HomeMy WebLinkAbout064-410-035Tom.✓ :.Myr '— r .. . ry �_ ��.�
William Green 64-41-35
14376 Wycliff Way, lot 122, PP��S, 1`!
Magalia 4 //►► `, Rl � --�� C7� �"'���' �' � ���•:`�.
contr: Powers Const. Ma a"1Cra �XI `✓ = 3.',�f,
_f Permit-#97=81P;E(uti
ELEC..5-'6 All
GAS 5
COMPACTION TEST REQ. /y�_ j
64-41-35 C
Contr: Bernie; Mobilehotge S r,Pai
Permit#678-81MHI j
Issued
64-41-35
Contr: Powers Const, Magalia
Permit#765-81P(gas 97-81)MH
y�/z�e41-35
,conte Po e s 'nst., Magalia
Permit #783 81B,E(new pri.garage)
64-41-35
contr: Powers Const., Magalia
Pe it ##470-81B(newo en deck/MH)
���/�
-,
064-410-035 .. ". :PERMIT#94-2896 ..•,
,ANDERSON, WILLIAM
.� '.4%
_ 1,4376 -.WYCLIFF WAY .<MAGALIA0"
CONT:.'ERIC ' TURNER`;
'-CARPORT; -RAMP.'&;STAIRS /MH
064=410-035 PERMIT#94-3218 ,a
ANDERSON, WILLIAM,
"14376-WYCLIFF`IWAY, MAGALIAn: x
RELOCATE GAS-LINE/MH' r,
0'64-f10-035APERMIT#95- 57
ANDERSON;, Jean' -&`Will•
14376`Wy`cl i f f , Magalia V -___ `
` Cont; Sierra Mobile'Service-'
Awning /M%
064-410-0351-l-',, :PERMIT#97=1028
ANDERSON; 'Williamr
14376 Wycli'f'f Magalia'
Deck/MH
r'
0
.1' 1 ``
RESIDEfNTIA
71
064-410-035 PERMIT#97-1028
PERMIT, ANDERSON, William-
14376
illiam-14376 Wycliff, Magalia
PERMIT, Deck/MH
OWNER
- -
CONTR.
ASSESSOR PARCEL
LOCATION
l '
Temp. Power Pole
Called PG&E_
Temp. Elec. Service
)
§' Called PG&E
+ Temp. Gas Service ,
It. Called PG&E
j JOB FINALED (Date)
Signature
4`{
ttt
V=OK
O = Not OK
' = Not Ready able MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location-Test+all-C)O-C trete
4. Water; Location-Test-Easement Needed (Sketch)
S. Electricity; Location-Clearances-Gmd-/ /Amp-Concrete
6. Gas; Location-Test-Wrap; / /`L'tt.
/ /Nat or/ M-'tL/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements- Setbacks Easements
2. Footings; Sbx-Spacing-Marriage Line
3. Gas; MH Test-DernarKWalse-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DEWCOVERS, CANPORTS, GARAGES lana OK except #'s
Ing Requirements -Setbacks -Easements
Footings: Soils-Sim-DepthSpadng-Connectors-Steel
3. Decks; Girders and/or JoistaDecking-BracingStairs-Rails
4. WoodAwn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
,A-Frfng.; Sils-AnchorsStuds-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
. Ext; Steps•Doora-I.andings
12. Braced Wa11.Panels
Date Card B-1 Card B-1
Date -/ Card B-1 ate Card B-1
Date POOLS lens OK t #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Ughting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -listed
7. Elec.; Bonding; Metal w/6 -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/3 Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
✓= No
O = Not OK RESIDENTIAL (Single & Duplex)
- = Not Applicahie
Not Ready
Date UNDERFLOOR (Plans) OK except #s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd. / /" Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /" Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ /" Ftg. Depth
5. Stemwalls, Main;* Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts- Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
S. Piers --Fireplace Ftg.Sted
9. D.W.V.; Fall -Fitting -Test 2 Way C/0 -Sewer Test
10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11. Water Pipe; Test Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts�Joists Vents-Cdppies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sae & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -tights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or Al
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meeh. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47.
Cling. Joist-Rftr. Ties-Purtin-roll Brac: TrussShting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill HgL & Dimensions
51.
Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext Doors -One 3 -Check Garage 3rd Story, 2 Exits
54.
Stairs; Width -Headroom -Rise -Run -landing -Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
a,
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit Fat. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
77.
Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.F.I.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
82.
Following Instld./Drive 0 Yes 0 No/1Nalks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90..
Corrections from Previous Inspections
91.
Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance Certificate -Other Certificates
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
'Y)
J
I
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINGDIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PE MIT NO.
(Rev.12/96) APPLICATION AND PERMIT /
ASSESSOR PARCEL NUMBER
064-410-035
ZONING
RT -1
BUILDING PERMIT j
OWNER
WILLIAM ANDERSON
TELEPHONE
873-6293
SO. FT, OCC. BUILDING VALUATION
80
0 560,
OWNERS MAILING ADDRESS
14376 WYCLIFF WAY, MAGALTA
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
UCENSENO.
—Filing Fee $
20.00
Permit Fee $
17.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 14376 WYCLIFF WAY, MAGAT-TA
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome KX Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 9X
Describe Work: 9PEN PEGK %
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
600VOR LESS
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCC
OR ADDNS. ( 8 ACC. BLUP. OS.
SO
3.5Q FT.
NON -R SNEW LID. ANCI CICU
97.50
OWER APPARATUS
b SINGLE OUTLET CSR.
Ex. Occu OUTLET OR FIXTURES
20 @' 00
SAL @ .50
Ex. Occup. OUTELETS AESIo°EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith compl with those provisions.
� % !�+
X rri� Date_/� G 2
Signature of Applicant -4Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 60.00
HAZ.
D. FES IMP
I FLOOD
CDF
�—
PARCEL PO
—
sSUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
��
By Dat
PERMIT EXPIRES ON 2
provisions
to do work
paid.
g
to
Receipt No. o2d`l% /
WHITE-D.D.S.-B.D. CANA Y -ASSESSOR PINK -INSPECTOR GOLDENROD •APPLICANT
w�,rw r,,.. ry./,. , .. �;..0 '.. ....-dz� . �. .*. .t`I.�,.. ,,.rx t-' 'r. 1„�,,�...e, .r V` •pins+F'... _r�,��m .7-.,r.-...-�r�l.-rn. ���... �. -.., r.
COU N Y OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALWORNIA 95965 - TELEPHONE (916) 538-7541
A- � 0.
PERMIT APPLICATION DATA -SHEET
OWNER: ASSESSOR PARC ER: G 357
Proposed Building Use: Building Inspector: Date: S' -/ G - 9 9 -
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
JDate Received By
All iEems have been submitted .-------------------------------------
------------------------------------------------
02. Plot plans, 3/4 sets, signed by the preparer of plans. ------------ ------------------------------------------------
0
---------=------------------------------------------------
❑ 3komplete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
❑4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
115. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
116. Energy Design Compliance and supporting documentation. ----------------------------------------------------
❑ 7. Statement bf Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous, Material Form- ------------------ I
Manufactured Home data and installation instructions including Tie Down Specifications .------------------
❑ 10. Fees of $` -------------------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -----------------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. ---------------------------------------------------------
❑ 13. Flood elevation certificate. ----------------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------------------------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
❑ 17. Planning approval for (A) .Use: (B) Parking: --------------------------
1118.
-------------------------
❑18. Contact Land Development about ❑ Iinprovements, ❑ Drainage, ❑ Legal Parcel. -----------------------
1:119.
----------------------
❑19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
❑ 20. Pre -inspection for required Request to Building Inspector on (Date)
021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
022. Workers' Compensation carrier and policy number. -----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner EI) - --------------------------------------
024. Letter of signature authorization.
❑25. Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- '
❑26. Letter of intent on building use. ---------------------------------- .!_ ----------------------------------------------
❑27. Manufactured Home utility clearance. ----------------------------------------------------------------------------
❑ 28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .---------------
1130.
--------------
❑30. Other: -------
When issue the ernuft process as follows ❑ Mail to owner, ❑Mail to contractor. 1
; elephone � � ' W o1Q-3 and hol&for pickup at office. ❑ Deliver with inspector.
_4plicant: '!e% �'G� Date:s
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building D'd ion counter, by Date:
Plans reviewed by: Date: Plans approved by: Date -
Sets of plans on hold in 13Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
9 v GL .
AP# -.64=41-35
714-521-7546
PP 5 Lot 122
916-873-1730 - 873-2249
1
Lic. # 386864A - 367058Ba
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Aujiiam A. Green �—
MaxineGreen
BUTTE MUNTY'
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:� ����� 7 COUNTY CENTER DRIVE . ' 747 E iIOT �h
8$5 OLE*1NDER AVENUE Y':' �•, PARADISE: t.
CO. CALIFORNIA OROVIL__L�,.CAGdFO. -
z7-r7M4-4281 ':-1J � 872-2961
891-2727"'
„BUTTE COUNT DY COUNTY OF PUBLIC HEALTH
DIVISION OF ENVIRONMENTAL'HEAL'TH
f. IFICATE ,�t,
r:.SEPTIC TANK INSPECTION_ CERT
The Septic Tank System was Installed at
. 1"C FOR
LEACHING FIE D
p T alp SEPTIC TANK
(Length
S•Sr: J(t f i("ze �' "� �' Gallons Width in., :' O
Material No. of Lin s i
f dock Und rTi le ins, i
fy
'The above dimensions meet the minimum requirements of B tte County A ticl
Additional. leaching area will be required 'f rience sho sit to be� e ess
Remarks: l
Date San arian
T4 G PLYWOOD CC EYT. I- . —
z I—
FRMUh
CLIP-
mI
2' x 12u STAIR STRIIJGER. 48'oMAX
70P. VIEW •�'
H AUDRAIL NOT SHOO N FOR CLR91TI -
*2 2"xV DECKING (ALT) 3/13 BOLT
Q x (o' DF ....
GIRDERS
I Ys' TAG PLYWOOD C C EXT.
MOBILE NOME �t
OR DECK acr
MAILo
oe �
qg" MTL. FRMW — — •
CLIP�EA. MIN. \�`4
MAX. • RE y
4%V
4'x4' POSE
2'x 12• '<
z (sUARDRAIL "2DF.-�-- _- /g• �� 214"PRESSURE-
(2)
RESSURE-
6"Mi IN. ` 2 in
BOLTS RED TRIAWOOD /
D �l..ATF
–a� MAX.''•1� DECKIWG:.. GIRDER r; .. • . • .; • • • %r�;;` ;D
t PRECAST
q'x 9" POST
IER AVFG?tl4TE- DIAGONAI. '
- e,13RACING. TYPICAL RESI DENT//11_ ;TJ. .S
�o /1(�• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
"-I4'rKN, FOOTING 7 County Center Drive — Orovllle, California 95965
Telephone: 538-7541
R SIDENTIAL -
064-'10-035 PERMIT#95-2573
ANDERSON, Jean & William
j 14376 Wycliff, Magalia
j Cont; Sierra Mobile Service
Awning/MH
--------------
JOB FINALED (Date) 2-
Signature rlr
J=OK
O = Not OK
= Not Applicable'-.
'=Not'Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements "
2. Soils; Special'MH Support Sketch • I" =N
'3- Sewer; Locafion-Test-Fall-C/O Concrete
4. Water; Locafion-Test-Easement Needed (Sketch)
'15. Electricity; Location-Clearences-Grnd-/ '/Amp -Concrete
6. Gas: Location -Test -Wrap: / P'U'ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
I
• '� moi: ;:....
-MISCELLANEOUS
Date•--• -• -DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK exceph#'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists- Dec king -Bracing -Stairs- Rails
•
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors - -
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
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 boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card _13- 1
- OK
J-
O = Not OK
Not Applicable
Not Ready RESIDENTIAL (
' =
Date UNDERFLOOR (Plans) OK except If's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalts, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric: Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except It's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
17. Water Pipe: Test & Anchor -Nail Protection
--------------- -------------- -----------
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
--------------- --------------------
19. Shower Pan: Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
----------------------------------------------- ------ -
21. Gas Pipe: Size & Anchors
Date Card B-1Date Card B-1
------------------------
----------------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except u's
22. Fixture & Transformer Clearance -Ins. Protection
-------------- -- --- ------ ------------ --------------------------------------
23. Elec. Receptacles Spacing -Lights & Switches at Doors
------- ----------- ----------- ------------------------------------------------
24. Size Boxes & No. of Conductors -Stapled
----------------------------------------------------------------------------------
25Romex Installed Close to Edge of Studs & C.J.
------------ ----------------------------------------------------------
26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water
--------------- ---- - - - ------ ------------------
27. 2 Appliance Circuts in Kitchen & Conductor SizerGFI
----------- -- ---------•---------------------------------------------- ----
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size - ! ga.
Cu or At
--------------------------------------- ---------- ------------------------------
29. Range Circ. r 1 ga. Cu or Al -Oven Circ. r r 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
--------------------
------------------------------- ---------- ---------------------------------------
Date - - -- Card B-1 Date Card B - i
----- - ------- ----- ---- ----------
Date Card B-1 Date Card B-1
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. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---- .---- ---._. _- - - - --- --- -------------- ----------- -------- -----
38. Att c Access & Platform if Furnance in Attic
-------------- --- - -- -------- --- ..--- .- ---------- ---------------
Date Card B -t Date --Card B-1
----------
-- --- ----------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except e's
39 Sds. 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 Cedmgs-Stags-Chases-Tub
44 Headers & Beam -S ize & Bearing
Single & Duplex)-,.-,-
Date
uplex)- a -
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring.
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
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.--Insulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 _ Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except s's
61. Ext. Steps -Door & Sidelight Protection -Landings
----------------------- --
62. Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor-Ducts-Mech. Protection
----------------
64.
--------------64. Bedroom Exiting
------------------
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
-----------------------------------
67.
---------------------------------67. Stairs & Rails
68. Fireplace or Stove: Clearances -Hearth
-
----..------ -------------------------- --
69. Elec. Outlets at Wood Panel: Int. & Ext.
--------------------------
70.
----•....---------------- -70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
- .._.....---------------------- ------- -
7.._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. ElecReceptacles in Garage_ (G_F.I.)_Romex Protection
---------------------------------
7`. 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.
- --- -
82. A.C. Unit; Disconnect Electrical. Plumbing
83. Vents Above Roof: PIbg -Appliance-Fireplace.-Clearance to
Openings
84. Water Well: Disconnect. Electrical. Plumbing -
..-•----------------------------p -- 9 --
85. Exterior Elec. Trim: G.F.I. Rece tacle-Under round
- ... .... _. ..---------------- -
86. Ventilation Throughout House
- -•- --------------------------------------------- -
87. Glass Protection
------------ -------------------------------------
88. Corrections from Previous Inspections
... ... ---------------------- -
89, Gas Test -Meters Tagged: Gas -Electric
----------------- ---- -----------------------------
90. Water & Sewer Connected-C'O to Grade -HD Approval
•---- ------- --.-------------------------------------------
91 Energy Compliance Certificate -Other Certificates
----------
------ - - - - - -. _... --- - --------- ------------- ----
Date Card 8-1 Date Card B-1
Date Card B-1 Date Card B-1
.- -.. .....-- -- -------------- ----- ---------------- -
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
Cou* Center Drive - Oroville, California &5965 - Telephone (916) 538-754�S__PERMIT NO,
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
064 0-035
ZONING
BUILDING PERMIT
OWNER
JEAN & WILLIAM ANDERSON
TELEPHONE
873-6293
SO. FT. OCC. BUILDING ALLIATION -
OWNER'S MAILING ADDRESS
14376 WYCLIFF MAGALIA
90 C
1 170
CONTRACTOR'S NAME
SIERRA MOBILE SERVICE
TELEPHONE
877-8575
CONTRACTORS MAILING ADDRESS
8955 SKYWAY
Fireplace
CONSTRUCTION LENDER
UNMOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 29.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 23.00
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
14376 WYCLIFF
PERMITFEE
$ 72.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome X3 Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: INSTALL 3X30 ALUM AWNING OVER EXISTING
RAMP
Mobile Home IS I G1 W
@20.00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filina Fee 20.'00
Main ServiceOOOV OR LESS
( 200A OR IESS )
23.00
Main Service ( 200A TO 1000A )
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in f II force and effect. �/
License Class Lic. No. -7 03 19 4.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. ( 8 ACC. BIDS. )
so.
3.50 FT.
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIS.
Ex. Occup. (OUTLET OR FIXTURES)
2U 0 1.50
BAL 0 .SO
EX. Occup. OUTLETS RSD.) EA
( )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
s
Contractor
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
erformance of the work for which this permit is issued.
11-11 I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 2
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Policy Number 4C (4)-S-7
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, 1 shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith Comp1 with those provisions.
c
X _ Date i b 11�
Signature of Applicant - ❑Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 72.00
HA2.
D. FEES
_
IMP
- P
FLOOD
CDF PARCEL PD HD
ISS
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B Y
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
I Date � GD 2 Old
i? 9 6
(D e)
Receipt No. FJ
WHITE -D. B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. COUNTYOFEeYTT� -DEPARTMENT OF DEVELOPJIAENTSERVICES - BUILDINGDIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET ^\�
OWNER . `dN� �/VtCxww-¢S� A. P. No.
Proposed Building Use l 'oy.&, &tmp Building Inspector AWtr% Date I CYI Z15
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ............. '.:........................ .
2. Plot plans, 3%4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet.signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance -and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule. ............................. .
12. California Department of Forestry plan approval/fees.
13. Flood elevation letter (100 year floo ) by alifornia Engineer . ................. .
14. Sanitation and plot plan approval. (^' Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ... .
Pre -Inspection request
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _)
............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
Wheryyou issue the permit, process as follows: Mail to wrier. Mail to contractor.
Telephone $'1'1-$5`1 S and hold for pickup at (� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail C nter by _ Date
Plans checked by Date Plans approved by ��'� Date LE, 4
Sets of plans in File cabinet AP folder
Copy - Department of Public Works
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BUTTE COUNTY
WILDING DEPAMMM
APPROVED
F.H.USE ONLY
y. _
Plot 1'I:at Attached �L S
a . • Fluor 1'I:m Mucked /V 6
Sent to B.1). ' Ac' F / l�
TO: Building Department 10"19-4s�
FROM: Environmental Health
SUBJECT: Sanitation Clearance.
tJ.1
Owfier Location AP#
Plan Approved for: Sewa;e Disposal Wa Supply: Public Private Well
Clearance for --- bedroom mobile honie. Other
Len
�.
Hold final for:
Final clearance O.K. for:
NOTE:
T
Environ) al Heal h Specialist
8/92
Date
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 _ PERMIT No. '
APPLICATION AND PERMIT ���%�
ASSESSOR PARCEL NUMBER
064-410-035
ZONING
RT1
BUILDING PERMIT
OWNER
WILLIAMADRO
TELEPHONE
7-2
80, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
131 0 917
308 COV 4,004
CONTRACTOR'S NAME
ERIC TURNER
TELEPHONE
72-0106
CONTRACTOR'S MAILING ADDRESS
HAI? DIE IN, PARADISE 95969
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is 4 2
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 72.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $ 46.80
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 14376 WYCLIFF WAY MAGALIA
PERMIT FEE $ 138.80
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ElDuplex O Mobilehome CX Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
TYPE OF WORK
New ❑ Additions] Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CARPORT, RAMP . & STAIRS
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main ServiceBOOV OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( & ACC. OLDS. ) 3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions g a license is in full forced effect.
License No. L Classification
❑ I, as the owner,or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
•NON-RESIO. ( BRANCH CIRCUITS ) @7.50
( POWERAPPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
BAL. 0 .50
Ex. Occup. FIXED APPWS. OR
p ( OUTLETS (REBID.) EA. I 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County i onsequence of granting of this permit. ��j
X Date /0 — /
Sig ca t - ❑ OwnerContractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
o C
CON T. SPE
/ v
TOTAL FEE $ 118.80
I
HAZ.
D. FEES
IMP
FLOOD
CD
PARCEL PD
HD
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.
y
By. Date
PERMIT EXPIRES ON
(Dater
170315
Receipt No`
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
E.H. IlSE ONLY
1'6tt I'lait Attached
• I'IooP flim AlLich.•il
sent Id IS: U:
/ZZ'/ 'dy3�G C� 4 � 1- (0;?
Nner / Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for bedroom mobile home. Othcr���
`, e?�r c.�.LoCa�r„d
Hold final for:
Final clearance O.K. for:
NOTE-:
Environmental th Specialist:
8/92
Date
�,", "''4 �+'^"'i-i � .re%2+�...`.s�i?'l'Sdhr�'C:. r tY°�"P4'K*t7ftM�+'""�"�Y ,r.::i��.�n'�•'�+�+.i,��f Y'^"'tfNii�v�i'��.;.rrw.;�.M�t�sV4�,n:}r�,. n ..
1 COUNT)(OF BUTTE- DEPARTMENTOF DEVELOP;MENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541 /
PERMIT APPLICATION DATA SHEET
OWNER_ZA.!!% AT.,T / A. P. N . 6
41 -
Proposed Building Use 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 BY
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
2.
13.
14.
15.
16.
17.
18.
19.
20.
22.
23.
24.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
All items have been submitted.
Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance'and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
Feesof $.....................................
Impact fees as shown on attached schedule. ............................. .
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year floodl by California Engineer . ................. .
Sanitation and plot plan approval AoptiiE Health Department . ............
City of Chico plumbing permit . ........................... :.............
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking: r . .........
Contact Land Development about (A) Improvements (B) Drainage. .......... .
Drivewaermit (construction approval required prior to occupancy)
T
y P .Pre-!nspedionreGus
Pre-ihspection for required. . to Building Inspector A^ate)
Contractor's license information. (No., Name Style, Classification) . .............. t
Certificate of Workmans Compensation Insurance . .......................... t
Owner -Builder Verification (Given to owner , Mail to owner ............ 1
Recorded copy of Agricultural Acknowledgement Statement. :................ ' .....
Letter of signature authorization ........................ ".................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
Letter of intent on building use . .........................................
Mobilehome utility clearance . ......................................... .
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
Existing violations/expired permits . .......................................
Plan check list . .....................................................
When>ou issue thepermit, process as follows: Mail to owner. Mail to contractor.
V Telephone - n06 and hold for pickup at Chkl .� office. Deliver with inspector.
Other oe
Parcel Creation
Acreage Applica Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submittedr
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above). }
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, ow r, was advised of above required da by _ phone _ mail Counter by _ Date
Plans checked by � Date Plans approved by �� r•G �) Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
r,
ZONING 2� —
BUILDING PERMIT
OWNER
oNE
,.3 33
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
�f vvl C
T3TEL
CONTRACTOR'S NAMEEP
ONE EL / O
CONTRACTOR'S MAILING ADDRESS ,
,4 Z
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
90
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS / �_/71J
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO. SUBDIVISION'S NAME PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex O Mobilehome O Other
PECIFr
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition E)Remodel O It ies O Installation O Other O
DescribeWork: 2242-2
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
R LESS
Main Service ( soov o )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCC UP.
OR ADONIS. ( & ACC. BLOS. )
SO
3.50 FT..
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
O I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
O I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON.RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. SO
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
O I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that 1 have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - ❑ Owner O Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
co"ST. TYPE
TOTAL FE $
E
HAZ. I D. FEES IMP
FLOOD
CDF
PARCEL PO
17UE
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.
BY Date
PERMIT EXPIRES ON
(Date)
Receipt No.
WHITE-O.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
IV
Z,6
APPROVED
Butte County
Enviro mental Health
Da e,
S:
ignature
,qjq
Efic im-tick-
G&J IAC- AIM9qj.
1437 0MUC.Co/49
PALAviSIF
oe f rrof
P.4 X C, 415 C- 14-12-
MDY A,4vc&SOtJ
iq37C wYc-L'Kr-;-
PA"Me'. c -A'%
Off
s
Shalt Se in .
NO1.
iE;�!�>> 4d-4d good' cacti+ s
: r 3c{ ,'��. - Accordance r �' r tine Specified use in
Qf: a.(lua;ity Pr ;sc; `N& �ectianical Codes � '
moo• Uniform �u�t ,..cI3d1ET�ilin
l Electrical
the Nations i +
N . ����.�� 0
i C-41474er ALL STRUCTUPM AND EQUIPMENT MLUD O L,
ovERw a88 SHALL BE CLEAR OF ALL EASEMEKM �
A SET BACK OF S FT. FROM THE SIDE AND
FT. FRDPd THE REAR PROPERTY LINE,3 AND .
FT. Fr''9+i9►i0 THE ROAD GENTERLIKE SMALL BE
61.EAR OF S CRt3C1'URES ARID EQUIPMENT EXGEP`T
1 FOR A 2 FT. EAVE OVERHANG.
Ll /7
rill�Nck MDY Arrive sot)
PA"D15 , C -A,%
5TibIk5
r ZXG Duck
K15Tw('
.r
�6
EX��-
To
?LMax. R
--CL__ (lain. Run
Run measured too to toe.
1W Max. tolerariee between
largest & smallest rise/run,
kmeattr virAmp
� ztb rtCK Pt.arIr
mi CatvCAc-rF r_im)7,u-i r,
,5"pSi5!"
urn)
®.G.
3 rH r rV w c .a -r c4.
TOP rail to be 315 in high viithn-
temediate rails to be not OVIII
• in. wart.
Z6 ....... ..
P�-,FS(Uer 7,ke47,D
KICK ft- A Ile—
VCCK
Nlo4
13 Z-)(4 49D 12e, c k I /v ON
2- x
6
IVAILL�'V
r --
L
141� 2- 6 "Alt
1 70 C--Xf sr,//v6 Fv e n Aj 6 r
AND
Olv L4,01 RAIrIP
F)( 15 b tj & ;:'pv- ri,-) C-3
"1Vwj.1V&jf F
4F6 !?CAM W
qyq poST-JpOCO (,4ft
P. & no -too 01-
r-)(jS7'(AJ(, Pl--*<---N,
mj-T-TF— Cou'll",
u1PLDINREQ \1 FP'a'FtThAEtq()"T
A
IS®Zr y BRACE'
cvTprl� ',ep OF
VA M
6,4 iz Pot) r.
qKq pos 7 -/�I x, u(r tv
JAI& So 1.57" ANL'
ZX b P'A Irl 16�S
2� �( OUT k-0
L4
Sr Dr Z3nS
- a�
of
� b
1
S
"a
;c
N
�v
T
i
r
� t
i
Vo
N I
� J S
%
1
S
"a
;c
N
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i
r
� t
i
%
1
s
�..
c;.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVIS
7 County Center Drive - Oroville, California -95065 - Telephone (916) 538-75 PERMIT o.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
- -
20NING
RTI
B LDING PERMIT
OWNERTELEPHONE
873-6293
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
-A 95954
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 14376 WYCLIFE WAY MAGALTA
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome P Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I (G) W
@20.00 20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilitiesjp Installation C3Other ❑
Describe Work: RFLQCATF CAS T,T_NE
PERMIT FEE $
40.00
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
RF PERMIT 94-9896Main
R LESS
Main Service ( 2OOV OAORLESS )
23.00
Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLOS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
4111 I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON -RESIO. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
s SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
B20AL. @ 1.00
Ex. Occup.FIXED APPLNS. OR
( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 1 20.00
Heating
Cooling
Hood
6.50 j
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
Date wZ f`
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 40 • QQ
L
HAZ• D. F I OD CDF PARCEL PO HD
-71 1 1
IS E
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for Ivhich fees have been
,�
BY — d a_ "-
l
P ITEXPIR ON
(Date)
provisions
to do work
paid.
Date /Z-®1-f/'`f
Receipt No. /7� �
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
Department of Develops%lent Services
Building_ Division
Oroville: 7 County Center Dr., Oroville CA 95965 Ph: 916-538-7541
Chico: 1469 Humboldt Rd:, Chico CA 95928 Ph: 916-891-2751
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) Z&,V
• 2. 1 (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 Contractor's 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 Contractor's 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 /.2 — / — 9-9�
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.
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER 6`1-
`1 _ 1 I V n - 035•
("iYO/�cR.sa^�
ZONING
BUILDING PERMIT
OWNER V J J
�" ) ! I A,-1 /�j
LEPHONE
i3 4Z93
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME ' A
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
/� /
1 3 7C � G r 1"
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome d Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S W
@20.00 20 _.
TYPE OF WORK
New O 2rElAddition ❑ Remodel ❑ Utilities Installation Other ❑
d
Describe Work: /1 F1 L-IcgT z� g/� %�iJ�.
�o C� �� 'Z 0�� -
PERMIT FEE $
yD -
Contractor
PERMIT
Filing Fee 20.00
vo
OR LESS
ervice ( A0'LESS
23.00
FELECTRICAL
ervice ( 200A TO 1000A
46.00
ST. DWELLING OCCUP.Sp,S8ACC.OLDS.
3.5C FT.ST.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
MULTI -OUTLET
D. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. @ .50
Ex. Occup.FIXED APPINS. OR
( OUTLETS (RESID.1 EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in consequence of the granting of this permit.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 710 —
HA2.
D. FEES
I IMP
I FLOOD
I COF
PARCEL PD=
ISSUE
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.
BY Date
PERMIT EXPIRES ON
lOetel
Receipt No.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
E"
2,
PERMIT NO. 97-81P,E
PERMIT EXPIRES
OWNER Will,"m Green
CONTR. Powers Con.st., Magalia
ASSESSOR;PARCEL 64-41-35
14376 Wycliff Way'. lot 122,
L.. ON
PP#5, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service—� I.,
Called PG&E
Temp. Gas Service,.,—
Called PG&E
JOB FINA/'ED (Date)
Signature
V = OK .
0 = Not OK
— = Not Applicable
= Not Ready
MOBILEHOMES MISCELLANEOUS s
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Hing Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
2. s; Special MH Support—Sketch
2, Footings; Size—Depth—Spacing—Connectors
3. laev e� Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Fails
4.4a—ter; ation—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. EI ricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
7 qty Clearance
7. Elec.
Card -BI
Date?- ( Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date j Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Date
POOLS (Plans) OK except N's
Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
.0'Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
i/: Electricity; MH Test—Crossovers—Breakers—Clearances
Ar Drain; MH Test—Fall—Flex Connector
4. E(ec.; Receptacles and Lighting; Distances—GFI
5. Elec.; Pool Lighting; 15 volts—GFI
—6. Water; MH Test—Regulator—Connector
of -Water and Sewer Connected—C/0 to Grade—HD Approval
,^�
i
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
i9: Gas and Electricity Tagged
)
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
Exits; Insp.—Sketch
3a!Cert. of Occupancy
"
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
L Date 3 t Card -BI Date
(Card -BI
Date Card -BI Date
Card B -I
J Date Card -BI Date
{Card -BI
Date Card -BI Date
a
,3j,
4 ,
I
{
= OK ,
= Not OK
Not App,Neable RESIDENTIAL (Single and Duplex)
= Not Ready
.41
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
55.
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
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
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector- 4
In Garage; Above Floor-Oucts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
62.
63.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
19. Gas Pipe; Size & Anchors
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.
Elee. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
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. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails &Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
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 At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75•
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑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
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/0 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
Comments at Final:
Date
FRAMING(Plans)
36.
OK except q'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)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_40.
& Beam -Size & Bearing
--41.-Header
42.
43.
44.
_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rflr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
Garage Fire Protection FramingI
_j
(NOTE: Anentry must be made each time you visit jobsite)
COUNTY OF BUTTE'
DEPARTMENT OF.PUBLIC WORKS'
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Rhvne-g "- 435
C®RKRECT10"N NOTICE
BUILDI G OR tRibPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector (>v`+� Date
COUNTY OF BUTTE
DEFJkRTMENT 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 G '' / for the following location:
Owner LA +`
Owner's Address 4 -A—
Mobilehome Mfg. Model Year
Insignia No. I' ' T- 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 . DEPARTMFNT OF PUBLIC WORKS PERMIT fsl
7 County Center Drive - Oroville, California -95965 - Telephone 916/534-454
APPLICATION AND PERMIT A4,
ASSESSOVLP R4)L BER IZONING
BUILDING PE
/0
OWNE1 R William Green
TELEPHONE
SQ. FT. OCC.1 BUILDING ALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR' S NAME
Powers Construction
TELEPHONE
-1
CONTRA JTO6'S MtLING ESS
ff�� %�` Magalia, Ca. 95954
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
3 CUFF
PLUMBING PERMIT
Filing Fee [V00
W
Each Trap
2.00
Repair drainage or vent piping
2.00
��tnn
11 W
Water piping
X ( b
LOT NO.
1 2F
SUBDIVISION NAMEPARCEL
PP Unit 5
MAP
1
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome® Other
SPECIFY
Building sewer
X (0 -
Lawn sprinkler system
2.00
TYPE,OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities 0� Installation ❑ Other ❑
Describe work: develop lot for mobile home
Permit Fee
$ 3 0 --
Contractor
ELECTRICAL PERMIT
Filing Fee J 000
V OR
Main service 100 AMP ORSLESS
X 5.00
Main service ADD'L 100 AMP
�—
X 2.50NEW
CONST. //EA.
DWELING
OR ADDNS. l ACCLBLDGS. OCCUP,&�
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 Prof essi o e and my license is in full force and effect.
3` 6��
License No. 4 Classification A
❑ 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 CONSTR LTI.OUT LET
NON-RESID. BRANCH CIRC ITS 2.50 ea
NEW CONSTR POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR,
EX. QCCUp(OUTLETS OR FIXTURES 50@�
BAL@10t
EX. OCCU FIXED APPLNS. OR
p•�OUT LETS (RESID,) EA. 2.00
Temporary service 1 10.00
Mobile Home Facilities X 15.00
Misc. Wiring 6.25
Permit Fee $ 32
Contractor Cooper Elect.
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
® I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said
d Cou ty in cg, quence of the granting of this permit.
\�� 7• Date 1-12-81
X ".___� (_, -, _l ,
Signature of Applicant — Owner ❑ Contractor [I 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_ $
Land Development Fee $
�O
TOTAL PERMIT FEE $
occOP. GROUP
I TYPE OF CONST.
PARCEL
PD HD
ssu�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OR OF PL413LIC
By. t
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. L/V 3 3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
t; „ Jed ,'�. � 4.' �•_ � .. .. .. ..M ........ ....., ... .....,. ......�. .. ..... .... _......., .... .. .. ,�...., ,. .w.+...�.ew�5t;1f,74
b�lill. •am .._Cr :e .,., M., w..•..._ �_.. „_._...-.,, . _ ... �.._. . _. Powers _Constrt ,cti.on.,.,.ry .... � �...�_.�� ... .... �.
P.O. Box 776 Magalia`,, Ca.. 95954
5211 Dum ai n e
La Palma, Ca 9062.3 714-521-754.6 916-873-1730 - 873-2249
AP#_,64,41-35 M. , . , Lic. # _386864A_.— 367058B-,_,-. , .
t PP 5 Lot 122 i
A setback of 5 ft. from the r
property+lines'an a"setba t� r
of 50ft. from{ the road'
centerlinibshalLbe. c ear ofr
^A
strvuctures, or equipm`"6rt
fora 2 ft) ease overhan
t
Utility connections shall be
. within
: 4 ft
! y !1 of the mobilehome, either i.
directly behind
half or. within the rear
of the roadside
�` (left) of the
U, _ ; .,! :h a f mobilehome.
f �> to �t
i i j 1 f �>C 0 !1 r, ,..p ,, r _` s yr �
l o 'S;4c
500,'iQ� FT. MINIMU4 .,��� 1� T °' ' ',,'1 ,,.
�6 � MOBILES o �, _ =` , ,!
`��..� � •'� yi �,.. .. ? r •r �( I :.v ' -. h� � yS: ! 1.
^.1. 1 i+
Thit set f plans
o ns and specifica�'io _� ._ ,•, �� ,
kept on the job of ail"timer antf it•:Es unlawful #0 1�
" •y;,sr ieae 6
ma�•P anY changes or alterations on same without '" 1 ° -_ -• _ i) ? OWI~s?,
written permission from the Department of Publicy' '
Works, County 4 Butte.
' / � / ��'� ~fir / I // r f .% � �'Z-�.�y ,.r' / ,�(�'�2'.� •'Y__.4:•1 ...��., l ,
w i .yam A . G r e e n
Maxine Green
NOTE,—All MotericilsA Materials.Workmanship Shall Be in
7--' d
Accordance with Recognize , ,
of a quality prescribed for the Specifii§dl use in the BUTTE. COUNTY
Uniform Building, Plumbing &.Machan'"I'Codes and BUDDING DEPARTMENT
the. - National 16ct}'ical Code.
APPROVED -
l.
January 7, 1981
William Green
Powers Construction
P.O. Box 776
Magalia, Ca. 95954
Re: Abandonment File 81-48
Dear Mr. Green:
At the regular meeting of the Butte County Board. of Supervisors
held January 6, 1981 Resolution No. 81-4 was adopted which
abandons a public utilities easement, Paradise Pines Unit 5, Lot
122.
Should you have any questions concerning this matter, please
contact our office.
Sincerely,
CLARK A. NELSON
County Clerk -Recorder and Ex -officio
Clerk of the Butte County Board of
Supervisors�
By_-
Assi t nt C— lerk to theBoard
/lr
cc: Public Works Dept.
Ilealth Department
Loa
ffa fte coun
—_
LAND OI' NATURAL WEALTH AND BElAUTY
CLARK A. NELSON
COUNTY CLERK — RECORDER
ADMINISTRATION BUILDING, DRAWER 269 — OROVILLE, CALIFORNIA 95965
Telephone: 534.4551
Assistant County Clerk, Nicea Lindquist 534-4551
Assistant Clerk, Board of Supervisors, Cathy Pitts 534-4371
Assistant Registrar of Voters, Eleanor Becker 534.4761
Assistant Recorder, Gwen Ferland 534-4691
January 7, 1981
William Green
Powers Construction
P.O. Box 776
Magalia, Ca. 95954
Re: Abandonment File 81-48
Dear Mr. Green:
At the regular meeting of the Butte County Board. of Supervisors
held January 6, 1981 Resolution No. 81-4 was adopted which
abandons a public utilities easement, Paradise Pines Unit 5, Lot
122.
Should you have any questions concerning this matter, please
contact our office.
Sincerely,
CLARK A. NELSON
County Clerk -Recorder and Ex -officio
Clerk of the Butte County Board of
Supervisors�
By_-
Assi t nt C— lerk to theBoard
/lr
cc: Public Works Dept.
Ilealth Department
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER IT
7 County Center Drive - Oroville, dalifornia 95965 - Telephone 916/534-45 1
APPLICATIQN, AND PERMIT
ASS ESSO PE=fy},1M •
J(
ZONING-�
'BUILDING PER '
OWNER(
�,
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-
OWNER'S MAILING ADDRESS
CO ACTOR'S NAME TELEPHONE N\ 1 977CnIZ
l
CO. TRACTOR'S MAILING AibDRESS
S� ill-
Fireplace
CONSTRUCTION LEND R,
UNKNOWN.,
Total Valuation $
'
Filing Fee. ' '
$ 10,00
LENDER'S MAILING ADDRESS - - ,
Permit Fee,
$
ARCHITECT OR ENGINEER ]LICENSE
-12.
NO.i
Plan Checking Fee
$ Da
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
Permit fee
$
BUILDINJ ADDRESS
-
PLUMBINGPERMITFiling
Fee 10.00
Each Trap
2.00
Repair drainage or,vent piping
5.00
Water piping
LOT NO.SUBDIVISION NAME+
P 'CEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
j
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome52__1*,0ther
' SPECIFY
Building sewer,
Lawn -sprinkler system
5.00
...•
TYPE OF WORK �
New ❑ Addition ❑ Remodel ElUtilities ❑ Installation P�/ Other ❑
Describe work: r q�—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR ORSLESS
•service
5.00
,/
1L Y/T
Main "EA. ADD'L 100 AMP
2;50 I
NEW CONST. ( DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
2� sq ft 1?
- -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
am licensed under provisions of Chapt.,9, Div. 3 of the BUSIneS$
and%Professions Code and my license is in full orce and effect.
License No:2 ��� Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044) , - +
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑. I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR. -OUTLET
NON.RESID BRANCH CIRC S 2.50 ea -
CONSTR. (POWER APPARATUS D1
NEWNON.RESID. SINGLE OUTLET CIR. /
Ex. Occup OUTLETS OR FIXTURES BAL@1
00
(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 $ j.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION.INSU RANCE
I declare under penalty of perjury (check one):
❑ The permit is,.for, $100.00 (valuation) or less.
prI have placed on file with the County of Butte Building Department'
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
+
permit Fee
S
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
agains id Count i o rice of the granting of this per
pil.
•X Date
Signature of Applicant — Owner ❑ Contractor Kr Agent
A� OSHA permit is required for excavations over 5'0" deep and demolition or construct-
on of structures over 3 stories in height.,
Mobile Home Installation Fee $
. TOTAL PERMIT FEE $
OCCUP. GROUPTYPE
of CONST.
PARCEL
PD NO
ISS
�%
This permit is hereby issued•under
sions of the Butte County Code and/or
work indicated above for which
DIRE OA OF LDV Lit',
c3 1/
By.
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS h
I'
Dat
pp��
Receipt No.IV �ci
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
' MOBIVEHOM& SUPPORT DATA at
i f If other than single wide,�O 4
Mobilehome Mfr. ,y`,>. `^r j //IIIJ x furnish Setup Model No_ _4,111 / van*- Berl
Width`' (ft.) Box ,
Len t.(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).
All center supports measured from front of
mobileh�ome unless otherwise specified.
t
Single
x
�(f�t.)(in.) (in.) (in.)
Center support
locations*
(ft.)(in.
(ft.) in.)
II
(ft.)(in.)
(ft.)L (in.)
Center support
footing sizes
(in.)
(i�.) (in.)
[ , I
(in.) (in.)
x
(in.) (in.)
(in.)l (in.)
*If center piers are other than drawn above,
draw in -locations, spacing, and dimensions.
Footings (check one)
Q 1. Wood either
pressure treated or
foundation grade.
E] 2. Other (specify)
Supports (check one)
�j 1. Concrete block.
El 2: Other (specify)
*---Tagalong or Expando,'
show support details.
/I x?/-) -- Typical Support
in.) (in.) Footing Size,
-- Max. Pier Spacing
�� -- Max. Overhang
(—f!t .)) ((ii-n—.�)
BUTTE COUNTY
BUILDING DEPARTMENT*
APPROVED
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
.1.
Owner's name:
2..
Installer's name:
3.
Is the site currently under permit? Yes /;;7r No
(If yes, furnish permit number
) OR
Is the site an existing site? Yes / !i/' No
(If yes, furnish two (2) plot plans.)
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 /Jpr No
(If no, clarify
)
5.
What is the mobilehome electrical rating? -----------------------
Amps
6.
What is the mobilehome site service rating? ---------------------
HBe
Amps
7.
What is the mobilehome site circuit breaker rating? -------------
X6'0
Amps
8.
Is.there any other electric load to be served by the mobilehome
siteservice? ---------------------------------------------------
Yes
No / Z4—
(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 service? -----------------------------
Natural /T;�-
LPG
.11.
What is the gas pipe length from meter or tank to the mobilehome?
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.)
' f
J� ►.,
COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California.95965 - Telephone 916/534-4541
...APPLICATION AND PERMIT
I
. PERMIT NO.
j .
17
ASSESSOR �IPAR EL NUMBER
- 1-- 3 S
ZONING -
BUILD PERMIT 'r
OW ER uC
I / tY �/
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
C TRACTOR'S NAMETELEPHONE
— h 1`.
13
'P
d
C43 TIRACTOR'S MAILING DDRESS
�P b
Fireplace
CON TRUCTION LENDER 0
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ n
.Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permlt'fee
$
BUILDI-N AD'D'RESS / r
/J
-
.PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or..vent piping,,
5.00
Water piping
LOT NO.
SUBDIVISION NAME - ,
ryT1
PARCEL MAP
Each qas water heater or.vent
5.00
Gas piping system 1 - 5 outlets
r
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome�% Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other)6
Describe work:
-600V
7—�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OR LESS
Main service 100 AMP OR LESS
5.00
-
'
Main service EA_ ADD'L 100 AMP
2;50
DWELLING OCCUP.)
NEW CONST. / y
OR ADONS. l ACC. BLDGS.
20 sq fit
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 QD L( Classification � Code and my license, is in full force and effect.
License No. .� D �k 4 t
❑ 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. -OUTLET 2,50 ea
NO N.RESID BRANCH CIRC TS
NEW CONSTR (POWER APPARATUS 61
NON.RESID. (SINGLE OUTLET CIR. /
SO@tea
Ex. Occup OUTLETS OR FIXTURES BAL�1 OC
Ex. Occup.(FIXED APPLNS R
OUTLETS ((RESID )EA. 2.00
temporary service 10.00 .
Mobile Home Facilities
15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure. -
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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
againstd Cou ty in conseq ce of the granting of this permit.
X ���a�/U _(t1
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 stories in height.
Mobile Home Installation Fee $-
'
TOTAL PERMIT FEE $ Q
OCCUP. GROUP
I TYPE of CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated' above for which
DIREC OF PUBLIC
By o
PERMIT E PIKES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Da O
l 7 (.(. %
Receipt No. Z.47(.(. -7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
' 783-81B,E
PERMIT NO.
PERMIT EXPIRES—
OWNER
XPIRES OWNER William Green
CONTR. Powers Const., Magalia
ASSESSOR PARCEL 64-41-35
LOCATION 14376 Wycliff Way, lot 122,
PP#5, Magalia
i
f
t
} Temp. Power Pole
t Called PG&E
l Temp. Elec. Service
Called RG&E
j
Temp. G/dPG
rvice
Calle&E
JO FINALE. (Date)
s
Signature
V = OK
0 = Not OK
= Not Applicable MO B I LEH,OM ES
* = Not Ready
�=' = MISCELLANEOUS'
Date
MOBILEHOME UTILITIES (Plans) dK except N's
1. Zoning equirements-Setbacks-Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date -Card- BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1, Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
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 to Grade -HD Approval
B. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
O = Not OK
- = Nil Applicable RESIDENTLAL.1,Single and Duplex)
i = Nut Ready
Date UNDERFLOOR Plans OK exce •t#'s
ing requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
3. tg., Garage; Soils -Steel- / /" Ftg. Depth
4. Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6/ &tcftwalls, Garage; Steel-Blockouts-Wrapped-
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -131
RAJ1"G (Continued)
50erty Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
, .i t-'eadroom-Rise-Run-Landing-Fire Protection
i d i ng -Nailing -Veneer
es - rr Screed-Fdn. Vents-Underflr. Access
Glass
5 .�alls; Nailing
rotect ion -Sky I ights-Plast ic
Solts
Card -BI Date
Card -BI Date
Card -BI Date
Card -BI Date4) ` Card -BI Date
Card -BI Date TCard-BI Date Date FINA Plans) OK except #'s
. Ext. Steps -Door & Sidelight Protection -Landings
Date PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air 58. Furnace Ve s -Clearance -Comb. Air -Connector -
15. Water Pipe; Test & Anchors -Nail Protection In Garage; Above Floor-Ducts-Mech. Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection xiting
17. Shower Pan; Test, First Floor -Tub Access -&F4-- -L B lh Fixtures & Tub Access
_ 33. Condensate rain & Overflow; Size & Grade
18.
Test Tub & Shower, 2nd Floor -Tub Access
pec.
Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
Card -BI ____Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date
Comments at Final:
Date FRAM G Plans OK except #'s
3S' ; Proper Material & Anchors
3s; Studs -Nailing, Spacing & Bracing -Plates -Sound
60.
FIFOPIPeFe e; Clearances -Hearth
Fir�_wps; Furred fie' ' gs-Stairs-Chases-Tub
64
c. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
_ _ ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
in ow or Exiting Doors -Sill Hgt. & Dimensions
Kit. [Xt. & pliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
(NOTE: An entry must be made each time you visit job site)
utlets & Receptacles at Kit. Counter
wing -Landing -Closer
Date
ELECTRICAL Pe it OK except #'s
n Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
I arage; or-Mech. Protection
Boxes & No. of Conductors-Stapled
7
Plb., Elec. &Mech. Equip. Listed for Location
2o
23. 3.
Roe Installed Close to Edge of Studs & C.J.
eceptacles in Garage; (G.F.I.)-Romex Protec.
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
12.
in Attic E:) Yes
- "gock
25.
2 Appliance Circuits in Kitchen & Conductor Size
uarai sDen.
Constructked
ion -Post Caps
-
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
7
Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
_
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
Looked under Yes
75.
Following instld.: Drive ❑Yes No; Walks ❑Yes o;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
=Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
7-7-A-.C-.-Qn--ir,,-Disconnect-Clrnces-Brkr.
& Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
ove Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Disconnect, Electrical, Plumbing
8
xterior Elec. Trim; G.F.I. Receptacle -Underground
C d B-1
Date
nthroughout HouseJ_J
Card B -I
Date and -BI Date
ass rotection
83
_
I5rrectio -from Previous Inspections
Date
MECHANICAL (Permit) OK except #'s
es -Meters Tagged; Gas -Electric
31.
A.C. Ducts; In ion &Support
Water ewer Connected -C/0 to Grade -HD Approval
-
32.
Vent Fan; E gust above Insulation
nergy Compliance Certificate -Other Certificates
_ 33. Condensate rain & Overflow; Size & Grade
34. Furnace -Ven • Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & atform if Furnace in Attic
Card -BI Date
Card- Date 1
-
Card -BI ____Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date
Comments at Final:
Date FRAM G Plans OK except #'s
3S' ; Proper Material & Anchors
3s; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
3 . B_e_a_ring Walls over Girders & Floor Nailing
Walls (rat proof
Fir�_wps; Furred fie' ' gs-Stairs-Chases-Tub
4 Bader & Beam7 rz & Bearing
_
4f-Martget's=Rost Caps -Anchors -Connectors
48*."Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
or Type A Flue -Fireplace Throat
_ _ ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
in ow or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
Card -BI Date
Card -BI Date
Card -BI Date
County of Butte
DEPARTMENT OF PUBLIC WOiKS
695 Oleander Ave., Chico — 343-4211, Ext. 7�i
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
CORRECTION NOTICE
6
��3 l
.. C.......................................................................
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
addiwional explanation, please contact this office
immediately. �
.. 1.ecl....... .
.......!.W... ................... /......... ,.,....................ter ............... ..............
Datel!)
Do Not Remove This Tag
(400-4)
COUNTY OF 5UTTE - DEPARTMJENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,. Galifernia'95965 - Telephone 916/534-4541 �j
APPLICATIONAND PERMIT • �/
ASSESSORPARCEL NUMBER
G14 — y. l — 33
ZONING
BUILDING PERT
'
•-�-•
OWNER\n i 1 i m ' G r -
TELEPHONE
SO. FT. OCC. B ILDIN LUATION
'Nr
00
OWNER'S MAILING ADDRESS
CON =,RONE
jlT�)
O W e..f NAME C_ -
O l3 HI -7J ✓
C CTOR'S MAILING ADDRESS \
�• 36)< -7-7U lQ
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1 $ O
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$ .7 -ARCHITECT
OR ENGINEER
1\14� I
LICENSE No.
Plan Checking Fee
$ b ^
Penalty
$
ARCHITECT OR ENGINEER'S .MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
` -3,70 �•(�
PLUMBING PERMIT
Filing Fee 10.00
Q ` \ i C?`
11�
Each Trap
2.00
Repair drainage or vent piping.
5.00
Water piping
LOT NO.
SU{B�DIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other 13T—
PECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New A Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: blAt I el ��I X a.V '�re
Permit Fee
$
Contractor
ELECTRICAL• PERMIT
Filing Fee 10.00
V R
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OC ged)-
OR ADONS. ACC, BLDGS v
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. "J I. Classification $ A
P
❑ I, as the owner; a ployees 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 CO o R BRA cH cIRCTITS2.50 ea
NEWCONSTR. (POWER APPARATUS e)
NON •RESID. ( SINGLE OUTLET CIR. ,!
>se@zsOUTLETS OR FIXTURES BALP1a
Ex. OCcUp
FIXED APPLNS. OR
Ex. OCcup.(UTLETS (RESIDJ EA.) 2.00 A
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 .j
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 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
5� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to.the W. ,C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
'
Cooling
Hood
3.00 11
Ventilation
permit Fee r
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co ty in conse ce of the granting of this permit.
X Date LJ— I�-R
Signature of Applicant — Owner ❑ Contractor [9 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 $ 60.
occuP, GROUP
I TYPE of co ST.
PARCEL PD HD
SSUE
i/
This permit is hereby issued under
sions of utte County Code and/or
work i (cat abov for which'
IRE OR OF PUBLIC
BY
PER EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/✓ +
Receipt No. 1-I 7167 0
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1470-81B
f
PERMIT NO.
PERMIT EXPIRES
William Green
OWNER
Powers Const., agalia
CONTR.
{
64-41-35
ASSESSOR PARCEL
-
N
14376 Wycliff Way, 1ct 122,1
LOCATION
t
PP#5, 'nagalia
t
s
,I
fi
i
4'
iY
1\
!rF
i
Y
jTemp.
Power Pole
Called PG&E
4
�
Temp. Elec. Service
/s
Called PG&E
Temp. Gas Service/
{
y
Called PG' &E
JOB NALED (Date)
tSignature
S
.o
= OK
0 = Not OK
= Not Applicable MOBILEHOMES = MISCELLANEOUS '
- Not Ready - ^
Date
MOBILEHOME UTILITIES (Plans) OK except b's
Date
C , CO RS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
1, Yafffng Requirements -Setbacks -Easements
2.
2. Soils; Special MH Support -Sketch
7z—,-
F Ings; Size -Depth -Spacing -Co ect
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
Decks; Girders and/or Joists e ' g BLv..mj s
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.- onnec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. A, lum. 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 9 . Card -BI ate
Card -BI
Date Card -BI Date
Card -BI ..
Date t,; ,(p 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
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
B. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK ,
O = Not OK
= Not Applicable
>le = Not Ready RESIDENTIAL (Sing1j and Duplex)
Date
UNDERFLOOR Plans OK except N'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.
Fig., 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-Blockouts-Wrapped-Slab
51.
52.
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.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
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 p'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.
70.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
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. Romex Installed Close to Edge of Studs & C.J.
24.
25.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
72.
Insulation -Foam -Looked in Attic E] Yes
73.
74.
Guard Rails & Deck Construction -Post Caps
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 At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
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
MECHANICAL (Permit) OK except q'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
Date
FRAMING Plans OK except q's
Comments at Final:
36,
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.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin_-Root Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
47.
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions _
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
✓PERM'f
'r` .• .COUNTY OF BUTTE - DEPARTMENT�OF PUBLIC WORKS IT`NO.
` - 7 County Center Drive - OrOvill MCalifo,Qia 95965 -Telephone 916/534.45 /C/ /
APPLICATION AND PERMIT T AA
ASSESSOR PARCEL NUMBER_
�Jj S
-3,57
zo"'
�,r
i
BUILDING PERMIT
OWNE
TELE ONE
SO. FT. OCC. BUILDING VALUATION
C)
OWNER' MAILING AD RESS •�/-'tom .•�
i \ 18
C
C TRACT R' NAME
`
ELHONE
3-
,
CONTRA OR' MAILIN ADDRESS
-ab r
Fireplace
ONST RUCTION LENDER -
UNKNOWN
�f
Total Valuation $ h�
Filing Fee
$� 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ el ✓�.
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ,I /0.00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ C010
BUILDIN DDRESS
Y h 6
'
PLUMBING PERMIT
.
Filing Fee 10.00
SS N �� — V
Each Trap
2.00
Repair drainage or vent piping
5.00
--
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❑ Mobilehomeg4�ther
SPECIFY
Building sewer
Lawn'sprinkler system
5.00
TYPE_ OF WORK
New❑r Addition^ Remodel [IU ilities ❑ Installation❑ Other ❑
n
Describe work:_ e4AC
Permit Fee -
$
Contractor
ELECTRICAL PERMIT
Fi'IingFee 10.00
Main service 100 AMP OOV OR LESS
RSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.
OR ADONS. �ACCLBL GS.LING CCUP d\
I 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 Profess 10s Cod and my license is in full force and effect.
License No: Classification A
❑ 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.
❑ 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 -OUTLET
NON-RESID BRANCH CIRC TS 2.50 ea
POWER APPARATUS
NEW CONSTR. ( e/
\
NON-RESID, (SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES BAL21
FIXED APP LHS. OR
EX. Occup.(OUTLETS (RESID,) EA. 2.00
Temporary service - , 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
,
Permit Fee $ c
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.
�f I have placed on file with the County of Butte Building Department
4� a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to.become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code; you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
1 't
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
ag!M�Z=h e granting of this permit.
XeDate-0�7'4? J
Signature of Applicant — Owner ❑ Contractor IX Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $.
TOTAL PERMIT FEE
OCCUP. CROUP
I TYPE of CONST.
�" N
PARCEL v
ND, IssuE
V1
This permit ishereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By —
PE EXPIRES Date_/
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_ Date `�5���'"h'/
-
Receipt No. ra) 3 L5
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
o o ¢ 1 �aa�1NEE
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