HomeMy WebLinkAbout030-462-003t�
' PAT NCORMIC "��
194?1 umas Ave, Oroville ��
y.
E
' Permit# 28-83P�E(util, MH) �z
ELEC io A
GAS /v - _ (v6' ' 3/q
SUPPORT TRUCTz E. RE L. `
r l COMPACTION TEST
contra C
30-037-26
' Oyler's
324 ---------
-- Service
30-037-26 u.
Permit#500-84B(new�open deck/ )41
mama
Contr : Acro Lume .
11e
Permit#1460-85B(new awning/ ) f`
`30-462-03 - w
4 3750=89P ti
cCORMIC, Pat & Marge a -
1941 Pluma 7.-.
s Ave, Oroville
('replace gas P:L? MH) p I
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a
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30-462-03 3150-89P
McCORMIC; Pat & Marge-
•1941
arge•1941 Plumas Ave, Orovi_1`le
(replace gas piping/MH)')�'
• - r ~�� _ ,"�P.r�j � .� ��' tom\ .,,
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1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
�
ZONING
BUILDING PERMIT
OWNER
26�- TG
TELEPHONE
S -/
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILNG ADDRESS
q 1 C-
ON RACTO 'S NAME
TELEPHONE
N ACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10_00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
M
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
i
Water piping
5.00
Each qas water heater or vent
5.00 .4Z
USE OF STRUCTURE
SF [:1 Duplex[] MobilehomeX Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W1
0.00e
TYPE OF WORK
New [-I Addition
�❑�-s Remodel❑ Utilities❑ Inst ilation�❑- /Other]
Describe work: ` 1"�-< C� �AS ��.f�t/�
r �
'41_&1e;
1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
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
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 CONST. ( DWELLING OCCUP.&)
OR AODNS. 1 ACC. BLDGS.
yZ¢sgft
NEW CONSTR. MULTI -OUT LET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
200500
eALoso
Ex. Occup. OUTLETS ED P(RESID.IREA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor =
WORKMEN'S COMPENSATIONINSURANCE
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 Workrri,,en's Compensation Insurance or a Certificate
dof Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL* PERMIT
FiIingFee 10.00
Heating.
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X _L1/
1a�Jt1Rf—p 4.-A)Ig.t4 I Date G
Signature of A)plicant - Owner [ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
cuA
PARK
SCHL
EE
PAR
PD
I'HC(
I s
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above foMA
r which fees
By � IRE T UBLICD
,; ,
PERMIT EXPIRES Date ///:g4
the applicable provi-
resolutions to do
have been paid.
WORKS
I
Receipt No. q � 37
WHITE-D.P.W.. YELLOW-ASeE530R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
Zo
ZONING
BUILDING PERMIT
OWNER
CY
TELEPHONE
s- i
SO. FT. DCC. BUILDING VALUAT ON
OWNER'S /MAIL NG /A 'DRESS
1 i C C
ON RACTO •S NAME
'
TELEPHONE
N ACTOR'S MAIL NG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex[] Mobilehomek Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S �,GJWJ
10.00e .
TYPE OF WORK
New El Addition ❑ Remodel[] Utilities❑ Inst I-lratiii nE /Other
Describe work: it-� ��S-f'l�V�. _
14 -AJ C �Z
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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
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 CONST.DWELLING OCCUP
OR ACDNS. (ACC. BLDGS. .e�
h¢sga
NEW CONST R. OUTLET
NO ..RES'..
•RESID BRRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20®60Q
SAL030
Ex. Occup. OUED APPLNS. R 11
TLETS ((RESID )EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in conseq ence of the granting of this permit.
X Date
Signature of plicant — OwnerContractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct -R
ion of structures over in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
cc
CONST TYPE
TOTAL FEE $
Q c0
I
HAz
CUA
PARK
scH�
FLo
PAR
PD
HJI
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
UBLIC
By OZZ!
PERMK EXPIRES Date I
the applicable provi-
resolutions to do
have been paid.
WORKS
I r
D e /
r
}3�stories
Receipt No. q `� � 3%
WNITE•D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Orovil,le, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
t
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 at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building 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 application 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
Signed
Property Owner
Social Security Number
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 per-
mitted to issue the permit.
i
PERMIT NO. 500-84B
PERMIT EXPIRES
OWNER PAT McCORMIC
CONTR. owner
ASSESSOR PARCEL 30-037-26
LOCATION_ 1941 Plumas Avenue, Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E j
Temp. Gas Service
Called PG&E
17 A
JOB FINALED (Date
Signature
J = OK
O = Not OK
- Not Applicable MOSILEHOMES
* = .-Not Ready
MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except Ws
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's
1. Zoning Requirements—Setbacks—Easements
ning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
F zings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
3 D s; Gir&ye-and/or J&es—Dec ' g—Bracdctc�R_
4. Water; Location—Test—Easement Needed (Sketch)
-.,4r Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
_
pf3.. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"fi./ /"LPG
A,&. Carports; Windows—Doors _-
7. Utility Clearance
Elec.
Card -BI
Date Card -BI Date
Card -BI
J Dat ,7 /W Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve-Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test—Fall—Flex Connector
6: Water; MH Test—Regulator—Connector
5. Elec.; Pool Lighting; 15 volts—GF1
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
V=OK
0 = Not OK
- = Not Applicable
k = Not Ready
RESIDENTIALAinale and Duplex)
UNDERFLOOR (Plans) OK except#'s 11Date FRAMING (Contin.
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils -Steel -Elea Grnd.- / /" Ftg. Dept
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
48.
Date Card -BI Date
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Hl.: Vent -Access -Combustion Air .
15. Water Pipe; Test & Anchors -Nail Protection
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
__17.
-__
Glass Protection
Shower Pan; Test, First Floor -Tub Access
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
Siding -Nailing -Veneer
Gas Test -Meters Tagged; Gas -Electric
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
A.C_.-Ducts: Insulation & Support _
-�
54.
Card -BI
- .-
_
Date Card -BI Date
Card -BI
86.
Date Card -BI Date
Date
ELECTRICAL (Permit) OK except #'s
_
20.
Fixture & Transformer Clearance -Ins. Protection
-
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
35.
22.
Size Boxes & No. of Conductors -Stapled
_-
23.
Romex Installed Close to Edge of Studs & C.J.
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Smoke Detector
25.
2 Appliance Circuits in Kitchen & Conductor Size
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or
_
27.
28.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
Service -Riser Conductors & Ground -Main Disconnect
G.F.I. & Bath Fixtures & Tub Access
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
Elec. Trim & Subpanel; Breaker Sizes -Labels
30.
Clothes Closet Light -Shower Light
80 I T' F R
48.
Property Line Firewall & Openings
81.
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Glass Protection
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
83.:
52.
Siding -Nailing -Veneer
Gas Test -Meters Tagged; Gas -Electric
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
A.C_.-Ducts: Insulation & Support _
-�
54.
Glazing Area -Glass Protection -Skylights -Plastic
- .-
_
55.
Shear Walls; Nailing -Bolts
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
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
--- -- -- - - - ------ --- --- ------------
Date ____Card- Date
Date Card -BI Date
57.
Smoke Detector
Card -BI
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
FRAMING(Plans) OK except #'s
59.
Bedroom Exiting
36.
_37.
38.
_-40.
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm.-Windows or Exiting Doors -Sill Hgt. & Dimensions-- -
Garage Fire Protection Framing
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
69.
Wtr. Hlr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic E3 Yes
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following inslld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes ❑No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
E E
Card B-1
-------
Date_ _- -_ Card -BI - Date
81.
xter or ec. nm, G. .I. eceptacle-Underground
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'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.
Fan;
Vent F__E_xhau'st above Insulation
-
Condensate Drain _& Overilow; 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
Card -BI
--- -- -- - - - ------ --- --- ------------
Date ____Card- Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
______39._
36.
_37.
38.
_-40.
Sills; Proper Material & Anchors
-Wall - s; Studs -Nailing, Spacing & 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 -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm.-Windows or Exiting Doors -Sill Hgt. & Dimensions-- -
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICOON AND PERMIT
PERMIT NO.
M
e ,,
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWN �C
AA `- r
TELEPHONE
-17
SQ, FT. OCC. BUILDING VALUATIO
OWNER'S MAILIN DRESS//��
I S idVrp
CONTRAC OR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ,
BUILDING ADDRESS1
PLUMBING PERMIT
Filin Fee 10.00
9
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome [B"o" Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New F1 Add itionElo" Remodel❑ Utilities Q Installation El Other El
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADD'L 100 AMP
2'.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC, BLDGS.
2t/20sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
\
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULTI.OUTLET 2,50 ea
NON -RE ID, BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &'`
NON-RESID. (SINGLE OUTLET CIR. /
20®30C
Ex. Occup(o DR FIXTURES 9AL®ao
IXEDTs
Ex. Occup. OUTLETS PIRESID )REJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
costs, and expenses which may in any way accrue
agai sa' C unty i� �quence of the granting of this permit.
X Date
5 ature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
,` O
TOTAL PERMIT FEE $ `r ,
OCcUP. GROUP
M -1
TIP of CONST.7_JPA:X�Ll
�
Pry�D
•/
Sudgments,
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By r
PER T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date rZ- y�i-- 7'4WNITE-D.P.W.,
2--
Receipt No.I//�-R� 5
TEL LOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 1460785B
-PERMIT EXPIRES
OWNER PYMcCormick
CONTR. Acro Lume
ASSESSOR PARCEL 30-037-26
LOCATION 1941 Plumas Avenue, Oroville
Temp. Power Pole
Called. PG&E
f
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALEb (Date)
Signature-
c OK
Not OK
= Not Applicable MOBILEHOMES
Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements–Setbacks–Easements
Date
DEC , COVERS, CARPORTS, ETC. (Plans) OK except N's
Zo 'ng Requirements–Setbacks–.Easeme
2. Soils; Special MH Support–Sketch
ootings; Size–DegjbfS ing–Co ectors
3. Sewer; Location–Test–Fall-C/0–ConcreteJoists–Decking–Bracing–Stairs–Rails
4. Water; Location–Test–Easement Needed (Sketch)
4. , os s–Beams–Rftrs.–Connec.–Shthg.-Rfg.–Bracing
5. Electricity; Local! on–Clearances–Grnd.–/ / Amp–Concrete
6. Gas; Location–Test–Wrap:/ /"L"ft./ /''Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
. Alum. Awn.; Cola ns–Gonne s–SplOd–De–E-Re+osmes—
6. Carports; Windows–Doors
7. Elec.
Card -BI
Date Card -BI Date
Card jBL
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
eVD Date .–%/,&.i_Card-BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements–Setbacks–Easements
Date
OLS (Plans) OK except q'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
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/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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel -B loc kouts-Wrapped-S lab
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
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Date Card -BI Date
Card -BI
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
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.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
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 ll 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 ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
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 Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive [I Yes ❑ No; Walks ❑ Yes E3 No;
Planters ❑Yes 11 No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B-1 Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
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 p'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.
40.
Draft Stop in Walls (rat proof)
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-Sh_thng_.-Rfn_g_._ _
Fireplace Ties or Type AFlue-Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS NO.
7 County Center Drive - Oroville California 95965 - Telephone 916/534-454102�m
.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
.- 03 ,y (e
ZONING
AK,
BUILDING PERMIT
O W N E
TELEPHONE
$O, FT. OCC. BUILDING VALUATION�Z
OWNER'S MAILIN ADDRESS
CONTRAC R'S NAME)i
TELEPHONE
'
CONTRACTOR'S MAILING ADDRESS
V7.8 Nau4�2e,. v JC L
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ -
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ . dp
ARCHITEC OR E
GINEER
��
LICENSE NO.
�- C
Plan Checking Fee
$ 1 ,-7:
Penalty
$
ARCH fC O NGINEER S MAILING ADDRESS
6 r F9Cn-(f�Lr_-rc)M �J %
Permit fee
$ .�
B ING ADDRESS
,-4 I+- 5 24t -,J t u.- 0- r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome�Other
SPECIFY
Building sewer
5.00
-
Mobile Home S G W
10.00e
TYPE OF WORK
New Addition[:] Remodel❑ Uti lities_Q Installation❑ Other ❑
De vibe work:17L
LW A-41 I -J %V ,N�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
21/20sgft
CONTRACTORS LICENSE LAW
penalty of perjury (check one):
I decP�11�amlicensedunder provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. '21 V 91% Classification � Com/
❑ 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 CONULNON-RESID R BRANCH ciRLCTITS, 2.50 ea
NEW CONSTR. I POWER APPARATUS &'1
NON-RESID. \SINGLE OUTLET CIR. /
20@s0e
Ex. Occup(o OR FIXTURES 9AL®ao
FIXED A
Ex. OCCUp. OUT ETS P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
;
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.
�have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, 'u ents, costs, and expenses which may in any way accrue
against i tf the granting of this permit.
X onse oDate ��/�p��/
Signature of Appli t — Owner F1ContractorAgent ❑
An OSHA permit i required for excavations over 5'0" deep and demolition or construct-
ion of structures overt��% 3�stories in height.0111
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ Srf•
OCCUP. GROUP
I TYPE OF CONST.
PWtELI
PD
HD
ISSUE
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
PE XPI RES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 3
WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PAT M r CCeM �C K
AMeCSs ; . 14-41 1�►- u "'A S .
la,P•� N ° 30 -03- `7-07�
Q �. �, s ►�
.f
�,Gs poS K� �5 —io X 2�,•,
!
Cap „5 pt/ •� �.r.na�. '
BUTTE COUNTY”
BUILDING D1 -PAR T"4.W`�,,ry
� Y
Jr
l
j r'e.
This set'of plans and' specifications MUST be
�,J
-++ �' ;,
-
kept on the joh at all +'--nns and it is ulnlawful to
•
ZQ.0L
mace any chcinges or rltr--inns on same without
r �. •`
-written permission from fhe Departmert of Public
= c4 u
works, County of Butte.
E a. .
AV
60
'LuZ a -
Q.„O 42
`- - . - Vit: 4• ti
•
t ..
'� •'Aj-
A setback of 5 ft. from the
f
property lines and a setback
-of 50ft. from the road
'
centerline shall be clear of ,
structures or 'equpment excQp%
-
1
for a 1 ft, eenve overhanq,
PAT M r CCeM �C K
AMeCSs ; . 14-41 1�►- u "'A S .
la,P•� N ° 30 -03- `7-07�
Q �. �, s ►�
.f
�,Gs poS K� �5 —io X 2�,•,
!
Cap „5 pt/ •� �.r.na�. '
BUTTE COUNTY”
BUILDING D1 -PAR T"4.W`�,,ry
� Y
Jr
l
r PERMIT NO , - ' 3732-83MEII
i� PERMIT EXPIRES ly/�//CJ�
OWNER Pat McCorlic ,
CONTR. Cal Oyler's MH Service'
"+ ASSESSOR PARCEL 30-037-26
LOCATION 1941 Plumas Ave; Oroville
�c
' ,;OFFICE+COOP,Y
• � ;� s, /�/,'inn✓j ,�t� • �,;�,��-�'
r Address�1'/�
> G AS% "
} �-Meter,By' Date
ELECTRiC,7j
MeterrBy t Dates
•t •`��
Temp. Power Pole
• Called PG&E
a
Temp. Elec. Service
Called PG&E
Temp. Gas Service
} Called PG&E
Fp
JOB FINALED (Dat �
' Signature -
r
` ' •, � •� • fit;', _ � - '
' J Olt
0 = Not OK
— = Not Applicable
* = Not Ready
MOBILEHOMES
I;7
MISCELLANEOUS
Date
MOBILEHOME UTILITIES '(Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k'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—Concrete
4. Water; Location—Test—Easement Needed (Sketch)
_
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails —
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—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
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except k's
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except q's
oning Requirements—Setbacks—Ea ements
1. Setbacks—Easements
Footirk,J,—Site+SpaE+rtC—Marr' Line
2. Soils; Compaction—Structure Stability
Vhas; MH Tod—Dem d—Vafve—CoWKc'tor
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining _
01�lectricity; MH Tout—'Crosso rs—Bre rs—C I eapl<ces
4. Elec.; Receptacles and Lighting; Distances—GFI
"rain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
%,Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
J^ater 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 Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
zits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
9 Date]/ -/—'f3. Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
,,2c Seo 3 3 , a G C"-3 2,
v = OK
0 Not OK-,
Not Ready t Applicable
NoRESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except p's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Fig., 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.
12.
Electric;'Underground,
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI' Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
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
Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
__11.
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
21. Elec. Receptacles Spacing -Lights & Switches at Doors
_ -
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
70.
71.
72.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic E] Yes
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
_
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 AI,
Insulated Neutral ❑Yes ED No
75.
Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes QNo
-
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.
--
Card B -I
----
_
-- ----- ------
-------
Date_ Card -BI -_ Date _-
79.
Water Well; Disconnect, Electrical, Plumbing
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 N'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 _& Overilow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
Furnace-Vent;_Access-Comb._Air-Return Air Vent -115V outlet
35.
Attic Access -&-Platform ifFurnace in Attic
Card -BI
Card -BI
-------
Date _-Card-BI Date
Date C -a r _d B F Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
bate Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
_
_37.
38.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls_over Girders & Floo_r__N_ailin_g_ _
Draft Stop in Walls (rat proof)
40.
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 13rac.-Truss-Shthnq.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Rom ex Protection -Draft Stop -Ins. Baffles
Bdrm_Win_do_ws or Exiting Doors-_Sill_H_g_t. &_D_i_mensio_n_s__
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
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 S, under permit
number 'f,1, *` _C for the following location:
�4
Owner
Owner's Address
Mobilehome Mfg. - Model- Year
Insignia No. -'/, _'/ir 1 - .7l ". 17� Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied. '
Director of Public Works
Date By - r.
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
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.
1 0 `=
Inspector__ Date_ _. _
PERMIT NO. 3528-83P E(Ai)
�s PERMIT EXPIRES_
i�-
OwNER PAT'McCORMIC
CONTR. owner
ASSESSOR PARCEL 30-037-26
LOCATION 1941 Plumas Avenue, Oroville
;i
1 ;
n
i
Temp. Power Pole
Called PG&E
Temp. Elec. Service
i
Called PG&E
Temp. Gas Service,
Cal led PG&E
JOB FINALED (Date)
Signature
I
__COUNTY OF BUTTE
+DEPARTMENT OF PUBLIC WORKS
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 N®TICk;,7:S-���
T NO.
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.
r
Inspector
✓ = 'OK
O = Not OK '
— = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
oning Requirements—Setbacks—Easements
R__50 -11s: Special MH Support—Sketch
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Depth—Spacing—Connectors
?/Sewer; Location—Test—Fall-C/O—Concrete
_
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
ater; Location—Test—Easement Needed,(Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5ltlectricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas; Locatior-Tem— :/ "L"ft./(p(`"Nat. or/ /"L"ft./ /"LPG
6. Carports: Windows—Doors
Utility Clearance
7. Elec.
Card -BI
Date /# Card -BI Date
Card -BI
Date Card -BI
ateCard-BI
Card-BI
Date Card -BI Date
Card -BI
-Date-
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except it's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except N's V
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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r
J OK ..
.w
0 = Not OK '
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date UNDERFLOOR (Plans) OK except H's (Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements 48. Property Line Firewail & 0
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
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. C
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blackouts-Wrapped-Slab-
__._7.
ab_7. Piers -Fireplace Ftg.-Steel
_ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
_ 11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except k's
_ 14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
_
17.
Shower Pan; Test, First Floor -Tub Access
_
18.
Test Tub & Shower, 2nd Floor -Tub Access
_
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52.
Siding -Nailing -Veneer
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
54,
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Condensate Drain _& Overilow; Size & Grade
Date Card -BI Date
34.
do•
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Comments at Final:
36.
_37.
38.
39.
40.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
67.
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except q's
41.
42.
43.
44.
45
46.
47.
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
--
(NOTE: Anentrymust be made each time youvisit jobsite)
In Garage; Above Floor-Mech. Protection
21.
Slee. 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 Protec.
---
23.
Ramex Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
_-
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
26.
Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
_-_
_Insulated
Neutral ❑Yes El No
Planters El Yes 1J_ 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
83.
_
Corrections from Previous Inspections
Date
MECHANICAL (Permit) OK except q's
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support -
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_ 33.
Condensate Drain _& Overilow; 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
Date FRAMING(Plans) OK except N's
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
36.
_37.
38.
39.
40.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & 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 Brat.-Truss-Shthnp.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex_Protection-Draft Stop -Ins. Baffles _
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing --
(NOTE: Anentrymust be made each time youvisit jobsite)
J<_COUNTY OF BUTTE - DFFART`MENT OF PUBLIC WORKS PER T NO.
7 County Center DriA/e - Oroville,'California 95965 - Telephone 916/534-4541 `
APPLICAMN AND PERMIT
ASS SSOR PARCEL NUMBER
WX 0 -- D 1 c7 ---Z
ZONING
BUILDING PERMIT
OW R
0174 %IW'n". C
TELEPHONE
SQ. FT. OCC. BUILDING VALLWION
O ER'S MAILING ADDRESS
CPINZCTOR'S NAME
/ / • V4
S 1/5/•
TELEPHONa�E/
,4 Ste' /K 7a
ONTRACTOR MAILING ADDRESS
"? Ge st/Gr/i°C/ Q�• C�i•'Gv
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE
ENSE NO.
�6�-!/7 03
Plan Checking Fee
Penalty
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
"ip?f
PLUMBING PERMIT
Filing Fee 10.00
U1
U111
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehomeA Other
SPECIFY
Building sewer
5.00
Mobile Home S W G
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation Other ❑
Describe work: ✓✓
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service &oOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
t '
2/22sgft
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 m license is in full force and effect.
Y
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 ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS.
NEW CONSTIRPOWER APPARATUS W
NON-RESID. (SINGLE OUTLET CIR.
20@50XC
Ex. Occup(O OR FIXTURES BAL@30
IXEDTS
Ex. Occup. OUTLETS P(RESID IREA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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
$
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 Countyot
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, judgments, costs, and expenses which may in any way accrue
against said County i consequence of the granting of this permit.
X el+i ` �����
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$ (90
TOTAL PERMIT FEE $ —,70.00
OCCUP, GROUP I
TYPE OF CONST,
F
PARCEL
PD I
ND
I ISS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE O OF PUBLIC
BY
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
ate
Receipt No. , f,
WHITE -D. P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDEN ROD-APPLI CANT
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1.
Owner's name:
5.
2.
Installer's name: 6,4L
�.0y
Amps
30
Is the site currently under permit?
Yes / `7— No
oZ 0
Amis
7..
What
(If yes, furnish permit number RSol
k3=�
APs
8.
3 p 0 3 7= G
Is the site an existing site?
Yes / / No
/
41---
//(If
(Ifyes, furnish two (2) plot plans.)
r
4.
Will the mobilehome be located at least
5 ft. away from
septic tank and.leaeh
fields and
What
is the mobilehome site gas pipe size?
(in.)
10.
What
is the 1. type of gas service? -----------------------------
Natural 7-7,,, LPG
clear of, all setbacks.and easements?
Yes /!—/—' No
What
is the gas pipe length from meter or tank to the
mobilehome? O 6
(ft.Y
(If no, clarify
What
is the mobilehome gas demand? ---------------------
--------- 00 0.
)
5.
-.What
is the mobilehome electrical rating? -----------------------
�.0y
Amps
6.
What
is'the mobilehome site service rating? ----------
oZ 0
Amis
7..
What
is the mobilehome site circuit breaker rating? -------------
% O 0
APs
8.
Is there any other electric load to,be served by the mobilehome
site
service? ---------------------------------------------------
Yes No
r
(If yes, identify the load and size:
(Load)
(Amps)
9.
What
is the mobilehome site gas pipe size?
(in.)
10.
What
is the 1. type of gas service? -----------------------------
Natural 7-7,,, LPG
11.
What
is the gas pipe length from meter or tank to the
mobilehome? O 6
(ft.Y
12.
What
is the mobilehome gas demand? ---------------------
--------- 00 0.
(BTU)
(This information not required if pipe length less than 6 ft. on natural gas
or/less than 50 ft. on LPG.)
rl%
MOBILEHOME SUPPORT DATA
_ If other than single wide
Mobilehome Mfr. furnish Setup Model No. SS 6 `-off L- Year
Width - (ft.) Box Length S (ft.) Tagalong or Expando Size t ft.
(SHOW SUPPORT DETAILS BELOW),
On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center supports measured from front of
mobilehome unless otherwise specified.
(ft.)(in;)
Center support
locations*
(ft.)(in.)
(ft.)L (in.)
%dux -� 0
(in.) (in.)
Center support
footing sizes
(in.)
(in.) (in.)
(in.) (in.)
(in.) (in.)
#x 3 v
(in.)I (in.)
Single
*If center piers are other than drawn above,
draw in. -locations, spacing,. and dimensions.
Footings (check one)
(®-1. Wood either
pressure treated or
foundation grade.
2. Other: ( specify)
Supporta (check one)
Concrete block.
E] .2: Other. (specify)
Tagalong or Expando,'
show support details.
)�2 x3 v I -- Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
(ft.)(in.)
Max. Overhang
BUTTE COUNTY
BUILDING DPARTMENI
APPROVED �z
_Y_
NOTE:—All Materials & Workmanship $hall B.e'in
Accordance with. Recognized . Good Practices and
of a qual-iy prescribed for the Specified use in the
to
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code..
This set Of plans and. specifications MUST 6e,
kept on -f lie job at all f;
MO�e any ch, . . Imes and i;.r' is unlawful fc.,
.e"T�s Or af-Irerallors on samewifhou'
permission from the 'Department Of PuE
lic Wovksl-Counfy of Butte.
PLUMAS AV E. (UNIMPnOVED) 0
S 89* 5 F 579 0)
200.00- (R, -M 379
50' BUILDING SETBACK LINE
I
PARCEL 3 - 60 M 7
200.00'(R) Pd
S 890 59'56"E74
go
W C:F '0I CY
PARCEL 2 - 60 M 7 A permit will be required
for f
installation -6f.the rnob;1ehomel A setback of 5 ft. from the
T Y S F390 59'56" E I I
rd !" Q property lines and a setbacks
200.00 (R, M) <-= ' . - - _> P A R C
-of 50ft. from the road
centerline shall be clear of
0. W
z structures or equipment except
PARCEL 2
0 ? �t ve overhang. -0
cal N 0
0
t i 1 0
Utility connections shall be within 0
1
200.00 (KR) 4 ft. of the mobilehome, either
S 89°59'56"E
directly behind or within the rear
50' S. S. L. halfofthe roadside (left) of the
mobilehom'e.
40'I
J�
19.19'(R,M) S 89-57'47" E 579.85' (M,R)
6-3
BUTTE COUNTY
BUILDING DEPARTMENT
APPROVED.
7FC-_ DO'E 0
C 0 io 41#J
Cov'vry Va?v5YOq's Cf1,-,7-1X1Cdrf
.
'Alp .2AV4rrA1v
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It
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t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
A 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AWPERMIT
PERMIT NO.
n
ASSESSO PARCEL NUMBER
0-007-7-6
ZONINGn
T
BUILDING PERMIT
O WjJN EQ}Z_^� ///]/� (��")
/V/J�-tJ/ETF-(/,- A/0 600"161 K 7 y
T LLEPHONE
-�7f 6
SQ. FT. OCC. BUILDING VA ATION
,�
'7 Q �—J � S
0,�..',/ (7 O A I L I A D R E SS /�✓ S �(t) % /�/ �QJL'�, Vim-
CONTRACTOR'S NAME(
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDR SS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee RAW
,$
Penalty
$
ARCHITECT OR ENGINEWS MAILING ADDRESS
Permit fee
$
BUILDING ADQ2PS N'%//� I��
// (�J
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
7 7
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome [C OtherMobile
SPECIFY
Building sewer
5.00
Home W
10-00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [9 Installation❑ Other ❑
Describe work:
Permit Fee
$ O -C
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.&
OR ADDNS. ACG. BLDGS.
1
2/2¢Sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
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.U TI.OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
_N EW CON ST R. POWER APPARATUS &'
NON.RESID. (SINGLE OUTLET CIR.
z0@50CBAL®30
Ex. Occup(o Ts OR FIXTURES
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 rOT7
Misc. Wiring 15.00
Permit Fee $ 3 "D
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
J� 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
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabi-Vies, judgments, costs, and expenses which may in any way accrue
agai 61t s id W
'"c equence of the granting of this permit. _ I
� �c�.^ V2
X ,�r Date
S g oture of Applicant — Owner,pSi Contractor ❑ Agent ❑
An OSHA permit is required for ex►c'avvaations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
PARCE
PD ND
sB0
f
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
ECIP PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Datem^
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW AGRICULTURAL `STATEMENT OF ACKNOWLEDGEMENT Cit? . ;r; 1;+:
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement �?1��ti
be recorded prior to issuance of a building permit.
fNl�t; M. Ec.1:=.=.t R
The property described herein is adjacent to land or included 11.RK=luo1w►�t
within an area zoned for agricultural pdrposes,. and residents of this 83-3';gJ y E
property may be subject to inconveniences or discomfort arising from
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations. „
All that real property situate in the County of Butte, State of California, described
as follows:
/ .2 Y�,. -nom 89 AA
Date: / O - �-
. u
State of ) On this the day of 19 before
SS. me, the undersigned Notary Public, personally appeared
County of�►-
KATHRYN
'�•bi .�c hOf A,7Y rr l•81tC -- ;.S:II VNliiA '�•
s. BUTTE COUNTY
Mr C01"Mossion Fxpt;es 1v,1e !9, 1587
Personally known to me.( Proved to me on the basis
of %atisfactory evidence.
to be the person(s) whose name(s) -.<�-Ku bscr'bed to
the within instrument and acknowledged that
executed the same for the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal
Notary Public
Present A.P. No . JC ��� 57-2
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION
AND CONNECTION PERMIT
Service Address: Plumna (betvicen 18th & 20th)
Owner's Name: Patrick V=Coroic
Date: 10-12-83
Address: 2580 Senter Rd 0 E3 569
72 L15:0 Acct. No:
Sea Jose, CA 95111
A.P. No.: 30 037 26
�ob•Yl��-7K79:�
Phone:
No. Units: 1 ( 1"r.
Applicant/Agent: nen
Agents Proof:
Address:
Fees:
Phone:
Application $ 20 tn
Arrearage
Preliminary Review By: Date:
CSA 26 570 -'0
Remarks: N.obtle ho -c beinn placed an lot.
SC -OR 900 0
1st mo. S.C.
` / �, ' r.). / ,' /�
Other tag foe 60 f r
.14
Total Fees 1,530.1
Collected By:
Date:
Field Review By: f;= drr3--�/,/%C' f s / .�- Date:
Remarks:
/� U % , rl ' / f'
.,✓ 11 .t / /^ / %i� !�a-i /
t /�i fir! �i ZI
. �71 �!-
i4
'•5 ,/lam//.
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑ Date of TID approval of completed 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 construction", prior to Mar. 5, 1974).
❑ 180 days after date -above, or on date of D.P.W. approval of completed building sewer, which ever comes
first ("new constructi:dn", after,Mar. 5, 1974).
Le,
5-1
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
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DATE:
CITY OF
DEPARTMENT OF BUILDING & SAFETY
PLOT PLAN
BUILDING PERMIT NO.
P/L
MOBILE
HOME
•
I
P/L I
STREET: LOT No.:
Name of Park: Street Address•
Name of Tenant: Brand Name:
State Approval #: State Model #
Installer: Address: Telephone:
Describe Work to be Done:
Cost: $
We, the undersigned, hereby approve the installation of the above structure and
agree that the information furnished herein is correct and in accordance with all •
applicable provisions of the Health and Safety Code and Related Rules of the State
of California.
a
Tenant: " • F --ark Manager
Signature Signature