HomeMy WebLinkAbout066-300-0210
66-30-21. (J
"JESLEY--FARR '
/r,�/� -
20 Ferguson Dr, lot 55, PPCC#4, Magalia
Contr: Par-A-Dise Const. Co, Paradise
P rmit �� 028-78E,E(ut' MH)
Et
EGXaLa
GAS l
SUPPO T TRUCTURE RE
COMPACTION TEST REQ '
,,. 66-30-21 �..
ontr: Paradise"Modular Concepts
` Permit ##448 -7 I
Issued / 7
66-30-21
.contr:Par-A=1hse Const., Paradise � .D
Permit #6061-78B,(nea cove ed deck 1,
open carport/MH)
66-30-21 I:
13788 FergusonDr.,Magalia"'
-Cont : Baldwin &Son -
Permit #1450-88B (covered patio/MH)
_I� � I�
�� � �
�_ Yip p
T
PERMIT NO. 4028-78P, E
PERMIT EXPIRES '�W.161711
OWNER "WESLEY FARR
'CONTR. Par-A-Dise Const
LOCATION (AP. 66-3n-71
1* 20 ftrrg .n—Dr--, lot 55, PPCC#4, Magalia
f4
sn
'Temp. Power Pole
Called PG&E
Temp. Elec. Serv. 7
Called PG&E 711e I
Temp. Gas Serv.
-Called PG&E
JO B
FINALED It J __17 k
(Date)
(Signat U
r,
r
' 1
COUNTY OF BUTTE — DEPARTMENT' OF 'PUBLIC WORKS
+ BUIL ING INSPECTION REQORD
Mesh
BUILDING BUILDING (Cont'd)
PLUMBING'
Set ck
Fire ll
Soil Piping
Formk
Parapakf
1st Floor
Main Idg.
Restroo Finish
2nd Floor
Fo •n s
" Windows X
3rd Floor •
Stem II
`' Siding
To out Rr
Slab
Roof SheithI&IWater
Piping
.. Piers
Roofing X
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal l
Garage Vents
Insulation X
Water Htr.
Heaters
Slab
Carport
Footings
handicar pehysically
Conformance of ex.
structure
Appliances"
Gas Piping & Test
Temp. Gas
Slab
Final X
Sanitation
Patio
REPLA E
Final
Footings
Footing'
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
IRE SPRINKLERS •'
Motors
Stucco
Final Subpanels
Mesh
MECHANICAL X Gird. Fault Prot.
Scrat
Heating/ Service
Brow.4
Cooli Temp. Pole
FI h Duc Underground
Inte or Lath V tilation Permanent
Da6r Closer Ofnal final
MOBILEHOME UTILITIES ------- - - ------ Elec_ Service Elec. Pedestal
Water Piping '- Sewer
` ,1 Gas Piping
1 E0 ---E INSTALLAT ON - - - - - - - - - - - Support Elec. Continuity 14 a
Water Piping Drainage J a I VGas Piping
DATE REMARKS OR CORRECTIONS
C,+A
(NOTE: An entry must be made on this form each time you visit the job site.)
IN
MOBILEHOME INSTALLATION INSPECTION CHECK LIST
1. Is the mobilehome located wi required separation from lot lines and buildings and generally
conform to plot plan? Yes_+ No
2. Does the mobilehome have required clearances above ground? (Sec.5085) Yes_ No
3. Are footings and supports properly sized, spaced, and braced as per app ved plans? '(Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes_ No
—
4. Is the mobilehome level? (Sec. 5088) Yes_j,-/No—
5. If mor than a single unit, are crossover connections properly installed? (Sec. 5088)
Yes No
6. Water
A. Is fl ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566
Yes No 9
&. 'Test - Does water piping withstand working pressure or 50 lbs, air test? Yes— No_
C. e o ornia approve ,
a
7. Wastes and Drains—
A.
rains A. Is connection made with Schedule 40 DWV and have flex connectors at each end? No 7
B. Does it have minimum 4" per foot slope and is it properly supported? Yes_ No—
C. Are any leaks detected in drainage system after running 3 -ons of water through each
fixture including washing machine standpipe? Yes_ No
D. rap
f
8. Gas.Pi 'ng and Gas Vents
A. ConneetQr - Is mobilehome connected to the gas supply with an approved " minimum
mobilehom onnector not more than 6 ft. long? Note: All piping o be at least as
large as the bilehome gas line inlet without reductions other an the mobilehome
connector. Yes_ No
B'. ' Test OK as per followin roce� No—
Open all appliance con ctor �Ll
2. Shut-off appliance burner and 'lot valv
3., Air test with manometer to 10"014" a r column; or test with slope gauge (minimum
6oz.-maximum 8 oz.) calibrate n tenth p nd increments. Test for 10 min. without
drop.
4. Connect gas meter mobilehoTqe.with connector, tur on gas, test connections with
soapy water. r
C. Are all app 'ante vents properly installed? Yes No
9. Electrical w
A. Is service large enough to proe0amp.)*
e adequate amperage to mobilehome (must equal rating of
mobilehome with a minimum of andother facilities on lot, i.e., water pumps,
garage, cabana, etc.? Yes Ll No
B. Is there proper clearances around panels? Yes Y No
C. Is power supply cord or feeder assembly properly fused? Yes '--No—
D.
✓No_D. Is continuity test satisfactory as per the following procedure? Yes_ No_
1. De -energize electrical wiring system of the mobilehome at the pedestal.
2. Make sure that the power supply cord or feeder assembly conductors, including neutral
conductor, have been disconnected.
3. Switch all breakers and switches in the mobilehome to the "on" position.
4. Connect one lead of a test instrument to the mobilehome grounding conductor and
apply the other lead to each mobilehome supply conductor, including neutral.
S. All non-current, carrying metal parts of the .mobilehome (aluminum siding, 'gas line,
water line), including fixtures and appliances, shall be tested for continuity from
such equipment and the grounding conductor.
6. Upon completion of the above procedure, the power supply cord or feeder assembly
conductors shall be connected to the site service equipment. A further continuity
test shall then be made between the grounding electrode and the chassis of the
mobilehome. Upon satisfactory completion of the electrical tests, the lot or site
service equipment may be approved for energizing.
0. Is job card signed by Health Department for water and sanitation? -&,KVIPPR�
1. If everything okay, sign off card and tag services.
MOBILEHOME DATA j
►►►!!! Manufacturer and/or Namestyle
Length Width �C
Vehicle Serial No. Ca / / 7 3 Cf"
State Identification No.4f 11,7 -?y
Additional Information or Comments:
� P
•
COUNTY OF BUTTE
DEPAFAIAENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number for the following location:
Owner
Owner's Address
Mobilehome Mfg. �" �'��� Model Year
Insignia No. Serial No.
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date » By
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, = Oroville, California 95965 D���
Telephone: 534-4541
APPLICATION AND PERMIT M,
.. �cyicoc�nuu vco UII IQ VVumy UI OUttV LU CIIICi Uf/U11 IIIC
above-mention/ed�property fo�ection purposes.
X l/'L�/ �c/�-,r Date T
Signature of Pelrmiteepor Agent
/
Receipt No. 7 a 1/7 S
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.
DIRECTAR,QF PUBLIC WORKS
BY Date 7�
wilding permit expires Date _ 7, Z6 -79
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contractor 61.947 - P fS �y C C- I S I co,
Mailing Address XU c� —\o N
Fireplace
Total Valuation
1=
Telephone No.
973 -1 -?3 o
Permit Fee
Building Address D
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00 3.00
Each Trap 1.50
/--�Ip C bnmg Vfirificafion Only
Repair drainage or vent piping 1.50
/
A. P. NO. (c (� v �p2
T
Zon;� 8 Plan n
Water piping 4,5e- / o,o o
Each gas water heater or vent 1.50
Fe&s W -:C- on F' eDept. Fire Zone Use Permit
EOA Parking Parcel parcel Ma 60' R/W Improvements
Plans Declaration P p ovements
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
sewer .-5.00 / D.ob
�Building
Bldg. Plan6--Reed
Parc roval
P s Approval
Lawn sprinkler system 2.00
NEW F771ADDITION ❑ UTILITIES ® OTHER ❑
Permit Fee $ 23
$ D---31oz
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 1. L50
Main service 600V OR LESS
too AMP LESS 5.00 S ;o ob
Single Family Du lex Mobil Home Others
9 Y ❑ P ❑ ❑
-L
Main service EA. ADD'L too AMP 2.50 �,S
500 SQ. FT. MINIMUM
FORMOBILES
Main service OVER 600V
too AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
OR ADDNSNEW T % ACCLBL GS.LING CCUP. rZ0Sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
Y
NEW CONSTR -OUTLET
NON-RESID, ` BRANCH CIRCUITS) 12.50ea
NEW CONSTR. POWER APPARATUS B
NON.RESID. SINGLE OUTLET CIR.
EX. OccuD{OUTLETS OR FIXTURES BAL@1
Ex. QCCU FIXED APPLNS. OR
p•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 3 2 3 V/0—Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
Permit Fee $ 2_,>-,y `6
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.
J21I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
r -1I 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 $
$
1 certify that t have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ 3 175Z
.. �cyicoc�nuu vco UII IQ VVumy UI OUttV LU CIIICi Uf/U11 IIIC
above-mention/ed�property fo�ection purposes.
X l/'L�/ �c/�-,r Date T
Signature of Pelrmiteepor Agent
/
Receipt No. 7 a 1/7 S
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.
DIRECTAR,QF PUBLIC WORKS
BY Date 7�
wilding permit expires Date _ 7, Z6 -79
COUNTY QF 6UTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive. Of6viIle, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of mitee or Agent
Receipt No. l� 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 P,643LIC WORKS
By Date/ 14 ^ 2r
B ing permit expires Date _ 4p—
BUILDING
Owner 4�z
SO. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Contract r
Mailing Address -3� _
Fireplace
Total Valuation
elephone No.
_Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
zA)-
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
_
-
Repair drainage or vent piping 1.50
A. P. No. �-Z
Cp —3 !�I,
Zoning &Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fe
w -e 'St3fTlT2Tl`Jh
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
�
Bldg.�ns Rec'd
Parcel royal
Plan proval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP OR Less 5.00
Single Family ❑ Duplex ❑ Mobil Home Others ❑
Main service EA. ADD'L 100 AMP 2.50
OVER
Main service 100 AMPso0v OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST It ACCLBLOGS.LING CCUP. !1 2¢sgft
/
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR. BRANCH L T
NON-RESID BRANCH CIRCUITS �2.50ea
NEW CONSTR. (POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
EX. OCcur)(OUTLETS OR FIXTIIRES ou
APPLNS. OR
Ex. Occup.\OUTLETS (RESID.) EA) 2.00
(OUTLETS
Temporary service 10.00
Mobile Home Facilities 15.00
`
License N l Classification 6 l
Misc. Wiring 6.25
❑ 1 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.
have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
E]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
6)
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$ d '�
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of mitee or Agent
Receipt No. l� 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 P,643LIC WORKS
By Date/ 14 ^ 2r
B ing permit expires Date _ 4p—
• �" PERMIT NO.
6061-78B
PERMIT EXPIRES
OWNER Wesley Farr
fCONTR. Paradise Const. , Paradise
LOCATION (A.P. 66-30-21
165 Ferguson Dr., lot 55, Cc#4, Magal is
Temp. PoweVole
Called PG&E
Temp. Elec. Serv.
Called PG&E
'{ Temp Gas Serv.
Galled PG&E
s t° JINALED
� (Date)
i'
(Signature)
i
a;
3
L1�
�
4
t
• �" PERMIT NO.
6061-78B
PERMIT EXPIRES
OWNER Wesley Farr
fCONTR. Paradise Const. , Paradise
LOCATION (A.P. 66-30-21
165 Ferguson Dr., lot 55, Cc#4, Magal is
Temp. PoweVole
Called PG&E
Temp. Elec. Serv.
Called PG&E
'{ Temp Gas Serv.
Galled PG&E
s t° JINALED
� (Date)
i'
(Signature)
i
a;
Setback
Forms
Main Bldg.
Footings
StemwaI I
Slab
Piers
Garage
Footings
Stemwa I I
Slab
Slab
Patio
Footings
isonry Wall;
Relnf. Stee
Bond Beam
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING'(Cont'd) PLUMBING'
.,.-, r. I I Firewall I Soil Piping
1st Floor
2nd Floor
3rd Floor
Topout
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
Sanitation
Final
Restroom Finish
Windows
Siding
Roof Sheathing
Roofing
Fdn. Vents "
Garage Vents
Insulation
Prov. for ph sically
handica ed
Conformance of ex.
structure
Final
FIREPLACE
ELECTRICAL
Fins
i-raming Test Water Htr.
Stucco Final Subpanels
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
131LEHOME INSTALLATION ------ = - - - - - -- - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
1
a
t c
(NOTE: An entry must be made on this form each time you visit the job site.)
'1 -- COUNTY OFBUTTE- DEPARTMENT OF PUBLIC ORKS
{ r 7 County Center Drive.;;-,•Oibville, California 9596
ji Telephone: 534-4541
APPLICATION AND PERMIT
B ILDING
Owner t��,Gr ����
SO. FT. OCC. BUILDING VALUATION
®C, CCU -
Mailing Address
6V` C Rio r ob
Telephone No.
Contractor ".">tf
Mailing Address /� 3� ��-lr' �✓-iE'�� F
Fireplace
Total Valuation 02�i{f%, .00TT
�i9cd>.S� fns
lephone No.
73 7`7 •-060
Permit Fee "00
Building Address �� ��`
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
GAG 1-07- S3 /'�„ ,gG,-,�l> p
Repair drainage or vent piping 1.50
A. P. No. 43 _2IWater
Zoning & Planning
piping 1.50
Each gas water heater or vent 1.50
FeTS-
U�d.
Sa
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
Parcel Map
60' R/W
Improvements
Each additional outlet .30
uilding ewer 5.00
��
Bldg. offs Recd
Parcel oval
Plans royal
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 600V OR LESS
100 AMP LESS 5.00
Single Family ❑ Duplex ❑ Mobil Home ®Others ®
-L
Main service E4, ADD100 AMP 2.50
,�j
*6Z r`�o RT
Main service O EAMP OR LESS 25.00
O
Main service EA. ADD'L 100 AMP 1.00
NEW
OR ADDNST ACCLBLDGS.CCUP, s) 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
St a f: �.
-
NEW CO ID ( BRANCH CIRCUITS) 2.50ea
NEW RESID, BRANCH CIRCUITS)
NEW CONSTR. (POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
25
Ex. Occur){OUTLETS OR FIXTIIRES5 L 00 10$
FIXED APPLNS. OR
EX. OCCU Occup.(
p•\OUTLETS (RESID.) EA) 1 2.00
Temporary service 1 10.00
Mobile Home Facilities 15.00
License No`_eC_/D Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
or Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
orkmen'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 $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTALP ERMIT FEE
au 11 lullcv 1 Flvavllla�l vvo ul mu l,Uullly U1 DULLU LU CIII.CI UPUII 1110
above-mentioned property for inspection purposes. /
r Date
Signature of Permitee or Agent'
Receipt No. /,F37 3,5--
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 PUBLIC WORKS
By Date��-�g 7
ding permit expires Date �j "�� f - ?
1450-88B
�j PERMIT NO.
i PERMIT EXPIRES
t MILAN FARR ,F
OWNER
CONTR. BALDWIN & SON
j ASSESSOR PARCEL 66-30-21
4LOCATION 13788 Ferguson Dr.,
Magalia
4
z
r
•f
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
E JOB FINALED (Date)
f
Signature
= OK
0 = Not OK
MOBILE HOMES
MISCELLANEOUS
= Not Readyable
Daie MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DE KS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
Shthg.-Rfg.-Bracing
6. Gas; Location -Test -Wrap: / P' ft.
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
/ /"Nat. or/ PV ft./ P'LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8-rrmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -61 Date Card -131 Date
IQ -Roof; Shthg-Roofing
Card -61 Date Card -81 Date
U!€xt.; Steps -Doors -Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'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 -Fall -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
Card -81 Date Card -131 Date
Card -131 Date Card -131 Date
Card -131 Date !y_ -e-�,ACard-B1 Date
Card -131 Date kZ-ki-Scl Card -81 Date
Date POOLS (Plans) OK except #'s
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.;Ground ing; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -81 Date Card -61 Date
=OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- = No�Applicable
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-Elec. 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. Aftic 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 Overhang -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-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -Bi 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 -61 Date Card -131 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/Mech. 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-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -81 Date Card -B1 Date
Card -B1 Date Card -B1 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 -81 Date Card -131 Date
Card -61 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 -B1 Date Card -61 Date
Card -131 Date Card -81 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-Mech. 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-Mech. Protection
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 ❑ 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-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 -131 Date Card -131 Date
Card -61 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
.,.�-.-k-rn.a.�t..t-,.�.:�y.:-:,�_Y�r,_�r-�arC.t,wE-K•`r��.a+e......�..,;.--.+...v=-,..,,,...,�:,�-�.1-. _ �-":�:.
COUNTY OF BUTTE
c�DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751- t
7 County Center Drive, 9rovi e — Phone: 538-7541
s
747 Elliott Road, Paradise— Phone 872-6307 -
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist.at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter; or need additional explanation, please contact this office immediately.
- \r� S`D��( W R(jIt, RA•T ST C-
Inspector �.�.� r+ Date Q 4
r
r
Inspector �.�.� r+ Date Q 4
COUNTY OF BUTTE - DENS` OF PUBLIC WORKS
7 Count Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
� Y P
APPLICATION AND PERMIT
PERMIT N ,
ASSESSOR PARCEL NUMBER
_3;0Z/
ZONING
BUILDING PERMIT
OWNER FA 9r_ I m I LA N
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
Co J C)
OWNER'S MAILING ADDRESS
13 88 FEre. GL..,sDN
CONTRACTOR'S NAME
Q L11W IN PVA SON'
TELEPHONE
X 73 -3113
CONTRACTOR'S MAILING ADDRESS
&(cla SoM r WA Y MA GALIA55S-1
Fireplace
CONSTRUCTION LENDER
NO )\/
UNKNOWN
Total Valuation I `fie
0 -77^
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 3&50
ARCHITECT OR ENGINEER
0 A4 E
LICENSE NO.
Plan Checking Fee
,t 1 Cr,2S
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
3788 Fe2 ti o
Permit fee
'l
PLUMBING PERMIT
Filing Fee 10.00
Each TraQ
2.00
Solar or hea ump water heater
2
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping NNII
5.00
Each qas water heat r ve
5.00
USE OF STAUCTURE
SF ❑ Duplex[] Mobilehome Other
SPECIFY
Gas piping system 1 - ets
5.00
Building sew
5.00
Mobile Hg6e I S I G I W I
10-00ea
TYPE OF WORK j
New,W Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: t0 U Cf2E� AN I I r 10A/
Milo 5(A13'-A(EvV
Penult Fee.
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 7OOV OR LESS
00 AMP OR LESS
.00
Main servic 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 BusinessPowER
and Professions Code and my license is in full force and effect.
License No.-\
�jf 2 2 V_Classification ,3.
El1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. WELLING Dccu .a� +/zQsgft
OR ADDNS. A C. BLDGS.
NEW CONSTR TI.OUT T 2,50 ea
NO N.RESID .BRA C RC TS
PARATUS e1
(SINGL O LET CIR. 1 '
Ex. Occup OUT TS OR F TURES .20950
P
Ex. Occup. F TlET3 (RESID.1 .1 2.00
Temporar 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 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all Iia ilities, judgments, costs, and expenses which may in any way accrue
again said unt in onsequence of the granting of this permit.
Date —
Signature of Applicant — Owner El Contractors' Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.B
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CON ST.Trve
I
JSCNOOLJ
F;TAICJ
PD
I ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
C PUBLIC
y
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date��/� �C7 —
Receipt No.
WHIT[-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
'''y'' �' y 4^'NIX
•` '�''�i. a t ` ^• YY'�'•'{"�*dQi1 iia l,. { x "' f'-^��jy�tc'" �r1 t`C "JK
4; !fes COUNTY OF BUTTE - DEPARTIMENt._OF.•r?/UBLIC WORKS - BUILDING DIVISION
~ 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No. 1
OWNER ��, /�i>4 A. P. No.
Proposed Building Use / Building Inspector Date,
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
i
2. Plot plans in duplicate/triplicate, signed,by preparer of plans. .
3. Complete plans in duplicatefiriplicate, signed by preparer of plans.
4. Complete engineered plans,and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement..".'
6. School District ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
�g Letter of signature authoriz ion. /
��L' 10. Sanitation approval from ��� _ Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_._-.---15. Improvements may be required. • . . . . . . . . . .
.16. Mobilehome Installation Data. . . . . . . . . . .
17. Pre -Inspection for__..--__ _-. _ .... _- _ Required. Pre-Inspec. request to (Dote)Building Inspector
18, Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of
21. — — —
22. — — --
Whe ou issue h Der it, process as follows: —Maioo owner; Mail to contractor_
Telephon �� and hold for picku, j' office, Deliver w/'inspector.
Other //
Appli 14P v��L' �%�—Date = D-
--��
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
e
1. Index permit for above items No.
2. Additional items required: —_-__—
Contractor, designer, owner, was advised of above required data by—phone_ nail_countertby date
Contractor, designer, owner, was advised c,'above required data by_fp o e_rnaill`` counter by date
Plans checked by Date Plans approved by �ADate
Sets of plans on hold in File cabinet AP folder
' t'
Copy—DPW
+. `T,6: Building Department
.i
,FROM: Environmental Health
'-SUBJECT: SANITATION CLEARANCE
OWNER
4,6 g 2,z,
LOCAT ON
AP #
tPlans approved for: Sewage Disposal Water Supply
J,
Hold final for:
Final Clearance O.K. for:
�q
~;Clearance for bedroom mobile home.
?'.Clearance for additign of �61&A4f47J
li
FNote(i
yrrW2GF%1L. ..
_�M
Water Supply
Water Supply
Other /
(/ �. L�C 1-1,4,1/7— %�/Jil i�cil�Ic7X f'�/B� /r ,tea P
�-t/o -Fk
DATE
Die, 7� FIAewu s 'F A/
L/
/78', 07
ecicati5 to
.
VOW gal 6T 0 s 11 s C!'I( ►t os un�aW ho
iiep� on thC� 'ator aon alit=''` �arfine of public i
�,ake any the De?
written permission{ Bute.
'.Norks, county
�00 p�
t