HomeMy WebLinkAbout058-590-0410
Gene 'ie
lezeuuei
�S Grizzly eek Rd., i mi.E.of dank- "=x
Hill Rd., Concow r r,
Permit #1048-80B,P,E, ew single
family)
o0op- 6K
Permit#$3876�OB(install wo d stov
SF -0000
RUPPERT, STEVE
3874 GREZZLY CREEK, C
CONT: ZINKS REMODEL
TEMP ELE FOR FIRE REP
-1207
j%/
i
' o
a
0
Gene 'ie
lezeuuei
�S Grizzly eek Rd., i mi.E.of dank- "=x
Hill Rd., Concow r r,
Permit #1048-80B,P,E, ew single
family)
o0op- 6K
Permit#$3876�OB(install wo d stov
SF -0000
RUPPERT, STEVE
3874 GREZZLY CREEK, C
CONT: ZINKS REMODEL
TEMP ELE FOR FIRE REP
-1207
j%/
/.�_�-.. e, ., .ys..�,:n g. r n '.'arS Ka.�r•�1rMf�.IC'L'^
r
H
_rZ�
I
058-590-041 A!� a 103-120/f'
kt)PPERT S'T'EVE.
-3 874 GREZZLY CREEK, OROVILLE,t,, ?"
CONT: ZINKS REMODEL `' • ' �, i,
',,'TENT ELE FOR FIRE REPAIR
OFFICE COPY
Address
i
i
G—Date O
ELECTRIC 12
Meter By Date
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION OW
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT W.
(Rev. 12/96) APPLICATION AND PERMIT %R -/�U-?
ASSESSOR PARCEL NUMBER
058-590-041
ZONING
BUILDING PERMIT
OWNER R Steve
TELEPHONE
So. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
2619 Willow Brook Lane QQ2 A tos CA 95003-6000
CONTRACTOR'S NAME
Zinkll Remodel 898-8155
TELEPHONE
CONTRACTORS MAILING ADDRESS
F0 Box 9281 QiMo CA 95927
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3874CI>�Ii�zzl seek d
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: electric service/temp electric
(Poe fire
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
800V ORLE
Main Service 2o..OR LESS 23.00 23,00
LICENSED CONTRACTOR'S 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 isfin full force and effect._
�,
License Class a r . Lic. No. _)_J_ CJ
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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.
❑ 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service TO 46.00
7200A
CCU000A
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( 073.50FT.
ACC. S.
NON-REOSD MULTI.RANCH CIRCUTITS 97.50
POWER APPARATUS
a SINGLE OUTLET CIR.
QCCU OUTLET OR FDTTUREs Bq0 @ 1.�
Ex. Occup. DflxuTLEEDrs A o OR 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
Pre-INg tion 23.40
PERMIT FEE $ 43.00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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 is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number / i
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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
forthwith comply with those provisions.
X _� '- - _ Date
Signature of Applicant - ❑ Owner [3Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructi n
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
/j ,a�, , 'I
By.
PERMIT EXPIRES ON IV/0 <
Oaf
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASS SOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 0"?
ASSESSOR PARCEL NUMBER
058-590-041
ZONING
BUILDING PERMIT
OWNER
Ruppert, Steve
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
- OWNERS MAILING ADDRESS
2519 Willow Brook Lane #102 A tos CA 95003-6000
CONTRACTOR'S NAME
Zinks Remodel 898-8155
TELEPHONE
CONTRACTORS MAILING ADDRESS
PO Box 9281 Chico CA 95927
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEERLICENSE
NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
3874Grizzl Creek
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S MIME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each oas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑
Describe Work: electric service/temp electric
(Poe f ire
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE 3
ELECTRICAL PERMIT Fling Fee 20.00
Main Service 200.v oA v ss 23.00
LICENSED CONTRACTOR'S 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 full forc effect. _
License Class �..- o Lic. No. (� 5 . �d .5
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service zooA To ,000A 46.00
NEW CONST. DWELLING OCCUP. 3.50"
OR (
CDN
MULAOCou�rLSEr
NONgESIDONS. C @7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. CUTLET OR FORURES zo p 1.00
BAL .50
FIX
Ex. Occup. pUTIETS palp,OFF, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
Pre_ INspection
PERMIT FEE $ 43. 00
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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 is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation fi 1surance carrier and policy number are:
Carrier S (6,7' R
Policy Number
(The above sections need not be competed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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 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
forthwith comply with those provisions.
XDate
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or constructs
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
p, FEES IMP
I FLOOD
CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
icated above for which fees have been paid.
Bv { tate
PERMIT EXPIRES ONReceiptNo.C� �
Det
WHITE-D.D.SC AR -ASS O I R 'i)' -APPLICANT
..,;-COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
+: 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO
Rev.12/96) APPLICATION AND PERMIT 3 /8 0 7
ASsESsoRPARCELNu - ZONING BUILDING PERMIT
,- �%
OWNER ` TELFPNONE SO. FT. OCC. BUILDING VALUATION
OWNERS MALANG A66PA6
CONTRACTOR'S NAME TEIFPNON
TORS NO ADD ✓- �G � �? /'�
CONSTRUCON LEND
LENDER'S MALANG ADDRESS Fireplace
n
Ex. Occup. OUTLET OR FDRUREs
PERMIT FEE
Total Valuation S
ELECTRICAL PERMIT
I Fling Feel 20.00
ARCHITECT OR ENGINEER
on LEss
LICENSE NO.
Filing Fee
E
20.00_
Permit Fee
$
46.00
ARCNRECT OR ENGINEERS MALANG ADDRESS
OWEi1W0 OCCUP.
Plan Checking Fee
$
l s.
BUILDING ADDRESS C _
Q
Energy Plan Checking Fee
E
'
PERMIT FEE
S
U)T NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF b Duplex ❑ Mobilehome ❑ Other
sP£CFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ UtifitiesA Installation
/�
Describe Work: 17 _QA ,
❑ Other ❑
_Q A
Gas piping system) - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
920.00
Ex. Occup. OUTLET OR FDRUREs
PERMIT FEE
S
ELECTRICAL PERMIT
I Fling Feel 20.00
Main Service
on LEss
I 23.0 1,93 10
Misc. Wirino
tow
Main Service
200A TO I000A
46.00
NEW CONST:
OWEi1W0 OCCUP.
3.5¢50.
OR ADOM.
l s.
NEW ONS •
NnriaPsm
MULT40lln.ET
- i
I ! 077.50
Ex. Occup. OUTLET OR FDRUREs
Ex. Occup. OLm� s�ESSIiD.) FA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirino
23.00
I PERMIT FEE I S 1. - 013
MECHANICAL PERMIT I Fling Fee 1 20.00
6.50
Ventilation
PERMIT FEE S
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC CONST. TTPE TOTAL FEES /� �V
-Z. I D. FEES I IMP I FLOOD I CDF I PARCEL PO ND I ISSUE
This permit Is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By
PERMIT EXPIRES ON
Date _
617
_00�
PERMIT NO. 1,048-8,Q)B.F� E,M
PERMIT EXPIRES
OWNER Genevieve Mezennec
owner
CONTR.
4.1-01-152
-LOCATION (A.P.
S/S Grizzly Creek Rd., i mi.E.of Yankee
Hill Rd.,doncow
Al
`ZIT. 1 v
,n_
41
'6-
V
Temp. Power Pole
Called PG&V
Temp. Elec. S rv.
Called &E
Temp. Gas Serv.
Call PG&E
JqB
FI LED
(Date)
Ar
(Si fnatbre)
P L U M B I N G '
❑ Permit
❑ Underfloor Stage
❑ D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
❑* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not
required.*
❑ Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
(6) Dissimilar metals. (7) Service regulator installed or not required.*
❑ Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
❑ Framing Stage (Top Out)
�—D.W.V.: (1) Size. (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps..(8) Nail Protection.
(9) Plumbing Access. (10). Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13)1Vents - turns, horiz., runs, loop, wet, etc.
❑'` (14) Additional 2nd floor test not required.*
❑ Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.
❑ Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
❑ Water Heater: (1) Vent. (2) . Location. (3) PR Valve Drain.
❑ F inal
�D.W:V.: (1) Connected to sewer system. (2) Special systems.
❑ Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
❑ Gas.: (1) Test. (2) Connectors.
❑ Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
❑ Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4) Trapped.
(5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap.
5/79
M E C H A N I C A L
T _'....
❑ Permit
❑ Underfloo Stage
❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch.
receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
plumbing, etc.
❑ Combustion Air: (1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
❑ Framing Stage
❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances.
(4) Combustion air.
❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap.
(5) Termination.
❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) Fire Damper.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Final
❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
❑ Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
t.
HARDESTY & SONS; INC.
LATHING & PLASTERING
Contr. Lic.386384
P. O. BOX•1492
CHICO, CALIFORNIA 95927
QbxaW1 1poaae
December 22, 1980
Butte County Building Inspection
695 Oleander
Chico, CA 95926
RE: Mezzenick Residence
To Whom It May Concern:
Our company guarantees the work done on the
subject project.
The seven day waiting period was adhered to
between the scratch and brown coats and the finish
coat. In fact, a period of three weeks elapsed
between the s6cond and third plastering coats:
:Very ly s
Donald H. Brashears, Jr.
Chief Financial Officer
DHB/pad
cc: Santos Cominos
� �-��� .J�►�} ��'t1Y1A` ih9wZA3'1%) OwAINA BiAlc� 90 &"-A -Ti?A;
6004 jfAAA?
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT .,CAST END of PNE 8Rf1£ AyElyus LO EAGwEN) NKEE 7q;LL
.5— /sidA C,441�3%,�L(location)
BUILDING PERMIT NO. oLr 8- $c8 -PEM A. -P. NO. 14 GSZ
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge. /1/A
Fdn. Walls A14
Floors
Walls )j
Ceiling/Roof -7-30
Ducts Izzi
Circulating Pipes AIA
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES 1/
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name R • V Tie. J esus
Signature of ( ease krint)
Insulation Applicator -
Sta# Contractors
License No.
General Contractor Owner Name �� V%t V£- �%t 2ENIVc L
(please print)
Signature of
General Contracto Owner l✓&vtt e - Date y � Zai ly)
-rS-ta-Ve--eoTrC,-ractors
Lic nse No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
i
It�
COUNTY OF BUTTE — DEPARTMEN-I- OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING -
BUILDING (Cont'd)
Subpanels
PLUMBING
Setback
Firewall
Sol[ Piping
Heating
Forms --
Parapets
1st Floor
Temp. Pole
Main Bldg.
Restroom Finish
2nd Floor
Gf
Footings Q
Windows
3rd Floor
Stemwal I
Siding
To out
Slab
Roof Sheathing
Water Pi in
/R % S'
Piers
Garage
Roofing
Fdn. Vents
Sewer
Fixtures
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
_
, a
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
I structureCP
Appliances
Gas Piping &Test _
Temp. Gas
Slab
Final
Sanitation
Patio
F REPLACE
Final
Footings
Footinq
ELECTRICAL i
Relnf. Steel I Final V1 \---y% \751 Kr I Fixtures
FIRE SPRINKLERS I M
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Undergrowfif
Interior Lath Ventilation Perma nt
Door Closer I Final I Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
CL
(NOTE: An entry must be made on this form each timevisit the job site.)
r
I
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
DING OR PROPERTY ADDR
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. V you have any question pertaining to this
matter, or need additional explanation, please contact this office immediate:
I
COUNTY OF BUTTE- Di_=AR'WENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Cal iforr is 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO
ASSESSOR PARCEL NUMBER
_ j—
ZCNING
BUILDING P
OWNE
i L ��t//i✓ C
TELEPHONE
J = 637V
S0. FT. OCC. BUILDING VALUATION
OW ER'SMAILING A DRESS
Gy
CONTRACTOR'S NAME
w
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Z)r 0
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$E00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ lab
BUILDIN R€
S
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
G
'Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each gas water heater or vent
2.00
Gas piping system 1 - 5 outlets
,—// USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
[e
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Uti lities ❑ Installation ❑ Other
Describe work: !A// GI�B� X;?5!1E
`
16,20,Z�Q f— f 6
LLLL////
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service sODV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC, BLDGS.�
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p f y (check One):
❑ I am licensed under provisions Of Chapt. 9, Div. 3 Of the Buslnes$
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 U TI.OUTLET
NON.RES'D, BRANCH CIRC ITs
2.50 ea
NEW CONSTR. POWER APPARATUS a
NON-RESID, (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
BAL 1�
and
FIXED APPLNS. OR \
Ex. Occup.(OUTLETS (RESID.) EA./
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
6.25
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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
FiIingFee 3.00
Heating
Cooling
Hood
2.00
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
agains said County in consequence of the granting of thi per it.
X Date
Signal re qpfplif.ti — caner Contractor ❑ Agent ❑
An OS Arequired or a covations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
oCCUP. GROUP I
TYPE OF CONST.
PARCEL
PD
HDv
199DE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
OR OF PUBLIC WORKS
(RECTZ �
BY # //yy_ Date �li/i
PERMIT S Da ��V'��
Receipt No. Z
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS —BUILDING DIVISION�
,
7eCounty Center Drive — 0roville, Calif �rnia 95965 — Telephone: 534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER
A.P. No.
Proposed Building
Use
Permit fee based upon: Complete Contract Price �D'PW Valuation
Other (explain
Building Inspector A Date
At time of permit application, I -was advise e-# l•lo.wa.n.g_data must be submitted prior to permit processing and/or
issuance:
DATE RECEIVED APPROVED
1.
All items have been submitted...................................................................
2.
Plot plans in duplicate/triplicate...............................................................
3.
Complete plans in duplicate/triplicate...................................................
4.
Complete engineered plans and calcs...................................................'..
5.
Plans with Energy'Design Compliance Statement.. ...........................
6.
State Energy Forms No. ....................
7.
Statement of Intent for Non -Heated & AC Buildings ...................
8.
Fees of $
9.
Letter of signature authorization.............................................................
10.
Sanitation approval from Health Dept....
11.
Planning approval for .............
12.
Certificat��e of Workmen's Compensation Insurance ........................
Gyc�_Z13.
Cod-r-aeta/Eas/ cense Information (no., name style,
�< classification) ............................. . G�
14.
Improvements may be required. Contact Land
i
Development Section of Dept. Public Works (see
addressbelow)............::....................................................................................
15.
Pre-inspe�onfor required. Pre-inspec.request to
bldg. -inspector (date)
16.
Other
When you issue the permit, process as follows: Mail to owner Mail to contractor.
Telephone
s� and hold for pickup at office. Deliver w/inspection.
�ther _..G�5Scjr y /rte) rS 22�l.
Applicant I el, 1, 4 0 C/ Date % �� 1� ! eo
Copy of plans sent Health Dept., ' Fire DeptY, Other Date—
During
ateDuring the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date `w=
Plans checked by Date
Plans approved by Date
OTHER:
Copy/DPW
COUNTY OF BUTTE - Department of Public Works
7 County.Center Drive, Oroville, CA. 95965 Phone: .916-534-4541
OWNER -BU ILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building peniiit will be issued until this verification is received.
1. I personally plan tq provide the major labor and materials for construction
of the proposed property
"improvement (yes or no) �.
2. I (/e-ee�!T"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. 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 Owne
Social Securi
Date
I
NOTE:'This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code. 7
This verification must be completed and returned to our office before we are
permitted to issue the permit. "
DRIVE
66
/O
Tax Area Code 62-77
NO,
64 O
X35 05
Assessor's *p No. 40-35
County,of Butte, Calif
JUL Y 1966
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, 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.
P,/WAZ
X ,k Date
nature of er a or Age
Receipt No.
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 for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY— — Date
B/ding permit expires Date
BUILDING
Owner E461/6 44G_ZEQ.%NEG
SQ. FT. OCC. BUILDING V ATION
00
Mailing Address
elephone No.
Contractor
Mailing Address
Fireplace
Total Valuation
Telephone No.
Permit O
//``
Building Address 5 G21Z L(Cc- %1Z lGt f,
Ian Checking Zee or Penalty 5Z
Permit Fee
---
O Lc.- /fig.
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 '!j. C>0
Each Trap Zi 2r.60 R-,00
4!5b&3 -C,0 I✓—
Repair drainage or vent piping 1.50
�+� q Z
A. P. -No. —d f Zoning8, annin,
Water piping ;Z&2, e, O
Each gas water heater or vent 1.50
FefeSrW,,05.
S tion
Fire Dept.
FireZon Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
LE M 60' R/W
Improvemen
Each additional outlet .30
Building sewer 5.00
Bldg. Plor R c'd
Parcel oval
Plans A" roval
Lawn sprinkler system 2.00
rvtNEW ADDITION ❑ UTILITIES ❑ OTHER ❑
47 8
Permit Fee $ j3•
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 =j -
Main service 600V OR LESS
100 AMP LESS 5.00
Single Family Duplex Mobil Home
9 Y � p ❑ ❑ Others ❑
-L
Main service EA. ADD'L too AMP 2.50
Main service OVER sooV 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
\
OR ADDNS. ACC LB LDGS. S\ 20sgft ( (r Gd
/
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
st le of:
Y
NEW RESID, BRANCH CIRCUITS)
NON.CONST BRANCH CIRCUITS 2.50ea
NEW CONSTR. (POWER APPARATUS &
NON-RESID. SINGLE OUTLET CIR.
Ex. OCCUO(OUTLETS OR FIXTI1QES g @L
Ex. OCCU FIXED APPLNS. OR
it• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
011 am exempt.from the Contractors License Laws of the State of California.
Permit Fee $ O,Go
;2v O
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.
❑1Whave placed on file with the County of Butte a certificate of
orkmen's Compensation Insurance.
FI certify that in the performance of the work for which this
I 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 '5_C_>0
Heating o0
L 0 6.1 .
Cooling
Ventilation
Hood 2.00 a?• d2�
Permit Fee $
$ O
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
$ cam? •--
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
P,/WAZ
X ,k Date
nature of er a or Age
Receipt No.
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 for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY— — Date
B/ding permit expires Date
COUNTY OF BUTTE — DEPARTMEWf.'-Of,PIIBLIC WORKS — BUILDING DIVISION
7�'C6,urHy Center Drive — 0roville, California 95965 — Telephone 534 -4541 -
PERMIT APPLICATION DATA SHEET
d
Permit No.
OWNER �Ck)Ey6l�yIEZE,urvC-G A.P. No.
Proposed Building Use
Permit fee based upon: Complete Contract Price ✓DPW Valuation
nthpr (picnlain)
Buildin
issuance: DATE RECEIVED APPROVED
1. All items have been submitted...................................................................
2. Plot plans in duplicate/triplicate...............................................................
3. Complete plans in duplicate/triplicate...................................................
4. Complete engineered plans and calcs.....................................................
5. Plans with Energy Design Compliance Statement ............................
6. State Energy Forms No. ..........
7. Statement of Intent for Non -Heated & AC Buildings ...................
8. Fees of $
9. Letter of signature authorization...'... -, ...3 ................................................ _
10. Sanitation approval from d Health Dept.... :3 Z.2
11. Planning approval for .............
12. Certificate of Workmen's Compensation Insurance ........................
13. Contractors License Information (no., name style,
classification) ...............................
14. Improvements may be required. Contact Land
Development Section of Dept. Public Works (see
addressbelow).................................................................................................
15. Pre -inspection for required. Pre-inspec. request to
16. Other bldg. inspector (date)
When you issue the permit, process as follows: Mail to owner Mail to contractor.
-"'Telephone and hold for pick-up at C141c G office. Deliver w/inspection.
Otheg45— 53 $ MG75AGE 8
n .+
Applicant 1 1 644 Vt Date 4CtlZ5� aJ
Copy of plans sent Health Dept., Fire Dept.,I Other Date—
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.) q
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone
Mail
Other
By Date
Plans checked by Date
Plans approved by Date
OTHER: ZdN
r
Coov/DPW
To: • Building Department
From: Cnvironmental Health
Subject: Sanitation Clearance
Owner �T cation /
Plans approved fore
Hold final f. or:
Sewage Disposal ✓ll, .►+later Supply
Final Clearance O.K. for:
Clearance for L bedroom , � hone - Other
Clearance for addition of
Water Supply
,dater Supply w
Note**
Sar ria r. Jate
i FIll i
11111VI,
13111111,11,111 Will 1,
ON
hol
ILL Rot '.1"Op "'I'M