HomeMy WebLinkAbout065-340-055A.P.�'
HAROLD A. BROWN 65-34-55
30 Holmwood Dr., Magalia
Permit 2389-72B,P,E VfAjn-LU2,2-9,?
(family,,yoom to be used with M. home)
AP 65-34-55
HAROLD BROWN
.0- Holmwood -Dr-. _,SDO#2_,__lot_,l25__.<
Magidi - a ------- --- I -------- -
Perifiit# 3382-74B
(carport, MH)/v73 -'2//
65-34-55
-aye Brown
94.*Holmwood, Magalia.
Peimm it I .8-*82B(add awning)MHkomq
ontr: K.W. Enterprises, Paradise
:65-34-55.
Cont c K.W."inter"p"'rises,.' Paradise
mit#3602-82B(addt1 fo'
otage/1848-82),
065-340-055 00-2545
ANDERSON, HELENA I-51W15P0Y_
14794 HOLMWOOD, MAGALIA
CONTR: GREENE& SON ROOFING
REROOF, CONTS14INGLES I A
BROWN, Harold 1TA 79
P
BROWN, 7Ha Harold 7,
W ro TIGN /C �J79
SDO #2,
Holmwood Dr., Lot 125, Magalia
(carport
rpo rt for �jj
carport for MH)
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065-340-05500-2545
ANDERSON, HELENA
14794 HOLMWOOD, MAGALIA `
CONTR: GREENE& SON ROOFING.y
REROOF CONVSHINGLES
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 410-40�.
ASSESSOR PARCEL NUMBER _ 7 - �% C
/// v 7
ZONING
BUILDING PERMIT
OWNER
s
TELEPHONE
>?'13•
SO. FT. OCC. BUILDING VALUATION
��� 1 '�
•� lI
OWNER'S ILING ADDRESS
CONTRA&TORS NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
r
" L- b
CON9TRUCTION LENDER
Fireplace
LENDER'S MAILING_ ADDRESS
Total Valuation $
-2:7,0
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ / -
ARCHITECT OR ENGINEERS MAILING ADDRESS
�'""��
Plan Checking Fee
$
BUILDING ADDRESS
;7 11191!V J
Energy Plan Checking Fee
$
$
!
/, � (�
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SFX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
,� ! �^I
Describe Work: �K� Y � /) h ""' ( .'1! nt. I� 3� /1/ 4 � �' �"
ip- It
Am e �/*oAj 8 <� Ex MA-al)
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
S
!2,d,"e
j s�'�L7
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. �y
-- � T Lic. No.
License Class Q 1 l+ p j
OWNER -BUILDER DECLARATIONEx.
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insur�a^�']ce carrier and policy number are:
Carrier �'7'` r- 40(
Policy Number ! O2- —,0 p
(The above sections need not be completed 0 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with' those provisions.
X iiir . �.- -�►t�_ Date o -117QQ _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent%
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Main Service TO
46.00So
DWE200ALLING CCU000A
NEW coNsr. DWELl.NJG occuP. 3.52F°:
.LDS.
OR oNs (
MUALCTIC.
NON•RESID. @7.50
POWER APPARATUS
8 OUTLET CIS.
zo p ,.00
OUTLET
Occup. OUTLET ORFDCTUREs SAL .50
Ex. Occup. ..FIXED APP
ASID )ew 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ W r✓
HAZ.
D. FEES IMP
FLOOD
I COF
I PARCEL
I PD
HD I
ISSUE
L•
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
e
By %
PERMIT EXPIRES ON i
I
the applicable provisions
Resolutions to do work
been paid.
,
Date
Date
ReceiptNo. 7 K
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT go
ASSESSOR PARCEL NUMBER_ v /�%
v
ZONING
BUILDING PERMIT
OWNER /^ d /� i
�/�/
Yi
TELEPHONE2
SQ. FT. OCC. BUILDING VALUATION
. OWNER'S MA UNG ADDRESS /
L 9 7
COM OR'S NAME TELEPHONE
P .✓ F7 3 3
-S
CO TORS MAILING ADDRESS
96
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ESS
Total Valuation $
ARCHITECT OR ENGINEER
r-�
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ C!%
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADORE
Energy Plan Checking Fee
$
$
)T IlA
PERMIT FEE
$ r
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT'
Filing Fee 20.00
USEOFSTRUCTURE
SF)( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx
DescriWork: 9�Q ro D I' — (_l9'►,& �S I N I g S
ibbbe n `
/,i/ 4-r �' d do -i o%1% A �C J/7'It7b
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
r7'DIy� �AYC�41�%2�1945GZ
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ' A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is In Il force and effect.�y
License Class —3 9 Lic. No. ` 549:5 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
,/J performance of the work for which this permit is issued.
fi/% ! have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insura ce carrpr and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply w' those provisions.
X / Date �l/' d�
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service To L000A
46. 00
WEE200A
NEW CONST. DWELLING Occup. 3.5QFo.
so
( & ACC.
NEW CONST. MULTI -OUTLET
MON-RESID. BRANCH CIRCUITS@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
20 @ 1.00
Ex. Occup. OUTLET OR FUTURES BAL @ .50
Ex. Occup. oimEis AFS=.) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ �f
HAZ.
D. FEES IMPFLAOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
of the Butte unty Code and/or
indicated a v for which fee ave
_
By
PERMIT EXPIRES ON %l/-
T—eke
the applicable provisions
Resolutions to do work
been paid.
Date U �/
/ 7-�(
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Velliquette
t <I I e 6779 Skyway • I'araclise, Ca. 95969 • 916-877-8800
JaIr1eS F. Glander
Ch.i-c.f: Building Inspector.
County of Butte
7 County Center: I)rive
Or.ov.i-lle, CA 95965
Dear Mr. Glander,
Tho undersigned owner of real property, located at -
14794 Holmwood
A.P. #65-34-55 has requested our investigation,
as to the status of their improvements concerning building
permits and/or completion certificates. Please note
your comments below here and return in the enclosed
envelope. A 1 bedroom mobile home on land.
/r
UOrnor, fi /'�-/3- //I
S nature of Building Date
Insp. or ep.
Howard Velliquet
Realtor_
V Ix
/ Seller's approval D to
PERMIT NO. 1848-82B _
PERMIT EXPIRES—
Z-1-3
XPIRES_-L/3 a f y z ® -V- OWNER Kaye. Brown
CONTR. K.W.Enterprises, Paradise
ASSESSOR PARCEL 65-34-55
LOCATION 14794 Holmwood, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service_
Called PG&E
Temp. Gas Service
JOE
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDER OR Plans OK except #'s
Date
FRAMING (Continued)
1.
o ' g requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
tg., 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- Land ing-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. S walls, Garage; Steel -B loc kouts-Wrapped-S lab,
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Elecfric; Underground
12.
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date rd -BI Date
Date
FIXI
ans) OK except N's
Card -BI Date ' Card -BI Date
Date
PLUMBING (Permit) OK except p's
5
Ext. Steps -Door & Sidelight Protection -Landings
5fi�3T11"o
a 6etector
14.
Water Ht.; Vent -Access -Combustion Air
SBt>-Fuia
, ents-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
oom Exiting
17.
18.
Shower Pan; Test, First Floor -Tub Accessa
Test Tub & Shower, 2nd Floor -Tub Access
Fixtures & Tub Access
-61•.-Elec�tifr-&-8ubpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
irs & Rails
ce or Stove; Clearances -Hearth
_,_64.--Ete
u>rLiTets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date65�Lti.
FixS Bance; Grnd.-Air Gap -Cooking Clearance
Card -B1
Date Card -BI Date
6
e s eceptacles at Kit. Counter
Date
ELECTRICAL Permit OK except H's
67:-fiarage'Ptre Boo , Swing -Landing -Closer
68. e4 -k -4 -Garage -Damper
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
69.
Wtr. Clearance -Comb. Air-Connector-P.R.V.-
In Garage; A e Floor-Mech. Protection
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., EI & Me h. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
El e eceptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
ulation-Foam-Looked in Attic E) Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73
,Guar a. & Deck Construction -Post Caps
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
F n, Vent Crawl Hole Door -Drainage & Wood -Earth Clearance
-der loor CJ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75,
Following in d.: Dri es ❑ No; Walks E) Yes ❑ No;
Planters ❑Yes o
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
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
Date Card -BI Date
Card -BI
-_
_Date -_ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING lans) OK except q's
Comments at Final:
36.
s; Proper Material & Anchors
37.
Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
39.
_Walls;
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
_40.
Fir ops; Furred Ceilings -Stairs -Chases -Tub
41. eader & Beam -Size & Bearing_ _
42. H3n�rs-Post Caps -Anchors -Connectors -
43 ling. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. _
44. Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiling Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
J = OK
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEO`;C.
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) O. .:xcept N`
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
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Encios: res
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 #'s
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
_
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector -
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
9. Exits; Insp.—Sketch
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit
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
PERMIT NO. 3602-82B
PERMIT EXPIRES
OWNER KAYE BROWN
CONTR. K.W. Enterprises, Paradise
ASSESSOR PARCEL 65-34-55
LOCATION. 14794 Holmwood Dr, Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
J
JOB FINALED (Date) �/
Signature
V = OK -
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready .
Date
UNDERFLOOR Plans OK except ti's
t
AMING Continued
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" [Depth
48.
49.
50.
51.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-SI
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrappe S lay
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
_
8.
D.W.V.: Fall -Fittings -Test -2 way C/O Se T U
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -S ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Ma i Sup rt -Ins.
13.
Girders IIs -Anchor Bolts -Joist V nts-Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Dae d- I Date
Date
FINAL (Plans) OK except q's
Card -BI Dae I Date
Date
PLUMBING (Permit) kK Vept N's
56.
57.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
_
14.
Water Ht.; Vent Ac ss -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe; Te t & Anchors -Nail Protection
16.
D.W.V.: Test- ttngs & Anchors -Nail Protection
59.
Bedroom Exiting
_
17.
Shower Pan; T st, First Floor -Tub Access
60.
61.
62.
G.F.I: & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
18. Test Tub & Shower, -2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
_
-
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
_
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Stec. Receptacles Spacing -Lights &Switches at Doors
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
-
-
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
Guard Rails &Deck Construction -Post Caps
-
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes❑ No;
Planters El Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
---
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
30.
Clothes Closet Light -Shower Light -
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-------------__----
Card B -I
Card B -I
-----_ __-
_- - Date_ -_ - Card -BI _- Date -_
Date Card -BI Date
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s84.
83.
_
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
- -
31_
A.C. Ducts; Insulation &Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan_Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
_Condensate Drain _& Overilow; 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
Date_ - - 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
Date
FRAMING(Plans) OK except p's
Comments at Final:
36.
_37.Walls:
38.
39.
Sills; Proper Material & Anchors
_Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof) -
_
_40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45
46.
47.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
CIng. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. &_Dimensions_ _
Garage Fire Protection Framing
_
(NOTE: Anentrymust be made each time youvisit jobsite)
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -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.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L "ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI 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
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
/ - COUNTY OF BUTTE - DEPAKTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION"A b PERMIT
PERMIT NO.
J�- D ,�
/" /
ASSESSOR P CE M ER
• C —.S_
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S AILING ADDRESS
CONTRACT R'S NAME
ITELEPHONE
CONT A TOR'S MAILING ADDRESS
il�eg '?5t 44.) PAO, A -
Fireplace
CONSTRUC ION LENDER
��
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S AILING ADDRESS
Permit fee
$ 5-0 �'—
BUILDING ADDRESS I q'79 oLu' .'�� ��f
`_`.+�✓
PLUMBING PERMIT
Filing Fee 10.00
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 Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Instal lation ❑ Other
Describe work: —
40-4 P
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. // DWELLING OCCUP.&
OR ADDNS. l ACC. BLDGS.
21h2sgit
CONTRACTORS LICENSE LAW
I declare der penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Businessz0@sot
and Professi C de license is in full f a 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 CONSTR BULT'-OUTLET 2,50 ea
NON-RESID RANCH CIRC ITS
NEW CONSTR.POWER APPARATUS &'1
NON-RESID, SINGLE OUTLET CIR. /
TS OR FIXTURES 9AL@300
Ex. OCCUp(OUTLFIXED
PR
Ex. QCCUp. OUTLETS (RESID,)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
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 ave, indemnify and keep harmless the County of Butte against
all liabil'ti e judgments, costs, .and expen es which may in any way accrue
against s t County in c sequence of the nting of this permit.
X Dat Affs
Signature of Applicant — 0 Contractor Agent ❑
An OSHA permit is required for a ations 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
M--1
TYP_ a o.F co S
PARc�L
D
ND
ss
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR 9J= PUBLIC
By 4
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 1p
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTES-DEPA.nTME=NT SOF PUBLIC WORKS PERMI NOey
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �� x �-
APPLICATION AND PERMIT
A SSESSOg P_QRC EL UMBE -
(�S -3 -�
ZONING
UIL G PERMIT
OWNER
/<',4 YE SEC
TELEPHONE
SQ. FT. O BUILDING VALUATION
Zao
6 Z
OWNER'S MAILING ADDRESS
pJ,,•��,�
FITS✓� �
l7W Cd�
CON`R OR'S NA�.1 E�T
T
co TRAC OR's`n���,�r�G Ao�o/RLESs �� 109vasc_/
Fireplace
CONSR CTION LENDER
dgl
UNKNOWN
Total Valuation IsW72
,04)
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ -ZG100
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 15',00
Penalty
$
ARCHITECT OR ENGINE MAILING ADDRESS
Permit fee
$ Q,Op
BUILgIyG� Ess '/*1._JV,i�doQ�
PLUMBING PERMIT
Filing Fee 10.00
JOAnMeeLi �/uOL/U�.t%00�
Each Trap
2.00
Repair drainage or vent piping
5.00
�1
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[9-11*`Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remm dqI ❑ Utilities ❑ Installation❑ Other ❑
Describe work: ��vJ �cV/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP 11 ORSLESS
5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. (DWELLING OCCUP.N)
OR ADDNS. l ACC. BLDGS.
20 sq
CONTRACTORS LICENSE LAW
I de I e under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business50
and Professions Co n my license is in ful orce an effect.
�' �' �
License No. Classification
F] I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTRLTI -OU LE2,50 ea
NON-RESID BRANCH CIRCT ITS
NEW CONSTR. ( POWER APPARATUS S)
NON-RESID. SINGLE OUTLET CIR.
@ 25e
Ex. Occup OUTLETS OR FIXTURES BALM
(FIXED TS (RESAPPLNS. OR
Ex. Occup. OUTLETS 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.
No zce to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that 1 have read this application and state that the above information
is correct. I agree to comply to all 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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabi ties, judgments, costs, and a enses which may in any way accrue
agai aid County in conse u e o granting of this permit.
._ �.
X Date
Signature of Applicant — Owner
g pp ❑ Contractors Agent ❑
An OSHA permit is required for excavations over Y deep and demolition or construct-
ion of structures over 33 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $ 90-0.6
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
HD
99UE
his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR O0—i
By- BY
PERMIT EXPIRES Date
n
the applicable provi-
resolutions to do
fees have been aid.
p
IC WORKS
Date "�
Receipt No. (a
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
• I
I
PERMIT NO. 31,89-74$
i
P
E i
j M
;H UTIL.
PERMIT NO.
PERMIT EXPIRES / ` / / -7 5-
OWNER Harold Brown
:i
,CONTR.
LOCATION (A.P. '65,-14=•1;cj )
30 Holmwood Dr., SDO#2, lot 125, MagaliN
ti
i
a;
i
i 1
Q
f �
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
f
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
Gara a Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final 2
Sanitation
Patio
fiREPLAdE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framinq
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
I
Owner
Mai l ing Address
' 4
Total Valuation
No.1 @ FEE
Permit Fee
$3.00
Contractor r^`
Mailing Address
$ Q
PLUMBING
No. @ FEE
PERMIT FILING FEE
$2.00
Building Address
1.50
I 1 ,
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WO
7 County Center Drive-- Oro`ville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
BUILDING
SO. FT. OCC. BUILDING VALUATION
..Zun W I
5 J-0 0 Z j 'Z 4�
A1J 5 7 - 44-
A. P. No.AJ10& 5 3Zoning& Planning
F W. S tion Fire Dept. FireZone Use Permit
EOA I Parking r Parcel Parcel Ma I 60' R/W I Improvements
Plans Declaration P P
Bldgf'Plans Recd I Parc royal Plans oval
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Single Family ❑ Duplex ❑ Mobil Home 50 Others ❑
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:
License No
Classification
am exempt from the Contractors License Laws of the State of California.
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.
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.
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.
X f A 5 Y� Date a— Z 0— 7
Signature of Permitee or Agent
Receipt No. ! :�2, 2 ? 7—v
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
Fireplace
$
Total Valuation
No.1 @ FEE
Permit Fee
$3.00
Plan Checking Fee &/or Penalty
Permit Fee
$ Q
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
Gas piping system 1 - 5 outlets
1.50
Each additional outlet
.30
Building sewer
5.00
Lawn sprinkler system
2.00
Permit Fee
$
ELECTRICAL
No.1 @ FEE
PERMIT FILING FEE
$3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven
1.00
Water Heater or Space Heater
1.00
Light fixtures
20 bola 20
Receps., switches & fix outlets
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
Misc. wirinq
Permit Fee $
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heatino
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE Is"'
This permit is hereby issued under the applicable provisions of.-
the
f:the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
By Date 7
s
uilding permit expires Date...................�"��cf...�,J..
i PERMIT NUMBER - B
2389-72B,P,E
P
E
PERMIT EXPIRES
v
OWNER Harold A. Brown
a Y CONTR: owner
LOCATION (A.P. 57-44-55
r 30 Holmwood Dr., Lot 125, S.D.O.#2
s
F
Y
i
W
COUNTY OF BUTTE
Department of.+P.ublie. Works
DATE
REMARKS OR CORRECTIONS
U Z
T-7.:2— . 1v6�p 10/-14 A/ 6 i //Y/'�o � r ira A/.
- /- 7� G /� S' v ivl cGcif /t AI(17* 5V)91?a�,Ea r=dr/(
C UST
.13 7z r. Ni69 cv
y �? �/V ZElt Of,.
BUILDING INSPECTION RECORD
Zoning =
Setback /0 -- �I—�%�
Forms/ �a�q
Foundation _
Piers & Girders
Fireplace_F/./.UE 3`�6�%7
Rgh. Plumbing %�� (pf 7 �' (
Bond Beam n,. : c I/7
Lath & Plaster
Rein. Steel
Gas Piping & Test 'mol- GffFound.
Vents "2-7--)T�f
Framing 6�' ���3
Plmg. Topout --6- _3
Rough Elec. 72
Wtr. Htr.
F
Furnace
Kitchen Vent
Firewall
Garage Vents
Sanitation & Water
ELECTRIC
GAS
BUILDING
Temporary
Temporary
Cert. of Occup.
Final ��2,7i'�.� moi' �
Final
Final
DATE
REMARKS OR CORRECTIONS
U Z
T-7.:2— . 1v6�p 10/-14 A/ 6 i //Y/'�o � r ira A/.
- /- 7� G /� S' v ivl cGcif /t AI(17* 5V)91?a�,Ea r=dr/(
C UST
.13 7z r. Ni69 cv
y �? �/V ZElt Of,.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Driv(o O7roville, California 95965
Telephone: 533-1230, Ext. 259
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date,? ^� 2 r 77—
Signature of Peermitee or Agent
Receipt No. ff a's —
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Date16 �-
Building Permit Expires Date�"' .
BUILDING
Owner. ro �u
SQ. FT. OCC. BUILDING VALUATION
� �
// 70
Maili//rig Address 4,91 o 0 aw r a
hB ,%`
-Fireplace 1 ��
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Permit Fee
$
DO
$ `j✓^OV
Building Address A
lve90c /�
PLUMBING
No.
FEE
PERMIT FILING FEE $2.00
Each Trap 11 1.50
, D'0
Repair drainage or vent piping
1.50
Water piping 1.50
113-0
Each gas water heater or vent 1.50
A. P. No. ,- 7 — qZ% Zoning A— Z
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .50
Fire Zone
Fire Dept.
Sanitation Q
uilding sewer 5.00
Plans
Fees
W. C.
RAV
Encroachment
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ OTHER
Permit Fee
6_0
$
ELECTRICAL
No.1
@ I
FEE
PERMIT FILING FEE 3.00
04
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (morethan 12)
USE OF STRUCTURE Single Family ❑ Duplex ❑ Others
Range, dryer or water heater 1.00
O O
Oven, Cook -top or space heater
1.00
Light fixtures 20 1@25
Re eps., swit es & fi outlets j
ma
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. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Misc. wiring
License No. Classification
pqI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
7 75-
$
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
L/Upermit 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
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
$tate Fee for Stryng Motion $0.07/$1000 Evaluation
InS tru men,ation Frogram
$
TOTAL PERMIT FEE
I$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date,? ^� 2 r 77—
Signature of Peermitee or Agent
Receipt No. ff a's —
White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 Date16 �-
Building Permit Expires Date�"' .