HomeMy WebLinkAbout030-350-065'� i y •� r
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I LOT BLOCK
TYPE PERMIT NO. PLAN NO.
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PERMITjT --I-
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- - AP 30-35-6
ETTY A N -
1675 12th St., O e-��
Permit## j4256r=74P,E (util. ,
14OW4 wyid/L 30-35-65
Eugepe_&Lerriioo�
1675 12th St., Oroville
Permit #198-77P,E(tij_,MH)
ELEC . L rn S
> (GAS-
SUPPO T STRUCTURE REQ. ticp
COMP GYRI TEST REQL
30-35-65
nontr: Lincoln Village MH Sales, Orovil
Permit #19L3-7]MRI61Z�/�7�
Issued 6 -/ 7 - 1<
30-35-65
Permitj/<958-79B,E(� ,/MH)
�e'0 0L .e e o r
30-35-65
Permit##3855-80B (lst •ene a 95
79)MH deck & cabana ,'
30-35-65
Eugene Valerio `
1675 12th St., Oroville
Permit #1383-81B(new deck & wood
stove for cabana/MH) .2%1etl t
030-350-065 03-1146
CHAU, KOI
167512TH ST, OROVILLE INALED
Cont: MIKE DAMS �, Z117 -6
REPAIRS ON CABANA
E
PERMIT DESIGNATION: B -BUILDING
/ DEPARTMENT OF P -PLUMBING
/ BUILDING AND SAFETY T -TRAILER
-------------------
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E - ELECTRICAL U -USE PERMIT
TV - RADIO -TV ANTENNA V - VARIANCE
S/W-SIDEWALK NOTICE S- SIGN PERMIT
HM -HOUSE MOVING
EP - ENCROACHMENT
D - DEMOLITION 600.1
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EP - ENCROACHMENT
D - DEMOLITION 600.1
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INSPECTION RECORD
BUILDING APPROVALS
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DESIGNATION
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SIG.
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PLUMBING APPROVALS
PERMIT NUMBERS
I
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
GAS PRESSURE TEST
WATER PIPING
SEWER LINE
APPLIANCES Q VENTS
FINAL
ELECTRICAL APPROVALS
PERMIT NUMBERt
SIG. DATE SIG. DATE SIG. DATE SIG. DATE SIG. DATE
ROUGH -IN
FIXTURES & APPLIANCES
METERS
FINAL
MISCELLANEOUS APPROVALS
PERMIT NUMBERt
DESIGNATION
NOTES a RESIDENTIAL •/
030-350-065 " 03-1146'
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CHAU, KOI � PERMIT N0. 1675 12TH ST; OROVILLE
Cont: MIKE DAVIS
REPAIRS ON CABANA
SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date
�2k:s
Signature
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SPECIAL CONDITIONS
CHECKED
BY
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date
�2k:s
Signature
J=OK
= Not OK
- =Not Applicable
. = Not Ready
RESIDENTIAL
Date
UNDERFLOOR (Plans) OK except #'s
Date
1. Zoning -Setbacks -Easements -Flood -Slope
Date
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
Bearing Walls over Girders & Floor Nailing
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
Draft Stop in Walls (rat proof)
4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
5. Stemwalls, Main; Steel-Blockouts-Wrapped
Headers & Beams -Size & Bearing
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
Glass Protection
6a. Hold Downs and Special Anchors
Corrections from Previous Inspections
7. Slab, Steel -Wrapped
93.
8. Piers -Fireplace Ftg.-Steel
94.
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
Date
10. UF, Gas Pipe; Size Anchors -Yard Gas P ping; Size Test
Date
11. Water Pipe; Test -Anchors -Regulator -Service Test
Date
12. Electric Underground
Date
13. Plenums & Ducts; Clearance -Material -Support -Ins.
Date
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Comments at Final:
15. Access & Ventilation
16. Insulation
(Single & Duplex)
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
Bearing Walls over Girders & Floor Nailing
17. Water Htr.; Vent -Access -Combustion Air Baffle
Draft Stop in Walls (rat proof)
18. Water Pipe; Test & Anchor -Nail Protection
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
19. D.W.V.; Test Fittings & Anchor -Nail Protection
Headers & Beams -Size & Bearing
20. Shower Pan; Test, First Floor -Tub Access
Glass Protection
21. Test Tub & Shower, Second Floor -Tub Access
Corrections from Previous Inspections
22. Gas Pipe; Sixe & Anchors
93.
23. Fire Sprinkler; Test
94.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Date
24. Fixture & Transformer Clearance -Ins. Protection
Date
25. Elec. Receptacles Spacing -Lights & Switches at Doors
Comments at Final:
26. Size Boxes & No. of Conductors Stapled
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes 0 No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date FRAMING (Permit) OK except #'s
41.
Sills Proper Materials & Anchors
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
.46.
Headers & Beams -Size & Bearing
a
Date FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
83. Following Instld./Drive Cl Yes 0 No/Walks O Yes 0 No/Planters 0 Yes 0 No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92. Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J=OK
0 = Not OK
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
3.
Sewer; Location -Test -Fall -C/O -Concrete
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
4.
Water; Location -Test -Easement Needed (Sketch)
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
5.
Electricity; Location -Clearances-Grnd-/ /Amp -Concrete
Carports; Windows -Doors
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
Electric
7. Well Clearance & Disconnect
8.
8.
Utility Clearance
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
Date
Ext.; Steps -Doors -Landings
Card B-1 Date Card B-1
Date
Braced Wall Panels
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Date
1.
Zoning Requirements -Setbacks -Easements
Date
2.
Footings; Size -Spacing -Marriage Line
Date
3.
Gas; MH Test -Demand -Valve -Connector
1.
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
Date
Card B-1 Date Card B-1
Date
Card B-1 Date . Card B-1
Date
POOLS (Plans) OK except #'s
1.
Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
' OWNER
PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
Inspector
REV 1
I,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev.12,;,9'6) APPLICATION ANDPERMIT 03-1146,
ASSESSOR PARCEL NUMBER 030-350-065
ZONING
BUILDING PERMIT
OWNER
KOI CHAU CELL#510-703-01
TELEPHONE
3/532-4877
SO. Fr, OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
80.00
CONTRACTOR'S NAME
MIKE DAVIS DAVIS HOME REPAIRS
I TELEPHONE
34-3082
CONTRACTORS MAILING ADDRESS
2768 MITCHELL AVE. OROVILLE 95966
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 480.00
ARCHITECT OR ENGINEER
LICENSE U.
Filing Fee $ 20.00
Permit Fee $15.00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
PERMIT FEE $ 35.00
LOT NO.
SUBDN6IONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:REPAIRS ON CABANA (TERMITE & DRY ROT)
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Filing Fee 20.00
"OVMain Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in fU and effect.
License Class r e Lic. No. �(%� M�f
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A To I000A 46.00
NEW CONST. DWEwNG OCCUP. SO
OR ADONS. ( 8 ACC. BLDS. 3.5QFT;
NEW CONS MULTI.OUTLET
NON-RESID. @7.50
POWER APPARATUCIR.S
8 SINGLE OUTLET
Ex. Occup. OUTLET OR FIXTURES BAS @' 0 .00
Ex. Occup. OuTIEEDrs .= .OR) E.1 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
r�
X Date �/ ���� _
Signature of Applid&nt - ❑ Owner ontractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction&Oftiv
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAz
D FES IMP
I FLOOD
I CDF
PARCEL I pD
I HD
ISSUE
This permit is hereby Issued under the applicable provisions
of the Butte County C e and/or Resolutions to do work
indicated a ove for ich es have been paid.
B / Date
V_
d�
PERMIT EXPIRES ON V
I ate
ReceiptNo.�7hinh irj o
WHITE-D.D.S.-B.D. CANARY-ASSUR PINK -INSPECTOR GOLDENROD -APPLICANT
PER o. 11383-81B
r PERMIT EXPIRES
• t
I OWNER Eugae Valerio
1
CONTR. owner
ASSESSOR PARCEL 30-35-65
LOCATION 1675 12th St., Oroville
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas °-- `--
Called I
JOB FINAL
i
Signatu
J = OK -
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. F Ings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
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.-/ i Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.cr/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card - BI Date
Card -B
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'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/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 -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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
I
e9l�/� -�-34449r40__,
I
A77_61< r
Not Applicable Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce tk'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 Fig. -Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
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 Card -BI Date
Date
FINAL (Plans) OK except k's
Card -BI Date Card -BI Date
Date
_
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
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.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
64.
Fireplace or Stove; Clearances -Hearth
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.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
2 3.
Romex Installed Close to Edge of Studs & C.J.
71.
Receptacles in Garage; F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
I nsul
Insulation -Foam -Looked in Attic ❑Yes
Attic
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
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 At,
Insulated Neutral ❑Yes 0 N
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
80.
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 (Perrr.it) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
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
_
-
_ Date _ Card -BI Date
Card -BI
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) OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
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-136rlin_-Roof Brac.-Truss-Shthng.-Ring.
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: An entry must be made each time you visit jobsite)
Y f.•
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, CaTitornia195965 -Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NU BER ZO NG
'30-35 —&9'z
BUILDING PERMIT
OWNER �1O P X9 -
ev E vA&E yy Y
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDR
CONTROA(/CCTOR'S NAME
OeUIV62
T LEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuationl
, 00
Filing Fee
$ - 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ coo
ARCHITECT OR ENGINE
LICENSE NO.
Plan Checking Fee
$ .0 0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ad
BUILDING AD RESS
��
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
d�li�E
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❑ Mobilehome�Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition T Remodel ❑ tiIities ❑ in§kaiiationEj Other
Describe work: M, D/�I G� 1� l� e®% SZ/
A—V P,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING OCCUP.al
OR ADDNS. \ ACG. BLDGS.
2� sq ft
y 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
M --f, 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 -Du LET 2,50 ea
NON-RESID BRANCH CIRC TS
NEW CONSTR/ POWER APPARATUS a)
NON-RESID. SINGLE OUTLET CIR.
(
Ex. Occup OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID,) EA. 2.00
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.
R",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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
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 liabilities, judgments, costs, and expenses which may in any way accrue
again t said County in consequence of the granting of this permit.
X �' Date _�
Signature a Applicant — Owner [P' 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 $ 00
OCcUP. GROUP
I TYPE OF CONST.
PARCEL
tj(
PD
t l
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PERJWT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �Lcf d?z
Receipt No. 5051 �5_
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
e � PERMIT NO. •i�
1980-77P,E
PERMIT EXPIRES
i
OWNER Eugene Valerio
CONTR. owner
LOCATION (A.P. 335-65
1675 12th St., Oroville
.n
0
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp Gas Serv. lD��
/ailed PG&E '
�DB � y/
JFINALED
(Da e)
(Signature)
4
9. Electrical
A Is service large enoogl� to provide aldeqUate amperage to mobilcliome (must equal rating of
mobilehome ijitit a. -.t1.-inh;1.um oV. 00 amp) and ot'her facilities on lot, i.e., water pumps,
garage, cabana, etc.? YCS/N No
B. Is ther.� proper clearances around panels? Yes No
C. Is power supply cord or feeder assembly . properly fused?' Yes -)4 1\10,
D. Is continuity test satisfactory as per the following procedure? Yes'_ No
1. De -energize electrical wiring systenil 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 lo.: -id of a test instnimen * t to the mobilehome grounding conductor and
"
apply tine otlier Lead to each wob-Ileho-fl-ke s-Lippy conluctor, ilic:lLidifig neuLral.
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: tide above procedure, the power supply cord or- feeder assembly
conductors shall. be connected to the site service equipment. A further continuity
tee.*U shall then lbe made between LI-he,grounding electrode and the chassis of the
mobilehome. UDOTI satisfactory completion of the d-ectrical tests, the lot or site.
service equipment may be approved for energizing.
1,; job card si-ned by Health Departmeat for water and sanitation?'
If everything okay, sign off card and ta- s*ervices.
'MOBILEi11O.t!L DATA
Manufacturer and/or Namestyle
Length Width ,7-
Vehicle Serial No.
State Identification No.,
,.dd:Ltional Inform-at'jan or Cornments:
�" tiO}3:%i t;1iO�Il3 INS"ALLA'1 ION INSPECTION CHECK LIST
1. Is the mobilehome loc;�!ted wil--h required separation from lot lines and buildings and generally
con.torm to plot plan? Ye: x No�
2, Does the inobilehome have required clearances above ground? (Sec.5085) Yes / No
3. Are foot.inzis 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) 5)r—
No
5. If rq,05g than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
S. Water
A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Y e No
sX�
B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes, No
C. Backf+o coach is not State of California approved, does station have backflow device
andp esresr sure-relie 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 i.t have minimum 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. `Lf-c-oae- State of California approved, does station have required trap and vent?
Yes No
8., Gas Piping and Gas Vents
A. Connector - Is mobilehome connected to the gas siipply 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 mob'lehome gas line inlet without reductions other than the mobilehome
connector. Yes No
B. Test OK as per following procedure? YeNo
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? YeA No
MaIX Bldg.
Fo tin s
Stem all
Slab
Piers
Garage
Footings
Stemwal I
Slab
Carport
Footings
Slab
Patio
Footings
isonry Walls
Relnf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS:
BUILDING INSPECTION RECORD
F
BUILDING BUILDING (Cont'd) PLUMBING
Newall S 'I Piping'
Pa pets 1 t Floor s
Rest om Finish 2n Floor
Windoh 3rd oor a
Siding
Roof Shea In
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physical
handicaoued
Conformance of ex.
F
F
N
F ish X D is
In rior Lath ntilation
oor Closer inal
MOBILEHOME UTILITIES ------------------ Elec. Service
Water PipingD Sewer
BI E ME INSTA LATION - - - - - - - - - - - Support 5G/
Water Piping /y Drainage Z%
DATE _ REMARKS OR CORRECTIONS
To out
Water Pi I
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Rough
Fixtures
Gird. F461t Prot.
Servigif
T mp. Pole
nderaround
'Final
Elec. Pedestal �—
Gas
Elec. Continuity
Gas Piping /,%
(NOTE: An entry must be made on this form each time you visit the job site.)
0
COUN'rY 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 requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number 7 7f or the following location:
• Owner
Owner's Address
Mobilehome Mfg. �r-����� Model Year ��!7
Insignia No. Z 1 9.4/ cQ4 Serial No.
It is hereby certified for occuFancy at the above described location and
may be occupied.
/ Director oofflPublic Works
Date a�/ 7% li3y
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
,..
COUNTY OF BUTTE-• — DEPARTMENT OF PUBLIC WORKS
•' 7 Counjy Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x• Date �� 7
$ignat�re of Permitee or Agent
Receipt No. ',� n g 3 7 r
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By ! Date S-((- -7 %
Uilding permit expires Date
BUILDING
Owner �IG/ �n/t, �G E� /
SO. FT. OCC. BUILDING VALUATION
Mailing Address R T A. SOX- - a -57-
+ 1
40P -OV «' Lt;*�
Telephone col
�o$,
Fireplace
Contractor ®rW N �{/L'
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
B`j �t'
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
,9'E A 07,qL /7-6
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping _+r" 1 /O
Zoning Verificefion Onll
Each gas water heater or vent 1.50
/
A. P.No O - 3 S- (D� `
�ynl in9
Gas piping system 1 - 5 outlets 4-3t? /IO
Each additional outlet 30
F6e's
W -C-. I
801&on
Fire Dept.
Fire Zone
Use Permit
Building sewer 51961,
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
BI e� c1d
orcel Approval
Plans A oval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES
OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS 5.00. r
100 AMP OR LESS
Main service EA. ADO'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 25.00
100 AMPP OR LESS O
Main service EA. ADO'L 100 AMP 1.00
LOCCUP. &
CONST.NEW ( DWELLING
OR ADDNSACCBLDG\ 2¢Sq ft
/
NEW CONSTR. MULTI.OUTLET
NON•RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &)
NON.RESI R. D. (SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL@10
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESIO.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /J
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 513 1
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
10 I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as' to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
1 4,4nvC%.
TOTAL PERMIT FEE
$ 8'
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x• Date �� 7
$ignat�re of Permitee or Agent
Receipt No. ',� n g 3 7 r
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By ! Date S-((- -7 %
Uilding permit expires Date
. � ti[ ..-!'� 'L�,'_�Zj �.-,^.'Yt. Z -�t'� �yr��/ � r! �/Y+-iiC- Q�LL �a•-s� ' � ✓��� ��y-L 2
%•�/6��v�LG-G� � �../r�i.C-��.,,�_ �. ��y.�,vC/�. �Q%?.•.l.Lr�.q� Com'
,,c F71�
.05-- Cf;K�20e'
400-7
�u G��►� Usk Erin
This set of plans and spe-e4i V o s MUST be
kept on the inn at -ill times and it is unlawful to
rnrO?P rnxr changes or e'•.tcrutions on same without
written permission from the Department of Public
Works, County of Butte.
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
Of a quality pr escriLbed for the Specified use in the
Uniform Building, Plumbing .& Mechanical Codes and
the National Electrical Code.
h/#
The 136g. Setback shaft be 5 ft. from the
side properf-y line and 50 ft. from the
centerline of the road, permitting a maxi-
mum. of a 2 ft. eave overhang but entirely
out of all easements.
All / utility connections shall be
located within 4 ft. outside the rear
th;rd section of the mobile home
on the left (road) side of the mobile
home.
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED
give
COUNTY OF BUTTE �,— DEPARTMENT OF PUBLIC WORKS
7 Counly Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
7
authorize representatives of the County of Butte to enter upon the
ab=property for i spection purposes.
X
Date--IAL I 7
Signature of Permitee or Agent
Receipt No. /lQ//V0 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Of''UBLIC WORKS
By Date ci—/7 7 7
B i lding permit expires Date 6 —17 — 70'
----� BUILDING
Owner ^ J-
SO. FT. OCC. BUILDING VALUATION
Mailing Address CON( 1
:/JLLC
0,V
Telephone No.
Fireplace
Contractor L LL
Total Valuation
Mailing Address ��C�L L ✓
Permit Fee
Plan Checking Fee&/or Penalty
19 L/
Tele hone Nc.
Permit Fee $
$
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
C -J NWIL L&
J U
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.Zo
(i
ning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
*`G I
9�1;1
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA
Parking
Plans
Parcel
Declaration
Parcel Ma 60' R/W
P
fm rovements
P
Lawn sprinkler system 2.00
Bldg. %Adlo"Rec'd
Parcel A val
Plan proval
Permit Fee $
$
NEW 1v= ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
•
Main service 801V OR LESS 5.00
100 AMP OR LESS
0 _
Main service EA. ADD•L 100 AMP 2.50
Main service OVER 600V 25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 1.00
NEW OR ADDNST ( ACCLBLDGOCCUP. &) 22sgft
NEWCONSTR. MULTI -OUTLET
NON .RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR.POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under Ue name
styIQ of:
G A✓cQLrLLAJ� �
Ex. Occup(OUTLETS OR FIXTURES) BALA1
FIXED APPLNS, OR
Ex. Occup. (OUTLETS (RESID•) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Z Classification C61
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
�I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
❑I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
6f /I'jii/
.��1
J(9,04)
TOTAL PERMIT FEE
$ 30
authorize representatives of the County of Butte to enter upon the
ab=property for i spection purposes.
X
Date--IAL I 7
Signature of Permitee or Agent
Receipt No. /lQ//V0 7
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR Of''UBLIC WORKS
By Date ci—/7 7 7
B i lding permit expires Date 6 —17 — 70'
I
:.� MOBILEHOME SUPPORT DATA .
i`; Mobile.hS ' me Mfr. Setup Model No.17 .J0 Year ry ...
s'
Width (ft.) Length . (ft.) Ekpando Size ft.x ft.
(Draw 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).
Sin le Footings--(check,one)
L Wood. either ..
�� - .•� _ pressure • treated or
Center Center Support fdn.. grade.
Support Footing Sizes
Locations (in.) Ll 2. Concrete pad.
3. Other,: specify
--_ -- --- — -- —. _ Supports (check one)
�/►�,
I. Concrete block
2. Concrete piers
At in
3. Steel piers
4. Other, specify
_ F _ Typical Support
— rax �� Footing Size
( �.n.
�x (in.) in.
(in. in.
Max. Pier
`V; .
_ Q � Spacing
j ln•)
i n.) (�
ft. in.) � -
(in.).(in.) _ Max.
f _L Overhang
*If center piers are other than drawn above,
draw in locations, spacing, and dimensions.
-
BUTTE COUNTY
BUILDING DEPARTMENT
-j ,SPP
,. ROVE®
1. Owner's name:.
2. Installer's na
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
3.
Is the site currently under permit? Yes
No
Yes / / No
(If yes, identify the load and size:
(Load) ? (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
`J (in.)
10.
What
is the type of gas service? -----------------------------
( If yes, furnish permit number
11.
What
)
OR 4.
12.
What
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 of all setbacks and easements? Yes/ /
No
( If no, clarify
)
5.
What is the mobilehome electrical rating? -----------------------
O
Amps
6.
What is the mobilehome site service rating?---------------------/(�
Amps
7.
What is the mobilehome site circuit breaker rating?
-------------
M1
Amps
8. Is there any other electric load to be served by the mobilehome
--r
(This information not required if pipe length less than 6 ft. on natural gas
.or less -than 50 ft, on LPG.)
site
service? ---------------------------------------------------
Yes / / No
(If yes, identify the load and size:
(Load) ? (Amps)
9.
What
is the mobilehome site gas pipe size? ----------------------
`J (in.)
10.
What
is the type of gas service? -----------------------------
Natural // LPG
11.
What
is the gas pipe length from meter or tank
to the mobilehome? -(ft.)
12.
What
is the mobilehome gas demand? ------------------------------
0K (BTU)
--r
(This information not required if pipe length less than 6 ft. on natural gas
.or less -than 50 ft, on LPG.)
}PERMIT NO.
P
E
M
MH UTIL.
PERMIT NO. 4256-74P,E
PERMIT EXPIRES
/O -cR 7 5_7
: ,OWNER Betty AnderGnn
ICONTR.
'LOCATION (A.P. 30-35-65
1
t 1675 12th St., Oroville
i
.r
li
x.
Temp. Power Pole_
Called PG&E
Temp. Elec. Serv._
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
(Signature)
Setback
Forms
Main Bldg.
Footings
StemwaI l
Slab•
Piers
Garage
Footings
Stemwal l
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
DA TE
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ti
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Firewall
Soil Piping
Parapets
1st Floor
Restroom Finish
2nd Floor
Windows
3rd Floor
Siding
To out
Roof Sheathing
Water Piping
Roofing
Sewer
Fdn. Vents
Fixtures
Garage Vents
Water Htr.
Prov. for physically
handicapped
Heaters
Appliances
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Final
Sanitation
FIREPLACE
Final
Footing
ELECTRICAL
Throat
Rough
Final
Fixtures
FIRE SPRINKLERS
Motors
Test
Water Htr.
Final
Subpanels
MECHANICAL
Grd. Fault Prot.
Heating
Service
Cooling
Temp. Pole
Ducts
Underground
Ventilation
Permanent
Final
Final
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC S
/ 7 County Center Drive• -- OroviIle, California 95965
Telephone: 534-4541 /►��„�
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X X Date /o/SOL
Signature ofPerm tee or Agent
/
Receipt No. ,�" 6,eq 6 6
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date .oma 1-Y=7 y
llding permit expires Date...............�o'�y.. 7S'
BUILDING
Owner S Lt'
SQ. FT. OCC. BUILDING VALUATION
Mailing Address 42 2 /3 s
p
Telephone No.
33-'7-2s8
Fireplace
Contractor e7 COA ,,_=-,%;P2
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Tlephone No.
e
Permit Fee
$
is
Building Address S,7-
PLUMBING
No.1
@
FEE
PERMIT FILING FEE $2.00
400
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Sb
Each gas water heater or vent 1.50
A. P. No. --3�..� ��
/^r+�
" \ tonin & I n
Gas piping system 1 - 5 outlets
1.50
SC)
Each additional outlet .30
W. S on
Fire Dept.
Fire Zone
Use Permit
01
Building sewer 5.00
EQA
Parking
Pla
Parcel
Declaration
parcel Ma P
60' R/W
Im r vements
P
Lawn sprinkler system 4EOO:
g. Plans Recd I
Parc royalons
Approval
Permit Fee
$
$ Q(
NEW ❑ ADDITION ❑ UTILITIES ta OTHER ❑
ELECTRICAL
No.
@
FEE
PERMIT FILING FEE $3.00
3 mQ
Main service incl. 1 meter
3� l90
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home [a Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bola to
Receps., switches & fix outlets 20 25
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:
Hood, Ex. FanorF.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
1 am exempt from the Contractors License Laws of the State cf California.
Permit Fee
$
$ Q
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
/ Workmen's Compensation Insurance.
1�1 I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$ Q�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X X Date /o/SOL
Signature ofPerm tee or Agent
/
Receipt No. ,�" 6,eq 6 6
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date .oma 1-Y=7 y
llding permit expires Date...............�o'�y.. 7S'
b' Irffs set, of
: plans aRr�-s�ei� MUST bs•
,,, ;on the job at all times and it is unlawful to {.
, make 'any• changes or alterations on same without'
written pe'rmisson from the Department of Public
Works ;County of Butte. n
BUT
COUNTY
BUILDING DEPARTMENT
AppROVED ;
3ept-c system and location-ef-ptf
bd-
,. irin-1tcrbraat to be as per
Butte County Health Dept. Re-
quirements.
Ao3a�r I-IDMt � u-111-1 IES
The shall be 5 ft. -from
the side property line and 50 ft. from
the centerline of the road, permitting
a maximum -of a 2 ft. eave overhang.
All utility connections shall be
located within 4 ft. outside the rear
third section of the mobile home
on 'the left (road) side of the mobile
home. - - ,
• •1
sr.--
-t
Phhj /��idPp= ®rte '
r
958 �9B
{{ PERMIT N0.
PERMIT EXPIRES
jOWNER
Eugene Valerio
CONTR.
owner
LOCATION (A.P.
30-35-65
r' 1675
12th St., Oroville
,c
1
Temp. Power Pole
Called PG&E
Temp. Ele/Serv.
Cal ed PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED_ s
(Date)
(Signature)
i
:-_
COUNTY OF BUTTE
CEPARTMENT 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 wo,k Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
wr
Date
Framing Test Water Htr.
Stucco Final Subpanels
Mesh - MECHANICAL Gird. Fault Prot.
Brown
Lam'
COUNTY'OF BUTTE —,DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTI OWRECORD
Temp. Pole
BUILDING BUILDING. (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor.
Main. Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handica ed
Conformance of ex..
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh - MECHANICAL Gird. Fault Prot.
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation"
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBIL EHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
I; DATE REMARKS OR CORRECTIONS
� .�
l V
r `
- 2•s =ow Wla ,
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS RERMIT N
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION, AND PERMIT /
ASS ESSO PARCEL UMBER/ ZO ING
�b r _
BUILDING PERMIT
OWNER TELEPHONE
i
- SO. FT. OCC. BUILDING VALUATION
OW ER' A LI A 07- -
CONTRACTOR'S NA ETELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
�\
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee '�_
$ .►
ARCHITECT OR ENGINEERS
E NO.
Plan Checking ree
,$
Penalty
$ -
ARCHITECT OR ENGINEER'S MAILING ADDR SS
Permit fee
$ .�
BUIL ING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO. __[SUBDIVISION
NAME
r
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehomee Other -
SPE CI FY
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 100V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP,&
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, the Bus Iness
f
and Professions Code and my license is in full force and•efect.
License No. Classification
I, as the owner, or my employees with wages -as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. MULTI -OUTLET 2.50 ea
ON.RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS .&)
NON-RESID. (SINGLE OUTLET CIR.
EX. Occup( OUTLETS OR FIXTURES BA@L@1
AL�IOs
FIXED APP LNS. OR
Ex. Occup.(OUTLETS (RESID.)-EA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
-Contractor
MECHANICAL PERMIT,
Filing Fee 3.00
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.
fel I shall not employ any person in any manner so as to become subject
1� 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.
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
ag inst said County in co eq(u�ence of the granting of this permit.
X Q `6 �t6 Date S�
Signature of Applicant — OwnerECO.?' 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 $
TOTAL PERMIT FEE- $
Occup. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
59DE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
C F PUBLIC
By
PERMIT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date
r
Receipt No. � `
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
W COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
1111fM101
autnonze representatives of the l;ounry or tsutte to enter upon the
above-mentioned property for inspection purposes.
X Date^�
Signature of Par tee or Age t
Receipt No. aft>I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO^ Ij,OF PUBLIC WORKS
By���J/ — Date
BW 1"ng permit expires Date L, Yy✓ pri
BUILDING it V1
OwnerSQ.
nk— /Jt714,z,&-
,Mailing Add res _$ 7 49
FT. OCC. BUILDING VALUATION
Aigs-
_
U! E h
Telephone No.
S S_
Contractor ,
Mailing Address
Fireplace_
Total Valuation ,$7
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee .IIQ
l6 7 S_ — / ?ems'- -' +
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
i
Repair drainage or vent piping 1.50
A P —3 S F.�
Zoninfr& Pl�a n
Water piping 1.50
Each gas water heater or vent 1.50
s
W.
SFsi�y In
Fire Dept.
Fire Zone
Use Permi
Gas piping system 1 -5 outlets 1.50
EQA
Parking . ParcelEach
Plans Declaration
1 1,Parcel Ma 60' Fi/W
Improvements
additional outlet .30
Building sewer 5.00
gl g. s Recd
_
r
Parcel Approval Plans App-roval'
"Lawn'rinkler system 2.00
s P Y
NEW 12 ADDITION ❑ UTILITIES ❑ OTHER ®
Permit Fee $
$
ELECTRICAL No. @ I FEE
PERMIT FILING FEE $3.00 3.uU
Main service 800v OR LESS
100 AMP OR LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
+
Main service 1100EAMP OR LESS 25.00
Main servlce EA. AOD'L 100 AMP 1.00
NEW CONST. OWELLJNG OCCUP20s ft
OR ADDNS. ACC. BLDGS. . ' q
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 BRANCH CIRCUITS)
NON.RESID. � BRANCH CIRCUITS 2.50ea
NEWCONSTR. POWER APPARATUS &
NON .RESID. SINGLE OUTLET CIR.
Ex. OccuD(OUTLETS OR FIXTURES B L@;
FIXED APPLNS. 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 $ �; , ?O
r7C
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
\
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
170
$��/
autnonze representatives of the l;ounry or tsutte to enter upon the
above-mentioned property for inspection purposes.
X Date^�
Signature of Par tee or Age t
Receipt No. aft>I
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTO^ Ij,OF PUBLIC WORKS
By���J/ — Date
BW 1"ng permit expires Date L, Yy✓ pri
BUTTE COUN'T'Y DEPARTMENT OF PUBLIC WORKS
°S PECTAL 111SP7_CTIQbi REPORT•._
Owner • Ge r
- = A.P. # 3'b- -3 C� J
Address:
�: � C �� c. LL �a,✓M � �. .
Building Location:
Type'of Inspection requested:
Date of Inspection
Inspector
1. pousi-i€ / / 2. Financing 3. Change of Occupancy to
4. other (specify)_ �. -=_
w .x•12 _
M
2.
Prese.it use: cf bui,ldng: ,
3.
Wall construction:
A._ Sanitation flRusi.n:g?
Ceiling and roof donstructyo:R: ---- —
5.
1, plater r:Yos<et:
6.
Ctmi nenr s:_`��
_
2. Lavatonj:
i.�
Servicc ,=:nd r•-ound: i
Bathtub or shower:
3.
4. Kitchen sink:
S. Piot and colds VC1. to fixtur.es:
- II
'b. Heati.rag fa.r:iiities:
7, Natural 1ighs- and venttlagion:
d
B. Roan and space requirements:–
I
1-9. Badrom wirdow,or door for second
exit: J
10. Infestation of insects, vermin, or
d.!n
rots: � 1
11. Connection to se -wage disposal.:
_
J
12. Cornec�.ion to grater suppler:�
J
13. Rubbish and garbage facilities:
B. Structural
1.
P".ers and footings:
2.
Floor. cons tniction:
3.
Wall construction:
4.
Ceiling and roof donstructyo:R: ---- —
5.
6.
Ctmi nenr s:_`��
C. Electrical
_
i.�
Servicc ,=:nd r•-ound: i
2.
3.
4.
D. P1jamb in„g
r
1. Fix:Jures co;: nec,teci and ve1:ted:
3. C. -as hcating, �,emts.
4.
E. Other
1. Maintenance and repair: _
2. Fire hazards:_
3. Safety hazards:
4. Weather protection:
5. Underfloor and attic ventilation:
6. Conateents:
F. Commercial Buildings
1, Roof covering:
2. Distance to property lines:
—
3. Physically h'andicapped:
4. Restroom floors and walls: _
5. Exits:
6. --
7.
8.
Improvements:
Zoning:_
Comment:::
G. Field Problems or -Violations
1. Probl, m or violation (giv;` complete descriptic3n) :
2. What action (taken (give complete .Iescr:k)ti.oxi) :
3. What action recommended:
77A. nforaation only - file.
B'. Hold for teal (10) days, then write letter.
NC. Write letter.
77-7 D. Other:
✓ 3.
G. Field Problems or -Violations
1. Probl, m or violation (giv;` complete descriptic3n) :
2. What action (taken (give complete .Iescr:k)ti.oxi) :
3. What action recommended:
77A. nforaation only - file.
B'. Hold for teal (10) days, then write letter.
NC. Write letter.
77-7 D. Other: