HomeMy WebLinkAbout030-430-021a
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THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVI L LE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 1626 Leloa,,Lane
Owner's Name: Phillip Wilson
10-7-83
Date:
Address: 3153 Oro BAngor Hwy
Acct. No:
A. P. No.: 30-43-21
-534-7694.
Phone:
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone: Application 20.)0
$
Arrearage
Preliminary Review By: Date:
CSA 26
Remarks:
SC -0 R 900.1"0
To Plsce- inabilt hom on property
1st Mo. S.C.
c 16ip ->1
Other
e
14�0. LD 0
Total F ees
D. Earl
Collected By:
Date: 10-7-83
Field Review By: Date'
Remarks. -N' Charge i-�6A #26 connection charge to be due.and
to
p*ysbj,e7pv10 'action,to rpa sever collermor byULUMIg VAIMLSO VV.LLJ. VV
t -ling Kv,�"Via,cttan te'the
stwer,,system.
L -1/y C/ IV 61"; Ju /7 4!;/--) 21
/19 4x
7 C�,
ely
MONTHLY SERVICE CH ARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID. approval of completed building sewer (early connection)...
30 days after date above, or or date of D.P.W.approval of completed building
sewer, which ever comes
first ("existing.construction", prior to Mar. 51 1074).
180 days after date above, or on date of D.P.W. approval of completed
building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
Temp. Power
OFFICE COPY
Called PG
Address
Temp. Elec. Se
Called PG
GAS
Meter By
D
Temp. Gas Ser
ELECTRIC
C410
,
Meter By
Daa-
t
CalledPGI,
-�Aq-k
JOB FINALED (Date)
Signature
0400V
I ('
r 4.,
%1, = OK
0 = Not OK
– = Not Applicable MOBILEHOMES -,MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except Ws
1. Zoning Requirements–Setbacks–Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plansj OK except Ws
1. Zoning Requirements–Setbacks–EasementS
2. 5ftfle&Support–Sketch
2. Footings; Size–Depth–Spacing–Connectors
%5 Se4er; (LoUt iWL test– Fa I I-C/O–Concrete
3. Decks; Girders and/or Joists–Decking–Bricing–Stairs–Rails
Water; Location–Test–Easement Needed (Sketch)
4. Wood Awn.; Posts–Seams–Rftrs.–Connec.–Shthg.–Rfg.–Bracing
5. Electricity; Location–Clearances–Grnd.–/ Amp–Concrete
50 Alum. Awn.; Columns–Connections–Splice–Decal–Enclosures
6. Gas; Location–Test–Wrap:/ /"L"ft./ P' Nat. or/ /"L"ft./ LPd
6. Carports; Windows–Doors
7. Utility Clearance
7. Elec.
Card -Bi
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B I
Date Card -131 Date
Card -Bl
Date Card -Bl Date
Date"
IVIOBILP46E INSTALLATION (Plans) OK except #'s
Date
POOLS (Plans) OK except #'s
1"—Zon�ug Reiquirements–Setbacks–Eal.gm , nts
a—root I ings; S&e,,&pa%+ffT--0arri4e—Line
1. Setbacks–Easements
2. Soils; Compact i on–Structure Stability
MH Test–Demarid–Valve–Connector
3. Pool Structure; Steel–Connections–T hi ckness–D6ad Me n–Li ning
4.�_Elec Test–Crossovers–Breakers–Cleara
!�.izity; MH nces
4.* El'c.; R c__ tacles and 'Lighting; Distances–GF1
e e ep
J.,��aai�"H Test–Fall–Flex Connector
5. Elec.; Pool Lighting' 15 volts–GFI
ae1W,p_t6r_MH Test–Regulator–Connector
fi. Elec.; Enclosures; Conduit Entries–Terminals–Listed
W and Sewer Connected–C/O to Grade–HD Approval
Ater
7– Elec.-I Bonding-, Metal w/5'–Circulating Equipment–Heater
�_�_G�nd Electricity Tagged
8. Elec.,; Grounding; Equip. w/5'–Circulaiing Eguip.–P ool Lgotg.
Boxes– Enc losures–Pane I boards– Ins. to Main in Conduit
f -'-Exits; Insp.–Sketch
40. Gert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test–Water Supply Test
Card 6-
Dat fGard-BI Date
Card -131
D�te Card -Bl Date
Card B -IM
Da;31&L/—X,'Card-BI Date
Card -BI
Date Card -BI Date
%1 = OK
0 = Not OK.
