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HomeMy WebLinkAbout079-180-009JOHN HOUGH e- 340 Oro Bangor.. Hwy, Or_ov-ille,,..— D*7'7- 1 Permi #23,98-81B (rep{air termite)SF Contr: M.H. Electric, Oroville Permit##4062-81E (ele for water heater) SFr,P ermit#2858-.86B.(new carport) WWY7 1 41I G 1 cm ����o� PERMIT NO. 2858-86B PERMIT EXPIRES A� ' OWNER JOHN HOUGH CONTR. owner ASSESSOR PARCEL 36-113-05 LOCATION 3340 Oro -Bangor Hwy, Oroville � i i l l Y v. e I• Temp. Power Pole r Called PG&E • I Temp. Elec. S Called PI Temp. Gas Se Called PC JOB FINALEI Signature =OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready 'MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECK51 COVERS, CARPORTS, ETC. (Plans) OK except #'s'-. 1. Zoning Requirements—Setbacks—Easements 105OZoging Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ in ; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete cks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete . Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG arports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -13 Card -BI Date ate- Card -BI Date ate Card -BI Date PO K S (Plans) except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 4. Electricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability 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 8. Gas and Electricity Tagged 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 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 -BI Date Card -BI _ Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK 0' = Not OK - = Not Applicable RESIDENTIAL (Sinigle and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings _ 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg.,Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits _ 3. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _ 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. _ Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. _ Siding -Nailing -Veneer 6. Stemwalls, Garage: Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7 Piers_ -Fireplace Ftg.-Steel 54. _ Glazing Area -Glass Protection -Skylights -Plastic _ -8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear 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 -91 Date Card -BI Date Carp -BI Date Card -BI Date Date FINAL (Plans) OK except N's _ Card -BI Date Card -BI Date 56. Ext. Steps -Door & Sidelight Protection -Landings Date PLUMBING (Permit) OK except N's 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - 14. Water Ht.: Vent- Access -Combust ion Air 15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor -Ducts -Meeh. Protection 59. Bedroom Exiting 16. D.W.V._Test-Fttngs & Anchors -Nail Protection 60. G.F.I. & Bath Fixtures & Tub Access 17. Shower Pan_: Test, First Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 18. Test Tub & Shower, 2nd Floor -Tub Access 62. Stairs & Rails 19. Gas Pipe: Size & Anchors 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date -131 Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. Elec. Outlets & Receptacles at Kit. Counter ___Card Card -BI Date Card -BI Date 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper Date ELECTRICAL Permit OK except k's 20. 21. 22. 23. 24. 25. 26.' 27. 28. 29. 30. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size /- / ga. Cu_or AI-A.C. Wire Size / / ga. Cu or Al Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral .Yes _I No _ ___-- _ Service -Riser Conductors & Ground -Main Disconnect - -_ -_ Equip. Clearances: Panels-Motors=Mech. Equip. _ Clothes Closet Light -Shower Light _ 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. &Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl '-tole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No 76. Stucco; Brown -Finish 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. 81. 82. Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B-1 Date Card -BI Date_- __ Card B -I Date Card -BI Date _ 83. _ Corrections from Previous Inspections Date MECHANICAL (Permit) OK except H's 84. Gas -est-Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation & Support _ - _ 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan: Exhaust above Insulation - 86, 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 - -" --" - 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 FRAMING(Plans) OK except N's Com lents at Final: 36. Sills, Proper Material & Anchors 37. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops:_Furred Ceilings-Stairs_Cha_se_s-T_ub- 41 Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 44. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P'RMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: APPLICATION AWPERMIT / i O ASSESSOR PARCEL NUMBER 36-113-05, ZONING BUILDING PERMIT OWNER JOHN HOUGH TELEPHONE 534-6550 SO. FT. CCC. BUILDING VALUATION _ — OWNER'S MAILING ADDRESS 3340 ORO -BANGOR HWY OROVILLE CONTRACTOR'5 NAME OWNER TELEPHONE 1st renewal emit CONTRACTOR'S MAILING ADDRESS Fireplace I CONSTRUCTION LENDER . UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee 3 $ 22.25 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty 5 BUILDING ADDRESS 3340 ORO -BANGOR HWY Permit fee $ 32.25 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 SFL Duplex❑ Mobilehome❑ Other carport SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home 5 I G I W 10.00 ea TYPE OF WORK New[] Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: lst renewal of permit #2858-86 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 60001 OR LESSOR 10.00 Main service EA. ADD'L 100 AMP 2.50 ONTRACTORS 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) j] I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) [] I am exempt under Sec. , Business and Professions Code fort is eason NEW CONST. DWELLING OCCUP.N ORAUC LDGS. fz¢sgft Dons R. TB OUTLET NON.FESICIBRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) \SINGLE OUTLET CIR. Ex. OCCUp( OUTLETS OR FIXTURES 20950t e AL930 Ex. Occup. Ol { ED PR TLETS IRESID )EA.) 2.00 Temporary service j 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare unde p nalty 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 Li a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. 1 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 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 nst said County in consequence of the granting of this permit. Date Ognatureof Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit isrequired 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 $ 32.25 OCCI: P. CONST.TTPC I IFLOODIPARCEL PD ND 79UE 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 BY Date PERMIT EXPIRES Date 9-3-88 Receipt No. WHITE-D.P.W.. YELLOW-ASSF590R. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT i IMITINO324 . ASSES R PA NUM R IL ZONINC9 BUILDING PERMIT o TEL Ho E, SQ. FT. OCC. BUILDING VALUATION OW E 'S AILING RESS /_ .^ Y Y ` CO CTOR'S ME TELEPH NE CONTRACTOR'S MAILING ADDRESS ' Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS' Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRES cr J111 07 r Permit fee $ 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 SF ❑ Duplex❑ Mobilehome❑ Other SP CI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S GW O.00ea TYPE OF WORK New1WAddition ❑ Remodel ❑ Utilities ❑ Installation❑ Other F1Permit Describe work: 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 Buslnes$ d 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) ❑ I am exempt under Sec. Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.e,` , ACDNS. ACC. BLDGS. / 2.50e t NEWOR NON.RESID R BRANCH CIRCTITS 2.50 ea /POWER APPARATUS 6 (SINGLE OUTLET CIR. I / Ex. Occu 20050t p\OUTLETS OR FIXTURES eAL030 Ex. Occup. OUTLETS FIXED P(RESID )LNS KEA.) 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. ❑ 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. IMECHANICAL PERMIT Filing Fee 10.00 Heating Cooling g 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which 'may in any way accrue against said Coply� copse nc of the granting of this permit. X Date Signor re of Applicant — caner [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 $ r occu P. CONST.TYPEJ I 11`1.7A;CEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By. / PER T EXPIRES Date the applicable provi-• resolutions to do fees have been paid. WORKS Date r'3- -7 ;7 ,r�-••1�� Receipt No. /.,`9( / WHITE-D.P.W., pELLO� [ S R, PINK -INSPECTOR. GOLDENROD -APPLICANT To: ,3uiiding Departaiei-,t �> From,: E-.nvironmental Hccilth i Subject: Sanitation Clearance Otmer Location AP// Plan Approved for: Sewage disposal v;ater supply Hold final. for: Final clearance O.K. for: Clearance for bedrooi,, mobile home. Other CCA n ,1 NOTIE ** r:_:ter supply water supply ,..anitarian Date; OWNER .'.w s _\ .af4 ..M�h ..i'fi '.k - • ie.t .. r ^' �\-• ♦._ _ n. • ,, .. - r• _ .,•d ..Y `. .. . -< w t;. l .COUNTY OF BUTTE - DEPARTMEN70F`PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/,534-4541 PERMIT APPLICATION DATA SHEET Permit No. 1 _ 'T, O A. P. No. Proposed Building Use Permit Fee Based Upon Building Inspector K 0e), &,/, Complete Contract Price _DPW Valuation At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or. issuance: DATE RECEIVED APPROVED All items have b s bmitted. J 2.., Plot plans i duplicate riplicate. . . . . . . . . . . — `Z — S .3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorizati n. . Sanitation approval from vO V .Iealth .Dept.. 6 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, Pre-Inspec. request to (Dote)Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement . . . 19. Other Whe you issue the r I pr ess s follows:. Mail o owner. Mail to contractor. Telephone '�n nd hold for pickup at office. Deliver w/inspector. Other 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 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 Other' By ' Date Plans checked by Date Plans approved by to O— Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following'person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ;Property Owner 42 Social Secu ty lyb r Date C NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. , i 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 fora 2 ft. eave overhang. I � • Ili 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 fora 2 ft. eave overhang. I � NOTE:=Afl Materiah &' Workmanship Shall Be in. Accordance with Recognized Good Practices and of a quality prescribed For the Specified use in the niform Building, Plumbing & Mechanicol Godes arJ the�ptiol�alctrical �Od0. . TFiis se o pans an specifications MUST bye kept, on the job at all times and it is unlawful to Weak' any changes or alterations on some without written permission from the Department of Public-. Works, County of Butte. 1s 1 I I . c t 1 ► I ' . I j BUTTE COUNTY BUILDING DEPARTMENT APPROVED m C� co > rn tx rn tv cr tx tv cr (pT lJ ` • n� rri 11 aDO-S� ?jam, N1 to bR 4e •' C � s 1 I � � � w�i A�✓u�o�- T �P, BUTTE COUNTY BUILDING DEPARTMENT' APP OVr:D K0... Y� A CCEPrAB4C Y r •a 1 c?4/a4//1 L F3 3L3-'E1C7a' !!oa`l�! �•° �� J /G I • �� G.L: � � /�/fig// C'f).. j� �0 G f �W it �' 741 S/O�:.� Ty/��. , c:�;�.z. "`•,�A ! !,� C `�.•. Com, �yc. �. �, � + � , �,�� , ......... All4;<. 5',404/k,/ m Tam �,S!o!2 D Z G �•�. � ID,�" .. DU . � _ o rrom clldR-6 z v G •lo: 2 _— G r.`v+.`.p�-f ��ss+•.r+e,Y."�w.+y�:y..• v.4K...�e++u..,��1,v�:-.T�71fir""�!►�,:��':T`"'0.r`�"':�.--++�'7h*r'ti::.tiW"'•i�G`wo+_. ,,._py7.;y..�. ,.�My-� r--�. ,�,_ ti•. Y/. ( C, i 0 G t 5 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PER N ASSESS PARCE 'T' IERO� ZONING BUILDING PERMIT OWN r )/q/ ` , _// / C. TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS C O NT 91TOR'L._ 4.E CTkI6 T+ -_"P /YE C'/O_'/�J/T/JRA7/C=OR'S MAILING NC�G ADDRESS W �� 4 _ //�3/ ,u+Js9 Y V (r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS/ Permit Fee $ ARCHITECT OR ENGINEER ADDRESS LICENSE NO. Plan Checking Fee .$' Penalty $ ARCHITECT OR ENGINEER MAILING Permit fee $ BUIL NG ADDRESS I /� I` (7/U ,Av((/,� T PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 + Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets , /� USE OF STRUCTURE SF EJ Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ In allation ❑ Other Describe work: CC.CC_T.Ae �'�' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / DWELLING OccUP.y) OR ADDNS. `ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW under penalty of perjury (check one): I declare y I am licensed under provisions of Chapt. 9, Div. 3 of the Business wand Professio s Code and m license is in full force and effect. License No. Classification � �_ ❑ 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) ❑ 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 TI -OU LET NON -REBID RANCH CIRC ITS 2,50 ea NEW CONSTR / POWER APPARATUS &) NON-RESID. %SINGLE OUTLET CIR. / Ex. Occup OUTLETDR FIXTURES 50@250 BAL@1 DA IXEAP LHS. OR Ex. Occup.(OUTLETS (RESID.) EA. 2.00 4 (/ Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE 1 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 S 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 keep rmiess the County of Butte against all liabilities, judgments, osts, and enses which may in any way accrue against said in c segue a of Ve granting of this permill.t X .' - Date / Signature of Appll`an — Owner ❑ tractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep op demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �/7 O OCCUP. GROUP TYPE OF CONST, PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated. above for which fees / r SECTOR OF PUBLIC y Y / PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS —r � Date /0 - 2 i - b 5l Receipt No. ��roa� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT rt Ak COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WOR, PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/5 -4541 n/ APPLICATION AND PERMIT ASSESS PARC —%�UMBER — O 7 ZONING BUILDING PERMIT OWV RR/„�� 14 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING AD—DR/ESS C' / T RJA ,TOR �bL-A y4y / / C NTRAC OR'S MAILDDR SS nl / r �jt S aING /TV �•, �j��L(.Z� Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGIN R MAILING ADDRESS Permit fee $ BUILD NG AQiDRESSt . O P---- L3 VU /v /`/ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑' rRemodel ❑ Utilities ❑ In allation ❑ Other Describe work: �T 12— u% Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 000V OR LESS 100 AMP OR LESS 5.00 • Main service EA. ADD'L 100 AMP 2-.50 NEW CONST. ( DWELLING OCCUP.8i OR ADDNS. ACG. BLDGS. QQ sq ft CONTRACTORS LICENSE LAW I d lar under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business nd Professio s Code and my license is in full force and effect. License No. Classification —T'�_ ❑ 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 NON -"ES'.. BRANCH CIRCTITS 2.50 ea NEW CONSTR. ( POWER APPARATUS S) NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES g @2j IXED APPLNS, OR \ Ex. Occup.(ouTLETS (RESID•) EA./ 2.00 T10 0 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ / , v v 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. 1;& 1 have placed on file with the County of Butte Building Department L�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 S -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, indemnifkanad keep h rmless the County of Butte against liabilities, judgments, sd a nses which may in any way accrue against s ounty in co aof granting of this perm �. �,",_ X Date Signature of Appli an — Owner ❑ tractor ❑ Agent An OSHA permit is required for excavatio over 5'0" deep a demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ G OCCUP. GROUP TYPE OF CONST. JPARCFLJ Pall This permit is hereby issued under sio s of the Butte County Code and/or r indicated above for which D ECTOR OF PUBLIC PERMIT EXPIRES Date /V the applicable provi- resolutions to do fees have been paid. WORKS Date /6 —2-7—k/Receipt .Z%—S-Z-- r No. oa WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 2398-81B r �r PERMIT EXPIRES 6/26/82 OWNER JOHN HOUGH ,s CONTR. Owner ASSESSOR PARCEL 36-113-05 ' t LOCATION 3340 Orn Ranqnr Hwy, n nxyi 1 1 e J KK(� F' 'l j f• 4 4 Lk G r 1 >y Y:jY y (j Temp. Power Pole ~ Called PG&E Temp. Elec. Service Called PG&E ITemp. Gas Service Called PG&E JOB 1,I�LED (Date) .I �� { T _ Signatur 4 %I = OK 0 = Not OK - = Not Applicable = Not Ready. RESIDENTIAL (Single and Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning requ i rements-Setbacks- Easements 4Er Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4 Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /­ Ftg. Depth 50� Stairs; Width -Headroom -R ise-Run-Landi ng -F ire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /­ Ftg. Depth 5� Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab 52. Siding-Nailipy-Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53.]�Stucco W511 -Drip Screed-Fdn. Vents-Underfir. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. DXV.: Fall -Fittings -Test -2 way C/0 -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test-Anchors-Regulator-Sery ice Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Cqvd'Bl 6ate 7�Z4 If Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL4PIans) WepjA s Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combust ion Air ,,OK Protection -Landings S:A�oke D'etector 5&r-ZtLLaa_Qg; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. DXV.; Test-Fttngs & Anchors -Nail Protection 59 --Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 7 6l_-5Aee---Trim & Subpanel; Breaker Sizes -Labels :���ils 19. Gas Pipe; Size & Anchors 69�M or Stove; Clearances -Hearth AM-.7-E4ee-Outiets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 6&-4"t_X4*t_& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI__ Date 66__E1ec_A0ut1ets & Receptacles at Kit. Counter Date ELECTRICAL (Permit) OK except #'s &;r-earagT71re Door; Swing -Landing -C loser 6&-'A­C­._D`uct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights & Switches at Doors 1 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- 7" �narageMbove Floor-Mech. Protection 22. 23. 24. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &.Water 70 _,_J4b�,-EJzQ,_&_Mech. Equip. Listed for Location 7,t__E4ee-ftewptacIes in Garage; (G.F.I.)-Romex Protec. 72_-4;su1aUoawFoam- Looked in Attic E) Yes Up 1 25. 2 Appliance Circuits in Kitchen & Conductor Size . I - F 00k - "&;Q9-c7-Nnst ruc I i on- Post Ca��� 27,Wj 26. Subfeed Wire Size / / ga. Cu or Al-A.C. Wire Size / / ga. Cu or A[ C4MFdn. Vents & Crawl Hole Door -Drainage 9,.WoQftr_1b_9(earanj> Looked under Floor R'Vres ,- 27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al, Insulated Neutral E]Yes D No 75. Following instjA.: Drive 2rYes E) No; Walks Eer%s 0 No; Planters 2FYes E) No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; B4nfn_-_F_i_n-isT- S-10 29. Equip. Clearances; Pane I s-Motors-Mech. Equip. r7,_��_isconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light � �.'�Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs. 7qr-W9rer-WeU_.Disconnect, Electrical, Plumbing ke--erM"-Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date A4_-V-ULUion throughout House Card B-1 Date Card -BI Date 8&.--8t8S3, �ro ction Date MECHANICAL (Perrr.it) OK except #'s 31. A.C. Ducts; Insulation & Support 83__CauzAN�s from Previous Inspections _8-4-Gaz _Tes eters Tagged; Gas -Electric J -V &5T_44a,ter7&_SVWer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation Z6__E--yh4emp+i-ce 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 Date W�-A Card -BI Date Card -61 Date Card -BI Date Krd-BI 3W Qate7 -97 Card -BI Date Card -BI Date Card -BI Date Card-Bf �Date� f - Card -BI Date Date FRAMING(Pllans) OK except #'s Comments at Final: 3%w4ills; Proper material & Anchors 3;;�a 1;7 Studs -Nailing, Spacing & Bracing -Plates -Sound 3f)6 Bearing Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) _40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 4 Header & Beam -Size & Bearing 4 Hangers -Post Caps -Anchors -Connectors 4 Cing. i ��:Witr. Ties-Purlin -Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _�Itic Ac�ess: Size & Romex Protect ion -Draft Stop -Ins. Baffles _______Zj.__d_a_rage 41. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions �ire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) J = OK 0 = Not OK - _ Not Applicable MOBILEHOMES MISCELLANEOUS' = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except #'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 3. Sewer; Location -Test -Fall -C/0 -Concrete 2. Footings; Size -Depth -Spacing -Connectors 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 k's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector i 2. Soils; Compaction -Structure Stability 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- Pane Iboards- 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 -BI Date Card -BI Date Card -BI Date ` mow•_ COUNTY OF BUTTE.- DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41 APPLICATION, AND PERMIT PERMIT 0.81 a3 W - ASSESSOR PARCEL NUMBER ZONING r BUILDING PERMIT OWNER r , TELEPHONE OU SQ. FT. OCC. BUILDING VALUATION OWNE MAILING AD R SS CONTRACTOR'S NAME \ ELEPHO E CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDERUNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 0 ARCHITE T OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ Oro BUILDING ADDRESSr� t� PLUMBING PERMIT Fee Filin Fee 10.00 Filing Each Trap 2.00 Repair drainage or vent piping 5.00 a r� Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF Duplex❑ Mobilehome❑ _ Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other Describe work: w, J Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2,50 NEW CONST.( DWELLING OCCUP.y\ OR ADDNS. ACC, BLOGS. / 20 sq 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. eicense No. Classification l., 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 TI.OUTLET 2,50 ea NON.RESID BRANCH CIRCUITS.) NEW NON CONSTESID. R ( SINGLE OUTLET CIR, POWER APPARATUS h -R REST Ex50@25 , OUTLETS OR FIXTURES FIXED APPLNS. OR Ex. Occup.(OUTLETs (RESID,) EA.) 