HomeMy WebLinkAbout027-240-056' - �+ ..J/ �+•t _ yyW � -- '!."'yti ='+iiM1,•.:.v�... . �.--.i �'" ' .. - ,�' ._s -9t r �}Q.
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27.24-56. '
Charles.Hippler`
W/S'Palermo Honcut'O pp.20eN%bf ,
Daly Ave.', Palermo Area
-Permit #4404-81P,E(u%il.,MH) 'f '
.,ELEC.
GAS
SUPPORT STRUCTURE REQ.. lUo, `} '
COMPACTION TEST'REQ. amu,-
' _ -""• .. +r ...- h« - -_ _. .: - - _ 'T _ 't ' `� - _ � �.
27-24-56 4
Permit#4454-81B1P,E,M(rebuild'& repair
fire damage/SF) ;
F)Cgntr
27-24-56 : 'Joe Cornell, Sacto
P rmit#4445-81MHI
Issued.
-
" „ ' •. � _.fes ,..
0
- 4., .
,r
60
PERMIT NO. 4454-81B,P,E,M .
PERMIT EXPIRES
OWNER CHARLES"RIPPLER
CONTR. owner
ASSESSOR -PARCEL 27-24-56
LOCATION 7650 Palermo Honcut Rd., O:oville
Temp. Power Pole `
Called PG&E -
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called/PG&E
V
JOB FINALED (Date) —
Signature
J = OK'
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
S
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) (G..::xcept k
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch -
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch) '
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc;os„res
6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
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/0 to Grade -HD Approval
}
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy k +t
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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r
r
V = OK
O = Not OK e
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date FRAMING Continued
1. Zoning requirements -Setbacks -Easements
4 roperty Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.=-��et o rs-One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
,58.-&taus-WW4-h-Headroom-Rise-Run- Land ing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
5 lywood on Roof Overhang -Attic Vents -Rafter Outriggers
+ding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
5%p0&k va-Mesl►iDrip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
96--@I zing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
hear 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
CO -BI ate Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL (Pml,_S) OK except q's
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
motor
58--gnraase:,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
66 "B8t)r`oom Exiting
17. Shower Pan; Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Accesslec.
6rg,- F.I. & Bath Fixtures & Tub Access
Trim & Subpanel; Breaker Sizes -Labels
_
Gas Pipe; Size & Anchors.
ails
_ __19.
Fireplace or t , Clear Hear
ec. Outlets ai Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65-.-ktt. ' , & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL P� OK except q's
6�Bullets & Receptacles at Kit. Counter
f-6aratJeTire Door; Swing -Landing -Closer
68.A.G -Bract in Garage -Damper
69rW1r. Htr.;*ents-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Fixture &Transformer Clearance -Ins. Protection
R1,_ c. Receptacles Spacing -Lights &Switches at Doors
A Ib., Elec. & Mech. Equip. Listed for Location
2 Size Boxes & No. of Conductors -Stapled
crow a g ( )
------- eptacles in Garage; G.F.I. -Romex Protec.
72. Insulation -Foam -Looked in Attic [+}Yes
7i3 Gaar4-R&H* & Deck Construction -Post Caps
_ omex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fasteners -Bond Gas &Water
28-*-App4ence Circuits in Kitchen & Conductor Size
26 grhro=+ wlre Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor dies
2;._Baago-G4rs / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75. Following instl .: Drive es E] No; Walks Yes ❑ No;
Planters es ❑No
28. Service -Riser Conductors & Ground -Main Disconnect
wn-Finish
2)3. Equip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3 res loset Light -Shower Light
encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
--
7A__Z4l focJNe4F-0isconnect, Electrical, Plumbing
Card B -I _ and -BI
Date Date
��
8 _xterior Elec. Trim; G.F.I. Receptacle -Underground
V
. tilation throughout House
Card B -I
Date Card -BI Date
V!IGlass Protection
Date
MECHANICAL (Permit) OK except N's
_
orrections from Previous Inspections
✓#4e-�8as�cSt�Meters Tagged; Gas -Electric
__ --
. A.C. Ducts; Insulation & Support
ewer Connected -C/O to Grade -HD Approval
32,-*ertt7Fan; Exhaust above Insulation
*�-Energy Compliance Certificate -Other Certificates
_____33r-Coadensate
Drain & Overflow; Size & Grade
_
34—Eimoace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
mess & Platform if Furnace in Attic
Card-13Date - and -BI Date
C BI Date .► rd -BI Date
Card -BI Date Card -BI Date
---
BI ate_
�-- Card -BI_ Date
Card -BI Date and -BI Date
Date
FRA G(P s) OK except q's
CommentsAt Final:
Is; Proper Material & Anchors
ir'WWalls; Studs -Nailing, Spacing & Bracing -Plates -Sound_
fi_�tsearing Walls over Girders & Floor_ Nailing_____
39! Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
t
Header & Beam -Size & Bearing
i N�;gers-Post Caps -Anchors -Connectors
ng. Joist-Rftr. Ti-Purli Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties o T lue Fireplace Throat
_
45. Attic Access: Size & R_omex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions_
47. Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
NSTRUCTION COMPLIANCE: CERTIFICATE
THIS IS TO CERTD Y THAT ENERGY CONSERVATION R17'QU1RI-:MEN'rS HAVE BEEN
INSTALLED IN CONF0101LANCE WITH CURRENT ENERGY CONSERVATION RIEGULATIONS
AT 7650, Palermo-Honcut
(locations))
BUILDING PE.RMI'f N0. L% ,1 A. I'. .NO. -2%
TILE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge MA
Fdn. Walls NA
Floors NA
Walls NA
Ceiling/Roof R-3,2 _
Ducts
Circulating Pipes NA
APPROVII) llrATER NA
APPROVED WTR. H'CR.
GLAZING:
Single Glazed , NA
Special (Insulated)„ NA
CERT.. & .LABELED WDS.
& SLIDING DRS. NA
WF.ATHERSTRIPPED DRS. NA
BACK DAMPI?RED FANS NA
INTERAII'TTl NT ICNI'TION DEVICES NA
CERT. APPI.IANCE.S NA
I DECLARE THAT AL.I. REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE. TO
TILE CaIPLETENF.SS OF THIS CERTIFICATE AS.SUPIMITTED.
Insulation Applicator Name Hawk r.I
"C`1 SC,..P I.pr:5,
.
Signature of
Insulation Applicator
State Contractors
License'No. 378407
eneral Contra "Ocmer Nene,
(plea -se print)
Si, nature of
Ceni:ral Contract ICr Date
State Contractors
License No. 5ol/y73g
THIS CERTIFICATE MUST BE ON FILE WITH THE' BUILDINC DEPARTMENT PRIOR TO
REQUESTINC FINAL INSPECTION AND SIIALL IEE POSTED IN'A CONSPICUOUS LOCATION
WITHIN T. a..IN�.
.00 f
,• COUNTY OF BUTTE - DEPARTMERIT OF -PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
11416,1 ,l
•' oAPPLICATION AND PERMIT n
ASSESSOR PAR=EL
2 NU =ER f� -
Z 5
ZONIN
BUILDING PERMIT
D(�/�r//etes 141
LEPHONE
SO. FT. OCC. BUILDING VALUATION
Z0,
3_31K
O W//E� R• I L I N��7/,�A+�J� D/%� /� /� �J/J�/, ///��� /���////�j��yn/,/��
)!gAACT 11 R'S NAME
KTELEP.ONE
C NTR CTOR'S MAIL NG ADDRESS -QA
�1
Fireplace !I
10,90-00
CONSTRUCTION CIE NDER
UNKNOWN
Total Valuation $
33e, 000
Filing Fee
$ 10.0
LENDER'S MAILING ADDRESS
Permit Fee
$ / , 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 73,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ Z 24Z 0c,
BUILD ny USs -
,,��jj (�
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
1 2.00
Repair drainage or vent piping
5.00 6,00
60 40 lC
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 Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑? Remodel ❑ Uti ities ❑ Installation❑ Other
Describe work: f R1e—P9-%A0—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v DR LESS
100 AMP OR LESS
5.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.EI)
OR ADDNS. ACC. BLDGS.
20 Sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business5o
and Profession'� sl Code and my license is in f force and effect.
License No.,gJ 7aClassification
❑ 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
or 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. U -OUTLET 2.50 ea
NO ESID BRANCH CIRC TS
NEW CONST(POWER APPARATUS O
NON- R RESID. (SINGLE OUTLET CIR. ) '
O p
EX. OCCUp OUTLETS OR FIXTURES_ BAt
L@1
9
IxED APPLNS. R r
OUTLETS (RESID,) EA. 2.00
Ex. Occup.(O
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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 o 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
6160
H54% FV/ 1T
Cooling
6,00
Hood
3.00
Ventilation
Permit Fee
S D
Contractor
I certify that I have read this application and state that the above, information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agre to save, ' emnify and keep harmless the County of Butte against
all liabi ' (es, 'ud is c ts, and expenses which may in any way accrue
again y uence of the granting of this permit. ?
X Date 12--3—
Signature of Applicant — 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 $ 2 9 . c)o
OCCUP. GROUP
7'
TrP OF CONST.
—t�_
PARC L PD
I/
ND
ISsur.
r/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/ate 7
Receipt No. �O SQ�
WNITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Owner:
Addres
Tenant
Building Location:
Type of Inspection requested:
1. Housing. 2. Financing ,(1 3. Change of Occupancy to
�4. Other (specify)
.�-17
Present use of bui
A Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating'facilities:'
7. Natural light and ventilation:
8. Room and space requirements:
9.. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection, to sewage disposal:
12. Connection to wate•r•.supply:
13. Rubbish and garbage facilities:
14. .Co= ents
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and . roof construction:
5. Fireplaces:
6. Comments:
C. Electrical,
1. Service a .d ground:
2. Receptz7r. is:
3. Fusing:_
4. Comments:
D. Plumb ing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
4 .. Comments
E. Other
I.' Maintenanc-e and repaii.-:
2. Fire hazards':--,.-
'3. Safety hazards:'
4. Weatl!er protection:
5. Underfloor and attic ventilation:
6. Conments•
.
F. Counercial. Buildings
1. Roof covering:_
2. Disrance to property lines:
3. Physically handicapped:
4. 'Rest-oom floors and walls:
5. Exits:
6. Improvements:
7.
8. Corn erit
G. Field Problerus or V - o I a f. i on. s
1. Problem or violation (give coimpleta. description):
2. What action taken (give complete -Jescriptlon):
3. Whit an-cJon recommend�d:
A. 7nfo-n-i-tation only
/ /. B. Hold for tcn (1.0.) days, then wri-c I.e.tter.
/ /. ( --. - W -, 1. -, e letter.
/7D. Other:
AP #
OWNER 4�f/ ,P l,e S /7 / /J/r7 /lef•
PERMIT'#.-
MH UT IL . CLEA ATE
INSPECTOR
ELECTRIC GAS Support Compaction
Service --Other Pipe Struc. Test Re .
Size Load Type Size Len5zth YESI NO YESI NO
T
` S
1
PERMIT NO. 4404-8 P E
PERMIT EXPIRES
OWNER Charles Hlppler
CONTR. owner
ASSESSOR PARCEL 27-24-56
LOCATION.W/S Palermo Honcut, app.200'N.of
My Ave., Palermo Area
Temp. Power Pole
Called PG&E
Temp. Elec. Service
CalledPG&E
Temp. Gas Service
Cal led PG& E
JOB Z (Date)
Signature
• t
J �r 0 K ;4� •
0 = NotsOK
= Not Applicable MOBILEHOMES
= Not Ready
i
MISCELLANEOUS -
Date
MOBIL ROME UTILITIES (PI s) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) U, jxcept N.
