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