HomeMy WebLinkAbout024-010-080Du�oa CaseSC
� V�/S �ilo�r��°����4O0rS'o� Archer � F,-7;-�]N
Ave., Gridley
Permit #366-80B,P,E(add bedroom,
util.room & dining room/SF)
24-01-80
JALIGilstrap, Gridley
02Z-010-080 PERMIT#98-0928Cont: North Valley'ElectricEle Ser Ch/SF024-010-080 01-1006TAMBOURINE, ANGELOCONT: H H CUSTOM BUILDINGGARAGE
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Du�oa CaseSC
� V�/S �ilo�r��°����4O0rS'o� Archer � F,-7;-�]N
Ave., Gridley
Permit #366-80B,P,E(add bedroom,
util.room & dining room/SF)
24-01-80
JALIGilstrap, Gridley
02Z-010-080 PERMIT#98-0928Cont: North Valley'ElectricEle Ser Ch/SF024-010-080 01-1006TAMBOURINE, ANGELOCONT: H H CUSTOM BUILDINGGARAGE
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Permit#155-83P
Angelo Tambourine
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y COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
R 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 / _-5 _-S -'�
APPLICATION AND PERMIT
ESSOP�9 RCEL N MBE ZONING
Y O �'.- BUILDING PERMIT
NE - TELEPHONE
.�� p�lU avn �c�r �� R"y�-G,4/ S0. FT. OCC. BUILDING VALUATION
ICONTRACTOR'S NAME - I TELEPHONE/ I
CONTRACTOR'S MAILING ADDRESS rf
CONSTRUCTION LENDER/ / lTT (UNKNOWN
�/�\// .�
LENDER'S MAILING ADDRESS
IARCHITECT OR ENGINEER ARCHITECT OR ENGINEER'S MAILING ADDRESS (LICENSE NO. j
BUILDING_ADD
S
LOT NO. I SUBDIVISION NAME I PARCEL -MAP
—/ USE OF STRUCTURE
SF k2 Duplex❑ Mobilehome❑ Other
SPECIFY
TYPE OF WORK
New ❑ Addition. Remodel [:]Uti lities [:1Installation ❑ Other Q'
Describe work: w ep) ac I { —
SIRAJ %C V I \ Ny, (o
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)
Fireplace
Permit Fee $
ELECTRICAL PERMIT
Total Valuation $
Main service 600V OR LESS
100 AMP OR LESS
10.00
Filing Fee
$
10.00
Permit Fee
$
2.50 ea
Plan Checking Fee
$
-NON-RES,
Ex. OCCU p�OUTLETS OR FIXTURES
Penalty
$
2.00
Permit fee
$
Mobile Home Facilities
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
to the W. C. provisions of the Labor Code, you must forthwith comply with such
2.00
Solar Water Heater
Contractor
20.00
Water piping
is correct. I agree to comply to all County Ordinances and State Laws relating
5.00
Each qas water heater or vent
TOTAL PERMIT FEE $ % Z)
5.00
Gas piping system 1 - 5 outlets
,
5.00 i
Building sewer
TYPE OF CONST.
5.00
Mobile Home I S I G 1W I
PD
10.00 e
Permit Fee $ 14 0(
Contractor
Permit Fee $
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
NEW CONST. // DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
2I/20sq ft
NEW CONSTFL MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
NEW CONTR. (POWER APPARATUS .&)
D. SINGLE OUTLET CIR.
Cooling
-NON-RES,
Ex. OCCU p�OUTLETS OR FIXTURES
20@50Q
20�g0Q
Ex. OCCUp- OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
to the W. C. provisions of the Labor Code, you must forthwith comply with such
❑ I am exempt under Sec. , Business and Professions Code
Permit Fee $
for this reason
Contractor
MECHANICAL PERMIT FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Heating
❑, The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
Cooling
a Certificate of Workmen's Compensation Insurance or a Certificate
Hood 3.00
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
Ventilation
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
Permit Fee $
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee $
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
TOTAL PERMIT FEE $ % Z)
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
occuP. GROUP
TYPE OF CONST.
PARCEL
PD
HD
ISSUE
all liabilities, judgments, costs, and expenses which may in any way accrue
I
I
ag said C uM'y-in consequenceaof the granting of this permit.
5;— ' i7-_>
/
This permit is hereby issued under the applicable provi-
X Date `
sions of the Butte County Code and/or resolutions to do
Sig ure of/ Applicant — Owner Contractor ❑ Agent ❑
at
work indicated above for which fees have been paid.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
DM)TOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
71ir / /9'
/ 73
By Date
Receipt No. /
_
PERMIT EXPIRES Date
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.-
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any uestion pertaining to this
matter, or ►need
'additional explanation, please co ct this office immediately.
v _
I
Inspector,l'7 "k-6 ��'� Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSO P RCEL N MBE
(�_0 �_
ZONING
BUILDING PERMIT
OWNE
n
TELEPH NE
r
SO..FT. OCC. BUILDING VALUATION
OWNER 'SM LrgAD SS
CONTRACTOR'S NAME TELEP ON
h r
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER t
UNKNOWN
Total Valuation $
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
$
BUILDING A DRESS
S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00 i -on
—/ USE OF STRUCTURE
SF L< Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00 e
TYPE OF WORK
New ❑ AdditioD.0 Remodel ❑ Ut'lities ❑ Installation❑ Other
Describe work: S —
S @lry 1 C� 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600v OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. SLOGS.
t
2h2sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. 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
NEWCONSTR./MULTI-OUTLET
NON .RESID. `BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
20050:
Ex. Occup(o OR FIXTURES BAL®30q
IXEDA
EX. OCCUp. OUTLETS P(RESID, IKEA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I 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 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, c sts, and expenses which may in any way accrue
ag aid con quence.of the granting of this permit.
Sig at re o&pplicant — OwnerX Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ f `U
OCCUP. GROUP
I 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
D TO F PUBLIC
By �
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date / —
/
Receipt No. ��3
WHITED. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.V
Temp. Power Pole
366-80B)P,E
f1PERMIT NO.
Of. & E
Calle PG
11 ?s
Temp. a Serv.
�Ied
4
PG&E
C P
PERMIT EXPIRES
OWNER"
Rufus Casey
�ALED o --/
owner
`PONTR.
(Signature)
ILOCATIOW(A.P.
24-01-80
tk
W/S Gilstrap Rd., 400'S.of Archer Ave.,
Gridley
.V
Temp. Power Pole
Called PGd
Temp. Elec/S.,,,. TO
Of. & E
Calle PG
11 ?s
Temp. a Serv.
�Ied
4
PG&E
C P
�ALED o --/
(Date)
0.
14
(Signature)
.V
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CO 0. CE WITH CU ENE GY CONSERVATION REGULATIONS
AT Li
(locatio )
BU ILD ING PERMIT NO. 0 (, - F Z) t A : P . - NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls
Floors IWA
Walls
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.. �t
WEATHERSTRIPPED DRS. A,
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICF� _
CERT. APPLIANCES t/
C
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 CER,Wq AS SUBMITTED.
Insulation Applicator Name
Signature of
(please print)
Insulation Applicator
General Contractor/Owner Name
Signature of
General Contractor/Owner
State Contractors
License No.
(please print)
Date_
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
Setback
Main Bldg.
Footings
StemwaI l
Slab
Piers
Garage
Footings
Stemwa l l
Slab
Carport
Footings
Slab
Patio
Footi nas
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING
31-R-0 Firewall
Parapets
Restroom Finish
Windows -,0
Roof Sheathing
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physically
handicaooedy .
Conformance of ex.
Foot
FIREP
'd)
Soil Piping
1st Floor
2nd Floor
3rd Floor
To out
Water PI in(
Sewer
Fixtures
Water Htr.
LUMBING .
i
Appliances
Gas Piping & Tesl
Temp. Gas
Sanitation
Final
• "` EL
Rnunh
AL
Bond Beam FIRE SPRINKLERS ' Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch i Heating Service
Brown Cooling, Temp. Pole
Finish = Ducts Underground
Interior Lath Ventilation l Permanent
Door. Closer Final —6]—� Final
MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
/- rD
�-
3 �D
r
(NOTE: An entry mus a ade on this form ea -h ti,,m%e�y�ou�visit the j site.) y�� �
o
r
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive '- O,roviIIe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 2Date f —
Signature of�Peerrmitee our./Age t
Receipt No. Ty�U
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 -.7 ° �/
BUILDING
Owner C4
SQ. FT. OCC. BUILDING V&IdATION
dZ 0 0
Mai I i ng Address
la4
elephone No.
8 - 7
Contractor 6CV A.1L-_4`Z,
Mailing Address
Fireplace
Total Valuation /b 04/0
Telephone No.
Per '
p-
Building Address 6J �S P /� Qr) '6/0
IanCheckin Fee /or Penalty
13,
Permit Fee
t3 ,
PLUMBING
No.
@
FEE
PERMIT FILING FEE
$3.00
6,&0
Each Trap / .2,&1
o. po
/OCF
Repair drainage or vent piping 1.50
A. P. No.
Z,
Zoning& Planning
Water piping
o
2,0lld
Each gas water heater or vent 2160
Z"00
F es S 'it Fire Dept. Fire Zone, Use Permit
Parking Parcel
EQA Plans Declaration Parcel M 60' R/W I Improvements
Gas piping system 1 - 5 outlets 2160
-0,00
Each additional outlet .30
Building sewer 5.00
Bldg. Ploniislifec'd
I Parcel A rovol I
Plans A al
Lawn sprinkler system 2.00
NEW ❑ -ADDITION UTILITIES ❑ OTHER ❑
Permit Fee $
; r 0 d
$ //06
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE
$3.00
�(1a
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑• Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP S 'l
OR ADDNS. % ACC. BLDGS, 7i 20 sq ft /V r �d
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:
Y
NEW CONSTR / RANCH CI T
NON.RESI D, 1 BRANCH CI
12.50ea
NEW CONST. (POWER APPARATUS a
NON- R
RESID. `SINGLE OUTLET CIR.
EX. OCcuD(OUTLETS OR FIXTIIRES BAL@104
Ex. OCCU FIXED APPLNS. OR
P•�0UTLETs (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
-
® I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
13--06
l 00
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.
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 Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
ewSTiA36 (lvAC4, ll'C7¢�7G.
Cooling.
Ventilation
Hood 1 2.00
Permit Fee $
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.
Land Development Fee
$
TOTAL PERMIT FEE
$%Ug -
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X 2Date f —
Signature of�Peerrmitee our./Age t
Receipt No. Ty�U
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 -.7 ° �/
COUNTY OF BUTTE- DEPARTMENT OF
,REVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541,<'- PERM T o
Ger`
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
MRS TAMMITTRINE
TELEPHONE
846-6030
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAIUNG ADDRESS
CONTRACTOR'S NAME
NORTH VALLEY FLEMIC
TELEPHONE '
846-2081
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
$ 20.00
—FilingFee
Permit Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan CheckingFee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF TMJ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pumpwater heater
23.00
Water piping
15.00
Each as water heater or vent
15.00,
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe Work: UPGRADE ELEC WIRING
Gaspipingsystem 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home IS GI W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ( iuon OR LESS.
s
23.00
LICENSED CONTRACTOR'S DECLARATION
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. / J
License Class Lic. No. r fig
OWNER -BUILDER DECL RATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( To
46.00
CCU000A
WEL200A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BUDS.
SO
3.50FT.
NONNEW-RESIDTCONS BRANMULTCH CIRCUITS,E
@7.50
POWER APPARATUS
8 SINGLE OUTLET S
EX. Occup. OUTLET OR FIXTURES
20 @ I.00
�L @ .so
Ex. Occup.OUTLETS RES D.ED APPLNS. OEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE
$ 43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier ' ", i - r~ A4
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number �.- �� ri' i
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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.
` j � 1
X ;y 1 lL _ {_ Date D L/ ` Cj�
Signature of plicant -� OwneL-0 Contractor ❑ Agent
An OSHA permit is required excavations over 5'0" deep and demolition or construction
quired for
structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
SUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
/
/
By .,, , i� «..-
r r
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No. 2 3619
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVEL:*QMENTSERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Cal'ikirnia 95965 - Telephone (916) 538-7541v PERMIT No)
(Rev.12/96) APPLICATION AND PERMIT D or 5 /�
ASSESSOR PARCEL NUMBER '
24—n1-o-ns
ZONING
BUILDING PERMIT
OWNER
MRS TAMBOURINE
TELEPHON
RzLA_A01AC[
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1411 GTISTRAP- Glp? LEY
CONTRACTOR'S NAME
7�r��� `' �+�
NORTH V..tl.l.il.EY__
TELEPHONE '
—
.
CONTRACTOR'S MAILING ADDRESS
$()X 911
(�'PTDI_Ry 95948
1
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee
$ 20.00
—Filing
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
141133 —GIL RA��—ARID
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other I
Describe Work: UPGRADE ELEC WIRING
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
-
Main Service ioonOR.ss
23.00
LICENSED CONTRACTOR'S DECLARATION
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. / /
License Class LIC. NO. `�.�r��lP C�
OWNER -BUILDER DECL RATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insuran�g carrier and policy number are:
Carrier L — i"
Main Service ( TO
46.00
CCU000A
NEW CONST. DWEWNG OCCUP,
DWE200ALLING
OR Aoo"s. ( 8 ACC. BUDS.
SO
3.5¢x'
r",o R SPOT BRANCTH CUTLET
97,50
POWER APPARATUS
8 SINGLE OIJILET CIR.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 Q 1.00
@ .50
Ex. Occup. OUTELETS RESID.) OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
PERMIT FEE
$ 43.00
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number -(> Q Q' -2, 1 S— 3 Y "7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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.
X Date L/
Signa re ofplicant - wn� Contractor ❑ Agent
An OSHA permit is requir for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
FES IMP
I FLOOD
I CDF
PARCEL
PD
HD
I ISSUE
X
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date Q
D to
Receipt No. X69 /L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'NOTES RESIDENTIAL �
'024-010-080 01-1006
TAMBOURINE, ANGELO
1413 GILLSTRAP GRIDLEY
CONT: H H CUSTOM BUILDING
GARAGE-,
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB=STANDARD HOUSING LETTER
u
e
JOB FINALED (D
Signature
f
r
i
i
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB=STANDARD HOUSING LETTER
u
e
JOB FINALED (D
Signature
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
. ' County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 ^�DNO.
(Rev. 12/96) , APPLICATION AND PERMITT-
ASSESSOR PARCEL NUMBER
024-010-080
ZONING
A 1;
BUILDING PERMIT
OWNER n �aM
TELEPHONE
SO. OCC. BUILDING
VALUATION
pFr.
O 0 U 8,640.00
.OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAKING ADDRESS
4341, 9 BLEY 95948
CONSTRUCTION LEND
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $ 6,640.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
108.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
7090
BUILDINGADDRESS
1413 GILSTRAP GRIDLEY
Energy Plan Checking Fee $
$
PERMIT FEE s
198.20
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 1 20.00
USEOFSTRUCTURE
SF Ck Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IQ
Describe Work: GARAGE, 20X94
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
CG?20.00
PERMIT FEE S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noon oa Io0
23.00
LICENSED CONTRACTOR'S DECLARATION
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 l force and effect. (� Q
License Class p LIC. NO. `' Z- Z—
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. usiness and Professions Code for this
reason 1 r � ' � _�/
WORKERS' COMPENSATION DECLATIMON
1 herebbY 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 workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is Issued.
My workers' coensation insurance rier nd policy number are:
Carrier "-
Mein Service 200A TO 1000A
46.00NEW
CONST. DWENG OCCUP.
OR ADDNS. ( a ACwC. S.
s0
3.5¢FT.
,,Dµp�IpT MULTI.OUTIEr
@7.50
aPs NWG�LE o � US
Occup. OUTLET OR FonuRES
20 @ ':00
Ex. Occup.. OPLIT>Ers R. DDE.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt S
Policy Number - Con
(rhe above sections need 'notobe completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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 omply with thoseZrovisions.
X _ DateX-�'_
Signa ur of Applicant - ❑ OwnerContractor ❑ Agent
An OSHA permit is required for excava ' and demolition or construction
of structures over 3 stories in heig .
Mobile Home Installation Fee $
Energy Inspection Fee $
cTOTAL
FEE $ 198.20
�%
D Es I
P EL
H Iss
This permit is hereby issued under the applicable provisions
of the Butte County C de and/or Resolutions to do work
indicated ab ve ch fees have been paid.
By Date
PERMIT EXPIRES ON
ate
Receipt No. y
WHITE-D.D.S.-B.D. CANARY -ASSES O PINK -I TOR GOLDENROD -APPLICANT
W COUN,7 Y OF BUTTE --DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965. TELEPHONE (530) 538-7541
` PERMIT APPLICATION DATA SKEET
OWNER: ASSESSOR PARC NUMBER. D
Proposed Building Use: Building Inspector: Date:
At time of permit application, I was advised the following data must a submitted prior to permit processing and/or issuance:
Date Received By
❑ 1. All iiems have been submitted .----------------------------------------------------------------------------
lot plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------
omplete plans, 3/4 sets, signed by the preparer of plans. ---------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
06. Energy Design Compliance and supporting documentation.
❑ 7. Statement of Intent for Non -Heated andA/C Buildings. ----
❑ 8. Hazardous Material Form. -------------------- ----------------
09.
----------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications.-------- .---------
❑ 10. Fees of $-------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------
❑ 12. California Department of Forestry plan apprgval/fees.
❑ 3. Flood elevation certificate. -, ------
. Sanitation and plot plan approval
❑ 15. City of Chico plumbing permit. --
Department.
❑ 16. Plot plan and business license approval from the City of Biggs.
❑ 17. Planning approval for (A) Use: (B) Parking:
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
1:120. Pre -inspection for
required Request to Building Inspector on
021. Contractor's license information. (Number, Name Style, Classification).
❑ 22. Workers' Compensation carrier and policy number. -----------------------
E123. Owner -Builder Verification (Given to owner ❑, Mailed to owner ❑). -
024. Letter of signature authorization. ------------------------------
❑ 25. Recorded copy of Agricultural Acknowledgment Statement.
1126. Letter of intent on building use. --------------------------------
❑ 27. Manufactured Home utility clearance. -------------------------
❑28. Existing violations and/or expired permits. -------------------
❑9. 0433 JO& DeHl�101 H
30. Other:
t
(Date)
o..
Whe you issu e p fo717
follows ❑ Mailto owner , ❑,�],�Jai�/t/,g�mr,
> :'
1#el hone and hold for pickup at l�%W ce. ❑ Deliver with inspector.
Annlicant: �-t:( moi- C�ate✓J 5r- � a
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Departm`en ,
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other:
Date: By:
1. Index permit application for the above items numbered: []Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by o phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transferiby: Date:
Yellow Copy - Department of Development Services, Building Division.
%ow%pii r i yr ov i I t - UtPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-75 1
(Rev. 12/96) APPLICATION AND PERMIT MIT N0.
ASSESSORPMCEL NUMBet► �� � / %� 20NNG
BUILDING PERMIT
OWNER
_---.
coNrRAc»�I�' /
CONSTRUCTION LENDER "
LENDER'S "UNG ADDRESS
AACNRECT OR ENGINEER
ARCNTECT OR ENGINEERS MATUNG ADDRESS
BUILDING ADDRESS / / I — ,
LOTNO. I SUBONISIDN8NAME
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
BPWIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑�Utipliitie�s}❑ installation ❑ Other ❑
Describe Work: (� / 1
*PERMIT FEE PAID
SRA •- �
SHERIFF s
OTHER s
s
AMOUNT RECEIVED ;
*RECEIPT NUMBER ✓� ��
" TO BE PUT INTO COMPUTER
C
Total Valuatlon
Fling Fee
Permit Fee
Plan Checking F
Energy Plan Chl
PLUMBI
Each Trap
Solar or hent G
Water piping
Each gas Ovate
Gas piping sys
Building sewer
Mobile Home
b 0WCr
b
b
S
Ling Fee b
b
PERMIT FEE b
PERMIT
water
heater or vent
m 1 - 5 outlets
TION
7.00
23.00
15.00
X15.0000
�T .00
15.00
W20.00
20.00
20.00
—
PERMIT FEE S
ELECTRICAL PERMIT Flln Fee 20.00
Main Service 000Y OR LESS
200A OR LESS 23.00
Main .Service 200A TO 1000A 48.00
NEW CONST. DWELLING OCCUP.
OR ADONB. i ACC. BIDS, 3.5NEW¢`STO.
'NST. MULTI.OUTLET
NON-RESIO. (P7.50
POWER APPARATUS
6 SINQLE OURET CI0.
Ex. Occup. OUTLET OR FIXTURES 20 W I•00
I
BALa .30
Ex. )ccu
I
.o�D 10. EA 5.00
I
I
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
IT FEE b
�M�E�C�HANICALMIT Fling Fee 20.00
F.. ..
so
IPERMIT FEt: t
Mobile Home Installation Fee b
Energy Inspection Fee b
OCC CONST. TYPE
TOTAL FEE $
D. FEESI IMP I FLOOD I CCF PARCEL I PO 65.E
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.
By
PERMIT EXPIRES ON
Date
E.H. SE ONLY
Plot Plan Attach
Floor Plan Attayho
Sant to B.D.
s TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Wel\
Clearance for dwelling. Other 26x Z� C A (L RC
Hold final for:
Final clearance O.K. for:
NOTE:
Environmental Health Specialist Date
8/96
oJ1�/
APPROVED
Butte County
cnvironmental Health
D to
Signature
FLOOR PIAN
BRACED WALL PANEL
i
w o• 6 -lb- iii IPA—Tcnep SIDIN
O
O
BRACED WALL PANEL
5/8 8" O.C. Dl--IRA-TEMP SIDING
e�n�wTe
C9
1 164 7' SEC rInNAL DOOR
BRACED WALL PAN
S!g 8' O.C. D! JRA -TEMP SIDING
�
i
1
1
�
CL
1Z6
Qm O` 1
> ni
'
1
sA
x
w �
FOUNDATION PLAN
LAN
�
Vs
' 12 x 12 FOOTING
a
•6x6x 10x 10REMESH
' MY REBAR 2 RUNS
x 10° FDT BOLTS 6' O.C.
AND NO MORE THAN 9"
FROM PLATE ENDS OR USE
SIMPSON MAS FDT ANCHORS
31/2" X 131/2" GLUE LAM
BRACED WALL PANEL
5/8 8" O.C. Dl--IRA-TEMP SIDING
e�n�wTe
C9
1 164 7' SEC rInNAL DOOR
BRACED WALL PAN
S!g 8' O.C. D! JRA -TEMP SIDING
♦ N
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BRACED WALL PANEL
BRACED WALL PANEL
5/8 8" O.C. DURA -TEMP SIDING
I - 164. r SECTIONAL DOOR . I
BRACED WALL PANED
s!e 8" O.C. DUR.A-TEMP SIDIN
W
0
s
r
"
FOUNDATION DATI O
N PLAN
V■�w
•7a./ 1a
• 12 x 12 FOOTING
•6x6xlox 10REMESH
ro
• I/2 REBAR 2 RUNS
1/2" x 10" FDT BOLTS 6- O.C.
AND NO MORE THAN 9"
FROM PLATE ENDS OR USE
SIMPSON MAS FDT ANCHORS
31/2"X131/2" GLUE LAM
BRACED WALL PANEL
5/8 8" O.C. DURA -TEMP SIDING
I - 164. r SECTIONAL DOOR . I
BRACED WALL PANED
s!e 8" O.C. DUR.A-TEMP SIDIN
:t . •;; ;; ; '. .A. ..•,h • � ; ►tee. 1,,i• ,'•, � ... �
rl40
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ft
40,
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1., 'lir` r•,,1'r •'• •• r.'•� •f •U x•1.4 1' ., ,,. �l'�11••,' 1. l! �,:�.•h t �.''��
.!'��t���'�t�ll�:,r*`lir•;1. f1'N:Gt'�,).r•.•t f•,} 3t1
ROOF PLAN
2„X x
2” X 6" RAFTERS 24" O.C.
2" X 4" OUTRIGGERS
24" O.C. AT BOTH
GABLE ENDS
I
I I
►
x 41 ee "q"
S 1AGGuRED iN
( 10# 36fl ELT
I I 20 YR C SSA RO 04
I �
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� (`�I I
� I ► I I I
1 I
I
IN�
1
1
1
7/16 OSB SHEETING
STAGGERED
15# 36" FELT
20 YR CLASS A ROOFING
,II
SID PANEL
1 x 3 RESAWN TRIM
I
�I
0� /
7/16 OSB SHEETING
STAGGERED
15# 36" FELT
20 YR CLASS A ROOFING
IT11.1I
AP�A
- I 16' X T SECTIONAL DOOR
x 3 RE I
SAWN TRIM I
7/16 OSB SHEETING t�
STAGGERED
15# 36". FELT
20 YR CLASS A ROO
f 1
f
NZP�gL o
1 x 3 RESAWN TRAM
{ I I k
7/16 OSB SHEETING
STAGGERED
15# 36" FELT
OFING
. eta,�
P���
�SgwN "MIM I
13
MLP
c �fi
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.1
;i
COUNTY OF BUTTER;
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT"SERVICES
411 Main Street • Chico; CA • (530) 891-2751
7 County Center Drive • Oroville, CA- (530) 538-7541
x
f 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 notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,.
please contact this office immediately.
66 A- 114 U S ( N . '
f'
y�
`f
...
-11
` 7 9
t
1 •: a
e4
I
Date J
Inspector
REV 10/92
V= OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
1.
2.
Soils; Special MH Support Sketch
2.
3.
Sewer; Location -Test -Fall -C/O -Concrete
3.
4.
Water; Location -Test -Easement Needed (Sketch)
4.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
5.
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ P Nat. or / /"L"ft./ PLPG
6.
7.
Well Clearance & Disconnect
7.
8.
Utility Clearance
8.
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
Date
Plumb.; Cir. Test -Water Supply Test
Card B-1 Date Card B-1
Date
Light Niche
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
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.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS,COV HiPORTS GARAGES (Plans) OK except #'s
ng Requirements -Setbacks -Easements
47 Footings; Soils -Size -Depth -Spacing -Connectors -Steel
AI P 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
Wig. Sills -Anchors- Studs. Rftrs-Trusses
g; Nailing -Veneer -Stucco -Mesh
Steps -Doors -L
3d Wall Panels
Date
Date
Card B-1 Date Card B-1
Card B-1 Date Card B-1
Date
FINAL (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, Distance-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- Panelboards-Ins. to Main in Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
V = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (%c
Date
Underfloor (Plans) OK except #'s
Hangers -Post Caps -Anchors -Connectors
1.
Zoning -Setbacks -Easements -Flood -Slope
Cling. Joist-Rftr. Ties-Purlin-Roft Brac.-Truss -Shting.-Rfng.
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Fig. Depth
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
5.
Stemwalls, Main; Steel- Blockouts-Wrapped
Garage Fire Protection Framing
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
Property Line Firewall & Openings
6a.
Hold Downs and Special Anchors
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
7.
Slab, Steel -Wrapped
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
8.
Piers -Fireplace Ftg.-Steel
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Siding -Nailing Veneer
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
11.
Water Pipe; Test -Anchors -Regulator -Service Test
Glazing Area -Glass Protection -Skylights -Plastic
12.
Electric Underground
Shear Walls; Nailing -Bolts
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Brace Interior/Exterior Wall Panels
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Insulation -Walls -Ceilings
15.
Access & Ventilation
Infiltration -Walls -Windows
16.
Insulation
Date
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
17.
Water Htr.; Vent -Access -Combustion Air Baffle
Smoke Detector
18.
Water Pipe; Test & Anchor -Nail Protection
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
19
D.W.V.; Test Fittings & Anchor -Nail Protection
Bedroom Exiting
20.
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access -Spa
21.
Test Tub & Shower, Second Floor -Tub Access
Elec. Trim & Subpanel, Breaker Sizes & Labels
22.
Gas Pipe; Sixe & Anchors
Stairs & Rails
70.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Elec. Outlets & Receptacles at Kit. Counter
23.
Fixture & Transformer Clearance -Ins. Protection
Garage Fire Door; Swing -Landing -Closure
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
A.C. Duct in Garage -Damper
25.
Size Boxes & No. of Conductors Stapled
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Romex Installed Close to Edge of Studs & C.J.
Plb., Elec. & Mech. Equip. Listed for Location
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Insulation -Foam -Looked in Attic
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
Guard Rails & Deck Construction -Post Caps
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral I] Yes O No
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Service -Riser Conductors & Ground Main Disconnect
Clearance Looked under Floor O Yes
32.
Equip. Clearances Panels-Motors-Mech. Equip.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters D Yes J No
33.
Clothes Closet Light -Shower Light -Spa Light
Stucco Brown -Finish
34.
Smoke Detector
A.C. Unit Disconnect, Electrical -Plumbing
85.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
Ventilation Throughout House
35.
A.C. Ducts Insulation & Support
Glass Protection
36.
Vent Fan, Exhaust above insulation
Corrections from Previous Inspections
37.
Condensate Drain & Overflow, Size & Grade
Gas Test -Meters Tagged, Gas -Electric
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
Water & Sewer Connected -C/O to Grade -HD Approval
39.
Attic Access & Platform if Furnace in Attic
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Date
Card B-1 Date Card B-1
Date
Date
Card B-1 Date Card B-1
Date
Date
FRAMING (Permit) OK except #'s
Card B-1 Date Card B-1
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
jingle & Duplex)
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purlin-Roft Brac.-Truss -Shting.-Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60.
Brace Interior/Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext. Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73.
Elec. Outlets & Receptacles at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard Rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor O Yes
82.
Following Instld./Drive J Yes J No/Walks J Yes J No/Planters D Yes J No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throughout House
89.
Glass Protection
90.
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
94.
Address Posted
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final: