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o7q- o-Ooo a FRIEDA HART MARTIN _ •65 Melrose . Dri��v--e, lot 5, Copjey Acres 1, #2, Oroville.q �a�/ a Perm 3B P,E,"NI(new singVfamily) EW OWNER JOHN Mc CARTER Permit#544-84B(convert carport to garage/ 9 SF) Frud &1041165 ' EDI OSS �;�-•- 65 Melro Dr, Oroville s Contr: Waibe C + Parmit�k1958-85M & AC unit/SF) rContr: Robe ell Permity, -85B,P,E(convert unfinished j r at to living areA/SF) i 4 1 I t R u 1 r 1 1 1. j 1 1 1 i � r�r P• r ' CalledPG&E JOB FINALED (Date) -7,.2' .2' Signature i 2371-85B,P,E • PERMIT NO. PERMIT EXPIRES OWNER EDITH ROSS CONTR.. Robert Bell ASSESSOR PARCEL 36-76-5 - LOCATION 65 Melrose Dr, Oroville a. M.0 F' Y PS. Temp. Power Pole i- Called PG&E _ 5:. Temp. Elec. Service i-, Called PG&E Tem Gas Service %J P• r ' CalledPG&E JOB FINALED (Date) -7,.2' .2' Signature t i J = OK 0 = Not OK - = Not Applicable MOBILEHOMES Ilt = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 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 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 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 Date Card -BI Date ' ' MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness -Dead Meri-Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 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 -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test f r Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date r e V = OK 0 Not'OK,r Not Appl cable Ready Not Ready RESIDENTIAL .(Single and Duplex) � = Date UNDERFLOOR Plans OK except #'s Date FRAM Continued 1. .Zoning requirements -Setbacks -Easements 48 p/r6perty Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4915K. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 St 'rs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 wood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 5 Si g -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. t Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54 lazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5 ear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date FIN Date Card -BI Date Plans) OK except N's Card -BI Date Card -BI Date Date PLUL4ING (Permit) OK except q's Steps -Door & Sidelight Protection -Landings . Smoke Detector a er t.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection r Pipe; Test & Anchors -Nail Protection 1 XV.; Test-Fttngs & Anchors -Nail Protection Bedroom Exiting 1 ower Pan; Test, First Floor -Tub Access 60. G.F & Bath Fixtures & Tub Access 184e Test Tub & Shower, 2nd Floor -Tub Access lec. Trim & Subpanel; Breaker Sizes -Labels 19. .,as Pipe; Size & Anchors (O. - Stairs & Rails 69. Fireplace or Stove; Clearances -Hearth 64 --Sec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date X65. Kit_ Fixt & Aepliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66 Elec bats R Receptacles at Kit. Counter 67 Garana��ar; Swing -Landing -Closer 6 Garage -Damper _ ' ure &Transformer Clearance -Ins. Protection 69-WU Htr Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2 _le Receptacles Spacing -Lights &Switches at Doors ze oxes & No. of Conductors -Stapled 70, Plb., Elec. & Mech. Equip. Listed for Location 71 in Garage; (G.F.I.)-Romex Protec. 23. mex Installed Close to Edge of Studs & C.J. 24 = uip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7 - ooked in Attic E] Yes 79. ck Construction -Post Caps pliance Circuits in Kitchen & Conductor Size 6. .3ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. a I Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 2 . ange Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, ns ted Neutral ❑Yes ❑No 7 rive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No vNVLC2ice-Riser Conductors & Ground -Main Disconnect 7 Finish 29. =quip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet �,lothes Closet Light -Shower Light 7 , Plbg.-Appliance-Firepl.-Clearance to Opngs. 7Disconnect, 8 Electrical, Plumbing ; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81, t House ion Card B -I Date Card -BI Date Date ME AtOCAL (Permit) OK except q's 8 Corrections from Previous Inspections - s agged; Gas -Electric Ducts; Insulation & Support 85. nnected-C/0 to Grade -HD Approval 3 Vent Fan; Exhaust above Insulation liance 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 Card Mi& Date 1 - - Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FR G Plans OK except q's s roper Material & Anchors 37 IIs; Studs -Nailing, Spacing & Bracing -Plates -Sound 38 Be 'ng Walls over Girders & Floor Nailing 3 raft Stop in Walls (rat proof) -Stops; Furred Ceilings -Stairs -Chases -Tub 41. r-& Beam -Size & Bearing angers -Post Caps -Anchors -Connectors 4 . Cl . Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthn_g.-Rfng_.__ aace Ties or Type A Flue -Fireplace Throat 4V Pftic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 4 Edrm. Windows or Exiting Doors -Sill Hgt. & Dimensions age Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE DEPARTMENT OF+PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. 1, A lel Sni.r�o ; it. �g9 u,, •�', � ' n N �s �:f i i,-C.1s J} T4l 7 i Oro,/ I ctt-G/ ;. / Inspector. Date :_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-275'i 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A r'utine Inspection indicates that the following violations of County Ordinance e st at the above address and should be corrected. Please notify this office en correction of work is completed. If you have any question pertaining to this atter, or need additional explanation, please contact this office Immediately. 1 n e -1 n ' Inspector y Date "'T_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. Cv/ 7/ Q ASSES OFj, PAq�C'L�UMBER g T ZONIN BUILDING PERI OWNF.R J TELEP ON SQ. FT. OCC. BUILDING WLUATION OWN MAIL G A D ESS ti, r© CON A TO NAIAE TELEPHONE CONTR CTOR'S M LI G AD RE S ` e Fireplace CONST UCTION LI -NDE UNKNOVIN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARC I ECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 orb V e t Solar or heat p mp water heater 20.00 LOT NO.SUBDIVISION NAME PARCEL MAP Water piping 6 5.00 S. Each qas water heater or vent 5.00 USE OF STRUCTURE SF � Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New ❑ Addition Remodel F-1 Utilities Installati ❑ Other E] Describe work: ` c Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 00V OR Main service 100 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declar under penalty of perjury (check one): I am licensed u der provisions of Chapt. 9, Div. 3 of the Business and Profession s� d/my license is in full fo a and effect. JJ License No. Classification Fl 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) ❑, a (Seo. owner, am exclusively contracting with licensed contract- 7044) ❑ I am exempt under Sec. , Business and ProfessionsCode for this reason NEW CONST. DWELLING OC a ,/z2sgft A 73, New ULTI OUTLET COIS15TH.( NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050t SALO 30 FIXED APLISIS Ex. Occup. OUTLETS P(RESID )REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee Contractor $ I certify that I have read this application and state that the above information is correct. 1 agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agrea to slave, indemnify and keep harmless the County of Butte against all liabil' i s, ents, costs d expenses which may in a y way accrue against a' I eq the granting of this p X b 5 Date Signature of Applicant — Owner ❑ Contractor) Agent ❑ An OSHA permit is required for excavations over 5' " de p and demolition or construct -A ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 30.00. TOTAL PERMIT FEE t OCCUP. CONST.TYPEJ I I FLOOD PARCEL I PD I NO I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE R OF P LIC r BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -- Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION - 7 COUNTY CENTER DRIVE - OROVILLE ,t9ALIFiDRNIA 95965 TELEPHONE: 916/534-4541 PERMIT APPLICATIA DATA SHEET I Permit No. OWNER p j i > lel a S o, 4 A. P. No. 31, 4G - .� Proposed Building Use �OvI i r? h�V 1,h Ce Permit Fee Based Upon: Complete Contract Price _'DPW Val ation Other (Explain) t Building Inspector v�1 v Date x/16 o G At time of/permit application, I was advised the ollowing data must be submitted prior to permit processing andJor Issuance: DATE RECEIVED. APPROVED +1. All items have been submitted. . . . . . . . . . . . ' Plot plans in duplicate./triplicate. . . . . . . . . . . I. :`Complete plans in d-upli`_cate triplicate. 4. Complete engineered plans and calcs. . . . . . . 5. Plans with Energy Design Compliance Statement. . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. Fees of $----,'-�'�-,A . . . . . •. .. .. �l 9. Letter of signature authorization. . . . . ` . . . . . 10. Sanitation approval from Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to (Dote) 17. Pre -Inspection for — Required. Building Inspector Do ) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other When. you issue the permit, process as follows: Mail to owner. Mail to contractor. x Telephone �i.�" �r�I Q and hold for pickup at r)� ffice. Deliver w./inspector. E Other n Applicant / ' V " I V' J " Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail By Date Plans checked by Plans aooroved b, Other: Copy—DPW Date Date Other COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT % P RMIT y0. ASS SSOR PARC L NUMBER _ Z O:N4 G BUILDING PERMIT O WNE • _l TELEPH NE SO, FT. DCC. BUILDING VALUATION OWNER'SI IN ADDR SS CON RA TO ' NA ELEP NJE / CONT AC 'SJMAI I ADDR n � 16 t/Q (�requ� Fireplace CONST UCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LEN E 'S M (LING ADDRESS Permit Fee $ ARCHIT�©T OR ENGINEER �/'/�' LICENSE ND. .Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS �S � ✓'o r. Permit tee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFK Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 0 Building sewer 0 Mobile Home S G W 11!0ea TYPE OF WORK New❑ Additi ❑ Re Cle ❑ Utili i s❑ Installation❑ Other Describe work: "r ( Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 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 and my license is in full force and effect. License No. Classification ❑ 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) 1, 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 CONST. / DWELLING OCCUP.. YzQsgft OR ADDNS. ` ACC. BLDGS. I NEW CONSTR. MULTI -OUTLET 2,50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS e) SINGLE OUTLET CIR. 200506 EX, Occup(OUTLETS OR FIXTURES eAL030 Ex. DCCUp. OUTLETS FIXED P(RESID )LNS REA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 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. �j I shall not employ any person in any manner so as to become subject Pl 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. MECHANICAL PERMIT FiIingFee 10.00 Heating _ Cooling Hood 3.00 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 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. 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 in conse ence of the granting of this permit. �7 r X ��`��� Date / / O —�y Signature of Applicant — Owner `X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ a°droc occUP. CONST.TYP! I IFLOODIPARCELI PO ND 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which IRECTO FUB By PERMIT EXPIRES qVte the applicable provi- resolutions to do fees have been paid. IC WORKS //3 stories Receipt-No.grf-r/� WNIT!-D.P.W.. YELLOW-ASSE33 . PINK -INSPECTOR. GOLDENROD -APPLICANT FORM 7 ENERGY SHEET • FOR ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT NO. PACKAGE nA" (Additions) NAME JOB ADDRESS TYPE OF. WOR SQUARE FOOTAGE Existing Residence New Addition New Total The following information sheet, showing mandatory features and required features of; Package "A" must be completed and attached to all plans for -additions. to dwellings. Additions to dwellings include room additions,.converti'ng garages and patios to living areas, house moves that; add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 12 ZONE 16 INSTALLED APPLIES TO NEW AREA CEILING v-30 R-30 R-38 WALL R-11 R-11 R-19 FLOOR R-11 R-11 R-19 SLAB R- 7 R-11 R- 7 GLAZING 65 .65 .65 SHADING SOUTH OPTIMUM OVERHANG or .36 S.C. WEST - .36 S. C.. LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC' - Ch. 10 LIGHTING KITCHEN .& BATH NOT LESS,THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 d e ❑ *2 HEATING VENTILATING. AiR CONDfTIONING SYSTEM (A) Heating Central Gas Furnace ,(brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 4 F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form ik4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load =maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Californ Ad inistrattiioon Code. S NATURE OF BUILDING D SIGNER, R APPLICANT *11313 d e ❑ *2 HEATING VENTILATING. AiR CONDfTIONING SYSTEM (A) Heating Central Gas Furnace ,(brand and model number) SE Btu/hr (heating capacity) Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 4 F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope Other (describe) (B) Cooling Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) DOMESTIC WATER SYSTEM (A) Gas Only Gallons (brand and model number) (tank size) Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) Location of Solar Panels Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form ik4) or other approved methods, section 2-5352(g), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load =maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Californ Ad inistrattiioon Code. S NATURE OF BUILDING D SIGNER, R APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT EA �whil, ASSESSOR PARCEL NUMBER 36-76-05 ZONING BUILDING PERMIT OWNER Edith Ross TELEPHONE 534-9907 ,SQA FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 65 Melrose Dr., Oroville CONTRACTOR'S NAME i Robert Bell TELEPHONE CONTRACTOR'S MAILING ADDRESS 1445 Elliot Rd., Paradise Fireplace