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V=OK
O = Not OK
No`tReady MOBILE HOMES.
MISCELLANEOUS
f
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch
2. Footings; Soils-Size-DepthSpacing-Connectors-Steel -
3. Sewer, Location-Test-Fall-C/O-Concrete
3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails '
4. Water, Location-Test-Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connecters
5.' Electricity; Location•Clearances-Gmd-/ /Amp-Concrete
Shthg.-Rfg.-Bracing
6. Gas; Location-Test-Wrap; / P'L'ft
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
/ /Nat. or/, /'.L"ft./ '/LPG
6. Carports; Windows-Doors
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing VeneerStucco-Mesh
10. Roof; Shthg-Roofing
Date
Card B-1 Date Card B-1
11. Ext.; Steps-Doors-Landings
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
Date
Card B-1 Date j Card B-1
2. Footings; Size-Spacing-Marriage Line
Date
Card B-1 Date Card B-1
3. Gas; MH Test-Demand-Valve-Connector
Date
POOLS s OK except #'s
-4. Electricity; MH Test-Crossovers-Breakers-Clearances
etbac s Easements
5. Drain; MH Test-Fall-Flex Connector
oils• pactionStructure Stability
6. Water; MH Test-Regulator-Connector
ool Structure; Steel-Connections-Thickness
7. Water and Sewer Connected-C/O to Grade-HD Approval
Dead Men -Lining
f
8. Gas and Electricity Tagged
4. Elec.; Receptacles and Lighting, Distance-GFI
9. Tie Downs-Type-Installation Cert.5.
Elec. -.00l Lighting; 15 Volts GFI
10. Exits; Insp.-Sketch
I .; Enclosures; Conduit Entries-Terminals-Listed
11. Cert of Occupancy
.)ilec.; Bonding; Metal w/6-Circulating Equip.-Heater
I-Elec.; Grounding; Equip. w/5' Circulating Equip.-Pool Lghtg.
B xes-Enclosures-Panelboards-Ins. to Main in Conduit
Date
Card 84Date Card B-1
eal rtmenCApproval .
Date.
Card B-1 Date Card B-1
umb.; Cir. Test-Water Supply Test
Date
Card B-.1 Date Card B-1
Date/W
, f Card B 1 Date Card B-1
4
��. qo
J CK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UNDERFLOOR (Plans) OK except #'s + Date FRAMING (Continued)
1. Zoning -Setbacks -Easements Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors _
2. Ftg., Main;'Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4. Ftg., Porches & Decks, Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main, Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7.
Slab; Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11.
Water Pipe; Test -Anchor -Regulator -Service Test
12.
Electric; Underground
13.
Pienums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except #'s
16. Water Htr.: Vent -Access -Combustion Air -Baffle
------------
17. Water Pipe: Test & Anchor -Nail Protection
---------- ------------ ---------- -- ------ -- -- -- - - - - - - -- -
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
------------------ -----------------------------
19. Shower Pan: Test, First Floor -Tub Access
--------------------
20. Test Tub -&-Shower,- Second Floor -Tub Access
21. Gas Pipe: Size & Anchors
--------------------------------------------------------------
Date
------ ---- -- ---
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22.
-----
Fixture & Transformer Clearance -Ins. Protection
----------------------------------------------------------------
23.
Elec. Receptacles Spacing -Lights & Switches at Doors
--- ----------------------------- I ----------------- - -- -----
24.
Size Boxes & No. of Conductors -Stapled
------------------------------------------------------
25.
-------
- - -
Romex Installed Close to Edge of Studs & C J.
----- - - -------------------------------- --- -------
26.
Equip. Ground made up wrMech. Fastners-Bond Gas & Water
-
27.
--- ------ - - - ----- ----
2 Appliance Circuts in Kitchen & Conductor Size/GFI
-------------------------
28.
------- _ _ -
Subfeed Wire Size ga. Cu or AI -A.0 Wire Size ' ga.
------------------------------------------------
Cu or Al
--------- '----------------.....
29.
--
Range Circ. ! ga. Cu or AI -Oven Circ. ga. Cu or At
__
Insulated Neutral ❑ Yes ❑ No
---------------------------------
30.
-- -------
Service -Riser Conductors & Ground -Main Disconnect
-- -- - ... ...
31.
--- -- --
Equip. Clearances Panels- Motors-Mech. Equip.
- - -- ---------
32.
--------
--
Clothes Closet Light -Shower Light -Spa Light
----------------- - - --
33.
Smoke Detector
- ---------
Date Card -B- 1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
-- -- - ---------- - ---
35. Vent Fan: Exhaust above insulation
36. - Condensate Drain & Overflow. Size & Grade
......... _..... ....... ..
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
38 Attic Access & Platform if Furnance in Attic
--------- ---- --
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
.._ ... - _.._.. ... ...... . ... ... ....... ... ... .
40 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops, Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
--------------------
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
---------------------------------
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
--------------------------------- ---------
53. Stairs; Width -Headroom -Rise -Run -Landing Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
--------------- ----------------
55.- Siding -Nailing Veneer-----
56.- Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
----------------------------------
57. Glazing Area -Glass Protection - Skylights- Plastic
58. Shear Walls: Nailinq-Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
----------- ---------------------------------
Date
Date
-
Card -B-1 Date-- Card B-1
Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61.
Ext. -Steps- Door & Sidelight Protection -Landings
62.
Smoke Detector
63.
Furnace: Vents -Clearance -Comb. Air -Connector -
- --
In Garage. Above Floor -Ducts -Meth. Protection
----------------------
64.
Bedroom Exiting
65.
G.F.I & Bath Fixtures & Tub Access -Spa
66.
Elec. --Trim & Subpanel. Breaker Sizes & Labels
67.
---
Stags & Rails
------------------------
68.
Fireplace or Stove: Clearances -Hearth
--- -------------------------------
...... 69
Elec. Outlets at Wood Panel. Int. & Ext.
-------------------------
70.
--------------
Kit Fixt. & Appliance. Grnd.-Air Gap -Cooking Clearance
-----
---------------------------------
71
--
Elec. Outlets & Receptacles at Kit. Counter
72
Garage Fire Door: Swing -Landing -Closer
73.
A.C. Duct in Garage -Damper
- - -- -- - - -- ---------------------------------
74.
Wtr Hit., Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75.
- -
Plb.. Elec. & Mech. Equip. Listed for Location
-----------------------
76
--- --- --------------------------------
---------------
-
Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
--------------7
7-,. .
Insulation -Foam -Looked in Attic ❑ Yes
78.
-------- ----------------------------------- --------
Guard Rails & Deck Construction -Post Caps
- - ------------------------------ --
79
Fen. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80
- - - - - - - - -------------------
Following instld�; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No.
Planters El Yes ❑ No
. ------ -----
81.
-----------------------------
Stucco: Brown -Finish
82,
------------------ - --- - --------
------------------------------82. A C Unit: Disconnect. Electrical, Plumbing
------------------------------------------
83.
Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
-------------------
- ------------------------ - - -- - -- - - - -
84
64
Water Well: Disconnect. Electrical, Plumbing
85
Exterior Elec. Trim: G.F.I. Receptacle -Underground
86
Ventilation Throughout House
--- ...-------------- -------------------------
87
Glass Protection
88.
Corrections'rom Previous Inspections
89
Gas Test -Meters Tagged: Gas -Electric
90.
.. -----------------------------------
Water & Sewer Connected-C'O to Grade -HD Approval
-- -- --- -- --------------------------
91
Energy Compliance Certificate -Other Certificates
---- - -----------------------
Date Card B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION /
7 County Center Drive-.Oroville, California 95965_ - Telephone (916) 538-7541 PER►OIT_NO.
APPLICATIOt4"oAN PERMIT 9�—�
ASSESSOR PARCEL NUMBER
043-700-007
ZONING
ASR
BUILDING PERMIT
OWNER
JOHN GROWDEN
TELEPIiONE
343-3029
SO. FT. OCC. BUILDING VALLIWtION
FqT 30,000
OWNER'S MAIUNG ADDRESS
37 KINGSBURY CT CHICO
CONTRACTOR'S NAME
ADONIS POOLS
TELEPHONE
891-1197
CONTRACTORS MAKING ADDRESS
19 PHEASANT CT, CHICO
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAIUNG ADDRESS
Permit Fee
$ 284.00
ARCHITECT OR ENGINEERuc
ENS E NO.
Plan Checking. Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
37 KINGSBURY CT CHICO
PERMITFEE
$ 327.00
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other POOL
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer -
15.00
TYPE OF WORK
New 9 Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: _MASTER # `
Mobile Home I S I GI W 1
920.00
PERMITFEE
$ 35.00
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
Main ServiceEOOV OR LESS
( 200A OR ESS )
23.00
Main Service ( 200A TO I000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. �+ �pQ
License Class Aic. No. 0 7
O N ABUILDERODEGLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ( a )
SO.
3.5¢ Fr.
LTI-ACCUTLEBLDS
CNSS.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS
97.50
WER \)
(aPs NGLE OUTLETTICIC R /
Ex.' Occup. ( OUTLET OR FIXTURES )
B20 1.00
Ex, Occup. (ouTLEEDrs PESID.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
POOL
30 .,00
PERMITFEE
$ 50,00
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' com ensation insurance c�aiJ and p licy number are:
Carrier ���? & 4��,W
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation i
PERMITFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation rovisions of section 3700 of the Labor Code, I shall
forthwith p isions.
Date�/� _
at!GYEI o Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 41 .0
HA2.'
D. FEES
IMP
_
FLOOD
_—
CDF
—
PARCEL PO H
.— _
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B r
y
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
//
Date z 7
L' , / �y
`1 f
(Date)
Receipt No.
WHITE-D.D.S.-B. D. C NARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
CdUN'SOF BUTTE - DEPARTMENT
7 COUNTYCENTER DRIVE -'ORO
PERMIT APP
-e:-
-
.Proposed B'dildirig Use _Zw
7st77
F DE - VELOPMEN - T SERVICE,S - BUILDING.,DIVIS-10N
LLE;.
c4lqyZS@Q.A.95965 -TELEPHONE (916) 538-7541
ACAT 10,N DATA S H
Building Inspector
.ET
P,No. C) T3'75P
5P
Date 41
t
At time ofpermit application, I was advised, the -following ,data must be submitted prior to permit processing and/or issuance:
' DATE RECEIVED BY
�-All items have been submitted. ....................................
2: Plot plans, 3/4 sets, signed by prepa'fe"r-of plans.
............................
..
3.
Complete plans, 3/4 sets; signed by preparerbf
plans . ......................
4. -Engineered plans and talcs, 3/4 sets, with wet signature on plans . .............
.5. :Hazardous Material Form . ................................... I ...........
6.. Energy Design Compliance and supporting documentation . ...................
7-; Statement. of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior.to plan check) . ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ............
10. Fees of $ . ..........................................
-11. 'Impact fees as shown on attached schedule . ...............................
12. California Depaftment of Forestry plan appe6val/fees . ......................
X13?" Flood elevation letter (100 year flo Ca
_1jornia Engineer.
614 Sanitation and plot plan approval �AyItC-/Q ..Health Department.
15. City of Chico plumbing permit . ................ ........... I .............
16. Plot plan Arid business license approval from City of Biggs/Gridley. . ..............
Planning r approval for (A),Ose: (B) Parking:
18. Cbritact'Land Development about (A) Improvements (B)Drainage .............
19. Driveway permit (construction approval required prior to occupancy) . .........
Pre If
20. Pre -inspection for B4n raq est
t.
.Zon
:required Inspector (Date)
21. Contractor's license information. No:, Name Style, Classification) . ........
22.. Certificate of Workmans Compensation Insurance. .........
vr 21., Owner -Builder Verification (Given to owner Mail to owner 1.........
24. Recorded copy of Agricultural Acknowledgement Statement.
.................
25. Letter of signature -.Authorization . .............
26. Copy of recorded -deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use.
.......................................
28. Mobilehome utility clearance .................... ..................
29. t.Documentation of legal access . ........................
. . . . . . . . . . . . . . . . . . .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements. ................
31. Existing violations/expired permits. .........................................
32. Plan check list . .......................
............ .................
33.
34.
When u issue the emit, pr cess as follows: Mail owner. Mail to contractor.
Te and hold for pickup at Q�� office, Deliver with inspector.
Other.
Parcel Creation
Acreage Applicant Date
.-Copy of Haz` Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept.. Other Date By
The following data must be submitted priot permit issuance: (Circle new. item
m not checked above).
1. Index permit for above items No
2. Additional items required: 6azn= Q V
A
Contractor, designer, owner, was advised of above required data by phone mail Counter by = Date
Contractor, design n r advised of above required data).by phcne Pate
Plans checked,by�l Date. 4x1-1 -,A-Plans approve Dat
si.�bflp'lahs on hold in
et File cabinet r-*.�` AP folder
'PublicWorks
Copy Depap.
TO: Building Department
FROM: • Environmental Health
SUBJECT: Sanitation Clearance
E.H. USE ONLY
Plot Plan AA;i d' S
Floor Plan Mmcbed
Seat wB.D.
n 4/3- '7eo -,0407
Owner Location AP#
Plan Approved for: Sewage Disposal' Water Supply: Public Private Well
Clearance for bedroom mobile home. Other 38 'k ! 9 �w�.-► doo /
Hold final for:
Final clearance O.K. for:
NOTE:
vw
Envirhnmeo Health SyKialist _ Date
8/92
a �r)ff 1 L�j�(y' p) 7 k dd F -,j •. �,�1 ;+ C,yrf t ;J 4. .. r �oy,f
. iy,? . ' '� k'r 4 V -.G � •;�'W r� ..:�s� r �V} i;�,�t�ti 'SiO:D �it4i ra �L`bC •' ^�».y, �.' .wv {+`ail" i •!EI
.'i i = :i'j y� .. '�. • `K.
�'l�,�iv.�.i 1 -S .�
_—_ ._._ '_ ';1r"—_.h-^_. '• o nit,.
-
1
J = OK
0 = Not OK
- = Not Applicable
* = .Not Ready
MOBILEHOMES
Date
MOBILEHOME UTILITIES (Plans).OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except It's",.
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements v
2. Soils; Special MH Support -Sketch
__
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4'. Water; Location -Test -Easement Needed (Sketch)
4. 'Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5.. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5., Alum. Awn.; Cot umns-Connections-Sp lice -Decal- Enc losures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.pr/ /"L"ft./ /"LPG;
6. Carports; Windows -Doors -
7. Utility Clearances -, - - - - -
7. Elec..
Card -BI
Date Card -BI , ;;"DateCard-BI
r
Date Card -BI Date
Card -BI
Date
Date Card -BI Date I
MOBILEHOME INSTALLATION (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date' Card -BI Date
POOLS (Plans) OK except #'s _ V
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test-Demand-Valve-Conriector
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-GFl -
5. Elec.;-Pool-Lighting; 15 volts-GFI -------
'
6. Water; MH Test -Regulator -Connector _
6. Elec.: Enclosures; Conduit Entries-Terminals-t`isied
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Eiec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity.Tagged
8. ,Elea; Grounding; Equip. w/5' -Circulating Equip.-Pool-Lghcg.
