HomeMy WebLinkAbout064-340-017w�
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I nmp. vuwrr role
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
CalledPG&E
JOB FINALED (Date) �G
' Signature
V = OK
O = Not OK
= Not Applicable MO B I L EH OM ES
* = Not Ready
•r^ '
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easementsi--Zoning
Date
DECKS, C RS, CARPORTS, ETC. (Plans) G:. axcept #
Requirements—Se c s—Easements
2. Soils; Special MH Support—Sketch
tings; Size—De th-Spacing— onnect�ors22_�};�/%
3. Sewer; Location—Test—Fall-C/O—Concrete
ecks;'Gir s and/or ng—IsricmgE�HrtSr
4. Water; Location—Test—Easement Needed (Sketch)
•'� t��L
_
4 ---Wee Awn.,Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracin_g__
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5-*,mm-4enn-Eolumns—Connections—Splice—Decal—Enclos�ies
6. Gas; Location—Test—Wrap:/ /"L" ft./ /"Nat. or/ /"L" ft./ /"LPG
7. Utility Clearance
6,—Gerpor[s^Wfidows—Doors
7, E1e '
Card -BI
Dat Card -BI Date•
Card -BI Date Card -BI Date
Card -BI
Date • Card -B1 Date
Card -BI
_
Dat � Z Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except`H'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—GFh
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
9. Exits; Insp.—Sketch
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -B1 _
Date, Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Car SI Date
_
c4d
J = OK
0 = Not OK
= Not Applicable
* Not Ready RESIDENTIAL,(S.ingle and Duplex)
_
Date
UNDERFLOOR Plans OKexce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
50.
51.
52.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe: Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
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.
58.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
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.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except #'s
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
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.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
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 AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
----
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
.1
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32_
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
_33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
_
37.
38.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
41.
42.
43.
_ 44.
45.Attic
Header & Beam -Size & Bearing_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles
_ -
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
WE
COUNTY OF BUTTE - DECARTMENT OF PUBLIC WORKS PERMIT NO.
" 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45 1 Y I 1 y �—
APPLICATION AND PERMIT I 1 n
ASSESSOR P?A CEb.,/�;UMBER
((��ff`"// [[((�� 33
ZONII.G
UILDING PERMIT Nk
OWNER c
G
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRALTO 'SNA TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
r
UNKNOWN
Total Valuation $
-�.-
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ g, id'V
ARCHITECT NGINEER
LICENSE No.
Plan Checking Fee
$
Penalty
$
AW7URITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 0 ,.,_
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION A� 1
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF,V Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORT(
New❑ Addition E:1 Remodel❑ Utilities❑ Installation❑ Other
Describe work::
�/ x' 2- 'a ��`�'� � �G�
J/ (fi
Permit Fee
$)
Contractor
ELECTRICAL PERK41T
Filing Fee 10.00
Main service 80Ov OR LESS
100 AMP OR LESS
5•00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. IDWELLING OCC UP.51)
OR ADDNS, ACC, BLDGS.
22 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
Ix 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 NON•REs, D R BRANCH CTRCT Ts 2.50 ea
NEWCONST R. POWER APPARATUS a
NON •RESID. SINGLE OUTLET CIR. I
EX. Occup OUTLETS OR FIXTURES_ BAL21
FIXED APPLNS, OR
Ex. Occup.(OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with $ie County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. '
Q1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above.information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also greto save, indemnify and keep harmless the County of Butte against
all 1' ilifleesjudgments, co and expenses which may in any way accrue[
aga' said Count 'n c nse t nce of the granting of this permit.
gr fZ
X Date
Sig ature of Applicant - ner 0 Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ O�
OCCUP. GROUP
TYPE OF CONST.
-I
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PU
By
EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
DatePERMIT
Receipt No.�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
0
R
ry
i
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
?- 2 ft. eave overhang:
V
Workmanship rhpll Be in
NQ �E._All ��,r,terials
'�ccarclr°nce with Recognized Gadd `Practices and
uality prescriberjfied use in the
d •for the 0e nical Codes oind
Of a q Plumbing & Ma
Uniform Building,
the National Electrical Code.
. . ... .... ........
H
00
This set of plans and spec* fic-+tens M!.IST be
keg¢ on +6 iob at'all +i -nes and it unlawful to
mry!— any chanqes or alterations on some without
writfen permission from the Department of Public,
Works, County of ! Butte.
BUTTE COUNTY
DEPARTMEN
BUILDING
APPROVED:
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si L4 14 raI P� i
1
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Foie o
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rac0wood��-"9 t
view
644 Pb COY Mer — -_
I
;cp rail to be 36 in. high with. v 1rS
intermediate rails to be not I
pv@r 9 In. apart.--
MQ+�I Srr� Ps 444 fi° y x 6 -- T
ry �F Sta,Ysrh-
w -P6vide adequate bra�1
+Ib+zl6r-- 4eyr,e+,l-anc+ar._S-tyA._l-
4F 80ITed to
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+: Al
V*.PERMIT NO. 7121-7,9B,P,E,M
PERMIT EXPIRES
„OWNER GENE JOHNSON' "
'CONTR. owner
LOCATION (A.P. 64-34-37 )
215 Elmira Circle, PP#4,lot 95, Magalia
Ai/S rT;�
�•
i,
r
J.
- •Die ` _
Temp. Power Pole
Called PG&E Z A4 U
X Temp. Elec. Serv.
Called"PG&1E` -I D Iris
JTemp. Gas S rv.
q Cat•%d PG&E
1 " FINALED�U
(Date)
(Signature)
' ERSET
COMPANY
�- ay LICENeED CONTRACTOR
Phone: 342-4764
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
Date
To O K Y -IS fy"i
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
i', j M �
Street Lot Number Tract No.
1
EXTERIOR WALLS ,, 11 �ffjj L
ManufacturerS� Thickness/Type �-+ R Value I
CEILINGS
Batts: Manufacturer' Thickness R Value
Blown: Manufacturer s,—TpO Thickknness No./B�ags Wt./Bag
Sq. Ft. Covered I \ —1 R Value "l
FLOORS
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Widthof Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY Nr LE DATE
71 INSUL /ION NTRA TOR LLICENSE NUMB R
B`1�`�-�� TITLE DATE
SAVE ENERGY -INSULATE!
(DATE),
ACCEPTEDRSET COMPANY
(Authorized Representative
t
' E R.S E T
H I
-4 pp -pp COMPANY
�ay LICENSED CONTRACTOR
Phone: 342-4764 "
P.O. Box 628 — Durham, California 95938
INSULATION (Batted or Blown)
1J
Date � ~ 7U 19
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
,Street
Lot Number
Tract No.
EXTERIOR WALLS
Manufacturer d ! , - ` Thickness/Type
,
R Value
CEILINGS
-
Batts: Manufacturer Thickness
Blown: ' Manufacturer ��� `�n�'\ Thickness
R Value
No'. Bags Wt./Bag �,��
Sq. Ft. Covered
R Value 1
ffSaZeI;�K
Manufacturer Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer
GENERAL CONTRACTOR
Thickness/Type R Value
LICENSE NUMBER
BY// T'ITLE� � DATE _
INSU/L/ATION �NTRA'TOR ' 1( I ICFNSE NUMBER �0Z&
C�Ct
B TITLE DATE ,
SAVE ENERGY - INSULATE!
( DATE)
ACCEPTED ERSET ' COMPANY
(Authorized Representetiv � `
i
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPI.LANCE CERTIFICATE
THIS IS TO CERTIFY THAT! ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLEE�D IN CO \NCI; WITH URRENT ENERGY CONSERVATION REGULATIONS
AT dt S
( location) ---
BUILDING PERMIT NO. % el
A. P. 1\10. �p�/' 3u
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item, or write•N/A if not applicable)
INSULATION:
Slab Edge /�
GLAZING: �/
Single Glazed /
I'dn. Walls /j/111 _
Special (:insulated) I✓
Floors—
CERT. & I UELED WDS.
_
Walls — 1 1
& SLIDING DRS.
Ceiling/Roof= ,�_ / q
WEATHERSTRIPPED DRS, l/
Ducts ✓
BACK DAMPERED FANS_�a 5
Circulating Pipes
INTERMITTiNT IGNITION DEVICES. .✓
APPROVED HEATER
CERT. APPI, LANCES ✓
APPROVED WTRJ1TR. ✓
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE 1 -LAVE BEEN INSTALI.'ED
IN ACCORDANCE WITH THE ENERGI' CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF TIIIS CERT'IPICATE AS SUBMITTED. _
Insulation Applicator Name
Signature of (pleas . print.)
Insulation Applicator. �
State Contraciro F.3
j{� License No.
General Contractor/Oumer Nrune �.J vri? h 5U h �Oh 5 / -
' ple se print)
Signature of-
General
r/
General Con t rac tor /Ovn e r Date b Id g a
State Contract rs
License No. / 9 �f 7 6)
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL :INSPECTION AND SHA1.1, B1 'POSTED IN 'A CONSPICUOUS LOCATION
WITHIN TILE DWELLING.
80-// ��
0laotar
L
.q1u
-Ole
/w iov� owc7
a
iAI ��/�s•'� °�
•
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION' RECORD
BUILDING
/£rc{ Relnt. Steel
Mesh
Scratch
Brown
Finish
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windowsr/� .moo
Siding
Roof Sheathing 4D
Roofing / ( p (5
Fdn. Vents ea
Garage Vents
Insulation
Prov. for physically
hand ica ed
Conformance of ex.
structure
Final /-'O46)
FIREPLACE
Footing to
Throat O d
Final �?
FIRE SPRINKLERS
Test
Final
MECHANICAL
Heating K,071—yb a
Cooling t A
P UMBING
Soil Pipin 1holt,
1st Floor
2nd Floor
3rd Floor
Topout —'Z '05 (cp.
Water Piping V.>L 34,0 4&3
Sewer =�-
Fixtures 3=;Ix (�
Water Htr.
Heaters
Appliances
Gas Piping & Tes
Temp. Gas
Sanitation
Final —
ELECTRICAL
Rough �6�2 d'O y
Fixtures
Motors
Water Htr.
Subpanels 00
Gird. Fault Prot.
Service
TemD. Pole
Interior Lath 1 I Ventilation p a I Permanent 6—yo
Door Closer I Final Final JV— Z/—Jo rj�o
MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal
cY Water Piping Sewer Gas Piping
--Q MOBILEHOME INSTALLATION -•------------ Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
11-�-A� �.ce��alt 11U7- 1tt/ Gl �Y� :;J /f��/ 574'�, 5-
C. 6z C.6z
/tom w ot, S-0
(�A
tai I ! ivar Bv,' Id .orce
b � �£� DOTS _ >�E D•r% �
hVs,// /4a�wss a"OXrd 1�;4r 4� -
(NOTE: An entry must be made on this form each time you Misfit the job site.)
Setback ol-y_pa
Forms -y_9a
Main Bldg.
Footings — —
Stemwal I —
�,
Slab
Piers
Garage
Footings i/—
Stemwal l 1
Slab
Carport
N
Footings
Slab
Patio
Foot inos ,J-1
/£rc{ Relnt. Steel
Mesh
Scratch
Brown
Finish
BUILDING (Cont'd)
Firewall
Parapets
Restroom Finish
Windowsr/� .moo
Siding
Roof Sheathing 4D
Roofing / ( p (5
Fdn. Vents ea
Garage Vents
Insulation
Prov. for physically
hand ica ed
Conformance of ex.
structure
Final /-'O46)
FIREPLACE
Footing to
Throat O d
Final �?
FIRE SPRINKLERS
Test
Final
MECHANICAL
Heating K,071—yb a
Cooling t A
P UMBING
Soil Pipin 1holt,
1st Floor
2nd Floor
3rd Floor
Topout —'Z '05 (cp.
Water Piping V.>L 34,0 4&3
Sewer =�-
Fixtures 3=;Ix (�
Water Htr.
Heaters
Appliances
Gas Piping & Tes
Temp. Gas
Sanitation
Final —
ELECTRICAL
Rough �6�2 d'O y
Fixtures
Motors
Water Htr.
Subpanels 00
Gird. Fault Prot.
Service
TemD. Pole
Interior Lath 1 I Ventilation p a I Permanent 6—yo
Door Closer I Final Final JV— Z/—Jo rj�o
MOBILEHOME UTILITIES Elec_ Service Elec. Pedestal
cY Water Piping Sewer Gas Piping
--Q MOBILEHOME INSTALLATION -•------------ Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
11-�-A� �.ce��alt 11U7- 1tt/ Gl �Y� :;J /f��/ 574'�, 5-
C. 6z C.6z
/tom w ot, S-0
(�A
tai I ! ivar Bv,' Id .orce
b � �£� DOTS _ >�E D•r% �
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(NOTE: An entry must be made on this form each time you Misfit the job site.)
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COUNTY OF BUTTE' — O1EPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ou111Ul ILC IC1lICJCIILGIIVCJ UI 1110 I,UUIILy UI ClULLC LU Clllel UPUII Ulr
above-mentioned property for inspection purposes.
X Date
Signature of Pe itteee or Agent
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 F PUBLIC WORKS
By Date/7--`�-7 S
01. (ding permit expires Date
BUILDING
-y- •ll
Owner G��� J f�IvSC7N
SQ. FT. OCC. BUILDING VALUATION
)"-:;;32 <46
MailingAddress "7 9 Gil, 7- /W�
'7
a -S ®
/7
C(4 -(J CA 95,124
Tel�ho� No.
Q 9c)
_
Contractor
Mailing Address
Fireplace ()0
Total Valuation
Telephone No.
ee , 00
m;Ch
S -[PI
Building Address f
an cking Fee Penalty G ico
Boa
sac
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 .
Each Trap ,00
(J�p��
�0) 17 OLLi Lo•T qS T Rm% pipes. #t4k*%
Repair drainage or vent piping 1.50
B
Le
A. P. o. " �`-[ " ( -7
,�
Zoning lanning
Water piping Ii$0 ;2100
Each gas water heater or vent 1.50
F s Sar& n
Fire Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
Parking
EQA Plans
Parcel
Declaration
Parcel Map
60' R/W
Improve ents
Each additional outlet .30
Building sewer 5-00
Bldg65
PlansR cd
Parc royal
Plans Ap royal
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ o
$AQ LO(
PL AO �j�2, - o RIG5 j I`L—(?,
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,do
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER OOOV 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW !) 2¢st,
OR ADDNST 14GSCCUP. gf
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:
NEW CONSTR. BRANCH CIR T
NON-RESID. BRANCH CIRCUITS) 12.50ea
NEWCONSTR. POWER APPARATUS B
NON .RESID, SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXT11RES) g L@;
FIXED ALNS
Ex. Occup. ( OUTLETS P(RESID )KEA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
WftJ Wim.
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ ,�j(�
$ ! .150
MECHANICAL No. @ 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.
'have placed on file with the County of Butte a certificate of
�u Workmen's Compensation Insurance.
❑1 certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 3, W
Heating►91L.�A1t7L 4w ��c�0
T' PUMP
Cooling L.t.00 14. Q()
Ventilation
#2.00
Hood 2.400
Permit Fee $ Rco
$
I certify that I have read this application and state that the above
information is correct. 1 agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$ ,(
TOTAL PERMIT FEE
$r� ��
� d5C
ou111Ul ILC IC1lICJCIILGIIVCJ UI 1110 I,UUIILy UI ClULLC LU Clllel UPUII Ulr
above-mentioned property for inspection purposes.
X Date
Signature of Pe itteee or Agent
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 F PUBLIC WORKS
By Date/7--`�-7 S
01. (ding permit expires Date
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,.& MISC. ONLY)
/ •Bldg. Permit #- 7/Z/-79
OWNER G C-AJE V 04A S D�IJ r A. P. �k G S%- 3 /%
A -GENERAL AMS7rL
Zoning requirements (sideyards and parking).
Valuation.
Signature by.R.C.E. or Architect (if required).
B. PLOT PLAN
omplete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
. her buildings or structures.,
*4! Grading, fills, drainage.
C FLO R PLAN:
Complete to scale plan with dimensions.
;Required windows for light and ventilation (Sec. 1405).
VRequired windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
5_/man impact glass (Sec' 5406).
;;.00o,
equired room sizes,�ceiling heights (Sec. 1407).
_' F.C._I.'s in baths and exterior outlets (Sec. 210-8).
6 Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.,'
05. Locations .of water heater, heating & cooling equipment, other, electrical or gas
equipment, and plumbing fixtures.
�arage firewall, door size, and closer (Sec. 503(d)(4)).;
01-
1 1 - 3'0" exterior exit door (Sec. 3303d).
1LZ. Fireplace location.
101.'o*' Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete'enough to'construct building.
Elevations and wall construction detail's complete enough to construct.building.
43/Roof construction details complete enough to 'construct building.
lace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements'(State law).
E. MISEELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
`2-. --SMYway details (Sec. 3305) .:
Bw--'Guardrail details (Sec. 1716).
E -or stone veneer (Chapter 30). '
-Ex-te:r plaster_ - weep, screeds (Sec. 4706 & 4708) .
*17" Proper roof pitch for roof covering (Chapter 32).
j1!—Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
O. g area,over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
1L _—Twe-+Z)--exits on three-story dwellings (Sec. 3302) .
i
This set of blons•and 5pecif ca MUST be
� ept'oh,the job df all +'fm�y. a i is Cmi ful'to KU TE. ---All Materials & Workmanship Shall Be Pn
anv,;ckrth aes car t14 rr`r•'• o Bame wi t - Accordance with RecnQnized GoQc Practices and
wriften'permission fre n the. D, ar of Public ;� of a quality prescribed for the Specified use in the
KTY
• Plumbing. •� Wos;lc3,:,,Oourfy•o�-'Bu##e. � +fo Building, g. .Machanica!
..� „� �;• , , . t N .`� t}re 1'T*;dal,Electrical Code. Codes and
-� 7 1 4 t c -. •-mei .
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CIO
A setba&'of 5'•ft.from the i I: -. _ ,'
property. aines�and `a setback C ;�' ,3 p
'qf 5Qft. from tthe-foal ' " " � 4r�.gc V
r centerline $hall. 6e�l 'arAof �- '' ='^ t •�
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