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HomeMy WebLinkAbout027-140-007Q y' 27-14-7 Da a Prater W/S istrict Center Dr., app.50'S.of r' Grubbs d., Palermo Permit 77-80P,�-(util MH) ` /0' SUPPORT STRUCTURE REQ. 4U COMPACTION TEST RFQ. Oto �s` "Xk ' Contr : For�atar Mobile�/ od�lar ermit u 478-80MHI 'n��'-- 27-14-7 Richard Prater W/S District Center Dr , app.50'S.of ,..Grubbs Rd., Palermo Permit #58-$OB(ne decks/ MIS 10 PERMIT NO. PERMIT EXPIRES -21311P Dale Prater OWNER CONTR. owner ,LOCATION (A.P. W/S District Center Dr., app.50'S.of Grubbs Rd., Palermo Y i t 1 s Temp. Pow/eerZ.1. Called;PG&E Temp. Elec. Serv. 3 Called PG&E Temp Gas Serv. YCalled PG&E J 0 EBJOB � d FINALED Sj (Date) (Signatur v �1 .. MOBILEHOME INSTALLAt ION INSPECTION CHECK LIST 1. Is the mobilehome located with equired 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. Are footings and supports properly sized, spaced, and braced a�•r approved plans? (Note possible variation at'spring shackles.) (Sec. 82 & 5083) Yes No 4. Is the mobilehome level? (Sec. 5088) Yes No_ If more than a single unit, are crossover connections properly installed? (Sec. 5088) . Yes No— No 6. Water A. Is fle ble 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 o_ _.J 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? es'l/ No B. Does it have minimum 4" per foot -slope and is it properly supported? Ye No_ C. Are any leaks detected in drainage system after running 3- llons of water through each fixture including washing machine standpipe? .Yes_ No If coach is not State of California approved, does station have required trap and vent? . Yes No 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 no more than 6 ft. long? Note: All piping is to be at least as large as the mobileh a gas line inlet without reductions other than the mobilehome connector." Yes o 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, tur on gas, test connections with soapy water. i C. Are all appliance vents properly installed? Yes No_ 9. Electrical A. Is service large enough to provide adequate amperage to mobilehome'(must equal rate of mobilehome with a minimum of SAO amp) and other facilities'on lot, i.e., water pit, pp, garage, cabana, etc.? Yes_ No B. Is therero er clearances around panels? Yes_ �1o_ P P C. Is power supply cord or feeder assembly properly fused? Yes o 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 mobilehome 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 the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical 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 v� Length 6 Width /� Vehicle Serial No. S_T2_ State Identification No. 51 Additional Information or Comments: R Stucco I Final Sub anel ll Mesh MECHANICAL Grd. Fadit Prot. Scra HeatAg Servi Bron Cogfing T p. Pole F Ish D cts nder round In Nor Lath entilation Permanent door Closer Final Inal MOBILEHOME UTILITIES Elec_ Service er Elec. Pedestal Water Piping Sewer Gas Piping /C>— r ' �Ac ME INUALL TI N .... Support,. Elec. Continuity _ Water Piping b'a Drainage Gas Piping DATE REMARKS OR CORRECTIONS 16 If r 0-0 ,A— w,&V 4 LO (NOTE: An entry must be made this form each time yS4 visit the j. site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Se ck FI wall Ski Piping For Parajets 1 t Floor Mai Bldg. Restr m Finish 2n Floor Fo ins Windowk 3rd kioor Stem all Af Siding To out Slab Roof Sheathing Water Pi Piers Roofing X Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents N Insulation Water Htr. Heaters Slab Carport Footings Prov. for physical handica ed Conformance of ex. structure X Appliances Gas Piping &Test Temp. as Slab A Final Sanitation Patio FIRE ACE Final Footin s Footing ECTR AL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beaw if FIRE SPRINKI AS Motors Stucco I Final Sub anel ll Mesh MECHANICAL Grd. Fadit Prot. Scra HeatAg Servi Bron Cogfing T p. Pole F Ish D cts nder round In Nor Lath entilation Permanent door Closer Final Inal MOBILEHOME UTILITIES Elec_ Service er Elec. Pedestal Water Piping Sewer Gas Piping /C>— r ' �Ac ME INUALL TI N .... Support,. Elec. Continuity _ Water Piping b'a Drainage Gas Piping DATE REMARKS OR CORRECTIONS 16 If r 0-0 ,A— w,&V 4 LO (NOTE: An entry must be made this form each time yS4 visit the j. site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS i 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5; under permit number �� Y �'�� ci for the following location: - .1/ - Owner— Owner's Address -� �' ^ • f r'I f Mobilehome Mfg. t 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 F 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 RMION aNOTICE 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. Inspectod)R-'�- . Q Date r �� COUNTY OF BUTTE - DrEPARTMENT OF POBLIC'WORKS 01 Ir 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT P RMI NO 7LI�.