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Home My WebLink About028-260-059I � ' r A.P. 28-26-59 LEONARD ROUBOS STREE s/s Los Verjeles Rd. app. 610 mi. east W of Bangor 6Fmt 399=73P,E�' (utilities for mobile home)s A.P. 28-26-59 LOT BLOCK SUBDIV. C. FIG_EL a mi. N/E of 4 -corners on Los TYPE OF PERMIT NO. PLAN NO. DATE ISSUE PERMIT Verjeles, Bangor_ CONTR: Donald Dykstra., Marysville Permit 652-74B,P,E,'s f} Mnew 28-26-59 .� WILLIAM LUKANIK '� e 112 Los Verjeles Rd, Bangor O 7 Permit#1731-86B,E(new garage_) 028-26-0-059 91-4392 LUKANIK, WILLIAM -- CONTR: OWNER 112 LOS VERJELES RD, BANGO CNV GARAGE TO LIVING - 2 -a �2 � F REMARKS PERMIT DESIGNATION. B -BUILDING E -ELECTRICAL U -USE PERMIT HM -HOUSE MOVING DEPARTMENT OF P -PLUMBING TV -RADIO -TV ANTENNA V -VARIANCE EP -ENCROACHMENT BUILDING AND SAFETY T -TRAILER S/W-SIDEWALK NOTICE S -SIGN PERMIT D - DEMOLITION 600.1 r 3 m A v T xi C m A D -mi m r Q A NUMBER m - D to 3 U) 2 A Z D I p, i D C D '-D•I N O N D 3 O m D i ai m m C v T Z m to 3 In m Z D Q m A Z Q m Q Z Q n Q -DI Q QDI D„ rnm < -Di Q N Q -i A -DI m > Q m m O m 2 Q m U1 m Z m O N m i m y m m m Q m y D 0 LOCATION, m m m m FORMS, I Q Q 0 FOUNDATION m m 1 Ul Q O Q m REINFORCING O m a� v Q m i 0 N_ Q m m FRAMING O Q •DI INTERIOR m D t� Q m C rn Q °D m m EXTERIOR r 3 m A v m xi C m A D -mi r Q 3 NUMBER m - D to to U) 2 A Z D I p, i D C D '-D•I N O N D 3 O m D i ai m i v T Z m r CZ. In m Z D i A Z Q m Q Q n Q -DI Q QDI m rnm < -Di Q N Q i A -DI m > Q m m m 2 Q m U1 m m O N m i m rn m m m m y Q 0 LOCATION, D m m FORMS, Q Q 0 FOUNDATION m 1 Ul Q O m REINFORCING .m m a� v Q i 0 m m FRAMING F& LI D f m m N C m NUMBER m D to to D D A N D I O i D tll D '-D•I N O N D U1 O m i ai Z i Z v CZ. In m Z C i A Q m Q Q Q -DI Q QDI rnm < -Di Q Q i A -DI m > Q m m m 2 m U1 m m N m i m m m m y Q LOCATION, D m FORMS, Q 0 FOUNDATION 1 m REINFORCING .m Q v STEEL i m FRAMING Q INTERIOR D m LATH rn Q °D EXTERIOR In In PERMIT NUMBER N D to to D to C N D U1 O N D tll D '-D•I N O N D U1 O to i i i i Q Q Q -DI Q QDI Q Q -Di Q Q i Q -DI Q > Q m m m m m m m m m m m m LOCATION, FORMS, FOUNDATION REINFORCING STEEL FRAMING INTERIOR LATH EXTERIOR LATH INTERIOR PLASTER EXTERIOR PLASTER CONCRETE BLOCK GARAGE FIREWALL FIREPLACE FINAL RESIDENTIAL 028-26-0-059 91-4392 LUKANIK, WILLIAM CONTR: OWNER 112 LOS VERJELES RD, BANGOR CNV GARAGE TO LIVING JOB FINAL Signature J=OK O = Not OK NApplic ot 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'Yt. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect r 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector " 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch , 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _i MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Beam s-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- Ease men ts 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 t 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 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 J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL. (Single = Date UNDERFLOOR (Plans) OK except #'s j & Duplex) Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 2. 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 -Bloc kouts-Wra pped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -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-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),OK except #'s 16. Water Htr.: Vent -Access -Combustion Air -Baffle 7. Water Pipe: Test & Anchor -Nail Protection ---8. D.W.V.; Test -Fittings &Anchor -Nail Protection - ----------------- 19. ------------- 19. Shower Pan: Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors -Da -- ---- -- - - --- - -------------- --Cand B-1 Date Card B-1 ----- -------------- Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s --- -22. Fixture & Transformer Clearance -Ins. Protection -------------- 23. -- 23. Elec. Receptacles Spacing -Lights & Switches _a_t_Doors Size 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 ! ga. Cu or AI-A.C. Wire Size ! ! ga. Cu or AI -------------- ---------------------------------------------------------- ---- 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 --- - --- ----------------------------- - --- - ------------------ 33. Smoke Detector ---------------------------------------------------------------------------------- ---- - -------------- ----- Da and B-1 Date Card -B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 34. -A. -C. -Ducts Insulation & Support ------------------------------------------------------------------------------- _____35._ Vent Fan: Exhaust above insulation - - 36. Condensate Drain & Overflow: Size & Grade - - -- 37. Furnance-Vent: Access -Comb Air -Return -Air Vent -1 15 -outlet ------------------------------------------- 38. Attic Access & Platform if Furnance in Attic - ---------------------------------------------------- -------------------------------------------------------------------------------- Card ----- - -- - --- --- -------------------------- -- -- ----- --- - Date Card B_t Date Card B_1 !y------------------ -------------------- - --- Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #•s 9 Sils. Proper Material & Anchors -- - - - -- -- -- ---------------------------------------- ----------- 4 Walls Studs -Nailing. Spacing & Bracing -Plates -Sound - -------------------------------- ------- ------------------------- - 41. Bearing Walls over Girders & Floor Nailing ------------- - ----------------------------------------------- 42. Draft Stop in Walls (rat proof) ---------- -------------------------------------------------------------- 43. Fire Stops, Ceilings-Stairs-Chases-Tub ------------------------------------------ (,A4r1eaders & Beam -Size & Bearing 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Ring. 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 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings xt. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs: Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --------------- 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts - --- Y 9 Insulation -Walls -Ceilings - infiltration -Walls -Windows Da Date Card B-1 D e �Caarrd B-1 Date -Card B-1 Dae FINAL (Plans) OK except #'s -----------, 1 FxI. Steps -Door & Sidelight Protection -Landings 2. Smoke Detector -----------f�------------- 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection --------- ------------------ 64. Bedroom Exiting -------------- -- ----------- 5. G.F.I. & Bath Fixtures & Tub Access-Spa ----------Elec. Trim _& Subpanel; Breaker Sizes & Labels _R_ emirs & Rails 68. Fireplace or Stove; Clearances -Hearth ------ Elec. Outlets at Wood Panel; Int. & Ext. 70.- Kit Fixt_ & Appliance; Grnd. _Air Gap -Cooking Clearance 71. Elec. Outlets & Receptacles at Kit. Counter ---- - 72. Garage Fire Door. Swing -Landing -Closer ---------------- 73. A.C. Duct in Garage -Damper --------------------------------------- - - 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor -Meth. Protection 75. Plb.. Elec. & Mech. Equip. Listed for Location. 76 Elec Receptacles in Garage; (G.F.I.)-Romex Protection ------------------ Insulation -Foam -Looked in Attic ❑ Yes - ------------------------------------ 78. Guard Rails & Deck -Const ruct ion -Post Caps 79. Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No --------------------- 81. Stucco Brown -Finish ------ -- ------'------------- 82. A. nit; Disconnect. Electrical, Plumbing -- --- - - --------------- -- Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to Openings 84. Water Well; Disconnect, Electrical, Plumbing ------------------------ - ------ 85. E for Elec. Trim; G.F.I. Receptacle -Underground t------------=`----- - 86. entilation Throughout House _ -- - - - - --- - - - - - -------------------- 87�Glass Protection -- - • - - - -- - - - ---=-ry:------- ------ 88. Corrections from PreviousInspections -------------------------------------- -- ---- 89. Gas -Test -Meters -Tagged: Gas -Electric 90. VJAMr & Sewer Connected -C/O to Grade -HD Approval - - - -- s Energy Compliance Certificate -Other Certificates - Date AAii B_e- -- Date Card B-1 -Date 1� Date ---Card B-1 --- --- --------- ---------1 ----- - Date Card B-1 Date Card B-1 Comments at Final ENERGY INSTALLATION CERTIFICATE Building Owner Building Permit # G ( `tet 357.2 Building Location %% 6`Z �� I��/QEaLa S DESCRIPTION OF INSULATION ROOF Material / Brand Name Thickness(inches) Thermal Resistance Value) �( EXTERIOR WALL ` (` Material Brand Name Thickness(inches) - Thermal Resistance(R Value) Loe CEILING Batt or Blanket Type C� Thickness(inches) ze Loose Fill Type__ Minimum Thickness(Inches) Area covered(ft.2) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material Thickness(inches) Brand Name . Thermal Resistance(R Value) Brand Name . Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building, - --is- consistent-wi-th approved- building -department--p-1-ans and attachments and con=- - formsy wtth Pe uireme is o a ter 2-53 of State of California Energy Requirement FIRM NAME/OWNER STATE CONTRACTOR'S NTRACTOR S LICENSE N0. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, ab shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California,Energy requirements. UILDING CONTRACTOR/OWNER (Please Print) (FIRM NAME) IGNATURE OF BUILDING CONTRACTOR/OWNER HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. 2 �,a Z � </ :: � ze DATE ' / STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. SEPTEMBER 1988 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Ordvllle, Cellfornia 95965 - Telephone: 916/536-7541 APPLICATION AND PERMIT r i � ZONING U BUILDING PERMIT OWNER TIT Aoo EUKANIK TELEPHONE • 679-2363 P RM I 7 0. Z OWNER'S MAILING 112 LOS VERJELES ROAD BANGOR 95914 ASSESSOR -PARCEL NUMBER 028-260-059 ZONING U BUILDING PERMIT OWNER TIT Aoo EUKANIK TELEPHONE • 679-2363 SQ. FT. OCC. BUILDING VALUAT N 336 M -R 6.720 OWNER'S MAILING 112 LOS VERJELES ROAD BANGOR 95914 CONTRACTOR'S NAME 014NER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 6,720 Filing Fee $ 15.00 LENDER'S MAILING ADDRESS Permit Fee $ 75.