HomeMy WebLinkAbout069-130-0027�T
S--WEISS
ygeview Drive,.10t' 2.91,KR#1,Orovill,
Contr- W-'e-ntland Const, Paradise
Permit#4154-i`80P,E(util, MH)
ELEC
GAS
SUPPORT STRUCTURE RE
COMPACTION TEST RE
X
contr: Richard Van Stavern MH
Permit.4715-80MHI
I s su�dd
contr: J.' E. Rasmussen Const., Oro
Permit #117-82B(ne%carpoftr & storage/
E
MH)
,o6§-130-002 -PERMIT#94-2458'.
'-JOHNS _, DOROTHY
'373'w LODGEVIEW DR.,.,OROVILLE.-�--
'CONT: ,QUALITY -CONST.,
'NEW CARPORT-
- .: I - - - 4
o/ —00�
C"l
i#ESIDE'NTIA_L_ _
069-130-002
PERMIT#94-2458
JOHNS, DOROTHY
373 LODGEVIEW DR., OROVILLE
CONT: QUALITY CONST.
NEW CARPORT /y �'
V=OK
O = Not OK
- = Not Applicable
Not Ready . , MOBILE HOMES
' =
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Teat -Easement Needed (Sketch)
5. Electricity; Location-Clearencea-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" L" ft.
/ /"Net. or/ PV ft./ /"LPG
7.' Well Clearance & Disconnect
& Utility Clearance
Date/Initials MOBILE HOME 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 Teat-Crossovers-Breakere-Clearances
5. Drain; MH Test -Fell -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
MISCELLANEOUS
Date/Initial DECKsc6VERS, CARPORTS GARAGES, Plana OK except #'a
Zoning.Requ irements-Setbacks-Easements
ootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. De s; Griders and/or Joists -Decking -Bracing -Stairs -Rails
00 Awn.; Posta-Beams-Rttm.-Connectors
Shthg.-Rfg.-Bracing
5. Alum ; Columna -Connections -Splice -Decal -Enclosures
/S rports; Windows -Doors
7. Electric
8. Fr Sils-Anchors-Studs-Rftre-Trusses
/A ,3 id' g; Nailing -Veneer -Stucco -Mash
Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date/Initials 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.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboa rds-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
V=OK
O = Not OK
- = Not Applicable
= Not Ready
RESIDENTIAL (Single & Duplex)
Date/Initials UNDERFLOOR (Plans) OK except N's
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd -/ P' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Plenums & Ducts; Clearance -Material -Support -Ina.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'a
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nell Protection
18.D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL (Permit) OK except #'a
22. Fixture & Transformer Clearance -ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
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 -Mein Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except k's
39. Sils, Proper Material & Anchors
40. Wells Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Wells (ret proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date/Initials FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
57. Glazing Area -Glass Protectlon-Skylights-Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Wal Is -Celli nos
60. Infiltration -Walls -Windows
Date/Initials FINAL (Plans) OK except #'a
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. KIt.Fixt. & Appliance; Grnd-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door, Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Mach. Protection
75. Fib., Elec. & Mach. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door-Drainagge & Wood -Earth
Clearance Looked under Floor O Yes
80. Following instid.; Drive Cl Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Pibg: Appllance-Fireplace-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Comments at Final:
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
?2q -S8
ASSESSOR PARCEL NUMBER 069-130-002
ZONING rtl
BUILDING PERMIT (2
OWNER DOROTHY JOHNS
TELEPHONE
SQ. F1'. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS 373 LODGRVILW DR 534-6489
440 C 5,200.00
CONTRACTOR'S NAME QUALITY CONSTRUCTION OROVIL
;ET5�66
CONTRACTOR'S MAILING ADDRESS
559
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
81.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
52.65
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
373 LQUIGEVIEW
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7,00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15,00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other CARPORT
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New YAddition C3Remodel O Utilities C)Installation O Other O
Describe Work: CARPORT
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( 'ov OR LESS )
2WA OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. BLOS. )
SO,
3.50 FT.
CONTRACTORS LICENSE LAW
I derJare under penalty of perjury (check one)
�1C� I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions de and m license is in full force a d effect.
License No. Classification]
❑ 1, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-REs10. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .60
Ex. Occup.FIXED APPwS. OR
(OUTLETS (REBID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑� /This permit is for $100.00 (valuation) or less.
�' have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
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 Butte County Ordinances and California 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.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, ju gments, cos s, and expenses which may in any way accrue against said
County i ns Li f t e granting of this permit.
X j Date 3 j
Signa r of ppfi t - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 153.65
HAZ.
I D. FEE OD CDF PAR L PD
HD
ISSu
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which ees have been paid.
By q✓�v0 Oate �`� / /
(S q
PERMREXPIRES ON 7 /
! etel
Receipt 167679
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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J K
COUNTYOFBUT�TE-M DEPARTMENTOFDEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER
Proposed Building Use
At time of permit application, I was
ITAPPLICATION DATASHEET
Building Inspector Date
;ed the following data must be submitted prior to permit processing a d/or issuance:
DATE RECEIVED BY
1. All items have been submitted . ........................................
2. Plot plans, 3/4 sets, signed by preparer of plans. ......................... .
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ..................... .
8. Engineered truss details and layout in duplicate (required prior to plan check). ... .
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flif r�a Engineer. ................. .
ZIA
14. Sanitation and plot plan approval MAX!i ealth Department . ............
15. City of Chico plumbing permit . .........................................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. ........... -
19. Driveway permit (construction approval required prior to occupancy). ...PR4;sp' iO� request
20. Pre -inspection for required. . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . .............. -�
22. Certificate of Workmans Compensation Insurance . ......................... .
23. Owner -Builder Verification (Given to owner , Mail to owner _) ............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use. ..........• .............................. .
28. Mobilehome utility clearance . ......................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ........................................
32. Plan check list . .....................................................
33.
34.
When you issue the p mit process as follows: Mail to owner. Mail to contractor.
Telephone hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
dWc' { Acreage Applicant Date
± Copy of,Haz-Mat form sent Health Dept. Fire Dept. _
Copy of plans,spnt Health Dept. Fire Dept. Other
Air Pollution Date
Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
By
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone_ mail Counter by _ Date
Plans checked by Date Plans approved by Date,
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
SPECIAL HOOF COVERING REQUIRE®.
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TO
PERMIT NO. 117-82B
PERMIT EXPIRES
OWNER Dorothy Weiss"
CONTR. E. Rasmussen Const:, OrOv-
ASSESSOR PARCEL 69-13-2
LOCATION
r:
g
t1
r
6Y,
1� Temp. Power Pole
Called PG&E
Temp. Elec. Seri
Called PG&
f
Temp. Gas Servi
i Called PG&I
JOB FINALED
Y
Signature
i
j
373 Lodgeview Dr., Oroville
_r
= OK •
O = Not OK
— = Not Applicable MOBILEHOMES
= Not Ready
Date MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch C
3. Sewer; Location—Test—Fall-C/0—Concrete
4. Water; Location—Test—Easement Needed (Sketch)
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
6. Gas; Locatiort—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except N'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 B -I ua[e --
Card B -I Date Card -BI Date
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, ETC, tPlars) ur.:xcept N Y
1. Zoning Requirements—Setbacks—Easements
2. Footings; Size—Depth—Spacing—Connectors
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4, Wood Awn.; Posts—Beams—Rftrs.—Conhec.—Shthg.=Rig. -Bracing _
5. Alum. Awn.; Columns-Connections—Splice—Decal—Enc�us„ res
6. Carports; Windows—Doors
7. Elec.
-
Card -BI ate Card -B Date
Card -BI Date Card -BI Date _
E
mi
S (Plns) OK except N's {
Easements — 1
paction—Structure Stability
ture; Steel—Connections—Thickness—Dead Men—Lining __
eptacles and Lighting: Distances—GFI —
.ec.;l Lighting; 15 volts—GFI
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Elec.; Grounding; 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 -BI Date Card -BI Date _
Card -BI Date Card -BI Date
= OK
= Not OK
= Not Applicable RESIDENTIAL,(Sing.le and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -B lockouts -Wrapped -Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
52.
53.
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
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 q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
_
14.
15.
Water Ht.; Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
-
-- -
63.
64.
Fireplace or Stove; Clearances -Hearth
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 q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
71.
72.
73.
Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic E) Yes
Guard Rails &Deck Construction -Post Caps
22. Size Boxes & No. of Conductors -Stapled
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
-_
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
- - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral Yes 0 N
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
-- ----
-
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation &Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
_33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
_
_34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access --& Platform if Furnace in Attic
Card -BI
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 q's
Comments at Final:
_
_
36.
37.
38.
38.
39.
40.
Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing_
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
---------------
41.
42.
43.
44.
45.
46.
47,
Header & Beam -Size & Bearing_
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin_-Root erac.-Truss-Shthng.-Rfng
Fireplace Ties or Type A Flue -Fireplace Throat
-------- --
At Access: Size &Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
_
(NOTE:Anentrymust be made each time youvisit jobsite)
1
COUNTY OF BUTTS- DEPARTMEOF PUBLI>916/5
KS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 541
11;7—
APPLICATION AND PERMIT
M&_�
ASSESSOR PARCEL NUMBER
6q , I-3—ZtX
ZONING
BUILDING PERMIT
OWNER
b0 ,'}ESS
TELEPHONE
BUILDING V(�ALUATION
nSOo.nFT, gO�CVC.
280 a,N^
68o• CO
OWNER'S MAILING ADDRESS
tS
COE . fiZASMU SSGIJ Tt2((CP0/\I 53HbII I
CONTRALTO SMAAILING DDRESS
23 �%A-LL: JC -W, 0 P�UILLE (k Q5G(05
CONSTRUCTION LENDER UNKNOWN
Fireplace
Total Valuation $
2 20..08
Filing Fee
$ 10.00
LENDER'S MAILING ADD MESS
Permit Fee
$ 2q,!5-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 4-, 7
Penalty
$ Sq, 0Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADD ES ��� ��I��
77LCM6E
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
020V I Lbs
Water piping
LOT NO
2"/ I
SUBDIVISION NAME .{
ALL`( 0D6 e 4 1
[PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome�Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
�,/ TYPE OF WORK
New ❑ Addition L� Remodel❑ tilities ❑ Installation ❑ Other ❑
Describe work: C��Po 15-k7LJeX6e
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Fi'lirig Fee 10.00
Main service 10ov OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP1
OR ADDNS. ACC. BLDGS.
20 Sq ft
CONTRACTORS LICENSE LAW
'
1 dec lar -under penalty of perjury (Check One):
[l I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' s d n 'license is in full rc and effect.
�''7
License No. r Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I.Ou LET
NON.RESID BRANCH CIRCUIT S
IRC ITS
2.50ea
NEW CONSTR.POWER APPARATUS .&)
NON-RESID. (SINGLE OUTLET CIR.
80 a 2S¢
Ex. OCCup(OUTLETS OR FIXTURES`` BAL@1
EX. OCCUp.(OUT LETS IXED P(RESID )RE A.J 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F j the permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
3
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.
I also agree to save, indemnify and keep harmless the County of Butte against
al Iia ili e , judgments, costs, and expenses which may in any way accrue
a s aid ounty in consequence of'the granting of this permit.
7 G�
X r to
indicated
Signot Applicant — Owner ❑ Contractor [agent ❑
An A permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCC P, GROUP
!H�/tl
TPI. Of CONST.
Jj`7N
PARCEL
PO
ND
1550E
This permit is hereby issued under
sions of the Butte County Code and/or
work above for which
DIRE OR OF PUBLIC
By.
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat?/�- ? -L—
ef
Receipt No. /
Receipt
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
CUSTOM HOMES REMODELING
in En RASMUSSEN CONSTRUCTION
STATE LIC. #326165
23 VALLEY VIEW, OROVILLE, CA. 95965
(916) 534-0111
LAND DEVELOPING
Mr. Glanders
Her is the Planes for the Weiss job. There wherno Electrical
or Plumbing.I was covered by Workmans comp at the time .Send
me the necessary material and I'll comply. z,
sin e ,
J C
R smussen
i
r
9121:0E13111911U10116181A
Wd Ov
SMOM 0116nd 90 'ld3G
31Ln9 10 UNnOO
sa!`y�a d
.qn5
sdeW 5010
\S1•
ds`O Sad
v¢1
ev`ddaW
P►,Id
dsue� i
X01 �
.so
0
i0
•sa0 916
isV00
1 0120
douS
sip, ;e 12 'Pb
•>9j
Wv�oJO d�
e �\ 10.d1
3ai�0
1o�
O
�o M \\qn d
.ad¢O s'\ 1sn9
�1N�0
' �oN a\\d
- January 8, 1982 ,.
J.E. Rasmussen Construction RE: Permits -and Inspections`
Contractors Lic. #326165 (AP 69-13-2)
:
23 -Valley View -Drive
Oroville, CA 95965
Dear Mr. Rasmussen:
With reference 'to the above subject, on- Detember -10; 1981, we wrote' you a'.
letter requesting that 'you obtain the required permits and ins pections''iom `
this office for a•carport and cabana you constructed on Mr. & Mrs. Weiss,
property at 373 Lodgeview Drive, Oroville,
On December 22, 1981,'we,received some plans and a letter.from you asking that
we send the necessary permit application, which.we did December 23, 1981..
The completed application, fees, and requested information has not been received
by this office. y '
Since both permits aqd inspections are required by both State and County laws,,
unless you have obtained the required permits and made arrangements for the
required inspections within ten (10) days of the date you receive this letter,.
-the matter will be referred to the proper authorities for appropriate action.
Should you have any questions concerning this matter, please contact -us.
Yours very truly, -
• Clay Castleberry 1
Director of 'Public Works
J.F. Glander
JFG:ds Chief Building Inspector
cc: Building Inspector,. Oroville
J.E. Rasmussen Construction
Contractors Lic. #326155
23 Valley View Drive
Oroville, CA 95965
Dear Mr. Rasmussen:
January 8, 1982
RE: Permits and Inspections
(AP 69-13-2)
With reference to the above subject, on December 10, 1981, we wrote you a
letter requesting that you obtain the required permits and inspections from
this office for a carport, and cabana you constructed on Mr. & Mrs. Weiss'
property at 373 Lodgeview Drive, Oroville.
On December 22, 1981, we received some plans and a letter from you asking that
we send the necessary permit application, which we did December 23, 1981.
The completed application, fees, and requested information has not been received
by this office.
Since both permits and inspections are required by both State and County laws,
unless you have obtained the required permits and made arrangements for the
required inspections within ten (10) days of the date you receive this letter,
the matter will be referred to the proper authorities for appropriate action.
Should you have any questions concerning this matter, please contact us.
JFG:ds
cc: Building Inspector,. Oroville
Yours very truly,
Clay Castleberry
Director of Public Works
J.F. Glander
Chief Building Inspector
File No.
BUTTE COUNTY
Public Works Dept.
(For 'Action 1, 2,3)
(For Information J)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
OF
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S. I.
Sub. & Pcl. Maps
Perm its
r3
.T: *.. Rasmusetm Construction
27 Valley View Drive.
Oroville,CA 95965
Dear Mr, Rasmussen:
'eutfe countu
LAND OF NATURAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS
CLAY CASTLEBERRY, Director
7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965
Telephone: (916) 534-4541
H. W. McDONALD
Deputy Director
December 10,. 19.31
RE: Building -Permit
A. P. # 69-13+-2
With reference to the above subject, we have been advised by one of our building
inspectors that you have not obtained the required permits and inspections from
this office for the work you are doing as follows:
You have constrtaetM on carport and cabana for W..& ice Wails at
373 Lodgeview 'Drive in omitle.
Since permits and inspections are required by both State and County laws; please
contact this office within ten (10) days of the date of this letter, submit two (2)
complete sets of plans, apply for the required permits, and pay the appropriate
fees., Lncluding penaltian.
All work must stop until you obtain these permits and are authorized by our field
inspector to proceed. This field authorization cannot be made until the existing
work is inspected and approved.
Your cooperation in resolving this matter would certainly be appreciated. Should
you have any questions concerning this matter, please contact this office.
Yours very truly,
Clay Castleberry
Director of Public Works
JFG:dd
cc: Building Inspector, Or0,villc3
Assessor +�
Lane & Dorthy Weiss, 373 Lodgeview give, 0,Ovitle
J.F. Glander
Chief Building Inspector
BUTTE COUNTY
DEPARTMENT OF
PUBLIC WORKS
SPECIAL INSPECTION
REPORT
Owner:
•
A.P. #
Date of Inspection/a��
Address:
Teusut: �1 li. � s /1I4/5,5
iCO-7 �,/ ,lspector
o.Lw
z>2�
Building Location:
'
Type of Inspection requested:
1. Housing 2. Financing
3. Change of Occupancy to
g[ 4. Other (specify) a4llt.q
Present use of building: -
Sanitation (Housing)
1. Water closet:
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating' facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin,
or rodents:
11. Connection' to sewage disposal:
12. Connection to water'.supply:
13. Rubbish and garbage facilities:
14 . Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service 1 id ground:,
2. Recept;�c.. 4�s: '
3. Fusing:_
4. Coma, ent: s :
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Gas heating vents:
C
4.. Comments
1. ^nt-imipa nn bark)'.
E. Other
I. Maintenance and repair:
2. Fire hazards:.
3. Safety haz.-Ards:'
4. Weatl!er protection:
5. Underfloor and attic ventilation:
6.- Conuie'nts:
F. CoTmercial Buildip&s
1. Roof covering:_
2. Distance to property lines:
3. Physically h ' andicapped:
4. Rest"oom floor. -s anil walls:
5. Exits: -
6. LnProvements:
7. Zop--Irg:-.
8. CrAmerit -z:
G. Field Problems or Viola; ioris
1. Problem o� '!.Lolation (give nomplete. descripticn): ecr,� Z".r &a
I ' I _ e_4rpA— e S,,(
A &4jP-f bO— OfrX A;i )C .2 41 Y A OA/U AIA- 4PXX IS Ir / �- Wi 77/ei r/7— -r71-6- AO iC P—I& r ,.a.C' A%
2. What action taken (give couiplate description):
3. What ar-,sJon recomm`e-.ided:jF-,Nej-L J)C(jj;e'
qf.%{,J-rr
T7 A. Infor.-iiiation only -
/ /. B. Hold for tc-i (1.0.) days, then wri',,e lifter.
Write letter. 4 -
ether:
I
;�;`7-41PERMIT
NO.
41.54-80P,E (MH)
PERMIT EXPIRES
OWNER DOROTHY WEISS
CONTR. Wentland
Const, Paradise
is
ASSESSOR PARCEL
34-62-2
LOCATION 55
Lodgeview Dr ,KR#1, lot 291.0 o
h.
8x
1t
.
t
r
Temp. Power Pole
Called PG&E
"Temp.
Elec. Service_�l
Called PG&E
lam%
Temp. Gas SeZice
Cal leed PG&E
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* = Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
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 -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except k's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except N's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage;_Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb:, Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72•
Insulation -Foam -Looked in Attic E) Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents& Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes E) No
75.
Followinginstld.: Drive
❑Yes ❑ No; Walks ❑Yes ❑ No;
Planters .❑Yes []No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
-_
_ ___-_-
79.
Water Well; Disconnect, Electrical, Plumbing
Card B -I
Card -BI Date
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
82.
Ventilation throughout House
Glass Protection
Card B -I
Date
_Date _
Date Card -BI Date
MECHANICAL (Permit) OK except N's
31, A.C. Ducts: Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
_
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
Card -BI
Card -BI
34.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -B_1_ Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date
FRAMING(Plans)
36.
37.
38.
38.
39.
40.
OK except H's
Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor _N_ailing_____
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
47.
Bdrm__Windows or Exiting Doors -Sill Hpt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
= OK
O = Not OK
— = Not Applicable MO B I LEROM ES ^� =
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
2. Soils Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
r; Loc n— st—Fall-C/0—Concrete AwlAg>
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. G Locatior>—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows—Doors
ility Clearance _200
7. Elec.
d �
S
Card -BI
W17. Date land -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION ( OK except b's
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1 ping Requirements—Setbacks—Easements
1. Setbacks—Easements
ootings; Size—Spacing—Marriage Line._ .
2. Soils; Compaction—Structure Stability
3,—Goo- H-TEst—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4 lectricity; MH Test—Crossovers—Breakers—Clearances
4• Elec.; Receptacles and Lighting; Distances—GFI
5 , rain MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
ater; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
ater and Sewer Co ected—C/O to Grade—HD Approval
7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
@. Gp-and Elec ' tty Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
ts; Insp.—Sketch
1 Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date rd -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
man AS
I
Ke SC(P
f
~~. MOBILEHOME INSTALLATION`INSPECTION CHECK LIST
1. Is the mobilehome located wit required separation from lot lines and buildings and generally
conform,to plot plan? YesNo_
2. Does the mobilehome have required clearances above ground? (Sec.5085) YesZNo
3. Are footings and supports properly sized, spaced, and braced as p$r approved plans? (Note
possible variation at spring shackles.) (Sec. 5082 & 5083) Yes No_
4. Is the mobilehome level? (Sec. 5088) YesZo_
5. If more han a single unit, are crossover connections properly installed? (Sec., 5088) .
Yes_
6. Water
A. Is flex "'le connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566)'
Yes_
B. .Test - Does water piping withstand working pressure or 50 lbs, air test? Yes 0
C. Backflow - If coach is not State f California approved, does station have backflow device
and pressure -relief valve? Yes / No
7. Wastes and Drains
A. Is connection made.with Schedule 40 DWV and have flex connectors at each end? Yes— �No
B. Does it have minimum 4" per foot slope and is it properly supported? Yes o
C. Are any leaks detected in drainage system after running 3-gy�llons of water through each
fixture including washing machine standpipe? .Yes_ No
D. If co "is not State of California approved, does station have required trap and vent?
Yes No
8. Gas Pip ng and Gas Vents
A. Connector - Is mobilehome connected to the gas supply wi an approved 3/4" minimum
mobilehome connector not more than 6,ft. long? Not • All piping is.to be at -least as
large as the mobilehome gas line inlet without uctions,other than the mobilehome
connector. Yes No
B. 'Test OK as per following pr c du � es_ No
1. Open.all appliance conn c o ves.
2. Shut off appliance er nd pilot valves.
3. Air test with manom t 10"-14" water column, or test with slope gauge (minimum
6oz.-maximum 8 oz.) ali rated in tenth pound increments. Test for 10 min; without
drop.
4. Connect gas m er to mobilehome with connector, turn on gas, test connections with
soapy water.
C. Are all appl/Xnce vents properly installed? Yes_ No.
9, .Electrical
A. Is service large enough to provide adequate amperage -to mobile�iome .(jnust -equal rating of`
mobilehome with a minimum of 100 amp) arid`other facilities on lot,-i.e., water pumps,
garage, cabana, etc.? Yes_Z--No_
B. Is there proper clearances around panels? Yes
No
C. Is power supply 1 cord or feeder assembly properly fused? Yes 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.
5. 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 theelectrical tests, the lot or site
service equipment may be approved for energizing.
10. Is job card signed by Health Department for water and sanitation?
11. If everything okay, sign off card and tag services.
MOBILEHOME DATA
Manufacturer and/or Namestyle
Length_ Width G� �Q /
Vehicle Serial No. (� �%®® s / �v A
State Identification No.
Additional Information or Comments:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County -Center Drive, Oroville - Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
_4;�' _7 90
BUILDING OR PROPERTY ADDRESS
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.
Inspector �e-~J Date '
COUNTY OF BUTTE
DEPARTMENT 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/��� �-" /5 for the following location: ��
n s- � 11r .G 1t�T��s'.r� ^+Chis.... �e Zj, i
Owner
Owner's Address a ?%-t
Mobilehome Mfg. —e�11 Model Year
Insignia No. l 914-Zl 7<7 X 47 Serial No.
It is hereby certified for occupancy at the above descridlocati�iAd�
may be occupied.
" Director ,of%FPu�pblic Works
Date ""'JG'�---� gy
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
COUNTY OF BUTTE_; DEPARtMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 lam--
'' APPLICATION AND PERMIT ,
ASSESSO)R`'PARCEL NUMBER
�S T ` Q -2—
ZONING
BUILDING PE
MIT
O NER
�l��l•.i�
TELEPHONE
(. V 33;�
SO. FT. OCC. BUILDING V UATI
OWNER'S MAILING ADDRESS -
S ®. 1-066 �tC-w �� ��Q�►ir�� G�
CONT ACTOR'S NAME
tc- 4 Acte VA ry r ig :1 -- r, N u I C.
TELE HONE
1?12 -(33 6 �
CTRACTOR'S MAILING ADDRESS -
(N3d CH Q o t..L r- A)(Q_1Q0IS6 4 c�
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ •�
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING AODREss
59' Y1,o oO�C-u IE w A
PLUMBING PERMIT
Filing Fee 3.00
��� U ���
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[q*" Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti Iities ❑ Installation Other ❑
Describe work;
*—vo
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 'AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADONS. ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
of perjury
I declare under penalty p i y (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.
X714 7 I
License No. - Classification . � - fc
❑ 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 CONSTRU TI.OUTLET
NON.RESID, BRANCH CIRC ITs
2.50 ea
NEW CONST/POWER APPARATUS &1
NON.RESI D, (POOUTLET CIR, I
Ex. OCCUP(OUTLETS OR FIXTURES 50@�
BAL@10¢
Ex. Occup.(OUTLETS FIXED P(RESID,)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
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.
Heating
Cooling
Hood
2.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X �`"��. vC+^�-��.Date9-19- 60
Signature of Applicant — Owner❑ Contractc0t Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Land Development Fee $
TOTAL PERMIT FEE $ jD
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD
ND
ISSUE
This permit is hereby issued a der and/or
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PE EXPIRES Date
applicable to do
resolutions to do
fees have been paid.
WORKS
Date fes/ ;7--eo
Receipt No. / 7 ,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r0
�1 • _ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
}' 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION .AND PERMIT
PERMIT NO.��
ASS SQR PARCEL NUMBER
^
OfJ'G
BUILDING PERMI
WNER
TELEPHONE
SO. FT. OCC. BUIL
ING LUATION
OWNE 'S M IL
G ADDRESS
r o (21
CO TRAC O 'SAM
]TELEPHONE
21
,
C NTRACTOR'S MAILING ADDRE55 "
! ci
CONSTRUCTION LE ER UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
-LICENSE NO.
Plan Checking Fee -
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING- ADDRES
Permit fee
$
BUILDING ADDRESS -
s
PLUMBING PERMIT
Filin Fee 3.00
g
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
IFYO
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome g?`� Other-
- SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New F1 Addition❑. Remodel❑ Utilities [�J Installation❑ Other ❑
Describe work: -
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service io00V OR O AMP ORLESS5.00
r
Main service ADD'L Too AMP
2.50NEW
CONST. ((EA.
DWELING
OR ADDNS. l ACCLBLDGS.CCUP,&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
'
�I am licensed under provisions of Chapt.9,•Div. 3 of the Business
and Professions Code and m y license is in full force and effect.
)�
License No. / In -(�� Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered.
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET 2,50 ea
NON-RESID, BRANCH CRC"
NEWCONSTR. (POWER APPARATUS I1
NON.RESI D, ( SINGLE OUTLET CIR.,
50@250
Ex. Occup(O OR FIXTURES BAL@TOS
XED A
FIXED APP LHS. OR
Ex. Occup.(0UTLETS (RESID.) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
VI have placed on file with, the County of Butte Building Department
aa 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
2.00
Ventilation
Permit Fee
$
Contractor
1 certify that 1 have read this application, and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and. expenses which may in any way accrue
against said Count in equ nce of the granting of this permit.
X Date_sions
Signature of App icont - 0 ElContractor❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $ 61,0
TOTAL PERMIT FEE
OCCUP. GROUP
I TYPE OF CONST.
FrA.7
PD
HD
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PEZ rTEXPIRES DateP—//'/
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.(
�����
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Telephone
533.2000
North Burbank Public Utility District
1960 Elgin Street'
OROVILLE, CALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 17.3-80
BUILDING SEWERS
This verification form must be submitted to the Butte County Department of
Public Works -,Building Department prior to issuance of a building or occupancy
permit, whichever is applicable.
Prior to final approval by Butte County of a Building oran Occupancy Permit, a
copy of this verification form, signed off by North -Burbank Public Utility -District,
must be submitted to Butte County.
Applicant: DOROTHY WEISS
Applicant Address: 6927 NAVARRO COURT, CITRUS HEIGHTS, CA
Applicant Phone No.: I&x 969-3315
Property Location (Sy. 59 LODGEVIEW DRIVE, OROVILLE
KELLY RIDGE ESTATES, -UNIT 1, LOT 291
034-62-0-002-0
A. P. No. (s):
Fees Paid:
ALL FEES PAID IN ADVANCE BY SOUTHERN CALIFORNIA
FINANCIAL CORP.
Application for service approved:
North Burbank
AUGUST 7, 1980 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: 'Date:.
M
North Burbank Public Utility District_ release to close; permit:
Date: By:
BUTTE COUNTY DEPARTMENT - OF PUBLIC WORKS.
7 County Center Drive, Oroville,CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
1. Owner's name: D RTHy WE'�,S'w
' f %i9 U e /� �� il(C-
2.
Installer's name: G ('� A V1qN `S /E/N '' " W '
3. Is the site currently under permit? Yes / z-'/-- No
(If yes, furnish permit number ) OR e
Is the site an existing site? Yes / .:/ No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome be located at least 5 ft.. away from septic tank and leach fields and
-clear of all setbacks and easements? Yes /" i- No
(If no, clarify )
( )
5.. What is .the mobilehome electrical rating? ----------------------- a o Amps
6. What is the mobilehome site service rating? --------------------- 'Z ® a Amps
7. What is the mobilehome site circuit breaker rating? -------------- D p Amps
8. Is there any other electric load.to be served by the mobilehome
site service? --------------------------------------------------- Yes / / No
(If yes, identify the load and size: (Load) (Amps)
9. What is the mobilehome site gas pipe size? ----------------------
10.
------------- ------10. What is the type of gas service? ----------------------------- Natural
11. What is the gas pipe length from teeter or tank to the mobilehome?--(ft.)
12. What is the mobilehome gas demand? ----=----------- ------------- "`(BTU)
(This information not required if pipe length -less than 6.ft. on natural gas
or less than 50 ft. on LPG.)
MOB ILEHOME SUPPORT. DATA
� If other than single wide, -
Mobilehome Mfr. SIZ�� INS% furnish Setup Model No. Year
L Width 7-4 (ft.) Box Length 56 (ft.) Tagalong or Expando Size ft. 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.
Footings (check one)
._
Single
1. Wood either
A A
pressure treated or
16
foundation grade.
(ft.)(in:)
(in.) (in.)
2. Other (specify)
Center support
locations*
Center support
footing sizes
-
Supports (check one)
(in.)
%
/
D--1: Concrete block.
(� r r•
`Fx 3�
2. Other (specify)
(ft.)(in.)
(in.) (in.)
/
ZZ -O
24'X30
- -Tagalong or Expando,
show support details.
(ft.)(in.)
(in.) (in.)
112 x3 0 --
Typical Support
Q36
2�+ti30
(in.) (in.)
Footing Size
(ft.)(in.)
(in.) (in.)
J r �' --
Max. Pier Spacing
X3'0
(ft.) (in.)
S r O` r
(L x3 a
ti --
Max. Overhang
(ft.) I (in.)
(in.) (in.)
(ft.)(in.)
471G� ?a
BUTTE COUN 11
3UILDING DEPARTMENT'
A P P P O
*If center piers are
other than drawn above,
�L
,*draw in --locations,
spacing, and dimensions.
. _ �. t i _ ; ; i I' ; :. i _ ±_.. _. II •'-------i -, I � , , I I 'I I _r._ �/�%�fi�'1�1, .—. _ _.....---_ -- -
aG�(1 ,U111" Iut
.1001
ne
A IT.bc4iin .or , 9 -
This
This s®t of p_l�ns sand �eaif c ions MUST be dire�ti i ro$dsido ��ati� : + // '' ��JJ //
ke t !on the job ai I�` rues an I �I Is unlawful to he - ! : �D rcA l V V e r �s
P
make any changos r ;cvlt�rfi�n _same; without ,p
writFon permission'fom the De'p ent of Public ; I I !
/vii v rry
Works, County of Butte.
l
i ! p r►nitr !
. ��: �,� t=?-:'• � e Iii" •.
sta11c, n aft h lqEPF for f. f
I;m bile , ILL
! I 4 ho e, iA permit will be re '--
� ., .. .. quired
IJ
IV 4L
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gs
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