HomeMy WebLinkAbout017-050-019f
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11-36-19 4317-89B,P,Ev.
VELASQUEZ, Augustine
5304 Fort Humbug Rd -,"Chico r e
(MHU)
Y
ELEC
GAS : �" �.•'x
COMPACTION ;TEST
.,
SUPPORT STRUC REQ
--- '' 716-91B,P,E
].1-36=19
VELASQUEZ, Augustine
.5304 -Fort Humbug Rd, Chico 7 41
(new shop) ��
011-360-019 01-0604
VELASQUEZ, ANGIE
5304 FORT HUMBUG RD�CHICO
CONT:UNK '
SPLIT METER ADD 2ND METER
f
011-360-019 01-0604
VELASQUEZ, ANGIE
5304 FORT HUMBUG RD. CHICO
CONT:UNK
SPLIT METER ADD 2ND METER
,t
t !.Y-
GAS
OIC�Address 6304
Date
.Meter By
ELECTRIC" Date 3-36-01
Meter By
p
4 it
rcr�a- P 3 -36701
COUNTY OFA BUTTE -DEPARTMENT OF DEVELOPMENT.*'elephbne
CES -BUILDING DIVISION
7 County Center Drive Oroville, California 95965 (530) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PE A M FT C. - �)4't'9
ASSESSOR PARCEL NUMB¢, //» —3 `,� .O
''(`(.•JJ]] fV7
ZONING
BUILDING PERMIT
OWNER �,
TELEPHONE J�
G7
SO. FT. OCC. BUILDING VALUATION
. OWNERS UNGsAD; R6 6 P 134 4.,W � 9:]
//ILII
e
'
CONTRALTO.
�Jw^•�/.S/R�
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
. '
Plan Checking Fee
$
BUILDING ADDRESS 5 3 0 e `_.•�JA'. `-�
77 l/L +/1
Energy Plan Checking Fee
$ ,
t QiYI. tlyt.t.1LL •
PERMIT FEE
$
LOT NO.
S UBDNIS IONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome Of Other
spECIFr
Each Trap
7.0023.00
Solar or heat um water heater
Water piping i
15.00
Each gas water heater or vent
15.00
TYPE OF WORK f
New ❑ Addition ❑ Remodel ❑ Unities ❑ In;�Tallation ❑ Other ❑
It Describe Work: '? -Qy
�7 i li 0(d
Gas piping system 1 - 5 outlets
15.00
Building sewer .
15.00
Mobile Home S G W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
LESS
Main Service A 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.POWER
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I em exempt from the Contractors License
Law for the following reason:
❑ 1, 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.
0 1, 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
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.)
El" 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 with those provisions.
X >I( Date C
Signature of Appiicanf - Q Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
`
Main Service To
46.00SO
W CCU000A
NEW CONST. DWELLINo Occup. 3.5¢F°;
ORw DNS. ( SST
MuicTC.
NON-RESID. @7.50
APPARATUS
8 SINGLE OUTLEr CIR.
.00
EX. OCCU . OUTLET OR FIXTURES aAL O I.50
Ex. Occup. ouTLtDTSA RESID.OEa 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
AO —T -3 23.60
PERMIT FEE $ tjL m , .
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES IMP
'FLOOD
CDF
PARCEL
Po HDf
f
[
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
L
BAw,�W,
y✓ J Date
PERMIT EXPIRES ON"
I(Date)
Receipt No. 3, 4/tV 3 ,�
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
4r
CdUPiT�I OF, BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive •. Oroville, California 95965 • Telephone (530) 538-7541 PERMI NO.
(Rev. 12/96) -APPLICATION AND PERMIT C, �')/ (0
ASSESSOR / PARC NUMZ5 f _ 36 0-0
V
ZONING
BUILDINGPERMIT
OWNER
n,
TELEPHOi7E-----
346—(0q
SO. FT. OCC. BUILDING VALUATION
.OWNERS _ LI (
7/ 52
CONTRALTO E
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flin Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
SUIL.DINGADDRESS O
Energy Plan Checking Fee $
Ir c7
$
PERMIT FEE S
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome �K Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ingtallation ❑ Other ❑
Describe �Work: ,,/� _ A n
add G?l� �X.l� � �
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE S
1,7,x,� -_ �+ %��
r,lJ�l�l S[/K91)
ELECTRICAL PERMIT
Filing Fee 20.00
%7
Main Service 200,,OR LESS
23.00 ?3 4tb
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.PowER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
mill do the work, and the structure is not intended or offered for sale.
0- 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 IODOA
46.00
NEW CONST. OWEWNG OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.50FT.
T.
NOµH6,0 MULTI -OUTLET
@7.50
APPARATUS
a SINGLE OUTLET CIR.
Ex. Occup. oLmFr OR FIXTURES
20 ° 1-00
SAL o .w
Ex. Occup. oLm TS AEsID LNS °Ea
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
Ft—e _
,rQ
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
MECHANICAL PERMIT
FiTing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEL: $
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.)
?r 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 with those provisions.
X Date 3—Zb —01
Signaturb of Applica wner ❑ Contractor ❑ Agent I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOT L FEE $ ,
HAZ.
p. FEES I P FLOOD
CDF
CEL
PO H
tjUE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
B Da
Y
PERMIT EXPIRES ON 4V40u
1 4Te
provisions
to do work
paid.
�L
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PRE -INSPECTION REPORT.
OWNER: DATE:
LOCATION: 3 0 4 A.P.
CONTRACTOR: ZONING:
PRE-INSPETION FOR
DATE TO INSPECTOR 3 21-4 () / PERMIT HISTORY:(,' ) NONE ( ) AS FOLLOWS:
Building Description:
Electric:
Commerciawsage:
Residential/# of Units:
Currently Occupied
Abandoned/Vacant
Yes ✓ No
Condition
BUILDING INSP-;zCTOR'S REPORT
�A�) P
Electric currently On y Off
Gas: v
Natural Propane None Currently On ZOff
Obvious Problems: -AA)
Sanitation:
Plumbing Working Ij �? S
Well Working_ S Potable Water�_�
Obvious SewageProblems....... Zy '
nn ll�. n
lts: t t e 5 e�- Oq nlj O S e I J i e. 1,5 LD_ 11) A A a: lel —'3 1 R 1
54o,o Are e1. n I5b fie ej,. A, r vim° -/F d e !V o,A AAJ A -t) /1-- 3 (. -10
O14+Yii 4q � !,FY')5-f"
-f 1BT
6CAJv�
r44.i.V ``ClY/
CATV l)sG
#r- Si4�
zD
/l�• 1s.
�JS. /
�O l�`Gio� �1
V� O
ACTION RECOMMENDED:
ISSUE:
HOLD FOR
aPPlyta4 ez5e-,,,o .
Inspector. Date to
Sketch buildings on reverse and indicate location on property.
�3 So
T. ` -COUNTY OF BUTTE - DEPARTMENT90F DEVELOPMENT SERVICES - BUILDING DIVISION
i 7 County Center DriJe ' -Osoville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) , ,.AP -PLICATION AND PERMIT C.,
C
91
ASSESSORPARC Num?n/ - 3, lU - �^U
UU
ZONING
BUILDINGPERMIT
OWNER
I
TELEPHONE
345^�� I
SO. FT. OCC. BUILDING VALUATION
OWNERS t O 6
CONTRALTO E
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuat on $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS f 5 C)
Energy Plan Checking Fee
$
$
r
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
I
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome (�C Other S,62V
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Ingtallation ❑ Other ❑
I
Describe Work: -'!�,, ,, _ n ntm
PA 0 -ad QtL CL�.N ��� C./
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
S G W 0.00
Mobile Home Q2
PERMIT FEE $
(it3C% Sli"J
ELECTRICAL PERMIT
Fling Fee 20.00
—'
Main Service mai oa LLEEss
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
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contrectors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
mill do the work, and the structure is not intended or offered for safe.
� 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
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.
❑ I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permitis 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.)
tib 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith%com/ply with those provisions.
Date — Z
X �/ !�>(�� 3 b._ �
Signatur6 of Applicant wrier ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service TOGA TO 1000A 46.00
NEW CONST.DWEILNO OCCUP. SO
OR ADDNS. BLOS. 3.50Fr,
T.
rNow,,.RES D. MULTI.OIITLET iCIRQITS @7,50
PS0 APPARATUS
a INGIE OUR.ET CIA.
EX. OCCU OUTLET OR FWWRES B0 ® I.S0O
Ex. Occup. °°� R D.° 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
"L- _
PERMIT FEE $ 6161 IM)
MECHANICAL PERMIT FLing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
�°
coNST TYPE
TOTAL FEE $ (0
HAZ.
D. FEES IMP
I FLOOD
I COF
PARCEL
Po
HDL
This permit is hereby Issued under
in the Butte County Code and/or
indicated above for which tees have
By
PERMIT EXPIRES ON
the applicable provisions
been ionsto do work
been aid.
Date
Deka
Receipt No.3.777=-
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
Iv A
.............
! 19- 716791B,P,E
VELASQUEZ, Augustine I
5304 Fort Humbug Rd, Chico
(new shop)
a.
t✓ENi �201��Fi PA5C BRtSGP-
i
k:
r.
Y
F
OFFICE COPY
Address � 3 p:
b
i
q
d
<� 116
ELECTRIC
j n Date
Meter By '�
'\'7 G /
JOB FINALED (Date)
Signature
J=ok
O = Not OK
Nott Readyatile MOBILE HOMES
turf
Date MOBILE HOME°UTILITIES (Plans) OK except #s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ P L" ft./ /"LPG
7. Utility Clearance
Date Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve—Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
1
MISCELLA
Date PECY4 COVERS, CARPORAL GARAG PI s OK except #'s
1 Z -Ag Requirements -Setbacks -Easements
. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
d4-6eeke-Griders and/or Joists -Decking -Bracing -Stairs -Rails
1-4—Weed-Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
-5_Abw. Awn. ;,Columns -Connections -Splice -Decal -Enclosures
Trusses
Date,;/- 22''7%/ Card B-1 0_0/c-- Date Card B-1
Date %JJO-F// Card B-1/yJ„jV= Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
s-3-fi, 1
0 Al /C7 6Gr�y l✓1� Cerv1" ZG
J=OK
O = Not OK
= Not Applicable
Not Ready RESIDENTIAL (;
' =
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -BI ockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. D.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B71 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes 0 No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearinq
angle, & Duplex)
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Ring.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Undertlr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor-Mech. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic O Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instld.; Drive ❑ Yes 0 No; Walks O Yes 11 No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
7 -
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way. Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — P�one: 538�7541 4;�
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
'-s
/6-7/
PERMITNO
A routine inspection indicates that the following violations of County Ordinance
exist at he above address and should be corrected. Please notify this office
7 h
"'Correction of work is completed. If you have any question pertaining to this
ter, or need additional explanation, please contact this office immediately.
00 " �0 f �p q,-- 1 '^49 ,-1& 'n r., -� -C � In I - "C 'I--
7'�' Z
AP-) -2 -f / NC
31 C(e) V%- I -e -t 1�4 -6 � d -41 �p
30 L � ;'o Y,
If 'Na I—
co, W.",
A (',5 r%,,o 1,e 41 n 4- Pr, t, I I
Date9-�:4W-`!W inspector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - O.roville,,,California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
11-36-19
ZONING
FR10
Aool
BUILDING PERMIT
OWNER
Augustine Velasquez
TELEPHONE
345-6971
,SQ. FT. OCG`, BUILDING VALUATION
400 5 600
OWNER'S MAILING ADDRESS
P.O. Box 136 Chico 95927
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER 777�UNKNOWN
None
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING. ADDRESS
Permit Fee
$ 56.50
ARCHITECT OR EN ;INEEP,
None
LICENSE No.
Plan Checking Fee
28,2.5
Energy Plan Checking Fee
A$.
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
sim 'Fort Humbug d. Chico
Permit fee
$ 94.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
8L' 99 - 3
Water piping
5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other shop
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
New9 Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: s.hpp _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
.
Main service 600V OR LESS
100 AMP OR LESS
10.00
1 nn
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 Professions Code and my license is in full force and effect.
License No. Classification.
9ED
—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-
ontract-
ors.
ors.(Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.Si)
OR ACDNS. ACC. BLDGS.
�ZCSQft
NEW CONSTR U TI.OUTLET
NO N.RESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES
20950t
eALO 30
ALNS.
Ex. Occup. OUTLETSP(RESID,)REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. �Yirin g
15.00
Permit Fee
$ 32150
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 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
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
agains said County in consequence of the granting of this permit.
-,
X Date
Signatur of Applicant — OW er Contractor ❑ Age ❑
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 $
occ
CONST TYPE
TOTAL FEE $ 153.25
HAz
cUA
PARK
SCHL
---
FLD
CDF
PAR
P✓
1 HD. ISSUE
This permit is hereby issued under the
sions of the Butte County. Code and/or
work indicated ove for which fees
IR TO OF -PUBLIC
ey
� ,
PERMIT EXPIRESJ Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date `J7 Z6
Receipt No._��7�7
WNITC-O.P.W., YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
NO
CdUNTY OF BUTTEDEPART. 9N -T --OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER;DRIV6 `ORO LLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 $
PERMIT APPLICATION' DATA SHEET
Permit No. /
OWNER GL.4Sd U A. P.A.Q.
Proposed Building Use Building Inspector Date -3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans ........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans.. .
a 4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ........................... ........... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid ........................................
12. Park fees paid ....................................................
School District fees paid ..............
4. Sanitation approval from GH /G e J, Health Department�f-
City of Chico plumbing permit.` ....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization .... ............................ .
26!�
27.
r,
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 Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date u
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted r 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_-mall—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by 6,0 Date l � (� - `�I Plans approved by ku Date's -1 9 -91
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO ' Buildina Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Vt la sq ta x.- -r,3e)!!f P. f P- -I r--5 6 , /or 5;
Own&r Location 6-Apodl- AP#'
Plan ved fil o �r: Sewace Disposal Water Supply
H .ol for_
old final for: Water Supply
Final clearance O.K. for: Water Supply
Clearance for 3 bedroom mobil< o �e- the r
NOTE * * *
7-6o- 9t
Sanitarian Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
/2. I (have/have not) 4624461 signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to ,provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
/S ig n ed :
Property Owner
Social Securit Number
Date- G
NOTE: This Owner -Builder Verification is sent. to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
' T
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSOR %R`E 361NUMBER ��,
ZD A /V
BUILDING PERMIT
OWNER ,(/Q_
A61GUS ��r L[1r 11��
�T� V
TELEEPPHHONE
SO. FT. OCC. BUILDING VALUATION
OW R'S MAILING ADDRESS
/3,6,
CO TRACQR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee
$ '000
Permit Fae
$ S S
ARCHITECT OR LN ;NEER 71
CENSE NO.
Plan Checking Fee
$ a,?,� -
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
r �/ �U6 �a
Permit fee
$
G
PLUMBING PERMIT Filing Fee 10.00
Each Trap
2.00 , O
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 QQ
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other _IQ/
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 r
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New,k Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: -51-,4-0 /0
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov OR LEss
100 AMP OR LESS
10.00 dr
Main service EA. ADD'L 100 AMP
2.50 2,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification.
❑ i, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I,orsas
(Sete 7044) owner, am exclusively contracting with licensed contract-
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.m`
OR ADDNS. ACC. BLOGS. /
, /a2sgft
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
_ /POWER APPARATUS e
�,. ._ (SINGLE OUTLET CIR.
Ex. Occup( OR FIXTURES
2005OS
5AL030
FIXED APLNS
Ex. OCCUp. OUTLETS P(RESID IKEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
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.
❑ 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 mu fprt"ith comply with such
provisions or this permit shall be deemed revoked.' ' -
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
P 'Fee
$
Contractor
I certify that*l 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 Applicant — Owner❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures occveer�rii3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE /
TOTAL FEE $ C
HAZ.
CUA
PARK scHL
F-
FLo
coF
PAR Pp
I
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By By Date
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W.. YELLOW-AS5r33 R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTI E OF PUBLIC WORKS
7 County Center Drive - Oroville, Californ 9 �65 - Telephone: 916,538-'541 PERMIT N0.
APPLICATION A -PERMIT —'
AS3E5fi4R PARCEL NUMBtK
ZONING
11-36-19
FR10
BUILDING PERMIT
OWNER
Au ustine Velas uez
TELEPHONE
345-6971
SO. FT. OCC. BUILDING
400
VALUATION
5 600
I OWNER'S MAILING PDDRE55
p.0. Box 136 Chico 95927
CONTRACTOR'S NAME
TELEPHONE
ner
CONTRACTOR'S MAILING ADDRESS
Fireplace
Total Valuation $ �-
Filing Fee .�...--`
CONSTRUCTION LENDER
UNKNOWN
LENDER'S MAILING ADDRESS
p "o
y
Plan Checking Fee
$ '0.00
56.50
ARCHITECT OR L•N71NEER LICE.`7cc." -
np
Energy Plan Checking Fee
$ 28.25
ARCHITECT OR ENGINEER'S MAIL[ `AILI[NG -
A ,ro
�NG
,.
Penalty
Permit tee
$
- _r_0DORESS
rt Humbug d. Chico
PLUMBING PERMIT
MIT
$
Each Trap
FitingFee 10.00
Solar or heat pump water2.00
heater
Water
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
q4 -_3
piping
500
Each qas water heater or vent
USE OF STRUCTURE
Gas piping system 1 - 5 Outlets
5.00
SF ❑ Duplex❑ Mobilehome❑ Other shoe
Building sewer
5.00
SPECIFY
Mobile Home S G5.00
W
TYPE OF WORK
"
0.00 ea
New] Addition❑ Remodel❑ Utilities[] Installation ❑ Other ❑
Permit Fee
Describe work: shep
Contractor
3
ELECTRICAL PERMIT
Main service ;Doo
Filing Fee 10.00
AMP ORss LESS
Main service EA. AOO'L 100 AMP
10.00
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
NEW CONST. (DWELLING O
OR ADDNS. ACC. BLDGs �CUP.y
NEW CONSTR
�22sgft
u I.Du LcT
NON-RESID BRANCH r R.
2.50 ea
and Professions Code and my license is in full force and effect.
APPAP!TUSe
--' (SINGLE OUTLET CIR
License No. Classification.
Ex. OCcup(OUTLETS OR Fri TURES
FIXEO APPL-I3
.2 0050t
AL&30
I, as the owner, or my employees with wages as their sole compen-
EX. OCCup. O
OUTLETS IREsjR
Salton, will do the work, and the structure is not intended or offered
� .1 EA.�
Temporary service
2.00
for sale. (Sec. 7044)
10.00
El I, as the owner, am. exclusively contracting with licensed contract-
Mobile Home Facilities
15.00
ors. (Sec. 7044)Misc.
Wiring
I am exempt under Sec.-, Business and Professions Code
15.00
for this reason
Permit Fee
Contractor
S
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
❑ The permit is for $100.00 (valuation) or less.
Heating
FilingFee 10.00
❑ 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.
Cooling
j l shall not employ any person in any manner so as to become subject
Hood
to the W. C. laws, of California.
Ventilation
3'00
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
Permit Fee
provisions or this permit shall be deemed revoked.
Contractor
Mobile Home Installation Fe,
;
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
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the County of
$
Butte to enter upon the above-mentioned property for inspection purposes.
occ CONST TYPE
—
I also agree to save, indemnify and keep harmless the County of Butte against
TOTAL FEE $
25
153�JHD.
all liabilities, judgments, costs, and expenses which may in any way accrue
HAZ. CUP. I PP=� fn `--�CIOF�PD
agains said County in consequence of the granting of this permit.
ISSUE
X 7
This permit is hereby issy_
`` Date
Signatur of Applicant - Owher Contractor ❑ Age ❑
ender the applicable rovi-
sions of the Butte Ccun•:y �fe and/or resolutions to do
work indicated above '.7.
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
enlch fees
DIRECTOR O+ ;;'18LIC
have been paid.
ion of structures over 3 stories in height.
WORKS
Receipt No. - _R'3757
By
Date
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT EXPIRES Cate
90 00'
f --T /-��//"I%�C�� f� ; , ems'_' -_. o �� •
��il v Ca
(7.rc/ z / o
0 S:�Rcle
ajft lof cp plori's ctrei spectFlcaTiO,ts [MUST
M Xepf' on the ob M d tunes and ifi is unlawf:al ��
txlcc� any changes or a.Ri rations on same Afho►uf
rr#ten permission from the Department of Pu6it
wor6. Cournty of Ruffe. .
NOTE:—All Materials & Workmanship Shall Be in
Ar,cordnnce with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Code!.
and the. National Electrical Code.
690-09
10
A%- setback of,ff ftt_ frcrmt'he
p;operty lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
For a ?'IFI. cave overhang. t.
dear a,. all .eosepnenh .
ZAI
11MING DEPARTMEW
VFI
�W S -M.91
I
z .
„
1 ryl,u n
LA
�trro� uuplsTUe��
�6! L
:I
i
z .
„
1 ryl,u n
LA
�trro� uuplsTUe��
�6! L
NOTE s++� o(zsoN�L
0SC- OKJ�y
CEIunJ6
ltttc access and
: tion pe �Ub;- ski:
.
Sts Tj2Uss pCN 1, A-1 AcHt�
----
44
_
w�.1
50LAD 13(".
rs
Fee UPC-
-�
DOUG Tap
GF
&F
T ICAL,
Przov 10E I 2F�Gj � p �r1T
��
.
3 6 8 H aN [XC'z
. �............_.__>_,_
_.
/ :
� Provide adea
a
6 bracing.
� 2
. I------------
I�UAT
t 1 "fes — ELt�NjPrTE 18 A50vI& f::(Zd►2 t
-
r Ftlmrr1 vne�tt vAMp�E
low
30
ero2 r l'
MIN•
...H�1
2X�'L161
�N
�1t:AnE2 — rn�eJ. 4x 12
DF # z
fbGHT
X4 R TS�CG
'
200
EC CG
An�p.
. SERV/e6 � O dE2. N64AO
OoDR
_
"M cuU'C
EP,4RTMEN "
V
_A VED
JUG:' " 30435 3 SHARP THIS DWG. F
TOP'CHORD 2X4 FIR -LARCH 01
BOT CHORD 2X4 FIR -LARCH 01
WEBS 2X4 FIR -LARCH STANDARD
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949.
ALL PLATES -ARE CENTERED ON JOINT UNLESS OTHERWISE INDICATED.
SEE ORWGS. 130 & 160/16OA-F FOR TYP. PLATE LOCATION DETAILS.
NOTE: 2X4 #3 HEM -FIR OR BETTER CONTINUO US'r TERAL,BOTTOM
CHORD•-BRACI-NG-@ 72"--MA-X: O --C: REOUIRED_.IATTACH _W-ITH
2-16d NAILS. BRACING .IS NOT REQUIRED IF A RIGID CEILING
IS ATTACHED DIRECTLY TO BOTTOM CHORD. BRACING MATERIAL
TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A SUITABLE
SUPPORT BY ERECTION CONTRACTOR.
RED FROM COMPUTER INPUT (LOADS & DIMENSIONS) SUBMITTED BY TRUSS MFR.
TC X -LOC L -R: 0.29 5.32 10.00 14.68 19.71 n
BC X -LOC L -R: 0.29 6.88.13.12 19.71 c
N
(U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD. 7D
h
TOP CHORD SHALL BE__LATERAL-LY==BRACED-WITH-PROPERLY--C-ONNEC-T-ED ro
rPURL-INS-SPACED AT'A MAXIMUM. OF 24O.C_. v
CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS 0
TABLE 8.1B. N
N
0
N
Ot
! ND. (:0:77g3G I
• ` �, Exp. 53H�-!�3 /:� it
4X4 c,VIL
1X3 1X3
2X4 12 iz 2X4
5.00 Q 5.00 "$. 1LDING
N `M1� V
2.5X4 2.5X4
F.lD
3X4
10-0-0 110-0-0
shop 1 -mss
R-7140 W- 3.50' R-714# W- 3.50"
PLT, TYP.-ALPINE SEAN --109108 FURNISH A COPY OF THIS DESIGN TO ERECTION CONTRACTOR REV 15.3.4 SCALE = 0.2500
0 o N= o 0 oALPINE
O C�
G C�W17HTHE
[_ [�kTRUSS=
EMBINNEEREO PRODUCTS, INC.