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 37.50 Energy Plan Checking Fee $ 20.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING112 ESS LOS VERJELES RD BANGOR Permit fee $ 147.50 PLUMBING PERMIT Filing Fee 15.00 Each Trap 5.00 10-00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 7.00 Each qas water heater or vent 7.00 USE OF STRUCTURE SF P 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 ❑ Remodel [� Utilities ❑ Installation❑ Other ❑ Describe work: CONVERT GARAGE TO BEDROOM & DINING ROOM Permit Fee $ 47.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service soot/ OR LESS 200A OR LESS 18.50 Main service 200ATO1000AI 37.50 CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business 1 and Professions Code and my license is in full force and effect. lIcense .do. Classification I, as the e 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 ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST./ DWELLING OCCUP.&\ OR ACDNS. ( ACC. BLDGS. II.79 3.6Qsq.11. 1 11 NEW CONSTR. ULTI.OUTLET NO N.R ESID BRANCH CIRCUITS) @ 5.00 /POWER APPARATUS & (POWER OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20 76 IAL 4F; Ex. Occup. OUTLETS ED APP(RESID )LNS.EEA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring '15.00 Permit Fee $ 26.25 - 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 Vf 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 1 15.00 Heating 19 Cooling g Hood 6.50 Ventilation 4.50 4.50 Perm it Fee $ 19.50 Contractor 2-46-570 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against sai County in co enc f the granting of this permit. 4 � Date �j (gnat re Ap t - Owner fra r ❑ ,eg t An p i f r e ons 0" de On or onstruct- e in Mobile Home Installation Fee S Energy Inspection Fee $ 40.00 cc CONST TYPE �/✓ TOTAL FEES HAz OFEES IMP FLOG COF PARCEL PD HD Issu This permit is hereby issued under the sions of the Butte County Code and/or work Indic a v r which fees OF PUBLIC By PER IT EXPIRES Date applicable provi � resolutions to do have been paid. WORKS Dat ?/ nn Receipt No. 102.50 !r WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENR D -APPLICANT COUNTY OF BUTTE - DEPARTME°NT*OF PUBLIC WORKS - BUILDING DIVISION x 7 COUNTY CENTER�DRIVE - OROWLLE, CALIFORNIA 95965 - TELEPHONE: 916/536-7541 PERMIT APPLICATION DATA SHEET . Permit No. OWNER 0 k Al\jt A. P. No. ,28-2 % d S� Proposed Building UseG&Akl C0SU -15,,Q Building Inspector Date Q/ At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED All items have been s Itted. ........ lot plans in � tri licate, signed by preparer of plans ....... . ,2 , FZ Complete plans in irlSf," triplicate, signed by preparer of plans .. % " 0/ 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 _A_ (�,jinstructi�ns�_.�. �� ...................... 10'J Fees of i' Chico Urban Area fees paid ....................................... 12. Park fees paid KV 04 Vi <%6 ool District fees paid .............. % - 7— l Sanitation approval, from (2/7 d s � %/C Health Department / - -7 -!2 Z- 1 1 . City of Chico plumbing permit ..................................... 4 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... y 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 ... 2 Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner..... I 4 Recorded copy of Agricultural Acknowledgment Statement ......... Letter of signature authorization ...... ............... l When you issue the permit process as follows: Mail to owner. Mail to contractor. �elephone hold for pickup at 111f0 office. Deliver w/inspector. Other <S3y- 9699 Applica Date.) -Z --?/ Copy of Hlaz-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 pric ermit issuance: (Circle new i n t checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner was advised of above required data by_pho ail_counte-tlate Contractor, designer, owne ,was advised of abov required data by_phone_mal counter by date Plans checked by Date. Plans approved by ./ Date �� Z Sets of plans on hold in File cabinet AP folder Copy—DPW } TO Buildinv Department FROM: Environmental Health SUBJECT: Sanitation Clearance i Lt, KA A/ C- 11.-2 L c,5 Vau(24 _ Owner ocAPS Plan Approved for: Sewaqe Disposal Water Supply � Hold final for: Water Supply Water Supply ^incl clearance O.R. for: clearance for �� mah4? p ��rre� Other C1 1,(u (4&77A-) G I N NOTE * * �- 8 Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oro3iller California 95965 - Telephone: 916.538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR fJARCEL NUMBER 029—.260—a 5 ZONING U BUILDING PERMIT OWNER i 1-(JlC 1K TE EPHO E 6 79- A� SO. FT. C • BUILDING VALUATION 7F 9,o OWNER'S MAILING ADOR SS /I Z C_0Snr IA �S-6M60& CONTRA TOR'S NAME tet! N(o, fL— TELEPHONE CONTR'ACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER VNKNOWN Total Valuation $ Z LENDER'S MAILING ADDRESS Filing Fee $ 15,00 Permit Fee $ axD ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ _ . 5,() Energy Plan Checking Fee $ RU- Oil ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 117— 6c75 C'cie5 i` J\ Permit fee $ PLUMBING PERMIT Filing Fee 15.00 5 / Each Trap % 1 5.00 /0,0() Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 7.00 p Each qas water heater or vent 7.00 USE OF STRUCTURE SF,P— Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 1 15.00 Mobile Home S I G I W 615.00 TYPE OF WORK New ❑ Addition ❑ tR�e�model L' Utilities ❑ Installation Other ❑ Describe work: N Wag -t- 6A 114 6%J "rO Permit Fee $ �V Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 20000A OR LESS 18.50 Main service 200A TO 1000AI 37.50 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 CONST. DWELLING OCCUPM ORADDNS. ACC. BLDGS. 3.6dsq.ft. r ' NEW CONST FL RANCH TLET NON•R ESID BRANCH CIRC ITS CIRCUITS) @ 5.00 POWER APPARATUS .&) SINGLE OUTLET CIR. Ex. OCcup�OUTLETS OR FIXTURES 20 76d A \\ Ex. Occup. OUTLETS ED (RESID IREA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ ,-7 — 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 FiIingFee 15.00 Heating Cooling g Hood 6.50 Ventilation ( ,`j`b �v 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 Signature of Applicant — Owner❑ Contractor ❑ Agent ❑ An OSHA ion of structures toverr 39stories oin height ions over 5'0" deep and demolition or construct- Mobile Home Installation Fee S Energy Inspection Fee $ `O .C)o OCC CONST TYPE TOTAL FEES oZBi� 7�' I+Az 1 11 FEES I IMP I FLOOD I COF PARCEL I PO HO I 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. 16 6.6 S — Ac r�'S / �02 5I WHITE-D.P.W., YELLOW-ASSE33OR, PINK -INSPECTOR, GOLOENROO-APPLICANT RESIDENTIAL PLAN.CHECKING GUIDE .12/90 (S.F., DUPLEX & MISC. ONLY) �/ ' �� - Bldg. Permit # OWNER / / G N// A.P. #_ DZ�— GENERAL Pian CheckerCZtj Y.ning requirements: (sideyards and number of -permitted living units). .Y V�nation. 3.lPPll mss- signed by designer. 4�! Proper description of work on application. -�i,.olat�.ons�.npr-o•per-t y . • , Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc). y�--��T�t�c-e-o#��olatica•rp. PLOT PLAN 1✓f plete parcel size and dimensions. c 2' Setbacks, sideyards., easements, etc. Other buildings or structures. Flood hazard. 6e- P�i-a1 EeY, rots, an re-at-i-e�map;( ak-ler�-ea-c-emb- uLP - � • i❑ ATT O _A -C+ ��,,,,,L,y __�� tvC }Ues- 1-er_14-BPcord form). FLOOR PLAN 5��omplete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1205). � s -o.nd-.e�ca_-t—(pec-��$/•r) . +..---Skyl-ight-s-{-G1-ia-ptte-r--34 &-Sec . 52fl7-) . Human impact glass (Sec. 5406). quired rzes, ceiling heights (Sec. 1207). V. GFCIs in boom - x+e-r-i-or-outle-t-s-(-A•r-t-i-cue-2-E)=$) . &%--- Light fixKres, switches, receacles, as ��eterereepa�ea--L=►r<d,c� �•+� nr� n mor � • ui cyuiriiicict. - b 1 1 1 - 3'0" exterior exit door)• (sec . 3304 (f) . �X/r7tif 1 moke detectors (Sec. 1210). . Plumbing fixtures, water closet clearances a STRUCTURAL DETAILS e Floor construction details complete enough to construct building. elevations and wall construction details complete enough to construct building., • s. Stud heights. n. 1-2- 15- RESIDENTIAL PLAN CHECKING GUIDE MISCELLANEOUS ITEMS TO LOOK OUT FOR (Sec. 3303) . /. L"}erg ^r n,IARYPr �J®@�-9•C�-Pef�'�}��7) . '/S7S -ge�eion . 36" halls and stairways. Over gar -181----r L 1123 d ventilation (Sec. 3205). 16,--E-n'ergy design.7 16-11ashing at all exterior openings ..,f y rr7, m 12/90 COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541': OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. s Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/h&yamnsit) 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. O,I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address . Phone Type of Work Signed: Property Owner. Social Security 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 per- mitted to issue the permit. .'�sz"�iR,.R7".'*.^,.,�...,.•YZap�..,.ta..:.....r..;fV�^•'".�'c'1��►�+'w"�".�*'"-�r......y';,es�l�*,.irrir«.��1 r'fi.'71�{4�+��ii'71�:��+�x�'lsY.'I�F4.�`?�.L1�1°"T*r-+-r•ti+t.Amw►v^•-�:w•p-rsrSr^--"' I r BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form per Building) A.P. Number ( (g....2ip�' 059Building Department No. School District -��G%'/ City n County ® Jurisdiction Property Owner Gj , � / 4d 1"W. 4 /i/� Project Location/Addressbl Subdivision Lot Number Residential Development: Sq. Footage Addition ( Group R) 7 3 Commercial/Industrial: El Sq.'Footage New Addition (Including Exterior Roofed Areas) lZ-3f . / Date 4 (Floor Plans reviewed by School District Personnel) ict Id No. 1 A A I . A I 0 School District certifies that (Applicant Nam (Phone Number) 6,u, JI t -, 0 (St eet Address) a (City) (State) (Zip Code) has complied with the requirements of Resolution No. by the payment of $ /`-x. representing square feet. t School District epresentative Date PAID BY CHECK NO. U BANK NO PAID BY CASH a white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) I I %V tf COUNTY OF BUTTE — DEI ARTMENT OF PUBLIC WORKS 7 County Center Drive — Oroville, California 95965 Telephone: 533 1230, Ext. 259 APPLICATIO14 AND PERMIT BUILDING Ownemoor SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Contractor Permit Fee $ ` Fireplace Total Valuation Mailing Address Permit Fee PERMIT FILING FEE J$3.00 Plan Checking Fee &/orPenalty + Permit Fee $ Building Address -. PLUMBING No.1 @ FEE PERMIT FILING FEE $2.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sani-tatidn Planning -Building sewer 5.00 I Plans Fees W. C.° I R/W Encroachment Lawn sprinkler system 2.00 jjPermit InsrrurnenrationrrY� a anion $0.07/$1000 Evaluation NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter This permit is hereby issued under the applicable provisions of Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) above for which fees have been paid. USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures ba I 25 Receps., switches & fix outlets 20925 CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification B. I am exempt from the Contractors License Laws of the State of California. Permit Fee $ ` $ MECHANICAL No. @ FEE WORKMEN'S COMPENSATION INSURANCE PERMIT FILING FEE J$3.00 1 am aware of the provisions of Section3700 of the California Labor Heating Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Cooling Workmen's Compensation Insurance. E I certify that in the performance of the work for which this Ventilation permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. Fee $ $ I certify that I have read this application and state that the above jjPermit InsrrurnenrationrrY� a anion $0.07/$1000 Evaluation $ information is correct. I agree to comply to all County Ordinances TOTAL PERMIT FEE $ and State Laws relating to building construction, and hereby ! authorize representatives of the County of Butte to enter upon the This permit is hereby issued under the applicable provisions of above-mentioned property for inspection' purposes. the Butte County Code and/or resolutions to do workindicated" above for which fees have been paid. X DIRECTOR OF PUBLIC WORKS Date Signature of Permitse or Agent By Date Receipt No. Building Permit Expires Date White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant C rnl INTV OF BUTTE — DEPARTMENT OF PUBLIC WORK 7 County Center Drive — Oroville, California 95965 Telephone: 534-4541 - APPLICATION AND PERMIT authorize rewesentanves of the county of Butte to enter upon the above-mentio property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. �Z _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ` ei5/2� d Date 7-- J Building Permit Expires Date z__ �'u- BUILDING Owner m SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 /Q Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 ,..sra Each gas water heater or vent 1.50 A. P. No. Z —,Z G! .� — Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. an an Planning Building sewer .00 C�7_ .z �=all=ees ✓ W. C. ✓ R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter a-�+ Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) USE OF STRUCTURE Single Family ❑ Duplex ❑ Others ❑ Range, dryer or water heater 1.00 IF Oven, Cook -top or space heater 1.00 Light fixtures 20 5 Receps., switches & fix outlets EE CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification I am exempt from the Contractors License Laws of the State of California. Permit Fee WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I� I certify that in the performance of the work for which this `permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Fee $ $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby ,SPermit Inst umente ta� ontrpn g Motion $0.07/$1000 Evaluation $ TOTALY PERMIT FEE $ — authorize rewesentanves of the county of Butte to enter upon the above-mentio property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. �Z _ White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS By ` ei5/2� d Date 7-- J Building Permit Expires Date z__ �'u- e k t 1 All ufllify eol: t° tions shall be located within Z,. ft. outside the rear third section of the mobile home on the left (road) side of the mobile home. t 1 Septic system ca _ t to � be qu'rem ntsutte nty Health Dept per Re - Y_ d 3 f - ` BUTTE COjNTY =, t BUILDING DEry�f RTMENT j "rhis set of plans and specifications ! '_- ke t on thetimes MUST be � � ' ` �� V E D P job at all time I sand it is unlawful to y, mae anlh �. Y changes or alterations on same without written per nisson from the Department of Public Works, County of Butte. } do Ox ' PERMIT NUMBER — B 652-74B,P,E,M ` P 4 E el PERMIT EXPIRES 3-13 `751 OWNER _ C. Figel �CONTR:. Donald Dykstra,Marysville i LOCATION (A.P. 28-26-59 ) i 5 Los Ver eles Rd. J a mi.:N/E of 4 corners, Bangor r. r Y � 1C r Zoning _ Foundation /L Q'✓ 7 Rgh. Plumbing Rein. Steel Framing Wtr. Htr. 0� Firewall --/0 ELErTem poraorar ` r Final /,.>/s7 DATE COUIaTY 04L BUTTE Deportment. of Public Works BUILDING INSPECTION. RECORD ) `� Setback � % �� /`//� Forms /^! Piers & Girders Fireplace Bond Beam Lath & Plaster Gas Piping & Test6A� 0 Found. Vents Plmg. Topout.� Rough Elec.�c�0 % Furnace Kitchen Vent —/40 Garage Vents Sanitation & Water GS BUILDING Temporary Cert. of Occup. Final 6r Final REMARKS OR CORRECTIONS 0 5-tea-77�e, Donald N. Dykstra General Contractor Lic. No. 286636 Telephone: 742-5250 12319 Scott Grant Road S Marysville, CA. 95901 March 22, 1974 County Of Butte Y " Department Of Public Works Dear Sir, Attached are the spec sheets on the trusses that you asked for prior to erection. , This is for the C.Figel job in Bangor,' If you need any more information please let me know. I,_will await your approval before erection. a ank o a d D DD/nd amu" In, ��" su"I COUNTY' (Par Action 1, ;L 3) /ublli Warta D.," (For Informallm Director aec. —Ret& 8: boo Rd. Ocs. S:v,. A, L^c. Mlepimg ,g Owner COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S 7 County Center Drive Orovi lie, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT BUILDING SO. FT. I OCC. BUILDING VALUATION Mailing Address'r`—' / Telephone No. Fireplace Contractor (' Total Valuation _ 1 Mailing AddressPermit Fee Plan Checking Fee &/or Penalty t 11 Telephone No. �e�� Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 p Q 0 AJL e Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water hatter or 1.50 lag A. P. No. `� �^ I Zoning &Planning Gas piping system 1 - 5 outlets 1.50- Each additional outlet .30 es / V�rC. San Fire Dept. Fire Zone Use Permit Building sewer 5.00 EOA Pe Parcel Declaration parcel Ma P 60' R/W Prking Im rovements Lawn sprinkler system 2.00 �Pla�ns Bldg. P n?t ` 's Recd I ParcelAp oval Plda pproval Permit Fee $ NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 JC 0 Main service incl. 1 meter 3 } Additional meters, each 1.00 Sub -panel 112 or less (more than 12) Single Family Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures 19"s., w Ikhes & fix fitlets 11 _bal_d 10 7 �S CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State o California Business Professi ns Code under the name style f: Hoo , x. FanorF.A. Furri. Motor 1.00 Evap. cooler, .•lisp. or D.W. 1.00 Air condi ner or heat pump J 'p Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No.;Z_� GM Classification Misc. wiring ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. 21 certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 3 V Q Heating D Cooling "�� Lt 0 Ventil 'on Hood 2.00 2,00 Permit Fee $ J i 0e 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 abo - entioned propert r inspec ion purposes. Date —� —7l Signature ofPermit ea o gent I` Receipt No. 7Io White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $/0-31 This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR PUBLIC WORKS B?IIdln?g Date 3 —! 7 —7f/ permit expires Date............�..7CD.-7..7��. M PERMIT NO. 1731-86B,E PERMIT EXPIRES OWNER WM LUKANIK CONTR. Owner ASSESSOR PARCEL 28-26-59 LOCATION 112 Los Verjeles Rd, Bangor Temp. Power Pole_ j Called PG&E _ Temp. Elec. Service Called P( i Temp. Gas Sei Cal led PC JOB FINALEI Signature d=OK- O = Not OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except a'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 Card -B1 Date Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's ' 1. Zoning Requirements -Setbacks -Easements Card -BI Card -BI Date Date Card -BI Date Date Card -BI Date POOLS (Plans) OK except q'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 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater B. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date A $4 V = OK 0 ~ Not OIC - = Not Applicable RESIDENTIAL (Single and Duplex) * = Not Ready Date UNDERFLOOR Plans OK except #'s _oning requirements -Setbacks -Easements 2.��Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Dept Y!Fig., Garage; Soils -Steel- /71 P' Fig. Depth _ 4. Fig., Porches & Decks; Soils -Steel- / /" Fig. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab < Ste_mwalls, Garage; Steel-Blockouts-Wrapped-SI 7. Piers -Fireplace Ftg.-Steel 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 9. Gas Pipe; Size -Anchors _ 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums &_Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI �� Dat_ �i g Card -BI Date Card -BI Date Card -BI Date Dat PLUMBING (Permit) OK except q's 14. Water Ht.: Vent -Access -Combustion Air 15. Water Pipe: Test & Anchors -Nail Protection 16. D.W.V.: Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Card -BI Date _ _ Card -BI Date Card -BI Date Card -BI Date Date ELECTRICAL Permit OK except p's Fixture & Transformer Clearance -Ins. Protection CirElec. Receptacles Spacing -Lights _& Switches at Doors adz //Size Boxes & No. of Conductors -Stapled_ �3. gomex Installed Close to Edge of Studs & C.J. ,Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 'v 25. -Kitt & C_onductor Size 26. Subfeed Wire Size i.(g Cu r AI-A.C. Wire Size / / ga. Cu or AI 27. Ran a it . / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI, nsulated Neutral Yes _i No Service -Riser Conductors & Ground -Main Disconnect _ 29. ulp. Clearances: Panels-Motors-Mech. Equip. 30. o i loset Light -Shower Light Card B -I Card B -I Date Card -BI Card -Bl Date Date Card -BI Date Date Card -BI Date MECHANICAL (Permit) OK except H's I A.C. Ducts. Insulation & _Support . Vent Fan: Exhaust above Insulation 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Date Card -BI Date Date Card -BI Date le'RAMING OK except N's 36 Ills: Proper Material & Anchors 7: ails: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders & Floor Nailing 39.op In Wa s (rat proof) _ y� wed Ceilings-Stairs=Chases-Tub_ 41 Header & Beam -Size & Bearing 112. Hangers -Post Caps -Anchors -Connectors ---43. Ing. Joist-Rftr. Ties-Purlin-Root Brac.-Truss-Shthnp.-Rfng. 44. F les or Type A Flue -Fireplace Throat 45.trr7nes3-, Size & Romex Protection -Draft Stop -Ins. Baffles 46. Bdrm-♦Wmdvws or Exiting Doors -Sill Hgt. & Dimensions 47. Gmmj@-F.ce lection Framing ji (NOTE Anentry must be made each time youvisil jobsite) Date FRAMING (Continued) 4&,J2*@peoty-E-i to Firewall & Openings 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 50. 44aics;-W+dMr-'F7eadroom=Rise-Run-Landing-Fire Protection _ - ` Plywood on Roof Overhang -Attic Vents -Rafter Outriggers Lid i ng-Nai I i ng -Veneer 53-6taeccrMu5h-Drip Screed-Fdn. Vents-Underflr. Access Card -BI Card -BI Card -BI Date Ing -Glass Protectioi ieaL&adz; Nailing -Bolts Date /D/i and -BI Date Card -BI Date Card -BI ights-Plastic Date Date Date FINAL (Plans) OK except N's 667 Ext. Steps -Door & Sidelight Protection -Land 57.r'Shrtake-Betec t or 58 -1 -a -ace, V nts-Glearance-Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection_ 59. Bodaecm-Exi4.ing 60. r Foot( 84!'Elec. Trim & 62. -9ts it i 8 -Rall Fixtures & Tub Access Breaker Sizes -Labels 63. F4rpnln cf rances-Hearth Grnd.-Air Gap -Cooking Clearance lcles at Kit. Counter 6 r; wing -Landing -Closer S8. range -Damper 69. ante -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 70. quip. Li �Iec. Receptacles in Garage (G. F. Rome Pr 2. - d in Attic 73. r ,,aril Rai's_R net r^:struction-Post Caps 74. . le Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 75.I e ❑ Yes ❑ No; Walks ❑ Yes [ Planters Dyes ❑No 76. StMcv, bro�wn-Finish_ 77. A. ne-Clrnces-Brkr. & Cond. Size -115V Outlet No; 78. g.-Appliance-Firep 1. -Clearance to Opngs. 79. Electrical, Plumbing _ 80. Ex+a ierEFee. 'rrr-G.F.I. Receptacle -Underground - 81. Vet Watiorrthroughout House _ 82. ec Ion _ orrections from Previous Inspections _ 84.- - gged; Gas -Electric 85. nnected-C/O to Grade -HD Approval 86. E ompliance Certificate -Other Certificates _ Card -BI Date Card -BI Date Card -BI date Card -BI Date - _- Card -BI Date Card -BI Date Com tents at Final: COUNTY OF BUTTE +� DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534`4541 " Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immeAiately. 1 �f1ri� =,� z Inspector_ _ Date_ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ^PIRMIT NO. =- ASSE S PARC L UMBER -" - ZONING BUILDING PERMIT OWN�R Y ! t C K Y TE I. EPH -� SQ. FT. OCC. Ci. BUILDING V i OWN 'S4AILINA ADDRESS it G CONT ACTOR' NA, E^ V TELEPHONE CON RAC OR'S MAILING ADDRESS Fireplace CONST TION LENDER jo LA to - UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHIT T OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS A Penalty $ BUILDING ADDRESS r .4Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V, Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCT E a SF ❑ Duplex ❑ Mobi lehome ❑ Other sP CI FY � Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00 ea .,cn TYPE OF WORK New p� Addition ❑ Remodel ❑ Utilities ❑ installation[] Other ❑ Describe work: Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8001 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. Icense No. Classification i, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Protessions Code for this reason NEW CONST. / DWELLING o u '/zQsgft OR ADDNS, l ACC. BLDG NEW CONSTR. ULTI.OUT 2.50 ea NO N.RESID BRANCH CIRC TS /POWER APPARATUS 6 (SINGLE OUTLET CIR. 12 Occu Ex. Occup(OUTLETS OR FIXTURES .AL@eAL03030 Ex. Occup. out LETS PR (RESID )EAJ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. bYirin g 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 ertificate of Workmen's Compensation Insurance or a Certificate f Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above. information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, Jud rients, costs, and pe es wh' h may in any way accrue against sai n consequent f r inti of this permit. Dat Signature of Applicant — Owner El Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construct.DIR ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE Al Occup. CONST*TYPtJ F o PA L I PO 1171 Issu This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which TOR OF BLIC BY PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT A0 COUNTY OF BUTTE - DEPARTMENT`017-PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 a -. PERMIT APPLICATION DATA SHEET Permit No. OWNER I I 1 LI f'VI 4u 1-ia n I � A. P. No. rJ rC(� Proposed Building Use Permit Fee Based Upon Complete Contract Price U DPW Valuation Other (Explain) Building Inspector 4Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. Plot plans in duplicate/triplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ r. Letter of signature authorizat%'jn. 10. Sanitation approval from. V e- Health 'Dept.* 6 - 2 3— V6 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. . . . . . . . . l% ;`'P' lnspec, iequest"to (Dote) 17. Pre -Inspection for Required- Building Inspector 18. RecordeRffyApf A-X[�u1tu �I Acknowledgment Statement . 19. Other zz YY��KKMMIT � onstruction approval required prior to occupancy Wh n you issue the per ' , proce s as follows: Mail pt�� owner. Mail to contractor. Telephone 3' and hold for pickup at 1Lt9office. Deliver w/inspector a.- Other A p p I is Date Copy of plans sent Health Dept., Fireept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other Plans checked by. Plans approved by Other: Copy—DPW By Date Date Date To: Building Department,, From: 'Environmental Health Subject: Sanitation Clearance L. �_ !! t I L.0".v' Owner Loc ion Plan Approved for: Sewage disposal Hold final for: Final clearance O.K. for: Clearance for, bedroom mobile, home. Other c� ,V_�_ NOTE AP// water supply water. supply water supply N. Sanitarian Date COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no), 2. I (have/have not) ^�yEs� 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 M . Sl4Z- J),� 7, -L" Signed: Property Owner, 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 per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT :i I ASSESSOR PARCEL NUMBER 28-26-59 ZONING BUILDING PERMIT OWNER TELEPHONE SO. FT. OCC. BUILDING VALUATION WILLIAM LUKANIK 679-2363 OWNER'S MAILING ADDRESS P.O. Box 123 Ban or CONTRACTOR'S NAME TELEPHONE OWNER CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is NONE Filing Fee $ 1p,00 LENDER'S MAILING ADDRESS Permit Fee i b 37.25 ARCHITECT OR ENGINEER LICENSE No. plan Checking Flee $ NONE Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 112 Los Ver 'eles Rd -47-25 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Ban C)r Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PAR AEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE Gas piping system 1 - 5 outlets 5.00 SF ❑ Duplex❑ Mobilehome❑ Other pri det�ara�e �— a Building sewer 5.00 SPEC SFy Mobile Home S I G I W 1 10.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Permit Fee $ Describe work: Contractor 1st renewal of permit #1731-86 ELECTRICAL PERMIT Filing Fee 10.00 Main service 600v OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW NEW CONST. DWELLING OCCUP.a OR A.D.S. , h¢sgft I declare under ena of perjury p p I y (check one): ACC. BLDGS. NEW CONSTR. MULTI -OUTLET 2.50 ea ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business NON-RESID BRANCH CIRC ITS POWER APPARATUS &) and Professions Code and my license Is In full force and effect. SINGLE OUTLET CIR. License No. Classification ( EX. Occup\OUTLETS OR FIXTURES 5AL030 eALO 30 ❑ I, as the owner, or my employees with wages as their sole compen- FIXED APPLNS. R EX. Occup. OUTLETS IIRESID.)EA.Y 2.00 sation, will do the work,and the structure is not intended or offered Temporary service 10.00 for sale. (Sec. 7044) Mobile Home Facilities 15.00 ❑ I, as the owner, am exclusively contracting with licensed contract- Misc. Wiring 15.00 ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this season Permit Fee $ Contractor RKMEN'S COMPENSATION INSURANCE I declare and enalty of perjury (check one): MECHANICAL PERMIT Filing Fee 10.00 ❑ The permit is for $100.00 (valuation) or less. Heating ❑ 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. Cooling ❑ I shall not employ any person in any manner so as to become subject Hood 3.00 to the W. C. laws of California. Ventilation 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 Permit Fee $ provisions or this permit shall be deemed revoked. Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ is correct. I agree to comply to all County Ordinances and State Laws relating Energy Inspection Fee $ to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. TOTAL PERMIT FEE $ 47.25 1 also agree to save, indemnify and keep harmless the County of Butte against OC cup.CO"ST.TYPE PL000 PARCEL PD ' ND ISSUE all liabilities, judgments, costs, and expenses which may in any way accrue I Inst said County in consequence of the granting of this permit. X This permit is hereby issued under the applicable provi- Date sions of the Butte County Code and/or resolutions to do Ignoture of Applicant — Owner ❑ Contractor ❑ Agent ❑ work indicated above for which fees have been paid. An OSHA permit is required for excavations over 5'0" deep and demolition or construct. DIRECTOR OF PUBLIC WORKS ion of structures over 3 stories in height. Receipt No. By Date WNITC-D.P.W.. TCLLOW-ABSC330M, PINK -INSPECTOR. 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