HomeMy WebLinkAbout007-450-069Alv' co — ,
564 Wa-erford Dr., lot 69,'North Park
Sub, Chic,
- .. '
` contr -_Webb�
ros-.Con t Ctiico�-
Permit #3921 B,P,EIT'new single
family)
contr : Webb/Bros .pnst . ; o
\ Permit #4502-81B(lst f
permit #3921-80)
,f Wayne ohn
565ater ord Dr., la1. 69, Chico
tr: Jerry Leen-Const. Chico
Permit #564-82B,P,E,M(transfe-of
contractor & own.er_/_SE1�
007-450-069 ''99-1 983
STANLEY; . TIMONE
564 WATERFORD DRIVE,XHICO,`',
a CONTR- OWNER]
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x`007-450069 99- 1983:
STANLEY, TIMONE
564 WATERFORD DRIVE `CHICO
CONTR: OWNER
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COUNTY OF BUTTE - DEPARTMEIT.OF'aEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville,-California. 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT !g47r
ASSESSOR PARCEL NUMBER
I �
ZONING -�
BUILDINGPERMIT
OWNER
TELEPHONE
- �
SO. FT. OCC. BUILDING VALUATION
S
l -�
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME U
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ (,.I
f
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$29.
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS 661-1n
4/(J_ 7 `
Energy Plan Checking Fee
$
/
1.
$
PERMIT FEE
$5'g.,0L)
LOT NO.
SUBDIVISIONS NAME
5
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF j( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition P �Remodel ❑ Utilities 13 Installation ❑ Other ❑
Describe Work: —0- - n,As434 m -on
.�
SQ
Gas piping system 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. /� G�,�
License Class �e-I Lic. No. /�J L� r.
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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( ;ACC, BLDS.
SO
3.50FT.
NOON-REOSID. T. MULTI -OUTLET RANCH CIRCUITS
@7,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q 1.00
BAL p .50
APPLNS
Ex. Occup. oilnFrs RESI6.OE0.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier !
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that ff I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wit those provisions.
y_ •�
X Dates - r 1
Signature of:'Applicant - ❑ Owner ff Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation,
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES O'IMP
FLOOD
I CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicatedabove for which fees have been paid.
p
By / J'F�CJCX / Date O 1426
PERMIT EXPIRES ON � otG a�o0
ate
1L..�`�Lr 3 / 59,ov
ReceiptNo. 9�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J
X
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r 7 County Center Drive Oroville, California 95965`• Telephone (530) 538-7541 PERMIT NO
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSORPARCELNUMBER 5,0
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
3yS-
SO. FT. OCC. BUILDING VALUATION
s
.OWNERS MAILING DR S
5
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $ FS
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 3
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
$
PERMIT FEE $5 C9e-oo
LOT NO.
SUBDNISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF J( Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
-
Solar or heat um water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation 0 Other ❑
Describe Work: /six 1� alwtsLCJI-meq
ol� S9
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
Main Service OOOV OR LESS
ZOOA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. /� G`
License Class �_. 3-'l Lic. No. / J C��
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
Main Service 200A TO 1000A 46,00
NEW CONST. DWELLING OCCUP. so
OR ADDNS. ( a ACC. BLDS.NEW 3.5¢x;
R 10T' MULTI -OUTLET 97.50
POWER APPARATUS `
& SINGLE OUTLET CIR. "
Ex. Occup. OUTLET OR FIXTURES 2' Q 1'00
BAL @ .SO
AP NS 5.00
Ex. Occup. oLmELs
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
�- I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply wife those rov' '
�//
X .. Date 9-1-161
Sig turaicant - ❑icant - ❑ ner�Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ 5-9,, CrO
HAZ.
D. FE IMP
I FLOOD
I CDF
PARCEL
I PO
HD
IS UE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicate above for which fees have been paid.
//�� n� I� -� p
B Date
y ��U`. �.0 P10 O �6 - t9
Ot
PERMIT EXPIRES ON &-CP OVV
Date
ReceiptNo. -7' 9°oD
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
ATPLICATION AND PERMIT
PER T NQS
M
ASSESS R A CELNUM .�
ZONING
BUILDING PERMIT
Ow ERTELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERIS MAILING ADDRESS
COI�JFiACTOR'S AME TELI�PHONE
`_J� 'b -
CONTRACT! 'S
I ING ADDRESS
t�
Fireplace
CO TRU 10 LENDER UNKNOWN
LE ER'S MAILING ADDRESS
Total Valuation $
Flling Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
fi
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
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISIO
NAME PARCEL MAP
rV (� r3-li
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
�/ USE OF STRUCTURE
SF [E Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑odel ❑litiesINallation Other
Describe work: 1' 1— M rac_
4
Permit Fee
$ 0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
100V OR LESS
Main service 100 AMP OR LESS
5•00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.51)
OR ADDNS. ACC. BLDGS.
2¢ sq ft
CONTRACTORS LICENSE LAWNON.RESID
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification `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)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) 1
❑ I am exempt under Sec. , Business and Professions Code
for this reason
R BRANCH CIRCT Ts
2.50 ea
NEW CONSTR. POWER APPARATUS S
NON.RESID. (SINGLE OUTLET CIR.
Ex , OCCUp OUTLETS OR FIXTURES
SO @ z5¢
BAL�1
FIXED APP LNS.OR
Ex. Occup.(OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$/o,00
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.
f[� 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 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 County Of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in cons e uence of the granting of this permit.
X Date '3'1d—i��
Signature of , Contractor PQ Agent ❑
ppcant - ner
An OSHA permit is required for excavati s over 5'0" deep a emolition or c struct-
ion of structures over 3 stories in height.
Mobil Nome Installation Fee $
.9
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
I ISSUE
3�
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
Of TOp OF UBLIC
BY -Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
13
+y�
Receipt No. -:2r.0 (p oe
-CIL
WHITE-D.P.W., YELLOW -ASSESSOR, PIN -INSPECTOR, GOLDEN -APPLICANT
COUNTY OF BUTTE^- DEPARTMENT -OF 'PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE OROVILLE,.CALIFORNIA 95965 - TELEPHONE: 916/534541
t� •Y_� �,,r�► ,
PERMIT APPLICATION DATA SHEET
' Permit No.
r
OWNER A. P. No.OD"
Proposed Building Use �-
Permit Fee Based Upon: Complete Contract Price DPW Valuation
ther (Explain)
Building Inspector / Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees -of $ . , , . , , ,
9. Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
AM12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. , . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . ..
•Pre-Inspec. request to
17. Pre -inspection for hequired. BuiLti& Inspector _
—
When you issue the permit,
Telephone
Other
ss as follows: MaNI to owner. _
and hold for pickup at office.
Applicant
Date
A to contractor.
Deliver w/inspector.
to`��— c�Z
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
i (For required items not checked above at time of application, circle item.)
1. Index permit for above ItemsNo.
2. Additional items required:,/
r
/1
(Contractor, Designer, Owner) was advised of above required data bEy��Telephone r��Ma:il% �Oher�
By Date
Plans checked by -
Plans approved by
Other
Copy—D
Date
Date
0
'WEBB HOMES
389C CONNERS COURT
CHICO, CALIFORNIA 95926
(916) 891-3351
March 8,:1982
Butte County Building Inspection
7 County Center Drive
Orovill_e, California 95965
Dear Sir:
Webb Brothers Construction does hereby.give permission to
Jerry Leen to assume building.permit #3921780 for lot 6y
of North Park Subdivision, Chico, California.
GLW:ct
Yours truly,
GSre7L. Webb
Partner
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41
APPLICATION AND PERMIT I
ASSESSO1rP R EL NUMBER _
20 ING
BUILDING PERMIT
OWNER `
�O
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
COyT F4{ C O 'S NAM /
(///V/L/
TELEPHONE✓
CONTRACTOR'S MAILIN ADDRESS
FR
Fireplace
CON LfCTI N LENDER UNKNOWN
Total Valuation $
Filing Fee $ 10.0
LENDE •S MAILIN A D SS
CjjfOC{j
Permit Fee $ O
ARCHITECT OREN EER LICENSE No.
