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PERMIT NO. 1767-81P,E
PERMIT EXPIRES-
OWNER
XPIRES OWNER Eugene or Cleta Warren
CONTR. owner
ASSESSOR PARCEL 30-42-33
LOCATION 1730 Leta Lane, lot 24, Golden'
•
Knolls Sub, Oroville
i
,l
� W
,4
y
{
L
f
a.
Temp. Power Pole {�
Called PG&E A
Temp., Elec. Service
)�
• Called PG&E
Temp. Gas Service /
�• Called PG&E
JOB FINAL j ate) Z
Signature
C
= OK
0 = Not OK
= Not Applicable MO$ILEHOMES
.= .Not Ready
i
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except M's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
oning Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
oils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
ewe , Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ter; Location—Test—Easement Needed (Sketch)
4, Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.-Rfg.—Bracing
ricity; Loc ation—Clearances—Grnd' Amp—C Crete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
as; LocatiorrTest—Wrap: 'L"ft./ /"Nat. or/ L"ft. / /" LPG
6. Carports; Windows—Doors
7 Utility Clearance
7. Elea
Card -BI
Dat Card -BI Date
Card -BI
Date Card -BI Date
Card -B
Dat — Card -BI Date
Card -BI
Date Card -BI Date
Date
BILE OME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except #'s
oni g Requirements—Setbacks—Easements
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
as; Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
ectricity; MH Test—Crossovers—Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
n MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
ter; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ate d Sewer Connected—C/0 to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
as nd Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panelboards—Ins. to Main in Conduit
x' ; Insp.—Sketch
IA-t—ert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Dat and -BI Date
Card -BI
Date Card -BI Date
Card B-1
Dat/Card-Bl Date
Card -BI
Date Card -BI Date
J = OK
O = Nof.OK
- = -Not Applicable RESIDENTIAL (Single and Duplex)
- Not Ready
Date UNDERFLOOR Plans OK exce t#'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- Land ing-Fire Protection
4:
Ftg., Porches & Decks; Soils''=Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers,
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
v`
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing •Area -Glass Protection -Skylights -Plastic .
8.
D.W.V.: Fall-Fittings7Test-2 way C/0 -Sewer Test
55.
Shear. Walls; Nailing -Bolts `
9.
10.
Gas Pipe; Size -Anchors
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 #'s
57.
Smoke Detector ' -
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector=
In Garage; Above Floor -Ducts -Mach. 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.
ElecaTrim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit, Counter
Date
ELECTRICAL Perrnit 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
70.
Plb., Elec. & Mech. Equip. Listed for Location,,•.. `
22.
Size Boxes & No. of Conductors -Stapled
71,
Elec. Receptacles in Garage;,(G.F.I.)-Romex Protect
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 ❑Y ,es"
73.
{
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door-Drainage'&Wood-Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes El No
75.
76.
Following instld.: Drive ❑ Yes ❑,No; Walks ❑ Yes []No;
Planters ❑Yes El No
Stucco; Brown -Finish
28. Service -Riser Conductors & Ground -Main Disconnect
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 0 n s.
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 (Permit) OK except H's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters. Tagged; Gas -Electric
31.
A.C. Ducts; Insulation.& Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -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
Date
FRAMING Plans OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
__40.
41.
Header & Beam -Size ,& Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing -11
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ,
196 Memorial Way, Chico — Photte:.89:rZ751;
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise -Phone: 872-2961, Ext. 57
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 correctior�of work Is completed. If you have any question pertaining to this
matter, or nfeed additional explanation, 'please contact this office immediately.
I i
Inspector - '�-�`f�-� Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office Immediately.
Date S,._ 22-- �3rl
1 7 3 ®� tet.
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE "
OROV.ILLE, CALIFORNIA 95969
TELEPHONE 533-0740 -
[E—Thspection. of,your sewer connection was made this date and.approved.'
Inspection of your. sewer connection was..made this date and'.the
following discrepancies noted:
Please call -this office for re -inspection when the above discrepancies
have been corrected.
Sewer service charges will:commence immediately and -are billed -one-month
in advance. Your next billing will include.the'pro-rated sewer charges
for this month in addition to one month advance charges.
COUNTY OF BUTTE ----r.
DEPARTMENT OF PUBLIC WORKS
196 Memorial Memorial Way, Chico - Phone: 891-2751
7 County Center, Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road,.Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
r
BUILDING OR PROPERTY ADDRESS
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Y
T l
Inspector �tf / ,. / Date % 1 / �`l.�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 51 under permit
number for the following location:
1-7
Owner
Owner's Address
Mobilehome Mfg. Year 77
Insignia No. S Serial No.. f0
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date i ` f`�? By='``,ds",.�x`�-,u-•-��1.,:,-z..