� ASSESSORFA/RgL NU�.•1BER ►• -" ZONIIyG� !'� BUILDING PER ONR 111 � p2/t'r�n (._. /� -LING TELEPHONE SO. FT. OCC. BUIL NG VALUATION MAI ADDRESS cOWNER'S TOR'S NAME I VVI�CJ I •/e 140e, -V Mo t)(A• he IEI T /-�PY�/ / CONTRACTOR'S MAILINGADDRESSQ�(''/ ' (�}� [�`9 IZ2s UCe. V7. "A / s ,L�' `� ' g-7 • 6 OWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee M 11, $ /0.00 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BA11 D G ADDRES s N� 7_%zlC% CE7� DR. pp PLUMBING PERMIT Filing Fee 3.00 Each Trap 2.00 Repair drainage or vent piping 2.00 p19&e)e 0 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New❑ Addition[] Re��m}}odde�elO Ut',i taIIation er❑ Describework:_R] (/i� '3g7%'45 _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 1$o AMP OROR LESS5.00 Main service EA. ADD'L too AMP 2.50 NEW CONST.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft CONTRACTORS LICENSE LAW I declare rider penalty of perjury (Check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code an my license is in full force and effect. License No. Classification L—e!! ` ❑ 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 2.50 ea NON.RESID. BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES 50@@Q BALM FIXED APP LNS. OR Ex• Occup. (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 19�ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 Heating Cooling Hood 2.00 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 County of 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 li I 'es, judgments, costs, and expenses which may in any way accrue a st Eli unty in consequence of the granting of this permit. _ ��� Date Signature of Applicant — Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories/in hei ht. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEEQ,p0 occu P. GROUP I TYPE OF CONST. PARCEL PD HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC r By— PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date v i I Receipt No._Y(-F— WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE -COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive,-Oroville; CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. -.Owner's name:. Richard L. Prat 2. Installer's name: Four Star Mobile Modular Rome Sales 3. Is the site currently under permit? Yes / y/ No (If yes, furnish ,permit number I�g %^%—�� ) OR ; t' Is the site an existing site? + Yes / / No 711/ (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 /%%/ No ( If no, clarify ) 5. What is the mobilehome 'electrical rating? ----------------------- 100 Amps 6. What is the mobilehome'site service rating?--,------------------ Z o 0 Amps 7. What is the mobilehome site circuit breaker rating? ------------ %'b 0 Amps 8. Is there any other -electric .load to .be served' by the mobilehome site service? ---------------------------------------- ------ Yes' /F//� No (If yes, identify the load and size: (Load) (Amps) 9. What•is the mobilehome site gas pipe size? ---------------------- One in. 10. What is the type of gas service? ----------------------------- Natural / / LPG &X/ 11. What is the gas pipe length from meter or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------------------------------- (BTU) (This information not required if pipe length less than 6 ft..on natural gas. or less than 50 ft. on LPG.)- MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. Sandpointe (Fleerwood) furnish Setup Model No. 16628 Year 80 Width 12 (ft.) Box Length 66 (ft.) Tagalong'or Expando Size 7 ft. x 12 ft. (SHOW SUPPORT DETAILS BELOW). On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings' (check one) Single © Q � ® 1 W dh (ft.)(in;) Center support locations* (ft.)(in.) (in.) (in.) Center support footing sizes (in.) (in.) (in.) 777 (in.) (in.) (ft.) I (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. oo eit er pressure treated or XX XX. foundation grade. 1 1230° fl 2. Other.(specify) � n Supports (check one) - 1: Concrete block. k . 71 X_ 2. Other (specify) I. 12"z30 � !r -Tagalong or Expando, show support details. -3 1611 12 x30 -- Typical Support in.) (in.) Footing Size 1 51 6" --.Max. Pier Spacing (ft.)(in.) 1,0n -- Max. Overhang (ft.)(in.) (Front and Rear).. 3 740 BUTT& COUNTY BUILDING DEPARTMI pw - (in.) (in.) (ft.) I (in.) *If center piers are other than drawn above, draw in locations, spacing, and dimensions. oo eit er pressure treated or XX XX. foundation grade. 1 1230° fl 2. Other.(specify) � n Supports (check one) - 1: Concrete block. k . 71 X_ 2. Other (specify) I. 12"z30 � !r -Tagalong or Expando, show support details. -3 1611 12 x30 -- Typical Support in.) (in.) Footing Size 1 51 6" --.Max. Pier Spacing (ft.)(in.) 1,0n -- Max. Overhang (ft.)(in.) (Front and Rear).. 3 740 BUTT& COUNTY BUILDING DEPARTMI pw ;/ • ' a �. �` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT —PERMIT ASS SSOR PARC L NU ER ZO ING 15 BUILDING PCRMVfr1 f7' OVrNIf TELEPHONE SQ. FT. OCC. BUILDING VALUATION WNER'S MAILI ADD ES N TOR'S NA E TELEPII ONE O NTRAC S MAILING ADDRESS CONSTRUCTION LENDER UNKNOWN Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILD NG ADORE V F, app PLUMBING PERMIT Filing Fee 3.00 / Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping ®� LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome V Other SPECIFY Building sewer A0,0-0 Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities InstallationC Other ❑ Describe work: — Permit Fee $ -13 0 Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service S 100 AMP OR00V OR SLESS 7 5.00 ,6 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 20sgft 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 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR. TE N -NO . BRANCH CIRC ITS 2.50 ea NEW CONSTR. (POWER APPARATUS g NON-RESID, (SINGLE OUTLET CIR. Ex. Occup(ouTLETs OR FIXTURES 50@� BAL@10¢ FIXED APPLNS. OR Ex. Occup.(0UTLETS (RESID.) EA.1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 d Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agai st said County�conseq ence of the granting of this permit. X�- Date 0 Signature of Applicant — OwnerPk. 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 $ Land Development Fee $ d TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. I PARCE PD D ISSN c� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRR OF PUBLIC By P IT EXPIRES Date. the applicable pro vi- resolutions to do fees have been paid. WORKS Date7-a,_ �X1C, ✓Oy 7 r Cl _3 Receipt No. y �s�3 WHITE-D.P.W.. YELLOW-ASSF_SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT L 2 Z6 ', _ �:: ��� .PAT .. ��'��.� • _ �- - _.. - setback of 5 ft. from the property lines and a setback s ` % of 50#t. from the road 3 _ - c����'. 4 ._ cenferline shall be Clear'of ' ?%�. '. structures or equipment except :. for e 2 ft. eave overhang. - Ape�� A, 4 J, QPow ~d� r OR !%v C � . ��. Abe e ��,- '` ;�• , `4. _ go Al /� % �, , p �1`®� ry + 0 Sc�. FT. MINIMUM 54 FOR \MOBILES � G f Be Workmanship $hank i _All . Materials & Good practices and , i '.. NOTE: Recocaniaed in the rinectio�s shall be, .,` with for the Speci{ie�9 use ;,' Utility co either Accordance obllehome, z, °{ a quality prescribed & Mochanical Codes an �i 4 {t, of them ; Plumbing ` behind;or within the rear + Uniform Building j, i'± directly left of the National Electrical Code• r. half of the roadside (left) r the., °le wFU. ® ,f `t `� rnob' home: };°ns MUST toe and spec►{ica law{!1l'`° tlo{ plans esnd it is un } i This; se a} all times n same withou } ,on th job or alters}ions o ubYic kep charges }he Department o{ P 1 j349 T" make nY- , from written pew'°ss1Oo{ Butte.. _ SX, pr; �. C wnty OUNT-?. I Works. . s BUTTE' :,-_ �.- �y�t��. �..�.,....._._r..._,.._��_._-.�.__..._....�.� �..._.�....... °. ---�"BUILDf ��DE?ATMER'� 5 PERMIT NO. 4858-80B PERMIT EXPIRES_ 00-,f� N OWNER Richard Prater CONTR. owner ASSESSOR PARCEL 27-14-7 LOCATION W/S District Center Dr., app.50'S.of Grubbs Rd, Palermo Temp. Power Pole Called PG&E r Temp. Elec. Service ' Called PG&E -/ Temp. Gas Service - Called PG&E Jp- JOB FINAL (Date) / o Signature = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except O's Date FRAMING (Continued) ' 1. Zoning requirements -Setbacks -Easements 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 48. 49. Property Line Firewall & Openings Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. 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 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. 70. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection Plb., Elec. & Mech. Equip. Listed for Location 21. Elec. Receptacles Spacing -Lights &Switches at Doors 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. Insulation -Foam -Looked in Attic ❑ Yes 73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75, Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters Dyes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I - _Date _ Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except k'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 A pproval _ _ 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI Date Card -BI_ Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. 37. 38.Bearing OK except N's Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates_ -Sound Walls over Girders & Floor Nailing Stop in Walls (rat proof) _ _39.Draft 40_ _ _ Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) Y"r. J = OK �> 0 = Not OK - ='Not Applicable* MOBILEHOMES MISCELLANEOUS = Not RQady Date MOBILEHOME UTILITIES (Plans) OK except N's Date DEC , COVERS, CARPORTS, ETC. (Plans) OK except a's 1. Zoning Requirements—Setbacks—Easements , . Zweng Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch Fo gs; Size—Depth—Spacing—Con6ectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) .4p-W-ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ .6—A+um. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap: / /"L"ft./ P'Nat. or/ /"L"ft./ /" LPG --e — "&ports; Windows—Doors 7. Utility Clearance Card -BI Date Card -BI Date Card -BI V Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O 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 Lghig. Boxes—Enclosures—Panel boards—Ins. 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t.. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT NO. Z County Center Drive - Oroville, ColifoTriki 95965 - Telephone 916/534-4541 " APPLICATION AND PERMIT 0 ASSES O PARC L MBER � — / — ZONING /1� FI&M) BUILDING PERMIT �Q Dw �C�%� �� L I ���� n 'G� TELEPHONE '//'��/l.C/ SQ. FT. OCC. BUILDING V LU^ATION 0,FER'S MAILING ADDRESS � Dis�l�-7- CONTRACTOR'S NAME TELE HONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION NDER UNKNOWN Fireplace Total Valuation $ �t aV LENDER'S MAILING ADDRESS Permit Fee $ .00 ARCHITECT OR NG NEER LICENSE NO. Plan Checking Fee $ NVQ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee BUI q G ADDRESS �✓ S° ;P-16 p_ D2. 19 80. PLUMBING PERMIT Filing Fee 3.00 P S , e v v `ees- P -.p1 _ Each Trap 1 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other �C(�s SPECIFY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 Main service 100 AMP OR01V OR LE LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUR.& OR ADDNS. ACC. BLDGS. —NEW 2�sgft 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. License No. Classification\OUTLETS 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 CONSTN0N.RESID Ft BMULTI-OUT LE RANCH CIRCUITS 2.50 ea NEW CONSTR. ( POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. OCCUp(OUTLETS OR FIXTURES BAL@1 AL�iOt Ex. Occup./FIXED APPLES, OR (RESID.) EA,� 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 3.00 Heating Cooling Hood 2.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against/ said County in cons uenc of the granting of this permit. %� - Date �,�—�� —T— Signature of Applicant — Owner [R" Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stori s in height. Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 0, 0 0 occ , GROUP �� TYPE OF CONST. �G T PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF BLIC -o BY PERMIT EXPIRES Date the applicable to do resolutions to do fees have been paid. WORKS Date Receipt No. Z1� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT