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062-680-006
PERMIT NO. 3213-86B,E PERMIT EXPIRES OWNER E.J. GRIFFITH CONTR. owner ASSESSOR PARCEL 62-50-91 LOCATION 119 ?inetree Lane, Bald Rock s ti ;i Temp. Power r-'- Called P( Temp. Elec. S Called P( Temp. Gas Sei Called PC JOB FINALE( Signature J = OK 0 = Not OK - = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rfirs.-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 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 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 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 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. Boxes -Enc losures- Pane lboards-Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK - = Not Applicable � Not Ready RESIDENTIAL (Single and Duplex) Date URFLOOR Plans OK except #'s Date FRAMING (Continued) -_. Zoning requirements -Setbacks -Easements 49 -Property Line Firewall & Openings 2. Ft , Main; Soils -Steel rn .- / /" Ftg. Depth Ftg., Garage; Soils-,Steef•-/ ?moi" Ftg. Depth 49,--E-Ala Doors -One 3: -Check Garage -3rd story, 2 exits 50. at Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab _Stemwalls, Garage; Steel-Blockouts-Wrapped-S Ma _ . Pjywood on Roof Overhang -Attic Vents -Rafter Outriggers _ Siding -Nailing -Veneer 53_%kweo-Mesh-Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test _ 54--Gra7-1Wg Area -Glass Protection -Skylights -Plastic 35 -Shear Walls; Nailing -Bolts Gas Pipe; Size -Anchors 23. 10. Water Pipe: Test -Anchors -Regulator -Service Test 24. 11. Electric; Underground 25. 12. Plenums & Ducts; Clearance -Material -Support -Ins. 26. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card-BDate and -BI Date Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Card -BI Date Card -BI Date _ Card -BI � Date��.� Card -BI Date Card -BI Date Card -BI Date Date FINI L (Plans) OK except #'s Card -BI Date Card -BI Date Dat PLUMBING (Permit) OK except #'s 60" Ext. Steps -Door &Sidelight Protection -landings Sic. 6 toke Detector 'Water Ht.: Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection-9ed*eeA+ 17. Shower Pan: Test, First Floor -Tub Access 18, Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors FiB.-Fumace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Exiting 68. e7F-t'SBath Fixtures & Tub Access .1. E19C-Trim & Subpanel; Breaker Sizes -Labels 627"3taftT- Rails Card -BI Date_ Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL (Perrr.it) OK except #'s 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights & Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 25. 2 Appliance Circuits in Kitchen & Conductor Size 26. Sup.fee'd 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 At, Insulated Neutral ,Yes -]No 28. Service -Riser Conductors & Ground -Main Disconnect_ 29. Equip. Clearances: Panels-Motors-Mech. Equip. 30. Clothes Closet Light -Shower Light Card B -I Card B -I Date Card -BI Card -BI Date Date Card -BI Date _ Date Card -BI Date MECHANICAL (Permit) OK except #'s 1. A.C. Ducts. Insulation & Support 2. Vent Fan: Exhaust above Insulation 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 - - Date Card -BI Date Dae Card -BI Date FR IN tans) OK except #'s 3 .s; Proper Material & Anchors W IIs: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing IIs (rat proof) _ e tops: Furred Ceilings_Stairs-Chas_e_s-Tub -- Header & Beam -Size &Bearing 42-- F�engera--Post Caps -Anchors -Connectors 48'Clng. Jo st-Rftr. Ties- Purlin -Roof Brac.-Truss-Shihnq.-Rfnq. 44"_F-�Ties or Type A Flue -Fireplace Throat 4ss: Size & Romex Protection -Draft Stop -Ins. Baffles 4 rm. M ws or Exiting Doors -Sill Hgt. & Dimensions 4�re Protection Framing 68. 114eplaca er Stove; Clearances -Hearth 84--E1ee-49tMets at Wood Panel; Int. & Ext. 6&-44i4_F4*6-& Appliance; Grnd.-Air Gap -Cooking Clearance 66. E+ee- Bit tlets & Receptacles at Kit. Counter 67�a Door; Swing -Landing -Closer B8--�r2-6Uc't'IiS Garage -Damper 69:-Nkk . tr--Vents-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection Elec. & Mech. Equip. Listed for Location Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 7Q--4„su4a44*er>-_-Foam-Looked in Attic F] Yes 737-6 nYd"R-Y71s & Deck Construction -Post Caps 7T.--PU--7entss & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75 F17fYi17J' M instld.: Drive [I Yes ❑ No: Walks ❑ Yes ❑ No; Planters Dyes ❑No 46-134acco; Brown -Finish 7�--A,6. l it, Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet move Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 7 connect, Electrical, Plumbing 89--ExterMT-ET9c. Trim; G.F.I. Receptacle -Underground 81---VUTrM ait1)n throughout House 82 Glees Protection 83_-CerseetMs from Previous Inspections _ 84r -09S7 -'St -Meters Tagged; Gas -Electric 86_-Weter-8r Sewer Connected -C/0 -to Grade -HD Approval 86r-C-ffe1Tjy Compliance Certificate -Other Certificates Card -BI ^ e Card -BI C Com lents at Final: JE - --- --- - -- (NOTE Anentry must be made each time you visit jobsite) Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovillg, California%965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERMIT NO. ASS S� PARC_E� NUMBE BUILDING PERMI OWNER HON�� SO. FT. OCC. BUILDING VALUATION OW R'SrLING•AD RE S NTR AG OR'SNAME 442TRACTOR'S TELEPHONE MAILING ADDRESS Fireplace CONSTRUCTI N LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ A CHI ECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ o 7 - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2,00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAMEPARCEL MAP Water piping 5.00 Each qas water heater or vent 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Of. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New [ §_ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service eooV OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2,50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract -Mobile ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason oR ADDNST ( ACCLLI U, 04` / yz¢sgft NEW CONSTR ULTI.o TL T 2.50 ea NO N•RESID BRANCH CIRCUITS) POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL@ eAL00 3 Ex. Occup. OUTLETS (RESID )REA.1 2.00 Temporary service 10.00 Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -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. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Conlin g 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 said Cou in sequen sof t, granting of this permit. %� Date �D =����� rc Signa ure of A icant — wner u Lontrac+or ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FE ` OCCUP. CONST.TYPE I N001•PARCEL \\v' PD D ISSUE - Thi a it is hereby issued under si sof the Butte C unty Code and/or rk in to abo a for which OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS ������ Date 3 OVV eceipt No. F.R.E -D.P.W.. YELLOW-ASSEOSSOR. PINK -INSPECTOR, GOLDENRD-APPLICANT OWNER COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLf-, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 l PERMIT APPLICATION DATA SHEET --------- Permit No. A. P. No. 610 - S-0 - �P/ Proposed Building Use , Q_l,At C Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate. /triplicate, signed by preparer of plans. . 3. Complete plans in duplicate. /triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 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 $ , . , , , , , , 9. 0. Letter of signature authorI tion. . Sanitation approval from -.Health Dept. 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) . 14. Owner -Builder Verification (Given to owner, Mail to owner ❑), _15. Improvements may be required. . . . . . . . . . , , 16. Mobilehome Installation Data. . . . . . . . . . 17. Pre-Inspec. request to Pre -Inspection for Required. R,,;,a;.,,. 1_e_,+_,1_e_,+_,(Date) 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of 21. 22. n When you issue the permit, process as follows: Mail to owner, Maii to contractor. ✓Telephone J`-�G%-/��v��and hold for pickup atZ'_';_�.office, Deliver w/inspector. Other Copy of plans sent Health Dept,, Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: ,. Contractor, designer, owner, was advised of above required data by—phone _counter by date Contractor, designer, owner, was advised of above required data by—phone ma c linter by date Plans checked b at � Plans approved b Date 3N0(/ d 6 Sets of plans on hold in File cabinet AP folder - Flours: 10:00 a.m. - 3:00 P.M. Copy -DPW 0 To: suiiding Departm� i -,it c From: environmental lic::lth Subject: Sanitation Clearance cL, -46 P, � 2LEL - - C4La-S-JAJ2Q Omer Location AP/I Plan Approved for: `:ei,age disposal ^ tater supply Hold final for: e:_:ter supply Final clearance O.K. for: eater supply I. Clearance for bedroom mobile home. Other NOTE Sanitarian c V COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work:. Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: ' Property Owner Social Security Number - Date i0 -- h 7 — , 9r NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. 3607-83 `PERMIT NO. n PERMIT EXPIRES lob 9/a, OWNER E• -T• Griffith CONTR. Gary Lail ASSESSOR PARCEL 62-50-91 LOCATION S/S Pinetree Lane, app 100' of Handkirk Lane, Berry Creek Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servici Cal led PG& E JOB FINALE[ Signature 'V = OK 0 = Not OK — = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS,f,9VERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements A-Ifo_ni quirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootin ize=Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete _ eck and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) _ ood Awn.; Posts—Beams—Ritrs.—Connec.—Shthg.—Rig.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concreteolumns—Connections—Splice—Decal—Enclosures 6. Gas; Locatiory-Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG _ k6r-frarpt7r[S^tM ndows—Doors 7. Utility ClearanceK�7.. _ _ Ele_ cam_ Card -BI Date Card - BI Date C I at Card -BI Date Card -BI Date Card -BI Date C - I _ t Card -BI Date y Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK rxc ept 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-1 Date Card -BI Date Card -BI Date Card -BI Date J = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) , Date UNDERFLOOR Plans OK except k'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 5. Stemwalls, Main; Steel -Blackouts -Wrapped -Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -6 lockouts -Wrapped -Slab 7. Piers -Fireplace Ftg.-Steel 53. 54. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 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. W_ater Pipe; Test -Anchors -Regulator -Service Test 11. 'bectric; 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 p's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 59. Bedroom Exiting Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except k's _ 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18., Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date -ELECTRICAL Permit OK except H's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C.-Duct in Garage -Damper --- 20. 21. Fixture & Transformer Clearance -Ins. Protection Flet. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location _ 22. Site Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Ramex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. S_ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. __ Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ;Yes r ❑No 75, Followinginstld.: Drive Yes No; Walks ❑ ❑ ❑Yes ❑ No; Planters ❑Yes ONO _ - 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light - 77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ---------------- --- 79. Water Well; Disconnect, Electrical, Plumbing Card B -I -----. _Date_ -__ Card -Bl--- Date 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. 85. 86. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric Water &Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _- - 31. A.C. Ducts; Insulation & Support _ 32._ _33. _ Vent Fan; Exhaust above Insulation Condensate Drain& Overilow; Size & Grade 34. na Furce-Vent;_Ac_cess-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Card -BI --------- -- -------------- -- ----- - Date _- -_ Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except k's 36. Sills; Proper Material & Anchors 3_7. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) A _ 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45 46. 47. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm._Windo_ws 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 Wa}, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE PGPRAIT Kin 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. In &*i-riev /fit/ s?" 5AE 4 P,/,m C j & 0 R-r¢;-t/S Inspector/, ") 1l� _ Date �n COLNTY OF BUTTE'- DEPARTfJIENT OF PUBLIU WORKS PERMIT NO. 7 County Center Drive - Oroville; Califo,&ia 95965 - Telephone 916/534-4541 APPLICATIONPERMIT �•--� ASSES R PARC L NUMBER ZONING Z BUILDING PERMIT OWNEI"i , TELEPHONE SQ. FT. OCC, BUILDING VAL ION OWNER'S MAILrNG ADDRESS CONi ACTOR'S NA E I I al TELEPHONE CONTRA OR'MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$ S, Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRE f PLUMBING PERMIT Filing Fee 10:00 Each Trap 2.00 Solar Water Heater 20.00 p r- Water piping 5.00 LOT NO. SUBDIVISION NAME 1PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home FSTG W 10-00e TYPE OF WORK New ❑ Addition ❑/f remodel ❑ Utilities ❑ I stal lation ❑ Other Describe work: l '4ye_lrIPA. � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LE LESS10.00 Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCU"a OR ADDNS, ( ACC. BLDGS. 1 2�2 P.Sgft CONTRACTORS LICENSE LAW I declare u der 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. �j5�/ F y License No.�l T�C4`� Classification 13 ❑ i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR ULTI-OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS 6' NON.RESID. (SINGLE OUTLET CIR. z0®soe Ex. Occup(o OR FIXTURES BAL030 FIXED APPLNS TS (RES, OR Ex. Occup. OUTLETS (RESIDJ EA.) 2.00 OUTLETS Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. e__f have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which ms�y way accrue agai .st-said ounty in conse u of the Ig nting of thiX���Dom' Date Signature of Applicant — Owner ❑ Contractor ❑ Agent 0/ 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 r Occup. GROUP I TYPE OF CONST, PARCEL PD XD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OF PUBLIC ey P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS /_--?-?-0 Date--�d-c13 d—Z s Receipt NO._� ��� % YELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT PERMIT NO. 3062-80P,E PERMIT EXPIRES ,OWNER Ervin J. Griffith owner CONTR. LOCATION (A.P. 62-50-91 4 S/S Pine Tree Lane, app.100'E.of Handkirk Lane, Bald Rock `J l �4 Temp. Power Pole Called PG&E Temp. Elea Ser, Called PG7E Temp. Gas eerv. �a I I/1�&€ mesrv, COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Grd. Faq4t Prot. BUILDING BUILDING (Cont'd) PLUMBING S back FI wall So I Piping Fo s Para is 1 Floor M a1V Bldg. Restro Finish 2n loor F tins Window 3rd Nor Ste all Siding To out Slab Roof Sheatkng Water PI in Piers i' Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sicall handica ed Conformance of ex. structure y Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio ViREPVCE Final Footings Footing E CTRIC Masonry Walls :' Throat Roucih Reinf. Stee Final Fixtures Bond Be FIRE SPRINKLE Motors Framing Test Water Htr- mesrv, MECHANICAL Grd. Faq4t Prot. Scr CO eatl Servic Own oo ng Te p. Pole ,finish is tDu der round I terior Lath ntllation Aennaneht oor Closer anal final MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec- Service L r Dye Elec. Pedestal— Water'Piping — Dp— g' 06e_� Sewer (z,. a 0 C-1 Gas Piping MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Supportslf �. Elec. Continuity -7 Water Piping �_ d 7— �Q �.� Drainage Gas Piping •'DATE �0 REMARKS OR CORRECTIONS A !op t/1/GF � ii�.� D.m- Nv a X6 _mow LAPF-� (NOTE: An entry must be made on this form each time you visit the job site.) 9. Electrical A. Is service large enough to provide Adequate amperage -to mobilelaome (must equal rating 'of mobilehome with a minimum of 100amp) and other-facilities.on-lot, i.e., water pis garage, cabana, etc.? Yes B. Is there proper clearances around panels? YesY No_ C. Is power supply cord or feeder assembly properly fused? Yes_L,__�O_ � D. Is ontinuity test satisfactory as per the following procedure? Yes `�No_ De -energize electrical wiring system of the mobilehome at the pedestal. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected, 9-`_ Switch all breakers and switches in the mobilehome to the "on" position, . 1a/Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral.. b,r All non-current, carrying metal parts, of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor> ,k--,Tipon completion of the above.:procedure, the.power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the.grounding electrode and the chassis of the mob'ilehome. Upon satisfactory completion of theelectrical tests, the lot or site service equipment may be approved for energizing, ,I.&. Is job card signed by Health Department for water and sanitation? lA1 If everything okay, sign off card and tag services.' MOBILEHOME DATA������ Manufacturer and/or Namestyllee Length Width Vehicle Serial No. c� State Identification No. 1 7,1 Additional Information or Comments: ' MOBILEHOME INSTALLATION INSPECTION CHECK LIST ; 1.- Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? YeS&✓No- 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes 3. Are footings and supports.properly sized, spaced, and braced as per pproved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ o_ 4. Is the mobilehome level? (Sec. 5088) Yeses No_ 5. If more han a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2". ID min.)? (Sec. 5566) Yes '_o B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes (-' No 6. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes No 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each.end? Yes --I o B. Does it have minimum 4" per foot slope and is it properly supported? Yes o C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes_ No If coach is not State of California approved, does station have required trap and vent? Yes- No � y 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with aniapproved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes ✓ice r , B. Test OK as per following procedure? Yes ✓o Q -i' Open all appliance connector valves. Shut off appliance burner and pilot valves. Air test with manometer to 10"-14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. A, -'Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes ✓ No_ COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY -CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number for the following location: Owner Owner's Address Mobilehome Mfg. Model Year Insignia No: Serial No. It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date / By � THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE, DEPARTMENT OF PUBLIC WORKS ' 695 Oleander Avenue, CI-ico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 Skyway and Elliott Road, Paradise — Phone 877-3435 . CORRECTION NOTICE Gle-1 fir 77 R%/ :ir, T7�.D 10"Z 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 explanatGon, please contact this office immediately. _ COUNTY OF j3UTTE - - DEPARTMENT OF PUBLIC WORKS i "7 Cour*y Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT authorize representatly the County of Butte to enter upon the above-mentioned pro rty f inspection purposes. Date Signature FP rmitee or Agent Receipt No. J 7 J L�t� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS By-3Dateso�Z-�O 13tZ>ing permit expires Date BUILDING Owner ✓/ s1 4%_� SO. FT. OCC. BUILDING VA TION Mai I ing Address Telephone No. Contractor / Mailing Address i7 Fireplace Total Valuation ` LOAD L, TeISRhone No. dJ33- Permit Fee Building Address � Plan Checking Fee &/or Penalty Permit Fee vAid K, A PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. WIA Q - Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 F ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel . Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 BM.g. PI s Rec'd Parcel_Approvol Plan Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS loo AMP OR LESS 5.00 Sinle Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service E4. ADDloo AMP 2.50 (� Main service OVER 600v 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( OR ADONS. ACCLBLDGS LING OCCUR. 4\ 20 sq ft / CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: Y /� ZLOZi/9- ( 1rA.) F� �']:ic� TLET NEW CONSTR BRANCH CIRCU NON.RESID. � BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON -RES ID, (SINGLE OUTLET CIR. Ex. Occuo(OUTLETS OR FIXT11RES 50@� BAL@1 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.-:21./f'D._( Classification G- �� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I 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 the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation +2.001 Hood Permit Fee $ $ 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 I and 1$L I0_0 TOTAL PERMIT FEE $ authorize representatly the County of Butte to enter upon the above-mentioned pro rty f inspection purposes. Date Signature FP rmitee or Agent Receipt No. J 7 J L�t� White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR -OF PUBLIC WORKS By-3Dateso�Z-�O 13tZ>ing permit expires Date COUIy,TY OF BUTTE —,DEPARTMENT. OF„PUBLIC WORKS — BUILDING DIVISION O D eR w ~ y 7 County Center Drtive — 0roville, California 95.965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET r /� (�('• �� Permit No. T=:OWNER v11n L`�l`r ) �`� A. P. No. (0,2. Proposed Building Use Permit fee based upon: Complete Contract Price DPW Valuation T r 6FRIai Building Inspector \y 6 _Date (n At time of permit application, I was advised tVe following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted..........................'.........I.............................. 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 Health 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 addressbelow).................................................................................................. 15. Pre -inspection for required. Pre-inspec,request to bldg. inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone.5.3 —a �L band hold for pickup-ai ft office. Deliver w/inspection. Other'” Applicant Date'-- �•..K."g::,.•�='fir Copy of plans -sent Health Dept., F,ire 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(ofapplication, circle item.) 1. Index permit for above Items No. t 2. Additional items required: (Contractor, Designer, Owner) Was advised of above required data by Telephone Mail Other By nate -VG Muu Uy Plans approved by UIHER: Copy/DPW Date / AP # 6- OWNER E,<.alltJ PERMIT . #- Y0 MH UTIL.CLEARANCE DATE G'" 20- G � INSPECTOR ELECTRIC GAS Support Struc. Compaction Test eq. Service Size Other Load Type Pipe Size Length YES NO YES NO _ .. BUTTE COUNTY DEPARTMENT -.OF PUBLIC WORKS 7 County Center Drive, Oroville, CA.' -PHONEc-534-4541 ' MOBILEHOME INSTALLATION•SHEET 1. Owner's name: 2. Installer's 3.. Is the site currently under permit? Yes /7 K No (If yes, furnish permit number ")�OR` Is the site an existing site? Yes /. / No (If yes, furnish two (2) plot plans.) 4. :Will the mobilehome be located at least 5 ft. awa from septic tank and leach fields and clear of all setbacks and easements? Yes / / No (If no, clarify ) 5. What is the mobilehome electrical rating? ----------------------- -6. What -is the.mobilehome site service rating? --------------------- 7.. What is the mobilehome site circuit breaker -rating? ------------- 8. Is there any other electric load to be served by the mobilehome 0 Amps Amps Amps site service? ---------.------------------------------------------ Yes =7 No / / (If yes, identify the load and size: (Load) oZd (Amps)' 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is.the type of gas service? --------------------------------Natural / / LPG i 11. What is the gas pipe length from meter,or tank to the mobilehome? (ft.) 12. What is the mobilehome gas demand? ------ ------- �— ' (BTU) (This information not required if•pipe'length less than 6 ft. on natural gas' or less than 50 ft. on' LPG..). s. 3o�jp2 U BUTTE COUNTY* BUILDING DEPARTMENT APPROVED �y� MOBILEHOME SUPPORT DATA r If other than single wide, Mobilehome Mfr. furnish Setup Model No. Ye$r Width a (ft.) Box Length (ft.) Tagalong or Expando Size ft. x ft... (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). r All center supports measured•from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either.. . A„ pressure treated or o7y X foundation grade. (ft.)(in:)(in.) (in.) [B/2. 0th r (s ecify) Center support Center support locations* footing sizes Supports .(check one) (in.) ET'1: Concrete block. 2. Other (specify) (ft.)(in.) (in.) (in.) Mfr---Tagalong or Expando,' show support details. (ft.)(in.) (in.) (in.) ~ >a �� -- Typical Support (in.) (in.) Footing Size (ft ay Max. Pier Spacing (ft.)(in.) L CJ I xN�o �n -- Max. Overhang (ft.)I(in.) (in.) in. BitV(ft-)(in.) *If center piers are other than drawn above, draw in-locations,.spacing, and dimensions. �11I COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Dfive — Oroville, California 95965 a Telephone: 534-4541 n APPLICATION AND PERMIT —��/ alllllvllcr. lVJJ1VAelll0llVCb UI IIIC I1UUllly UI Dune LU enlef upon [ne above-mentioned property for inspection purposes. X Date Signature of Py mitee o9r Agen�/ Receipt No. L/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO PUBLIC WORKS By Date_ 6,1 Buil ing permit expires Date 6 , (.���� BUILDING Owner r aJ /1% Z4 SQ. FT. OCC. BUILDING V ATI Mailing Address i' Wel ephone No. Contractor T 0 n Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee . /00' PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. YJ OC i 01 VZO.ning & Planning Water piping 1.50 Q Q gas water heater or vent 1.50 Flees Sa Fire Dept. Fire Zone Use Permit - Gas piping system 1 - 5 outlets 1.50 to,00 EQA Parking Parcel plans Declaration Parcel Map 60' R/W Improveme is Each additional outlet .30 Building sewer 5.00 ,Q �' P Bldg. anT—e Recd Par.el royal Plans Appo11al Lawn sprinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ , ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600v OR LESS 100 AMP OR LESS 5.00 SOD Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLOGS.CCUP. Y� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name st le of: y T � NEW RESID. BRANCH CIRCUITS NON RESID. � BRANCH CIRCUITS 2.5Oea NEW CONSTR. POWER APPARATUS 6 NON.RESID. SINGLE OUTLET CIR. 50 � Ex. Occuv(OUTLETS OR FIXTURES' BA@L Ex. Occu FIXED APPLNS. OR / p•�OUTLETS (RESID.) EA� 2.00 Temporary service ( 10.00 Mobile Home Facilities 15.00 Q License No. Classification Misc. Wiring 6.25 We- I am exempt from the Contractors License Laws of the State of California. Permit Fee $ _$_S 6, WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. XI certify that in the performance of the work for which this ermit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $,Q( TOTAL PERMIT FEE 4-1 $ alllllvllcr. lVJJ1VAelll0llVCb UI IIIC I1UUllly UI Dune LU enlef upon [ne above-mentioned property for inspection purposes. X Date Signature of Py mitee o9r Agen�/ Receipt No. L/ White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTO PUBLIC WORKS By Date_ 6,1 Buil ing permit expires Date 6 , (.���� `"COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION i�s.h, a,;`• "7 County Center Drive — 0roville, talifbrnia 95965 — Telephone: 534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER ,r�l v, �..�-e C���I,� A.P. No. 4b?-- Proposed Building Use 2, Permit fee based upon: Complete Contrac Price c.DPW Valuation Othexplain) Building Inspector ��_...__� -c Date 3 4 At time of permit appki'ca;don, I was advised the fpITowing 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 ............................ k 6. State Energy Forms No. .................... 7. Statement of Intent tent for Non -Heated & AC Buildings ................... 8. Fees of $ 9. Letter of signature authorization............................................................. �. Sanitation approval from <5e- �Lv Health Dept. �v Z e� 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 013. Cnac.tn-ff.no Information (no., name style, s. classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see addressbelow)................................................................................................. 15. Pre -inspection for required. Pre-insp'ec. request to bldg. -inspector (date) 16. Other When you issue the permit, process as follows: Mail to owner Mail to contractor. _Telephone 53> "?Yl `?Yl (o and hold for pick-up at «-d=-office. Deliver w/inspection. Other ai_CoAppIi-art _r' ' /_ Date- Copy py 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, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by 4Date Plans approved by /.= _1 Date p U OTHER: Copy/DPW To: iuxleUng Department from: r:n irorimental Health ' Subject: Sanitation Clearance Y—M -2 Plans approved fore Sewage i .sposa � �/._.. Water Supply Hold final. for: Water Supply k'ir=ax. Clearance O.K. for: M`ator, Supply Clearance for C—Q.— bedro-um mobile home. Other Clearance for addition of Note COUNTY OF BUTTE J- Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property'Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) _ Vn" 2. I (have/have not) /'j11091.tf__6 signed an application for a building permit,for the proposed work. 3. I have contracted with the following person (firm) to provide the p'roposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: S igned : XProperty Owner , XSocial Security number — X Date " — r-- NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. This se kept on I make on, written F Works, of tans and• ,p Ifications Mum' d it 10at all times on�some without ;hay ges or alter rmil sion.from the DePar"trr'ent of Public ounl y of Butte. I-*,— %J,aop61, yl Vh.w Wc1 y 04ee., 19p hL10� 50 - 9/ y NOTE: -All Materials & Workmanship Shall I ie 1n ' Accordance with Recognized Good Practices and 410 of a quality prescribed for the Specified use 11 the Uniform Building, Plumbing & Machanical Codot and the National Electrical Code. Utility co inections shall be within 4 ft. of ti e mobilehome, either directly ehind or within thethe r half of��t��l a roadside (left) rnnhl��l"1� me. iso A,►yomR�� oIs 4'nl I 0 'Pao ec,/VC L -J permit w71 i �e re -te A tallotion of the muobil home. Sep/-, A setback of 5 ft. from'++' property lines and a setback of 50ft. from the road centerline shall be clear of . strucfures or ei�uipment except fmr a 2 ft eave overhang. 0 t i O ; TTE COUNTY BUIL G_ DEPARTMENT j �, APPR cii, I { F PERMIT NO. 6130-80B PERMIT EXPIRES OWNER E. J. Griffith owner CONTR. 62-50-91 ASSESSOR PARCEL y LOCATION S/SPine Tree Ln., app.100'E.ot Handkirk Lane, Baldrock r Temp—Power Pole Called PG&E Temp. Elec. Service Called PG&E / Temp. Gas Servi:c"e Ca l l ed,O/G&E INALEI Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready . MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DEC OVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements . Zoni Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch ootin ; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete ecks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) -4-Wuad-Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete —5—ATO Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG -e--Carpoorts; Windows -Doors 7. Utility Clearance 7--E-tec. Card -BI Date Card -BI Date Card -B -,pate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'s 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 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 Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater --to 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. 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 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 J = OK O = Not OK - = Not Applicable � = Not Ready RESIDENTIAL, (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-S lab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. 11. Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except #'s 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 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. 62. Elec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size & Anchors 63. Fireplace or Stove; Clearances -Hearth Card -BI 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 #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. 21. Fixture & Transformer Clearance -Ins. Protection Elec. Receptacles Spacing -Lights &Switches at Doors 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. 24. 25. Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 72. o Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E] Yes []No: Walks El Yes C1 No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except #'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. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI _ Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) 36. OK except #'s Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) _ 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub __41. _ _ 42. 43. 44. 45. 46. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties -Purl in - Roof Brac.-Truss-Shlhnq.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions + 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) U COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT N 7 County Center Drive - Orovllte, California 95965 -Telephone 916/534-4541 / /�D APPLICATION AND PERMIT ASSESSOR PARCEL UMBER 2r 60—/ Z NTNG 2 BUILDING PERMIT OWNST HO �g2 SO. FT. OCC. BUILDING VALUATION ) O `� O R'S M ILIN DORESS CONTRACT R'S NAME C • TELEPH N CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDsI i%�' /✓✓ UNKNOWN TOtal,Valuation Is s _ ,00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ /0,00 ARCHITECT OR ENG LICENSE NO. Plan Checking Fee $ J0100 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS I Permit fee $, .30,0-a B L ING ADDRE�Sy s /N� 7-ZC� (_.AJg- 19P X00 PLUMBING PERMIT Filing Fee 10.00 O� f 4/D K,� L `/lf /' Each Trap 2.00 Repair drainage or vent piping 5.00 aeDC Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE ' SF ❑ Duplex❑ Mobilehome[g---6ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ©Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: -- Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 D00V OR LESS Main service 100 AMP OR LESS 5.00 Main service EA- ADO'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.81) OR AODNS. \ ACC. BLDGS. _ 20 sq ft • CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions -Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO NSR. BRANCH -OU LECT TSI2.50 ea NON-RESID CIR NEW CONSTR I POWER APPARATUS & NON-RESID. SINGLE OUTLET CIR. Ex. Occup ouTLETS OR FIXTURES a �� OC (FIXED APPLNS. OR Ex. Occup.OUTLETS (RESID.) EA.1 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. ® 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. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 againsl said County 'n co equence Wtheanting of this permit. / XDate_�� �(v —�o Signature of Applic t — Ow Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct-P s'ion of structureover'3 storiesin hfight. Mobile Home Installation Fee $ TOTAL PERMIT FEE, $ 3O, O OccUP. GROUP M_ I TYPE OF CONST. PARCEL t/ PD V H ISSUE 6/ This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which UBLICPUBLIC BY �� PERMIT EXPIRES Date the -applicable provi- resolutions to do fees have been paid. WORKS Date �� O 4 Receipt No. Gto WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT When you issue the pernit, process as follows: _�_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 4/1 —d l% Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit iAuance: (For rec,uired items not checked above t lme of application, circle item.), ` } 1. IndE)x permit for above Items No. 2. Additional items required: (Contractor, Designer, pWnp) was advised of above requi By Plans checked by Plans approved b,, Other: Copy—DPW Telephone _MailyOther Date Date Date 2 "/ 9- SID 1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTEF DRIVE - ORO•VILLE, CALIFORNIA 95965 - TELEPHONE: 915/534-4541 PERMIT APPLICATION DATA SHEET LIZ - Permit No. �, �a/FF'�-1 OWNER A. P. No. Proposed Building Use Permit Fee BasedUpol�: Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been -submitted. . . . . . . . . . . . 2. Plot plans in duplicafte/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 far Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . Letter of signature authorization. ,. 0Sanitation cull approval -rom_L�f-t�. 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 InstallEtion Data. . . . . . . . .. . 17. Pre-Inspec. request to Pre -Inspection for Required. Building Inspector (pole) 18. r' Other When you issue the pernit, process as follows: _�_ Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant Date 4/1 —d l% Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit iAuance: (For rec,uired items not checked above t lme of application, circle item.), ` } 1. IndE)x permit for above Items No. 2. Additional items required: (Contractor, Designer, pWnp) was advised of above requi By Plans checked by Plans approved b,, Other: Copy—DPW Telephone _MailyOther Date Date Date 2 "/ 9- SID To: 'Building Department From: Environmental Health Subject:. Sentation Clearance, Zocation j. Plan approved for: Sewage disposal wager supply Hold finalf.or: water supply Final clearance Cog. for: water :snppl;r Clearance for bedroom mobile home. Other Clearance for addition of Note sanitarian Date o`'C GOJ�O 1;11�c COUNTY OF BUI:TTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIF ICAT ION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no),. 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work m Signed: Property Owner eg, Social Security number ,;�- Date /-I -/6'�D NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. r Awr 024r/f ?06,�&e TO I NOTE --All Materials -A-z-V0Z6i.n�nAItp Shall Be In This set -of -plans . and: sPectfkati �4bgT bb Ong Accordance with Recti qnfzed-;Pooc� - Practces 'and kept on.fhe fob -a# all times al it is WawV-to of a quality prescribed Jor the Specified use in the Mr My changes or cJfera+4,ns on-sarno. vi+," C. wr' fin pdrmission *orn the Depap?rnp-nf of PLtic- Uniform Building, PluiWng & Ma Codes and - the National Electricc(L -Cadv� Works, County- of Buff 6. A0 J11 a. via A setback of 5 ft. froT the V9 - property lines and a setback of 50ft. from the road, centerline shall be clea'r of structures or equipment -except, for a 2 ft. eave overhang, J 'z \t Z- 7�, BUTT BVIWINGr -x, AP' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS t - SPECIAL INSPECTION REPORT J Owner: Fc-2tlia (AF17l� Address: _(�XLr C(� Tenant: Building Location: -5/S Type of Inspection requested: L 1. Housing " 2. Financing A . # Date of Inspection Inspec 3. Change of Occupancy to EZ 4. Other (specify)_ DC,. Lt) t t?,y-a (D/5E;eLgj4 Present use of building: r, k) A. Sanitation (Housing) 1. Water closet: 2. Lavatory: 3. Bathtub or shower: 4. Kitchen sink: 5. Hot and cold water to fixtures: 6. Heating•facilities: 7. Natural light and ventilation: 8. Room and space requirements: 9. Bedroom window or door for second exit: 10. Infestation of insects, vermin, or rodents: 11. Connection to sewage disposal: 12. Connection to water -,supply: 13. Rubbish and garbage facilities: 14. Comments: B. Structural 1. Piers and footings: 2. Floor construction: 3 Wall construction: 4. Ceiling and roof construction: 5. Fireplaces: 6. Comments - C. Electrical 1. Service and ground: 2. Receptacles: 3. Fusing: 4. Comments: D. Plumbing 1. Fixtures connected and vented: 2. Gas water heater: 3. Gas heating vents: 4. Comments: c E. Other - 1. -Maintenance and repair: 2. Fire hazards: 3. Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Contents F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls: 5. Exits: 6. improvements: 7. Zoning: 8. Comment;: G. Field Probleans or Violations 1. Problem or -violation (give complete description): I�IA3 2, hat action,taken (gi.ve complete description): 3. What acFiJn recommended: T7 A. inforaation only - fi e. AB. Hold for ten. (10) days, thea write letter, / /-C. Write letter. /% D. Other: 1 t .. ,l 1 I t l L I 1. h i 1 t 1 i 1 r �.�C . �..�,�. _! ..max n►A �� �..,.a..,��. _ � � I � I w y' i t 4 i Y. i _t i� t l � � I FJ r:` t r� z n i ZL t' r wo. 0 i'. i Y cn! , r. I 1 r 2Z ! rr11 i r rT' i I