Boxes-Enclosures-Panelboards-Ins. to Main in .Conduit --
9. Exits; Insp.-Sketch
10. Cert. of Occupancy,.. -
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply -Test
.i
Card B -I
Date Card -BI Date _
Card -BI
Date Card -BI Date
Card B=l
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Nooi •
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDE LOOK Plans OK exce t#'s
Date FR Continued
Zorling requirements -Setbacks -Easements (,
f1pperty Line Firewall & Openings
M ' Soils-&teef-Elea Grnd.- / /" Ftg, Depth
t4l. Doors -One 3' -Check Ga_ra a-3 d stor , 2 exits
Ftg., G SoiIs Steel- / /" Ftg. Depth
Stair idth-Headroom-R' -R -La _RW -Fire P coon
Porches & D ks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Mi S -Blockouts-Wrapped S a
6. Stemwalis, ge; Steel-Blockouts-Wrapped Slab
4E. Siding- ing-Veneer
Mesh -Drip eed-Fd nts-Underflr. Access
it 7. FT-_ FiAiiii .-
f D W.V.: Fall-Fittings-Tes 2..way C/O r est
GP; Size -Anchors i'•
Gla ' g Area -Glass Protection -Skylights -Plastic
5 ear Walls; Nailing -Bolts
ater Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
lenums Ducts Clearance -Material -Su port -Ins.
13 Gir s-Sil -Ancho s -Jo' ents- S
Card -BI Date kezCard-81 Date
Card -BI_ Date Card -BI Date
Card -BI Date Card -BI Date
C d- Date Card -BI Date
Date FJ (Plans) OK except #'s
CaL6,81 Date Card -B1 Date
DateBING (Pe
xt. Steps -Door & Sidelight Protection -Landings
lSmoke Delto
_ -1A. erH Ven cces
W Furnac Clearance -Comb. A, -Connector -
In Garage; Above Floor-Ducts-Mech.'Protection
W ipe; Test & Anchors -Nail Protection
Test-Fttngs & Anchor -Nail Protection
t�edroom Exiting
W.— Pan;'Test, First Floor -Tub Access
�rd!CyF.I. & Bath Fixtures & Tub Access
e ub & Shower, 26d Floor -Tub Access
S1lElec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
ta' Rails
_
63.<Zj3UdEE53ir Stove' Clearances -Hearth
Elec. Outlets at Wood PaneInt. & Ext.
Card -BI ( Date /�. Card -BI Date
le
Kit. Fixt. & Appliance; Grnd.'; Air Gap -Cooking Clearance''
Card -BI -Date Card -BI Date
QS/Elec.Outlets & Receptacles it Kit. Counter
Date ELE AL Permit OK except #'s
87�t'arage Fire Door; Swin-Landin -Closer
-A. Duct in Garag � r f
Fi re &Transformer Clearance -Ins. Protection
tr. Htr.; leaia�tampee-Cdaeir-2oanet 6r-P.RrW.�
In Garage; Above Floor -Meeh. Protection
--
=1 . R eptacles Spacing -Lights & Switches at Doors
- Plb., Elec. & Mech. Equip, Listed for Location --�
iz oxes & No. of Conductors -Stapled
-
2 omestalled Close to Edge of Studs & C.J.
. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
. ro und made up w/Mech. Fasteners -Bond Gas & Water
nsulation-Foam-Looked in AttiConstruction c [3111,Post
-
Appliance Circuits in Kitchen & Conductor Size
Guard Rails &Deck Caps
_
- —dn.
26. Subfeed Wire Size i / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor es
27. Range Circ. / ga. Cu or AI -Oven Circ. / ga. Cu or Al,
I_a_ted Neutral ❑Yes El No
75. Following instld.: Drivel s El No; Walks es ❑ No;
Planters [I Yes 'SNo
Ser - iser Conductors & Ground -Main Disconnect
-Equip.
Brown -1`415h_ 1
- _ 24.1' -Clearances, Panels-Motors-Mech. Equip. _
7 .C. Unit; Disconnect-Clrnc =Brkr. Co &ze-115V Outlet
0. Clothes Closet Light -Shower Light
78, Vents Above Roof Cleafeolila.tci�Opngs.
-ft.-Water Well; Disconnect, Electrical, Plumbing
------------ ----- --- ----
86!txterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date�0�3(� and -BI Date
Card B -I Date Card -BI Date
entilation throughout House
8 ass Protection _
Date ME ICAL (Permit) OK except #'s
8 . Correcti ns from Previous Inspections
Mest-Meters Tagged, Gas -Electric p
IIVIM�ater & Sewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
e_ Ducts; Insulation & Support
_ Fan; Exhaust above Insulation
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 DatejL _T111 -card -_6 I Date
- J-- /._— ---
Card -BI Date Card -BI Date
Card -BI Datn Card -BI Date
I t Card -BI Date
Card -BI Date Z
Card -BI Date Card -BI Date
Comments at Final:
Date 'FRA G(Plans) OK except #'s
s; Proper Material & Anchors
37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
3�Be ' g Walls_over Girders & Floor Nailing---
34ei Stop in Walls (rat proof)
_
Ire Stops; Furred Ceilings -Stairs -Chases -Tub
eader & Beam -Size & Bearing
4�Han rs-Post Caps-Anc s-Connectorss
nq. Joist-Rftr. Ti -Purl in-Roof�Bf Tru!g t fng.
replace Ties or Type AFlue-Fire ace Throat
c Access; Size &Romex Protection -Draft Stop -Ins. Baffles
m. Windows or_Exiting Doors -Sill HgL_& Dimensions__-
. Garage Fire Protection. Framing
(NOTE: An entry must be made each time youvisit jobsite)
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` ed4ncrrred below assd on attached i Meets Mos 1 111re e:+orlc�d ,j
wry1.
the 1T►eri< of :'ttw Armon. wt. fube af'; Timbvi Cot>�structfon tA1T1. C1 and' flee' ,
t rr1�1
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'? ' u :, } plani Fias :a }arty control . f ystem "appf ove�9 by 1. 'irfe I nspvctibli Burew of tike At»erlf ett t+tstiDute F
a 1 l I - i / G� S?
< of'Timber Constnlrt+on lmci mspscte. pe. f !ly pY sucF► Bureau 7
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i�1:11 tise.'AW, : CAN IfiISTlTUTE O� Tl1M6ER ,Ct7NS'�13UCTION to; use ilse AITG lL.ecttvlt M tc in ` ;`r
respect of. prod is which oornpI with a*'l6bl, .', apLm"sidos A ;said code 11md r. 1,-oittsL.3: that tine
Y1.'. r r ariequacy of titre�[ ualhy > or�troi:syste In effect at gafd plant ss periodtoatly ir>9pe, _and verNied by. ''
t112_!1.�p!'<<t11x1 E�Urm 4f Ltfe AMERICAN IN-TITUJ. OF TIMSfRrGONSTRUt TIQA1.l, a1.Mi tifet -
3 th11 e`p44 T, st of the uncle�slgfsed'; safd corn. 11psx►y 1s caF+ the of'oomptyir+g wsth appticabie msls- ,. . nr�g r , v
and 1.tfting pror#sions, Qf 3aid code esti rf.00 rt(s) u►R_re9pect of %products limufactuted et sand plarrt
-jronfwce wilt► the card I 11code a d report{s;y►n ieetoftenY,>rpeeffi%e or pa�tiaflar poI.duct is' �a",r#� �: �`
sole re9por:giDflrty of the marsu?ls1.cturar1., AlTC'fi oert�ficate ftierf3ursder bean that the sllrid on+tspany is "' ' k
� s�itied to oro 1l ? a producv, meeting theI. sefd ale and fvpo, 9 f sd that Its plant is;periodicalty s rt
,�, �r petted and ver fsssi by the AtTC !n> ctior !$vt u: r ,, ;
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L AMERIGAN� iN TITUTE QF TIMBER CO.NSL 1,TRUCTI( N
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RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS. IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN.
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT 37 Kin'gsbuiry Ct., Chico "
(location)
BU ILD ING PERMIT NO. A.P. NO
THE FOLLOWING HAVE BEEN INSTALLED AS PER`APPROVED PLANS:
(Check each item or write;N/A if not applicable)
INSULATION:
GLAZING:
Slab Edge
Single Glazed uIt
Fdn. Walls
Special (Insulated)=,
Floors R19
CERT. & LABELED WDS.!
Walls R13 uJl e_ & SLIDING DRS. (/
Ceiling/Roof -R30
WEATHERSTRIPPED DRS.
Ducts -1
BACK DAMPERED FANS
Circulating Pipes
INTERMITTENT IGNITION DEVICES
APPROVED HEATER
CERT. APPLIANCES
`APPROVED"WTR.HTR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name Loo k.e Insulation Co.
Signature of
(pleas - rint).
Insulation Applicator
tate Contractors
,/ License No. 43251w3
General Contractor/Owner .N e V 6j O9i AqA N /
(please print)
Signature of y
General Contractor/Owner Date G�
State.Contractors
License No.
THIS CERTIFICATE MUST. BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
77,
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.Immedi:ately.
.,+
-
AY
1
17
Inspector__'—,,Date*
yr COUNTY OF BUjjE;._
DEPARTMENT'OF. PUBLW-iW6 KS
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
VNtH NtHMI I NI
A routine inspection indicates that the follo%41ng 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
mptter, or need additional explanation, please contact this office immediately.
Date
TO:
FROM:
v
SUBJECT
'. I _ e
wee I Ae
61 TE: /// 71o, �
Inter DeparthiOntahMemorandum
fle � Z4,01 v -
Xer-o—A5,
� 2-
COUNTY OF BUTTE -.DEPARTMENT OF PUBLIC WORKS PER IT NO
7 County Center.Drive - Oroville, California 95965 - Telephone 916/534-4541 S
APPLICATIMAND'PERMIT A
ASSESSPARCE NU BER
_
ZO I
-
BUILDING PER -"f
OWNER I( -
TELEPHONE
SO. FT. OCC. BUILDING VALUA ON'
OWNER'S MAILING ADDRESS "'
CONTRACTOR'S E'�• �. - TELEPHONE _
Y1
05
J`+
-a-
-
CONTRACTOR'SM IL G ADDRESS
rl V h
Fireplac Z SvU ca
At
CONST UCTION - NDER
UN OWN
/
Total Valuation - $ f/
'
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
9
ARCHITECT OR ENGINEER
LICENSE No.
Plan,Checking Fee.
$ r (S
$ IJ
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
BUILDING ADDRESS
S
•PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2:00
Solar,Water Heater
20.00
Water piping
5.00 d
LOT NO.
SUBDIVISION
PA,i EL MAP
Each•gas water..heater or vent
5.00- %0
Gas piping system 1 - 5.outlets
5.00,
USE OF STRUCTURE
SF �plex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G .W
10.00 e
-
TYPE OF WORK
NewRr"'Addition❑ Remodelr❑ Utilities❑ Installation❑ Other
Describe work:
•
Permit Fee..
$
_Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOP OR LESS
100 AMP OR LESS -
10.00 0 ,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING
OR ADDNS. ACC. BLAR
'h2sgft
.,
CONTRACTORS LICENSE LAW
I declarer penalty of perjury (check one):
I am licensed under provisions of Chapt. 9,,Div. 3 of the Business
and Professio Code my.license m License is in •full rce and effect..
_
License No. G Classification
El 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., u rLOU LET 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEWCONSTR. (POWER APPARATUS &')
NON -RESID. SINGLE OUTLET CIR.
20e50e
Ex. Occ Up(o Ts OR FIXTURES eALA 30
FIXED APPLNS; OR
ED
Ex., Occup. OUTLETS (RESID.) EA•) 2.00 '
Temporary service . 10.00
Mobile Home Facilities
15.00
Misc.--Wiring 15.00
Permi#.Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE ''-' <
I declare under pen .ty of perjury (check one):
❑ •The mit is for $1001.00 (valuation) or less.
ave 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 complywith such
provisions or this Permit shall, be deemed revoked.
Heating
�, 100
Cooling
111"
,Hood
3.00 Q�
Ventilation
Perrnit;Fee
$
Contractor
I certify that'I have read this application and state that the above informati-on
. I a to omply to all County Ordinances and State Laws relating
tg c' st n, and hereby authorize representatives of the County ot
nt u o e above-mentioned property for inspection purposes.
Ie t e, indemnify .keep harmless the County of Butte against
all dgments, cos ,and expenses which may in. any way accrue
un in cons ence of the granting of this permit.
iIsun
Date `�
of Applicant—Owner Contractor gent ❑
AnOSHA permit is required for.excavation over 5'0" ep'and demoli ion or construct-
ion of structures over 3 stories in height.'
Mobile'Home Installation Fee $
pr�
TOTAL PERMIT FEE
OCCUP, GROUP
TYPE OF CONST.
PAR L
P HD
SSU
This permit' is hereby issued under
sions of the Butte County Code and/or
;;work indicated above for which
r _ DIRECTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have.been paid.
WORKS
Date E Z5'�D
- 7-6-
Receipt No.
WHITE-D.P.W., YELLO WyA3 SQS SOR, PINK=IN
'� DOGJ32' va
ECTOR, GO ENROD-APPLIC NT '
... X. 5711",
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App 12 a Phi (962 -
CLARK A.`.tJELSDN
CLERK-RuoiiDER
FEE
After re cordingplease:return to:
Dan:Forgey
Butte'County Bldg. Departm nit fY
OrovMe, -Calif. 95965 fr.-�
Return to DPW, `
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of . the Butte County Code requires this acknowledgement .
be recorded.prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and,residents of
-this 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 limitedto cultivation, plowing, spraying,pruning, and harvesting which occks.
sionally generate dust, smoke, noise, and..odor. Butte,County has established agricul-
tural 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 discomfort from normal,,necessary farm operations.
All that real.property.situate in .the County of Butte, State of California,
'described as follows:
NOT Cn'.1pn c+=D WITH
ORIGIN- L C^: UN1ENT
DESCRIPTION:
All that certain real property situate in the County of Butte, State of California,
described as follows:
Lots'l through.15, as shown on that certain Map entitled, "SACRAMENTO PARK", which
Map was filed in the office of the Recorder of.the County of Butte, State of California,
on January: l2, 1982, in Book 85: of Maps, at pages 31 and 32.
Subject to Covenants, Conditions and Restrictions, recorded January.21, 1982, under
_Butte County Recorder's Serial No. 82-1545.
Date: ` PROPER RS' KLA INVESTMENT CO
_ _ tPVen-. D. ne
as
John W. Kello
State of CALIFORNIA ) On . this ;the 29TH . day of MARCH
SS., before me, the undersigned NotaryPublic, personally
County of LOS ..ANGELES) appeared* GLENN W . , LANE and HARRISON M . SHARP
known to me to be the person(s) whose name(s) ARE
subscribed to the within instrument and acknowledged... -
that. THEY, executed the same for the purposes.
.,therein herein contained
IN WITNESS`WHEREOF, I hereunto set my hand ,and official
a, r OFFICIAL S -.AL seal..
f L ROBERT L. RICHARDSON -
" NOT,,RY''U8LIC-CAI.IFOaNIA =
VRIN:.IPAI O: rICL ItJ.
.LOS ANGELES COUtJTY
MyCor6miisionExpireshlar.22.1983 i Notary Public
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