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
I
COUNTY'OF•BUTTE DEFART.NfENT OF PUBLIC WORKS PERMIT NO ;
'7.County,Center Drive-.Qroville`•�alifornia A5965 , Telephone 916/534 O
APPLICATION AND PERMIT =
ASSES - s
:
D 3'S
`
ZONING
7 ,
'
'.BUILDING PERMIT-
OWNER�
�� .
. —1:=04��
TELEPHONE, „
ySQ.
FT. OCC.. BUILDING VALUATION
"
.J .
.,OWNER•sMAILING',ADDRESS.
'
A�4V07VV JR
C'S MAILING ADDRESS
`Q = _..:/J QX �G c,v' ��I /J',7 Z., _
.Fireplace.
-• .
CONSTRUC TI -ON LEN D.ER `UNK
OWN -'T
OYdI VdIUaY.IOn; _ - $
.Filing Fee -. - -
$' 10.00..
LENDER•SIMAI LING .'ADDRESS
' Permit Fee,
$
ARCHI TECT; OR. EN GI NEER ,- _ LICENSE"N O. �.
ARCHITECT OR ENGINEE •S _ ILADDRESS -
- - -
•Plan Checking Fee,
$" - —QV
_. � ..
Penalty.•
-
$ING.
Permit fee
$
BUl DDR,J=SS' -
%30 . ��� p,G/�/���— ,.
PLUMBING PERMIT `
Filing Fee 10.00
`
Each Trap`
2.00
Repair drainage or vent piping
5.00,
Water piping ... -
i0/T�NO.
L-
SUB VISION N�A•ME•. •:- _
PARCEL�_MAP.
Each qas Water heater or vent
5.00' -
Gas piping system 1 -5o utlets
USE OF STRUCTURE"
SF,❑ . Duplex 0 Mobilehome[l]6her l
- - SPECIFY-:
Building sewer--
Lawn sprinkler system
5.00 -
-
• '
TYPE OF WORK (
New❑ eAddltion ,❑� Remodel❑ Util%tles, lVtalJs�tj'on ther-❑
Describe work. 2 7>/%!"L / A -/(D % o /
Of
Permit Fee
$
Contractor
ELECTRICAL' PERMIT
Filing Fee' 10.00
600V OR Main service. 100 AMP ORSLESS
5.00' -
0S, ""% -' � •• (� -
Main service EA. ADD'L.100. AMP
2.50
` NEW CONST- �-'DWELLING OCCUP.y)
OR ADDNS. - AC,C,. BLDGS.
20 sq
_ -
CONTRACTORS'LICENSEQLAW
_
I.decIar under "penalty •of perjury (check one): a ",
-
am'licerised under provisions of Chapt 9, ,Div: 3 .of the Business
and .Professions Code D and .my license is in full force, and effect ;
License No:9�0 I ��
" 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) -
1, ,as -the owner, am exclusively contracting` with licensed contract-
.' ors. (Seo: 7044)
r-:C`am exempt under Sec. Business and -Professions Code-
for this reason
NEW CoNSTR .OU L T 2'50 ea
NO -RES BRANCH. CIRC
NEW CONSTR. POWER APPARATUS .&).
NON-RESID. (SINGLE OUTLET CIR '
so as¢
Ex. Cup(OUTLETS OR FIXTURES BAL�1
Ex. Occup.( OUTL ET S P(R E S ID )RE A. 2.00
` Temporary service 10.00
Mobile Home Facilities 15.00
,Mise. Wiring 7.50
"Permit -Fee $
Contractor
MECHANICAL PERMIT'
Filing Fee 10.00 ,•
WORKMEN'S COMPENSATION INSURANCE c _
I'declare under penalty -of perjury (check one):
'• ❑ ;The'permit is'for.$f00.00 (valuation).or Ie`ss.
I have placed on file with 'the County, of Butte Building Department
a Certificate -of Workmen's Compensation Insurance or a Certificate*
of Consent Consent to Self -Insure...
1•,§hall 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•orAhis'permit,shall be deemed revoked.
Heating
'Cooling
:,..
Hood
3.00
Ventilation
Permit .Fee
$
Contractor
1 certify thatnI have read this -application and-state'that•the'above. information
Js correct. l 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-tnspection 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.sard County in onsequence of the geanting'"of, this permit. p
X �� � e ..
Contractor Agent
S' attire of Applicant = Owner- g ❑
n OSHA, permit is required.forexcavotions over 5'0" deep and, demolition or construet
on of,structures over 3,stories in height:,
Mobile Home installation Fee $pU
TOTAL PERMIT FEE $
Occup, GROUP
I TYPE OF CON 5T,
PARCEL
PD
HD'
ISSU
This• permit is hereby issued.under
sions- of the Butte County,Code and/or
work ,indicated above for which
DIRE C R OF. PUBLIC
By
MIT EXPIRES Date
the applicable provi-
resolutions to do.
.fees have been aid.
P
WORKS
Date
Receipt No y�J?'%��
WNITE-D.P.W:, YELLOW -ASSESSOR, -PINK -INSPECTOR• GOLDENROD -APPLICANT
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KIN
- - �' i'r . • 4 T k r. , .L •"w." `"Y` ,
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. /h furnish Setup Model No. Year 4
Width- (ft.) Box Length (ft'.) Tagalong or Expando Size ,rG ft. x / ft
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer'.s'installaton
manual and structural setup sheets (if not on file, with the County- of Butte). .
All center supports measured from front of
mobiiehome unless otherwise specified, s,
a.
Foo lnnk�s. (check >one).,
Single 1. WoodAeither`
l
pressure•treated or,
foundation grade.
X 2. Other' (specify)
(ft-)(in:) .(in.) (in.) ❑
Center support Center support
`locations* footing sizes Support$ (check _one) f
(in.) 1p 1: Concrete block:
❑ 2: Other•. (spec ify.)
(in.) (in.)
*--tagalong or Expando,
show support, details,
(in,) (in.)
0? x1-.X --,Typical -Support
(in. (in.) Footing Size �.
Max. Pier Spacing
E
Max. Overli'ang
(f t- (in:) (in•) in,.
,_.
sunt COU,N 'Y
BUILDING•t &AARTMEN..
APPROV
*If center piers are other than drawn above, r
draw in--locations,_ spacing,, and-�dimensions.
• � — ,,�
�
�ON,I G .•,4
� �'�.�r i ...: .; ", -r 1
BUILDINGY. PERMIT '
`-
T,ELEPHO
33- �f3
- .OGUILDING VALUATnON
"SO FTC B
:
OWN R'S MAILING AD_Jd5ZE55
x 3: /Oti QU/LGA x:::95 S_ '
r
COUNTY";OF BUTTE -;DEPARTMENT OF',PUBL=IC' WOR V P RM1T N0�`
I ;. (- TELEPHONE �:;�.
;CON'T RAC TOR•S.,N AM '%'��
N'
7 County Center Drive-, Oroville Callforgl'a 95965 _- Telephone 9161 -4541.
,iCONT-RA,CTOR'S•MAI LING ADDRESS.`
•C_ONST•RUCT.ION
Fireplace w
L'E Rt .), UNKNOWN
x.•
LENDER'S MAIL I'NG ADDRESS - t s. t. •. r
• _;,;. .,_
•T OIaI°ValUal'IOn; $. - -
Fllrng+Fee," $ F,. 10 001'
-i6
ARCHITECT OR ENGINEER, - }, �' ..'.LICENSE
�NO.^_
" • t A'PPL1C14l AND',;PERMIT
Penalty- $y."l
.,ARCHITECT OR4ENG NEER_'SMAILING ADDRESS -
(
Bu L,glpl gDREPLUMBING'
SORPA L NU!�
•.ASSES00
w
"_Repa)r
Each Trap' T: �,• '2,.06'
drainage or vent piping ., 500
r
,eOU�,LG� `b
Water ,;.. � ,:,.
piping ,0 00
•L OT' NO" -
^ Z.
'SU BDIYISION NAM., - PARC;E-L MAP N
c;f�L!/ 10L l7 U•V i✓. ;^ �Z�� i, A
Each qas,wafer heater or, Vent- 5..00 .
Gas p)ping. sy§tem 1 5•outlets
USE OF -STRUCTURE' ;`
SF ❑ -Duplex Q Mobilehome . : ,Other
T SPECIFY
Building sewer ,-^:'' / (�_` :•
Lawn sprinkler system r :5 00''
-
_
',TYPE OF WORK
' New Q'L.Addition ❑4 . Remoddll 0 Utl lilies Installation ❑ Other"Or
Describe work- CE �— �) �` •'u U
` ' ''•��C /V J / / /,V ., 'JrI /..� )' r r •Y
Permit Fee . ;i $ On'
Coritractor
,EL ECTRICALa'PERMIT FilingFee1000
• � — ,,�
�
�ON,I G .•,4
� �'�.�r i ...: .; ", -r 1
BUILDINGY. PERMIT '
O
4: / A/C G{/A m�e cL
T,ELEPHO
33- �f3
- .OGUILDING VALUATnON
"SO FTC B
:
OWN R'S MAILING AD_Jd5ZE55
x 3: /Oti QU/LGA x:::95 S_ '
r
,
I ;. (- TELEPHONE �:;�.
;CON'T RAC TOR•S.,N AM '%'��
i ., a' u.h,r
-c
,iCONT-RA,CTOR'S•MAI LING ADDRESS.`
•C_ONST•RUCT.ION
Fireplace w
L'E Rt .), UNKNOWN
x.•
LENDER'S MAIL I'NG ADDRESS - t s. t. •. r
• _;,;. .,_
•T OIaI°ValUal'IOn; $. - -
Fllrng+Fee," $ F,. 10 001'
.Permit Fee. -. L $ _,,•:
ARCHITECT OR ENGINEER, - }, �' ..'.LICENSE
�NO.^_
..PIaW_Checking•Fee• -$
Penalty- $y."l
.,ARCHITECT OR4ENG NEER_'SMAILING ADDRESS -
'PerinIt fee•
Bu L,glpl gDREPLUMBING'
PERMIT 1. 'rig Fee 10:00•
w
"_Repa)r
Each Trap' T: �,• '2,.06'
drainage or vent piping ., 500
r
,eOU�,LG� `b
Water ,;.. � ,:,.
piping ,0 00
•L OT' NO" -
^ Z.
'SU BDIYISION NAM., - PARC;E-L MAP N
c;f�L!/ 10L l7 U•V i✓. ;^ �Z�� i, A
Each qas,wafer heater or, Vent- 5..00 .
Gas p)ping. sy§tem 1 5•outlets
USE OF -STRUCTURE' ;`
SF ❑ -Duplex Q Mobilehome . : ,Other
T SPECIFY
Building sewer ,-^:'' / (�_` :•
Lawn sprinkler system r :5 00''
-
_
',TYPE OF WORK
' New Q'L.Addition ❑4 . Remoddll 0 Utl lilies Installation ❑ Other"Or
Describe work- CE �— �) �` •'u U
` ' ''•��C /V J / / /,V ., 'JrI /..� )' r r •Y
Permit Fee . ;i $ On'
Coritractor
,EL ECTRICALa'PERMIT FilingFee1000
. 800V OR LESS',a`OD
Mai' Service .100 -AMP OR LESS ':§.00
Mdln ;service"E'A. ADD"L .100 AMP
ti.NEW CONST. /DWELLING OCCUP.'N`,,, .'2Q S ft "• �'� ..
'OR ADDNS:': \•A"CC. BLDGS_ •-' _ / q �, c,,•
CONTRACTORS LICENSE LAW
' _ i
I' declare- Vnder penalty of perjury (check one): T „
,,.,
❑ I am Licensed under^provisions of.- Chapt 9„Div. 3 :of .the Business
;and. Professions Code and :my license is,,in tul I4J&ce and effect
. K _. L
,•?LICehse No ' • C.la'ssrflcation
as therowner, or my'.employees "with wages as ;th'elr sole compen-
\^sation, will,do the work, and the structure isnot intended -or offered.-
for.saie. (Sec. _704.4)
Q :I, as the owner, am exc}usively contracting with Licensed contract
ors. (Sec. 7044)
Q 'I•am exempt,, under Sec. r 'Business and.Professions Code
for this. reason r ,.
w4.
NEW CONST - U, L T 2;50 ea' '
'ANO N.RESI6 BRANCH CIRC S
'NEW C'ONSTR /POWER APPARATUS 6
'NON-RESID. , \-SINGLE OUTLET-CIR.
' Do @ 25e.
Ex;:Occup 'ou'rLETs.oR Flxruli Es B'ALA1
IXED•-APPRLNS ORE. ,
EX.'Occup.(oUTLETS ( ESID) A:r 200
Temporary service r 410 00
r
Moblle'•Ho'me,Facilities ;15.00 „pIPZ
Mi•sc Wiring$ 7.50
Permit Fee` f; :' $ ,-:,,. 2;!5;D7
Contractor
MECHANICAL PERMITr=„ FiIingFee 10.00 ".'•
WORKMEN'S COMPENSATION INSURANCE.
i ' }
I declare under:perialty of, perjury: (check one)_
Q,,; The permit is for $100.00 (valuation) or less.
l liave placed .on file wlth� the County of Butte Buii'ding 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 subfect�
to the,W.'C. laws of California j ;
Notice to Applicant: If after:making thi's statement, should you become subject";
to'the W. C.. provisions'of the'Labort6de; you'must'forthwlt,h'comply.wlth°such.
provisions or this permit shal;C;be:deeined revoked
-
Hy ,
eating:
Clililing,V, V x ” '
Hood
V,entllati' n'
;•` t
Permit Fee,.",
Contractor'%
:I certify that l have'read this ^application; and state that ,the above information'
is.co.rrect.' I'agree'to comply to. all,County Ordinances and State Laws'relatinge
to building construction, and hereby authorize represbAtatives ol'the Countyot
-Butte to'.enter,upon the above mentioned property for inspection purposes. p+
I'also agree,to save; indemnJfy and,keep,harmless the County.of Butte against'-.OccUP.
all ,liatiilities;:•judgment ,'costs and expenses which may,in, any way accrue
agai id, ount r n.c nsequence"of, the granting of: this permit
ti
X Date �
Signature`of Applicant Owner❑ '-Ccntr.ctor`Q, ,Agent❑ _
AA OSHA permit'is}raquiredlfor`excavations over 5'O" deep,•and demolition or.consiruct
•:' ion of sfructures over 3 stones in height ' .�3 a %k-: �
Mobile Home*'Installation^Feer` ' $
4,-` �� ,� 't,• ' ;..
F
T.OTAL;P�ERMIT•FEE : .. $ :- 32,
GROUP.
, V!.P OF CONST
a"'.^
=
PARCEL_
-PD'
=iHD.
1"'SSUE
Tliis�permit is fiereby issued under tlierapplicable provi=:`
signs of the Butte'County Code and/or resolutions.to do'
work Indicated':above, for which. fees have been pend:.
�� ,. w r . �D! TOR, PUBLIC WORKS'" '
«> •-� S ?� �,� '
By Date
.—
PERMIT, EXPIRES Date �' _
Receipt No.f
WHITE-D.P.W.,'YELLOW-ASSES R PINK IN9r ECTOR •60LD[N ROD -APPLICANT
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O
N� THERMALITO IRRFGAT10H -DISTRICT
410 GRAND AVEN4UE
ORO,VIL:LE, CALIFORNIA 95965.
{ T E L E P H O N�A33- 0740
• '•CSA 26 SEWER SERVICE APPLICATION AND CONNECTION
PERMIT .
Service Address:
Owner's Name:
Date: -• �"'
lP .1. ,L/ j• d . ..
Address: e Jflfl�.'P�--
�f..
Acct. No: 2
c
a44,
A. P. No.:
Phone:
No. Units:.
l
Applicant/Agent: r�I/ I,+�
Agents Proof:
Address:
Fees:,
Phone:
Application $ oro'
F
Preliminary Review By: ` 1J' "f'`'''-� Date:
Arrearage
CSA 26
Remarks:
SC -OR.
r
1st mo. S.C.
Other��,}.•,a
F y
' Total Fees
Collected By: {1=
Date:
Field Review By: Date:.
Remarks:
r
MONTH LY.SER.VICE CHARGES WILL COMMENCE AUTOMATICALLY
UPON:
❑ Date:'of TID approval of completed building°sewer-(ear•I•y-connection•►- .
;30 days�after-•date-above eg7,bn date of--DPW-approval'of completed-bui•ld•ing-sewer;
wh"ich=ever-comes-
first (-'exlsti'ng-construction'a;-prior-rto-M`ar�-5 1974•)---
1:80 dgVs after--date=above,; or o')AV date-of-D-P-W:-aper•oval-of-completed-building-sewer,
which -ever -comes• "
first (=-new-constructionlafter Mar„.-5;-1.97'4•).---�-T-
`. T PIR ► ' ' � i ROM DAP U6 ,SUE
p�, DISTRIBUTION: WHITE ;TID, YELLOW APPLICANT,•pINK - DPW GOLDENROD: - DPW to TID
;� ori; '?.,-
1
- �
'� �
,-
-
.... � -
� �•
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-
�
1J -COUNTY OF ;BUTTE,- DEPARTMENT 'OF�,PUB'iLIC WORKS'' P RMIT NO.
f County Cents- elDrivOro
Ville, California 9J965 :=:Telephone 916/534-4541 —
r • APPLICATION AND PERMIT
ASSESSOR PA EL NUMBER / - ZONI G
fid-Z:`v�3''
BUILDING PERMIT
OWrNNER/' - .. TELEPHONE,
SO. FT. OCC. -BUILDING. -VA L ATION
OWN 'S MAILING ADDRESSl
CONTRACTOR'S NAME-
TELEPHONE
-
CONTRACTOR'S MAILING ADDRESS -
��
Fireplace,.
CONSTRUCTION LENDER - -
UNKNOWN -
Total. Valuation` $.
Filing Fee
,$ 1Q,QQ .
'LENDER'S MAILING' ADDRESS .•-� ,' - - - _ - y
Permit Fee
$ b�Uo
ARCHITECT OR ENGINEER - -I,
LICENSE "N O.
;Plan Checking. Fee
$
Penalty
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
�--
Permit fee
BUILDING ADDRESS ..
7-2 a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage.or vent piping
5.00
D✓iD ,
Water piping
LOT NO. SUBDIVISIO NAME TPARCEL MAP
!:
Each paS Water heater or vent,,
- 5.00
Gas' piping system 1 - 5 outlets
USE OF STRUCTURE
SFE1, Duplex❑ Mobilehomeo Other -
- SPECIFY
SPECIFY
Building, sewer ,
system
5.00"
TYPE OF WORK .
New Addition❑ ,-Remodel[]. Utili_ties❑ Installation❑ Other❑
Describe work: -�� /uik'��c c ' " ' -
Permit Fee,
$
Contractor
ELECTRICAL. PERMIT.
Filing Fee 10.00
-Main service.1000 AMP OROR SLESS
5.•00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST: DWELLING OCCUP;aI
OR -ADDNS, (.DWELLING
BL:DGS.
20_sq.ft
-
CONTRACTORS' LICENSE LAW
I declare under penalty -of perjury (check one): -NEW
•
❑ I am licensed under -provisions of. Chapt. 9, Div. 3' of the BusinessOc
and Professions Code and my license is in "full force and effect.
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- contacting with .licensed contract-.,
ors., (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR U ,L r 2,50 ea '
NON•RESID BRA CH' CIRC
CONSTR, POWER APPARATUS 61
NON.RESID, SINGLE OUTLET CIP,' i -
SO @ a¢
Ex. cup OUTLETS OR FIXTURES BAL@1
EX. OCCu ( UTLIXEAPPLN3, OR
pr\OUT'LE'TS (RESIDJ EA. '' 2.00
Temporary service
10.00
Mobile Home 'Facilities:.: '' 15.00
-'Mise. 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 $100:00 (valuation) or less.
IlI have placed'on file .with the County of Butte BuildingtDepartmentCooling
a Certificate of Workmen's. Compensation- Insurance' or a Certificate
of Consent .to Self -Insure.
�JI sFialI not employ any. person in any manner so as to become subject
_to the W. C. laws of California.
Notice to Applicant: If after making ,this statement, should you become subjectPermit
to the W. C. -provisions of the Labor Code, you must forthwith comply with such
provisions or this permit,shal,l be deemed revoked.
Heating .
Hood
3.00
'•Ventilation
Fee
',Contractor
`I 'certify that ,I.have read this application and state that the above 'rmation
is'correct. I agree to comply to all County Ordinances and -State Laws relating
to building construction, and hereby authorize representatives of..the County'ot
Butte to enter upon the above=mentioned property for inspection purposes.
1. also *agree to save; indemnify and keep harmless the County of Butte against
','all liabilities, judgment costs; and expenses. which may in any way accrue.
agai t id Count in c nsequence-of.the-granting of this -per it.
X Date
Signature of Applicant — Owner Contiactor ❑ Agent
An' OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over -3 stories in height.
Moblle"Home Installation Fee' : ' .. •$
4
TOTAL' PERMIT FEE
:OCCUP. GROUP
TYPE I F CON 9T..
vv
PARCEL
v.
PD
HD
39UE
r
This' permit is hereby issued•u.nde'r:
signs of the Butte County:Code and/or
work indicated above 'for which
+ DIRECTOR'OF P
o
By, .
PERMIT EXPIRES Date
the applicable provime
resolutions to do
fees have been paid.
LIC WORKS
Date r
- ��
Receipt No:
WHITE-D.P.W-. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
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COUNTY OF BUTTE YDE
7 COUNTY CENTER DANE""
P".ARTMENT OF PUBLIC, WORKS - BUILDING DIVISION
*OROVILLE, CALIFORNIA"95965 - TELEPHONE: 916/534-4541
1
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER cr (_ ��'l/ (�(.�//v�� A. P. No. 3y — 4:?-.
Proposed Building Use �rd4 iclui��
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector `% Date �� ?`�
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/oriissuance: DATE RECEIVED APPROVED
�1. All items have been submitted. . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . .
3. Complete plans in duplicate/triplicate. r
4. Complete engineered plans and calcs. �u.,u:� '�Z
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization.
`10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name,style, classif.)
l/k 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . • . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Required- B.ilPre-Inspec. request to (Dote)
p q Building Inspector
18. Other '
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
/Telephone 'and hold for pickup at G2rov�l�n office. Deliver w/inspector.
Other
�Y /
Applicant E'.1I�u- l ¢/A.- 41L Date /4? c��
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the..following data must be submitted prior to permit issuance:
(For required items not ch eked above at time of applicatioA, cle item.)
1. Index permit for above Items No.
2. Additional items required:
r
(Contractor, Designer, Owner) was advised of above required data by
By
Telephone. Mail Other
Date
Plans checked by Date
Plans approved by Date % Z ,—
Other
Copy—DPW
rr j7
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIF ICAT ION
Attention Property Owner:
An "owner -builder" building permit has-been applied for in your name -and bearing
your signature.
Please complete and return this information in the•envelope provided atyouur
earliest -opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan,to provide the major labor and materials -:for construction
of the proposed property improvement.(yes or no)
-2. I (have/have not) signed an applica ion -for a building
permit for the, proposed work.
3. I have contracted with the.following person (firm) to provide the proposed
construction:
-Name
Address / City
Phone Contractors License No.
4. I plan to .provide portions of%this work,.but I have hired the following
person to coordinate, supervise, 'and provide the major work:
Name
Address / City
Phone Contractors,License No.
5. I will provide some of the work but,I have contracted (hired) the following
persons.to provide.the work•indicated:
Name. Address Phone Type of Work
• ,t f. .
Signed:
Property Owner
Social Security. nu
.
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned.to our office before we are
permitted to issue the permit.
NOTE: A Mat rials &: Workmanship S al) . HBe 'in...
Accorc!`ance'wifh Recognized:: Good- l}ra tices and
preci466cl.forthe rSpecified use m : thJ
o:`'l o
e
;f I
2'/X l �xg
A setback. of 5 -ft, from'the
property'lines.and a setbaclt
of 50ft. from the road.`
�-
centerline shall -be clear of ,
\ i
structures or equipment except
Y
\n \1%
for a 2:ft.'eave overhang. .
/v, .6: .
NOTE: A Mat rials &: Workmanship S al) . HBe 'in...
Accorc!`ance'wifh Recognized:: Good- l}ra tices and
preci466cl.forthe rSpecified use m : thJ
o:`'l o
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-
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PERMIT NO. 2425-81B
PERMIT EXPIRES
6
Eugene or.Cleta Warren
OWNER
CONTR. owner
ASSESSOR PARCEL 30-42-33 port. .
1730 Leta.Lane, Oroville
LOCATION
r
.1
R.
1 ,
i
Temp. Power Pole
X
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
i
JOB FINALED (Date) — v
Signatun
J = OK
0 = Not OK
- = Not%pplicable MOBILEHOMES
* = Not Ready
rF�
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• Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location-Test-Fall-C/0-Co6crete
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 -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /".LPG
7. Utility Clearance
6. Carports; Windows -Doors '
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date a 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-Easemehts
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
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7• Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool 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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r - -i t r
Q •,
V -.OK,
0 = Not OK
- = Not Applicable
* = Not Ready
w
RESIDENTIAL Jingle 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
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
14.
Water HL; Vent -Access -Combustion Air
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size &Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65•
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Perrrit OK except #'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
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.'F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes
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 Al
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 Al,
Insulated Neutral ❑Yes EJ No
75.
Following instld.: Drive El Yes ❑ No; Walks . ❑ Yes [I No:
Planters [I Yes EJ No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
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
Date Card -BI Date
MECHANICAL (Permit) OK except #'s
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
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 -B I
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
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
`,j-
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
,
38.
Bearing Walls over Girders & Floor Nailing
i
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Q5\A yl
45.
Attic Access, Size & Romex Protection -Draft Stop -Ins. Baffles
-_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOT E: An entry must be made each time you vi sit job site)
COUNTY OF BUTTE {
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine Inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office -immediately.
STATE OF CALIFORNIA --BUSINESS, TRANSPORTATION AND HOUSING AGENCY
P�wrorNo
• DEPARTMENT OF HOUSING AND COMMUNITY DEVELOPMENT
_` DIVISION OF CODES AND STANDARDS
ACTI� REPORT
AREA OFFICES
S. to. B� f-1 AL1
ern Aree
Date Report by Nh� YtA!
Third Street
To: Name l.� O � t. A / Mf'� �(
Sacramento, CA 958,4
1
P.O. Boz ,407
P.O. Box
Address �3O—'if�20-03(0
Sacramento, CA
L \_V,
9sa12-1407
Tel. (918) 445-0135Southam
vlty Site (If other than above) 1`1 30 e�t�.
Area
❑
OCA �� e l YM uA ;\_O C,
2038 Iowa Avenue
O2
-
Bldg. B. Suite 102
J����CCCCJ\�
�� 0 Owner (If other than above) It
Riverside, CA
92507-2435
�"IV
J131
Tela (714) 782-4420
Address YCa UQ V f(11�%
"Wiro tn®his,l
PURPOSE OF REPORT: (Checked( as appropriate)
JUN 141993
❑
INSPECTION .RECORD ONLY
Lel INFORMATION ONLY 4- OrOiflQ, CialifOmia.
❑ NOTICE OF VIOLATION AND RELATEDAN' FORMATION: This report provides notice of
violations of the California Health and Safety Code, Division -l3 or•the-Califomia -Code of -Regulations, Title
25, Part- 1, Chapter _, Sections indicated. Copies of the regulations may be obtained from the State of
California, Office of Procurement, Publications Section, P.O. Box 1015, North Highlands, CA 95660-1015.
Violations indicated shall be corrected and a ritten request for further inspection filed with the Area Office
indicated above on or before The request for inspection shall be accompanied by
minimum fee of $
A permit shall be obtained from the Area Office identified above for work to correct item(s) #_
.If you believe this report has been issued in error or is factually
i Area Office indicated above. -
INSPECTED UNIT IDENTIFICATION:
'
Type of Unit AMIS: Boz Size Overall Size tt
i
Manufacturer, Year and Model
Supervisor at the
r"—
FILE IDENTIFICATION
CPT # - NTAI FAC. ID # 1 • t .
ASSIGNMENT #
LRB DR DATA: 1p DATE
PCA/ACT CODE r" �L� AREA ^-r
CO_ LOC TR MILES
TIME: INSP/ACT Q • 3 TR
INSPECTION DATA:
�T! E REPORT ONLY
❑ INMAL'INSPECTION ❑ REINSPECTION
#
HOME/ UNIT - # FLOORS
VIOLATION DATA:
TOTAL ,AX MP TENANT
S _ F _ E _ M _ P _ G/O _ NP
MH ALTERATION TYPE:
AC ❑ ACC ❑ ROOF- ❑ FP ❑ O C
THIRD -PARTY MONITORING:
OAA @ HO o IP ❑ DL ❑ IS . C
DAA #PLANS —#COMPLY
MP INSPECTION DATA:
BLG/FIX _ MH LOT— RV LOT— AS
EH INSPECTION DATA:
❑ ACTIVE ❑ INACTIVE
MAX CAP P. CAP OCC
SFD DORM MH/RV O,
FEE ACCOUNTING:
COL#
USED DUE_ ATTACHED
INSP CTION
INSIGNIA
OTHER
ATTACHED FEE I.D.
HUD LABEL or HCD Insignia No. Serial No. or V. I. N. I
/� \ \
INSPECTION RESULTS OR INFORMATION: 17 cK _All ya LC" 46 _:1 �\fj' \ ,Ai\f,
0
RECEIVED BY TITLE
DEPARTMENTAL USE ONLY: Action: Close File ❑ Reinspection Required Q _Progress Inspection -Required
❑ Enforcement Action ' Needed ❑ Other
SEND COPIES TO: Recipient ❑ Owner ❑ SAA ❑ OL ❑ Other
SUPERVISOR REVIEW DATE COPIES q� COPIES SENT BY _ DATE
HCD-61 (Rev. 391) 91 91928 PAGE 1 of 1
Post -it "routing request pad 7884 t -
ROUTING - REQUEST
Please
❑ READ
To
❑ HANDLE
❑ APPR O ��
i
and
FORWARD
❑ RETURN
❑ KEEP OR DISCARD
❑ REVIEW WITH ME
Date From
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