HomeMy WebLinkAbout007-200-036/ 1{ CRAWFORD_,-Richard -S
7-20-363925-89B `(]'
O 72-68P
3 59-68E
JONES , ' �� t _
#4 Mayfair Dr Chico wVs Mayfair Dr. app. -3 0' no
Roofing . 'of sen,CY
Contr. ,�� '
(new single family)
(reroof/SF.)"� 0
7-20-36
•Permit#1045-91B,E,,M ,
.(addition/sf)
1--7-220-36,
Permit#�2014-91M
(hvac/s= l �/_ z 9- 93
04-3363
F4MAYFAIR
200-036
R, JOHN Q,/
DR, CHICO -9-A;A "NT. CHICO ELECTRICLACE EX PANEL /t'"3�j
u
l
BUTTE COUNTY PERMIT NO. /
DEPARTMENT OF DEVELOPMENT SERVICES BP043363 f
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140 _ - -
WEBSITE: www.buttecounty.netWds
LICENSED CONTRACTORS 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
Issued Date: 11/24/2004 APN• 007-200-036-000
the Business and Professions Code, and my license is in full force and
s`
effect.
License Class : L 10 License Number: 1IS" ,i L -t5
Site Address: 4 MAYFAIR DR CHI
Date\ \ I. -dog Contractor.
Map Index:
f: s;
Description: REPLACE EX PANEL
OWNER -BUILDER DECLARATION1�
I hereby affirm under penalty of perjury that I am exempt from the
_r
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner__DYER JOHN K.
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
i.=�"2-29$ HONEYRUN RD
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95928-8307
she is exempt therefrom and the basis for the alleged exemption. Any
'
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
1
❑ 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 (Sec. 7044, Business and Professions
Applicant: CHICO ELECTRIC
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
36 WEST EATON ROAD
provided that such improvements are not intended or offered for
CHICO, CA 95973
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
Ij (530) 891-1933
proving that he or she did not build or improve for the purpose of
sale.).
; -
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
r
and, Professions Code. The Contractors' State License Law does
COntPeCiOr: CHICO ELECTRIC
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
36 WEST EATON ROAD
❑ 1 am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95973
(530) 891-1933
Date: Owner:
License #: 454345
WORKERS'. COMPENSATION DECLARATION
I hereby affirm under. penalty of perjury one of the following declarations:
;
❑ 1 have `and will maintain a certificate of consent to self -insure for
tf '
workers' compensation, as provided for by Section 3700 of the
labor Code, for the performance of the work for which this permit
y Architect: I i
is issued.
Engineer:
I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: 51�� C.�. <, �1-ss_ ��_
Total Square Ft: 0, S.F.
Policy #: �-1 ay ,� ,� S -o y. '
Valuation: $0.00
Census Code:
M - OFFICE COPY
❑ 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 workers' compensation laws of California,
and agree that if I should become subject to the workers'
Address
compensation provisions of Section 3700 of the Labor Code, I shall
t
forthwith comply with those provisions.
GAS'
Date: 1 1 —ti - o `�
"„ Meter By Date
f: ELECTRIC i // Z�1: ��
Meter By Dat ��
Applicant: \ \
WARNING: Failure to secure workers' pensation coverage is
,
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
{{
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
4
i `j''• '7'� }���� �� � r
.,t__.. .r-��CONSTRUCTION LENDING AGENCY--!-----'
This`peei^iit is.trreb'yJissued•under th`e-'applicabl'e provisions of the Butte County Godo 2nft/or -• =' -
I hereby affirm that there is a construction lending agency for the
of the work for which this permit is issued (Sec 3097 Civ.)
Resolutions to do coo Indieat d above for which fees have been paid. ,
performance
BY: .Date:
Name:
V
PERMIT EXPIRES N:
Address:
Date
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. thereby
authorize representatives of Butte Countyto enter upon the above mentioned property for inspection purposes.
Print Name: jaXC'wGt,-- iD^,:!>\ Signature:
Date:
❑ Owner 0 Contractor Agent for Owner ❑ Agent for Contractor
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541 FAX#: (530)538-2140
WEBSITE: www.buttecounty.net\dds
PERMIT NO.
BP043363
LICENSED CONTRACTORS 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
Issued Date: 11/24/2004 APN• 007-200-036-000
the Business and Professions Code, and my license is in full force and
effect.
License Class : (::-%C) License Number: 14< `A '2, L4 1S
Site Address: 4 MAYFAIR DR CHI
Date\4 Contractor:
Map Index:
Description: REPLACE EX PANEL
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
Owner: DYER JOHN K
permit to construct, alter, improve, demolish, or repair any structure, prior
to its issuance, also requires the applicant for such permit to file a
2298 HONEYRUN RD
signed statement that he or she is licensed pursuant to the provisions of
CHICO, CA
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the Business and Professions Code) or that he or
95928-8307
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
O 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 (Sec. 7044, Business and Professions
Applicant: CHICO ELECTRIC
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
such work himself or herself or through his or her own employees,
36 WEST EATON ROAD
provided that such improvements are not intended or offered for
CHICO, CA 95973
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
(530) 891-1933
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
Contractor:. CHICO ELECTRIC
not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
36 WEST EATON ROAD
❑ I am Exempt under Article 3 of the Business and Professions Code
CHICO, CA 95973
(530) 891-1933
Date: Owner:
License #: 454345
WORKERS' COMPENSATION DECLARATION
I 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
Architect:
J is issued.
Engineer:
12I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier: �i3 re Coy o �cc. �.,
Total Square Ft: 0 S. F.
Valuation: $0.00
Census Code:
Policy #: Q-- O 4
❑ I certify that in the performance of the work for which this permit is
issued, 1 shall not employ any person in any manner so as to
become subject to the 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.
Date:
Applicant: \ \
WARNING: Failure to secure workers' Lpensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages s provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
-
/
l)
CONSTRUCTION LENDING AGENCY
This permit is- ereby issued under the applicable provisions of the Butte County CodR 2nrVOr
I hereby affirm that there is a construction lending agency for the
Resolutions to do woA indi d above for which fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
/\,
V /w
By: Date:/1
Name:
PERMIT EXPIRES N: ' v
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. 1 hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name: --rZxGt� �e\ d. ,.J Signature: 1
Date: 1 1-4 _py
❑ Owner 13 Contractor "XI Agent for Owner ❑ Agent for Contractor
r„sp��_-.-,^.;.�...fi--•,r-•�. ,� ;.-,.,'�,.,A,�,�,.; :3"�'r's;.:agrf`,aMC^'�.; i < w,� . ,.::_,,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County -Canter Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
7-200-036R-1'
ZONING
J _
BUILDING PERMIT
OWNER di.�
William Jones
TELEPHONE"
S0. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS i
4 Mayfair Dr. Chico 95926
CONTRACTOR'S NAME,
Action Heatin & Air Conditionin
'TELEPHONE
343-n Xj197
,
CONTRACTOR'S MAILING ADDRESS
431 W. 9th ST., Chico 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ ;0.00
LENDER'S MAILING ADDRESS
Perini! Fae
$
ARCHITECT OR L:V ;WEEP, _
L.I_CENSE No.
t
Plan Che�iang Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS i
I
_
Penalty
$
BUILDING ADDRESS
Permit fee r',
$
PLUMBING PERMIT Filing Fee 10.00
4 Mayfair Dr., Chico
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 i
1
SF ® Duplex[] Mobilehome❑ Other f
SPECIFY 'k
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home ISI G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities❑ Instal `aII.,. Other]
Describe work: Rf;�lace HVAC i _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
i
Main service 100V OR LESSAMP10.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess'' s Code and m license is in full force anis effect.
License No. r� 7 Classification.
❑ I, as the owner, or my employees with wages as their solejcompen-
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.N\
OR ADDNS. ` ACC. BLOGS.
I/zQsgft
NEW CONSTR. ULTI.OUTLETrVI'
NON-RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20050C
eALAL030
Ex. Occup. OUTLETSP(RESID .)OR EA.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Gas Pack
Cooling
•
Hood
3.00
Ventilation
Permit Fee e�-'
$ • 00
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 c sequence of the granting of this permit.
X� G , �� - (� - t (f
f Date
Si Harare of A ICGlIt - oWner
g pp ❑ Contractor Agent 1:1An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.I�l.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
-
TOTAL FEE X5.00
HAz.
cuA- PARK
I SCHL
I FLO
I EDF
PAR
PD
J HD•
Iss E
This permit is hereby issued unser the
sions of the Butte County. Code and/or
work indicaabove for which fees
OfREC'T6 OF PUdLFe
/
BY
PERMIT EXPIRES Date
applicable provi-
resolutions to do
pted
have been aid.
WORKS
41,11
Date//�i r f�
f:�% &4L4
R
Receipt No. 93752
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
'ter
-COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
7-200-036
ZONING
R-1
-
BUILDING PERMIT
OWNER
William Jones
TELEPHONE
'
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4 Ma fair Dr. Chico 95926
CONTRACTOR'S NAME
Action n
TELEPHONE
343— 4197
CONTRACTOR'S MAILING DDRESS
431 W. 9th ST. Chico 95928
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$
LENDER'S MAILING ADDRESS
Permi! Foe
$
ARCHITECT OR L:�";INEERLICEr:SE
�^
No.
Plan Check(ng Fee
$
Energy Plan Checking Fee
n
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
_
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
4 Mayfair Dr., Chico
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[M Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W 1
110-00 ea
TYPE OF WORK
New ❑ Addition [:1 Remodel ❑ Utilities ❑ Installation❑ Other]
Describe work: Rppl are HVAC _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professips Code and m license is in full force and effect.
License No. Classification.
El 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.91
OR ADONS. ( ACC. SLOGS.
, /20sgft
NEW CONSTR. U TI.OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. Occup�OUTLETS OR FIXTURES
20®SOQ
aALO 30
Ex. OCCUp. OUTLETS (RESID )FIXED APPLNS.REAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. byirin 9
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ 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.
MECHANICAL PERMIT FiIingFee 10.00
Heating 1 6.00 6.00
Gas Pack
Cooling 1 6.00 6.00
Hood 3.00
Ventilation
pennit Fee MIN Fee 25.00 $ UU
'
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 County in sequence of th granting of this permit.
/ l Q _ C I
X Date ` `
Signature of ppN1 nt — Owner ❑ Contractor Agent Elwork
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 X5.00
HAz.
CUA- PARK SCHL
I FLD
I EDF
I PAR
PD
) HD.
ISS E
This permit is hereby issued under the applicable provi-
sions of the Butte County. Code and/or resolutions to do
i ated above for which f s have been paid.
DI OF PU L WORKS
.
A hAl
By-Date
PE IT EXPIRES Date
Receipt No. 9-A759
WHITE-D.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR, GOLDENROD -APPLICANT
f:+�,n�vc.— ..;tr .�X7r.,.�. �r+�-•-r--•-.,R .�-c..�c-r..�e�p.�-nN-.rs;^^v�..�•}*(�,.:.vr r.(.:'"N�F�r':�f•�,.'-�,y..:�r.-hy,�=�s�•�x-tnV'.7,�vn•is.-x*i,;_�.^.}..� �r
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 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---nail_counter by ..date
Contractor, designer, owner, was advised of above required data by_phone —mal l_counter�by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
~•
COUNTY OF BUTTE - DEPARTMENT tOR, PUBLIC WORKS - BUILDING DIVISION
$'
a,
7 COUNTY CENTER DRIVE - OROVILLFALHFOiNIA 95965 - TELEPHONE: 916/536'47'541
PERMIT APPLIC6.T40N DATA SHEET
OWNER
e' Permit No.
-7���d ^�
(v /
A. o.
Proposed Building Use Z24: �:-- Building Inspect 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
gti 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
j 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 o, Mail to owner ❑) .....
:LVfecorded copy of Agricultural Acknowledgment Statement .........
Letter of signature authorization .................................. . 71
26.
27.
When
you issue the permit, process as follows: Mail o o ner. Mail to contractor.
Telephone �and hold for pickup at— office. Deliver w/inspector.
r
Other ,Q C�
Applicant 07ate 2/ �j
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 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---nail_counter by ..date
Contractor, designer, owner, was advised of above required data by_phone —mal l_counter�by date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARVL N=161 Ra .—
20ING ,
N
BUILDING PERMIT
OWNER+ / A�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNE 'S MA 1 G P. Ess
CONTTO 'S ���
TEL PHQfy
CONTRA TOR' MZOG AO/./ � /�
/i /t�/I
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation Is
Filing Fee -
$ ;0.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR LN :INEt, P,
LICENSE NO.
Plan Cher;king Fee
Energy Plan Checking Fee
d$.
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADpRE55 `w / /
I/••-�—
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
SFA Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
O.00ea
TYPE OF WORK
New ❑ Addition ❑ Rem del ❑/ Utilities ❑ %n talllla"t'ion❑ Other
Describe work:( ��
Penult Fee
$ r`
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 10ov 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.
License No. Classification.
❑FIXED
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST./ DWELLING OCCUP.al
OR ADDNS.' \ ACC. BLDGS.
yz¢sgft
NEW CONSTR. MUCTI-OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR. /
-
EX. Occup(OUTLETS OR FIXTURES
ew 090
APP LNS, OR
Ex. Occup. OUTLETS (RESID.) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
_ ❑ 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
Filing Fee 10.00
Heating
Cooling
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 againstHAz.
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 F-1 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 $ _
CUA-
PARK SCHL
I FLD
I CDF
I PAR
I PD
1 HC).
ISSUE
This permit is hereby issued urger
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
.....•--_.. a .0 -e. n.u_.a ae. anv v�ye.Iw 40erTf,R. -1 RP4wr,A-AP DLI[ANT
T11 1
. r
County of Butte
7 County Center Drive
Oroville, CA �a5965
To Whom It May Concern:
The following persons are authorized to obtain and sign permits for
Action Heating and Air Conditioning:
Ron Burdette '
Herb Wood
! El; 'in Seiders
Jef f Burdette
Lee Morrison
The above replaces an
7 current names .on file and remains in effect'until
further. notification.
Thank You, -
Ron Burdette., Owner f
Contractor Lico 512620
Class C-20
RB /sd
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COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOFfS PERMIT NO.
' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/558-7541 Ct ..0 it l �� Y
APPLICATION AND PtRMIT �l
ASSESSOR PARCEL NUMBER
r' ,211 , ?,6
ZONING
R
BUILDING PERMIT
OWNER
W F, WR fibn4s
TELEPHONE
SO. FT. OCC.1 BUILDING
VALUATION
OWNER'S MAILING ADDRESS
O NT 'S N M.
em Yu I�
=WF NE
CONTRACTOR'S MAILING ADDRESS
P0 BOX 2
Fireplace
CONSTRUC ON LEN ER
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 ADDRESS
OftfAir, Chico, Ca-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heaier,
' 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
IXC SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addit•i•on ❑ Remodel ❑ Utilities ❑ Installation❑ Other Q
Describe work: are_ 31 squcdq=itim offlo f _
-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
I00 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):
1 am licensed under provisions Of Chapt. 9, Div. 3 of the BuslnesS
JJJCCC��� and --Professions Code and my license is in full force and effect.
License No. Classification �QQ
—✓C�7C7
El1,1, 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.N
OR ACDNS. ACC. BLDGS.
,
2�20sgft
NEW CONSTR MULTI -OUTLET
NON.RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e\
SINGLE OUTLET CIR. I
Ex. Occu p�OUTLETS OR FIXTURES
20oe0s
30
FIXED APPLN5. OR
Ex. OCCUp. OUTLETS (RESID.) EA,)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
_ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure. �- ;�: .A,
❑ 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.
MECHAMCAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
jj}} / 11_12-�
X J/) l �? Date
Signature of Applicant — Ow r
g pp ❑ Contractor ❑ Agent ❑
An OSHA permit is required For excovations'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 FE $ 41'00
E
HAz
CUA
PARK
SCHL
EE
PAR
JPDJHD
Iss
This permit is hereby issued under
sions of the Butte County Code and/or
work indica above f r which fees
DIRE OR( F PUBLIC
By
PERM(T EXPIRES Date
the applicable provi-
resolutions to do
have been aid.
p
WORKS
Date / �'
% O
Receipt No. 51,g 4, 1 �.
WHITE-D.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLIC4TION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
D — Z 00 Q
ZONING
f-,)
PERMIT
OWNER
W A WIZ
_N
TELEPHONE
11-07-570
SO. FT. OCC. BUILDING VALUATION
1860 00
OWNER'S MAILING ADDRESS —31169.
terra ing .
I NE
�j
CONTRACTOR'S MAILING ADDRESS
PQ Box 9r,9
Fireplace
CONSTRUCT.. LEN ER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.31-00
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
44 Wair, Chico, Ca
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
X SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G 1W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other p
Describe work: 31 SQuar2S CGwosition Pa.� _
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.
License No. 29% 4 Classification �Q
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.&
OR AD -DNS. C ACC. BLDGS.
,
h¢sgft
NEW CONSTR. UL
NON -RE BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e)
SINGLE OUTLET C'R.
EX.CCU
. Occup(OUTLETS UTLETS OR FIXTURES
20@50C
DAL@30
FIXED APLNS.
EX. OCCUp. OUTLETS PIRESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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 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 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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in co sequence of the granting of this permit.
X Date 11-12-89
Signature of Applicant — Owrdr ❑ 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 $
DCC
CONST TYPE
TOTAL FEE $ 41.00
HAz
I CUA
PARK I
SCHL
FLD
I PAR
PD
Ho
'SSU
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above fo which fees
D EC OR F PUBLIC
By
PERM6 EXPIRES Date -
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
, 1,zzi,
No. . ab
Receipt3 1
WHITE-D.P.W., YELLOW-ASSrSSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
ESIDEN�IAL
7-20-36 OUTS II 1045-91B,E,M
JONES, Bill
4 Mayfair Dr, Chico
Cont: Richard Nixon
(addition/sf) ' 14 _aS _ q �
JOB FINALE
Signature
J=OK
O=Not OKNot
j
' = Not Readyable MOBILE DOMES
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: / P'L"ft.
/ P'Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance r -
r
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
Date Card B-1 Date Card B-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectdrs-Steel
3. Decks: Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Beams- Rftrs.-Coonectors
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
S. 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
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
• 'l=OK
O = Not OK
Not
Not Readyable RESIDENTIAL Single & Duplex)
Date UN ERFLOOR (Plans) OK except #'s Date RAMING (Continued)
Z96ing-Setbacks-Easements-Flood-Slope
S` S . Hgers-Post Caps -Anchors -Connectors
Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 4.CIng.,eist-Rftr. ties-Purlin—roof Brac-Truss-Shthng.-Rfng.
oils-Steel-Elec. Grnd.-/ /" Ftg. Depth a Ties or Type A Flue -Fireplace Throat clearance
es & Decks: Soils -Steel-/ /Ftg. Depth . 48"Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
611§temwalls, Main; Steel -Bloc kouts-Wrapped indows or Exiting Doors -Sill Hgt. & Dimensions
Garage; Steel-Blockout `rapped ire Protection Framing
6a. Hold D wns and Special Anch 54APro6erty Line Firewall & Openings
7. SI , Steel -Wrapped . Ext. Do -One T -Check Garage -3rd Story, 2 Exits
t Piers-Rmplaee•ftg-S 53. S s; Width -Headroom -Rise -Fun -Landing -Fire Protection
9. D.W.V.: Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Ele ic; nderground _
�2,2 ie s & Duc earance- terial-Support-Ins. ALO
1 irders-Sills-Anchor eo -Joists-Vents-Cripples
15.}nsulation
Date/1!2 Mcard B-1YU,0 • Date Card B-1
Date! - 17j Card B-1 V Date Card B-1
Date PLUMBING (Permit) OK except #'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 #'s
.__2e.Fj;Mrq & Transformer Clearance -Ins. Protection
E Receptacles Spacing -Lights & Switches at Doors
- S' Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J. _
._25._E4u4;,, round made up w/Meth. Fastners-Bond Gas & Water
e Circuts in Kitchen & Conductor Size/GFI
ire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
X29. Range-t3im: / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No _
. 20-ee MZi I9 Riser Conductors & Ground -Main Disconnect
arances Panels -Motors -Meth. Equip.
es- Closet Light -Shower Light -Spa Light _
moke Detector
Date Card 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 -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date C06 B-1 Date Card B-1
Date FRA N (Plans) OK except #'s
s. PAaper Material & Anchors
Is Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof) _
Stops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
6< -on Roof Overhang -Attic Vents -Rafter Outriggers
ailing Veneer
Screed -Fd. Vents-Underflr. Access
Area -Glass
Is; Nailinq-Bolts
60. Infiltration -Walls -Windows
Date -2
Card 13-1 W,67, Dates 3Q-�/ Card B-
DaterS Z3 —Y
C d B-1 Date Card B-1
Date FIN
(Plans) OK except #'s
.
Ext. Steps -Door & Sidelight Protection -Landings
,64-SmuR€Detector
fez-
Furry "- s -Clearance -Comb. Air -Connector -
`In Garage; Above Floor -Ducts -Meth. Protection
es & Tub Access -Spa
bpanel; Breaker Sizes & Labels
Stairs & Rails
68.
Fi e; Clearances -Hearth
od Panel; Int. & Ext.
7
ce; Grnd: Air Gap -Cooking Clearance
7+
eptacles at Kit. Counter
. Swing -Landing -Closer
7z
e r rnirt in r,arane-Damper
74_VAL it&=M=L -Clearance-Comb. Air-Connector-P.R.V.
In Gar ge; Above Floor -Meth. Protection
7&.136.
Elec. & Mech. Equip. Listed for Location
Garage; (G.F.I.)-Romex Protection
nsul tion -Foam -Looked in Attic ❑ Yes
7
u ails & Deck Construction -Post Caps
7
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked un5or Floor ❑ Yes
rve ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Ejanters ❑ ❑ No
S o; Br n -Finish
.
A.C. Unit; Disconnect, Electrical, Plumbing
; Plbg.-Appliance-Fireplace.-Clearance to
Openings
onnect, Electrical. Plumbing
qp-fx!erior
Elec. Trim; G.F.I. Receptacle -Underground
entilation Throughout House
s Protection
Corrections from Previous Inspections
agged; Gas -Electric
cted-C/O to Grade -HD Approval
Pf"Energy
Compliance Certificate -Other Certificates
Date
Card B-1 `j -(�-qr Date Card B-1 -
Date Q
Card B-1,./,- %( Date Card B-1
Date
Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
• t�
Permit No.
ENERGY CERT If I C A T TON
#4 Mayfair Drive Chico CA. A.P. N4,
LOCATION
DESCRIPTION OF INSULATION
ROOF
Material
Tit ickoesa(inches)
Brand Name
Thermal Resistance (R
gXTERIOR WALL. Brand Name OWENS-CORNING
material FIBERGLASS BATTS 1113
(incl►ee) 3 5/8" TI►ermal Reaietance(R Vali•
T1►ickneee
CEILING
Batt or Blanket Type FTRFRG ASS UUI5 Brand Name OWENS-CORNIN 1130
9111 Thermal Reaietance(11 Valu• Wvrl �..
Thickness(inches) Brand Name
Loose Fill Type Number of Bage Wt. POT bag•R„lb.
1.11nimum Thicknesa(Inches);______-__.. Thermal Reeistance(R Value) ...
Ares covered(ft.Z2)
FLOOR• ELEVATED FIBERGLASS BATTS
Material
Tit ickite aa(inches) 61"
FLOOR'.. SLAB
Material
Thickness(inches)
Width(inches)
Brand Name OWENS-CORNING
Thermal Reeistance(R Ve1ue).._.
Brand Name
Thermal Reaistanco(R Valve)_,,.�.,...
FOUNDATION WAIL Brand Name
MaterialThermal Reatatang0 010
Tlticknees(inci►e8)
Installed IQ tile
I horeby certify that the abovoficaliPoritsnsulationMoo Inersy loquirwentegn�Yo building
in conforwanco with the State
499150
LOERKE INSULATION CO. INC. STATE CONTRACTOR SlICIM N0.
FIRM NAME/OWNER
Ma 30 1991
SIG TURF OF INST LLATION APPLICATOR
DATB
I hereby certify tl►e above insulation andtall required Item f showed n the
Building Department approved plana andata
so
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed QV are
specifically approved by the State of California.
FIRM NAME/04lNER (Please print)
STATE CONTRACTORS LICE08E N0.
PATE
SIGNATURE OF GENERAL CONTRACTOR OWlER l .
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT 111104 TV FIN"
INSPECTION APPROVAL. AND A COPY S11A1.L BE POSTED WITHIN THE BUII.DTNQ
• TAn•.Ary 1984
7
M
` COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville --.Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
-y,
R
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 pertainin to this
matte , or need additional explanation, please contact this office immedia ly.
D' ,,i j'J-e H-4--.4 1. Srl"0 k
f
E4
Date—��— (l Inspector��l
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERT NO.
/ - 7 County tenter Drive - Oroyille, California 95965 - Telephone: 916/538-7541 / o �•-Fye! /
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
7-200-036 •.. -"`
ZONING
R-1
BUILDING PERMIT
OWNER
Mr. & Mrs. Bill Jones
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
256 R 10,240.00
OWNER'S MAILING ADDRESS
#4 Mayfair Dr. Chico 95926
160 C 1.600.00
CONTRACTOR'S NAME
Richard Nixon
TELEPHONE
1 873-0119
CONTRACTOR'S MAILING ADDRESS
6831 Forest Haven Ln. Ma alfa
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$11.840.0
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$92.50
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 46.25
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
#4 Mayfair Dr., CHico
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
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S FG TW
10.00 ea
TYPE OF WORK
New ❑ Addition bD Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: Add 256 S4. Ft. to Living Room &
16 x I& Covered Porch
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eOOV 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.
-7
License No. �L/� s 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.e,)
OR ADDNS. ACC. BLDGS.
X +/zQsgft .40
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCHCIRCUITS)
2,50 ea
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUp\OUTLETS OR FIXTURES
Occup(
20ea0e
SAL630
FIXED ALINIS
Ex. Occup. OUTLETS P(RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �yirin 9
15.00
Permit Fee
$16.40
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
f_� The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed,revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Duct
1110.00 10.00
Cooling
Hood
3.00
Ventilation
- --
Permit Fee
,-
$20.00
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 pon the above-mentioned property for inspection purposes.
I also agre save, indemnify and keep harmless the County of Butte against
all liabi ' i judgments, costs, and expenses which may in any way accrue
agains s 'd dcy in ons nee of the granting of this permi .
X pate A
Signature f Applicant - Ow 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 $30.00
occ
CONST TYPE
TOTAL F E X301
15
HAL. CUA PARK sc
rLy
co
P
I
IsspE,
V
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.
D RE TOR OF PUBLIC WORKS
By. Date
PERMIT EXPIRES ate
Receipt No. 88356
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
r ;r
GO NTY OF BUTTE - DEPARTMENTOF PUBLIC-iWORKS - BUILDING DIVISION
OWNER .O
Proposed Building Use
7 COUNTY CENTER DRIVE - OpOVILUEsCALIFORNIA 95965 - TELEPHONE
PERMIT AP,PT CATION DATA SHEET
916/538-7541
Permit No.
l A P No
Building Inspector Date �� 7
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 .......................................
Park fees paid
Sch9ol District fees paid ..............
4. Sanitation approval from %T Z C 72 Health Department Vig
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 0). .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When issue the permit, proces as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant .Date
AF
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_I.tem-riot checked above).;
1. Index permit for above items No. a-
2. Additional items required:
Contractor, designer, owner, was advised of above required data by, 41-0one--mail_counter by0W .date
Contractor, designer, owner, was advised of above required data by_phone_mail_c�unter by date
Plans checked by Date .PI ns approved bye �,t// Date
Sets of plans on hold in File cabinet V AP folder
Copy—DPW
TO Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
_ J 6ti 'C. s 7 - to - 3,G
Owner Lo ation AP#
Plan Approved for: Sewaqe Disposal Water Supply
Fold final for: Water Supply
Final clearance O.R. for: Water Supply
Clearance for bedroom mobile home. Other
NOTE ***
Date
Sanitarian
y .12/90
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
//�� Bldg. Permit
OWNER /�T�LC_ A.P. # — fid- 3t5
Plan Checker Q
GENERAL
:';'Zoning requirements: (sideyards and number of permitted living units).
Valuation.
signed by designer.
i��'Plans
/ Proper description of work on application.
Existing violations on .property.
/Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
+3: Recorded notice of violation.
PLOT PLAN
complete parcel size and dimensions.
Setbacks, sideyards,,easements, etc.
",Other buildings or structures.
/Grading, fills, drainage.
"f lood hazard.
JY Special conditions on creation map,
/ ustible, and foundations).
tY /FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb-
. Building or utilities across lot lines (Record form).
FLOOR PLAN
tY Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 120.5).
Required windows for second exit (Sec. 1204).
Skylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
/�6/. Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
t8l Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
�9. Locations of water heater, heating and cooling equipment, other electrical
Yor gas equipment.
Garage firewall, door size, and closer (Sec. 503(d)(3).).
�X11 - 3`0" exterior exit door (sec. 3304 (f).
t
2,. Fireplace and wood stove location, alcoves, and clearance.
�3*/ moke detectors (Sec. 1210).
1V4: Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
tandard bracing or engineered design (Table 25V)
�.,//voundation
nusual shape, size, or split level house requiring lateral design.
plan complete enough to construct building.
:O/Elevations
Floor construction details complete enough to construct building.
and wall construction details complete enough to construct building,
Roof construction details complete enough to construct building.
Fireplace construction details and talcs if necessary.
V.Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
M./Stud heights.
A be soils - special foundation design.
etaining walls requiring design.
. Special Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS ITEMS.TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
uSec
ar3306).
ardrail details (.Sec. 1711 & 3306(j).
�3!Brick or stone veneer (Chapter 30).
/ Exterior plaster - weep screeds (Sec. 4706).
5"/Proper roof pitch for roof convering (Chapter 32).
D36
of covering type (fire hazard).oam insulation - protection.
" halls and stairways.
9. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
l�0. Oro exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
ttic access and ventilation (Sec. 3205).
17 nderfloor access.and.ventilation (Sec. 2516).
43: Combustion air for fuel burning appliances - L.P.G. requirements.
I_Z . oise requirements on duplexes.
]�S nergy design.
L6� Flashing at all exterior openings.
CDF responsible area requirements.
F
FOR N 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE 'W' (Additions) .
Owner �S Climate Zone
Permit Floor Area
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 ' ZONE 16
APPLIES TO NEW AREA
0 CEILING R-30 �3
WALL . -- - - ^R-11� -`--. - R� , 9
FLOOR R-11 _:. R 19
SLAB - _ _ __��_ . --- R-7
. -.... . GLAZING
..-... .0-.65 (Dual) .. ._U-.6 '(Dual)
-
.SHADING
SOUTH - OPTIMUM OVERHANG .
or .36 Shading Coefficient -
.36 Shadin .. Coefficient
... WEST - ...:..._ _ . -
LOOSE FILL INSULATION (Density) -
INFILTRATION CONTROL (Weatherstrip doors, certified -windows, caulking)
R -
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
.LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF_ AREA... PLUS - REMOVED -_.GLAZING
H
NEW HEATING, VENTILATING, AIR CONDITIONI�Nfi
GRD a.HS��.���R SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE 1T__ hL OWN ON BACK
OF THIS SHEET.��
OTHER ���j�1G DEPARTME
12/85
*1 . HEATING. VENT11ATING. AIR CONDITIONING SYSTZX
(A) Heating
Central Gas 7urnace Z
(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
EEB.
Btu/hr
(cooling capacity at 95°F)
❑ Other
_... .. -.___ .... _. (describe)
DOMESTIC WATER SYSTEM
❑ „y (A) Gas Only_ Gallons
(brand and model number) (tank size) _
❑ _ Heat Pump w/Electric Backup T _
(brand and model number)
Gallons
(tank.size)
❑ Active Solar -
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction) 2
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 Manuel J. sizing
charts (form 44) 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 - maximum outlet capacity gas furnace
BTU
Cooling-. Summar design temperature •, cooling load BTU - f
*2 Submit T.I.P.S.E. chart or other•approved system (form D5) to document sizing of
solar panels.
® DESIGN CO!1fnIANCc✓-STATM1MI : The above building a 13a meets the requirements of
,Title 24, Part.,,Z, Chapcer 2-53 of the Californ A miniscracion Code.
TU OF 3UILDIV n3f=Ell a .LICaNT
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number %o7r-2&o-03A(:7Building Department No.
School District City County 1�!91 Jurisdiction
Property Owner / L ( .J (J/i/� 4Q
Project Location/Address . /W4T/� / Ae-- LDP& G.-�f 9 r�—)Z712- &
Subdivision Lot Number
Residential Development:
Sq. Footage a 15�
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
r
BuildingliDepartment Repres ntative Date
*******************************************************************
(Floor Plans reviewed by School District Personnel)
District Id No.
School District certifies that
M� (Applicant Name) (Phone Number)
WSttreet Address)
9s9-11�r
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 6M_
by the pay ent of $ representing �(O_. square feet.
llq
S-dftbol Distri Representative D to
PAID BY CHECK NO. REMARKS: `1�f1�f.�., sc)o
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, •California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER=D
- Fav�
ZONING)
BUILDING PERMIT
OWNER
/1/% -4XIV (,� D G-'
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
O#ER'S MAILING ADDRESS
C NTRACTOR'S NAMETELEPHONE
/ /C ill>C
CONTRACT R'Sy,,AILING A DRESS j
�G/2U'
Fireplace
CONSTRUCTION LENDER
r WN
Total Valuation $
Filing Fee
$ 10
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ G
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BDI G ADDRESS
G 1 1
Permit tee
$
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
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G I W
0.00 ea
TYPE OF WORK
New ❑ AdditionRemodel ❑ U�9ties ❑ Installation[] Other ❑
Describe work: I/1nR' -" :U G/t''/iil� Gam/' -^
'" 02 CO(�CL� G Cf/ 1. -
Permit Fee
$
Contractor
-.
ELECTRICAL PERMIT
Filing Fee .10.00
Main service EOOV 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 effect.
_ ,License No. �'� 7�'! 7 FS�� Classification.
El.I, as the owner, or my employees with wages as their sole compen-
sation, will do tbe•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.EI
NeA.O.S. ACC. B
, /20sgft
MULT OUTLET
NON.RESID RANCHCIRC ITS
2.50 ea -
/POWER APPARATUS e
`SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
.AL*30
EX. Occup. •OUT ETS P(RESID.IPLNS.OREAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00 ..
Misc. 1Yirin g
15.00
Permit Fee
$ ,
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
19/1 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
Filing Fee 10.00
Heating
0 UG
0
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 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 liabili ' s, judgments, costs, and expenses which may in any way accrue
against Count innse ce of the granting of this permit.
c fThis
X ate
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 $.�3
OCC
CONST TYPE
TOTAL FEE $ o2 as
HAz.
CUA-
PARK
SCHL
FLD
CDF
PAR
PD
I 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.
WNITC-D.P.W..LO •ASE C, SO R, PINK -INSPECTOR• GOLDENROD -APPLICANT
V V ::5 J
ADDITIONS TO RESIDENTIAL -BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions) .
F0 R FN `7
P.
OwnerES %Climate Zone
Permit T Floor Area -
The following data showing mandatory and required
e d
be installed for additions to dwellings. Additions to
dwellings tures of ci.nckae "
luderoomli
.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 ' ZONE 16
APPLIES TO NEW AREA
0 CEILING
R-30 R-3
d WALL�R-I1 R'�`; // ..
0. FLOOR R-11` ; 4 _
SLAB
GLAZING - ,...... _ — .65
. U- (.-_ ..` _ :^\�
Dual) " U-.6*5 (Dual)
.SHADING -
SOUTH - OPTIMUM OVERHANG
. ~ - :- - --
_ _ _ ...
or -`.36 Shading Coefficient a
...-WEST_... ...---- - - _------- - - -
- .36 Shading Coefficient
LOOSE FILL INSULATION (Density) - -
INFILTRATION CONTROL (Weatherstrip doors, certified -windows, caulking)
R -
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & PATH NOT LESS THAN 25 LUMENS/WATT r
MAXIMUM GLAZING 16% OF. AREA.. PLUS REMOVED. GLAZING j
NEW HEATING, VENTILATING, AIR CONDITIONING AND HSUWLRYBASCK
IN
INSTASCONJUNCTION WITH AN ADDITION SHALL BE rbILDING
ED SH
OF THIS SHEET. DEP
OTHER r Oak ®_ _ MEN
12/85
r
NEW l b'X l6 " ROoM
1t
6'x ba' _CVER ED
PQRcH t
i
A setback of�tt. from the
property lines and a setback of
50 ft. from the road
centerline shall be clear of k
structures or equipment exoept
for a 2 ft. eave overhang.40
r
Z a
i
BUTTE COUNTY ----
v_ ......._.
BUILDING DEPARTMENT
PIA r/ ,=
----,�.-��. APPROVED
'gp/
.� �L. F 7 I
0
:,
t ,
/(U/
o �
FL60R PLAN.
�SCAL.E %= j.l OW1
w11ct r/1,4w"Int �
a
5 uvp _
j�LOifI.iNG ;-6r
MW &0a Md per CL a% M30 px apx I2-
_ X �_
W1 ?^N
a oR G r D.,,F G /R D� S S /NI FASO N C� 5 s
hi Shallfda
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with Recognized Goo
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P ri�ed
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the OM dectr d Cods';
IT
UndwCoor access and vp 9latlonpoi
This set of plains and specifications MUST be
Lt _ ` ; kept ori the job at all times and it is unlawful t�
I make any changes or alterations on same wish'
out written perm Bu orn the Dept of
Public Works, Countv ttR. C7i
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ReeD eareed required Der Sec. 4706, UM
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DETAIL.
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BUTTE COUNTY
A A SEC ?-BUIU3JNG DEPARTMENT
APPROVE
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