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Home My WebLink About065-300-023I 0 l A. P. 1-6:30-�3 iy7��l O TO C��L3,T _ CONTR: -ugh Johnson, Paradise Permit 13 -74B,E (cabana for MH A.P. lob=moo OTTO RE ICHARDT _ a 12 Pineview D S Y, of 46, Mag. CONTR: Hu Johns Paradise Permi 250-74B (Franklin Stove for Cabana) t 65-30-23 r� Permit#2908-8 (ramada/MH) .30-23 i,orifr`; Mari-JoTin `.Const - ction Permit#3190-83B,E(new-gar e) 65-30-23 Contr: McLaughlin Ele ar Permit#3260-83E ade ele ser/MH) I f I , I 0 l A. P. 1-6:30-�3 iy7��l O TO C��L3,T _ CONTR: -ugh Johnson, Paradise Permit 13 -74B,E (cabana for MH A.P. lob=moo OTTO RE ICHARDT _ a 12 Pineview D S Y, of 46, Mag. CONTR: Hu Johns Paradise Permi 250-74B (Franklin Stove for Cabana) t 65-30-23 r� Permit#2908-8 (ramada/MH) .30-23 i,orifr`; Mari-JoTin `.Const - ction Permit#3190-83B,E(new-gar e) 65-30-23 Contr: McLaughlin Ele ar Permit#3260-83E ade ele ser/MH) I .PERMIT NO. 1345-74B,E 1 P i E MH UTIL. ,,,PERMIT NO. PERMIT EXPIRES }OWNER Otto Reichardt I f I CONTR. EDDINX Hugh Johnson, Para. 3a—,V6 :. OCATION (A.P. �i -. ##12 Pineview Dr., Lot 46, SD0#1 U Temp. Power Pole Called PG&E _ Temp. Elec. Serv., Called PG&E . Temp. Gas Serv. _ Called PG&E _ JOB FINALED (Date) (Signature) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. StemwaII Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throa ,- Rou h 4" Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing ��. - < Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS 6 PERMIT NO. 2250-74B P E M MH UTIL. PERMIT NO. PERMIT EXPIRES — • �® OWNER Otto Rdchardt CONTR. Hugh Johnson, Paradise LOCATION (A.P. 57-42-16 ) i .12 Pineview Dr., Lot 46, SDO#I, Magalia i' io i Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB FINALED (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwall Slab Prov. for physically handicapped Heaters Appliances Carport Footings Conformance of ex. structure Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Sub anels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS C/ COUNTY OF BUTTE —3 bEPARTMENT OF PUBLIC 0 7 County Center Drive — Oroville, California 959Q5 � 7 �z Telephone: 534-4541 APPLICATION AND PERMIT (0 D authorize representatives or the county of Butte to enter upon the above -men Toned property for in ection purposes. X Date 7 9r nature of Permi a or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date ilding permit expires Date................Cl`.�...... BUILDING 1 11 Owner SO. FT. OCC. B.UILDIN6 VALUATION Mailing Address • Telephone No. Fireplace 7E= Contractor 12,5V Total Valuation Mailing Address Z Permit Fee Plan Checking Fee &/or Penalty elone No. eph S— Permit Fee $= -- $ Building Address ' PLUMBING No. @ FEE PERMIT FILING FEE $2.00 p Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 .— Z� / A. P. No. 3 (p Zoning & Planning. Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe . Sanit-ire Dept. FireZone Use Permit Building sewer 5.00 EOA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel. (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 25 Light fixtures baIN10 Receps., switches & fix outlets b. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Pr ssions Code under the name style o , Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No,2C,6 of 0,� Classification �_ �_ Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. KA I have placed on file with the County of Butte a certificate of ,'124 Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling, Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ authorize representatives or the county of Butte to enter upon the above -men Toned property for in ection purposes. X Date 7 9r nature of Permi a or Agent Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR 0 PUBLIC WORKS By Date ilding permit expires Date................Cl`.�...... COUNTY OF BUTTE i `DEFr'ARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, Califorrlia X5965 Telephone: 534-4541 �L APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 4 _12 -_Z � e ignature of er ite/or Age�nit Receipt No. ( 4 White-D.P.W. — Yellow -Assessor — Pink- Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date • 7--7 elll�ln— ;�perrnit expires Date ............... .?..'.........-..�J BUILDING Owner O f f SO. FT. OCC. BUILDING VALUATION Mailing Address eirdZ Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty n'— T lephone Permit Fee $ _ $ Building Address _ PLUMBING No. @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. -� Zoning & Planning Z Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F es C. S i� op Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd �� Par�prcvol Plans ppraval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 G Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family ❑ Duplex ❑ Mobil Home Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Lig t fixture bal_ _�(dio R ps.,switches & fix utlets ZO(a25 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. FanorF.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.a�a QD'— Classifications— Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ s( WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. DI have placed on file with the County of Butte a certificate of ��1I Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE .� authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X Date 4 _12 -_Z � e ignature of er ite/or Age�nit Receipt No. ( 4 White-D.P.W. — Yellow -Assessor — Pink- Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS Date • 7--7 elll�ln— ;�perrnit expires Date ............... .?..'.........-..�J I3100 -83B E PERMIT N0. 2 PERMIT EXPIRES (Susie— ) OWNER O.H. REICHARDT, } CONTR. Mari John Const ASSESSOR PARCEL 65-30-23 LOCATION 14744 ildlife Ma glia r .,r f t r y OFFICE COPY,, !7 '� .Address! �• =r F Temp. Power P� CalledPG: GASS, •4t.' .+"444 c� }pa yeMter;By T . Temp. Elec. SE ELEJG,RIC y Date Called PG!I`• Temp. Gas Service �. Called PG&E 1 JOB FINALED (Date) V t I Signature i - i J = OK .. 0 - Not OK Not Applicable -k Not Ready RESIDENTIAL (Single and'Duplex) Date UNDE LOOK (Plans) OK except N's Date FRAMING (Continued) 1 oning 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 Wig., 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 mwalls, Garage; Steel-Blockouts-Wrapped- 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 8. Piers -Fireplace Fig. -Steel D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. r Pipe; Test -Anchors -Regulator -Service Test - __1f.7 . Electric; Underground- nderground12. 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -31 Date Card -BI Date . Card -BI Date Card -BI Date oel Card -BI Date Card -BI Date Card-BIV Date Card -BI Date 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. 15. Water Ht.; Vent -Access -Combustion Air Water Pipe; Test & Anchors -Nail Protection 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 1.9. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth t 64. Elec. Outlets at Wood Panel; Int. & Ext. l 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 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 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. &Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. -- 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic ❑Yes73. T _ 25. 26. 2 Appliance Circuits in Kitchen & Conductor Size Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI Guard Rails &Deck Construction -Post Caps 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, Insulated Neutral Dyes El No 75. Following instld.: Drive E] Yes [:]No; Walks [I Yes []No; Planters ❑Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish _ 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77, 78. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Y-_ 30. Clothes Closet Light -Shower Light _ - --- 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 (Perrr!it) 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 Condensate Drain _& Overilow; 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 Card -BI _ Date_ Card -BI Date -^Date Card -BI Date Card -3I Date Card -BI Date Card -31 Date Card -BI Date Card -31 Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: _____36- Sills; Proper Material & Anchors _ -Walls; _ 37. 38. 39. Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing_-_ Draft Stop in Walls (rat proof) - - .40. .41. 42.�HangersPost 43. 44. Fire Stops; Furred Ceilings -Stairs -Chases -Tub _Header Beam -Size & Bearing _ Caps-Anchors-Con_nectors_ Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng 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 Framing (NOTE: An entry must be made each time you visit jobsite) J = OK 0 = Not OK - = Not Applicable * = Not Ready MOBILEHOMES MISCELLANEOUS I Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing i 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI Date _ POOLS (Plans) OK except N's 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining___ 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig. 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-1 Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - [yEPARTMENT OF PUBLIC WORKS 1� 7 County Center Drive - Or0ille,-California 95965 - Telephone 916/534-4541 APPLICAoTION AND PERMIT PERMIT N0. �AS ASSESSOR PARCEL NUMBER - 1 ZONING NP BUILDING PERMIT OWNER .Susie Reichard TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS - CONTRACTOR'SNAME Mari -John Construction TELEPHONE -1108 CONTRACTOR'S MAILING ADDRESS P.O. Box 57, 759, Ma alfa Ca. 95954 Fireplace CONSTRUCTION LENDER NONE UNKNOWN Total Valuation $ Filin Fee g $ 10.00 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 147L1 Wildlife Mak alio Ca. PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water H er 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water. heat or vent 5.00 Gas piping system !A 5 outlets 5.00 USE OF STRUCTURE oe SF ❑ Duplex ❑ Mobi lehome ❑ Other garage SPECIFY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New] Addition❑ Remodel❑ Utilities❑ Installation❑ Other E] Describe work: 121 x 201 garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2'.50 NEW CONST. DWELLING O OR ADDNS. ACC. BLDGS. 2�I20sq 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. 330556 Classification B ❑ 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 CON5TK. ULTI-OUT ET 2,50 ea NON -RESID BRANCH CIRC ITS. NEW CONSTFL I POWER APPARATUS &\ NON-RESID. %SINGLE OUTLET CIR. / ExOccu zo®soe . p�OUTLETS OR FIXTURES eAL®30 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. n I have placed on file with the County of Butte Building Department 4�2 a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions*of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree. to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. to save, indemnify and kee harmless the County of Butte against I fa, al judgmen osts, a e penses which may in any way accrueagCo�ty i con equen of he granting of this permit. X �� r Date Signature of Applicant - Owner ❑ Contractor ® Agent ❑ An OSHA permit is required For"excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home installation Fee $ - TOTAL PERMIT FEE $ OCCUP. GROUP TYPE oP CONST. PARCEL PD ND 55uE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER E PIKES Date--' the applicable provi- resolutions to do fees have been paid. WORKS Date el Receipt NO. i% Ir/ STS WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT OWNER A"A.- ' s� . _ :y ., r.n.-C�-1+�,...r�"r,^,�.-"'9'�„'.i'^., „*+a �.•r• rr-y,V- •,-�-fig"," ... LY.""..'ri-`'..�-.•.,7 :,.: , .. COUNTY OF BUTTE - DEPARTAAtrNT & PUBLIC. WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILkE, CALyIFOftlA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION. DATA SHEET A In /1 Permit No. Proposed Building Use A. P. No. / gr 529—z 3 0 Permit Fee Based Upon: Complete Contract Price DPW Valuation OtheP (Explain) Building Inspector. Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. 2. Plot plans in duplicate./triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate.. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . , , , 9. Letter of signature authorization . . . . . . . . . "Sanitation approval from— r Health Dept. _ 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner[], Mail to owner [].) 15. Improvements may be required . . . . ... . . . . .. 16. Mobilehome Installation Data. . . . . . . . •Pre-Inspec. request to . 17. Pre -Inspection for Required. Building Inspector (Dote) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspyctor. Other __ 1_\ Applicantl�il� d,�,.r/( �Date /,2 �11__fl_ Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by. Plans approved by Other: Copy—DPW Date Date r T,o : Building Department'`) From: Environmental Health Subject: Sanitation Clearance —� Owner = COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 -Telephone 916/534-4541 APPLICATION AND' PERMIT PERMIT 0.�� ASSESSOR PARCEL NUMBER &�= p _Z ZONING BUILDING PERMIT OWNER 1 TELEPHONE SO, FT. OCC.1 BUILDING VALUATION OWNER'S MAILING ADDRESS CONT A TOR• NAMETELEPHONE U ' L —c X77-4� i� ' CON'TRACTOR'S MAILING ADDRESS z, ., Fireplace C NSTRUC O EN ER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S NrILING ADDRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 t f Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water.heater or vent 5.00 Gas piping system 1'- 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome vi Other SPECIFY Building sewer 5.00 Mobile Home S G W 10-00ed TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Uti liti'�ies ❑ Installation ❑ Other [F Describe work: an 40.4 d_g // Permit Fee $ Contractor ELECTRICAL PERMIT Filin Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10.00 Q Main service EA. ADD'L 100 AMP 2.50 L ? NEW CONST. / DWELLING OCCUP.&` OR ADDNS. C ACC. BLDGS. I / 2/20sgft CONTRACTORS LICENSE LAW I de la under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profession �jCodeSand my license is in full force and effect. License No. +' / /� I Classification `�/0 OUTLETS ❑ 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.TRLETCU lrs. 2.50 ea O ID R. AH BR NC NEW CONSTR. /POWER APPARATUS &'1 NON.RESID. (POWER OUTLET CIR. / 20®s0a Ex. OCCUp(OUTLD TS OR FIXTURES 9AL®30 Ex. OCCUp. P(RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 �— Misc. Wiring 15.00 /S — Permit Fee $ Contractor 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. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot�� Butte to enter upon the above-mentioned property for inspection purposes. I also ree to ve, indemni and eep harmless the County of Butte against all li tie dgment c ts, a expenses which may in any ay7arue agai s id r, y in ns quenc of the granting of this permit. K Date Signature of Applicant — - Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories height. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCUP, GROUP TYPE OF CONST. PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above fo which I PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date /in Receipt No./[O�� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE I 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 a itional explanation, please contact this office immediately. /� %J _ D S 2908-82B PERMIT NO. PERMIT EXPIRES /o��/�� • i OWNER O.H. REICHARDT JR. CONTR. owner ASSESSOR PARCEL 65-30-23 LOCATION 14744 Wildlife Drive, Paradise JOB FINALED (Date) t I Signature r r �f t• w .r r� Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date) t I Signature r J = OK O = Not OK Not Applicable = Not Ready./ RESIDENTIAL (Single and Duplex) Date UND F Plans OK except #'s Date FRAMING (Continued) 1. onto quirements-Setbacks-Easements 8_,pper3yt 48_.F7 e.Firewall&Openings g., Main; Soils -Steel -Flet. Grnd.- / /" Ftg. Depth 49. Doo One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50 ;_Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 51 lywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Ste s, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents=Underflr. Access iers-Fireplace Fig. -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 pe; Size -Anchors 10. Wafer Pipe; Test -Anchors -Regulator -Service Test (420 Electric; Underground 12. 13. Plenums & Ducts; Clearance -Material -Support -Ins. Girders -Sills -Anchor Card -BI Date Card -BI Date 4122, r +t Card -BI Date Card -BI Date -KiBolts-Joists-Vents-Cripples 44Z cli \1 Card -BI D e Card -BI Date Card -BI to % -J%- d-81 Date Da '46(Plans) OK except q's Card -BI r# Date Card -BI Date Date PLUMBING (Permit) OK except N's C4 4 5 . 7.,�Smolw-Bct�ctor t. Steps -Door &Sidelight Protection -Landings 14. Water Ht.; Vent -Access -Combustion Air 58. Furnace; - ante -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Tesy& Anchors -Nail Protection 16. D.W.V.; Test-Fttn & Anchors -Nail Protection 59. ung 17. Shower Pan; Test, kirst Floor -Tub Access 60. Dies & Tub Access 18. Test Tub & Shower, Xnd Floor -Tub Access u panel; Breaker Sizes -Labels fairs &Rails 63. or ove; Clearances -Hearth 64. s a ood Panel; Int. & Ext. 19. Gas Pipe; Size & Anc ors Card -BI Date C rd -BI Date 65• txt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. EI "Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage ire Door; Swing -Landing -Closer 68. A.C. tuct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Ht ., Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; ove Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & ech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. ReceptacI4 in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Gro nd made up w/Mech. Fasteners -Bond Gas & Water 72. m Insulation -Foam Looked in Attic ❑Yes 73. Guard Rails & Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size _ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Cra I Hole Door -Drainage & Wood -Earth Clearance Looked under FIoo ❑ Yes 27. Range Circ./ ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neu al ❑Yes ❑No 75. Following instld.: Drive ❑ Yes ❑ No; Walks [IYes ❑ No; Planters ❑Yes ❑No 28. Service -Riser Nonductors & Ground -Main Disconnect 76. Stucco; Brown -F' ish 29. Equip. Clearanc s; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disco nett-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet L ht -Shower Light 78. Vents Above Ro f; Plbg.-Appliance-Firepl.-Clearance to Opn s. 79. Water Well; Dis onnect, Electrical, Plumbing 80. Exterior Elec. rim; G.F.I. Receptacle -Underground Card B -I Date Card - Date 81. Ventilation th oughout House Card B I Date Date Card BBI Date MECHANICAL (Permit) OK except N's 82. Glass Protec on 83. _ Corrections tom Previous Inspections 84. Gas Test -Me ers Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support 85. Water & Sewer, Connected -C/0 to Grade -HD Approval 32. Vent Fan; E aust above Insulation 86. Energy Compliance Certificate -Other Certificates _ 33. Condensate D ain & Overflow; Size & Grade 34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet 35. Attic Access & latform if Furnace in Attic Card-BIDate 4z A rd- Date Card -BI _ Date Card -BI Date Card -B Date - d -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. Draf top in Walls (rat proof) _40 re S Jops; Furred Ceilings -Stairs -Chases -Tub 4 .: de Beam -_Size & Bearing -_ 42. gers-Post Caps -Anchors -Connectors 4 Cln o-st-Rftr. Ties-Purlin-Roof Brat.-Truss-Shthnp.-Rfnq. ifeplace Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Battles _ . Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions arage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) V = OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MCSCEiLA6JiEOUS ' Date MOBILEHOME UTILITIES (Plans) OK except N's , 1. Zoning Requirements—Setbacks—Easements Date DECKS, C VE CARPORTS, ETC. (Plans) OK except k's Ili onin Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2, ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Sta' s—Rails 4. Water; Location—Test—Easement Needed (Sketch) ,,, CR� ood Awn.; P s—Be ftfS�Con —Sht .—R .—Bra 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; LocatiorrTest—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Carports; Windows—Doors„ 7. Utility Clearance 7. Elec. 41 Card -BI Date Card -BI Date Card-BI —6ate`(�� ` SBI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Card -BI Date 5Ap Date(; 'Z _� Card -BI Date OLS (Plans) OK except k'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/O to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged -• 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Health Department Approval 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test—Water Supply Test Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS �. 7 County Center Drive - Oro Ville, California 95965 - Telephone 916/534-4541 R APPLICATION AND PERMIT rev / "af, ASSE SO PARCEL NUM R E —3 ,-a 6 ZONING BUILDING PERMIT OWN t4lr TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING A ESS 11 CONT�OR' NAME LEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ Own ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ` Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ r 07) BUILDING ADDRESS Ile- PLUMBING PERMIT FiIingFee 10.00 4V"' 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 SJRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ emodel ❑ tilities ❑ Installation❑ Other Describe work: �YY1 k 4a Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA- ADD'L 100 AMP 2;5.50 NEW CONST. DWELLING OCCUP.&) OR ADONS. ACC. BLDGS. 2¢sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No: - Classification I_ as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST" -ou LET 2,50 ea NON-RESID BRANCH CIRCUITS) NEW CONSTR. /POWER APPARATUS &1 NON-RESID. `SINGLE OUTLET CIR. sD @ 25¢ EX. OCCUp OUTLETS OR FIXTURES BAL@T Ex. OCCU LITAPPLNS. OR P•�OUT L LETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor 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. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, cost and expenses which may in any way accrue against id Cou c segue ce of the granting of this per it. X ib� Date Sign ure of Applicant — Owner ❑ Contr ctor ❑ Agent An OSHA permit is r r d for exc s r 5'0" dee and demolition or construct- ion of structures over 3 ri Mobile Home Installation Fee $ TOTAL PERMIT FEE $ occuP. GROUP I TYPE OF CONS PARCEL PD XD IS.UE This permit is he issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By P ITEXPIRES Date_ the applicable provi= resolutions to do fees have been paid. WORKS Date/,—t Ll Receipt No. o WRITE-D.P.W., YEL LO S INK -1 SPECTOR• GOLD NRO D -APPLICANT October 4, 1982 I authorize James D. Reichardt to sign the building permit for the ramada to be built at 14744 Wildlife Drive, Magalia, California. Susie Reichardt 3770 Middle Two Rock Rd. Petaluma, CA 94952 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION v_7 CQQPTY CENTER DRIVE - OROVIt_LE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET J� Permit No. OWNER 1 I A. P. No.�f^_5�� Proposed Building Use " Permit Fee Based Upon: Complete Contract Price 1-�DPW Valuation Ot `er ( x¢lain) Building Inspector _ Date - 3 Q rS�%2 At time of permit application, I was advised thelfollowing data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate. /triplicate. . . . . . . . . 4. Complete engineered plans and calcs. 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. Statement of Intent forI ated and AC Buildings. Fees of$ (0 . . . . . . . . ro Letter of signature authoriz `,on. . . . . . . . . . . 0 Sanitation approval from J Health Dept. . . O �z 8ai 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 1 �Contractor's License Information (no., name style, classif.) -� Owner -Builder Verification (Given to owner, Mail to owner �'es� Sg94� �t �I _ n l t7tl��ci 15. Improvements may be required. . . . . . . . . . . ,-,:§I 16. Mobilehome Installation Data. . . . ... . . •Pre-Inspec. request to 17. Pre -Inspection for Required. Building Inspector (Date) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant4Z�_ r L12CDate 3, Copy of plans sent Health Dept., Fire Dept., Other Date y During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above a t' ZlVon, circle item.) 1. Index permit for above Items No. 2. Additional items required: 1%A (Contractor, Designer, Owner) was advised of above required data by eIephone Mail Other A J By C Date IFA -gZ-' Plans checked by Plans approved b, Other Copy—DPW Date Date To: Building Department From: Environmental Health Subject: -Sanitation Clearance' Owner / 547 Location/yjG�, 4,,i GS --30-Z AP# Plans approved for: Sewage Disposal _ Water Supple Hold final for: Water Supply' a.y Final Clearance O.K. for: Water Supply - Clearance for bedroom mobile home. Other Clearance for addition of oetnt-A 1,1 �� fZ-� -f1 0 /( X Not$-** f zx f C 4YL Sanitarian Date