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073-180-059
[ � r. J..._ .r . . __�. _ _- - ... � :•� .'.+..�. .r ....�,.*� _, '71_.,� � V �_ � � ____ .ti orf' u-. ...._R .. _,._ __� _ •�_-_'-_ - - _. - ..�� 73-18-59 Marshall Bradley W/S w York Flat Rd., app.900'S.of r Forbestown Rd. Forbestown a` Permit #3'3"28-80B,E(new ramada &a. cabana/MH) • j, rPermiit44442-68iB�(i�'S-rene'wai/ - 5128-80)cabaan„a/ramada 73-18-59 PSoip ��3523-82B(2nd renewal/5128-80) f � � 1 r 1 9 t. � 1�•� L UC�'��� �rJ�rY vv m t :,sz • �• `" IT N0• E .t PERMIT EXPIRES- OWNER XPIRES OWNER Marshall Bradley r CONTR. owner ASSESSOR PARCEL 73-18-59 P W/S New York Flat Rd.,app.900'S.of LOCATION Forbestown Rd., Forbestown q A� i • 1 -�' Temp. Power Pole / Called PG&E Temp. Elec. Service Called PG&E i Temp. Gas Service t� Called PG&E JOB FINALED (Date) 11' .t •�l '. Signature J = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Sin.gle and Duplex) = Not Ready Date UNDE OOR Ps) OK except#'s Date FRA Continued t on' quirements-Setbacks-Easements . lP operty Line Firewall & Openings tg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depthrs- Width -Headroom -Rise -Run -Landing -Fire Protection t ., Porches & Decks; Soils -Steel- / /" Ftg. Depth . qywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel -Bloc kouts-Wrapped-Slab . 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. 1 -Fireplace Ftg.-Steel 5<Glazing Area -Glass Protection -Skylights -Plastic 8. .W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test ear Walls; Nailing -Bolts 9. G Pipe; Size -Anchors 10. Wate ipe; Test -Anchors -Regulator -Service Test 11. Electric; derground 12. Plenums & cts; Clearance -Material -Support -Ins. 13ke,Girders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -BI ,Date C Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date - EXT3 Card -BI Date Date FINge (P s) OK except #'s Card -BI Date Card -BI Date Date PLUMB IN (Permit) OK except #'s 14. Water A; Vent -Access -Combustion Air . 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 Pip ; Test & Anchors -Nail Protection 16. D.W.V.; T t-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.L.-B, Bath Fixtures & Tub Access 18. Test Tub & S ower, 2nd Floor -Tub Access 62. ec. Trim & Subpanel; Breaker Sizes -Labels Stairs & Rails 19. Gas Pipe; Size Anchors ace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except #'s 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper F' ure & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection E c. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. mex Installed Close to Edge of Studs & C.J. quip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72• InsulationFoam-Looked in Attic E] Yes 73. Guard Rails &Deck Construction -Post Caps 25_2_Ai�tiaft-cB Circuits in Kitchen & Conductor Size 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 26 SuhfPed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 27__Haage-G'irc: / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes 0 N 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes E) No 29_SerytL-e_-'kiser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 2 quip. Clearances; Panels-Motors-Mech. Equip. 77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet �9. hes Closet Light -Shower Light 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 Dat d Card -BI Date 81. Ventilation throughout House Card B -I Date Date Card -BI Date MECHANICAL',Permit) OK except #'s 82. Glass Protection 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31_ C. Ducts; Insulation & Support 8�. Water & Sewer Connected -C/O to Grade -HD Approval 32. Ve Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates _ 33. Con nsate Drain & Overflow; Size & Grade 34. Furna a -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic A cess & Platform if Furnace in Attic Card -BI 119 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 FRA GP ns) OK except #'s Comments at Final: Proper Material & Anchors _ �S`ills; 37,E walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 3 . ring Walls over Girders & Floor Nailing 2000�Draft Stop in Walls (rat proof) ire Stops; Furred Ceilings -Stairs -Chases -Tub er & Beam- _ze& Bearing _-�.H angers os a Anchors4I g. Joist r. Ties-Pur'n-Roof Brac.-Truss-Shthng.-Rfng. _ 4 Fireplace Ties or Typeue-Fireplace Throat _ 4_ cess: 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) = OK . = Not OK = Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ _ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors _ 7. Utility Clearance 7. Elec. Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -81 Date POOLS (Plans) OK except q'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 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 RESIDENTIAL F. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLS IN PONFOPlANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT U/ T /40 (1 cation) BU ILD ING PERMIT 'NO. A -.'P. NO. 7 / g—S9 THE FOLLOWING HAVE BEEN INSTALLED AS PER'APPROVED_PLANS: (Check each item or write N/A if not applicable) INSULATION: GLAZING: Slab Edge Single Glazed ; Fdn. Walls Special (Insulated)' Floors 9/' CERT. & LABELED WDS. / Walls & SLIDING DRS. !/ Ceiling/Roof WEATHERSTRIPPED DRS. Ducts BACK DAMPERED FANS Circulating Pipes INTERMITTENT IGNITION DEVICES APPROVED HEATER 17— CERT. APPLIANCES APPROVED WTR.HTR. I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND.AGREE TO . THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name Signature of (please print) Insulation Applicator State Contractors License No. General Contracto /Owner ame tt le print). Signature of V� o , D General Contract OwnerAAL4Date 0 O StatContractors Lice se No. THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. � r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 34�3 _ APPLICATION AND- PERMIT ASSE SOR' PA EL NUMB 3 IS ZONING BUILDING PERMIT OW RTELEPHONE 1^ r S0. FT. OCCq• BUILDING VALUATI N R'S MAILING ADDRESS C N RACTO 'S AM TEL PHO E ' CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER {.� UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ O ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee - $ 0 ' ,, BUILD ADDR�S�� I Nl1-T )?D Gf�// S /l/ //( ���///��, rr' F64-7- PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 3iff-,50e 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 ��''rr /¢1,e, SF ❑ Duplex ❑ Mobi lehome �ther 49614/� 5 ECI FY Building sewer 5.00 Mobile Home S G W 10.00 e TYPE OF WORK New Additiona, Remodel❑ Utilit' s InstallationOther Describe work: Z • ��• � Installation[] �1Z4? d� 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.(DWELLING OCCUP.& OR ADDNS. ACC. BLDGS. 7 2h0sgft 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 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 NEWCONSTR( MULTI -OUT LET NON .RESID. `BRANCH CIRC ITS 2.50 ea NEW CONSTR. IPOWER APPARATUS &) NON-RESID. ISINGLE OUTLET CIR, 1 20@60C Ex. Occup(o XEDTs OR FIXTURES eAL�aoa FIXED Ex. OCCUp. OUTLETS P(RESID )R EAJ 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 o 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 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 liabiliti d men q, co , and expenses which may in any way accrue agairlpt sai y in nse ce of the granting of this permit. Aftl`'L.� 1 _ $ -2, X Date 1 Signat re of Applicant — Owner ❑ 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 $ S OCcuP. GROUP I TYPE of CONST. PARCEL PD HD IssuE Thi pe it is hereby issued under the applicable provi- sion of the Butte County Code and/or resolutions to do wor i at ab a for which fees have been paid. E 1*0". F PUBLIC WORKS —Dat-3 I , MI -3 PERMIT EXPIRES Date Receipt No. /� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 Z1�� APPLICATION AND PERMIT A.SSESs6. PARCEL NUMBER ZONI Z BUILDING PERMIT OWNER 7E�LEP�HONDE SO. FT. OCC. BUILDING VALUATION"1fR5N�L� OWNER'S MAILING A�O111c1CMOCi57AI 9�q/ CONTRACTOR'S NAME 6 WAlgg TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDREEIS Permit Fee ?/ $ , ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee 171ai SO BUILDI G ADDRESS PLUMBING .PERMIT Filing Fee 10.00 ,lbo / � �F �O� s��l%/LJ Each Trap 2.00 Repair drainage or vent piping 5.00 ") Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mob IIehomeQ�Other�� m"/4"PAI SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Addition Remodelo Utilities[]Q2 I s Ilation❑ Other Describe work: 117- - O� �J� '10/Z Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. / (DWELLING OCCUP.DI\ OR ADDNS. l ACC. BLDGS. 20 sq ft CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p J y (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. 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 CONSTIR TI-Ou LET 2,50 ea 10 BRANCH PIRA IS NEW NEW CONST R. � POWER APPARATUS 6� CO NON-RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� 00 FIXED APPLNS. 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 FiIirig 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 Igof 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 3 Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned roperty for inspection purposes. I also agree to ave, indemnify and ke harmless the County of Butte against all i bilities, udg t co s, and penses which may in any way accrue ag t said C nt se u ce o granting of this permit. X Date _ —� Signature of Applicant - Owner ❑ Contra for ❑ 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 $ , Jc) occuP. GROUP TYPE OF CONST. PARCEL PD HD IesuE This permit is hereby issued under si of the Butte County Code and/or ork indicated above for which D CTOR OF PUBLIC ��� gy �����/f� PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date gy Receipt No. 59_ WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J ' COUNTY OF BUTTE* DEPARTMENT OF PUBLIC WORKS PERMIT 0. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 e w APPLICATION AND PERMIT .A, _ ASS =R p CE,j., j{�.1MBER - / .R .(/q 9 ZO {�� ' 1 ry (- (A /y BUILDING P / rr' IIIIII OWNER q 14hesimc L_ �7eAt>�f�� TELEPHONE y� y�® SO. FT. OCC. BUILDING VALUATION t •�lJ .. O�ER'S/tIJG ADE�/,/✓x SI/l /�Q CONTRACTOR' NAM ,WA)cfle- TELEPHONE CONTRACTOR'S MAILING ADDRESS - CONSTRUCTION LEND R UNKNOWN.. Fireplace i A Total -Valuation $ ?1.7 Q_, 0® LENDER'S MAILING ADDRESS Permit Fee $ - . OO ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Z;•SO Penalty $ ARCHITECT OR EN INEER'S MAILING ADDRESS Permit fee $ ', 0 BIIC SG ADogsA/ V®/��(�/�% �/j) A PA PLUMBING PERMIT Filing Fee 3.00 5", or r� ES76W K—ry D , 7� � Each Trap 2.00 - Repair drainage or vent piping 2.00 '-Q/P�jSIVGV Water piping LOT NO. SUBDIVISION NAMEPARCEL MAP Each pas water heater or vent 2.00 Gas piping system 1 - 5 outlets USE OF STRUCTUUReeE,,��AA SF ❑ Duplex❑ Mobilehome©"—OtherCA`IW VI+/&W.' SP CI FY Building sewer Lawn sprinkler system 2.00 TYPE OF WORK New Addition Remodel❑ Utilities❑ Installation❑ Other❑ Describe work: /e~91M `P ���' — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee /40.00 LE00V ORSS Main service 100 AMP 5.00 .i Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OR ADDNS. ( ACC, BLDG I & 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 1 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 ULT'.OUTLET .NON-RESID. BRANCH CIRC ITS 2,50 ea NEW CONSTR. POWER APPARATUS 6 NON-RESID. (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 50 @251 BAL@tos 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 $ fp Contractor -Z.0 MECHANICAL PERMIT Filing Fee 3.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 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 2.00 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. ainst abillites, j dge to men s, co , andeexpen eless the s which may in any wayof Butte aacc accrue all liabilities, agai t sai Cou tt i cons ce of the granting of this permit. c Q X Date �b ' 1 _C �� Signature of Applicant - Owner Contractor EJAgent❑ 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 $ 2 :2J %n oCc%j GROUP /� TYPE of CONST. //Y// PAR PD HDISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OF LIC - 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 RESIDENTIAL PLAN CHECKING GUIDE • (S.F., DUPLEX, & MISC. ONLY) i OWNER . . 1 A. GENERAL Zoning requirements (sideyards and,parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Complete parcel size and dimensions. Setback*, sideyards, easements, etc. Other buildings or structures. fc� Grading, fills, drainage. Bldg. A. P. Permit # S -/;t - - 00 C. FLOOR PLAN .4-.- Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Required windows for second exit (Sec. 1404). 44A Allowable glazing for energy requirements (20% max. per.State law). p Human impact glass (Sec. 5406).. Required room sizes,'ceiling heights (Sec. 1407). AAA G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). d8� Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. f�! Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. Garage firewall, door size, and closer (Sec: 503(d)(4)). 1 - 3'0" exterior exit door (Sec. 3303d). Fireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS .-I-- Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. t3� Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. En Fireplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements (State.law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). 39Exterior plaster - weep screeds (Sec. 4706 & 4708). . --Proper roof pitch for roof covering (Chapter 32). �7! Rafter ties or bearing ridge beam. --8: Garage door or porch header sizes. Adequate bracing. Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302).