HomeMy WebLinkAbout079-310-026j r
JEAN TODD -- - t.l !
3 0
95 Oakvale.Ct, Oroville �.
SPECIAL INSPECTION 45-82.11/4/82-
( TAYLOR, James
+_--- -- - - - 518- 72
Permit#1152-88B,E(addition/see SI #45-82
95 Oakvale Ct..,Orbvi.11e 4.
B07-1121 079-310-026 CONTR: Butte Const. Inc, , Orovillia
MISCELLANEOUS Electrical (new single family) %�/
REPLACE RISER PER WIND DAMAGI
95 OAKVALE CT I
HINKLE JOSEPH REECE, S•Zq •d7 1
---_ - - —
j
jI
peat
� ��I
VT tF BUTTE COUNTY AREA
\ `'�� •• DEPARTMENT OF DEVaELOPMENT SERVICES 2
INSPECTION CARD MUST BE ON JOB SITE
• 24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 53812140 Website: www.buttecounty.net/dds
Permit No: B07-1121 Issued: 05/22/2007
Address: 95 OAKVALE CT Area: OROVILLE
Owner: HINKLE JOSEPH REECIAPN: 079-310-026
Applicant: HINKLE JOSEPH REECIMap Page:
Permit Type: Electrical
Description: REPLACE RISER PER WIND DAMAGE
�1
1
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection Type
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test House
404
Gas Test Yard
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Holdowns/Straps
122
Shearwall/B.W.P.-Interior
135
Shearwall/B.W.P.-Exterior
135
Roof Nail/Drag Trusses
129
Do Not Install Siding/Stucco or Roofing Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Shower Pan/Tub Test
408
Fire Sprinkler Test
702
Fire Sprinkler Final
702
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813 ,
Pool Final
802
Mobile Home Final ;;
802
Inspection Type
1 IVR I INSP DATE
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Swimming Pools
Setbacks
132
Pool Plumbing Test
Gas Test — I--
Fre-Guni
Pool Elei
Pool Fend Address
Pre-Plastj
Set ac sj Meter By
Blocking/i ELECTRIC
TiedownA Meter By—
y Site Utilitl
Site
Gas Test
504
OFFICE COPY
r
r
Date_—
-71
Manometer Test
605
Continuity Test
602
Skirting/Steps/Landings
610
Coach Info
Manufactures Name:
Date of Manufacture:
Model Name/Number:
Serial Numbers:
Length x Width:
Insignia:
Public Works Fina
538-7681
Fire Department/CDF
538-6837 cxt 169
Env. Health Final
538-7281
Sewer District Final
**PROJECT FINAL
801
'\ t I Project Final is a Certificate of Occupancy for (Residential Only)
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HAS COMMENCED, YOU MAY PAY FOR A 1 YEAR
RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspectoe Copy
. 1 �5
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
u 7 County Center Drive • Oroville, CA • (530) 538-7541
= CORRECTION NOTICE
,::OWNER PERMIT NO.
;. A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please call for -re -inspection when correction of
`z --Z work is completed. If you have any questions pertaining to this matter, or need 'additional
pxxplanantion, please contact the Building Inspector as indicated below.
1 I Vr.C� i� - , A-)4. V " - a x l � �n v,/�1"� C9 ✓�
o!
7
} Date f �� '`' Inspector
REV 4/05 � ' Phone #
FOR.RE-INSPECTION CALL: 538-7636 OR 891-2834
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 95 OAKVALE CT
APN: 079-310-026
Owner:
HINKLE JOSEPH REECE,
Permit NO: B07-1121
Issued Date: 05/22/2007 By TMP
Permit type: MISCELLANEOUS
1340 7TH ST
Subtype: Electrical
OROVILLE, CA 95965
Expiration Date: 05/21/2008
Description: REPLACE RISER PER WIND DAM,
(530) 534-4909
Occupancy: Zoning: AR 0 -
Contractor
Applicant:
Square Footage:
OWNER
HINKLE JOSEPH REECE,
Building Garage Remdl/Addn
1340 7TH ST
OROVILLE, CA 95965
Other Porch/Patio Total
(530)534-4909
FEE INFORMATION
DBE Single Phase Service-Resid $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B3181
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
OWNER / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
,
also requires the applicant for such permit to file a signed statement that he or she is licensed
' pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 05/22/2007
Contractors Signature Date
❑ I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier: Policy Number: Exp. Date:
(This section need not a completed if the permit is or one hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'X
05/22/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 05/22/2007
I hereby certify that I have read this application and slate that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property owner or am authorized to act on the property owner's behalf.
05/22/2007
I CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ, code)
Name of Permittee [SIGN] Print Date
Owner 1:1 Contractor OR; Agent for Owner DAgent for Contractor
INSPECTOR COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 95 OAKVALE CT
APN: 079-310-026
Owner:
HINKLE JOSEPH REECE,
Permit NO: B07-1121
Issued Date: 05/22/2007 By TMP
Expiration Date: 05/21/2008
Permit type: MISCELLANEOUS
Subtype: Electrical
1340 7TH ST
OROVILLE, CA 95965-
Description: REPLACE RISER PER WIND DAM,
(530) 534-4909
Occupancy: Zoning: AR 0,
contractor Applicant: Square Footage:
OWNER HINKLE JOSEPH REECE, Building Garage Remdl/Addn
1340 7TH ST
OROVILLE, CA 95965 Other Porch/Patio Total
(530)534-4909
FEE INFORMATION
DBE Single Phase Service-Resid $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
OWNER / /
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license
is in full force and effect.
X 05/22/2007
Contractors Signature Date
' M :WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
X
Carrier: Policy Number. Exp. Date:
(This section need not be completed if the permitis oror on�dreddodollars ($100) esTors.)
I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS
ISSUED, I shall not employ any person in any manner so as to become subject to the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
05/22/2007
Signat a '� Date
WARM G: AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND S SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRH
OUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
Lender's Address City State Zip
total Lnargea: $SS,UU tees rata:
Balance Due: $0.00 Receipt No:
OWNER / BUILDER DECLARATION -
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractors License Law [Chapter 9 (commencing withSection 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars [$500];
yPlease check one of the following:
y) I, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
[(-[ COMPENSATION, WILL DO THE WORK, AND THE STRUCTURE IS NOT INTENDED OR
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
❑ 1 AM EXEMPT under Section B. 8 P.C. for this
IX 0� 05/22/2007
a
O is Signature Date
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the bove mentioned property for inspection purposes. I hereby certify that I am the
pr erty owner ar am uthorized to act on the property owner's
05/22/2007
IX I Owner 0 Contractor OR. DAgent for Owner DAgent for Contractor
FILE COPY
BUTTE.COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TLYIE OFAPPLICA TION
Website: www.buttecounty.net/dds ,
**PLEASE PRINT CLEARLY**
CONTRA OR
OWNER INFORMATION
Last Name
State
First Name
Mailing Addr
Fax
City
Lic. #
Stat
Zip
Phone
Fax
E-mail
State License Number
CONTRA OR
Name
Address
City
State
Zip
Phone
Fax
E-mail
Lic. #
Class
PPLICANT SIGNATURE
h
PERMIT
NO.
Boil -1i2 ti
PROJECT LOCATION
AP#
Property Address 9 J
. City dr6U l
BIN #
WORKER'S COMPENSATION
Policy Number ;
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORE(:
J O
Sq FT- YGLiving arage Oen Cov
0 • Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
For office use only:
ARCHITECT/ENGINEER
Name
OU13 1
V
Address
SRA
City
No
State
Zip
Phone
Fax
E-mail
State License Number
PPLICANT SIGNATURE
h
PERMIT
NO.
Boil -1i2 ti
PROJECT LOCATION
AP#
Property Address 9 J
. City dr6U l
BIN #
WORKER'S COMPENSATION
Policy Number ;
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORE(:
J O
Sq FT- YGLiving arage Oen Cov
0 • Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
For office use only:
APPLICANT INFORMATION
Name
OU13 1
V
Address
SRA
City
No
State
Zip
Phone
Fax
E-mail
PPLICANT SIGNATURE
h
PERMIT
NO.
Boil -1i2 ti
PROJECT LOCATION
AP#
Property Address 9 J
. City dr6U l
BIN #
WORKER'S COMPENSATION
Policy Number ;
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORE(:
J O
Sq FT- YGLiving arage Oen Cov
0 • Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning
Flood Zone
SRA
Yes
No
Occ.
Type Const.
I
PERMIT NO.
1152 88B, -E
PERMIT EXPIRESQ
JEAN TODD
OWNER
CONTR.
pwmer,
36-77-26
`ASSESSOR PARCEL
.,.95 -Oakvale Ct, orov i_le
LOCATION
' ti• i
i
,1
PPP '
Temp. Power Pole
i
Called PG&E
h Temp. Elec.'SeMce
Called PG&E
1 Temp. Gas Service
Called PG&E
t JOB.FINALED (Date)
Signature
= OK
0 = Not DK
= Not Applicable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'U ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -81 Date Card -131 Date
Card -81 Date Card -131 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -81 Date Card -61 Date
Card -81 Date Card -131 Date
MISCELLANEOUS
Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext:; Steps -Doors -Landings
I
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel board s -Ins. to•Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -131 Date Card -61 Date
=OK
o = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. De
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. De
5. Stemwalls, Main; Steel- Blockouts-Wrapped,
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Card -Bi Date Card -131 Date
Card -B1 Date Card -Bi Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -81 Date
Card -B1 Date Card -131 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light-SDa Light
Card -B1 Date Card -B1 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -B1 Date
Card -131 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation-Walls-Clg.
60. Infiltration -Wal Is-Wndws
Card -81 Date Card -131 Date
Card -B1 Date Card -81 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
9i. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -81 Date
Card -B1 Date Card -131 Date
Card -81 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
L Hawkins Insulation Co., Inc.
Q - Fiberglass, Rigid Insulation & Suspended Ceilings
CORP. OFFICE P.O. BOX 3065 YUBA CITY, CALIFORNIA 95992
CALIFORNIA LIC. #378407 and NEVADA LIC. #016817
YUBA CITY CHICO GRASS VALLEY/ AUBURN
1453 GARDEN HWY. 3053 SOUTHGATE W. 12438 LOMA RICA DR. SUITE B
P.O. BOX 3065 CHICO, CA 95928 GRASS VALLEY, CA 95945
YUBA CITY, CA 95992 (916) 893-0659 AUBURN (916) 888-6487
_-_— — -
-
'We hereby submit specifications and estimate5for"installation oh ,
L
(916) 671-0200
E
VALLEY ((9916) 272-1472
N
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DATE
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PHONE
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JOB
NAME
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LOCATION
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ARCHITECT
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DATE OF PLANS
JOB
PHONE
_-_— — -
-
'We hereby submit specifications and estimate5for"installation oh ,
L
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INSTALLED MATERIALS
RETAIL MATERIALS
SALES TAX
A TOTAL
O D
W D TERMS: Net due on receipt of invoice, with service charge
N R from the 10th of following month of 11h% per month
E E (18% per annum) unless otherwise noted.
R S `
S
Performance of work to be done in accordance with the best developed industry techniques.
HAWKINS INSULATION CO., INC. carries Workman's Compensation and Public Liability and Property Damage Insurance.
This bid is based on the current price of labor and material. If not accepted within days from date hereof, the right is reserved to submit a new bid.
Information and terms on reverse side are part of this contract and owner acknowledges having read the same.
"You as owner or tenant have the right to require the contractor to have a performance and payment bond or funding control."
TO ACCEPT PLEASE SIGN ANf5
RETURN ORIGINAL COPY
ACCEPTED:
Title Date
HAW I S INSULATION CO., INC.
By _
Title
ORIGINAL
You may cancel this transaction without any penalty or obligation within three business days from acceptance'date`
If you cancel, any property traded in, any payments made by you under the contract or sale, and any negotiable, instrument
executed by you will be returned within 10 business days following receipt by the seller of your cancellation notice, and any
security interest arising out of the transaction will be cancelled.
If you cancel, you must make available to the seller at your residence, in substantially as good condition as when received.
any goods delivered -to you under this contract or sale: or you may, if you wish, comply with the instructions of the seller
regarding the return shipment of the goods at'the seller's.expense and risk.
If you do make the goods available to the seller and the seller does not pick them up within 20 days of the receipt of
your notice of cancellation: you may retain or dispose of,the goods without further obligation. If ,you fail to make the goods
, available to the seller, or if you agree to return the goods to the -seller and fail to do so, then you remain liable for performance
of all obligations under the contract. ,
To cancel this transaction, mail or deliver a signed dated copy of this cancellation notice or any other written notice,
or send a telegram, to Hawkins Insulation Company„Inc. P.O. Box ,3065, Yuba City GA 95992.
I hereby cancel this transaction.
Date
, ,Do'not sign unless cancelling
"Attorney Fees & Court Costs”
In the event BUYER defaults in payment of any installment; the SECURED PARTY has the option of declaring the entire
indebtedness due and payable. Expenses of retaking; selling and other. legal expenses including SECURED PARTY'S
reasonable attorney fees and court costs are for thY account of and shall be paid by the BUYER. SELLER at its option may
take back the merchandise or affirm the sale and hold the BUYER liable for the unpaid balance including any attorney or
collection charges permitted by law.
"Notice to Property Owner"
If bills are not paid in full for the labor, services, equipment, or materials furnished or to be furnished, a mechanic's lien
leading to the loss, through court foreclosure proceedings. of all or part of your property being so improved may be placed
against the property even though you have paid your' contractor in full.* You may wish to protect, yourself against this
consequence by (1) requiring your contractor to furnish a signed release by the person or firm giving you this notice before
making payment to ya.nr contractor or (2) any other method or device which is appropriate under the circumstances.
Contractors are required by law to be licensed and regulated by the Contractors' State License _Board. Any questions
concerning a contractor may be referred to the registrar of the board whose address is:
Contractors' State License Board
1020 N Street
Sacramento, California 95814
Quotations limited to 15 days acceptance; we are not liable for failure to perform caused by strikes, fire, or anything that
is beyond our control. All specifications and prices are subject to the approval of the local building departments. If the
purchaser becomes delinquent in payment, then the purchaser agrees to pay all costs of collections, including reasonable
attorneys fees, including 1t2% per month service charge.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County.Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT '
F
P RMIT N
SORPARC NUMB
— -7? — '�
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OW V S MA ING ADDRE �'
�ONTRAC TOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
"
CONSTRUC ION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT R 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
V.
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
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O_00ea
JEJ
TYPE OF WORK
New❑ Addition Remodel❑ Utilities❑ Installation[] Other[].!
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service (1001 OR LESS
t00 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW 11
of p 1 y (check one): i
I declare under penaltyperjury
❑ 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
NEW CONST. ( DWELLING OCCUP.a\ 'hQsgft
OR ADDNS. ACC. BLDGS. //
NEW CONSTR.TI-OUTLET
NON.RESID BRANCH CIRCUITS) 2.50ee
/POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 9A 090
Ex. Occup. OUTLETS FIXEO-APP(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mise. 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, shouId 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 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 li ilities, judgments, cos s, and expenses which may in any way accrue
agai st said County i npeqfjence of the granting of this permit.
%� Date — �s - Zf D
Signa of Applicant - wner ® Contractor ❑ Agent El
An 0 A permit is required for excavations over 5'0" deep and demolition or construct-
ion of ructures over 3 stori[es� in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
10 ..n
OceuP.
CONST.TYPc
ISCHOOL��
FLO
ND
139UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above.for which
DIRE - OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/� (�
Date 4f� !
Receipt No. 14 D I �F
WHITE-D.P.W.. YELLOW-ASSESSA, PINK-INspr CTOR, GOLDENROD -APPLICANT
or
- ' COUNTY OF BUTTE - DEPARTMENT .OF.�PUBLIC WORKS - BUILDING DIVISION
' 7 COUNTY CENTER DRIVE- OROVILLE, CALIFORNIA 95965- TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET,
+ Permit No.
OWNER 11j�� _r AP. No. 36— 77
Proposed Building Use , 5,F -5,F -Building Inspector . Date
At time of permit application, I was 'advised the following data must be submitted prior to permit processing
and:/Or issuance: DATE RECEIVED APPROVED
lr� 1. All items.have been submitted. .
2. Plot plans in duplicate./triplicate, signed by preparer of plans.
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
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. Mobi lehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check).
22.
When you issue the permit, proceess as follows: Mail to owner, Mail to contractor.
Telephone J~J3-0077` and hold for pickup atmoffice, Deliver w/inspector.
Other
A p p I i c a n t K� @ilii Date
Copy of plans sent Health Dept., Fire Dept!, Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. - -- .. I.1 _
2.
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
01
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
F •
COUNTY OF BUTTE - Department .of Public Works,
7 County Center Drive, Oroville,.CA 95965
OWNER -BUILDER VERIFICATION
' 1
Phone: 916-538-7541 .
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) ,p
2. T (have/ha=e=*�&)Vsigned 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 persona
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 L411
Social Securit Nu er
Date
NOTE: This Owner -Builder ,Verification is sent to you'as required by Sections 19831 and
19832 of the California Health and Safety Code.,
This verification must be completed and returned to -our office before we are per-
mitted to issue the permit.
Wlrl) .. � W.
try )VICAS-1 be r4vla � inti
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WEBSTER ELECTRIC
IFS 363 Canyon Highlands Drive • Oroville CA.95965
f�r�sy
Cal License No. 366446 Phone (916) 533-8522
May 4, 1988
Herman Wendell
80 Oakvale Ct. ;
Oroyille, CA 95966
Dear Herman,
At your request I made an'irispection of the electrical wiring
in an addition at 95 Oakvale Court, Oroville, CA. I made the
.following observations:
1. Grounding conductor in•the_junction box where addition.
wiring joins existing wiring was,not mechanically secure:
2. Grounding conductors in addition receptacles were not
attached to the grounding lug on receptacles.
3. Switches and light fixtures appeared to be wired correctly.
I made the necessary corrections to the grounding system while
at the job site.
If I can be"of any further assistance, please contact me.
Sincerely,
James 0. Webster
JOW/d
i
y
November 5, 1982
z
Herman Wendell RE: Special Inspection 45-82
80 Oakvale Court AP #36-05-97
Oroville, CA 95965
Dear Mr. Wendell:
With reference to the above subject and the family room which was added to
the house at 95 Oak -vale Court without permits and approvals from this office,
the requested inspection was made on November 4, 1982.
'The ins ction revealed the following items which must be done or resolved:
,(7 ) The family room addition has blocked ihe'required light and ventila-
tion from the kitchen -dining area and from the living room. Provide light
and ventilation to each of the rooms.equal 1/10 the floor area, 1/2 of which
must be openable. (This may be done with windows -or skylights). If you
.combine all rooms into one, you must remove at least 1/2 of the common wall
between the rooms. This,would allow the Aight and ventilation to come from
the addition. '
($, The maximum allowable glazing for the addition, under the energy
regulations, would be 15% of the floor area of the addition plus glazing
.relocated from the existing rooms. (If,common wall,1/2 open). Otherwise,
the maximum allowable glazing on the addition would be 15% of the floor
area.
- t
( ) Verify sliding glass door panels are tempered.
Verify wall insulation of R-11, ceiling insulation of R-19}
(6/The roof sheathing and roofing over .the addition must be replaced
withapprovedmaterials.
fO The addition must be made weathertight.
(7) Verif the electrical wiri
done.
Y, ng in the addition is safe and properly ,
Page 2
Mr.. Herman Wendell (Ri: Special Inspection 45-82, AP #36-05-97)
November 5, 1982
It is now in order for you to submit two copies of a floor plan showing
compliance with the above,items,.- Apply for the required permits to do the
corrective work and a thea `
� pay PPropriate�fees.
r
Should, -•you have any questions concerning this matter, -'please contact this
office.
Yours very. truly,
Clay Castleberry
Director of Public Works
0094161 sdgried by
J. F. Gland,,,
J.F. Glander
JFG/aj Chief Building Inspector
cc: Century 21 `
y ,
t
r -
A,
2. -Floor construction:
3. Wall construction:-
.4:
onstruction:.4. Ceiling and:roof •construction:
5. Fireplaces:
6. . Cocmnents /7_• _ c1, A 1' � j
C Electrical
1.. Service and grounds
Receptac: es• a `�
3. Fusing:
4. Comments: a_e2 S, J Q
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments
3
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
SPECIAL INSPECTION REPORT
-
Owner:
A.P. V(ori cl
Address:'.
Date of Inspection'=�
�c J
Inspector
Tenant:
Building
Location:
Type of Inspection requested:
- 7
1: Housing, f 7: 2. Financing f�, 3. Change of Occupancy to
Other ( specify)
' 'Present use. of buildin <� ,�
-�� l�e tL�ii': .
77
A. Sanitation (Housintt)
.1.
Water closet:
2.
Lavatory:
--3.
Bathtub or shower:
•4.:
Kitchen sink:,
5.
Hot and cold water to fixtures:
..6'
Heating'facilities:`
Natural light and. ventilation: t s
A =- L
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 watei.supply:
.13.
Rubbish and garbage facilities:
2. -Floor construction:
3. Wall construction:-
.4:
onstruction:.4. Ceiling and:roof •construction:
5. Fireplaces:
6. . Cocmnents /7_• _ c1, A 1' � j
C Electrical
1.. Service and grounds
Receptac: es• a `�
3. Fusing:
4. Comments: a_e2 S, J Q
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4... Comments
3
E. Other
1. Maintenance and repair:
2. Fire hazards
3. Safety hazards: —-- -
4. WeaO!er protection:
5. Underfloor and attic ventilation:
6: Comments:
F. Ccmmiercial Buildings
1. Roof covering:
`:,7.2."" � Distance to property lines:
3. Physically handicapped:
4. Rest:-oom floors and walls:
S. Exits:
6 Improvements:
7. Zoning
8. Cotnmerit: - -
G. Field Problems or Viclatioris
1. Problem or - solation (give complete descr.iption):
?.
What
action
taken (give complete
-Jescription):
.3.1.
Whit
action
reem. bended:
%7 A.. "lnfona;:tion only
B. Hold for tco (10) days, then wri`e letter.
./ / ''. Write letter.
7 D. Other:
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION FOR SPECIAL INSPECTION
Owner
A.P.
No. 36-6-6—e?7
Mailing
Address
_57Wg T--
Telephone
d / �
Applicant �� 'M �t/ //(J&AJD, 5:L L. Telephone No.
Mailinz Address eo GA/-,,I/,4tL ( life/,1/L.(_.r7:- Ci—'A
Building Location
I hereby request a special inspection of the following building:
Dwelling (if only a portion, specify) r,4"1C. i
2. Apartment House (if only a portion, specify)
/ / 3. Commercial (specify present occupancy)
/ / 4. Other (specify)
I am requesting a special inspection for the purpose of:
/ / 1. Moving the building.
/ / 2. Financing (specify agency)
3.
/ V7 4.
Change of occupancy to
Other (specify) %r,-A.S Or .S'f46_6..,
Case No.
I hereby certify that I will obtain the necessary permits and make any necessary corrections,
alterations, or repairs required by the County of Butte, as a result of this inspection, to comply
with building and housing code requirements. I also certify that prior to the use or occupancy
of this building, I will complete the above required corrections, alterations, or repairs, or,
if the building is presently occupied, I will complete the above required corrections, alterations,
or repairs within thirty (30) days.
I certify that I have read this application and state the above information is correct and hereby
authorize representatives of the County of Butte to enter upon the above-mentioned property for
inspection purposes. .
sj
S igna
Fee paid
r
1st -DPW - 2nd -Inspector - 3rd -Applicant
Date ��e
to
Receipt No.