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= OK; -
0 = Not•OK
= Not Applicable. •''
Not Ready.': _ 'MOBILE :HOMES 4 MISCELLANEOUS`
Date: - ":• MOBILE HOME UTILITIES (Plan"s) OK.ezcept#'s Date• • ;DEC OVERS,CARPORTS,GARAGES; (Plans OK except Ws
1:' Zoning>Requiremefi s -Setbacks -Easements _
oni equirements-Setbacks-Easements
2. Soils;,Special MH Support-Sketchotings;.Soils-Size-Depth-Spacing-Connectors-Steel",
'3:'Sewer; Location-Test=Fail-C/.O-Concrete
.3. _Decks; Girders hd/ -Joists-Decking-Bracing-Stairs-Rails
4: Water; Location -Test -Easement Needed (Sketch)
ood Awn.; sts'- ms-Rfk(s.-C c.-
Slg:fbFfg: Br�
•5: Electricity; Location:Clearances-Grnd.-/ " / Amp -Concrete
6. Gas; Location -Test -Wrap;;/ ; /':L" ft: . ,
/, - /"Nat, or/ "' /"L,'ft./' /.; LPG._
n.; Columns -Connections -Splice •Decal .Enclosures,
•
_ 7:'Lltility Clearance'. -,
7- teu:
•
-
- _
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-Card-131
Date Card -B Date
"1
Card B1.Card7B1,
Date
`Date
MOBILEHOME INSTALLATION (Plans) OK except'#'s
I
'1.•'Zoning Requirements -Setbacks -Easements •
Card -131 Dat%rJ;Z = Fd -131 Date
2. Footings; Size-Spacing=Marriage Line
/7-'Mard-B1 Date
Card -131. Date�j
3. Gas; MH.Test- Demand -Valve -Connector_ .'
Electricity: imH;Test=Crossovers=Breakers-Clea rances
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
:. ••
• ^ : :4'
9. Ezits,�lnsp.:=Sketch•
Elec.; Receptacles and, Lighting, Distances-GFI '
5., Elec.; Pool•Lighting;l15 volts-GFI
10. Cert: of',Occupanoy
,,-, .:.. •. _
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.
foxes-Enclosures-Panelboards-Ins. to. Main in Conduit_ ,
Card -61 F Date ' w Card-Bf Date ` .
Card -131
-'•'Date` . Card -B1 ;Date
9. Health Department Approval "
rr
Y
10. Plumb.; Cir. Test -Water Supply Test
l
Card •B1 Date Card -Bl Date `
Card-B1Date. Card -B1 ,' ' Date
0 Not
= Not AO plicable ` RESIDENTMI (Single and Duplex) r.
= Not Ready
Date UNDERFLOOR (Plans),OK except #'s ,
Date FRAMING•(Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45: Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils -Steel -Elea Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4.-Ftg., Porches &Decks;.Soils-Steel-/ "" /,'Ftg. Depth
48. Attic Access; Size•& Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49. Bdrm. Windows•or.Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50,,Garage- Fire`Protection Framing
7. Slab; Steel -Wrapped-
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9.•D.W.V.;-Fall-Fittings-Test-2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; -Size -Anchors
54. Plywood on Roof_Qverhang-Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55..Siding-Nailing..Veneer
12. Electric; Underground
56. Stucco Mesh- Drip. Screed -, Fd: %Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material-Su pprt-Ins.
57. Glazing Area=Glass Protection -Skylights -Plastid :.
14. Girders-Sills-Anchor•Bolts-Joists-Vents-Cripples
58. Shear Walls; Nailing=Bolts
15. Insulation
59. Insulation-WagI '-Clg.
60. Infiltration -Wal is-Wndws
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20.' Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except.#'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights &.Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Meth. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
.36. Condensate Drain & Overflow; Size,& Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39.'Sills, Proper Material &Anchors
40. Walls Studs:Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44_ Header & Beam -Size & Bearing
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door &,Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance, -Comb. Air -Connector
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa'
66. Elec. Trim & Subpanel;' Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth.
69. Elec. Outlets at Wood -Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd..-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R:V.-
In Garage; Above Floor -Mach. Protection
i
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation=Foam-Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 11Yes ,
80. Following instld.; Drive ❑ Yes ❑ No' Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -B1 Date
Card -B1 Date Card -61 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMEN OF PUBLIC "WORKS
7 County Center Drive - Oroville, California 95965.- Telephone: 916/538-7541
APPLICATION AND PERMIT -26221
PERMIT N0.
"ASSESS R PARCELNUMB=R ,.
ZOff
BUILDING PERMIT ,
" OWNE
r -C S e
T EPHONE
Q �3- yO
SQ. FT. OCC. BUILDING V UATI "
Q
^942C IP
OWNER'S MAILINGADDRESS y'S'- S
g F or 1. f
CONTRACTOR'S NAME - - -
V--
JTGAEPHONE
CONTRACTOR'S MAILING ADDRESS -
Fireplace
- CONSTRUCTION' LENDER -
UNKNOWN
Total -Valuation - $
Filing Fee -
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee'
$ 5- —
ARCHITECT OR ENGINEER - -7L-ICF-NSE
NO.
Plan Checking -Fee -
$ 2
Energy Plan Checking Fee
$ "
ARCHITECT OR ENGINEER'S MAILING ADDRESS -
_
Penalty
$
BUILDING ADDRESS-�
Permit fe@
!
PLUMBING PERMIT',
Filing Fee 10.00
Each Trap
2.00
`
Solar•or heat pump water ter
20.00
LOT NO.
SUBDIVISION NAME -
PA JE% M/AP
Water piping I . .Z
5.00 "
Each qas water hpfer or vent
5.00
USE OF STRUCTURE
SF ❑ 'Duplex Mobilehome❑ Other 06L r >n O � �
.SPECIFY
Gas piping sys m 1 - 5 outlets
5.00
Buildings er
5.00
Mobile me -. S G W
O.00e
TYPE OF WORK
New KAddition ❑ Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work:
h�0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD•L 100 P
2.50 -
CONTRACTORS LICENSE LAW
I declare under penalty of check one):
P Y Per Lur Y( )
❑ 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-
T` sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively" contractingwith licensed contract-
ors. (Sec. 7044)
❑.. I am exempt. under Sec. Business and Professions Code
for this reason
NEW CONST. DWELLING o CUP"
OR ADONS. ( ACC. BLD CUP"),
1/zQSgft
NEW CONSTR. TI -O TLET
NON.RESID .BRA C CIRC ITS
2.50 ea -
/POWE APPARATUS e
ISINGOUTLET CIR.
Ex. Occup(T ETS OR FIXTURES
OU
20®90!
eALoso
rF ED APPLNS. OR
Ex. Occup. UTLETS (REST DJ EA.)
2.00
Temporar service
10.00
Mobile ome.Facilities
15.00
Misc Wirin 9
15.00
Permif 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 ora 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 PE MIT
FiIingFee 10.00
Heating
Cooling
Hood:
3.00
Venti tion. "
p It
$
Contractor
I certify that 1 have read this; application and state that the above information
is correct. I agree to comply to all :County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Cpunty of
Butte to enter upon the -above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the .CountyI of, Butte against
all -liabilities, judgments, costs, 'and expenses which may.in any way accrue
against sai County i nsegL�nce of the granting of•thi's•permit.
Date
Signature of Applicant — � Owner -R � Contractor ❑ 'Agent
An OSHA permit •is required for excavations over 5'0�' deep and demolition or'construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ .
CONST TYPE
TOTAL FEE / e
Hnz
CUA
PARK
SCHL
F
P
PD
IP' I
HD ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PEROT EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
P
WORKS
Date
Receipt No. �"�S L s
WHIT[-.D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR.. GOLDENROD -APPLICANT
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COUNTY OF BUTTE - DEPARTMENT O 'P _BfIC WORKS - BUILDING DIVISION !�
r, _k: " , /
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
OWNER _
Proposed Building Use
Permit No.
A. P. No.�
uilding`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. ... .. ..........................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans .. f
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid .....................................................
13. School District fees paid ..............
14. Sanitation approval from EQ -t a d r -k-e- Health Department %
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec.request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledg ent Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone A73- 41006 and hold for pickup at office. Deliver w/inspector.
Other
.wlll.
Applica.�n ' �� Date e!d
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: ( Ircle,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_-mall_counter by� _.date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by Date Plans approved by f Date
Sets of plans on hold in File cabinet AP folder'
Copy—DPW
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COUNTY OF BUTTE - Departw nt 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-mate"rials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an application for a building permit
for the proposed work.
I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
f+� 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.
�3. 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
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 per-
mitted to issue the permit.
PERMIT NO. 9=86B P E
'
PERMIT EXPIRES v
OWNER RIC D MISER
CONTR. Richard Miser.
.ASSESSOR PARCEL 66-11-34
LOCATION 13738 Endicott Circle, Magalia.
i
0,� COPFGf�/,J
qdd a'�
GAS ^
Meter y3 ; � e
E' icl
Me"ter
OFFICE "G/COPYehyl"W
r
Address47,-?7-r
GAS
r
Meter. B Date
ELECT
Meter
yOFFICE
COPY
MR
Temp
VIP 1 M4
'a�
e er
' Y r�s at
Meter 13y Date
Temp.
__.✓'+�...��.�
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
OK
' 0' = Not OK'
— =Not Applicable MISMLAN'EOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s -
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS;' CARPORTS, ETC. (Plans) OK except #'s .'
1, Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2, Footings;5lze—Depth—Spacing—Connectors --
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs=Rails
4. Water; Location—Test-Easement Needed (Sketch)'
4, .Wood Awn.; Posts—Beams-Rftrs.-Connec.-Shthg.—Rfg.-Bracing .
5, Electricity;,Location—Clearances—Grnd.—/ / Amp—Concrete
5, Alum. Awn.; Columns—Connections-Splice-Decal-Enclosures
6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat.or/' /"L"ft./ /"L"PG
6, Carports;.Windows—Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date.
Card -B1 t Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except'#'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI r Date'
POOLS (Plans) OK except #'s
1.Setbacks—Easements
2.Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability _
3.. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. 'Electricity; MH Test—Crossovers-Breakers—Clearances
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test-Fall—Flex. Connector
5. Elec.; Pool Lighting; 15 volts—GFI .
6. Water; MH.'Test—Regulator—Connector -
6. Elec.; Enclosures; Conduit Entries—Terminals—'Listed-'
7, Water and Sewer Connected—C/0 to Grade—HD Approval .
7, Elec.; Bonding; Metal w/5'—Circul6ting Equipment=Heater
8. Gas and. Electricity Tagged
8. Elec.; Grounding; Equip.w/5'—Circulating-.Equip.—Pool Lghtg.
—Enc losures_—Panel boards—Ins. to,.Main in Conduit
9. Health Department Approval
'9. Exits; Insp.—SketchBoxes
10. Cert.'of Occupancy
10. Plumb; Cir. Test—Water Supply Test
Card BI
Date Card -B I' `.• Date_
Card B -h Date Card -BI Date
Card B -l.
Date Card -BI Date
Card -BI
Date Card -BI „Date r
V -_'OK
04= Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
UNDERFLOOR PI ns OK exce t#'s-
Date FRAMING (Continued)
1 n requirements-Setb -E
4
gs
Se"rtg., Main; Soils-EFeeY-Ele rnd.- / /" Ftg. Depth
xt. Doors -One 3' -Chep dFage- story, 2 exits
L -154g -G rage; Solls-6le8 -- 11Z,1" Ftg. Depth
s�
c_. =� nth -Headroom -Rise -Run -Landing -Fire Protection
g., Porches cks; Soils-9tsel- / JJ" Ftg. Depthywood
on RwLSverhang-AtticV_enie--Raftsc.0ehitJgers
e s, Main;-6leel-Blo -W
g-Veaee�-
mwalls, Garage; S/oei-B1aQkduts-WsaMed-®
c63
Sti reed- Fdn. Vents-Underflr. Access
Pi -F' a 4
azing Area -Glass Protection -Skylights -Plastic
W.V.: Fbwl Fitt- way C410---S-ewer Tes
alts; Nailing -Bolts
9.Aps Pipe; Size -Anchors
1 ater Pipe;- nchors a Servi
��
•d �-C.- f Y�
1 lenums &�D��uct-s; CI ce-itaterial-Su¢peff=(her
2 , 7
1 irders-SiFFs!Anch olts-J s-Vei&s-C-'t�yles�
Card -BI
Date and -BI Date
kC.. A�� �U a -4o
Card -B1
bate .; Card -BI Date
7,J ^J f
Card -BI
Date Card -BI Date
Card -BI
Date Card -BL Date
Date FI
(Plans) OK except #'s
Card -BI DateZ_ �� to Card -BI Date
Date
PlaAMBING (Permit) OK except #'s
5
Steps -Door & Sidelight Protection -Landings
Smoke Detector .
Water HL;' en A-Combustivrr-M-r_Laents-Clearance-Comb.
Air-Connector-
a a e; Above Floor-Ducts-Mech.. Protection
Wa Pipe; T Anehors it
_
J f
1 WL�✓fest�Ftjflge-�Anehocs- Prot
r9om Exiting
hewer -Peer -Fest, Firsi�-Fiaor-Tubd�eeess
.L Bath Fixtures & Tub Access
1f3.. I US I I Do N wer, 2nd Floor -Tub Access
rim & Subpanel; Breaker Sizes -Labels
19.)(Gas Pipe; Size & Anchors
6
irs & Rails
F- lace or Stove; Clearances -Hearth
c. lets at Wood Panel; Int. & Ext.
Card -BI
Date/�'� Card -BI Date
65'
. F' t. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
6C,
Outlets 2. Receptacles at Kit. Counter
Date
ELECTR AL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
Damper
_ixtu & Transformer Clearance -his. Protection
! �
6t—r.
1
Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
),,'Garage; Above Floor -Mach. Protection
2Y-Ele c eceptacles Spacing -Lights & Switches at Doors
e o_n -Sta led
Bk, Elec. & Mech. Equip. Listed for Location
.
Elec. eptacles in Garage; (G.F.I.)-Romex Protec.
led Close ge of Studs & C.J.
Equip. Ground made�ip.w�FMech. Fasteners- d Gas WafeF�
7
nsgn o ed in Attic ❑ Yes
-
2 Appliance Circuits in Kitchen & Conductor Size
73
uard Rails & Deck Construct io t Caps
-
ubfeed Wire Size /a,/ ga. Ger AI-A.C. Wire Size / ( / ga. CuOc!&l
AV_-4Fsnge Circ. / / ga. Cu crW-Oven Circ. / / ga. Cu or Al,
Ins ted Neutral s ❑No
. ervice-Ri ' nductors & G149ef5_-Main4D ssennect
74.
Fdn. Vents & Crawl H or -Drainage & Wood -Earth Clearance
Looked under Floor Yes
75.
Following instl riveLAPrFes ❑ No; Walks Yes ❑ No;
Planters No
.
rown-Finish
2B.�Eq' ip. Clearances: Panels-Motors-Mech. Equip.
7
. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- -_T
- _ lothes Closet Light-S++ewertiePub
- - - ---- -------------------
----- -- -- - -.--
Card B -I __Dat���e Card BI Date
Card B -I Date
�� r/Jy (,a Card -BI Date
7
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
isconnect, Electrical, Plumbing
8
rior Elec. Trim; G.F.I. Receptacle -Underground
6
V a ion throughout House
82-
s Protection
Date
MECHANICAL (Permit) OK except #'s
8
C ct' nsom Previous Inspections
84--'G-
Meters Tagged; Gas -Electric
C. Ducts: Insulation &Support -_ _
g5
r &Sewer Connected -C/O to Grade -HD Approval
__
F@Ai Inifhabisil abeve lRoulatie
& Overflow; Size & Grade
86jktnergy
Compliance Certificate -Other Certificates
3T-' r n—rMJMrMr-9'E_nt; Access -Comb. Air -Return Air Vent -115V outlet
35�4tl+s-p rPc�.& Platform if Furnace in Attic
----------- - --. - -.-- - -- -.—
Card -BI y Date 7 / 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 ns OK except #'s
Comments at Final:
_34- i Is; Proper Material & Anchors
Studs -Nailing, Sp_acin_g_& Bracing -Plates_ -Sewed
W. Bearing Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
4 ire tops: Furred ?q+lrrr�-Sizirs-ChaeeS Tots- -- -
40-9'—
-- -
/
4'. ea & Beam -Size & Bearing
.an�Post Caps -Anchors -Connectors ! _
43 y-'" -' rt r o i Ro6f . -Tr.4,-<h1t Il .-RfTTt1- --
40{!� s or Typ ue-F4er40ee--Threat
Attic Access& Romer�rotection-DrEiyeop ns. f e
--- - -
QfjiB3rm. Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
-
---
- -
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE -
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone, ,591: 275E
7 County.Center Drive, Oroville -- Phone: 534-4541
Skyway and Elliott Road; Paradise -- Phone:. 872-2961, Ext. 57
>
-CORRECTION !NOTICE-
vrnvr=n r�_nrvii i rvv
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 haye any question pertaining to this
matter, or need additional explanation,, please contact this office immediately.
Inspector
i f�
Date— -----_---
Owner:
Perm;.t. No.
ENE,'R.GY
CE'R'TTFICAT-I0N
13738'
Endicott, Magalia
LOCATION.
A.P. No:
DESCRIPTION OF INSULATION
ROOF
Material
..Bland -Name
Thickness(inchea)
Thermal Resistance (R Value)
EXTERIOR WALL
Material 'Fiberglass
Brand Name . Certainteed.<
Thickness(inches)
Thermal Res.istance(R Value) R-1
CEILING
Batt'br'Bianket;Ty'e
Brand Name '
Th.ckness(inches)
Thermal Resistance(R Value)
Loose Hh"iype Fiberglass
Brand Name Certainteed' Inst—LII
Minimum-Thi6knesW—hdhee)
Number of.Bags Wt. per.bag- b.
Area_covered(ft..) , .:,109— Thermal Resistance,(R Value)
" FLOOR`; ELEVATED
Material "F-tbergfass
Brand Name Certainteed .-
Thicknesis-(inchO,,$)611
Thermal Resistance(R Value) 19 .'
FLOOR, SLAB
Material
Brand.Name
Thickness(inches)
Thermal Resistance(R Value)
Width(inches)
FOUNDATION.WALL
Material ``
Brand Name
Thickness {inches).
Thermal,Resistance(R Value) '
I hereby certify that the above
insula -tion -was installed in the above building
in conformance with the State--of-:'California Energy'Requirements. -
aw i s Insulates on, Co .
Inc .' #378407
F NAME'/0 ,
t,' STATE CONTRACTOR''S LICENSE NO.` ,
4-10=86
SIGNATURE INSTALLATION APPLICATOR DATE
I hereby certify,the above insulation. and all,required items as�shown on the;..`
Building Department approved plans and attachments have been installed'as. `
required by the State of: California Energy Requirements..
All equipment, devices and materials are of the.quality prescribed or are
specifically.approved by the State of. California,,
i2icc0� �, ;V1,r�ya
FIRM—NAME/OWNER— (Please ,print) STATE CONTRACTOR'S LICENSs'. NO.
SIG TURE OF FNERAL CONT CTOR OWNiER DATE
THIS CERTIFICATE MUST BE.ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO.FINAL
INSPECTION APPROVAL AND A.COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
.,COUNTY OF BUTTE•- DEPARTMENT OF PUBLIC WORKS PERMIT.
7 County Center Drive. =, Orov I Ile, California 95965 - Telephone 916/534-4541 �.
APPLICATION AND PERMIT
ASSFAS9,R PARCEL NUMBER
ZONI -
- -
,BUILD.I G PERMIT.*_;.,
OWNERTELEP
ONE
SQ. FT. OCC. BUILDING VALUATION
,7
:OWNER' M 1 GADDRESS - -
q
`,
.CONTR TORS -NAM .
TELEPHONE.
CON R CTOR•S ILINGADDRESS
6
Fireplace '.' rr",
p 0
CONSTRU ION LENDER UNKNOWNTotal
VdIUBtIOn $ r.
Filing Fee --
$ 10.00
LENDER'S AILING ADDRESS _ - -
i
Permit Fee,.
$
ARCHITECT. OR ENGINEER
bEnergy.Plan
LICENSE NO.
Plan Checking .Fee
$ 00
Checking,Fee
$ p
ECT
ARCHITR ENGINEER'S MAILING ADDRESS -
Penalty
$
BUILDING ADDRESS - -Gly
�t/ G �`
Permitfee •`$
iJ
PLUMBING PERMIT.
FiIingFee 10.00
Each Trap '.
2.00 r0 J
J 11420.00
Solar. or heat pump water heater
LOT NO.
=BDIVISION NAME ' PARCEL MAPWater.
—
piping. _
5.00 .�
Each qas water. heater or vente_/'16 5.00 ,
USE OF STRUCTURE
SFDuplex❑.Mobilehome❑, Other
SPECIFY
Gas piping system1 - 5 outlets
5.00
Building sewer
5.00 0 p
Mobile Home I S I.QFW
0.00ea" '
TYPE OF WORK
New �ddition ❑ Remodel ❑ Utilities ❑ . Installation❑ Other ❑
Describe work:
\U'
Permit Fee'
$ `
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
main ain 600V OR LESS
service too AMP OR LESSAU
10.00 r
Main service'EA,,ADD'L 100 AMP
2.50
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.
-
Classification*
License No. 3S~904a Cjassification' �•'
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do'tbe work,and the structure isnot intended:.or offered
for sale. (Sec. 7044)
'
I., gas the owner, am exclusively contracting with licensed contract- -
ors. (Sec: 7044)
❑.- I am exempt under Sec. Business and Profession's Code
for this reason
NEW CONST., DWELLING L,r) YZ¢sgft p
OR ADDNS. . ACC, BLDG �L//
NEW CONSTR. TI -O LET 2;50 ea
NON•RESID I... BRANCHCIRC ITS
SINGLE OUTLET CIR. &)
(SINGLE
z0ee0e
EX. OCCUp OUTLET-S•:OR FIXTURES .20@50t
'FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00 ,
Mobile Home Facilities .15.00
Misc. Wiring 15.00
Permit,Fee ` $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 .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 1 shall not employ any person in any manner so as to become subject
Pl 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
FiIingFee 10.00
Heating 4 - .'
C)
Cooling
(� J
Hood
3.00 p
Ventilation
permit Fee
$ V
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 purposes.
I 'al'so agree to save; indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, arid.expenses which may in any way accrue
against said ounty in consequence.of the granting of this permit.
X Dater 3
Signature Applicant— Owner❑ COnrra�rorIVI Ager;+"❑ .., ">
An OSHA permit is ryuired'for excavations over 5' deep and demolition•or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
"'Energy Inspection Fee _ $ 0
TOTAL PERMIT FEE $ 614 210
occUP.
CONST.TY7PE
RLooD
PARC HD
ISSUE
This permit is hereby issued under
sions of. the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE MIT EXPIRES Date
the applicable provl-
resolutions to do
fees have been paid'.
WORKS
\
Date Lt q d,
✓L
o Lf1
Receipt No. "�CJ�
WHIT[-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT •� _
t
'g f. �1 fi-- r •% � •.
' .r . S y • k. til' � t ,t+' t: r}, ,�. L -{, � -
- � '� 1 ,K _ - .. t rte+- G. f. 4 r-a�. y. 4 :y.� •..., � �.,.. �i
- . tr'..! 'S r"� C �� �• ' I . •: �'� t. s F � 2, \ �V .`?fir I 'r�' � k _ � � � _
- � �r �l tt�'�' ::� -�q. tr\4 �� 1..... , ,• t �`�� •"� 'r,� �F a' 1 r� � v v ti �.
n•� .+.. r ..I• Imo.; � - amu. .i ! .t:.,t� r•t"hi � t '.r LI .. `�
2�� � a•^' �t ti .tV ri I )-a`, f �• r '".`.•:: �, � y .. «'
. �. f. r. ��. 21'. ftp', .• ..'q � •��� ) -_ '.'-`-w� ._ '_ •, '��c -F: r 1t_: ,..-'S
_ ` a �' • rte,. � ` � L I • a Z � "'f ;� p . ` .T . � r � "'� } .`^i"'t, P I .: d
� ,ti; '1 } 1; Ir. �' j z ' Ir._a#V t r Y . I rs• : �, , c �" 4 S �:\., � " "j" ,' � : _
z tt, �e<,,:',"K+f `J" _ k. �I a :n � ,r �.I.f. w " *, ... t .t, � � r. r'=fY' �i c n •4 _�11,, ,,
p'.'i - �' •i. .:... 4 I - I 7 TI I ' q � x i� 1
M.
: I I r ri � � I •rr ` ' * , r ,
.I .ti t.4 C h+l - _ .. .. - y� 1., "� v.- i R� '�. 1 1 •� a.. d�j6+�• r - .� Y rC rt�i k
-
• -i CqJ� ; r) ul i5 Gc r
•.,�: .. � t� t q>,... �'ti`,'"�1+a�. �� t: v��v r. t#i 1 '3„� -^�• �r 4� F - I•,ht iAl,Yl I.ta. -
-r• L. ,.,V i l _ - ..4- i a 1 ,'� '>'•r-:, k.tt�`e
lt(
, fk• +*r.� G .S. :� .�. � kr<t � ,R .r '1.: ht t , �{, •, y�,'r. i 1:.— •" I Vi.µ i �I �;
- `>♦ b` t � ! Y �� �'s� 1 �: SJl �..: a •....,..a Y{I a� �} , ,
} �y `'y �^�C,} 4 .• J { '{ r< ,7�. r , a,t �-1�ibk Z .,,� ,�:i ^tYt ¢ •�•� n1 ) �, r
•r -wd
ty, � C �.V r'_{ '" I,i :< kl 1 .•, h)r Y'txt I) � a C : 4 u' F'�. ,
S i ` I v � ,. � L � t T �� y rti 5 t` . i' r i 1 7 },. � +,'i, ,; • } a i '
At o.. `ji .♦"R i. - h4i n.'�q,•Y,%ty„ f" Cx7 -�}
S;' ) .� � t• �.; ~ � ,, F' �, -•'Y. ti•.. tx y.• '. 3 i. TY , .`.4' s. i .'�Fl,'- :` .. r.- {r` r.
COUNTY OF BUTTE - DEPARTMENT�OF' PUBLIC WORKS - BUILDING 6�V SION:
A
7 COUNTY CENTER DRIVE - OROVILLE, CALjF_ORNI 95965 - TELEPHONE: 916%534-,4541
.,
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit Fee Based Upon
Building Inspector
Complete Contract Pri
Other (Explain)
Permit No.
v
A. P..No.
DPW Valuation
Date
At time of permit application, I was advised the N'llowing data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
2... Plot plans in duplicate/triplicate. . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . .
4. Complete engineered plans and calcs. . . . . . ... . .
5. Plans with Energy Design Compliance Statement. . . .
6.. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings..
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
,Sanitation approval from �e,2"uf Health Dept. . /.2
11. Planning approval for (A) Use: (B) Parking:-
12.
arking: 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. Mobllehome Installation Data. . . . . . ... .
Pre-lnspbc. request to Date
17. Pre -Inspection for Required. Building Inspefor
/ . Recorded copy of Agricultural Acknowledgment Statement.
�.--
Other -91644<: I&JG.. i7
When you issue the permit, process as follows: Mail to owner. _
Telephone and hold for pickup at office.
Other
i l to cohtrattor.
Deliver w/inspector.
Applicant_ r�l-�� .., Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required: e
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by f • nj� Date ,rr_:xq—��
Other
Copy—DPW
S,,
TO: Building Department
FROM: Environmental Health
SUBJECT: SANITATION.CLEARANCE
OWNER
Z2 719 4�11e-e tl-�le
LOCATION AP 4�
0
Plans
approved for: Sewage Disposal
Water
Supply
Hold
final for:
Water
Supply
Final
Clearance O.K. for:
Water
Supply_
Clearance forbedroom-ae4i+e home. Other
Clearance for addition of Z X /,Ce
Notlk//
DATE
l
TO: Building Department
FROM: Encroachment Permit Section
RE: Driveway Clearance
cA W T)- - 5 /
owner location -AP #
Driveway permit �(p 6 % E has been issued for the above property. 4.
gnatu a date
.86-00336
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT�;:CpRpEp { OFFICIAL RECORDS'
FOR'RESIDENTIAL-DEVELOPMENT` USUTTECOUNT:Y,CAUFORNIX
AT THE REQUEST Off,
Section 26-.8 l,of the Butte .County, Code requires this acknowledgeme
be recorded prior to Issuance of a building permit ici�Czn�= M If
1986 A 6." Ali f t: t 9:
The property described.hereJin -is adjacent 'to' land or included
within an area- zoned .for= agricultural 'purposes., - and: residents of Ek NORM BECKER '
property may'-be subject •to. inconveniences or discomfort arising f3F>K-RECORb€R FEE LjP
the use of :a ricultural chemicals including,, but: not limited. to -herbicides esticide .6 ' 33f;
g �� .P ,
and -fertil`izers; .•and.'from •-the pursuit of',.agricultural- operations .including, but .not limited
to cultivation-, plowing, spraying, pruning,'and harvesting which occasionally generate dust,
smoke'.- noise,_ and odor.."Butte County has established agricultural zones which have as a
`"priority. use for productive. agricultural purposes;, and'residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations:
All that.real'property situate in the County of Butte, State of Califor.nia,'.described
as f l lows
Lot 201,.as''shown`on'that certain map 'entitled "PARADISE PINES
,COUNTRY 'CLUB .'ESTATES UNIT NO. 2.. , which. map was filed October 13,'
�,,•
1971 '.in the office of the :Recorder of the_County'of Butte, State
of California, in Book 38 of • Maps, at pages 61, 62 and 63.
EXCEPTING THEREFROM all minerals, oil, gas, asphaltum and
other hydrocarbon substances, with provision that any and all.
mining operations shall be done from orifices-outside the
surface area of the land herein described, and:that-.no dams
ges shall be done to the surface of said.land.
Date{ PROPERTY OWNERS : '
:"State of n.7�LiFo���A ) On..this the .3�a day' of �r�c�yey 196, before
SS. me,.the,'und6rsigned Notary Public, personally appeared.
County, of ;&&7Te )
fl / efi,4e1� .179 E
/Personally known tome. / / Proved to me=on the basis
of satisfactory evidence., !.!
to be the person(s).whose name (s) /3 subscribed-to
the within instrument.and.acknowledged that
executed .the same.for.the purposes therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official seal.'
OFFICIAL SEAL - - • .
POLLY
MACK
• NOTARY PUBLIC-CALIFORNIA
Principal office in BUTTE-County n�L
My Commission Expires May 27, 1989 Notary Public
.Present A. P,. No.'
END.OF DOCUMENT
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