HomeMy WebLinkAbout028-260-04728-26-47
�t��lph Midkiff
SWCc rner of Oro -Bangor Hwy &
LaPort Rd., Bangor -- _--
Permit �k 81B,E(enclose covered
porch for ad '1 P.O,Boxes-Pos
Office)
28-26-4t
ermg
it 09-81M(replace as furnac
ro_g�t office)
1
(2)2's (00 _ �7
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i
28-26-47
�t��lph Midkiff
SWCc rner of Oro -Bangor Hwy &
LaPort Rd., Bangor -- _--
Permit �k 81B,E(enclose covered
porch for ad '1 P.O,Boxes-Pos
Office)
28-26-4t
ermg
it 09-81M(replace as furnac
ro_g�t office)
1
(2)2's (00 _ �7
.Z _
E�N ,;C�.i;�GN� C.QI
r�r�r-x
i
t
234-81B,E
.PERMIT NO. 4,f
_ PERMIT EXPIRES
Ralph Midkiff
' OWNER !+
�. owner
' CONTR.
28-26-47
ASSESSOR PARCEL
SW corner of Oro Bangor Hwy
LOCATION --
& LaPorte Rd., , Bangor (Post Office)
i
r •
L
J r.
iii
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
TempYLED
e
1
JOBate)
Signature
I
n V o TT%arm+-0 n r
� 1
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
(location
BUILDING PERMIT NO. �--2�—�/ % _- A`:P. NO. a -8
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each -item or write N/A if.not applicable)
INSULATION: GLAZING:
Slab Edge -------- Single Glaeed 4—
Fdn. Walls Special (Insulated) .�
Floors -' CERT. & LABELED WDS.
Walls & SLIDING DRS.
Ceiling/Roof WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating Pipes INTERMITTENT IGNITION DEVICES
APPROVED HEATER A--- CERT. APPLIANCES
APPROVED WTR.HTR. .�
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
(please print)
Signature of •
Insulation Applicator,
State Contractors
License No.
General ContractorKie Name6"/l�� 9 x
Signature of (please prin
J.
General Contractor: e Date
Sta ontractors
License No.
THIS CERTIFICATE MUST' BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
0
t
V=OK
0 ' = Not 0%
= Not Applicable. MOBILEHOMES MISCELLANEOUS
= Not Ready >
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/; /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec. -
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI -Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
t
J = OK
0 = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
I*-
Property Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth4W."-Ext.
Doors -One 3'-Cheeh-9aage-3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
aiee!Width-Headroom-Rise-Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
x
-54-P
ood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
iding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
•96: -Stucco
Mesh-brip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
B*-
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
&,I-
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
pw LZZLI
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-
C -Bl
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except N's
57.
S ke Detector
14. Water Ht.; Vent -Access -Combustion Air
Furnace; V -Clear -Co it -Con ctor- r
In Garage; Above Floor-Ducts-Mech. 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
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors-- w
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
DateZ Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets &Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20. Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22. Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
30 --Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
25. 2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails &Deck Construction -Post Caps
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28. Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
_
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Da�_ Card BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
83.
Corrections from Previous Inspections
84.
Gas Test -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
Energy Compliance Certificate -Other Certificates
33. CondensateDr ' & Overflow; Size & Grade
34. Furnace -V ;Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI
Date? y ( Card -BI Date
C
Date Card -BI Date
BI
J059
I
DateCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMI G(Plans) OK except q's
i Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
_
38. Bearing Walls over Girders & Floor Nailing
99r Draft Stop in Walls (rat proof)
_
40 -Fire Stops; Furred Ceilings -Stairs -Chases -Tub
./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
4E-'Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4-?- Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT. NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
g
ZOtJIN
Av
-
BUILDING PERM
OWNER
A�PN M/D k/FF
T E HON
TEL �V-z�p3
so. FT. OCC. BUILDING VALUATION
`�����
OWNER'S MAILING ADDRESS
PC?. Box /Z/34AI 02' 64 9S9i�
CONTRACTOR'S NAME
OW ,'/All
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$ SO -C70
ARCHITECT OR ENGINE R
LICENSE NO.
Plan Checking Fee
$ /0,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0 . pd
BUILDIN ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
/ G /9 V47 4p,
Each Trap
2.00
Repair drainage or vent piping
5.00
/ /�
V0cS / ®1�/��Gf� /7/g/V�l%
Water piping
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each pas -water heater or vent
5.00.
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other 09.3 0 C4G
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation El /Other
Describe work:_ �itJGLOS� Gid l/� '
A-DD�� /? 0. BOX CS,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. I DWELLING OC
OR ADDNS. % ACC. BLDGS.
2P S ft
_ q
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No: Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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 .Ou L T 2,50 ea
NON.RESID BRANCH CIRCUIT S
NEW CONSTRNON-RESID. ( /POWER APPARATUS 6I
SINGLE OUTLET CIR.,
sD ®zs¢
Ex. Occup OUTLETS OR FIXTURES BALB1
Ex. Occup, OUTLETS (RESFIXED ID )R EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permlt.Fee $ Q,
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance.or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor.Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above.information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 ex a ses which may in any way accrue
again id ounty in consequen f granting of this permit. jj
X Date � V /
Signature of Applicant - Owner ontractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ .BOMB
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL PO D
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work Indicated above for which
DJREC R OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
'
Date LLT -SPI
! �</
Receipt No. 1�g
WNIT!-D.P.W., YELLOW -ASSESSOR, PINK•IN9P ECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER lT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION, AND PERMIT
ASSESR PARC L NUMBER Z N NG
_ _'�
BUILDING PERMIT
TELEPHONE
J
SQ. FT. OCC. BUILDING VALUATION
ER'S MA LIN AD RESS
l
CONTRACTOR *SNAME TELEPH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILD( ADDR S
PLUMBING PERMIT
Filing Fee 10.00
AA
Each Trap
2.00
Repair drainage or vent piping
5.00
I/aS�
Water piping
LOT NO.
SUB I ISION NAMEPARCE AP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUC,T�RE � ��
SF [:1Duplex❑ Mobilehome❑ Other 1 I C! .
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ utijjties ❑ Installation ❑ Other
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.ai)
OR ADDNS. ACG. BLDGS.
I 22sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
•
License No. Classification
' I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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.REsIo R BRA ' r. CIRCT ITS 2.50 ea
NEw CONST R. ( POWER APPARATUS DI
NON-RESID, (SINGLE OUTLET CIR.
so L zs¢
Ex. Occup OUTLETS OR FIXTURES BAL@1
Ex. Occup.( FTIRED PR
OUTLETS (RESID )EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ i have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
/oto 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expense which may in any way accrue
against said gount in consequepc�e of he ng of this permit.
X Date
Signature of Applicant - Owner ❑ C actor ❑ Agent ❑
An OSHA permit is required for excavoti s over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCOP. GROUP
I TYPE OF CONST.
PARCEL
Po
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
CT OF PUBLIC
BY q)
PERMIT E (Pl[RES Date Cr
the applicable provi-
°—
resolutions to do .
fees have been paid.
WORKS
Date —1-7 -"
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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