HomeMy WebLinkAbout005-465-008lv
as
PRE-INSPE(.7I0N REPORT'
OWNER: ,�� L�L�! L/itii,o�-�', �`�-�X DATE:��
LOCATION: _ , l to O
cc� �
CONTRACTOR: U&t ZONING:
PRF,dNSPETION FOR _
i
DATE TO INSPECTOR: - --6 PBRW HW01tY-( ) NONE(�i�S FOLLOWS: %Le92(�q
ti6JnJXKG D4v10=0R'S n PORI'
BnildWg Deoacrlptt es
Co�tma+aieUUa�e:
ResidentiWO of Unita: ►
Currently Occupied
Abandoned/Vacant
[A=
Yes No Electric currently On i Off'
Condition of Electric t
Gas:
Natural Propane None Currently On Off
Obvious Problems:;
Sanitation:
Plumbing Working'
Well Working Potable Water
Obvious SewapProblems
Comments:
i
ACTION RECOMMENDED: ISSUE:
m4...,~f-
Inspector:_
_ Z,:n�
-Sketch buildings on reverse
Ht33.D FOR
Date �Z
and indicate location on pioperty.
COUNTY OF BUTTE . 3
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
W)' 111AM 5J�J 05-- 116 -=ode
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice 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.
6. fEv.•j ge,.^,r t-0^ H --j U���•./1
r
Date -9/�1 Inspector
REV 10/92
NOTES
RESIDENTIAL
PERMIT NO. i 005-465-008. -- __-- 022509
WILLIAMSON, PHILLIP 4
t 2168 LAUREL ST., CHICO ,
'REMODEL ;
as -al
SPECIAL CONDITIONS
CHECKED
BY
SRA _
FLOOD CERTIFICATE REQ. _
FIRE SPRINKLERS REQ. _
SPECIAL INSPECTION ITEMS _
VERIFY
r -
USE PERMIT CONDITIONS
SUB -STANDARD HOUSING LETTER _
OFFICE Copy j
Address_cQ(pg n E
GAS
Meter By
ELECTRIC /1 Date
Meter By U- Date /0_7
I
JOB FINALED (Date)
ure
Signat
i
J=OK
0 = Not OK.
. = NotReadyable
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
'
MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
2.
1. Zoning Requirements -Setbacks -Easements
Card B-1
2.
Soils; Special MH Support Sketch
Card B-1 Date
3.
Sewer; Location -Test -Fall -C/O -Concrete
PERMANENT END SYSTEM (ONLY)
4.
Water; Location -Test -Easement Needed (Sketch)
1.
5.
Electricity; Location-Clearances-Grnd-/ /Amp -Concrete
6.
Gas; Location -Test -Wrap;-/ /" L 'ft.
/ P Nat. or/ /" L "ft./ P LPG
7.
Well Clearance & Disconnect
Blocking
8.
Utility Clearance
4.
Gas; MH Test -Demand -Valve
Roof; Shthg-Roofing ]
5.
Electricity; MH Test
Date
12.
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
Card B-1 Date Card B-1
1.
Zoning Requirements -Setbacks -Easements
Gas and Electricity Tagged
2.
Footings; Size -Spacing -Marriage Line
9.
3.
Gas; MH Test -Demand -Valve -Connector
4.
Electricity; MH Test -Crossovers -Breakers -Clearances
5.
Drain; MH Test -Fall -Flex Connector
Verify #'s with Office
6.
Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
Elec.; Pool Lighting; 15 Volts-GFI
8.
Gas and Electricity Tagged
Card B-1 Date
9.
Tie Downs -Type -Installation Cert.
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
10.
Exits; Insp.-Sketch
Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes- Enclosures- Panel boards- Ins. to Main Conduit
11.
Cert. of Occupancy
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
2.
Card B-1 Date
Card B-1
Date
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
Card B-1 Date
Card B-1
Date
PERMANENT END SYSTEM (ONLY)
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
1.
Zoning Requirements -Setbacks -Easements
Carports; Windows -Doors
2.
Footings; Size -Spacing -Marriage Line
8.
3.
Blocking
9.
Siding; Nailing -Veneer -Stucco -Mesh
4.
Gas; MH Test -Demand -Valve
Roof; Shthg-Roofing ]
5.
Electricity; MH Test
12.
6.
Water; MH Test
1
7.
Water and Sewer Connected
Card B-1 Date Card B-1
Date
8.
Gas and Electricity Tagged
Date
POOLS (Plans) OK except #'s
9.
Exits
Setbacks -Easements
10.
License Decals
3.
11.
Verify #'s with Office
4.
Elec.; Receptacles and Lighting, Distance-GFI
5.
Elec.; Pool Lighting; 15 Volts-GFI
Date
6.
Card B-1 Date
Card B-1
Date
Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
Card B-1 - Date
Card B-1
MISCELLANEOUS
Date
DECKS, COVERS, CARPORTS, GARAGES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2.
Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3.
Decks, Girders and/or Joists -Decking -Bracing -Stairs -Rails
4.
Wood Awn.; Posts-Beams-Rftrs-Connectors
Shthg-Frg-Bracing
5.
Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6.
Carports; Windows -Doors
7.
Electric
8.
Frmg.; Sills-Anchors-Studs-Rftrs-Trusses
9.
Siding; Nailing -Veneer -Stucco -Mesh
10.
Roof; Shthg-Roofing ]
11.
Ext.; Steps -Doors -Landings
12.
Braced Wall Panels
1
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, Distance-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 Conduit
9.
Health Department Approval
10.
Plumb.; Cir. Test -Water Supply Test
11.
Light Niche
12.
Enclosure; Fencing -Alarms
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
J=OK
0 = NotOK
Applicable
= Not Applicable RESIDENTIAL (Single & Duplex)
. = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
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-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
IF 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. UF, Gas Pipe; Size Anchors -Yard Gas Piping; Size Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
to 12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies
Date
15. Access & Ventilation
16. Insulation
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
PLUMBING (Permit) OK except #'s
17. Water Htr.; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
23. Fire Sprinkler; Test
59. Glazing Area -Glass Protection -Skylights -Plastic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
ELECTRICAL (Permit) OK except #'s
24. Fixture & Transformer Clearance -Ins. Protection
Date
25. Elec. Receptacles Spacing -Lights & Switches at Doors
Date
26. Size Boxes & No. of Conductors Stapled
Date
27. Romex Installed Close to Edge of Studs & C.J.
28. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water
29. 2 Appliance Circuits in Kitchen & Conductor Size GFI
30. Subfeed Wire Size/ /ga. Cu or AI-A.C. Wire Size/ /ga Cu or AI
31. Range Circle/ /ga Cu or AI -Oven Circ. / /ga Cu or Al
Insulated Neutral O Yes O No
32. Service -Riser Conductors & Ground Main Disconnect
33. Equip. Clearances Panels-Motors-Mech. Equip.
34. Clothes Closet Light -Shower Light -Spa Light
35. Smoke Detector
72. Elec. Outlets at Wood Panel, Int. & Ext.
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MECHANICAL (Permit) OK except #'s
36. A.C. Ducts Insulation & Support
37. Vent Fan, Exhaust above insulation
38. Condensate Drain & Overflow, Size & Grade
39. Furnace -Vent Access -Comb. Ait-Return Air Vent 115 Outlet
40. Attic Access & Platform if Furnace in Attic
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FRAMING (Permit) OK except #'s
_
41. Sills Proper Materials & Anchors
42. Walls Studs -Nailing Spacing & Braces -Plates -Sound
43. Bearing Walls over Girders & Floor Nailing
44. Draft Stop in Walls (rat proof)
45. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
46. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
47. Hangers -Post Caps -Anchors -Connectors
48. Cling. Joist-Rftr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rtng.
49. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
50. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
51. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions
52. Garage Fire Protection Framing -RC Channel
53. Property Line Firewall & Openings
54. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits
55. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
56. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
57. Siding -Nailing Veneer
58. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
59. Glazing Area -Glass Protection -Skylights -Plastic
60. Shear Walls; Nailing -Bolts
61. Brace Interior/Exterior Wall Panels
62. Insulation -Walls -Ceilings
63. Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
64. Ext. Steps -Door & Sidelight Protection -Landings
65. Smoke Detector
66. Furnace Vents -clearance -Comb, Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
67. Bedroom Exiting
68. G.F.I. & Bath Fixtures & Tub Access -Spa
69. Elec. Trim & Subpanel, Breaker Sizes & Labels
70. Stairs & Rails
71. Fireplace or Stove, Clearance -Hearth
72. Elec. Outlets at Wood Panel, Int. & Ext.
73. Kit. Fixt. & Appliance; Ground -Air -Gap -Cooking Clearance
74. Elec. Outlets & Receptacles at Kit. Counter
75. Garage Fire Door; Swing -Landing -Closure
76. A.C. Duct in Garage -Damper
77. Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
in Garage; Above Floor-Mech. Protection
78. Plb.; Elec. & Mech. Equip. Listed for Location
79. Elec. Receptacles in Garage (F.F.I.)-Romex Protection
80. Insulation -Foam -Looked in Attic
81. Guard Rails & Deck Construction -Post Caps
82. Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
_
83. Following Instld./Drive 0 Yes O No/Walks O Yes O No/Planters 0 Yes O No
84. Stucco Brown -Finish
85. A.C. Unit Disconnect, Electrical -Plumbing
86. Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
87. Water Well, Disconnect, Electrical, Plumbing
88. Exterior Elec. Trim, G.F.I. Receptacle -Underground
89. Ventilation Throughout House
90. Glass Protection
91. C rrections from Previous Inspections
jk.
92 Test -Meters Tagged, Gas -Electric
93. Water & Sewer Connected -C/O to Grade -HD Approval
94. Energy Compliance Certificate -Other Certificates
95. Address Posted
96. Fire Sprinkler
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street - Chico, CA - (530) 891-2751
d 7 County Center Drive - Oroville, CA - (530) 538-7541
CORRECTION NOTICE
OWNER r PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice this office when correction of work is
completed. If you/_Jbaany questions pertaining to this matter, or need additional explanation,
please contact is office immediately.
NOR JIM4 WW11IIIIIIIIII 111155
Date 9 -do— Inspector
REV 10/92
COUNTY OF BUTTE'
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
�ll CORRECTION NOTICE
OWNER
* �So�
PERMIT NO.
A routine inspection indicates;that the following violations of butte county Ordinances exist at the
above address and should be corrected. Please notice 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.
I:1VAII71P4
i
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT �J na",2q—
ASSESSORPARCEL uM _/ f'//_(U5_ 0Z
�
"'Altz
BUILDINGPERMIT
OWNER .
T ONE
9y- 5(0
SO. FT. OCC. BUILDING VALUATION
.OWNERSIU�(Ca DRE Qs
�7J
IQO .
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
FITepIdCe
LENDER'S MAILING ADDRESS
Total Valuation $3,9010b
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
1 51 Po
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS bl 1 %'\t^J -
Energy Plan Checking Fee $
$
PERMIT FEE S
(jt1
LOT NO.
SUBDN NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF. Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 t+S;w
Each gas water heater or vent I
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodels( Utilities__❑ Installation ❑ Other ❑
Describe W %\ p( LUork: e/i�lCt&,0
y/I JC .K:A, 14U k1alLA,
Gas piping system 1 - 5 outlets fj
15.00 rj
Buildingsewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE S
,DO
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. 8 ACC. BLDS.
SO
3.5¢FT:
T.
O . MULTI-OCUTLET
N"N-RESID
@7.50
POW
8 WSINGLE OUTLET CIR.ER APPARATUS
Ex. OCCU . OUTLET OR FWTURES
20 @ 1'50
BAL @ .SO
Ex. Occup. OFlxR D OR"
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE S
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X >�: V.G/a�"`-� _Date ��i���
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
-CQLWT TYPE
VALTOTAL FEE $ QD
HA2. D. F IMP
FLOOD
COF PARCEL
PD
HD
SSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate Ove for which fees have been paid.
By Date 2
9
PERMIT EXPIRES ON 9-1® o-
(Da te
Receipt No. 3 � •
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD APPLICANT
005-465-008 02-2401
WILLDWSON, PHIL
2168 LAUREL ST., CHICO
CONT: CONNORYtLECTRit
FUSE BOX TO lbo AMP SERVICE
-7w%-
�. '
n�
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION f
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� �FjMIT NO.
APPLICATION AND PERMIT G (,,�'
ASSESSOR PARCEL NUMB ^ w„ I / r !
^r1/
ZONING
BUILDING PERMIT
OWNER `• 7
tE"� E
�{ L - ��•
SO. FT. OCC. BUILDING VALUATION
OWNER'S A�lRESS
cpCr7JJ t 'te)
CINTRACTI(S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Fee $
20.00
—Filing
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
-
Energy Plan Checking Fee $
$
,t. i f / .
�! t
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF K Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Q 1�C]}(
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
a
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 'O.v oa'ss
23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service TO 10CU00A
46. 00
NEW CONST. DWELLING OCCUP. SO
E so
OR ADDNS. 'i�ie,, ( a Acc. eLDs. 3.5QFT;
NNpµg6lp. I. MULTI.OUTLET 97.50
BRANCH IRCUITS
P.0rOUAPPARATTLET US
8 SINGLE CIR.
OUTLET OR FIXTURES
Ex. Occup. sA�
FIXED APPLNS. OR 5.00
Ex. Occup. oLmETs RM. FA
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
kJ r
I PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
' 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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X lt�j� � /,�
;.J,0 �'��/i`�ll�4b Date J -' ��'n- —_
Signature of Applicant -,Q' Owner ❑Contractor ❑Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
j
ccwS7. TYPE
TOTAL FEE $ 0
HAZ.
D. FEES MP
FLOOD
CDF
PARCEL
PO
HD
ISS
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.
n I fL
�� J r f
By, Date L
PERMIT EXPIRES ON
r ate
ReceiptNo. -; r., �' .� SOV
WHITE-D.D.S.-B.D. ' CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
IN
A
ACOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
' :, f 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541�� �N�
(Rev. 12/96) APPLICATION AND PERMIT G fJJ
ASSESSOR PARCEL NUMB s — ! ' / s „ O p.� U <e
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ZONING
BUILDING PERMIT
OWNER
" 5� 2
SO. FT. OCC. BUILDING VALUATION
.OWNER'S
r -1 � RESS a/rI CyC/J/['/w /L
Y
CONTRALTO NAME
AJ
TELEPHONE
CONTRACTORS MAILING ADDRESS -
CONTRACTORS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 1 I
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'✓`\-pN/��-�3.�(Cj �\li"ryV-.
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ri Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: 4UaL
1 -Jox ��r�
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service zDOA OR LESS
23.00 d3
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.8
License Class Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
YI, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed 6 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
e4A / o
X _�/�� Date / — 3
Signature o Applicant-J`Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
69
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. 3 5¢So.
OR ADDNS. ( 8 ACC. MOS. FT.
P1O"-gESlp MULTI-OTLETU97,50
PSINGOIfTLET OWELER APPARATULIR.S
20 �'�0°
Ex. Occup.ounETORFaTUREs BAL @ .50
Ex. Occup. oF"L„T,ETS Ra D.o� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring23.00
_ 9 3,0U Q:&61)
PERMIT FEE _ r
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
2c 3
TYPETOTALFEE$FEE $ r Do
HAz. D FEES MP
FLOOD
CDF
PARCEL
PD
HD
ISS
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fee hav
By
fk
PERMIT EXPIRES ON
the applicable provisions .
Resolutions to do work
been paid.
Da e / ll'
-
Dete
ReceiptNo. Ov
WHITE-D.D.S.-S.-D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r PERMIT N0. /zs'
P
,vE
M
MH UTIL.
' PERMIT NO.
PERMIT EXPIRES
OWNER James More
CONTR. Four Counties Roofing Co.,Chico
LOCATION (A.P. 46-205-08 )
.i21703-2 Laurel St., Chico
is
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Temp. Power Pole
I Called PG& -E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB /'%
FINALED ! 3— 7c4
(Date) g
(Signature)
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD "
Fixtures
BUILDING BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing —
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
Slab
Prov. for physically
handicapped v
Heaters
Appliances ze
Carport
Footings
v Conformance of ex.
A structure
Gas Piping & Te
Temp. Gas
Slab
Final "`7
Sanitation
Patio
FSQEPLACE
Final
Footings
Footing
ELECTRICAL ,
Reinf. Steel
Final N,
Fixtures
Bond Beam
FIRE SP INKLE S
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M CHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent /
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Orovi Ile, California 95965 b
' Telep>rne: 5a4-4541
APPLICATION AND PERMIT
above-mentioned property for inspection purposes.
�u,
X Date 9' 19-75
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
I nis permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF)PUBLIC WORKS
BY Date �`�`� 7J^
B, ilding permit expires Date ��� Y ` %�
BUILDING
Owner James Moore
SQ. FT. OCC. BUILDING VALUATION
Comp. re-roo
.� -
Mai I i ng Address 24" • r - ----- -- - -- -_ - -
1919SmY
Telephone No.
Fireplace
Contractor Four Counties Roofing Company
Total Valuation
Mailing Address P.O. Box 321 5
Permit Fee
PIanChecking Fee &/or Penalty
Te
Chico,California $ n
Permit Fee
$
I OC
Building Address 2170 2 Laurel Street
PLUMBING
No.
@ FEE
PERMIT FILING FEE $3.00
Chico,Californa
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 &Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
F!
FI re Dept.
FI re Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma 60' R/W
P
provements
Improvements
Lawn sprinkler system 2.00
61 dg.P I ans ec
Parcel Approval
Plans Approval
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Comp. re -roof
Main service incl. 1 meter
Additional meters, each
1.00
Single Family j❑ Duplex ❑ Mobil Home ❑ Others ❑
Sub -panel (12 or less) (more than 12)
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures '20 a2
ba 0
Receps., switches & fix outlets 120
in
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:
Four. Counties Roofing Company
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
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
252071 B -1-C-39
License No. Classification
Misc. wiring
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
WORKMEN'SMECHANICAL
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 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.
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
.�
No.
@ FEE
PERMIT FILING FEE $3.00
Heating
Cooling t
Ventilation
Hood 2.00
Permit Fee $
$
TOTAL PERMIT FEE
$ 5 00
above-mentioned property for inspection purposes.
�u,
X Date 9' 19-75
Signature of Permitee or Agent
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
I nis permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF)PUBLIC WORKS
BY Date �`�`� 7J^
B, ilding permit expires Date ��� Y ` %