1,peforting Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
s; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors ,
SSWer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
_. Wa er; Location—Test—Easement Needed (Sketch)
4• Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg. -Bracing
5 . lectricity; Location—Clearances—Grnd.—/ � / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclose.-res
6. Gas; Locatior-Test—Wrap:/ /" t. or/ /"L"ft./ /"LPG
6. Carports: Windows—Doors
tr'utility Clearance
7. Elec.
Card -BI
Date ` i Card -BI Date
Card -BI
Date Card -Bl Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
3. Gas; MH Test—Demand—Valve—Connector
2. Soils; Compaction—Structure Stability
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/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
8. Elec.; Grounding;, Equip. w/5'—Circulating Equip.—Pool Lghtg.
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK ' t
- = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) '
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
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
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
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.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
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 Card -BI Date
Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except H's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
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.
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 H's
67.
68.
Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
71.
Plb., Elec. &Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
22. Size Boxes & No. of Conductors -Stapled
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 ❑Yes73. Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77•
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-----
-
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
Card B -I
-
- -- --
Date_ Card -BI Date
Date Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
83.
Ventilation throughout House
Glass Protection _
Corrections from Previous Inspections
Date
MECHANICAL (Permit) OK except H's
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86•
Energy Compliance Certificate -Other Certificates
___33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
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
Date
FRAMING(Plans) OK except N's
36. Sills; Proper Material & Anchors
Comments at Final:
37.
38.
39.
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
-4-5.-Attic
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof erac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
46.
47.
Access; Size & R_om_ex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' - 7 County Center�Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
C/P�ERRMIT NO.
A
ASSESSOR PARCE UM
��� — S(pQ/
ZONING
/}Z
BUILDING PERMIT '
C' (y/A �/
SO. FT. OCC. • BUILDING VALUATION
h�0 / /���� / n ��%,/'L7/�'1/'LJ
OW R•✓OLI��V RE1�✓ /, `'/Va �• eF�aiV/L�
CONTAi(/(/6fR'S NA& �_&L�
T/E NLEPHpONE
CONTRACTOR'S rMAILING ADDRESS t
✓/S� r� ClettAE iQfL(�/V�-
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee A4 717
$ /0, co
$
ARCHITECT ORPenalty
ENGINEER'S MAILING ADDRESS
Permit fee
$
ADDR ST
BUII G_O �
S /nr. �P�Jjp
PLUMBING PERMIT
Filing Fee 10.00
NO lq-Z* , `/ AVEn .
V
Each Trap
2.00
Repair drainage or vent piping
5.00
&11�0
Water piping
LOT NO.SUBDIVISION
Y
NAME
��rSMAP
(�
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome�ther
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Additionp Remodel ❑ Other ❑
2Uti 1ies❑Jsta a iopf,//
Describe work:V/7L �C9MC�0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2,5'50
NEW CONST. (DWELLING OCCUP,51)
OR ADDNS. ACC. BLDGS. _ /
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of t e usiness
nd Professions Code and license is in full forc d effect.
License No.00
Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation,.will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ ' I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR •OU LET 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR ( POWER APPARATUS &I
NON.RESID. SINGLE OUTLET CIR.
50 @ 25¢
Ex. OCCUp�O TS OR FIXTURES BALP1
FIXED
FIXED APPLES. OR
EX. DCCUp.�OUTLETS (REBID,) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
vq I shall not employ any person in any manner so as to become subject
o 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
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to sav , i demnify and keep harmless the County of Butte against
all I'a ilities, ju ts, costs, and expenses which may in a we accrue
aga' s said Co ty i consequence o th g ting of this permi
X Date
Sign ure of Applicant — Owner ❑ Contractor ❑ Agent ❑
An SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stori ss in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ '50, 00
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
By
P T EXPIRES Date����1
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1-7--/'
Receipt No. � a
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLC ENROD-APPLICANT
I
W
COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PRMIT yA.
!x/�
ASSESSOR PARCEL yUMBE��_
(OBJ �LJiIY/ _
zON1Jk
i�
BUILDING PERMI
°
L
SO. FT. OCC. BUILDING VALUATION
�ju/j'vRiQ/ jE1��G7s/pfp%L���%
CONTRACTOR'S NA2�,, / TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEN() / `"
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINE R
LICENSE NO.
Plan Checking Fee /L1
$ /0.00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUIL (' SG A���t/O , l% ��P �,�Q i
PLUMBING PERMIT
Filing Fee 10.00
o � D� LV "q /
Each Trap
2.00
Repair drainage or vent piping
5.00
F/ 4!�7-" 2
Water piping
/0-00
LOT NO
SUBDIVISION NAMEPARCEL
o �J
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
0,-017
USEOF ST CTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
fld
Lawn sprinkler system
5.00
TYPE OF WORK /
New ❑ Addition ❑ Remodel ❑ Utilities Lry'/Installation❑ Other ❑
Describe work:
Permit Fee
$ 02
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
0
00�
Main service EA. ADD'L 100 AMP
j�
2,50 ZS`'
NEW CONST. DWELLING OCCUP.51)
OR ADDNS. ACC. BLDGS.
2¢sgft
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
NA I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I-OULET 2,50 ea
NON .R ESID BRANCH CIRC TS
NEw CONSTR ( POWER APPARATUS 6
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES B L@;
FIXED APPLNS, OR
EX. OCCup.�OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 _p
Misc. Wiring 7.50
Permit Fee $ , s;V
Contractor
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.
,f 1 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 consequence of the granting of this permit.
X �i� 1 i,
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 st ries in height.
Mobile Home Installation Fee $
-.
TOTAL PERMIT FEE $ 1,57
OCCUP. GROUP
I TYPE OF CONST.
PARC
I PD Y ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datell— 2,-?JWHITE-D.P.W.,
-(l7' 7
Receipt No. �ig J�Z__
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I
4�
Permit will be required for the G3
r�
insiallatio� of the mobilehome. q
pig
g Utility connections shall be wii�A
4 ft. of the mobilehome, either
directly behind or within the rear
half of the roadside (left) of the .
mobilehome.
is seT 6 1 PI -
aft specii'ica}ionsi' q
R' kept on the job at all times and it is unlawful to
ake any changes or alterations on some without
` written permission from the Department of Pu lic
Works, County of Butte.
A setback of 5 ft. from the
property lines and a setbacl�
of 50ft. from the road
centerline shall be clear of
J
structures or equipment except 'BUTTE COUNTY�
for a 2 ft. eave overhang. `°� 'BUILDINGDF QTI�LE _ NVIp
a
BUTTE COUNTY DEPARTMENT OF ` PUBLIC WORKS
7 County Center Drive, Oroville;.CA. t i
PHONE • 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name:
2. Installer's name: rp /Lj
o
3. Is the site currently under permit? Yes / / No
(If yes, furnish permit number. ) OR
Is the site an existing site? Yes % 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.o1f all setbacks and easements? Yes./ No
( If no, 'clarify )
5. What is the mobilehome electrical rating? ----------------------- O /Jv 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
- S "
siteservice? ------------------=-------------------------------- Yes No
(If yes, identify.the load and size: (Load) ps)
9. What is the mobilehome site gas pipe size? --------------------- (in )
10. What is the type of gas service? --;--=------------------------ Nat a / LPG /
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.)
c
MOBILEHOME
SUPPORT DATA
If other than single wide,
Mobilehome Mfr. P furnish Setup Model No.
c��8
Year
Width�7i(ft.) Box Length (ft.)
Tagalong or Expando Size -&—ft. x 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
ki. Wood either
Apressure
treated or
foundation grade.
(ft.)(in:)
(in.) (in.)
2. Other: (specify)
enter support
Center support
locations*
footing sizes
�
Supporta (check one )
(in.)
E] 1: Concrete block.
2 theme
CpecVC
(in.) (in.)
-�
QL�
(ft.)(in.) (in.) (in.)
O r_�
(ft.Vin.) (in.) (in.)
(ft.)I (in.) (in.) (in.)
*If center piers are other than drawn above,
A YnT.T 4n. 1nnntinine annrina and AimPnS3innF.-
E---Tagalong or Expando,'
show support details.
oZx�a -- Typical Support
in.) (in.) Footing Size
�J -- Max. Pier Spacing
(ft.)(in.)
Max. Overhang
BUTTE COUNTY
BUILDING DEPARTMENT
APPP0\Ip-n