HomeMy WebLinkAbout066-070-0214� • tw
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66-07-21
u.,J es Callie LaBarr
-
r so.. PA r. ;' lot -'1:42; -PP , -Maga
Permit #756-79 til., ,
ELEC.
S
STRUC REQ.
0 P C ON,,TEST HQ.
..__-_..----------
66-07=21
Charles pargiulo
13083 So.Park Dr., lot 142, P4PCC� aul
Permit #2263-81P,F(util., )"
ELEC .17- 6, g/ 2O0,1
GAS 7- 69
SUPPORT STRUCTURE REQ -
COMPACTION TEST -RE -Q ,-(_L_t.o
Contr: Paradise Modular Concepts
,Permit#2309-81B,E(garage) '
66=07=21
Contr;.� : Paradise Modular Conc epis I
P rmit#2319.8111HI
Igsued 1'�3
Permit #2718-81B(newc overed deck &
screen room/MH
0
66.-07-21
Permit #3298,818,,E( ew cabana/MH)
PERMIT NO. 2309-81B,E
PERMIT EXPIRES
OWNER CHARLES CARGUILO
CONTR. Paradise Modular Concepts
ASSESSOR PARCEL 66-07-21
LOCATION_ 13803 Southpark Dr,lot 142,CC##Mag.
17 ✓
w�A
w
G
"a •
j
r>
I Temp. Power Pole
i� Called PG&E
Temp. Elec. Service
Called PG&E
—/i
Temp. Gas Service
CalledPG&E�
JOB FINA D (Date)
Signature
r: '
t = OK
0 Not OK
Not Applicable
= Not Ready
f
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except tt'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.-Rfg.-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 N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. P601 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
1
V = OK•
Cr = Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UND LOOR Plans OK except#'s
Date FRAMING ued
Zoning require(nents-Setbacks-Easements
ro ty Line Firewall & Openings
2. F ., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
lg., Garage; Soils -Steel- / /" Ftg. Depth
. 69-9tatis^Wltlth-Headroom-Rise-Run-Landing-Fire
Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. St ails, Main; Steel-Blockouts-Wrapped-Slab
52Cateing-Nailing-Veneer
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
Stucco Mes -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
r54:--&t7ZTMTArea-Glass
Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
,55—ShearW-afls;
Nailing -Bolls
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchor egu or -Service Test
11.
Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
A
Card -BI
17
ate C rd -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date 7A 1 A"l Card -BI Date
Date FI
L tans) OK except #'s
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
5
xt. Steps -Door & Sidelight Protection -Landings
, 57
Sfl
Smoke Deteclnr
Furnace' Vents -Clearance -Comb. Air -Connector -
In Garage;�bove Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
69
Radroom Ming
17. Shower Pan; Test, First Floor -Tub Access
ath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
6fr,
ec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
6P--9tatrs-*-ReiIS
W.
ove; Clearances -Hearth
lec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
lance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
eceptacles at Kit. Counter
Date ELECTRICAL Permit OK except #'s
oor; Swing -Landing -Closer
.68.—A-G--9uet-M
Garage -Damper
F' lure & Transformer Clearance -Ins. Protection
tr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I Garage, eve Floor-Mech. Protection
E c. Receptacles Spacing -Lights &Switches at Doors
Ib. Elec. &Mech. Equip. Listed for Location
Si oxes & No. of Conductors -Stapled
7
ec:` ptacles in Garage; (G.F.L) ex Prot
-Looked in Attic E) Yes
R ex Installed Close to Edge of Studs & C.J.
2 quip. Groun made up w/Mech. Fasteners -Bond Gas &Water
VS.
-6cmM.flarss-& Deck Construct i on-Pos.t Caps
ppliance Circuits in Kitch Conductor Size
7
ents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under oor ❑ Ye
- ubfeed Wire Size / r AI-A.C. Wire Size / / ga. Cu or Al
27. e Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insu eutral ❑Yes ❑No
75.
Following instld.: Dr've Yes ❑ No; WalksYes ❑ No;
Planters Dyes o
28. Ser a -Riser Conductors & Ground -Main Disconnect
qty t .co• ,Brown-Fini
29. Clearances; Panels-Motors-Mech. Equip.--pt-8-�t;
Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.7Zfethes Closet Light -Shower Light
78
X�An�, l�.e Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79;YV�tt?rW€TrDisconnect,
Electrical, Plumbing
8
Exterior Elec. Trim; G.F.I. Receptacle -Underground
entilation throughout House
rotection
Card B -I
Date
/ Card -BI Date
Card B -I Date Card -BI Date
Date ME ANICAL (Perrrr,it) OK except #'s
8
_
orrections from Previous Inspections
s es Meters Tagged; Gas -Electric
31. kC. Ducts; Insulation & Support
8
ewer Connected -C/0 to Grade -HD Approval
32. Ve t Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
_ 33. Con nsate Drain & Overflow; Size & Grade
34. Furnac -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Acc s &Platform i( Furnace in Attic
Card -B
Date Carc-BI Date
—
Card -BI
Date Card -BI Date
Card -BI
Card -BI
ate arc -BI Date
Date and -BI Date
Card -BI Date Card -BI Date
Date
R G(Plans) OK except #'s
Comments at Final:
SiNs; Proper Material & Anchors
_ 37 Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
381/ Bearing Walls over Girders & Floor Nailing
i top in Walls (rat proof)
n_"2e s; Furred Ceilings -Stairs -Chases -Tub
_97F
41 eader & Beam -Size & Bearing
_
4S—Wangef-s-Post Caps -Anchors -Connectors
43.4C�g. Joist- fir. Ties-Purlin - Roof Brac.-Truss-Shthng.-Rfng.
Ce Ties or Type AFlue-Fireplace Throat
_
�RTt72; ccess:_Size & Romex Protection -Draft Stop -Ins. Baffles
ows or Exiting Doors -Sill Hgt. & Dimensions
_ i _4W.
_drrm^.��Win
ge Fire Protection Framing
(NOTE: Anentry must be made each time you visit jobsite)
_ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541 s,
Skyway and Elliott Road, Paradise — Phone: 872-2961. Ext. 57
CORRECTION NQTICE
BUILDING OR PROPERTY A
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'Please contact this office immediately.
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Tei"ephone 916/534-4541��
°APPLICATI®NAND PERMIT
ASSESSOR PARCE N MBER-
— —�
ZD /
LDING PERMIT
OWNE
T LEPHONE
SO. FT. OCC. BUILDING VAL13ATION
OWNER'S MA CING Q DRESS
O TRACT •S NAME
i)
T LEPHOCNE
5
O R T0,a'SJ4AI1LIqG ADDRESS -
r1 6
Fireplace
C NSTRUCTION NDER
UNKNOWN
Total Valuation is o U
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ �9
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ �p
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
p
PLUMBING PERMIT
Filing Fee 10.00 '
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT
/NO. SUBDIVISION NAME
Y L.
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other
Describe work:
_permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2;50
NEW CONST. ( DWELLING OC •51 ZQ Sq It 0
OR ADDNS. ACC. BLDGS.
CONTRACTORS LICENSE LAW
I declar er penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi /k]�yS(�C dlP�,and license is in ful force a d ffect.
License NOr-�[/,//y 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW -CONSTR -OU LE 2.50 ea
NON RESID, BRANCH CIRCUITS)
NEW CONSTR ( POWER APPARATUS SI
NON-RESID, SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES 50@25
(FIXED APPLNS. OR
EX. OCCUp.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ r
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Th it is for $100.00 (valuation) or less.
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.
.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
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
:!*-i bilities, judgm , t, costs, a expenses which may in any way accrue
gid Count in on=enc o the granting of this perm t.
D
Signature of Ap licanr - , Owner ❑ Contractor Agent
An SHA pe it is required for excavations over 5'0" deep and demolition or construct-
ion o s ctures over 3 stories in height.
Mobile Home Installation Fee $ `
TOTAL PERMIT FEE $
occu P. GROUP
-,
TYPE OF CONST,
—
PARCEL
(i
PD
v
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abov for which
DIRE T OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date "�``� ��p�
Receipt No. �0 kk (, ,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
—=
- PERMIT N0.
2718-81B
PERMIT EXPIRES
OWNER /�. Qnrles Gargiilo
CONTR. t owner
ASSESSOR PARCEL 66-07-21
LOCATION 138'03 So.Park Dr., lot 142,PPCC#l:
Maga.lia
Temp. Power Pole _
Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas Service
z.
Called PG&E
JOB FINALED (Date)
Signature
V =' OK
0 = Not OK
— = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except p's
Date
DS,P?'K'_g0VERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements—Setbacks—Easements
IC"foging Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
Footi s; —Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
ec ,Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, Water; Location—Test—Easement Needed (Sketch)
ood Awn.; Posts—Beams—Rftrs.—Connec.-Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
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
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
Card -BI
Card -BI
Date
ate Card -BI Date _
a e Card -BI Date _
P OLS (Pla ex pt q's
1. Zoning Requirements—Setbacks—Easements
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/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panelboards—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
J = OK
0 = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; S6ils-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 -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. DLepth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
51.
52.
53.
, Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
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 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas.Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -81
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents-Cleararce-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
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
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 F] Yes
73.
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
_
-
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or A1,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters []Yes []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.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Card B -I
Date
Date Card -81 Date
Date Card -BI Date
MECHANICAL (Permit) OK except H's
31. A.C. Ducts; Insulation & Support
81.
Ventilation throughout House
82.
Glass Protection
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 -81
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 Plans OK except dl's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_41.
Header & Beam -Size & Bearing
_
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist -A-6r. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
46.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WQR PERMIT NOS/
7 County Center Drive - Oroville, California 95965 - Telephone 916/ 4-4541
�APPLICATI®NMb PERMIT
ASSESSOR PARCEL NUMBER
_ C •
ZONING
''�
BUILDING PERMIT
OWN R /
tL i- t7 -S C, d -i iZ C , Lj LC9
TELEPHONE
�'
OCC. BUILDING VALUATION
�
[t�T.
l� •—
OW E S MAILING ADDRESS
Qi.
CONTRACTOR'S NAME /
- 1
TELEPHONE
CONTRALTO 'S AILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
y�
V
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS ,
Permit fee
$ 5/6
BUILDING ADDRESS
3 Q 3 /�cLJ� J(2_'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAME
L-Zk'
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex[] MobilehomeX] Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other kT
Describe work:
�i G��. �',� /� ��
C-6 Us:ezt _ 1 �r c- re
V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OROR LESS5.00
fff
Main service. EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.01)
OR ADDNS, % ACC. BLDGS.
21Csgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ I 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
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 '-OUTLET 2,50 ea
NON -REBID BRANCH CIRCUITS)
NEW CONSTFL / POWER APPARATUS a)
(SINGLE SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES e ,
(,FIXED APPLNS. OR
EX. OCCUp.UTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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
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.
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
S
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree save, indemnify and keep harmless the County of Butte against
all liabiliti s judgments, costs, and expenses which may in any way accrue
against s 'd itounty in consequence' of the granting of this permit.
X Date / , �� r�/
Signotur Of plica -ner Contractor ❑ Agent ❑
excavations over 5'0" deep and demolition or construct-
An OSHA permit is requir4eso,
ion of structures over 3 sto height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ V67-
OCCUP. GROUP
1VJ_J
TYPE OF CONST.
V_ Al
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7 Z Z —,P/Receipt
�j �j
7 7, 7- ��
T `1 t
No. ti >4
WHITE-D.P.W., YELLOW -ASS CSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
3298-81B,E
PERMIT NO.
PERMIT EXPIRES �Z? r.7
OWNER ChAes Gargiulo
7
CONTR. owner
66-07-21
ASSESSOR PARCEL
? LOCATION 13803 So.Park Dr.,lot 142,PPCC#1
Magal is
. i
a
i
Y
j>
Temp. Power Pole
ys
Called PG&E
' Temp. Elec. Service
N
Called PG&E_-
Temp. Gas Service
Called PG&E
JOB FI D (Date) w ��
Signature
i 4;�
V = OK
0 = Not OK
=blot Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
x
1. Zoning Requirements -Setbacks -Easements
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
0�dti'ngs; Size -Depth -Spacing -Connectors OANCA,>�
3. Sewer; Location -Test -Fall -C/O -Concrete
� •,r
t
4. Water; Location -Test -Easement Needed (Sketch)
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
%ECKS, COVERS, CARPORTS, -ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
0�dti'ngs; Size -Depth -Spacing -Connectors OANCA,>�
3. Sewer; Location -Test -Fall -C/O -Concrete
� �
Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails�""-+
4. Water; Location -Test -Easement Needed (Sketch)
4e-W'6od Awn.; Po&te--BE&wz-Rfke-=Coim cc.-SirKg-- g. -Br c
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Col-Connectidns-Splice-Decal-Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L'ft./ /"LPG
6. C rpor indows-Doors•
7. Utility Clearance
Card -BI
Date Card -BI Date
Card -Bl;
(� Date9 �. �/ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
n Date f Q Card -BI Date :_
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4.Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK �.•
= Not Applicable RESIDENTIAL (Sirtgle and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
_
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
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 Card -BI Date
Date
FINAL (Plans) OK except p's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except q's
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
_
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
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.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except N's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
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 ❑Yes
73.
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. / / a. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral `,Yes ED No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
_ 30. Clothes Closet Light -Shower Light
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
_
Corrections from Previous Inspections
84.
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
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
Card -BI
_
_Date _- _ Card -BI Date
Date Card -BI Date
Card -81
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. _Sills; Proper Material & Anchors
37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing _
39. Draft Stop in Walls (rat proof)
Comments at Final:
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
--41.-Header
42.
43.
44.
& Beam -Size & Bearing
Hangers -Post Caps -Anchors -_Connectors_
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
_
45.
Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. &_Dimensions
_
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE'L DEPARTMENT OF PUBLIC WORKS PE IT NO.
7 County Center Drive - Oroville, CaJ'1f9rniis95965 - Telephone 916/534 41
- APPLICATION AND PERMIT AA IN 1,2
ASSESSOR PARCE N MB"ER 1
NG
BUILDING PERMIT
OWNER
ELEP ONE
X13 -1. �3 •
SQ. FT. OCC. BUILDING VALUATION
� �. 5- fL
O NER'S MAILING A D ESS
CO TRACTOR'S NAMETEL
'Yn
PHONE
3 - a'
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee -
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 2 —
BUILDING DORESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO. SUBDIVISION NAMEPARCEL
__.
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCT RE {�
SF ❑ Duplex❑ Mobilehome� Other - .i� ��Cf�
�� SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherIK
Describe work:
Ci14 r3 oq.,1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR001 OR LESS5.00
Main service EA_ ADD'L too AMP
2.50
NEW CONST. I DWELLING !d
OR AODNS. % ACC. BLDG,O VJ2".
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I 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
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -IILET 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR POWER APPARATUS 6
NON.RESID.SINGLE OUTLET CIR.
EX. OCCUp OUTLETS OR FIXTURES_ BAL01
FIXED APPLNS. OR
EX. OCCup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.50
Permit Fee $ y"—I—
Contractor �p Lsti
MECHANIC6AL 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
of Consent to Self -Insure.
LEI'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
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
allso I abilitieree to Judgments, c sts,nandeexpen eless the s which may in any wayof Butte aacc accrue ainstofc�UP.
against sai ounty in consequence of the granting of this permit.
Date �r4
Signature of Va nr Owner Contractor 1:1Agent ❑
An OSHA permrequred for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
"Mobile Home Installation Fee $
TOTAL PERMIT FEE $
GROUP
' ` P
TYPE OF CONST.
V
JPAROL
c/
H
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R OF PUBLIC
By
PE EXPIRES Date
X
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�Z� 0
Receipt No. .51 %
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r
_. .� 2263-81P,E
PERMIT NO.'
• PERMIT EXPIRES
OWNER Charles Gargiulo
owner.
CONTR.
66-07-21
ASSESSOR PARCEL
LOCATION 19, So.Park Dr., lot 142,PPCC#l,
Magalia
Pa '.r4k-
`i
}
s
Temp. Power Pole
i
' Called PG&E
k
e p. Elec. Service
Called PG&E 4�eL✓i`/ D
�( Temp. Gas Service-
- s
s
e Called PG&E
-Z
• r
JOB FINALED (D te) C�
Signature
V = OK
O = Not OK
= Not Applicable
* = Not Ready
MOBILEHOMES
S�
MISCELLANEOUS
Date MOBI O E UTILITIES (Plans) OK except N's s
Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
Zon' g Requirements—Setbacks—Easements
1. Zoning Requirements—Setbacks—Easements
oils; Special MU Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3�,Mwer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders an Joists—Decking—Bracing—Stairs—Rails
01�ater; Location—Test—Easement Needed (Sketch
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
ectricity; Location—Clearances—Grnd.—/ mp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. GasLocaliort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
tility Clearance i
7. Elec.
Card -Bl D fe Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date ' Card -BI Date
Card -BI
_
Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except It's
1.,Voniaq Requirements—Setbacks—Easements
1, Setbacks—Easements
2.oot` s; Size—Spacing—Marriage.Line�u,ats�
2. Soils; Compaction—Structure Stability
r: 6�
a ;- H-Test—Dem
sand—Valve.EConne�ctor;
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
lectricity; MH Test—Crossovers—Brea_kers:. '6learances
4, Elec.; Receptacles and Lighting; Distances—GFI
5.� rai • MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6, ate MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7./Water and Sew,p Xnnected—C/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater.
B. 4as and Ele ricily Tagged ! r
V Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9, xits; Insp.—Sketch.
10.k6ert. of Occupancyk'3/ J `
.9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I ate rd -BI Date
Card -BI
Date Card -BI Date
Card B -I Date and -BI Date
Card -BI
Date Card -BI Date
I
= OK
O = Not OK
= Not Applicable
Not Readv RESIDENTIAL (Single and Duplex).
•
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screec-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
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 Card -BI Date
Date
FINAL (Plans);p.K,,except;.N,'s
56. Ext. Steps-DoNf`S delight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Det���
Furnace; Vents -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
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
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.
67.
Elec. Outlets & Receptacles at Kit: Counter
Garage Fire Door; Swing -Landing loser
Date
ELECTRICAL Permit OK except N's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size
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 ❑Yes
-
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
74.
Guard Rails & Deck Construction -Post Caps
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 AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes (:1 No
75.
76.
77,
Following instld.: Drive ❑ Yes ❑ No; Walks El Yes [3 No;
Planters ED Yes El No
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
28. Service -Riser Conductors & Ground -Main Disconnect
29. Equip. Clearances; Panels-Motors-Mech. Equip.
_
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 -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Perrrit) OK except N's
83.
Corrections from Previous Inspections
84.
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 & 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
Comments at Final:
Date FRAMING(Plans) OK except q's
36.
Sills; Proper Material & Anchors
_
37.--Walls;-Studs-Nailing,
38.
39.
40.
Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
i^ OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California dministrative Code, Title 25, Chapter 5, under permit
number .:73
_ 1 % - for the followine location:
Owner ! t7H K h L41
Owner's Address `>179C
Mobilehome Mfg. Model Zy �Year�%
Insignia No. ��/yi�i� Serial No. �. .Z?
It is hereby certified for occupancy at the above described, location and
mayzbe occupied.
Director oofiPiibl'c�W/rks .j
Date 0•r r3! ��� By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White- Owner, Yellow- Installer, Pink - D.P.W.
i COUNTY OF BUTTE
' DEPARTMENT OF PUBLIC WORKS
,695 Oleander Avenue, Chico , Phone 3,43-4211 Ext. 70
County Center Drive, Orovilhe P1i6ne1534 4541+
Skyway and Elliott Road, Paradise —
�7.2.-;;,9bi-;X
COARECTION 2410TICE
BUILDING OR PROPERTY ADDRESS
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
X�'®�O ✓� /tel ! /� G Z�70rg C &��¢�d Ott
S Z� IleS
Ce O fp,,�L-v.S
Y' /►Z / / 3 1 X c? a v
�. COUNTY OF BUTTE- DEPARTMENT OF PUBLIC, WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1
APPLICATIONIAND PERMIT r
PERMIT N0./
ASSES O PARCEL NU BER
la — d — _L '/
Z G
/
BUILDING PERMIT
ow R
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S M,A ING A}'� RESS -
O TRACT S.N AME,HON
�
CTOR'S A IIIING ADDR SS
�j
Fireplace
CONSTRUCTION LENIrR
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 MAILING ADDRESS
'
Permit fee
$ 190—
o—BUILDING
BUILDINGADDRESS
PLUMBING PERMIT
Filing Fee 10.00
r
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
LLc,
SUBDIVISION NAME
I
PARCEL MAP
Each qas water heater or vent -
5.00
Gas piping system 1 - 5 outlets
USE OF S CTURE
SF [:1Duplex ❑ Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Additio - Remodel ❑ Utilities ❑ Installation Other,❑
Describe work:
ray(J� a 2� 3-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing"Fee 10.00
Main service 100 AMP OR0V OR LESS5.00
•
Main service EA.,ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.51)
OR ADDNS-. ACC. SLOGS.
22 sq ft
I '
-
CONTRACTORS LICENSE LAWrNi-Wi.Roesio
I declare er penalty of perjury (check one):
I am licensed under provisions 'of Chapt. 9, Div. 3 of the Business
and Professi9 ode and my license is in ful orce nd 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
R BRANCH CIRCTITS 2.50 ea
NEw CONSTR. ( POWER APPARATUS e)
NON.RESID;- SINGLE OUTLET CIR.
80@2�
Ex. Occup(OUTLETS OR FIXTURES 100
Ex. Occup.(OUTLETS FIXED I((RESID )LINIS REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ T permit is for $100.00 (valuation) or less.
ave placed on file with the County of Butte Building Department
tL,1�' 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.
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 shal I be deemed revoked.
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
II liabilities, judgments, costs, and expenses which may in any way accrue
ag 'n t said Cou ty consequen a of the granting of th' permits
%� D to l
Signa re Applicant — owner ❑ Contractor gent
n 0SH p� rmit is required for excavations over 5'0" deep and demolition'or construct-
io f str ctures over 3'stories in height.
Mobile Home Installation Fee $ o,
C� 00
TOTAL PERMIT FEE $ J
OCCUP. GROUP
I TYPE of CONST.
PARCEL
I PD
HD
59u�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO O PUBLIC
BY
PE EXPIRES Date?��---
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 7-7—,?/
Receipt No. S,()�a'(�
WHITE-D.P.W.• YELLOW-A56E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
�
COUNTY ORF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT N0.
7 County Center Drive - Oro4ille, California 95965 - Telephone 916/534-45
APPLICATION, ANDVERMIT
ASSESS : PARCEL NUMBER
6-o7-91
ZONING
.t -�
TELEPHONE
BUILDING PERM( '.
owN %%��
il? 174e L_I) '
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A"9'99 ESS
t05az2. (,APZOL n/ Gi9�� VLS
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
n*rlc .
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD
Z40R SS S6
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping '
/i7—
LOT NO.SUBDI
VISION NAME
(- I
PARCEL MAP
1
Each pas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
I% -
SF ❑ Duplex❑ MobilehomOther
SPECIFY
Building sewer
/
Lawn sprinkler system
5.00
TYPE OF WORK
New❑ Addition Remodel❑ Utilities Installation ❑ Other ❑
Describe work: r
Permit Fee
$ "
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2:504
NEW CONST. DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I 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
IK 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
NON -Roes DTR BRANCH CIRCTITS 2.50 ea
NEW CONST R. ( POWER APPARATUS 6)
NON-RESID, (SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES_ 2t
BAL
IXED APP LNS. OR
Ex. Occup. (ou TLE TS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities
15.00 !j
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
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
S
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 save, indemnify and keep harmless the County of Butte against
all liabili judgments, costs, and expenses which may in any way accrue
against s I County ' consequence of the granting of this permit.
X Date /
Sign re Appli nr -' Owner ❑ Contractor ❑ Agent ❑
An SHA permit is re ' ed for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 tories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ i 7,21
occuP. GROUP
TYPE OF CONST.
PARCPD
H�
t/
55DE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date -3TT
6- 2-- -a
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
Je
OROVILLE, CALIFORNIA
GENERAL CLAIM .
CLAIMANT: James LaBarr
ADDRESS: 7631 Prince St.
CITY & STATE: Citrus Heights, CA. 95610 IMPORTANT:
March 8, 1979 SEE INSTRUCTIONS
DATE OF CLAIM: ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE I DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
AMOUNT
Not going to install facilti as for mobilehome.
arm ,- Receipt P - AP 66 -071 -AJ.)---
Plumbing permit fee ----- $23.00
i
Retain filing fee ------= 3.00
Amount of refund due --- ---------$20.00
Electrical permit fee --- $25.50
Retain filing fee --- --- -
Amount of refund due ------------- 22.50
-- -
--
Total Permits Fees Refund Due ----$42.50
i
Land eve opment Fee -Re__fu_n__cT Due -- _ --
TOTAL REFUND DUE -----------------$67.50
-_-1-_ - —
$671.50
-------tel!-�
I
i
I
I
i
TOTAL
$67.50
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim is true and correct as stated.
Datedthis .................................. day of ............................. 19....... at................................. Calif....................................................................:................
Signature of Claimant
I, the undersigned, hereby certify that, to the best of my knowledge, the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation ❑ or Specific Board Approval F__J (Check one) for the same.
8th March 79 Oroville
Datedthis ....................... day of ............................. 19....... at .............................. . Calif.....................................................................................
Department Head or Authorized Deputy
Dept. Exp.
Code Code PAYABLE FROM .... FUND
DO NOT WRITE BELOW THIS LINE - AUDITOR'S USE ONLY
VENDOR
CODE
DEPT.
& SUB.
PROS•
SUB.
0BJ.
CLAIM
NO.
INVOICE
NO.
INVOICEGROSS
DATE
DISC.
AMOUNT
ENCUMB.
SUB -DIST.
J.
INSTRUCTIONS to CLAIMANTS
All claims against the county must be .itemized, 'giving dates and
character of service rendered' or work" performed; `quantities; de-
scription and unit prices of articles furnished or delivered..
Claims must be certified by the -claimant and, submitted to the'.De-'
partment head for approval. Upon approval the Department head
will forward claim to County .Auditor for payment procedure. Do,
not file with the County Auditor, first:
Claims should be presented to officials for approval immediately
upon completion of services requested or material ordered.
Claims are paid every Tuesday; however, same must be approved by
officials and in Auditor's office before preceeding Wednesday noon.
Compliance with above will expedite payment of claim, failure to do
so may delay payment considerably.
COUNTY OF_BLJTE — DEPARTMENT OF PUBLIC WORKS
f - ' 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
t M a r 4 f" t
BUILDING 1
11
O erC P
lid W� 06: oerti
SO. FT. OCC. BUILDING VALU TIO
ailing Address U
Tel hone No.
Marr
Mailing Address �". �
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address 2 �� S�ctf� r' 1
Plan Checking Fee &/or Penalty
Permit Fee
Gt. C
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. °'-A
ii
p& PZ la Ing
Water piping (�
Each gas water heater or vent 1.50
F des,
SV Ion Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
P arking
Plans
reel
Declaration
Parcel p
60' R/W
Improve ents
Each additional outlet .30
Building sewer 5.98- /0
BI s Recd
Parc ro,,al
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 `t-�
100 AMP OR LESS 5.00
Single Family Duplex Mobil Home D/ Others ❑
Main service EA. ADD'L 100 AMP 2.50 cp3�
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONSDWELING OR ADDNST ( ACCLBLOGS.CCUP, 4\ 20sq ft
/
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
st le of:
Y
NEW CONSTR MULTI.OUTL T
NON.RESI D, BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 6
NON-RESID, SINGLE OUTLET CIR.
EX. Occup{OUTLETS OR FIXTURES) BAL1M I
Ex. Occu FIXED APPLNS. OR
p•�OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 S
License No. Classification
Misc. Wiring 6.25
BT -am exempt from the Contractors License Laws of the State of California.
Permit Fee $ S^5
$ 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.
E] 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.
@
MECHANICAL No. FEEPERMIT
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
Is
TOTAL PERMIT FEE
$ 73 1
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes. b
X Dated
Signatureof Permitee or Agent
I
Receipt No. ! '? (a)�I % °
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.
DIRECTO P BLIC WORKS
BY Date
Building permit expires Date