HomeMy WebLinkAbout066-250-02866-25-28
Isabel Clarke tw
115 S,Park Dr. jot 11,CC1t4, Magalia
contr: Fisci Bros.,Paradise
Permit -# 504-76P,E(util.,MH)
ELEC.
GAS
SUPPOAT-'STRUCTURE REQ. -X-O-t
.COMPACTION TEST REQ. —71-6
66-25-28
N ontr: Kopp's Mobile Home Serv, Oroville
ermit #578-77MHI
ssued -7 4-7,2004fteo
contr: Mari -,7 cal n 66"25-28
C_ st.,
I
, MaM
gaaa
glI aiilaa
i)aPermit.#1265-77B(new decks &cov
ereddeck/NH) 6-25-28
�'/6 j
contr: Heald COftst.Permit #94-81B(new awning/MH
66-25-28
Contr: Scotts Mobile Enterprises
Permit#1669-85B(new private carport) ort)t)
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Cz, ; CIO,
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PERMIT NO. 1669-85B
PERMIT EXPIRES
OWNER ISABEL CLARKE
CONTR. Scotts Mobile Enterprises, Paradise
ASSESSOR PARCEL 66-25-28 /
LOCATION 13563 West Park Magalia /
1 /
ownja& 61607- Bulc� AAA
T/g�►1Lb An1yMoQC,
Temp. Power Pole
Called PG&E
r
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
1
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PERMIT NO. 1669-85B
PERMIT EXPIRES
OWNER ISABEL CLARKE
CONTR. Scotts Mobile Enterprises, Paradise
ASSESSOR PARCEL 66-25-28 /
LOCATION 13563 West Park Magalia /
1 /
ownja& 61607- Bulc� AAA
T/g�►1Lb An1yMoQC,
Temp. Power Pole
Called PG&E
r
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
V = OK
0 = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -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; 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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except H'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
14. 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
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
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- Pane [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
= OK
= Not OK
= Not Applicable RESIDENTIAL' (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'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
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
53.
54.
55.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
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
Card -BI
-
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except k's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except p's
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
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 e
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 k'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
22.
Size Boxes & No. of Conductors -Stapled
70.
71.
Plb., Elec. & Mech. Equip. Listed for Location
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 E) Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
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 At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive E] Yes ❑ No; Walks ❑Yes ❑ No;
Planters El Yes E) 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 Card -BI Date
Date Card -BI Date
81.
Ventilation throughout House r
82.
Glass Protection
Date
MECHANICAL (Permit) OK except H'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.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
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
Date
FRAMING Plans OK except N'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.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin- Roof _Brac.-Truss-Shthnq_.-Rfn_q_.__
Fireplace Ties or Type _ A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT QF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSES OR ARC L NY
ZONING
BUILDING PERMIT
OWNER
ELEP oNE
SO. FT. OCC. BUILDING VALUATION
OW 'S "iATLING ADDRESS
CONTRA
'S NAME
TE EPHONE
CONTRA T'01w,S IEINr.ADD ESS
ArNg
Fireplace
CONST U TION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
Alm J
LICENSE NO.
Plan Checking Fee
,$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 4 17 '
BUILDING ADDRESS
-
PLUMBING PERMIT
Filing Fee 10.00
4
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME PA EL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUC URE
SF ❑ Duplex ❑ Mobi lehome ❑ Other r
SPE d IF
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
New Addition❑ Remodel❑ utilities Installation[] Other❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD•L too AMP
2.50
NEW CONST. DWELLING Occ UP.&
OR ADDNS. ( ACC. BLDGS.
I2h2s gft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�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. -79140 a Classification & Cp,
��
❑ 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
NEWNON•RESID R.BRANCH CIRCTITS
2.50 ea
NEw CONSTR. POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR.
Ex. Occup(o XTS OR FIXTURES 20@500
BAL@30
IED
EX. Occup. OUTLETS P(RESID )REA.� 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.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate 1Hood
Consent to Insure.
Jf�PJ/shall not employploy 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
FiIingFee 10.00
Heating
Cooling
3.00
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 County in conseque ce of the granting of this permit.
���7 �9�r
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE"O OF PUBLIC
By�Date�—/3��)
ByReceipt
PER T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
No.
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT 9F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53424541 /
PERMIT APPLICATION DATA SHEET 1/
Permit No. /
OWNER r' - A. P. No.
Proposed Building Use
Permit Fee Based Upon: Comple ontract Price bPW Valuation
Other (Explain) /
Building Inspector <-� ; J Date-
At
ate At time of permit application, 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. . . . . . . . . .
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.�L`etter of signature authorization.
.
..Sanitation approval from Health Dept.41, Ys✓
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.) ,/
14. Owner -Builder Verification (Given to owner0, Mail to owl er ❑•)
15. Improvements may be required. . . . . . . . . . . .
r
16. Mobilehome Installation Data. . . . . . . . .
•
17. Pre -Inspection for Pre-Ins•ec. request to
Required. Building Inspector �Da
18. Recorded copy of Agricultural Acknowledgment Statement. 45,
19. Other
When you issue the permit, process as follows: Mail to owner. ail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
Applicant ire U�� to
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 I o.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
Plans checked by Date
Plans approved by Date 61
Other:
Copy—DPW
TO: Building Department
FROM: Environmental Health
SUBJECT: SANITATION CLEARANCE
OWNER
Plans approved for:
Hold final for:
6L�21--
LOCATION AP #
Sewage Di sposal Water Supply
s�
Water Supply
Final Clearance O.K. for: Water Supply
Clearance for bedroom mobile home. Other
Cl?arance for p$di-tion of r i y�
kKIAN, DATE
1 .
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes. am& .
the National Electrical Code.
K
f
1.2 x 2q
3 o'
This set of plans and sFx
cifications MUST kre
kept on the job at -a8 times
rind it is unlawfi.il +c
make any changes or altera
"runs on. sorne wi+he)ut _
written permission from the
Works, -County -of. Butte.
Deparfrijenf,of Public -
moo'
1 �•
A setback of 5 ft. from tht
property lines and a setbal
of 50ft. from the road
-centerline shall lop clear of
structures or egvJPM l' except
noir a 2 ft. eave
A
pr:uG
kT -Po. k
BUTTE COUNTY
BUILDIN _ .DEP ARNWRIT
APPROVED
OVED
'/y
so
S c e ft t dY1.O b% ►' E H T'
l a{0 Sevc�nt �?r»c. i�w
JOJB FINALED (Date) �(P b
Signature
31
94-81B
PERMIT NO.
(�
PERMIT EXPIRES-
XPIRES
Isabel (larke
OWNER
OWNER
`
Heald Const., Magalia
CONTR.
66-25-28
ASSESSOR PARCEL
13563 West Park Dr., lot 96,
LOCATION
PPCC#4, Magalia
I
t
i
z
t�
3
I
Temp. Power Pole
Called PG&E'
Temp. Elec. Service
'
Called PG&E
/ \
Temp. I Service
Called PG&E
JOJB FINALED (Date) �(P b
Signature
V = OK
0 = Not OK'
- = Not Applicable MOBILEHOMES
* = 'Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES, (Plans) OK except q's
Date
S , CARPORTS, ETC. (Plans) OK except H's
1. Zoning Requirements-Setbacks-Easements1.
Zoning Req uirements-S acks-Easements
2. Soils; Special MH Support -Sketch
2, otings; S'i?e--D-Spkrn-g-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, +Need-AyT ; Post6-1'Seams-R4Pff---Conf%-c.--'5hth - racing
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
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date _ Card -BI Date
Card -BI
11KICard-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 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
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
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
J = OK
O = Not OK
- = Not Applicable RESIDENTIRL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Openings
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
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 Ft .-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
Glazing Area -Glass Protection -Skylights -Plastic
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.
Card -BI
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Date Card -BI Date
Card -BI
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight 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 Detector
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.
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.
71.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
22. Size Boxes & No. of Conductors -Stapled
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 E] Yes
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 At
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 AI,
Insulated Neutral ❑Yes E) 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
Date Card -BI Date
81.
82.
83.
Ventilation throughout House
Glass Protection _
Corrections from Previous Inspections
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
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
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except N's
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
_
38.
39.
40.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
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.-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: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE`- DEPARTMENT OF PUBLIC WORKS OPRM I o.
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41
• APPLICATION AO PERMIT
ASSESSOR PARCEL NUMBER
U U —.1 S_ ^a Sr •
ZONING
2^ I
BUILDING PE
'
OWNED, `TELEPHONE
._J--sa a C�,4 Kde
SQ. FT. OCC. BUILDING VALUATION
I r� C2 aa 0
OWNER'S MAILING ADDRESS
CON RACTOR'S NAME
-1 s
TELEPHONE
CONTRACTOR'S MAILI G ADDRESS
5` 10^ Cf a a,
Fireplace
CO Sy TRUCTION LENDER
UNKNOWN
p
Total Valuation $ r
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $ "-
ARCHITECT OR ENGINEER
VV
LICENSE NO.
Plan Checking Fee .$ !Z
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $ (o
BUILDING ADDRESS
PLUMBING PERMIT Filing Fee 10.00
o�
Each Trap 1 2.00
Repair drainage or vent piping 5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets
USE Op STRUCTURE
SF ❑ Duplex ❑ MobilehomdV Other
SPECIFY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
�Nl� A,A- / •�COR
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
GOOV LESS
Main service 100 100 AMP OR LESS 5.00
T—
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. ! DWELLING OCCUP.y\ 2�sgft
OR ADDNS, t ACC• BLDGS.
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 Profess_' Code Y
-and m license is in full rce 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.SOea
NON.RESID BRANCH CIRC I S
NEW CONSTR. POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR. /
50@250
Ex. Occup(OUTLETS OR FIXTURES g
P
.00 2
Ex. OCCUp.(OUTLETS (RESID )REA. 2
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permlt 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 $
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.
1 also ree to save, indemnify and keep harmless the County of Butte against
all Ii ilit' s, judgments, st ,and enses which may in any way accrue
agai s out ence granting of this permi .
X Date
Signature f Applicant — Owner ❑ onrracror Agent
An OSHA rmit is required for excavati s over 5'Oeep and demolition or construct-
ion of stru ures overr" 3 stories in height.
Mobile Home Installation Fee $
—
TOTAL PERMIT FEE $
OCCuP. GROUP
lt�J-�
TYPE OF CONST.
PARCEL
PD ND
sauE
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.
DIRECTOR COUBLIC WORKS
By Date—
PERMIT EXPIRES Date
Receipt No. yLIJ Y.Q •
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
of PERMIT NO. 1265-77B
PERMIT EXPIRES
OWNER Isabel.Clarke
�CONTR. Mari -John Const., Magalia
LOCATION (A.P. 66-25-28
975 So. Park Dr.,lot 96, CC#4, Magalia
i
t
Temp. Power Pole
Called PG&E
Temp. Elea Serv.
Called PG&E
Temp. Gas Serv.
Vir-
Called PG&E
OB
INALED
(Date
(Signature)
f
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
f' .
BUILDING INSPECTION RECORD
BUILDING I BUILDING (Cont'd)
Setback
Firewall
Forms
Parapets
Main Bldg.
Restroom Finish
Footings
Windows
StemwaI l
Sidin
Slab
Roof Sheathing
Piers
Roofing
Garage
Fdn. Vents
Footings
Garage Vents
Stemwal I
Insulation
Slab
Carport
Footings
Prov, for physically
handica ped
Conformance of ex.
structure
Slab
_
Final
Patio
FI
Footinqs
Footinq
PLUMBING
Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Bond Beam FIRE SPRINKLERS I Motors
Framina Test I Water Htr.
Mesh
MECHANICAL
Gird. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES
Elec_ Service
Elec. Pedestal
Water Piping
Sewer
'Gas Piping
MOBILEWOME INSTALLATION - - - - - - - - - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
W 7 County Center Drive: — -Wroville, California 95965
Tel eptone: 534-4541
APPLICATION AND PERMIT
/,&5_-77
AA I
duulu 14U retire - rtduv s of me L aunty or tsutte to enter upon the
above-mentio d l y for V.pection purposes.
Date`' �4
Signature o ermItee or AAggent
Receipt No. . 3 �? .
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant +
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF ELIC WORKS
By Date -3-7q-
-7-L/
3— 7 q .
Z`�
7 7
Building permit expires Date �" _ 7�
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
d
Mai I i ng Address
K Q p
4W 1
Telephone No.
Fireplace
P
Contractor .� �/� %
Total Valuation Q ,
Mailing AddressS
Permit Fee d
Plan Checking Fee &/or Penalty
le hoj�
Permit Fee $ O
$ C
Building Ad (ress
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
5�5_6 Ole,
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.o ,g
Zoning &Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s I
b48,
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im rovements
P
Lawn sprinkler system 2.00
Bldg. ons Rec'd
Parcel Approval
PI ppr0val
Permit Fee $
$
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Main service 800°o AMP ORLESS5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
/ -
Co/c Lr
/CJ (�Q(/ �7
NEW CONST. DWELLING OCCUP. &
OR ACDNS. ( ACC. ) 2¢sgft,
TI -OU
NEW CONSTR MULTI.OUT LET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
-
NEW CONSTR POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
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
Ex. Occup(OUTLETS OR FIXTURES) @@1
BAL1
Ex. Occu FIXED APP LNS. OR
P�(ouTLETs (RESID,) EA) 2.00
Temporary service 10.00
1
Mobile Home Facilities 15.00
License N Classificatio
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
f ❑ 1 have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
1�-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. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws �tjng to building construction, and hereby
TOTAL PE RMIT FEE
$
duulu 14U retire - rtduv s of me L aunty or tsutte to enter upon the
above-mentio d l y for V.pection purposes.
Date`' �4
Signature o ermItee or AAggent
Receipt No. . 3 �? .
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant +
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF ELIC WORKS
By Date -3-7q-
-7-L/
3— 7 q .
Z`�
7 7
Building permit expires Date �" _ 7�
- A r
PERMIT NO. . 6504-76B,E }�
z
1 .
PERMIT EXPIRES
'
OWNER Isabel Clarke
.CONTR. Fisci Bros., Paradise
LOCATION (A.P. 66-25-28
975 S.Park Dr., lot 96, CC#4, Magalia "
I
,r
_ aJ
n. +h
•N-
a
�r
Temp. Power Pole
Called PG&E
Temp. Elec' Serv. a'
Called PG&;E Jim
r 1 Temp. GapjServ.
Caldedd'PG&E '
i FINALED ' 7 L7
- (Date) I A ,�
t
(Signatu
i
j V
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed
of the California Administrative Code,
number .� 72L 27 for the following
in accordance with the
Title 25, Chapter 5,
location:
recjuirements
under permit
Owner �413t-z c
Owner's Address �������
r,•,
Mobilehome Mf " " �—
g. -
�U `e/ �r v y
Model Year
Insignia No. r <3 -2 �" Uy 3
Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
A
Date _a -/
By n
r
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
r COUNTY OF BUTTE — DEPARTMBNT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING A BUILDING . ont'd) Pi UMPING
Setback Firewall Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings Windows 3rd Floor
Stemwall Siding To out
Slab Roof Sheathing Water Piping
Piers Roofing Sewer ZZ
Garage Fdn. Vents Fixtures
Footings Garage Vents Water Htr.
StemwaI I Insulation Heaters
Slab Prov. forphysically Appliances
handica ed
Carport Conformance of ex. Gas Piping & Tes
Footings - structure Temp. Gas
Slab Final A Sanitation
r Patio FIREPLACE Final '7 7 L
Footings Footing ELECT CAL
Masonry Walls Throat Rou h
Reinf. Steel Final Fixtures
Bond Beam / FIRE SPRINK ERS Motors
Framing Test Water Htr.
Stucco Final Subpanels
Mesh MECH ICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts Underground
Interior Lath Ventilation Permanent
Door Closer Final Final 7 L
DATE REMARKS OR CORRECTIONS
ap
o-vi�' oat
t'
(NOTE: An entry must be made on 7form ah time you i Pe�j b sib jC
ii013Ii,E:I10ME I1dSTAL'L`"n'1'1Oi1 INSPECTION CHECK LIST`
1. Is the. mobilehonc� located wi.i.li uired separation from lot lines and buildings and generally
confom to plot plan? Ycs No
r
?. Does the mc)bil.ehome have required clearances above ground? (Sec.5085) Yes CiNo
3. Are footings and supports properly sized, spaced, and braced as, per as proved plans? (Note
possible varication at spring shackles.) (Sec. 5082 & 5083) Yes vNo
4. Is the mobilehome level.? (Sec. 5088) Yes-�
5. If more' n a single unit, are crossover connections properly installed? (Sec. 5088)
Yes o
5: Water
A. Is Plexie connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)
Yes No
B.• Test - Does water piping withstand working pressure or 50 lbs, air test? Yes
C. Backflow - If coach IVA e of California approved, does station have backflow device
and pressure-relie No
7. Wastes and Drains
A. Is connection made with Schedule '40 DWV and have flex connectors at each end? Yes No
E -M
B. Does it have minimum I," per foot slope and is it properly supported? Yes
C. Are any leaks detected in drainage system after running 3-ga ns of water through each
fixture including washing machine standpipe? Yes No
D."• If coach J o of California approved, does station have required trap and vent?
Yes No
Gas Piping and Gas -Vents
A. Connector - Is mobilehome connected to the gas supply with an a roved 3/4" minimum
mobilehome onnector not more than 6 ft, long?_ Note: All ing is to be at least as
large as the bilehome gas line inlet without reductio - other han the mobilehome
connector. Yes No
B. Test OK as per following ocedure? Yes_ I _
1. Open all appliance conne r valves.
2. Shut off appliance burner and p t valves.
3. Air test with manometer t 0"-14" wat column, or test with slope gauge (minimum
6oz.-maxiinum 8.oz.) ca.' rated in tenth p nd increments. Test for 10 min, without
drop.
4. Connect: gas met L to mobilehome with connector, t n. on gas, test connections with
soapy water.
C. Are all app fiance vents properly i_nstal•led? Yes No
r
9. Electical �O0/��
I. �G
A Is service large e.n.oiiglk to provide adequate amperage to mobilehome. (must equal rating of
mobilehome caitli a-.Anu-:um of 1000 np) anal other facilitiEls on lot, i.e., water pumps,
garat,e, cab.lna2
, CtU.:' Yes -`No
B Is ther,-� proper clearances around pan.els? Yes L, o_
C. I'spower supply cord or feeder assembly properly fused? Yes_ o
D. Is continuity test satisfactory as per the following procedure.? Y'es_vNo__
1. De -energize electrical wiring syste:a of the mobilehome at the pedestal
2..�Iakere that the power supply cord or feeder assembly conductors, including neutral
conduct liave been disconnected.
3. Itch r Y breakers and switches in the mobilehome to the "on" position.
4. Connect one Ic'1.:id of a test instrument to the mobilehome grounding conductor and
, , L , •, ,. , .. ,
appy .e Gi ii.0 .i.i as to Cur ti Riuul.�eituiiit supply CunutiCtU'i , lliCliidlilg 'ite�1L'rai.
5. lion -current, carrying metal parts of the mobilehome (aluminum siding, gas line,
water line), including fixtures and appliances, shall be tested for continuity from
;s -Lich e•.. pment and,the grounding conductor.
b.on completion of: the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
te:=;t :,hall then be made between the grounding electrode and the chassis of the
111obilehome. Upon sa i_sfactory completion of the electrical tests, the lot or site
service equipment- may be approved for energizing.
4ob card signed by health Departmeat for water and sanitation?/Vero
_ �
/Z�/�AlG6
1.1.. If everything okay, sign off card and ta; services.
'MOBT_Li;;T ME DATA
Manufacturer and/car Namestyle
Length Width
Vehicle Serial No. Z 451
State Identification No.
,.tional Infor-:ntion or Cornments,
�• r
iG�/
COUNTY OF BOTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Driye Uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
�P�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
. t
X Datea7i
Signature of Fermitee or Agent
Receipt No. Is -66 Z<9
White-D.P.W. — Yellow -Assessor — Pink-Insoector'— Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/-RUBLIC WORKS
BY Date -Z--L -2 ',Z
�ilng permit expires Date 7,—/,c:, 7F
BUILDING
Owner C
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Ka r
Total Valuation
Mailing Address t
Permit Fee
Plan Checking Fee &/or Penalty
T le hone No.
0 0 3• s
Permit Fee $
Building Addresss SP" D `
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
a Q
I
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
/�
cC got
Each gas water heater or vent 1.50
/1 —.2,57"—,.2
A. P. No. �o Z �T�
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet 30
FAA1W.
—&aai�atsR-
FireDept.
Fire Zone
Use Permit.
Building sewer 5.00
EQA
Parking
Plans
_
Declaration
Parcel Map
P
60' R/W
Improvements
p
Lawn sprinkler system 2.00
Bldg. Plans Rec'd Parcel A proval
Plan pproval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER LK
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
/^
C \� 46
y,
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 6 00V25.00
100 AMP OR LESS
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP. &) 20sgft
NEW CONSTR. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &
NON- R. RESID. (SINGLE OUTLET CIR.
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
Y ��� (�V'l�✓ /�=�-
style of: ,C �! �" �-
50 25q
Ex. Occup(OUTLETS OR FIXTURES) @
BA
OR
S. `
EX. OCCUP•(FIXED APPLNOUTLETS (RESID.) EA/ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. _'.a C� 10 � .—le /
l Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
pro- Workmen's Compensation Insurance.
❑ I certify that in the'performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
`3 D 0�
TOTAL PERMIT FEE
$ O
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
. t
X Datea7i
Signature of Fermitee or Agent
Receipt No. Is -66 Z<9
White-D.P.W. — Yellow -Assessor — Pink-Insoector'— Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF/-RUBLIC WORKS
BY Date -Z--L -2 ',Z
�ilng permit expires Date 7,—/,c:, 7F
COUNTY OF BUTTE — -TEPA-ATMENT OF PUBLIC WORKS
7 County Center Drive . — 'Uroville, California 95965
-� Telephone: 534-4541 U /
APPLICATION AND PERMIT 1
authorize representatives of the County of Butte to enter upon the
above -men asned property for inspection purposes.
I e of Permitee or Agent
Rece' t o.�/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
BY Date- 7 -Z �
wilding permit expires Date�7 � 7— 7�
BUILDING
Owner N Re C_ L"qV
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor Elsclt✓p S'
Total Valuation
Mailing Address en
Permit Fee
Plan Checking Fee&/or Penalty
T lephon e No.
yy3
Permit Fee $
Building Address G� SQ4Th �Rr 1C r.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 6K1
Each Trap 1.50
C, �, L oT ci
Repair drainage or vent piping 1.50
Water piping s /-0. 00
.�A
/V/ 6 A L7jptng Verification Only
Each gas water heater or vent 1.50
r _T
A. P. No. G Z Z `. Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Building sewer /6-0
F-16:01 VLOS nl on FireDept. FireZo Use Permit
EQA I Parking rcel el a 60' R/W Im rove ents
Plans De aration P
Lawn sprinkler system 2.00
Bldg. Plans Recd
ParcelTpprov F,
Plans Approval
Permit Fee $ )3,00.$
L300
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,tlCJ
Main service 100 AMP ORLESS5.00 .O
Main service EA. ADD -L 100 AMP 2.50 S
Main service OVER 600V
100 AMP OR LESS 25.0
Single Family ❑ Duplex. ❑ Mobil Home Others ❑
Main service EA. ADD•L 100 AMP 1.00
* 5\/pry FT.
oV
,�. . MINIMUMNON-RESIT
NEW CONS. OCCUP. &) 2¢sg ft
OR ADDNST ( BLDGS.
R. ( BRANCH CIRCUITS)2.50ea
FOR MOBILES
NEWCONSTPO ER
NON_RESID R (SINGLE OUTLETAPPARATUS
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: �//JJJ
Y - / C
BAL N'25101
Ex. Occup(OUTLETS OR FIXTURES)@
E x. Occu FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 /Sock
I/
License No. S,Classification -�
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code wh'.ch requires every employer to be insured against liability
for Wor en's Compensation. ,
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I, agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Nd ve Lc'e.oMT Fie-.
O�
FEE TOTAL PERMIT
$ G
3 S
authorize representatives of the County of Butte to enter upon the
above -men asned property for inspection purposes.
I e of Permitee or Agent
Rece' t o.�/�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR F PUBLIC WORKS
BY Date- 7 -Z �
wilding permit expires Date�7 � 7— 7