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 }
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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
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(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
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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.
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.- -- -; - • cel : - - -�� •� � v�1��'3 ' � ..
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A =„O setback o ft.' frorr
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' ;;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-
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4–
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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
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646& SYAW 471;� 4- Ir
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