Plan Checking Fee $
Penalty $
A CHI CT OR ENGINEER'S MAILING ADDRESS
Permit fee $
'
BUILDING ADDRESS
PLUMBING PERMIT Filing Fee 10.00
Each Trap 2.00
Repair drainage or vent piping 5.00
J
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent 5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF D'Up lex❑ Mobilehome❑ Other
SPECI FY
Building sewer
Lawn sprinkler system 5.00
TYPE OF WORK
New Additions❑� mode 10 Utilities Installation❑ Other
Describe work: G(%tl.�//� A/c ��OW w
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 100 AMP ORSLESS 5.00
-
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. (DWELLING OCCUP.y) 22 sqft
OR ADDNS. ACC. BLOGS.
-�
CONTRACTORS LICENSE LAW
I declare u der penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professi s Co and my license is in fu force and effect.
License No. G Classification
❑ I, has the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. I.OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR. ( /POWER APPARATUS 6\
NON-RESID. SINGLE OUTLET CIR, /
sD @ 25¢
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
FIXED APP LHS. OR
EX, Occup. �OUTLE TS IRESID•) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc.•Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT FiIirig Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I 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.
Heating
Cooling
Hood 3.00
Ventilation
Permit Fee S
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 liabi ties, judgments, costs, and expenses which may in any way accrue
against aid County in conse ence of the granting of this permit.
X L ate l
Signature of Applicant — Owner ❑ Contractor Agen
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-tRE�OF
ion of structures over 33 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ �j
OCCUP. GROUP
I TYPE OF CONST,
I
I PARCEL
PD
HD
IssuE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
PUBLIC WORKS
By Date/ �—
PERMIT EX e
Receipt No. .J U ley
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS/& --PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534- 416 �)
APPLICATION AND PERMIT , v
ASSE S A C L NUM R
�Y %..;
ZONI G
�
BUILDING PERMIT
OWNER 1
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
ON`-
®
OWNER'S MAIL N ADDR ,
CON ACTOF�ME ,
{q�j
TELEPHONE
b
CONTRALTO MAI ING ADF)F3S f
0Ck
CO 7T ANDER UNKNOWN
Fireplace
"•D
LE D R' MAILI✓/GG A RE s
Total Valuation $
-
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ ..�
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ .�
BUILDING ADDRESS
PLUMBING PERMIT
FIIingFee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LQT NO.
6
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00 t'9
Gas piping system 1 - 5 outlets
.DO
�f USE OF STRUCTURE �p_2J6
SF I(Q Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
,Do
Lawn sprinkler system
2.00
TYPE OF WORK
New IP/Add itIon ❑ I Rem e
j� ❑ Install�n❑ Other ❑
Describe work: T P %� UtIIIti-�'s _
to
Permit Fee
$ 130 r
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP ORV OR LESS5.00
(� � Ye
�l
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ACC. BLD s.
2¢sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Tam licensed under provisions of Chapt.9, Div.3 of the Business
and Professi s Coe and my license is in full rce and effect.
6
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 CONSTFZ ULTI-OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW -CONI(POWER POWER APPARATUS . 6
NON RESD. SINGLE OUTLET CIR
Ex. FIXTURES 50 @250
. BAL@IOZ
EX. QCCU FIXED APPLNS. OR
p -(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
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 4.00
Heating 610,,000
5-
V 0—
Cooling ,3%
5100
Hood
.?,.00 �t 00
Ventilation
Permit Fee
$ 3, v0
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 sai ounty in consequence of the ranting of this permit.
X 7 �� �o
Date
Signature of Appli Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavatio v r 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
a,..0V.
TOTAL PERMIT FE 368.80
OCCUP. GROUP
TYPE OF CONST.
PARCE
PD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date_�Z—//_
Receipt No. /4 r66
WHITE-D.P.W., Y SES PINK- NSPECTOR. GOLDENROD -APPLICANT
NOTE:—AII Materials & Workmanship Shall Be in This set of plans and specifications MUST be
Accordance with Recognized Good Practices and kept on the job at all°times and it is unlawful*to
of a quai prescribed for the Specified use in the maIe any changes or alterations on same withoui
Uniform Wilding, Plumbing & Mechanical Codes and wriifen permission from the Department of Pub -
the National Electrical Code. lic Works. Cour}ty of 8u++6IV,
0�
f,
C
3..Q
4
L: N -lob e.,
A setback of 5 ft. from the
property liners and a setback
of 50ft. from' the road
centerline shy II be clear of A
hA
Z1. lb/
Is
FLAW Zv b
kl- -
structures or �qu ipment except , L' t— �} �o `vf__ —L •� r
„f�nx a •2;.ft. .qa a overhang. ' 5� �A pgi
�t VA K�F-
-SPP me at nn nn file
__•t
plans. AL.V/(iC0
39Z/- so
i4 LvZ ,vc a B�If fT6 "MEK-ffMENT
APPROVED
� "
20� A
Is
FLAW Zv b
kl- -
structures or �qu ipment except , L' t— �} �o `vf__ —L •� r
„f�nx a •2;.ft. .qa a overhang. ' 5� �A pgi
�t VA K�F-
-SPP me at nn nn file
__•t
plans. AL.V/(iC0
39Z/- so
i4 LvZ ,vc a B�If fT6 "MEK-ffMENT
APPROVED
r
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 L d -r `6,7 W F0,e1Zr29 .
(location)
BUILDING 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:
Slab Edge N A
Fdn. Walls jig
Floors dl A
Walls
Ceiling/Roof
Ducts t/
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR. C/
GLAZING:
Single Glaeed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. /
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICES ✓
CERT. APPLIANCES
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—, N/GHOi_$oP _TN5U1_4 0P ZNG,
Signature of (please print)
Insulation Applicator
State Contractors
`License No.
General Contractor/Owner Name �S�Z2`� LEERS CONST .ZZ`JG
Signature of (please print)
.
General Contractor/Own Date,
S�te ontractors
License No. X38 l
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.
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 # 69 Waterford Dr
(location)
BUILDING 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:
Slab Edge Al `I-
Fdn. Walls /V A
Floors A1,4
Walls
Ceiling/Roof
Ducts ,y�q
Circulating Pipes__&L
APPROVED HEATER NA
APPROVED WATER HEATER/ _
GLAZING:
Single Glazed A) 4 -
Special (Insulated)
CERT. & LABELED WDS.-
& SLIDING DRS. y fj
WEATHERSTRIPPED DRS. N A-
BACK DAMPERED FANS /L,¢
INTERMITTENT IGNITION DEVICES y,¢
CERT. APPPLIANCES y,4
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 INSULATION INC
(please print).
Signature of
Insulation Applicator
State Contractors
License No. 39855.1
General Contractor/Owner Name_ =e -v -'r -y
(please print)
Signature of
General Contractor/Own Date
ate Contractors
License No. _ S S '2,"S-8
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.
C.0,UNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961; Ext. 57
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
matter; or need additional explanation, please contact this office immediately.
r Ir
!✓gaff
/z "ow/1-V/ 64 -11,5 -
Inspector
l1,f
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone:�891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING CA 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
att or need additional explanation, please contact this office immediately.
q
/
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Inspector 6 ' �1 Date
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Inspector 6 ' �1 Date
COUNTY OF BUTTE
J ?, E$EPARfMENT OF PUBLIC WORKS ;
695 Oleander Avenue, Chico — Phone 943-4211, 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
matte need additional explanation, please contact this office immediately.
- 1//1'-"j / r9.4 ) -2!c,ace A-,�r - 9 i
Inspector Date
i
PERMIT NO.;L
PERMIT EXPIRES
OWNER
CONTR.
ASSESSOR PARCEL
LOCATION
h
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas Service _
CalledPG&E
JOB FINALED (Date)
Signature
r
J OK '
0 = Not OK 41
- = Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
t. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q'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. Garports: Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -131 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
POOLS (Plans) OK except #'s
1. Setbacks -Easements s ,
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4, Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
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/0 to Grade -HD Approval
B. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health-, Department•Approyal7.
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test,-.
Card -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
O' — Not OK
r =►NotApplicable RESIDENTIAL (Single and Duplex)
Not Ready
Date
UNDERFLO.OR Plans -OK except #'s
Date FRAMING Continued
1. on' requ' a s—Setl4aeks•—Eas4Wm?ffT
413-^Pccp@LW a gs
2: /,197' Ftg. Depth
xt. Doors—One 3'—Check Garage -3rd story, 2 exits
3. dtdSeiJe-0STeel— / ' Ftg. Depth
tion
Q320:, Porches & — /" Ftq. D h
lywood on Reai-A erhang—Att1c Wnts—RafZLXUiriggers
Maia!SteeL_BFockouts—Wra t
—
6. s, Ga
tucco Mesh—Drip Screed—Fdn. Vents—Underflr. Access
XRf XJ2 7. — ' eplace Ftg.—Steel
azing Area—Glass Protection—Skylights—Plastic
Fg1i--f1ttk@e--Test-2 way C/ — wer Tes
g—Bolts
for—Servi i
arance—Material—Support—Ins.
or Bolts—Joists—Vents—Cripples
Card -BI K. Date — Card -BI , Date
Card -BI Date Card -BI Date
Card -BI Dat2V56Z Card -BI Dath.
Card -BI
Date Card -BI Date
Date FIN (Plans) OK except k's
Card -BI Datrj:,_5_ Card -BI Dale
Date
PLUMBING (Permit) except q's
� eps—Door & Sid ectton—baadings
Smoke Detector
�L zWa
er Ht.; V —A — om Air
58. Furnace; Vents—Clearance—Comb. Air—Connector—
I ge; Above Floor—Ducts—Mech. Protection
ter Pipe, ail Pctio
1 W.V.; T —F ai otecti n
AW.§A#mom Exiting
1 . st, First F oor—Tub ccess
qgr.- G.&J. & Bath Fixtures & rU5-A Tns
1 ower, 2nd Floor—Tub Access
ta 4;7'glec. Trim & Subpanel; Breaker Sizes—I_Abe1r--
1 Gas Pipe; Size & Anchors
& ails
V
. Fir a or Stove; Clearances -H
L
Panel; I t. & Ext.
Card -BI
Op Date /�p. Z, Card -BI Date
W, Ki jxt. & Appliance;.—Air —Cooki earance
Card -BI
tft�p Date_Z3 y7 Card -BI Date
96 . Outlets & Recepta s at Kit. Count
Date
ELECTRICAL Permit OK except q's
arage Fire Door; ng—L CI
ara e—Damper
48 Garage—Dam Per
tr. Htr.; VgWe-l�l nce—Comb-.Air-Conte—P.fLV'
In Gage; Above-Ft,Tor—Mec tion .
20. 134 ransformer Clearance—Ins. Protection
lec. Receptacles Spacing—Lights &Switches at Doors
Ib Elec. &Mech. Equip. Listed for Location
tz Boxes & No. of Conductors—Stapled
7 I c. Receptacles in Garage; (G me -x Protec.
o ex Installed Close to Edge of Studs & C.J.
Mu Ground made up w/Mech. Fasteners—Bond &Water
I ulation—F-eem—Looked in Attic
Appliance Circuits in Kitchen & Conductor Size
Gu n—Pgs
ubfeed Wire Size / / ga. Z;_- AI—A.C. Wire Size /f0/ ga. Cu
Y4--F3n. VeniS1_UrawI Hole Door—Drainage & Wood -Earth Clearance
L ❑ Yes
y3
Range Circ. / / ga. Cy-ee AI—Oven Circ. / / ga. Cu or AI,owing
Insu ed Neutral ( es ❑No
instld.: Drive es No; Walks s ❑ No;
PlapWrs ❑Y s C
erJce—Riser Conductors & Gr d—Main Disconnect
ucco; Br —F'
�—
•2�uip. Clearances; Panels—Motors—Mech. Equip.
77. A. Unit; Disconnect— Irnces—Brkr. ond. Size -115 O flet
39--6deil�ee-E feset Light—Shower Light
sots Above Roof; g.it eara pngs.
Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle—Underground
Card B -I
Date Z Z, Card -BI Date IS 2%2
entilation throughout House
Card B -I
Da — � X, Card -BI Date
on
Date
MECHA CAL (Permit) OK except q's
48--Gow-&etions from Previous Inspections
84. G Meters Tagged; Gas—Elec is C3� Z —j
C. Ducts; Insulation & Support
8 . at Sewer Connected—C/ Grade—HD Approval
ergy Compliance Certificate—Other Certificates
ent Fan; Exhaust above Insulation
3 ensate Drain & Overf ow; Size & Grade
Furn,�pnt; �(pe omb. Air—Return Air Vent -11 et
rm i is
Card -BI Date i Z Card -BI Date
Card -BI Date 7r��L Card -BI Date
Card -BI Date and -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRA G Plans) OK except q's
Comments at Final:
- — S�ilis; Proper Material o
i43 3"aIls; Studs—Nailing, Spo g &s-Saetd -
3H!Be ing Walls over Girders & Floor Nailing
Z f2-
_ — rS A"Ar p
r ft Stop in Walls (rat proof)
_
_
ire Stops; F"wod•GeMn s— —Tbb--
ZJ
Header & Beam—Size & Bearing
angers—Post Caps—Anchors—Connectors
4 1 g. Joist— tr. Ti Qac.—ShlhrtCt.—Rwep.
�olarPSJ9a or Typ lue—Fitt
j�3
Fi"Access; Size omex P io Dr top ts.�BeA les
dr Windows or Exiting Doors—Sill Hgt._$-Eirttnsions
arage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
i. PERMIT NO.
PERMIT EXPIRES
OWNER l '^�4�fGIJ ty �[7 fyJ y
°CONTR. Webb Bros.Const., Chico
44-40=9 pat.
LOCATION (A.P. )
,r
564 Waterford Dr., to t69, North Park Sub,
Chico
k
f
J�
1
ut
rl
i'
A�
Ys
f�
`e
• Temp. Power Pole
Y. Called PG&E
i Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
r (Signature)
,P.
1.
"CCUN71 OF BUTTE 11EPARTMENT OF PUBLIC WORKS
:- A
BUILDING INSPECTION RECORD
Bond Beam
FIRE SPRINKLERS
Motors
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Sidina
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwal l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ysically ,r
handic ed ; CJ
Conf mance'of
st lure i
Appliances
Gas Piping & Test
Temp. Gas
Slab
anal
Sanitation
Patio
AORE)--LACE ,
Final
Footings
I Footing / ,,
ELECTRICAL
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 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.)
�.' (Prev.permit ikts-3921-80 & 4502 81)
PERMIT NO. Trans.of Owner & Contr: 564-82B P
(Prev .Owner-Alvinco Prev . Contr,; Webb Bros..)-
PERMIT
ros.
PERMIT EXPIRES
OWNER Wayne 'Bohn
CONTR. Jerry Leen Const., Chico
ASSESSOR PARCEL 44-40-9 port.
LOCATION 564 Waterford Dr.,lot 69,No.Park Sub,
Chico
jaW. Gas Service
CalledP &E
JOB FINA ED (Date)
Signature
y
i.
r'F
1
s arm
F.
r:
f,
fY
Temp. Power Pole _
CIt d PG&E _
em ec. Service
Called PG&E _
jaW. Gas Service
CalledP &E
JOB FINA ED (Date)
Signature
y
} 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 NUM ER
-A
ZONING
BUILDING.PERMIT
OWNER
tk) h Ip- 6. 7
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONT,RACTOR'S NAME TELEPHONE
CONTRACTO\Rj'S M ILING ADDRESS
is '" ^ V - _ !' r
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ '------
ARCHITECT OR ENGINEER
^'ti^' 'W
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
,o ri
PLUMBING PERMIT
Filing Fee 10.OQ_a
- '""
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISIOI, AME
r C1� i�K.r\
PARCEL MAP
''0 `3 �
Each qas water heater or vent
5.00
Gas I in system 1 - 5 outlets
piping v
USE OF STRUCTURE
SF [2, Duplex F-1 Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ U. i lities I. stallation Other LJ
Describe work: �1 . Y- B Ht Y t'oC t
A�
,/1 �/_,
Permit Fee
$ /0 4b
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
BOOV OR LESS
Main service 100 AMP OR LESS
5.00
-
Main service EA. ADD'L 100 AMP
2.50
NEW CONST./ DWELLING OCCUP.N
OR ADDNS. ( ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 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. `�,2�7 Y. i Classification f
❑ 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 LET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR.POWER APPARATUS S
NON-RESID. (SINGLE OUTLET CIR.
EX. Occup OUTLETS OR FIXTURES BAL21
Ot
IXED APPLNS. OR
Ex. Occup.(ou TLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ /C3 = ➢ ."`1
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.
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
$ Ott r ?,
Contractor
I certify that I have read this application and state that the above information.
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date = + , ' ' ==-
�-=
Signature of App"li'cant — -Owner ❑ Contractor Q 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 $
OCCUR. GROUP
I TYPE OF CONST.
PARCEL
PD
ND
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been aid.
p
DIRECTOR OF.PUBLIC WORKS
By Date—.'
PERMIT EXPIRES Date
Receipt No. �l� /
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V = OK -
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready ,
MISCELLANEOUS -
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1, Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
_
2, Footings; Size—Depth—Spacing—Connectors i
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. 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
POOLS (Plans) OK except N'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
B. 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
• �
1
t '
OK A
= Not OK
= Not Applicable Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N'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
51.
Plywood on Root 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/0 -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
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
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
17.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
Shower Pan; Test, First Floor -Tub Access
59.
Bedroom Exiting
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.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Me
65.
Kit. Fixt. & Appliance; Grnd.-Air %pp%JCooking Clearance
Card -BI
Date Card -BI JJDate
66.
Elec. Outlets & Receptacles at ounter
Date
71,
ELECTRICAL Permit OK exce '/��6
67.
os
Garage Fire Door; ing-Lanfi)II-ClosgN
68.
A.C. Duct in Gara a -D
20.
Fixture & Transformer Qjearan-lns. P t ion
69.
Wtr. Htr.; Vents -C le rant om , -Co ctor-P.R.V.-
In Garage; Above r- ch. t ction
21. Elec. Receptacles S -Lights & S c es atDoors
22.
Size Boxes & No of nductors-St
70.
Plb., Elec. & MecIV.quip. Lisfqdfor L tion
23.
Romex Installed toe to Edge of ds & C
71.
72•
Elec. Recept le in Gara .F.I.) me , - c.
Insulation -F40 LookeJ ttic es ME I
24. Equip. Ground m d ap w/M ch astener B nd Gas & Water
25.
2 Appliance Circ is in Kith & Co duc Size
73.
Guard Rai s & Dec ruction -Post Caps
-
-
26.
Sub d Size / / ga. u or AI .C. Wire Size / / ga. Cu or AI
74.
Fd e s & Crawl a Do r- nage & Wood -Earth Clearance
Lok u der Floor ❑ Y
27.
R ng it / / a Cu or irc. / / ga. Cu or Al,
I ul Neutral s N
75.
Fol wing i stl Drive e ❑ No; Walks ❑Yes ❑ No;
PI niers es ❑No
28.
Serv' a -Riser dors and -Main Disconnect
76.
Stucco; Bro n -Finis
29.
ip. ClearanceX; Panel -Motors-Mech. Equip.
77.
A.C. Unit; Disconn Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light- o er 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-1
Date Card -BI Date
81.
Ventilation throughout House
Card B-1
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
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
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Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Plans) OK except N's
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.
43.
44.
Header & Beam -_Size_& Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfnp.
Fireplace Ties or Type A Flue -Fireplace Throat
45,
46.
Attic 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 you visit jobsite)