixture & Transformer Clearance -Ins. Protection
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
lec. Receptacles Spacing -Lights &Switches at Doors
V
ffT., Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
Receptacles in Garage; (G.F.I.)-Romex Protec.
mex Installed Close to Edge of Studs & C.J.7c.
• quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
7��EI€
Foam -Looked rs
InsulationiAttic [6]
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rail) s &Deck Construct
ction-Post Caps
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / g
r Al
74.1
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor Yes
27. Range Circ. / / ga. Cu or Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes 9 -No
75.
Following instl ri Yes ❑ No; Walks Yes E) No;
P niers No
128. Service -Riser Conductors & Ground -Main Disconnect
Stucco; f3 n-Finim'
49 --Equip. Clearances; Pane IS-Motors-Mech. Equip.
-ae—Clothes Closet Light -Shower Light
7
.C. Unit; Disconn'ct-Cirnces-Brkr. & Cond. Size -115V Outlet
7& --vents
Above Roof/Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disc nnect, Electrical, Plumbing
C -I
�c
Date /��6 Card -BI Date
terior EI rim; G.F.I. Receptacle -Underground
Ventilati roughout House
C'a7d B -I
Date Card -BI Date
82.
Glass PtWctinn
Date
MEC ICAL (PeOK except N's
83.
Cor a ' ns from Previous Inspections
84.
Gas st-Meters Tagged; Gas -E e
A.C. Ducts; Insulation & Support
8 .
W r & Sewer C nnected-C/O to Grade -HD Approval
_
32. Vent Fan; Exhaust above Insulation
g
Energy Compliance Certificate -Other Certificates
_
33. Condensate Drain & Overflow; Size & Grade
_
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
rd=Bl
Car
Card -BI
d
_ e� ��f� Card -BI Date
Dat - _—�
Date Card -BI Date
I
Date a Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA NG(Pl- ) OK except q's
Comments at Final:
S' s; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
earing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
4Fire Stops; Furred Ceilings -Stairs -Chases -Tub
42 H der & Beam -Size & Bearing
gers-Post Caps -Anchors -Connectors
4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq.
_44 ace Ties or Type A Flue -Fireplace Throat
-
4(alAttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46C.fddrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47 jage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
Permit#
INSULATION CERTIFICATION
Lot 41 Vista Del Cerro
Number and Street City County
Subdivision Lot Number
DESCRIPTION OF INSTALLATION
ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance IR Value)
EXTERIOR WALL
Material Fiberalass
Brand Name - Certainteed
Thickn+?ss (inches) _ 3.5
_ Thermal Resistance (R Value) 1 j�
CEILING
Batt or Blanket Type
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Loose Fill Type Fiberglass
Brand Name Certainteed
Minimum Thickness finches) 8.5
Number of bags i4 Weight per bag 24 Ib
Area Covered Ift21 990
Thermal Resistance (R Value) 25
FLOOR.ELEVATED
Material T'' t— —' as S _
_ Brand Name
Thickness (inches)
Thermal Resistance (R Value)
FLOOR. SLAB
Material
_ Brand Name
Thickness (inches)
Thermal Resistance IR Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
-Thermal Resistance (R Value)
HEATING SYSTEM Gas Furnace
Make
Model Description
Rated Bonnet Capacity
DECLARATION
1 hereby certify that the above insulation was
installed in the building at the above location ir. conformance with the
current regulations setting Energy Conservation
Standards for new residential buildings (located in Title 24 of the
California Administrative Code).
General Contractor (builder) License Number
Signature and Title Date
Hawkins Insulation Co. Inc.378407
Sub•C ntractor (insulation /Applicator) License Number
Signature and Title Date
CERTIFICATE REVIEWED BY Date
BIN -029 (Building Inspection :ice)
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANC H CURRENT ENERGY CONSERVATION REGULATIONS
AT *�,� 41
'(location)
BUILDING PERMIT NO. Z(,2 2 :2 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
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts -/1I-
Circul g PipesT
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
c/
CERT. & LABELED WDS.
& SLIDING DRS . '
✓
WEATHERSTRIPPED DRS.
BACK DAMPERED,FANS
INTERMITTENT IGNITION_
DEV-ICESIYA
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 print)
Insulation Applicator
State Contractors
License No.
General Contractor/Owner Name ' v�lw Zk,!,-S /i✓C
(p
Signature of ea -e print)
General Contractor/Owner Date
tate Contractors��
License No.
THIS CERT IF ICATE 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 - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
A-11)--sra
A ESSOR PAR EL NUMBER
-•75 _
ZONING
BUILDING PERMIT
O N RA,�1?76r 14c"Vs
TELEPHONE
S0. FT. OCC. BUILDING �dku-A-1;1011
V
OWNER'S MAILING ADDRESS
3 go'
NAME /� /J ��00
/! //� �/r
TE.'ONE
5 3
/
�/ s Vo
O
CON RACTOR'S MAILING ADDRESS
j'>� x /�p00 IgAg;!�7tIll(,64E� oe
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ -co
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 45.00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �� .O�
BUILDING ADD$Fy / w 1,4 _ /
�!/"cf/•• /•r -/V/
PLUMBING PERMIT
Filing Fee 10.00
Each Trap.
2.00 /0-00
Repair drainage or vent piping
5.00
Water piping
_ pJ
LOT y%.
1�
SU,B/DI�VIISSIIO✓1N NAME /� ,. PAARCE�L?MAP
V15 r t�L vt--� � OS 3
Each pas water heater or vent
5.00 •d0
Gas piping system 1 - 5 outlets
„ffp
USE OF STRUCTURE
SF lye Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
.00
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition❑ Remgdel❑ Utilities❑ Installation E:1 Other E]
Describe work: /
/ ��
Permit Fee
$ Q_Od
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 001 OR LESS
RSLESS
/O.D 0
• /���
�J
Main service EA. ADD'L 100 AJM PP
2.50
OR ADDNSNEW T l ACC.GS.LING C C/,�
Sq ft (�•ss
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code Lar,}ld m license is in full force and effect.
�L.�j Classification
License No. / p2 v�+ y �,
❑ I, 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)
❑ 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 CONSTR. -OUTLET 2.50 ea
NON.RESID. BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS 6
NON-RESID. %SINGLE OUTLET CIR, /
SO @ 25,
Ex. Occup_ o Ts OR FIXTURES BAL�1
(,FIXED
Ex. Occup. �p UTLETS P(RESID.)REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit 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 shall be deemed revoked.
Heating(% 000
DO
*145
Cooling eVAp
jO.OJ
Hood
3.00 ,00
Ventilation
pennit Fee
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 of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and ke harmless the County of Butte against
all liabilities dgments, costs xpenses which may in any way accrue
against s ounty i of the granting of this per '
X Date
Signature of Applicant — Owner LiConrr tor Agonr ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ s
OCCUP. GRouP
..3
TYPE of ON ST.
PARCEL
D
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above r which
DIREC OR F PUBLIC
By
PE EXPfRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date LS-2?—j�7
�-Y
���� U S
$'t�Q?1
Receipt No. (1
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
- iv.!':c'Y\"i�'t1lC��C':3BR.T.TCel1��'I a �+gO.T/dN':.v:�.�:.M rto'^a:':;�'��.�:Y.V!4�.•9� R<[.?CTI:a3.:*c'I:S:::lCptll6l:'�,T,.O:VaiLTAn..ry.^•^atfgPTf:+:..I:I L�.: W.i••:w•":."9'.s.IDL %*' =•
N
NOTE:—All MrI+Prinls V�/.•�I•r,.V chin Shall Be In.
Accordance with practices and
of a quality pre-r-:1-Jpd Use In th�
Uniform Buildinq, P!6r�? �':'' "�^!,al�i.cal Codes and
the National Electrical Code.
A setback of 5 ft. from the
property lines and a setback.
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for aVj At. e6M ^ hang..
S 1 D� W P LSC
- -- -- -- b�M —_
See Master Plan elk,► for building
plans.
O„r% LQA_
This set of plans and specification kAOST be
kept on the job at all times and it is unlawful to
make any changes or alterations on some without
written permission from the Department of Public
.Works, County of Butte. Y
pec* 01,.3
4'
NUILDING DEPARTMEM,
:APPROVED
vnc
SUBDIVISION CITY COUNTY LOT NO.
_ypc _,ka3
SEWER — -- JOB NO,� p
OVii� �<': -- - -- – HOMES,INC. I -70
WATERa;%c JV �% P.O. BOX IB SCALE
GAS YNOK-_`
^•,:_
•r. OROVILLE,
CAL. 95985
ELECTRIC _ 1 J -1S_ -533'27, 3E3 .. .
' _ .utas^s�xr.,>=sarn>-�n.yn:u >.<s ,m,: w..:.,.5�rnvrzcra�a.azo:•t•n ,::.r_. a�_.o4�-�-sr,.:.r�.�:'�.a+.xv�c�v-t�.9mm�+m®a.a::snr=ur_^x2�c
Telephone
533.2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 9S965
DISTRICT APPROVAL AND 67-83
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 final 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):
Fees Paid:
WYNOKA HOMES. INC.
P. 0. Box 1600, Or.oville
533-2738
2362 Via Laton. Oroville
Vista Del Cerro #3, Lot 41
36-75-41
WIMMIWITURMIn Mlon •� •
$900.00 SC -OR Regional Facility Charge Due.
Application for service approved:
May 24, 1983
North Burbank
Public Utility District
Inspection(s) made and successful test (s) observed:
Location:
By:
Date:
North Burbank Public Utility District release to close permit:
Date: By: