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065-310-010
.65-31-10 EMIL & SUE WOZNIAK /�O/,Northwood Dr,PP#J,Iot 10, Magalia Permit #4201-79P,E(ut-1. MH) ELEC -01 GAS- SUP P ORT S TRUCTURE_ RE W OMPACTION TEST -REQ 6S-31-10 Permit # 4 00-79B(2 1 t d ks w aw gings 65-31-10 contra J. B. Ge .,.peral Contr., Paradise Permit #4971-79B,E(new pri.det.garage) 65-31-10 Contr: Mobile Hoin*ie Escirow.Inc, San Jose Permit #5362679P_MI Issued —77 /a A5-31-10 Emil Wozniakfe*14*1 14821 Northwood, r.., contr:.Bob Carr, 'Paradise Permit -Y�490=8'2B(r'epladb'stoim," damaged awnings/MH) o Cfll LL7 M r � i Y 4'PERMIT NO. 4201-79P,E PERMIT EXPIRES OWNER EMIL & SUE WOZNIAK CONTR. owner LOCATION (A.P. 65-31-10 1205 Northwood Dr,PP##;lot 10, Magalia .J d a ytr � 4^ 'i f2 { Temp. Power Pole Called PG&E Temp. Elec. Serv. X Called PG&E ' Temp. Gas Serv. Called PG&E JOB C( • �' FINALED (Date)� 9 . (Signatur A 9. Electrical ` A. Is service large enough to provide adepdte "amperage -to mobilehome (must equal rating of mobilehome with a minimum of'100 amp) and other facilities -on lot, i.e., water pumps, garage, cabana, etc.? Yes No , B. Is there proper clearances around panels? Yes No C. Is power supply cord or feeder assembly properly fused? Yes No _ D. Is continuity test satisfactory as per the following procedure? Yes No 1. De -energize electrical wiring system of the mobilehome at the pedestal. 2. Make sure that the power supply cord or feeder assembly conductors, including neutral conductor, have been disconnected. 3. Switch all breakers and switches in the mobilehome to the "on" position. 4. Connect one lead of a test instrument to the mobilehome grounding conductor and appl.i the other lead to each mobilehome supply conductor, including neutral. 5. All non-current, carrying metal parts of .the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such equipment and the grounding conductor. 6.t Upon completion of the above.procedure, the power supply cord or feeder assembly conductors shall be connected to the site service equipment. A further continuity test shall then be made between the grounding electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. 10. Is job card signed by Health Department for water and sanitation? 11. If everything okay, sign off card and.tag services. MOBILEHOME DATA Manufacturer and/or Namestyle LaIo61___yL_- Length Width Vehicle Serial No. State' Identification No. Additional Information or Comments: i- • - MOBILEHOME INSTALLATION ^INSPECTION CHECK LIST I' 1. Is the mobilehome located witl,�equired separation from lot lines.and buildings and generally conform to plot plan? Yes ✓✓No — I, 2. Does the mobilehome have required cleLrances above ground? (.Sec.5085) Yes_ZNo 03. Are footings and supports properly si2.ed, spaced, and braced as pe approved plans? (Note possible variation at spring shackles!) (Sec. 5082 & 5083) Yes— No I' .4. Is the mobilehome level? (Sec. 5088) Yesk'/No- 5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088) Yeso_ . 6. Water A. Is f7le ible connector of adequateisize and properly installed (1/2" ID min.)? (Sec. 5566) Yes No B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yest--�No I' C. Backflow - If coach is not State of California approved, does station have backflow device and pressure -relief valve? Yes— 'No - 7. Wastes and Drains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? Yes `�No B. Does it have minimum 4" per foot slope and is it properly supported? Yes ""No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine (standpipe? Yes ✓ No If coach is not State of Californiln approved, does station have required trap and vent? NYes— No M 8, s Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. long? Note: All piping is to be -at least as large as the mobilehome gas line inlet without reductions other than the mobilehome connector. Yes No B. Test OK as per following procedure? Yes_ No 1. Open all appliance connector valves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10" 14" water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) calibratedNin tenth pound increments. Test for 10 min. without drop. M 4. Connect gas meter to mobilehome with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No h M I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS btucco BUILDING INSPECTION RECORD Final BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall 4e Soil Aqns Parapets -Piping 1st Floor Ma Bldg. Restroom Finish 2nd Floor FoNeas Windows 3rd Floor Stemwa Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Stemwa I I Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. fo ph sically hands ed , Conformance of ex. s Acture Appliances Gas Piping & Test Temp. Gas Slab Inal Sanitation Patio FIREPLACE Final Footin s Footin ELECTRICAL' Masonry Walls Throat Rou h Relnf. Steel Final Fixtures Bond Beam FIAIESPRINKLERS Motors btucco Final Subpanels Mesh MECHA AL Grd. Fault Pro Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interl Lath Ventilation Permanent Do Closer Final Final MOBILEHOME OTILITIES Elec. Servs a Elec. Pedestal Water Piping IQ- —4 Sewer n Gas Piping ILE ME INS A ATION .............. Support __ Elec. Continuity Water Piping Q ')4(-,A_ Drainage Gas Piping DAT REMARKS OR CORRECTIONS io 9 9 vvt If -' t T,4�— (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE OROVILLE, CALIF. - 534-4541 CERTIFICATE OF OCCUPANCY This mobilehome has been installed in accordance with the requirements of the California Administrative Code, Title 25, Chapter 5, under permit number. for the following location: 1_l.i tk.a,ntA Owner Owner's Address Mobilehome Mfg. Model Year ' Insignia No. 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 — DEPARTMENT OF PUBLIC WO S r ! 7 County Center Drive T- Oroville, California 95965 Telephone 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 4n Sig ature of Permi &A r 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 OLVBLIC WORKS By Date 6� ig permit expires Date t� ,f � u� _) BUILDING Owner 'J v 3 Lk3 C Z / L SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor Mailing Address ' Fireplace Total Valuation Telephone No. Permit Fee Building Address �6 01'7' v, Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 X Repair drainage or vent piping 1.50 _ .�/ A. P. No. 5 /Z6ning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Ids Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Pians Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. PI s Recd E. Parcel roval Plans provol Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ Q ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 00V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADO'L 100 AMP 2.50 OVER appy Main service 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW OR AODNST (ACCLBLDGSLING CCUP. SJ 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business 8, Professions Code under the name style of: 0 66.14-P 1-4d >te s rozv � NEW CONSTR. BRANCH CI T NON -REBID � BRANCH CIRCUITS/ 12.50ea NEW CONSTR. POWER APPARATUS B NON-RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXTI RES B L@; FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 ,4;7 Mobile Home Facilities 15.00 License No. Classification `" % Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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. !E3 I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling 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 relatina to building construction. and hereby La ee $ Q[ TOTAL PERMIT FEE$ 6 rkx authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X 4n Sig ature of Permi &A r 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 OLVBLIC WORKS By Date 6� ig permit expires Date t� ,f � u� _) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive OroviIle, California 95965 Tel eplione: 534-4541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated jj�� ,' jj`` above for which fees have been paid. X � K✓t ni Date 7,1 7y DIRECTOR OF PUBLIC WORKS Signature of Permi a or Agent '^By Date Receipt No. �-�—7 / White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant ilding permit expires Date /—�b kc, BUILDING LIZ SQ. FT. OCC. BUILDING VALUATION Cing Address f/ Telephone No. r'doo2lr=AM� 62 Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building AddressPlan Z-ftar 21 99,11 Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 3.p� Each Trap 1.50 Repair drainage or vent piping 1.50 ,j� A. P. No. �S'`�3/- �D / /zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fpds I W -e: a a ' n Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 60 g. Plans Recd Parcel A royal Plans pproval Lawn sprinkler system 2.00 P y NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ Permit Fee $ 3.OQ .$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 o0 Main service 101V OR LESS 100 AMP OR LESS 5.00 •60 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD•L 100 AMP 2.50 aASV Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELLING O OR AODNST ( ACC. LDGS.CCUP. Y1 2¢sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW CONSTR BRANCH CIR T NON.RESID ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occup (OUTLETS OR FIXT11RES B L@1 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESIDJ EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 s; Q v License No. Classification Misc. Wiring 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $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 Land Development Fee $ . TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection purposes. the Butte County Code and/or resolutions to do work indicated jj�� ,' jj`` above for which fees have been paid. X � K✓t ni Date 7,1 7y DIRECTOR OF PUBLIC WORKS Signature of Permi a or Agent '^By Date Receipt No. �-�—7 / White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant ilding permit expires Date /—�b kc, 1 4971-79B,E q ♦ •PER1AIT NO. � PERMIT EXPIRES OWNER Emil Wozk- ak ACONTR. J. B. General Contr., Paradise 65-31-10 LOCATION (A.P. ) d 1205 Northwood Dr., lot 10, PP#I , Magaba r. • Y x, 'j- F Y. • '.d Y- 4 Temp. Power Pole i Called PG&E Temp. Elea Serv. E Ca teed PG&E /FFINALED . Gas Serv. alled PG&E (Date) (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUI ING BUILDING (Cont'd) PLUMBING Setback %c'12,:1 1` Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Sidinq To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings StemwaI l Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for physically handicaped Conformance of ex. structure L - Appliances Gas Piping & Test Temp. as Slab Final Sanitation Patio FIREPLACE Final Footings Footin 0'IELECITRICAL Masonry Walls Throat1;� Rou h �O �! b Relnf. Steel Final ! Fivfnrpa rramin v v 1%4 Test Water Htr. Stucco Final r Subpanels Mesh MECHANICAL =� Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation % Permanent Door Closer Final % Final /'(� 3 6` .7 G MOBILEHOME UTILITIIES - - - - - - - - - - - - - - •-;Elec. Service �` Elec. Pedestal) Water Piping ! i Sewer C Gas Piping U01ILEWOME INSTALLATION------- �_-, --- - - Support ( Elec. Cgfitinuity Water Piping Drainage Gas 26ing i DATE MEMARKS.OR CORRECTIONS QD 1 (NOTE: An entry must be made on this form each time you visit the job site.) ti IQ COUNTY OF BUTTE — DgPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT �( autnorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X tiY3 2 ©LLw Date f' 13— 7 9 Ignatureoerrnitee or Agent Receipt No. C(jf� ALJ 2-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Dated!, Building permit expires Date all—1 BUILDING Owner �� ' SQ. FT. OCC. BUILDING VAL ATION �a Mailing Addresso� p,, b Telephone No. Contractor Mailing Address 3L L� Fireplace Total ValuationLT,Q Ov 16 ele hone No. 11— Qp Permit Fee Building Address `� Q 1 Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. I(v (— oZoning $ Aanning Water piping IL1.50 Each gas water heater or vent 1.50 Ftp W.C. S io •ire Dept. FireZone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Parcel plans Declaration Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Rec'd Parcel A r� Plans�al Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER-0permit Fee $ $ r i 7 ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service soov OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER 6 00V25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELLING OP - 9 OR ADDNS. C ACC. BLDGS.C U(o) 20sgft 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: Q / J. 1J� V�YVL�"►.L_ LhT- NEW RESID,CONSTBRANCH BRANCH CIRCUITS 12.50ea NEW CONSTR. POWER APPARATUS 8 NON.RESID. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5 L� FIXED APPLNS. OR EX. Occup.(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 .00 Mobile Home FacilitiesEP6 XLicense No. �® �- q �� Classification Misc. Wiring .25 ® I am exempt from the Contractors License Laws of the State of California. Permit Fee $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 1Cf 1 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 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 Land Development Fee $ TOTAL PERMIT FEE $ autnorize representatives of the county of t3utte to enter upon the above-mentioned property for inspection purposes. X tiY3 2 ©LLw Date f' 13— 7 9 Ignatureoerrnitee or Agent Receipt No. C(jf� ALJ 2-0 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By Dated!, Building permit expires Date all—1 COUNTY OF BUTTE Department of Public.Works 7 County Center Drive Oroville ----- 534-4541 ELECTRICAL INFORMATION FOR DE -RATING MOBILEHOMES Location Mobilehome Installation Permit No.' S �'- 1. FILL IN INFORMATION FOR ITEMS i THRU 10- . Width x Box Length S Watts x.3 = 2. 2 Kitchen. Appliance Circuits ... .. ..:. = 3,000 3. 1 Laundry Circuit .......... ................. = 1,500 4. Ovens .,. ., .... ..... _ 5.. Cook Stove Top ................... ...... .. 6. Hot Water Heater',,.. ........... 7. Dishwasher & Disposal .................... .... _ y 8. Clothes Dryer .......... 9. Other (specify, i.e., motors, exhaust fans, etc.) Sub=total - Watts "/ _airst 10,000 watts @ 100% = 10,000 Remaining c� watts @ 40% ........ _ZZ 7 10.. Air Conditioner watts @100%.. _ ) Largest Demand Central 'Heat. System -watts @ 65%.. = ) TOTAL DEMAND WATTS REQUIRED ............. �� 7 "Demand Watts Required" + 230 ............ ............ _ 3 AMPS De -rate Mobilehome to ... .. .. ......... AMPS BUTTE Couto` . BUILDING DEPARTMEW.- APPROVED t PERMT NO. 490-82B• i PERMIT EXPIRES_t3 OWNER Emil Wozniak CONTR. Bob Carr, Paradise ASSESSOR PARCEL 65-31-10 LOCATION 14821 Northwood Dr., Maga. a Temp. Power Pole Called PG&E f , Temp. Elec. Service r'` Called PG&E Temp. Gas Service Cal led PG&E .a t JOB FINALED (Date) �� �`� Signature_ CL/l� LN V=OK 0 = Not OK — = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s Date DECK RS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch q 1 _T�7 Jg � Z ing Requirements—Setbacks—Easements Foo 'ngs; Size—Depth—Spacing—Corinectors 3. Sewer; Location—Test—Fall-C/0—Concrete ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) ood 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 Card -BI Date Card -BI _ I Date YJ ZD Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Recuirements—Setbacks—Easements Date POOLS (Plans) OK except #'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 7. Water and Sewer Connected—C/O to Grade—HD Approval 8. Gas and Electricity Tagged 6. Elec.; Enclosures; Conduit'Entries—Terminals—Listed 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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date t. = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK exce t#'s Date FRAMING (Continued) 1. Zoning req uirements-Setb9cks-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 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/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. 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air 57. 58. Smoke Detector 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. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -61 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 N'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. 23. Size Boxes & No. of Conductors -Stapled 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 &Y 72. Insulation -Foam -Looked in Attic E) Yes 73. Guard Rails &Deck 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 & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes El No 75. 76. 77. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ❑No Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. 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 Date Card -BI Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -61 Date Card -BI Date Card -61 Card -BI _ Date -_ Card -61 Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except N's Comments at Final: 36. _Sills; Proper Material & Anchors _ 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof -Bra-c. --fruss-ShIhng-Rfrig. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Bi"fles 46. Bdrm. Windows or E'xiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing ;NOTE: An entry rust be made each time you visit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORSPERMIT N0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/ 4-4541 „ APPLICATION -AND PERMIT _ ASSESSOR PARf EL NUMBER /— b ZONING BUILDING PERMIT Om N I T EPHONE SQ. FT. OCC. BUILDING VALUATION --toclp An 4A0 OW E 'S MAILING A R U/,Y�" — C T ACTOR'S M LEPHONE ss� CO RACTOR•S M LING ADDS 4Z Ya S Fireplace CONSTRUCTION LENDER - e. UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ $ ARCHITECT ORPenalty ENGINEER'S MAILING ADD ESS Permit fee $ BUILDINgE S (�- - PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME RCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets TRUCTURE USEPother SF ❑ Duplex❑ Mobilehome SPECIFY Building sewer Lawn sprinkler system 5.00 . TYPE OF WORK New ❑ Addition Remodel❑ tilities ❑ nstallation❑ Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORSLESS 5.00 ' Main service EA. ADD'L 100 AMP 2.50 NEW CONST. '(DWELLING OCCUP,S) OR ADONS. 1 ACC. BLDGS. 20 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 y Codee--prid my license is in full force and effect. License No- S� �� Classification ��3•• ❑ 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 NE WCO NON -RESIT R BRANCH CIRCTITS 2.50 ea NEW CONSTR- / POWER APPARATUS &) NON -RESIT. (SINGLE OUTLET CIR. 50@250 Ex. Occup OUTLETS OR FIXTURES BAL@10C IXED P(RESID )REA.) 2.00 , Ex. Occup. �pUT TL 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) of 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 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue ain aid County in consequence of the granting of this permit. t Date `�' -� Signature of Applicant - Owner ❑ Contractor [Z 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 I TYPE OF CONST. PARCEL PD I HD I ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO F PUBLIC BY � PERWT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date 3 _3 -7 Z- Q ����✓ Receipt No. Lial 3 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ,WERMIT NO. 4200-79B PERMIT EXPIRES "OWNER EMIL & SUE WOMAK. CONTR. Owner ` 1 `LOCATION (A.P. 65-31-10 ) 1205 Northwood Dr,PP#k1,,,fot. 10, Magalia R, t 1 p i Rt 4 R Temp. Power Pole Called PG Temp. Elec Serv. Calle PG&E Temp. as Serv. C led PG&E o 1171S v NALED (Date) (Signature) 11 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70 7 County Center Drive, Oroville — Phone 534-4541 s Sky'Nay and Elliott Road, Paradise — Phone 877-3435 CORRECTION NOTICE 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 additional explanation, please contact this office immediately. Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 f n BUILDING INSPECTIONI'RECORD - BUILDING BUILDING.(Cont'd) PLUMBING Setback Firewall Soil Pi Ing .Forms Parapets 1st Ffoor Main Bldg. Restroom Finish 2nd Floor s Footings Windows 3rd Floor StemwalI Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Gera a Fdn. Vents Fixtures ootin s Garage Vents _ Water Htr. Stbmwa l l Insulation Heaters Slob Prov. for phed sically Appliances Carport haridica Conformance of ex. Gas Piping & Test Footings structurg I I Temp. Gas Slab Final 11 ems- Sanitation Patio FIREPLACE Final Footings Footing ELECTRICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing l Y w Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service ` Brown Cooling Temp. Pole ,, r Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME IN TA LATION - - - - - - - - - - - - - - Support �' Elec. Continuity Water Piping Drainage Gas Piping Aa DATE REMARKS OR CORRECTIONS at ' (NOTE: An entry must be made on this form each time you visit the job site.) I Yf� C r W COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 Coutlty Center Drive— — OrovillerCalif&nia 95965 A _ Telephone: 5r4-4541' 44 T" APPLICATION AND PERMIT AA / authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X ° Date 7 11-77 Signature of Permite r Agent Receipt No. 15org!9x.s" 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 O.FiPUBLIC WORKS By Date Bu Iding permit expires Date 7- 6 -,Po BUILDING Owner SO. FT. OCC. BUILDING VALUATION Mailing Address a Telephone No 66 Contractor Mailing Address Fireplace Total Valuation Telephone N o. Permit Fee Building Address Plan Checking Fee &/or Penalty Permit Fee . PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No. ��® » F oning & Planning Water piping 1.50 Each gas water heater or vent 1.50 1pes iM-e ire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EOA Parking Plans ParcelEach Declaration I Parcel Map 1 60' R/W I Improvemen additional outlet .30 Building sewer 5.00 Bld ens Recd Parcel A royal Plans Approval Lawn sprinkler system 2.00 , NEW 5§ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ % .$ ELECTRICAL No. @ �' FEE PERMIT FILING FEE $ . 0 - 600V OR Main service 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD'L 100 AMP 2.50 �4z 9A Main service OVER 600V 25.00 100 AMP OR LESS Main service/ EA. ADO'L 100 AMP 1.00 NEW CONST WELING OR ADDNS. ( ACCLBLDGSCCUP. 5i� 20sgft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: NEW RESID, BRANCH CIR T NEW CO ID ( BRANCH CIRCUITS/ 2.50ea NEW CONSTR (POWER APPARATUS .&, NON-RESID. SINGLE OUTLET CIR, Ex. OCCUD(OUTLETs OR FIXT11RES B L:; FIXED ALNS Ex. OCCup. ( OUTLETS P(RESID.)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE 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. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 Heating Cooling 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 Land Development Fee $ is TOTAL PERMIT FEE. OZ authorize representatives of the county of Butte to enter upon the above-mentioned property for inspection purposes. X ° Date 7 11-77 Signature of Permite r Agent Receipt No. 15org!9x.s" 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. 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