HomeMy WebLinkAbout007-390-003�ke Ho a s��
' 33' Silverbell Rd., lot 3, Woodside
Sub co
Permi ��3'32-80B(new single family) r�
7-59-0
Contr : Gore ite Plumbing A,.x
i Permit#3300-8 bg/3232-80)SF�
Contr: McClellan .AC, Chico
Permit#3494-8 (mech/322-80)SF
. Reed Francis Electric s
ContPe mit#3933-80E(ele/3232-80)SF _4
H. A. Carling /�
3393 Silverbell, lot 3, Chico
Permit #3236-81B(new patio cover/SF)
7-39-
Contr: Mike Watts
PErmit#367 -87B E addition SF
B08-0599 007-390-003
MISCELLANEOUS Re -Roof
REROOF 27 SQ ,
3393 SILVERBELL RD
CARLING, FAMILY TRUST
f i
I
I
�o �chc,1
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
PROJECT INFORMATION
Site Address: 3393 SILVERBELL RD
Owner:
Permit NO: B08-0599
APN: 007-390-003
CARLING, FAMILY TRUST
Issued Date: 4/4/2008 By GLB
Permit type: MISCELLANEOUS
3393 SILVERBELL RD
Subtype: Re -Roof
CHICO, CA 95973
Expiration Date: 4/4/2009
Description: REROOF 27 SQ
(530) 893-5116
Occupancy: Zoning: ASR
Contractor
Applicant:
Square Footage:
JIMBOE ROOFING
CARLING,
FAMILY TRUST
Building Garage RemdVAddn
365 GARDENSIDE CT
3393 SILVERBELL RD
CHICO, CA 95973
CHICO, CA 95973
Other Porch/Patio Total
(530)894-7269
(530)893-5116
FEE INFORMATION
DBMSC Re -Roofing $176.00
Total Charged: $176.00 Fees Paid: $176.00
Balance Due: $0.00 Receipt No: B6900
LICENSED CONTRACTOR'S DECLARATION
OWNER /: BUILDER, DECLARATION
Contractor (Name) State Contractors License No. / Class / F- spires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
JIMBOE ROOFING 878520 / C 39 / 5/31/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
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
pursuant to the provisions of the Contractors License Law (Chapter 9 (commencing with Section 7000)
is in full force and effect.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 4/4/2008
the applicant to a civil penalty of not more than five hundred dollars ($5001;
Please check one of the following:
Contractor's Signature Date
❑ 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 Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
HAVE AND
the work himself or herself or through his or her own employees, provided that such improvements
❑I WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑❑
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractors License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier. State Fund policy Number: 713-0017758 Exp. Date:9/1/2008
Contractor's License Law.).
(This section need not be competed if the permit is or one hundred dollars ($100) or less.)
❑ I AM EXEMPT under Section B. 8 P.C. for this reason:
❑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'
X 4/4/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 4/4/2008
•:.;
I hereby certify that I have read this application and stale that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
injury, including death, and property damage caused by, arising out of, or in any way connected with
o ,o
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
Propert mer or a orized to f n the property owners behalf.
4/4/2008
CONSTRUCTION LENDING AGENCY
1 HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print I Date
the performance of the work for which this permit is issued. (3097 civ. code)
❑ Owner 1:1 Contractor OR. Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION*
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
PLEASE PRINT CLEARLY
PERMIT
NO.
BIN #
"When filed, this application and all supporting material becomes subject to the California Public Records Act. All public information
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
L me -,6 C— G
F— 'i /�j JL_ -J
Maili wul 3 1 L �� IL�b►r,C.C� 2 ✓.�
City C__ /' -4—`
Stat
7
PJ8cC3
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name l
City
Address
C� 1=
Address
5
�Or 5i �OtZ. C l
ci -a
Zip
stgS�
7
e .7
Fax
-mail
State License Number
Lic. #�6�aO
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name
Address
City
State
Zip
Phone
Fax
E-mail
APPLICANT SIGNATURE
X
PROJECT LOCATION
API DU -7-
Property Address'::Fl L U [z`:�r3
City
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than licensed contractors, a certificate of
worker's compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK.
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use): \_ 1
For office use only:
Zoning7
FloodZone
SRA
Yes
No
Occ.
Type Const.
PERVjIT NO. 3232-80B
PERMIT EXPIRES
OWNER Drake Homes
f.'CONTR. owner
LOCATION (A.P. 44-47-74''port -
3393 Silverbell Rd., lot 3, Woodside Sub,
Chico
Temp. Power Pole
Called PG& -E
T*m@—Elec. Serv.
Called PG&V,'�'
Te -P, Gas— erv' as
CaIlVdP PG&E
JOB
FINALED—
(Date)
(Signature)
o
6L
RESIDENTIAL {Singh and Duplex),
Onto UNDERFLgOR (Plans " eAeP,
Davi FRAC, NG (Continued)
1. ZQrfi_ng requireffr<s-Sattrl-cks-E3
Property Line Firewall & Openings
tg- Depth
e-FTg. Qc--�
4 t. Doors -Ons 3' -Check G3r3g7-1d story, 2 exits
aadroorn -M-.r.
se -R -Landing -Firs Protection
4. �P.49,_P,0664,1& & Oeeks: Go; I a 6 m 9" E"
M4' P yvjcod on Roof Overhang-Arric Access -Ratter Outriggers
.5 walls, hlaio�3feeL�blocVuafWra�ad-S1ab
y -Veneer •-
6XStemwails, Garage: Steel-Blockcuts-,ir-apped-Slab
_-
Stucco Mesh -Drip Scre-d-Fdri. Van!s-Ur.dE!ff;r. Access
q4e"Glazing Area -Glass Protection-Skylight3-Plastic,
8. D.VjJV.: FaU-,F`ilzi74s---Test-2
Nailing -Bolts
Ss Pipe: Size -Anchors
Dater Pips: Test-Anchors-R--ot.,Iater-Sevica Test
I t,-)<P_!ectric; Underground
12,,'N<Plenums & Ducts; Clearance--MatarialSupport-lis.
13>1tirders-Sills-Anchor Bolts-Joists.-Vents-Crippigs
-el
Date Date
fCar,,-31
Date Card -BI Data
[Card -BI
Date Card -BI Data
Card BI Date !rd -Bl Data
Card -81 Date Card -BI Data
oats
F114AL (Plan except P's
Vats PLU;JBING (Permit) OK except O's
r
VC Vla_;er Ht.; Vent- Access-Cornbustion Air
58. Furnace-, Ve rrfs--Ctor-
I arage; Aboye or -0u nhch. tion
later t'?�Test Anc t4clicn
,&
TC-,s�-Fttfji&Vh.rs_1piao1 Protection
Bedroom Exiti��
Shower Pan; Test, First Floor -Tub Access
60. G. F. 1: & &,-rKFixture ,Tu cas-
tlTstub-Shower, 2nd Floor -Tub Access
6 psi:
Gas Pipe; Size A Anchors
E3'. mP;Faplaxrm_SLou&: Cleetifnce34'lel
_J
Sgfdel Date Mj�aU Card -81 Data
65. Kit. Fixt. & pfrp-liance: ggE<—t it _ -_wkinT!I!'i9aranc9
C 'd BI ats-a•tard-BI Date
-
65. Elec,ap"Oe'Is &,Wece at Kit rgr
DateC_TPIC�L (Permit) OK except ✓P's
67. Garage Ei4a-Door:
E3.
• 5PF) •Lure& Transformer Clearance -Ins. Praiection
69. Wir. H,%;,Wnnts-Cl-2ara
In Garage; Abov_+,1KToor.
29. Ipc. Receptacles Spacing-Lishts & Swi;ches at Doors
2 - ' e Boxes & No. of Conductors-Staplad
70. Plb.
931-.v max lnstall�d Close to Edge at Studs & C.J.
71. Elec. Recep!gf!! sin Gzraqa; (G.F.I.)72P!!5pro!9c-
Egie-rp. Ground made up w/Mech. Fastaners-Bond Gas & Water
"Foa A in Attic L4_Ye�s
72. Insulallpe m -I co.kL__
2 Appliance Circuits in Kitchen & Conductor Size
2'6. Subf-sed-Wre-Sre-s./ / ga. Cu or M-A.C. Yhre Size /Y/ ga. Cu 0
74. Fdn. Vents t CrawlW9+9 'Wood -Earth Claaranco
Looked under Floor
ty,&222�
c. /
27. Range Circ. ga. Cu orgjg�!Ovan Cir, ga. Cu or Al,
insulated Neutraf Elyes K�
75. Following instil.: -Driv 6+YS'T� 0 No. Walks 0(tes-0 No;
Planters [3yes i&�Creatinq Drug. Problems 0 Ye.9
W'-S_er-vice-Riser Conductors & Gro&Qktain Disconnect
x.76, Stucco; Efalrn--Finish
uip. clearances; Panels-Motcrs-Mach. Equip.
.77. A. rt; Disq_jaae6-ClrncOt-W4v�& Cond.
ight-Shower Light
78. Vens,.AAoV'e Root:
79.
60.,
d rd 3v7_ji_Datq Card -Bl Casa
El. Ventilation ttr ut House
Card 13-1 Date Card -BI Date
82. Glass Pit4etffion
Data MECHANICAL (Permit) OK except 9's
83.
01 1 Aq *9-
Tag jr:c
C. Ducts; Insulation & Support
E5. Wat _4*rC—annect?_1 _r ad -2 -HO
nt Fan; Exhaust above Insulation
F
Atoorn-Lrgy Compliance Certificate--O!'iief Certificates
3*101C
_gndensale Drain & Overflow; Size & Grade
u. nace-vent; Access -Comb. A i r -Return Air Vent -1 i 5V outlet
-3latrorrn if Furnish in Attic
Card -8I
Datae—IW-AW Card -BI Date
Date rl'79�1Eard-Bl Daze
Card -81
Date 14!?8 rd -BI Date
Card -81 Data Cafd-51 DaisCard-BI
Da!s Card -Bt Data
Date FRA.!el NG (Plans) OK except #'s
Cor, cants at Final:
Sllls; Proper Matsri3l & Anchcrs
Studs -Nailing, Spacing & Bracing -Plates -Sound
*1---dring Viills over Girders & Floor Nailing
30 --"Draft Siop in Walls (rat proof)
Fire Stops: Furred Ceilings-Siairs-Chases-Tub
4Ader & BedM-Size & Bearing
. Hangars -Post Caps-Anchcrs-Connectors
04,3s/c"'g. Joist-Rlir. Ties-Purling-Rcot Brac:nthrip.-Rfna.
Ties or Typ&A Fl%:e-Fi.eplxe Tnroa!
4A, -'Attic Access: Size & Rainq,. Pro*&ctica-Draft S:o.3-Ins. Baffals
rai. Windows or Exiling Doors -Sill K -F. & Dif, , eniiGrI3
Fire Protection Framing
PR .0 OF; >.
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
Windows
3rd Floor
Stemwall
Sidin
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
StemwaI I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handica ed
Conformance of ex.
structure
Appliances
Gas Pip!n &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Relnf. Steel I Final ' I Fixtures
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
E OME 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 visit the job .site.)
ERSEi'
COMPANY
LICENbEO CONTRACTOR
Phone: 342.4764
P.O. Box 628 — Durham, California 95938
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALT,ED IN CONFORMANCE WIT CU RR NT E�CONSERV ION REGULATIONS
AT 0
(location)
BU ILD ING PERMIT NO. A.P. NO . _
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge A—a/ Single Glazed
Fdn. Walls ft 191 j Special (Insulated)
Floors CERT. & LABELED WDS.
Walls / _-/ & SLIDING DRS. ✓
Ceiling/Roof WEATHERST RIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating Pipes_kL-,INTERMITTENT IGNITION DEVICES
APPROVED HEATER A, _.. CERT. APPLIANCES
APPROVED WTR.11TR.1.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CANSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS OERTI KATE AS SUBMITTED.
Insulation Applicator Name
Signature of
Insulation Applicator
General Contractor/Owner Name
Signature of
General Contractor/Owne
(phase print)
State Contractors;�.� �
License No.
(plea • print)
Date
ate Contractor
icense No. 3 s
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
` REQUES.TING.FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERMIT NO.�,�
Z�,((JJjj
ASSESSOR A C LNUM ER
- �- a &r_7- •
ZONING
C2 !�S
BUILDING PERMI
O NER/1
/t K�
TELEPHONE
SO. FT. O/C�C. BUILDING -VALUATION
/`J/V
t„ F
OWNER'S MAILING ADDRESS
3 M
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERMIT NO.�,�
Z�,((JJjj
ASSESSOR A C LNUM ER
- �- a &r_7- •
ZONING
C2 !�S
BUILDING PERMI
O NER/1
/t K�
TELEPHONE
SO. FT. O/C�C. BUILDING -VALUATION
/`J/V
!60
OWNER'S MAILING ADDRESS
3 M
Z, cry
CONTRACTOR'S OR'S NAME /
/7/l //L/tG^ lT/'-V�
TELEPHON
$�IS-3 -3G`r
/J�,/
/J Vs'r0,,
tJ W
CON RACTOR'S MAILINGjADDRESS/� 9` r�
���C��ooNSTRU ION LErp�l
WALLS RP�r0 KG4[ �q7�' �,VD, �y,P.VUP
U KNOWN
Fireplace
Jv�
Total Valuation $
37Sb7,00
ING ADDRESS
I,E�DER O X 25�®o9 SAG, CA y 5g 2s
Permit Fee
$ '151,66
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ , ` S'
Penalty
$
ARCHITECT OR ER(GINEER'S MAILING ADDRESS,
Permit fee
$ '8g, j
BUILDING ADDRESS
3 511-VEr_8_Q_Zt_ ' �?Dl
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
Lor O.
SUBDIVISION NAME
(/V OI`✓�s.7 I L)
PARCEL MAP
Each qas water heater or vent
2.00'
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New []Addition ❑ Remodel ❑ U t i Iities ❑ InstallationEl Other ❑
Describe work: —
/LM-S%'C—e_ 2-3-76
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORLESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBL GS.CCUP,&)
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess i ns Cod and my license is in ful force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO I TR. BRANCH CIRCTITS 2.50 ea
NEw CONSTR. ( POWER APPARATUS a)
NON•RESID, SINGLE OUTLET CIR,
So
Ex. Occup( OR FIXTURES BAL@10Q
(FIXEDTs
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
o Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
❑
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked. I
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
u.
Hood
2.00
Ventilation
_IT�4
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 aIs g to save, indemnif and keep harmless the County of Butte against
all I' biliti jud ents, c s nd expenses which may in any way accrue
ag C t i o s qu c of the granting of this permit.
24j _�>O
Date +
Signature of Applicant — Owner ❑ Contra for ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33storiieees in height.
Mobile Home Installation Fee $
Land Development Fee $ 25,00
TOTAL PERMIT FEE $ 2 13,75'
oy�uP. GROUP
F},F�" °J�
TYPE OF CONST.
�`
PARCEL
PD
NO
15�E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
T EXPI
PE RES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date_/s?
Receipt NO. ?7-7
WHITE-O.P.W„ YELLOW- ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
��Oot7Sl D� c,�tJiavl•�: St JN
I `
i
Th is se} 1. of plans and specificat ens MUST be
Ul4.1 T 11:
g3.83
N E:—All aterials & Workmanship Shall Be In
ecordance w th. Recognized Good Proctic6s and
of a quality p escribed for the Specified .use • in the
Uniform Buildi Plumbing & Machanical LCodeS and
4we National ectcical Cade.
kept on the iob at all +;rues and it is tInlawfu o
makq any changes or alterations o same without
written permission from the Depart ent of Public
Works, County of Butte.
Ta See- Master Plan n file for
plans.
0
3
P"—. A setback of 5 ft. from the
• property lines and a setback
Of 50ft. from the road' -
centerline shall be clear of
structures or equipment erept
for a 2 ft. eave overhang.
2-
BUTTE COUNTY
BUILDING DEPARTME
APPROVED:
REVISED 2-I8-30 ;ti
( COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
T
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PE
RMI T
ASSESARC�L N`MBE - / ZONING
////��// [/l"
BUILDING PERMI
OWN TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW 'S MAILING ADDRESS
TRACTO 'S A E - /
T L PONE
CO A O MAILING ADORE_Sj
CONSTRUCTION LENDER
LINKNowy,
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT ORENGINEER'S MAILI G ADDRESS
Permit fee
$
BUILDING ADD SS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00 t�
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 -5 outlets
t00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
S100
Lawn sprinkler system
2.00
#
I
TYPE OF WORK
New ❑ Additio Remodel ❑ ti lities ❑Installation ❑ Other Rr
Describ work:
a �3
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
Main service EA. ADO'L too AMP
2.50
NEW CONS. DWELING O
OR ADDNST ( ACCLBLOGS.CCUP.&)
22 sq ft
CONTRACTORS LICENSE LAW
I declare nder penalty of perjury (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and y license is in full force nd effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID R BRANCH CTRCTITS 2.50 ea
NEW NON.CONSTRESID, R. SINGLE OUTLET CIRPOWER APPARATUS .&)
( .
Ex. OCCUp(OUTLETS OR FIXTURES 5O@�
BAL@tos
FIXED ALNS.
Ex. Occup.(OUT ETSP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ T 'permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIIng Fee 3.00
Heating
Cooling
Hood
2.00
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 sWCoun'in po se en e f t e granting of this permit.
X e %)
v
Sign ure of Applica — gent
Owner❑ Contractor A
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-15CTOR
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE ®`O
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ssuE
This permit is hereby issued under the applicable provi-
Sion f the Butte County Code and/or resolutions to do
wo ndic ted above for which fees have been paid.
OF PUBLIC WORKS
��
4VW
— Date �o
PERMIT EXPIRES Date
� C�
Receipt No. �JJ /���
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
J116
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
' APPLICATION AND PERMIT
P IT O.
v -
.A
ASSESSOR PARCEL NUM E r/�•
/
ZONING
BUILDING PERM
OWNER
Brake Homes
TELEPHONE
SQ. FT. OCC. BUILDIN ALUATION
DWNP.O.ILBoxD1 8, Chico, .Ca. 95927
CONTRACTOR'S NAME
McClelland Airr'%Coriditionin' Inc
TELEPHONE -
891 -6202
-
'
CONTRACTOR'S MAILING ADDRESS
690 Thunderbolt St. Chico, Ca. 95926
CONSTRUCTION LENDER
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
A
BUILDINDDRESS
G
3 A Siverbell Rd.
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.SUBDI
3
VISION NAME
Woodside
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF q Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ Re odel ❑ Utilities ❑ InstallationC Other ❑Q
De riby wor : —
Aazl
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORSLESS
5.00
_ (`�O
d
Main service EA. ADD'L 100 AMP
2,50
OR ACDNSNEW . ( ACCLBLDG$.LING CCUP,&)
20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
r-�
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.
345121
License No. Classification C-20
❑ 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 U TI.OUT LET
NON.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON-RESID, ( SINGLE OUTLET CIR,
Ex. Occup(OUTLETS OR FIXTURES SO@�
BAL@1
FIXED APPLES. OR
Ex. Occup.(ouTLETs (RESID,) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 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 3.00
Heating
O
Cooling Cy,
Hood
2.00
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, indemni y and keep harmless the County of Butte against
all liabil• ies, judgmenty, carpts nd expenses which may in any way accrue
agains aid County in s ue a of the granting of this permit.
n O
X Date /
Signo4ure of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and/demolition or construct-
of structures over3stories in height.ceipt
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD
NO
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI TOR O PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date"
T
Lion
No. T/ /
TE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
ln!N1T!71g1;100slzj
�` p861 u 111f
a,ana do
N
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
'' Y APPLICATION AND PERMIT
PERMIT N
ASSESSOR PARCEL NUMBER
y4% • ,��
ON NG
/j5'
BUILDING PERM T
OWNER
TELEPHI E
SO. FT. OCC. BUILDING ALUATION
OWNER'S MAILING ADDRESS
CON RACTO N�m€
�"�
TELEPHONE
�Y3
CONTRACTOR'S MAILING ADDRESS
17 �lv ) Le vo Avio e
CONSTRUCTION LE ER UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILI G ADDRNESS4
Permit Fee
$
ARCHITECT OR ENGINEER
��4r,Penalt
LICENSE No.
Plan Checking Fee
$
Y
'$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
.- ? 3 �' /
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
3
SUBDIVISION AME
/%
K/ ,0, e Z
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
��/uplex❑ Mobilehome❑ Other
SF I"1 D
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition ❑ R model ❑ Ut'lities ElInstallation❑ Other
Describe work: �ec �� �% �a�L�o�"�C—
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00•
Main service 100 AMP OR00V OR LESS5.00
Main service EA, ADO'L 100 AMP
2.50
NEW CONST. DWELING OR ADDNS. ACCLBLDGS. P,&
22sgft
CONTRACTORS LICENSE LAW
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.
(y
License No. ;2o'5—,2 Z b Classification _ �' l�
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR MULTI -OUTLET
NO N.RESID, BRANCH CIRC ITS 2.50 ea
NEW -
NEW CONSTR. POWER APPARATUS &
NON-RESID. %SINGLE OUTLET CIR.Ex
. Occu 50 @250
p�OUTLETS OR FIXTURES BAL@10e
EX. OCCU /FIXED APPLNS. OR
p•\OUTLETS (RESID.I EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ �s
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�/ 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 3.00
Heating
Cooling
Hood
2.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that.the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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 Co my in conse uen the granting of this permit.
XThis
Date
Signature of Applicant — Owner Contractor, Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE ?0^r
OCCUP. GROUP
I TYPE OF CONST,
PARCEL
PD I ND
I ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
EC OR OF PUBLIC
BY_ ZZAff
PERMIT EXP to
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1-30-96
/3
Receipt No. / O� ?� — __ -
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 3236-81B
PERMIT EXPIRES
OWNER H. A. Carling
CONTR. owner
ASSESSOR PARCEL 44-71-3
LOCATION 3393 Silverbell, Chico
Temp. Power Pole—
Called
ole_Called PG&E _
Temp. Elec. Service
i Called PG&E_
t
iI Temp. Gas Service _
I
Called PG&E
r
JOB FINALE D (Date)
Signature
V = OK
0 = Not OK '
= Not Applicable MOBILEHOMES
* = Not Ready -
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
Date
DECKS, C VERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
o g"Requirements= cks-t�ts
2. Soils; Special MH Support—Sketch
ootings; e—WgHl--_Sp g—Conml�
3. Sewer; Location—Test—Fall-C/0—Concrete
and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
ood Awn.;P—Bg3w�R6irs!Cor Is�hcr f grBrXk�
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
__
olumns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
ors; endows—Doors
7. Utility Clearance
.4 —Hees
Card -BI
Date Card -BI Date
Card -BI
& Date y Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL ISing.#e and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
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
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
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
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q'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
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail 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.
62.
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
19. Gas Pipe; Size & Anchors
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p'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 ❑Yes
73.
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 Al
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 At,
Insulated Neutral Ci Yes El No
75.
Following instld.: Drive ❑ Yes []No; Walks ❑ Yes []No;
Planters El Yes-. 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
82.
Glass Protection
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/0 tc 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 Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
36.
Sills; Proper Material & Anchors
_
37.
38.
39.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
__41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
-Attic-Access:. Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you vi sit job site)
i
COUNTY OF BUTTE - DEPIARTM&NT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 � 6 �-- CJ
.,
141APPLICATION AND PERMIT
ASSESS P RCEL NUMBE ZONING
—
BUILDING PERMIT
WNE ELEPHON
raIQ
SQ. FT. OCC. BUILDING VALUATION
0
SS
WNER' Al ING A1.2
CO A TOR'S N
EL PHONE
CONTRACTOR'S M NG ADDRESS
Fireplace
Total Valuation $
Z� .
CONSTRUCTION LENDER
,�
UNKNOWN
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
t1pARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee
Penalty
$
ARCHITECT OR ENGINEER'S M LING ADDRESS
Permit fee
$ ,
BUILDING ADDRESS 3v j, Jr`�
VIe
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISI N NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
+5_-OO
TYPE OF WORK
New ❑ Addition Remodel Utilities ❑ Installation❑ Other ❑
0%0', / �J 6i
Describe work: A A 7
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.EI)
OR ADDNS. \ ACC. BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. '"OUT
.ou LET 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR ( POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
Ex. 50 @ 25¢
OccupOUTLETS OR FIXTURES BAL01
FIXED APLNS
Ex. Occup. -(OUTLETS P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
FA I shall not employ any person in any manner so as to become subject
VX 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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 consequence of the granting of this permit.
X ./ ��1 Date Q /
Signature of Applicant – Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures overstories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
..
TYPE of CONST.
PARCEL
PD
ND ISSUE
This permit is hereby issued under
sions the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PERJO EXPIRES Date _
the applicable provi-
of
resolutions to do
fees have been paid.
WORKS
Date ,y
6, %i7 �2
t3
Receipt No. S-6 a SZ -1
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
k
PERMIT NO. 3677-87B, E
PERMIT EXPIRES
n% OWNER HAROLD & ARJORIE CARLING
CONTR. Mike Watts
I C if �v ASSESSOR PARCEL 7-29-3
LOCATION 3393 Silverbell Rd, Chico
}
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E /
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
= OK .
0 =.Not OK.
otReaableNdyMOBILE HOMES MISCELLANEOUS t
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Dafe ' "
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beam s-Rftrs.-Con nec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ ' / Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft. -
/ /"Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -B1 Date
3. Gas; MH Test -Demand -Valve -Connector -
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
_8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -B1
Date Card -B1 Date
9. Health Department Approval
-
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
J
= OK
o = NotOK
RESIDENTIAL (Single and duplex)
- 0
Not Applicable
3 Not Ready
Date
UNDERFLOOR ,(Plans) OK except #'s
Date . F A 1NG Continued
NN Zoning requirements -Setbacks -Easements
4. ngers-Post Caps -Anchors -Connectors
Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
1 'g. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
. fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
4' .,11tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Stemwalls, Main; Steel-Blockouts-Wrapped
. Bd rn. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrappedge
Fire Protection Framing
Slab; Steel -Wrapped
$6. property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test-
eadroom-Rise-Run-Landing-Fire Protection
10. Gas Pipe; Size -Anchors
. PI wood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
- i ing Veneer
12. Electric; Underground
cco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance -Material -Su pprt- Ins.
lazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
51.mghear Walls; Nailing -Bolts
15. Insulation
, nsulation-Walls-Clg.
S \ : Infiltration-Walls-Wndws
Card-131
Date/ /3 r -B1 Date
Card -B1
Date Card -131 Date
Card -131 Date) `7 Card -B1 Date
Card -B1 Date Card Date
Date
MBING (Per it OK except #'s
-B1
16. r Ht. nt-Access-Combustion Air
Date FINAL (Plans) OK except #'s
17. WaterNA; Test & Anchors -Nail Protection
. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V Te Fttngs & Anchors -Nail Protection
. Smoke Detector
19. Shoyfer Pan; Nt, First Floor -Tub Access
nts-Clearance-Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
20. Tesi Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Bedroom Exiting
6.4 G.F.I. & Bath Fixtures & Tub Access -Spa
—" -filet. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
—66,8tairs &Rails
Card -B1
Date Card -B1 Date
Clearances -Hearth
Date
EL 'CTRICAL (Permit) OK except #'s
. Elec. Outlets at Wood Panel; Int. & Ext.
. Fixture & Transformer Clearance -Ins. Protection
w09. K t. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
2 . Elec. Receptacles Spacing -Lights & Switches at Doors
E+eReceptacles at Kit. Counter
e Boxes & No. of Conductors -Stapled
--rage-Eire Door; Swing -Landing -Closer
2 omex Installed Close to Edge of Studs & C.J.
in Garage -Damper
W. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
., nts-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
pp lance Circuits in Kitchen & Conductor Size
ch. Equip. Listed for Location
ee Wire Size 7' / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
les in Garage; (G.F.I.)-Romex Protec.
'—/-ga.-Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
- -Looked in Attic ❑ Yes
_-MoGeard-Raft & Deck Construction -Post Caps
,3e-8Er7"=Riser Conductors & Ground -Main Disconnect
. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
34-Egaip-8l raves-Panels-Motors-Mech. Equip.
32 Clothes Closet Light -Shower Light -Spa Light
. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ es ` ❑ No
Stucco; Br n -Finish 'f
Card -B1
, . Date r/ <r7 Card -B1 Date
-'8-A.C. Unit; Disconnect, Elebtricqf, Plumbing
Card -B1
Date Card -B1 Date
X62 -Ver" Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
LVRCHACAL (Permit) OK except #'s
Nater Well; Disconnect, Electrical, Plumbing
33. .0 ucts Insulation & Support
34. V t Fan; Exhaust above insulation.
35. o densate Drain & Overflow; Size & Grade
NM. Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
—�86. Glass Protection
3!2. Fur ce-Vent; Access -Comb. Air -Return Air Vent -115 outlet
. C rrections from Previous Inpections
7. Attic ccess & Platform if Furnace in Attic
ters Tagged; Gas -Electric
ewer Connected -C/O to Grade -HD Approval
nergy Compliance Certificate -Other Certificates
Card -B1
Date Card -B1 Date
Card -B1
Date Card -B1 Date
Card -B Date and -81 Date
Card -B1 Dat22=4 Card -B1 Date
Card -B1 Date Card -B1 Date
Date FRAMING (Plans) OK except #'s
' Sills, Proper Material &Anchors
Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
Comments at Final:
Baring Walls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
ire Stops; Furred Ceilings -Stairs -Chases -Tub
4Q/Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
`T DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
x
CORRECTION NOTICE
L- til,% 7
OWNER "PERMTT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work -is completed. If you have any question pertaining to this
Vmater, or need additional explanation, please contact this office immediately.
!u ,
0
Inspector Date
COUNTY OF BUTTE
y 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
r� �7 _
OWNER / PERMIT NO.
A routine inspection Indicates that the following violations of County Ordinance
/existt the above address and should be corrected. Please notify this office
rrection of work is completed. If you have any question pertaining to this
or need additional explanation, pleaseecontact this office immediately.el
I
/LPI
i2klff 17
Inspector. Date
Owner • CPje0 A& Permit No. 26 / /—<��7
E N E.R G.Y C E R T I F I C A T I O N
.,
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches) 7'
CEILING
Batt or Blanket Type 31q T%
Thickness(inches) /b "
Loose'Fill Type
Minimum Thicknesi(Inches)
Area covered(ft. )
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name C--A-k3PAA, S C-Crr
Thermal Resistance(R Value)
Brand Name O(.l'IVNS - COPM1 `5
Thermal Resistance(R Value)IF-3Q
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R.Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that�the above insulation was installed in the above building
in conformance with the State of California Ener&, Requirements,
FIRM NAME/OWNER
C
S NATURE OF INSTALLATION APPLICATOR
STATE CONTRACTOR'S LICENSE NO.
O
/r?- - O U
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER lease print) STATE CONTRACTOR'S LICENSE NO.
C
�� - /7— e
SI TUBE OF GENERAL CONTRACTOR OWNER DATE _
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERM T 1�Q.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 /
APPLICATION"AND PERMIT CO
ASSESSORPARCEL NUMBER
C�o
ZONING
BUILDING PERMIT
pw�ER
n c� A 1 Y ori 09 21—� nc _
TELEPHONE
8_7 3 —cS�s (,
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
33��S�Lvcn1S'!�4
CONTRACTOR'S NAME
ITELEPHONE
CONTRACTOR'S MAILING ADDRESS
A_
Fireplace
O -
CON R CTION G.E�ER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAIL/If4 ADDRESS
/L�¢
Permit Fee
$
ARCHITECI-00 ENGINEER
�
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ p�
ARCHITECT ORR EN GINNtom//EER'S MAILING ADDRESS
EN
Penalty
$
BUILDING ADDRESS t
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
6f/iG
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME PARCEL MAP
Alccd /��
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFA9#h Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 -151utlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
�yy TYPE OF WORK
New ❑ Addition Remodel❑ Utilities ❑ Installation❑ Other ❑
Describe work: ��// �� 5=7,%� AeQA;; — /
-�lJST7yl,
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
QNTRACTORS LICENSE LAW
I declare nder pea y 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. '4110 96' M4
Classification'
1-1I, 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 OCC ,
OR ADDNS. ( ACC. BLDGS. /Zgsgft
NEW CON5TR ULTI.OUTLET2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCCUp(OUTLETS OR FIXTURES 20080*
SALO 30
FIXED APLINIS
Ex. OCCUp. OUTLETS P(RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
)i10RKMEN'S COMPENSATION INSURANCE
I declare under na ty of perjury (check one):
❑The permit is for $100.00 (valuation) or less.
k"'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 afny 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
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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 my in consequence of the granting of this permits
�f f� .--c`�? f
X d = Date �/ 8%
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 $
TOTAL P IT FE $
oF
SWPEI
LPJVeELt
PD
HD s9 E
This p mit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By /
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DateZ—
- O^
Receipt No.
WHITE-D.P.W., YELLOW-ASSE3SOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
.`c�tFi!"F" F4.(Y,S��v'"Tri`rrr�v'a ..�;z+-.,. •.y..w� ^. r..t t•�i,�•���,,,,ai-.�.+c..ti •« ��1;,�...r.,�;.r..rr+¢, y� jt} "f` , '�'�i}` 1
. T %h rl• '„ •�Gy "�� 1
COUNTY OF BUTTE - DEPARTMENT OF'P.UBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLIt YIft DATA SHEET
a.. /
° r Permit No.
OWNER C /�/Z%� t A. P. No. _ 67-31`� —1154
Proposed Building UseBuilding Inspecto Date //15
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed by preparer of plans, _
3, Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . .
6. School District "Fees Paid Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . .
44 9. Letter of signature authorizIi . . . . . . .
Sanitation approval from1Health Dept, 9
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
_.—...._15. Improvements may be required. . . .~ . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for .__...__ _RequiredPre-Inspec. request to (Dote)
. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
.19. Driveway Permit. —
20. Plot plan approval from city of—
21.
22,
— — '--When you issue the A, Jmit, pie ss as follows: Mail to owner; L?ail to contractor_
Telephone �� and hold for pickup at office, Deliver w/inspector.
'Other _ _-
4
x Appl i c a n ate
0
1 �
Copy of plans sent Health Dept.; Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: —_—_
1.
Contractor, designer, owner, was advised of above required data by—phone ----nail—counter by
Contractor, designer, owner, was advised c? above required data by —phone _maiI—counter by
Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder.:
— date —
date
Datil'
TO Buildina Department'
FROM:. Environmental Health
SUBJECT: Sanitation Clearance
0000
Owner � Location
4
APO
Plan Approved for: Sewage Disposal _ Water Supply
Hold final for: Water Supply
Final clearance O.R. for: Water Supply _
Clearance for bedroom mobile home. Other
NOTE * * *
_��
Sanitarian
Date
r�
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "R' -(Additions)
Owner CP} a/&I(., Climate Zone t�
Permit .# 36,2 g Z_ 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
CEILING R-30 - 8
WALL R-11 R 19
FLOOR R-11 - 9
SLAB ; R-7 R-7
GLAZING 4 U-.65 (Dual) U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
.WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
Al INFILTRATION CONTROL -(Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
a MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
12/85
*1 HEATING, VENTIIATING wY.IR'COWITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(brand and model number) SE
Btu/hr
(heating capacity)
❑ Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ • (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
13* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following: _
Heating: Winter design temperature elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ", cooling load BTU
*2 Submit T.I.P,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE 0 BUILDING DESIGNER OR APPL CANT