HomeMy WebLinkAbout079-200-079a en T. Ambrose 2625 Brougham D
S .�k79 Oroville R
Permit � ' u
79Ptil. ,MH
ELEC .�' _ -
'
SUPPORT STRUCTURE Q.
COMPACTION TEST REQ.
� �tid�ilod'
a contr: Lloyd's Elec., Orovil e
Permit #1717-79E(elec. '& yard 'ght/
MH) .
NEW OWNER- )
LYNELL BYRNES I
625 Brougham roville
Contr.:_,Hil n s MH_Ser,,,,-M galia
f3I
ermit X364-8 MHI
ss
Permit #1892-811Y(open & covered
deck`s, carpo t ' & storage�V//MH)
Contr: Northstate;'Aluminum, Chico
Permit #k 876-81B .awni
contr' Northstate Alum., Chico
Perm3 #370j`Ql_
B(new awn qg%MH)
z
PERMIT NO.
3703-81B
PERMIT EXPIRES cabled,
OWNER
Lynell Byrnes
CONTR.
Northstate Alum., Chico
ASSESSOR PARCEL
8-12-79
LOCATION
2625 Brougham Dr., Orville
y -
Temp. Power Pole_
Called PG&E
Temp. Elec. Servici
Called PG&E/
Temp. Gas Service
Cal led PPE
JOB FLED (Date)
'Signature
J = OK
O = Not OK
— = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME•UTILITIES (Plans) OK except N's
Date
DECKS, ERS, CARPORTS, ETC. (P ns) OK except N's
c
1. Zoning Requirements—Setbacks—Easements i
MISCELLANEOUS
Date
MOBILEHOME•UTILITIES (Plans) OK except N's
Date
DECKS, ERS, CARPORTS, ETC. (P ns) OK except N's
1. Zoning Requirements—Setbacks—Easements i
1. Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. ooti gs, Size—Depth—Spacing-Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete i
s; Girders and/or Joists—Decking—Bracing—Stairs—Rails-
-4. Water; Location—Test—Easement Needed (Sketch) '
o Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
lum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
oris; indows—Doors —
7. Utility ClearanceeL�
V
Card -BI
Date Card -BI Date
C d -BI
Dat Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI . Date
Card -BI
Date Card -BI Date
= OK
- Not OK
= Not Applicable
- Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'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 N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except H's
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.
62.
63.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
19. Gas Pipe; Size & Anchors
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.
72.
73.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Insulation -Foam -Looked in Attic ❑ Yes
Guard Rails & Deck Construction -Post Caps
23. Romex Installed Close to Edge of Studs & C.J.
24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
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 CYes El 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-Cirnces-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.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B-1
Date
Date Card -BI Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts: Insulation & Support
82.
Glass Protection
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
---
Card -BI
Date Card -BI Date
Card -BI_
_Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except k's
36,
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
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: Anentry must be made each time you visit jobsite)
J -COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION AND PERMIT A /0) -
ASSESSOR PARCEL NUMBER
008 12 0 079 0
ZONING
BUILDING PERMIT
OWNER _
L ell Bymes
TELEPHONE
533 6815
SQ. FT. OCC. BUILDING VALUATION
Igo
OWNER'S MAILING ADDRESS
2.625 Brougham Oroville Ca. 95965
CONTRACTOR'S NAME_
Ntirthstate Aluminum
TELEPHONE
343.7956
CONTRACTOR'S MAILING ADDRESS
3029—A Esplanade, Chico, Ca.
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .20 -00 -
ARCHITECT OR ENGINEER
Gordon H. Klippel
LICENSE NO.
654
Plan Checking Fee
$
penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
1525 U St. Sacramento, Ca.
Permit fee
$ pp
BUILDING ADDRESS
2625 Brougham., Or ville Ca.
PLUMBING PERMIT
Filing Fee 10.00
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❑ Mobilehome[3 Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New[d Addition �Remodel❑ Utilities[:]Installation❑ Other❑
Describe work: 71 X-27' awning
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
5.00
-
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.p1i
OR ADDNS. ACC. SLOGS.
.
/ 2Q Sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I`Yt/YF 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. 9:14008 Classification 111-11
❑ 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. I -OUTLET 2.50 ea
NO ..RES'..
ESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS 61
NON-RESID. SINGLE OUTLET CIR. I
EX. OCCUp OUTLETS OR FIXTURES_ gAL 1� 00
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID,) EA.1 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.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3,Op
Ventilation
6 4
aP. Fee b0
S , e 0
t ontractor, Ara t1(-, I
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sa'd County in consequent of a granting of this permit.
%� ti , e Date 9/25/81
Signature of App ant — 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.
MobilefHome Installation Fee $
TOTAL PERMIT, FEE,; $ ,Qo
ODCUP (GRbUP'
�— .� f
; tTYPE"OF CONST.
t�ijmc/Y4'1''�✓
V
JPARCEIL[�J
ND
ssuE
`_
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY —Date/
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
0—
/o' r-2--_•
Receipt No. 15-6 62 1
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
CITY OF
DEPARTMENT OF BUILDING & SAFETY
PLOT PLAN
DATE: AS-% n
M terials BUILDING PERMIT NO.
Ail & WorfCmans p
d Good Practices and
RAr-oawze
_ _ _ -w •�•-a -use in the.._____.___.._._._.__.___-.
Of a
Unify
the
This set
kept on t64
mr!.P anv
written per
Works, Q
i, R,-.-
ng, Piumbing
Electrical Code.
plans and specifications MUS1
loblat Cil^t7mes} and o is( rle witilo w
binges or
rissi in from the Department of Pa br
A1►.tvl of Butte.
�17AL
9 6
FRO ti•T
MOBILE
HOME
A setback of 15 ft. from the
property lin and a setback
i { of 50ft. fr, n the road
centerline sh II be clear of
structures or equipment oitcpt
for a 2 V./ebve overhang.
�-
_G�J�-O
—f— — P / L - -- —
STREET: Z LOT No.: 73
Name of Park: C����iA �' �`_ `�'�"� Street Address:
Name of Tenant: L YN �� Y�� %ti's _ Brand Name:
State Approval #: State Model_#
Installer: /L'c�7H•s�:FlT c.�.'Y/%^'�`'7Address:�rC�� /-Sf'� 9`N�`�'I`elephone: 3�/3-7�5�
Describe Work to be Done: .T T9 f�� %� �t•'�t/iyG 7 x 3 7'
Cost: $
rrouNTY
We, the undersigned, hereby approve the installation of the above at�r�ttz�e and
agree that the information furnished herein is correct and in ac6ao lfitZ VI-PARTMEN4
applicable provisions of the Health and Safety Code and Related Rules of .the State
of California. / D O V E
7 r->
Tenant: �' �J L Z''�--- Park Manager
Signature Si .nature G
' PERMIT NO. 573-79P
, V
PERMIT EXPIRES
OWNER Warren T. Ambrose
CONTR. owner
8-12-79
r
LOCATION (A.P. )
2646 Monte Vista Ave., Sp.#79; Oroville
_ y
3
1
X
d
Y
i
s
i'
k
Temp. Power P zle
Called PG&E
Temp. Ele Aerv. Z
Calle PG&E
Temp. as Serv.
lied PG&E
JOB q ry
FINALED
.(Date)
(Signature)
nona tseato
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD '
Framing
BUILDING BUILDING (Cont'd)
A PLUMBING
S ck
irewall
Sh Piping
Forks
01tapets
1 Floor
MaIM Bldg.
Res oom Finish
2nd loor
F tins
Windows
3rd F or
SteANaIl
Sidin
To out
Slab
Roof Shekthina
Water PI in
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. forphysic a y
handicaped
Conformance of ex.
structure V
Appliances
Gas Piping &Test
Temp. as
Slab
Final A
Sanitation
Patio
IRE LACE
Final
Footings
Footina
Fd ECTRICA
Masonry Walls
Throat
Rough
Reinf. SteeLf
Final
Plwh1roa
nona tseato
Jr FIRE SPRINKLE Motors
Framing
est Water Htr.
Stucco
inal Sub anel
lHeat,19
Mesh
MECHANICAL Grd. FAR Prot.
Scr h
Servi
U1 11 Cooling Tgfno. Pole
F ish Dults nder round
In rior Lath ntilation Permanent
or Closer10inal inal
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping 5_0 Sewer j Gas Piping L e'
MRB16EHOME TALLATION-------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
0 = Not OK
— =* Not Applit:ai'ife --:-`iMtOBiL'EHOME$
+ = Not Ready
M I S C E L L A 0-U"S
Date MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except p's
1. Zoning Requirements—Setbacks—Easements
2. Soils; Special'MH Support—Sketch 1
1.
2.
Zoning Requirements—Setbacks—Easements _
Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/O—Concrete
3.
Decks; Girders and/or Joists—Decking—Bracing Stairs—Rails
4. Water; Local ion—Test—Easement Needed (Sketch)
4.
Wood Awn.; Posts—Beams—Rflrs.—Connec.—Shthg.—Rfg.—Bracing
5.. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5.
_
Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Local ion—Test—Wrap:/ /"L"fl./ /"Nat. or/ /"L"fl./ /"LPG
6.
Carports; Windows—Doors
7. Utility Clearance
7.
Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -81 Date
Date MOBILE ME INSTALLATION (Plans) OK except N's
Date
POOLS (Plans) OK except #'s
. , oning Requirements—Setbacks—Easements
1.
Setbacks—Easements
_4.c:
footings; Size—Spacing—Marriage Line
2.
Soils: Compaction—Structure Stability
3 Gas; MH Test—Demand—Valve—Connector
3.
Pool Structure: Steel—Connections—Thickness—Dead Men—Lining
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
Water; MH Test—Regulator—Connector t
6.
Elec.: Enclosures: Conduit Entries—Terminals—Listed
Water and Sewer Connected—C/O Io Grade—HD Approval t
7,
Elec.; Bonding: Metal w/5'—Circulating Equipment—Heater —
as and Electricity Tagged
8.
Elec.: Grounding; Equip.w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures— Panelboards—Ins. to Main in Conduit
xits; Insp.—Sketch
04'ert. of Occupancy
9.
Health Department Approval
10.
Plumb; Cir. Test—Water Supply Test
Card B -I Date and -81 Date
Card -81
Date Card -BI Date
Card B -I Date- Card -BI Date
Card -BI
Date Card -BI Date
(
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS 7 COUNTY CENTER DRIVE
OROVILLE, CALIF. - 534-4541
CERTIFICATE OF OCCUPANCY
This mobilehome has been installed in accordance with the requirements
of the California Administrative Code, Title 25, Chapter 5, under permit
number <<�` `_ for the following,location:
Owner
Owner's Addressor
Mobilehome Mfg. �% �}� %` Model Year 7V
Insignia No. Serial No. 12 49 IAI 9
It is hereby certified for occupancy at the above described location and
may be occupied.
Director of Public
Works
Date/ • T/ n . By'_l—�1� z �i� �✓.r'`— T
THIS CERTIFICATE IS VOID WHEN MOBILEHOME IS RELOCATED
White - Owner, Yellow - Installer, Pink - D.P.W.
COUNTY OF BUTTE = QEPARTMENT OF PUBLIC WORK PER IT NO.
' 7 County Center Drip - Oroville, California 95965 - Telephone 916/53 541 -
' APPLICATION AND PERMIT ,.
ASSESSOR,4;;f R UMBER
?__12 9,
ZONING
BUILDINGPERMI
OWNER
4
TELEPHONE
SQ. FT. OCC: -BUILDING VALUATION
OWNER'S AI ING ADDRESS -
C,O p9TRg�OR'S NAM S
TELEPHONE
VaUZO
-
'
CO TRACTOR'S MAILING ADDRESS
•� % ,;J .?l'd
Fireplace
CONSTRUCTION LENDER
s
UNKNOWN
Total Valuation $
'
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGI ER
LICENSE No.
Plan Checking Fee M$
-O
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN,G ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT yNO.SUBDIVISION
<
NAME
C� 1r, R to 1V9r16 Y
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome�Other
SPECIFY '
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ , Utilities[:]-' Instal I•etion Other ❑
Describe work: low -1 FOIL V7ZL pew X73=71�'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eooV OR LESS
100 AMP OR LESS
5.00
q)c60
Main service EA_ ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.y)
OR•ADDNS. ACC. BLDGS. _
22 sq ft -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
[��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., 5(� /X!./ Classification �� v/
❑ 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) c
❑ 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
.0..REEsio R BRANCH CIRCUITS 2.50 ea
NEW CONSTR. ( POWER APPARATUS e
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES BAL01
00
IXED APPLNS. OR
Ex. OCCUp.(OUTLE TS (RESID.) EA. 2.00
Temporary service •10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury ,(check one):
❑ The permit is for $100.00 (valuation) or less.
E4_ -I -have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance ora 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
a
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 L-aws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in co sequence of the granting of this permit.
X ' iLG Date
Signature of A licant - Owner
g ❑ 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 $ - p
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OFrCONST,
PARCEL
PD
1 HD
1 ISSUE
�.
This permit is hereby issued under
sions of the Butte County Code and/or
work, indicated above for which
DIRE R OF PUBLIC
BY
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
P
WORKS
Date �/'" 7
4--Z ,—
Receipt No. 50607
WHITE-D.P.W., YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT -
CARRIAGE MANOR LOT 79
A. P. No. (s): .008-12-0-079-0
Fees Paid: ALL FEES PAID 3/30/81.*
AWWa 'on1f9H ervice approved:
I Y,
Telep,10i
533-2000fi 5A':
'
North Burbank
North 'Public.
Ut,flity
Distr*'i.ct
.,Burbank
1960 Elgin Street
OROVI-LLE,. CALIFORNIA' 95965-
J DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
BUILDING SEWERS'
m
This -'verification form must be submitted to the Butte County Depart ent.:of
Public -Works - Building 'Department prior to issuance of a building or occupancy.,
permit, *whichever is applicable.
Prior to final approval by Butte County of a Building or an Occupancy.P6rm''lt
a'.:-':.:
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: LMLL J. BYRNES
Applicant Address: 2144 CLAY STREET,, NAPA, CA 94558
Applicant Phone No.:
4,f
Property Location (s): 2625 Brougham Drive
CARRIAGE MANOR LOT 79
A. P. No. (s): .008-12-0-079-0
Fees Paid: ALL FEES PAID 3/30/81.*
AWWa 'on1f9H ervice approved:
I Y,
Inspection(s) made and successful test(s) observed:
Location:
By:
Date:
A
North Burbank Public Utility Dist . rict release to close permit:'
Date: By:
North Burbank
Public Utility District
Inspection(s) made and successful test(s) observed:
Location:
By:
Date:
A
North Burbank Public Utility Dist . rict release to close permit:'
Date: By:
Owner's name:,
Instal'ler's name:
BUTTE COUNTY.DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA.
PHONE: 534-4541
MOBILEHOME INSTALLATION SHEET
:
3. Is the site currently under permit? Yet /VI No / / •
(If yes, furnish permit number 7J "- 7�%� ) OR/b�
. _ c� Via— 7�
Is the site an existing site? Yes / / No
(If yes, furnish two (2) plot plans.)
4. Will the mobilehome'be located at least 5 ft. away from septic tank and leach fields and
clear of.all setbacks.and easements? Yes No
(If -no, clarify )
11. 'What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ---------------=-------------- (BTU)
(Tfiis_information not required if pipe length less than 6 ft. on natural gas.
or le's's than 50 ft. on LPG.)
5.
What
is the mobilehome
electrical rating? --=--------------------
Amps .
6.
What
is the mobilehome
site service rating? ------
--
Amps
w
6
Ams e
.7..
What
is the mobilehome
site circuit breaker rating?
------------=
p
8.
Is there any other electric
load to be served by the
mobilehome
siteservice?
---------------------------------------------------
Yes No
<—f�
(If yes, identify
the load and size:
(Load)
(Amps)
`�
9.
What
is the mobilehome
site gas pipe.size?----------------------
(in.)
10.
What
'is -the type of gas
service? -----------------------------
NaturalC_//_ LPG
11. 'What is the gas pipe length from meter or tank to the mobilehome? (ft.)
12. What is the mobilehome gas demand? ---------------=-------------- (BTU)
(Tfiis_information not required if pipe length less than 6 ft. on natural gas.
or le's's than 50 ft. on LPG.)
MOBILEHOME SUPPORT DATA
If other than single wide,
Mobilehome Mfr. /`���%c7�'/� furnish Setup Model No.rJJ Year
Width1 (ft.) Box Length t9 (ft.) Tagalong or Expando
(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
mobilehame unless
otherwise specified.
•
Footings (check one)
Single
�. Wood either
AA
pressure treated or
I,qrl
foundation grade.
(ft.)(in:)
(in.) (in.)
❑ 2. Other: (specify)
Center support
locations*
Center support
footing sizes
Supporta (check one)
(in.)�
Concrete block.
/3 _
x
El.2 : Other. ( specify)
(ft.)(in.)
(in.) (in.)
Mfr --Tagalong or Expando,'
show support -details.
7 G'
3
(ft.)(in.)
(in.) (in.)
%q x 30 --'Typical
Support
(in.) (in.)
Footing Size
(ft.)(in.)
(in.) (in.)
Qj =- --
Max. Pier Spacing
x (�
�,_ --
Max. Overhang
(ft.)I1 (in.)
(in.) (in.)
(ft.)(in.)
BUTTE. COUNTY
4UlLD1NG NPARTMEN1
A PPROV
L
*If center piers are other than drawn above,
draw in-locatigns,
spacing,.and dimensions.
COUNTY OF BUTTE — `DERARTMENT OF PUBLIC WORKS
7 County Center Drive - uroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
ie// �� Date f
Signature of Permitee or Agent
Receipt No. 6
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
ECT R F PUBL WORKS
i
B ate
Building permit expires Date
BUILDING
Owner C 0o,
SO. FT. OCC. BUILDING VALUATION
Mailing Address
IUB,
L
rta
Telephone No.
S3 z8
Contractor4A2 K ,g�Y .
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building AddressPlan
Checking Fee&/or Penalty
Permit Fee
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. ¢�-- —�
Zantng 8 g
--'Water piping 1.50
Each gas water heater or vent 1.50
s
C.
Fire Dept.
FireZone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA\Parking
EOA Plans
Parcel
Declaration
arcel Map
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00 IJ0
Bldg. ns Recd
Parcel rovol
Plans provol
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES OTHER ❑
Permit Fee $—
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR L
Main service ESS
10o AMP LESS 5.00
le Famil Duplex Mobil Home Others
Single Y ❑ P ❑ ❑
-L
Main service E4. ADD100 AMP 2.50
Main service OVER 600V25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.( DWELING
OR ADO.NS. ACCLBLDGS.CCUP. 51 20sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
$t le of:
Y
NE W CONSTR MULTI.OUTL T
NO N.RE'ID, BRANCH CIRCUITS 2.50ea
NEW CONSTR. POWER APPARATUS 8
NON.RESID. ANGLE OUTLET CIR.
Ex. Occur) (OUTLETS OR FIXTURES 6 L ,�
Ex. FIXED APPLNS. OR
OCCU /
P•\OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 1 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
ie// �� Date f
Signature of Permitee or Agent
Receipt No. 6
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above which fees have been paid.
ECT R F PUBL WORKS
i
B ate
Building permit expires Date
COUNTY OF BUTTE — ,DEPARTMENT OF PUBLIC WORKS
. 7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ouu w,Icc IcNlcocn wu vca UI ulc L'UUIILY UI OUllr. tU CIIICI uNUII uIC
above-mentioned/property for inspection purposes. �1
x V Date 2 2'
Sig ature of Permitee or Agent
Receipt No. -7 :1• �7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
al o o which fees have been paid.
QIREQTOR OF PIJBLIC WORKS
Date -3( `�
Building permit expires Date 3- 2-7— FO_
f
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mai I Ing Address -• l`
Telephone No.
53 2_
Contractor
Mailing Addre
Fireplace
Total Valuation
Telephone No.
Permit Fee
A
Building Address ,2 �� �� /p (Z lJ�
Plan Checking Fee &/or Penalty
Permit Fee
PLUMBING No.1 @ I FEE
$ T
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. F_`�`
Zo ing & Planning
Water piping 1.50
Each gas water heater or vent 1.50
FAO—s'FAO-s'l
W
Sanen
Fire Dept.
Fire Zone
Use Pen -nit
Gas piping system 1 - 5 outlets 1.50
EQA
IParking
Plans
Parcel
Declaration
I Parcel Map.
60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bld . PIa dParcel
A roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
Permit Fee $
L I
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00 '7
Single Family Duplex Mobil Home
❑ ❑ ® Others ❑
Main service 600V OR LESS �—
loo AMP LESS 5.00
L
Main service EA. ADD - 100 AMP 2.50
�
P O
Main service OVER 430.V7 25.00
100 AMP OR LESS
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONSTOR ADDNS. \ ACCDWELBLDGS.L I NG CCUP. 4\ 22sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
f"
NEN NCONSTR UTL T
ON-RESID BRANCH-OUTLET
CIR C., T S)J 12.50ea
NEW CONSTR. POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
Ex. Occuo{OUTLETS OR FIXT11PES 50@;zC
BAL@1
FIXED APPLNS. OR
Ex. Occup.
p. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 �-
License No.Classification lo
Misc. Wiring 6.25�
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$ 3'(
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
101'l have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
t certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances'
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
t
ouu w,Icc IcNlcocn wu vca UI ulc L'UUIILY UI OUllr. tU CIIICI uNUII uIC
above-mentioned/property for inspection purposes. �1
x V Date 2 2'
Sig ature of Permitee or Agent
Receipt No. -7 :1• �7
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
al o o which fees have been paid.
QIREQTOR OF PIJBLIC WORKS
Date -3( `�
Building permit expires Date 3- 2-7— FO_
f
i,
-GI No. 1892-81B
PERMIT EXPIRES ,5LIA?
OWNER L. J: Byrnes
CONTR. owner
8-12-79
ASSESSOR PARCEL
LOCATION_ 2625 Brougham Dr., Oroville
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB F ALED (Date)
Signature
rI
f
J = OK
O Not OK
= Not Applicable MOBILEHOMES
= Not Ready
Zr 1,
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except p's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except fl's
!3 --Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
3. Sewer; Location—Test—Fall-C/0—Concrete
4. Water; Location—Test—Easement Needed (Sketch)
!L`
Zi�7L
_•_
41!Footings; Size—Depth—Spacing—Connectors
viTecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
p}/Gfood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.;ns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"fl./ /"LPG
6. Carports; Doors
7. Utility Clearance
_
7. Elec.
Card -B
Date C -BI : Dat
Card -BI Date Card -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) K except k's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4• Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy .
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
O = Not OK
= Not Applicable
* = Not Ready RESIDENTIAL (Single and
Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
oning 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- apped-Slab
53.
Stucco Mesh-Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers- L
54.
Glazing Area-Glass Protection-Skylights-Plastic
8.
D.W.V.: Fall-Fittings-Test-2 way C/O-Sewer Test
55.
Shear Walls; Nailing-Bolts
9. Gas Pipe; Size-Anchors
10.
Water Pipe; Test-Anchors-Regulator-Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance-Material-Support-Ins.
13.
Girders-Sills-Anchor Bolts-Joists-Vents-Cripples
Card-BI
Card-BI
Date Card-BI Date
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Date
FINAL (Plans) OK except H'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.
58.
Smoke Detector
Furnace; Vents-Clearance-Comb. Air-Connector-
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors-Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor-Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor-Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes-Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances-Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card-BI
Date Card-BI Date
65•
Kit. Fixt. & Appliance; Grnd.-Air Gap-Cooking Clearance
Card-BI
Date 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
22.
Size Boxes & No. of Conductors-Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners-Bond Gas & Water
72.
Insulation-Foam-Looked in Attic E) Yes
-
_
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Guard Rails & Deck Construction-Post Caps
74.
Fdn. Vents & Crawl Hole Door-Drainage & Wood-Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or A[-Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive El Yes E] No; Walks E) Yes E] No;
Planters ❑Yes ❑No
28.
Service-Riser Conductors & Ground-Main Disconnect
76.
Stucco; Brown-Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size-115V Outlet
30.
Clothes Closet Light-Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle-Underground
Card B-I
Date Card-BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B-I Date Card-BI Date
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
Date Card-BI Date
Card-BI
Date Card-BI Date
Card-BI
Date Card-BI Date
Comments at Final:
Date FRAMING(Plans) OK except q's
36.
Sills; Proper Material & Anchors
_
37.
Walls; Studs-Nailing, Spacing & Bracing-Plates-Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
40.
Draft Stop in Walls (rat proof)
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.-Rfng.
Fireplace Ties or Type A Flue-Fireplace Throat
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)
V COUNTY OF BUTTE - DEPARTMENT OF`PUBLIC WORKS PE IT NO.
7 County Ceziter Drive - Oroville, California 95965 - Telephorik 916/534- 41 �—
APPLICATION AND PERMIT AA /...*
ASSESSORARCEL NUMBER
--
Z IN
BUILDING PERMIT
OWNER
1Pwre s
TELEPHONE
a-4,
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILINq ADDR '
CONTRACTOR'S NAMEJ I
TELEPHONE
}'�
V
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDIN ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
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❑ Mobilehomeg?"10ther
SPECIFY
Building sewer
Lawn sprinkler system
TPOO
TYPE OF WORK
New ❑ Additio ❑ Remodel ❑ Utilities ❑ nstal lation ❑ Other
Describe work: v — ' C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR011 OR LESS5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. ( DWELLING OCCUP.N)
OR ADDNS. ACC. BLDGS. /
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
-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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR -OUTLET 2,50 ea
NON.RESI D. BRANCH CIRC ITS
NEW CONSTF POWER APPARATUS S
NON.RESID. (SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@1
EX. OCCUp.(OUTLETS111 PLNS (RESID )RE A. 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.
❑ 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.
SZ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 liabi ' ents, costs, and expenses which may in any way accrue
ains d unt In consequence of the granting of this permit.
�_ ��/
Date
5i a Applic nt – Owner Contractor ❑ Agent ❑
I 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.
�7
PARCEL I PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
P IT EXPIRES Date✓
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_
Date �S 7ZIF
I Z���
Receipt No. ��� 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE -Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
s
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-.
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)
2. I (have/have not) 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
fM
Address 4114- City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following
person to coordinate, supervise, and provide the major work:
Name
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/4"K
Date r'
i
NOTE:' This Owner -Builder Verification is sent to you -as -required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
PERMIT N0. 2876-81B
PERMIT EXPIRES—
OWNER
XPIRES OWNER L.J. BYRNES
CONTR. Northstate Aluminum, Chico
ASSESSOR PARCEL 8-12-79
LOCATION 2625 Brougham Dr, lot 79,Oro
A
Temp. Power Pole
JOB FINALED (Date) / 1
Signatur
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) / 1
Signatur
J OK `
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DE S OV RS, CARPORTS, ETC. (P)Ors) OK except N's
1. Zoning Requirements—Setbacks—Easements
1 oning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2,_ ootings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3 , ecks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4A9od Awn.; Posts-Beams—R'ftrs.—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
7. Utility Clearance
es ndows—Doors
x4v&yI5
Card -BI
Date Card -BI Date t
C d -BI
Daie Card -BI Date
Card -BI
Date
Date Card -BI, Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date _
POOLS (Plans) OK except H's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI,
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool -Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
O = Not OK
= Not Applicable
�k = Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
48.
49.
Property Line Firewall & Opening's
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.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
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 N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
57.
Smoke Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. - Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E) Yes
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 At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral CYes EJ No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters Dyes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Perrr,it) OK except N's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
_33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
------
Card -BI
Date Card -BI Date
Card -BI
Card -BI
_
Date _- ^ Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except p's
36. Proper Material & Anchors
Comments at Final:
_
37. --Wal
38.
39.
_Sills;
Is;Studs-Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42
43.
44.
Header _& Beam_ -Size & Bearing _
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 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)
J.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSXPE IT N0.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
tl
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
171109 12 0 079 0l'/t�
Zgy�N
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
44U
a
OWNER'SAIL NG ADDRESS
CONTRACTOR'S ttAME - TELEPHONE
CONTR CTOR'S MAILING AD RESS
3029-A E lanadChi
e co K
Fireplace
CONSTRUCTI N LENDER
UNKN W�
V
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 20,0o
ARCHITECT OR ENGINEER
Gordon H.li 1
LICENSE NO.
654
Plan Checking Fee
,$' Q OD
Penalty
$
ARCHITECT OAU ER'S MAILING ADDRESS
1525 U St. Sacramento, Ca.
Permit fee
$ .�
BUILDING ADDRESS
2625 Brougham Drive -Carriage Manor Park
PLUMBING PERMIT
Filing Fee 10.00
Oroville Ca.
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT O.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome[i Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New1k Addition Remodel❑ Utilities❑ Installation❑ Other [:1
Describe work:_ 81 x 30' attached awning
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELING
OR ADDNS. ACCLBLDGS.CCUP M)
20 sq It
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 ProfessionsCod�nye an my license is in full force and effect.
License No. tJ0 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 TCIRCUIT s2.50 ea
NEw NON-CONSTR. RESID, (SINGLE OUTLET CIR,POWER APPARATUS D)
so @ 250
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
Ex. Occup.�OUTLETS P(RESID,)REA. 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): �cV"
❑ The permit is for $100.00 (valuation) or less. ���q�q�i,�S
I have laced on file with the Count of Butte BuildiA b;e artment
® p y g p
a Certificate of Workmen's Compensation Insurance or a Cerc te.
of Consent to Self -Insure. 10, r�
❑ 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. IWn,tContractor
IIQEibt kNICAL PERMIT
Filing Fee 10.00
;heating t%
�Cooaing
`Hood
3.00
Ventilation t
Pe fit dee
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of th granting of this permit.
Nor tkate Altuninum '
X Date 7128/81
Signature of Appli nt - Owner ❑ Contractor ❑ Agent Ei
An OSHA permit is required for excavations ver 5'0" deep and emolition or construct-
ion of structures overstories7nheight.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST,
PARCEL
PD
Ho
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By �
PER EXPIRES Date_
the applicable provi-
resolutions'to do
fees have been paid.
WORKS
p
Date 1a - 174
��17—Y�
G3
/
Receipt No. s� 0 J J7- 00 s68/�
WHITE-D.P.W., YELLOW-ASSE OR, PINK -IN CTOR, GOLDENROD APPLICANT
/5hpl.
J*Alo
OOnd SO .
!
DATE:
�AO
- • CITY OF—!L A
DEPARTMENT OF BUILDING & SAFETY ,.
I
PLOT PLANT.
t�
BUILDING PERMIT NO.
A setbac% of 5 ft• f o�t thQ "
property lines and a setbacX
of 50ft. from the e elle r Ofcenterline shat
stnytures or equipent e�cC4pt
eave�/f r I an':
this set of (plans and specifications MUST to
kept on i' e ir,b at all times and it is uunlay ful to
maim an chcsliges or r.ltProjlons on same witMt
written p :rmi_sion from the Department of Public
Works, un�y of Butte. p L41
— I
STREET: D0lr6/' _ LOT No.:
Name of Park:r_WC_gd/G ,r-=-- 4&4>& Street Address,.1-6
Name of Tenant: _L , &Rj/B rand Name: ."i4 PSA- 4A
State ApproJv�1 #• j State Model #
Installer: _ '� r Address:1)-AJV&Rr. re1ephone: 3'13-2r.5'6
Describe Work to be Done: ,a222-7rr//Fn '.1' 3,59
Cost; $,��
We, the undersigned, hereby approve the installation of the above stru dt"Y E a 6UNTY
Yy'li' Y Y Y: '�.i
agree that the information furnished herein is correct and in accordance with all
applicable provisions of the Health and Safety Code and Related Rullestofttal% StateARTMENt
of California.
Tenant:
Signature,
P
Signature
0pFESS1pN
t JOB NO.41-
—D GORDON H. KLIPP �� _ SHT.
CLIENT ,
,�I STRUCTURAL +E;NGI
LICt�_. S _.__.._.___._. _/n..__..__ ._.__ _..._..__.._ _.. 1525 - U ST. DATE 8- lZ-
PROJECT �CJi- sL L SACRAMENTO, CALI 95 S
— _�Lf--. CQ /s�..� -
LOCATION -Y- --
W PHONE: 444-5976 CHK. %
Duv'y/u>-,1 lncG C1p%3
4301 14, ,ec� F 0f . CA01
Sg co, �.� foJ C r1J 8 2 �i
Or u�i /Vo 76
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e
4 F R o V ED,
4 �` 3�8 ai�j W! a0 l/
SEC T/UN A T - COLUMN Z
NA'ME
-ADDRESS
I %i 14
kt
5
ESTIMATE, SHEET
6
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NORTHSTATE ALUMINUM,.
4a
3029A ESPLANADE CHICO,, CALIFORNIA 95026
TELEPHONE (916) 343-7956
ESTIMATE, SHEET
6
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DATE
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TOTAL PRICE
Salesman
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TOTAL PRICE
Salesman
-3193 -
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