HomeMy WebLinkAbout079-280-009S to
F t George Brooksi/
t _
320 Old Mt.Ida,Rd._, Oroville �� C9 069 069 1
4 q 'Permit #387-8OB(inst.gable roof over W -
a exis.flat carport roof/SF)
Permit #3667-80B,EE (re�-.odel/SF)
k 009.
• i
• .rte` � • � .• �,o��• �..�
. ter''` . - • - - � i .�:. '`►,,._ .
•
"PEMIT N0. .3667-80B.,E
PE' MIT EXPIRES
..Called PG&E
Temp, Gas'Servlce
Called`pG&E
+i JO;B<FINAL y r Data1
'Signature .
f ;
J=OK'-'
O = Not OK
- = Not Applicable
it - Not Ready
V i
rrr- i
RESIDENTIAL (Single and Duplex) � _...!n-c�f-•Y --- -
Date
UNDERFLOOR Plans OK exce 1.1's
Date
FRAMING (Continued)
1. Zoning requIre ments-Satbacks-EasementsProperty
Line Firewall & Openings
2. Fig., !.lain; Soils-Steel-Elac. Grnd.-1 / /" Fig. Depth
3. Fig., Garage; Solis -Steel- / /" Fig. Depth
JL4., Ext. Doors -Ons 3' -Check Garage -3rd story, 2 exits
-3O-.Staff- Width -Headroom -Rise -Run -Landing -Fire Protaction
4. Ftg., Porches & Decks; Soils -Steal- / /" Ftg. Depth
ywood on Roof Overhang -Attic Vents -Rafter Outriggers
S. Stemwatls, Main; Steel-Blockout s -Wrapped -Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
-
Siding -Nailing -Veneer
. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Plers-Fire lace Ft .-Steel
-64r Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fail -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test-Anchors-Regulator-Seryice Test
11. Electric; Underground
-4L1U Shear Walls: Nailing -Bolts
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts-Joists-Vents-Cripplss
t and -BI
card -BI
Date Card -81 Data
61 Date and -BI Date
0-:ard-81
Date Card -81 Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
14. Water Hi.; Vent -Access -Combustion Air
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
59. Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
60. G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
61. Elec. Trim & Subpanel; Breaker Sizes -Labels
62. Stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Gap-CookingClearance
Card -81
Date Card -81 Date
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except #'s
68. A.C. Duct in Garage -Damper
20. Fixt re &Transformer Clearance -Ins. Protection
69. Mr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
ec Receptacles Spacing -Lights & Switches at Doors
41CS e Boxes & No. of Conductors -Stapled
41Romex
71. Elec. Receptacles in Garage: (G.F.I.)-flomex Protec.
72. Insulation -Foam -Looked in Attic E] Yes
73. Guard Rails & Deck Construction -Post Caps
Installed Close to Edge of Studs & C.J.
4. Equip. Ground made up w/Meth. Fasteners -Bond 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
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor []Yes
75. Following Instid.: Drive Q Yes ,Q No; Walks .❑ Yes :Q No;
Planters C1 Yes ' 0 N
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral QYes QNo
28. Service -Riser Conductors & Ground -Main Disconnect
29. Equip. Clearances; Panels -Motors -Mach. Equip.
30. Clothes Closet Light -Shower Light
78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to O s.
79. Water Well; Disconnect, Electrical, Plumbing
80. Exterior Elec. Trim; G.F.I. Receptacle -Underground
81. Ventilation throughout House
82. Glass Protection
83. 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
Card 8-1 V40EDate rd -81 Date
Card B-1 Datard-BI Date
Date MECHANICAL (P mit) OK except #'s
' 31. A. Duc Insulation & Suppori
32. Vent ; Exhaust above Insulation
33. Co a pate Drain & Overflow; Size & Grade
34. F rnace Vent; Access -Comb. Air -Return Air Vent -115V outlet
35 Attic Acce P atform if Furnace in Attic
Card -BI
Date Card -BI Data
Card -61
Data Card -81 Date
Card -BI
Date Card -BI Datg
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Dat,
Comments at Final:
Date FR G Plans OK except WS
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spac_i ;g & Bracing -Plates -Sound
_
"'T.' Bearing Walls over Girders & Floor Nailing r
39. Draft Stop in 'Valls (rat proof)
ire Stops; Furred Cell in s-Stairs-Chases-Tuh
�'
Header & Beam -Size & Bearing
42 angers -Post Caps -Anchors -Con n3ct:,rs
_
-
Cing. Joist-Rftr. Ties-Purling-floof Brac:_Truss-Shth_n_g_RIng.
-4+1? Fireplace Ties or Type_A Flue -Fireplace Throat
ttic.Acces9; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit Jobsits)
Date
MOBILEHOM€ UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) CK except N'a
i
1.. Zoning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—.Easaments
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Locatlon—Test—Fall-C/O—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stalrs—Rails
4. Water; Location—Test—Easament Needed (Sketch)
4. Wood Awn.; Post s—Beams—RItrs.—Connee.—Shthg.—Rfg.—BreeIng •.
S. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connectlons—Splice—Decal—Enclosuras
6. Gas; Location Test-Wrap: / /" 1 ft./ /" Nat, or/ /1 ft. / /" LPu
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Card$1
Date Card-BI Date
Card-BI
Date Card-BI Date
Date
MOBiLEHOME INSTALLATION (Plans) OK except Ws
Date
POOLS (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easemeints
1. Setbacks—Easements "-
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Staei—Connections—Thickness—Dead Men—Lining.
4. Electricity; MH Test—Crossovers—Breakers_Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
S. Drain; MH Test—Fail—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/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B: Gas and Electricity Tagged
S. Elec.; Grounding; Equip. w/5'—Circulating EquiprPooi Lghig.
Boxes—Enclosures—Panelboards—Ins. to Main In Conduit
9. Exits; Insp.—Sketch.
10. Cert. of Occupancy
9. Health Department Approval
Card B-1
Date Card-BI Date
Card-BI
Date Card-81 Date
Card B-I
Date Card-BI Date
Card-BI
Date Card-81 Date
f.
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
County Center Orive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSAR MBE ZONI
6-
BUILDING P
OW E P H o -FTE
SQ. FT. OCC. BUILDING VALUATION
O NAI NG D RE
Y �+ a
r
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation is
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI DRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ emodel L Utilities ❑ Install tion ❑ Other ❑
Describe work: '�b�S y� �N.Q� �- _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service V OR LE
1000 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW OR ADDNSCONST ACCLBLDGS P &)
2¢sgft
CONTRALTO LICE SE 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)
❑ 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
NON.RESID R BRANCH CIRC ITS
2.50 ea
NEw CONSTR POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR. )
Ex. Occu 50 @ zsa
p(o OR FIXTURES BAL@IOQ
A
FIXED APPLNS. OR
(FIXED
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
.p
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.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
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 liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
XQ 7— g 0
%j 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 3sttorries in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
Occup. GROUP
j
TYPE of CONST.
PARCEL PD
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -7— 2I—Q/
Z.1 V
Receipt No. ` ,1 / u
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, O.roville, 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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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.propert improvement (yes or no) P2
.
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 .o'YIJ
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
Social Security number
Date l- / % - 6
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
permitted to issue the permit.
COUNTY OF BUTjE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 County Center Drive — 0roville, California 95965 — Telephone: 534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER ( �OOje � O,l/S A.P. No. 34 3&-17
Proposed Building Use
Permit fee based upon:Complete Contract Price DPW Valuation
Other (explain-)
ate?ABuilding Inspector ,/; Date-7-
At
t time of permit application, I was advised the following data must be submitted prior to permit processing and/or
issuance:1. DATE RECEIVED APPROVED
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 & AC Buildings ...................
8. Fees of $..................................................
9. Letter of signature authorization.............................................................
10. Sanitation approval from Health Dept....
11. Planning approval for .............
.rve 12. Ct�caof jWor� Compensation Insurance
1°3: Contractor O'cense Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) ..................................................................................................
15. Pre -inspection for required. Pre-insp'ec. request to
p q bldg. -inspector (date)
16. Other
When you issue the permit, process as follows: Mall to owner Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspection:
Other
0
Applicant ��' { .F c!�,,.� Y�� r� Date
Copy of plans sent Health Dept., Fire Dept., Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by Date `c5pd
OTHER:
Copy/DPW
0 r r o o /K S O O C 17 /P1 A/Ci
C
,F.t�Fni C L
/Al Sy C.- Af 7'/ o ilk Lk'¢ � /keOG. %jam IZ�Z%
_ C QiL /,tri / 1 � /1 � � Q� �/n� U S C I/0!
_65� _LS
GIQ►���ii� BUTTE COUNTY
vs� PP
��
7v,
SUIL®ING ®E?ARTI�ENT
- APPROVED
o/
Shall Be in
._pJl Materials &
Workmanship Practices and
TE. RPcouni7ed Goad in the
Ac with 4oc .$he S�-,eeifieA use
Accordance , orescribP �. �achanicaI Codes and
of a quality plur^biraq
Uniform Building Code.
the National Electrical
L
PERMIT NO. 387-80B
p
"
i'OWNER
PERMIT EXPIRES George Brooks
J
CONTR. nwnar
36-36-9
;LOCATION (A.P. )
Y
.320 Old Mt.'Ida Rd., Oroville
qq' k
S
f
Temp. Power Pole
Called PG&E'
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB /
FINALED
( to
(Signature)
COUNTY OF BUTTE — .DEPARTMEN-f OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING` BUILDING (Cont'd) PLUMBING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Piping
Piers Roofing (-- O Sewer
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
Stemwall Insulation Heaters
Slab Prov. for physically Appliances
Carport handica ed
p Conformance of ex. Gas Pi in & Te
Footings structure Temp. as
Slab Final < Sanitation
Patio FIREPLkCE Final
Footincis Footino ELECT ICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam FIRE 9PRItiKLERS Motors
Framing / 7 r Test Water Htr.
Stucco Final Subpanels
Mesh WECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Under ro d
Interior Lath ✓ Ventilation Permanq4t
Door Closer Final Finalgo1i`
MOBILEHOMEUTILITIES ------------------ Elec. Service Elec- edestal
Water Piping Sewer Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
I 1 ;
JCOUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMITWN
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X _ OP`
Signature of Permitee or Agent V
Receipt No. � `-"-7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
wilding permit expires Date l_)r Q, '?/
BUILDING
Owner,
SQ. FT. OCC. BUILDING VALUATION
E�S 77
Mai l iinnJg A/dddre�ss32v eaz:> " / oA- ,��j
elK a V ll t,17 %lam 57&_S—
Contractor
Mailing Address
Fireplace
Total Valuation O J
Telephone No.
Permit Fee S- OO
2
Building Address 3�0 (�L%, M/- I
Plan Checking FeeVorPenalty 49,00
Permit Fee . O v
ZS +
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
/ I ,
Repair drainage or vent piping 1.50
A. -P. No. 36-3&- 9
Zonis anning
Water piping 1.50
Each gas water heater or vent 1.50
F
.- !
W-16
ire Dept.
Fire Zone
Use Permit
Gas -piping system 1 - 5 outlets 1.50
EQA
parking
I Pia
Parcel
Declaration
I Parcel Map
67 R/W
Improvements
Each additional outlet .30
Building sewer 5.00
Bldg. ane Recd I
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER �
Permit Fee $
$
fiU__ d VGA S%•
ELECTRICAL No. @ FEE
Oar�O f'
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR Less 5.00
�-�/
Single Family l� Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. ( DWELLING
OR ADDNS. ACC. BLOGS.CCUP. &\ 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR MULTI.OUTL T
NON-RESID BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES,1 g L25
FIXED APLNS OR
Ex. Occup.(OUTLETSP(RESID.I EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
certify that in the performance of the work for which this
hermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California. O
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
$ cc
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X _ OP`
Signature of Permitee or Agent V
Receipt No. � `-"-7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
wilding permit expires Date l_)r Q, '?/
BU'TE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL 114SPECTIG , R:POR. 3,4.,a,
Owner:—
A.P. #(o
Address:_2 ��'�iL?���s'� /�, _ Date of Ins ection
Tenant: Inspector
Building Location:��
Type of Inspection requested:
1. Hou s ing
L! 2. F inane i:lg
4. Other (Specify)_
Present use of build
A. Sanitation Hpu�insl
I
3. Change of Occupancy to
1. Vater closet:
2. Lavatory-
Bathtub oT Shower•
4„ Kitchen sink:
C. Kot and cold water to fixtures:
6. Heating faei2ities:
7. Natural Light and venftlation:
8. Romn and space requirements:
9. Bedroom window or .doot for second exit:�����r�
10. Infestation of insects, vermin, or rode ts:
11. Connect -7 to sewage disposal.: _
12. Connection tri ,pater supply:____�.�_.,
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Ps.ers and footings:
2. Floor constriction:
3. Wall corstr-jcyioxt; _ __
�F 4. Ceiling and roof constrcuction:
5. F .rc.places -
_�4. Ccrumenrs: -
C. Electrical
i. Servicc: ^nd mound:
2. Re c; eo t s:c 1 e s • f __.M___.� _._. _._.... _._.._...�...�._...._..__ _ ,•o_______
4. Ccr►::*innt s
D. P lamb ink
1. F .x;:a:r.es connected and rre� ted:
2. c� :.S is w( 6.?. z heater:..._....._..�.......�..».......».._._�-.._-..�.__
3. CI.iS hL'..Tt1T:y 57t':1i:cr��a4. C mment:s :
E. Other
1. Maintenance and
2. Fire hazards:
.3. Safety hazards:
repair: t,
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 Aolapion (give complete description):
ff-
2. What actign tak n give complete .-les ript .axiCAI-
3. What action recommended:
7-7 A. Information only
B. Hold for test (10) days, then write letter.
C. Write letter.
7 D. Other:
i