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Home My WebLink About064-260-029Lorenzo Todd 64-26-29 411/41 ?d � pJ��" 6a? ;`1 Ponderosa Way, foit"40, PP#15, Maga.1 contr: Tri -V Const., Paradise Permit #.'08-78P,E(u i1.,MH) .� ELEC. GAS — SUPP T TRUCTURE REQ COMPACTYN TEST REQ, J o ir .64-26-29 Contr: Sos MH Ser, Paradise Permit #4987-7 MH Issued 64V6- 6208 Ponderosa Magal��EContR: Scotts Mobile iPermit#221-89B(add car)24 I o bi i kmmraos, i COUNTYl OF U t — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive = Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT Ss99 700 /Z £ea/ ` Q BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address425 Pondernsa Way 534 T Telephone No. Contractor Sierra Mohile Service Mailing Address 8965 Skyway Fireplace Total Valuation 18,77-8575-- Telephone No. Permit Fee v O Building Address2 11 5 Ponderosa Way Plan Checking Fee&/or Penalty Permit Fee 2400 PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. --Z4j — z Zoning & Planning Water piping 50 £ 0- o rt N s n H. n rt En✓ l.n M n �o w Each gas water heater or ven 1.50 F s .C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - utlets 1.50 EQA Parking Parcel Plans Declaration Parcel M p 60' R/W Im rovements p Each additional et .30 Building sia er 5.00 F31 Ions Recd Parcel royal Plans pprovol Law prinkler system 2.00 NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ 8tx24tdeck-10tX30t ELECTRICAL No. @ FEE 1x26 t avenin PERMIT FILING FEE $3.00 0 1& 4 - £ OR LE Main service 1000 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 £ 1 C Q Gy Main service OVER 25.00 100 AMPP O OR LESS CL C� N x' y ~` Main service EA. ADD'L 100 AMP 0 OR ADDNS. ACCNEW CONST.DWELBLDGS.CCLING US)> 20sgft C / 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 style of: Sierra Mobile SPrVi�p NEW CONSTR (MULTI.OUTL NON-RESID `BRANCH culls) 2.50ea n N O 11 H M rt a w ro NEW CONSTR. POWARATUS 6 NON-RESID. SINGER OUTLET CIR. Ex. OCCUP(OU3AeCTS OR FIXTURES 5 L� Ex. OccU OUTLETS P(RESID.)REA) 2.00 Tempo ary service 10.00 Mobile Home Facilities 15.00 License No. 281626 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I 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. PERMIT FILING FEE $ Heating Cooling Ventil•a Ion Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ 2L 0 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date '13'�� v Signature of Perm ee or Agent Receipt No. / 71j=ZA� 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 Date Building permit expires Date PL iMIT N0. `- 4081-78P,E . PERMIT EXPIRES Lorenzo Todd OWNER CONTR. Tri -V Construction, Paradise 65-26-29 ;'LOCATION (A.P. ) 425 Ponderosa Way, lot 40, PP#15, Magalia i i 1 �i 1 I I �i 1 1 1 y } � I ei f: i Temp. Power Pole Called PG&E t Temp. Elec. Serv. ' xCalled PG&E emp. Gas Serv. Called PG&E JOB FINALED 8 (Date) Q�' (Signatur 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` No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes— No mobilehome level? Sec. 5088) Yes No 4. Is the ( — 5. If more/khan a single unit, are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is fle le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes— No C. 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 ----N'o B. Does it have minimum 4" per foot slope and is it properly supported? Yes t -_-No C. Are any leaks detected in drainage system after running gallons of water through each fixture including washing machine standpipe? Yes" No— D. If coa�-h is not State of California approved, does station have required trap and vent? Yes ✓ No 8. Gas.Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 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 No B. :Test OK as per following proce urei Yes No 1. Open all appliance connecto valves. 2. Shut off appliance burner an pilo valves. 3. Air test with manometer to 10'014' water column; or test with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrate in tenth pound increments. Test for 10 min, without drop. 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly/inst lled? Yes— No. 9. Electrical A. Is service large enough to provide adequate amperage-to mobilehome (must equal rating of mobilehome with a minimum of /I 00 amp) and other facilities on lot, i.e., water pumps, garage, cabana, etc.? Yes= No_ / B. Is there proper clearances.around panels? Yes No_ C. Is power supply cord or feeder assembly properly fused? Yes v"" No_ / D. Is continuity test satisfactory as per the following procedure? Yes ✓ No 1. De -energize electrical wiring system of the mobilehome at the pedestal_ 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and apply the other lead to each mobilehome supply conductor, including neutral. 5. 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. 6. Upon 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 mobilehome. Upon satisfactory completion.of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and tag services. MOBTLEHOME DATA Manufacturer and/or Names tyle LengthWidth '2 A � Vehicle Serial No. G b 0/ State Identification No. Additional Information or Comments: 6 0 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: r 'r Owner Owner's Address Mobilehome Mfg. Model Year Insignia No. +? .- 1 C 's ' U`/ Serial No � U G / It is hereby certified for occupancy at the above described location and may be occupied. Director of Public Works Date • i C By i THIS CERTIFICATE IS VOID WHEN'MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) A PLUMBING Se ck Alowall A Piping For TResd6m ar ets 1 Floor - Ma Bldg. Finish 2n loor Qtinas Slab Piers wunya Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall: Reinf. Stee Bond Beam Window Siding Roof Shea n Roofing Fdn. Vents Garage Vents Insulation Prov. for phsicall handicaooed Conformance of ex. REPUCE Foot Final MECHANICAL Heat 3rd oor To out Water Pip,% Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Fixtures Motors Water Htr. Subpane Grd. Fault � Service Temp ole ELECY'RiftL ,Int or Lath entilatlon I I PAnanent or Closer Final F Jpfal MOBILEHOME UTILITIES --- (- Elec_ Service Elec. Pedestal Water Piping .2 Sewer Gas Piping B E OME INSTALLATI - - - - - - - - - - - - - Support Elec. Continu ty — (p Water Piping Drainage r% Gas Piping P 9 DATE REMARKS OR CORRECTIONS �K QYV\ qm Ar - J'7 1�2C 72, (NOTE: An entry must be made on this form each time you vislt the job site.) t r COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS •. _ 7 County Cenier Drive Orov_ille, California 95965 Telephone`. 534-4541 APPLICATION AND PERMIT authorize epresentatives of the County of Butte to enter upon the above-nntioned pr/o erty or inspection purposes. 44 X Date /12, Af ignature of Permitee �or�A�Knl Receipt No. 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 P11RLIC WORKS By i Date Bu ding permit expires Date 7 y/ i BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address CAThone No. Contractor e _ Mailing Address ` Fireplace Total Valuation T hone No.. Permit Fee Building'Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 z/1-+, -� �J QiSnmg Qerificafion Only Repair drainage or vent piping 1.50 . 'let C-- A. P. No. �%7 pL Zoning & Planning Water piping p Each gas water heater or vent 1.50 Fee W.C. a re Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parkin arcel Plans Declaration Parcel Ma 60' R/W Improvements Each additional outlet .30 Building sewer p -- Bldg. Plans Recd Par roval Plan pprovaI Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 2 — .$ (A ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS S 10o AMP OR Less 5.5 Single Family Duplex Mobil Home Others 9 Y ❑ P ❑ � ❑ Main service EA, ADD•L too AMP 2.50 500 SQ. FT. IVIINI'viJIV, EM MOMS Main service OVER 100 AMPP OR LESS 25.00 O Main service/ EA. ADD•L 100 AMP 1.00 NEW CONST.OR ADDNS. \ ACCLBLDGS.DWELING CCUP, N) 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californ a Business & Professions Code under the name style of: NEW CONSTR BRANCH CIRCUITS) NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRE5 50 FIXED APPLEx. OccupOUTLETS (RENSSI, DO.) REA) 2•00 Temporary service 10.00 Mobile Home Facilities 15.00 j License No. Classification Misc. Wiring P6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ZS S Z WORKMEN'S COMPENSATION INSURANCE I 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. ♦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 Hood 2.00 Permit Fee $ $ O I certify th 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 $ TOTAL PERMIT FEE $ authorize epresentatives of the County of Butte to enter upon the above-nntioned pr/o erty or inspection purposes. 44 X Date /12, Af ignature of Permitee �or�A�Knl Receipt No. 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 P11RLIC WORKS By i Date Bu ding permit expires Date 7 y/ i _ COUNTY OF BUTTE' - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 �J/9 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mai I i ng Address 699 Building Address e ep, an.;,rvo EQA I Plans I Declaration I Parcel Map 1 60' R/W I Improvements r W -dg. Plans Recd I Parcel roval I Plans oval NEW'[:] ADDITION ❑ UTILITIES ❑ OTHER /.2. Atwi7qD l -- Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pr fessions Code u der the name style of• ` L DTZ C -41' LicenseNo3e2® Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability or W orkmen's Compensation. X have placed on file with the County of Butte a certificate of Compensation Insurance. F -1I 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. 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. x X Date —� Sig1.11', /P r tee tpgenorr At Receipt No. ` J / O /167 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system (Permit Fee 29--A4 ELECTRICAL PERMIT FILING FEE A. P. _ ` Main service EA. ADD'L 100 AMP Main service OVER e 100 AMP OR LESS Main service Zoning & Plannin es DWELLING OCCUP. ACC. BLDGS. Same tat' n Fire Dept. Fire Zone Use Permit ParkinParcel EQA I Plans I Declaration I Parcel Map 1 60' R/W I Improvements r W -dg. Plans Recd I Parcel roval I Plans oval NEW'[:] ADDITION ❑ UTILITIES ❑ OTHER /.2. Atwi7qD l -- Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pr fessions Code u der the name style of• ` L DTZ C -41' LicenseNo3e2® Classification ❑ I am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability or W orkmen's Compensation. X have placed on file with the County of Butte a certificate of Compensation Insurance. F -1I 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. 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. x X Date —� Sig1.11', /P r tee tpgenorr At Receipt No. ` J / O /167 White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Fireplace Total Valuation Permit Fee Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system (Permit Fee ELECTRICAL PERMIT FILING FEE Main service 600V OR LESS 100 AMP OR LESS Main service EA. ADD'L 100 AMP Main service OVER e 100 AMP OR LESS Main service EA. ADD'L 100 AMP NEW CONST. ( OR ADDNS. DWELLING OCCUP. ACC. BLDGS. NEW CONSTR/MULTI.OUTL r.inu_RFci n. T ` HRANCH CIRCUITS EX. OCCUD(OUTLETS OR FIXTI1RE. EX. OCCUp ( FIXED APPLNS. OR • OUTLETS (RESID.) EA Temporary service Mobile Home Facilities Misc. Wirina Permit Fee MECHANICAL PERMIT FILING FEE Heating Cooling Ventilation Hood Permit Fee $3.00 5.00 2.50 25.00 1.00 50ea 2.00 10.00 15.00 6.25 $3.00 2.00 is TOTAL PERMIT FEE Is 3()1,90 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 UBLIC WORKS By Datef "% Wilding permit expires Date -3 (- 79 " MOB ILEHOME' SUPPORT DATA a '•� If other than single wide, ...? Mobilehome Mfr. C® furnish Setup Model No X11 - -- Year` . Width (ft.), Box Length �1� (ft.) Tagalong or Exp.ando Size ft. x ''ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October- 7, 1973; furnish manufacturers installation manual and structural setup sheets (if not on file with the County of Butte). ' u All center supports measured from front.of mobilehome unless otherwise specified. Footings (check one) Single �. 1. Wood either a pressure treated c foundation grade.. x (ft.)(in.) (in.) (in.) 2. Other (specify) Center support Center support locations* footing sizes Supports (check one) (in.)zwde , 4 1: Concrete block. .. x. 2. Other (specify) (in.) (in.) -,Tagalong or Expando,, show support details. (ft.)(in.) (in.) (in.) (2 x3Z)' -- Typical Support in.) (in.) Footing Size x a (.ft.)(in.) (in.) (in.) -- Max. Pier Spacing Max. Overhang in.) in. BUTTE CC?Ut4TY 9UILDING DEPARTmeN APPROVED *If center piers are other than drawn above, draw in locations, spacing,. and dimensions. 1. Owner's name: 2. Installer's na BUTTE COUNTY DEPARTMENT SOF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET o 3. Is the site currently under permit? Yes /V No (If yes, furnish permit number ) OR Is the site an existing site? Yes./ / No (If yes, furnish two (2) plot plans.) 4 4. Will the mobilehome be located at least 5 ft. away 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? ----------------------- g x!2� Amps 6. What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Amps 8. Is there any other electric load to'be served by the mobilehome siteservice? --------------------------------------------------- Yes / / No (If yes, identify the load and size: (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- (in.) 10. What is the type of gas seryice?----------------------------- Natural / / LPG 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.) PERMIT NO. — PERMIT EXPIRES to OWNER 1— -A RY T -0D -D CONTR. Scotts Mobile ent ASSESSOR PARCEL 64-26=29 LOCATION 6208 Ponderosa, Magalia ;i p i' c Y Temp. Power Pole _ Called PG&E— Temp. Elec. Service Called or -Ar `Temp: Gas S Called PI JOB FINALEI Signaturi =OK 0 = Not OK ' = Not Readyable MOBILE HOMES MISCELLANEOUS Date MOBILE HOME UTILITIES (Plans) OK except #'s Date DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements ning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch . Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) Wood Awn.; Posts-Beams-Rftrs.-Connec.- Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / P'U ft. / /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 76. Carports; Windows -Doors 7. Utility Clearance -I—Elec. Frmg; Sills-Anchors-Studs-Rftrs-Trusses ding; Nailing -Veneer -Stucco -Mesh Card -81 Date Card -81 Date of; Shthg-Roofing Card -131 Date Card -61 Date Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -81 Date Card -131 Date 2. Footings; Size -Spacing -Marriage Line Card -1311k R Date rd -B1 Date 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panel board s -Ins. to Main in Conduit Card -B1 Date Card -81 Date Card -131 Date Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -61 Date Card -131 Date Card -61 Date Card -131 Date = OK o = Not - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s 1. Zoning-Setbacks;-Easements--Flood-Slope 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 10. Gas Pipe; Size -Anchors 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Insulation Card -81 Date Card -131 Date Card -81 Date Card -B1 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchors -Nail Protection 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I. 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Card -131 Date Card -131 Date Card -131 Date Card -131 Date Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnace in Attic Card -61 Date Card -61 Date Card -131 Date Card -B1 Date Date FRAMING (Plans) OK except #'s 39. Sills, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Header & Beam -Size & Bearing Date. FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsulation-Walls-Clg. 60. Infiltration-Walls-Wndws Card -131 Date Card -131 Date Card -B1 Date Card -B1 Date Date FINAL (Plans) OK except #'s 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meeh. Protection 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa 66. Elec. Trim & Subpanel; Breaker Sizes -Labels 67. Stairs & Rails 68. Fireplace or Stove; Clearances -Hearth 69. Elec. Outlets at Wood Panel; Int. & Ext. 70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter 72. Garage Fire Door; Swing -Landing -Closer 73. A.C. Duct in Garage -Damper 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 75. Plb., Elec. & Mech. Equip. Listed for Location 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 77. Insulation -Foam -Looked in Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 81. Stucco; Brown -Finish 82. A.C. Unit; Disconnect, Electrical, Plumbing 83. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Openings. 84. Water Well; Disconnect, Electrical, Plumbing 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 86. Ventilation throughout House 87. Glass Protection 88. Corrections from Previous Inpections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval 91. Energy Compliance Certificate -Other Certificates 92. Roofing Certificate Card -61 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -131 Date Comments at Final: (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO. 7 County Center Drive - Oroville, Californ`a 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ASSESSOR PARCEL UMBER ^ ZO BUILDING PERMIT OWNER .� 1 CL V- h 1 0 T L P ON S0. FT. OCC. BUILDING VALUATION OWNER'S MAILING AC5DRESS p >y 4 a v CONTRACTOR'S NAME s ..a 4-4-1 TELEPHONE cg7 CONTRACTOR'S MAILING ADDRESS - A 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 $ as Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS _ Permit fee ; r7 ID 1-5 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOTtN. ( SUBDIVI N NAME )�J PARCEL MA� Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF [I Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK New ❑ Additionz Remodel ❑ Utilities ❑ Instal lation❑ Other ❑ Describe work: e"n.L'l70- 13 x_30 Permit Fee $ Contractor ELECTRICAL PERMIT Fiiin9 Fee 10.00 1 OR L Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare der penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the BUslnes9 and Professions Code and my license is in full force and effect. /_ ��I License No. '�; Classification El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING oc CUP.eI , A ) h¢sgft NEW CONSTR.( MULTI -OUTLET NO N.R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS 6 (SINGLE OUTLET cIR. Ex. Occup(OUTLETS OR FIXTURES 20®30Q BAL030 FIXED Ex. Occup. OUTLETS PIRESID IREA.1 2.00 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. 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 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 liabilities, judgments, costs, and expenses which may in any way accrue again aid County in conse uence of the granting of this permit. !y %� o Date �� Signature Of Applicant - Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ occUP. CDNST.Tr c y� 1,_N PwoD PARCEL PD ND Eall This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE /TOR&k PUBLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS -� Date — Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT I ' 1 - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET 91 OWNER Proposed Building Permit No. A. P. No. 0 Building Inspector ,X-5 Date %–mac-- S- Cl 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 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. Energy Design Compliance and supporting documentation ......... 6. Statement of Intent for Non -Heated and AC Buildings .............. 7. Engineered truss details and layout in duplicate (required prior to plan check) 8. Mobilehome installation data including manufacturer's installation instructions....................................................... 9. Fees of $ .......................... ,+ 10. Chico Urban Area fees paid ........................................ 11. Park fees paid ..................................................... 12. l School District fees paid ................. 13. Sanitation approval from —TOA, A Health Department ... 14. City of Chico plumbing. permit ...................................... 15. Plot plan and business license approval from City of (see City for other requirements) 16. Planning approval for (A) Use: (B) Parking: ......... 17. Improvements may be required. 18. Driveway permit (construction approval required prior to occupancy) ... 19. Pre -Inspection for required ..... Pre-Inspec. request to Building Inspector (Date) 1. Contractor's license information (No., Name Style, Classification) ....... Certificate of Workmans Compensation Insurance .................... 22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........ 23. Recorded copy of Agricultural Acknowledgment Statement ............ 24. Letter of signature authorization ..................................... 25. 26. When you issue the permit, process as follows: —Mai l to owner. �Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Applicant 1�l Date Copy of plans sent Health Dept., Fire Dept., Other Date The following data must be submitted R ' r 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---nail—counter by date Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date Plans checked by Copy—DPW Date Plans approved Sets of plans on hold in File cabinet AP folder Date TO Building Department FROM: EnvironmentalHealth SUBJECT: Sanitation Clearance Owner Location AP# y� Plan A pproved for: Sewage Disposal _ Water Supply Hold final for: Water t Supply Final clearance O.R. for: Water Supply Clearance for _ bedroom mobile home. Other iii Scott's Enteimris%cls C,A-a_ry H - Coin Om ij Thos set If plans and tpecif;ca ons VIUST 56 1210 Sevem's Lane • Pamdise, CA • 959059 kept on +,,Ie lob at'a.1' t; -ries and Wr is unlawful W mak. any G ze,r.pes ®r ,,Ihcratjons on sane withOdi M_Sjo rom I Deparim.m. *4 viribien per q, Fh lia T .'e Yjarks, County If NI DTE -,All Maferials & Workmanship ShaH to 11% Acco-i nce wi:'-i Recognized Good Practices and c; c,;uc1bJy pre:;criL O..'s for 41he Specified use i—in he UAL;—- Plu ,,�ing & Mechanical Codes and &a Najj�mqj. Eleef ricf I Code. A totback of 5 ft. fro. tht pr® pelt Y lines and a eTO a W. fromtheroa )a ,o.t%dineshall be cl aro structures or equipmrt 9? for a 2 ft. eavc- o-uenHwmg, I CLIGAt Or "L� OTPARTWNT. . 0% J TO V F V v y 7-c J 64 6 2 C, a i';>o d C -, c x e, ,-;ses Mobil Enter. Scott s M £-.=:,r;lc;e AD proetze A Complete oblle log ,.: � 95969 1p SeVenis mane Paraoisc:, v 12 el + v' CIA aw #W 00ja S&O ' Ohrpas fd��+A� AA E mi cd 0 rs lors