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069-190-014
s&., eClC ftv� E I l� ME - -- _ , . -- I - ---- I �� � � � PERM'VT NO. 667-77B • kS PERMIT EXPIRES •OWNER Norma McCarthy CONTR. Acro-Lume, OrovIlle • LOCATION (A.P. 34-71-14 443 Lodgeview, Oroville t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called:PG&E JOB� oL WALED (Date i (Signature) ,i . G Z v, t Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called:PG&E JOB� oL WALED (Date i (Signature) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Motors B r It Prot. ELECTRICAL Brown Cooling Temp. Pole BUILDING BUILDING (Cont'd) PLUMBING Setback f —� Firewall Soil Piping Forms Parapets 4 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwal 1, Sidina 4 S,To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents K A Fixtures Footings Stemwal I Garage Vents Insulation Water Htr. Heaters Slab Carport Footings Prov. for ph sically handica ed Conformance of ex. structure Appliances Gas Piping & Test Temp. Gas Slab Final % Sanitation Patio FIR PLACE Final Motors B r It Prot. ELECTRICAL Brown Cooling Temp. Pole Finish Ducts Under round Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME U LITIES Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping MOBILEH2M-E INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE 3-1 —;77 REMARKS OR CORRECTIONS FD D i,11V6-S AS oe XWOv�� o� h-��/2 Au /J,7; &j:2#72 A13DclfF—0 'C>iv ,�JP�KDd p r�a,�s G._, �Z�RVN//1N l IV@r 5�ow�f, (NOTE: An entry must be made on this form each time you visit the job site.) ` COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION ANErPERMIT .,y — uU — -1 — UPU11 LI IC above-mentioned property for inspection purposes. X*o� Date0—Z6 - -27_4'Signatuor Agent. Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B�y i� Date_ Z —t q i wilding permit expires Date ?--/% — BUILDING Owner SQ. FT. OCC. BUILDING VALUATION l� Mailing Address Telephone No. Fireplace Contractor z7� _ Total Valuation CF Mai Iin Address g /% �Do7iG Permit Fee / . Bu• Plan Checking Fee &/orPenalty oe 01'etz Tel Telephone No. X4117 , Permit Fee $ / ev - Building Address Bl�C' (J/ PLUM -BI NG No. @ FEE PERMIT FILING FEE J$3.00 (Wo U/e-L Each Trap 1 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50. A. P. ^` Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F s I W. Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA IParking Plans Parcel Declara ' Parcel Ma 60' R/W P Improvements P Lawn sprinkler system 2.00 Bldg. Plans Recd I Por pproval Ps Approval Permit Fee $ $ NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service io°°V OR LE o AMP ORLESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home R1 Others ❑ OVER 600V Main service 1100 AMP OR LESS 25.00 Main service EA. ADD•L too AMP 1.00 ,�--•y> t„p / / / C Y�4C� a -GC/ �y� �/�� (� NEW CONST. DWELLING OCCUP. & OR ADDNS. ( ACC. BLDGS. ) 20Sq ft NEW CONSTR MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 12.50ea NEW CONSTR. POWER APPARATUS & -NON RESI0. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Califo nia Business & Professions Code under the name style of: X4,c - BAL@?a¢1 Ex. Occup(OUTLETS OR FIXTURES)@ OI Ex. OccuP•(FIXED APPLNS. OR OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 9-7 VIE V7- Classification � Misc. Wiring' 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. rI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I to an certify that in the performance of the work for which this ermit is issued I shall not em P employ y person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby , TOTAL PERMIT FEE a $ .,y — uU — -1 — UPU11 LI IC above-mentioned property for inspection purposes. X*o� Date0—Z6 - -27_4'Signatuor Agent. Receipt No. White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS B�y i� Date_ Z —t q i wilding permit expires 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 �� x��� ��� for the following location: _A.14' =�'�� •�� '• �r A'�n 9 Owner-//�it, ,7��Y►.► s�/L, t _ /��i; Owner ,,�_ Address Mobilehome Mfg. 11 Model 2 6 b? I 1CYear L4%7] Insignia N.AN J 1?/" -7- 16 % I' uA Serial No. 140 ��Z/ It is hereby certified for occupancy at the above described location and may be occupied. Director oftPublic Works •-- Date ! ALJ �% b $y/ _� Di♦ }G.t v THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED PERMIT NO. 6434-76P,E PERMIT EXPIRES J//3! —7—AZ , OWNER VanNorman McCarthy C6NTR. owner LOCATION (A.P. 34-71-14 443 Lodgeview Dr., lot 09 KRO , Oroville Temp. Power Pole Calle�PG&E Temp Elea Serv. Z 3 aalIed PG&E T mp. Gas Serv. Called PG&E JOB FINALEAe) Setback Forms Main Bldg. Footings Stemwal I Slab Piers Stemwal I Slab Carport Footings Slab Patio COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD Final BUILDING BUILDING (Cont'd) Bond Beam PLUMBING Firewall Soil Piping Test Parapets 1st Floor Final Restroom F,Inlsh 2nd Floor MECHANICAL Windows 3rd Floor Heatinq Siding To out Cooling Roof Sheathing Water Pipinga Ducts . Roofing Sewer Z Fdn. Vents Fixtures Final Garage Vents Insulation Water Htr. Heaters REMARKS OR CORRECTIONS Prov. forphysically handica ed. Conformance of ex. structure Appliances Gas Piping Tem . Gas &Test Final Sanitation FIREPLACE Final t Footing PELE&RICAL Reinf. Steel Final Fixtures Bond Beam FIRE SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. Scratch Heatinq Service Brown Cooling Temp. Pole , Finish Ducts . Underground Interior Lath Ventilation Perman nt Door Closer Final Final Z --.- DATE REMARKS OR CORRECTIONS _ (NOTE: An entry must be made on this form each time you visit the job site.) III I .t iiOBli.latOttl LIST'ALLATIOU I ,1SPECTION CHECK LIST 1. Is the mobilehome located wil.-h required separation from lot lines and buildings and generally conform to plot plan? No 2. noes the m)bilehome have reggire-d clearances above ground? (Sec.5085) Yes 4'�No 3. Are foot:i_n�,s and supports properly sized, spaced, and braced as per approved plans? (Note possible variation at spring shackles.) (Sec. 5082 & 5083) Yesi/ No 4. Is the mobilehome level.? (Sec. 5088) Yes/ No+ 5. If more than a single unit, are crossover connections properly installed? (Sec. 5088) Yes t/ No 5. Water A. Is fle 4ble connector of adequate size and properly installed (1/2" ID min.)? (Sec. 5566) Yes Nc B. Test - Does water piping withstand working pressure or 50 lbs, air test? Yes V No C. Backflow - If coach is not State of 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 400'No B. Does it have minimum I;" per foot slope and is it properly supported? Yes t-/ No C. Are any leaks detected in drainage system after running 3 -gallons of water through each fixture including washing machine standpipe? Yes No�� D. If coach is not State of California approved, does station have required trap and vent? Yes No ' 8. Gas Piping and Gas Vents A. Connector - Is mobilehome connected to the gas supply with an approved 3/4" minimum mobilehome connector not more than 6 ft. lopg? Note: All piping is to be at least as large as the mobilehome gas link inlet�out reductions other than the mobilehome connector. Yes No 1 B. Test OK as per following procedue? es_ No 1. Open all appliance connector ves. 2. Shut off appliance burner a ilot valves..' 3. Air test with manometer t 10"-1 ' water column, or test with slope gauge (minimum 6oz.-maximum 8 oz.) cal' rated in tenth pound increments. Test for 10 min, without drop. 4. Connect: gas meter to mobilehome witlconnector, turn.on gas, test connections with soapy water. C. Are all appliance vents properly installed? Yes No 9. Electrical A Is service laLF,.e enoliglk to provide adequate amperage to mobileliome. (must equal rating of mobilehome with a of 100 amp) and other faciliti_os on lot, i.e., water pumps, g :rar;e, cabana, c+fc.:- Ycs_4L�o_ B Is there. proper clearances around panels? Yes_A,,,-No_ C. Is power supply cord or feeder assembly properly fused? Yes!/ No_ D. Is continuity test satisfactory as per the following procedure? Y'es4Co*No_ 1. De -energize electrical wiring, system of the mobilehome at the pedestal. 2. Make. sure that file 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 1, -,ad of a test instrument to the mobilehome grounding conductor and apply t1je oL.he L ad to eacin wobileLLuffie supply conductor, ilicluding neural. 5. All nor. -current, carrying metal parts of the mobilehome (aluminum siding, gas line, water line), including fixtures and appliances, shall be tested for continuity from such egt:ipment 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 te:;i_ shall then be n.ade between -he grounding electrode and the chassis of the *\ 1,10bilehome. Upon satisfactory completion of the electrical tests, the lot or site service equipment may be approved for energizing. is ;ob card signed by Health Department for water and sanitation? 1, If evorything okay, sign off card andt.a services. MOBILEiiOM.L DATA _ _ e Manufacturer andi'or Namest:yle Length 4! Width__ c Vetti.cle Serial No. ol%� 3 I d� �C:.l� 71 K S ta.t'e Identification Nook -0 °.dr: c t ional Informna t i on or Comments: ,_J COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drivet�-= 0Cpville, California 95965 _ Telephone: 534-4541 S17-- APPLICATION AND PERMITt6 2 au L110FZe 1ePIe5VIILd1LIVeS UI Lne County or Butte to enter upon the above-mentioned property for inspection purposes. X Date i of mitee or gen / p Receipt No. /�CJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. BY0DIRECTOR 0UBLIC WORKS 1 — Date Building permit expires Date 17---,7�7— BUILDING Owner Mrs. Van Norman McCarthy SQ. FT. OCC. BUILDING VALUATION Mailing Address Lot 109, Unit 3 Telephone No. Fireplace Contractor Carneros Mobile Transport Total Valuation Mailing Address 1290 E1 Capitan Permit Fee Plan Checking Fee&/or Penalty Napa, California 94558 Telephone No. 252-2411 Permit Fee $ W Building Address Drive PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Oroville, California 95965 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 34-71-14 Zoning 8 Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F W. Sanitation FireDept. FireZone Use Permit Building sewer 5.00 EQA I Parking Plans ParcelParcel Declaration Ma P 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. P ns Rec'd Parcel' pproval Plans proval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Installation Sl _ Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family ❑ Duplex ❑ Mobil Home ® Others ❑ Main service R 600V 1100EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWEL.ING OR ADDNS. ( ACCLBLDGS.OCCUP. &) 2¢sq ft NEW CONSTR. MULTI.OUTLET NON•RESID. BRANCH CIRCUITS) 2.50ea NEW CONSTR. POWER APPARATUS & NON•RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Carneros Mobile Transport Ex. Occup(OUTLETS OR FIXTURES) BA@L100 Ex. Occu FIXED APPLNS. OR P• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 259158 Classification C-61 License No. Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. © I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood +2.001 Permit Fee $ $ 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Mobile Home Installation 30.00 TOTAL PERMIT FEE $ 30.00 au L110FZe 1ePIe5VIILd1LIVeS UI Lne County or Butte to enter upon the above-mentioned property for inspection purposes. X Date i of mitee or gen / p Receipt No. /�CJ White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. BY0DIRECTOR 0UBLIC WORKS 1 — Date Building permit expires Date 17---,7�7— BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County -Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: Mrs. Van Norman McCarthy is the mobilehome electrical rating? ------------------------- 200 _ 6. What 2. Installer's name: Carneros Mobile Transport Amps 7. What is the mobilehome site circuit breaker rating? -----------=- •200 3. Is the site currently under permit? Yes /X / No (If yes, furnish permit number service? --------------------------------------------------- Yes / / ) OR (If yes, identify the load and size: (Load) Is the site an existing site? Yes / / No / X/ is the mobilehome site gas pipe size? ---------------------- (If yes, furnish two (2) plot plans.) 10. What 4. Will the mobilehome be located at least 5 ft. away from. septic ..tank and leach. fields 'and is the gas .pipe,length from meter or tank to the mobilehome? clear of all setbacks,and.easements? Yes /X /, No What is the mobilehome gas demand? ------------------------------ ( If no.; cla-rify... (BTU) ) 5. What is the mobilehome electrical rating? ------------------------- 200 Amps 6. What is the mobilehome site service rating? --------------------- 200 Amps 7. What is the mobilehome site circuit breaker rating? -----------=- •200 fps 8. Is there any other electric load to be served by the mobilehome' site service? --------------------------------------------------- Yes / / No /X / (If yes, identify the load and size: (Load) =0- (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is -the -type of gas service? ----------------------------- Natural / / LPG 11: What is the gas .pipe,length from meter or tank to the mobilehome? ". -0=-' (ft.) 12. What is the mobilehome gas demand? ------------------------------ _0_ (BTU) (This information not required if pipe length less than 6 ft. on -natural gas or less than .50 ft. on LPG.) in.- in din. ;ftp (in -(in.)(in.) . d in.) in. in.) . 24 x 30 (in.) (in.) d' center piers are other°than drawn above, .w in locations, spacing, and dimensions. Supports (check one) j 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support 12 x 30 Footing Size in. 0 i -1 Max. Pier 5 6 Spacing I Max. 1 _ 0 Overhang BUTTE COUNTY w ul nING DEPARTMENT MOBILEHOME SUPPORT DATA Mobilehome Mfr. Mountain Valley -Homes Setup Model No. 2BR IIS year 1477 Width 24 (ft.) Length 52 (ft.) -Expando -Sizeft..x .. ft. (Draw 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). - Sin le ►; Footings-(check.one) i X/ 1. Wood either i pressure treated or Center Center Support fdn. grade. Support Footing Sizes Locations (in.) L.l 2. Concrete pad. Z 24 x 30 3. Other, specify in.- in din. ;ftp (in -(in.)(in.) . d in.) in. in.) . 24 x 30 (in.) (in.) d' center piers are other°than drawn above, .w in locations, spacing, and dimensions. Supports (check one) j 1. Concrete block 2. Concrete piers 3. Steel piers 4. Other, specify Typical Support 12 x 30 Footing Size in. 0 i -1 Max. Pier 5 6 Spacing I Max. 1 _ 0 Overhang BUTTE COUNTY w ul nING DEPARTMENT COUNTY OF BUTTE — -&EPTRTMENT OF PUBLIC WORKS 7 County Center Driw �4)roville, California 95965 Telephone: 534-4541 (� APPLICATION AND PERMIT above-mentioned property for inspectio�ri purposes. Date Signature of Permitee or Agent Receipt No. —3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Bg permit expires Date BUILDING Own QRZ! SO. FT. OCC. BUILDING VALUATION Mai I g Addres T ephona . L Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE J$3.00 .a O U e Each Trap 1.50 edy A" >,_- Repair drainage or vent piping 1.50 Water piping 1-.30 �, a Each gas water heater or vent 1.50 a Ion n y A. P. No — /— / Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe W Sa ,1�ff FireDept. Fire Z Use Permit Building sewer 5.98 c9. O EOA2.00 Parking Parcel Plans Declaration P r 60' R/W ImprovementsLawn sprinkler system Bldg. Plans Recd arcel App *`al Pans pproval Permit Fee $ 3 00 $2-3 (, NEW ❑ ADDITION ❑ UTILITIES OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 �- Main service 10000 AMP ORSLESS 5.00j!QO Main service EA. ADD•L 100 AMP 2.50 2 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service 1100EAMP oR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 500 S . FT. MINIMUM. NEW CONST. I DWELLING OCCUP. & OR ADDNS. ACC. BLDGS. ) 20sgft MULTI NON-RESID NEW CONSTR. ( BRANCH CIRCUITS) 2.50ea FOR MOBILES NEW NON -RESID CONSTR.(SINGLE OUTLET CIRPOWER .& CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9,. Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)50 P2C 100 Ex. Occu FIXED APP LNS. OR P•(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,Q Licens o. Classification Misc. Wiring 6.25 am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's, Compensation. I hav placed on file with the County of Butte a certificate of ❑ W men's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $ above-mentioned property for inspectio�ri purposes. Date Signature of Permitee or Agent Receipt No. —3 White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS BY Date Bg permit expires Date Chis suet of plans aAel MUST be kept on the job at all times and it is unlawful to make any charges or a:tnrati.ons on same without written parmisson from the Department of Public Works, County of Butte. 11/ The Bt:!:4. Setback shall be 5 ft. from the side proper -:y lire and 50 ft. from the centerline o- the road, permitting a maxi- mum of a 2 ft. eave overhang but entirely out of all easements. ���0 f� .0 o U 0 Fo 0 0` ti0 �. ` 0.r 0 a ° -10 0 4tte and �4iree C04ht 00dti0h . en y yea/tto be 15.1 -i . . \ Oep f.S per/ NOTE:—All M,. ,e : £: Wor4manship Shall Be in Accordance - ;.'• _ ! C z;:)d Practices and of a quali;-, j,r t<ie Specified use in the Uniforn, Lui ��,, ._. .'_ i �g % Mechanical Codes and the National Electrical Code. A(, LOT 109 UNIT 3 /c Cii?Ti17// /-)!:Y 7—/V. -5F1!E-=- 4FA C/r moo.--a- _,s_cAZ-E -L 1J2/ VE .. BUTTE COUNTY BUILDING DEPARTMENT APPROVED ®� ASSOCIATES ENGINEERING CONSULTANTS 2060 PARK. AVENUE OROVILLE• CALIFORNIA 95965 PHONE (916) 533-6457 December 22, 1976 ,James Glander Department of. Public Works 7.County Center Drive Oroville, California 95965 Re: 76551. Dear Jim: Compaction test results are enclosed for mobile home site - preparation at Kelly Ridge Estates for: Crouch KRE Unit 3. Lo.t 161 McCarthy KRE Unit 3 Lot 109 _7 S Fahl KRE Unit 3 Lot 151 ! __ y' Harris KRE Unit .3 Lot 106. Re,-;resentative tests indicate that the 90/ relative compaction requirement has.been satisfied. A location map is attached. Very truly yours, COOK ASSOCIATES Alan G. Brown Civil Engineer AGB/cap Enclosures Client McCarthy COOK AAESSOCIATES Project KRE Unit 3 Lot 109 ENGINEERING CONSULTANTS NUCiear in -Place Job No. 76551 2060 PARK AVENUE Moisture Density Test Johnston y OROVILLE ,CALIFORNIA 95965 Operator ( 91 6) 533 —6457 1976 TEST NUMBER i 2 3 4 5 6 7 8 9 10 TEST DATE 12-20 12-20 12--20 12-20 CL Pad 10x10 20x8 15x3 TEST 6' West SE Cor. SE Cor. NE Cor LOCATION 3' fill 3' fill 3' fill 3' fill FAIL RETEST RETEST FINAL MODE 9k DEPTH 811 DT 8" DT 4" DT 8" DT MOISTURE COUNT 1107 1193 1169 1267 MOISTURE COUNT RATIO .805 .968 .850 .921 MOISTURE 8.9/ 14.6 14.5 ll PCF 20.50 22.50 22.00 24.00 DENSITY COUNT 291 266 271 251 DENSITY COUNT RATIO 1.086 .993 1.011 .937 WET DENSITY PCF 126.5 130.5 129.5 133.0 DRY DENSITY 117.6/ 115.9/ 114.0/ 122/ PCF 106 108 107.5 109 % MOISTURE 7.6/ 12.6/ 12.6F--97 19 20.6 20.4 18 OPTIMUM DRY 133 133 133 133 DENSITY PCF % OPTIMUM MOISTURE 12 12 12 12 % RELATIVE 88/80 87/81 86/81 92/82 COMPACTION DAILY STANDARD COUNT COMMENT: DATE MOISTURE DENSITY 12-20 1375 268 i PERMIT NO. 2822-77B PERMIT EXPIRES OWNER Norma McCarthy frCONTR. Acro -Lome, Oroville LOCATION (A.P. 34'71-14 443 Lodgeview Dr., lot 109, KR#3, Oroville Temp. Power Pole Called PG&E Temp. Elec. Serv. Called PG&E Temp. Gas Serv. Called PG&E JOB4 _ 0-7 FINALED (Date '6tZ� (Signature) otuccv r-inai sup aneis Mesh MEC NI L Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0016EURME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM/ARKS OR CORRECTIONS) dry• (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD ♦-. r BUILDING BUILDING (Cont'd) PLUMBING Setback — Gc Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Pi in Piers Roofing Sewer Garage Fdn. Vents A Fixtures Footings Stemwa I I Y Garage Vents Insulation Water Htr. Heaters Slab Carport Footin s Prov. for physicall handica ed Conformance of ex. structure Appliances Gas Piping Test Temp. Gas Slab Final . 77 Sanitation Patio FIREPLACEI Final Footings — Footing ELECTRIC*L Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE SPRI LERS Motors Framing 9'— Test r Water Htr. otuccv r-inai sup aneis Mesh MEC NI L Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Under roun Interior Lath Ventilation Permanent Door Closer Final Final MOBILEHOME UTILITIES -------------- Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping M0016EURME INSTALLATI N - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REM/ARKS OR CORRECTIONS) dry• (NOTE: An entry must be made on this form each time you visit the job site.) w Owner _A), Mailing Address Contractor Mailing Address Il� � Building Address Q 6 COUNTY 0,,F BUTTE' — DE=PARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 A45&2-1 �'/7 Telephone: 534-4541 OPLICATION AND PERMIT BUILDING SQ. FT. OCC. BUILDING VALUATION Y Telephone No. Tee one_f�q 71 A. P. N '? / — / Zoning & Planning F Sal" FireDept. Fire Zone Use Permit EQA Parking Parcel Parcel 60' R/W Improvements Plans Declaration p Fireplace Total Valuation Permit Fee _ Plan Checking Fee &/or Penalty Permit Fee PLUMBING PERMIT FILING FEE Each Trap Repair drainage or vent piping Water piping Each gas water heater or vent Gas piping system 1 - 5 outlets Each additional outlet Building sewer Lawn sprinkler system $3.00 1.50 1.50 1.50 1.50 1.50 30 5.00 2.00 19-0 FEE Bldg. ons Recd Par Approval Plans proval I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Ventilation Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE J$3.00 y2 QMain service 1L00V OR LESS 100 AMP OR ESS 5.00 (� 6O �`i ! I—•-•11 r?/ I Main service EA. AOD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ❑ Duplex ❑ Mobil Home Others ❑ Main service EA. ADD -L. 100 AMP 1.00 K I %� L NEW CONST. I OR ADDNS. % DWELLING OCCUP. & ACC. BLDGS. ) 20sq ft NEW ULET NON•RESID R ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON.RESID. \SINGLE OIITL ET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Californi Business & Professions Code under the name style of: & License No. Classification Ex. OCCUp(OUTLETS OR FIXTURES) BAL@1 Ex. Occup • ( FIXED APPLNS, OR OUTLETS IRESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wirina 6.25 ❑ 1 am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE MECHANICAL PERMIT FILING FEE I am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be Insured against liability for Workmen's Compensation. (I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of Ventilation Hood California. Permit Fee I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize represent 'ves of the County of Butte to enter upon the above -me p party for ins ection purposes. f X Date �7 Sig ure of mitee or Agent Receipt No. L(` / 4E V., White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant @ FEE $3.00 2.00 $ TOTAL PERMIT FEE $ Q-- 6k;> This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRE�.Date_ TOR OF LIC WORKS BY 77 B ding permit expires Date 6 �6 '7 n PERMIT NO. 4543-81B PERMIT EXPIRES OWNER 'ELLA LOGUE CONTR. Oren Construction, ORoville ASSESSOR PARCEL 69-19-14 LOCATION 443 Lodgeview Dr -$lot 109,KR#3 Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Called P'G&E _ JOB Ft/LED (Date) low v� Signature = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOB AME UTILITIES (Plans) OK except q's Date DECISS!EbVERS, CARPORTS, ETC. (Plans) Or, xcept k °' i Requirements—Setbacks—Easements ZppiWg' Requirements—Setbacks—Easements _ s; Special MH Support—Sketch Footings; Size—Depth—Spacing—Connectors Sewer; Location—Test—Fall-C/O—Concrete 3 ers and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) n.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg. Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete um. Awn.; Columns—Connections—Splice—Decal—Enc. )s..res 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6, r s; W_i nZows—Doors 7. Utility Clearance 7�Elec�� Card -BI Date Card - BI Date Card- Ie Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Card -B Date _ Date Card -BI Date y_ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances _ 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/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 Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date V = OK O = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) 7k Date UNDERFLOOR Plans OK except #'r 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 Ft .-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 Card -BI Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date _ Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air Card -BI Date Date Card -BI Date FINAL (Plans) OK except k's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -61 Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Perrr,it OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. 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. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑Yes ❑ No; Walks ❑Yes ❑ No; Planters ❑Yes 0 N 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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground - Card B -I Date Card -81 Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL (Perrnit) OK except N's 82. 83. Glass Protection 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. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date --- --- Card -BI - _Date _-_ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except R's Comments at Final: 36. Sills; Proper Material & Anchors _ _ 37. 38. 39. 40. 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. Header & Beam -Size & Bearing_ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnq. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45414 _ APPLICATIONIAND PERMIT ASSESS R AR EL NU ER & —9— J ZO G ul/4ALDING PERM OWNER �, TELEPHONE OWNER'S MAILING ADDRESS SO FT. OCC. J BUILDIN9 VALUATION OO C® T/ ' S N l�,yt E..i E L FiiH C -(/ .AC J�V �, R'S M AILING AgE55 `/ , 6 I 1%�/a:�J•� [/�J /(J� / /C(/iV`J [//`/rAVp•. /V/rl. i Fireplace CONSTRUCTION LENDER f / UNKNOWN v� Total Valuation is71— Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O v A CHITECT ORAE INCE �/ - ]„ irJ�/f lz '/tv4/ CENSE %0• C s (/� Plan Checking Fee Penalty $ A CHITECT OR ENGINEER'�fADS o& Q Permit fee $ . LZ BUILD( G ADDRE�ss„�D��' // [�KJ V PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NA PARCEL MAP � Each qas water heater or vent Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE Building sewer Lawn sprinkler system 5.00 SF ❑ Duplex❑ Mobilehome��her SPECIFY' TYPE OF WORK Permit Fee $ New ❑ Addition Remodel ❑ Utilities[ Installation ❑ Other ❑ Describe work: Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.N OR AODNS. ( ACC. BLDGS. / 20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 2�1 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./%IT �Classification 47(-/ NEW CONSTR u TI-Ou LET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS b NON-RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES BAL@10e FIXED APPLNS. OR Ex. OCCup.�OUTLETS (RESID,) EA. 2.00 Temporary service 10.00 F-11, as the owner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 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) Misc. Wiring 7.50 Permit Fee $ ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE Heating I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 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. Cooling Hood 3.00 Ventilation ❑ 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. Permit Fee S Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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 all liabilities, judgments, costs, and expenses which may in any way accrue against said County i con ue �Za of the granting of this permit. _/ 4/ %� - Date J Signature of Ap Cant - Owner ❑ Contractor ❑ Agent TOTAL PERMIT FEE *7D JCcuP. GROUP I TrP of NST. �� PARCEL PD �/ ND ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. DIREC R OF PUBLIC BY PE EXPIRES Date WORKS Date12- - ! i _ rj- 0 6-3,s Receipt No.J WHITE-D.P.W., YELLOW R, PINK -INSPECTOR, GOLDENROD -APPLICANT E r PERMIT NO. 1016-84B PERMIT EXPIRES ? OWNER ELLA LOGUE CONTR. Sparks Construction, Oroville ASSESSOR PARCEL 69-19-14 LOCATION- 569 Lodgeview Dr, Oroville _ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E_ Temp. Gas Service _ Cal led PG&E JOB FIN (Date) / iii i i 1 W Signature Swi/l, J = OK 0 = Not,OK' = NotApplicabfe MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements—Setbacks—Easements Date DECKS .COVERS, CARPORTS, ETC. (Plans) OK except N's i7zoni equirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch _ Zs ootings; Size—Depth—Spacing—Connectors 3. Sewer; location—Test—Fall-C/0—Concrete Z _ T—s. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) _ it v-4. Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 4*5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 7. Utility Clearance 6. Carports; Windows—Doors 7. Elec. Card -BI Date Card - BI Date I / ate Card -BI Date Card -BI Date Card -BI Date _ C Q (a Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except N's 1, Zoning Requirements—Setbacks—Easements Date POOLS (Plans) OK a ceps N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure: Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 9. Exits; Insp.—Sketch 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B-1 Card B-1 Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Singl,.e and Duplex) Date UNDERFLOOR (Plans) OK except N'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 __-5. 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 51. 52. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 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/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 Card -BI Card -BI Date , Card -BI Dale Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except tt's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except k's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access __17. 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 Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except N's 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - 20. Fixture & Transformer Clearance -Ins. Protection 21. Stec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic E] Yes - 25. 2 Appliance Circuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps - - 26. Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, Insulated Neutral ❑Yes EJ No 75, Following instld.: Drive ❑ Yes E3 No; Walks ED 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. 79. 80. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground - ----------- Card B -I Card B -I -- ----.- Date_ Card -BI _ Date Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Date MECHANICAL (Permit) OK except N's 83. 84. _ Corrections from Previous Inspections 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 _& Overilow; Size & Grade 86. Energy Compliance Certificate -Other Certificates ______34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI-- rd Ca -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. 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. �41. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 42. 43. 44. Header & Beam -Size & Bearing Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat _ 45. 46. 47. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hg_l. & Dimensions _ Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANP eERMIT PERMIT NO. ASSESSOR PARCEL UMB ��,-/ 97_ / _ ZONING BUILDING PERMIT OWNER14 &CTELEPHONE SQ. FT. OCC, BUILDING VALUAT N OWNER'S MAILING ADDRESS CONTRACTOR'S NAME 15P�0� �bAIS7E&U-10Al TELEPHONE, �3z-ov�S COpRACTOROS MAILING ADDRESS L FV') /Q✓ `( -/-](C& 7 Fire lace p CONSTRUCTION LENDER f UNKNOWNTotal Valuation $ So' Viz Filing Fee $ 10.00 LENDER'S MAILING ADDRESSS Permit Fee $ 2 5-P0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ i0 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ �_ 16 BUILDI DDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi lehome [9 Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10.00 e / TYPE OF WORK New Addition Remodel ❑ Utilities ❑ Ins allation❑ Other ❑ El� Describe work: AD� I iOr �� �-571A4 — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.& OR ADDNS. C ACC. BLDGS. 2I/20sgft CONTRACTORS LICENSE LAW I decI I am licensed under provisions of Chapt. 9, Div. 3 of the Business a under penalty of perjury (Check one): lrJ/I and Professions Code and m license is in full for a and effect. y License No. Classification ❑ I, as the own� r. -U i4ployees 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 MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR. POWER APPARATUS &' NON -R ESI D. SINGLE OUTLET CIR. Ex. Occu zoeDoe OR FIXTURES 6AL®so P�o XED A FIXED APPLES. OR EX. OCCUp. OUTLETS (REST D.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also 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 he granting of this permit. // // �C/ X 'k Date — Signature of Applicant — O ner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 sto ies in he'ght. Mobile Home Installation Fee $ TOTAL PERMIT FEE OCCuP, GROUP H—I TYPE of CONST. � PA DEL Pq i/ ND — 15s E This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By P IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date — �— C/a- Receipt No. WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT