HomeMy WebLinkAbout007-450-061�_
A lvinco / Ra E . Jo o Jr .
585 Waterford Dr., 16t 61, North Park .�` Y
{, - q, S d A 000's an
- Sub, Chico � •,
,- D contra Webb Bros.Const., Chico r 61i�-No hico
Permit ���8g� nel
Permit �k3913-80��i
B,P,Eew singl fami
C F r. w sin g Y) {
family) � /j L �� ,�
7
' ` • ' II V o o ✓ �V!/V' "ted ,y 5y F
t +
a
---
p _ ____ _�..-�,,r------_ __
� � '�'
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS' PERMIT No.
7 Coslnty Center Drive - Oroville, California 95965 -Telephone 916/534-
APPLICATION AND PERMIT CJJ
ASSE PARD NUMBE
�'— --
ZON NG
—
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
3
OWNER' AILIN ADD SS
+w-1
14
!
y
C/�yTfRA T R'S ME
TELEPHONE
C OWN/TR ACTO M �
L G �qp RESS
STR CT LENDER
UNKNOWN
Fireplace! �
Total Valuation $
LENDER'S MAI LI G A
ESS
Permit Fee
$
ARC OR ENGINEER LICENSE No.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR
aPLUMBING
PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LQT yo.
/lSl�yy I
ISUIISION AM
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE go _:3
SF e Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New Addition❑ Remop&Utilitj�s❑ Installation❑ Other ❑
Describe work:E}-O%
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
OR
Main service 100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2,50
NEW CONST. / DWELLING
OR ACDNS. \ ACC . BLDG
2�Sgft a
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Z4--I-am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full f e and effect.
� �
License No. c�(� 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 CONSTK(-L'- TI-ou L T
NON.RESID BRANCH clRc ITs 2.50 ea
NEW CONSTR POWER APPARATUS &)
NON_RES (SINGLE OUTLET CIR.
/o Ex. OccuP\50 @ 25a
OR FIXTURES BAL@1
D A PPLNSOR
Ex. Occup.(FIXXED OUTLETS (RESI,D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6,25
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�l have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self-Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating 49 0O®
SlaD
D&O —'P,4 4:
Cooling *3 %
pp
Hood@
3,vt7
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 Countyof
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
� 'd County in consequence a granting of this permit.
X L 5 6 :Z f' '(V
Date
Signature of p t — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" de p and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FE 3/v �0 $
OCCUP, GROUP
I TYPE OF CONST,
PAR L
PD ND
ISS. E�
L"_against
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF UBLIC
By
PERM XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/ z —11—e o
'/Z —It /
Receipt No. Y 3 .O -D
P "C/ 5 ECTOR, GOLDENROD -APPLICANT
WHITE-D.P.W.. YELLOW- S.,P=0_
NOTE:—All Materials & Workmanship Shall Be in
Accordance with Recognized Good Practices and
of a quality prescribed for the 5pecifi6d use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code.
.A setback o -
property lin
of 50ft. fror
centerline sl
This set of plans and specifications MUST be
kept on the job at all -'times and it is unlawful fo
ma!:e any or 'alrerations on same without
writrten permission from the. Department of Pub-
lic Works, Coun i of Butte.
structures or equipment except
for a 2 ft. eave overhang.
UTTE CQ Y
TMENf
APPROVED
4 1X
0
V
- WI r-
54
g 20 &1 76PI
1�4
P�°
Gtf
i
s
in
_
�
7 CSL.. -
...
T - Z - --------�
_
{I
--T Ltl 1
41 2o,
_
—
,
_`
a4101
44. --
F 5 ft. from the
Ik
1
Es and asetback
=
\l
ee Master, Plan on file for building -
,plans. 41-VIAAf0 �_ 7(,othe
road
% .
Aleaof
structures or equipment except
for a 2 ft. eave overhang.
UTTE CQ Y
TMENf
APPROVED
COUNTY OF BUTTE
-•• . DEPARTMeNT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
�� BUILDING OR PROPERTY ADD�S�/ �O
A routiheinspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining.to this
matter, or need additional expla anion, please contact this office imme-diately.
V
A
Date a — 'jP
9
COUNTY OF BUTTE
1 DEPARTMENT OF -PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise Phone 877-3435
CORRECTION !NOTICE
��yr'd1e'0 l �7 ,a 0"o I
BUILDING OR PROPERTY ADDRESS
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
of ;�Cl^ 1.2"1 —
c�
Inspector 4/ l g—QGg Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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
matt, or need additional explanation, please contact this office immediately.
GG 'r
51 l e Pt- %e i 7
yo O 6ot " WF- C,/ / Dt/ Lam' e - A -04a rl�u, Uui
Inspector �A 6i�✓' -`�'7 Date 47
PERMIT NO.
PERMIT' EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
• s:
Temp. Power Pole
Called PG&E
Temp. El'ec. Service
Called PG&E
Temp. Gas Servi ce
Called PG&E
JOB FINALED (Date)
Signature
T i 7
V = 0 K4 [t
O = Not OK ,
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date UNDE FLOOR Plans OK exce tN's
Date FRAMING Continued
- Z, o ' g requirements -Serb s -Ea denents
roperty Line Firewall &Openings
LCLMain; Soils-8el tgn - / Z,/" Ftg. Depth
4 xt. Doors -One 3'7Check Garage -3rd story, 2 exits
tg., G rage; Soils -Steel- / Z�1" Ftg. Depth
h-Headroom-Rise-Run- Land ing-Fire Protection
lI
4. ., Por ecks; Soils -Steel- / P Ftg. Depth
5)1, PIywood on Roof Overhang -Attic Vents -Rafter Outriggers
SeStEwall,5,Main; Steel -Bloc s-Wra SI
f 52v--6idiflg-Nat ' g -Veneer
0Ae1TtergvdTIs, Garage; .Sioel-Bleeksuts-Wed-Slab
-Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.- teel
Glazing Area -Glass Protection -Skylights -Plastic
D.W.V. it ' -T -2 w /O wer Tm
fShear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
1 \
Water Pipe; Test -Anchors -Regulator -Service Test
21. Elec. Receptacles Spacing -Lights &Switches at Doors
11. Electric; Underground
y
*12. Plenums & Ducts; Clearance -Material -Support -Ins.
f
3 Girders -Sills - =r Its -Joists -Vent ' Crpies
Card -BI Date Card -BI Date 1
C 3 6
Card -BI Date Card -BI, — --Date._f
Card -BI Date Card -BI Date
Card -BI Dat!/Z,62 Card -81 Date / C
Date FINAL lans OK'except #'s
Card -BI PP Date/),/J " Card -BI AV Date /L, !
Date PLUMBING (Permit) OK except q's
x . eps-Door & Sid rotectron-Undiwcfs
m -oke Detector
Water Ht.; Vent -Access -Combustion Air
58. urna b. Air-Connector-
; Above Floor-Ducts-Mech. roe on
*--VFater Pipe; Test & Anchors -Nail Protection
W.V.; Test-Fttngs & Anchors -Nail Protection
5 . edro t 'ng
- 7-S'howel Pan; Test, First Floor -Tub Access
I ath Fixtures & Tub Access
ub & Shower, 2nd Floor -Tub Access
Q11,11RITc. Trim &'Subpanel; Breaker Sizes -Labels
Gas Pipe; Siz & Anchors
75.
63. e; Cle es -H r
6 .ec. O at Wood Panel; Int. & Ext.
C -BI
Date - Card -BI Date
6 -
F' A liance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date/_2,-j,-g7 Card -BI Date
6
ec. Outle Receptacles at Kit. Counter
Date
ELECTRICAL P6,11<0 OK except q's
67:-
Ga ire Door; Sw -tai CI
6
26. +ixture & Transformer Clearance -Ins. Protection
6 .
Htr.; Ve -Clearance-Comb. Air-Connector-P.R.V.-
In GarAbove Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
y
ech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
71
ec. Rece tacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
72
ion -Foam -Looked in Attic
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73
_ost-Gapes
20--2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn.-Vents'&:Crawl oor, in &Wood -Earth Clearance
Looked under Floo =`
_
26. Subfeed Wire Size / ¢[ ga. Cu or I A.C. Wire Size / ga. u r AI
-
27. Range Circ. ga. Cu ogK90ven Circ. / / ga. Cu or Al,
6
Insulated Neutral [gs No
75.
Following i tld.: Dri es E] No; Walks ❑ No;
PlanUw�
❑Yes_ o
28. Service -Riser Conductors &Ground -Main Disconnect
76.
Stucco; Br inicU----
29. Equip. Clearances; Panels-Motors-Mech. Equip.
77•
• connect-Clrnc - rkr. &lewd -Si e- 1t Gui1&L_�'
30. Clothes Closet Light -Shower Light
Z9s
e Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
2 "'¢ �✓ b`
7
er Well; Di nnect, Electrical, Plumbing
,
80.
Exter' ec. Trim; G.F.I. Receptacle -Underground
Card B -I
0 Date -a �� Card -BI Date
81.
entil r6ughout House
Card B -I
Date Card -BI Date
ass Pro n
Date
MEC ICAL (Permit) OK except N's
8
_
ections revious Inspections
84.
est -Meters Tagged; Gas -Electric
A.C. Ducts: Insulation & Support
85.,'Water nected-C/O to Grade -HD Approval
_ ____39--'1eadense4e
3 ent Fan; Exhaust above Insulationg
Drain & Overflow; Size & Grade
nergy Compliance Certificate -Other Certificates
1a�_�-Vent: Access -Comb. Air -Return Air Vent -115V outlet
is ccess & Platform if Furnace in Attic
Card -BI
Date -BI Date
Card-BIDate/__-
Card -BI
Card -BI Date
we Card -BI Date
Card -BI
Date Cd -BI Date
ar
Card -BI
Date = Card -BI Date
Date
FRAMING P OK except N's
Comments at Final:
Proper Material & Anchors
_,lipelTills; _
alts: Studs-Nailing,'Spacing & Bracin a es Sound
3$/Bearing Walls over Girders & Floor Nailing
rait Stop in Walls (rat proof)
_
Stops; Furred Ceilings -Stairs -Chases -Tub
_44i5ire
4JHeader & Beam -Size &_ Bearing____
ngers-Post Caps -Anchors -_Connectors
4 st-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring
4 F'replace Ties or Type A Flue -Fireplace Throat
'
ttic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
T
I� Garage Fire Protection Framing
-
(NOTE: Anentry must be made each time you visit job site)
IU .
it =.OK
0 = Not OK
= Not Applicable
= Not Ready
I --I..
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum.'Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -B1 Date
'Card -BI
Date 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
r.E
1
',PERMIT NO. 3913-80B,P,E, M
r-
PER EXPIRES
OWNER A-1vinco
''CONTR. Webb Bros.Const., Chico
LOCATION (A.P. 44-40-9—port.)
r 585 Waterford Dr., el 61, North Park Sub,
_.Chico
s
a;
F
3
r
Temp. Power Pole
Calletlb PG&E
{
4TF m :lec. Serv.
Called PG&E
i
T�mp.',Gas Serv.
Ca,Aed PG&E
JOB
cv-
F ALED
(Date)
1
k
(Sig A to)
t
.a
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTT` - dEE-PARTMENT 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
Siding
To out
Slab
Roof Sheathing
Water Piping'
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab'
Carport
Footings
Provfor physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final '
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Relnf. Steel
Final `
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
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
OBILEHOME INSTALLATI�(N
--------------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.)
THIS IS TO CERTIFY THAT INSULATION HAS•®EEN•INSTALLED.IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS.
CALIFORNIA ADMINISTRATIVE BODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT:
North.Park Subd. 61 Chico
ree o Number • City
EXTERIOR WALLS
Manufacturer CT Thickness/Type 3 2 R value 11
CEILINGS
Batts: Manufacturer Thickness R Yalu$
Blown: • Manufacturer U n i t e m p Thickness 711 No. Bags 40 Wt./Bat-Lo—
Sq.
t./Bag4 0Sp. Ft. Covered 1332 R value 22
FLOORS
Manufacturer Thickness/Type R value
Manufacturer Thickness/Type R Value
—
FOUNDATION WALLS
Manufacturer Thickness/Type R value
GENERAL CONTRACTOR - �2 LICENSE NUMBER
By TITLE DATE
INSULATIOUMTRACTORyJaIJ9,SON TNSULATION LICENSE NUMBER 212461
B TITLE Vice Pres DATE 3-5-81
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Lot 61. North Park Suha _ r rhino
(location)
BUILDING PERMIT NO. Iy A.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge &A
Fdn. Walls ,(/A
Floors NIA
Walls R 1 J.
Ceiling/Roof R22
Ducts %+_
Circulating Pipes_ALo_
APPROVED HEATER
APPROVED WATER HEATER
GLAZING:
Single Glazed • ✓
Special (Insulated) A/,q
CERT.'& LABELED WDS.
& SLIDING DRS. ✓
WEATHERSTRIPPED DRS. v
BACK DAMPERED,FANS Ap .�
INTERMITTENT IGNITION DEVICES AIA
CERT. APPPLIANCES 41-
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN -INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name NICHOLSON INSITLATTON TMr
(please print)
Signature of .
Insulation Applicator
State Contractors
/� License �Tq. 212461
General Contractor/Owner Name O- f Pgorkz L �Je
V (please print)
Signature of / 1
General Contractor/Owner- Date
State Contractors
License No.—:3 6 � -3 S %
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE.DWELLING.
-
..y
n a -
mss.••`•
fj -
i I
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Lot 61. North Park Suha _ r rhino
(location)
BUILDING PERMIT NO. Iy A.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge &A
Fdn. Walls ,(/A
Floors NIA
Walls R 1 J.
Ceiling/Roof R22
Ducts %+_
Circulating Pipes_ALo_
APPROVED HEATER
APPROVED WATER HEATER
GLAZING:
Single Glazed • ✓
Special (Insulated) A/,q
CERT.'& LABELED WDS.
& SLIDING DRS. ✓
WEATHERSTRIPPED DRS. v
BACK DAMPERED,FANS Ap .�
INTERMITTENT IGNITION DEVICES AIA
CERT. APPPLIANCES 41-
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN -INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name NICHOLSON INSITLATTON TMr
(please print)
Signature of .
Insulation Applicator
State Contractors
/� License �Tq. 212461
General Contractor/Owner Name O- f Pgorkz L �Je
V (please print)
Signature of / 1
General Contractor/Owner- Date
State Contractors
License No.—:3 6 � -3 S %
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE.DWELLING.
1 vqF
' .COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize reta Ives of the county of Butte to enter upon the
e-�e ro erty for inspection purposes.
X Date
o re of ,,'mi r Ag nt .
Receipt No. q2-:,1�
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 OF PUBLIC WORKS
By
Building permit expires Date
Date
BUILDING
Owner !7M u—,
SQ. FT. OCC. BUILDING VALUATION
Mailing Address )( noo
�f
C MCO CO C
�IePh�`(No.
I
Contractor C)W A) ; j2
Mailing Address
Fireplace
Total Valuation
Telephone No.
Per '
Building Address
Plan Checking Fee& rPenalty
-Permit Fee
PLUMBINGNo. @ FEE
/ � I liti ,`
>
PERMIT FILING FEE $3.00
Each Trap 1.50
�?/+ A V S�
t"1'���"6 l CG�- (�
Repair drainage or vent piping 1.50
A. P. c. WL4- C p6
/a- y
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fes
C.
Semtaftoh
FireDept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EQA arking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Im provements
Each additional outlet .30
Building sewer 5.00
Bldg. Plans Rec'd
r
r ar tel App roval
Plans Approval
Lawn sprinkler system 2.00
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
Permit Fee $
$
11) 16 TO 13,3 TJF&Q
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Main service 800V OR LESS100 AMP OR LESS 5•00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L loo AMP 2.50
Main service O100VEAMR a0oPORv LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW DWELING
OR ADDNS.r ( ACCLBLDGSCCUP. S) 22sgft
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
st le of:
y
NEW CONSTR A BRANIMULTCH
NON.RESI D, `BRANCH CIRCUITS) 2.50ea
CIRCUITS)
NEWCONSTR. POWER APPARATUS B
NON .RESID. SINGLE OUTLET CIR.
EX. OCcuo(OUTLETS OR FIXTIiRES, BAL 210Q
Ex. OCCU FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land 'Development Fee
$
TOTAL PERMIT FEE
$
authorize reta Ives of the county of Butte to enter upon the
e-�e ro erty for inspection purposes.
X Date
o re of ,,'mi r Ag nt .
Receipt No. q2-:,1�
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 OF PUBLIC WORKS
By
Building permit expires Date
Date