HomeMy WebLinkAbout007-360-044- " ..r ...r-.�. 1W V ..
360
GOL
Ray E. Johns n, Jr., t. f
1 705 Lawn Dr., lot 44, North Park �
f Sub, Chico
Permit #63-79$,P,E (n, sing
family)4% 50��0 �. t
RAL RLO f ;.
705 Lawn Chico F
Contr: Sunshin ools of Chico
Permit#1945-84B,P,E(tz swimming pool)-` •
Contr: Sur{shine Pools
77477WPer809-85B(lst renew4
y
007-360-044 ,PERMIT#95-196
'MERLO, Ralph'
705, Lawn -Dr. "Chico
`Butte'RoofingCont; Cor
' Reroof JSF
6
=� M , C,fll
007-360-044 . + PERMIT#95=1961.
_eA MERLO, Ralph
705 Lawn Dr.`.; Chico
fi+ Cont; butte` R�ofing�Co.
�•�►` Reroof SF''
f
al — •
r f,
... „ , t ....... . ... . . :R.i .w..:;t �. a._e Yz t� ... � � + R. r 4 .. r• ^. j z Y ,
r
S
r
6
. .:-•. .. fib- ..
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, ta-lifornia 95965 - Telephone (916) 538-7VI PERMIT NO.
APPLICATION AND PERMIT
ASSESso P CEL UMB t, t.
i
ZGN'
LD BUIGPERMIT
OWNER J41
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAIUNG
14
CONTRA- R'S NAME
TELEPHONE
- _1_3
CO O S IUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIO•IOWN
Total Valuation $
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
3q, n)
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING s5 MAILING AD -
Penalty $
BUILDING ADDRESS
PERMITFEE
G{J
P.LUMBINGPERMIT Filing Fee. 20.00
Each Trap \7.00
LOT NO.-
SUB DIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF [� Duplex ❑ Mobilehome ❑ Other
" SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
r
Describe W rk: '` •L
t
Mobile Home S I G W 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main ServiceOOOV OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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 C ' Lic. No. s � 7 b o-0
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
NEW CONST. DWELLING OCCUP.
OR ADONS. ( a ACC. BLDS. )
SD.
3.50 Fr.
NEW CONST. MULTI.OUTLET
NON-RESIO. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BA�
Ex. Occup. ( OUTLETS (R S D.OEA )
" 5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin g'
X23.00 o
PERMITFEE $
Contractor . t-
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 is issued.
l I have and will maintain workers' compensation insurance, as required by Section
1� 3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers'Cco.MDenns�ation insurance carrier and policy number re: �{/n
Carrier < ,Z4.
/,��[iC.0 (,�►��l�+.st fyt tcZ
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation '
PERMITFEE $
Contractor
Policy Number :2 1 17.3
(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 1��li!"�. Qate l3 _
:X
Signature of Applicant - ❑ Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5'0" d and demolition or constructione
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ �- �►�""
HAZ.
1 0. FEES
I IMP I FLOOD
I CDF
PARCEL
PD HD
ISSUE
PO
This permit is hereby issued under t!ie applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
—
BY �-f9 J DateIq 149 -Is
PERMITEXPIRESON u //4/19 —,
1 7 (Date)
Receipt No. 112
WHITE-D.D.S.-B�.S CANffY A9 SSOR PINK -INSPECTOR GOLDENROD-APPLICAN
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVI ON
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT
ASSESSD P CEL NUMB
zoNING
LD
BUIeG PERMIT
OWNER
TELEPHONES
3 %j—WG/v^
SQ. FT. OCC. f BUILDING VALUATION
OWNERS MAIZZt t `s Z w . �
�
CONT R'S NAME �
TELEPHONE
co � o s IUNG ADOREs
73
Fireplace
CONSTRUCTION LENDER
UNI(NOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$i0t�
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADD SS
Penalty
$
BUILDING ADDRESS
PERMITFEE
$
705—PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDNIS ION'SNAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe W k:
Mobile Home IS I GI W
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Servicea OV OR LESS
( 2000A OR LESS )
23.00
Main Service ( 200A TO I000A )
46.00
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 — 3 Lic. No. S� 7 6
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
NEW CONST. DWELLING OCCUR \
OR ADDNS. ( 8 ACC. BLDS. /
SO.
3.5¢ Fr.
NEW CONST.MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. (OUTLET OR FURORES )
20 Q 1.00
SAL 50
Ex. Occup. ( OUTLETS RES D.) EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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 is issued.
i 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' m nsati n insurance carrier and polinumber re:
y
Carrier
Policy Number �-�1 2 3
(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
forth ith comply with tho rovisions.
T
e ___
19Z7
SiPre of Applicant - ❑ Owner ❑ ContractoAgent
X _ land
An OSHA permit is required for excavations over 5'0" demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ �T
HAZ.
I D. FEES
I IMP
I FLOOD
I COF I PARCEL PD HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
B
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date /4i
olq-s
( w
Receipt No. 19, 07:;4_
WHITE-D.D.S.-B. . CA A -AS ESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
I
. . ` .. • �. .�*;A PERMIT N0.
PERMIT EXPIRES
OWNER RALPH MERLO
` CONTR. Sunshine Pools
ASSESSOR'PARCEL
44-68-44
t LOCATION 705 Lawn Drive, Chico
N.
Z�lli
Sri
s
f
Temp. Power Pole '
Called PG&E
1 "��
Temp. Elec. Service
•
Called PG&E
i
Temp. Gas Service
'
1
Called PG&E ,F
JOB FINAL ED (Date)
Signature
Sri
V =OK
0 = Not OKE
— = Not Applicable
* = Not Ready
0
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except b's
1. Zoning Requirements—Setbacks—.Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete '
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts—Beams—Rftrs.=Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat.or/ P'L"ft./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elea
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements—Setbacks—Easements
.Card -BI
Date
Date Card -BI Date
POOLSJR44faj OK except N's
etbacks-Eeaarneaf.s
2. Footings; Size—Spacing—Marriage Lines;
C m trucfortrbfability
3. Gas; MH Test—Demand—Valve—Connector
ooI Structure; Stge+—Co'- ons—T i ss—Dead-Uen-L4aiag
4. Electricity; MH Test—Crossovers—Breakers—Clearancest(/Elec.;
Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
I c.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
VIle c.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
lec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
Elec.; Grounding; Equip. w/5'—Circulating Equip. -Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
lif. Health Department Approval
umb; Cir.—Wete�
Card B -I
Date Card -BI Date
Card -BI
Date Card -B1 Date
Card B -I
Date Card -BI Date
Card -BI
Date g 2 6 g 5 Card -BI Date
r
AV COMIllell
( - QV -4 r
0-0
Il 7� �`'�! r� ill ����
��- �� s
J = OK
0 = Not OK
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex) -
�E -
Date
UNDERFLOOR - Plans OK except Ws
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55. Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
-
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.Electric;
Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71,
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
Guard Rails & Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75,
Followinginstld.: Drive
� E] Yes ❑ No; Walks [I Yes ❑ No;
Planters ❑Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
77,
Stucco; Brown -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
29. Equip. Clearances; Panels-Motors-Mech. Equip.
30.
Clothes Closet Light -Shower Light
78.
79.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FRAMING Plans OK except q's
Card -BI
Date Card -BI Date
Comments at Final:
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.Draft
Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
43.
Cing. Joist-Rftr. Ties-Purlin- Roof_Brac.-Truss-Shthngg
_.-Rfn_._
44. Fireplace Ties or Type A Flue -Fireplace Throat
45.Attic
46.
Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
s
• COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California -95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO. J
�f d
ASSESSq4NUMBER
/T/ `/C/
ZON G
BUILDING PERMIT .
OWNER
n"
T C. PHONE
2�
SO. FT. OCC. BUILDING VALUAT N V
OWNER'S pLI G A DRESS
CONTRATORS NAME I TELE. •_
CONTRA TOR'S MAI ING ADD S
�, ,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ -35-60
ARCHITECT O -INEER
LICENSE NO.
Plan Checking Fee
$ 1510-0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 6. 06
BUILDING ADDRESS N
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
C
Water piping
5.00 s, Q(�
LOT NO. SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5,00 (�
Gas piping system 1 - 5 outlets
5.00
�,{/ USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S W G
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Install on❑ Other
Describe work: -S AA
.�.
Permit Fee
$ a5; Ga
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
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
1
220sgff
CONTRACTORS LICENSE LAW
I declare u er penalty of perjury (check one):
am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code a my license is in full force and effect.
QFIXED
License No. -;6-7 Z 7 Classification 67-6-3-
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR TI- OUTLET 2,50 ea
NO BRANCH CIRC TS.
NEW -CONSTR POWER APPARATUS &'
NON RESID. ( SINGLE OUTLET CIR.
zo®aoe
Ex. Occup(OUTLETS OR FIXTURES BAL030
APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
U�
Permit Fee
$ 115" CCD
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Ff�fl not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all Hab•lities, judgments, costs, and expenses which may in any way accrue
again aid County in.consequenc of the granting of this permit.
`
X a gate "-ad 4
Signature of Applicant — wner ❑ Contractor �/ Agent ❑
An OSHA permit is required for excavation o e t1' deep and demolition or construct-
ion of structures over 3 stories in height. 7
Mobile Home Installation Fee $
00
TOTAL PERMIT FEE $ ,
OCCUP. GROUP
I TYPE OF CONST.
I V
r'
I PARC L
P�l
I NDS
IS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P! yIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date6-
Receipt No. (o
NK N E ENROD-APPLICANT
WHITE-D.P.W., YELLOW-ASSE SO IP
COUNTY OF BUTTE - DEPARTMENT, OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S
SO. FT. OCC, BUILDING VALUATIO
OWNER'F MAILING ADDRESS
azv,
ONTRACTOR'SNAME
e24' 4fAle-n
TELEPHONE
CONTRACTOR'S MAILI G _ADD ESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECT Y
Building sewer
5.00
Mobile Home S I G I W I
I 110-00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ OtherX
Describe work: —
f- r_
Permit Fee
$
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
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC. BLDGS.
2I/20sq ft
CONTRACTORS LICENSE LAW
I declare under pen Ity of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business(OUT20050a
and Professions Code and m license is in full force and effect.
License No. �%zRk-Classification y a —''3
❑ 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 CONSTP-(LTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &
NON.R ESI D. ( SING LE OUTLET CIR.
FIXTURES BALQ30
Ex. OccupFIXED
A POR
LNS R
EX. OCCUp. OUTLETS I RESID.)EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
ORKMEN'S COMPENSATION INSURANCE
I declare un penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilit' s, judgm ts, c ts, and expenses which may in any way accrue
agai st s I County ' c e ence of the anting of this permit.
`
X Date `� —Z
Signature of App icant — Owner 0 Contractor ® Agent ❑
An OSHA permit is required for excavations over 5'0'"`deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee _
�$
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OP CONST.
PARCEL
PD
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
IRECT P LIC
By
PERMIT EXPIRES gate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
4A-),�Aosd
Date/ Q/
Receipt No. /%�
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
UAI
DFpCOT OF u,C USC
✓��
,941985 �RkS
I
.1,
"'PERMIT NO. 6348-79B,PE,M
PERMIT EXPIRES
%OWNERRay
E. Johnson, -Jr.
owner
-.IbONTR.
44-38-102 port.
,"LOCATION (A.P. —
705 Lawn Dr., lot 44, North Park�Sub,Chico
is
Temp. Power Pole
Called PG&E
44c4i—Elec. Serv.
Called PG&E
4AugL Gas Serv.
Called PG&E,
JOB
FINALED
(Date)
6N,
(SigrratJd)'
Fit ZAL Perciit 10.
�� z9
$. Entra• c _ea _t Sideli�i P-. Section
S , lol� DD to_
:/ Fi'.iK 2^-'<7 _ 1Car GE`•S, �'O 1b�iS�1. ct( ''3rl•onne _- �l
izz
.I. & B h F ,ures
�. Elec` -r& iso are 7 ab
. S. c _
,_F1Y�Jla _e or Stove -_-_Clearances, Hearth
& Anpl_2nces in Kitcherz.--Ground?d---Ai"r Gap --Cooking Clearance
12.. P cies at Kitc -.1 rpuntnz.
G?r2=z Fire Door --S 4 -ns -& Landinz- Closer
'`. :Fater Heater --Vents, Clearances, Combustioa Air, P.R.V., Connector's Caraoe-Haight &
i•1�ch _ rot2c � ion
re-�slls" & Ooen_ngs--A-ea Separation Walls
17. r t
18. I ? ti-on--Fo=^--Loo'_•ced in Att? c /� Yes
19-:71-S s at Ext. Doors & Landings
? - - - -- _�
7 . cundat;O-u Vents &. Crawl hole Door--Draina. e & Wood -Earth Clearances--
.Looked —, der Floor %�% Yes
22. Tollo-..7iag, Lnstnl led.: Drive _( ,( \'o;- [Jal?cs % es Lf No; Planters or
_ W, t1 -1,1.s / / Yes *r4__W—,o- Creatinz Dx.�-".nag_e_Problems 7"7 Yes %`-$-44e
A TJni t-JDi SCO_li?ect, ClearanceSLBrezner & Conductor Size --115V Outlet
��enys Above Roof---Plmbina, A-oplia*ices, Fireplace --Clearance to Cpenir-Rs
.25.
r Electrica? Trite & C.F.I. Receptacle
t� :.La[:ion Throughout House
2 Glass Orotectlon
29. er_�i.oas r,:'1-. :I L revi.ous Inspections
._ "'tom `-te _s Taccred _Gas & Electric _
3-- i:�-__ Su.mc1y & Seuace Conuected
8. C,7r,-,,)liance Certi.Ticate -
��5 i�r. Jib Card
MR-BDIG- •-Above Floor Permit �o.
1. dater IiP_ater--Vent--Access--Combustion Air _
2. dater Pioe--Test & Anchors --nail Protection
3. Drain Pie--Test--Fittings & Anchors --Nail Protection 42" Test [__]
4. Shower .Pan --Test, First floor --Tub Access
5. Test Tub & Sno,;ar, second floor --Tub Access
6. Gas Pine ---Sze & Anchors
�.. S ion Job Card
and -BI Date Card -BI Date
and -BI rate Card -B1 Date
ELECTRICAL --Above Floor Perait Ivo.- '
1. Clearance & Insulation Protection at Flush Light Fixtures
-2• Elec. Receu:acles Spacing --Lights & Switches at Doors
3. Size Foxes & No. of Conductors --Stapled
:4. Rcnex Installed Close to Edge of Studs & C.J. ~•_
5. Equip. Ground made up w/Piech. Fasteners
6. 2 Appliance Circuits in Kitchen & Conductor Size
7. Sub Feeders --Wire size Q ga. Cu or 'Al, Breaker Size Amp.--
_ Insulated P,eutilal, Yes LO—=-
8..
go 8.. Range Circuit [_j ga. Cu or Al, Breaker Size Amp. --Oven Circuit /-- ga. Cu os
Breaker Size Cj Amp. _
9. Service --Riser Conductors & Ground
10. Bond Gas & Water Pipas
11 Clothes Closet Light --Shower Light
-12Sian Job Ca=d am
fit
Card -BI Date Card -BI Date
Card -BI Date Card --Bl Date !
- . MECI-MICAL--Above Floor _ Permit No, -
I. A. 6.,
Ducts--insulation & Support
2. Vent Fan--r.chaust Above Insulation
-3. Condensate Drain & Overflow --Size & Grada
4. Furnace- -Vent-- Access-COmb.Air--Return Air Vent --115V Outlet .,
5. Attic Access & Platform if'Furmace in At -tic
6. Sign Job Card _
,rar_d-BI Date Card -.BI Date
Card -BI Date Card --BI Date I
f ,
ERSET
pp..pp r COMPANY
im LICENSED CONTRACTOR
Phone: 342.4764
P.O. Box 628 — Durham, California 95938 -
INSULATION (Batted or Blown) G
Date
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH
THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25,
STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
�y
Street Lot Number Tract No.
EXTERIOR WALLS
Manufacturer SLic� Thickness/Type 3 � R Value
CEILINGS
Batts: Manufacturer Thickness R Value
/
Blown: Manufacture Thic nerss� Mo. Bags Wt./Bag`—_�
Sq. Ft. Covered l� R Value
FLOORS
y Manufacturer
SLAB ON GRADE
Thickness/Type R Value
Manufacturer Thickness/Type _
Width of Insulation Inches
FOUNDATION WALLS
Manufacturer Thickness/Type
R Value
R Value
GENERAL CONTRACTOR LICENSE NUMBER
BY T LE/ DATE
(NSU TIO ONTRA TOR ./- LICENSE NUMBE
TITLE DAT
SAVE ENERGY - INSULATE!
( DATE) -
ACCEPTED ET
COMPANYd R
(Author..aeprecentati )
4
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge,_ Single Glazed A/
Fdn. Walls— Special (Insulated)
Floors /X CERT. & LABELED WDS.
Walls P—// & SLIDINC DIkS. V/
Ceiling/Roof W'EATRERSTE.IPPED DRS. I/ t
Ducts 7' AACK DAMPERED FANS J.
Circulating Pipes 7' INTF101ITTLNT ICNITION DEVICES
APPROVED HEATER gAr APPLIANCES
APPROVED WTR.Irrk.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE 11AVE BEEN INSTALLED.
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SU10ITTED.
Insulation Applipator Name
Signature of,, (please print)
Insulation Applicator
State Contractors
License No.'
General Cgptractor/Owner Namene3 �s.� -
, a �S. ��kw<4
Signature of (please print)
General Contractor/e A A .0-'
Date
Sta Contractors
L, ise No.
I.
THIS CERTIFICATE MST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -'TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE
CERTIFICATE
THIS IS TO CERTIFY
THAT ENERGY CONSERVATION
REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSE
_�RYATION REGULATIONS
(location)
BUILDING PERMIT NO,.
C -o
A.P. NO
4
THE FOLLOWING HAVE BEEN INSTALLED AS
PER APPROVED PLANS:
4
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge,_ Single Glazed A/
Fdn. Walls— Special (Insulated)
Floors /X CERT. & LABELED WDS.
Walls P—// & SLIDINC DIkS. V/
Ceiling/Roof W'EATRERSTE.IPPED DRS. I/ t
Ducts 7' AACK DAMPERED FANS J.
Circulating Pipes 7' INTF101ITTLNT ICNITION DEVICES
APPROVED HEATER gAr APPLIANCES
APPROVED WTR.Irrk.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE 11AVE BEEN INSTALLED.
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SU10ITTED.
Insulation Applipator Name
Signature of,, (please print)
Insulation Applicator
State Contractors
License No.'
General Cgptractor/Owner Namene3 �s.� -
, a �S. ��kw<4
Signature of (please print)
General Contractor/e A A .0-'
Date
Sta Contractors
L, ise No.
I.
THIS CERTIFICATE MST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -'TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
PLUMBI G ---Above. Floor_ Permit 'No. -
1_, Wat:e.r Heater==Vent"Inst.-properl;t==Access--Combustion_ Air_
2... Meter Pipe --Test & Anchors
-3. Drain Pine--Test--Fittings. &. Anchors.4.211 -L
4... Shower Pane --Test, first floor --Tub Access,
5. Test -Tub & Shower, second floor ---Tub Access
6.. Gas Pipe --Size & Anchors
7. Sign Job Card
ALI. OF ABOVE CCMPLETED E -D EXCE-PT
Sianfs:i • Date:
ABOVE LISTED CORRECTION5 COMPLETED Date:
ELECTRICAL --Above Floor. Permit No.
1, Clearance & Insulation Protection_ at Flush Tight Fixtures
?. Elec Receptacles Spaced Proper?.v__ ,:`;ii & Switches at Doors
3. Size Boxes & No. of Conductors --Stapled
4. R6mex Installed Close tc? E3 e q :Muds & C.>J.
Eouip,. Ground made up w/Meeh. I'as',en.ers
6, 2 Anpliance Circuits in Kitchen & C:)onductor Size
7. Sub Feeders --proper size
8. JService—=-Riser Cd duc/-ors & Ground.
Aj/` Bond Gasa Waj��UL66s
10. Clothes Close„ iph.t--Shower Light
11. Sign Job Card
ALL OF ABOVE COMPLETED EXCEPT
r.�d �Date :
ABOVE .LISTED CORRECTIONS COMPLF;°iRD Date:
MECirANIC.A.i,--Above Floor Permit No.
1.' A.C, Ducts--Insulation.&Sup,ort as required
2. Vent Fan --Exhaust Above Insulatier).
3, Condensate Drain & Overflow --Size & Grade
4 Furnace --Vent Inst. Properlv---kCcess--Comb. A.i.r---Return Air Vent
5. Attic Access & Platform if Furnace in Attic
6. Sign Job Card ,
AL+., OF ABOVE COMPLETED LJ EXCE..>T
Sic ed _ Date _
ABO!; 1ISTED C'ORRECTIO.AIS COMPLETED Date.:
FR.kMING j Permit No.
1. Sills--P,roper Material and Anchors
2. Studs= Nailed & SDaced Prorer
5. BracesvVlhere Required
Bearine«;�lls over Girders & Flocs Nail
°5.
Draft .gt
in Walls
(rat roof)
6.
Fire S/0p
at Furred
Ceilings & Stair Stringer
Header Size & C.J. Size
8. Joist Hangers Where Required
9. Rafter Tis Pulins Roof Br_a.cin�_Trusses
10. Fire ace Ties or Type A Flue--F_i.replace Throat
11: Attic `cess --Size & Romex Protection
12. Ext."Door or Req. Hgt. & Size Window --Bedroom
13. Gare Fire Protection Framin
14. Area Separation Walls --1 hr. Fire --2 hr. Fire
15.
Ext. Doors --One
3' — Check
GaragE: if Required
16.
Check -Stairs if.
2—story
if required
17. Post Caps & Anchors
18. Type Plywood on Roof Overhang--X'..tic Vents --Rafter Outriggers
19. Siding --Nailed Properly --Veneer
20.
Stucco
Mesh, Drip
Screed & Foundation Vents
21.
Glass
Protection
if required
22. Sign Job Card
ALL OF ABOVE COMPLETED _ EXCE:F'•_'
Signed: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
h
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall {
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings ---;7/
Windows e,— 1
3rd Floor
Stemwal I
SidingTo
out A
Slab
Roof Sheathing
Water PI in
Piers
Roofing
Sewer
Garage'
Fdn. Vents
Fixtures
Footings 04
Stemwa l I
Garage Vents
Insulation �, ,. _,
Water Htr.
Heaters
Slab
Carport
p
Footings
Prov. for phsically
handica ed
Conformance of ex. j
structure i
Appliances
Gas PI in &Test
Temp. Gas
Slab
Final !
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat — l --
Rough
Reinf. Steel
Final f
Fixtures
Bond Beam'
FIRE SPRINKLERS
Motors
Framing Z — /— O
Test
Water Htr.
Stucco
Final
Subpanels
Mesh / —
MECHANICAL
Grd. Fault Prot.
Scratch Z Z
Heatincl
Service
Brown
Cooling
Temp. Pole
Finish
Ducts ✓( --
Underground
Interior Lath
Ventilation ;
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES -----------------
Elec. Service ;
Moot
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you vislt the job site.)
M E C H A N I C A L
Check List
❑ Permit
❑ Underfloo Sta e
® Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch
receptacles and registers. (7) Fire -stopping. (8) Boots: (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.-
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) Wrapping.
(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,.
plumbing, etc.
® Combustion Air: (1) Size.
❑ Refrigerant Piping: (1) Material. (2)'Support. (3) Fittings. (4) Insulation.
❑ Framing Stage
❑ Heating: (1) Approved appliances. (2) Accessibility..(3) Clearances.
(4) Combustion air.
❑ Vent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap:
(5) Termination.
❑ Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation.
(6) F ire Damper.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Final
❑ Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
[]Cooling: (1) Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
®
Permit
,Underfloor
Stage
D.W.V.: (1) Sizing. (2), Materials. (3) Fittings. (4) -'Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
(8) Wrapping. (9) Test - including'"Ts". (10). Additional test not
required.*
Water: (1) Sizing. (2) Materials. (3) Support. (4) Test. (5) Wrapping.
®*
(6) Dissimilar metals. (7) Service regulator.installed or not required.*
0
Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
0
Framing Stage (Top Out)
D.W.V.: (1) Size. (2) Vent A'rea'& Termination. (3) -Materials. (4) Fittings.
(5) Grade & Support. (6) Clea.nouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10).Toilet Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
E1*
(14) Additional 2nd floor test not required.*
Water: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.
a
Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
®
Water Heater: (1) Vent..(2).Location;:(3):.PR.Valve Drain.
0
Final
�-D.W.V.: (1) Connected to sewer system. (2) Special systems.
Water: (1) Water Source. (2) Shut-off. (3) Anti -siphon Valves.
0
Gas: (1) Test. (2) Connectors.
Q
Water Heater: (1) Location. (2) Accessibility. (3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection..(7) Combustion Air.
(8) Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shut-off and
connector. (12) PR Valve & Drain.
Fixtures: (1) Approved. (2).Stability. (3) Clearances. -(4) Trapped-.
(5) Connections. (6) Cross -connections. (7) Dishwasher Air Gap.
M1
COUNTY OF BUTTE DIEPARTMENT OF PUBLIC WORKS
f - 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541 s„ �lep—;
j '^
APPLICATION AND PERMIT (UZi
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
O
Mailing Address �A(DPou ����
CL t ,c Q
ele;hone No
319 Ca 0-
Contractor
Mailing Address
Fireplace
oo, Do
`
Total Valuation 1 00
Telephone No.
Permit Fee
Building Address
Plan Checking Fee&/or Penalty
Permit Fee
I's -3,00
/73 OC
QV
PLUMBING
No. @
FEE
PERMIT FILING FEE
$3.00
Each Trap 1.50 OQ
'\
C C V
Repair drainage or vent piping 1.50
/ p/ n_JO X0,2 C Q�„3
A. P. No. "fY// (
,-L
Zonin Planning
Water piping
1.50
1,50
Each gas water heater or vent 1.50 /.150
s
C.
SOC' n
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 J.'50
EQA
Parking Parcel
Plans Declaration
Parcel Ma 60' R/W
P
Im r e
p ovemn
h additional outlet .30
Building sewer 5.00
BI 9, Wns ec
Parcel Approval
Plans Approval
Lawn sprinkler system 2.00
NEW
ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $
ELECTRICAL
No. @
FEE
PERMIT FILING FEE
$3.00
3, Ob
Main service 600v OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 2.50
Main service OVER
100 AMPP OR LESS O
25,00
Main service EA. ADD'L 100 AMP 1.00
NEW CONST. NG Occup. B /
OR ADDNS. LDGS. 22sgft IVO
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:
NEW (MULTI -OUTLET
NON.CONST BRANCH CIRCUITS)
RESID.
2.50ea
NEW CONSTR
NON-RESID. SINGLE OUTLET CIR.
EX. OccuD{OUTLETS OR FIXTURES, -@
Ex. OCCup. ( OU LETS P(RESID )REA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
m exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No. @
FEE
WORKMEN'S COMPENSATION INSURANCE
I 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.
IffI 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.
PERMIT FILING FEE
$3.00
T,OU
Heating m , QO
DUO VAC
Cooling L{,(b Y,,CD
Ventilation
Hood 1 2.00 4 CIO
Permit Fee $ 0C)
$ !t
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 buildinq construction, and hereby
Land Development Fee
TOTAL PERMIT FEE
$'�� /C
authorize represent tiv s of the County of Butte to enter upon the
ph-mg;tioned proRertr for inspection purposes.
`�9 Date o
of P - 44i—.. or Agent
Receipt No.1 o0*-; / / 9
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR.QF PUBLIC WORKS
BEV %� '� eat DateG
f lLg' permit expires Date t o — (2—X
,
(nd
speThis set of =planscificq+ion4 MUST' bo' .
r'. in ; t : kept aii the. job at II. times .and 'it.:is }gwful�}a :,;��
maks any,cha 'q Ons On _
from t� t,
writFen' r �' r� j' '!� i'� r.�
W pe rnis ion fr Department of Public ��
orks, Counfy of Butte i�;'�
�.;,.
O, �;t il;l.,
i� r pit I� s .. .. -, •��/� � � r �= e �� '� 7t;}�,
'Y?i il• � � .,�;—= is ^t° I ��� r ,!:•rtt Y�3t,i�}'{It
` 4
'+r
It I - I Sn
,14
do
� I "4� S t I � - Y Y �r • !t }
' cit � t . Ii:.. i► t •. ! , ul , 4 I 1
4 •x. S, t i� I I y r i
1419 I ,y� tl='}04
w
---------------
I
' ,, , I •. . �i'1-QN ""IDS I� I, . a{'�` f;j! sl
tY
S ��,;•'' `" fr.L.ill. - Q?OIT-
- @ 'Jri/i�/. ... �t •'y�yY�" l��ri�i',
t ra
1 t�t/,v f r y \,�/ f.. r � '.} f I-'� 1XrY'�t i a.? �<�•
Ill* Mg. Setback shall be 5 ft. from tho t I*.
propwfy bne and 50 ft. from
5 n et oorirne of 'the raced, permitting a moxa
;.
.. I �I % 'G� L. _ .1 __...,._._ , mt�n of a 2 ft, eave overhang but entirely
...."t of aN easements.
BUTTE ,• - 1 •t
fly, Y t4tt��Y.It Y. krjll,tt
' 1 -BUILDING, D�AitM� I
'AP P R ®r/`:
FAFH
i�iC
tr
TT ` _2_
`IA•
See Master Plan on file for building
7117 Plans.