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X578 KINGS CANYON WA
JAURE. 1;'1 ARIA
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BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
INSPECTION CARD
24 Hour Inspection Line: (530) 538-7636 (Oroville) (530) 891-2834 (Chico)
Office: (530) 538-7541 Fax: (530) 538-2140 Website:www.buttecounty.net/dds
Permit No: B06-2442 Issued: 10/16/2006
Address: 578 KINGS CANYON WAY CHICO
APN: 007-460-004 Permit Subtype: Re -Roof
Owner: JAUREGUI, MARIA LUISA
Applicant: AFFORDABLE J C ROOFING
Description: RE -ROOF (29 SQ)
�r
MUST BE ON JOB SITE
JOB SHALL BE READY PRIOR TO CALLING FOR
INSPECTION. THE INSPECTION CARD AND
APPROVED PLANS MUST BE AVAILABLE FOR EACH
INSPECTION OR THE INSPECTION WILL NOT BE
MADE AND A RE -INSPECTION FEE MAY BE
ASSESSED.
ALL PLAN REVISIONS MUST BE APPROVED BY THE COUNTY BEFORE PROCEEDING
Inspection TyRe
IVR INSP DATE
Setbacks
132
Foundations / Footings
111
Pier/Column Footings
122
Grade Beams
114.
Eufer Ground
216
Forms/Steel/Holdowns
122
Do Not Pour Concrete Until Above are Signed
Pre -Slab
124
Gas Test
404
Masonry Grout
120
Masonry Bond Beam
119
Underfloor Framing
149
Underfloor Ducts
319
Shear Transfer
136
Under Floor Plumbing
412
Under Slab Plumbing
411
Gas Piping
403
Do Not Install Floor Sheathing or Slab Until Above Signed
Rough Framing
128
Rough Plumbing
406
Rough Mechanical
316
Rough Electrical
208
Gas Piping
403
Roof Nail
129
Shower Pan/Tub Test
408
Fire Sprinkler
702 '
Do Not Insulate Until Above Signed
Wall Insulation
117
Ceiling Insulation
118
Do Not Cover Until Above Signed
T -Bar Ceiling / RC
145
Gas Test
404
Stucco Lath
142
Stucco Scratch
143
Stucco Brown
144
Building Final
802
Electrical Final
803
Mechanical Final
809
Plumbing Final
813
Project Final
801 .. EO.31�
2i
i
x
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE. IF WORK HA
COMMENCED, YOU MAY PAY FOR A 1 YEAR RENEWAL 30 DAYS PRIOR TO EXPIRATION
Inspector Copy
y.
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
Site Address: 578 KINGS CANYON WAY
APN: 007-460-004
Permit type: MISCELLANEOUS
Subtype: Re -Roof
Description: RE -ROOF (29 SQ)
Contractor
AFFORDABLE J C ROOFING
288 PANAMA AVENUE
CHICO, CA 95973
(530)680-9471
Re -Roofing
PROJECT INFORMATION
Owner:
JAUREGUI, MARIA LUISA
578 KINGS CANYON WAY
CHICO, CA 95973
AFFORDABLE J C ROOFING
288 PANAMA AVENUE
CHICO, CA 95973
(530)680-9471
FEE INFORMATION
$165.00
- LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
AFFORDABLE J C ROOFING CSLB-868569 / C39 / 12/31/2007
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.
X� 10/16/2006
Permit No: B06-2442 -
Issued Date: 10/16/2006 • , By, . KCG
Expiration Date: 10/16/2007'
Occupancy: Zoning: R1 0(
. Square Footage:
Building Garage Remdl/Addn
Other Porch/Patio • Total
a
Balance Due: $0.00 Receipt No: B525
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
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
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
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
the applicant to a civil penalty of not more than five hundred dollars [$500j;
Signature C.11Date Please check one of the following: r I
❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE
WORKERS'COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
]I 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.
j�I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
][ Section 3700 of the Labor Code, for the performance of the work for which this permit is issued
My Workers' Compensation insurance carrier and policy number are;
State Fund 285-0002582 .01/06/2007
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
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractor's License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractor's License Law.).
Carrier. Policy Number. Exp. Date.
(This section nee not a competed if the permit is or on. un red d llars ($100) or ess.
I AM EXEMPT under Section
❑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'
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
provisions.
10/16/2006
%nature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEYS FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. code)
_ B. & P.C. for this reason:
10/16/2006
Owner's Signature Date
I hereby certify that I have read this application and state that the above information is cored. I agree
to comply with all City and County ordinances, rules, regulations, and Slate laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
r ,e� o•wner or am authorized to act on the property owner's behalf. '
'c 6 Y,e- « ru %_-oo rAJ,-rgto --10/16/2006
Owner 'Contractor OR; Agent for Owner Agent for Contractor
Lender's Address City' State Zip FILE COPY
A
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name ---Au ve
first Name
Mailing Address 5785 ki tJS Cti `� CJS
City t co
StateCA
Zip
Phone J g
Fax
E-mail
- - - APPLICANT INFORMATION
CONTRACTOR
Name 75Z_3 u
—r-irCt D
Address
ta��'IA
City co
State to
T_
Zip ?3
Phone (�n^
Fax
E-mail-
Class,-,-,
- - - APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City C'ft'CO
Address
Zip
City
Fax
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
- - - APPLICANT INFORMATION
Name ,J 1 i 0
Address g -g> A - N* �AA A -U -'o
City C'ft'CO
State CX
Zip
Phone � �
Fax
E-mail
APPLICANT SIGNATURE
C'
Foroffice use only:
/PROJECT
Ln
AP# o07 r T6O
Zoning J
Flood Zone
SRA I Yes
No
Occ.
Policy Number
Type Const.
Subdivision Name
LENDING AGENCY
Map Book
Page
Lot #
Planner
Date Approved:
PERMIT
NO.
2 -
BIN
BIN #
LOCATION
/PROJECT
Ln
AP# o07 r T6O
Property Addres
Cross Street
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license 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:
_ S
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by: VR Amount: c Bldg I
Receipt Mr -32-5
OwL#
Date: 10/16-6 0
SRA
Sheriff
SMIP
Total
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 �
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
- — ' - - V4
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING' ADDRESS /
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Othert❑
Describe work:
10
/
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service SS
100 AMP O 1 OR RSLESS
10.00
Main service EA. ADD -L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty
p y of perjury y (Check One):
F:1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code -an�dd my license is in full force and effect.
License No. �'e Classification %�
El I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUR.&) yzQsgft
OR ADDNS, l ACC. BLDGS. /
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES eA 0530
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
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
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 I Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required\`sxcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCu P.CONST.TYP!
I
I FLOOD
PARCEL
P11
1 ND
1 ISSUE
{
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
"y
B - -
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
I
Date
Receipt No. ! 1 '/ 1-/ , /
WNIT!-D.P.W.. YELLOW-ASSE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATNNAAD PERMIT
PERMIT PNO.17
ASSESSOR PARCEL NUMBER
7— —
ZON G
_
BUILDING PERMIT
O WNE�
TELEPHONE
SO: FT. OCC. BUILDING VALUATION.
OWNER'S MAILING ADDRESS
CONTRACTOR' NAME
L
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN -
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
ADs
Bu N G DRE
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SU D VISION IyL SME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�5 Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW 1
110.00 ea'
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other-
Describe work:
!f
Permit Fee
$Q 5—A1113
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service ;$°o AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I dlet'e under penalty of perjury (check one):
eg
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' e n my license is in full foy�e and effect.
License No. Classification j
❑ 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)
contract-Mobile
El I, as the owner, am exclusively contracting with licensed con
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
LIN OCCUP.d+\ '/zQsgft
oR ADDNST CONACCSTG S.I
NEW CONSTR ULT' -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
POWER APPARATUS e
SINGLE OUTLET cIR.
Ex. Occu zD®sDe
Occup(OUTLETS OR FIXTURES 6AL030
Ex. OCCUp. OUTLETS FIXED P(RESID ILINIS RE A.) 1 2.00
Temporary service 10.00
Ho
Mobile Home Facilities 15.00
g 15.00
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
IXI have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked'.
Contractor
MECHANICAL PERMIT
F'IingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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, IUdg ents, costs, and expenses which may in any way accrue
again aid Count i consequence of the granting of this permit.
X Date—�
Signature of Applicant — 0 er
g pp Contractor Agent ❑
An OSHA permit is required for xcavations over 5�deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
Occu P.
CONST,TYPIJ
I
IFLOODIPARCELI
PD
ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By QDate
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
—/ 2—d'
Receipt No.
WKIT!-D.P.W., YELLOW-ASSrSSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF) PUBLIC WORKS - BUILDING -DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CAthFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET --- / -
Permit No.
OWNER A� 1// /v C O - A. P. No.
�ti�
Proposed Building Use ��z— ''-,Building Inspectori10�7 Dated`" 27=�7
At time of permit application, I was advised the followingdata must be submitted prior to permit processing
andJor 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. CUSD "Fee's Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $
Iy 9. Letter of signature authorization.'1G
10. Sanitation approval from Health Dept.
11.,, Pjanning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance
13. Contracertor's License Information (no., name style, classif.)
14. OwnB•uilder"Verification (Given to owner❑, Mail to owner ❑,),
_15. Improvements may be required. ;. . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: Mail to owner, Mail to contractor.
_Telephone and -hold for pickup aChLod5ffice, Deliver w/inspector..
Other
. 'Applicant ..f"Q
�ate
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:
Contractor, designer, owner, was advised of above required data by_phone_maiI—counter by date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder$
Date
— Flours: 10:00 a.m. - 3:00 p.m.
,t
J
VI _
PERMIT NO.
a
�.M PERMIT EXPIRES -�Z
'
'< OWNER ALVINCO
�- CONTR..
ASSESSOR PARCEL t
LOCATION 578 Kings Canyon Way, lot 95, Chico
r
Temp.
Called PG&E
S.
yOFµFICE COPY`
OFFICE'-COPY
P`
Called PG&E
s�
Y;r
-,Address
'Address w •�^ ��
;-
i;
l'
Signature_
-
.GAS,
'
` Dat
-GAS
w
1f ,.
Meter By
Date
V
'
t ELECTRI
F: Meter By
t,
Date'
r
Temp.
Called PG&E
OFFICE'-COPY
P`
Called PG&E
s�
-,Address
;-
JOB FINALED (D
l'
Signature_
t..
.GAS,
Meter By
` Dat
-
ELECTRIC
1f ,.
ate
` Meter: B "''`' Date-----
`
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Servic
Called PG&E
s�
;-
JOB FINALED (D
l'
Signature_
t..
i'
1f ,.
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
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/O -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; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI 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
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
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
h�
t .
1
Y
1
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL ISingl'e and Duplex)
* r No[ Ready
Date
UND
FLOOR Plans OK except #'s
Date FRA
Continued)
f
ing requirements–Setbacks–Easem
4
P operty Line Firewall & Openings
VW.,
Main; Soils–Steel–Elec. – /" Ftg. Depth
4W
Ext. Doors–One 3'–Check Garage -3rd story, 2 exits
Ftg., Garage; Soils–Steel– / " Ftg. Depthrs;
�dth–Headroom–Rise–Run–Landing–Fire Protection
4.
Ftg., Porches & Decks; Soils–Steel– / /" Ftg,. Depth
Plywood on Roof Overhang–Attic Vents–Rafter Outriggers
S walls, Main; Steel–Blockouts–Wrapped–SI
52.
Siding–Nailing–Veneer
Stemwalls, Garage; Steel–Blockouts–Wrapped–SliK
7. Ziers–Fireplace Ftg.–Steel
5V
5
Stgo6o Mesh–Drip Screed–Fdn. Vents–Underfir. Access
lazing Area–Glass Protection–Skylights–Plastic
D.W.V.: Fall–Fittings–Test-2 way C/0–Sewer Test
55.
Shear Walls; Nailing–Bolts,
9. Gas Pipe; Size–Anchors
) 3
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 11% Card -BI Date
Date FIN
(Plans) OK except q's
Card -BI " ' DaCard-BI Date
Date
P
MBING (Permit) OK except q's
. Steps–Door & Sidelight Protection–Landings
57'
S e Detector -
1
Water Ht.; Vent–Access–Combustion Air
5
urnace; Vents–Clearance–Comb. Air–Connector–
In arage; Above Floor–Ducts–Mech. Protection
Water Pipe; Test & Anchors–Nail Protection
D.W.V.; Test–Fttngs & Anchors–Nail Protection
5
room Exiting
Shower Pan; Test, First Floor–Tub Access
6
. & Bath Fixtures & Tub Access
8.
Test Tub & Shower, 2nd Floor–Tub Access
6
lec. Trim & Subpanel; Breaker Sizes–Labels
Gas Pipe; Size & Anchors
-62""ST
&Rails
6
fireplace or Stove; Clearances -Hearth
t ets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
6
it. & Appliance; Grnd.–Air Gap–Cooking Clearance
Card -BI
Date Card -BI Date
c. Outlets & Receptacles at Kit. Counter
Date .
ELEC ICAIs Permit OK except q's
6
Gara ire Door; Swing–Landing–Closer
uct'n Garage–Damper
2
ix4re & Transformer Clearance–Ins. Protection
Wtr. Htr.; Vents–Clearance–Comb. Air–Connector–P.R.V.–
In_0aYage; Above Floor–Mech. Protection
21.'
Iec �Rj eptacles Spacing–Lights &Switches at Doors
7g.
b:;'Elec. & Mech. Equip. Listed for Location
22. i oxgs & No. of Conductors–Stapled
234-lomex Installed Close to Edge of Studs & C.J.
7
EI eceptacles in Garage; (G.F.I.)–Rom rotec.
21, q_ round made up w/Mech. Fasteners–Bond Gas & Water
7ation–Foam–Looked
in Attic es
2 .'
p lance Circuits in Kitchen & Conductor Size
"r
nrd Rails & Deck Construction–Post Caps
e
ire Size / / ga. Cu or AI–A.C. Wire Size / / ga. Cu or AI
, ens Crawl Hole Door–Drainage &Wood -Earth Clearance
Loo oder Floor Yes
117
ange Circ. / / ga. Cu or AI–Oven Circ. / / ga. Cu or Al,
Inaut9tied Neutral []Yes ❑ No
7
llow' instl Drive es ❑ No; Walks es ❑ No;
P ers es ❑ No
2
Se a–Riser Conductors & Ground–Main Disconnect
7 .
Stu n–Finish
29
Clearances; Panels–Motors–Mech. Equip.
7
Di connect–Clrnces–Brkr. & Cond. Size -115V Outlet
3Q40—Clothes
Closet Light–Shower Light
7'`
entsAole Roof; Plbg.–Appliance–Firepl.–Clearance to Opngs.
7 .
er el' ,Disconnect, Electrical, Plumbing
8
x or Elec. Trim; G.F.I. Receptacle–Underground
Card B -I
Date Card -BI Date
en ' o' throughout House
Card B -I
Date Card -BI Date
teal6n
Date
MEC
I(Permit) OK except p's
8
C c ons from Previous Inspections
c9ons
g
LOW
G' –Meters Tagged; Gas–Electric
a Sewer Connected–C/0 to Grade–HD Approval '
3 A.C. Ducts; Insulation &Support
3
n; Exhaust above Insulation
C ensat Dr in & Overflow; Size & Grade
Qj66,00OEnergy
Compliance Certificate–Other Certificates
34. F t; Access -Comb. Air–Return Air Vent -115V outlet
a-26A1T
c-Cccess & Platform if Furnace in Attic
Card -BI
Date .2i Card -BI Date
Card -BI 1&91
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
F
MING Plans OK except q's
t i Comments at Final:
Si ;Proper Materianchors
3
1"s; Studs–Nailing, Spacing & Bracing–Plates–Sound
3
earing Walls over Girders & Floor Nailing
Dr top in Walls (rat proof)
4
it Y'ps; Furred Ceilings–Stairs–Chases–Tub
41'
er & Beam–Size & Bearing
4
angers–Post Caps–Anchors–Connectors
43.
CI , Joist–Rftr. Ties–Purlin–Roof Brac.–Truss–Shthnq.–Rfn_q_.__
4 . place Ties or Type A Flue–Fireplace Throat
4 '
A c Access; Size & Romex Protection–Draft Stop–Ins. Baffles
4
drm. Windows or Exiting Doors–Sill Hgt. & Dimensions
4V
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
Owner: ALVINCO
LOCATION
ROOF
Material
Thickness(inches)
..1 - - ---
Permit Noy o�`y
ENERGY CERTIF ICATION
DESCRIPTION OF INSULATION
EXTERIOR WALL
Material S:k'L414 A___j1
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inches)
+,Loose Fill Type
Minimum ThicknesWnches)
Area covered(ft. ,)__�z
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material_
Thickness(inches)
Width (inches)
FOUNDATION WALL
Material
Thickness(inches)
A'. N. No.
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)�
Brand Name_
Thermal Resist ce(R V P)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal
Resistanc6-`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 Califorriia Energy Requirements.
Hawkins Insulation.Co., Inc. 378407
FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR - 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.
r
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
AL J. VIAL, INC. 455978
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
V
2-11-87
IGNATURE 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
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
t 'JINCid F%/1- ?]::�
OWNER PERMIT 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
matter, or need additional explanation, please contact this office immediately./
/.� 0 :42 ' IrlEr mer' -,'4. '&"r
Inspector
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
I Q,
RMIT 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 orrection of work is completed. If you have any question pertaining to this
matte , or need additional explanation, please contact this office immediately.
M
Inspector Date 4 13 r�
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ,yrr
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A\V INS„) -
nWNFR 0CM
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 jadditional explanation, please contact this office immediately.
�l�/[1J I r 1 A e .S cA LA.w`� 'Qv-
lvu
oAJ a by % /s where
S �OAS tt S�� n P !Y\U.N
ce:! -e 1111'1( -ems kc, tei "ems .
gR
Inspector C�w Date
JJ .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovule, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
ASSESSOR PARCEL MBER
--7-9`—
ZONING
R_
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUO ION
OWNER'S M I ING ADDRESS
So M7F
O
CONTRACTOR'S NAME
bb r
TELEPHONE
o�
CONTRACTOR'S MAILING ADDRESS r
G
Fireplace 1,000
CONSTRUCTION LENDER
NGVVe-
.UNKNOWN
Total Valuation I $ (031
13
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
�IVe
$ +�
ARCHITECT OR ENGINEER'S MAILING ADDRESSfty
Permit fee
$ 405,00
BUILDING ADDRESS -
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
$ 2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBIVISION E
N�`
PARCEL MAP
Each qas water heater or vent
5.00 $
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00e
TYPE OF WORK
Newx Addition Remodel❑ �Uttilitie�sy In •❑ E]stalla on0 er
Describe work: 1Y\ W .1 / _P 'a ctp h 1P
Permit Fee
$ 46, (jp
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 /d,QO
Main service EA. ADD•L 100 AMP
2.50NEW
CONS. DWELING
OR ADDNST ( ACCLBLDGS.CCUP.&\
/
2Yp2sgfty.5e4%O
CONTRACTORS LICENSE LAW
I de la 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. 1f�07.Z.34 Classification 13
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. Business and Professions Code
for this reason
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRCUITS)
2,50 ea
NEW CONSTR (POWER APPARATUS &)
NON-RESID. SINGLE OUTLET CIR.
OR FIXTURES
Ex. Occ Up(OUTLFIXED
20@60e
SALO 30
PTS
R
Ex. OCCUp. OUTLETS (RESID.)EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ g� Q
Contractor
1 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating -W, oo O
&.00
pap pr,4
Cooling —� —
(0 00
Hood
3.00 1,100
Ventilation
permit Fee
$ p'Z rj,gp
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 relatingo,n0
to building construction, and hereby authorize representatives of the County U1
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 liabilitie , judgments, costs, and expenses which may in any way accrue
against sa' ounty in consequence of the granting of this permit.
//,, /�i,—
X Datef/�
Signature of Applicant — Owner❑ Contractor Agent /
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures ove 3 stories in height.
Mobile Home Installation Fee $
TOTAL MERMIT EE s/ $ 53y,•i/D
OCCUP. GROUP
TYPE os CONST.
PARC L
PD
5911E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTO OF PUBLIC
PE EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
ate
fyl (I
Receipt NoBY
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPART"ENT.OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A. P. No. jY/Y-- 7 S — '/
Proposed Building Use S% r
Permit Fee Based Upon: Complete Contract Price ✓ DPW Valuation
Other (Explain)
Building Inspector. fl Date _73"
At time of permit application, I was advised the following data must be submitted prior to permit processing
andlor. issuance:
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.
bJg<, 8. Fees of $ _53 -y, yD ,
9. Letter of signature authorization.
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance.
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner ❑, Mail to owner0.
15. Improvements may be required. Contact Land Dev. Sec. of D.P.W. (see address below).
16. Mobilehome Installation Data.
17. Pre -inspection for required.
18. Recorded copy of Agricultural Acknowledgment Statement. ,
19. Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w./inspector.
Other
Applicant Date
GENERAL INFORMATION
BUILDING DEPARTMENT OFFICES
Chico. . . . 196 Memorial Way
Phone: 891-2751
Hours: 8:00 a.m. - 10:00 a.m.
Orovi I le . . . 7 County Center Drive
Phone: 534-4541
Hours: 8:00 a.m. - 5:00 p.m.
HEALTH DEPARTMENT OFFICES
Chico . . . . 196 Memorial Way
Phone: 891-2727
Hours: 8:00 a.m. - 9:30 a.m.
Oroville 7 County Center Drive
Phone: 534-4281
Hours: 8:00 a.m. - 9:30 a.m.
Paradise. . . 747 Elliott Road Paradise. . 747 Elliott Road
Phone: 872-2961, Ext. 57 Phone: 872-2961, Ext. 58
Hours: 8:00 a.m. - 10:00 a.m. Hours: 8:00 a.m. - 9:30 a.m.
PLANNING DEPARTMENT — 7 County Center Drive, Oroville — Phone: 916./534-4601
CALIFORNIA ENERGY COMMISSION — 1111 'Howe Avenue, Sacramento — Phone 916/322-3725
LAND DEVELOPMENT SECTION
DEPARTMENT PUBLIC WORKS— 7 County Center Drive, Oroville — Phone: 916/534-4339
Orig inal—Appli cant
COUNTY OF:BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL , CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
' Permit No.
OWNER Ak V 1 fV C. U A. P. -No. 7 S —
Proposed Building Use S1 %r-
Permit Fee Based Upon: Complete Contract Price ✓ DPW Valuation
Other (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./tripl_icate. . . . . . . . . . .
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.
E -K 8. Fees of $ 5�. Gln .. . , . , , ,
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. . .
11. Planning approval for (A) Use: (B) Parking:
12. 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 Required. Building Inspector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
61 _19. Other E=r we-,en,.i e .lcs.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspector.
Other
Applicant Date
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:
(For required items not checked above at time of application, circle .item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail ^_Other
By p Date +"
Plans checked by Date
Plans approved by Date —
Other:
Copy—DPW
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
er
n` / AP#
Plan approved for: sewage disposaly water supply +
Hold final for: water supply +i
Final clearance O.K. for: water supply
Clearance for 3 bedroom a home. Other
Note***
Sanitarian _
Date
MIS set of plans and specifications MUST b:
Kept on the job at all times and it is unlawful to
m6ke any changes or alterations on same without
written permisson from the Department of Public
Works, County of Butte.
NOTE -All -Materials & Workmanship Shag 16 i6
Accordance with Recognized Good Practices =eA
of a quality prescribed for +!,,e Specified use 'in As
�.4,hifor;n- Building, Plumbing & Mechanical Codes wa
the National Electrical Code.
Qk
i2
v
n r—
O LU
CC2 VII -esu
BUTTE COUNTY
BUILDING DEPARTMENI
APPROVED
C
>
Ip
r
v
�.0
L. O
1s
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 ez�*pt
for a 2 ft. eave overhang,
-207
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY FOR
Owner
a i Y� C D Climate Zone ZZ . Permit No. .
Floor Area
Compliance path: Package ❑ A ❑ B ❑ C R point System []Budget ❑ Other rl�
MIN R -VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling n %�
Wall �C7
❑ Slab Floor Perimeter
❑ Raised Floor
7/83
(E) Thermal mass
(2) INFILTRATION•
❑
(A)
A vapor barrier is required in climate.zones, 1, 14 & 16.
lel
(B)
All manufactured windows and sliding glass doors shall meet the
Ft . 2
HC=,�`
1972 ANSI Air Infiltration Standards and shall be certified and
M = 7,3
Location
labeled.
-2—
(C)
All swinging doors and windows leading to unconditioned areas
Z
- Ar a Ft .
shall be fully weatherstripped.
MC=_7 IL
Tight - the Above standard features plus:.
❑
(D)
Continuous infiltration barrier
❑
(E)
Electrical outlet plate gasket
❑
(F)
Air-to-air heat exchanger
R=
(3) GLAZING:
Location
(A)
Location
Area Glazing %Floor Area Single Double Triple
®
- Area
Total Bldg y
_7"_
HC=
R=
North �,-�
East q t7
Location
South
West
►j
- Area
Skylights'
HC=
(B)
T
Shading
Location
Shading
Coefficient Description
- Area
East 3G
HC=
R=
South ,,34 w),. al%r-r ice,
Location
West ,3r, W a!>,-
(�
Skylights •S-% 7,'-.
(C)
South Overhang
Length -of projection.=2- ft. Description
❑
(D)
Moveable insulation: Area ft2 Description
7/83
(E) Thermal mass
Type
A .
- Area
Ft . 2
HC=,�`
R=
M = 7,3
Location
-2—
Type
Z
- Ar a Ft .
HC ' R=. /3
MC=_7 IL
Location
33 �
Type
- Area
Ft.Z
HC= J
R=
MC=
Location
Type
- Area
—Ft.Z
HC=
R=
MC=
Location
Type
- Area
Ft.
HC=
R=
MC=
Location
Type
- Area
Ft.Z
HC=
R=
MC=
Location
SDR N1 1
❑ (4) MASONRY AND FACTORY- BUIL'i:' FIREPLACES shall be.equipped with tight
fitting closeable. [petal or glass doors covering the'entire.opening
of the firebox;.a.'combusion air intake equipped with a readily
accessible, bpenable, and tight fitting damper to draw air from the
outside of the.building;:arid a•tight .fitting flue damper with a
readily accessible co6tr.ol.
*1(5)
HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating '. -
[��
Central Gas Furnate PS'� SGS. W U a 01-1 Q 's ..
�k(j)
_
and and model number)'SE
Btu/hr`
(heating. capAcity)
❑
Heat Pump:. _
(brand and model number) ACOP
___ _•__ Btu/hr.
(heaving capacity at 470F.)
❑
Active Solar
tYPe (liqu.id or. air) Collector brand and.
ft2
model number solar fraction collector area collector
orientation collector tilt rated y- int
rated: slope
Other --- -. - -- —
—
-
{descri.be) .
1
.
(B) Cooling O
g
Electric Air`.Cohditioner
(brand 'and model number) (seasonal:.EER.)
Btu/hr
(cooling capacity at. 95°F),
❑
Electric :Heat Pump
EER
Btu/hr
(cooling capac:ity at 95°F) '-
Cl
Other •• _ _ _ --
` .(describe).
❑
(C) A:TWO-STAGE THERMOSTAT, which controls the supplementary heat.on
its second stage, shall be. required for.heat pumps.
(D) AN AUTOMATIC SETBACK shall be provided for.all thermostats, except
those controlling heat pumps.
_ [i?./, ..(E)
AN,INTERMITTENT 1GNIT10N DEVICE shall be provided for all.gas-fired
fan type central furnaces, gas-fired fan type wall furnaces and
gas cooking appliances.
_
— -
(F) BACKnRAFr DAMPERS shali., bre provided for all fan systems exhausting .
air to .the :outside.
(G) DUCT CONSTRUCTION & MSULNUON.' All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss 'and 'shall be insulated to-conform to.
theprovisions of Section 1005 of the UMC, 1976 Edition.
7/83-*
2 .. .
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 °, e levat ion I Ci Co', heating load) -7 BTU
elevation factor _ x heating load = maximum outlet capacity gas furnace
BTU USE ONLY AS SIZING GUIDE,
UO2' 0 OL G MtAY BE INADEQUATE
Cooling: Summer design tem.peratu"re °, cooling load BTL
2 3o C)
* 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.*
7/83 S MATURE B LDING DES GNER OR APPLICANT
3
(6)
DOMESTIC WATER SYSTEM.
(Aj
LJ
Gas Only Gallons
i
(brand andmod number) (tank size)
❑
Heat Pump w/Electric Backup
' (brand and model number)
Gallons
(tank size)'
❑ *?
Active Solar:
_
(collector brand'and model number)
(ratedy-intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑
Location of Solar Panels -
❑
Other
:(Describe)
Er
(B). TANK" INSULATION. Storage type water heaters and storage and.
;backup tanks for solar systems shall be externally wrapped with
'Ins'ulatio'n
;R-12 or greater.
(C).PIPE INSULATION. 'The five tuet of pipe closest to the water
:heater and outside conditioned space shall be insulated with a
:minimum -of k-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3.. Steam and steam condensation
return piping and recirculating hot water piping outside the
'building envelope shall be insulated in accordance with
:T20 -1408(d).
(D).FLOW RESTRICTORS shall be. provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy.Commission.
/(7)
LIGHTING
(A);Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
-watt.(usually florescent) . '- -- —-.--.-.--• -_,_-- _ — __
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 °, e levat ion I Ci Co', heating load) -7 BTU
elevation factor _ x heating load = maximum outlet capacity gas furnace
BTU USE ONLY AS SIZING GUIDE,
UO2' 0 OL G MtAY BE INADEQUATE
Cooling: Summer design tem.peratu"re °, cooling load BTL
2 3o C)
* 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.*
7/83 S MATURE B LDING DES GNER OR APPLICANT
3
a
ZONE 11 a
01'1N)~iZ _ :' t•'•.J 1a1C J -7a. Celltng Insuiatlon r"ble 3-7: SInth-Facln ;laz(" s 'fable 3-10. SAadln Coefficient Potatc
PERMIT NO. ASS! G, _-D ACTC L Points 1- 1- �----`�=r )----
I R -Value of Insulation I Port's I i Tocal Glazln,; T:•Pe I I SC by I
I. SUB i:'!Si)LtiTIO:d i:O:h°• _ 5 ✓ I Floor Area
1 1 I I i of I Snv-i -i-Ot! - I I or!cn- I
2. RAISED FLOOR - R-19 _ 1 Floor I (U - I (U - r'rp� 1 tzclon I
19 -43. OEILINC; - R-30 I 22 I -2 I I Area 11.10) 1 0.65) I o.41)I T - I �-
I olr.t9 1po:n•s I ointsl 1 Sest I 1 3.2 1
4 • WA.LL - ^-}9 \ \ -- I 38 I +2 ( I up to 1 .5 1 +2 ! *3. + 3 I i 0-3.1 1 to
i 6.4 up fj
✓ I 49 j +4 I ! 1.5- 3.b 1 _1 1 +z I +2
LC
5. NORTH GLAZING' ! o - + I I ! I 3. 7. 5.2 1 _4 I 2 I 0! I I ! ( 1
"� 7.. t -..6i: I S.7- 6.5 1 _6 t -2!-�--
6. ZAST GLAZING - -I- f 1-)- 7.7 I _9 I _4 1 -3 j ! 0 -.19 1 0 ! +1 I +2
2.5-3.6'; 1 -5 1 I .20-.36-1 0. I 0 1-A
I 7.8- 8.9 I -11 1 -8 1 -7 j I 37-.b6 I 0 I 0 1 0 t
7. SOUTH CL�ZI::G $ - ' . 6 -3. 6'; _ 1 9.0-10.0 1 -13 1 -lo , 1 -9 ( I .67-.82 I 0 I 0 I '1
?able 3-4a, Nall Insulation Points 110.1-11-S I -17 ! -13
-}- I -11 I I .83 up I 0 I -1 i -2
S. [.TES GI iZl:i i 0 - =.9-3.6% �p i 11.6-13.0 I -21 I -16 I -l4 1 I I I
I R -value of insulation 1 ?oLncs I ! 13.1-14.5 t _
9 1 I 1 ! 14.b-16.0 1 -Z3 1 -22 [6 1 T- 1 - ...
sl�.i'i..tG?!? % - �-1."------- .� - 9 I 1 south I o 3.2 16.4 1 3.0
1 it I -7 j I 1 I ! 1 ! I co I co ! to I
10. SHADI::G (Exclude Ocerha:•g) i -- 005
19 1 0 :able 3-8. West Facing 1 13.1 1 6.3 17.9 I !
EAST _ 1 24 ! 11;1nR Pts. ! T__T...- :
/ 67-.82 1 I +2 I t �- +I ! , 1
SOI:T!1 S - .9-.42 ! 30 I +3 I I I Clazing T'/pe - j I o -.ta I o l.+1 I +2 I
I j 1 Total I 1 i .19-.42- f o l 0 1 0 l 0 I !
WEST 0 - - i ' of 1 Sngl, OD1, 1 .43-.66 -I C 1 -1 ! -2 i' -2 1
_3-.3v p I Floor Trpi, t .57.up l o l -z I -4 I
_4 1 .3
Table ]-5. North -Facing Clazina Pry I (U - I (U - ! (t - 1 i
SKYLIGHT � - 3? -.57 j-- -_.� I Ares. I l.lo) 1 0.65) I (L; - I
0 1 1 Glazing Type ( 1 I oin;s loo:nts I nl:.esl Hest i .1 ! 1.5 13.2 1 5.6
11. HORIZOaTi.L SOL'T! OVERHANG. V I Total ! o +6 +6 +6_T I cc I to I to 1 is I •�
MOVABLE II:.StIZAT?Jif - ::OFtc - 1 IT of Sngl., I 5bl; 7rp1,1 I up to i.3 I 'S I +6 I +6 1 ! 1.5 ! 3.t ! 6.3 I 7.) I
! Floor . I t71.4 -
12.I I
I u I U- t I +] i +: i +s _ 1
Area !.0:66 1 0.41- 1 0.G1 1 2.7-- 2.3 1 0 1 +2 ! +3 j !
13. 1r;Fii.:?'�Ti0;t (St.3�dard=3 11.10 10.65 I 2.5- 3.. I _3 ! o + 1 +l I +3 ! +6
I lin _=f :'l�
T_- - -r- I d o �r I : I 1 0-. 12 ! O i I .) j. 0 I
C t
14. THFRI[i: MASS �.3 CJS - -f�p ! j • o. 1 ++44 i . j 4 +c I s.3 i.0 I -8 i -4 I -c I .37-.si I o 1 -1 I -3 I -6
�r !7• t.2 .i4
t :.3- z.3 I +1 I +z ► +z I f s.7_ s s I _io ! -s ! •5a�. 2 r! -2 ! -4 I _a j -22 ;s
15'. GAS ::i R., - (Sc). 7i-769, i' 2.4- 3.'b I -2 I 0 j +1 1 I 3 -Z -15
1 t
6. 4Ea FII;T (E:r _� - 3.7- 4 ! -2 6.3- .9 i 1 P _
1 T 7..5 .9?. I 4.5- 0.•1.1 -7 1 -3 ! I 0- 7.6 1 -15 _�0 -7 1 1 1 -
17.
DUAL C c
6.2 7.3 ! -9 ( -6 ! -5 1 7.7- 8.2 1 -:J j -14 Skylf ht I .1 ! 8 1.1.6 13.2 i 0
t 'ACK (-E, Si�P,) 5.0-3.3/71-''u% i 7.4- 8.2 ! -12 1 -8' ! -7 I S..' 3.a ! -22 1 -16 I -!7 j 3 ! to 1 to I to t to I t�
I ! 8.9- 9.0.5 I -25 i I 1 7 11.5 13.1 13.9 15.2
! 3.7- 9.7 i -14' I -IO 1 -8' _ -13 t -15 j
_27
13. ACTIVE 50[.1? 60�; tfI:1 (BORE) 1 9.8-10.8.1' -1'7 f -12 I -10 t j :D,s 1I.0 ; ! -13 1 -15 I 7 -�-r
1 19:9-12.0 i -19 -29 ' I -23 - 1 -17 1 0-.12 1 0 1 +1 i +3 i 16 i +•
19. - ZONALLY. C&TROLLED ELECTRIC I -14' 1 -12 I ! 21.1-ti.8 I -35 I =_25 { -21 ! .13-.36 I 0' 1' ? I o I 0' I
! 12:t-13.2 I -22 ! -Ib ! -13 I 1 11.9-12.7 ! -33
( 13.3-14,5 ! -24 1 -i8. 1 -15 ► i -29 1 -24' ! 37=:57'' 1 o 1 ( -3 i -5
20. SOL\R F:ITH GAS SACKU? (IitJ), I 14.5-15.3 1 -27 I -20 t -17
( ! 12.a-175 j -42 -32 -27 -582I'- 1 -3 -b -12
21. OTHER 13.5-'4.3 -46 -35 -29 .8] up -2 1 -4 _3 -15
-ELECTRIC 14,4-5.2 -5( t
_2t
-73 1 -32_
J ! 1 I
:able 3-1t. Ilnr!zon:a2 Sou:h
T Table 3-9. Sk overhang Potntt
Table 3-b.. East-Fncln¢ Clazing Pts. •j- Yl(oht Potncs ,�"--:u:A Cia_tng
ITE:IS SHO>.^f a. ZERO POINTS
I Lergrh Out I Arca, : of Flncr ;
! 1
Glazing Type 1 ( fatal Glazing Tyre ! 1 from Nall I
"DOM ( Total I I I Ft' I
'able 3-1.- Slab Floor Points 1 of ! Sn-2, 1 1 z of S"S1. Db1, Trpl, 1 f 0-6.3 1 6.4 up l
j--------��r Table 3-2. RaisedTFloor Point I I (Ub -1-Obl Trpl;! 1 Floor I U- I U- I G- 1 1 I ! 1
1- Floor I (U - 1 (U 'j ( Area
I Tnc•)I8- I R -Value of inauist!On I I Area { 1.101 1 0.55).1 0.41)1 I 1 0.66- 1 0.42- ! 0.41 { 0 - 0.5 I -2 1 -"
1 I R -Value of 1 11.10 ( 0.65 ( dovn I 10.5 - 1.0 { -2 ,1 -3 I
I Insulation i Pointa� 1 IPo!ncs Ipolnts IPn!n:sl I -r 1 1.1 - 1.4 I -1 1 -2 1
I Depth, j-�'- ( o �j- ± 7 _ + 1 r t_ I up to 2.3 I -l. t) I
I Inches 10-2 13-4 ! 5-66 7i j ! I I up to t.3 1 +3 I +4, ! +4 .! I 1.s- 2.z I -3 I `�I 0 t I '2.o up . I o I t
{ ( I 1 I
below 3 ! ( I (I 1'•- 2.4 1 +1
+ +2 I 1 I 2.3- .a 1 -b2.5- 3.5 ! -2 ICp1
Tf11 able J- 12. Movable InI!
sult
att�rn3-6 _g 7.7- 4.6 1 -5 I -2 0 1 2.9- 3.6 I -9 _60 -ll 1 -S .1 -S 1 -S I -S 7 _b 4.7- 5.5 2 ! -I1 -8:2 = 15 (-S I -] 1 S -61 Points
l9 -S -2 - 8 - -14 1` -4
17_18 '2 . 10 -6 -5 S.1- 5.b -16 moveable Insutatioa'
-5 6.8- 7.7 -1] -S Area, 7ofn_s2I-3019+0 -10 -8I of Floor
6.3- 6.9 -21'-68.8- 9.7 -17 -12 -IO i -17
TII
i
7.0- 7.6 I -24
`� t a,_8.2_2e -20 -17 +211.3-1i.7 -25 1 -13 I 1 .6 - 11. t
GLAZING PLAN TAKEOFF SHEET
5Zh Glazing
J
QUANTITY SIZE _ - AREA.
,R (SQ.FT.)
x
(c) x —
(d) x - —
(e) x
Total North Glazing = T57 (SQ.FT,)
(a+b+c+d+e )
"OTAL
IORTH TOTAL BLDG CONVERSION :TOTAL
..AZING FLOOR AREA FACTOR NO' GLAZING
to 1 3 - X 100 = S %
;Q.. FT. SQ.FT. —
w,s - I_,
3-7 Sam%Glazing;
i
QUANTITY SIZE
A (SQ.FT.)
.a) x
= 02
:b) x , 3
_
c) __-- x
5
d) x
e) x !
_
Total South' Glazing
/D (SQ.FT.)
(a+b+c+d+e)
OTA L
OUTti TOTAL B.LDG CONVERSION TOTAL
AZING FLOOR AREA FACTOR
SOUTH GLAZING
Oto /332 x, 100.
_ %
Q'. FT. SQ.FT.
3-9 Skylights'
QUANTITY SIZE AREA. (SQ.FT.)
b) x 04 = 8
C) x —
Total Skylights = (SQ.FT.)
(a+b+c)
DTAL
MCHT TOTAL BLDG CONVERSION TOTAL %
;7.ING FLOOR AREA FACTOR SKYLIGHT GLAZING
I `i 133 x 100
33
FOR M 6
3-6 `.�'sa�s=t Za_zZ ing
QUAJITY SIZE AREA (SQ.FT.)
(a) x 3X
(b) x =
(G) x =
(d) x =
(e) x =
Total East Glazing (SQ,.)
(a+b+c+d+e)
TOTAL
EAST TOTAL BLDG CONVERSION TOTAL %
GLAZING FLOOR AREA FACTOR EAST GLAZING
x 100
SQ.FT. SQ.FT.
A
3-8 [fmt 'Glazing
QUANTITY SIZE AREA (SQ.FT.)
(a) O x =
(b) x -
(c) x =
(d) x
(e) x =
Total West Glazing = (SQ.FT,)
(a+b+c+d+e)"
TOTAL
WEST TOTAL BLDG
GLAZING FLOOR AREA
x
SQ.FT. SQ.FT.
. J
CONVERSION TOTAL-%
FACTOR WEST GLAZING
100 = V %
pl. 02/1. 0 -1 Ly --p 9S
THERMAL MASS TAKEOFF SHEET FORM `
s1iT NO.-'.
.dermal mass: Materials which have the.ability to store heat (t
brick and .ceramiypical types are masonry,
C tile).
Thermal mass cannot be insulated from the interior of the building. (If covered by car-
pet, cabinets, or enclosed in closets the .mass is considered insulated).
Thermal mass floors must have an exposed a6d.textured surface or design so that carpeting will
not occur. (Covering of.vinyl or asphalt tile. and linoleum is permitted).
TYPE THICKNESS LOCATIONS DIMENSIONS
AREA
Entry ;Floor x
Bath #1 Floor x 35 SQ.FT•
Bath #2 Floor ' x ' a
Bath #3 Floor L---SQ•F'P• j
Kitchen Floor x a SQ. FT.
Floor x , Sa -SQ. FT.
Floor' x ________.___SQ. FT.
Fireplace ' x —.--SQ. FT.
Fireplace ' x a 3 --SQ. FT.
Bath T1 Counters SQ.FT.
Bath #2 Counters
x n _____..._ SQ.FT.
Bath #3 Counters x ,----_S'Q•FT•
Kitchen Counters SQ•FT.
Wall Shield t x ► 3---3----SQ•FT.
Walls ' x —� ____—SQ. FT.
Walls � x SQ.FT.
_.. Wallsx a ----------SQ • FT.
FT.
x a
SQ
x -5 Q • FT .
- � X � a.
___S Q . FT .
If compliance method proposed is other: than the point system (where thermal mass point
charts are available), use calculation: methods on reverse of this form to show thermal
mass'compliance.
v..... D7
7/83.-,.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califc9riia 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
i
PE MIT ONO.
1 7—' d'
)
ASSESSOR PARCEL NUMBER
7-46-4
ZONING
BUILDING PERMIT
OWNER
Alvinco
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
Transfer
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
Al Vial
TELEPHONE
891-4757
CONTRACTOR'S MAILING ADDRESS
224 W. Tonea Chico
Fireplace
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
578 Kings Canyon Way
Permit fee
$
PLUMBING PERMIT
Filing Fee 100.00
Each Trap
2.00
Chico
Solar or heat pump water heater
20.00
LOT NO.
95
SUBDIVISION NAME
North Park #2
PARCEL MAP
Water piping
5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑R Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lilies ❑ Installation❑ Other ®
Describe work: Transfer Contr of Permit #824-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' and y license is in full rce and effect.
License No. Classification
❑ 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.N 2/,
OR ACDNS. ACC. BLDGS. zQsgft
NEW CONSTRMULTI-OUTLET
NON•RESID BRANCH CIRC ITS
2,50 ea
POWER APPARATUS el
SINGLE OUTLET CIR. I
Ex. OCcu BAL sae
Occup(OUTLETS OR FIXTURES eAL030
FIXED APPLNS. OR I
EX. Occup. OUTLETS ((RESID,) _EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc.'lyirin 15.00
9
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFeel 10.00
Heating
Cooling
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
again s 'd CountX in nsequepce of the granting of this per�it.
%� Date
Signature of Applicant — Ow r Contractor ❑ Agen"Vi-
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 PERMIT FEE $ 40.00
OCCU P.
CONST.TYPEJ
I FLOOD
PARCEL
PO
No I
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.
DIRE F PU I WORKS.
By Date
PERMIT XPIRES Date _/- /24/86
Receipt No.
WNIT!-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
wEgg BR�TKER .
S �o
389c CPN.NSTR t
cCTION
HrCo9C6 CFORNrq SRT
1 89y_3351926
October 31, 1985
Butte County��7eC
r Or
iveOrovA95965
Re:
Permits Webb 8
Gentlemen; rothers took
-out at .N
<« :: orth park Subdi io
..F, haven Webb Br°then vis n
Br°then it been built has
permits at Nor
Brothers Construction to uld like to North
ark Subdivision
1 Via1 Inc. transfer these from Welch
bb
Sincerely
r
�i
or
pa n er
G L• Webb
lVebb Brothers Cons
turction
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMITNO.
ASSESSOR PARCEL NUMBER
.�
ZONING
BUILDING PERMIT
R
TELEPHONE,
SQ. FT. OCC. BUILDING VALUATION
OW ER 1 ING ADDRESS
C TRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
zztv,Fireplace
CONSTRUCTION LEN R
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking F e
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home JSFG W
10.00ea
TYPE OF WORK
New❑ Addition Remodel❑ Utilities❑ Installation❑ Other
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP _OROOV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under p Ity of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profess' s Co a d my license is in full f`ot ce and effect.
License No. Classification .�
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
_for this reason
NEW CONST. DWELLING OCCUP.ad ,
OR ACDNS. ACC. BLDGS. 2/:¢sgft
NEW CONSTRESID, MULTI -OUTLET 2,50 ea
NO N.R ESID BRANCH CIRC ITS
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 2AL@30
BAL030
FIXED ALINIS
Ex. Occup. OUTLETS P(RESID.)REA.) J 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �yirin 15.00
9
Permit Fee $
ORKMEN'S COMPENSATION INSURANCE
I declare and r' enalty 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.
F1 I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
'provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
again s Id County ' consequence of the granting of this permit.
%� Date �' "( o
Signature of Applicant — O r❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ 2
occu P.
CONST,TYPEJ
I
IFLOOOIPARCELI
PD
I HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR F PUBLIC
BY �
PER EX ARES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date �
i 7
Receipt No. 5 2, S-/14
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT