HomeMy WebLinkAbout073-360-016^ /
. '
''-�-
- .........
.y .
.
(,c,05 �
Mitchell
Ls rsfoue'ld 2��
46/27 Q1jVc.2.
73-18-111
Permit#4452-81B(add deck/MH)
Permit #1060-82B(cover for eixis.deck/MH)
f
;
19052 N�w 18rk Flat Rd-., Forbe own
07 -360-016
- '- — - - -
MITCHELL, DEANE
`
19052 NEW YORK FLAT Rp, FqUST
�
RANCH
CONT: OWNER
�.
NEW ELEC SRV UPGR DTE4a09
>
|
/
/
` )
. ,
.
/
'
^ /
. '
''-�-
- .........
mown.-
i'
a
Return to DPW
r AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL_DEVELOPMENT
Section 26-8.161 the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of
this 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 occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural 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 discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Date:----
NOT
ate:
NOT COb1PAP=R �AIITH
ORIGINAL DOCUMENT'
81-31680
OFF IC -:la i. 7>.
SUTTECoLI147r
r ORDS ilk`s" F+: 2),
�a
cp 30 1 F.
CLARK A N� I SON
CLERK-RECpRgES
PROPS Y OWNERS: _ t~EE
State Ofr Ca. ) On this the 30 day "of Sept ' , 19 81,
SS. before me, the undersigned Notary Public, personally
County of Butte ) appeared
Dean S. Mitchell
.r
known to me to be the*person(s) whose name(s)
AL
OFFICIAL KELLY
Y
subscribed'to the within instrument and acknowledged
LA D.
NOTARY PUBLIC CALIFORNIA that she executed the 'same for the purposes
" PRINCIPAL OFFICE [N therein contained.
MY COMMISSION EXPIRES COUNTY
EPT 7 1982 IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
ra
Present A. P. NO.
o ar
y Public
- OFrIC;AL RE-00RD-;
BUTTE COUt4TY
RECORDS REC,VI LY
JUL 03
CLARK A. NELSOtJ
CLERK -RECORDER CC
G
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Documentary transfer tax $. 13.75
0(Computed on full value of property conveyed, or
❑ Computed on full value less liens and encumbrances
r—wyaaining thereon at time of sAle. .
�Ieclara6nt
.............
signature of oragent determining tax firm name
3flibibibual out Trump leeb
WESTERN TITLE FORM NO.. 105
FOR VALUE RECEIVED, CHARLES L. KING and MARGARET N. KING, his wife,
GRANT to WILLIAM L. MITCHELL and DEAN S. MITCHELL, his wife,
as JOINT TENANTS all that real property situate in the unincorporated area of the
County of BUTTE
, State of California, described as follows:
All of;Lot ONE (1) as shown on that certain Parcel Map of a portion of the Southwest
------• - -
Quarter - of Section .11, Township 19 North, Range 6 East, M. D. B. & M., which Parcel
Map was filed in the office of the Recorder of the County of Butte, State of
California, February 23, 1976, in Book 55 of Parcel Maps, at pages 55 and 56.
SUBJECT TO:
(1) Located in Yuba County Water District and Improvement District Number
two (2) thereof, and subject to rules regulations and assessments thereof.
(2) Easements and rights of way of record and setback lines shown on the Parcel
'Map referred to above..
(3) County Taxes for the fiscal year 1980 - 1981. `
Chonge of Owner-
sw Statement NOT
Filed. (Sec. 480 R & T
Code) Sent' to mailing
address on. document.
STATE OF CALIFORNIA
County of
BUTTE } ss.
OnJuly 19 1980 , before me, the undersigned,
a Notar Public, in and for said State ersonally a eared
CHARLES L. KING and MAR��RET N. ENG
known to me to be the personA_ whose name s are
subscribed to the within instrument, and acknowledged to me that
they executed the same.
c'
ROBERT J. SM Notar ubiic
FOR NOTARY SEAL OR STAMP
OFFICIAL SEAL A^
I`
RECORDING REQUESTED BY
- AND WHEN RECORDED MAIL TO
NOTARY PJr3I.IC • CALIFORNIA
F -WILLIAM L. MITCHELL
PRINCIPAL OFFICE IN
NAME P.O. Box 72
BUTTE COUNTY
,ADDRESS Forbestown, Ca. 95941
EXPMES MAY 24, 1983
CITY &
STATE L
j
Title Order No. Escrow No.-
o.
MAIL
MAIL TAX STATEMENTS TO
WILLIAM L. MITCHELL and
NAME
DEAN S. MITCHELL- - . -°
,
ADDRESS P.O. Box 72
STATE L Forbestown, Ca. 95941 ."
_J
- OFrIC;AL RE-00RD-;
BUTTE COUt4TY
RECORDS REC,VI LY
JUL 03
CLARK A. NELSOtJ
CLERK -RECORDER CC
G
SPACE ABOVE THIS LINE FOR RECORDER'S USE
Documentary transfer tax $. 13.75
0(Computed on full value of property conveyed, or
❑ Computed on full value less liens and encumbrances
r—wyaaining thereon at time of sAle. .
�Ieclara6nt
.............
signature of oragent determining tax firm name
3flibibibual out Trump leeb
WESTERN TITLE FORM NO.. 105
FOR VALUE RECEIVED, CHARLES L. KING and MARGARET N. KING, his wife,
GRANT to WILLIAM L. MITCHELL and DEAN S. MITCHELL, his wife,
as JOINT TENANTS all that real property situate in the unincorporated area of the
County of BUTTE
, State of California, described as follows:
All of;Lot ONE (1) as shown on that certain Parcel Map of a portion of the Southwest
------• - -
Quarter - of Section .11, Township 19 North, Range 6 East, M. D. B. & M., which Parcel
Map was filed in the office of the Recorder of the County of Butte, State of
California, February 23, 1976, in Book 55 of Parcel Maps, at pages 55 and 56.
SUBJECT TO:
(1) Located in Yuba County Water District and Improvement District Number
two (2) thereof, and subject to rules regulations and assessments thereof.
(2) Easements and rights of way of record and setback lines shown on the Parcel
'Map referred to above..
(3) County Taxes for the fiscal year 1980 - 1981. `
Chonge of Owner-
sw Statement NOT
Filed. (Sec. 480 R & T
Code) Sent' to mailing
address on. document.
STATE OF CALIFORNIA
County of
BUTTE } ss.
OnJuly 19 1980 , before me, the undersigned,
a Notar Public, in and for said State ersonally a eared
CHARLES L. KING and MAR��RET N. ENG
known to me to be the personA_ whose name s are
subscribed to the within instrument, and acknowledged to me that
they executed the same.
c'
ROBERT J. SM Notar ubiic
FOR NOTARY SEAL OR STAMP
MAIL TAX STATEMENTS AS DIRECTED ABOVE
END OF DOCUMENT
CP
Ca
Sw
M
Cr.n.
