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V=OK
O=Not OK
-
=Notsp
Ready MOBILE
MOBILE HOMES
' =Not Reedy
Date/Initials MOBILE HOME UTILITIES (Plans).OK except M's
-1.• Zoning Requirements -Setbacks -Easements '
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
- 4. -Water; Location -Test -Easement Needed (Sketch)
5. Electricity;,Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / PV ft.
. / /"Nat. or/ P'L'Yt./ /"LPG
T. Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except M's
1.. Zoning Requirements -Setbacks Easements
2- Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fell -Flex Connector
6. Water; MH,Test-Regulator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp:-Sketch
10. Cert., of Occupancy )
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MISCELLANEOUS
3. Decks; Griders and/or Joists -Doc king -Bracing-Stelrs-Rails
4. Wood Awn.; Poets-Beams-Rftra.-Connectors
Shthg.-Rfg.-Bracing
lum. Awn.; Colum ns-Connections-Splkre-Decal-Enclosuroe
---6:--0arports; Windows -Doors
k!'Electric
/ IIs-Anchors-Studs-Rftra-Trusses
di g; Nailing -Veneer -Stucco -Mesh
1 oof; Shthg-Roofing
�4i-61t.; Steps -Doors -Landings
6- /•SJ Gf'
Date/Initials POOLS (Plans) OK except Va
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Pane Iboards- Ins. to Main In Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initlals UNDERFLOOR (Plans) OK except#'s
1. Zoning, -Setbacks -Easements -Flood -Slope` _
2 Ftg., Main; Solls-Elec.-Grnd.-/ /" Ftg. Depth - -
3. Fig., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Fig., Porches & Decks; Solls-Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6s. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test -
12 Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access.& Ventilation
16. Insulation
Date/initials PLUMBING (Permit) OK except #'s
18. Water Htr.; Vent -Access -Combustion Alr-Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/Initials ELECTRICAL (Permit) OK except #'a
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. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or M-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 -Mein Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32 Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above Insulation
36. Condensate Drain & Overflow; Size & Grade
37. Fumance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Wells over Girders & Floor Nailing
42 Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Collings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
.46. Cing. Joist-Rftr. ties -Purling -roof Brac-Truss-Shthng.-Rfng.
.47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall &.Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Wells; Nailing -Bolts
59. Insulation-Welle-Ceilings .
60. Intl ltration-Wal Is -Windows
Date/Initials 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 -Meth. 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; Gmd.-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
75. Plb., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection
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 ❑ Yes
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-Flreplace.-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 Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
%COUNTY.OF BUTTE
BUILDING- DIYISION
DEPARTMENT OF°DEVELOPMENT SERVIC
1469?Humboldt Road Chico; CA ;:1916)'891 ,2
_ . 7 County Ceriter Drive Oroville CA (916)'538
747 Elliott.Road 'Paradise CA 19'16) Z -63C
CORRECTION NOTICE
OWNER r;
kroutine inspection indicates that the following"violations of Butte, Cour l
the above address and ehould'be corrected Please notify. -this office whi
is completed If you haye'any quesUons.pertairnngio this mallei or"need's
F please contact -this office immediately..
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Date . (i14, >. Inspector
REV 10/92
COUNTY OF BUTTE - DEPARTMENT. -OF PUBLIC .WOR
7 County Center Drive - Oroville; California 95965 - Telephone: 916/5 -7541
APPLICATION AND PERMIT
PERMIT NO.
ASSLISSOR PARCEL NUMBER-
66=110-037
ZONING
RT -1
11.101
BUILDING PERMIT
.OWN
H. R. & Esther Bergman
TELEPHONE
873-4700
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
13718'Endicott Circle Ma alfa 95954
M- 2,304.00
. CONTRACTOR'S NAME
n Mallor.
TELEPHONE
873-1355
CONTR.ACTOR'S MAILING ADDRESS
P.O. Box 1363 Ma alfa 95954
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 2,304.00
LENDER'S MAILING ADDRESS -
ARCHITECT OR ENGINEER LICENSE NO.
FiIIng Fee, $ 15,00
Permit Fee $ 45.00
Plan Checking Fee $ 22.50
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
.BUILDING ADDRESS
Permit fee $ 82.50
Ma alia
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
later piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFn Duplex❑ Mobilehome❑ Other
- SPECIFY
Gas,piping system 1 = 5 outlets 5.00
Building sewer 15.00
Mobile Home S G W @ 15.00 '
TYPE OF WORK
New ❑ Addition7l Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: Storage Area to GArage
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 200AORLESS 18.50
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 nd my license is in ful force and effect.
License No. 7 Classification
❑ 1, 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)
ElI, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000A). 37.50
NEW CONST. ( DWELLING OCcUP.el\ 3.64 sq.ft.
OR ADDNS. ACC. BLDGS. //
NEW CONSTRMULTI-OUTLET
NON-RESID BRAN CIRC ITS @ 5.00
POWER APPARATUS e,
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES 120076,
EXOCCU FIXED APPLNS. OR
. 3.00
p• OUTLETS (RESID) EA.�
Temporary service - .15.00
Mobile Home Facilities 15.00
Misc. Wiring 1.5.00
Permit Fee $
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. •t
❑ 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.
Contractor `
MECHANICAL PERMIT Filing Fee 15.00
Heating,
Cooling
Hood 6.50
Ventilation
permit Fee $
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
all liabilities, judgments, costs, and expenses which may in any way accrue
again t said County inconsequence of the granting of this permit.
-'Y�o -s- %- C
Date
si nature of Applicant Owner
9 pp ❑ 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 S
Energy Inspection Fee $
OCC -
CONST TYPE
TOTAL FEE $ 82.50
HAz I D FEE2,1
IMP
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DF
PARCEL PD
-
HD
Iss
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DI TO OF PUB IC WORKS
ByAn
PERMIT EXPIRES
No. 135507
.YELLOW-A33E33OR, PINK -INSPECTOR. GOLDENROD -APPLICANT
V.
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COUNTYOF BUTTE - DEPARTMENT0 "D F ENTSERVICE BUILDING DIVISION,
7COUNTY CENTER DRIVE -OROVILLE;CALIFORNIA95965 TELEPHONE(916)538-7541
,
'PERMIT APPLICATIQN DATA SHEET
OWNER (i�- So %r/'� 4 A. P.
Proposed Building Use ?E� .4LV1Z7 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 BY
1:. "`All items have been submitted..
lot'plans, 3/4 sets, signed by, preparer of plans. .. .
omplete plans, 3/4 sets, signed by preparer of plans. G 9f.,4, !J .4 ?eT � L
. Engineered. plans and calcs, 3/4 sets,,with wet signature on plans ...............
.5. Hazardous Material Form. ... .. ............... ....... .
r 6; Energy Design Compliance and supporting documentation
7: Statement of Intent forfNon Heated and' A/C' Buildings' ��
.,
8. Engineered truss details and layout m. duplicate (required prior to .plan check)
Mobilehome.data and manufacturer's installation instructions, 2.setsl ...........
10..Feesof$.' '
k
11. Impact; fees asshown on attached schedule
-12 California Department of Forestry plan approval/fees.
,i elevation letter (100year flood y C ifornia Engineer.
tation and plot plan approval. Health Department. �...........olr&i.d
of Chico plumbing permit. .......... .... .
16: , Plot plan and business licenseapproval;from City of Biggs/Gridley.
17 Planning approval for (A) Use: (B) Parking:
18.6 Contact Land Development about (A) Improvements (B) Drainage . .... _
k 19. Driveway p'er t (construction approval required prior to, occupancy).
n'mque
f 20: Pre -inspection for required to Building lnPn�napechoI
sp 8r ` (Date)
21. _Contractor's license information. (No., Name Style; Classification). ......
! .Certificate of Workmans Compensation Insurance. .........
23. "Owner -Builder Verification (Given to owner ;Mail to owner 1
24. Recorded copy of Agricultural Acknowledgement Statement.
25:Letter of.signature authorization. .... .... .
26.:6Copy of recorded deed of parcel creation_ and 60 right of way to a public. road:
i
27. L' et
of intent on building use.
28. Mo'bilehome utility clearance... . _ ............. ... .. .
29," Documentation of legal access. .. ............. .. ...
i 30. Documentation of 50% subdivision developed or (A)' Road improvements completed.
and (B), Parcel meets zoning area and frontage requirements. ..... .
7-
31."Existing violations/expired permits. :..:...........:.:....:....... .
32.. Plan check list. ..... " . ... ......... .
33
.34
'i
Whe issue the permit, proses " as follows: Mail caner. Mail to contractor.
' Telephon and hold:;for pickup at office:. Deliver with inspector
Other"
Parcel Creation Al
Acreage"App;icant Date
`Copy of Haz=Matform sent Health Dept. Fire.Dept. Air Pollution" Date
Copy of plans sent" .. Health Dept. Fire Dept:. Other Date., By
The following data must be, submitted prior o rmit is, ce (C' en em :n checked above)..:_
1 Index perm(t for above items No. P�fj
2. Additional items required:
Contractor, designer, owner; was advised of above required datar by. ' phone .mail" Counter/by _ Date i"
Contractor, designer, owner, -was advised of above, required data by _ phone _ mail ' out r by. Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in . File cabinet AP folder
Copy. Department of Public Works .
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FIoiiP I'lun Mutzhwl
Wilding lie jarttliont �(\✓
:FRONT::. Environmental ..HcaltH
SUBJECT:Sanitation Clearance .
l`7 / L�
Owner Location AT N
Plan,pr®ved -for: S� ,,,q,,c Disposal Mater Supp: Public Private, Well ,
1
Clea 11c for
L 'a2 �Z
Hold filial for:
Final clearance. O.K. for:
NOTE:
Environmental Healt Specialist 1) tte
8/92
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COUNTY OF BUTTE
DEVELOPMENT. SERVICES
BUILDING DIVISION
Required items for plan submittal.. This is not plan approval, only a check list
for minimum required items to be shown on plans.
GENERAL REQUIREMENTS..
1. All plans must be legible and not on graph paper.
2.. Plans must be -signed by preparer.
3. Plans prepared by architect or OngIineer,.including calc's, must be stamped and
wet -signed. -
4.', All plans must include plot plan, foundation plan, floor plan, structural"details,
roof, plan or.'truss details & layout, and elevations.
5. All plans and details drawn. to scale and dimensioned.
PLOT PLAN REQUIREMENTS:
1. Complete ,parcel -size and dimensions.
2. Show and identify all structures,'new and existing, and usage.
3. North arrow for orientation.,
4. Dimensions between buildings.
5. Dimensions to property lines from buildings.
FOUNDATION PLAN REQUIREMENTS:
1. Indicate slab or raised floor.
2. If raised floor'show size and spacing of piers, girders and floor joists._ .
3. Show interior bearing footings.
4. Foundation details; width, depth and height.
FLOOR PLAN REQUIREMENTS:
1. Indentify all rooms.
2. Show all, ;window and door locations and sizes, including skylights.
3. Location and. type of water heater and HVAC.
4. Additions
A) All of above.:
B) Floor plan of existing, including adjacent room usage and dimensions, size
and location of existing doors and windows._. Indicate..doors and windows that .
will be' removed.
C) Indicate -how addition will be heated and cooled.
STRUCTURAL PLAN REQUIREMENTS:
1. Roofs 'framing; show purlins, braces and bearing points, header sizes; rafter
sizes and spacing; hip, ridge and valley -sizes.
2._ .Indicateceilingjoist sizes, spacing and bearing.
3. Min. one cross section roof covering to foundation. Additional sections may be
required through critical areas.
4. Floor framing, complete for each floor level. Indicate. floor joist sizes and
spacing and bearing location.
5. Engineering, if necessary for bracing,. clerestory, three story, retaining walls
and etc - - -- -
6. adift6fi J
!Aneion_`details to existing (no rafter tail extensions).
B) Roof fratin'g-�f-new-and--existing. :
ELEVATIONS: .
1. All.sides
2: Doors and windows match floor plan.
Copy given to applicant by Daae
TO: Building Department_
FROM: Encroachment Permit'Section
RE: 'Driveway Clearance
�er rrlur] /37/
�p
owne location AP #
Driveway permit 8foa9z _ has been issued for the above property.
nulabar
sign re date
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THIS IS TO CERTIFY THAT 1NSMATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CjIRRENT ENERGY REGULATIONS.
CALIFORNIA ADMINISTRATIVE C�ODEE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATEDrAf:
i\ \ l / 1
Street o Number Tract No.
EXTERIOR MALLS
Manufacturer �� Thickness%Type �i I Z R Value
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufacture A )k) l ThicknessC-,,\l Q- No. Bags_fQ,4 Mt./Bag4
Sq. Ft. Covered aon R Value_
FLOORS
Manufacturer' IL- Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value
Width of Insulation Inches
FOUNDATION MALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY ��.c� TITLE�I�.,,,,�.L r— GATE
INS TION CONTRACTOR N T ION LICENSE NUMBER. 212461
BY TITLE �^'L ��► C�� DATE 1\ \-? `
3�
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS^+
BUILDING INSPECTION RECORD '
BUILDING qUILDING (Cont'd) PLUMBING .
Setback Firewall Soil Piping
FormsParap ets 1st Floor
Main Bldg. V Restroom Finish 2nd Floor
Footings Windows 3rd Floor .
StemwaII' Siding To out
`Slab Roof Sheathin 7 Water PipingQ /
Piers - Roofing
Garage Fun. Vents Fixtures
Footin s Garage Vents `L Water Htr. .�
Stemwall insulation i Heaters
Slab /l _ — Prov. for pCysically Appliances
Carport Candice ed Gas Piping & Test �-- t
Conformance of ex. I
Footings structure Tem Gas
Slab Final t I r L Sanitation
Patio FIREPLACE Final t
Footin s Footin ELECTRICAL
Masonry Walls Throat 1 1 Rough
Reinf. Steel Final L Fixtures
Bond Beam FIRE SPRINKLERS Motors
Framing' C Test Water Htr.
7
Stucco Final Subpanels
Mesh MEC NICAL Gird. Fault rot. ,
Scratch Heating Service
Brown CoolingTemp. Po e
Finish Ducts /0/13 13 t Underground
Interior Lath A Ventilation Permanent
Door Closer WFinal Final /
MOBILEHOM9 UTILITIES ------------------ E19c. Service Elec. Pedestal
Water Piping S wer Gas Piping
E IN A I - - - - - - - - - - - -'- - upport Elec. Continui
Water Piping Drainage Gas Piping
DATE REMARKS, OR CORRECTIONS
d� 3 '20-�
A, "D
(NOTE: An entry must be made on this form each time you visit the-job site.)
9 9
`authorize representMives.:of the.'County 6f-.13utte'to enter upon the ' This permit is'hereby issued under the applicabie provisions of
-above-mentioned property for inspection purposes. the. Butte .County; Code and/or. --resolutions to do work,indicated
-above-for which fees havebeenpaid..
X ��---—� Date DIRECTOR OF UB IC WORKS
Signat
ture;of Permie pr ggent
1(0 , By" _ Date 72,
ieceipt No.,
�ite-D:P:W Yellow-Aasessoi-- Plnk-Inspector.= Goldenrod-Appl-i-cunt Ilding p@rI11It eXplr@S Datl?
BUILDING- .;. '
Owner, r .1
SQ. FT. OCC. BUILDING'VALUATI.ON
06 (10 ;
Mailing Address' S<S ff I: CLC1Z�
O v' U
le oris No
Contractor
F
Mailing Address
Fireplace
Total Valuation �+
Telephone No.
Permit -Fee .
Building Address ;'
Plan Checking Fee&/or Penalty,:
Permit.Fee.
Z
t/
C ..
PLUMBING . No. @. FEE
PERMIT FILING•FEE. $3.00
;Each_Trap 1.50 a
�;. s ontn9 Ve'ifica"A,;
Repair drainage or.vent piping .; 1',50.
//11
A.:P. No '"apeD -:�: I ^- .
RT o�.' .
g'
Water piping 1.50
Each gas water heater or -vent ° 1::50
Fe
i
FireDept.-
FireZone
Use Permit
Gas piping system 1 - 5'6utlets` 1.50
Parking',
Plans -
, arcei
Declaration
Parcel a 60' R/W• Improvem is
Each additional outlet .30
Building sewer.. ; 5.00
� /P
Bldg:•tns Rec d;
.Porde rovol
Plans Approvol<
Lawn sprinkler system 2.00
'NEW ::A DDIrTION'Q UTILI'TIiS.�•.' OTWER
Permit Fee ' $;
'ELECTRICAL. NO.J. ".' FEE..
-' -
P,ERMIT:FLLING;FEE '.. ' .., `. $3.00
600V OR LESS,
Main Service-1o0..AMP OR LESS 5.00
- `
Single Family ;'Duplex Mobil Home' Others
�' •.; ,�
.
Main service. iCe.. EA, 'AD D.'L 100 AMP - 2.50 -
- -
- -
Main service'• OVER &ooV 25.00 '
- `100' AMP OR LESS.
-
-
-
Main'.'Servlce EA. ADD.L 100.AMP 1.00NEW
CONST -4 DWELLING -O
OR ADONS, % ACC. BLDGS }� 2P3qft
.. - -
`CONTRACTORS LICENSE. LAW
• "'-
1 am licensed under the -.provisions of Chapter 9 Div. 3,,of the
State of California Business &• Professions Code. under:. the name.
' _Style Of:.,.' `` _ ': ".
-, X.•:��3,cG��
NEW CONSTR.' (MULTI -OU of
NON-RESID . � BRANCH CIRCUITS 2.50ea
.'
NEW CONSTR. POWER APPARATUS -&
NON44ESID, SINGLE OUTLET CIR..
50 250
Ex. Occup{ou.TLETS OR F•IXTtIREs 'BAL
OUTLETS ((RES(D )REA) 2.o0 .. ..
,Ex. QCCUp..(IIXED OUT
Temporary service. 10.00 .
,.
.
Mobile Home Facilities, 15 00
License No.7T_ Classification a
Misc. Wiring 6.25
I am. exempt from the Contractors License Laws'of the"State of Cali fomia: _
Permit Fee $ +
$ ell
•MECHANICAL;;'' No , @ FEE
'WORKMEN'S.COMPENSATION.INSURANCE
I am -aware of the provisions of Section'3700:of the -California Labor.
•.Code. which requires every employer to be insured against liability
for Workmen's Compensation. .,
I, have placed on file.with the_County-of.-.Butte Wcertificate•of
Workmen's Compensation Insurance..
�I -certify; that in the performance of the.work for which this
.Permit is`issued-I shall not employ -any' person in any manner
so as to become subject`to'.the Workmen''s!Compensation Laws of
California:
PERMIT FILING FEE . $3:00
Heati rig
Cooling
Ventilation
Hood
Permit. Fee r $
$
1. certify' that.1 have read this application and state. that the above
information is :correct., I agree to comply to ell County Ordinances
and State 'Laws gelatin -' to buildin construction, :and hereby
Land. Development Fee -
$
TOTAL P;ERMIT,.FEE
$,�Q•:b �-
9 9
`authorize representMives.:of the.'County 6f-.13utte'to enter upon the ' This permit is'hereby issued under the applicabie provisions of
-above-mentioned property for inspection purposes. the. Butte .County; Code and/or. --resolutions to do work,indicated
-above-for which fees havebeenpaid..
X ��---—� Date DIRECTOR OF UB IC WORKS
Signat
ture;of Permie pr ggent
1(0 , By" _ Date 72,
ieceipt No.,
�ite-D:P:W Yellow-Aasessoi-- Plnk-Inspector.= Goldenrod-Appl-i-cunt Ilding p@rI11It eXplr@S Datl?
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RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg.
T1s li �r
A.P.
A. GENERAL
Zoning requirements (sideyards and parking). ,t
2. Valuation.
AVIN
Signature by R.C.E. or Architect (if requir ).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc.
AOther buildings or structures.
Grading, fills, drainage.
Permit #
C. FL00 PLAN
os Camplete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405). -746440 7`'
Required windows for second exit (Sec. 1404).
Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8,).
Light fixtures, switches, receptacles, and exterior receptacles for maintenanc
mechanical equip nt�. ��----
Locations of water heater heating-& cooling equipment,
0 o equipment, and plumbing fixtures.
,,,,I' Garage firewall, door size, and closer (Sec. 503(d)(4))
1 -'3'0" exterior exit door"(Sec. 3303d).
Fireplace,location.
sly. Smoke detectors (Sec. 1413).
other electrical or gas
D. STRUCTURAL DETAILS
Foundation'plan complete enough to construct building.
,2! Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
'k Roof construction details complete enough to construct building.
Qireplace'construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
25 Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof.covering,(Chapter 32).
�7, Rafter ties or bearing ridge beam.
08. Garage door or porch header sizes.
Q.:.* Ade uate bracing
I
building.
(State law).
I q
(10. Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
/111, Two (2) exits on three-story dwellings (Sec. 3302).
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