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HomeMy WebLinkAbout024-090-03224-09-32 Jack Presley � 6 1 3 SIS O'Brien Ave., app 300'E of Gil6trap, Gridley Permit #3775-79P,E(L1ti1.,MH),j ELEC. 11 w 6 -a-f-w a"q lao,4mo GAS_�"- f - 70 W,,qt '/ 11 44 1 * SUPPORT STRUCTURE HQ.—kcib COMPACTION TST REQ. --h4 24-09-32 VC10 t4�Pentwood MH, Chico Permit#1475-POMH� Issued_ --2/,,2 Permit #259-81B(new open deck/MH) -Z 1 21ig/ f I PHARROCK, Victor 4324B 3444P 324-55P � 24-09-j2 �A, 11 - . s1s O'Brien Ave 2nd house E Gils rap Avenr Gridley (repairs) -73 0 - j, -- ! .r �I+� �k 144 7S, - eb v 3775-.79P,E. PERMIT NO. PERMIT EXPIRES 1"OWNER Jack Presley owner CONTR. LOCATION (A.P. 24-09-32 S/S O'Brien, app.300' E.of Gilstrap,Gridley Temp. Powv, Pole Calle PG&E Temp. E-1,ec. Serv. Cal1ed PG&E TeWGas Serv. ailed PG&E (.0 OB FINALED-5—?/"'? (Date) �Signature)— COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) J PLUMBING S'ktback Fire'vall So1hpiping FoVs Parapkts 1skFloor Mbjn Bldg. Restroolg Finish 2ndxloor Notings WindowsN 3rd Fkor Stc)6wa I I Siding Topout \ Slab\ Roof Sheath6 Water PIpInNJ PierA Rooting Sewer Garage A Fdn. Vents Fixtures Footings\ Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport Prov. for p� sicall handicappe.1 V Conformance of ex -A Appliances Gas PI -1-- 2- Test N Footings structure Temp. as Slab Final Sanitation Patio / FIREP. CIE Final Footings Footinq EACTRIC�6 Masonry Walls Throat Rough ReInf. Steel Final Fixture Bond BeaV FIRE SPRINKLERk Motors Framing / Watar I - Mesh / - x MECHANICAL Scraj(h Heaing Br9(Vn Colhng Ish D cts rior Lath entilation oor Closer F I rnal MOSILEHOME UTILITIES ------------------ Elec- Service On 521 Water Piping 6 , aq�,:22; " Sewer 'o— -f I =1 E OME INSTALLATION ------- f ------- Support Water Piping -:�; 9" Drainag DATE EMARKS OR CORRECTIONS- Grd. Faqft Prot. Service/ Teg(0. Pole Vderground ermanent Elec. Pedestal/170,4 Gas Piping /,;( / / 1, Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) I? Ed 7 7 9. Electrical '(must equal rating' bf, A. Is service large enough to provide,adequa6a amperage -to mobilehomd mobilehome with a minimum of 100 amp) and o�her facilities on lot," i.e.:, water-PUMPF11 garage, cabana, etc.? Yes No B. Is there proper 'clearances around panels? Yes No C. Is power supply Cord or feeder assembly properly fused? Yes— No— D. Is continuity . test satisfactory as per the following procedure? Yes— No 1. De -energize electrical wiring system -of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobile�ame supply conductor, including neutral. 5 All non-current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6. Upon completion of the above procedure, the power supply cord or feeder assembly conductors shall be connected to t�e'site service equipment. A further continuity test shall then be made between thegrounding electrode and the chassis of the mobilehome. Upon satisfactory, completion of theelectrical tests, the lot or site service equipment may be approved,for energizing. 10'. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBILEHOME DATA Manufacturer and/or Namestyle AA L L $19 Jse Length. Width Vehicle Serial No'. State Identification No. i2;aj Additional Information or Comments: MOBILEHOME INSTALLATION INSPECTION CHECK LIST I.- Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes— No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes— No - 3. Ate footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes_ No 5. If more than a single unit, are crossover connections.properly installed? (Sec. 5088) Yes— No - 6.. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes— No B. Test Does water piping withstand working pressure or 50 lbs. air test? Yes No C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes— No. B. Does it have minimum i4" per foot slope and is it properly supported? Yes— No C.' Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No D. If coach is not State of Californiaapproved, does station have required trap and vent? Yes— No 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line ihI.et without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes — No . 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop� 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water.. C. Are all appliance vents properly installed? Yes No. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the =ement.s of the California Administrative Code, Title 25, �Chapter,51 'permit number- for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date By THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE' DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville Phone 534-4541 Skyway and Elliott Road, Paradise Phone 877-3435 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 question pertaining to this matter, or need additional explanation, please contact this office immediately. (Wrl W®r T -A MILO, C06NTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-.4541 suf APPLICATION AND PERMIT A LI -1 RecetV(No. White-D.P.W. — Yellow-Assesso'r— Pink -Inspector — Goldenrod-Appliccnt 113thering permit expires Date BUILDING fit( Owner Uzi eg Be)�5_4Z--v SQ. FT. OCC. BUILDING ViCOATION Mailing Address <�ixz z2ZAt:y Contractor Mai I ing Address Fireplace I Total Valuat ion Telephone No. Permit Fee Building Address I R 515 oy �W AV-Pl-- Plan Checking Fee &/or Penalty Permit Fee $ $ 91 109 P PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 S,,qe� Each TraD 1.50 R _J, epai r drai nage or vent pi pi ng 1.50 A. P. No. oning & nning Water piping 1.50 0 Each gas water heater or vent 1. 50V n FireDept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 149,6C) EQA arking I PPians Par6ei Declaration I Parcel Map 60' R/W L I Improvements Each additional outlet .30 Building sewer 5.00 .11-90 Bldg. P14;�_R_.ed ----I Approva Plans Approval Lawn sprinkler system 2.00 _to., NEW ADDITION UTILITIESX OTHER Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 a -,,PO Main service 600V OR L ESS 5.00 5-0e> 100 AMP OR LESS Single Family Duplex Mobil Homeff Others Main service EA. ADD'L 100 AMP 2.50 -2, 111R 600V main service 100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OCCU P - '1) 20 sq ft OR ADONS * ACC.BLDGS. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR. (MULTI -OUTLET NON-RESID. BRANCH CIRCUITS)i 12.50ea NEW CONSTR. (POWER APPARATUS 5 NON . RESID. SINGLE OUTLET CIA.'�_ Ex. Occuo(OUTLETS OR FIXTI[RES 50 @ 25t BAL@10$ FIXED APPLNF.' OR Ex. Occup. (OUTLETS (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 $ MECHANICAL No. Q _EE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. E] I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 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 the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $__7_ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. r X Date at e of Pe4niteVPeTX.nt_ Ul--,. I ��L Land Development Fee TOTAL PERMIT FEE $ 1 /7 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. DIRECTOR 109= PUBLIC WORKS I By —Date IL7-7-79 RecetV(No. White-D.P.W. — Yellow-Assesso'r— Pink -Inspector — Goldenrod-Appliccnt 113thering permit expires Date Mai I Ing Address Contractor L�f, Mailing Address r, h 111�16<� 1, Building Address, COUNTY OF BUTTE '— DEPAFATIVIENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 Telepho;ne: 534-4541 APPLICATION AND PERMIT Alt' ephone No. ne N r, CP7 4- IP02oninq & Planni r" wrc. I -&�n I FireDept. I FireZone I Use Permit EQA IParking I Parcel Parcel Map 60' R/W Improvernents Plans I Declaration B I d g. P 4f.-IR..'d I 4fr<al P14,e �ppro,,.l NEW ADDITION UTILITIES OTHER Pg 1� offdf-S 77S. Single Family Duplex Mobil'Home (Z Others El CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code nder the name style of: gn�_� License No.,Q:Zr_Z_5:n� - Classification C�4� / — E) I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions ot Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. n,i'have Placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. E] 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. 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. AK Date *ge>-) --*' SignAure of Permitee or Agent ReceiptNo. �r4coo / 15_u6c) - White-D.P.W. - Y 4w# - C --V/ Pin4nf.'jF(9j.&Qd-App1i can t BUILDING SQ. FT. � OCC. I BUILDING VALUATION Fireplace I i I Total Valuation Permit Fee PlanChecking Fee&/orPenalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system Permit Fee ELECTRICAL PERMIT FILING FEE main service 110V OR LESS 100 AMP OR LESS Main service EA. ADD -L 100 AMP main service OVER 100 AM6P000VR LESS Main service EA. ADD -L 100 AMP NEW CONST. I OR ADDNS. IL DWELLING OCE—U—P. S ACC.BLDGS. NEW_CONSTR. .nw RF-qln (MULTI.OUTCET BRANCH CIRCUITS $3.00 1.50 1.50 1.50 1.50 1.50 .30 5.00 2.00 5.00 2.50 25.00 1.00 10 so ft FEE FEE Ex. OCCUDJOUTLETS OR FIXTIJRES (FIXED APPLN�. OR Ex. Occup. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No. @ PERMIT FILING FEE $3.00 Heating I Venti I ati - on I I I - Hood 1 1 2.001 Permit Fee t -$ Land Development Fee/#1/__P/J__ $ TOTAL PERMIT �EE This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated abovsAqwhich fe s have been paid. D F,2c-�TF PUaLIC WORKS y Date43 C:) Building permit expires Date MOBILEHOME SUPPORT -DATA If other than single wide furnish Setup Model No. Year Mobile6me i4fr. Width,r9 ati) Box Len , gt (ft.). (SHOW SUPPORT DETAILS BELOW) On all moBiie�ornes mdnuiactured after October 7,11§73,, furnish manufacturer's installation ifianual 'arid structural setup sheets (if not on file'�with the County of Butte)� i I All centekisbpports meagiiked from ftobt.of mobilehome unless otherwise specified. (ft.)(in;) (in.) (in.) Center support Center support locations* footing sizes ( in. ) FT7, 9 (ft.)(in.) (in.) (in.) (ft.)(in.) (in.) (in.) . - X q ?,3 7 (ft.)(in.) (in.) (in.) 71 Fq- IF, 7- 1 (in.), (in.) :ft�, 3 Z-,71 D C� 4 �, &-,2 Single Footings (check onle) P --,--.-"Wood either pressure treated or foundation grade. 0 2. Other (specify) Supports (check one) M--f�iconcrete bloc - k. [] 2. Other (specify) ragalong or Expando, show support details. 12­xSC)j Typical Support in. ) ( in. Footing Size — Max. Pier Spacing (ft.)(in.) ftj-Cin.) 14- -7 3 Y6 COUNK 0 UT BUILDING DEPARTMP-NI APPROVED *If center piers are other than drawn above, draw in -locations, spacing, and dimensions. -- Max. Overhang 1. owner's name:, 2. Installer's na BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLAION SHEET 3. Is the site currently under permit? Yes No (If yes, furnish permit number OR Is the site an existing site?. Ye S__� No (If yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of all setbacks and easements? Yes ,7� No (If no, clarify 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to be served by the mobilehome site service? --------------------------------------------------- Yes No 124 (If yes, identify the load and size:. (Load) (Amps) 9. What is the,mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas service? ----------------------------- Natural W LPG 11. What is the gas pipe length from meter or tank the mobilehpme? -(ft.) TU) 12. What is the mobilehome gas demand? (This information not required if pipe length less than 6 ft- . on natural gas or less than 50 ft. on LPG.) A_ J14, N, a s MUST 1'e Tks se+ of,' Oc n� a4s��ific �i :. AWfj kO it iu,_ " —, 3 0 le P11 qn �s 010. d1forptiolln., dn�sdnielw enf of Pu Ic 6 O'Parfm 1i iff en permissi n fron� e S`6011 Be in I �1/ � Z, �01"Uwor_Lm ns I 3—Acr-41-1 11 1,ecognized G d Prac . I Acc r ancer with use in the of .4 q ality� prescr bed for the Spec4ied crianical Codes nd Uni r Building. R b- 9 &Me tjj JcTlTode. the' ational Elec 7" d 40 t L< A�11 UfLify connec fions shail 6COfed v4fk . A v1sid- f1h,90% -------- +hlrcf section"'of'46 6o6ile- h V . . . 6if mo6if an fhe left (road) A e of the home. SGOIC Sys ',em\a 9� loca4 n Ot 6W.1j. inq drain, st+' t to 9 as per L T u Buffer -Courdy�- �4�al+- ept--Ra.; fs. quiremen -16 A 7 L_L___ �4--- from the The ir..Sef6ack sha I be 5 ft. eide erty line an 1 :50 ft. from- tho- ­_... .___P ' P_ . I i — c te%� e t�_eiiia, ;rnclxl- n er ic permitting ' a fla 2 ft. eave ovarhang but entirely. 1311 easements. 7 7 S"', - 4J -5 E C - 0 U N T -Y BUILDING DEPARTMENT APPROVED�/, i ( 3,0) '. r 259-81B -N A -PERMIT NO PERMIT EXPIRES - OWNER Sack Presley CONTR. owner - ASSESSOR PARCEL 24-09-32 LOCATION SIS O'Brien Ave., app.300'E.of Gilstnp, Gridley Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E - Temp. Gas Service CalledPG&E JOB 4ALED (Date) Zf) aolg Signature I/ = OK 0 = Not OK - = NotApplicable MOBILEHOMES =.Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date Aong*,"Zoning DECKS ,,COVERS, CARPORTS, ETC. (Plans) OK except #'s Requirements -Setbacks -Easements 2. ��tings; Size -Depth -Spacing -Connectors ' 3. Sewer; Location -Test -Fall -C/0 -Concrete Al"Pecks; Girder$ and/or Joists-Dexj,�-Bra���t WRaes' 4. Water; L ocat i on- 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; Locatiorv--Test-Wrap:/ /" L"ft./ P' Nat. or/ L"ft./ LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Can:1-BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI el?%:> Date /0 ,:L0-k/Card-Bl Date Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date POOLS (Plans) OK except #'s 1. Se tbac ks- 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-Regulwor-Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc I osures- Pane lboards- I ni. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except#'s Date FRAMING (Contirued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One X -Check Garage -3rd story, 2 exits 3. 4. Ftg., Garage; Scils-Steel- / /" Ftg. Depth Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 50. 51. Stairs; Width -Headroom -R ise-Run-Landi ng -F ire Protection Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection-Skyl ights-P last ic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test 11 . Electric; Underground 12 . Plenums & Ducts; Clearance -Material -Support -ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Card -BI 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 #'s 56. Ext. Steps -Door & Sidelight Protect ion -Land ings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent- Access -Combust ion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - 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 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth Card -BI Date Card -BI Date 64. Elec. Outlets at Wood Panel; Int. & Ext, 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -61 Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL (Perrr.it) OK except #'s 67. G arage Fire Door; Swing-Landi ng -C loser 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins, Protection Elec. Receptacles Spacing -Lights & Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 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. 24. Equip. Ground made up w/Mech. Fasteners- Bond Gas & Water 72. 1 nsu lat ion -Foam- Looked in Attic [_1 Yes 73. Guard Rails & Deck Construct i on- Post Caps 25. 2 Appliance Circuits in Kitchen & Conductor Size 74. Fdn. vents & crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor L1 Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or Al 27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or At, Insulated Neutral DYes []No 75. Following instid.: Drive E) Yes E) No: Walks Ej Yes 0 No; Planters D Yes 0 No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Pane I s-Motors-Mec h. 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 Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Date MECHANICAL (PerTrit) OK except #'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. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -1115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -81 Date Card -BI Date Card -BI Date Card -BI Date Card -131 Date Date FRAMING(Plans) OK except #'s Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Aalls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing ___41. 42. 43. 44. -45. Hangers- Poii­d-ap s--Anchors-Connectors Cing. Joist-_FiFtr._ Ties--Purlin- Roof Brac. -Truss-Shthn.q.-Rfng. F replace ies or i- - __ f__�ype A Flue -Fireplace Throat Attic Access; Size & Romex Protect ion -Draft Stop -Ins. Baffles 4_6.___d_drm.Wind_o;_�­or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: Anentry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO I 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 C�_�4v — APPLICATION AND PERMIT ?/ AJ JIL ASSESSOR PARC -EL NUMB E R ZO ING k BUILDING PERMI?r;17 0 W '17) i TELEPHONE SQ.FT. OCC. BUILDING VALUATION 4NqV�-- OW WN R*SJIL:INt AE5DRESS_ 6� 4 ( -QA ONT'RACTOR'S NAME- T ELEPHONFZ 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 $ 1Q -0Q Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING )ZRESS, 73 ao, PLUMBING PERMIT FilingFee .10.00 L is Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF 0 DuplexEl MobilehomeGH'**"Other SPECIFY Building sewer Lawn sprinkler system L5.00 TYPE OF WORK New r-1 Addition P --*'Remodel [] Utilities[:] Instal lationEJ OtherEJ Describe work: 1)1-n-edej Permit Fie $ Contractor ELECTRICAL PERMIT Fi I ing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD -L 100 AMP 2-.50 NEW CONST. ( DWELLING OCCUP.01) OR A.DNS. ACC.BLOGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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. L License No. Classification 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) 1, 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 CON TR(PrUET1,OUTLET N 0 N . RESISD, BRA NC. 'RC. ITS) 2.50 ea N E W CONSTR. I POWER APPARATUS.&) NON-RESID. %SINGLE OUTLET CIR W @ 250 Ex. Occup(OUTLETS OR FIXTURES IBAL@10;� FIXED APPLNS OR Ex. OccuXUTLETS (RESI'D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facil'ities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Fi I ing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): F1 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 5-eonsent to Self -Insure. shall not employ any person in any manner so as to beccme 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 od 3.00 Venti lation + Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County ot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, in ,jepfj�a d keep harmless the County of Butte against liabi,�L,11 �* JudgTV t, costs and penses which may in any way accrue :gain sai e/qAnting Eounty'o c se nce f of this permit. X Date Sign 0 6/r I If Applican t) n.,V Col(tractor 0. Agent F-1 IF An 4 A permit is ryuired. f�a!r excavations over 5'0" deep and demolition or construct- ion . V.,tructures ON eight. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occup, r 'Roup I TYPE OF CONST, P A R C E L P 1) [,SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OF PUBLIC By_9��A7_ PEVft EXPIRES Date the applicable provi7 resolutions to do fees have been paid. WORKS Date Receipt No. U2 4�? L WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPLI CANT