HomeMy WebLinkAbout056-320-01256 -
NORMAN HOOVER
S Headwater's Rd,_ api
HALI
wy 32, Forest Ranch
�P X93 -80E .emp owe o_iL'
t�'ur-e %
56-32-12
Permit #2198-81B,P,E,M(new single
family)
'56-32-12
Permit # 2538-82B,P,E,M(newSF1.... Re a
es # 2198-8:1 NOT STARTED)
--
56-3 2 -� 1,2
Permit#2814-83B (l s t refrewa l�/y 318 9 )
--- •- u'
..56-32-.1.2....
Perm' 2614-84B (2nd renewal/2538-82)
56-32-12
5286 Headwaters Rd, Forest Ranc
Permit#1308-86B,E(new garage) A
9
1
•K PERMIT NO. 130$-86B,E
PERMIT EXPIRES (�J � / •x...+�' a�e
N.W. HOOVER " ` •j�
OWNER v
CONTR. unknown ,
ASSESSOR PARCEL 56-32-12
LOCATION 5286 Headwaters Rd, Forest Ranch
1 '
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ti
,r.
1�
L
4(
I Y+
Temp. Power Pole
Called PG&E
Temp. Elea S^• ^^^
Called PC
a' Temp. Gas Sei
Called PG
3
JOB FINALE[
Signature
V = OK
0 '_ Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/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.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-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 #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Elec.; Receptacles and Lighting; Distances-GFI
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
r
r j
J = OK t
0 = Not OK -
Not Applicable
Read
_+ Not Ready RESIDENTIAL (Single and Duplex)
,
Date
UNDERFLOOR Plans OK except N's
Date
FR/yAING
(Continued) '
oning requirements -Setbacks -Easements
X48.
Properly Line Firewall & Openings
Ftg., Main; Soils -Steel - / /" Ftg. Depth
4Vr:xt.
Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
58'
tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Fig., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
I .
Plywood on Roof Overhang -:Attic Vents -Rafter Outriggers
5. temwalls, Main; Steel-Blockouts-Wrapped-Slab
52'
1 iding-Nailing-Veneer .
temwalls, Garage; Steel-Blockouts-Wrapped-Slab
rip Screed-Fdn. Vents-Underflr. Access
Piers-FiPepfa T'F-*.-Steel
• lazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
SK
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
� Date Card -BI Date
Date
-
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
_
14. Water Hl.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. 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. Pipe; Size & Anchors
62.
Stairs & Rails
_Gas
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
T Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
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 k's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
-
20. Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22. Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
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 El Yes
73.
74.
Guard Rails &Deck Construction -Post Caps
Fdn. Vents & Crawl !-Tole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
25. 2 Appliance Circuits in Kitchen &Conductor Size
26. Subfeed_Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
-
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ,Yes ❑No
28. Service -Riser Conductors & Ground -Main Disconnect
29. Equip. Clearances: Panels-Motors-Mech. Equip.
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes E) No:
Planters ❑Yes ❑No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Card B -I
Card B -I
-
30. Clothes Closet Light -Shower Light
- - -
-
Date _ Card -BI Date
Date Cprd-BI Date
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
81.
82.
83.
Ventilation throughout House
Glass Protection _
Corrections from Previous Inspections
Date
HANICAL (Perrr.it OK except N's
84.
Gas Test -Meters Tagged; Gas -Electric
_
_
Card -BI
Card -BI
31. ucts_ In talion &Support -_
32.n: Vent Fa _ _Bove Insulation _ - - --
33. Conde to Drain & Over Size & Grade
34 Fur't ce-Vent: Access -Comb. Air -Return Air Vent_ -_115V outlet
35. Attic Access & Platform if Furnace in Attic
- - -
Date Card -Bt _ Date
Date Card -BI Date
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FR MING(Plans) OK except N's
Comments at Final:
_
/ Sills; Proper Material & Anchors
33''Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
j�$!/ Bearing Walls over Girders &_F_loor Nailing
/Draft Stop in Walls (rat proof)_
4'Y// Fire Stops: Furred Ceilings -Stairs -Chases -Tub
_
`G
4W Header & BeamSize& Bearing
4Z. Hangers -Po -Anchors-Connectors
Cing. Joist- fir. Ti Purlin-Roof Brac.-Truss-Shlhnq.-Rfng.
4 s or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
ows 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
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
4
CORRECTION NOTICE
d S-4
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
ma er, or need additional explanation, please contact this office immediately.
Inspector /��� w Date / CCJ
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 NOTICE
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
mattte� or need additional explanation, please contact this office immediately.
Inspector JdvI) Date_0' /
i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSE5,0 PARCEL NU ER
vt _ e) _
ZO G
_S
BUILDING PERMIT
OWNER
o
TELEPHONE
d
SO. FT. OCC.1 BUILDING VAL ATION
O: <
R'S MANG ADDRSS
O O
CO ACTOR'S N M
V1 (7 V 11
TELEPHONE
CONTRACTOR'S MAILI ADDRESS
Fireplace
CONRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$. S
AR TECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
' a f�- r
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCt.L MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPE 1 FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
10.00 ea
TYPE OF WORK
New Addition ❑ Remodel [:JUtilities ❑ Installation❑ Other ❑
Des ribe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 900V 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
p y f y (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
jor 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 . P.!!t I
OR ADDNS. ( ACC. BLDG ) /zQsgft
NEW CONSTR. ULTI.OUTLE
NON•RESID BRANH CIRC I TO 2.50 ea
POWERCAPPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES SALO 30
FIXED APLNS.
Ex. Occup. OUTLETS P(RESID )KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
g
Permit Fee $
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
f Consent to Self -Insure.
II 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.
Contractor
MECHANICAL PERMIT
Filing Fee 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 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 s 'd County in conse uence of the granting of this permit.
%� Date ��—
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ r /
occuP.CONST.TYPE
F?J
PARc„EL
y
oy
v
K7E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
I VTOR OF PUBLIC WORKS
By Dater Zs
PEPAIT EXPIRES Date w �`S
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.
Receipt No. _ O r3 "�
WNITC-D.P.W., YELLOW-AS8r990 R, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT.OFAPUBLI_C WORKS - BUILDING DIVISION -�
7 COUNTY CENTER DRIVE-tOROVILLE{4CALIPJRNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
._ Permit No.
OWNER "" l i ,0 Ile A. P. No.
Proposed Building Use eeq-
Permit Fee Based Upon: Complete Contract ffrice __DPW Valuation
Other (E Iain)
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
All items have been submitted.
2(_\Plot plans in plicate triplicate. . . . . . . . . . .
3. Complete plans i�cate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD ''Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . .
y0Letter of signature authorization . . . . . . . . . .
. Sanitation approval from 6A14-0 Health Dept.
11.. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp17. Pre -Inspection for Required- Building
request to (Dote)
p 4 Building Inspector
18. Recorded m.g�1cu��ur, Acknowledgment State ent . t
19. Other DRcI� Y�R1IIiT �"onstruction approva� required prior to occupancy"
When you issue the permit, process as follows: A Mail to owner. Mail to contractor.,i
Telephone and hold for ickup at office. Deliver w/inspector.
Other
Appl icantZ� Z2,ZDate
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked aboveVm e of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date _
Plans approved byDate
Other:
Copy—DPW
TO: Building Department
FROM: EnvironmentaiHeaIth, Chico
SUBJECT:': Sanitation Clearance
o � • W. I-�v�,v e. r S-Lf� 6 �
.
Owner Gt r,G, c'i►.s ,e`l
'Location
Plan approved for: sewage dis osnl
water supply
Hold final for: T�
Final Clearance O.K. for:
V
Clearance for bedroom mobile home. Other
Note-,
Sanitarian'
water ,ly
water supply
—za —C
Date
-Re AG
pkei��g 8T
PERMIT -NO. M
PERMIT EXPIRES�JLL
OWNER Norman Hoover ;
U A-111 ,J K Owner
CONTR.
{
ASSESSOR PARCEL 56-32-12
LOCATION S/S Headwaters Rd, app 1000' E of
!1
( Hwy, 32, Forest Ranch
1
1
-Temp. Power Pole
A
y ' 1 Called PG&E
is Temp Elec. Service _03 io,Q !d ;/V$/,7
`
Called PG&E
{ Temp. Gas Service
1 i ~ti
` Called PG&E
' JOB FINALED (Date)
y;
I { Signature
l
OFFICE COPY
Al
Address —07, "Sj
GAS
Meter By bate
ELECTRIC
Meter By Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
ti
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
mat r, or need additional explanation, please contact this office immediately.
- i, - . _ . —1 - _
HAIMMENIT'le-Im ---
U
Inspector Date 17 ^� -Y
t COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have anyjj question pertaining to this
matter, or need additional explanation, please con tq/cI this office immediately.
'5 H 3
//�`�/ 2
Inspector_,�'� Date 1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise-- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
2$
A-
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.
Inspectorl Date 10 /28.--
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
fes' 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
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
atter, or need additional explanation, please contact this office immediately.
t N,
---------------
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Inspector N -
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Date_ ' !
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Inspector N -
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Date_ ' !
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COUNTY OF BUTTE
DEPARTMENT OF PUBLJC WORKS
.r 196 Memorial Way, Chico — Phone: 891-2751
I
7 County Center Drive, Oroville —Phone: 534-4541
}kytway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or -need additional explanation, please contact this office immediately.
Inspector. C'2jo� Date
COUNTY OF BUTTE r�
DEPARTMENT OF PUBLIC W( 11 S
f 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road`Paradise—' Phone:'872-2961 Ext. 57
CORRECTION NOTICE X
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
A/,) �r - z A /j's G /2 sail, , , �- /
rl
�v G
Inspector /%/%� G'�' <iit�l Date /
V = OK r
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS '
Date
MOBILEHOME UTILITIES (Plans) OK except k's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
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
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts- Beams-Rftrs.-Con nec.-Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connections_Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors 1
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 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-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
y -
a
•r
w
t
..2
y -
a
y.,
J Edi(, w e
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
f
Date UND LOOK (P -Ips) OK exce #'ssoft
Date
FRAMING Continued
Zoning re ements- acks-Ea88m?TIfS
49—.Property Line Firewall &Openings
tg., Main; Soils- - - / /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
h
.6e--9tair5, Width -Headroom -Rise -Run -Landing -Fire Protection
Ftg., PZwes ecks s - / /" Ftg. Depth
PJT-Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwallp, Main; -BI outs-Wr&Mft_4kH
W.—Siding-Nailing-Veneer
� a �•-- ••-n �arAAP- cto i &4e • oQ=&-4ke"eb-Slab
-53.-&eeco-Mesh-Drip Screed -Fd • Vents-Underflr. Access
rs iceR}ecgF7g•-S
Glazing Area -Glass Protect* n -Skylight Plastic
V.: Fall -Fitt' gs-T -2 wa O -Se r Test
r IIs; Nailing- is
Gas Pipe; Size -Anchors
w
Water Pipe; Test -Anchors -Regulator -Ser est I,J
1._E tri
cc; nderground
Plenums &UDucts; Clearance -Material -Support -Ins.
i Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-
Date Card -BI Date
CarjX1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date - (j and -BI Date �?'
Date
FILL (Plans) OK except q's
Card -BI Dat �Card-IK Date
Date PMING (Permit) OK except q's
Ext. Steps -Door & Sidelight Protect i on -Land i rigs
5V. Smoke Detector
414Water Ht.; Vent -Access -Combustion Air
58.urnace; Vents -Clearance -Comb. Air -Connector -
I Garage; Above Floor-Ducts-Mech. Protection
Water Pipe& Anchors -Nail Protection
es
_ D.W.V. T Fttngs nchors-NMt-Prrotection
edroom Exitin 9
Test, First Floor -Tub Access
.F.I. & Bath Fixtures & Tub Access
Test Tub & Shower, ccess
46itlec. Tri ubpanel; Breaker Sizes -Labels
19: Gas Pipe; Size & Anchors
airs I
fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Tffl5 Card -BI Date
V1 Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Cards Date Card -BI Date
86. FJec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except N's
Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
Fixture &Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents-Clearanc -Co -. Ai Connecto P -
/ In Garage; Above Floor-Mech. ection
Elec. Receptacles Spacing -Lights &Switches at Doors
Sze Boxes & No. of Conductors -Stapled
j1a! Plb., Elec. & Mech. Equip. Listed for Location
Romex Installed Close to Edge of Studs & C .4
cles in Garage; (G. F.I.)-Rex Protec.
24 Equip. Ground made up w/Mech. Fastener -Bond Gas & Wate
sulatio Foam -Looked in Attic es
Appliance Circuits in Kitchen & Conductor Size
ai s & Deck Construction -Post Caps
_ bfeed Wire Size 1,V,01 ga. Cu or&L-A.C. Wire Size / / ga. Cu or At
n. Vents & Crawl H�ol�oor-Drainage & Wood -Earth Clearance
Looked under Floor L) Yes i i
F •llowin instld.: Dr!vr�/ Yes o; Walks
❑ ❑Yes No;
lanters El L�No
Range Circ. / / ga. Cu or AI -Oven Circ. /Q' / ga. C or Al,9
e=
Insulated Neutral CVt°es ❑N�
Service -Riser Conductors & Ground -Main Disconnect
Je-Equip. Clearances; Panels-Motors-Mech. Equip.
77•/A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
*+—Clothes Closet Light -Shower Light
ents Above Roof; Plb A liance-Fire I Clearance to O n
• � 9•- PP P • s.- P 9
79. Water Well; Disconnect, Electrical, Plumbing
!
—Exterior
Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Dat - Card -BI Date
%f,. -Ventilation throughout House
Card -I �Sj_, Date Z(IRlpq Card -BI Date
Glass Protection
Date MEC NICAL (Permit) OK except N's
Corrections from Previous Inspections
16 1 16W
s Test -Meters Tagged; Gas -Electric
ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
A.C. Ducts; Insulation & Support
Vent Fan; Exhaust above Insulation
_ Condensate Drain & Overflow; Size & Grade
34 Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
-55--Attic Access.& Platform if Furnace in Attic
Card -BI
e=j Date Card -BI Date
Card -BI Card -BI D ate
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
CarVKI Date Card -BI Date
Date FRA NG Plans) OK except q's
Comments at final:
_IIs; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
3T.- Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_ Fire Stops; Furred Ceilings -Stairs -Chases -Tub
.8$4 --Meader & Beam -Size & Bearing
ers-Post Caps -Anchors -Connectors
CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-' Ing.
_F_ a ace_ies or Typ Flue FireVMn-1Trat
Attic Adm Size Protection-Dif3f"top Ins. ffle
_ Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensionn-
49��ire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
�� ..
Owner: Permit No.
ENERGY CERTIF ICAT ION
LOCATION A.P. •
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass
Thickness(inches)
CEILING
DESCRIPTION OF INSULATION
Brand Name
Thermal Resistance (R Value)
Brand Name Certainteed
Thermal Resistance(R Value)
Batt or Blanket Type Fiberglass Brand Name Certainteed
Thickness(inches) ID `' Thermal Resistance(R Value)
Loose Fill Type Fiberglass Brand Name Certainteed
Minimum Thicknesl(Inches) Number.of Bags Wt. per bag 24 lb.
Area covered(ft. ) Thermal Resistance(R Value)
FLOOR, ELEVATED
Material Fiberalass
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Brand Name Certainteed
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
Hawkins Insulation Co.,'Inc. 378407
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
�__ 2 ;!
SIGNATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
N
COUNTY OF BUTTE - DEt ARTMENT OF PUBLIC WORKS PERMIT, NO�
7 County Center Drive - Oroville, C aliforrtj.a 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PA CEL NUMBER
56-32-12
Z ING
N
TM -5
BUILDING PERMIT/go
OWNER
Norman Hoover
TELEPHONE
SQ. FT. OCC. BUILDING VAL "ATI N
OWNER'S MAILING ADDRESS
2681 Cameron Park Dr.- shinql,- Spring CA
CONTRACTOR'S NAME
Owner
TEL PHONE
2nd Renewal
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee Fee
$ 151.25
ARCHITECT OR ENGINEER
none
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 161.25
BUILDING ADDRESS SIS Headwaters Rd., app. 10001
PLUMBING PERMIT9
Filin Fee 10.00
E Hwy 32
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF fn Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home JSJGJWJ
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
2nd Renewal Permit 42538-82
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS10010.00
1AMP OR LESS
(1st Renew ##2814-83)
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
ADDNS, l ACC. BLDGS.
t
2.50
— IfOR
CONTRACTORS LICENSE LAW
I declare under pe I 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"
or sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
forthason
NEW CONSTR. U TI -OUTLET 2.50 ea
NON -R ESI D. BRANCH CIRCUITS) ea
NEW CONSTR. // POWER APPARATUS &
NON.RESID. %SINGLE OUTLET CIR.
OR FIXTURES eALoao
Ex. Occu DAL@30
P�o
FIXED APPLNS. OR
FIXED
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
.01[WORKMEN'S COMPENSATION INSURANCE
I declare under nalty 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
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.
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
inst said ounty in cons quence of the granting of this permit.
X r Date f
ignoture of Applicant — OwnerK Contractor ❑ Agent ❑
JAn OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ 161.25
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
WORKS
DIR==Date
/ (�By _[ _V
PERMIT EXPIRES Date 8/1 %/85
Receipt No.1;115_6S17
WHITE-D.P.W.. YELLOW-ASSFSSOR. PINK-INSPEC OR. GOLDENROD -APPLICANT
C
,�o
i A-A
O C
C4
o
xr0
ufi
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
• APPLICATION AND PERMIT
PERMIT NO.
ASSE�6!jt2=15EL NUMBER
3
ZWNS
BUILDING PERMIT
OWNER
Norman W. Hoover
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
2681 Cameron Park Drive, Shingle Springs 95682
s
enewa
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO?VTRUPrCTION LENDER
onjj��
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee 2 Original Fee
$ 151.25
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 161.25
BUILD NG ADDRESS t 2
Headwaters Road, App. 1000 E. of Hwy. 3
PLUMBING PERMIT
FilingFee
Filin Fee 10.00
Forest Ranch
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
1
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 ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other [N
Describe work:
lst Renewal of Permit #2538-82
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main Service EA. ADO'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. 1 ACC. BLDGS.
t
2/20sgft
CONTRACTORS LICENSE LAW
I declare under pen Ity of perjury (Check One):
❑NON-RESID/,
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 CONSTR ULTI.OUTLET 2.50 ea
NON•R ESID BRANCH CIRC ITS
NEW CONSTR. / POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup\OUTLETS OR FIXTURES RA ®30
FIXED APPLNS, OR
Ex. OCCUp. OUTLETS (RESID,) EA.) 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.
❑ 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 County of
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
a ainst said County in con equence of the granting of this permit.
�' �• A?es�( Date r_! ! / ry —
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 $
TOTAL PERMIT FEE $161.25
OCCUP. GROUP
I TYPE of CONST.
PARCEL
I PD
I No
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte Count Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF/PUBLIC WORKS
c9
BY Date,?, 4-3,
PERMIT EXPIRES Date8— 7-84 '�
Receipt No.
WHITE-D.P.W., YELLOW-ASSYSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 I-TelIJJp1lbne 916/534-454
APPLICATION AND PERMIT
ASSESSOR PARC L NUM
ZONIN` —,<'
4
ILDING PERMIT
O R
� � O � �r
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAIL*IG ADDRESS
1
CONTRACTOR'S NAME
LEPH NE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER A
UNKNOWN
Total Valuation Is
asipon
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN ADDR /
r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 rCD
Repair drainage or vent piping
5.00
T o�
Water piping
LOT N SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
^
-/ USE OF STRUCTURE
SF Lam' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
�S K t 1, 8-- g- h '
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00V OR LESS
1
100 AMP OR LESS
5.00 ,
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. DWEL •d,
OR ADDNS. ACC.
Q qft
,
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)
inj 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 CO IDR BRANCHIc RCT s 2.50 ea
NEW CONSTR POWER APPARATUS e�
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES a ��
00
FIXED APPLN9. OR
EX. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIIng Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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 �I ' IFF
Ventilation '
Permit Fee
S r
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 connquen a of the granting of this permit.
X �r Dat %a y
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 $
TOTAL PERMIT FEE ®O r
OCCUP. GROUP
I TYPE OF CONST.
,/
nl
I PARCEL
PD HD99UE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR0 UBLIC
By
A
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 7 V
/ 7
WHITE-D.P.W., YELLOW-ASSE990R, PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT NO. 2198-81B3P,E,M
r, PERMIT EXPIRES
OWNER Norman W. Hoover
r CONTR. 'owner
ASSESSOR PARCEL 56-32-12.
' x '
LOCATION S/S Headwaters Rd.,app.1000'E.of
Hwy 32, Forest Ranch
1,
A• p'
Temp. Power Pole O
j Called PG&E
S Temp. Elec. Service
Called PG&E
! Temp. Gas Service
a
Called PG&E
JOB"FINALED (Date)
Signature
J OK
0 Not OK
- = Not Applicable MQBILEHOMES
- Not Ready
M
r�
MISCELLANEOUS, `•
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q'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
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
POOLS (Plans) OK except k's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. 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 OKr
Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
_Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
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
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
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
22.
23.
24.
Elec. Receptacles Spacing -Lights &Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
am -Looked in Attic E] Yes
Insulation-Foam-Looked
73.
Guard Rails Deck Construction -Post Caps
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
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 El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes []No28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
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-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except k's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
Card -BI
Date Card -BI Date
Card -BI
_-
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except k's
Comments at Final: ^
36.
Sills; Proper Material & Anchors
7-16-9"
z Qkl£
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.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
_
^
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Windows or Exiting Doors -Sill Hgt. & Dimensions .
_
47.
_Bdrm.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO S PER IT NO.
7 County Center Drive - Oroville, California 95965 - Telepho e 91 534-4541
APPLICATION AND PERMIT
ASSESSO ARCEL NUMBER
('
ZONIN
N .�
BUILDING PERMIT IV I
OWN R f�
91
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
2�8 i AILJNG ADDR l ! D1? S!flrtl�G� SPS
�
.5 3 �{o/
CONTRACTOR'S N��AJ'�(MJE�,/�
TELEPHO
Z 9
l�
/
(�
CONTRACTOR'S MAILING ADDRESS`
Fireplace
ZO pQ-pB
CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
-VID
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ , pv
ARCHITECT OR ENGIN R
LICENSE NO.
Plan Checking Fee
$ rs�
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 3„j
BUI ADDg FSPP /oOQ
PLUMBING PERMIT
Filing Fee 10.00
/
Each Trap
2.00 �QC�
Repair drainage or vent piping
5.00
PIOOESE e/(%C14
Water piping
v
LOT NO.
SUBDIVISION NAME
ARCEL MAP
1P4/q11_3&?
Each Each qas water heater or vent
5.00 Qo
Gas piping system 1 - 5 outlets
�v
--,/ USE OF STRUCTURE
SF Z? Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
-V
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ a
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR0V OR LESS5.00
jYV
Main service EA. ADD'L 100 AMP
2,50 �O
NEW CONST. DWELLING OC
OR AODNS. ( ACC. BLDG S.
22 S ft
Q
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.RESID P_ BRA cH CTLE Ts 2.50 ea
NEw CONSTR POWER APPARATUS a
NON-RESID. (SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES_ BAL@1
09
FIXED APPLNS. OR
Ex. Occup.(ouTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subjectVentilation
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 d
P
Cooling 3 %
Jib V
Hood
3,00 �p�
Permit Fee
S ,p
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sad County in consequence of the granting of this permit.
%X— _Date ”%`J -� f
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 $
TOTAL PERMIT FEE
occuP. GROUP
_3
I TYPE of C NST.
'�
PARCE
PD
HD
ss
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY
PE T EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/� -W--P1
b -7,5(—J 6—
Receipt No. S
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
, • Bldg.
OWNER PIJ A.P.
A. GENERAL
,4�_ Zoning requirements (sideyards and parking).
X. Valuation.
-9. Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
�! Complete parcel size and dimensions.
Setback*, sideyards, easements, etc.,
.%S. Other buildings or structures.
%----Grading, fills; drainage.
Permit # zle?gRgO
# 56 -3z -
C. FLO-OR PLAN
Complete to scale plan with dimensions.
equired windows for light and ventilation (Sec. 1405). �e%��'�
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
/K"' Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location..
Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct bu' din
of construction details complete enough to construct building. ��r.--
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law). �-
E. MLSICELLANEOUS ITEMS TO LOOK OUT FOR
CC plywood on exposed locations and overhangs.
—Stairway details (Sec. 3305).
^/
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
5. Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
-e---Uarage door or porch header sizes.
,AY. Adequate bracing..
-16. ing area over garage - complete 1 -hour separation required including supporting
walls and posts, etc. 1.
��-Twc-(2) exits on three-story dwellings (Sec. 3302).
` 4
\
•
>::'
_ .�)
1 •� ..� Jam• 6U4
..,Xu&� ~y
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Norman Hoover
ADDRESS: 2681 Cameron Park Dr.
CITY & STATE: Shingle Springs, CA. 95682 IMPORTANT:.
December 15, 1980 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Owner decided not to do this work,
-
—TE—lectrical Permit App n. #5593-80E a Rece t 3 - AT 56 -32 -12)
- 2- 2Electrical
Electrical permit fee paid ----- $20,00
Retain filing fee -------------- 10.00
Amount of refund,due------------$10,00
$10.00
�I
i
I
TOTAL
$10
00
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this i
claim is true and correct toted. n�1 /��d _
_Dated this ..........tj...�........... day of .{ lrt.l........... 19R.(! at491� .(..Aalif. ...... .... ..1... .. .... .............
ature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-'
livered and that there is a Budget Appropriation or Specific Board Approval F-] (Checkone) for the same..
15th. Dec. 80Oroville
Dated this day of ............................. I9....... at .............................. , Calif.....................................................................................
....................................
Department Head or Authorized D eputy -
Dept. Exp.
Code............................................ Code ................................................PAYABLE FROM............................................................................................ FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE I
DEPT.
& SUB.
PROD•
SUB.
OBJ.
CLAIM
NO.
INVOICE
NO.
INVOICE
DATE
DISC.
GROSS
AMOUNT
ENCUMB.
SUB -01ST.
i
I
.-
0
C6157 (/1 (f
��- � Wwe✓ ov�s � �,rQ
�u/yQ✓ Des roof e�0/.�% w 9�
i✓�s?ea y
4D 7� II'Me G( ih,
_1
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESS PARCYL NUMBER
a— Z
ZO NG
�1 .5 '
BUILDING PERMIT
OWNER
OlGwl G , �L -
TELEPHONE
77- •
SO. FT. OCC. BUILDING VALUATION
OWNER'S jM%AI LING ESS
D A
CONTRACTOR'S NAM T F_PHON
CONTRACTOR'S MAILIN ADDRESS
4CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
Permit fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
BUILDING ADDRESS/^
J
PLUMBING PERMIT
Filing Fee 3.00
67 £�
Each Trap
2.00
_
Repair drainage or vent piping
Water Piping— -- --
2.00
-
S
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCT'4'IFE
SF ❑ Duplex❑ Mobilehome❑ Other
or SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ 4 ities D Installati n[- Other
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee .00
Main service 100 AMP OOR RSLESS
5.00
Main service EA. ADD -L 100 AMP
2,50
NEW CONST. DWELLING OCCUP.y
OR ADDNS. ACC. BLDGS.
20 sq ft
CONTR CTORS LICENSE LAW
I declare under penalty of perjur (check one):
G 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)
H I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
j_j I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST—R' U TI -OUTLET 2,50 ea
NON•R-SID BRANCH CIRC ITS
NF_W CONSTR. (POWER APPARATUS A�
NON •R ESID. SINGLE OUTLET CIR.
Ex. Occup(ouTLETS OR FIXTURES 50@23C
BAL@10C
FIXED APP LNS. OR
Ex. Occup.(OUTLETS IRESID.) EA.1 2.00
Temporary service
10.00
Mobile Home Facilities 1'5.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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.
1 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
Filing Fee 3.00
Heating
Cooling
Hood
Ventilation
- ------ - - -
permit _Fee _
Contractor
_2.00
$
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 Countyor
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.
4, .-,_ S�>
X -2• �`"� "� Date 1/- i
Signature of Applicant — Owne Contractor U Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demo:y ion or construct-
Ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
JPAPCELJ
PD HO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. i
wHliE-O.P.W.. YELLOW-ASSF SSO d• "-W -INSPECTOR, GOLDENROD•APPLICANT
F_jCOUNTY OF BUTTE - D•j.PARTMENT OF PUBLIC,WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 V �•
APPLICATION AND PERMIT
ASSESSO• PARC L NUMBER
a•— Z-
ZO NG
/i' 15
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING DDR E SSSS A /A /
[/ /G -'� G
CONTRACTOR'S NAM T -EPHON
sG �
CONTRACTOR'S MAILIN ADDRESS
CONSTRUCTION LENDER -
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS. ,
PLUMBING PERMIT
Filing Fee 3.00
Mae k7_ /6--- d
Each Trap
2.00
Repair drainage or vent piping
2.00
S G
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCT J
SF ❑ Duplex[ Mobilehome❑ Other ����
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Reemode1 ❑ Utilities Installati n ❑ Other
Describe work: GdLdlllhzB2c _
/Main
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 0.00
service 6001 R100 AMP LESSOR
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. / DWELLING OCCUP,&)
OR ADDNS. \ ACC. BLDGS.
2�sgft
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.
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
NON-RESID CONSTR BRANCH CIRCTITS 2.50 ea
NEw NON CONSTR POWER APPARATUS .& -REST D. (SINGLE OUTLET CIR.
ExOccup(ouTLETSOR FIXTURES 50 @25C
. BAL@'DQ
Ex. Occu p•(OUTDUTL APPLES. OR
FIXELicense
ETS (REST D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 -
-
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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
I of Consent to Self -Insure.
I�''Vi 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
Filing Fee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date /— %- �Q
Signature of Applicant — Owne Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structuress over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $ '
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date '
Receipt No. '����
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF --PUBLIC WORKS — BUILDING DIVISION
7 County Center Drive — 0rovill,,4;Cdlifornia 95965 — Telephone: 534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER d �l ii/ �/£ _ A. P. No. 5l— ?. —/
Proposed Building Use >~k•/!, �,,lsr,! �/c
Permit fee based upon: Complete Contract Price DPW Valuation
Other (explain):
Building Inspector Date
At time of permit application, I was ad�V cL�1Ae fot1owing data must be submitted prior to permit processing and/or
issuance: DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ....................
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $
9. Letter of signature authorization.............................................................
10. Sanitation approval from Hea__Ith Dept....
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
4b, address below).......... ..................................................
Pre -inspection forr� �/� G /rF required. Pre -'"Spec• request to
Idg� ectox
16 Other .�WT-
When you issue the permit, process as follows: 'y Mail to owner Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspection.
Other y� /
Applicant / /, ��1 Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Design <Own as advised of above required data by
Q
rians checked by
Plans approved by
OTHER:
Copy/DPW
Date
Date
Telephone
Mail
Other !ft
Date
,oeg�Se) 41.
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