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HomeMy WebLinkAbout079-250-016I 2p ^ At & HAZEL E. CHAMBERLIN Contr: Chamberlin ~~^---- --' E REQ COMPACT IOj1j#rTES T RE Coutr' James C6amberl 1 --`-- ' a o, uroville ` / H PERMIT NO. 2962-84P,E(MH) / +LL� I PERMIT EXPIRES h 15, OWNER THOMAS & HAZEL E. CHAMBERLIN CONTR., J J Chamberlin ASSESSOR PARCEL 36-30-76 & 77 LOCATION 2691 Pinecrest, Oroville OFFICE COPY Address G LECTRIC Date - Meter By �O - Date - Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature J = OK , O = Not �bK' a 1 - = Not Applicable MOBILEHOMES MISCELLANEOUS * = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except N's oning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s 1. Zoning Requirements -Setbacks -.Easements Is; Special MH Support -Sketch 2. Footings; Size -Depth -Spacing -Connectors 3 e ; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails er; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing /Electricity; Location-Clearances-Grnd.-/}QB® Amp -Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures as; Location -T -WW./ /"L"ft./ /"Nat. or L"ft./W "LPG 6. Carports; Windows -Doors ytRflity Clearance 7. Elec. Card -BI Datel Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (P s) OK except N's 94"Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except H's 1. Setbacks -Easements %,,Irootings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability Zlellgas; MH Test -Demand -Valve -Connector Q;�1ectricity; MH Test -Crossovers -Breakers -Clearances 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining 4. Elec.; Receptacles and Lighting; Distances-GFI rain; 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 1.-Wat r and Sewer Connected -C/0 to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater as and Electricity Tagged B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit xits; Insp.-Sketch 1 ert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test d B -I -Date % 7 '__? and -BI Date 1 Card -BI Date Card -BI Date Card B -I Date Card -BI Date I Card -BI Date Card -BI Date r. .j7Vkl' 4 V = OK 0 = Not OK - = Not Applicable RESIDENTIAL (Singl'e 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 -Seel- / /" Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockou-,s-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 52. 53. Siding -Nailing -Veneer 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 Card -BI Date Date Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except q's 14. Water Ht.; Vent -Access -Combustion Air Date FINAL (Plans) OK except q's 56. Ext. Steps -Door & Sidelight Protection -Landings 57. 58. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water 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 q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. 69. A.C. Duct in Garage -Damper Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 20. Fixture & Transformer Clearance -Ins. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. 23. Size Boxes & No. of Conductors -Stapled rstapled Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic E) Yes 25. 2 Appliance Circuits in Kitchen &Conductor Size 73. Guard Rails &Deck Construction -Post Caps 26. 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 ❑No 75, Following instld.: Drive El Yes ❑ No; Walks El Yes E] No; Planters ❑Yes El 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 #'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 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_. Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time you visit job site) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 'Ji - �• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND'PERMIT PERMIT NO. � W�iiAi A ASSESSOR PARCENUMBER (� —3 b q ZONING BUILDING P OWNE a TELEPHONE 6'33 3 S0. FT. OCC, BUILDING A ION OWNE 'S MAILIN DDRESS CONTRA R'S NAME Ker TELEPHONE 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 $ 45('00 O Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDR SS Permit fee $ 0°25 � BUILDING ADDRESS PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each gas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home JSJGJWJ 10-00ea TYPE OF WORK New ❑ Addition RemodU❑ Utilities ❑ Installation Other ❑ Describe work: 4'C' Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP V OLESS RSLESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUPM OR ADDNS. ( ACC. BLDGS. I 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness 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 NON.RESID. BRANCH CIRCUITS) 2.50 ea CONSTR U T1.OUTLET NEW CONSTR. POWER APPARATUS &i NON.RESI D. (SINGLE OUTLET CIR. Ex. Occup(ourLETs OR FIXTURES 20@S0C BAL@30 FIXED APPLNS. OR Ex. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor 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 FiIingFee 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. 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 again t said County in conseque ce o the granting of this permit. Date �1e Signatuof Applicant — Owner 6 Contractor E]Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height.��'m� Mobile Home Installation Fee $ 27S ,-- TOTAL PERMIT FEE 00 �© OCCUP. GROUP I TYPE OF CONST, PARCEL ' PD NO SS This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRrOR OF PUBLIC r BY � PE T EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date -If, �' /Qf ? ,(, - --� Receipt No. WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA. PHONE: 534-4541 MOBILEHOME INSTALLATION SHEET 1.. Owner's name: e r r /-I 2. Installer's name: S �� �� u VA 3. Is the site currently under permit? Yes Z�a No (If yes, furnish permit numberOR Is the site an existing site? Yes / / No (I£ yes, furnish two (2) plot plans.) 4. Will the mobilehome be located at least 5 ft. away from septic tank and leach fields and clear of.all setbacks.and easements? Yes / / No ( If no, clarify 5. -What is the mobilehome electrical rating. ------------------------Amps \\ Amp s 6. What is the mobilehome site service.rating? ---- -------------- Amps 7.. What is the mobilehome site circuit breaker rating? ------------- ,Amps 8. Is there any other electric load to be -served by the mobilehome siteservice? --------------------------------------------------- Yes, No (If yes; identify the load and size: �c�w�,�_(Load) 02_ (Amps)_ 9. What is the mobilehome site gas pipe size? ---------------------- 10. What is the type of gas service? ------ --------------------- Natural -7-7 LPG / 11. What is the gas pipe length from meter or tank to the mobilehome? C (ft.) 12. What is the mobilehome gas demand? ------------------------------ (BTU) ,4 (This information not required if; pipe length less than 6 ft. on natural gas . or less than 50 ft. on LPG.) BUTTE COUNTY BUILDING DEPARTMENT APPROVED 4 MOBILEHOME SUPPORT DATA If other than single wide, Mobilehome Mfr. S�w/i L'I `� furnish Setup Model No. Year Width _(ft.) Box Length(,o 0 (ft.) Tagalong or Expando Size ft. x _ft. (SHOW SUPPORT DETAILS BELOW) On all mobilehomes manufactured after October 7, 1973; furnish manufacturer's installation manual and structural setup sheets (if not on file with the County of -Butte). All center supports measured from front of mobilehome'unless otherwise specified. Footings (check one) Single El J', Wood either pressure treated or foundation grade.. t.)(in:) x (in.) (in.) ❑ 2. Other: (specify) Center upport Center sup ort Supporta.(check one) locati ns* footings es (in.) Concrete block. ❑ •2: Other. (specify) X/ (f t.)(in. (in.) in.) <---Tagalong or Expands,' show support details. n.) (in.) Typical Support . (in. (in.) Footing Size (in.) (in.) Max. Pier Spacing 'x Max. Overhang (ft.) (in. (in.) (in.) (ft.)(in..) *If center piers are other than drawn above, r • draw in -locations, spacing, and dimensions. COUNTY OF BUTTE - DEPARTMENT OF'PUBLIC WORKS +►' 7•County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLIGATIO AND PERMIT PERMIT N0: ASSESSOR PARCEL NUMBE t 7 Z NI BUILDING PERMI 0 W 9.E6 T LE PHONE SO, FT. OCC. BUILDING - ATION OWNS 'S Ml�I LI G ODRESS ) CONTRACTOR S NAME JTE14EPHONE CO TRACT AILING ADDRESt r Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ LENDER'S MAILING ADDRESS _ Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ ^ I BUILDING ADDRESS S PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome Other SPECIFY Building sewer 5.00 Mobile Home 10.00 a p. TYPE OF WORK New❑ Addition ❑ Remodel ❑ Utilities e Installation[] Other ❑ Describe work: ' A Permit Fee $ 401,00- 0. DNew Contractor ELECTRICAL PERMIT Filing Fee 10.00 V ORt Main service 1000 AMP ORSLESS 10.00 Main service EA. ADD•L too AMP 2.50 NEW CONSTDWELLING OCCUP.& . OR AODNS. ACC. BLDGS. 2I/20sgft CONTR CTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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 MULTI -OUTLET NO N•RESID BRANCH CIRCUITS) 2.50 ea NEW CONSTR POWER APPARATUS & NON -RES D. SINGLE OUTLET CIR. Ex. Occu 520050e P�o OR FIXTURES 1520050t A FIXED APP LNS, OR FIXED Ex. Occup. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 , Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject Jai to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit 'Fee $ Contractor 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 said County in consequence of the granting of this permit. / 8 Dat Signatu of Applicant — Ownerpj Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE$ SO OCCUP. GROUP I TYPE OF CONST, I i�JPARCEJ PD HD ssOE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRE OR OF BLIC By. PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. ra ,� I WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT I Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT R OFFIC.AL FOR RESIDMIAL DEVELOPMENT ` ;OQ' pSer.Section 26-8.1 of the Butte County Code requires this acknowledgement EP be recorded prior to issuance of a building permit. 41 4P 19R,,' The property described herein is adjacent to land or included CIEkK'kEr��j;;i��i`' within an area zoned for agricultural purposes, and residents of this 9.1...3331 F property may be subject to inconveniences or discomfort arising from PE the use of agricultural chemicals, including, but not limited to herbicides, pesticides, and fertilizers; and from the pursuit of agricultural operations including, but not limited to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust, smoke, noise, and odor. Butte County has established agricultural zones which have as a priority use for productive agricultural purposes, and residents within said zones and on adjacent property should be prepared to accept such inconvenience or disconform from normal, necessary farm operations. All that real property situate in the County of Butte, State of California, described as follows: The East 2 acres of the following described property: A parcel of land being a part of Lot 7 of Block 114 of Palermo Citrus Tract, Subdivision No. 1, more particularly described as follows: The South 3 acres of the East one-half of said Lot 7 of Block 114 of Palermo Citrus Tract Addition to Subdivision No. 1, according to the Official Nap recorded in the office of the Recorder of the County of Butte, State of California, on July 23, 1888. r ' Date: State of CA2, Q,u► ) County of ) ®On this SS. me, the OFFICIAL SEAL BETTY ANN SENTNER NOTARY PUBLIC - CALIFORNIA BUTTE COUNTY L1v comm. expires JAN 24, 1986 PROPERTY OWNERS: A?/VL" the %$T� day of J i�QMI ea 191, before undersigned Notary Publ c, personally appeared s C4A x'Pe-P�l a A,vd Cl7AA ick 11,;v L/ Personally known to me. X Proved to me on the basis of satisfactory evidence. to be the personW whose fiame(s) -4 R& subscribed to the within instrument and acknowledged that -,Ae executed the same for the purposes therein contained. IN WITNESS WHEREOF, I hereunto set my hand and official seal. . ,. k tar yy* Pu Present A.P. No. 13r^3 © r__? 6 Y? 7 PERMIT NO. 3889-84B PERMIT EXPIRES Zik: OWNER HAZEL CHAMBERLAIN CONTR.. James chamberlain, Oroville ASSESSOR PARCEL 36-30=76 & 77. LOCATION 2691 Pinecrest, Oroville Temp. Power Pole Called PG&E Temp. Elec. Servi Called PG&E Temp. Gas Servict Called PG&E JOB FINALED (Date Signature = OK = Not OK' = NotApplica8le • MOBILEHOMES -MISCELLANEOUS = Not Ready Date MOBILEHOME UTILITIES (Plans) OK except ft's Date DE O S, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements 1 o 'n quirements—Setbacks—Easements 2. Soils; Special MH Support—Sketch F ings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete D ; Girders and/or Joists—Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete S. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Ca -BI ate Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except ff's 1. Zoning Requirements—Setbacks—Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except ft's 1, Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 2. Soils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4. Electricity; MH Test—Crossovers—Breakers—Clearances 4. Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 5. Elec.; Pool Lighting; 15 volts—GFI 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/0 to Grade—HD Approval 7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test—Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card -BI Date Card -BI Date = OK = Not OK = Not Applicable = Not Ready RESIDENTIAL (mangle-and Du.plex) ,r 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-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 54. 55. Glazing Area -Glass Protection -Skylights -Plastic Shear Walls; Nailing -Bolts 11. Electric; Underground 12. Plenums & Ducts; Clearance-U.aterial-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 #'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. 59. Smoke Detector Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection Bedroom Exiting 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Date Card -BI Date ELECTRICAL Permit OK except q's 66. Elec. Outlets & Receptacles at Kit. Counter 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21. Elec. Receptacles Spacing -Lights &Switches at Doors 22. Size Boxes & No. of Conductors -Stapled 70. Plb., Elec. & Mech. Equip. Listed for Location 23. Romex Installed Close to Edge of Studs & C.J. 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 72. Insulation -Foam -Looked in Attic ❑Yes 25. 2 Appliance Circuits in Kitchen & Conductor Size 73. Guard Rails & Deck Construction -Post Caps 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ❑Yes ❑No 75. Following instld.: Drive ❑ Yes (-]No; Walks EI -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 Date Card -BI Date MECHANICAL (Permit) OK except N's 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 31. A.C. Ducts; Insulation &Support 85. Water & Sewer Connected -C/O to Grade -HD Approval 32. 33. Vent Fan; Exhaust above Insulation Condensate Drain & Overflow; Size & Grade 86. Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Comments at Final: Card -BI Date Card -BI Date Date FRAMING Plans OK except q's 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. Hangers -Post Caps -Anchors -Connectors 43. 44. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng_.-Rfn_g_._ _ Fireplace Ties or Type A Flue -Fireplace Throat 45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. Garage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION `AND'PERMIT ASSESSO P RC rMBE r– �% N.IG BUILDING PERMIT OWNE TELEPHONE SQ. FT. OCC. BUILDING VALUA ION OW R'S MAILI G AIPESS.,vy co �S0 IgbR_0-0 CONT TOR'S NAME TEL HONE CONTRACTOR'S MAILI DDRESS OC �p h Fireplace Total Valuation Is CONSTRUCTION LENDER UNKNOWN Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ,fv ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDING ADDRESS S PLUMBING PERMIT FiIingFee 10.00 Each Trap 2.00 Solar Water Heater 20.00 © ro Water piping 5.00 LOT NO.SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome�Other SPECIFY Building sewer 5.00 Mobile Home I S I GJWJ 10.00 e TYPE OF WORK New ❑ A ion �Remode ❑ Utilitie ❑ Installation Other ❑ Describe w — Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP ORV OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.// DWELLING OCCUP.& OR ADDNS. 1 ACC, BLDGS. 2/20sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. /� License No. 31Z �&2 -3 Classification -/6 ❑ 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 NE WC ON NON -RESIT R BRANCH CIRC 2.50 ea NEw CONSTR, (POWER APPARATUS &) NON-RESID. SINGLE OUTLET CIR. Ex. Occup(200500 TS OR FIXTURES BAL®30 FIXED FIXED APPLNS, OR EX. OCCUp. OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 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 corre t agree to comply to all County Ordinances and State Laws relating to bui I g o ction, and hereby auyhorize representatives of the Countyot Butt t en r n the abo a-ment' elproperty for inspection purposes. I al o ve, inde nify d eebb harmless the County of Butte against all I ent ,costs nd expenses which may in any way accrue aga a1 y he anting of this permit X r �� �� Date Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5' " deep and demolition or construct- ion of structures over 3 stories in hei t. Mobile Home Installation Fee $ TOTAL PERMIT FEE , OCCUP. GROUP TYPE OF CONST. PA RCE PD HD ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R F PUBLIC By PE EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS '7 Date1'>' ' Receipt No. O ,Od 0v wd WHITE-D.P.W., YELLOW-ASS@SSOR, P NK-INSPECTO GOLDENROD-APPL ANT