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. ❑ 1 h ve placed on file with the County of Butte Building Department 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to sav , indemnify and keep har less the County of Butte against all liabilities, ju m nts, costs, and expe es which may in any way accrue against said C ty n se e e of the ranting of this permit X Date Signet of Applicant — Owner Ontractor ElAgent❑ 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 $ OCCUP. GROUP TYPE OF CONST. PARCEL Pa HD ssuE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which (2D) VFPUBLIC By /� PERMIT EXPIRES Date `Q ��1C) the applicable provi- resolutions to do fees have been paid. WORKS Q D(a//tt��e Receipt No. ��no WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT STANDARD STRUCTURAL PEST CONTROL INSPECTION REPORT (WOOD-DESTROY!NG PESTS OR ORGANISMS) This is an inspection report only—not a Notice of Completion. ADDRESS OF BLDG. NO. STREET cify PROPERTY I DATE OF INSPECTION INSPECTED 'Z33 Cr!�_ Z -e- CO. CODE �h 4 0, 1 Affix stomp here on Board copy only MiD-VALLEY TERMITE INSPECTION SERVICE A LICENSED PEST CONTROL I P. O. Box 771 Phone: 916/873-1888 OPERATOR IS AN EXPERT IN V HIS FIELD. ANY QUESTIONS Mogalia, Co. 95954 RELATIVE TO THIS REPORT SHOULD BE REFERRED TO HIM. FIRM LICENSE NO. :7- 1 ICO. REPORT NO. (if ony) bTAMP NO. Inspection Ordered by (Nome and Address) Report Sent to (Nome and Address) .Owner's Nome and Address r� rC I; jC1 4V - KI A AA -1 4 D INSPECTED BY: 9-?-; 4 LICENSE NO. Or iginol Report --- Supplemental Report C] Number of Pages YES CODE J SEE DIAGRAM BELOW YES CODE I' SEE DIAGRAM BELOW YES CODEJ SEE DIAGRAM BELOW YES CODE I SEE DIAGRAM BELOW 3f, S-Subterroneon Termites B -Beetles -Other Wood Pests Z-Dompwood Teimites EM -Excessive Moisture Condition K -Dry -Wood Termites FG -Faulty Grade Levels SL -Shower Leaks ]A -Inaccessible Areas I Nr F -Fungus or Dry Rot EC-Eorth-wood Contacts CD -Cellulose Debris FI -Further Inspection Recom. 1. SUBSTRUCTURE AREA (soil conditions, accessibility, etc.) 2. Was Stoll Shower water tested? Did floor ccverinqs indicate Iea'ks?_ 3. FOUNDATIONS (Type, Relation to Grade, etc.) 4. PORCHES ... STEPS ... PATIOS 5. VENTILATION (Amount, Relation to Grade, etc.) +'e, r• -c,%`P ~res 6. ABUTMENTS ... Stucco walls, columns, arches, etc. 7. 'ATTIC SPACES (accessibility, insulation, etc.) 0 r, in--! Yy a 8. GARAGES (Type, accessibility, etc.) 9. OTHER I DIAGRAM AND EXPLANATION OFFINDINGS (1h.s report is limited to structure or structures shown on diagram.) I General Description V, f- -n-_ mt-,4v v1 t- o .A t-,, 4­tiC� - 'A CM e A.' t 4 f i e C 1- 4 4--n1tearlor war-, Certain areas are recognized by the industry as inaccessible and/or for other reasons not ins ' pected. These include but cre not limited to: inaccessible and/or, insulated attics or portions thereof, attics with less than 18'' clear crawl space, the interior of hollow walls; spaces between a floor or porch deck and the ceiling below; areas where there is no access without defacing or tearing out lumber, masonry or finished work; areas behind stoves, refrigerators cr beneath floor coverings, furnishino!:: areas where encumbrances and storage, conditions or locks make inspection impractical; and areas or timbers around eaves that would require use of an extension ladder. Slab floor con.-ruclion has become more prevalent in recent years. Floor coverings may conceal cracks in the slab that will allow infestations to enter. lnfestcti�ns . in the walls may be concealed by plaster so that a diligent inspecticin may not uncover the true condition. These areas are not practicable to inspect because of health hazzcrds, damage to the structure; or inconvenience. They were not inspected unless described in this report. We recommend further inspection if there is any question about the above noted areas. Re: Structural Pest Control Act, Article6, Section 8516 (b), paragraph 1990 (j). Amended, effective March 1, 1974. I vn; ims-eia t ': 1.) - •� 0 t n f -n C- C 1t Vo "V" X tj rn S.S. q -s Id j a c e,,i t f-0 -4- n i('. rt,;;4 ft,, --djeu-m—t wood r - r t V Vr:. Pre f rav e vt h e r 0 in t woo -dT .—j It,- :a �Ii ze 16'. 1— S—ff'c� R, --d f�icla I: O-' n�. e n "t -Ne r is, 0-- JIL r e sc�;-� T�i -Fi C C-1 t w 0 0 �d M -n n, _-i ­i� sub erz, 1. ;'MMOVP tn rh pore -h cv.-p F—,d prersure -1-r—rit to cc­ttral sl'i-bte'r M. -e -s- tt-S riitc--v. Tic sce til 1 1 rt. da,�:t to C;orz-oct ral-lty- _radz-� le'vell. cl! pl zacr­ .,Zeralace ti -r: -Vs d'jFLMAF-T_,d sof"fe-t smd bl _.; . y e T -7 5 Signature, YOU ARE ENTITLED TO OBTAIN COPIES OF ALL REPORTS AND COI`%IPLETION NOTICES ON THIS PROPERTY FILED WITH THE BOARD DURING THE PRECEDING TWO YEARS UPON PAYNIENT OF A $2.00 SEARCH FEE TO: STRUCTURAL PEST CONTROL BOARD, 1430 HOWE AVE., SACRAMENTO, CA. 95325.