W'
OFFICIAL SEAL A^
I`
R03ERT J. ctAITH
?;;
NOTARY PJr3I.IC • CALIFORNIA
PRINCIPAL OFFICE IN
BUTTE COUNTY
MY COMMISSICN
EXPMES MAY 24, 1983
MAIL TAX STATEMENTS AS DIRECTED ABOVE
END OF DOCUMENT
CP
Ca
Sw
M
Cr.n.
W'
f? > "'PERMIT NO. 4452781B _
PERMIT EXPIRES
OWNER WILLIAM MITCHELL
CONTR. -Owner
ASSESSOR PARCEL 73-18-111
LOCATION..E/S New York Flat Rd, mi S 'of
Forbestown Rd, Forbestown
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Service _
Cal led PG&E
JOB FINALE, (Date)
Signature
_v = OK -
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date .
DECKS, COVERS, CARPORTS, ETC. (PlAwg1 i; except #
1. Zoning Requirements -Setbacks -Easements
oni & Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
ootings Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
s; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
sts-Beams-Rfirs.-Connec.-Shthg.-Rfg. -Bracing
5. Electricity; Location-Clearances-Grnd.-/ . / Amp -Concrete
5 lumns-Connections-Splice-Decal-Enclosi res
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Doors
--T.—Ere—c.-
Card -BI
Date Card -BI Date
C d -BI
_Date _ d -BI Date
Card -BI
Date Card -BI Date
Card -BI
— Date — Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
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 -Connect ions_ Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
O = Not GK
- = Not Applicable RESIDENTIAL
= Not Ready (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
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 N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except p's
57.
58.
Smoke. Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
_
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
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.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
73.
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 Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
78.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
30. Clothes Closet Light -Shower Light
-
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 p's
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
86.
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32,
_ 33.
Vent Fan; Exhaust above Insulation
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
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 N's
36. Sills; Proper Material & Anchors
Comments at Final:
37.
38.
39.
_
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Beari_n_g Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size & Rom -ex 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 LL IC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATION AND RERMIT
ASSESSOR ARCjL„NUIv]% R
ZONIN n2,
�HiONE
-
BUILDING PERMIT
D %ALL/�M tii7� r646t L
T LEP1111
67s/J-J z9g�
SQ. FT. OCC. BUILDING
z o
VALUATION
00
OW - R'S.MAI LI�O }ZESS -7Z /
CONTRACTOR'S NAME TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
CC
$ Total Valuation
//JJ //'��
L o- 0o
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /31 LW
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ /Or cy
$
ARCHITECT ORPenalty
ENGINEER'S MAILING ADDRESS
Permit fee
$ A5,06
BUILDI G ADD SS i.% /
S ME� O� r-Lr� Wil%• p �2
PLUMBING PERMIT
Filin Fee 10.00
9
f
/V
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeEp"�Dther
SPECIFY
Building sewer
Lawn sprinkler system
5.00
,� / TYPE OF WORK
New ❑ Addition [R Re�mooddel ❑ t(lities ❑ Installation El Other ❑
Describe work:30
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 OCCUPM
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
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
NON.RESID, R. BRANCH CIRCTITS 2.50 ea
NEw CONSTR POWER APPARATUS e
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES_ 50@25
FIXED APPLNS. OR
Ex. OCCup.I 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.
❑ 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.
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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
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 againstOCCUP.
all liabilities, judgments, costs, and expenses which may in any way accrue
against said Co yin con equenca of t e 1 i of this permit.
X r Date ��
Signoture 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 hheig
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 0o
GROUP
cc —
TYP of CONST.
vv
PARCEL
1
PD
ND sco
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY 03�Date�Z-!c
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—
p
1 7—
Receipt No. �9 v
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 3721-81P,&
PERMIT EXPIRES—
OWNER
XPIRESOWNER William Mitchell
CONTR. - owner
ASSESSOR PARCEL 73-18-111
LOCATION E/S New York Flat Rd.,app. d.
S.of -Forbestown Rd., Forbes..
Temp. Power Pole
Called PG&E
Temp. Elec. Service
�Ca PG&EdD'
Te�p{ GI��(cer /—�/_
p v !o a ��
CallPG&E
joB>IFINALED (Date)
Signature
J
d
V OK
0 = Not OK
V= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (P s) OK except #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1 n ng Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
S 'Is; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3t-WWer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
ter; 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 -T -Wrap: / /"L"ft./ /" Nat. or f , L"ft. ." LPG
6. Carports; Windows -Doors . . . .
tility Clearance
7. Elec.
C d-BIate
g/,O_Card-BI Date
Card -BI
Date Card -BI Date
Card -BI
Dat -' Card -BI Date
Card -BI
_
Date Card -BI Date
Date
M OME INSTALLATI N ns cept #'s
Date
POOLS (Plans) OK except #'s
oning Requirements -Setbacks -Easements
1. Setbacks -Easements
2: -Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
Ate<a_s-, MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
lectricity; 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
er Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
._YALw and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
G nd Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane lboards-Ins. to Main in Conduit
E ; Insp.-Sketch
Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card =Card
-BI Date
Card -BI
Date Card -BI Date
C d B -I
Date ' and -BI Date
Card -BI
Date Card -BI Date
ef r 3_�-1,3 /Y-�
J = OK
O = 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
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -Bloc kouts-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
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
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-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
Romex Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic ❑Yes
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77.
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
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.
83.
84.
85.
Glass Protection
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
Date MECHANICAL (Perrtit) OK except N's
31. A.C. Ducts; Insulation & Support
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-.-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
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.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Slop -Ins. Baffles
46.
Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
_Bdrm.
Garage Fire Protection Framing11
(NOTE:Anentrymust be made each time youvisit jobsite)
r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS , ERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
APPLICATION ANQ PERMIT
ASSESSOR PAR C;ETeU7M B7
v ZON G
'
BUILDING PERMIT
OWNER
TELEPHON
S—M61�
SQ. FT. OCC. BUILDING VALUATION
O;Wp�'S MAI NOG ADDRESSIL
CONTRACTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADD SS -
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ / • QO
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI DING ADDRESSO
�.
PLUMBING PERMIT
Filing Fee 10.00
1 Z Q F r S . e—&� — VIW / �D.
7NJ �V
Each Trap
2.00
Repair drainage or vent piping
5.00
es
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
�J•�'S (0
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
-
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome Other
SPECIFY
Building sewer
O
Lawn sprinkler system
5.00
#f
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilitiesinstallation❑ Other ❑ .
Describe work:
Permit Fee
-
$igo
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 oR LESS
100 AMP OR LESS
5.00 S. D
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.6J
OR AODNS. ACC. BLDGS. I
2�sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business61
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 CONSR BRANCH MULTI-OUTLET
ITS 2.50 ea
NEW-CONSTR. ( POWER APPARATUS SI
NON RESID, SINGLE OUTLET CIR.
L zga
Ex. OCCUp OUTLETS OR FIXTURES gAL �i
FIXED APP LNS, OR
Ex. Occup.(OUTLETS (RESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 QD
Misc. Wiring 7.50
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.
rory 1 shall not employ any person in any manner so as to become subject
Y� 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
S
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 hich may in any way accrue
against 1 County ' ons o e 'ng of this permit.
X Date
Signature of Applicant — Owner Controctor ❑ 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 $ ,
occuP. GROUP
I TYPE OF CONST.
PAR LJ PD ND
ISS E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dater ����
/ -���
Receipt No. Z
WHITE-D.P.W.• YELLOW -ASSESSOR PINK -INSPECTOR, GOLDENROD -APPLICANT
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 for the following location:
Owner .� f �_ i .. J,'�• .
Owner's Address
Mobilehome Mfg. Mod" l- 7—
Year
Insignia No. : /, 5 �' s, -
Serial No.
1 It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public Works
Date By
THIS CERTIFICATE IS`VOfU W!'EN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE - DEPARTMENT OF PUBLICX-4541
PERMIT NO.
J
7 County Center Drive - OrovillerCaliforaia 95965 -Telephone y� •�
APPLICATION AND PERMIT
ASSESSOR P'ARC6LMBER
ZON1N4�
BUILDING PERMIT
04 /, ,4 H ,A /T459 ELL,
(
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MMAI LING�ADDRESS,S
CONT ACTORHONE JJAt.'fg1te 1-kly Ep -3c/p7V/O
52 y (�
fireplace
CONSTRUCTION LE ER loo,
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
L
LENDER'S MAING DDRESS
Permit Fee
$
ARCHITECT OR ENG EER
LICENSE NO.
Plan Checking Fee
l
$ AQ, Ov
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUI INGDDRE S
�S o�/L I4=/� 2a APS
PLUMBING PERMIT
Filing Fee 10.00
s 0r ro'eREJ / u / �,
° �!J /�/
Each Trap
2.00
Repair drainage or vent piping
5.00
fZ//��,E65'DW
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome2----other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ . Lnstallation Other ❑
Describe work:_ Q/� �/%tom%Z8�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6011 DR LESS
100 AMP OR LESS
5.00
2�/ y
`�' 7-
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. ( DWELLING OCCUP.y)
OR ADDNS. ACC. BLDGS.
22 sq ft 'I
CONTRACTORS LICENSE LAW
I de lare nder penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professigr��pri*er Ancmy license is in full yorce nd effect.
GiJ 7f V (!.�
License No. Classification TTT
❑ 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 NON -RESIT CONSTR.BRANCH CIRCMULTI-OUTLIEUITS) 2.50 ea
NEW CONSTR POWER APPARATUS .&)
NON-RESID.SINGLE OUTLET CIR.
Do 26¢
Ex. Occup OUTLETS OR FIXTURES BAL�1
IXED A PLNS _ (RESI OR
EX. Occup. TLE(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 permit is for $100.00 (valuation) or less.
�a a 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
-t+
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 al agree to save, indemnif and keep harmless the County of Butte against
all i bilities, judgment ,cos s, and expenses which may in any way accru
agai t said County in s nce of the granting of this permit.
X Date '^
Signature of Applicant — Owner Contractor Agent ❑
An OSHA permit is required for excavations over 5'0_ Sep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ . 0
TOTAL PERMIT FEE $ O. Cc,
OCCUP. GROUP
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
DIRECAMIR OF PUBLIC
By
PE90EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 567,50
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
t
BUTTE COUNTY 'DEPARTMENT OF PUBLIC WORKS +
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
1. Owner's name:
2. Installer's na
MOBILEHOME INSTALLATION SHEET
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
mobilehomeNbe
located at least 5 ft..
away from septic tank and leach
fields and
clear
of
all setbacks
and easements? Yes
77�7 No
(If
ho, clarify
)
5.
What
is
the mobilehome
electrical rating? -----------------------
Amps
6.
What
is
the mobilehome
site service rating?
---------------------
2O®
Amps
7.
What
is
the mobilehome
site circuit breaker
rating? -------=-----
- �� w
Amps'
8.
Is there
any other electric
load to be served
by the mobilehome
t _k
site.service?
---------------------------------------------------
Yes
No
(If
yes, identify
the load and size:
(Load)
(Amps)
3/G
9.
What
is
the mobilehome
site gas pipe size? -----------------------
(in.)
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?
64-�
(ft.
12.
What
is
the mobilehome
gas demand? ------------------------------
f�g600 MAY, (BTU)'
t t
(This
information
not required if pipe
length less than 6 ft:
on natural
gas
or
less than 50
ft. on LPG.)
G,P�S WMAND
X PA94 - !vsl000
35/ too
1 �15�,`�
.
Co"l p, 36,,omc
-4
4 E
O Y Fn/ • 7�/,v�
' l
MOBILEHOME SUPPORT DATA
8 122-6
If.pther than single wide, t
Meiilehone Mfr. i 1-! `1.�� (fY� 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. ! it
Single
0- x
.3d]
(ft.)(in:) (in. (in.)
Center support I Center support
locations*
footing sizes
111
1-31-4
(in.)
Q
3 fo �C3�
(ft.)(in.)
(in.) (in.)
l
(ft.)'{in.)
AMx
(ft.) (in.) (in.) in.)
U �s
*If center piers are other than drawn above,
draw in. -locations. spacing, and dimensions.
x
Footings (check one)
1. Wood either
pressure treated or
foundation grade.
2. Other: (specify)
Supports (check one)
1: Concrete block.
.2: Other. (specify)
I4—Tagalong or Expando,'
show support details.
-- Typical Support
.) Footing'Size
-- Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(ft.)(in.)
BUTTE COUNTY
BUILDING DEPARTMENT
,APPROVED
l k 3& X30
111
1-31-4
Wx261
(ft.)(in.)
(in.) (in.)
l
(ft.)'{in.)
AMx
(ft.) (in.) (in.) in.)
U �s
*If center piers are other than drawn above,
draw in. -locations. spacing, and dimensions.
x
Footings (check one)
1. Wood either
pressure treated or
foundation grade.
2. Other: (specify)
Supports (check one)
1: Concrete block.
.2: Other. (specify)
I4—Tagalong or Expando,'
show support details.
-- Typical Support
.) Footing'Size
-- Max. Pier Spacing
(ft.)(in.)
Max. Overhang
(ft.)(in.)
BUTTE COUNTY
BUILDING DEPARTMENT
,APPROVED
1115 Si'i G`i p L c 1�;.�Ctlr`iil� t0
Oil
nlc,k (3i"If C
,P T- � • i'*\...� .SA` e..r .� ' � - • v r.�r. - i . •.F i
'C
_. 04 setback 1
Se k of 5
ft: frc�r the
j r aback
z nd psi'
ra;i
+�-j �� /�•'�t i `� `� ; cerlif111r]P C Ep3f O�
'19` t_ tom , u`Z Cea : : ; .� strl�.�Ture s C.i E(�ii pr7je 1' E'XC2pt
�np for a 2 fY. eave overhang. i
kT �+r(tpsi7r'"- y) V�•
1 Lj i �'�S�%fin= ''`/ �j ✓ +. . �' ��
r . � - . �-• � •.0= � `.— J?- r 1• jl 4C ' � � .. Q�f :i -� / 1� .. ' �r% � i L � t - . Y � _
10
i
t
i.
i
I
Temp. Power Pole
i
Called PG&E
Temp. Elec. Service
Called PG&E !
Temp. Gas Service /
Cal led PG&E
f
JOB FINALED (Date) ^ ��
Signature '
PEROIT,NO.
1060-82B
PERMIT EXPIRES
William Mitchell
OWNER
CONTR.
owner
73-18-111
ASSESSOR PARCEL
E/S
New York Flat Rd., z mi.S.of
LOCATION
F,o,bastown Rd., Forbestown
r
i
t
i.
i
I
Temp. Power Pole
i
Called PG&E
Temp. Elec. Service
Called PG&E !
Temp. Gas Service /
Cal led PG&E
f
JOB FINALED (Date) ^ ��
Signature '
J = OK '
0 : Not OK
= Not Applicable MO B I LEHOM ES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK.except p's
Date.
DECKS, RS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements-Setbacks—Easements
oning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
Footings; Size—Depth—•Spacing-Conniciors
3. Sewer; Location—Test—Fall-C/0—Concrete
_
3.fDecks; 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
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
7.1 Elec.
Card -BI
Date Card -BI Date
Card -BI
ZPv 4.- Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1• Zoning Requirements—Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except q's
1• Setbacks—Easements
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4• Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
B. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
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
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
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 q's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
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 ❑Yes
o
73.
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 ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters []Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
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.
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
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
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-Shthnp.-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)
COUNTY OF BUTTE - DEPARTMENT OF PUBLICX4-4541
7 County Center Drive - Orovilte, California 95965 - Telephone
APPLICATION AND PERMIT Q
•
ASSESSO P RCE NUMBERZON
NG 4
_
BUILDING PERMIT
Ow ER
TEL PHONE
I
SQ. FT. OCC. BUILDING VALUATION
/-
OW R'S MAILING ADDRESS r-
f
CONTRACTOR'SFNAME
TELEPHON
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ . O o
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDI G AD RESS n Qj- 'j S
PLUMBING PERMIT
Filing Fee 10.00
9
Each Trap
2.00
Repair drainage or vent piping
5.00
�Waterpiping
LOT NO.
717VISION
NAME
PARCEL MA
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USERUCTURE
SF [:1Duplex❑ OF Mobilehome Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New [_1 Addition❑ Remode Utilities❑ Installation❑ Other
Describe work:
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.y)
OR ADDNS. ACC. BLDGS.
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. .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 -OU. LET 2,50 ea
NON-RESID BRANCH CIRC ITS -
NEW -CONSTR POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR.
S OR FI.
EX. Occup OUTLETS OR FIXTURES gA��j
ITLE
OR
Ex. OCcUp.kOUTLETS (RESID•) EA. 2.00
Temporary service 10.00 +
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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.
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.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a ain t said =Cco n e e of ra of this permit.
X Date
Signature of Applicant — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excav lions over 5'0" deep and demolition or construct-
structures over 3 stories iin height.eipt
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ ,07)
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
I HD I ITSUF
is permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date z
—?_3
Lion,Cof
No. IO
E-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COMPLAINANT
ADDRESS:
PHONE NUMBER•
OTHER COMMENTS:
COUNTY OF BUTTE
�`- DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
'7l -/P- !) t
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work Is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
Inspector
Date A ) - — 1 ,
f
73-18-111 1426-89B,E-.'
MITCHELL, Dean
{19052 New York Flat Rd., Forbestown
(pri.-det. garage)
` 7
PI
PERMIT EXPIRES
OWNER
` CONTR.
` ASSESSOR PARCEL
LOCATION
i .-
Y.
.r
I
V
C
s
1 1 '
i�
(II
t
i,
4 r
s �+
i Temp. Power Pole
ti
' Called PG&E _
Temp. Elec. Service
Called PG&E
{
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
y�
Signature
= OK
0=Not OK '
Not ReadyMOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
Card -61 Date Card -B1 Date YI
Card -B1 Date Card -B1 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
ISCELLANEOUS
Date DE9KS,C0VERS,CARP0RTS,GARAGES, (Plans)OK excep- #'s
Zoning Requirements -Setbacks -Easements
-J �Wootings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Ra.ls
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Alum, Awn.; Columns-Connections-Splice-Decal-Enclosires
6. C orts; Windows -Doors
&eori
rmg; Siils-Anchors-Studs-Rftrs-Trusses
A-8rng; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -B1 Date - Card -B1 Date
Card -B1 Date, Card -B1 Date
ki
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
ICard -B1 Date Card -B1 Date
Card -B1 Date Card -61 Date
= UK
0 = NotRESIDENTIAL (Single and Duplex)
- =Not Applicable '
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
_
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -B1 Date Card -B1 Date
Card -81 Date Card -B1 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -131 Date
Card -B1 Date Card -61 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -81 Date Card -81 Date
Card -B1 Date Card -81 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -81 Date
Card -131 Date Card -81 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -131 Date
Card -61 Date Card -131 Date
Card -131 Date Card -81 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSIT NO.
7 County Center Drive - Oroville,-California 95965 - Telephone: 916/538-754100/_1_
APPLICATION AND PERMIT
AS ES OR P CEL N B R
ZONIN
BUILDING PERMIT
o R
TELE PHO
SO. FT. OCC. BUILDING VAAATION
OW R' AIL NG DDR ESS
0 3e
CO RAC TOR'S NAME
TELEPHONE
CO TRACTOR'S MAILING ADDRESS
Fireplace
CONS UCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDE S MAILING ADDRESS
Permit Fee
$
ARC IT CT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,b'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
E
BUILDING ADDRESS 1A Rd t
Permitfee
$
_
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
I 2.00
Solar or heat pump water heater
I 20.00
LOT NO.
isUBDIVISION NAME
PARC[[��``L MAP
�j ,�
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTU a
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
O.00ea
TYPE OF WORK
New Addition ❑ Remodel[:] Utilities Installation❑ Other ❑ I
Describe work: x
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee .10.00
Main service 1OO AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
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 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
NEW CONST. DWELLING OC
OR ADDNS. ( ACC. SLOGS. 1/4sgIt
NEW CONSTR TI.OUTLE 2.50 ea
NON.RESID BRA CH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR. I
EX. OCCup(OUTLETS OR FIXTURES 200030
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Iyirin 15.00
g
±f
Permit Fee $
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 becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.010
Heating
Cooling
g
Hood
3.00
Ventilation
penult 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.
Iso liabilities, judgmenree to save, ts, costs,nandeexpenseless the s which may in anof y way utte accrue ainst
agains,kqld County in c nsequence �f e ing of this permit. DateZ.
%� �P �O
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 $
Energy Inspection Fee $
TOTAL PERMIT FEE $ d�
OCCUP.
CONST.T Pc
SCHOOL
RLDO
"PARC
1/
PD 1.'
123DE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for whi
T O LIC
BY
PE RMI EXPIRES Date
the applicable prcvi-
resolutions to, do
fees have been pF-id.
WORKS
^�
Date
Receipt No.
WHIT[-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMER4T.,DUBLIC WORKS -BUILDING DIVISION
«' , s
7 COUNTY CENTER DRIVE - OROVILLE, CAD FORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
*rY r , Permit No.
OWNER 0 X'744' A. P. No.
Proposed Building Use ey 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
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by prepare of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design `Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
` 11. Park fees paid .....................................................
—04 L� Sc ool Distri t ees paid .................
Sanitation approval from Health Department ....
14. City of Chico plumbing permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: N'
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ..._
19. Pre -Inspection for required .... Pre-Inspec. request to
Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) ....... .
1. Certificate of Workmans Compensation Insurance
22. Owner -Builder Verification Given to owner ❑, Mai goer cOK7F
23. Recorded copy of Agricultural Acknowledgment StatdAnt tP ... H�
24. Lette of signature uthorization ............... ................ .
5 S
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at. _nlrn office. Deliver w/inspector.
Other6v' "�
Applicant Z/ , /✓ 4 Date
." - z 4Q-0 -
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pr' r permV jSsuance: (Circle new item not checked above).
1. Index permit for above items No. a
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildino Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance.
�
NeLi
Pry �,
Owner Location. A?#
Plan Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for
bedroom mobile home. Other Qry,,r-- cl--V—
sanitarian
► Date
COUNTY OP BUTTE - Departmen.t.:of Public. Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541'
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. Ipersonally plan to provide the.major labor and materials for construction of
the proposed property improvement (yes or no) IM 5
2. I (have/have not) &a v,- 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. J 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
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 per-
mitted to issue the permit.
N
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC. WORKS- ='PERMIT NO.''
7 County Center Drive - Oroville, California 95965 - Telephone: 916:'538-7541
APPLICATION AND PERMIT
waa taaVn HGtL NUMbhR
73-16-111
OWNER
ZONING
U
BUILDING PERMIT
Den tchall.
TELEPHONE
SO. FT. OCC.1 BUILDING VA UATION
OWNER'S MAILING ADDRESS
P.D. Box 72 Forbestown
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
�,
UNKNOWN
Total Valuation S
LENDER'S MAILING ADDRESS
Filing Fee
10.100
ARCHITECT OR ENGINEER
Permit Fee
$ •
.
LICENSE No.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
BUILDING ADDRESS
Penalty
S
rk Flat Rd.
Permit tee
$ 41.25
PLUMBING PERMIT
Filing Fee 1OJ00
'rnr.n *tie
OT
LNO. SUBDIVISION NAME PARCEL MAP
1 5�
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other Ryt. det• garage
SPECIFY
Each Trap
200
Solar or heat pump water heater
Water I In
piping 9
20.00
5.00
Each qas water'heater or vent
Gas piping system 1 - 5 outlets
5,00
5.00
Building sewer
5.00
Mobile Home S G W
O.00eal
TYPE OF WORK
New +] Addition(] Remodel[] Utilitigs,❑fln ta11 1 n❑ Other ❑
Describe work: lest renewalOx !!t' �fi �;,$[3
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.)0
Main service 6100 AMP ORSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSIneS$
and Professions Code and my license IS In full force and effect.
License No.-77050tClassification
❑ 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)
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCC UP.Q
OR ADDNS. ACC. BLDGS.
'/zQsgft
NEW CONST R, r ULT
L '.OUTLET
NON.RESID BRANCH CIRCUITS
2.50 ea
(POWER APPARATUS tr1
SINGLE OUTLET CIR. /
EX. OCCUp(OUTLETS OR FIXTURES
eALm30e
FIXED A -OR
EX. Occup. OUTLETSS ( )
(RESID-)EA.�
2.00
Temporary service
10.00
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
Mobile Home Facilities
15.00
Misc. Wiring
15.00
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for 3100.00 (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.
Contractor
MECHANICAL PERMIT
FiIirr, Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Permit Fee
$
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 Count or
Butte to enter upon the above-mentioned property for inspection purposes. y
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.
Mobile Home Installation Fee
$
Energy Inspection Fee
$
occ
coNsr Tree
TOTAL FEE $
HAZ
CUA
PARK
$CHL
FLO
PAR
PD
HD ISSLE
X DateTh:s
Signature of Applicant — Owner❑
[IContractor [3Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
permit is hereby issued urraer
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
DCO•rtT f_vrjrACC r1-.-
the appiicable pro�i-
resolutions to do
have been pail.
WORKS
•ate
Receipt No.
.. -.n - __.. a.. ..n,. _ `_
NOTES RESIDENTIAL r
PERMIT NO. _ 073-360-016 05-0202;
MITCHELL,�DEANE"
19052 NEW YORK FLAT RD, P�f C
64?4c r;—
CONT: OWNER
NEW ELEC SRV UPGRADE
• i;
# j
Ih
SPECIAL CONDITIONS ,I
t
CHECKED
BY
-..--SRA l
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
I
SPECIAL INSPECTION ITEMS
VERIFY
USE PERMIT CONDITIONS
K SUB-STANDARD HOUSING LETTER
h
0FFLCE COPY
Address/?,/ �&
N
GAS
Meter Bj��•� Date d
ELECTRIC �% C (, j.
Meter By 2:ZDates CSC
I
i
f i
Y /
JOB FINALED(D e) V �/
I�
Signature j'
F
J=OK
0 = Not OK
. = Not Readyable
w
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PERMANENT END SYSTEM (ONLY)
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Blocking
4.
Gas; MH Test -Demand -Valve
5.
Electricity; MH Test
6.
Water; MH Test
7.
Water and Sewer Connected
8.
Gas and Electricity Tagged
9.
Exits
10.
License Decals
11.
Verify #'s with Office
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except 4's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosur--s
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pool Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
12. Enclosure; Fencing -Alarms
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
J=OK
0 = Not OK
- = Not Applicable
. = Not Ready
RESIDENTIAL (Single & Duplex)
Date
UNDERFLOOR (Plans) OK except #'s
1.
Zoning -Setbacks -Easements -Flood -Slope
2.
Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3.
Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth
5.
Stemwalls, Main; Steel- Bloc kouts-Wrapped
6.
_
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
23.
Fire Sprinkler; Test
72.
Elec. Outlets at Wood Panel, Int. & Ext.
Date
73.
Card B-1 Date Card B-1
Date
74.
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
Garage Fire Door; Swing -Landing -Closure
24.
Fixture & Transformer Clearance -Ins. Protection
A.C. Duct in Garage -Damper
25.
Elec. Receptacles Spacing -Lights & Switches at Doors
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
26.
Size Boxes & No. of Conductors Stapled
Plb.; Elec. & Mech. Equip. Listed for Location
27.
Romex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
28.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic
29.
2 Appliance Circuits in Kitchen & Conductor Size GFI
Guard Rails & Deck Construction -Post Caps
30.
Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
31.
Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral ❑ Yes ❑ No
Clearance Looked under Floor ❑ Yes
32.
Service -Riser Conductors & Ground Main Disconnect
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
33.
Equip. Clearances Panels-Motors-Mech. Equip.
Stucco Brown -Finish
34.
Clothes Closet Light -Shower Light -Spa Light
A.C. Unit Disconnect, Electrical -Plumbing
35.
Smoke Detector
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
90.
36.
A.C. Ducts Insulation & Support
91.
37.
Vent Fan, Exhaust above insulation
92.
38.
Condensate Drain & Overflow, Size & Grade
93.
39.
Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
94.
40.
Attic Access & Platform if Furnace in Attic
Date
Address Posted
Card B-1 Date Card B-1
Date
Fire Sprinkler
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
Date
41.
Sills Proper Materials & Anchors
Date
42.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
Comments at Final:
43.
Bearing Walls over Girders & Floor Nailing
44.
Draft Stop in Walls (rat proof)
45.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46.
Headers & Beams -Size .& Bearing
T
..
Date
FRAMING (Continued)
47.
Hangers -Post Caps -Anchors -Connectors
48.
Cling. Joist-Rftr. Ties- Purl in -Roll Brac.-Truss-Shting.-Rtng.
49.
Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51.
Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52.
Garage Fire Protection Framing -RC Channel
53.
Property Line Firewall & Openings
54.
Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57.
Siding -Nailing Veneer
58.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59.
Glazing Area -Glass Protection -Skylights -Plastic
60.
Shear Walls; Nailing -Bolts
61.
Brace Interior/Exterior Wall Panels
62.
Insulation -Walls -Ceilings
63.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64.
Ext. Steps -Door & Sidelight Protection -Landings
65.
Smoke Detector
66.
Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67.
Bedroom Exiting
68.
G.F.I. & Bath Fixtures & Tub Access -Spa
69.
Elec. Trim & Subpanel, Breaker Sizes & Labels
70.
Stairs & Rails
71.
Fireplace or Stove, Clearance -Hearth
72.
Elec. Outlets at Wood Panel, Int. & Ext.
73.
Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74.
Elec. Outlets & Receptacles at Kit. Counter
75.
Garage Fire Door; Swing -Landing -Closure
76.
A.C. Duct in Garage -Damper
77.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78.
Plb.; Elec. & Mech. Equip. Listed for Location
79.
Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80.
Insulation -Foam -Looked in Attic
81.
Guard Rails & Deck Construction -Post Caps
82.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83.
Following Instld./Drive 0 Yes O No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
84.
Stucco Brown -Finish
85.
A.C. Unit Disconnect, Electrical -Plumbing
86.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87.
Water Well, Disconnect, Electrical, Plumbing
88.
Exterior Elec. Trim, G.F.I. Receptacle -Underground
89.
Ventilation Throughout House
90.
Glass Protection
91.
Corrections from Previous Inspections
92.
Gas Test -Meters Tagged, Gas -Electric
93.
Water & Sewer Connected -C/O to Grade -HD Approval
94.
Energy Compliance Certificate -Other Certificates
95.
Address Posted
96.
Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
J
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530)'538-7636 (OROVIL'LE) (530) 891-2834 (CHICO)
OFFICE #: (536) 538-7541 FAX#: (530)538-2140
WEBSITE:, www.buttecounty.netldds
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of
the Business and Professions Code, and my license is In full force and
effect.
License Class: License Number:
Date: • Contractor:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any ci(y.or county which requires a
permit to construct, after, improve, demollsh, or repair any structure, prior
to its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Slate License Law (Chapter 9. commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
she is exempt therefrom and the basis for the, alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
lapplica t to a civil penalty of not more than five hundred dollars ($500).):
as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
Intended or offered for sale (Sec. 7044, Business and Professions
Code: The Contractors' State License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
provided that such Improvements are not Intended or offered for
sale. If however, the building or Improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Profassions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law'.).
PERMIT NO.
BPO50202
Issued Date: 01/28/2005 APN: 073-360-016-000
Site Address: 19052 NEW YORK FLAT RD FRT
Map Index:
Description: NEW ELECTRICAL SERVICE UP -GRADE
Owner: MITCHELL DEANE S* ETAL
MITCHELL JOHNNIE C & BUFFUM PATRICIA
M
1230 JANET LN
PAHRUMP, NV 89060-3235
Applicant: JAMIE BUSCHMAN
P.O. BOX 173
FORBESTOWN CA
" 95941
(530) 675-9215
. 1,
Contractor:
O '1 am Exempt under Article 3 of thheee Business and Professions Code
Datel-I Owner: i�/ i
,.I'r.. '•. s
WORKERS' COMPENSATION DECLARATION
LiceI`
nse M
I hereby affirm under penalty of perjury one of the following declarations:
r. s;,; , • ,
❑ 1 have and will maintain a certificate of consent to self -Insure for
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
Architect:
is Issued.
❑ I have and will maintain workers' compensation Insurance, as
Engineer:
required by Section 3700 the Labor Code, for the performance of
,.
the work for which this permit Is Issued. My workers' compensation
Insurance carrier and policy number are:
Carrier.
Policy #:
certify that in the performance of the work for which this permit is
issued. I shall not employ any person In any manner so as to '
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwithh.comply with those provisions.
Data:
Applicant: 1��
WARNING: Failure to secure workers' compensation coverage Is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor I
code, interest, and attorney's fees. <
CONSTRUCTION LENDING AGENCY
I hereby affirm that there Is a construction lending agency for the
performance of the work for which this permit Is Issued (Sec 3097 Clv.)
Name: `
Address:
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
aU
)by issued under the applicable provisions of the Butte County CodA Andlor
work Indicated ab for wh/ich fees have been paid. /
Date: / ^ 2 2� as'
PERMIT EXPIRES ON:
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification In accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms. I
I hereby certify that I have read this application, that the above Information is correct, and lhat'l am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for Inspection purposes.
f
Print Name: �a �/j /��f i� Signature:
Dale:
0
❑ Owner ❑ Contractor 4 ,l Agent for Owner 0 Agent for Contractor
Date: 01/?4/05
To: Butte County/TO WHOM IT MAY CONCERN
From: Johnnie C. Mitchell/Patricia Buffum
Subject: Installation of new-el.ectrica:l.__.b.o.x. at property
located at 19052 New York Flat "Rd:�:Forbestown,
Ca., 95941 _.
We,the above owners of the property address stated' above, do
hereby grant permission for the installation of.upgraded
electrifal box at that location.
We have instructed Jamie or Sarah Buchman to act as our rep-
resentative to obtaih the necessary permit(s) and any other
that may be deemed necessary to complete the undertaking of
the installation and further electrical requirements or needs.
PATRICIA M. B
;..
Bume County Department oiDevelopment Services
ADMINISTRATION * BUILDING * GIS * PLANNING
7 County Center Drive
Oroville, CA 95965
(530) 538-7541 Telephone
(530) 538-2140 Facsimile
December 9, 2003
Deane S. Mitchell ETAL
Johnnie C. Mitchell & Patricia Buffum
1230 Janet Lane
Pahrump, NV 89060-3235
RE: Formal Warning Notice
Butte County Code Violation
Address: 19052 New York Flat Road, Forbestown, CA
AP#073-360-016
Dear Deane Mitchell, Johnnie Mitchell and Patricia Buff im:
Through our courtesy notice on October 28, 2003, you were notified pursuant to Section 41-2 of the Butte County
Code of the presence of code violations on your above -referenced property. According to our records, the
courtesy notice has not resulted in abatement or correction of the accumulation of garbage for more than seven (7)
days in public view. Your failure to eliminate the stated violations are cause for the issuance of this formal
warning notice.
As of this date, our records indicate that the following violations to the Butte County Code still exist:
Butte County Code Chapter 31 Section 31-50 - The owner or tenant of any premises, business
establishment or industry shall be responsible for the satisfactory removal of solid waste accumulated on
said premises. To prevent propagation, harborage or attraction of flies, rodents or other vectors and the
creation of a nuisance, solid waste, excepting non-flammable inert material, shall not be allowed to
remain on the premises for more than seven (7) days.
Non-flammable inert materials stored on a premises shall not be allowed to become either a harborage for
rodents, insects or other vectors, nor a public nuisance. Such inert non-flammable materials which are not
properly stored shall not be allowed to remain on a premises for more than thirty (30) days.
The determination that these violations exist on the property is based on the following definitions in the Butte
County Code:
Butte County Code Chapter 24 Section 24-305.170 - Garbage. "Garbage" means every accumulation of
animal or vegetable waste, matter that attends or results from the preparation, consumption, decay,
dealing in, or storage of meat, fish, fowl, fruits, vegetables or other food products and shall include any
food container in which there is putrescible material either solid or liquid.
Butte County Code Chapter 24 Section 24-305.370 - Rubbish. "Rubbish" shall mean -all nonputrescible
solid wastes, combustible, or noncombustible, including, but not limited to, paper, cardboard, yard
clippings, grass, ashes, wood, bedding, crockery, glass, metal and other similar materials, excepting
compost boxes.
Deane S. -Mitchell ETAL
Johnnie C. Mitchell & Patricia Buffum
December 9, 2003
Page 2
Butte County Code, Chanter 24 Section 24-305-360 - Refuse. "Refuse" shall mean and include any solids
or semi-solid waste other than domestic sewage, including, but not limited to, garbage, rubbish and trash.
In order to bring the property into compliance with the Butte County Code and avoid further enforcement actions,
you are hereby requested to take the following abatement or correction action:
1. Remove all garbage, rubbish and refuse from your property and maintain a regular removal schedule in
accordance with Butte County Code, Chapter 31, Section 31-50.
This is your final warning. Unless you contact this office and make the proper arrangements to correct or abate
the violation(s) voluntarily, within ten10 days fiom the date of this letter, enforcement shall be pursued through
the issuance of a citation (ordering you to appear in court) for said violation(s) and for failing to comply with this
warning letter.
Upon conviction of said violation(s) or of failing to comply with this letter, the court shall impose penalties (fines)
and a Notice of Violation shall be recorded in accordance with Butte County Code Section 41-7. The Notice of
Violation will include a description of the premises the violation concerns, a description of the violation, the date
of your convictions and the action necessary to correct or abate the violation(s).
Should you have any questions concerning this matter, please contact me at the address or telephone number
listed above.
Sincerely,
Scot Johnson
Code Enforcement Officer
SJ: pa
cc: Department of Development Services, Code Enforcement
Occupant, 19052 New York Flat Road, Forbestown, CA 95941
PROOF OF SERVICE BY MAIL
i
I am a citizen of the United States and employed in the County of Butte;1
2
am, and was at the time of the service hereinafter mentioned, over the age of
3 eighteen years and not a party to the within action. My business address is
4 Department of Development Services, Building Division, 7 County Center
5 Drive, Oroville, California 95965. 1 am readily familiar with the County's
6
practice for collection and processing of correspondence/documents for
7 mailing with the United States Postal Service and that said
8
correspondence/documents are deposited with the United States Postal
9 Service in the ordinary course of business on the same day.
io
On December 9, 2003, 1 served the foregoing 10 Day Notice on the
person(s) named below by placing a true copy thereof in a sealed envelope,
12
with first class postage thereon fully paid, addressed as indicated below, and
13
by placing said envelope.
14
15
In the appropriate place within the Department of Development
16
Services where mail is collected for mailing with the United
17 States Postal Services on the same day.
18
X In the United States Postal Service Mail in Oroville, California.
19
20 Deane S. Mitchell ETAL
Johnnie C. Mitchell & Patricia Buffum
21 1230 Janet Lane
22 Pahrump, NV 89060-3235
23-
I declare under penalty of perjury under the laws of the State of
�4 California that the foregoing is true and correct and that this declaration was
�5 executed on December 9, 2003 at Oroville, California.
26
27
28 Paula Atterberry
i
(
i'-
I ( � � OEN EA AL NOTES 1 sa speca'eal
�- f 5vgr 5�� 5 >;u ED OE�Ov� Uuu91,s. Fv muv be suW4alttl wh a ttem Flr s specdurA.) J!'' p F I maala.>n mlr l e a.,ns,D ry d sPecl.e co .
P T IF:�!a5 _ —oi! F I hSn f z n —N I ro, ^tl oa Iwl.r, dcoemoe oe .v a wao. xo oro�a<s
t uA(dA ,HAI I. CE OL MIN IL, i161 GRADE d S EG ES FOR :f. rr" I'F CQ L.F k1 F'F. .2 HF L.IIN eIF 24( n F 2 tl^, d,,,a I noneonos.e yn.,o
rHrc, SIZE :.y I F I t1F F2 6' A" ll.r tin ?" J.:qsaN"
2l 2" 32r An jt. 7 L'4' U" J7' �,.w d net
T TnP r•I�c 1,� 7.. 7� • n' >F . ,)., 2,1 r l , 2q r n.. 2h f u" 2i' 2" e .limn n aann4 r,o..n• r:
I ♦ 6 " n'wd .,none sMwn
o, 61. 36, 4,1 32.11j„
,C,,, q 4„ 2q, p'. 2' SI, 2" n,TiClNCI1U �-;a a ihr qr,ir O" 2u'h" ?k ? 5IoLu"ga.udC eDe,pewcv,wa,na•
SP 0.', Til Sn k" tiPA1,1— 2r
wEn f.!I. f.l n5 :+� SiANC1n R0 ON STUD GRADE +rt LI FWI. ?n] 02HEM. F 61 OR AS NOTED ON DESIGN t ' ,q / = L'rl 'F i Gtlw h T 1
t,,.I f,'. Srlll b''kuE 1, ,–F ltt FCk. wF 11 Lh. �'pE Ns 17.1':t?,.:PI Tr ,
1 LL+rL r) a(,qF c 37,P P S F
1,L 0, CF 11.1/r; _ "I nen Pst .
TnTAL nFSIGh L1)An ❑ 47.1 P
5 PSF CF II.I`G ctp'Cl it'r TenF',
OFF PA'.EL PnII"T SPL ICC (T2T AXIAL STPFss n•IY
�
2X6 RU, DX 4,S, 7U14 TCT ih' 8" _
' nAl} 017n.AT �F
'� I r4'Fati. 1,15
PttR Jrll,:t T•FTAIL' A" K"'AYI'�IIA.TRI1 5 >%En,HER FR
OCF5 •thdLlar+rc I',,T?
?'
2. n q
'J., I
2 X 4 R 2. 4Y4.5, T2.S/rl T11.32' µu:
x1,,5,TVT. jT, Orl 2.0 4,a, u T t -3510 9 t 3 3 3 n V t ' -r.qR ? qrz
2xu,Fu,uxn.geitiu_t�' H" 2.0 4.0, 4 PAitFL POINT ,SPL ICF.. (TJ21
T J -3n22 2 2227
5, T yq u.: 31. 0 2.0 4.Or u 2xb Ru.PXb, 0. T5h TO 36' A"
Rq,rXu,S+,TSuTO "52
12
(10A' No SPLICE
T2w1.fX3.o,Tz/I.5
` wi.F Y 3. 1,r T31 T(TJ_4(
' f)". 4tp rA0!(If «La reC4
1 yt rGlnE � O,y ,ti4. YG,n EfA' �4
uu �y
�i TJ22�63 �
wue
�(t
'lithe,
ii
vo^'(�U/0a nA
L
F
1 .) aY. 1ki
I' -
equa 1a 7070 ji+`
equal
15" MIN(Spl.
Jr I
it �J L/15.!: y,r r-ri�_
1, q 81
B2r c r
�-- � 8.l2 3 EQUAL PANELS BOTTOM CHORD
#, 1
6 R' co',,
~ehl♦ 4 C
i nl SPANTO i
' i�. ♦ /( tnP•n J
ITr1l1G-FIR SPN(1,5 VTI.F–t 1kR" F'?ioYbl lwo '�u uu,°�
PAPEL POIPIT SPLICE TItJ?) w Jv1 r5 7L, 3h'
k4,Rx7 ,5, T 58` T 0 36' A" R3,2x7 ,5 Tp 3h N.I 3' q,n in 53' q'
1, 3n,. n„ R?.ux'l,n 10 32' 11," w3.2Y K.,
R4,8XFe0,T56 TO a?,uY7,5 TU 78'11" uz,Jy7.ti TO '2h' i°t,,
tau,nx6 0,T46'. TO R14 nn 42 F uxq.0
0 TO 23' h" 2 q" NELLwu
t0 SPLICE 42,4x0 S Tn 17'11)" uJ ux7 5 TT 21
:.
P? ax6.n,T3u Tn'3h' R" ` F t'
lldl'I, u2,uxu,5,T2.5/u T11 3n' n" D n] ` -FIR gpvl;CF-PIr F' -FID
, L G
T310 TO 36 x T31n
a� 7;u TO 3J 9' i3R TC 1(' S"
r ti" ,T.5/R TO 75 hn..
T2.5/R T) 27 P.
T 2
,TO I
.5/1,
TJI
I
2
T
I
{, n 1 2 _ 2
4
r1Ft PA"EL aOLT SPLICE (2T TJaS/4 �
.12.',x7.5, TJ.5/h Tn ,61 P.,
Symmetrical Lr.uxF,.OrT�u TC:.'3It n"
About w"1. u U, 5, TP .5/11 TO 2a q �4
CPnI CIS �C-01aroma as IdU.. DIGITS INDICATE 41ZE OF PLATE IN INCHES
ara d Qualry 20 a+d It'Y " gYJven aea ane61 rtl as Fr ma *,
TAUSWALCONNECT(.N11ft.5. rro Per nda a110'n 25'o.c. Hd=5u rn N.a t,,, LUMBER:Sh II Ce -mumgra0eb spot es ascededl Y ?�e SME„ter,
I,,� l-1— Dy M,Y "T"j'. B I -h pr .W 12" a 11 brq . TrNn ve P,rvl+W a .Fir ,s sOec,I ad 1 ntd8 A,l "y`
FILE Nd: por sa n.,' 0"n ]3.. Vry T !n u, P+^d' nda al 25" ]5' a c lldna sre n .rw De bsnWlrYJ wh H �♦ ,
6 —'• 117 a L J � T '1 / j R�S7.%I 1,roc.Iea t, P 6* ..R"): 101ee1p 1 >0 NO (,e� s «Y used AIL dIMr] ace 20 ga
rrs n, -c m m: Te ea a slgnoCe cDmPany
DATE 4. / 2 r1 / 7 U 5 r' F :.RN-Placa ll ex yeha "froJ) I. a saanal R SOS ca+.wvr .+N every "" C G.e of Ieatn erd nd.a dM*Ytl uNess olrwn.Ya n0letl IF. IxI- EI..v vaWes, soe C 8 O RR I160T eM RR e,Yb9
K pJ..�Tl(%,:5.,p:I,. eesnaaa ba kcsl°4 wodnlaces cg— ad aofir"rcerwrYrracdnd1l+'.+In �nl ceNwarMi
y_7 r, : DES BY: CK BY. y�
T U7
II {
I..