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Home My WebLink About069-190-016a R.R. W. Jacks 45`' Lodgeview Dr., lot 112, KR#3,Oro contra Otero Ridge Properties, Orovill Permit #10 1-81P,E�util.,MH) ELEC . - Qp p,4 GAS --I - %- / rr E SUPPORT STRUCTURE RE /Vb CQPACTION TEST REQ.V/1 v - - N/ Contr : Adam' Mfg Home Permit#$1 4-81MHI Iss /Q 8/ 94;-19 =1"6--" Permit%#3036-81B(new deck/MH) /joo�.- 69-19-16 Permit#224-83B(deck cover/MH) m 69-19-16 Fi nq Permit#676-83B(new carport/MH)tt)1I]sr-A /i,/ f c}c46T- 1001-81P,E PERMIT NO. PERMIT EXPIRES— OWNER XPIRES OWNER R. W. Jacks CONTR. OroRidge Properties, Oroville ASSESSOR PARCEL 34-71-16 LOCATION 459 Lodgeview Dr., lot 112, KRO , Oro. Temp. Power Pole Called PG&E ZviceTemp. Elea Called G&E �4 Temp. Gas Service Cal l_dPG&E JOBSI ALED (Date) 4-17 kp�i 4 Signator = OK = Not OK =Not Applicable MOBILEHOMES v MISCELLANEOUS = Not Ready Date MOBILE OME UTILITIES (Plans) OK except Ws Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's Lf'Zoping Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements _ De'loils; Special MH Support -Sketch 0-OW119 Acat-�, 2. Footings; Size -Depth -Spacing -Connectors N UD 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails ater; Location -Test- 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing tricity; Location-Clearances-Grnd.-412�rV Amp -Concrete S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5; tion -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors ility Clearance 7. Elec. Card- Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's Zoning Requirements -Setbacks -Easements 1. Setbacks -Easements otings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability Test -Demand -Valve -Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining lect�ty; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI rain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI ate est -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed Ater and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater Electricity Tagged 6. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit xits p. -Sketch ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) ' Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. 3. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ftg., Garage; Soils -Steel- / /" Ftg. Depth 49. 50. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 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 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 54. Glazing Area -Glass Protection -Skylights -Plastic 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except 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 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 E] Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. Subieed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. 28. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No Service -Riser Conductors & Ground -Main Disconnect 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes [J No 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79, Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except q's 31. A.C. Ducts; Insulation & Support 83. 84. Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 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 ^Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Card -BI Date Comments at Final: Date FRAMING(Plans) OK except H's 36. 37. Sills; Proper Material & Anchors Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing _ 42. Hangers -Post Caps -Anchors -Connectors _ 43. 44. Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Shthng.-Rfng. _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE 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. 4 V I.W. IRIMP'Y77,111A�� .. 0 Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 28-81 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 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 or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, -- --,must be submitted to Butte County. Applicant: R. W. JACKS (Doyle Carter) -. Applicant Address: 916 FERVAIS ST., VALLEJO, CA 94590 N Applicant Phone No.. 707-642-6120 Property Location (s): 459 Lodgeview Drive KELLY RIDGE ESTATES - UNIT 3 - LOT 112 A. P. No. (s): 034-71-0-016-0 Fees Paid: ALL FEES PAID IN ADVANCE BY SOUTHERN CALIFORNIA F INANC IAL COR . Application for srvice approved: 11,11?- MAKCH 273, 1981, North Burbank Public Utility District Inspection(s) made and s-uccessffull test(s) observed: Location: %�=s,ri/ 42/ 1 2 Date: 4 –(/p— ez By: /.� North Burbank Public Utility District release \to/close permit: Date: ""� " g By: ire.&4'�4'6 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 4/-74/ i/ for the following location: Owner P fl)- tTfl C. /C t Owner's Address SIS% 412-- Mobilehome Mfg - 1 5kr-i 1,X S?' Modell A - YearC- -- Insignia NoOAL. Serial No. ,?/ z/7 It is hereby certified for occupancy at the above described location and may be occupied. Al -`7 Dir r of Public Works _ J/} Date 7 / / � / $yC i A. _ J_ THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED White - Owner, Yellow - Installer, Pink - D.P.W. e ` COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT O. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41 9-19 A a APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER __ NIN BUILDING PERMI OWNER TELEP ONE 80. FT. OCC. BUILDING VALUATION OWNER'S MAILIN ADDRES ve CO TRAC TOR'S NAME TEL PHONE 04 I•1 CONTRACTOR'S M -AILING ADDRESS ' `� 491.44 Fireplace C NSTRUCTIO L NDER % F UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS 0 PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. r"v SUBDIVISION NAME 4- 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 ❑ Remodel ❑ Utilities ❑ Installation Other ❑ Describe work: 0* Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 NEW CONST. (DWELLING OCC UP. y) OR ADDNS. 1 ACC. BLDGS. 22 sq ft CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (Check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Profess' �� d my license is in full fore and effect. License No. Classification . El 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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.OUTLET 2,50 ea NON-RESID BRANCH CIRCUITS NEW CONSTRPOWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. / e0@25C Ex. Occup(OUTLETS OR FIXTURES BAL@1 IXED APP LHS. OR EX. OCCUp.�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The It is for $100.00 (valuation) or less. ave placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee S Contractor I certify that I have red this application and state that the above information is correct. I agree to C mply to all County Ordinances and State Laws relating to building constr do and hereby authorize representatives of the Countyot Butte to enter upo the^ bove-mentioned property for inspection purposes. I also agree to sav i 1 emnify and keep harmless the County of Butte against al ti d e , costs, and expenses which may in any way accrue again sai t in nsequence of the granting of this permit. �, Date Signorure of AppliC — Owner ElContractor I]Agent An OSHA permit is tred for excavations over 5'0" deep and demolition or construct- ion of structures over stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP. GROUP TYPE OF CONST. PARCEL PD NO Ssu� This permit is hereby issued under sions of the Butte County Code and/or work indicated above for whi h DIRE R OF BLIC By.` PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt NO. �� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 COUNTY OF BUTTE =DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION ',r7 COUNTY CENTER DRIVE OROVILLE, CALIFORNIA 95965 - TELEPHONE/916/534-4541 06MIT APPLICATION DATA SHEET OWNER Proposed Building Use. Permit Fee Based Upon Building Inspector Complete Contract Price •Ptheri(Explai n) Permit No. t A. P. No. DPW Valuation Date :Y— R' F__ / At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED __L1. All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobi lehome Installation Data. . . . . . . . . . . Pre-Inspec. request to (Date) 17. Pre -Inspection for Required. Building Inspector ) 18. Other �r When you issue the permit, process as follows: —Mail t-89 oo.�w''ner. Mail to contractor. �elephone �� /la�..� and hold for pickup at ub office. Deliver w/inspector. Other 1\j Appl icant ; / Date ►� r Copy of plans sent Health Dept., Fire Dept., Othe4r Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked b Date Plans approved b Date Other Copy—DPW BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name: 2. Installer's name:C;011 3. Is the site currently under permit? Yet / No (If yes, furnish permit number ) OR Is the site an existing site? Yes /-t./�' 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 No (If no, clarify ) ( ) 5. What is the mobilehome electrical rating? ----------------------- Amps 6. What is the mobilehome site service rating? --------------------- zoo Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ZO o Amps 8. Is there any other electric load to be -served by the mobilehome ' siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: (Load) (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? (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.) +'I ."• '� .. S� is s MOBILEHOME SUPPORT DATA If other than single wide, } MobilehomeMfr. Cn0(.D e/V U) -GST' furnish Setup Model No. Year yS� Width -24 (ft.) Box Length 0 (ft.) Tagalong or Expando Size / 0 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. R • Sing 10 10 * Z x3o (ft.)(in:) (in.) (in.) Center support Center support locations* footing sizes (in.) 113- 1 Z 0 (ft.)(in.) (in.) (in.) 12,9- M jo (ft.)(in.) (in.) (in.) 2 i x,? (ft.)(in.) (in.) (in.) 2-1x (ft.)I (in.) (in.)(in.) *If center piers are other than drawn above, draw in. -locations, spacing, and dimensions. so i *19 -eq %3V Footings (check one) EU.-r.—wood either pressure treated or foundation grade. D 2. Other: (specify) Supports (check one) Concrete block. FJ.2. Other (specify) Tagalong or Expando,' show support details. I Z x 30 -- Typical Support in.) (in.) Footing Size Max. Pier Spacing (ft.)(in.) /l -- Max. Overhang (ft.)(in.) L 117t1-9-1 -9-1 BUTTE COUNTY BUILDING DEPARTMENT APPROVED ZN17. V�VfllVM I'/— Q Oome --ameq> j'Z 16 5.10,nq zT-1 ��,o��om--� 2o�F� __ a� I �t 0 :5,vorl :ra 24 a 7 all M50 SUM COUNTY BUILDING DEPARTME- N. it i __ APPROVED PPR 7 GOLOEN W.T MOBILE )(OiAES. INC E wq.k,Jsy � MODEL NVO SAMIA A f 9i K7' ()AA p,41 E "Arrr-T �AfaLFl -e� f<l EmAWN PV uALs ()n.G Ilu Rty..,(L, OY oe _onpe:, :;-4 p -F-L ZIMM M-PrMrl, 1"AMIL-f raM, 12'-0" . CDErlv3WA ILC- N W;\�17f:01�e, HALL, 'PIN UINl, T 4 ZN17. V�VfllVM I'/— Q Oome --ameq> j'Z 16 5.10,nq zT-1 ��,o��om--� 2o�F� __ a� I �t 0 :5,vorl :ra 24 a 7 all M50 SUM COUNTY BUILDING DEPARTME- N. it i __ APPROVED PPR 7 GOLOEN W.T MOBILE )(OiAES. INC E wq.k,Jsy � MODEL NVO SAMIA A f 9i K7' ()AA p,41 E "Arrr-T �AfaLFl -e� f<l EmAWN PV uALs ()n.G Ilu Rty..,(L, OY AP # OWNER . (.C)• PERMIT # % 6e a / MH UT IL . CLEARANCE DATE 41- 7—F r C INSPECTOR A66,� ELE TRIC GAS Support Str c. Compaction Test Req. ;ervice ;ize Other Load Type Pipe Size Length YES NO YES NO J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P RMIT NO a 7 County Center Drive - Oroville, California 95.965 - Telephone 916/534-4541 � ? _ ` APPLICATION AND PERMIT ASSESSOR -PARCEL NUMBER 34 — 71 — 16 ZO ING 'r BUILDING PERMI OWNER R. W. Jacks TELEPHONE 707-642-612 SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 916 Vervais Street, Vallejo, CA. 94590 CONTRACTOR'S NAME Oro Ridge Properties, Inc. TELEPHONE 589-0152 - CONTRACTOR'S MAILING ADDRESS 5263 Royal Oaks Drive, Oroville� CA. 95965 CONSTRUCTION LENDER UNKNOWN N/A LENDER'S MAILING ADDRESS N/A Fireplace ` Total Valuation $ Permit Fee $ ARCHITECT OR ENGINEER N/A LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS NIA Permit fee Pit',-- Few $ .00 BUILDING ADDRESS 459 Lod eview Drive PLUMBING PERMIT Filing Fee 10.00 MOroville, California 95965 Each Trap 2.00 Repair drainage or vent piping 2.00 Water piping LOT NO. 112/3 SUBDIVISION NAMEPARCEL Kelly Ridge Estates MAP Each qas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex[] MobilehomeX Other SPECIFY Building sewer 0,0f) Lawn sprinkler system 2.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities InstallationC Other ❑ Describe work: — Permit Fee $ 0o Contractor ELECTRICAL PERMIT Filing Fee &00 Main service V OR LE 100 AMP ORSLESS 5.00 Z-, DO Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADONS. ACC. BLDGS. 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 my license is in full force and effect. License No. 295666 Classification B—Gen. ❑ 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) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CO ID NSTR BRANCH CIRCTITS 2.50 ea RU NEW CONSTR.POWER APPARATUS & NON.RESID, (SINGLE OUTLET CIR, Ex. Occup(OUTLETS OR FIXTURES 50@25c BAL®1100 FIXED APPLNS, OR Ex. Occup.(OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6,25 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 3.00 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 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 liab' 'ties, judgments, costs, and expenses which may in any way accrue against i CQuniv ' 2aue�of,th�granting of this permit. X U 11'llllUUl��` tt11 ¢¢INV((:: Date 3��5—�i ice nt❑Sig ,urRi99&i 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 � OCCUP. GROUP I TYPE OF CONST, PARCEL s/ PD j/ ND ;� ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR F PUBLIC By PEOAT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date .3-7, —e — b� Receipt No. q2 0?in+ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS — BUILDING DI, VIS ON .«r 7 County Center Drive—Oroville, California 95965 —Telephone 53 x,541 PERMIT APPLICATION DATA SHEET Q p Permit No. OWNER A.P. No. Proposed Building Use Permit fee based upon: Complete Contract Price DPW Valuation -,Oth `er/(ex plain) Building Inspector Date ----3—,;2 4 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance- DATE RECEIVED APPROVED 1. All items have been submitted................................................................... 2. Plot plans in duplicate/triplicate............................................................... 3. Complete plans in duplicate/triplicate................................................... 4. Complete engineered plans and calcs..................................................... 5. Plans with Energy Design Compliance Statement ............................ 6. State Energy Forms No. .................... 7. Statement of Intent for Non -Heated & AC Buildings ................... 8. Fees of $.................................................. 9. Letter of signature authorization............................................................. 10. Sanitation approval from Health Dept.... 11. Planning approval for ............. 12. Certificate of Workmen's Compensation Insurance ........................ 13. Contractors License Information (no., name style, classification) ............................... 14. Improvements may be required. Contact Land Development Section of Dept. Public Works (see r addressbelow)................................................................................................. ,- 15. Pre -inspection for required. Pre-inspec. request to bldg. inspector (Er te) 16. Other When. you issue the permit, process as follows: Mail to owner Mail to contractor. Telephone d `®I Ste' and hold for pickup at QJVA-3 office. Deliver w/inspection. Other Applicant�� i�W�G� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date Plans approved by Date 151'—' _50 OTHER: Telephone 533-2000 North Burbank Public Utility District 1960 Elgin Street OROVILLE, CALIFORNIA 95965 28-81 DISTRICT APPROVAL AND VERIFICATION OF INSPECTION 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 or an Occupancy Permit, a copy of this verification form, signed off by North Burbank Public Utility District, must be submitted to Butte County. Applicant: R. W. JACKS (Doyle Carter) Applicant Address: 916 VERVAIS ST., VALLEJO, CA 94590 Applicant Phone No.: 707-642-6120 Property Location(s): 459 Lodg,eview Drive t KELLY RIDGE ESTATES UNIT 3 - LOT 112 l A. P. No. (s): 034-71-0-016-0 Fees Paid: ALL FEES PAID IN ADVANCE BY SOUTHERN CALIFORNIA FINANCIAL CO Application for service approved: MARCH 27, 1981 North Burbank Public Utility District Inspection (s).made and successful test(s) observed: Location: Date: By: North Burbank Public Utility District release to close permit: Date: By: LOT .112 UNIT 3 044'.0~IV - "'?o eJ 0 00.r 04 -N� , ' r 500 SQ. FT. MINIM i/' p .a %' FOR MOBILES % Nv 00 permit will b required for fFs nstallatibn of he, mobilehome. c I/ A setback of 5 ft. from the o property lines and a setback of 50ft. from the road centerline shall be clear of 'ZD: o o ! structures or equipment except for a 2 ft. eave overhana. F 271 \ _(2�_ 0.3 4 L OA /--V- -5 NOTE:—All Materials & Workmanship Shall Be \ Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the U 'form Building, Plumbing & Machanical Codes and m the National Electrical Code. / OOv—B J This set of plans and specifications MUST be kept on the job at all times and it is unlawful to make any changes or alterations on some without written permission from the Department of Public Works, County of Butte. BUTTE COUNTY BUILDING DEPARTMENT APPROVP l J ENGINEERING SURVEYING PLANNING Mr. Jim Glander Assistant Director of Public Works County of Butte 7 County Center Drive Oroville, CA 95965 Re: Compaction Test Dear Jim; 463 ORO DAM BLVD., SUITE M OROVILLE, CA. 95965 (916) 533-2068 April 6, 1981 Enclosed are following compaction test results taken for Doyle Carter: Harris - Lot 53, Unit 2B Kelly Ridge Estates Jacks - of 112, Unit Kelly Ridge Estates The results indicate that the constructed fills have been placed in excess of 90% Relative Density. Additionally, a location map has been attached for your con- venience Very truly yours, GDA C, Alan G. Brown, C.E. AGB:b Enclosures GDA 102-81 cc: Mr. Doyle Carter w/enclosures P.O. Box 1639 Oroville, CA 95965 WILLIAM W. GEDDIS - DAVID R. DRISCOLL - JOHN D. CHRISTOFFERSON - KENNETH C. LENHARDT wOr ?� L 63, tz'?b 463 ORO DAN BLVD. SU. Y NUCLEAR DENS/TY TEST a' i. MODE ASTM D-2922 ASTM D-/557 916 TEST oA rE /REL /- PfATER/,4L / MO/ST WET DRY % ;MAX.DRY % t rIEPTH CONT. DENS DENS "D/ST /DENS . OPT. T/VE DENS TEST LOCAT/OIL' P .F P.C.F P.C.F P.C.F MO/ST. S/E Corner of Finished 4-6 DT/8" 19.6 142. 123.0 15.9 133.3 7.6 92.3 Fill Surface 6 Q 4-6 DT/8" 16.7 141. 124.6 13.4 133.3 7.6 93.5 Middle of East Side finished surface t � 4 . 5 6 i � 8 � 9 /O /3 /4 %5 connEArr Fill material all from on-site cut CL /Eh T Carter PROJECT Jacks Unit 3 Lot 112 JOB No. 102-81 REF: OPERA TDR Alan Brown GDA 090 O Pik F i \-/70YAL OAi-t✓S UNIT 102.8 � PERMIT NO.224-83B PERMIT EXPIRES IJ /) I f) I OWNER R.W. JACKS CONTR. Owner ASSESSOR PARCEL 69-19-16 LOCATION 579 Lodgeview Drive, Oroville _ Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service _ Cal led PG&E _ V JOB FINALED (Date) / Signature 4�4 y"erzj = OK = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS OVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketchrings; _ Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/O—Concrete 3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails__ 4. Water; Location—Test—Easement Needed (Sketch) ood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete a Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. 7. Utility Clearance Card -BI Date Card -BI Date C I Card -BI -Date- ateCard-BI Card-BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date _ POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 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 6. Water; MH Test—Regulator—Connector 5. Elec.; Pool Lighting; 15 volts—GFI 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 B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures— Pane lboards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Card B -I Date Card -BI Date Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date V = OK 0 = Not OK = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) s{� r Date UNDERFLOOR Plans OK except H'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. Fig., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig., 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/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 Date Card -BI Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 57. Smoke Detector 14. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels _ __19. Gas Pipe; Size & Anchors 62. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI _ Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper -- 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location _ - 22. 23. 24. 25. Size Boxes & No. of Conductors -Stapled Romex Installed Close to Edge of Studs & C.J. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 2 Appliance Circuits in Kitchen &Conductor Size 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 72. Insulation -Foam -Looked in Attic ❑Yes 73. Guard Rails &Deck Construction -Post Caps _ - 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 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 OYes El No 75. Following instld.: Drive L) Yes ❑ No; Walks ❑ Yes E] No; Planters ❑Yes ❑No _ 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish - 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77• A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet -- 30. Clothes Closet Light -Shower Light - 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. ------ ----- -- 79. Water Well; Disconnect, Electrical, Plumbing - ----- 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I ___Date- _ Card-BIDate 81. Ventilation throughout House Card B -I Date Card -BI Date 82. Glass Protection Date MECHANICAL (Permit) OK except N'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 _& Overilow, Size & GradeT 86, Energy Compliance Certificate -Other Certificates _____34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet --3,5.-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 p's Comments at Final: 36. Sills; Proper Material & Anchors _ 37, 38. 39. Walls; Studs -Nailing, Spacing_ & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing___ Draft Stop in Walls (rat proof) _40. _Fire Stops, Furred Ceilings -Stairs -Chases -Tub - 41. 42. 43. 44. 45. 46. 47. 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 Attic Access: Size & Rom_ex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions -- Garage Fire Protection FramingT (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oro'ville, C4`1�iornia*35965 - Telephone 916/534-4541 - :, APPLICATION AND PERMIT ZPE R M NIT N 0. ASSESSOR PAFFF/��,CCEEL NUMBER W [ ~/jt?—/& ZONING BUILDING PERMIT Ow R —,4e/� TEpLEPHON�EfIt vt-f,% SQ.nFT. OCC. BUILDING VA UAT�rI�ON _ OWts$S MAILING AQiJ FjE55 /� i L��V/eV/ CONTRACTOR'S NAME TELEPH NE/✓/�_ CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDS UNKNOWN Total Valuation $ 70 f Filing Fee $ 10.00 LENDER'S MAILING AD RESS Permit Fee $ .00/ ARCHITECT OR ENGINES LICENSE NO. Plan Checking Fee $ -(f a Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ±501 04 SUIL�I G ADDRESS/ 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 Building sewer 5.00 SF ❑ Duplex ❑ Mobi lehome Other Mobile Home S I G I W 10.00 e SPECIFY TYPE OF WORK Permit Fee $ New ❑ Addition - Remodel ❑ Uti ities Installation ❑ Contractor lOther Describe work: ELECTRICAL PERMIT Filing Fee 10.00 Main service soov OR LESS 100 AMP OR LESS 10.00 ( Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.& OR ADDNS. ( ACC. BLDGS. 7 2� zQSgft CONTRACTORS LICENSE LAW NEWCONSTR 1 MULTI -OUTLET 2,50 ea I declare under penalty of perjury (Check one): _NON .RESID, BRANCH CIRC ITS NEW CONSTR (POWER APPARATUS &) ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business20@s0m NON -RESID, SINGLE OUTLET CIR, Ex. Occup(o XTs OR FIXTURES and Professions Code and m license is in full force and effect. %� FIXEEDD APP LNS. OR BAL@300 \ License No. Classification EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Ok I, as the owne'r, or my employees with wages as their sole compen- Temporary service 10.00 sation, will do the work,and the structure is not intended or offered Mobile Home Facilities 15.00 for sale. (Sec. 7044) Misc. Wiring 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) 1 am exempt under Sec. , Business and Professions Code Permit Fee $ for this reason Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): Heating 41 The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department Cooling a Certificate of Workmen's Compensation Insurance or a Certificate Hood 3.00 ur of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Ventilation -'t to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject Permit Fee $ to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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 Countyot Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 6 0U 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 OCCUP, GROUP TYPE of ON ST. PARCEL HD 59DE against said County in consequ ce of the granting of this permit. This permit is hereby issued under the applicable provi- tt �_ ') „mks X �W Date sions of the Butte County Code and/or resolutions to do Signature of Applicant Owner Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct- DIRECT F UBLIC WORKS ion of structures over 3 stories in height. By Date—�-_ Receipt No. ( WHITE-D.P.W., YELLOW -ASSES OR, PINK -INSPECTOR, GOLDENROD -APPLICANT PE T EXPIRES Date -,:.:J+• ,: `.J"�:::,�. t.....w^6•.r�V1+R"^r.°^+-•c.r- _""`;`.:� 1.:......-:.:...--'-. �,�-.._..�. .n _.- _,�, •--..- - _ `'x_. _ -.. 4r. � e'. .Y Frt' o. , - COUNTY OF BUTTE - DEPARTME,NT_ OF PIBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, rAUORNIA 95965 - TELEPHONE: 916/534-4541 " ..... '' PERMIT APPLICATION`DATA SHEET '' r Permit No. OWNER IN ' �/�iC�L-S A. P. No. Proposed Building Use - Permit Fee Based Upon:Complete Contract Price DPW Valuation Other (Explain) Building Inspector Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been submitted. . . . . . . . . . . . 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . .I 16. Mobilehome Installation Data. . . • . • • • 17. Pre -Inspection for Required. BuildingPre-InspIn request to (Date) p q Building Inspector 18. Other When y Issue the ermit, process as follows: Mail to owner. Mail to contractor. Telephone 5,s9�ZZG� and frol >for pick at 0-" office. Deliver w/inspector. Other r573,57 — 44 Applicant % Gc G Date 1-22—LT Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designe Owner) was advised of above required data by Telephone Mail Other By Date Plans checked b Date Plans approved Date Other: Copy—DPW COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your . earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received, 1. I personally plan'to provide the major labor and materials for construction of the proposed property improvement (yes or no) ! 2. I (hav/ _signed an application for a building permit for the propose work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address r City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: ' Name 4 42 ...-Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed : Property Owner Social Security number Date -_?, NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. � T 224_83 A�PERMIT NO. 676-83B PERMIT EXPIRES _� JZIi 11 t OWNER R.W. JACKS CONTR. Owner ASSESSOR PARCEL 69-19-16 LOCATION 579 Lodgeview Drive$ Oroville _ I Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) 44-1 Signature i-UV#t"'1efV OK Not OK Not Applicable MOBILEHOMES Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's Date DECKS_ COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements—Setbacks—Easements Zoning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch ootings;•Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete 3. Dec irders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 4. ood Awn.; Posts—Beams—Rftrs.—Con nec.—Shthg.—Rfg.—Bracing_ 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete _ 5. Alum. n.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG 7. Utility Clearance -- -- 6 rports; VURdwA _Qa= 7. Elec. Card -BI Date Card -BI Date C 81 ate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's Card -BI Date Date y Card -BI Date POOLS (Plans) OK except N's v 1. Zoning Requirements—Setbacks—Easements 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils: Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; 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 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 -BI Date Card -BI Date Card B -I 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) Date (NOTE: Anentrymust 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. Fig., 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/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. 13. Plenums & Ducts; Clearance -Material -Support -Ins. 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 k'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. Water Ht.; Vent -Access -Combustion Air 58. 59. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection Bedroom Exiting 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection _ 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 19. Gas Pipe; Size & Anchors 62. Stairs & Rails _ 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Card -BI Date Card -BI Date Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 66. 67. Elec. Outlets & Receptacles at Kit. Counter Garage Fire Door; Swing -Landing -Closer Date ELECTRICAL Permit OK except q'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 -Meth. Protection 21. E1ec. 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. - 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72, Insulation -Foam -Looked in Attic E] Yes Guard Rails &Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 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 At A 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75, Following instld.: Drive ❑ Yes E] 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. 80. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I --- __Date_ Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date -- _ Date Card -BI Date MECHANICAL (Permit) OK except #'s 31. A.C. Ducts; Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. Water & Sewer Connected -C/O to Grade -HD Approval _ - 32. Vent Fan; Exhaust above Insulation 86. Energy Compliance Certificate -Other Certificates 34. 35. Condensate Drain _& Overilow, Size & Grade Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Card -BI -` - - - - - - . -- Date -` Card -Bt Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Date FRAMING(Pians) OK except #'s Comments at Final: 36. _Sills; Proper Material & Anchors 37. 38. 39. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing____ Draft Stop in Walls (rat proof) 40. _Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. 42. 43. 44. 45. 46. 47. Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access: Size &Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _ raming Garage Fire Protection Framing ----- _ (NOTE:Anentrymust be made each time youvisit jobsite) . .f COUNTY OF BUTTE DEPARTMENY.OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 r APPLICATIOR-ANWPERMIT PE MIT NO ASSESSOR PAR NUMBE 2tCNING -• iv BUILDING PERMIT [O WNE TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING Ap DRE S CONTRACT R'S NAAM^ 'w Y\ TELEPHONE -CONTRACTOR'S MAILING ADDRESS - Fireplace CONSTRUCTION LENDER / 1 !/IV/ UNKNOWN Total Valuation $ Filing Fee $ 10.0 LENDER'S MAILING ADDRESS Permit Fee $ AtCao ARCHITECT OR ENGINEER_S__LICENSE NO. Plan Checking Fee $ ry Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS ' Permit fee $ BUILDINrgESS 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 gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobi IehomOther SPECIFY Building sewer 5.00 Mobile Home I S1 GJWJ 10.00 e TYPE OF WORK New ❑ AdditionRemodel F1Utilities El installation[] Other ❑ Describe work: �` Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. OR ADDNS. ( DACCLBLDGLING OCCUP.&) 2/20sgft 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 my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR( ULTI-OUTLET NON-RESID. BRANCH CIRC ITS 2.50 ea &\ NEW NON -CONSTR ( POWER APPARATUS RESID. SINGLE OUTLET CIR.1 Ex. Occup(OUTLE-rs OR FIXTURES ea @g oQ FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. bf I shall not employ any person in any manner so as to become subject i� 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 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 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 in consequence of the granting of this permit. X n.Date '?' � Signature of Applic — Owner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over Stories n height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ DScyP. GROUP I TYPE OF co ST. PA✓eL HD SSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC PE BY EXPIRES Date the applicable provi-' resolutions to do fees have been paid. WORKS Date.3-/6T -� Receipt No. ZID 1 -15 - WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - Department of Public Works 7 County Center Dtive,�Oroville, CA. 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in,processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) 2. I (have/have not)1 �Ql/-._.signed an appl cation for a building permit for the proposed work. 3.. I have contracted with the following person (firm) construction: Name Address Phone Contractors License No. to provide the: proposed City, 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name .. Address City. Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work S igned : Property Owner �J�-- Social Security num er Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. PERMIT NO. 3036-81B PERMIT EXPIRES_/.�•+/■ i OWNER R. W. Jacks ' CONTR. owne r ASSESSOR PARCEL 69-19-16 LOCATION Ldgeview Dr., lot 112, KR#3, Oroville >l7v--VL-- h/'Zl 1'Lg-/Vj Temp. Power Pole_ Called PG&E _ Temp. Elec. Service_ Called PG&E_ " Temp. Gas Service Cal led PG&E t g JOB l= ALED (Date) / �zo r�y Signature V = OK �. 0 = Not OK — ='Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except q's Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements oning Requirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch 2. rings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete cks; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) a wW, _ ri A mown • Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ P'L"ft./ /" LPG 5.wn.; Columns—Connections-Splice—Decal—Enclosures 6. " rpor s; Windows—Doors 7. Utility Clearance 7.—Ejec- Card -BI Date Card - BI Date C&dBIate and -BI' Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except H's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 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 6. Water; MH Test—Regulator—Connector 7. Water and Sewer Connected—C/0 to Grade—HD Approval 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK . = Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; 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/O -Sewer Test 9. Gas Pipe; Size -Anchors 55. Shear Walls; Nailing -Bolts 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 Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N'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. Water Ht.; Vent -Access -Combustion Air 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 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. 63. Stairs & Rails Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except N'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. 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. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulationin Attic E:) Yes Foam -Looked 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 Al, Insulated Neutral ❑Yes ❑No 75, 76. 77. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters ❑Yes ONO Stucco; Brown -Finish A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 28. Service -Riser Conductors & Ground -Main Disconnect 29. 30. Equip. Clearances; Panels-Motors-Mech. Equip. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. 80. 81. 82. Water Well; Disconnect, Electrical, Plumbing Exterior Elec. Trim; G.F.I. Receptacle -Underground Ventilation throughout House Glass Protection Card B -I Date Card -BI Date Card B -I Date Card -BI Date Date MECHANICAL (Permit) OK except 11's 31. A.C. Ducts; Insulation & Support 83. 84. _ Corrections from Previous Inspections Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates _ 32_ Vent Fan; Exhaust above Insulation _ 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 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 q's 36. Sills; Proper Material & Anchors Comments at Final: 37. _ Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. Bearing Walls over Girders & Floor Nailing 39. Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. 43. 44. Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-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: An entry must be made each time youvisit jobsite) �►" COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, Carifornia 95965 - Telephone 916/534-454 �i - -APPLICATION AND PERMIT A ..L ASSESSOR PAWCE NUM _/fes ZONING BUILDING PERMIT FT OWN R nn lc �O `R'S ME,yEZ rl fl/ y' (O SQ. FT. OCC. BUILDING VA UATION ' 0 OW MAIL NG DD ESS �� A/.5 sT ALt._JO WS 9b CONTRACTOR'S NAI.y��//� TELEPHONE LI CONTRACTOR'S ADDREIS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ,Q ARCHITECT OR ENGIN EE LICENSE No. Plan Checking Fee $ /10.00 Penalty $ ARCHITECT OR ENGIN E 'S MAILING ADDRESS Permit fee $ Q BUILD 7R ES? D6, v/r.�(rV v// PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping Lo7�N0. O/It SU2VPON NAME ��1 PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome0--6ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: DC— Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP 00V OR ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST'( DWELLING OCCUP.ai) OR ADDNS. ACC. BLDGS. 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure Is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR (MULTI -OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW CONSTR ( POWER APPARATUS 1%) NON SINGLE OUTLET CIR. 50 a asa Ex. Occup o OR FIXTURES BAL�1 FIXED A Ex. Occup.(OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. Heating Cooling Hood 3.00 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 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 f the granting of this permit./ X ��-� Date !— Signature of Applicant owner C Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ �Q� OCCUP. GROUP `L I TYPE OF CONST. PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT OF PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date s Receipt No. 5- 6 ((jb WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 r COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS - BUILDING ,DIVISION 7 COUNTY CENTER DRIVE j- OROVILLE, CALIFORNIA 95965 - TELEPHONE::'916/534-4541 PERMIT APPLICATION DATA SHEET ice. p / Permit No. / OWNER l� . �� \! �C�s A. P. No. %9" Proposed Building Use Permit Fee Based Upon: Complete Contract Price .�DPW Valuation ".Other (Explain) Q / / Building Inspector Date U ��/� At time of permit application, I was advised the following data must be submitted prior to permit processing and/or ssuance: DATE RECEIVED APPROVED _E4 All items have been submitted. . . . . . . . . . . .. 2. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. State Energy Forms No. 7 Statement of Intent for Non-Heated and AC Buildings. 8. Fees of $ . . . . . . . , 9. Letter of signature authorization. . . . . . . . . . . 10. Sanitation approval from Health Dept. . . 11. Planning approval for (A) Use: (B) Parking: . 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner-Builder Verification (Given to owner❑, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . . Pre-Inspec. request to 17. Pre-Inspection for Required. Building Inspector (pole) 18. Other When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone and hold for pickup at office. Deliver w/inspector. Other Appl icant � Uti rr---—t_ Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Date Plans checked by Date oe_ Plans approved by � r Date o rz-.477-2 Other: Copy—DPW COUNTYrOF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-534-4541 An "owner -builder" building permit has been applied for in your nameand bearing your signature. Please'complete and return this information in the envelope provided at your earliest opportunity to avoid unnecessary delay in processing and issuing your build- ing permit. No building permit will be issued until this verification is received. 1. I personally plan to provide, the major labor and materials for construction of the proposed property improvement (yes or no) 1 C 2. I (have/have—Trot) �(,,/_signed an application for a building permit for the proposed work. 3. I have.contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name / 4 )' Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type.of Work Signed: Property Owner Social Security number ^ Date--1/—Rl NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit.