HomeMy WebLinkAbout066-490-024.7,
66-49-24
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wg-4,Hanjes
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-Dr. lot.- 79.,..M4ggj*jt,_,�,
contrj,' Parail'ise Modular Co6c., arad*
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Permit 32 8-8
I itjEC. — _D
.1
GAS
SU PPORT ST'RU REQ
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S
COMPACTION'TEST REQ.
--,--"66-49-24
c C�
ontr: Parad?2*fse Modular Conc.- Paradise
Permit Yk3TI9-8lMk
Is.s.ued
10
.-49z24�'
cOntr., Para.Mod.
Conc,..,,. Para.
Permit 43606-81BI"p E new pri-garage)
274/
cOntr: Paradise Mod.conc., Para.
Permit �4074 8
074-8.IB(new dec H)
�it �1.4
�A
�04
contr:Para f V
-Mod.conc.,V'Paradise'
Permit #1222-8VB,E(Dew deck & to
contr. Paia -Mod. Co
i _8�
Permit 1 �222 B,
Lcaban7a/MH) e
.66-49-24
Perm'it, #, 2-88 9 .32-B (new, -pat io-,c Ove'r/NH,)_
Sierra
contr:_
paradis
cr%
C"i
6
PERMIT NO. 2889-82P,E
PERMIT EXPIRES -
OWNER Ed Hanjes
CONTR. Sierra MH,Paradise
ASSESSOR PARCEL 66-49-24
LOCATION 6720 Indian br,Magalia
Temp. Power. Pole
Called PG&E
T emp. Elec. Service
OK
Not OK
Not Applicable MOBILEHOMES
Not Ready
M1SCE'UAN50US
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Pate
DECKS,,qGVERS, CARPORTS, ��. (FA;e< OK except #'s
Jw�ning Requ i rements-Sa�Vac ks- Easements
2. Soils; Special MH Support -Sketch
t-F-botings-l' Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Beeka, 9-k4efe and/or Joists-Decking-Bracing-Stairs-Raits
4. Water; Location -Test -Easement Needed (Sketch)
4. .Weed A ...... Fl�,ls,-13tM-Rftrs.-Connec.-S�thg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
J__415m. Awn.; CohmTffs-�Conr4644zfrs--Soliee--D(cQ�4�.�es
6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ /"L"ft./ LPG
7. Utility Clearance
L_La4=rL-_1L'wdokvs-Doors
--Z--94ee-.
Card -Bl
Date Card -BI Date
Card -131 0% 1 'Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req u I rement s-Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -131 Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel-Connections-Thickp.ess-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
7.' Water and Sewer Connected -C/O to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment7Heater
8. Gas and Elpctricity Tagged
8. Elec.; Grounding; Equip. w/5'-Circulaiing Equip. -Pool Lghig.
Boxes- Enc losures- Pane [boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Carl. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test-Watar Supply Test
Card B-1
Date Card -Bl Date
Card -BI
Date Card -131 Date
Card B-1
Date Card -Bl Date
Card -BI
Date Card -61 Date
A-V
%t = OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1.
Zoning requ i rements-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 -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Sternwalls, Main; Steel -B lockouts -Wrapped -Slab
52.
Siding -Nailing -Veneer
6. Sternwalls, Garage; Stee I -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
55.
Glazing Area -Glass Protect I on-Skyl i ghts-P last ic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Card -131
Date
Date Card -BI Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect ion -Land i ngs
57. Smoke Detector
14.
Water Ht.; Vent- Access -Combustion Air
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
60.
.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL (Permit) OK except #'s
67.
Garage Fire Door; Sw ing-Land I ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -ins. Protection
69.
Wtr. Htr.; Vents -C learance-C omb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mach. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
72.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic E) Yes
23.
24.
25.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
73.
Guard Rails & Deck Construct ion -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 EJ Yes
27.
Range Circ. / / ga. Cu or A[ -Oven Circ. ga. Cu or Al,
Insulated Neutral CJYes El No
75.
Following instid.: Drive [] Yes E] No; Walks Ej Yes 0 No;
Planters E]Yes E]No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
Clothes Closet Light -Shower Light
77.
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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 -Bl Date
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrrit) OK except #'s
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compli _nce Certificate -Other Certificates
32. Vent Fan; Exhaust above Insulation
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -81
Date Card -BI Date
Ca.rd-BI
-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 #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
__40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
45.
Hanger s -Post Caps -Anchors -Connectors
Cing. Joi_st-lRftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protect i on -Draft Stop -ins. Baffles
46.
dr��.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 ERMIT NO. V
7 County Center Drive - Oroville; Cal,ifornia 95965 - Telephone 916/534-454.1 -), I — .1
3 9..
APPLICATION -AND PERMIT AA k
ASSESSOR PAF�CEL NUMBER
(-I q
ZONING
-
I 1 1,
. . BUILDING PERMIT
OWNER:,e loel
-
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4/b
CONTRACTOR'S NAME [��EPHONE
2f�eg-a-
CONTRACTOR'S MAILING ADDRESS
.? & "5- !2
Fireplace
CONSTRUCTION LEND—
NOWN
Total Valuation is 00574 0__!�!-
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee 4
$ a!;7,00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 00
Penalty
$
ARCHITECT OR ENGINEER'S MA)ING ADDRESS
Permit fee
$
BUILDING ADD.RESS Z!�, /7 Ib P_
PLUMBING PERMIT
FilingFee 10:00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
UBDIVISION NAME
S 41,
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF DuP.IexF_1 Motillehomee Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [0 AdditionEl RemodeIE:1 UtilitiesE] InstaiiationO Other E�r
Describe work: 4;� -X c4e gle.,oV
Permit Fee
$
Contractor
ELECTRICAL PERMIT'
FilingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.51)
OR ADDNS. ACC.BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
I decil�ar�Under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Z 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)
1, as the owner,am exclusively contracting with licensed contract-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
N OE W C 0 SN,5 T 1�1 LT'*O LET
N.RE D, (MUANC.U!TRC.JT
N BR g)
2.50 ea
NEW CONSTR. I POWER APPARXTUS &)
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50 0250
1BAL@1
(.FUIXED APPLNS - OR.
Ex. Occup. TLE TS (RESID.).EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
Contractor
MECHANICAL PERMIT
FilingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
V.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.
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above informat!*on
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
. . n
all liabilities dg e ts, costs, and expenses which may in any way accrue
I " IA1
ag said ty� n S*sequence of grant ng o this permit.
X D ate _f -4V' - -P-?
Signature of licant Owner El Contractor [P�Aqent F I
An OSHA remit �is required for excavations over 5'0" deep and demolition or construct-
ru ctu res over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE
OCCUP. rROUP
'M I
I TYPE OF CONST.
V
IPARCELI
PD
I HD -,l
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R F PUBLIC
% __
B
Pll��[T EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
4—T3
Receipt No. 1!�� 9 7 -5 <;
—S
WHITE-O.P.W-. YELLOW -ASSESSOR, PINK:,., P*ECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE DEPARTMEJ4,T.9��.PUBLIC WORKS BUILD.ING DIVISION
T';'COLINTY CENTER DRIVE - OROVILLE, d��,LIFORNIA-95965 TELEPHONE': - 916/534-4541
PERMIT APPLICATIO'N DATA SHEET
Permit No.
OWNER +4,4 tu, P -c, -
A. P. N o. 11�2z,9
P�oplosed Building Use
Permit Fee Based Upon: Complete Contract Price )z DPW Valuation
E aii I n
Building Inspector.
yn:102,; - e'A' Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and /or issuance: DATE RECEIVED APPROVED
1. All items have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate/triplicate . . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calc�s . . . . . . . . . .
5. Plans with Energy Design Comoliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated an Buildings.
*n -Heated an - B ui Id i as.
8. Fees of $ . . . . . .
0
9. L_eUer of signature authoriz
Sanitation approval from Heal
11. Planning approval for (A) se: (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 ownerE])
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
17. Pre -inspection for Pre-Insplec. request to_ (Date)
Required. Building Inspector
18. Other
When you issue the permit, process as follows: — Mai I to owner. to contractor.
Telephone and hold for pickup at office. —Deliver w/inspector.
Other
D
ate .14 -
Applicant— jK-
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 itern.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by —Telephone,, --'—Mail —Oth6v
By
Date
Plans checked by /Date
Plans approved by Date
Other:
Copy—DPW
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
C— vi ieS
OwnerIJ
(o-7 ?,o W Ji 6tj -D/i
Location M CA J ^ AP#
Plans approved for: Sewage Disposal
Hold final for:
Final Clearance O.K. for:
Clearance for bedroom mobile home.
CI-Parancp for addition of
Note**—
Sanita-rian
Other
water Supply_�__
Water Supply W"
LY
Water Supply&
Datb
This se , of plans and specifications MUST'66
kept on tie job at all times and it is unlawfiJ to
"ka any chanqes or alterafions on some without
written pi wmission from f he Department of Public
Works, Qounty of Butte.
NOM—All Me4cartals & Workmanship Shall Be in
Accordarce with Recognized Good Practices and.
of a qual")y prescriLed for the Specified use In the
Uniform Widirg, Plumbing & Mechanicial Codes.and
the National Electrical Code.
t4'r
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VATIC eavex
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219161
BL TTE COUNTY
BUIL170-NG DEPARTMENI
0
A setbackof SIt. 40M the
property lines and a setback
of 50ft. from the road
-Ppv centerline shall be clear -of
structures or equipment exce
fra If+ wave overhang.
X39" 1,,,0 (:,ao�e W;711 17L'!�_*41
S S e2 IV 1P4PtvF_P
4 Ate,*"eg;p V
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101-
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9
PFRMIT NO. 3218 -81P -.?_E
PERMIT EXPIRES
OWNER Edward Hanjes
CONTR. Para.Mod.Conc., Para.
66-49-24
ASSESSOR PARCEL
2720 Indian Dr., lot 79, Magalia
LOCATION
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E-�-7—//"?/jA/A# V,�O� 1)007;1r -CV
Temp. Gas Service
CalledPG&E
JOB FINAL V(Date)
Signature r)
I
%1 = OK
0 = Not OK
- = Not Applicable MOBILEHOAES
= N�t Ready
MISCELLANEOUS
Date
MOB��EHOME UTILITIES (Plans) OK except #'s
,4" Zoning Re'
quirements-Setbacks-Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
c_2--9'oils:
Special MH Support -Sketch
2. Footings; Size-Depth-Spa�ing-Connectors
!�t�er; Loc�tion-TEOA-"Fall-C/0-b6ncrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
--A
��.Water: Local i on -Test- Easement Needed (Sketchv—
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
fnc��Electricitq;
Lo&-f6on-Clearances-Grri�/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.,, Gas;,�pcation,-Test-Wrap: L"ft./ Nat. or/ L"ft./ LPG
6. Carports; Windows -Doors
Y-W-11ity Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI t' Date Card -BI Date
Card -BI
Date
Date. Card -BI Date
MOBI!,PWOME INSTALLATION (Plans) OK except #'s
Card -BI
Date
Date Card -BI Date
OOOLS (Plans) OK except #'s
f'-ZonA Requirements -Setbacks -Easements
Ar�ootings; Size -Spacing -Marriage Line
1. Setbacks -Easements
2. Soils; Compact i on -Structure Stability
-=1r.-STT-'9H
Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
(4-015_lectricity�'MH T est-Cros s6ver s- Breakers - C I earances
4. Elec.; Receptacles and Lighting; Distances-GF1
le-ffr—ain: MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
&_*1jMrr-,_.MH Test-Regulator-Conne I ctor
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
L-4.-Vraier and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
t_. �G and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes- Enc I osures- Pane I boards- Ins. to Main in Conduit
§r -Exits; Insp.-Sketch
10_rveft. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date X L Card -B Date
Card -BI
Date Card -BI Date
Card B-1
Date 7/h I& Ca rd -Bl Date
Card -BI
Date Card -BI Date
%I = OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main: 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; W idth-Headroom-R I se -R un- Land i ng -F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-5.
-
Stemwalls, Main; Stee I -B lockouts -Wrapped -S lab
52.
Sid ing-Nai I ing-Veneer
6. Sternwalls, Garage; Stee I -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protect ion -Sky I ights-P last ic
8. D.W.V.: Fall -Fittings -Test -,2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; C learance-Materi a I -Support- Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -31 Date
Card -BI
Date Card -BI Date
Card -BI
Card -BI
Date
Date Card -BI Date
Date Card -Bl Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect i on -Land i ngs
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14, Water Ht.; Vent- Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vent s -C I earance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
19. Gas Pipe; Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Land ing-C loser
Date
ELECTRICAL (Permit) OK except #'s
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C leara nce- 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.
-
Plb., Elec. & Me'
ch. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
1 nsu lat ion- Foam- Looked in Attic E) Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size-
73.
Guard Rails & Deck Construct i on -Post Caps
26.
Subfeed Wire Size ga. Cu or Al-A.C. Wire Size ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
27.
Range Circ. ga. Cu or A[ -Oven Circ. ga. Cu or Al,
Insulated Neutral E]Yes El No
75.
Following instld.: Drive [3 Yes E3 No; Walks 0 Yes 0 No;
Planters OYes E)No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Pane I s-Motors-Mec h. Equip.
Clothes Closet Light -Shower Light
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrr.it) OK except #'s
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
as Test -Meters Tagged; Gas -Electric
85.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32. Vent Fan; Exhaust above Insulation
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Ca.rd-BI
Date Card -BI Date
Card -81
Date Card -BI Date
Card -131
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps-Anchors-ConnectorS
' joist-F�ftr.
Clng. - fies-P�ur-rir�---�o�f-Br-ic.--Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access: Size & Romex Protect ion -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 fti'; COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accord,ance with the r'eiluirement.s
of the California Administrative Code, Title 26� Chapter 5, un er permit
number, - *,e —for the following location: t.;
Owner -N
Owner's Address
Mobilehome Mfg. Modd Year
') i t- . .
insignia No. SerialrNo:
It is hereby certified for occupancy at the abbve de'scribed location and
may be occupied.
Director of blic Works
i) [, y V
Date By—
THIS CERTIFICATE IS VOID WHEN MOBILEHqME IS RELOCATED
White- Owner, Yellow- Installer, Pink
1-' * -
COUNTY OF E3UT;TE
DEPARTMEN-T- OF PUBLIC WORKS,
695 Oleander Avenue, Chi'co — Phone 343-4211, Ext'. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Elliott Road, Paradise
7;Z -.2 'A 5 -7 -
-00:"RRECT1'0.0'r`Q Nuo""TICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinande
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 of.'ice immediately.
I X , "z
-.Zo�n Kj iz d u0b
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER
t/541
Jll� 7 County Center Drive - Croville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSO RCEL T1,A2TR
7' 1
J� 4Z=,�
Z D�r`r q G
BUILDING PERMIT
OLZ�
ITELEPHONE
SQ.FT. OCC. BUILDING VALUATION
5WNER'S MAILING A�DDRESS
.,NAME
/-no
TELEPHONE
'aTRACTOR S AILI ADDRESS
3 3 A
Fireplace
CONSTRUCTION LEN05M
dfl�a
UNKNOWN
-
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDIESS
Permit Fee
$
ARCHITECT 'DR ENG17ER __F�S
E NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGIVER'S MAILING ADDRESS
Permit fee
$
BUILDING..&DDRESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
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 OF ST TURE
SFEJ DuplexEJ Mobi lehome ;�!Other_ SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New R Addition [:1 R emode I [:] Uti liti I n sta I I atio� P��Ot her [J
Describe work: y/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
F 0 i ng Fee 10.00
main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.81)
OR ADDNS. ACC. BLDGS.
20 sci it
CONTRACTORS LICENSE LAW
I declare uDAet-Venalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profe=ssi* and,�y license is in f=celnd effect.
License N 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)
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.—, Business and Professions Code
for this reason
NE w CO NSTFL(MULTI-OUTLET 2.50 ea
NON -RE S.. BRANCH CIRCUITS)
NEW CONSTR. I POWER APPARATUS.&)
NON-RESID. %SINGLE OUTLET CI R
Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 250
BAL@100
FIXED APPLINIS ____ -
Ex. OCCUp.(O UTLETS (RES17.?)RE..T 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 1-50 L
1
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Th
D,P..�permi is fo ' r $100.00 (valuation) or less.
02�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.
F� I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the.W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
I
Permit Fee
5
Contractor
I certify that I have read this application and state that the above informat!'on
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
aig ee to save, indemnify and keep harmless the County of Butte against
al b 1 es judg"ts, costs, and expenses which may in any way accrue
i
agains id (County in Nonsequence the granting of this permit.
QO . �1'1, --I
-7\.^ — Date
S s g a ppli�
igno ure of pplicant - Owner Con tractorL;-"Ag ent M
An 0 A e mit is required for excavations over 5'0" deep an� demolition or construct-
\�ion of stru -�rles over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPr OF CONST,
1ARCr1
P.
No
17
T.his permit is hereby issued under
ons of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
B y 77
PEFW eXPtRES Date -
the applicable provi7
resolutions to do
fees have been paid.
WORKS
Receipt NO. (0
WHITE-D.P.W., YFLLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner a name:
-PARADISE MODULAR CONCEPTS, INC
2. Installer's name: 63911 sulu4
PARADISE, CA.
3. Is the site currentlypW*i� Ye.4 No
.9
(If yes, furnish permit number OR
No
Is the site an existing site? Yes 71
(If yes,,furnish two (2) plot plans.)
4.
Will
the mobilehome be located at least 5 ft., f om septic tank
and leach fields
and
clear
�away
of all setbacks and easements? Yes No
(If no, clarify
5.
What
is the mobilehome electrical rating? -----------------------
Amp.
6.
What
is the mobilehome site service rdt-ing? ------------- --------
',Amps
7...
What
is the mobilehome site circuit breaker rating? -------------
...Amps
8.
Is there
any other electric,load to be served by the mobilehome
service! ---------------------------------------------------
Nosite
Yes.L"L
2=7
(If yes, identify the load and size- (Load)
(Amps)
9.
What
is the mobilehome site pe el --------- ------
(in.)
10.
What
is the type o rvi ------- ------- r --------- Natural
r
0A
77
11.
What
is the gas pipe lengt meter or tank to the mobilehome?
s pip�
(ft.)
12.
What
is the mob e gas demand? -------------------------------
(BT(J)
(This information not required'if pipe length less than 6 ft.
on natural gas
or less than 50 -ft. on LPG.)
MOBILEHOME SUPPORT DATA
Mobilehome IT-fr. If other than single wide,
fu'rnish'Setup Model No. ::2 Year
Width (ft*.) Box Length (ft.) Tagalong or Expando Size f t. x ft.
(SHOW SUPPORT DETAILS BELOW)
On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation
manual and structural setup sheets (if not on file with the County of Butte).
All center -supports measured from front of
mobilehome*unless otherwise specified.
(ft.)(in.)
Center support
locations*
I I
(f t.) (in.)
1 —1 M
(ft.)(in.)
- 1 —1
(ft.)l (in.)
(in.) (in.)
Center support
footing sizes
(in.)
I x I
(in.) (in.)
I , I
(in.) (in.)
x
(in.) (in.)
Single
*If center piers are other than drawn above,
draw in. -locations, spacing, afid dimensions.
�oWo0in (check one)
F
s
1. d either
pressure treated or
foundation grade.
El 2..Other (specify)
Supports (check one)
R -f.- Concrete' block.
[:] 2. Other (specify)
Tagalong or Expando,'.
show support details.
[/,,)-x,,<0j Typical Support
(in.) (in.) Footing Size
Max. Pier Spacing
(ft.)(in.)
I/ _ -- Max. Overhang
(ft.)(in.) '32,19-91 '
BUTTE COUNTY
BUILDING DEPARTMEN-Ir
APPROVED
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKWS PERMIT NO
5 ;34
7 County Center Driv4 - Oroville, California 95965 - Telephone 916/53
-APPLICATION AND PERMIT
ASSESSOR�ZEL N E if
V
Z 9IN!"', 0 /'
/45t
VBUILdNG PERMIT
OW
TELEPHONE
SQ.FT. OCC. BUILDING -VALUATION
SS
OWNER'S MAILING ADORE P
;ot,19
"RACTO 'S NAME
2
ITELEPHONE
T ACTOR'S I-W'LING ADDRESS
Fireplace
CONSTRUCTION LZ��
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILIF4G A7DRESS
Permit Fee
$
ARCHITECT OR ENG EER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ErINEER'S MAILING ADDRESS
Permit fee
$
BUIJ�DING ADDRE--,Z—
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping -
/0 —
T NO.
UBDIVISION NAME
SIL �4
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF S RE
SF El DuplexF-1 Mobilehome;_�t�her SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New F� Addition E:1 R emode I C-] Utilities ���Installation[] Other[]
Describe work:
Permit Fee
$ 00
Contra�ctor�
ELECTRICAL PERMIT
Fi] i ng Fee 10.00
600V OR LESS
main service 100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2-.50
NEW CONST. DWELLING OCCUP.eJ
OR ADDNS. ( ACC. BLOGS.
20 sq it
CONTRACTORS LICENSE LAW
I declare pAeT`penalty of perjury (check one):
9`1 am licensed under provisions of Chapt. 9,'Div. 3 of the Business
and Profess!'n Code and my license is in fulKg)rce �d ect.
License N FL Classification tff
F-1 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)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTP -OUTLET
"D, (MULTI U
NO BRANCH CIRC ITS) 2.50 ea
N.RE.
NEW CONSTR. I POWER APPARATUS.&)
NON-RESID. I SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 2150
__ BAL@100
—
FIXED APPLN5. R
Ex. Occup.( 0 UTLETS (RESID5) EAT 2.00
Temporary service 10.00
Mobile Home FacHities 15.00
Misc. Wiring 7.50
1 1
Permit Fee $
Contractorrop
MECHAN16AL PERMIT
10.00
FilingFee 0.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100-00 (valuation) or less.
11�ave 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 shal I be deemed revoked.
Heating
Cooling
Hood
'3. 00
Ventilation
Permit Fee
Contractor
I cert fy that I have read this application and state that the above information
is co�rect. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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
.1iVislait,ides judg nts, costs, and expenses which may in any way accrue
nt"T.e
Is, n c
9_ 60 onsequenA of the granting of this permit.
X qAt e
Signo re of Applicant – CO--wner El Contractor Fkr Agent F!
OSH u permit is required for excavations over 5'0" deep and demolition or construct-
IiSontures over 3 stories in height.
u C
ctu r
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occup. GROUP
I TYPE OF CONST.
P A7L
I L�J
1��J
I r SUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DJR=EC�, 4OFLIC
By F
PERMIT EXPIRES Date
the applicable provi7
resolutions to do
fees have been paid.
WORKS
Date 0
IF—
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, P�NK-INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE --!,DEPARTMENT OF PUBLIC WORKS — BUILDING DIVISION
7 County Center D riv,,6' — 0 roville, California 95965 — Telephone:- 534-4541
PERMIT APPLICATION DATA SHEET
OWNER " CX -14)
Proposed Building Use_
Permit fee based upon:
Building Inspector .1
At time of permit app
issuance:
91
— Complete Contract Price
—01Rer (explain)
on, I was advised the following data must be su
Permit No. -
A. P. No. (11 (a
DPW Valuation
Date -?�- — c,/ 7 —
itted prior to permit processing and/or
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 & AC Buildings . ..................
8. Fees of $ ..................................................
-/9. Letter of signature authorization .............................................................
06� 10. Sanitation approval from Health Dept....
—11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance . .......................
13. Contractors License Information (no., name style,
classification) . ................. ............
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ................................................................................................
15�,- Pre -inspection for required. Pre-inspec. request to
�6. Other -1� Q CZ FaQ"j A 0 —A cA� bldg. -inspector - '00 1)
12
When you issue the permit, process as follows: Mail to owner 'Mail lo contractor.
Deliver w/inspection.
elephone and hold for pick-up at— , �2-Z-�office.
V,
Other
Applicant
Date V
Copy of plans sent —Health Dept.,--- --- -�-�Fire Dept., —Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item
1 . Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
rians cneCKea Dy
Plans approved by
OTHER:
Copy/DPW
)ate
Date
Telephone
Mail
Other
Date
To B u I'l d I rig Department
Prolff:, Environ mental Health
SuQ.ect: Sani-tatIon Clearance
ew, ZRO AV?
Owner LocatIQn AP#
Pla"ns *approv . b d f O*'r': Sewage, Disposal Water Supply
.Hol , d f Inal for: Water Supply
Fln�-al-'Cldara�pce O.K. for: Water Supply
Cle'arancE� �-bedroom mobile home. Other ZY
Clq - arance 'f o -r addiiion of,
No 11
Aff /Ij �z AN �1- el, -6/4 7 Ary
Sanitarian Dat e
41, -P7-'
TA r 7-. t-4
"L�4
,i: -o e-. -2 *'F
ID C
0 LV A
Me) CA -kA
0 C— A
PL D 7 A Al
NAA
12 5 IV - P1, 1441-,� -d -7 V A/
.5CA/L kr,. I// — —L,� I /I ----
ZN.D!,K-; A:
ZFrrc-: r7 L/
......... 2AI�iA.14 A
-71
-7/61 L7eq7-4r—Y
NOTE:—All Maf
Accordance Fti s 8t orkmanshrp shaq go Ifr
y Recogn',*7
of a quo��rescribed f . e Good Pracf1ces and
-Building, Plum he Specified use in Me
Unif9rm m
9 Machaniccil COdOl and
jheNafional Elecfr ode.
C,
I've
koT
e
00
eTV01 O'k
Cjt%01%
La
w5to
2-
D*C
I )L
- C)on�
N foR MOBI
'Zse
'0
<)
ick of 5 ft. f rorn the
—wit A setbi
ijtilit�\c6nnections all be ms and a setback' j!
y line
4W. f the mobileho either propert f rom,th r e road
direc� e`hind or withi he rear of 50ft,
cent*erline shall be clear of
hal roac*.e (left) o the
structures or equipment except
ileh rn%-� erhang.
for a 2 ft- eave 0\1
N
'BUTTE OUNTY
ons MUST
!P s and Specificat"
This set of all +jm 's unlawful +0
. Ps and it BUILDING EIARTIVIENT
kept on the i6b O� i
so 4,1 on,sarne without
rma�e any chctbqe* -a
�rmjiai��j�orrj jhel)eparf�_:e_n��� D*
VWI+fen P( V E
Works, C.unty Of
A"-LULLI LU J-JKW
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT OFiFIG:AL
_7
BUTTF- C07JN CA Lff-,
FOR RESIDENTIAL DEVELOP�IENT E C () Rp-,S R E Q UE f 7 0 a Y
Section 26-&l of the B ' utte County Code reqdir'ei this acknowledgement Au c Z 7 ' 10 11 q,
be recorded prior to issuance of a building permit.,
CLARK A.*NE'LSONr-
The property described herein is'adjacent to land or included CLERK-REGbRDEk
withiii an area zoned for agricultural purposes, and residents of' F E
thi�; property may be subjei:t to' inconveniences or discomfort arising
from the use of agricultural chemicals, including, bui not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally'generate dust, smoke, noise, and odor. Butie" County has established agricul-
tural zones which have as a priority u"se for productive agricultural purposes, and
residei.1's within said zonbs and on adjacent property'should be prepared toaccept such'
inconvenience or discomfort from normal,.necessa.ry farm operations.
-of"
All -that- real- p-ro-p-erty ;,,_tuat_ei_n -t-he C-ou"n't-y Butte,- State of California,...'
described as follows:
Ul --hat ccrta-Ln rel -I propc�4-t situats, in the Coun,.tl Bulte State of
CaliTo*_rnia, described as 'follows:
s SUB
Lot -79 1 ci.m or). tliat cortair, i4ap cntitl_ DIVISION
U14IT ilio. 11,11 wilic.'a Mlap xlc.�;s recor"'LC(I in t-11(11 G*L-).Cc of th*, 1%1.ccordcr o:Z' tlnc
(CO-uAnity c -'L' lrju'ktc, State ol' oil 1iu,,.,X_s-t 219, 19749 ill Booh 4-3 0 1
Naps" -a"t. pa'-C.'s 5�, 52 and
an undivJ.(i�0,-,, 7 1,/, -in all, minerals as
-in Docc! reco.'re!c-, p,7,,,v0 O -'ficial Records, 0 f
--tJon CL Jljc�iide right of entry 1 or
J�uttc Co-,1,1,,.-�t1- -1 d no t
pul�poscs.
'D
'D a �te 7 PROPERTY -OWNER'S; --
1 f*_71
State of On this the c;�6 day. oj� 19 P/
SS.' before me, the undersigned Notary PuSlic, personally.
County of Aav_z_� appeared..
8 -
OFFICIAL SEAL
KATHY DANCE -known to me to be the person(s) whose name(s)
NOTARY PUBLIC . CALIFORNIA
COUNTY OF BUTTE subscribed to �he within instrument and'acknowledged
My commInIon E"pires October 5,1981 that :L -0 cuted the'same for the purposes
exe
therein contained.
IN WITNESS WHEREOF, I -hereunto set my hand -and official
seal.
001
Notary 190lic.
Present A.P. NO. END OF DOCUMENT
PERMIT NO. 3696-81B.P,E
PERMIT EXPIRES' -
OWNER Ede^ard Hanies
CONTR. Para.Mod.Conc., Para.
ASSESSOR PARCEL 66-49-24
LOCATION 672_0 Indian Dr., lot 79, I.M.#4,Mag
Temp. Power Pole
Called PG&E
Temp. Elec. Servi�,
Called PG/&EE
Temp.Gas Service
Called'PG&E
JOB IJIALED (Date)
Signature_ e-elz-4
%/ = OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOMi UTILITI[tS (Plans) OK except #'s
1 . Zoning Requ irements-Setbacks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. 'Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
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; Loc at i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Conned.-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
Carports; Windows -Doors- .
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
C�rd-Bl
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requ I rements-Setbacks- Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect ions- T h i ckness-Dead Men -Lining
4. Electricity; MH Test-Crossovers-Breakers-Clearan'ces
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-Ter'minals-Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5'-Circblating Equipment-Heate�
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -w -Enc I osures- Panel boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Celit. 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
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLQOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning requ i rements -Setbac ks- Easements
48
Property Line Firewall & Opening�
2449�,�,
i ITI's-Elec. Grnd.- / / Ftg. Depth
491
Ext. Doors -one 3' -Check Garage -3rd story, 2 exits
Garagergoitrs�eel- //7--�I-Ftg. Depth
5 .
Stairs; Width -Headroom -R ise-Run-Landing-F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / / Ftg. Depth
51.
Plywood on Root Overhang -Attic Vents -Rafter Outriggers
5. Sternwalls, Main; Stee 1-13 lockouts -Wrapped -S lab
51.
Siding -Nailing -Veneer
6. Sternwalls, Garage; Steel-Blockouts-Wrapped-Slab
St.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
5#.
55.
Glazing Area -Glass Protect i on-Skyl i ghts- P last ic
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -ins.
13.
Girders -Sills -Anchor �qlts-Joists-Vents-Cripples
Card -BI C�,._
Date i �3 Card -BI Date
Vk i* _101AA A -
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date/,O,(,,-!F,'>;/ CaNJBI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
tj Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Oucts-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.
F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
62.
Stairs & Rails
__19.
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
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -C loser
68.
A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -ins. Protection
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & S - witches at Doors
70.
Plb., Elec. & Mach. Equip. Listed for Location
2f2.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
13. Romex Installed Close to Edge of Studs & C.J.
4.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
73.
Insulation -Foam -Looked in Attic [-] Yes
Guard Rails & Deck Construct ion -Post Caps
5.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
6. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or At
7.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or At,
Insulated Neutral EDYes ONo -
75.
Following instld.: Drive E] Yes [-]No; Walks E3 Yes C] No;
Planters El Yes El No
8.
Service -Riser Conductors & Ground -Main Disconnect
76.
77.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Pane I s-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-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.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -1 15V outlet
Attic Access & Platform it Furnace in Attic
Card -BI
Date Card -BI Date
Card -61
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Carl -BI Date
Card -BI Date Card -BI --- Date
Date
FRALA!N2(Elans)r OK except #'s
n?
Comm I D/ 2,,7/p,/
qnts at Final:.
3h.
S Ils ; Prope Material & Anchors
'A��
-z.,,
7.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
-4e��
a
Bearing Walls over Girders & Floor Nailing
-18.
-9.
Draft Stop in Walls (rat proof)
-ZAAA
IV
0.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
CIng. joi st.:'Witr.* fies- Purl in -Roof Brac.-Truss-Shthnp.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
.4
�45.
46.
Attic Access: Size & Romex Protect ion -Draft Stop -Ins. Baffles
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 WOR PERMIT NO.
Ole 7 County Center Drive - Orbville, California 95965 - Telephone 916" 4-4541
APPLICATION AND PERMIT
ASSE 60( PARCEL NUMEI�� C�?
t
Z 0 wril
BUILDING PERMIT
Ow
FCL�
TELEPHONE
SQ. FT. BUILDING VALUATION
_OCC.
0 OWNER'S MAILING ADORE
D;b 1.) 101N.3 n
C NT;aOR'S N A
1601 TOR,TA,IL4ING ADDRESS
1,*, W", —
)g -
Fir--
eplace 7
CUNSTRUCTIOiT-L
A,)J11hJ R
JUNKNOWN
Total Valuation $ S41
Filing Fee
$ 10.00
LENDER'S MAI'LIN/ ADDR...
Permit Fee
$
ARCHITECT OR NGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR EIGINEER'S MAILING ADDRESS
Permit fee
$
.UIL.I.. ADDRIEL�
PLUMBING PERMIT
FilingFee 10.00
L C,
Each Trap
2. 00
Repair drainage or vent piping
5.00
C/9
Water piping
LOT
'7
I SQ13"DIVISION NAM
r?l,),x 7 1�
PARCEL MAP
I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF 0 DuplexF_1 Mobilehome[] oti.e. 4: 0-1 a—c'e,
SPECI F&
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New E§ Adclition E:1 R emode 10 Utilities El Instal lation F-1 Other
Describe work:
a x
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FflingFee 10.00
Main service GOOV OR LESS
100 AMP OR LESS
5.00
0
Main service EA. ADD -L 100 A MP
2.50
NEW CONST. (DWELLING S�UO.81) t
OR ADDNS. ACC.BLOG 20 sq ft 9
CONTRACTORS LICENSE LAW
I decLIar5e oddfer penalty of perjury (check one):
Pr I am licensed under provisions of Chapt. 9t Difv .? f of the Business
,r
and Professio MY license is in orr a d e ffect.
� al 'a
License No. . Classification 6�L 7
El 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)
0 1, 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 C11N5T"_(MIJLTI-.U1L1_T
NO..RESID, BRANCH CIRCUITS) 2.50 ea I
NEW CONSTR (POWER APPARATUS 1%)
NON-RESID. SINGLE OUTLET CIR.
50 @ 250
Ex. Occup(OUTLETS OR FIXTURES BAL@10�
F IXED APPLNS. OR
Ex. Occup.(O UTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home F�wdilities 15.00
Misc. Wiring' 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
F! I I rig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): '
�aCerT ermit is for $100.00 (valuation) or less.
v
I have placed on file with the County of Butte Building Department
C tificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F] 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 theW. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
od
3.00
Venti lation
Permit Fee
9
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 ot
Butte to enter upon the above-mentioned property for inspection purposes.
so agree to save I n dem n ify and keep harmless the County of Butte against
all bilities, judg)'ents, Costs, and expenses which may in any way accrue
again aid Cou nsequerA of the granting of this PWMI
X Date
�77 Z 3
Signot re a Applicant (ZnerE] Contractor E] Agent
0 HA rmit
n 0 HA ermit is re red for excavations over 5'0" deep and demolition or construct-
,a 0 ylut
0 ciures ver s a ies in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
;W�,G;OUP
17TYPE OF CONST.
V
I
IPARCEL
61
::4,Z1
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
T 11PPUBL
DIRE C 0 0
B y
PERMffEXPtRES Date—
the applicable provi-
resolutions to do'
fees have been paid.
IC WORKS
Date
—le
Receipt NO. — (0 1
WHITE-D.P.W.. YELLOW-ASsesSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY OF BUTTE —DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION
7 CountyCenter Drive — 0 roville, Califurnia 95965 — Telephone 534-4541
PERMIT APPLICATION DATA SHEET
OWNER
Proposed Building Use
Permit No
A. P. No.
U
Q \1
Permit fee based upon: Complete Contract Price DPW Valuation
Buildinc
At time
issuance
— Other (explain)
Inspector =) yj ky,� Date
af permit applibation, I was advised the following data must be submitted prior to. permit processing and/or
1 .
2.
3.
4.
5.
6.
7.
8.
9.
12.
13.
14.
I I DATE RECEIVED APPROVED
All items have been submitted ...................................................................
Plot plans in duplicate/triplicate ...............................................................
Complete plans in duplicate/triplicate ...................................................
Complete engineered plans and calcs . ....................................................
Plans with Energy Design Compliance Statement . ...........................
State Energy Forms No. ....................
Statement of Intent for Non I .-Heated & AC Buildings . ..................
Feesof $ .................................... : .............
Letter of signature authori ' zation .............................................................
Sanitation approval from Health Dept.... Iq �3 1 6�L &a�a_ -9- -&-cry, 4 twf
Planning approval for I .............
Certificate of Workmen's Compensation Insurance . .......................
Contractors License Information (no., name style,
classification) . ..............................
Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow) . ................................................................................................
15. Pre -inspection for required. Pre-inspec. request to
bldg. -inspector (date)
16. Other
Whe. �you issue the permit, process as follows: —Mail to owner '___L__MaiI to contractor.
Telephone -)'I 1-%s-41 and hold for pick-up attJO-1�_pf iqe Deliver w/inspection.
Other
Date
Copy of plans sent —Health DepQ �_�! _F,fire Dept., —Other 1 .1 ate—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1 . Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by — Telephone
—Mail
Other
By Date
Plans checked by Date
Plans approved by Date
OTHER:
Copy/DPW
To:*. .,Building Department
From: Environmental Health
Subject: SanitatJ'on Clearance
Owner
-?I C9
Location
AP#
Plans approved for: Sewage Disposal Water Supply
Water Supply_
Hold final for:
Water Supply
Final Clearance O..K. for:
Clearance -for bedroom mobile home. Other
Clearance.for add.4tlon of
Sanitari6(w-
(1[1-2 C F I
I 'Da t e
TOM Mc
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far L� 2 i� Z�V�V�4,ng.
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Vol
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i e 2 X Its
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6 mints.
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EKT. 'Plyun
ENT
A R-rMENT
VE
T4
PERMIT NO. 4074-81B
PERMIT EXPIRES—
OWNER Edard Hanies
CONTR. Para.Modxonc.. Para.
ASSESSOR PARCEL 66-49-24
LOCATION 6720 Indian Dr., lot 79,PPIP4,Maga
Temp. Power Pole—
Called PG&E —
Temp. Elec. Service
Called PG&E—
Temp. Gas Service -
CalledPG&E 4
JOB FINAVE '(Date)
Signature
V = OK
0 = Not OK
— = Not Applicable MOBILEHOMES MISCELLANEOUS� 7. 1
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DEAS, qOVERS, CARPORTS, ETC. (Plans) Ot. xcept
1 . Zoning Requ irements—Setbacks— Easements
1 g Requ i rements—Setbac ks— Easements
2. Soils; Special MH Support—Sketch
)epth—Spacing—Cohnectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3r*—Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Locat i on— Test— Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.—,Connec.7Shthg.—Rfg.-rBraciqn g
5. Electricity; Local I on—C learances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enc;us.res
6. Gas; Location—Test—Wrap: / /"L"ft./ Nat. or/ /"L"ft./ LPG
Carports: Windo s—Doors -
7. Utility Clearance
7. Elec.
Card -BI
Card -BI
Date
te [1111,41,K Card -BI Date
Date ' / ' I L.- F Card -BI —Date
POOLS (Plans) OK except #'s
1, Setbac ks— Easements
Card -131 Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INST ILLATION (Plans) OK except #'s
1. Zoning Requ i rements—Setbac ks— Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compact i on—Struc ture Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Stee I —Connect i ons—Th ic knes s—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
5. Drain; MH Test—Fall—Flex Connector
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test— Regu lator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Lisied
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip, w/5'—Circulating Equip.—Pool Lghig.
Boxes—Enc losures—Panelboards— Ins. to Main in Conduit
9. Exits; Insp—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -131 Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -131 Date
Card -BI
Date Card -131 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; W idth-Headroom-R i se -Run- Land i ng -F ire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Sternwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Stee 1-6 1 ockouts-Wrapped-S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
55.
Glazing Area -Glass Protect i on-Skyl i ghts-P last ic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test-Anchors-Regulator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -ins,
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combustion Air
57.
Smoke Detector
58.
59.
Furnace; Vents :Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. DXV.; Test-Fttngs & Anchors -Nail Protection
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
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext
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 #'s
67.
Garage Fire Door; Swing-Landi ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
-
69.
Wtr. Htr.; Vents -C learance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Ele c. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
23.
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
71.
72.
73.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic E) Yes
Guard Rails & Deck Construct ion -Post Caps
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
75.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
Following instid.: Drive [I Yes No; Walks 0 Yes 0 No;
Planters Elyes EJNo
26. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
27. Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral E3Yes ONo
28.
29.
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances; Pane Is-Motors-Mech. Equip.
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof: Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
81.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
Card B -I Date Card -61 Date
Card B -I
Date
Date Card -BI Date
MECHANICAL (Perrr.it) OK except #'s
31. A.C. Ducts; Insulation & Support
32. Vent Fan; Exhaust above Insulation
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
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
Card -BI
Date----- Card -BI Date
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 #'s
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
17-
Cing. Joist-R-ftr. fies-PiTr-in- Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protect i on-Dra It Stop -Ins. Baffles
4-6.
Bdrm. Vfndow--s -or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF DUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Centerbrive - 6ro'villa, California 95965 - Telephone 916/534-4�54
L
APPLICATION AND PERMIT
ASSESS7�PARCEL NUM!�
BUILDING P:ERM:IT:y
OWNER
TELEPHONE
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MNILING ODDRESS,
TRACTOR'S
ONE
zziw
CAONTRAC T OR'S M -AILING ADDRESS- V
6(4,3 1
Fireplace
-CONSTRUCTION LE14-DER UNKNOWN
4,1,,A
Total Valuation Is I,
Filing Fee
$ 10.00
LENDER' S MAILING)ADDRESS
Permit Fee
$ t 0 —
ARCHITECT OR E GINEER
LICENSE NO.
Plan Checking Fee
$ t 0—
Penalty
$
ARCHITECT OR�NGINEEFR'S MAILING ADDRESS
Permit fee
$
.UILZ,AD:D,RESS
0
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
!I /Id'
SUBDIVISION NAME PARCEL MAP
I
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF [] DuplexF� Mobilehomen Other—
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [P" <AditionE:1 RemodelEl Utilities [J Installation[] Other [:1
Describe work: —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi I ing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCLJP.ej)
OR ADDNS. ACC.BLDGS.
20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
�]t -a, licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profe i is Code and my license is in full fp e anZ effect.
License N NE 2Z 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 CON5TR.(MULTI-.UTLET 2.50 ea
N...RES'.. BRANCH CIRCUITS)
NEW CONSTR. I POWER APPARATUS.&)
NON-RESID. % SINGLE OUTLET CIR
50 @ 25C
Ex. Occup(OUTLETS OR FIXTURES BAL 0 100
(FIXED APPLN5. O)R
Ex. Occup. OUTLETS (RESID. EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
E] TThe-permit 'is for $100.00 (valuation) or less.
Z_�ahave placed on file with the County of Butte Building Department
_ Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
Contractor
I certify that I have read this application and state that the above in
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
save,t,emnify and keep harmless the County of Butte against
lia'Ill"i-abi �etieesto judgment costs, and qx ch may in any way accrue
t c -plpnses whi
against s County i c sequence of the granting of thi
X I Date r q I
A "I �q , _"C_U
Signatur of ppliccnt Owne�0 Con\tractor 1:1 Agent
-05 permit is re d for excavations over 5'0" deep and demolition or construct-
i 1 0 �utire
on of structures ver s ories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
P
occu, ' GROUP
A
I TYPE 01 CONST*
V_/V
IT^_R_C_EL_r
L__
L/
I
I No
ISSUE,
T.his permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR R OF PUBLIC
By. Zq�
PibdlT EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
- Date _-6-- -3
-3 -
Receipt No. 5__ (ak,' '4'
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE %DEPARTMENT -OF PUBLIC WORKS - BUILDING DXIVISION
7 COUNT�'CENTER DRIVE - OROVILLE,' CALIFORNIA 95965 - TELEPHO-NE:/916/534-4541
LZ
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 4"J A. P. No. 4�
Proposed Building Use 0 J),are_., fe, DPW Valuation
Permit Fee Based Upon: —Complete Contract Price
Other (Explain)
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 . . . . . . . . . . . .
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 ta ement of Intent for Non -Heated and AC Buildings.
8: �F ete s of . . . . . . . . . .
�9.,, Letter of signature authorization . . . . . . . . . . .
OR --I 0., Sanitation approval from Health Dept.
11. Planning approval for (A) Use: — (B) Parking: -
12. Curmicate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given.to ownerEl, Mai I to owner
15. Improvements may be required . .. . . . . . . . . . . N"
16. Mobilehome Installation Data. . . . . . . . . . .
I Pro Inspec. request to
17. Pre -Inspection for Required. B.iiding Inspector (Date)
18. Other
Wh .0is".'s"ue the permit, process as follows: Mail to.owne Mail to contractor.
elephone 1_—T:r_LJ1 and hold for pickup at -ffice )—Deliver w/inspector.
Other -
10
A rp IIZa-6 t�,\� 1011-V ,7�),, Date
Copy of%,.Olans�--sent,---�—Health-Dept.,, ..,---Fire.C�e�pt..:,_--.-_),/t)ther Date
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contract6r-, Designer, Owner) was advised of above required data by —Telephone
By
-Mail , Other
Date
Plans checked by Date
Plans approved by Date �72=_
Other:
Copy—DPW
To.:. Building Department
-From: Environmental Health
Subject:. Sanitation Clearance
Owner
Plans approved for:
ki k7-
Locatfon
r7 -
AP#
Sewage Disposal — Water Supply_
Hold final for: Water Supply_�__
Final Clearance O.K. for: Water Supply _
Clearance for bedroom mobile home. Other
..Clearance for addition of
Note"
Sani tar—f-drr'
'Da t e'
All h4
A c, ertols.,j
W;fh Work
0 ��Cjify rnOnship Sh.4
cogn'7ed G
ni Prqsdr;bed for m. Sood pFact
fo
84119k! & ;�.Coecl*fled 1C
"w Fj,� Plur"bing Ond
ric
in th,
hc1nical use i
Codes 124d
4-1
C,
10,
ov
ve too
�oe
0 Y -7
V.-
�4
IL
N A
v
00 SQ. FT. MINI UM
k FOR MOBILES
C -W
UtiAv connection 11 bgd,it I
4 ft. of�h.,e mobileho either A setback of 5 ft.'from th e.'
directly bphi�cl or withi rear
n he'
'Property lines and -a setba-ck
ha'If'of 41v roadside' -,(left) o e of 50ft. Irom the 'road
mobilehomii�,, centerlinesha.11becleai'of
strUCtUres, or uipry��'n-t �xcept
Pq
for a 2 ft. eave'overhang... i!
N.
A -
SUITE MNTY
Pcificmflons'MUST be BUILDING E,-ARTMFNT
S �-qry�e'wifhcuf 6'-S
VED
+a: Nblic
Y")
Pro
equa
'Al
-?A
Top. rail to be 4V'in. high with
intermediate rails to be not
Top rail to be 36 in. high wlth
intermediate rails to be not over 9 in. apart.
over 9 in. apart.
----------- LL
3ir
Iff
Peak
Pro, Afae tradho.
I F-(- %Loc.A6.&
8 2-B E
PERMIT NO. .122.2
PERMIT EXPIRES
OWNER. E. Hanj es
CONTR.— Para.Mod.Conc., Paradise
ASSESSOR PARCEL 66-49-24
LOCATION Indian Dr., Magalia
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service zol"
CalledPG&E
JOB FINALED (Date)
Signature=
OK
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOH-';
* = Not Ready .. . .1 0 1
Date
MOBILEHOME UTILITIES (Pfans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS. ETC. (Plans) 0,� _,xcept
1. Zoning Requ i rements-Setbacks- Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size-Depth-Spacing-Conneclors
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-66cal-Enc;osures
6. Gas; Location -Test -Wrap: / /"L"ft./ /" Nat. or/ L"ft./ I" LPG
7. Utility Clearance
6. Carports; Windows -Doors.
7. Elec.
Card -Bl
Date Card -Bl Date
Card -131 Date Card- BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Card -Bl
Date
Date Card -61 Date
POOLS (Plans) OK except #'s
1 . Zoning Requirements -Setbacks -Easements
1, Setbacks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect i ons -Th ickness-Dead Men -Lining
4. Electricity; MH Te st- C ros sovers- Brea kers-C I earances
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- Regu lator-Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec. ' Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc losures- Pane I 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 -131 Date
Card -BI
Date Card -Bl Date
= OK
= Not OK
= Not Applicable RESIDENTIAL'(Single and'Duplex)
= Not Ready
Date
_fLOOR (Plans) OK'except#'s7
UNRF,,R
Date FML44G
(Continued)
�
1P'Zoning requ i rements-Setbacks- Easements
487
Pr!�r�tyLino%FiLewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / / Ftg. Depth
494,-15-xt.
D ors_ e 3'_Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.,
Sta lrs�,W idth-Headroom-R i se -Run- Land i ng- Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.1,1341
-wood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. St5i!walls, Garage; Stee I -B I ockouts-Wrapped-S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
74�iers-R��l
54.
Glazing Area -Glass Protect ion -Sky I ights-P last ic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11. Electric; Underground
12. Plenura,%4 Ducts; C learance-Materi al -Support- Ins.
13.,j�55�ers-Sills-Anchor Bolts -Joists -Vents -Cripples
2�Ld
-ZVVA�
�att:IW,5!V br,7--@9rrB I Date
Car d -Br K17
Date I Card -BI Date
Card -BI
Date Card -BI Date
Card -131
ate FZ�;Card-Bl Date
Date FINAL (Plans) OK except #'s
Card -BI Date aj-JZ_Grl`d-BI Date
A K
Date
I L
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent- Access -Combust ion Air
15. Water Pipe; Test & Anchors -Nail Protection
�.xt. Steps -Door & Sidelight Protection -Landings
ff--emUKTVee-cro-r-
SZz��.
�ns- �earance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
ng
17. Shower Pan; Test, First Floor -Tub Access
Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
AA--Elec.
ubpanel; Breaker Sizes -Labels
�V,
19. Gas Pipe; Size & Anchors
fia--6�1
rs I �S
ce or tove; Clearances -Hearth
�Ilecout
k64 -.-r=
tlets
lets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
CLS---*
e--G�Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
u e s & eceptacles at Kit. Counter
Date
EtC��A L ' err" it) OK except #'s
68
20P -'Fixture � TLransformer Clearance -Ins. Protection
-Connector- P.R. V.-
In Garage; Above Floor-Mech. Protection
21./F-�-c-Receptacles Spacing -Lights & Switches at Doors
2 A< z
2 & No. of Conductors -Stapled
74--F-��
ocation
�rage, �(Gr.l.)-Romex Protec.
�eB
7
23 omeZj:sstalled Close to Edge of Studs & C.J.
24. AEtfu-ip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72,-Wovratio
Fos, Attic [] Yes
25. 2 Appliance Circuits in KitchejL& Conductor Size
&�-Guard
RVneEl Construct i on- Post Caps
2R. Subfeed Wire Size AI-A.C. Wire Size ga. Cu or Al
7L:�
- wl
-fArr. le Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ED Yes
2r-ft&nq9-Qxc_. ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neatral E]Yes ONo
475.
-
Following instld.�._�e FEI'?es [:)No; Walks gVes [] No;
Planters 1:1 YCs E) N-o
�.Ucco; Brown -Finish
28.',6_ervice-Riser Conductors & Ground -Main Disconnect
29. Eq��Clearances; Pane I S-Motors-Mec h. Equip.
iRr-A-C-.-Unit-Di*sconnect-Cirnces-Brkr.
& Cond. Size -115V Outlet
30. Clothes Cl'e§et Light -Shower Light
78Z:=Ve1TMk
AMU Floul, PT5U---A-p-pffa-nce-F irepl.-C learance to Opngs.
1, Plumbing
8q::�
�ec. Trim, �GF.i �Receptac�ie-ndergroun�
Car(
e ard-BI Date
!!!��.n
, a�uon throughout House
Card B -I
Date Card -BI Date
v -JW'
Glass Protection
Date
MECHANICAL (Permit) OK except #'s
83-,�_�ions
�from Previous inspections
84,-Qas-1.es1=UataFs-T-egged;
Gas -Electric
31. A. . Ducts; Insulation & Support-
85. %:t�FwerConrtRected-C/O
to Grade -HD Approval
32. Vek�Fan; Ex aust above Insulation
86.
gaW4)��p ian�ceCertificate-Other Certificates
33. Conknsate Drain & Overflow; Size & Grade
34. Furna - Vent; _Access -Comb. Air -Return Air Vent -115V outlet
AN, Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Dat?W,7,4:n�; �ard-Bl Date
Card -BI
bate 4- Card -BI Date
Ca�d-Bl
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAWIN(54PIans) OK except #'s
Comments at Final:-
36.JWII��Proper Material & Anchors
37 ; Studs -Nailing, Spacing & Bracing -Plates -Sound
3 le4 w'M Walls over Girders & Floor Nailing
Jt -Stop in Walls (rat proof)
39. ra
40. tKirp,<o-ps: Furred Ceilings -Stairs -Chases -Tub
41. 4�ea g� E�eam-�ize & Bearing
42. s -Post Caps-Anc�hors-Eonnectors
4 Ing. J I
.j2jaj:-R Ir. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfng.
4*--r'.repiace Ties or Type A Flue -Fireplace Throat
;top7-Ins. Baffles
4f--Ddrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47, Gara`��.�leclic�n raming
(NOTE: An entry must be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO.
254
7 County Center Drive - Croville, California 95965 - Telephone 916/5 541
A
1�1,�2
APPLICATION AND PERMIT ix- /---%
ASSESS
Ig URCV ��MB
- :I .\/ -
ZONING
BUILDING PERMIT
OWNER. P 'r- S
ig J,/ J
TELEPHONE
SQ.FT. OCC. BUILDING VAIUATION
/100 M ..
0
OWNER'S MAILING ADDRESS
CP�RACTOR'S-NAME ___T_TF__LEPHONE
7-
C_?NTRACTOR'S MT�
t _��DRESS
61,033
__CONS`rRUCTION
Fireplace
LENDE�A
NOWN
Total Valuation $
Filing Fee
$ 10.00
UOEN�D�ER'S_MAI LING ADDRESS
Permit Fee
$ L_V
ARCHITECT OR ENGINEER
"IE
LICENSE NO.
Plan Checking Fee
$
Penalty
$
c T OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
#0 tea
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
0
Water piping
LOT NO.
Cf
UBDIVISION NAME
is ,W �z
Q22
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
I
USE OF STRUCTURE
SF [:1 DuplexE] Mobilehome"V Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New R Addition R d I[:] tilities InstallationEl Othery
Describe work:
Permit Fee
$
contractor
ELECTRICAL PERMIT
Fi I i ng Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADC -L 100 AMR
2-.50
NEW CONST. I DWELLING
OR ADDNS. % ACC. BLDG? 20 sq ft
CONTRACTORS LICENSE LAW
I declare fer penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines
V�� s
and Professi�XC y license is in fo ce d effect.
gd�7,dXm
License NoC 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)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
0 1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTR. ( MUL., I-IJUILEI,
N.N.RES'.. _BR , A CH CIRCU TS) 2.50 ea
NEW CONSTR. (POWER APPARATUS &I
NON-RESID. SINGLE OUTLET CIR. /
50 @ 25t
Ex. Occup(OUTLETS OR FIXTURES BAL@10T1
IXED APPLNS. OR I
Ex. Occup.(.17UTLETS (RESID.) EA.1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
!��ermit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
C r
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
Permit Fee
Contractor
—
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws re,lating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
ree kid
,a gi�ee to save, emnify and keep harmless the County of Butte against
7 1 T"
udgme s, costs, and expense
liab ties, Judgme s which may in any way accrue
against a Coun i. sequencA-bf the granting of this pe%
'ti e, 1�
M. & V 7/// 9 ?---,
D
0
Signa re �fpplicant — 6*rj�lr LJ Contractor F�J�g.nl D/
A'permit is re I red for excavations over 5'0" deep and demolition or construct-
ve yiut
ion of structures a r s ories infieight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPI *1 C NST,
tj
IPARCELI
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
Bv
PEP&ITEXPIRES Date.
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
Receipt No. (Q 7 g�cz
WHITE-D.P.W., YELL -V-7..96. P'..IN!15t2��..L.F.RO.-,�.-LICII.T
Ri.
UNPI
d) W -r>
0 bo
f') yktlz�4 jvo�,,
p.IA. CoNk, ? 2.
�vo
OWNER
COUNTY OF BUTTE - DEP'ARfMENT OF PUBLIC WORKS - BUILDING, DIVISION
j �5OUNTY CENTER DRIVE - OROVILL't, CALItORNIA 95965 - TELE,PHONE: 916/534-4541
I I . PERMIT APPLICATION DATA SHEET
Proposed Building Use
Permit Fee Based Upon
Building Inspector
Permit No.
A. P. N o. 1/,,
0
Complete Contract Price V DPW Valuatiori
Other (Explain)
Date
At time of permit applicatilon, I was advised the following data must be-�subrfiift6d prio r',,t.o permit pr6ce§sing
and/or issuance: I DATE RECEIVED A�PROVED
1. All items have been submitted . . . . . . . . . . . . i
2 Plot plans in duplica icate.
omolete plans irY84LL�2,a/triplicate.
4. Complete engineered plans and calts . . . . . . . . . .
5. Plans with Energy Design Compliance Statement . . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fee's' of $ . . . . . . . .
9. Letter of signature authorizatAgn
W-40; Sanitation approval from JU Q_,� Health Dept.
11. Planning approval for (A) Ule: (B) Parking: -
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerEl, Mai I to ownerEj)
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre Inspec. request to
17. Pre -Inspection for Required- B.i-lding Inspe� tor
18. Other
(Date)
When 6`6 issue the ermit, process as follows: -Mail to owner. Mail to contractor.
ic,-)--Deliver w/inspector.
I Telephone and hold for pickup at s, �i�__�Lffllce�
- Other V
Copy,.of'plans sent -Health Dept., -Fire De.pt..._!=,� Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For r6quired items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(C610r ,
Plans checl
Plans apprc
Other:
Copy—DPW
Date
Date rp-20 4�L_
z
To: Bul-lding D6partment
From �---Environmental Health
Subject: SanItatIon Cledtance
E&jav-A AaV)-� 42
Owner
Plans approved for:
Hold fInal for:
FInal Clearancie,O.K. for:
�;72-0 GG -4-9-Z4
Locatl.onmcz5a I'l C\ AP#
Sewage.,Disposal Water Supply
Water Supply
Clearance for bedroom mobile home. Other
Clearance for addi.tion of Jacic (D'x 16' C
Note**
Sanitarl,an
Water Supply
Date
T
1rhis set,of plans and spedf1"icafi%S,,:MYSj A setback of 5 ft. from thi
s u perty lines and a setback
ul
kept on the job at all tlme�,10 it is Mawf c-
0
ang1sr,Ar-Caft61qfi0n:s on same with -
'make �ny cl� f 50ft. f * rorn 6e road
but wrifth 15krTission from the Depa centerline shall be clear of
Public Wwks� �punty pf Dune. structures or equipment excapt
..for a 2 f"ave- overhang.
Al C.
NOTE.—Al 'ate Workmanship, Shall Be in
Accordanc nized: Oood Practices and
40 - of a qu re's forth& -S
Peciff6d use in the
�Unifotm Bu I ing,& M.qc-haniqal, Codes'
d t"he i�u
n
Lx
',A
A setback o from i
property I r es and a sA
of 50ft. f r th road
IJ J Lo
centerline a ie�,-6f- V,
t
structures) exce 4,uef
P!
mo.
for a 2 h. -7-
eave e;
7v,
d
IZ-,w
<)
J;
�JoofqWE��AIL rria4q) Shall De in,
& Work
Practices
A c c 61 u s e in' the
N') I
of V.
eo&s and BQ.TT
US
FJUIL
'FNI
DINO D�1?4RTM -
IV
JTTE C
C
NTY
0/
BUTTE C
This set bf J,!A's specifications MUST tf
4
BUILDING aDP RTMENT
kept on i'i fA --------
rnal-�� 0'17 c- sa.:.,ne withov!
w Wen art ent of Pub
rl rn 12f). f) P P E D
lic Works, County of Buffe.
IVIN
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Jl� 4UILDING DEMUMP
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