HomeMy WebLinkAbout028-100-039i 28-10-29 3
Charles Johnson & Don Eeich
SE corner @ inters.of LaPorte Rd. &
Loma Rica Rd., Bangor
-Permit #733-81BPuE,M(new ngle.,
- famil r•,�_ _- --- ,I
�—
".- 28-10- W 3�
Pett #734-81.(storage b dg, bldg.
materials) ��✓i
28 -10 -AW 39
Per -it 7P5+8-82B(lsta rene al for
permit #733- 1)
2ind rrenewalY733-81) -
28-10-39
8038 LaPorte Rd, Bangor
Permit#452-88B,P,E(addition/SF)
.28-10-39 2734-.91E
.JOHNSON; Chari,es
8038? LaPorte'Rd',Marysville-
(elec upgrade/sf)
( �0� 810-0-039 92-0279
j JOHNSON, CHARLES
1 CONTR : UNKNOWN
'��8038 .LAPORTEGRC , MARYSV I E , '♦ s.
EDROOMS�
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`}F ADD 2 'B
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Y
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RESIDENTIAL
028-10-0-039 92-0279
JOHNSON, CHARLES
CONTR: UNKNOWN
8038 LAPORTE RD, MARYSVILLE
ADD 2 BEDROOMS
- x
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fi
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OFFICE COPY
Address
r
GAS
Meter By Date
ELECTRIC
t t Meter By Date
JOB FINALED (Date)
f Signature
J=OK
O = Not OK
Not
= Not Readyable 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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG'
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card &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 .r
6. Water; MH Test -Regulator -Connector T
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch ,l
10. Cert. of Occupancy
t
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
t
MISCELLANEOUS 4 ay
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel',
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date. Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements '
2. Soils; Compaction -Structure Stability .
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
_ Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date , Card B-1
Date Card B-1 Date Card B-1
✓=OK
O = Not OK
= Not Applicable RESIDENTIAL (Single & Duplex)
' = Not•Ready
Date"Uncocinn. (Plans) OK except ff's
l 1. -lining-Setbacks-Easements-Flood-Slope
Ftg., Main; Soils-Elec. Grnd.- " Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-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�-V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
UF. Gas Pipe; Size -Anchors - yard gas piping: size-tes
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B- Date Card B-1
Date and B-1 Date Card B-1
Date PJAOBJNG (Permit),OK except ff's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
------ -- -- - --------------------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
- - -19. Shower Pan: Test, First Floor -Tub Access -- ---------- -
20. Test Tub & Shower, Second Floor -Tub Access
--------------------------------- --------
21. Gas Pipe: Size & Anchors
Date Card B-1 - Date - Card B-1
---------------------------- ----------=-----------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
----- --- --- - - ------------------------------
ze Boxes & No. of_Conductors-Stapled
-25 Romex Installed Close to Edge of Studs & C.J.
26. Equip Ground made up w/Mech. Fastners-Bond Gas & Water
--------- ---------------------------------------------------------------
27 2 Appliance Circuts in Kitchen & Conductor Size/GFI
--------------------------------- --------- --------- ---=------------------------
28. Subfeed Wire Size / r ga. Cu or AI-A.C. Wire Size ! / ga.
Cu or At
-------------------------------------------
- 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
- ----------------------------------------
-------------30.-Service-Riser ---
Conductors & Ground -Main - - - Disconnect
-------------------------------------------------------- --
-------------- 31. Equip_Clearances Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light -Spa Light
_33 'Smoke Detector -
------------------------------- -------- ------------------------------------------
-
Date Card -B-1 Date Card -6- 1
-Date
---------------------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except N's
34. A.C. Ducts Insulation & Support
-------------------------- - -- -- ----- ----- ----------------
--------------- 35. Vent Fan: Exhaust above i on
--------------------------------------- ---------=--------------------------
36. Condensate Drain verflow_Size & Grade
37. Furnance-V Access -Comb. Air Return Air Vent -115 outlet
------------------------------------------------------------------- out -le -------
38. At ti ccess &Platform if Furnance in Attic
-- ----------------------------------------------------------------------
Date Card B_1 Date Card B-1
-- ---- --------------------------------------------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except ft's
39. Sils. Proper Material & Anchors
- -- -- --- --- - - - -- -- - -
---- -------- --- --- -- - -------------------------- - -----
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
-------------------------------------- ---------------------
�/ 41. Bearing Walls over Girders & Floor Nailing
-------------------------------------- -------
------------ 42.- Draft -Stop- in- - Walls - (rat- proof)-
-------------- ------ ---------------------------------------
4 Fire -Stops: Furred Ceilings-StairsChases-Tub
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
• 45. rs-Post Caps -Anchors -Connectors
-- 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
---- -- 5 roperty Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
---- 53. S rs; Width -Headroom -Rise -Run -Landing -Fire Protection
i -O--- -K6S
_ plywood on Roof Overhang -Attic Vents -Rafter Outriggers
- - ing-Nailing Veneer
ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
_ sulation-Walls-Ceilings
60. Infiltration -Walls -Windows
Date Date Card B-1
Date rd B-1 Date Card B-1
Date FINAL ans) OK except r#'s
eps-Door & Sidelight Protection-Landinos
6 moke (Selector
3. Furn s -Clearance -Comb. Air -Connector-
n G :Above Floor -Ducts -Meth. Protection
Bedroom E iting
.I & Bath Fixtures & Tub Access -Spa
6. Elec. Trim & Subpanel; Breaker Sizes & Labels
----------------------------------
�Z�feir5-& Rails
--------------------- - ----- - ---------------
aa F' „tate or Stove: Clearances -Hearth
---------- --------------
ec. Outlets at Wood Panel: Int. & Ext.
----------------------------
-- - �'-KK-t �& Appliance: Grnd.-Air Gap -Cooking Clearance
�1. Elec. Outlets & Receptacles at Kit. Counter
- ----Rage Fire Door Swing -Landing -Closer
Duct in Garage -Damper
----------------------------------------- -
74. Wtr. -Clearance-Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
-----------
75. Plb. Elec. & Mech. Equip. Listed for Location
Rece acles in Garage: (G.F.I.)-Romex Protection
---------------------- -- --
nsulation-Foam-Looked in Attic ❑ Yes
------------------------------------------- -
f--�- . Guard Rails & Deck Construction -Post Caps
----------------------------------------
7 ents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
.. - - - - ----------------
a- -- -- --------------------- -----
it. t6wing instld.: Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
-------------- --- - - ---
-e1-Stucco. Brown -Finish-
---------------- - --- --
Unit Disconnect. Electrical, Plumbing
ove Roof: PIbg.-Appliance-Fireplace.-Clearance to
Openings
----------------------------------------- -
---24� ter Well: Disconnect, Electrical, Plumbing
-
8§_Xxter' r--2-1 Trim; G.F.I. Receptacle -Underground -
Ventilation Throughout House
- - - - - - - - - - - - - - ----- ------------------------------
s rotection
----------------------------
rrections from Previous Inspections
------ ---------------
- -----------------
�Gas Test -Meters Ttqgged, _aS s -Electric
--- 90. Water .& Sewer Connected -C/O to Grade -HD Approval
1. nergy Compliance Certificate -Other Certificates _
Dat ----� �ard-B-------'�-----Date ---- Card B-1 -
--
Date and B-1 Date Card B-1
Date rd B-1 ate Card B-1
Comments at inal:
COUNTY OF BUTTE
BUILDING.DIVISION
DEKA, RTMENT OF; DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751 v
7.County Center Drive, Oroville, CA - (916) 538-7541;
YY 747 Elliott Road, Paradise, CA - (916).872-6307. •, _
CORRECTION NOTICE
!t
Y
OWNER PERMIT NO: f4'
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work"
is completed. If you have any questions pertaining to this matter, or need additional explanation;'
please contact this office immediately.
IA ,
nom.
Date Inspect "
REV 10/92
0.
ENERGY CERTIFICATION
n
NUMIIER-AND STREET CITY COUNTY
SUBDIVISION LOT NUMBER
DESCRIh'I'1:ON OF INSULATION
ROOF
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RES.
EXTERIOR WALL
MATERIAL TYPE Fiberglass
BRAND NAME CertainTeed
THICKNESS (INCHES) L
THERMAL RES.
CEILING
BATT OR -BLANKET '
RBLANKET. TYPE Fiberglass
BRAND HAKE CertainTeed
THICKNESS (INCHES)
THERMAL RES. 3
LOOSE FILL TYPE Fiberglass
BRAND NAME InsulSafe III
THICKNESS (INCHES)
THERMAL RES.
FLOOR, ELEVATED
MATERIAL Fiberglass:;
BRAND NAME CertainTeed
THICKNESS (INCHES)
THERMAL RES.
FLOOR, SLAB
MATERIAL
'BRAND NAME
'PHICKNESS (INCHES)
THERMAL RES.
WIDTH
FOUNDATION WALL
MATERIAL
BRAND NAME
THICKNESS (INCHES)
THERMAL RES.
HEATING SYSTEM
'! A KE
MODEL
.RATED BONNET CAPACITY -
DECLARATION
I HEREBY CERTIFY THAT THE ABOVE INSULATION WAS INSTALLED IN
THE BUILDING AT THE ABOVE LOCATION IN CONFORMANCE WITH THE
CURRENT REGULATIONS SETTING ENERGY CONSERVATION STANDARDS
FOR NEW RESIDENTIAL BUILDINGS (LOCATED IN TITLE 24.OF.,THE
CALIFORNIA ADMINISTRATIVE CODE).
UENERAL CONTRACTOR / OWNER
SIGNATURE
HAWKINS INDUSTRIES INC.
NAME
SIGNATURE
STATE CONTRACTOR'S LICENSE #
DATE
622184
STATE CONTRACTOR'S LICENSE N
DATE
.i
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538.7541
APPLICATrON AND PERMIT
,r J
ASSESSOR PARCEL NUMBER
028-100-039
ZONING
A 5
BUILDING PERMIT
OWNER CHARLES JOHNSON
TELEPHONE
747-1166
SO. FT. OCC.1 BUILDING VALUATION '
279 R t
OWNER'S MAI},{.N,y,.,r,L}D229
a`OT'te Rd Marysville 95901
3NAME
CONTRACTOR'S
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 135.00
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$ 67.50
Energy Plan Checking Fee
$ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 237.50
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF ERDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition [ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: 2 BDRM
Permit Fee
$ 20.00
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
j$,50
Main service 200A TO 1000A1
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9,'Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.9
OR ADDNS. ACC. SLOGS. /
_37.50
3.64 sq.ft. (�. /5
NEW CONST_ULTI-OUTLET
NON-RESID BRANCH CIRC ITS I
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 7611
FIXED APPLNS.
Ex. OCCUp. OUTLETS RESID )REA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
'15.00
Permit Fee
$ 24.75
—
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.
sr I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesubject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee 15.00
Heating FXTqTTNC
Cooling
g
Hood
6.50
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
quence of the granting of this permit.
against1s�aidCounty i);;�
X ('1 'A ��`--- Date�' 7�' - 12"
Si nature of Applicant - owner
9 PP � 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 S
Energy Inspection Fee $ 40.00
CONS
v
TOTAL FEE $
I
HAz
OFEES
IMP
I FL D DF
PARCEL
PD
HD
ISS
This permit is hereby issued under the
sions of the Butte C my Code and/or
�
work i 'cated a for which fees
DI E6 OR O PUBL
BY
PER IT EXPIRES Wate 7R�
applicable provi-
resolutions to do
have been aid.
p
WORKS
Date- l3 -i
Receipt No. 1 Q96QR
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
�S�fi74^m'.. -+vr. �: �--•-"¢i 7Fv� .. is ".5 :... ._ � _t ;. p'S—vw�7-1. -�: _ ... _. .—.. �.., ,•,. .P_.�^. , .,yrrw,
COUNTY OF BUTTE -bEPART) NT OF PUBLIIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORO CALI -,R`105965 - TELEPHONE: 916/538-7541
� PtRMIT APPLICATION DATA SHEET
Permit
OWNER
Proposed Building Use
No.
lo. �1 � g- /o
Date Z M 1 4
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. -Complete plans in duplicate/triplicate, signed by pre -parer of plans ..
4. Complete engineered plans and calcs, withrt wet signature on plans ..
y
5. Hazardous Material Form ............. ... .. .. ...... .
6. Energy Design Compliance and supporting documentation°:........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Pjk feed f aid ...... �/ (' .................. .
Care u P7 ion !C J Sc of Distr' t fees paid ..............Z-
14. Sanitation approval from rov I fI"e Health Department
15. City of Chico plumbing permit .......................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy) '
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization
26. L +eflei-e-
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 7�/7-//G� and hold for pickup at Q�office. Deliver w/inspector.
Other
Applicant G - Date
Copy of Hdz-Mat form sent Health Dept. Fire Dept. air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuan : (Circle new item of checked above).
1. Index permit for above items No. 4571
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by .date
Contractor, designer, owner, was advised of above required data by_phone_mail_c unter by date
Plans checked by Date_Plans approved by Date
Sets of plans on hold in
Copy—DPW
File cabinet AP folder
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviller California 95885 - Telephone: 918.'538-7541
APPLICATION AND 'PERMIT
A33F3 b R NLIC7
D� - )00-
ZONIN_
BUILDING PERMIT
OW ER
oq
TEC PHONE
-d
1J
SQ. FT. OCC. BUILDING VALUATION
OW�,EIR'S M IL NG DR
d03 Ci VS19 0
CGyNJ�R C OR'S NAME
TELEPHONE
CON/TRA TO 'S MAILING ADDRESS
Fireplace
S RUCpTION LENDER
COZ
UNKNOWN
Total Valuation - $
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$ /no
AR H ;ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ J0.00
ARCHI ECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SFX] Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New ❑ Addition N Remodel ❑ ill es ❑ Installation El Other ❑
Describe work:
rr
Permit Fee
$ 0.0
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600v OR
200A OR LESS
j$,50
Main service 200ATO1000AI
37.50
CONTRACTORS LICENSE LAW
I declare under ucheck one
penalty of
P Y perjury Y( : )
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. ClassificationAt
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.
OR ACDNS. ACC. BLDGS.
3.60sq.ft. Cj
I
NEW CONSTR.MULTI-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
SINGLE OUTLET CIR. /
EX. Occup(OUTLETS OR FIXTURES
20 754d
ARA
FIXED
EX. OCCUp. OUTLETS PIRESID )REA.�
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
"15.00
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
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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating WOOA
-0 L, e--
Cooling
Hood
6.50
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.
X Date
Si nature of Applicant - Owner
g pp ❑ 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 S
Ins
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $
HAz
DFEES I
IMP
I FLOOD
I COF
PARCEL PD HD
ISSUE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. r 0 9 08
_-
WHITE-D.P.W., YELLOW-ASDESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
i
FLOOD PLAIN DECLARATION
I declare the actual value of the proposed construction`work,under build-
ing permit application at
A.P. # 1 ^%Q' 3q- for Y -e (,d fl"+Ci does
not equal or exceed the definition of "Substantial Improvement."#
I am. aware the -building site is in a flood -plain area, even -though I
am not required to comply with the flood plain management criteria. „
PROPERTY OWNER C/ - v / L .
`�G �Dy�►.
ADDRESS
3� �J
PHONE NO.
DATE
• 5
*Substantial improvement.is defined as follows: Any'repair, reconstruc-
tion, or,impr.ovement of a structure, the cost of which equals or.exceeds
'S0% of the market -value of the. structure either, (a) before-the�improvement
or repair is started, or (b) if 'the structure has been damaged, and is being
'restored, before the damage occurred.
NOTE: Documentation may be required to substantiate costs:'
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewaqe Disposal Water Supply
Fold final for: Water Supply
Final clearance O.R. for: ater Supply
03e)ma ce for ��mvbY�. Other V�d0 7,0 n
1 ' l a - h ejr6or✓ ,. 'I V� kou se -
NOTE * * *
Sanitaria
Date
l
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner &heatks N O�n-W 10 Climate Zone %
Permit # O/c -o a '7y Floor Area A2 7
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
APPLIES TO NEW AREA
O CEILING
O WALL
FLOOR
SLAB
• GLAZING
o SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11 \
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ZONE 16
R-38
R-19
R-19
R-7
U-.65 (Dual)
m INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
0 DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
i LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
O MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*1 - '.'HEATING, VENTILATING. AIR CONDITIONING SYSTEM
(A)Heating ,
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
' (describe)
*1. (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling.capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOFZSTIC WATER SYSTEM
Q • (B) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
Q * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form 464) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load a maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ", cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form 465) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE/OF BUILDING DESIGNER OR APPLICANT
v..,5r'•`r. w'i...eaa.*r•fM`•,r t. .7 ���.:,,( .,'i ..KK ...•�. ..,.rn..,:l'yf.r....yy,:.f'^. •f.°�.w w'L�:.^•'. �'•�`c�'S'-�
,11�1'�jY�?A^ S.�T►Y[gwl'•i"�'Y'a3rhCVt�•J':At.M1'.[�.Yya,o�r.KpMlrwyfr'MM„Y1 j ie. _ rY..+ i
a -goo 3 9 5a-
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
.(One"Form per -Building)
A.P. Number fag -100-062 Building Department No.
School DistrictOrb l,t ItiOr1as
City [:]County t19"Jurisdiction
Property Owner C ho r /v s V 6 n so ri
'411 P
Project Location/AddressQ3�
Subdivision
Lot Number
ResidenN "Dmenti � O [Z]
�p 9
1 Sq. Footage
JAN 1992 # of Living MHI Addition (Group R)
Units
i
Commercial/Industrial: a 0 Sq. Footage
i' New Addition (Including Exterior
Roofed Areas)
Klw/ k4&lz /S
Building Department Representative .Date
(Floor Plans reviewed by School District Personnel)
District Id No. 92 Y
//e) 61W/'t
d j School District certifies that
J'P
(r'Applicant Name) (Phone Number)
L0 po
.reet F
(City)
actress)
� GL•�
State
990 /
Zip Code
has complied with the requirements of Resolution No. f o'5-- 9 0
by the payment of $ ^-� `representing d % 9 square feet.
School District -Representative Date
PAID BY CHECK N•
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
-:`•1•{ .E. `.iC;C;. _3�u�i�':�P1:j�"$r�;t }� ,., r n a : i, .•.. i r -a-.. e, . _ .H .� •' r o + 3. ..L Y a ,,i . s•. �F �..-,. r
.� �,; r r ,. ,s •gym A•, i. c._
s -28-10-39
2734-91E•
". JOHNSON, Charles
8038 LaPorte Rd,Marysville
(elec upgrade/sf)
w FIRCOUNTY-OF BUTT -E - D .PART�MENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538.7541
APPLICATION AND PERMIT
PERMIT NO
ASS2V „P EL NUMB R
ZONING A5
BUILDING PERMIT
OW ARIA
LES JOHNSON ES
TE FEPHONE
SQ. FT. OCC. BUILDING VALUATION
EL1GADORES
O M,„Ws MHRYSVIT*E
95901
CO dA'S NAME
w
TELEPHONE E
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
B� "G ET, RD rARYSVILLE
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
SFMK Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobile Home S I G I W 0.00 ea
TYPE OF WORK
New F] Addition F] Remodel❑ Utilities Installation[] Other ❑
Describe work: 200 AMP ELEC SERV
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS 10.00 19.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50 2.50
CONTRACTORS LICENSE LAW
r- r _
I declare under penalty of perjury (check one): •
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is In full force and effect.
License. No. Classification.
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.6 2�,2QSQ ft
OR ADDNS. ( ACC. BLDGS.
NEW CONSTR. ULT' -OUTLET
NON-RESID BRANCH CIRCUITS2.50 ea
POWER APPARATUS 6
(SINGLE OUTLET CIR. /
Ex. Occup(ouTLETS OR FIXTURES 20050C
eAL030
Ex. Occup. OUED R
TLETS ((RESID )EA.J 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 15.00
PRE INSP. 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.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you 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 FiIing.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 Count of Butte against
9 Y P Y g
all liabilities, judgments, costs, and expenses which may in any way accrue
against aid County 'n cons quence of the granting of this permit.
q-
X L---- Date �+ ' �— f
Signature of Applicant - Owner R' 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 $
occ
CONST TYPE
52.50
TOTAL FEE
HAZ.
I CUA I PARK I SCHL
I FLD
I CDF,_
PAR
I PD
I HD •
I 'SSU
This permit is hereby issued unoer the applicable provi-
sions of the Butte County -Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR F PU IC WORKS
BDate ���- 9
y
PER EXPIRES Date D--4— Z
Receipt No. 97125.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR; GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 '%�
APPLICAtION AD PERMIT v 4n
ASS SO10 39 EL NUMBER
ZONIKG A5
BUILDING PERMIT
OWNERCHARLES JOHNSON
TELEPHONE
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
8038 LAPORTE RD MARYSVILLE 95901
CONTRACTOR'S NAME
UNKNOWN
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
8038 LAPORTE RD MARYSVILLE
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 a, Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities]R Installation❑ Other ❑
Describe work: 200 AMP ELEC SERV
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 1 .
Main service EA. ADD'L 100 AMP
2.50 2.30
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.SINGLE
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 CONST. / DWELLING OCCUPM
OR ADDNS, l ACC. BLDGS.
, /20sq ft
NEW CONSTFL ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS e
OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
SAL SOC
vso
FIXED PR11\
Ex. Occup. OUTLETS IRESID IEA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00 15.00
PRE INSP.
1 15.00
Permit Fee
$ 92-90
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.
XI shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIirig Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
penult Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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 Coun n consquence of the granting of this permit.
�_ r X cl��N
Date J
Signature Of Applicant — Owner, Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
—
TOTAL FEE $ 52.50
HAz.
PARK
I scHL
I FLD
I cDF
I PAR
PD
I Ho.
Issu
This permit is hereby issued unoer the
sions of the Butte County -Code and/or
work indicated above for which fees
DIRECTORAF) PU LIC
By
PERM EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. 97125
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
ice)
,
`COUNTY OF BUTTE - DEPARTMENT'rOF•PUBLIC WORKS - BUILDING DIVISION
f-7.
7 COUNTY CENTER DRIVE - OROVILLEi•C VFOfiNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
fft /
OWNER efIf f�-- ��.s�C,i r AermP it NN o Z �".�G2J
Proposed Building UseBuilding Inspector Date e6Z�
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans . .
5. Hazardous Material Form ...................................'...... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid .......................:............................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19- Driveway permit (construction approval required prior to occupancy)
_E Pre -Inspection forC- required Pre-Inspec. request to ��
�— Building Inspector 1— (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ......
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27. /
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
Applicant
— ---. Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item -not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter 1bydate
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by_ �, Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSE4RRCE=NUlq,BEQ
ZON G
BUILDING PERMIT
OWNEReLES 1���� A ,
(:f_HA
PHONE
SO. FT. OCC. BUILDING VALUATION
(�TVE/L
OW4�10NER'S I I G g.D�7 ft K_ AZZ) IWIf," Itte
T A 7,0�• N(/1
CONw // (/(�// _ /
TELEPHONE
CONTRACTOR'S MMAILINGADDDRR/ESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDQESS Z /A
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 Duplex❑ Mobilehome❑ Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I GW
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities Installati ❑ Other ❑
DescrivJdrls:/
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 .2, S
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.
17I, 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. I DWELLING OCCUP.d+)
OR ADDNS. ACC. BLDGS.
yzQsgft
NE w CONSTR ULTI-OUTLET
NO. -RE ID, BRANCH CIRC ITS
2.50 ea
POWER APPARATUS &
. )
SINGLE OUTLET CIR20
Ex. Occup(OUTLETS OR FIXTURES
Eso
0 50C
B AL@
30ALo
FIXED APPLNS.
EX. Occup. OUTLETS (RESID )KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
—
Y%
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
of Consent to Self -Insure.
❑ Ishall 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
g
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.
XThis
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in h 'ght.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPETj—
TOTAL FEE $ ''/ t `� (J
HAz
CUA PARK
SCHL
FLD
coF
PAR
PD
j HD.
ISSUE
permit is hereby issued unser the applicable provi-
sions 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
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W.. YELLOW ASSE330R-, PINK -INSPECTOR. GOLDENROD -APPLICANT
PRE -IN ECTION
L
OWNER : G P/I 112 L E_G . � (� 17��SO�r� DATE
LOCATION: T50 (/ A. P. # �0 J
CONTRACTOR :(/ /l/ (�/ ZONING
PRE -INSPECTION FOR: p< (�' �� `/ �/ l/ l 7
s / ��-
DATE TO INSPECTOR
PERMIT HISTORY: NONE ( AS FOLLOWS.:
m
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT: _-
OCCUPIED HAS ELECTRIC F] H:kS GAS ZaHAS SANITATION FACILITIES
r
Q HEATED -COOLED f—I PERSON CONTACTED
OTHER COMMENTS:
ACTION MMENDED:
ISSUE Q
OTHER:
HOLD FOR
BY llama �� !�: �e DATE g��/
PERMIT NO. 452-88B , P , E
PERMIT EXPIRES
OWNER CHARLES JOHNSON '
CONTR. owner
'.ASSESSOR PARCEL 28-10-39
LOCATION 8038 LaPorte Rd, Bangor
1
60
Pot
r
Temp. Pow
Called
Temp. Else
Called
Temp. Gas
Called
JOB FINAL
SlSnatu
= OK
0 = Not OK
= Not Ready able MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
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.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'l-It.
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
Card -B1 Date Card -B1 Date
Card -131
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -61
Date Card -B1 Date
Card -B1
Date Card -131 Date
= OK
o = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable .
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W:V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Su pprt-Ins.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Cig.
59. Infiltration-Walls-Wndws
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuits in Kitchen & Conductor Size
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -61 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
33. A.C. Ducts Insulation & Support
34. Vent Fan; Exhaust above insulation
35. Condensate Drain & Overflow; Size & Grade
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
37. Attic Access & Platform if Furnace in Attic
Card -81 Date Card -81 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
Card -131 Date Card -B1 Date
Card -B1 Date Card -B1 Date
Date FINAL (Plans) OK except #'s
60. Ext. Steps -Door & Sidelight Protection -Landings
61. Smoke Detector
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
66. Stairs & Rails
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
70. Elec. Outlets & Receptacles at Kit. Counter
71. Garage Fire Door; Swing -Landing -Closer
72. A.C. Duct in Garage -Damper
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
74. Plb., Elec. & Mech. Equip. Listed for Location
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑Yes
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
81. A.C. Unit; Disconnect, Electrical, Plumbing
82. Vents Above Roof; PIbg.-Appliance-Firep l. -Clearance to
Openings.
83. Water Well; Disconnect, Electrical, Plumbing
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
85. Ventilation throughout House
86. Glass Protection
87. Corrections from Previous Inpections
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -81 Date Card -B1 Date
Card -131 Date Card -131 Date
Card -131 Date Card -61 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
couftfq-
LAND OF NATURAL WEALTH AND BEAUTY
'_- 'DEPARTMENT OF PUBLIC WORKS
WILLIAM (Bill) CHEFF, Director
7 COUNTY CENTER DRIVE Y OROVILLE. CALIFORNIA 95965
Telephone: (916) 538-7541
RONALD D. McELROY
Deputy Direct-or
April 7, 1989
Charles Johnson
8038 LaPorte Road
Bangor, CA 95914
RE: Building Permit #452-88
Expiration Date: March 7, 1989
A.P.#28-10-39
Dear Mr. Johnson
With reference to the above subject, our records indicate your building
permit expired on March 7, 1989. Building permits are valid for one year
and are renewable if construction has.started.
We have been informed by one of our field inspectors, as well as your letter
dated March 22, 1989, that -construction has not started.
New plans and permits will be required if and when you build.
Yours very truly,
William Cheff
Director of Public Works
JFG:laj
r
F. G ander
Chief Building Inspector
S
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT �J
ASSESSOR PARCEL NUM 'F -.R ZONAC� BUILDING PERMIT
OWNER TELEPHONE SO. FT. I OCC.1 BUILDING VALUATION
0
LENDER'S M
NEER'S MAILING ADDR
BUILDIN
LOT NO. ( SUBDIVISION NAME
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other -
TELEPHON
117
t
14
PA CEL AP
SPECIFY
TYPE OF WORK
New ❑ Addition E<RemodeI ❑ Util/ities ❑ Installation❑ Other ❑
Describe work: 4"? �-pah�r�
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and'the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
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.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against1¢aid Count -y inn co a uence of the granting of this permit.
X ( 1441,n: (A t> e L_ Date 2-
Signature
Signature of Applicant — Owner a 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.
Receipt No. O lr `C/
WNITE-O.P.W.. YELLOW -ASSESSOR, PINE -INSPECTOR, GOLDENROD -APPLICANT
Fireplace
$
Contractor
Total Valuation $
/(p
ELECTRICAL PERMIT
Filing Fee
Filing Fee
$
__F1 -0.00
10,00
Permit Fee
$
;S
Plan Checking Fee
$
Energy Inspection Fee
$
Energy Plan Checking Fee
$
$
S
Penalty
$
SCHOOL
Permit fee
$
PD
rf
PLUMBING PERMIT
FiiingFee
10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
Water piping
5.00
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
'1'0�
Building sewer
5.00
Mobile Home I S G W
0.00 ea
Permit Fee
$
Contractor
3.00
ELECTRICAL PERMIT
Filing Fee
10.00
Main service JOOV OR LESS
00 AMP OR LESS
__F1 -0.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING CCUP. tl)
OR ADDNS.ACCBLDGS.
1/20sgf
1. 1,91
POWER APPARATUS IN
SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES eAL030
FIXED ALNSEx. Occup. OUTLETS P(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 1 Z tXi
Contractor
MECHANICAL PERMIT FilirgFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee
$
ov
TOTAL PERMIT FEE,
$
�S
DC�UP.
CON 9T.TYPE
SCHOOL
FLQ
PARCEL I
PD
I HO:r
ISSyt
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.
DIRE 7OR OF PUBLIC WORKS
By( Date �'" ?-
P IT EXPIRES Date -f—?—)?9
. r . ..r, �.�'.`1. ��Y},..t . fti�•i rQ t'y,,. _:.i.yr � �"�K•i:..^.J��,rei'- `.r'L»`�u-:c%'3,'Z.�.l•4'�^�"'a:�_',�'�44�'�� r t , i � . ` � � y i' .�,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 !�f
PERMIT APPOCATA DATA SHEET
Permit No.
OWNER !LA. P. No. ri - /U-
Proposed Building Useoda&�'( Building Inspector s Date
v'
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . . —
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with 'wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District "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 from6ro 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.)
_14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑)
_—_..._15. Improvements may be required. . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . }'
Pre -In spec. request to —(Dote)
17. Pre -Inspection for _ . __ _ Required, Building InspectorlY
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plotplan approval from city of
21 Engineered trusses in duplicate (required prior to plan check) _
22. — --
When, you issue the permit
—Telephone—
process
elephone
process as follows: �YMai I to owner; Mai I to contractor -
and hold for pickup at office, Deliver w/inspector.
ti
Other
Applicant1—C Date
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: — —_—
Contractor, designer, owner, was advised of abAe required data by—phone---nail—counter by date
Contractor, designer, owner, was advised c? above required data by—phone—mail—counter b date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
e
Copy—DPW
TO Building Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ZY-10 35
Owner- Location AP#
Plan Approved for: Sewage Disposal Z Water Supply
Hold final for: Water Supply
Final clearance O.R..for: Water Supply
Clearance for _ Z- bedroom home. Other ,
NOTE ***
Sanitarian Date
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner dea c elm Climate Zone
Permit # AR -1% Floor Area ?,79
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11
APPLIES TO NEW AREA
CEILING R-30
WALL R-11
FLOOR R-11
SLAB R-7
GLAZING U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST. - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ZONE 16
R-38
R-19
R-19
R-7
U-.65 (Dual)
/INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING 44.,&4 0 qAx
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*1 HEATING, VENTILATING, AYR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr ^
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1' (B) Cooling
❑ Electric Air Conditioner .
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
❑ * Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 ,Submit T.I.P..S.E. chart•or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7.541
Charles Johnson
8038 LaPorte Rd.
Marysville, CA 95901
With reference to the above subject:
" Attached is:
DATE Feb. 18, 198$
RE:Building Permit Application#452-88
A.P. # 28-10-39
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
" We need the following information:
L_JL OTHER
Permit application signed and completed where 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
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
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
Completed Owner -B
Recorded copy
Recorded copy of
alder Verification form.
eed showing
agricultural acknowledgement statement.
lan reflecting parce
to heat new r
lit
r map 98-93.
comply with Section 1204, U.B.C.
Should you have any questions concerning the above, please contact this office.
JFG/aj
RK
Yours very truly,
William Cheff
Director.of Public Works
.F. Glander
Chief Building Inspector
r
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117
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12
April 7, 1989
Charles Johnson
8038 LaPorte Road
Bangor, CA 95914
RE: Building Permit #452-88
Expiration Date: March 7, 1989
A.P.#28-10-39
Dear Mr. Johnson
With reference to the above subject, our records indicate your building
permit expired on March 7, 1989. Building permits are valid for one year
and are renewable if construction has started.
We have been informed by one of our field inspectors, as well as your letter
dated March 22, 1989, that construction has not started.
New plans and permits will be required if and when you build.
JFG:laj
Yours very truly,
William Cheff .
Director of Public Works
LAW st"8 �.
1 F. Giem
J. F. Glander
Chief Building Inspector
4
t
April 21, 1989
Charles Johnson
8038 LaPorte Road
Marysville, CA 95901
RE: Building Permit #452-88
Expiration Date: March 7, 1989
A.P.#28-10-39
Dear Mr. Johnson:
With reference to the above subject, our records indicate your building
permit expired on March 7, 1989. Building permits are valid for one year
and are renewable if construction has started.
We have been informed by one of our field inspectors, as well as your letter
dated March 22, 1989, that construction has not started.
New plans and permits will be required if and when you build.
Yours.very truly,
William Cheff
Director of Public Works
J. F. Glander
Chief Building Inspector
JFG:laj
File No.
BUTTE COUNTY '(For Action 1, 2, 3)
Public Works Dept. (For Information t/ )
Director
Dep. Dir.
Sec.
Rd. & Br. Mtce.
Shop & Yards
Bldg. Insp. Admin.
Design Engr.
Bridge Engr.
Constr. Engr.
Surveys
Mapping
T ran s p.
Land Dev.
Drng. /S.I.
Sub. & Pc 1. Maps
Permits
Addr.
t' .. L i734 -81B N0. 734-81B
PERMIT EXPIRES
OWNER Charles Johnson &Don Reich
CONTR. owner
i ASSESSOR PARCEL 28'10-24
LOCATION SE cor.of LaPorte Rd.& Loma Rica,
Bangor
1
f Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp.
is Service
Cal led PG&E
JQBjFINALED (Date)�p
Signature
I
J = OK
O =-Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MPSCELLANEOUS
Date
MOBILEHOME UTILITIES (Plansl OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORT§, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
_
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. 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 H's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability'
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
6. Gas and Electricity Tagged
6. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
Not Applicable RESIDENTIAL (Sifngle and Duplex)
= Not Ready
Date UNDERFLOOR (Plans) OK except N's
1. Zoning requirements -Setbacks -Easements
2. Ft Ma'j Soils-Steel-Elec. Grnd.- / P Ftg. Dept
tg., ; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
temwalls, Gmagty Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI W
Date Card -BI Date
Card -BI Date Card -BI Date
Date PLUMBING (Permit) 0 except p's
14.
Water Ht.; Venit Access -Combustion Air
15.
Water Pipe; Te A& Anchors -Nail Protection
16.
D.W.V.; Test- ngs & Anchors -Nail Protection
17.
18.
Shower Pan; lesi, First Floor -Tub Access
Test Tub & Ahot, 2nd Floor -Tub Access
19.
Gas Pipe;_ize Anchors
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date ELECTRICAL Per .it OK e e t q's
20.
Fixture & Trans ormer learance-Ins. Protection
21.
Elec. Receptacl Spicing -Lights & Switches at Doors
22.
Size Boxes & No. of onductors-Stapled
23.
Romex Installed C se to Edge of Studs & C.J.
24.
Equip. Ground maA up w/Mech. Fasteners -Bond Gas & Water
25.
2 Appliance CircJillp in Kitchen & Conductor Size
26.
Subfeed Wire Si / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. // g Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neu al ';Yes El No
28.
Service -Rise Cond tors & Ground -Main Disconnect
29.
Equip. Clear nces; laneIs-Motors-Mech. Equip.
30.
Clothes CI et Liahi Shower Liaht
Card B -I Date Card -BI Date
Card B -I Date Card -BI Date
Date MECHANICAL (Permit) OK
xcept q's
31. A.C. Ducts; Insulati
& Support
32. Vent Fan; Exhaust
ve Insulation
33. Condensate Drain
erflow; Size & Grade
34. Furnace -Vent; A ces -Comb. Air -Return Air Vent -115V outlet
35. Attic Access latf m if Furnace in Attic
Card -BI _ _Date Card -BI Date
Card -BI Date Card -BI Date
Date FRA�1"G(Plans) OK except q's
11
lls Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
X58 -Bearing Walls over Girders & Floor Nailing
39�D aft Stop in Walls (rat proof)
_ •Fire Stops; Furred Ceilings -Stairs -Chases -Tub
oel�lodader & Beam -Size .& Bearing _
ngers-Post Caps -Anchors -Connectors -
Cing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfnp.
•14d Fireplace Ties or Type A Flue -Fireplace Throat
•-0,a. itic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_ 46! Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Gil' Garage Fire Protection Framing
Date
FRAM Continued
410�-Pro2erty
Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
-50.
-tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
mid
ing-Nai I ing-Veneer
-69.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
I*.-
Glazing Area -Glass Protection -Skylights -Plastic
.56 -Shear Walls; Nailing -Bolts
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
73.
Insulation -Foam -Looked in Attic ❑Yes
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instid.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters El Yes 0 N
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Oongs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PL�BLIG WORKS PERMJT NQ
7 County Center Drive - Oroville, California 1)5965 - Telephone 916/534-454
;;a APPLICATION AND PERMIT
ASSESSOR PARCEL UMBER
$� /Q—Z
ZON G
BUILDING PERMIT
OWNER
L!Nf9RLES g. 01,1A)9VAl �p� ,2E1L/�
TE,1111111E
7 Z-7�YQ
SO. FT. OCC. BUILDING VALUATION
/L1
OWNER'S MAILING ADDRESS ./ / 64 9�}
CONTRACTOR'S NAMF��
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEN ER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ -Zltdo
ARCHITECT OR ENGIN ER
LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ f U d
BUI GOING A�RE55� /� /��r Aa" S G /G�/h��/
PLUMBING PERMIT
Filing Fee 10.00
�5
(�/�i� p�eA g7)f
Each Trap
2.00
Repair drainage or vent piping
5.00
/-?14/✓60/Z
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE TT� ,r►
SF uplex ❑ Mobi lehome ❑ Other -STD)2 (; G t. /� �-�� i
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New arAddition❑ Remodel Utilit'es❑ Instiliation❑ Other❑
Describe work: �tlT 5—� /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. 1 DWELLING OCCUP.N)
OR ADDNS, ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. -OU •LET 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR. / POWER APPARATUS 6
NON-RESID. %SINGLE OUTLET CIR, /
50 @ 2150
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
LNS
Ex. Occup.(OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked. '
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue_'
against said Coy my in co equ nce of the granting of this permit.
X G1�1s1.� o n in � pn-3'6„�' (
Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 tories in height.
g
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 0C)
occuP. GROUP
TYPE OF CONST.
PARCEL
v
PD
ND ISSUE
t/
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Dt TOROF UBLIC
BY � �r �
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �" �v /
-�
Receipt No. %
WHITE-D.P.W.• YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
CGUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95.965 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 in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) YA 5 h _.
2. I (have/have not) Qye— 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: � �+ ;? \ A
Property Owner (,� � f �'l
Social Security number
Date 3 -G—y I
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUtBLIC WORXS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
&4R, --ES Permit No.
OWNER V101k�S'0AJ �(�i✓ KE/G A. P. No. 28' 10 `Z `l
Proposed Building Use 572)efi�E l3LPG
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
3 8/
Building Inspector Date ,
i
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. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
�- 9. Letter of signature authorization.
0. Sanitation approval from 1.r�}.eC-�.H� Health Dept.. �. G ��
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
0(/,-14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . , .
16. Mobilehome Installation Data. . . . . . . .,. .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Dae)
18. Other
When ,ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 7580 an of for pickup at office. Deliver w/inspector.
Other
t
Appl icant L 4," T) � L. 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
By
Plans checked by oe Date
Plans approved by : Date
Other:
Copy—DPW
Mail Other
Date
T _..:� 5- V=
.�'P,E,M
PER'1iA'N0.
/4ZOWPERMIT EXPIRES 3h 3/4Z-
OWNER
NER Charles Johnson & Don Reich
CONTR. owner
ASSESSOR PARCEL 28-10-24
LOCATION SE corner @ inters.of LaPorte
Rd. & Loma Rica Rd., Bangor
Temp. Power Pole
Called PG&E
Temp. Elec. Service
i
Called PG&E
Temp. Gas Serv' e3; --V
Called PG&E
JOB FINALED (Date)
Signatur
f
•F .
RF.0 TflRNT TAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMAL WITH CURRENT ENERGYMONSE-$VATION REGULATIONS
kiocatiun)
BUILDING PERMIT NO. 73,7—Ft
A;P.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge--�
Fdn. Walls
Floors
Walls
Ceiling/Roof
Ducts
Circulating Pipes
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
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 (� 1�. V (f �j �� U, S� in
Signature of ease print)
Insulation Applicator C1��,,. t --
State Contractors
License No.
General Contract Owner. ame�l V ILOS t ��V L, 50(-
Signature of
(please print)
f
General Contra o Owner c lA Date - g
State Contractors
License 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.
V = OK
0 = Not OK
- =Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements _
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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.-Shthg.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
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 k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except H's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater,
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V OK
0 = Not OK
Not Applicable
Not Ready RESIDENTIAL (Singl<e and Duplex)
�
J
Date
UNDE FLOOR PI s OK exce t#'s
Date
FRA G Continued
1 oning requirements -Setbacks -Easements
. Property Line Firewall & Openings
tg., Main; Soils -Steel -E d.- / /" Ftg. Depth
44/Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5*-'-Plyxood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
iding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
63_8tIICa'tT•Mesh-Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steell
5 zing Area -Glass Protection -Skylights -Plastic
8 D.W Fall t_tng TeS way C/0 -Sewer Test
5 Shear Walls; Nailing -Bolts
19. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date I Card -BI Date
Card -81
DateCard-BI.Date
Date
FINAL (PlAmSI'OK except N's
Card-BINU Date 2,297,q Card -BI Date
Date
LUMBING (PermW PK except N's
I&WIffxt. Steps -Door & Sidelight Protection -Landings
5jolmoke Detector
water Ht.;IV Access -Combustion Air
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
1 er Pipe; Test & Anchors -Nail Protection
ft D.W.V.'<ZWttngs & Anchors
5 edroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
6�. Trim & Subpanel; Breaker Sizes -Labels
Gas Pip Anchors
62. Stairs & Rails
----
ireplace or Stove; Clearances -Hearth
6A_-EY€V. Outlets at Wood Panel; Int. & Ext.
Card -81
Date � Card -BI Date
it. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card-BIDate
Card -BI Date
66ifReb. Outlets & Receptacles at Kit. Counter
Date
ELE RICALPe-ir"t OK except q's
67. IGarage Fire Door; Swing -Landing -Closer
68. JAT Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
6g,4Y11Rtr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
Ib., Elec. & Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -
71. Receptacles in Garage; .)-Romex Protec.
ex Installed Close to Edge of Studs & C.J.
E 'p. Ground made up w/Mech. Fasteners and & Water
Insulation-
72. Insulation -Foam -Looked in Attic ❑Yes
Attic
73. Guard Rails & Deck Construction -Post Caps
Appliance Circuits in Kitchen & Conductor Size
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.- Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral CYes ED No
75. Following instl_ d rive Eryes ❑ No; Walks es C:]No;
Planters ED No
28. Service -Riser Conductors & Ground -Main Disconnect
76. Stucco; Brown -Finish
V!E•quip. Clearances; Panels-Motors-Mech. Equip.
77, A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light,
Ve Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7 ater Well; Disconnect, Electrical, Plumbing
8 xterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Dat%2, Card -BI Date
e ' ation throughout House
Card B -I
Date .� �_Q� Card -BI Date
lass Protection
Date
MECHANICAL (Permit) OK except q's
83. Coytions from Previous Inspections
t -Meters Tagged; -Electric
31. A.C. Ducts; Insulation & Support
ater & Sewer Connected -C/O to Grade -HD Approval
Vent Fan; Exhaust above Insulation
nergy Compliance Certificate -Other Certificates
_
33. Condensate Drain & Overflow; Size & Grade
-r-$
<
K-
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Ca a - I
Date Card -BI Date
Card -BI
Date�' and -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI Date -"Card-BI Date
Date
FRAMPlefis) OK except q's
JWG3
Comments at Final:
IIs; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
_
31Bearing Walls over Girders & Floor Nailing`
qpaft Stop in Walls (rat proof)
_3
4 Fire Stops; Furred Ceilings -Stairs -Chases -Tub
0.- Header & Beam -Size & Bearing
446Hangers-Post Caps -Anchors -Connectors __
-Pin-f Brac.-Truss-Shthng.-Rfn
Jd-Cing. Joist-Rftr. Ties'urlRoo g.
Fireplace Ties or Types rlue-Fireplace Throat
45F. Attic Access; Size & Rom_ex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47. Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
1 '
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2951 —j
7 County Center Drive, Oroville— Phone: 534-4541
Skyway and Elliott Road, Paradise,— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS' v j
�fA 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.
3
/IV
Inspector��""� �"' Date' 2 _�
? COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
1. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND`PERMIT
5_NO NO.
f�"
ASSESSOR PARCEL NU.BE,Q
v -\L.
ZONING
BUILDING PERMIT
owN
as �a a - 'DRIO
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW R'S MAILING ADDRESS
- d r
fTE CONTR CTOR'S NAME PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 10.00
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Penalty $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee $
BUILDING DDREy
I r. r
PLUMBING PERMIT Filing Fee 10.00
-I
1 %07 C7
Each Trap 2.00
Solar Water Heater 20.00
®le,
Water piping 5.00
LOT NO.
SUBDIVISION NAME
P CEL MAP
Each qas water heater or vent 5.00
Gas piping system 1 - 5 outlets 5.00
USE OF STRUCTURE
SF EQ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer 5.00
Mobile Home S I G I W
__10-00e4
TYPE OF WORK
New❑ Add ition❑ R�eT Utilities In�lallation❑ Other
Describe work: °-- d�lJ\Ne_ ►' QlA)
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10. o0
Main service 600V OR LESS 10.00
100 AMP OR LESS
T p K ^
L
Main service EA. ADD'L 100 AMP 2.50
NEW CONST.(( DWELLING OCCUP.&` I
OR ADDNS. l ACC. BLOGS. / 2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -CUTLET \ 2.50 ea
NON .RES ID BRANCH CIRCUITS)
NEW CONSTR 1 POWER APPARATUS &1
NON-RESID, SINGLE OUTLET CIR. /
Ex. Occu BAL@30
p(RAL®3om
FIXED APPLNSXORRES\\
EX. OCCUp. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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.
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
agai st aid Countyin ons quence of the granting of this permit.
X1l�` Date2'2 i �g j
Signature of Applicant — Owner& Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCcu P. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
199UE
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.
0 IR O F PUBLIC WORKS
BY , !Dat—
PERMIT EXPIRES Dat—/�-�(\ f!
Receipt No. e_1913
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no) l
2. I (have/have not) � 3 V 2 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 followink
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Ownerr,�,�,
Social Security number � -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
✓✓✓ 7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 41
APPLICATION AND'PERMIT
PERMIT NO.
ASSESSOR PARQEL NUMBER
0 1_;9Z-
ZONING
BUILDING PERMIT
O
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
O_WNEJ MAILING DRESS
W
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee !�'C.+�/
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ –"
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
/L�Gr�Z @ %n/TC�6c� ftT 6
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
rn O!LLt��f—
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFW Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherx
Describe work:
ZJ-1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1100V OR LESS
100 AMP OR LESS
5•00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.y)
OR ADDNS. l ACC. BLDGS.
20 sq
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR.C1 Er
Ou L 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. I POWER APPARATUS 6
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES_ BAL@1
00
FIXED APPLNS. OR
Ex. Occup.�OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. i agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 saidounty i co sequence of the granting of this permit.
ty �(
X — �y �C-- Datel– '" v y
Signature of Applicant — Owner V Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
over 3 stories in height.
ion of structures//
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ —
OCCUP. GROUP
I TYPE OF CONST.
JPARcrLJ.PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Dt OR OF PUBLIC
BY
PERMIT XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
',
Receipt No. lD11 7�
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N
t 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4 1 /
• " APPLICATION AND PERMIT 1
ASSESSOR PA EL N MBER
Z�'—
ZO IN
BUILDING PERMIT
OWNER
C/��A� /21 s t3. aN/��lso�Xl/j of ic�
TEL PHONE
� 2- �s�a
S0. FT. OCC. BUILDING VALUATION
o & o
OWNER'S67-9 MAILING ADDRESS
/�
/A
_P—)T /4(� / J9D/
3610 (�P c
32061' BQ
CONTRAC TOR'SN E
OGf/N EL' �
TELEPHONE
0 Aw
W
209.00
CONTRACTORS MAILING ADDRESS
Fireplace A
000. Of%
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
(/,Q�
Filing Fee
$ 1(].00
LENDER'S MAILING ADDRESS
Permit Fee
$ / • v J
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 100
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 87 OO
BUIL ING ADDRESS nO�
PLUMBING PERMIT
Filing Fee 10:00
�MM F—/CA POD,
Each Trap
2.00 g -OL
Repair drainage or vent piping
5.00
�L�
of /9'lv9-
Water piping
S-00
LOT NO.
SUBDIVISION NAME „ PARCEL MAP
,,�
Each qas water heater or vent
5.00 15--00
Gas piping system 1 - 5 outlets
S pp
USE OF STRUCTURE
SF L� Duplex❑ Mobilehome❑ Other
SPECIFY
Building -sewer
p p
Lawn sprinkler system
5.00
,�,TYPE OF WORK
New P/"Addition❑ Remodel[:] Utilities[] Installation❑ Other
Lam
Describe work:
Permit Fee
$ . ba
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
AMP OR LESS
5.00 5,00100
Main service EA. ADD'L 100 AMP
2.50 2-,-0
NEW CONST. I DWELLING OC
OR ADDNS. ACC. BLDGS.
22 S ft ^
q
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OUTL T 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
Ex.ccup OOUTLETS OR FIXTURES BAL�j
00
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
7.50
Permit Fee $ 0. 3C7
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00 3.OD
Ventilation
Permit Fee
S .OV
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
`again said oulin onsequence of the granting of thispermit. j
I Date 7�—y i
r�
Signature of Applicant — Owner Ig Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ 9-Sa
OCCUP. GROUP
.3
I TYPE OF CONST,
PARCEL
(/
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TOA O UBLIC
By `
PERMIT EXPfRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat�
~—_0
��
Receipt No. �1/
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
r
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
OWNER -BUILDER VER]F ICATION
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 permit will be issued until this verification is received.
1. I personally plan to provide the major labor and mat rials for construction
of the proposed property improvement (yes or no) M
2. I (have/have not) DvC- 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: /� r
Property Owner (�,
Social Security number
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.
This verification must be completed and returned to our office before.we are
permitted to issue the permit.
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
3 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
4
PERMIT APPLICATION 'BATA SHEET
�101I.Also1,1
Permit No.
A. P. No.
Proposed Building Use
i
Permit Fee Based Upon / Complete Contract Price `/DPW Valuation
Other (Explain)
Building Inspector. Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
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 and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization., .
A�0. Sanitation approval from Health Dept..3F
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner0, Mail to owner ❑.)
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . ..
•Pre-Inspec. request to (Date)
17. Pre -Inspection for Required. Building Inspector
18 Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telepho a -"7S 0 and' for pickup at -office. Deliver w/inspector.
Other
Applicant L 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: f
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By
Plans checked by
Plans aDDroved b,
Other
Copy—DPW
Date
y
This set of plans amid specifications MUST be
kept on the jab at all, times and it is unlawful to
make any chem" or alterations on some without O
written p®mission from the Department of Public
Works, County of Butte.
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