HomeMy WebLinkAbout064-330-025COMPLAINT TO INSPECTOR
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A.P..'
J. D. Rand e 1 6 4--33 - PE;
15 Cumberland Rd., Magalia
(LOT 55, PP #4) j= Fri \-2g-r],5-
Permit 1180-74 P,E (util. for MH)
AP 64-33-25
J.D. RANDEL
e
15 Cumberland Rd., Paradis
Permit# 3428-75B(awning & eck, MH)
64-33 ?5_ n
6414 Cumberland Rd, Magalia j y1Gta(
Contr: Sam Baldwin. 92/%
Permit #1128-87B,E (new d t garage)
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PERMIT NO. 3428-75B
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MH UTIL.
}PERMIT NO.
` PERMIT EXPIRES 07 7�
'OWNER J.D. Randel
CONTR.
i LOCATION (A.P. 64-33-25 )
e� 15 Cumberland Rd., lot 55, PP#4, Magalia
COUNTY OF BUTTE — DEPARTMENTOFPUBLIC WORKS
" BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
,� Firewall
Soil Pipi g—
Forms
Parapets
1st Fldor j
' Main Bldg.
Restroom Finish
2nd Flaor i
Footings
Windows
3rd FloAr
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pipin
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation /.
Patio
FIREPLACE
Final
Footings
Footing
ELEC ,RICAL
MasonryWalls
Throat
Rough i
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SP INKL RS
Motors
Framing
Test
Water Htr.
Stucco
Final
Sub aneIs
Mesh
MECH I AL
Grd. Fault Pro .
Scratch
Heating
Service
Brown
Cooling
Temp. Pol
Finish
Ducts
Under rou d
Interior Lath
Ventilation
Permane t
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
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COUNTY OF BUTTE - DEPA;IRTMENT OF PUBLICa 7� -
7 County Center Drive" — %OrovilIe, California 95965 /
Telephor e: 534-4541.
APPLICATION AND PERMIT-.
BUILDING
OwnerSQ.
FT. OCC. BUILDING VALUATION
�' _ O G1
Mailing Address C
_
�'
Telephone No.
Fireplace A
Contractor 60
Total Valuation • • t
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
'
Telephone No.
Permit Feed
Building Address _ e-
PLUMBING No. @ FEE
PERMIT FILING -FEE $3.00
' —
Each Trap 1.50 4:
Repair drainage or vent piping 1.50
Water piping ti. 1.50
Each gas water heater or vent 1.50
A. P. No. — —"�
Zoning & Planning
Gas piping,system 1' - 5.outlets 1.50. '
Each additional outlet .30
Fe
VQfL. 11
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00'
EQA
Parking Parcel
Plans Declaration
Parcel"Map
60' R/W
Improve nts
Lawn sprinkler system 2.00
' Bldg. Plans Recd
Parcel A royal
'Plans pprovol, -
Permit Fee $ F
NEW ADDITION ❑ UTILITIES ❑ OTHER [:]ELECTRICAL
No. @ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
—
Single Family ❑ Duplex ❑' Mobil Home Others ❑'
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures,'b2002
al
—
Receps.., switches & fix outlets
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:
Hood; Ex. Fan or F.A. Furn. Motor 1.00
Evap, cooler, gar. disp. or D.W. : 1.00
Air conditioner_ or heat pump
Water pump
Mobil Home Facilities .5.00
Temp. Power Pole 5.00
- -
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of Cal ifomia.
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 $3,00
Heating
Cooling t
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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X io, Date
Signature a fP�ermitee or Agent
Receipt No. u7 i 6pq '
White-D.P.W.'-Yellow-Assessor — Pink -Inspector — Goldenrod -Applicant
TOTAL'•, PERMIT FEE $
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
aboveJor which fees have been paid. ,
DIRECTOR OF PUBLIC WORKS
BY Date •� %
Building permit expires Date
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12721 Harbor Blvd.
Garden Grove, Calif.
Sept. 4, 1974
County of Butte
Department of Public Works
7 County Center Drive
Oroville, Calif.
` Gentlemens
The power pedestal and meter service was Installed at
our Mobile home on Lot 55, Unit 4+ at Paradise Pines.
Would like an inspection of-this installation.
Application permit fee made on 4-15-74, #1180-74. Receipt
dated 4-16-74, #118005.
I could also like to have the septic tank installation
signed off. Ray Gregory of Gregory Constructiontfb1d me
that he had turned in all the papers for the construction.
Any questions regarding the above please notify me.
Thanks in advance.
Yours very truly,
J. D. Randei, h
F
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iPlI BLI"C WORKS. .
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Rd. Des.
Br. Des.
Sur. & Loc.
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,PERMIT NO.
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MH UTIL. 1180-74 P,E
PERMIT NO.
PERMIT EXPIRESG —�
OWNER J.D..Randel
owner
;CONTR.
6=OCATION (A.P. 57-69-25 �.
15 Cumberland Road, Magalia
7 (LOT 55, PP. #4)
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1( Temp. Power Pole
d Called PG&E
"i Temp. Elec. Serv.
Called PG&E �v
Temp. _Gas Serv.
Called PG&E
JOB
FINALED Z..ol
(Date'
(Signature)', ,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
Subpanels
PLUMBING
Setback
Firewall
Soil Piping
Heating
Forms
Parapets
1st Floor
Temp. ole
Main Bldg.
Restroom Finish
2nd Floor
Interior Lath
Footings
Windows
3rd Floor
Final
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
�•'
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Pi in
Temp. Gas
&Test
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Stucco
DATE
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Ppot.
Scratch
Heating
Service �-
Brown
Cooling
Temp. ole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
--,-7,c-~"
Final 717--,V-7,1—
DATE REMARKS OR CORRECTIONS
6r 7-6
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COUNTY OF BUTTE — . DEPARTMENT OF PUBLIC
7 County Center Drive — OroviISe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Owner
Mailing Address1416 9 6a -5 ash._
� r4194 1 Telephone No.
Contractor
Mailing Address
Telephone No.
Building Address
r
Aa2�,�6-1 S e
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A. P. No. 47—
a
a i Fire Dept. Fire Zone Use Permit
EQ Parking arcel Parcel Map60' R/W Improvements
Plans Declaration P
d Parcel pprovol Plan Approval
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
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 & Professions Code under the name
style of:
License No. Classification
FTI'l 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
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
P
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.
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 Date
Signature of Permitee or Agent
Receipt No. ,��00�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
_ BUILDING
SO. FT. OCC. I BUILDING VALUATION
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 incl. 1 meter
Additional meters, each
Sub -panel (12'or less) (more than 12)
Range, Cook -top or Oven
Water Heater or Space Heater
Light fixtures
Receps., switches & fix outlets
Hood, Ex. Fan or F.A. Furn. Motor
Evap. cooler, gar. disp. or D.W.
Air conditioner or heat pump
Water pump
Mobil Home Facilities
Temp. Power Pole
Misc. wiring
Permit Fee
MECHANICAL
PERMIT FILING FEE
Heating
Cooling
Ventilation
Hood
Permit Fee
FEE
$2.00
1.50
1.50
1.50
1.50
1.50
.30
5.00
2.00
_WAVI
$3.00
2.00
FEE
TOTAL PERMIT FEE $
2-M dD
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 �— moi— 2 Y-
uilding permit expires Date... `f'..z ......s..
•
e PARADISE PANES
AR L COO. �? 't CQ"7r.41TTEE
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#PROVED FAY
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FILE NO.
BUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Informations/)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits
Sub. Checking
Right of Way
14362 Bushard Space 37,
Westminster, Calif.
f
May 29, 1974
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County of, Butte
'-
Department of Public Works
_
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7 'County Center Drive
. • `'
Oroville, California
p - tip. �^._^ �..:n.M'
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#'�C•":-"-yrw++w-=... .+r ..:a. ..�=:6. -=_.
.—.. r't� -i'+. .M,''
Gentlemen:
t
I am moving iqy
Mobile Home from Westminster to
'our property at
Paradise Pines,
Unit 4, Lot 55; ether.in_August or•September.
t
I"have,awnings?attached
to the Mobile and wouldrlike'to use -them
up there` if!40:
sible.
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While up at your office ih.April, one of the inspectors ,told' me
that ;if,I could get a. copy of the permit allowing. the awnings 'down
here :that theyjmight be permissable up there. .n the plate
r
,• attached to" -'the awning is' the following: "Approved by California -
Division of Housing Neet 10A 10B 1OC"
^
Enclosed #i's the copy of the permit.
Would appraciate your answer as soon as possible.
y"
'
Yours very truly;•
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FILE NO.
IBUTTE COUNTY (For Action 1, 2, 3)
Public Works Dept. (For Information$/)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop
Equip. & Yards
Ref. Disp.
Bldgs. & Grds.
Bldg. Insp. Admin.
D & C/Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Mapping
Drng./Permits
Sub. Checking
Right of Way
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PERMIT NO. 1 1
2R—R7*R , F
PERMIT EXPIRES
H. W. EDWARDS
OWNER
Sam Baldwin
CONTR.
ASSESSOR PARCEL 64-33-25
LOCATION 641.4 Cumberland Rd-, Maeal
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Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
i
Temp. Gas Service
Cal led PG&E'
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JOB FINALED (Date)
'
Signature .
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COUNTY -OF BUTTE `
�t DEPARTMENT OF PUBLIC WORKS
` 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541'
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
INUAIC0 S 112 - r7
OWNER PEMIT N0.
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
matte or need additional explanation, please contact this office immediately.
ti
P u o V .v
17
Inspecto Date
//ZX8
OK _
= Noi OK
-,otReadyable
Not Ready RESIDENTIAL,gi
(Sine and Duplex)
= N /
X0 = 1•
Date UNDERF OOR JPO1( exce tN's
Date FR (Pcrnlinued)
onto r ements-Se sK.
Pty Line Firewall & Openings
49'Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils-9teet- / /" Ftg. Depth
—50r-6tair , idth-Headroom-Rise-Run-Landing-Fire Protection
y d on Roof Overhang -Attic Vents -Rafter Outriggers
_
Q!5iding-Nailing-Veneer
emwalls, Garage;,Sisef=Eypckouts-wed-
-5779tucco Mesh=DYtp Screed-Fdn. Vents-Underflr. Access
- -Fig -
Faii-est
Test
--w ' lazing Area -Glass Protection -Skylights -Plastic
X&&.-31tear Walls; Nailing -Bolts
11 k'Electric; Underground
_42 _ - - s.
/
Card -BI Dat Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date 7Card-BI Date
Card -Bl Date Card -BI Date
Date FINAL (Plans) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except #'s
14, Water Ht.: Vent -Access -Combustion Air
woke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
_15. Water Pipe; Test & Anchor -Nail Protection
_ 16. D.W_V.:_Test-Fttngs nchors-Nail Protection
17. Shower Pan: Test, first Floor -Tub Access
16. Test Tub & Sh er, 2nd Floor -Tub Access
�9 edrooT,,:�xiting
-G.b!r& Bath Fixtures & Tub Access
tj,.'-Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas _Pipe: e & Anchors
Card -BI __ "^ _Date Card -81 Date
Card -BI Date Card -BI Date
--fie-.---Stairs & Rails
-e3-Fireplace or Stove; Clearances -Hearth
-rtT.- Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Outlets & Receptacles at Kit. Counter
Dale ELECTRICAL Permit OK except it's
c 6T�arage Fire Door; Swing -Landing -Closer
__ A.C. Duct in Garage -Damper
- __ i_xture &_Transformer Clearance -Ins. Protection
Get. Receptacles Spacing -Lights & Switches at Doors
_ Size Boxes & No. of Conductors -Stapled
omex Installed Close'lo Edge of Studs & C.J.
�` -Wlr. Hir.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Plb., Elec. &Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Prolec.
-� --
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
x,2,5-2'Appliance Circuits in Kilc & ductor Size
sxtf audfeed Wire_ Size //(� g- Cu_ A.C. Wire Size / / ga. Cu or At
l23 -Range Circ. / / ga. Cu o I -O en A.C.
/ / ga. Cu or Al,
Insulated Neutral ,Yes =GrNo
-rvice-Riser Conductors &_oun_d-Main Disconnect_4-6
,29 _Equip. Clearances:_ Panels-Motors-Mech. Equip.
30. Clothes Closet Light -Shower Light
--- -- - - -
pp -- - - ----- -- -
��/v� --- -- —
Card B -I Dale6-6-0 _ Date — - -
Card B -I Date Card -BI Date
2. Insulation -Foam -
Looked in Attic ❑Yes
iT3 Guard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl !-tole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
jJrr Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
Stucco; Brown -Finish
�T9--A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plb
-x-78- g.-Appliance-Firepl.-Clearance to Opngs.
r -_Zg- Water Well; Disconnect, Electrical, Plumbing
�80�Exterior Elec. Trim: G.F.I. Receptacle -Underground
�a Ventilation throughout House
age -Glass Protection
Date MECHANICAL (Permit) OK except a's
X03' Corrections from Previous Inspections
—gd.Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts: Insulation &Sup
32. Vent Fan: Exhaust above sulation _ —
33. Condensate Drain & 0 rffow: Size & Grade
—_ 34. Furnace -Vent: Ac _s -Comb. Air -Return Air Vent -115V outlet
35. Attic Access latlorm if Furnace in Attic
_
Card -BI Date Card -BI - -Dale -- _ _
Card -BI Date Card -BI Date
1-85, Water & Sewer Connected -C/O to Grade -HD Approval
6. Energy Compliance Certificate -Other Certificates
- -
---
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
_
Card -BI Date Card -BI Date
Comments at Final:
Date FR ING(Plans) OK except q's
ills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing-PlateS-Sound
e-IT.''Bearing Walls over Girders & Floor Nailing-
�Dia put Walls (rat proof)
X46- ire $10 _ rred Ceilings -Stairs -Chases -Tub
Hej r & Beam -Size & Bearing
tiger S-P%ichors-Connectors
hg. Jois lu. T .,-Purlin-Roof Brac.-Truss-Shthng.-Rhtp.YJ
Fneplace Ties or Type AFlue-Fireplace Throat
'TIC Access. Size & Romex Protection -Draft Stop -Ins. Balf_ s
J>r"�dnn. Windows or Exiling Doors -Sill Hgt. & Dimensions "• •-__-
" Fro tecl.ru ('.dna rig
-- --" - —
- - - — ---- --
'-----
V =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 N's I
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.-Rfg.-B_racin_g_
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 Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
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/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
B. 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 -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 1
APPLICATION AND PERMIT �-
ASSESSOR AR EL NUMBER
_
ZON G
" �
BUILDING PERMI
OWyNL�E�R/ ��J /'/ �`
/ ✓ ' !iZ' GL,�l_2
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN 'S MAILING ADORE /
CONTRACTOR'S NA
� '✓ !moi 6 c Co
TELEP NE
g73 3i s
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee -
$ 10_00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
�y('/HCl•—
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITE'C'T OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRE-54 -'
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
_7G_
SUBDIVISION NAME PARCEL MAP
4— I �
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
��� —
SF ❑ Duplex❑ Mobilehome❑ Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home T S G W
10.00ea
TYPE OF WORK
Ne w4 Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
ONTRACTORS LICENSE LAW
I declare under pe ty 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
El 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)
u I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
fort is reason
NEW CONST. DWELLING Occ ,
New �oNsTR.( A h¢sgft
ULTI OUTLET
NO N.RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS S
SINGLE OUTLET CIR. 1
20050C
Occup(OUTLETS OR FIXTURES
Ex. OccuSAL930
30
FIXED APLNS
Ex. Occup. OUTLETS PRESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
RKMEN'S COMPENSATION INSURANCE
I declare u n erppenally 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
at to Self -Insure.
shall ll 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
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
gainsaid County in consequence of the granting of this permit.
t �,
Date
nature 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 storiel in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ /
OCCUP.
CONST.TYPEJ
I F •o
A cE PD
IS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date[�TE-D.P.W..
Zff���
F.R.eceipt No.
YELLOW -ASSESSOR, PINK-INSPE OR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION i
7 COUNTY CENTER DRIVE - ORQVI66E17CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICAfib " DATA SHEET
Permit No. �✓ �
OWNER H• �' �'A. P. No. �7 __53 -
Proposed Building Use �� 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. . . . . . . . . . . .
of plans in duplicate./triplicate, signed by-preparer of plans. .
omplete plans it dull_ cam/triplicate, signed by preparer of plans
fi(*:�
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 $ .. . . . . , . .
Letter of signature authorization. O . „ , . .
• Sanitation approval fromHealth Dept.
11. Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
3. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ),
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22. A
When you issue the permit, process as follows: Mail tcaner, Mail to contractor.
y Telephone �%�`��i3�0 and hold for pickup atoffice, Deliver w/inspector.
Other /
Applica tJ v - G GC C�, / (a
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submittedr to rmit 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 Date Plans approved by
Date -
Sets of plans on hold in File cabinet AP folder
- Hours: 10:00 a.m. - 3:00 p.m.
I
Copy—DPW
COi Building.Department zc k
FROM: `Environmental Health +•
S13BJECT: SANITATION CLEARANCE ;
OWNER LOCATION AP #
Plans approved for: Sewage'Disposal Water Supply
Hold final for*, Water Supply
Final Clearance'O.K. for: E Water Supply
Clearance for bedroom mobile home. Other
Cleara a for-additi n of 22,
No Eek
/J.
IAN
DATE
A setback of 5 ft. from the
----
property lines and a setback
I of 50ft. from the road
�'...... centerline shall be clear of
structures or equipment exwpt
for a 2_ ft, eave overhang,
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This set of plans and specifications MUSTbe
kept on the job at all times and it is unlawful to
''
make any chcmges .or alterations on some without
F
written permission from the Deportment of Public
'a
Za
Works, County of Buff e.
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