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.
Zoning requ irements-Setbacks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; So ils�Steel-Elec.' Grhd.- / / Ftg. Depth
49.
Ext. Doors -One X -Check Garage -3rd story, 2 exits
-3-.
Ftg., Garage; Soils -Steel- / " Ftg. Depth
50.
Stairs; Width-Headroom-Rise-Run-:Landing-rire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / / Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Sternwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Sid ing-Nai I ing-Veneer
6.
Stemwhlis, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection-Skyl ights-P last ic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Sery ice Test
11 .
Electric; Underground
12 .
Plenums & Ducts; C learance-Materi a I -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 Datei Card -B I Date
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.: Vent- Access -Combust ion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -_`-
In Garage; Above Floor-Ducts-Mech. Protection
15. Water,Pipe;-Teqt.& Anchors -Nail Protection
16.
D.W.V.-,:.T,est�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'&_S�ower, 2nd F loor-Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe: Size & Anchors
62.
Stairs & Rails
_19.
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Card -BI
-Date'
Card -BI Date
Date- Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap�Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit'. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swing -Landing -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
-
69.
Wtr. Htr.; Vents -C leara nce-Com b. Air-Connector-P.R.V,.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Pllb., Elec. & Mech. Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
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 0 Yes
73.
Guard Rails & Deck Construct ion- Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfee - d 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 11 Yes
27.
28.
Range C�irc. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral -EYes ENo
Service -Riser Conductors & Ground -Main Disconnect
75.
Following instId.: Drive [I Yes No; Walks El Yes E] No,
Planters El Yes 11 No
76.
Stucco; Brown -Finish
29.
Equip. Clearances, -Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
_30,
- -----
Card B -I
Card B-1
Clothes Closet Light -Shower Light
Date Card -Bi Date
Date Card -BI Date
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Wel I ' Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81,
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Perrr-it) OK except # s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged: Gas -Electric
31,
32.
33.
A,.C-._Ducts, Insulation & Support
Vent Fan, Exhaust above Insulation
Condensate Drain & Overflow, Size & Grade
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
Card -BI
Card -Bl
34,
35.
Furnace -Vent, Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -B I Date
Date Card -BI Date
Card -B I
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
37.
38.
39.
40.
Sills, Proper Material & Anchors
Walls: Studs-Nai - ling, Spaci - ng -_ & Bracing -Plates -Sound
Bearing Walls over Girders - & Floor -Nailing
Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue-Fiieplace Throat
Attic Access: Siz e & Romex Protect ion -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
MOBILEHOME INSTALLATION ACCEPTANCt
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS — 7 COUNTY 'CENTER DRIVE
OROVILLE, CALIFORNIA — 534-4541
PERMIT N6.
Address or location of mobile le,
home
Owner's name Wvr, Y"
ss D
Owner's addre _:�D �,ZDn e
Insignia or hud number—
Manufacturer's name
, Seri al-number.of V.1
Yearbf manufacture
-fOffici.] ATroving Installation) (D I ate
IF THEIMOBILEHOME IS MOVED OR RELOCATED, THE-MObILEHOME INSTALLATION
ACCEPf ANCE SHALL BECOME INVALID. THIS FORM SHAL - L . N . OT BE USED WHEN THE
MOBILENOME IS INSTALLED ON A FOUNDATION SYSTEM. -
513B White - Owner, Yellow - Installer, Pink D.P.W.
COUNTY -OF -BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
County Center Drive, Oroville — Phone: 534-4541
'Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
i US
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 pertalning to this
matter, or need additional explanation, please contact this office Immediately.