CONSTRUCTION LENDER none UNKNOWN Total Valuation Is FilingFee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee @ k FEE $ 2M 28. ARCHITECT OR ENGINEER none LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty BUILDING ADDRESS 65 Melrose Dr. Permit fee l$ S 38.25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF R9 Duplex❑ Mobilehome❑ Other cony unfin attire to liv SPECIFY Gas piping system 1 - 5 outlets 5.00 ilding sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 1st renewal of permit #2371-85 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under pens ty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 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 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) ❑ 1 am exempt under Sec. , Business and Professions Code for thi vowPermit NEW CONST. / DWELLING OCCUP.ai) OR ADDNS. 1 ACC. BLDGS. V20sgft NEW CONSTR ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS POWER APPARATUS t1 SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES ;ALM30 ;ALM 3C Ex. Occup. OUT OUTLETS P(RESID IRE A.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g Fee $ Contractor 01NORKMEN'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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that 1 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. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue inst said County in consequence of the granting of this permit. Pigratureof Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 38.25 OCCUP. CONST.TYPEJ IFLOODIPARCELI PD ND 139UE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date By 8-22-87 PERMIT EXPIRES Date Receipt No. WNITC-O.P.W.. YELLOW-ASOC'SOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I PERMIT NO. ° 572-83B, P,E,M PERMIT EXPIRES ___ -✓1 �� OWNER FRIEDA HART MARTIN CONTR. owner Y s ASSESSOR PARCEL 36-54-20 & 21port LOCATION 65 Melrose Dr, lot 5, Copley Acres E t #2, Oroville i 6 Temp: Power Pole Called PG&E Temp. Elec. Service Called PG&E ii. Temp. Gas Service 4 Cal led PG&E JOB FINALED (Date) I, i Signature J = OK O = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zon i ng,Requ irements-Setbacks- Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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 _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails - 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Locatior>-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 Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI 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 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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. 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 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-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date j 5 V=bK ' 0 = Not OK - = Not Applicable . -)� = Not Ready RESIDENTIAL (Single and Duplex) A Date UNDE LOOK (Plans) OK except #'s Date FRAMING (Continued) 4"72oning requirements -Setbacks -Easements 48. Pro rty Line Firewall & Openings Alelrtg-, Main; Soils-Steel-Elec. Grnd.- Ftg. Depth I. Doors -One 3' -Check Garage -3rd story, 2tgr, �{Swage; Soils -Steel- / Ftg. Depth irs; Width -Headroom -Rise -Ru -P.r ion 4. Ft rches &Decks; Soils -Steel- / /" tg. pth lywood on Roof Overhang -Attic Vents -Rafter Outriggers temwaIIs, Main; S - lockouts-Wra d -SI tng-Nailing-Veneer ji-sTimwalls, Cacage•Stdel-Blockouts-Wrapped-Slab 5.16- seeeash-Drip Screed-Fdn. Vents-Underflr. Access _416. - eplace Ftg.-Steel lazing Area -Glass Protection -Skylights -Plastic V.: Fall -Fittings -Test -2. way C/0 -Sewer Test 55- 44@a�.l6La , Piailing-Bolts SL Gas °'po t' Anchors l pe; Test -Anchors -Regulator -Service Test 1. E4etRT77Un-derground 'Poe trn 15 &-bucts; Clearance -Material -Support -Ins. ills -Anchor Bolts -Joists -Vents -Cripples a Date,—o Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date I Card -BI Date Date FINA tans) OK except H's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except N'sokepetector _ 4d--4aatt?�itr: Vent -Access -Combustion Air ter Pi e; Test & Anchors -Nail Protection Ext. Steps -Door & Sidelight Protection -Landings 5;Be-Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection flogs & Anchors -Nail Protection edroom Exiting 1 er an; Test, First Floor -Tub Access ��� &Bath Fixtures & _ -tS�!-TFub & Shower, 2nd Floor -Tub Access Elec. rim & Subpanel; Breaker Sizes -Labels 19r•@as'Pfpt?^Size & Anchors fairs &Rails ); {L 1 ---- — -- I3CE'orSt 64-E-lec--Outiets-al-Wood-Penel-Int--&-Ex . Date �,g-� Card -BI Date 65 it._EixA-& Appliance; Grnd.-A}f p-Cooki earance _ Card -BI Date Card -BI Date lec. 0 uVets &Receptacles at Kit. Counter Date ELECT AL Permit OK except q's r 68. -- Fix re &Transformer Clearance -Ins. Protection Ie Receptacles Spacing -Lights &Switches at Doors tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R:V—� In Garage; Above Floor-Mech. Protection %Q. Ib., Elec. &Mech. Equip. Listed for Location ze Boxes & No. of Conductors-StAp eiT' 71. . ecep ac es in Garage; F�17- otec. nstalled Close to Edge of Studs & C. 2 Ground made up w/Mech. Fastener Bond t314S &Water 7a 73. -Foam -Looked in Attic es Guard Rails & Deck Construction -Post Caps - 2 Appliance Circuits in Kitchen & Conducto 74, Fdn nts & Hole D rain ood- th�arce n rFloor ❑ es / a. Cu or AI-A.C. Wire Size / / ga. Cu or AI r AI -Oven Circ. / / ga. Cu or AI,75, W�;57�al , L No . Service -Riser Conductors & Ground -Main Disconnect Followin instld.: rive Yes o; Walks g ' ❑ ❑ Yes No;auYes Planters El Yes o 76 - - - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 14. C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- �n.,, Ct�«ae-eloset Light -Shower Light -- ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------------------- ------ 79.-WatewWell--Diseonnect-Eiee-trit, P4embifl Car I to Card -BI Date Cprd B -I at!' _ Card -BI Date 8& 'xj r Elec. Trim; G.F.I. Receptacle -Underground enti la 'on throughout House 8 as;.pwtection Date MECHANICAL (Permit) OK except q's _ ections from Previous Inspections 8 Meters Tagged;c-Electric -- 31. A.C. Ducts; Insulation & Support ater & Sewer Connected -C/O to Grade -HD Approval 32.Vent Fan; Exhaust above Insulation 33. Condensate Drain _& Overilow; Size & Grade f Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - - ..._ - --- - -- - -- -- — --- Gard -BI- Date - _Card -BI Date Card -BI Date Card -BI Date Z�W-- BI ate Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRA G(Plans) OK except Es Comments at Final: _ Sil Prope aterial & Anchors_ 37. ds- ailing, Spacing & Bracing -_Plates -Sound ea_ ver Girders &Floor Nailing__ �G.�BTaf�Stop in Walls (rat proof) �S s; Furred Ceilings -Stairs -Chases -Tub der & Beam -Size & Bearing - C4QCVHangers- Caps -Anchors -conn c ,fYcing. Joist-Rftr. Ties -Purl in- rac.-T4,,S$Tithnq.-Rfnq. 44. Fireplace Ties or Type A Flue -Fireplace Throat - - 4tt'- ccess:-Size & Romex Protection -Draft Stop -Ins. Baffles dr dovesor Exiting Doors -Sill Hgt. &Dimensions_ _ arage Fire Protection Framing— '' (� � - - - - --- -- --- - --- — (NOTE:Anentrymust be made each time you visit jobsite) COI,INTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE J BUILDING OR PROPERTY ADDRESS 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, need additional explanation, please contact this office immediately. i' Inspector '� Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE t`�S �Ylr L IMS 4- Z>1, ,-. e ,5 -2 BUILDING OR PROPERTY ADDRESS 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. PL / A0,/C v L Inspector A&K// / �If t- .,z Date `� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 r Skyway and Elliott Road; Paradise — Phone: 872-2961, Ext. 57 I CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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. f• i u-� lq74 ate �/` '✓- 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 /-677~5.1 (location) BUILDING PERMIT NO. _172 - zP'3 — ,A . P . No . 36 - 76 -c25— i THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS: (Check each item or. write 1/A if not applicable) INSULATION: Slab Edge Fdn. Walls jj;114 1-A Floors Walls T---Icf- Ceiling/Roo -tc Ducts &_ AIA - Circulating Pipes APPROVED HEATER 111114 APPROVED WATER HEA EKW-- GLAZING : Single Glazed Special (Insulated) ; /114 r'/ CERT. & LABELED WDS. —I & SLIDING DRS. 111//4 WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEVIC S CERT. APPPLIANCES 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 please print Signature of Q 7 Insulation Applicator /CrL `%liLL� State Contractors License No. General Contractor/Owner Name�2r1,La4- (please print) Signature of General Contractor/Owner ,/1,0 �(� Date —' State Contractors License No. 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. �. COUNTY OF BUTTE - DEPA-9TMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PErR�MIT NO. — 5,,?- 3) ASSESS R PARCEL NUMBERy r "p1\� ZON BUILDING PERMIT OWNS ) rE EPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C OrR ACTO 'S✓�N AM Y77 N TELEPHONE CO T ACTO 'S MAILING ADORE Fireplace CONSTRUCTION LENDEFJ UNKNOWN Total Valuation $ �� Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ n, hl 1v ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee- $ BUILDING DD S PLUMBING PERMIT Filing Fee 10.00 Each Trap '' 2.00 Solar Water'Heater 20.00 _ 1 Water piping 5.00 S LOT NO. SU DIVISION NAME ?� PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF Duplex ❑ Mob Iehome F-1OtherMobile SPECIFY Building sewer 5.00 1 , Home S G W 10 e i00 TYPE OF WORK New2-__AdditionFL Remodel Utilities ❑ Lnstallation Other ❑ Describe work: 30-79 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service s0v OR LESS 1000 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 OR ADDNS. ( ACCLBOWELILD NEW CONS&� 21/ZQSgft O - CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. -9,1y -•G7 Classification W ❑ 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) 1 1 ❑ 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 ULTI-o TLET 2.50 ea NON.RESID BRANCH CIRCUITS) NEw CONSTR POWER APPARATUS &) NON.RESID. ( SINGLE OUTLET CIR. 20@50C OR FIXTURES aALesos Ex. Occup(o XED A FIXED APP LNS. OR Ex. Occup. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00. Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 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 , V Cooling it Hood 3.00 Ventilation permit Fee $ ' Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 C unty in c nsequence of he granting of this permit. XP�✓ 115e/� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑ 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 $ , OCCUP. GROUP �_?J1� T�=P CgNST. 1/ /V PARCE . P HD 55uE i/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR F PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /6- 3 _ Receipt No. ��.�, WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT .-•w s,�.v+'� '�+'w*5-w�sr�.....w, f�.v�,rein.�,�_^.*+ic,Sw,Ir.'>"N�.M.`'..T :e .. ..�..z:r..�.��'.as�'"�'�r,M1' �..�p.".p•o-'�s..,�,�y�.,'M�'�r�yT�+'lir'��.'•.r xA,' -� COUNTY OF BUTTE - DEPARTMEf�ETa�'iF.=y�J6 IC WORKS -BUILDING DIVISION • 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �r� ���`l� /",ltA. P. No. - Proposed Building Use Permit Fee Based Upon Building Inspector -Complete Contract Price DPW Valuation ,,.,Other (Explain) Date 83 At time of permit application, I wasyadvised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . • . 2. Plot plans in duplicate/triplicate: . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . 9: Letter of signature authorization. . . . . . . . 0 t 0 Sanitation approval from P)W6 Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . - 17. Pre -inspection for Required- BuildingPre-InspIn request to (Dote) P q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 7r�%3%�f and<nldpickup at office. Deliver w/inspector. Other /Ior S_ z/ /0�p /-I'- Applicant Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked abov at Ime of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Cor raV or, Designer, Owner) was advised of above required data by _ Telephone �y Mail Other By `�"� 1 Date 3'`4-8% _ N t. I - Plans checked by Plans approved bye Other: Copy—DPW Date Date * �_ ,1= e North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 Telephone 533-2000 DISTRICT APPROVAL AND 13-83 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: FRIEDA E. HART MARTIN. Applicant Address: 91 Canyon Drive, Oroville Applicant Phone No.. 589-3759 Property Location(s)•: 63 Melrose Drive, Oroville A. P. No. (s): 36-76-05 Fees Paid: $250.00 NBPUD Connection; Fee, $900.00 SCOR Regional Facility Charge Cue 71 �. Application for service approved: U North Burbank March 8, 1983 Public Utility District Inspection(s) made and successful test(s) observed: Location: M Date: North Burbank Public Utility District release to close permit: Date: By: 1�, a' k' T�� PERMIT NO. 544-84B PERMIT EXPIRES AVK57 OWNER JOHN Mc RTER CONTR. Owner r ASSESSOR PARCEL 36-76-05 LOCATION 65 Melrose Drive, Oroville Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E tTemp. Gas Service a i' Called PG&E JOB FINALED (Date) G, �5 G I 1 Signature V = OK 0 = Not OK = Not Applicable MOBILEHOMES * .= Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 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 _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 4. Wood Awn.; Posts- Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing__ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card - BI Date Date Card -B1 Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date' Date Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except q'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. 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 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 -B1 Date Card -BI Date Card -BI Date i Card B-1 Date Card -BI Date Card -B1 Date Card -BI Date J=6K 0 = Not OK , - = Not Applicable * = Not Ready RESIDENTIAL (Single and , Duplex) Date UNDERFLOOR Plans OK except #'a Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements Water Ht.; Vent -Access -Combustion Air 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth D.W.V.; Test-Fttngs & Anchors -Nail Protection 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Test Tub & Shower, 2nd Floor -Tub Access 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Stee l -B lockouts -Wrapped -S lab Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel Guard Rails & Deck Construction -Post Caps 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 11. Electric; Underground Ventilation throughout House 82. 83. Glass Protection _ Corrections from Previous Inspections 12. Plenums & Ducts; Clearance -Material -Support -Ins. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date 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 PLUMBING (Permit) OK except N's _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection --.17. Shower Pan; Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe; Size & Anchors Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Permit) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. 24. - Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bend Gas & Water _ 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light Card B -I _Date_ _ Card -BI _ Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 32, Vent Fan; Exhaust above Insulation Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 59. Bedroom Exiting 60. 61. G.F.I. & Bath Fixtures & Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic C] Yes 73. Guard Rails & Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes []No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. 77. Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House 82. 83. Glass Protection _ Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 86. Energy Compliance Certificate -Other Certificates _ _33. Condensate Drain _& Overilow; Size & Grade 34. Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic - - Card -BI- Card -BI - --- - - ----- - ------ -- - ---- Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's 36. Sills; Proper Material & Anchors 37. -Walls:-Studs-Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor _Nailin_g___ 39. Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub Comments at Final: 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties- Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size & Romex Protection -Draft Slop -Ins. Baffles Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) Card -BI Date J _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County•Ceriter Drive - Oroville, Californip 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. �/ ASSESyg PgEL NUMBER ZONING BUILDING PERMIT owN i/ ��nnn� /41 (:f TELEPHONE 7yS S FT. OCC. BUILDING VALUATION �+ rhky OWNER'S MAILING ADDRESS /V- U CONTRACTOR'S NAME I ]TELEPHONE CONTRACTOR'S MAILING ADDRESS' Fireplace CONSTRUCTION LEND UNKNOWN Total Valuation $ _010 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 50. 04 ARCHITECT OR ENGIN LICENSE No. Plan Checking Fee $ 45-00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 57:r,-_0-0 BUILDINCy AI�.pR E5;(.,1E (/j/�S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO.SU� j� co DIVISION NAME R� Z A6 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 �� / USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other UR SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New❑ Addition❑Remodel❑j Utilitie OlLsLallation❑ Other Describe work: W/ to Permit Fee $ Contractor ELECTRICAL PERMIT Fi'IingFee 10.00 Main service e00v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 21/20Sgft 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 and m license is in full force and effect. Y License No. Classification ® 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 MULTI -OUTLET 2.50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. NON-RESID. ( POWER APPARATUSSINGLE OUTLET CIR. &'1 Exzoesoa . Occu P(OUTLETS OR FIXTURES BALI 30 FIXED APPLNS, OR Ex. QCCUp. OUTLETS (RESID,) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing 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 Cooling Hood 3.00 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 County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot 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 li bilities, judgments, osts, and expenses which may 'n any ay accrue a t said unt in con equence of the granting of this p rmit. d3 Fq- X Date Si not a ofApplicant — Owner❑ Contractor ❑ Agent ❑ An SHA 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 0-0 occuP. GRouP M_ TYPE OF C NST. TYPE � .]f:_ F 11ARIEy V Po HD ISS E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC BY P IT XPIRES DateTl'�'@ the applicable provi- resolutions to do fees have been paid. WORKS Dat -pr Receipt No. 03 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 3 — /_ .FJ _-_-_+---_--NOTE-=All fA te'rials - x�anship ShaIL.Be-in This set of plans and specificafio.ns.MUST ,be. _ Accordance 'Recce,L f� ,00d_P,ractices'anc�: - -- . - kept on the-job.et all times ai d it is unlawful: t^.: - �I a qualit-yprdscnh �' for i'!� S aci€ivd u e:in the _Building , make an chances or. alterations on same:with- y Uniform ,' Plumb ng &-Mech`anical, Codes. O.rn� C9a'j _ ,out_written_permission. from fhe;Departrrient of r and the'National Electrical -Code: - - ... .... . ... . . _ _ � + f , [ _ r ,......Now- _ _ _. Y _ _. t - _ Cp 'Provide one-hour_.protecfion on'- :._:..ga'rage,a.ide of (a, wall -- - - ? together .,. Y1-3/ with self closing thick solid -core door.: �S#CATW Ala + 1 -BUTTE COUNTY + BUILDING -DEPARTMENT /eft t O, IPPR.®V.�.--: : ; - o(J �`J ,P. _ r ,......Now- _ _ _. Y _ _. t - _ Cp 'Provide one-hour_.protecfion on'- :._:..ga'rage,a.ide of (a, wall -- - - ? together .,. Y1-3/ with self closing thick solid -core door.: �S#CATW Ala + 1 -BUTTE COUNTY + BUILDING -DEPARTMENT /eft t O, IPPR.®V.�.--: : ; - o(J �`J File No. BUTTE COUNTY (For Action 1, 2,3) Public Works Dept. (For Information ✓) Director Dep. Dir. Sec. Rd. & Br. Mtce. Shop & Yards Bldgs. & Grnds. Bldg. Insp. Admin. Design Engr. Bridge Engr. Constr. Engr. Surveys Mapping , Transp. Land Dev. Drng. /S.I. Sub. & Pcl. Maps Permits ` Addr. Job* Recuter RE: Buildin Permit 6$ kslYosa Drive A. P.-- #- 16-76-03 OroV111e, GA 95966 Dear at, rkcsitayr t With. reference to the above subject",' we' have been advised by one of our building inspectors that you.have not.obtained the required permits .and inspections from this office for the"work you are doing as follbws: i 2"10 AS a carport on pmr -property laded at 63 Melva" tw1iro, Since permits and inspections are required by both State and County laws, -please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of .plans, apply for the required permits, and pay the appropriate fees. All work must 'stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry, Director of Public Works i >ginsl signed by ' J. F�Glanc� J.F. Glander JFG:aj Chief Building Inspector • Gxo�rille cc: Building Inspector i Assessor I • I I � 1 u ecount LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS. CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (Bill) CHEFFr Deputy Director p Job* Recuter RE: Buildin Permit 6$ kslYosa Drive A. P.-- #- 16-76-03 OroV111e, GA 95966 Dear at, rkcsitayr t With. reference to the above subject",' we' have been advised by one of our building inspectors that you.have not.obtained the required permits .and inspections from this office for the"work you are doing as follbws: i 2"10 AS a carport on pmr -property laded at 63 Melva" tw1iro, Since permits and inspections are required by both State and County laws, -please contact this office within ten (10) days of the date of this letter, submit two (2) complete sets of .plans, apply for the required permits, and pay the appropriate fees. All work must 'stop until you obtain these permits and are authorized by our field inspector to proceed. This field authorization cannot be made until the existing work is inspected and approved. Your cooperation.in resolving this matter would certainly be appreciated. Should you have any questions concerning this matter, please contact this office. Yours very truly, Clay Castleberry, Director of Public Works i >ginsl signed by ' J. F�Glanc� J.F. Glander JFG:aj Chief Building Inspector • Gxo�rille cc: Building Inspector i Assessor I • I I BUTTE COUNTYtoDEPARTMENT OF PUBLICWWORKSn SPECIAL INSPECTION REPORT Owner: h /VI e ("-, it l F.,r A. P. # 3� Address: 6— iolf-k1e6slf Date of Inspection G Tenant: Inspector' a Building Location: Type of Inspection requested: A. B. C. / / 1. Housing / / 2. Financing M 4. Other (specify) Present use of building: Sanitation (Housin 1. Water closet: / / 3. Change of Occupancy to w•c 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: Structural 1. Piers and footings: 2. Floor construction: 3. Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments: 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: 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) • j5 lrtJ er�lQG�?z�S �9�•= 2. What action taken (give complete description): V b 3. What action recommended: A. Information only - file. B. Hold for ten days, then write letter. C. Write letter. / L.D. Other: