HomeMy WebLinkAbout026-250-046_rte"
_ .. 26-25-46 pert•026=250' 4 ,F
Larry Klein SMITH • y 92.-144= h
S/S Palermo Rd. app.3200'W.of ,Robert
15551Palermo Rd P -
+. Y Occidental Ave., lot 1, Palermo `AG E �" aTerm'o .4%
empl0"r1 Pr�rm� t - ,
Permit #5610-79 P�E,/WM(w single store• hay, farm,. equip.family)% Y��
11"
..,26-25-46 �.
COUR f & LISA SILVA �
�.
1555 Pal-&rW Rd, alermo
Permit#841= P,E(addition/SF)
26-25-46_..
Permit#1822-85B(ls newal/841-84)
-
26-25-46
u:
y
-Permit ��-86B;E(2nd renewal4841-84---&-
up a ele to 200 amp)SF
-,?6--25-46
Permit#1884-86B(wood stove)SF
026-250-046 02-0307
SMITH, ROBERT & SAL p
1555 PALERMO RD, P
CONT: PERFECTION P
NEW POOL MASTER 500-
&/-1356 P�an�f
5�,o>N �rLi1"
.7Cr64rc P
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NOTES
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_ 'RESIDENTIAL _b,
(_026-250-046 R_ �� 02-0307
j SMITH, ROBERT & SALLY
1555 PALERMO RD, PALERMO
CONT: PERFECTION POOLS
NEW POOL MASTER 500-97
II SPECIAL CONDITIONS 11
SRA
FLOOD CERTIFICATE REQ.
FIRE SPRINKLERS REQ.
SPECIAL INSPECTION ITEMS
VERIFY _
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER
JOB FINALED (Date) J.,
Signature
CHECKED
BY
./= OK
0 = Not OK
- = Not Applicable Not Ready
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Soils; Special MH Support Sketch
3.
Sewer; Location -Test -Fall -C/O -Concrete
4.
Water; Location -Test -Easement Needed (Sketch)
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L'ft.
/ /'Nat. or/ /"L"ft./ PLPG
7.
Well Clearance & Disconnect
8.
Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1.
Zoning Requirements -Setbacks -Easements
2.
Footings; Size -Spacing -Marriage Line
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
6.
Water; MH Test -Regulator -Connector
7.
Water and Sewer Connected -C/O to Grade -HD Approval
8.
Gas and Electricity Tagged
9.
Tie Downs -Type -Installation Cert.
10.
Exits; Insp.-Sketch
11.
Cert. of Occupancy
12.
Permanent Foundation Only; License Decal
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Frg-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
12. Braced Wall Panels
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
acks-Easements
s; Compaction -Structure Stability
In Pool Structure; Steel -Connections -Thickness
D d Men -Lining
Elec.; Receptacles and Lighting, Distance-GFI
€-flec.; Pool Lighting; 15 Volts-GFI
6. Elec_.Enclosures; Conduit Entries -Terminals -Listed
lec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Bo es- Enclosures- Panelboards-Ins. to Main in Conduit
_ HSaIth Department Approval
1 . Plu ; Cir. Test -Water Supply Test
1 fight Niche
Date L7 t ,147- Card B-1 , 0 Data Card B-1
Date Card B-1 Date Card B-1
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date Underfloor (Plans) OK except #'s ( Date
1. Zoning -Setbacks -Easements -Flood -Slope
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior/Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext. Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. '& Ext.
72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73. Elec. Outlets & Receptacles at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr., Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard Rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82. Following Insild./Drive J Yes D No/Walks J Yes J No/Planters D Yes J No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throughout House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
94. Address Posted
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
2.
Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth
3.
Fig., Garage; Soils-Steel-Elec. Grnd.-/ P Ftg. Depth
4.
Ftg., Porches & Decks; Soils -Steel-/ P' Ftg. Depth
5.
Stemwalls, Main; Ste el- Blockouts-Wrapped
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped
6a.
Hold Downs and Special Anchors
7.
Slab, Steel -Wrapped
8.
Piers -Fireplace Ftg.-Steel
9.
D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10.
UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test
11.
Water Pipe; Test -Anchors -Regulator -Service Test
12.
Electric Underground
13.
Plenums & Ducts; Clearance -Material -Support -Ins.
14.
Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
15.
Access & Ventilation
16.
Insulation
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17.
Water Htr.; Vent -Access -Combustion Air Baffle
18.
Water Pipe; Test & Anchor -Nail Protection
19.
D.W.V.; Test Fittings & Anchor -Nail Protection
20.
Shower Pan; Test, First Floor -Tub Access
21.
Test Tub & Shower, Second Floor -Tub Access
22.
Gas Pipe; Sixe & Anchors
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
23.
Fixture & Transformer Clearance -Ins. Protection
24.
Elec. Receptacles Spacing -Lights & Switches at Doors
25.
Size Boxes & No. of Conductors Stapled '
26.
Romex Installed Close to Edge of Studs & C.J.
27.
Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
28.
2 Appliance Circuits in Kitchen & Conductor Size GFI
29.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or At
30.
Range Circle / / ga Cu or AI -Oven Circ. / / ga Cu or At
Insulated Neutral ❑ Yes ❑ No
31.
Service -Riser Conductors & Ground Main Disconnect
32.
Equip. Clearances Panels-Motors-Mech. Equip.
33.
Clothes Closet Light -Shower Light -Spa Light
34.
Smoke Detector
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
35.
A.C. Ducts Insulation & Support
36.
Vent Fan, Exhaust above insulation
37.
Condensate Drain & Overflow, Size & Grade
38.
Furnace -Vent Access -Comb. Air -Return Air Vent 115 outlet
39.
Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
40.
Sills Proper Materials & Anchors
41.
Walls Studs -Nailing Spacing & Braces -Plates -Sound
42.
Bearing Walls over Girders & Floor Nailing
43.
Draft Stop in Walls (rat proof)
44.
Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45.
Headers & Beams -Size & Bearing
FRAMING (Continued)
46. Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng.
48. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
49. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
51. Garage Fire Protection Framing
52. Property Line Firewall & Openings
53. Ext. Doors -One T -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
56. Siding -Nailing Veneer
57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58. Glazing Area -Glass Protection -Skylights -Plastic
59. Shear Walls; Nailing -Bolts
60. Brace Interior/Exterior Wall Panels
61. Insulation -Walls -Ceilings
62. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
63. Ext. Steps -Door & Sidelight Protection -Landings
64. Smoke Detector
65. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
66. Bedroom Exiting
67. G.F.I. & Bath Fixtures & Tub Access -Spa
68. Elec. Trim & Subpanel, Breaker Sizes & Labels
69. Stairs & Rails
70. Fireplace or Stove, Clearance -Hearth
71. Elec. Outlets at Wood Panel, Int. '& Ext.
72. Kit. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance
73. Elec. Outlets & Receptacles at Kit. Counter
74. Garage Fire Door; Swing -Landing -Closure
75. A.C. Duct in Garage -Damper
76. Wtr. Htr., Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
79. Insulation -Foam -Looked in Attic
80. Guard Rails & Deck Construction -Post Caps
81. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
82. Following Insild./Drive J Yes D No/Walks J Yes J No/Planters D Yes J No
83. Stucco Brown -Finish
84. A.C. Unit Disconnect, Electrical -Plumbing
85. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86. Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88. Ventilation Throughout House
89. Glass Protection
90. Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92. Water & Sewer Connected -C/O to Grade -HD Approval
93. Energy Compliance Certificate -Other Certificates
94. Address Posted
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
y
nt
COUNTY OF BUTTE'::"`
BUILDING DIVISION ,
DEPARTMENT OF DEVELOPMENT. SERVICES'°
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA •,(530) 538-7541
CORRECTION NOTICE
f if 6 T
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the =:s
above address and should be corrected. Please notice this office when correction of work is y
completed. If you have any questions pertaining to this matter, or need additional explanation;
please contact this office immediately,, _ s
-
- y
i. yy
r `J
Htv 10192
(Rev. 12/96)
_COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75462_0307
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
096-950-046
ZONING
A5
BUILDING PERMIT
OWNER
TELEPHONE
532-1625
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAILING ADDRESS
1551; PALERMO RD, PALERMO CA
contr est. 21 125.00
CONTRACTOR'S NAME
TELEPHONE
895-0437
CONTRACTORS MAILING ADDRESS
897 EAST 20TH ST. CHICO 99998
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 21 125.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
225.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
23.00
BUILDINGADDRESS
1555 PALERMO RD, PALERMO
Energy Plan Checking Fee $
$
PERMIT FEE
268.00
LOT NO.
SUBDNISIOWS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF 6 Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ill
Describe Work: NEW POOL MASTER 500-97
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
@20.00
PERMIT FEE S
35,00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service "'Av OR LESS
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 in Aill force and effect.POWEPPARATUS
License Class 3 Lic. No. (� �, t, s L�
OWNER -BUILDER DECLARATION
1 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
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' coxensation insurance carrier and policy number are:
Carrier /-r-C Qom' i)
Policy Number'7=�� Z_
(The above sections need not be comp=�leted 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
(wogkers' compensation provisions of section 3700 of the Labor Code, I shall
fortith comply with those provisions.
X " Date Z-17, b`Lr
Signa re of Applicant- ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mein Service TO
46.00
NEW CONST. DWELLING OCCUCUP. SO
EL
OR ADONS. ( :
INpµpalpT MULTI.C!iRcU @7,50
& SINGLE RAOUTLET CIS.
.00
EX. OCCU . OUTLET OR FDITUREs SAL @ I. 0
Ex. Occup. ounEEDrs AEM.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
001 electric 30.0 30.00
PERMIT FEE $ 50.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 353.00
CDF PARCEL I PD
I H ISS
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees ave been
By Date
PERMIT EXPIRES ON AtWO-3
Date
provisions
to do work
paid.
Receipt No. 343214/$353.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
11
` COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
,yev.12/96r APPLICATION AND PERMIT �� b3��
ASSESSOR PARCEL NUMBER ,n
0i
ZONI _
BUILDING PERMIT
OWNER
TE N NE
SO. F7. OCC. BUILDING VALUATION
OWNER'S MAILING ADORESS
Ov
CONTRAC
TELJEPHONE
.. CONTRACT IU ADD
bV
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
-
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ CC,
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
$
PERMIT FEE
$ �v
LOT NO. SUBDNISP 'ME �r �i
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE S,oe?
SF ❑ Duplex ❑ Mobilehome �ther ej[ j %�
��P °IFv
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
1 5.00 cod
Each as water heater or vent
1 5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:( q0 -q /
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS G W
@20.00
PERMIT FEE
S s
ELECTRICAL PERMIT
Filing Fee 20.00
e
Main Service zoo" oa LE
23.00
*PERMIT FEE PA10 #_ � tS .00
SPA
SHERIFF
OTHER
AUl bVNT RECEM0
�/� �'
"RST NVAMM , {)
w
TO se Pii � w#pjm
Main Service 200A TO IDOOA
I 46.00
NEW CDONST. ( DWELLING OC.IDCSUP. 3.5,F 0-1
NEW CONST. MULTI -OUTLET
NON•RESID.
_
@7.50
POWER APPARATUS
6 SINGLE OUTLET CIR.
EX. OCCU OUTLET OR ForrURES 20 O 1.00 -
BAL '9 .SO
Ex. OCCU OUTLEETS q� .. OR
5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
_76_oL Cbeei6c,
PERMIT FEE
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE TO AL FEE $ `u
HA2.
D. FEES I
FLOOD CDF
p CELIV
HD SSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
Resolutions to do work
been paid.
Date _
Dere
ReceiptNo.
j WHITE-O.O.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENR00•APPLICANT
. �>+..s_..,y- ,; .' ,. �-+�Yli.r-�sM� � +".:+� •�'^"�A��-�.,.iw,b,....��•���'ik�"��".'z.�t'��"� t�:v,��-;.,r�'��.;,,j .
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive, Oroville, CA 95965 Phone (530)538-7541 Fax (530)538-2140
PERMIT APPLICATION DATA SHEET //
OWNER: 3rz21 3 L ITN ASSESSOR PARCEL NUMBER OR -4 _'? 5v ^
Proposed Building Use: Counter Technician: Date: 1 0 Z
ISems required in order to apply for a permit. All boxes MUST be checked OR marked NA in order to apply.
lot plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the }ireparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ T. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The permit will be
indexed and returned to the plan review line-up when required items are received.
Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings.........................................................
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form...............................................................................
❑ 13. Other .
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the following items.)
❑ 14. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
Statement of Intent for Non -heated and A/C Buildings .................................
OJ 16. Sanitation and plot plan approval from the Environmental Health Department in �If rby t, C5
❑ 17. City of Chico Plumbing permit........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use:�Z,(B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ..............................
❑ 21. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy).
❑ 22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name Style, Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑ 25. Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑ 26. Letter of Signature authorization....................................................................
❑ 27. Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...............................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other:
When issued Telephone and hold for pickup.
I have been informed of the ab o items and requirements for obtaining a building permit.
Applicant: (�-F�- Date:
�3 b
1. Index permit application for the above items numbered: Plan Check Letter
2. Additional items required
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, ❑ counter, by Date:
Contractor, designer, owner, was advised of the above data by ❑ phone, ❑ mail, 0Foijwiter, by Date:
Plans reviewed by: Date: Plans approved by: Date: Z
Structural reviewed by: Date: Structural approved by: Date:
Note transfer by: Date:
Yellow: Building Division
AVOW64%
777777m777977 �7
E.H. USE ONLY
—2
Plot Plan Attached
Floor Plan Attach
Sent to B.D. —14
TO: Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
L
OwnerLocation AP#
Plan Approved for: Sewage DisposIL,,:—, Water Supply: Public Private Well
Clearance for dwelling. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Envir�nmental Health Specialist
8/96
Date
i
BUILDING DIVISION a
COUNTY OF BUTTE o DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE v OROVILLE, CALIFORNIA 95966 m TELEPHONE, (916) 538.7541
AGRICULTURAL BUILDING EXEMPTION PERMIT �
.PERMIT N •
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PQR�EL _
,,
ZONING /I
OWNER
PHONE NO.
ROOFING
ISSUE
OWNER'S DDRESS
7
LOCATION OF BUI DING
USE OF BUILDI G
SIZE OF STRUCTURE
Ll 6
' X ' = X=zSO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME x STEEL CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERING
FLOOR TYPE
ESTIMATED COST OF CONSTRUCTION
$
AG Buildings shall comply with the building front, side, and rear yard requirements of the applicable County Ordinances
as follows:,
FRONT �� SIDES S� REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
AG Buildings must comply with Flood Zone requirements. Finish floor elevation must be at or above elevation
USGS Datum.
I declare under penalty of perjury that the building will be used as stated above and the purposed use conforms with the AG
Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and obtain
any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before occupancy.
Date
Permit Fee — $50.00
Receipt No. (i T7 " f 3
Signature of Owner -&
The above described AG Building is exempt from a building permit.
Manager Building Division /
By Date '�3. 2 --
White
—White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
FLOOD .
_ PARCEL
P.D.
ROOFING
ISSUE
i
t /
L-"
I
Manager Building Division /
By Date '�3. 2 --
White
—White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
t
ar PERMIT NO. ��E
PERMIT EXPIRES
+
OWNER COURTNEY & LISA SILVA
CONTR. owner
x 1 ASSESSOR PARCEL 26-25-46
LOCATION 1555 Palermo Rd, Palermo'
�o
u
Temp. Power Pole,--
' � OFFICE COPY
Called PG&E
IAddress
Temp. Elec. Servic:
I—Meter-By
GASCalled PG&E - - Date—
ELECTRIC }
Temp. Gas Service MeterFBy _ Dateeel
Called PG&E — r
,t
JOB FINALED (Date) r
Signature
s
i
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. 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; Location -Test -Easement Needed (Sketch) , _ _
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp=Concrete
6. Gas; Location -Test -Wrap: / /"L"ft./ /"Nat. or/. /"L"ft./ /" LPG
7. Utility Clearance
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
----------
6. Carports; Windows -Doors -
7, Elec.
Card -BI
Date Card -BI Date -,
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except 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, EIec.; 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- Pane lboards-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
✓ = fOK
Note
Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex
•ti
Date
UNDERFLOOR PI OK exce tll's
Date FRAM Continued
oning requirements -Setbacks -Easements
ro y Line Firewall & Openings
tg., Main; Soils -Steel -Elect Grnd.- / /"`Ftg.,Depth
4
xt. Doors -One 3' -Check Garage -3rd story, 2 exits'
3. Ftg., Garage; Soils -Steel- / /" Ftg.,Depth
- -Rise-Run-Landin_q-_Fire Protqption
4Ftg., Porches & Decks; Soils -Steel- / /" Fig. Depth
food on Roof Overhang -Attic V -Rafter Oofti-ggers
Siemwalls, Main; Steel -Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
- np Screed-Fdn. Vents -UnderfIr. Access
7.1 Piers -Fireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
A,Z_".V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5
g -Bolts
9.Aas Pipe; Size -Anchors
10.�Jater Pipe; Test -Anchors -Regulator -Service Test
11. lectric; Underground
12•.,, -Plenums & Ducts; Clearance -Material -Support -Ins.
_-
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date and -BI Date '
Card -BI
Date Card -BI Date
C BI
Dat Card -BI Date
Date FINA (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
.
Ext teps-Door & Sidelight Protection -Landings
motel a Detector
er - ss -Combustion Air
5
urnace; Vents -Clearance -Comb. Air -Connector -
Garage; Above Floor -Ducts -Meth. Protection
Water Pipe; Test & AnchorsNail.Protectio
W D.W.V.; Tes - ngs & Anchors ai ProteAr
droom Exiting
-1-
7. Shower Pan; irst Floor -Tub
Q.F.I. & Bath Fixtures & Tub Access
_
r, 2nd Floor -Tub Access
19. NA & Anchors
7 •
Elec. Trim & Subpanel; Breaker Sizes abels
62.
.
Fi eplace or Stove; Clearances -Hearth
-
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date ,/- Card -BI Date
ce; Grnd.-Air Gap -Cooking Clearance
Card -BI
_
Date Card -BI Date
66.
_ ^ " 4s aP ptacles at Kit. Counter
Date
EL TRICAL Permit OK except.#'s
67.
G tng-Landing-Closer
68.
A. per
_
Fixture & Transformer Clearance -Ins. Protection
y�
F Receptacles Spacing -Lights &Switches at Doors
69.
., a -Comb. Air-Connector-P.R.V.-
Iarage; Above Floor -Meeh. Protection
,
Plb., Elec. & Mech. Equip. Listed for Location
2
2 Si Boxes & No. of Conductors -Stapled
71,
to ge; (G.F.I.)-Romex Protec.
-
Amex Installed Close to Edge of Studs & C.J.
72.
73
Insulation -Foam -Looked in Attic ❑Yes
nstruction-Post Caps
-_ 2�r Equip. Ground made up w/Mech. Fast; rters B.M Gas & Water
• cuits in Kitchen & Conductor Size
74.
Fdn.I Hole Door -Drainage &Wood -Earth Clearance
Looked
ook d oor ❑ Yes
- _
- Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al.
/ ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drivel es EJ No; Walks El Yes No;
Planters ❑Yes i N
28'11-SecConductors & Ground -Main Disconnect
76,
S h
--__
29--ETaip-eisarances; Panels-Motors-Mech. Equip_
77;
0. at; Disconnect-Clrnces-Brkr. & Cond.-Size-115V Outlet
__-
30 C'oUtasCloset Light -Shower Light _
--- __
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water We*-, Electrical, Plumbing
Card B -I
--_-__.—
Date3��l� Card -BI Date _
80.x
enE f oP'E etc. I rim: G.F.I. Receptacle -Underground
81.
out House /
Card B -I
Date Card -BI Date
W.
Glass Protection
Date
MECH AL (Permit) OK except tl's
_
orrections from Previous Inspections
84.
ged; Gas -Electric
-_
A.C. Ducts; Insulation & Support
ter & Sewer Connected -C/O to Grade -HD Approval
32a Vent Fan; Exhaust above Insulation
Overilow; Size & Grade
Energy Compliance Certificate -Other Certificates
_ _3 _&
34. rnace-Vent, Access -Comb. Air -Return Air Vent -115V outlet
35. rA+tic-krzess & Platform if Furnace in Attic
Card-BI/�'¢��\- Date Ir d -BI Date
Card-BIy 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
_
Spacing & Bracing -Plates -Sound
_
__Walls:_Studs-Nailing,
Girders & Floor Nailing
U; Oraft Stop in Walls (rat proof)
-_
40. .Fire Stops; Furred Ceilings -Stairs -Chases -Tub
�V)
Beam -Size & Bearing _
Post Caps -Anchors -_Connectors - - - -- -- ---
CIng. Joist-Rftr. Ties-Purlin-Roof Brac Shthnp.-Rfng.
43"'F7rep4ae&-dies or Type A Flue -F' lace Th
- -
A is Access: Size ontex otecti —Stop -In -s. Baffles -
B_drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
lection Framing
(NOTE: An entry must be made each time you visit job site)
+ COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
' . 7 County Center Drive, Oroville — Phone: 534-4541
i Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
i
'.,::,MRR1CTION NOTICE -
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional. explanation, please .contact this office immediately.
621�
11 O .
s
i
I
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediatelv.
Inspector. Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road', Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspector Date--' t.-,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
TIT
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter need additional explanation, please contact this office immediately.
y �
Inspector �_ Date, 72
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Matter, or eed additional explanation, please contact this office immediately.
Inspector Date /
61 M004
.
VA
•_
_ ox
•
_
.�11...
t;..
Inspector Date /
Owner: (? , �t l V a Permit No.
ENERGY C t R T 'I F I C A T 1 0 N 8 -%L -g-6
1555 Palermo Road, Palermo
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Brand Name
Thickness(inches)
Thermal Resistance (R Value)
EXTERIOR WALL
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
CEILING
Batt or Blanket Type
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
Loose Fill Type Rockwool
Brand Name USG Acoustical Products
Minimum Thickness(Inches) 9,9"
Number of Bags 27 Wt. per bag 38 lb.
Area covered(ft.2) 744
Thermal Resistance(R Value) R30
FLOOR, ELEVATED
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
FLOOR, SLAB
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
Width(inches)
FOUNDATION WALL
Material
Brand Name
Thickness(inches)
Thermal Resistance(R Value)
I hereby certify that the above insulation
was installed in the above building
in conformance with the State of California
Energy Requirements.
LOERKE INSULATION CO.
#432518
FIRM NAME/OWNER
STATE CONTRACTOR'S LICENSE NO.
June 5, 19867
SIGNATURE OF NSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print)
1,7
SIGNATU OF ,ENERAL CONTRACTOR OWNER
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON .FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
Owner: Permit -No.
ENERGY C ERTIF ICATION
1555 Palermo Road, Palermo
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material..
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type Rockwool
Minimum Thickness(Inches) 9,9"
Area covered(ft.2) 744
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name USG Acoustical Products
Number of Bags 27 Wt. per bag 38 lb.
Thermal Resistance(R Value) R30
Brand Name
Thermal Resistance(R Value) ------
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
LOERKE INSULATION CO. #432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
X June 5, 1986
SIGNATURE OF"INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATU OF -ENERAL CONTRACTOR OWER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
IL
t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
- - 7 County Center Drive - Oroville, California:99965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NNUMBEF3 ZONING
BUILDING PERMIT
OWNnaU / TELEPHONE
SQ. FT. OCC. BUILDING
VALUATI N
OWNER'S MA L1 CrID E
rWlex rn -o Rd
SCV5
CO44A NAME 0 TELEPHONE
_
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE
NO. _
Plan Checking Fee$
Penalty C
$ O
S�
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ on I
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 qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF KJ/ Duplex❑ Mobilehome❑ Other-
SPECIFY
Building sewer
5.00
Mobile Home S I G I W=
10.00e
TYPE OF WORK
New ❑ Addition De Remodel 1:1Utilities F-1stal ation❑ Other ElContractor
Describe work: A �__y_ r��`a `�'
\
Permit Fee
$ 3Qaa
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
FU1 TL+`l
Main service EA. ADO'L 100 AMP
2:50NEW
CONSDWELING 0 07
OR ADDNST ACCLBLDGS.
]�
21/20Sgft QlJ
CONTRACTORS LICENSE LA�h
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
,cense No. Classification
i1, 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. ULT' -OUT" T 2,50 ea
NON-RESID BRANCH CIRC ITS.
NEW CONSTR. ( POWER APPARATUS &'1
NON-RESID. SINGLE OUTLET CIR, /
Ex. Occu 20®$0`
P�o OR FIXTURES 9A�®so
IXEDTS
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Mobile Home Facilities 15.00
Misc.-Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
�f 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.
Heating FRS IS%/ Al
.tcJdoD7/
Cooling ( S
Hood
3.00
Ventilation
permit Fee
$ ,od
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.
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 s' id County in consequence f the granting of this permit.
'
X Date
Signature o icanr - Owner El Contractor E] Agent ��
An OSHA permit is required forxcavations over 5' ' deep and demoli on or con ruct
ion of structures over 3 stories i height.
Mobile Home Installation Fee
$
p,
TOTAL PE MIT
uu
FEE f
occcP. rROUP
�?j
TYP OF CONST.
AJ1
F_
PARC
PD
HD
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated 'above for which
3y'� DIRECTO PUBLIC
E EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
,/
Date 4_7—PT'
Lt
Receipt No. �� �� ,��Z lOrf
WHITE-D.P.W.. YELLOW-ASSESSO , PINK-INSPECTO GOLDENROD-APPLI NT
COUNTY OF BUTTE - DEPARTMENT OF PU.13LIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
X% U_.,
OWNER
Permit No. C
A. P. No. zz h - .5 " �f
Proposed Building Use V AA
Permit Fee Based Upon: Complete Contract Price DPW Valuation
�1 Other" (Explain)
Building Inspector. W�'w Date
1 -
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
-- 2.
,Plot plans in duplicate/triplicate.
"3. Complete plans in duple Atri•pl=iea4e. • f , . .3
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for.Non-Heated and AC Buildings.
,,,Z -.-'Fees of $ . . . . . . . .
` Letter of signature authorizatie; . . . . .
Sanitation approval fromci1"�� •- Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
r
t;� Owner -Builder Verification (Given to owner., Mail to owner®)
15. Improvements may be required. . . . . . . . . . . r.
16. Mobi lehome Installation Data. . . . . . . ..
•Pre-Inspec. request to
17. Pre -Inspection yy for Required. Building Inspe for (port'
�,(
0 18. Other 'AkQPL-r%AvC a) ay r M 1� F T „� �1-'Z-`I,
/lam � ..-„�, . � I 1 I ca�.�" •-' 1 � v � �" .
- -t,.r
When you issue the permit, process as follows: Mail to:owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
�,,r
14W 44 1 �
i+
Applicant-- i/ �. ., Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time pplicati n circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by TelephoneX ail Other
Ll,,
*� A
To- Building Department ---
Fromi: Tnvironment al 1Ie alth
ect: Sanitation Clearance
O:*n r Locution �.Pr�
Plan Approved for: Sewa-e disposal water supply.
Ho].d final for Crater supply
Final clearance O.K. for: water supply
Clearance for �._ bedroom • home. Other
F'O-jT.�`'
March 26', 1984
Dept. of Public Works Building Dept.
7 County Center Drive
Oroville, CA 95965
Dear Sirs,
Please be advised that we have given Gary Elliott the authority to sign in
our behalf.
Thank you for your time and consideration in this matter.
Sincerely'
Courtney C, Silva
Lisa M. Silva
5302 Jerrett Way
Sacramento, CA 95842
(916) 334-1929
Tax $
Deed of Trust First Second
Benf. Benf.
SEE OTHER SIDE FOR ADDITIONAL INSTRUCTIONS
COPY — PUBLIC WORKS
PARCEL SPLIT WORK SHEET
�!
Comb.
Bound, Rev-0
New Parcel C✓ Page Changed
Maint. Code
Code Area Split Q
`
119
Retire 02-6-
Z S"-
Date 9-/z-79
0-1--7-0
y
Mapper Z c! 3
901
Delete etals {
Parcel Number: n -2-
001
Status Code
P C--r
002
Code Area
CD q 2 - D O '
003
Assessed Owner
TN O M A S cz; r /V At ! 1
CB
I
004
c% Owner
f
005
Street Address
Ce -7 / L E b L /i F 19 A V F_
006
City and State,
C A til O. G A P P R K C K1 L-
i
�. 007
•
Zip Code
ci 1 o
f
` 008
Property Location
P7 N L- n-r '7 m/ E!5i-r P.4 LER /1/) 6 g C. E S
023
Book & Page Recorded
2 2 9 1 e `7
Date
S - -,17- -7 q
-7
Maint.
Maint. PGL / F/4/1 / - 1 Maint.
Code
Code Code
i
�E c -7 - / 6-17
Code Owner
e t a 1 n a m e Fractional Interest
Tax $
Deed of Trust First Second
Benf. Benf.
SEE OTHER SIDE FOR ADDITIONAL INSTRUCTIONS
COPY — PUBLIC WORKS
r
File No.
k
BUTTE COUNTY
(For Action 1, 2,3)
Public Works Dept.
(For Information J)
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
D&C / Traffic
Const.
Rd. Des.
Br. Des.
Sur. & Loc.
Transp.
R/W
Mapping
Land Dev.
Ref. Disp.
Drng. / S.I.
Sub. & Pcl. Maps
I
Permits
r
Larry Klein
1555.ftlermo Rodd
Palarmm, CA 95968.
Door I ., K1014:
r .r
March -3s 1983
Nit Pormiti and lospectioas
AP 026-25-46
Pormit 05619-79
Mtplred 9-21-80
Vith reference to the above subject„ our records indicate that the above
building permit hao..expUed and the doellins is being occupied without the
required igptact na and .approvals from this office:
Since bots Vii$ and In'» Wan are required by b6th State and County laws,
Please contact aha office Within ten days' oil the data' of the Utter and
rehec -the permit to o, +rrurreat atAtu04 Chea makerratsg l e dor 'stile xeguired .,
inepecttons.
if your concoucticn 04 complete or should. you kava..any.quest lona concerning.
this Matter„ pledse contgct this of e. ,
MG -014i
cc Building Inspector - Oroville
Word very truly,
Cloy Castleberry
Director of Public Works
Original signed by
J. F. Glander
J.F, Cldnder
Chief, Building Inspector,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE:' 916-534-4541
Courtney & Lisa Silva
1555 Palermo Rd.
Palermo, CA 95968
With reference -to the above subject:
Attached is:
DATE March 28, 1984
ME: Building Permit Application #841-84
A. P. # 26-25-46
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
X Owner -Builder Verification Form List of Codes Enforced
OTHER
f� L We need the following information:
Permit application signed and completed wh•ere.indicated with all copies returned.
Fees of $ • • payable to Butte County Treasurer.
Certificate of Workmen's.Compensation insurance or check exemption statement.
Contractor's License.Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
x_ Complete plans in ane'sAt .
Energy design including i
Street and drainage improvement p"lap approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
X Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
__ 7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 -County Center Drive,
Oroville, for
X_ Completed Owner -Builder Verification form.
Recorded copy of deed showing
Recorded copy of agricultural acknowledgement statement.
`=— doors. room size b use.
(4) Method of heating addition.
Should you have any questions concerning the above, please contact this office.
Yours very truly,
Wihliam Cheff
Acting Director of Public Works
V.F. Glander
JFG/aj Chief Building Inspector.. .
10. F_
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
` APPLICATION AND PERMIT
PER f IT N0. /
ASSESSOR PARCEL NUMBER
26-25-46
ZONING
BUILDING PERMIT
OWNER
Courtne & Lia s"I" Silva
TELEPHONE
S0. FT. OCC. BUILDING VA UATION
OWNER'S MAILING ADDRESS
1555 Palermo Rd., Paiprmn
CONTRACTOR'SNAME
owner
TELEPHONE
Ist renewal
permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
rippe
UNKNOWN
Total Valuation $
Filing Fee
$ .10.00
LENDER'S MAILING ADDRESS
Permit Fee 3
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
1555.Palermo Rd.
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 ❑X Duplex❑ Mobilehome❑ Other add ,
SPECIFY
Building sewer
5.00
Mobile Home S I G I W10.00
e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ ' Installation ❑ Other ❑ ,
Describe work:
1st renewal permit #841-84
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2:50
NEW CONST. DWELLING OCCUP.&
OR ACDNS. ACC. BLOGS.
21/20sq 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 Professions Code and my license is in full force and effect.
icense 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 -
7044)
gram exempt
am exempt under Sec.-, Business and Professions Code
for this reason
NEW NON -RESIT R BRANCH CIRCTITS 2.50 ea
NEW CONSTR POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
ExOccu 20e50a
. P�OUTLETS OR FIXTURES5AL®300
EX. OCCUP. OUTLETS. PRESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a certificate of Workmen's Compensation Insurance or a Certificate
/(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 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 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
a st aid C my in con�enegranting of this permit.
Date ��--�'�
Si ature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is ry ed for excavations over 5'0" deep and demolition or construct-
ion of structures over storiefs in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 84.00
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
ND I
ISSUE
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.
IRECTOR PU LIC WORKS
BYK2IDate ®L�
PERMIT EXPIRES. ate 4/13/86
Receipt No. / C` ( !
WNITE-D.P.W., 7ELLOW-ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
., ,. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-454
APPLICATION PEND- PERMIT
ANOR PARCEL U BER
ZONING'
BUILDING PERMIT
Ow R U_elTELEPHONE
SO. FT. OCC. BUIL IN
VALUATION
OWNER'S MAILING D
% ` r rm
CON C OR'S NAME 1 -1 -HONE
CON A OR'S MAILING ADDRESS
Fireplace
CON5TUCTION LENDER •
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC TECT OR ENGINEER
a 1A
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS SS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF r%7f Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00 ea
TYPE OF WORK
New ❑ Additio ❑ Re del ❑ Uti I'ties Insolation Other
Describe ork: -
e�ELECTRICAL
Permit Fee
$
Contractor
PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
_
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
ense No. Classification the owner, or my employees with wages as their sole compen-
I, as
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.tr
OR ACDNS. ACC. BLDGS.
, �z2SQft
NEW CONSTR.MULTI-OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS tr
(SINGLE OUTLET CIR.
Ex. Occu p OUTLETS OR FIXTURES
20050c
BAL030
FIXED APPLNS R
EX. Occup. OUTLETS ((RESID )EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin g
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
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
Pennit 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 id County in conseq ence of thgran ting of this permit.
X Date y7-- 8�
Signature ofpl• 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.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ /
OCCUP.
CONIST.TYPEJ
I FLOOD
PARCEL
I PD
Ho
ssuE
This permit is herebyy issued under
sions of the Bute ounty Code and/or
work indicated above for which fees
IRECT PUV
sy
PERMIT XPIRES Date
the applicable provi-
resolutions to do
have been paid.
RK$
at
Receipt No. I U9 2 f
WHITE-D.P.W., YELLOW -ASSESSOR, PI -INSPECTOR. GOLDENROD -APPLICANT
t `
COUNTY OF BUTTE - DEPARTMENT OF, PUBLIC WORKS - BUILDING DIVISION
V/ 7 COUNTY CENTER DRIVE - OROVILLI � CALIFORNIA 95965 - TELEPHONE: 9;16/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER Co k -} v I n Ca S vin A. P. No.
Proposed Building Use w
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Building Inspector uate
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor 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. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
9. Letter of signature authorization. . . . . . . . .
10. Sanitation approval from Health Dept. .
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
131 Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner)
15. Improvements may be required. . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Insp17. Pre -Inspection for Required. Building
request to (Date)
p q Building Inspector
18. RecoOtherDRl �rYotp�It�onstructiongapproval required prior to occupancy
19. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone , 1 %S _and hold for pickup at Qk/0 office. Deliver w/inspector.
Other _ z_A
CUVGv'Y C.1 � Ip��
Applicant
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application,. circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone-/--q—Mail Other
By
Plans checked by Date
Plans approved by Date
Other:
Copy—DPW
Date
PERMIT NO. -%LO-79B,,P,E,M
PERMIT EXPIRES 1-620j1-4
Larry Klein
OWNER
CONTR. owner
26-25- .
LOCATION (A.P.
SIS Palermo Rd., app.3200'W.of Occidental
Ave., lot 1, Palermo
r
to
Temp. Power Pole 12? 9
Called PG&E
• Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
/j� %/
FINALED
(Date)
(Signature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
Reinf. Steel
FI
Framing
BUILDING INSPECTION RECORD
Water Htr.
Stucco
BUILDING
BUILDING (Cont'd)
Mesh
PLUMBING
Setback
Firewall
Soil Piping
-c'
Forms
7 Parapets
1st Floor
Finish-
Main Bldg. Zi
Restroom Finish
2nd Floor
Footin s
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
1Piers
U Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for phsically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
::IFooting
ELECTRICAL
Masonry Walls _
Throat
Rouah
Reinf. Steel
FI
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish-
Ducts
Underaround 34. raffia / G�
interior Latn
Ventilation
. Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES
-----Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
1 EHOME INSTAILLALION
- - - - - - - • - - - - - - Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
/ r." I
1
r l I r
1
(NOTE: An entry must be made on this form each time you visit the job site.)
M E C H A N I C A L
Check List
❑ Permit
®Underfloog 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
rI
P L U M B I N G
Check List
❑ 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) Vents - 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) dent. (2).Lotation;:(3).PR.Va.1v6 Drain.
❑ Final
T'OTD.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.
E
5/79
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541+
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
7
O` BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
���� � �1A v�i_..•s vim,% !��'�.l,G-�'-�s e� All
�_ z.• .cir-4s� ,r?�+.� �i �i..d�.�•-�.a n lam%-etir�•�
rZ�.,.., a
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Inspector ---mac Date
COUNTY OF BUTTE,' - D _'AR 'MENT OF PUBLIC WORKS -
7 County Center Drive - Oroville, California 95965
Telephone: 5.14-4541
APPLICRTION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date 7
Signature f Permitee or Agent
Receipt No. o, U �/
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
abo r which fees have been paid.
REC&P OF PUBLIC WORKS (iQflr 14 14*&q4%4 021 /
Date
Building permit expires Date ? r ;I-1 — a
BUILDING
Owner �L ���.�
SO. FT. OCC. BUILDING VALUATION
O0, 00
Mai I i ng Address 44✓/9t
/
moma, LLo,
Telephone o.
Contractor
Mailing Address
Fireplace 4,•Jsy 5 Qd.40
Total Valuation
Telephone No.
Permit Fee „gyp
Building Address S L O %
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC.. ONLY) ��
Bldg. Permit #k
:i
A. P. # 044-aS- l
A.. GENERAL
Zoning requirements (sideyards and parking).
�/Galuation.
3. Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
._ Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc'.
—Other buildings or structures.
4. Grading, fills, drainage.
C. .FLOOR PLAN
4�—Complete to scale plan with dimensions.
Required windows for light and ventilation. (Sec. 1405).
Required windows for second exit (Sec. 1404).
C4.,Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
Required'room sizes, ceiling heights (Sec. 1407).
-7:;�--G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Z:ight fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
4__ ocations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
"40`.' -arage firewall, door size, and closer (Sec. 503(d)(4)).
--1 - 3'0" exterior exit door (Sec. 3303d).
fireplace location. ev-� b� -
'fib oke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Q-_ Floor construction details -complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
'C --Roof construction details complete enough -to construct building:
5. Fireplace construction details and calcs if over one-story in height..
---Sufficient data and details to satisfy energy insulation requirements (State law).
E.. SCELLANEOUS LEMS TO LOOK OUT FOR
q. CX plywood on exposed locations and overhangs.
2. Stairway details (Sec. 3305).
3. Guardrail details (Sec. 1716).
4. Brick or stone veneer (Chapter 30).,
5. Exterior plaster - weep screeds (Sec. 4706 & 4708).
=Proper roof pitch for roof covering (Chapter 32).
-Rafter ties,or bearing ridge beam.
8. Garage door or porch header sizes.
Adequate bracing.
10. Living area over garage - complete 1 -hour separation required including supporting
walls and posts,.etc.
11. Two (2) exits on three-story dwellings (Sec. 3302).
1 1884-8 B
;COURTNEY SILVA
f - ! 1555 Palermo Rd.
Palermo ,
it
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville; California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
,J( �5-`�
ZONING
BUILDING PERMIT
OWNER (
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
/; 4 C ISG / nn Rd. /'a III r m ,r �
CONTRACTOR'S NAME -
/-, 111/if I..,
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
,0f) t
UNKNOWN
Total Valuation $
Filing Fee
g
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/h" N/
LICENSE NO.
Plan Checking Fee
,$'
Ener Plan Checking Fee
Energy g
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
_
Penalty
$
BUILDING ADDRESS / I � � � j �
`/ ✓
Permit fee
$ �� S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF[J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ RemodelLI Ut'.Iities ❑ Installation ❑ Other [�
Describe work: o I/ f _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100V OR LESS10010.00
AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
/
Q I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. 2
OR ADDNS.` ,
� ACC. BLDGS. DWELLING OCCUP.&
/ �z(psClft
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
tPOWER APPARATUS 6
SINGLE OUTLET CIR.
Ex, Occup( OR FIXTURES 2
eAL9Lv30so
Ex. Occup. OUTLETS FIXED PR \\
(RESID )EAJ 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
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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.
/�l.�i/ C � ��/ `%k"u�0
X Date
Signature of Applicant — Owner ElContractor❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ `
Occup.
CONST.TYP!
I
�FLOODJPARCELJ
PD 1
ND
1 ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
workooft
DIRECTOR OF PUBLIC
By ��+-�_-'�► /
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
♦Date'" (� LJ�
,x 7
Receipt No. / 1)SA 2
WHITE-D.P.W.. YELLOW-ASSt;990R, PINK -INSPECTOR, GOLDENROD -APPLICANT
r COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile -. Phone: 534-4541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57 '
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector__ ��1. \�r—�� Date_ __� —
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERM T NO.
7 County Center Drive - Oroville, Ca:ifornia b5965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSF.§SgR PI�F�Er tyl,JM�ER
Or1\Jc /••/(
ZONING
BUILDING PERMIT
OWOR
0 i
TELEPHONE
SQ. FT. OCC -1 BUILDING VALUATION
OWNER'S MAILING P9FR SS
CONTRACTOR'S NAME
Ta PHONE
'
CONTRACTOR'S MAILING ADDRESS
Fireplace
Qa
CONS UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHI ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
on 1
Penalty
$
BUILDING ADDRESS .
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
a
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL AP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel Ut' ties ❑ Installation ❑ Other.
Describe work: to V
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
_
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license is in full force and effect.
ense 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 CONSTOR ADDNS.. ( ACC. BLDGS. DWELLING OCCUP.Ei ,�20sgft
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.R ESID BRANCHCIRC ITS
POWER APPARATUS n
-SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES ..L@AL030
FIXED ALNS.
EX. OCCUp. OUTLETS P(RESID )REA.I 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 _
Misc. �Yirin 15.00
9
Permit Fee $
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
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
agains id County in consequence of he granting of this permit.
I
X Date
Signature of XW (cant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST*TYPIJ
I
I FLOOD
PARCEL
PD
I ND
I ISSUE
This' permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for w ich
DIRECTOR OF BLIC
By -
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
^�
Receipt No. J 612
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
IF .. 'r s -Y v.; .rSF�I•i9r.. _ l y _
COUNTY'OF BUTTE - DEPARTMENt OF PUBLIC WORKS - BUILDING DIVISION �'TM
7 COUNTY CENTER DRIVE - OROVILLE CALL ORNIA 95965 - TELEPHONE: 916/5.34-4541 � !
PERMIT APPLICATION DATA SHEET
Permit No. /
OWNER ` 014 tl �1F �J i !�� A. P. No. cZ - c21
Proposed Building Use
Permit Fee Based Upon: Complete Contract Price X DPW Valuation
Building Inspector I - , o nate i4 62 1/ c-) L-2
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2., Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings. . . . .
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking: .
12. Gmekiificate of Workmen's Compensation Insurance. . . . . .
a
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner, Mail to owner .)
15. Improvements may be required. . . . . . . . . .
16. MobiletTome Installation Data. . . . . . . . . .
Pre-Insp17. Pre -Inspection for Required- Building In request to (Dote)
P q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement . . . _
19. Other
Wh you issue theermit, p esss_as follows: Mail o owner. Mail to contractor.
Telephone ��jj lo and hold for pickup at ►� office. Deliver w/inspector.
Other 9Gr
G
Applicant 7-4's Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
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 -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
L
2. I (have/hams* )
for the proposed work.
3.
signed an application for a building permit
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
Pro Ownor
Social Securit umber — — 4e{
%__ (�IL
Date 7-Z3 f
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
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