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HomeMy WebLinkAbout066-070-01766-07-17 Randy Andreasen X165 Sha_ w Ct. lot .66, CC#1, Magaba contr.: M. A. Najera, Paradise e " , -Permit 136 9-78P,E(ut4l. ,MH) f�N ELEC . p ® GAS $ 9If_g SUPP R STRUCTURE REQ. ZzO COMPACTI6N TEST REQ : 66-07-17, onfr: Paradise'Modular Concepts,,,'Par " Permit #4054- 8MH Issue7 othe 66=07-17 + Permit #4350-78B(new deck, carport & awning/MH)- . u�j,.A v ' • -r 66-07=14 HANS PELTZER ' .•6468-.Shaw Ci rc1e,,,Ma alia,,..,, Permit#77,4-88B(new deck)MH v } rlft k 4 • V i � f - PERMIT NO. 774-88B PERMIT EXPIRES OWNERHANS PELTZER CONTR. • owner ASSESSOR PARCEL 66-07-17 LOCATION .6468 Shaw Circle,Magalia .t . y Temp. Power Pole ;M Called PG&E Temp.'Else.. Service Called PG&E Temp. Etas Service Called PG&E JOB FINALED (Date) Signature = OK '0 =Not OK.• Not Applicable = Not Ready • MOBILE HOMES T �CELLANEO'Us' Date MOBILE HOME UTILITIES (Plans) OK except #'sDate DE COiIER S, P s OK except #'s 1. Zoning Requirements -Setbacks -Easements oning Requirements asks -Easements 2. Soils; Special MH Support -Sketch ngs; Soils- -Dep -S onnect - el 3. Sewer; Location -Test -Fall -C/O -Concrete ' ' 3 ecks; Girders and/or Joists -Decking- racing -Stairs -Rails 4."Water; Location -Test -Easement Needed (Sketch) - - - St►thg--sig__Btaci ag 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft.Iumns-Connections-Splice-Decal-Enclosures. / /"Nat. or/ /"L"ft./ /"LPG -6-Garpef4s�V Tows -Doors 7. Utility Clearance hors-Studs-Rftrs-Trusses -9,-Sid4ug;-143tifhg-Veneer-Stucco-Mesh Card -81 Date Card -B1 Date 18-Roof-Shthg-Roofing Card -131 Date Card -81 Date 11XExt.; Steps -Doors -Landings Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -Br -j;4) Dates Card -B1 Date 2. Footings; Size -Spacing -Marriage Line Card -B Dat ,? Card -B1 Date r 3. Gas; MH Test -Demand -Valve -Connector. 4. Electricity; MH Test=Crossovers-Breakers-Clearances Date POOLS (Plans) OK except #'s 5. Drain; MH Test -Fall -Flex Connector 1. Setbacks -Easements 6. Water; MH Test -Regulator -Connector 2. Soils; Compaction -Structure Stability 7. Water and Sewer Connected -C/O to Grade -HD Approval 3. Pool Structure; Steel -Connections -Thickness - Dead Men -Lining 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 4. Elec.; Receptacles and Lighting, Distances-GFI 10. Cert. of Occupancy 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg. Boxes-Enclosu res -Panel boards- Ins. to Main in Conduit Card -B1 Date Card -B1 Date Card -B1 Date ` Card -131 Date 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Card -B1 Date Card -B1 Date Card -1211 Date Card -B1 Date = OK 0 = Not OK Applicable - =Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) - 1. Zoning requirements -Setbacks -Easements 44. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth 46. Fireplace Ties or Type A Flue -Fireplace Throat 4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth 47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Blockouts-Wrapped 49. Garage Fire Protection Framing 7. Slab; Steel -Wrapped 50. Property Line Firewall & Openings 8. Piers -Fireplace Ftg.-Steel 51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test 52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 10. Gas Pipe; Size -Anchors 53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 11. Water Pipe; Test -Anchors -Regulator -Service Test 54. Siding -Nailing Veneer 12. Electric; Underground 55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 13. Plenums & Ducts; Clearance-Material-Supprt-Ins. 56. Glazing Area -Glass Protection -Skylights -Plastic 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 57. Shear Walls; Nailing -Bolts 15. Insulation 58. Insulation-Walls-Clg. 59. Infiltration-Walls-Wndws Card -131 Date Card -B1 Date Card -131 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Card -81 Date Date PLUMBING (Permit) OK except #'s 16. Water Ht. Vent -Access -Combustion Air Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchors -Nail Protection 60. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test-Fttngs & Anchors -Nail Protection 61. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 62. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Mach. Protection 20. Test Tub & Shower, 2nd Floor -Tub Access 21. Gas Pipe; Size & Anchors 63. Bedroom Exiting 64. G.F.I. & Bath Fixtures & Tub Access -Spa 65. Elec. Trim & Subpanel; Breaker Sizes -Labels Card -B1 Date Card -B1 Date 66. Stairs & Rails Card -B1 Date Card -B1 Date 67. Fireplace or Stove; Clearances -Hearth 68. Elec. Outlets at Wood Panel; Int. & Ext. Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection 69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Elec. Outlets & Receptacles at Kit. Counter 24. Size Boxes & No. of Conductors -Stapled 71. Garage Fire Door; Swing -Landing -Closer 25. Romex Installed Close to Edge of Studs & C.J. 72. A.C. Duct in Garage -Damper 26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 27. 2 Appliance Circuits in Kitchen &Conductor Size 74. Pib., Elec. & Mech. Equip. Listed for Location 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga. Cu or Al 75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral Yes No 30. Service -Riser Conductors & Ground -Main Disconnect 76. Insulation -Foam -Looked in Attic ❑ Yes 77. Guard Rails & Deck Construction -Post Caps 78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 31. Equip. Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 79. Following instid.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No 80. Stucco; Brown -Finish Card -B1 Date Card -131 Date 81. A.C. Unit; Disconnect, Electrical, Plumbing Card -B1 Date Card -131 Date 82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Openings. Date MECHANICAL (Permit) OK except #'s 83. Water Well; Disconnect, Electrical, Plumbing 33. A.C. Ducts Insulation & Support 84. Exterior Elec. Trim; G.F.I. Receptacle -Underground 34. Vent Fan; Exhaust above insulation 85. Ventilation throughout House 35. Condensate Drain & Overflow; Size & Grade 86. Glass Protection 36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Corrections from Previous Inpections 37. Attic Access & Platform if Furnace in Attic 88. Gas Test -Meters Tagged; Gas -Electric 89. Water & Sewer Connected -C/O to Grade -HD Approval 90. Energy Compliance Certificate -Other Certificates Card -B1 Date Card -131 Date Card -131 Date Card -B1 Date Card -81 Date Card -B1 Date Date FRAMING (Plans) OK except #'s Card -131 Date Card -B1 Date 38. Sills, Proper Material & Anchors Card -131 Date Card -B1 Date 39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Comments at Final: 40. Bearing Walls over Girders & Floor Nailing 41. Draft Stop in Walls (rat proof) 42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 43. Header & Beam -Size & Bearing (NOTE: An entry must be made each time you visit iob site) i COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 4 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT ,PERMIT NO / r..� ASSESSOR PA CEL NUMBER (12 —67 ORT I BUILDING PERMIT OWN T LEPHON SQ. FT. OCC. BUILDING VALUATION 17 70O NER'S MAI ING DDRESS / L CONTRACTOR'S NAME TELEPHONE CONTRACTOR' MAILING ADDRESS Fireplace CONSTRUCTION LENDE UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $,.Q ARCHITECT OR ENGINEER LICENSE NO. Plan Checking. Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING`—ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 5� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LONO. SUBDIVISION N ME ifCp'S PA ��jjEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ OtherBuilding SPECIFY Gas piping system 1 - 5 outlets 5.00 sewer 5.00 Mobile Home S G W 10.00 ea TYPE OF WORK NewLKAddition❑ Remodel❑ Utilities❑ Installation❑ Other [I Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check.one): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification CK I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.( DWELLING OCCUP.tr , ODNS.A ) h¢sgft NEW CONSTR.ULTII-OUTLET NON.RESID BRANCHCIRC ITS 2.50 ea /POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eL0 30 2ALO 30 FIXED PR EX. Occup. OUTLETS (RESID.IEAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 g 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. g I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor 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. 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 County i s e of the granting of this permit. X �- Date 3 ��� Signature o Applicant — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories inheight. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ Ft,610561...11 I PD ND This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC BY PERM( XPIRES Date_ the applicable provi- resolutions to do fees have been paid. WORKS Date3-17,,9,? p Q 7, ,in Receipt No. Q 1 63� WHITE-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT -VI{ c: t., :,i .;.5 �,; ,%,`� An,.r ov COUNTY OF BUTTE - DEPARTMENT -OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATkON DATA SHEET Permit No. OWNER_Q Z`P� A. P. No. Proposed Building Use �°� Building Inspector �� Date At time of permit application, I was advised the following data must be submitted prior to permit processing . and/or Issuance: DATE RECEIVED APPROVED 1. All items have been,)submitted. . . . . . . . . . . . Plot plans in dupli-cat,e%t.riplicate, signed by preparer of plans, _ � . Complete plans in dupl cal/triplicate, signed by preparer of plans. 4. Complete engineered plans and calcs, with wet signature on plans. 5. Plans with Energy Design Compliance Statement. . . . . . 6. School District ''Fees Paid" Stamp on Floor Plan. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . 10. Sanitation approval from _ Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) _14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) _.—_..._15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Inspec. request to 17. Pre -Inspection for___...___ _. _ Required- Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Driveway Permit. 20. Plot plan approval from city of_ 21. 22. When you issue the permit, rocess as follows: Mail to owner, Mail to contractor_ Telephone 1(� and hold for pickupf� office, Deliver w/inspector. Other -BIJ 1 Appl icant �%/� Date-1,�—�rP Copy of plans sent Health Dept.; Fire Dept., Other Date The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by—phone ---mail—counter by Contractor, designer, owner, was advised c? above required data by—phone _maiI—counter by Plans checked by Date Plans approved by Sets of plans on hold in File cabinet Copy—DPW AP folder date date ate 3- ( Z ate.) o TO: .Building Department 1 FROM: Environmental Health SUBJECT: SANITATION CLEARANCE re -11, H OWNER Plans approved for: Hold final for: LOCATION AP # Sewage Disposal K Water Supply i Water Supply Final Clearance O.K. for: Water Supply , Clearance for bedroom mobile home. Other Clear ce for addition of No t k // /,• / : / / �i /./ TARIAN 2—N DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-'538.:7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit.. No building permit will be issued until this verification is. received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not) �a ��- signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name�- Address City Phone Contractors License No. 5. I will provide some of the work.but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: Property Owner Social Security Number . Date - /,/-- d-04:�' NOTE: This Owner -Builder Verification is. sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our.office before we are pex,;, mitted to issue the permit. c Z ' PERMIT NO. `- 4350=78B PERMIT EXPIRES OWNER R. Andreasen owner rCONTR. 66-07-17 - LOCATION (A.P. ) �p 165 Shaw Cir., lot 66,.CC#l, Magalia a" E i h, i ii 1 s Temp. Power Pole 3 „ Temp. Elea Serv. Called PG&E Temp. Q'is Serv. 1 alled PG&E /JO_ -7� (/ l� FINALED ( Date) Z Setback Forms Main Bldg. Footings Stemwal I Slab Piers Footings Stemwa I I Slab Carport /l. ootin s �T lab Patio Footings Masonry Walls Relnf. Steel Bond Beam Framing Stucco Mesh Scratch Brown COUNTY OF BUTTE — DEPARTMENT°'OF PUBLIC WORKS BUILDING INSPECTION REtCORD BUILDING. BUILDING (Cont'd) PLUMBING Firewall Parapets Finish Windows Roof Sheathing Roofing Fdn. Vents Garage Vents Insulation Prov. for ph sical y handicapped Footing Heat syr Soil Piping list Floor 2nd Flooi 3rd Floor Water Pi Sewer Fixtures Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final Motors Water Htr. Subpanels Gird. Fault Prot. Service Temu. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES - - - - - - - - - - - - - --- - - - Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 6e Zw ac - _Q &C,z;lsAll 54 c(' (NOTE: An entry must be made on this form each time you visit the job site.) YJ t COUNTY -OF BUTTE — DEPARTMENT OF PUBLIC WORKS r ? 7 Coufl4�CenterDrive - OroviIle, Cal i forni a 95965 r TelephorW., 534-$541 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permiitteee or Agent �' ' o g Receipt No. 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 RWBLIC WORKS By /1 Date Building permit expires Date �� BUILDING Owner /s/, A 1Y 6-r) s r-1 SQ. F T.1OCC. BUILDING VALUATION ®' Mailing Address / �S J H /4 w C tg M itlephone No. Contractor /V a Mailing Address Fireplace Total Valuation q� Telephone No. Permit Fee Building AddressPlan W ��� Checking Fee&/or Penalty Permit Fee Q %' w IC / PLUMBING No. @ FEE I 7 PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 i ( p �-7 ,' -T A. P. No. (Q �Q / Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 F s C. Sa 1 io Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg P Re.' _ Parcel Approval Plans Approval Lawn sprinkler system 2.00 NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex Mobil Home Others Main service EA. ADD'L 100 AMP . 2.50 a( ,( r J"" Main service OVER eoov 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONS. DWELING OR ADDNST ( ACCLBLDGS.CCUP. ffi) 20sgft CO TRACTORS 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 CO ID BRANCH CIRCUITS) 2.50ea NEW RESID, BRANCH CIRCUITS) NEW CONSTR. (POWER APPARATUS B NON RES,D. SINGLE OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTIIRES 5 L� 00 FIXED APPLNS. OR Ex. Occup.(OUTLETS (RESID.) EA) 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 $ $ 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. FEEPERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 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 Land Development Fee Is TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permiitteee or Agent �' ' o g Receipt No. 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 RWBLIC WORKS By /1 Date Building permit expires Date �� PERMIT NO. 3669-78P,E a PERMIT EXPIRES OWNER Randy Andreasen CONTR. M. A. Najera, Paradise LOCATION (A.P. 66-07-17 165 Shaw Cir.; lot 66, CC#l, Magalia t tc 0 S y Temp. Power Pole 'Called PG&E Temp. Elea Serv. Called PG&E —� Temp. Gas Serv. Called PG&E /FOINALED-_____z._/ / 7 y, (Date) U _,/_7 (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS . BUILDING INSPECTION'RECORD BUILDING.BUILDING (Cont'd) PLUMBING ck Irewall Soil spin s Plows 1st loor Main Idg. ResNroom Finish 2nd Xloor Foot s. Wind o s 3rd F or Stemw II Sidin To out Slab X Roof She thino Water PI in Piers Roofing Sewer. Garage Fdn. Vents Fixtures Footings Stemwa l l Garage Vents Insulation X, Water Htr- Heaters Slab Carport Prov. for ph sic ly handica ed Conformance of ex. Appliances Gas Pip no & Test Footings structure Slab Final Patio(I R 00, LACE Footings Footing Masonry Walls Throat Reinf. Stee Final Bond Beyi ZFIRE SPRINKLE Framing Test Stucco Final Mesh MECHANICAL Screfch Heati B wn Co ng D is /nish Ierlor Lath entilation Closer anal MOBILEHOME UTILITIES ----------------- Elec. Servicej�jv Water Piping —/62— Sewer ,.._77 I E ME INSTALLATION Support �. Water Piping�� - Drainage DATE REMARKS OR CORRECTIONS Temp. Gas Sanitation Final F14CTRINI Grd. Fault Prot. Servic T p. Pole oder round Permanent Final Elec. Pedestal. Gas Piping Elec. Continuity Gas Piping (NOTE: An entry must be made on this form each time you visit the job site.) n 8 9. Electrical A. 'Is service large enough to provide adequate amperage -to mobildhome (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 apply the other lead to each mobilehome supply conductor, including neutral. S. All non-current, carrying metal pares'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•groundi_hg electrode and the chassis of the mobilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved f ,r 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 e Width e Vehicle Serial No. / 'State Identification No, klD 6 Additional Information or Comments: a R • r. MOBILEHOME INSTALLATION INSPECTION CHECK LIST 1. Is the mobilehome located with required separation from lot lines and buildings and generally conform to plot plan? Yes No 2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No 3. Are footings and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No 4. Is the mobilehome level? .(Sec. 5088) Yes_ No 5. If more than a single unit. are crossover connections properly installed? (Sec. 5088) Yes No 6. Water A. Is flexible connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes No' B. Test - Does water piping withstand working pressure or 50 lbs. air test? Yes No 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 D. If coach is not State of Calif ornia•approved, does station have required trap and vent? Ye's No 8. Gas.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 vf.lves. 2. Shut off appliance burner and pilot valves. 3. Air test with manometer to 10"014" water column or test with slope gauge (minimum ® 6oz.-maximum 8 oz.) calibrated in tenth pound increments. Test for 10 min. without drop. 4. Connect gas meter to mobilehotge.with connector, turn on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes_ No --o"• 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: Owner Owner's Address Mobilehome Mfg. it -f Model A/- • - + Year r Insignia No., 4 - ,,, iA r f!i - r/ `� 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 wnne - owner, T enow - inszaner, ring - u.r.vv. COUNTY 0�: BUTTE — DEPARTMENT OF PUBLIC WO KS 7 County Center Drive - 'Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .UN1U111V IVIJIGJ0IIlULIVU0 UI U10 %,uullty ul DuLm Lu tlnttll upull.LFIG above-mentioned property for inspection purposes. X Signature PermiitteeeorrAgent Receipt No. 1 7?/ -/F/ 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 beea paid. DIRECTOAAF BUBLIC WORKS By— Date B ' ding permit expires Date % 3�� BUILDING OwnerSQ. C - FT. OCC. BUILDING VALUATION Mai ling Address Telephone No. Contractor Mailing Address Fireplace Total Valuation /� Permit Fee Building Address CC - — ,Ce -j Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE _ PERMIT FILING FEE $3.00 Each Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. Cry `p - G I Zoning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F -32rTraiion I Fire 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. PI .ed Parcel Approval ans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION UTILITIES ❑ OTHER Permit Fee $ $ /ccs ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 8011 OR LESS 100 AMP OR LESS 5.00 Single Family ❑ Duplex ❑ Mobil Home Ot ers ❑ Main service EA. ADD•L too AMP 2.50 `a OV AMPP O OR LESS Main service OVER 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OR ADDNS. ACC.BLDGS.CCUP. 'd)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: y ✓/_l. C NEW CONSTR. BRANCH CIR T NON-RESID BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTl IPES 5 L� Ex. Occup. ( FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No42&/C/ Classification 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. ve 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 ❑ piermit 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 N04 @ 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 Land Development Fee $ TOTAL PERMIT FEE $ .UN1U111V IVIJIGJ0IIlULIVU0 UI U10 %,uullty ul DuLm Lu tlnttll upull.LFIG above-mentioned property for inspection purposes. X Signature PermiitteeeorrAgent Receipt No. 1 7?/ -/F/ 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 beea paid. DIRECTOAAF BUBLIC WORKS By— Date B ' ding permit expires Date % 3�� J•�\ COUNTY OF BUTT -E DEPARTMENT OF PUBLIC WORKS 7 County Center Drive 10roville, California 95965 Telephone: 534-4541 / APPLICATION AND PERMIT /J1I//_ authorize representatives of the t;ounty of t3utte to enter upon the above-mentioned property for inspection purposes. / Date —2 �' 7 Signet a of P rnitee 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 OFif1UBLIC WORKS BY Date 7—S %Z Buding permit expires Date .7-7 .77 BUILDING Owner 1.v 4 1/) Joa C7 /Is L --,q SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor . q . Mailing Address & V3 7 l` An % Fireplace Total Valuation �IPpj�o�e [your permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No. @ FEE T �a PERMIT FILING FEE $3.00 Each Trap 1.50 Qoeing Verificafion Only Repair drainage or vent piping 1.50 A. P. No. _� "1 _ �1`�� AT-- ani Water piping 1 / c7 .1.50 Each gas water heater or vent Fe W.2� tion Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Parcel Plans Declaration Parcel ap 60' R/W Improve ents Each additional outlet .30 Building sewer ErOIT LO P_ Bld P4.Qs .C'd Por A roval Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ permit Fee $ 3$ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS t00 AMP OR LESS 5.00 Sin le Family Duplex Mobil Home Others 9 Y ❑ P ❑ ❑ Main service EA. ADD•L too AMP 2.50 a �- b00 SQ. FT. MINIMUM ffJR MOBILES Main service OVER eooV 25.00 100 AMP OR LESS Main service EA. ADD'L 100 AMP 1.00 NEW CONSDWELING OR ADDNST ( ACCLBLDGS.CCUP. 51120sft CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California BUST ess & Professions Code under the name style of: NEW CONSTR. BRANCHCIRMULTI-OUTLET NON.R ESI D, BRANCH CIRCUITS) 12.50ea NEWCONSTR. /POWER APPARATUS 9 NON .RESID. %SINGLE OUTLET CIR, EX. OCcuo(OUTLETS OR FIXTIIRES BAL2j FIXED LNS. EX. Occup. (OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 6 License No.,?? � Classification IF Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ S WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. toI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. F1I 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 @ 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 Land Development Fee $ J — TOTAL PERMIT FEE $ '73 authorize representatives of the t;ounty of t3utte to enter upon the above-mentioned property for inspection purposes. / Date —2 �' 7 Signet a of P rnitee 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 OFif1UBLIC WORKS BY Date 7—S %Z Buding permit expires Date .7-7 .77 _ 0-3y •' _ , �' s AINnOO . 5 •. This set of plans and specific.a ions,MUST be kept on the job at all times and it is unlawful t® make any chan" or alterations on some without C written permission from the Department of Publlc 3i. Wors; County of Butte. k 2� 3 1. F_ N r vvc)6 1D .- -- -; - • cel : - - -�� •� � v�1��'3 ' � .. o 0. t ( . A =„O setback o ft.' frorr .• ' ;;r—: .Property li es and a se ELEV. 3 :Q :I ..........---- ,:..._ �;�i OfWft. fr m the road 2325; �. >, Ln� • cum ectin shall be clear of? or ipment 62 TO BUTT (0>0 BUILDDSP RTMENT NOTE—Ail Materials a Workmanship Shay lb *, Ateordence with Recognized Good Practices and of a qua+y prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Cosh and Ave N1 Nni Electrical Code. Top rail to be 36 in. high with Intermediate rails to be not over9' in. apart. loyEFF K-- ts, ZO " C>R HO R,67- -3 3 4– -r* 7-1-1c. T - D, 5: rT -414 D,F, Z'V SPAN PvWde adequate bQ1Cjh9,. TOWMA T -12N 4- 4- �' Max. Rise M I n. P. U n U�j MOZif-1p 1mr., fnin fet BUTTE max. tolverance betwe"11 lwges! & smallest r1salrun, BUILDING r) POP 330 30 E)� ? -4-'-Ar%AR so ,=-L 7�Z 646& SYAW 471;� 4- Ir 4- lel -,A C-74,4.114- C Q IS 0 2' a EcL7� .1" 1