Q
Inspector— Date— C�"
t
COUNTY OF'BUTTE' 7DEPARTMEN-r OF 'PUBLIC:'WORKS
PE
ve - Oroville,:,r—,alifo nia 95965 -.'Telephone 916/534-4541
7 County Center.Dri
APPLICATION AND PERMIT'
ASSESSOR PARCEL NUMBER,, . I ... ; . I I . .. .
o3o , Vs -'o - 6;4 -a
ZONING . . .1
. I I I \J I �
BUILDING PERMIT
OWNER
"TE�_EPHONE -
SQ. FT. OCC. BUILDING VALUATION,
O.WNER'SMAILING ADDF3 SS
CONTRACITOR' E
SAIVMM4V &w
TE,,L;EPHONE
.13 _3
CONTRACTOR'A.bd.A!�ING ADDRESS
k,COf4STRU
Fiie�lace
TION LENDER
UNK.N OWN
Total'Valu6tio6
Filing Fee-.'..
$ 10.00
LENDER'S MAILING.ADDRESS
Permit Fee
-i,!S% 0 6
ARCHITECT- OR� ENGINEER_ L' CENSE NO.
ARCHITECT OR ENGINEER'.S MAILING AD.DRESS
Plan Checking Fee
$
Penalty
Pemit fee
BUILDING. ADDRESS
�,PLUMBING PERMIT
TilingFeer 1 0.0Q
L,�
Each Trap
2.00
Solar Water Heater
..20.00
Water piping
5.00
LOT N 0.
SUBDIVISION NAME
PARCEL MAP
Each qas Water.heater or vent
5.00
Gas piping,systern 1 *- 5 outlets
5.00
USE OF STRUCTURE
S F'E1 DdpIexFJ Mobilehom-*eRr"Other
SPECIFY
Building sewer
5.00
Mobile Home I S I 'G 1',W I
I 5.00e4
TYPE OF WORK
New n Ad'dition 11 Remodelo, Uti'lities[ ln'st�lfatio_n[] Other
Describe work: :F
Permit Fee
00intfactor
ELECTRICAL PERMIT -
FilingFee 10.00
Main' service -600v OR LESS
100 AMP OR LESS
10.00
Main service EA.'ADD-L-100 AMP
2.50
NEW CONST.- I DWELLING-OCCUP.&
OR ADDNS. VACC. BLDGS.
2% Osq ft
CONTRACTORSLICENSE LAW
�Ia r �ee r p �en asl I
I declare er penal,iy of perjury (check one)*
I am licensed under provisions of Chlapt. 9,.Div. 3 of the Business
, lic
and Professions 'Code and my- license . is Jn full force and effect.
License No. 12_—_K�C lassi f i cation
d�574 / �, C,-- 5�
0 1, as the owne . r, or�'my employees with . wages as their sol' e compen-.-
sation, will do the work,and the structure is,.not intended or offered
-for sale. (Sec. 7044)
El i., as the owne m exclusively contracting with licensed contract-'
r, a'
ors. (Sec. 7044)
ram exempt under Sec.—, Business and r Profession s'Code
for this reason
NE W C ONSTP( MUL TI -OUTLET
N 0 N�R E S, ,, BRANCH CIRCUITS)
2.50 ea
NEW.CON,STR. (POWER APPARATUS 19
NON,RES D... SINGLE OUTLET CIR.
Ex. bdcup(OUT'LETS''OR. FIXTURES 1.20 @ 50t
AL@ 300
. FIXED APPLNS.-OR
Ex. . Occup. OUTLETS (RESID.) EA) 1: 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring
.15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury. (check one):
T "h for $100.00 (valuation) or less.-.
rmi is
�Ihave placed on file with the County of'Butte,Buildind Depa rtment
a Certificate of Workmen's Compensation In.s.urance.or a Certificate.
of Consent to Self-Inswe.
PI shall not employ any person in any manner so,as to.become subject
49,th ' e W. C. laws of California.
-Notice to Applicant: If after making this statement, sh i ould y6u-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
C601 i'ng
Hood
3.00
Vent i I at i on
Pennit Fee -
$
Contractor
I certify'that I have - re I ad this application'and state that the above information '
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to, enter upDn the above-ment.ioned property for inspection purpose�..
I also agree to save, indemrtity-iaTrd-Mlel�hqrmle'ss the County of Butte against
' * ` I , any.way a
all Ii ud t, oosts, and gXpenses which'may in ccrpe
tgmer It.
,ag ss - ss a A�ldd -granting of this per
a LAO n y the
2 -
X Dat- .7
Signature oll� Ap�licont 6wner [I Cont'r;3c�tor' A�6.1
-.An OSHA 'Parmit.is rluired for excavations over 5 kOTdeep and d;'molition or,construct-
ion of,structures over stories in height.
Mobile Home;lnst allation Fee
$..
-TOTAL PERMIT FEE�' $
OCCUP. GROUP
TYPE OF CONST,
PA��LFPD
No
ISSUE
This permit- is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
�EIT EXPIRES Date
P!J
the applicable provi-
resolutions to do
fees have been paid.
WORKS
-7
DateJ-.Z -Ef.
7
Receipt No.
WHITE-DIP.W., YELLOW-ASSCSSOR, PINK-IN�PECTOR. GOLDEN�OD-APPLI CANT
7.
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44 :iP
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COUNTY OF BUTTE DEPARTMENTT_OF,P�UBLIC WORKS BUILDING DIVISION
OROVILLE
7 COUNTY CENTER DRIVE CALIF RNIA 95965 TELEPHONE: 916/(534-45 , 41
PERMIT APPLI.CATION DATA SHEET
D if KI
0
OWNER A. P. No.
Prop,psed Building Use
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date 3
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
items have been submitted . . . . . . . .... . . .
2. Plot plans in duplicate/triplicate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate . .. . . . . . . .
4. Complete engineered plans and calcs . . . . . . . . . .
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.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerE])
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehom e, Installation Data. . . . . . . . . . . .
Pre-Inspec. request to (Date)
—17.. Pre -Inspection for Required- Building Inspector
18. Other
Wh��Ou issue the permit, process as follows: Mai I to owner.
'�3 -1,56 >---
Telephone -3 and hold for pickup at &Za" office.
Mail to contractor.
—Deliver w/inspector.
Copy of plans sent —Health Dept., —Fire Dept., —Other uate
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above at time of application, circle item.)
1". Index permit for above Items No.
2. Additional items re'quired:
(Contractor, Designer, Owner) was advised of above Irequired data by Mail Other
I
By I Date
Plans checked by Date
P . lans approved by Dat'e
Other
Copy—DPW
tit
It
ic
14
51
Ft
Cl
It
MOBILEHO]HE SUPPORT DATA
A3,�jXcv e- !C7 -Are- If other.than single wide
- urnis u Year,/.980
Mobilehome Mfr. r e__ f h Set P Model No.l�-
o..Size
Widt (ft.) Box Lengd�--,_5-2--�7�-Xft.Y -.TAgalofig�`or_ and ft. x ft*
(SHOW SUPPORT DETAILd Bki�M
on all mobilehomes manufactured after October 7, 1973 furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
�All center supports measured from front of
mobilehome unless otherwise specified.
Footings - (check. one)
Single
'..Wood either' -
all
A
pressure treated'ot
f oundat ton grade.
x
(ft.)(in;) (in.) (in.)
renter
El 2. Other* (specify)
nt suppor
Center support t supl
oter s p
in s i'
'locations* footing sizes
Supports (pheckoi,ne),'
(ing.)
ETA - Concrete block.
E] .2. Other (specify)
(f t. )'(in.) in.) (in.)
7
*----Tagalong or Expando'.'
show support details.
(ft.) (in.) (in.) (in.)
x 3 0
x 30
typical Support
(in. (in.)
Footing Size
J7)
in (in.)
(ft (in.) (in.) (in.
-'Max.. Pier Spacing
x
Max. Overhang
(in.) -1 (in.)
f in.)
_(ftj< _ -
vi ILJO�� -3 TT U'a
F IA9. AA Tq, cf-:3" OV1 I GJ I UE1
*lf'cepter pier -s gre_otherrtlian�drawn above,
i . dr , aw in-locations,'spacing, and dimensions.
. 3461-83P-,E(MH)
PERMIT NO
PERMIT EXPIRES
0 N L�QN
ER PHILLIP W
CONTR. owner
ASSESSOR PARCEL 30-43-21
LOCATION 1626 Leta Lane Oroville
Temp. Powpr-P-nla
OF F�ICE Y
CaIIJ
alw
Address
Temp. Ele
Callp, GAS
Meter -By Date
ELECTRIC
Temp.Gas
Meter By Date;;'-/-
Calle,�',
JOB FINALED (Date)
§ignature�/_
I/ QK,
0 Not OK'
Not Applicable
MOBILEHOMES MISCELLANEOUS
-Not Ready
Date
MOBILE _ILITI!��01< e.ce'pt #'s
UOME-UT
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) .01K except #'s
7
lgTon'�iD�quirements-SeTS�cks-Easements
1. Zoning Requ i rements-Setbac ks- Easements
oi Is; al MH Support -Sketch
2. Footings, Size -Depth -Spacing -Connectors
w
U�� -tf— Test- Fa I I -C / O-Conc rete
_w4 ocation
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rai Is
it-Ifate;.,,�at i on -Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
W.
5 y i
111�1.ctricit ; Locat on-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiott--Test-Wrap: ZZY" L"ft. Nat. or/ /"L"ft./ LPG
6.' Carports; Windows -Doors
ility Clearance
7. Elec.
Card
te Card- BI Date
Card -BI
Date Card -BI Date
Pd�rd-Bl
Dat e Date
Card -Bi
Date Card -BI Date
Date
M165ILEHO& INSTAI I ANON (Pians) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Date
POOLS (Plans) OK except #'s
1� Setbacks -Easements
2. Soils: Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting� Distances-GF1
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 Equipment7Heater
8. Gas and Electricity Tagged
S. Elec., Grounding; Equip. -w/5' -Circulating Eqyip.-Pool Lghig.
Boxes -Enc losures-Pane lboards- Ins. to Main in Conduit,
9. Exits; Insp.-Sketch.
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -Bi Date
Card -BI
Date Card -BI Date
Card 6-1
Date Card -Bl Date
Ca'rd-Bl
Date Card -Bl Date
7
W.
OK
0 = Not OK
- = Not Applicable
* = 4161 Ready
RESIDENTIAL (Singfe and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
Zoning requ i rernents-Setbac ks- Easements
48.
Property Line Firewall'&,Openings
-1.
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 Root Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6.
Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Acces�.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection-Skyl ights-Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailind-Bolts,
9.
Gas Pipe: Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric�; Underground
Card -BI
Date Card -BI Date
12.
13.
Plenums & Ducts; C learance-Material-Support- Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Dat�
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door,& Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Ht., Vent- Access -Combust ion Air
57.
Smoke Detector
58.
Furnace; Vents -C I eara nce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
-Water
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.1 Test-Fttngs & Anchors -Nall Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
-Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. &.Ext.
Card -BI
Date Card -BI Date
65.
Kit. *Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI
66.
Elec. Outlets,& Receptacles at Kit. Counter
Date
-Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Swing-Landi ng -C loser
68.
A.C. Duct'in Garage -Damper
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
-
69.
.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R,V-.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic F] Yes
73.
Guard Rails,& Deck Construct i on- Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or Al
27.
Insulated
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Neutral OYes ONo
75.
76.
Following instid.: Drive [I Yes No, Walks Yes [:] No;
Planters OYes* E]No
Stucco; Brown -Finish
.28. Service -Riser Conductors& Ground -Main Disconnect
29.
Equip. Clearances; Panel s-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
' Appliance-Firepl.-Clearance to Opngs.
Vents Above Roof� Plbg.-
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
Date Card -BI -- Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
A.C_._Ducts� -insulation & Support
32... Vent -Fan; Exhaust above Insulation
33. Condensate Drain & Overilow, Size & Grade
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged, Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
-86.
Card -BI
Ca d-Bil
3.5 -Attic
Access -Comb. Air -Return Air Vent -115V outlet
Access &-Platform- if -Furnace in -Attic
Da - te ____ Card -BI Date
Date Card -BI -Date
Card -BI
Date! Card -BI Date
Card -B I
Card -BI
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
SH Is, Proper Material & Anchors
-36.
Studs -Nailing, Spacing & Bracing -Plates -Sound
-37.
38.
39;
_Walls�
Bearing Walls over Girders & Floor Nailing
Draft Stop tn Walls (rat proof)
____40.
Fire Stops, Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
4-5.
46.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Wtr. Ties-Pwrl 6 Roo Brac.- ru -Shthnq.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
At - tic - A - c - cess: - Size &-R - om - ex Protect i on -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Ptotection Framing
(NOTE: Anentrymust be made each time you visit jobsite)
COUNT� OF BUTTE
DEPARTMENT OF PUBLIC WORKS '*" 11� r
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott. Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
406WNEZR PERMIT NO.
A * routine Inspection Indicates that the following violations of County Ordinance
exist at the a6ove address and should be corrected. Please notify this office
when correction of work Is.c leted. If you have any question pertaining to this
matter,,or need addl>tl�o'srlexplanatlon, please conta . ct this office Immediately.
Z5;:5) It, A I . .4- 1 17-- �
Inspec
Date/—.
11 N
COUNTY OF BUTTE -.DEPARTMENT OF, PUBLIC WORKS 'PERMIT NO.
7 County Center Drive - Oioville. Ca!lforn!�95965 916/53'4-4541..
APPLICATIDNAND -PERMIT
ASSESSOR PARCEL NU?y!PER
ZONING
BUILDING, PERMIT/
OWNER
TELEPHONE
-7 i,
SQ., FT. 'OCC. BLJILDING VALLTAT
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
C I ON�TRYC710N LEND . ER AfUNKNOWN
. .
-Total- Val6ation 1$
Filing Fee
$
LENDER'S MAI LING ADDRE SS
-.Permit Fee
$
ARCHITECT OR ENGINEER
.
LICENSE NO..,'
Plan'Checking Fee
Penalty
$
ARCHITECT OR ENGINE ER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
F I I I rig Fee 10.00
Each,Trap
2.00
Solar,.Water Heater
20.00,
Waterpiping
5.00
LOT NO.
SUBDIVISIPN NAME MAR
PARCE�
(9-o Ld:t ki VW
Each qas water..heater,or vent-
5.00
Ga s piping system 1 5 outlets
5.,00
USE OF TRUCTURE
Other
SFO.' DuplexE]. Mobileh 2i
SPECIFY
Building sewer
5.00
Mobile Home
10.00'e 0, I�
-
TYPE OF WO RKZ
NewD Addition [:1 R emode If] Liti lities I nstallationEl Other
Describe work:
Permit Fee
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 /01 &0
Main'servi6e EA. AOD'L 100 AMR
2.50 wlzj
NEW CONST. ( DWELLING OCCU P. al
OR ADDNS. ACC.BLDGS. . -
21/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one),:
F .1 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. Clas . sification
El 1, as the owner, or my employees with 'wages as their sole compen-*
sationj will do the work,and the structure is not intended or offered
� f ale. (Sec. 7044)
1,as the owner, am exclusively contracting with I.icens'ed contract-
ors. (Sec. 704.4)
0 1 am exempt under Sec. Business and Professions Code -
for this reason
NEW CONSTR..( BMRU LT"OUTLET 2.50 ea
NO N.RES'D. A.C. CIRCUITS)
NEW.CONSTSL POWER APPARATUS
NON RESID� (SINGLE OUTLET CIR
Ex. occup(OUTLETS OR FIXTURES 20@50t
BAL@30#
FIXED APPLNS OR
Ex. OCCUP- O-UTLETS (RESI*D.) EA.) 2.00
Temporary se , rvice., 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAILPERMIT
Fi I i rig Fee 10.00
WORKMgN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (val ulation) or I ess.
E] .1 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-Ifis:ure.
P-!-�s�h_all not employ any person in any manner so as to bec6me,subjbct
to the W. C. laws of Californi,�.
Notice to Applicant: If-a'fter 'making this statement, shbuld 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
Venti lation
Permit Fee.
$
Contractor
I certify that I have read this application and state that the above. information
is correct.,l agree to comply to all County Ordinances and.State Laws relating
to building construction, and hereby. authorize representatives of the Countyo.T
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
'agairis i un u n e of the granting of this permit.
n conseq
I Date
Signature of Applic "er C6ntractor Age'n't
0
An OSHA permit is required for 7 xcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
7 4LI115
OCCUP. GROUP
P70 F, CONST.
PARCEi_
�JZI;�K
This permit is hereby"issued under
is of the Butte County Code' and/or
-work indicated above for which'
DIRE_QTOR OF PUBLIC
T EXPIRES -Date
P41
the'applicable provi-
resolutions 4o do
fees have been, paid.
WORKS
Date/0--/
'I .
Receipt No.
WHITE-D.P.W.. YFLLOW-ASSESSOR', PINK -INSPECTOR. GOLDEN ROD -APP L I CANT
';O� -k; 4 17
Z7
I
-fir,
i X, M 5- %
t 4iL t:�' fit - f)4i� 'I-
�46 e, I r. 11?k.
J 3".. T') 4J
-jj -,j
ttf, ')I i* AS
;,"Orv. , —1—
'..
0'& C, e
i4,' V!U
xx
P, ftt'lt L'ti 7 d', 4q
-,ill v 4( 41, ;1,1
T'.'I w
'r,c
P
VC� '!,A
Ar"
R`
Il't pf;,
�vrj-
I
Oft
�k.
-,YT"
Ic
r, n,
pU:
tip
41
j -Pr W PL
�n
XQ "7
4,
!Y�
a f7;..,f A
�1, A.�.
4f
7
7�'
7
4�
v
��qy
40
sin
t,
Ij
lot
Vx A,&
lot
too It N
fill
Return.to DPW AGRICULTURAt STATEMENT OF ACKN . OWLEDGEMENT.
NOT COMPARED'
..WITH, FOR RESIDENT.TAlt DEVELOPMENT .462
-ORIGINAL DOCUMENT
s6ctlon-26-8.1 bf the Butte County Code'requires this'ackhowledgement
OFFICIAL REC
be recorded prior-to.,issuance of a building permit.
91J77t. Vyt.IN I I
The property described herein is adjacent toland or included.
I . 1 1 -12
.within an -.area zoned for agricultural: purposes, and residents, of this,OcT 5
property may be subJect to inconveniences or discomforvarising from.�
the,use of,.agricultutal chemicals, including, but not limited to herb qRM
es,
and fertilizers.; and -from the pursuit of agricultural operations incl, ng-19ut not L, e
toL Cultivation,. 1 9 9 Fri 1; d
'p,lowing' spraying,. pruning, and harvesting which occasionally generate dust,
smoke, noisO,.and odor. Butte..County has established agricultural zones which have as "a
priority usLe.foi productive agricultural purposes, and r,esidents.within said zones and on
adjacent property sh.o�ld be prepared 'to accept such inclonvenience ordisc . ohform from normal,
necessary farm opeiati6ns.
State of
S.S.
County Of Ritt.-t-
On this the 6 day -of October '.19 83,,befor*e
me, the undersigned ri4otary Public,.pt�rsondlly appeare�',
PH=IP WILSON
Present A. P. No
Personally known
to me. Proved to.me on the basis..
of satisfactory evidence.
OFrICIAL SEAL
to be the person(s) whose
name(s) subscribed to
HENDER SH T
ANGELA D. HENDERSHOT
��E
the within instrument
and acknowledged that
=AD
PU B� c CAL IFO� NIA
NOTARY PU13LIC CALIFORNIA
PRINCIPAL OFFICE IN
executed the same for
the purposes therein*contained.
-
Y
BUTTE 'COUNTY
986
IN WITNESS -WHEREOF, I
here unto set my hand and official seal.
MY comM:SSION
EXPIRES _SEPT. 7, 1
Present A. P. No
THERMALITO 1101GATION, DISTRICT.
410 GRAND AVENUE -
OROVILLE, CALIFORNIA 95965
TELEP.F10NE 533-0740
CSA 26 SEWER SERVICE�APOLICATION AND CONNECTION PERMIT
Service Address: 1626 LOU tp'ne
Owner's Name. phillip,wilson'..
Date: 10-7-83-
Address:,.,-* 3 1�53 Oro Bangor Hwy
Acct. No:
A. P., No.: 30-43-21:
'Phone: 5 344 6 94
No. Units:
,Ap'plicant/.,�gdnt:..
Agents Proof:
Address': -
F ees:.
Phone:
Appl'ication :,20,0.0
Arrearage
Preliminary Review By'. Date:
CSA 26 550. )0 --
Remarks:
900. '00
SC -OR
To:Pjace,mobilel home on property
1st Mo. s.C-�
Other
Total Fd I es 100
Co I I ected. Ea I
Date:
Field Review By,: Date:
Remarks: SCORR Regional.Factlity Charge & CSA'#26 6onnec.tion
charge t6. --be- due 'a'ad
p4yable prior to counectionto the sever COILector
syarem,cnargr 'WA.11 Uir
f -ho tinla' I%f rnnnartinn to thA sewpr system.
g 2,
MONTHLY SERVICE CHARGE.S'WI.LL COMOE.NCE AUTOMATICALLY
UPON':
Dat'e.of'TID approval of completed buildi.n ; g'se'w"er ('ehrly gon'nection)..
jo :days after'date above, or onda�te of D..P.W.,a pp rbval� of complete . d Iswilding
sewer� which, ever comes
first ("existing c6ristruct,ion", phor to -Mar. 5" 1 1974).
F1 1.8b day's after date -above., or on date of D.P.W. a0pecival of completed building sewer,,which -ever comes
first (".new construction'.'; after"Mar. 5,,1974).
DISTRIBUTION: WHrIT,E-TID, YELLOW -APPLICANT, PINK—DPW, GOLDENROD -DPW to TID
r_6. biv. of Env- ""Ith
2 1986
oroville, Callforrda
THERMALITO IRRIGATION DISTRICT
.410. GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 1626 Lets Lane
Owner's Name: will1am James ftho
Date: 3/28186
Address: some
Acct. No.
A. P. No.: 30 430 ?1
3 —4� e,��
Phone:
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application 70 (0
Arrearage
Preliminary Review BY: Date:
CSA 26 550 (0
Remarks: 7
91(ju tu.
SC -O R
1st Mo. S.C.
Other
1470
Total Fees
ef �p - Jr -4 11/ A )J I
Collected By:,,.,4
f
0
Date:
Field Review By: 4,1,1, C, D -,a t e,:
Remarks:
J A e-) C- A9
e Al
A 'n Ze AZ
(27 a
1�43L A�'
7�1
MONTHLY SERVICEs�,CHARGES WILL COMMENCE AUTOMATICALLY UPON:
Date of TID approval of c:omple'ted'building sewer (early connection).
30 days after date above, or, on date of D.P.W. approval of completed building sewer, which ever comes
first ("existing conttrkiidn", prior to Mar. 5, 1974).'
180 days after,clate above, or on date of D.P.W. approval of compleied
building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW -, APPLICANT, PINK - DPW, GOLDENROD - DPW to TID