HomeMy WebLinkAbout065-320-021�wp•�vYAe�---e..:...r,.er.FT�'. i-w,Yl. ...-�.—.M .j^ wr _'�' "4r'a.-+ril
1
-
e
G%�i
Moldcone
SOR
1Dr., H Magalia
c.T. McGregor, Paradise
P/282-75PE(util.
\pryGAS— fv /d'd
1 SLIPP05 T STRUCTURE REQ.A,,,
CC I CNION TEST RBQ .
65-32-21<
CONTR English Joh MH, P r e+�
Permit;, }-75'MHI� s
,��J l
%Issued
65-3 1
CONTR: Ron, striker, Paradise
Permit #895-76B (new private c p t &�`�
patio awning/MH)
65-32-21 ,
Permit #1738 7.6B{aiclosed..deck & opened
Teck/MH) �� .. y
/j�LulQ2ur?c�s. 65-32-21 ----
E,'A. Thornton.
1 8�ldcone Dr., Magalia
contr: Fred Cox, Paradise
Permi #1' 007;82B( ew p & .carport)
� Cfll�� M N
MH Util.
�PERMIT NO. 4282-75P2E
P
E
M
-,'-MH UTIL.
PERMIT NO.
PERMIT EXPIRES
A �OWNER Gene T. Felsor
'CONTR. J.T. McGregor, Paradise
IXOCATION (A.P. 65-32-21
1285.GQldcone Dr., Magilia
Y. -
f.
Temp. Power Pole
C I d PG&E
Te p. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JJOB
FINALED
MOBILEHOME INSTALLATION :INSPECTION CHECK.LIST
�.o. Is the mobilehome located with required separation from lot lines and buildings and generally
conform to plot plan? Yes T` No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes(' No
3. Are footings and suppo'rtsIproperly sized, spaced, and braced as er approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 &'5083) Yes No
4. Is the mobilehome level? (Sec. 5088) Yes14I_No_
5. If more than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6, Water
A. Is f exible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B. Test — Domes, water piping withstand working pressure or 50 lbs, air test? Yes& No
C. Backflow - I`f'-cya s --not g e 'of California approved, does station have backflow device
and pressu -relief valve. —Y—es---- 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? Yos No
C. Are any leaks detected in drainage system after runni3-gallons of water through each
fixture including washing machine standpipe?', Yes N .
D. If coach -State of California approved, does station have required trap and vent?
8. Gas Piping.and Gas Vents ' `~
A. Connector - Is mobilehome connected to t•e 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 •i Le't 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.
L
3. Air test with manometer to '1,0"-14"water column, or test with slope gauge (minimum
6oz.-max*mum�8, oz.) calibratel&,in tenth pound increments_' Test. for 10 min, without
drop.
4. Connect gas meter to mobilehome with connector, turn on gas,' test connections with
soapy water.
C. Are all a"ppliance.vents properly installed? Yes._ No
I
9. Electrical '
A. 'Is service large enough to provide adequate amperage -to mobilehome (must equal rating Af
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 pe estal.
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
. apply 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. 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 theelectrical.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
Length. ` p Width 6Z�'
Vehicle Serial No.46kRro—] e> - d( 69'�
State Identification No.�2 0-.7-2��
Additional. -Information or Comments:
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUI! DING BUILDING (Cont'd) PLUMBING
Setback Iq 17 5VFirewall Soil Piping•,
Forms I C.01Parapets 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 Prov. for physical) Heaters
Slab handicapped Appliances
Carport Conformance of a Gas Piping & Test
Footings structure Temp. Gas
Slab Final / Z .5, Q Sanitation '
Patio FIREPLA C Final
Footings Footing ELECTRICAL
Masonry Walls Throat Rough
Reinf. Steel Final Fixtures
Bond Beam F E SPRINKLERS Motors
Framing Test Water Htr.
Stucco Final "11Subpanels %
Mesh MECH CAL Grd. Fault Prot.
Scratch Heating service Z6z 74
Brown Cooling Temp. Pole
Finish Ducts V Underground
Interior Lath Ventilation A Permanent
Door Closer Final Final
DATE REMARKS OR CORRECTIONS
s � ^
COUNTY OF BUTTE DEPARTMENT OF PUBLIC W K'
7 County Center Drive Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
[
Mailing Address Z I� � ISLL S7 -
ILrV5R. fA OR C 4_iF
Telephone No.
.
Fireplace
Contractor �— 6 R. a 6n tL
Total Valuation
Mailing Address E7 % /Zo ICI= 1=Permit
Fee
Plan Checking Fee &/or Penalty
Telephone No. 6Zm
Permit Fee
Building Address
PLUMBING No.1 @ I FEE
PERMIT FILING FEE $3.00 , OV
2 p jy
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.%a�
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
a
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 61"
EQA
Parking
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Lawn sprinkler system 2.00
_jyPllaans
Fsi '- Recd'
Parcel Approval /-
Plans Approval
Permit Fee $
$ 3 as
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
'
PERMIT FILING FEE $3.00
'Main service incl. 1 meter3,Gv
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00 .
Water Heater or Space Heater 1.00
Light fixtures 60 (d2
a 10
Receps„ switches & fix outlets20
10
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: ems- AA
�Z m JC
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap.coo Ier,gar. disp. orD.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00 �
Temp. Power Pole 5.00
License No27/5, 0 1S_ Classification
Misc. wiring -
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$All' I
MECHANICAL No.1 @ FEEPERMIT
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.
r -1I 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
-Cali
FILING FEE, $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that 1 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
EE
TOTAL PERMIT FEE-
authorize representatives of the County of Butte to enter upon the
above-mentioned property for ins ection purposes.
JA—fl ate Z y 7
Sig ature of P,er/mitee 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 OF• PUBLIC WORKS
By (25 Zeeij Date
ermit expires Date ��Z C
t .
COUNTY OF BUTTE —.'DEPARTMENT OF PUBLIC 'OR
7 County Center Driyp ; . Oroville, California 95965 '%
Telephone: 534-4541 ((J ! /
APPLICATION AND PERMIT
BUILDING
Owner ac --OE. e�(.SO 02'
SQ. FT. OCC. BUILDING VALUATION
,
Mailing Address,
Telephone No.
Fireplace
Contractor %f
Total Valuation
Mailing AddresstD v l�
_54Plan
Permit Fee
Checking Fee &/or Penalty
Telephone No.
�19fS{s- „-gs 7-L
Permit Fee
Building Address h s'
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
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. / �"a� -
�P J .Z• I -
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
Sarttatiorr
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
parcel Ma P
60' R/W
Im rove nts
P
Lawn sprinkler system 2.00
BId
Parcel pproval' I
Plans pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ TILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
\
y%Main
46�
service incl. 1 meter
-�4' ;Z FI 75"-
Additional meters, each 1.00
Sub -panel 02 or less) (more than 12)
—
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures'601(42
10
Receps.,, switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of: /'
e7fyc S/ �yH0J `/c �r SS '
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. 224e 54YG_ % Classification r!°—
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ Is
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 $
$
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
$
autnorize representatives or the county or ttutte to enter upon the
above-mentioned propert for inspection purposes.
'late
Signature of Permitee or Agent
//
Receipt No. [ 1?71FQ & '
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 BLIC WORKS
By Date
ilding permit expires Date
i
if
,.
PERMIT N0. 1738-76B
9 PERMIT -EXPIRES
Gene Pelsor
OWNER
j
CONTR. owner
LOCATION (A.P. 65-32-21 )
•1.
1285 Goldcone Dr. Lou 66 rrvi a alfa
0
l
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E j
tr. Temp. Gas Serv.
' Called PG&E
JOB
FINALED
(Date)
i.
(Signature)
q
r
0
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
r.
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.
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
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
4e,
Fl, P17
cam/
G
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE SEPARTMENT OF PUBLIC WORKS
7 County Center Dri ir— *i 6ville, California 95965 _/
^ Telepl;one:534-4541 73P 7 ( 2
APPLICATION AND PERMIT / yyy
1t 1A 44 -.04-4A" Date _ 7� t7
Signature of/Perrmiteee or Agent
���1 �!� �/ BY - l Date
Receipt No. � cIr_7/Q,W
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date
BUILDIN
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address /Z��
S� Z °mac'
D oJu
T I ephony0.
Fireplace
Contractor
Total Valuation 2� i
Mailing Address
Permit Fee
Plan Checking Fee&/or Penalty
Telephone No.
Permit Fee $ �Z
Building Address
PLUMBING No.1 @ I FEE
PERMIT FILING FEE J$3.00
o /
r Co�
Each Trap 1.50
v).,s
Repair drainage or vent piping 1.50
IV
Water piping 1.50
Each gas water heater or vent 1.50
/^ Z /
A. P. No. !p� J
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F!��A
on
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
pjk) s
f Declar nonce
p
60' R/W
Improve nts
Lawn sprinkler system 2.00
Bldg. ens Recd
Parcel Approval
Plans Approval
Permit Fee
NEW ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
06"
Main service i000 AMOR P LESS
SESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
00 AMP OR LESS 25.00
Main service// EA. ADD'L too AMP 1.00
NEW CONST.DWELING
OR ADDNS. l ACCLBLDGS.CCUP. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) '2.50ea
NEW CONSTR (/POWER APPARATUS &
NON•RESID. 1 SINGLE OUTLET CIR.
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:
Ex. Occup(OUTLETS OR FIXTURES) BAL@ta
Ex. Occu FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2000
Temporary service 10.00
Mobile Home Facilities 15.00
License No.Classification
Misc. Wiring 6.25
6 I am exempt from the Contractors License Laws of the State of California.
Permit 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.
MECHANICAL No.1 @ I FEEPERMIT
FILING FEE J$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
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
.. e �, 0D_. r If J_ 11� i
TOTAL PERMIT FEE
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 PI
ri)Dcr rnD ibi ibi (n tAtnDvc
1t 1A 44 -.04-4A" Date _ 7� t7
Signature of/Perrmiteee or Agent
���1 �!� �/ BY - l Date
Receipt No. � cIr_7/Q,W
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant wilding permit expires Date
r,�-PEANIT NO. 895-76B
PERMIT EXPIRES
;,OWNER Gene Pelsor
CONTR. Ron Stryker, Paradise
LOCATION (A.P. 65-32-21
1285" Goldcone Dr., lot #66, PP#I, Magalia
r
z
h '
Temp. Power P ,e
C/eE
lld P E
erv.
&E
rv.
&E
—/te)
(Sign e)
S
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTI N RECORD
BUILDING
BUILDING (Cont'd)
. .PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor t
Footings
Windows
3rd Floor.
Stemwall
Sidinq
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage.
Fdn. Vents
Fixtures
Footings
Garacie 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
V VFI EPLACE
Final
Footings '
Footing
ELEC RI Al -
LMasonr
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond BeaM
FIRE SP KLERS
Motors
Framing 7
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANIC
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
(NOTE: An entry must be made on this form each time you visit the job site.)
r
COUNTY OF BUTTE ;r— `DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965 FY5—
%�
Telepinone:5§4-4541 Al/
APPLICATION AND PERMIT
auove-rnen Ulnad grope Iy lul InbNecuUII PUINUties.
Date
Signature of Permitee or Ag t
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have bee aid .•
DIRECTOR 0 BLIC WORKS
r
BY Date
BKlin/9 permit expires Date �� ��
BUILDING
Owner
SO. FT. OCC. BUILDING VALUATION
1Z D T er41 01
Mai I i ng Address
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
Plan Checking Fee &/or Penalty
ZZTelephone No.
— Jrz
Permit Fee $ 7 6,
Building Address %c� �s-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
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. 3a2
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
S to
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EOA Parking
Plans
Parcel
Declaration
Parcel Ma
P,
60' R/W
ImprovementsLawn
sprinkler system 2.00
B ns Re '
Parcel Al
Plans Approval
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 1100V OR LESS 5.00
100 AMP OR LESS
_
Main service EA. ADD'L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. N
I
// DWELLING OCCUP. &
OR ACDNS. ( ACC. LN GO ) 20Sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID, ( BRANCH CIRCUITS)2.50ea
p �� �,
�1 !
NEW CONSTR. /POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
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:
"t
1? bNA t_ 0 a• T -7-n, `� l�z
Ex. Occup(OUTLETS OR FIXTURES)@�
BAL@1
Ex. Occu ED APPLNS. OR
P-(OFIUXTLETS (RESID.) EA) 2,00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.. 2`%3 �0Classification C—
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit 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.
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
authorize
authorize representatives of the County of Butte to enter upon the
TOTAL PERMIT FEE
$ �G
This permit is hereby issued under the aoDlicable provisions
of
auove-rnen Ulnad grope Iy lul InbNecuUII PUINUties.
Date
Signature of Permitee or Ag t
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above for which fees have bee aid .•
DIRECTOR 0 BLIC WORKS
r
BY Date
BKlin/9 permit expires Date �� ��
PERMIT NO. 1007-82B
PERMIT EXPIRES
OWNER E. A. Thornton
CONTR. Fred Cox, Paradise
ASSESSOR PARCEL 65-32,,-21
LOCATION 14815 Goldcone Dr., Magalia
F
Temp. Power Pole
Called PG&E
a, /Temp. Elec. Service
Called PG&E
1 Temp. Gas Service
CalledXED
JOB FINA Date) Z-
V
Signature
V = OK
0 = Not OK
- = Not Applicable MOBIL•EHOMES
* = Not Ready
MISCELLANEOUS �. -
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zonin•3 Requirements' Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) Ot. except N
ming Requirements -Setbacks -Easements
R--15ootings; Size -Depth -Spacing -Connectors T
3. Sewer Location-Test-Fall-C/0-Concretea
s; 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
1-57-ATu—m. Awn.; Columns-Connections-Splice-Decal-Enc...:s.,res
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
. Carports; Windows -Doors
7. Uti lity Clearance
Elea
Card -BI
DaL- Card -BI Date
Card -BI
Dates Card -BI Date
Card -BI
Dats Card -BI Date
Card -BI Date (0 11 '.,Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except q'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
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
V = OK
0 = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning -requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils,-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / P 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 -B lockouts -Wrapped -S lab
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
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
12.
Electric; Underground
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except k'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.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.
Stairs & Rails
_ _1.9.
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 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 1:1 Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails & Deck Construction -Post Caps
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 Al,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes E] No; Walks E) Yes EJ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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.
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_�
Card-BI
D_ate _ _ Card -BI Date
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) OK except q's
36.
_Sills; Proper Material & Anchors
37.
38.
39.
40.
_Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing_
Hangers -Post Caps -Anchors -Connectors i
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shlhnq.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
46.
47,
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE,- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
r - APPLICATI$N AND PERMIT
4M NO.��
ASSESSOR PARCEL NUMBER
P —Z-1
Z9,NTNG
Kr
14
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
•
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
C NTRAC O 'S MA IN ADDR SS
8'�
Fireplace
CONSTRUCTION LENDETR
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 MAILING ADDRESS
Permit fee
$
BUILDING ADDRESSPLUMBING
PERMIT
Filing Fee 10.00
1 y ��� /• /►
l� (�JOA
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❑ Mobilehome❑ Other `
SP IFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New % Addition ❑ Remodel ❑ Utilities ❑ installation[] Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
5.00
Main serviceEA. ADD'L 100 AMP
2:50
NEW OR ADDN.SCONST.If %ACCLBLDGSLING CCUP.p1�
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businesss0
and Professions Code and my license is in full force and effect.
s /
License No. a? 7// QlClassification
❑ 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)
m exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID NSTPLBRANCH CTLET
ITS
2.50 ea
NEW CONSTR. ( POWER APPARATUS eI
NON-RESID. (SINGLE OUTLET CIR,
@ 250
Ex. Occup(OUTLETS OR FIXTURES BAL0100
FIXED PR
Ex. Occup.(OUTLETS (RESID.)EA. 2.00
Temporary service _ 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
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.
❑ 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.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 unty nsequence of the granting of this permit.
X Date 2 0'2—
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
M-- t
TY_PPOF CON
V
vv
PARC
PD
HD
55
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P T EXPIRES Date
the applicable '
resolutions to to dodo
fees have been paid.
WORKS
Date
f3
Receipt No. �s / �[C/
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT