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HomeMy WebLinkAbout073-210-031f�. u a 73-21-31 I DAVID W. WHITE SE/S Laporte Rd, app 9/10 mi SW of Binet Rd, Clipper Mills lot #2F7 Permit#919-81P,E(util, MH) j ELEC GAS UPPORT--STRUCTURE- REQ--- `COMPACTION TEST REQ DENNIS WEST 73®x;31 �7 SE/S Laporte Rd, 1200'N B� Clipper Mills Butte Co Line `Ferinit��T8-30� N � � i.t f/ ii • I � t'+ _ PERMIT NO. 1349 -ASR F PERMIT EXPIRES OWNER DENNIS WEST CONTR.. owner ' ASSESSOR PARCEL 73-21-31 SE/S Laporte Rd,, LOCATION 1200' N Butte Co Line Clipper Mills t t r 1 t .. .t Temp. Power Pole Called PG&E _ Temp: E'lec. Service Called PG&E Temp: Gas Service Cal led PG& E jee JOB FINALED (Date) !6 Signature a V - OK ' 0 4-Nol Uly Not Applicable RESIDENTIAL (Single and Duplex) Not Ready Date UVPEftFLOOR Plans OK exce t#'s Date FRAMIN Continued 1. Zoning requirements -Setbacks -Easements y Line Firewall & Openings 4?!Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 4r Exl.Doors-One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers " 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab i 'ng -Nailing -Veneer .Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel Gila"zing a -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test h alts; 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. Ar 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date / y Card -BI Date Card -BI Date Card -BI Date Card -BI gj�p Date 9 �S Card -BI Date Date FINA tans) OK except N's Card -BI NA Date Card -BI ate Date PLUMBING (Permit) OK except s 14. Water Ht.; Vent-Acces Combustion Air Ex Steps -Door & Sidelight Protection -Landings 58 _ moke Detector. Furnaayeerc-r.learance-Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test nchors-Nail Protection 16. D.W.V.; Test-ngs & Anchors -Nail Protection 59' Wig" 17. Shower Pa est, First Floor -Tub Access 60. G. fixtures & Tub Access 18. Test T& Shower, 2nd Floor -Tub Access Alec. Trim & Subpanel; Breaker Sizes -Labels 19. Gaspe; Size & Anchors 62. rs & ai s h-. 63. Fite a a Stove- Clearances -Hearth 6kt - ec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. K4t,_E.ix4-8rA`pp ianc ; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. ELea_Ouileis_&_3eeept5cles at Kit. Counter Date ELECTRICAL Permit OK except q's. 67. GaEagr_ 're-DDor7Sw i ng -Land i ng -C loser uct in e -Damper - ixture & Transformer Clearance -Ins. Protection 69. WO -H ts-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 2 ec. Receptacles Spacing -Lights & Switches at Doors 70. Equip. Listed for Location 2 Size Boxes & No. of Conductors -Stapled omex Installed Close to Edge of Studs & C.J. 71. c. eceptacles in Garage; (G. F.I.)-Romex Protec. 72. hwula.N - oam-Looked in Attic E] Yes uip. Ground made up w/Mech. Fasteners -Bond Gas &Water 25,_2A*p4iance Circuits in Kitchen & Conductor Size 73. ok_Constructi n -Post Caps Fdn: Vents & Crawl Hole r -Drainage & Wood -Earth Clearance Looked under Floor E Yes meed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No' 75. Following instld.: Drive Yes ; Walks ❑ Yes [}-Na! Planters ❑Yes No &§,,_SermcL5' Riser Conductors & Ground -Main Disconnect 76. Stacc Za EAtdp. Clearances; Panels-Motors-Mech. Equip. 77, A•.0 UaLt;_D4e-Clrnces-Brkr. & Cond. Size -115V Outlet IQ__C ethes Closet Light -Shower Light 78. VeAm7cffo70-Reet; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water*ett-, oennect, Electrical, Plumbing 80. ; G.F.I. Receptacle -Underground Card B -I Date Card BI Date 81. 82 VenfHa �4ea-ft�retighout House Giass-Pretecttot,P Card B-1 Date Card -BI Date Date MECHANICAL (Permit) OK exc H's 83. C evious Inspections eters Tagged; Gas -Electric 31. A.C. Ducts; Insulation upport r Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaustpeove Insulation 86. 1&QQWy_CAWliance Certificate -Other Certificates 33. Condensate Dra' & Overflow; Size & Grade 34. Furnace-Ve ; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Ac ss & Platform if Furnace in Attic Card-BOODate 4 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 Comments at Final: Date FRA Plans OK except q's 3 it Proper Material & Anchors a; ;Studs -Nailing, Spacing & Bracing -Plates -Sound 3 e ing Walls over Girders & Floor Nailing rapt Stop in Walls (rat proof) 4 it io s; Furred Ceilings -Stairs -Chases -Tub 4 der & Beam Size & Bearing 4 angers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng. rlace Ties or Type A Flue -Fireplace Throat Access; Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions _4i----G'ffr-age__F ire 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 a's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2. Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; 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; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI 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 4. Electricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/0 to Grade -HD Approval 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 -I Date Card -BI Date Card -BI Date Card -BI Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial -Way, Chico — Phone: 891-2751, 7 County Center Dive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext' 57 CORRECTION NOTICE We /3�'5 nu�niC:o DCMRAIT . (, 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. S�t1 G` � (✓ d(• 'fit-L1�. i Inspector�v f� Dated COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS 7 County Center Drive - Oroville,,,dalifQrnia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT -NO. t ASSES? PARCEL—NUMBS ZONING BUILDING PERMIT owN TELEPHONE SQ. FT. OCC. BUILDING VALUATION HER' AILING .ADD S 1 C NTRACTORSNAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER - LICENSE NO. Plan Checking Fee $ ZX Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRIESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 I—C. Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ MobilehomeL%ther SPECIFY Building sewer 5.00 Mobile Home S I G I W �-00 TYPE OF WORK New❑ Addition2 em el❑ Utilite [ Installation❑ Other E] Describe work: ccs -1 �`' — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLIN OR ADDNS. ( ACC. BLD 2h2sgft 20 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 2,50 ea NON -RE SID BRANCH CIRC ITS NEW NON -CONSTR. ( POWER APPARATUS.&) SINGLE OUTLET CIR&) . Ex. Occup(OUTLerS OR FIXTURES BA 0300 FIXED APPLNS, OR Ex. Occup. OUTLETS (RESID•) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑,' The permit is for $100.00 (valuation) or less. ❑' 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. 06 1 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 AXI S Ivy Q Cooling .� Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 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 aid County in consequence of the granting of this permit. XC Date ei % "g3 Signature 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 $ r, TOTAL PERMIT FEE$ � OCCUP. GROUP I TYPE OF CONST, r PARCEL t/ PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF UBLIC e By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No.I 79Z 7 � WHITE-D.P.W., YELLOW-ASSFSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT ` COUNTY OF BUTTE - DEPARTME T.OF P Nt i, F`,PUBLIC WORKS - BUILDING DIVISION �! 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE: 916/534-4541 - PERMIT APPLICATION 11DATA SHEET PP F r' Permit No. OWNER �0_ ,AA^A TA o l� � to � A: P. No. f7 1 -2 1- 13 Proposed Building Use l A haqk-a j - Permit Fee Based Upon: Complete Contract Price D Valuation Other (Explain) Building Inspector. Date.sj " 9---K At time of permit application, I\4as advised the following data must be submitted prior to permit processing and:/or issuance: DATE RECEIVED �APPROVED 1. All items have been submitted. . . . . Z%2.. Plot plans in duplicate. /triplicate. �3. Complete plans in duplicate./triplicate. i . . . . i5 c3 �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 authorizatio .. . . . . . . . W. ' 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 (pate)�� 17. Pre -Inspection for Required. Building Inspector , 18. Recorded copy of Agricultural Acknowledgment Statement. ' 19. Other When you issue the—permit, process,as follows.: Ma.i.l to owner. Mail to contractor. Telephon`e�nd h r pickup at office. Deliver w. /inspector. Other Applicant /9-1,,,_,_ 221 4 _::� 9 -'ZS 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 y'� Mail Other By Date Plans checked by Date Plans approved by o ___Z_Date Other: Copy—DPW I To: Building Department- From: epartment From: Environmental Health S ect: Sanitation Cleara ce Owner Plan Approved for: Hold Final for: i.. :r Lo ation A Sewage Disposal_ Water Supply grgr Water Supply s Water Supply Final Clearance O.K. for: C Clearance for bedroom house/mobile home or other C" q � Note*** F.S. P,7 S 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 at your earliest opportunity to avoid unnecessary delay in processing and issuing your building 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) YS 2. I (have/have not) 114114(/211- signed an application for a building permit ' for the proposed wort. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Co tractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provi a the major work: Name Address City Phone ContractorX License No. 5. I will provide some of the work bu I have contracted (hired) the following persons to provide the work indica ed: Name Address Phone Type of Work Signed: Property Owner Social•Security Number Date i'-- Q� •� 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. DLJ1%� ASSESSOR PARCEL NUMBER 3-.-3 ZONING BUILDING PERMIT OWN en ,"s 41esem TELEPHONE SQ. FT. OCC. BUILDING VAL ATION OWNE MAI LIN DDRE55 o� � l CONTRACTOR -5 NAME r— T LEPHONE .� CONTR CTO 'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ S� ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUIL7G A Dg,Ess \J F 9 / Permit fee $ PLUMBING PERMIT Filing Fee 10.00 /� L ` �l e " Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE % SF ❑ Duplex❑ Mobilehome❑ Other j'�•a SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea TYPE OF WORK New ❑ Addition❑ Remodel El Utilities Installation[] Other ❑ Describe work: �� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 . Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification Q 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 CONST. ! DWELLING OCCUP.&\ '/z2sgft OR ADDNS. l ACC. BLDGS. l NEW CONSTR. ULTI.OUTLET 2.50 ea NON.RESID BRANCH CIRC ITS (POWER APPARATUS eI SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES 10 2ALO3C BAL00 \\ Ex. Occup. OUTLETS FIXED P(RESID.)REA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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. MI I shall not employ any person in any manner so as to become subject 14J 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 10.00 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date —L Signature of Applicant — Owner,9 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 $ Energy Inspection Fee $ TOTAL PERMIT FEE $ 5 , oc CUP, CONST.TYPFJ I FLOOD PARCEL PD ND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC R OF PUBLIC By � PEROT EXPIRES Date � the applicable provi- resolutions to do fees have been paid. WORKS ate tL-- Receipt No. WNITC-O.P.W., 7ELLOW-AS8E990R, PINK -INSPECTOR, GOLDENROD -APPLICANT V=OK 0 Not OK -,= Not Applicable MOBILEHOMES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1, Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements 2, Soils; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4, Water; 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 Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1. Zoning'RequIrements-Setbacks-Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except #'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 5. Drain; MH Test -Fall -Flex Connector 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -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. Health Department Approval 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -81 Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; 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-BIockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. 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. 12. Electric; Underground 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 q's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except p's 14. Water Ht.; Vent -Access -Combustion Air 15. Water Pipe; Test & Anchors -Nail Protection 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. 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. Insulation -Foam -Looked in Attic ❑Yes73. Guard Rails & Deck Construction -Post Caps 25. 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes El No 75. Following instld.: Drive E] Yes E] No; Walks ❑ Yes El 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 Opn s. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. 83. Ventilation throughout House Glass Protection Corrections from Previous Inspections Card B -I Date Date Card -BI Date MECHANICAL (Permit) OK except N's 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation & Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. Vent Fan; Exhaust above Insulation 86, Energy Compliance Certificate -Other Certificates 33. Condensate Drain & Overflow; Size & Grade 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING Plans OK except N's 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound 38. 39. Bearing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) 40. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 41. Header & Beam -Size & Bearing 42. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Sh_thnq.-Ring. 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) ,. r , PERMIT N0. 1830-84B2P,E,M PERMIT EXPIRES y �� Q S✓ OWNER DENNIS WEST CONTRpwner ASSESSOR PARCEL 73-21-31 LOCATION SE/8 Laporte Rd, 1200'N Butte Co Line Clipper Mills Temp. Power Pole Called PG&E Temp. Elec. Service Called PG&E Temp. Gas Service Cal led PG&E JOB FINALED (Date)r r Signature AAM/ A", COUNTY OF BUTTE Wet DEPAF# Wet OF'PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOIN AND.PERMIT i k PERMIT NO V• ASSESSOR PARCEL NUMBER 7_3— 3, / ZON G 't . - ' BUILDING PERMIT OWNE ^ '(J^ TEL PHo r S0. FT. OCC. BUILDING VALUATION • O R'S MAI ING ADDRESS " n . kQ D Ca. .su� z CONTRACTOR'S NA E TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplac " " o®-0 CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ up Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee I DING ADDRE 5 S / PLUMBING PERMIT FiIingFee 10.00 CZ Lne Each Trap 2.00 Solar Water Heater 20.00 fel ( p-),2Jr Water piping 5.00 , LOT NO. SUBDIVISION NAMEPARCEL AP % Each qas Water heater Or vent 5.00c:J^ O Gas piping system 1 - 5 outlets 5.00 ^ USE OF STRUCTURE SF Duplex ❑ Mobi lehome ❑ Other . SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ__10-00e TYPE OF WORK New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: ( — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 600V OR LESS 100 AMP OR LESS 10,00 , f)o Main service EA. ADD'L 100 AMP 2.50 NEW CONST. // OWELLIN I OR ADONS. 1 ACC. BL 2/4sgft 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.RESID'�( MULTI -OUT BRANCH CIRCTITS 2.50 ea NEw CONSTR POWER APPARATUS & NON.RESID. SINGLE OUTLET CIR. Ex. Occu / 20®50C P\o TS OR FIXTURES BALQ 30 FIXED FIXED APPLNS. OR EX. Occup. OUTLETS (RESID.) EA,) 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. I'Vil 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 $ ,� d Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot�. Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue agains aid County in consequence of the granting of this permit. X Date 4- Signature of Applicant — Owne Contractor ❑ Agent ❑ An OSHA permit is re fired for vation: over 5'0" deep and demolition or construct. ion of structures over ori n fight. ee- Mobile Home Installation Fee $ TOTAL PERQTf FEE Occup, GROUP R TYPE OF CONST. fv 1,�JPARCE PD HD 155u This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OF PUBLIC By PER v EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - Receipt No. ®n WHITE-D.P.W., YELL 4ssEsso INK -I ECTOR, GOLDENROD -APPLICANT OWNER A. GENERAL Zoning requirements -2--'-Valuation. Signature by R.C.E. RESIDENTIAL PLAN CHECKING GUIDE (S.F., DUPLEX, & MISC. ONLY) ' Bldg. A.P. (sideyards and parking).* or Architect 4 (if required). B. B. PLOT PLAN J . Complete parcel size and dimensions. Setbackp, sideyards, easements, etc.i Other buildings or structures. Grading, fills, drainage. Permit 9�B -2- C. FLOOR PLAN omplete to scale plan with dimensions. Required, windows for light and.,ventilation '(Sec. 1405) . , >-.--:�Required windows for second exit (Sec. 1404). k �A towable glazing for energy requirements (20% max. per State law). uman impact glass (Sec. 5406). Required room sizes, ceiling heights (Sec. 1407). ,,7_�G.F.C.L 's in baths and exterior outlets (Sec. 210-8). —Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. ` �Locations of water heater, heating & cooling equipment, other electrical or gas equipment, and plumbing fixtures. _IG 'Qu rage firewall, door size, and closer (Sec. 503(d)(4)). I - 3'0" exterior exit door (Sec. 3303d). Fireplace location. s woke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. 2 F oor construction details complete enough to construct building. Elevations and wall construction details complete enough to construct Roof construction details complete enough to construct building. Fi eplace construction details and calcs if over one-story in height. Sufficient data and details to satisfy energy insulation requirements E. MISCELLANEOUS ITEMS TO LOOK OUT FOR -]^.!/CCX plywood on exposed locations and overhangs. J irway details (Sec. 3305). ardrail details (Sec. 1716). Brick or stone veneer (Chapter 30). xterior plaster - weep screeds (Sec. 4706 & 4708). Pper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. a age door or porch header sizes. building. (State law). •Adequate bracing. X18• Living area over garage - complete 1 -hour separation required including supporting walls and posts, etc. -, . -,,,Two.(2) exits on three-story dwellings (Sec. 3302). ! ' � ,� 0�� � ����,�- �� /%� �� 0 �� � V� , Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT ' Fs�'' ''`�'� ';, •` FOR RESIDENTIAL DEVELOPMENT :,•;..:�,.. :;L `a,W�:;`':; PARTY SHOWN Section 26-8.1 of the Butte County Code requires this acknowledgemer i� 1 ;if. ?''. ,;: be recorded prior to issuance of a building permit. y`= The property described herein is adjacent to land or included within an area zoned for agricultural purposes, and residents of this } ti.3`)�:7 property may be subject to inconveniences or discomfort arising from the -use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use•for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: -PctrCe.i aZ 25 `_�h.4,w� Oh. I Kctl J b Ul �. lx) t i u a r r- } �.r� O tf i. We-, Cj Z4 0 1^ 1- Q Ck rt c� N ' f E z s D . 1-YY1 •, } , h k Ur u.4. 16J O o (� 1 0T1�n r C rte' I �'%��CuF !, t "� r< < C='" "7 Y r7 v\d (J . rJ; h.`<.i j?hNrJro ji-.. srv\°nNrn-f!S cL- -�s��rtJ(����i'h �c Nri tro rv. ac. r►.0 �� Si`n r r P r �)�1�ci �l Lt(). 1 <'_ S �? ►' 1`� r' �. S lA1 t j �" -ro `S(-Xo-r C1 h d L. u'VY\- = r C� 0 'r. `P rl o. � n_ CC) P 0 � l 10 A r ' I►� —7C o�Y. .51 j ;art u:�rt}N Co�h�,i C��: �?.,rt.1 ' 0a�d J 7r�e ?3U Date: JyNri - Z 9 — 9!t j� PROPERTY OWNERS: � State of e-1VW'- ) L?/1.�OY�- .�•. • C_.! / OBD - On this the IJ/ day of 19_k, before SS. me, the undersigned Notary Public, personally appeared County of AMA. ) 'MA Ai0Al ,(• 1�yAsT OFFICIAL SEAL Personally known to me. / / Proved to me on the basis � \.`•� of satisfactory evidence. :!• 1'•�ii•L•I��•1 C. I)�:)\�VE;11 .� ;',;:'LIC C�••Lir.:'r..:•JIA A' to be the person(s) whose name/s r subscribed to P \ ) \ ) /�Rt F<r:..,c:,L olficE IN the within instrument and acknowledged that TNF_ Y LhKE COU J I Y MY COr,.�r.issiora EnPI E5 NOV 13 14Ef5 executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. I Present, A.P. No. Notary Public 0 A—, COUNTY OF BUTTE - DEPARTME 7 County Center Drive - Oroville, California 9 APPLICATION AND NT OF PUBLIC WORKS 5965 - Telephone 916/534 41 PERMIT PERMIT N0. ASSESSOR PARCEL NUMB a IJ ZON G � BUILDING PERMIT OWN TELEPHONE SQ. FT. OCC. BUILDING VALUATION O ( R'S AI IN ADDRESS CONTRA C OR•S NAME ELEPHONE , CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee • $•@®- LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER Al LICENSE NO. Plan Checking Fee $ 0 .60 Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ „ BUILDING •ADDRESStJ 5 rr�,`` PLUMBING PERMIT Filing Fee 10.00 'd 1 f Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping 0 t0 0 LOT NO. SUBDLVISION NAME I I PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 -5 outlets, 10,Q0 USEOF TRUCTURE SF [:1Duplex❑ MobilehomeeOther SPECIFY Building sewer p, Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities [, / Installation❑ Other ❑' Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMOR LESS LESS 5.00 00. ' Main service EA. ADD'L 100 AMP 2.50 I NEW CONST. DWELLING OCCUP.pi\ OR ADDNS. ACC. BLDGS. 2�sgft 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 �C] 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 "OUTLET 2,50 ea NON.RESID BRANCH CIRC ITS NEW -CONSTR POWER APPARATUS.&) e NON RESID. SINGLE OUTLET CIR / EX: OccupOUTLETS OR FIXTURES BAL�1 FIXEDCq APPLNS. OR • Ex. OCCup.(OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc..Wiring 7.50 Permit Fee $ 3. 61 Contractor MECHANICAL PERMIT Filing Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation 0 Permit Fee S Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all Iia ities, judgments, costs, and expenses which may in any way accrue agai t id Count in consequence of th granting of this permit. 3-�0+ , • X Date v Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑ ion of structures ove., 3 stories in height. An OSHA permit is required for excavations over 5'0" deep and demolition or construct -2K Mobile Home Installation Fee $ 1 TOTAL PERMIT FEE $ ,� D OCCUP. GROUP f I TYPE OF CONST. I I PARCE PD N I ISSUE This permit is hereby issued under sions o' the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC By RMIT EXPIRES •Date the applicable provi- resolutions to do fees have been paid. WORKS Date ���'" 7 ����`/' L Receipt No.� V WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT v ' COUNTY OF BUTTE - DEPARTMENT: OF,.PU)3LIC WORKS - BUILDING DIVISION -:.�, ;. A,7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET n , d , 4 -d Permit No. OWNER A. P. No. 7 3-D 1-3 / Proposed Building Use AA Permit Fee Based Upon: Complete -Contract Price DPW Valuation Date Iain) Building Inspector At time of permit application, I was advised fhe 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 cal_cs. . . . . . . . 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. . . . . . . . . . . W& 10- Sanitation approval from U n,�p Health Dept. I 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. . . . . . . . . . 17. Pre -Inspection for Required- BuildingPre-InspIn request to (Date) p q Building Inspector 18. Other When you issue the permit, process as follows: Mail to owner. _ Telephone and hold for pickup at office. Mail to contractor. _Deliver w/inspector......��` t Other %�, i'µ Applicant /v rl Date3 �� /Ju 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, ircle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Plans checked by_ Plane gnnrnvp.ri by Other: Copy—DPW By Mail Other Date To: Tai. ildJmg Department - From: Eay.�rozrmentsl, Health Subject: Sanitation Clearance ..on Plan approved for: Sewage disposal Wal -,L -r &Ipply Hold final for: Water aapply Final clearance O.K. for: Clearance for �_/bedroom mob le Dume. Note 01;h&r ws:[--er Supply COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA. 95965 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) e� 2. I (have/have not) signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed. i cons truct2.7, Name �/ Address City Phone Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coate, 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 Signed:. Property Owner Social Security number & ` Date 3 - 2 O — �. 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. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. gc;71,4--,�// ASSESSOR PARCEL NUM ER ZON G� BUILDING PERMIT OWER T LEPHONE SO. FT. OCC. BUILDING VALUATION OW 'S MA G AD RESS ` .. CON'TRACTOR'S NOME T LEP ON CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ - 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee .$'O� Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS „ Permit fee $ .a '(/q� Q BUILDINZ ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 e j 0 Repair drainage or vent piping 5.00 t Water piping LOT NO. SUBDIVISION NAME 11 PARCEL MAP Each qas water heater or vent 5,00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�ther SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ❑ Reptgdel ❑ ti lities Install aton Other E] Describe work: �� r Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1111 OR LESS 100 AMP OR LESS 5.00 Main Service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.y) OR ADDNS. 1 ACC. BLDGS. 22 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. 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 NOE CONSTR 1-71M, OUT LET 2,50 ea NN.R ESID CIRC TS BRANCH NEW CONSTR. ( POWER APPARATUS 9 NON-RESID. SINGLE OUTLET CIR. Ex: Occup OUTLETS OR FIXTURES 50 BA�01 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 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. XI shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions'of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 Ii ilities, judgments, costs, and expenses which may in any way accrue agai t aid Coant in consequen of he granting of this permit. Q X Dated �� �)� Signature of Applicant — Owner X Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3 stories In height. Mobile Home Installation Fee $ () ,Q 10 TOTAL PERMIT FEE $ lob ocCUP. GROUP TYPE OF CONST. PARCEL PL HD ISSUE This permit is hereby issued under sions of the Butte County Code,and/or`resolutions work indicated above_ for which DIRECTOR OF PUBLIC By PERMIT EXPfRES Date the applicable provi- to do fees have been paid. WORKS Date 'ov/er Receipt No. `I' WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT 73-21-31 Permit#920-81x"&l t Issued .6A -�o r r A permit will be required for that installation of the mobilehome. Utility connections shall be within " 4 ft. of the mobilehome, either directly behind or within the rear half of the roadside (left) of the. mobilehome. NOTE:—All Materials & Workmanship Shall in Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machamcal Codes an the National Electrical Code. d This set of plans and specifications MUST 5e kept on the Fob at all times and it is unlawful to Make any changes or alterhtions on some without written permission from the Depa rfinent of Public Works, County of Buffs. A setback of Aft. from the property lines nd a sbtbo@k of 50ft. from th� road Centerline shall Ve clear of structures or eq ipment e� for a 2 ft Cave o erFyai4g; 7/ F-40/ BUTTE COUNTY BUILDING DFpARTMENt rAPPROV ED ' BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville; CA. o PHONE: -534-4541 MOBILEHOME INSTALLATION SHEET 1. Owner's name:P-ailid At 2. Installer's name: 640 e -K 3. Is the site currently under permit? YeS No (If yes, furnish permit number OR Is the site an existing site? Yes / / No (If yes, furnish two (2) plot plans.) 4. -Will the mobilehome be located at least 5 ft. away from septic tank'and leach fields and clear of all setbacks and easements? Yes No (If no, clarify ) APPROVED ., T 5. What is the mobilehome electrical rating? -----------------------f^ Amps 6.• What is the mobilehome site service rating? --------------------- Amps 7. What is the mobilehome site circuit breaker rating? ------------- Q-S—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? A'-) (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.) BUTTE COUNTY BUILDING DEPARTMENT. APPROVED ., T MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. .P. furnish Setup Model No. Year Width_„ (ft.) Box Length,Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either A Ay pressure treated or foundation grade. ( t . ) in: ) x ( in. ) ( in. D 2. Other. (specify) Center support loca 'ons* Center s pport footing sizes Supports (check one) (in ) �l; Concrete block. 2. Other, (specify) X (i .) (in.) E ---Tagalong or Expando,' show support details. in.) (in.) xTypical T3n Support ) (in.) Footing Size X n.) (in.) ( .) -- Max. Pier Spacing �� -- Max. Overhang (ft.) (in.) (in.) (in.) *If center piers are other than drawn above, draw in lnrarinns_ snacing_ and dimensions. 0.. wr.�i;:�1Ar+�°NriYI`tt•x:%jWt�'»+��M sa'1.wMs.�.yM�'.""!'-[y'�.�i'itd?Ml�.bvr[V✓rt[•��v(wY.]NYMf4'1:'Y:b7brNC�R+M} ':iF:4v4Y.��eN4'tli.Lha.'A:WhyM1.�"v+Si ` yy j Y NOTE: --411 Materials & Workmanship ShallA Accordance with Recognized Good Practices and of a quality prescribed for the Specified use in the Uniform Building, Plumbing & Machanical Codes and the National Electrical Code. This set of plans and specifications MUST be kept on the job at all times and it is unlawfuf to make any changes or alterations on same with written permisa ion from the Department of Public Works, County of Butte• A setback of 5 . from the property lines a d a setback of 50ft. from th road centerline shall clear of structures or equ ment excopt fora 2 ft. eave o rhang, BU7TE- COUNTY BUILDING OEPARIMSN`t APPROVEO L �O BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS ' 7 County Center Drive, Oroville, CA. PHONE: 534-4541 ' MOBILEHOME INSTALLATION SHEET l 1. Owner's name: 74 4Z (j/ W&- t� 2. Installer's name: 3. Is the site currently under permit? Yet No (If yes, furnish permit number OR �- �— Is the site an existing site? 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 Amps 6. What is the mobilehome site service rating? --------------------- 23V Amps 7. What is the mobilehome site circuit breaker rating? ------------- C�> ( J Amps 8. Is there any other electric load to be served by the mobilehome siteservice? --------------------------------------------------- Yes No (If yes, identify the load and size: U2 ed (Load) (Amps) 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ----------------------------- Natural 7-7 LPG 11. What is the gas pipe length from meter or tank to the mobilehome? 12. What is the mobilehome gas demand? ------------------------------ - (This information not required if pipe length less than 6 ft. on natural gas or less than 50 ft, on LPG.) BUTTE- COUNTY BUILDING DEPARTMENT APPROVED � f MOBILEHOME SUPPORT DATA ` If other than single wide, Mobilehome Mfr. �.P //79 ,o & Ild furnish Setup Model No. Year Width (ft.) Box Length_(ft.) Tagalong or Expando Size ft. x ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973, furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of Butte). All center supports measured from front of mobilehome unless otherwise specified. Footings (check one) Single 1. Wood either pressure treated or foundation grade. *If center piers are other than drawn above, draw in lnratinns_ anacinLr. and dimensions. Other. (specify) Supports (check one) Concrete block. . Other (specify) agalong or Expando,' how support details. pport ze Spac ing ang RESIDENTIAL ENERGY PLAN-CHECK INSPECTION SUMMARY FORM-. J a2/ Owner Climate. Zone Permit N��_� � Floor' Area c�r� r Compliance path: Package D'A ❑ B ❑ C IMPoint System []Budget ❑Other MIN R-VALUE DESCRIPTION REQ '-D n. INSTALLED ITEMS (1) INSULATIWT T,� � to .�....�� .p� Roof/Ceiling -- . Wall Slab Floor Perimeter 77 ❑ Raised .F lo&r (.2) INFILTRATION: (A)'A vapor barrier is required in climate zones, I, 14 & 1.6. (B) All manufactured windows and sliding glass doors shall meet. the 1972 ANSI Air Infiltration Standards. and shall be certified and labeled. (C) All swinging doors and windows leading to unconditioned areas shall be fully Weatherstripped. Tight - the above..standard features plus: e ❑ (D) Continuous infiltration barrier . (E) Electrical outlet plate gasket ❑ . (F) Air-to-air heat exchanger'©4'�,lz� (3.) GLAZING:. (A) Location Area Glazing, %Floor Area Single Doub.:e T:r>iPI Total Bldg North 42 East South x West ❑ Skylights (B) Shading Shading Coefficient Description ❑ East ❑ . South C7Wes t Q. skylights ❑' (C) South Overhang Length of projection ft. Description ❑ (D) Moveable insulation: Area ftZ Description (E) Thermal mass Cl Type -Area Ft.2.HC= R= MC= Location Type Area Ft. HC= R= MC= Location (� Type - Area Ft. HC R= MC* Location ❑ Type - Area.'..Ft.. Z HC= R= MC= Location ❑ Type Area Ft42 HC= R= MC= Location ❑ Type - Area _Ft. HC= R= - M.C= Location a rated slop LA'A06r6tza Other. eu (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required.for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except. those controlling heat pumps. (E) AN.INTERMITTENT IGNITION.DEVICE shall be provided for all gas fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACIMRAFT DAMPERS shall be provided for all fan systems.exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be.sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to.confo.rm to. the provisions of Section 1005 of the UMC, 1976 Edition.. 7/83 2 JC6RM-. I �1 0 -(4-) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight fitting closeable. metal. or glass doors covering the entire.opening ..of the firebox; a combusion airintake equipped with. a. readily accessible, openable, and tight fitting.damper to draw air from the. outside of the building; and a tight fitting flue damper with a `. readily accessible control. �1(S) HEATING, VENTILATING, AIR CONDITIONING SYSTEM (A) Heating_ Q ..Central Gas Furnace ole . (brand and model. number) SE Btu/hr (heating capacity.). Q Heat Pump (brand and model number) .ACOP Bt.0/hr - (heating capacity at 47°F) Q Active Solar type (liquid or air) Collector brand and 10. model number solar fraction coll.'ector areacollector orientation collector tilt rated y -intercept. a rated slop LA'A06r6tza Other. eu (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required.for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except. those controlling heat pumps. (E) AN.INTERMITTENT IGNITION.DEVICE shall be provided for all gas fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACIMRAFT DAMPERS shall be provided for all fan systems.exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be.sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to.confo.rm to. the provisions of Section 1005 of the UMC, 1976 Edition.. 7/83 2 �1 a rated slop LA'A06r6tza Other. eu (describe) (B) Cooling Electric Air Conditioner (brand and model number) Btu/hr (seasonal EER) (cooling capacity at 95°F) Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Other (describe) (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on its second stage, shall be required.for heat pumps. (D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except. those controlling heat pumps. (E) AN.INTERMITTENT IGNITION.DEVICE shall be provided for all gas fired fan type central furnaces, gas-fired fan type wall furnaces and gas cooking appliances. (F) BACIMRAFT DAMPERS shall be provided for all fan systems.exhausting air to the outside. (G) DUCT CONSTRUCTION & INSULATION. All transverse duct, plenum, and fitting joints shall be.sealed with pressure sensitive tape or mastic to prevent air loss and shall be insulated to.confo.rm to. the provisions of Section 1005 of the UMC, 1976 Edition.. 7/83 2 0 2 r�'Q'� e (6) DOMESTIC WATER SYSTEM (K) Gas Only. : Gallons (brand and. model. number) (tank. size) Heat Pump w/Electric Backup (brand and model number) Gallons. '(tank, size) Active Solar (collector brand .and model number) (rated y -intercept) (rated slope) (solar fraction) ftp (backup heater type, brand ana model number) (collector area) (c.o.11ector orientation) (collector tilt.) Location of Solar Panels Other (Describe) (B) TANK INSULATION. Storage type water. heaters and, storage and backup tanks for solar'systems shall be externally wrapped with R-.12 insulation or greater. (C) PIPE :INSULATION. The five feet of pipe closest.to the water heater and outsideconditioned space shall be insulated with a minimum of -R-3. Steam and steam conditioned space shall be insulated with a minimum of R-3. Steam and steam condensation return piping and recirculating hat water piping outside the building envelope shall be insulated in accordance with T20 -1408(d).. (D) FLOW RESTRICTORS shall be provided for showerhe.ads and faucets as outlined in the new appliance efficiency standards and shall be.certified to'the Energy Commission. (7) LIGHTING (A).Lamps used .in luminaries for general lighting in kitchens and. bathrooms shall have an efficacy of not less than 25 lumens per watt (usually florescent). *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section -275352(8), and fill out.the following: Heating: Winter design temperature CP elevation ', heating load. % BTU elevation factor x heating load = maximum. outlet capacity gas furnace BTU �! Cooling: Summer design temperature °, cooling load BTU �� SIZING(���j:;�3'=, x.15. ,- •,1 'r -,2 Submit TJ.P.S.E. chart or other approved system -(form #5). todocu ent sizing of solar panels. (FI DESIGN COMPLIANCE STATEMENT: The above building. design meets the requirements. of Title 24, Part 2,, Chapter 2-53 of the Ca.lifornia.Administration Code. 7/83 SIGNATURE OF BUILDING DESIGNER OR.APPLIGANT 3 I I Q &ii4� �&A�u kli-1112411 M-11, 0191, k" ell i4�:•x ,: . ,.::, "Ir:�'. ,..... ,- ,':r .':'i .,.:i. ... ,.. :'.fin:. ,,i„_: �. - - ,yWS,Iuf ,1 lninn4ri-fie narvH�: -�r.1 tf ttl4gF en tt'rkti Y. XJ .s - P ~,_ n 4, , 9 z , , tm�a Ilw, , war rr.. , r , �,, a Etr.,, , E. 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