HomeMy WebLinkAbout066-040-031PERMIT N0. 263-80B,P.,E,M
• •
PERMIT EXPIRES 42 1K 81/
-OWNER John Miller
CONTR. Otbner
LOCATION (A.P. 66_04_31 �
1650 So.Brk Dr., lot 197,PPCC#l, Magalia
A
Fri
Z.
04 y .
1,
ry•.
Temp Power Pole��
ailed PG&E ��� ��
i. Tem Elea Serv. c7
1_ Called PG&E
i emp. Gas Serv.
Called PG&E
! U
JOB
FINALED
(Date)
a -
(Signature)
t
w
RES 1ll1N'1Ml,
FNFR(Y CONSERVATTON STANDARDS
CONSTRUCTION COMPLIANCE CERTI'ICAT'I
Tills* TS TO CERTIFY THAT ENERGY CONSERVATION REQUIREREN'TS HE BEEN,
JN C:ONFOIu`L:WCIi WITH CURRENT ENERGY CONSERVATION REGULATIONS
A't• So. ,park lot 197 , Paradise Pines
—..------------- (location)
BU1.1.1)]Nt, 111-:RMFF NO,� A.P. N0,
:.._.-.e �._ --- =11IE-1'n1-l;t);J]=NG 1IJ1VE—I3I?LN- INSTAL-LI;I) -AS~PIR PPROV-r-D-PLANS : 4
(Check each item or vtritc N/A if not applicable)
1NSIA,AT ION :
Sl.:ch
Fdll. Walls
Floors
C•.i.l i.u1;/R�o fes( .''
Cup t:: I
Circulating Pipes_'
GLA Z 11J C :
Si.,,gjc Clazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING CRS,
WEA'1'IILRSTItII'PI::D DRS._A_
13ACK DAI PI..'RF:D FANS
I!1'1'I;IJII'1"1'I{ii'1' 1:GNI'1'1:ON DEVICES
CERT'. APill, IAN(:F:S
I DF.CLARF THAT AL1, REQUIRED ITEMS AS NOTED ABOVE. HAVE BEFN INSTALLED
IN ACCt11;)ANC E WITH THE ENERGY CONSERVAT-10N REQUIREMEN'1S AND ACREF TO
'1'111•: C0IIPlJ:T1::NF'SS OF THIS CERTIFICATE AS SUBMITTED.
]n iil 1\Iipl icator- Nano Ciokj)�-C 14 �Caa Im LA, lfo0-
signature oC-� - (please print)
I n:;iil.at ion Applicator Q
State Contractors
License No, 1 /S9-115
General Contractor/Owner Nune _Tnrl
(pleas print)
Si.?;nntclrc of C.j) w
Gcn,•ral Contractor/Owner /` Date 7/? [Fo
State Contractors �)
l.i.cense No. LZ96 76d
TH T ; CER`i' IT Ic:,A'i: ii , F11:1T 'BF ON FTLE 14TTII THE BII l71A) TNG DEPA R'.LT11 NT PRTi1R TO
RFQ11F:'1.'I'I :(, I'1NAl. lN1SPFC'l'-FON AND SHALL BI-, L'O;�I'El) IN A CONS P:ICUOU S I...00AT*lON
W]'I'lllil T111: Pt-11:I.I,ING.
UNDERFLOOR
1. Plans _
2. Setbacks -- Easements
3. Ftg., Main; Soils -- Steel -- Elec. Grnd ❑" Ftg. Depth
Above Completed - ❑ Except:
Job Card Signed Date
Corrections Completed
Job Card Signed Date
4. Ftg., Garage; Soils -- Steel - ❑" Ftg. Depth
5. Ftg., Porches & Decks; Soils - Steel -- ❑" Ftg. Depth
6. Stemwalls, Garage; Steel -- Blockouts
_ 7. • Stemwalls, Garage; Steel - Blockouts
8. - Piers -- Fireplace Ftg. - Steel
t 9. ' Drain; Fall -- Fittings - 042" Test - 2 way C/O -- Sewer Test
10. Gas Pipe; Size -- Test
^11. Water Pipe; Test - Anchors - Regulator -- Service Test _
- t:12. Electrical _
13.. PlenLVns & Ducts; Clearance - Material -- Support.-- Ins.
-;-,14. Girders -- Sills -- Anchor Bolts -- Joists - Vents -- Cripples
-,Above Completed -0 Except: -
:'-:., =Job Card Signed Date _
:; Corrections Completed
•' Job Card Signed Date
PLUMBING - ABOVE FLOOR -
• 15. Water Htr. - Vent -- Access - Combustion Air _
16. Water Pipe - Test & Anchors - Nail Protection
17. Drain Pipe -- Test - Fttngs & Anchors -- Nail Prot. 42" Test ❑
18. Shower Pan - Test, First Floor -- Tub Access
19. Test Tub & Shower, 2nd floor -- Tub Access
20.. Gas Pipp -- Size & Anchors _
Above Completed - ❑ Except:
' = Job Card Signed Date _
Corrections Completed
Job Card Signed Date
ELECTRICAL - ABOVE FLOOR
21. Clearance & Insulation Prot. at Flush Light Fixtures
22. •Elec. Receptacles Spacing -- Lights & Switches at Doors _
23. CSize Boxes & No. of Conductors - Stapled -
23.- Romex Installed Close to Edge of Stods & C.J.
25. Equip. Ground made up w/Meth. Fasteners _
26.. 2 Appliance Circuits in Kitchen & Conductor Size _
27. ' Sub -Feed -Wire Size/ /ga. Cu or At - A.C.-Wire Size/ /ga. C4 or AL
-+n 28. ' Range Circ.❑ ga. Cu or At -- Oven Circ. ❑ga. Cu or At,
_ ''••Insulated Neutral ❑Yes ❑No
29. Service -- Riser Conductors & Ground
30. Bond Gas & Water Pipes
31. Clothes Closet Light -- Shower Light
Above Completed -- ❑ Except: _
Job Card Signed Date
Corrections Completed
" Job Card Signed - Date
- ABOVE FLOOR
32. A.C. Ducts - Insulation & Support
33. Vent Fan - Exhaust above Insulation
34. Condensate Drain & Overflow - size & Grade
35. Furnace -- Vent -- Acces-Comb. Air -- Return Air Vent 115V outlet
36. Attic Access & Platform if furnace in attic
Above Completed -- ❑ Except:
'Job Gard Signed Date
Corrections Completed _
Job Card Signed Date
FRAMING
37. Plans
38. Sills -Proper Material-& Anchors
39. Walls -- Studs -- Nailing & Spacing & Bracing -- Plates
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof) .
42. Fire Stops -- Furred Ceilings - Stairs - Chases - Tub
43. Header & Beare - Size & Bearing
44. Hangers -- Post Caps - Anchors -- Connectors
45. Cing. Joists-Rftr. Ties -Purlins -Rt. Brac.-Truss-Shthng.-Ring.
46. Fireplace Ties or Type A Flue -- Fireplace Throat
47. Attic Aocess-Size & Romex Protection
48. Bdrm. Windows or Exiting Doors -- Sill Hgt. & Dimensions
49.. Garage Fire Protection Framing
50. Area Separation Walls - 1 hr. Fire -- 2 hr. Fire
51. Ext. Doors -- one 3' -- Check Garage
52. Stairs - Width -Headroom -Rise -Run -Landing -Fire Protection
53. Plywood on Roof Overhang -- Attic Vents -- Rafter Outriggers
54. Siding -- Nailing - Veneer
55. Stucco Mesh, Drip Screed & Fdn. Vents & Underflr. Access
56. Glass Protection if required
57. Shear Walls
Above Completed -- ❑ Except: t
''- Job Card Signed = Date
Corrections Completed -
Job Card Sioned Date
FINAL
89. Plans
59. _xt. Steps, Door & Sidelight Protection - Landings
60f,.emoke Detector _
61. Furnace - Vents-Clrnces-Comb. Air -Connector -- In Garage-Hgt. &
Mpdh. Protection
62 Bedroom Exiting
63. G.F.1.•& Bath Fixtures & Tub Access
64. Elec. Trim & Subpanel - Breaker Sizes -- Labels
65. Stairs & Rails
66. Fireplace or Stove -- Clearances -Hearth
67. �fle. Outlets at Wood Panel -- Int. & Ext.
V Fixe& Appliances in Kit. -- Grnded -- Air Gap -- Cling. Clrnce
69.��Outlets & Receptacles at Kit. Counter
7,1?s A-2�uct in Garage - Damper
72. Wtr. Htr - Vents-Clrnces-Comb. Air-P.R.V.-Connector -- In Garage-
�Fjpt�& Mech Protection 41
Q trewalis & Openings - Area Separation Walls
74:Alec. Receptacles in Garage (G.F.I.) Romex Protec.
`T
!pedMion - Foam - Looked in Attic / /Yes
(7 Guard Rails & Deck Construction
77. . Ve o - Drainage & Wood -Earth Cirnces-
--Looked under floor / /Yes
78. Following instld: Drive ❑Yes ❑No; Walks ❑Yes ❑No;
PI eters ❑Yes ❑No; Creating Drng. Problems ❑Yes ❑No
a 9 Stu , Brown -- Finish
A.0 Unit-Dis-.onnect-Clcnces-Brkr & Cond. Size -- 115V Outlet
ants Above Roof -- Plbg.-Appliances-Firepl. -- Clrnce to Opngs
r -Well -- Disconnect, Electrical, Plumbing
8�/Ext r Elec. Trim & G.F.I. Receptacle
8 entiiation throughout House
8%. lass Protection _
C s rom Previous Inspections
Ga est -- Meters Tagged -Gas & Electric
88. ater Supply & Sewage Connected -- Cleanout to Grade--
eLV
_
Energy Compliance Certificate
Above Completed ❑ Except:
- Job Card Signed Date
Corrections Completed-
Job
ompleted Job Card Signed Date
P L U M B I N G
Check List
❑ Permit
❑ Underfloor Stage
❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade. & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not
required.*
❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
(6) Dissimilar metals. (7) Service regulator installed or not required.*
❑ Gas: (1) Sizing. (2) Materials.. (3) Support. (4) Log Lighter. (5) Wrapping.
❑ Framing Stage (Top Out)
D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. -,.(4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10) Toilet Clearances. (11) Shower size.
(12) Shower Pan.Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
❑J (14) Additional 2nd floor test not required.*
❑ Water: (1) Pipe Test. (2) :fixer Valves. (3) Support. (4) Roof drains.
❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
❑ Water Heater: (1) Vent. (2).Location: (3).PR Valve Drain.
❑ Final
�-D.W.V.: (1) Connected to sewer system. (2) Special systems.
❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
❑ Gas: (1) Test. (2) Connectors.
❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability.
(5)18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped.
(5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap.
5/79
❑ Permit
®
Underflo'og Stage
❑ Underfloor Supply Plenum: (1)'One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch .
receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
plumbing, etc.
❑ Combustion Air: (1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3),F ittings. (4) Insulation.
❑ Framing Stage ti J
❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances.
(4) Combustion air.
❑ Vent and Connector: (1) Approved..(2) Size. (3) Clearances'. '(4) Cap.
(5) Termination.
❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) Fire Damper.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Final
❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
67otp
y
.t
L„ 8
� '� l✓rviMS' ?-7i//?/ sS Pry �/O
YV
3rg ?oma
m3Mr 7-r
.70 P
S Reorl rt4. Z/VOS 3 p ,10 OP'd 71
s,v/ 3 � � •tel rjG.
,00-e7�'
X377
!/-7
Setback of -/5
Forms :t_1
q
Main Bldg.
Footings,
Stemwal l
Slab
Piers ,2
Garaqe
S
� Foot
S Slab
Patio
N Foot
Masonry 1
Relnf.
Bond 13
Framing
Stucco
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
rrsy 4,1re, ovu
BUILDING BUILDING (Cont'd) PLUMBING
$�9 Firewall Soil Piping
B Parapets 1st Floor--,Fc,-
Restroom Finish 2nd Floor
/ - a1 Windows 3rd Floor
Sldinq T000ut An
%_Yv 4�4
d�
nooT oneammg �) ',*-
Roofing $ - 9- J'o
Fdn. Vents`
Garage Vents
Insulation
Prov. for phsically
handlca pey
Conformance of ex.
structure
Final
FIRE
Footing
Throat AK 2
Final -7,
FIRE SPF
Test
Final
Water Plping,s %*-- Or
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
ELECTRICAL
Q.,....� L'_4 -fl,-]
Fixtures -
Motors �—
els
mesn c.? v
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
CoolingTemp.
Pole
Finish _
Ducts '3-:7-g_oa
Underground
Interior Lath
Door Closer
Ventilation
I Final
Permanent
Final _/
MOBILEHOME UTILITIES ---
-------------Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION
- - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
3-,5 = 8vsf // ��u�►.�ds �� ���1 /�vss i� �� 1��,
ex (v, /J,�rrvcJ/£ f8 �' C/£G,c ,�,✓ %�o,v7 o,- - � �� C/��,J o� Gr rxc,a'
4'IAJ2 fiC o/aA" 114AJ 1i1 &L >!x/�.tJd a Qi,�s%C7�
D601 &4 s.-/ -vo > lea
G0&///S"Va % Co. 0,J OA4,,nJ dk4lc ,1 C'./1 /c. /L_ lez,?K
%-✓ Dd> o�>s��d ski �p,G�zonl% j�as�7,B�cJ�S"%4�y4yauy� HuS �o�- 0y2-0
7u,�.u1
,,�Gn! , S7// �/srd 9 a��d� -� w; /�CGcn/y� �v °:!/�o�.► T s
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 CouPty;Center Drive - Oroville, California 95965
Telephone: 534-4541 1 a
APPLICATION AND PERMIT
Single Family 14 Duplex ❑ Mobil Home ❑ 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
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LE55
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. (DWE� Ltd6 '9�flCJl1P. S
OR ADDNS. ACC b Sf'
$3.00
5.00
2.50
25.00
1.00
?Oso ft
NON.RESID. t BRANCH CIRCUITS)
L.OUet
BUILDING
Ex. OCcuD(OUTLETS OR FIXTIIRES)
Owner o ���� G
FIXED ALNS.Ex. OCCup. ( OUT ETS P(RESID )REA)
SQ. FT. OCC. BUILDING
ALUATION
D Z
Mobile Home Facilities
l9 6C3
Mailing Address Z d ' ,L,p
4 -VY
6�
• =
Telephone No.nc
Contractor
Mailing Address
Fireplace v
Total Valuation
Telephone No.
Permit Fee
�, Qo
/
Building Address l 4, S(3 so,
A
Plan Checking Fee &/or Penalty
Permit Fee
-¢
PLUMBING No.
@
FEE
PERMIT FILING FEE
$3.00
210c -
Each Trap
Aso
0
LGA
L'.
Repair drainage or vent piping
1.50
A. P. No. V ff •- 3�
F lf.
"Zoning 8, Planning
Water piping
A80
OD
Each gas water heater or vent 1.50
I'Ves
4-16
Sa t n Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets
1.50
EQA
Parking
plans
Parcel
Declaration
JSbo
Parcel M
60' R/W
Improvements
Each additional outlet
.30
Building sewer 5.00
Bldg. PI s Recd
/97
Parce A royal
Plans Appro •al
awn sprinkler s
Lstem
P Y
2.00
NEW ADDITION n UTILITIFS n nTHFR n
u ...
Single Family 14 Duplex ❑ Mobil Home ❑ 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
Permit Fee
ELECTRICAL
PERMIT FILING FEE
Main service 600V OR LE55
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
Main service OVER 600V
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
NEW CONST. (DWE� Ltd6 '9�flCJl1P. S
OR ADDNS. ACC b Sf'
$3.00
5.00
2.50
25.00
1.00
?Oso ft
NON.RESID. t BRANCH CIRCUITS)
L.OUet
NEW CONSTR (POWER APPARATUS 6
NON.RESI D. SINGLE OUTLET CIR.
Ex. OCcuD(OUTLETS OR FIXTIIRES)
50@25a
BAL @ 1C
FIXED ALNS.Ex. OCCup. ( OUT ETS P(RESID )REA)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring d
6.25
U ' am exempt from the Contractors License Laws of the State of California. Permit Fee
WORKMEN'S COMPENSATION INSURANCE MECHANICAL
PERMIT FILING FEE
I am aware of the provisions of Section3700 of the California Labor Heating /q�}�yeyj J
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.
ISI 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.
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.
�j Z&�,
X `Date
Signature of Permitee or Agent
Receipt No. :� V V ;? /
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
$3.00
Ventilation
Hood 2.00 QL-)
Permit Fee $ $ d�
Land Development Fee $5Z^Bi'J
TOTAL PERMIT FEE $a (p
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 Date
uilding permit expires Date
wt�ry
i
i
1'
alp
R