I MPOR T ANT SHALL NOT BE AE ISLE FOR ANY
DEVIATION FROM THESE SPECIFICATIONS pit ANY DEVIATION FROM
TNIS DESIGN OR ANY FAILURE TO GUILD THE TRUSS IN CONFORMANCE
'OUALI7YSTANDARDOV88' BT TPI. ALPINE CONWC7CRS
TRUSSES REQUIRE EXTREME CARE
WARN I NG IN HOMING. ERECTION AND
SRACING.SEE •GMT -76'. (BRACING WOOD TPUSSES:
COMMENTARY AND fEC01NENOATIOrS-+TF71. GEE
THIS DESIGN FOR ADDITIONAL SPECIAL DERMA-
DESIGN GRIT: UBC
REF 8427--13592
TC LL 16. 0 PSF
TC DL 10.0 PSF
DATE 07/31/90
DRWG CAUSR427 90212025
O O O O O O
ARE MANUFACTUREDFRO" 20 GAUGE SALVAMIZEO STEEL UNLESS
OTHERHISE SHMK MEETING REOIAREHENIS OF ASTM Ad4S GRADE A.
APPLY COMkCTORS 10 WIN FACES AT EACH JOINT AND LOCATE AS
sNNOHN. BARING WIDTHS ARE d' NOMINAL I►aE65 OTHERWISE SHOWN.
DESIGN STANDARDS COSOAW WITH APPLICABLE NNOVI61046 OF
amm ANO MTPI (PCI) .
NENT BRACING REORREMENYS. UNLESS OTIEIMI6E
94 TOP CHORD SHALL INE LATERALLY BRACED
WITH PROPERLY ATTACED PLYWOOD SHEATHING,
BOTTOM CHORD WITH RIGID CEILING OR BRACINGDUR.FDAC'1125-PSF
AS SPECIFIED ON DESIGN. DO NOT USE THIS
DESIGN WITH FIRE RETARDANT TREATED LIMBER.
CA
1 3 9 2
BD�U-U/=5==0PSF
_1.__o
CA -ENG
25
PITCH
0/012
•__TPI - TRUSS PLATE INSIIIUTE. NNps " NATIONAL DESIGN
SPECIFICATION FOH WOOD CONSTRUA:TION
SPACING 24.0"
lTyoc7 COMM--
�l- / -IrlD
JUii: 3043b 3 SHAHN IHlb UWb. 1
TOP CHORD 2X4 FIR -LARCH f1
BOT CHORD 2X4 FIR -LARCH 01
WEBS 2X4 FIR -LARCH STANDARD
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REQUIREMENTS OF I.C.B.O. RESEARCH REPORT 12949.
ALL PLATES ARE CENTERED ON JOINT UNLESS OTHERWISE INDICATED.
SEE ORWGS. 130 6 160/16OA-F FOR TYP• PLATE LOCATION DETAILS.
NOTE: 2X4 N3 HEM -FIR OR BETTER CONTINUOUS LATERAL BOTTOM
`--CHORD-BRAGING-@ 72=MAX.—O-C—REOUIREO--ATTACH WITH
2-16d NAILS. BRACING ,IS NOT REQUIRED IF A RIGID CEILING
IS ATTACHED DIRECTLY TO BOTTOM CHORD. BRACING MATERIAL
TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A SUITABLE
SUPPORT BY ERECTION CONTRACTOR.
of
:U I -HUM UUMPUItH 1NF'UI (LUAUS & 01MtN51UNS1 SUt1M111tU UT IHUSS MFH.
TC X -LOC L -R: 0.29 5.32 10.00 14.68 19.71 n
BC X -LOC L -R: 0.29 6.88,13.12 19.71 C
In
(U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE.LOAD.
TOP CHORD SHACL BE LATERALLY BRACED WITH PROPERLY CONNECTED N
PURL=INS_SP_ACED ASA MAXIMUM OF 24" O.C. v
CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS O
TABLE 8.1B. N
N
N
0
N
Ut
•
ND. r:0t183R: � it
'
4X4
�* Et P. 5 3n.q;
\nr ..ILIIG
1X3 1X3
2X4
2X4
12
12
5.00
Q 5.00
1
r,
r1
r
i
�
1 2.5X4 2.5X4
v
3X4
10-0-010-0-0
j
2-0-0�
Sfin? -TI?u
20-0-0 OVE.R_2_SUP_P_ORTS
-- ""�
�XTI�c (cry
R-7149 W- 3.50'---�-�
R-7140 W-
3.50•'
PLT. TYP•-ALPINE
SEAN --109108 FURNISH A COPY OF THIS DESIGN TO ERECTION
CONTRACTOR
REV
15.3.4
SCALE = 0.2500
O o O O O O
ALPINE ENGINEERED PRODUCTS,- INC.
)(*IMPORTANT** PULL ROT DE RE6POWSIBLE FOR AHYWARNING
TRUSSES REOIIRE ERTREHE GRE
IN I mum. EaEcTlw AND
DESIGN CRIT: UBC
REF R427--13592
O o [= o
O o O C7
DEVIATION FROM IMSE SPECIFICAIIOG DI AM DEVIATION MON
THIS DESIGN OR ANY FAILURE 10 BUILD THE TRUG6 IN CONFORMANCE
BRACING.GEE •GNI-70•• (BRACING WOOD TRUSSES:
MWENRARY AND RECOMENDATIONS-•Tv71. GEE
X X X X X
TC LL
16. 0
PSF
DATE 07/31/90
'OUALIIV
O O O O
WITH TIE STANDARD OSISS' BY IPI. ALPINE CON1,ECTOW
YN1S DE61671 rOR ADDITIONAL SPECIAL PERMA-
TC DL -
10.0
PSF
DRWG CAUSF1427 90212025
C==3 C=
O
ARE NNUFACIUTED FROM 20 6AUGL GALVANIZED STEEL UNLESS
OTNERNISE SHOW BE EY M REQI]RENEM6 or ASTM ARAB GRADE A.
HENT BRACING REQUIREMENTS. UNLESS OTNEowlsE
sRaTrL TW aRaD swu BE LATERALLY
CA
BC OL (U)
5.0
PSF
CA -ENG
BRACED
[� C
APPLY CONNECT 10 10 BOTH FACE9 At EACH J01M AND LOCATE AS
WITH PROPERLY ATI A(,1E0 R;YNo(o SHEATHING.
TOT.L1 LD •�3.1_
0 P_$FITYPE
()/A LEN 2(�-0-0`
C=3 TRUSS o
SHOW BEARING WI OT NS ARE A' uaE� OnERNIsE TH.
BoitSN vION RIGID cE oR BRACING
llllll
VIII
illi
�lll
I�II�I
III
•
37HINAL
ms
o1616N 6TANDIRpG LONEowN N]TN APPLICABLE RHDVI67ON6 a
SPECIFIED 00 N
AS SPECIFIED a DE516NR, DD NDY ME THIS
OUR. FAC
1 25
PITCH 5 . 0 / 12
O O O O O C=
(HOG AND ■TPI (PCT).
DESIGN WITH FIRE IETAFOANT TREATED LIMBER.
I
g
.
SPACING
24.0"
C O M N — —
• -TPI - TRUSS PLATE INSIIIUIE. NOS - NATIONAL DESIGN SPECIFICATION FOR MOOD CONSTRU'TION
ff- l-�f�
TOP CHORD 2X4 FIR -LARCH #1
BOT CHORD. 2X4 FIR -LARCH #1
WEBS 2X4 FIR -LARCH STANDARD
CONNECTOR PLATES MUST BE INSTALLED IN ACCORDANCE WITH
REQUIREMENTS OF I.C.B.O. RESEARCH REPORT #2949.
ALL PLATES ARE CENTERED ON JOINT UNLESS OTHERWISE INDICATED.
SEE ORWGS. 130 & 160115OA-F FOR TYP. PLATE LOCATION DETAILS.
NOTE: 2X4 #3 HEM -FIR OR BETTER CONTINUOUS LATERAL BOTTOM
CHORD BRACING @ 72" MAX. O.C. REQUIRED. ATTACH WITH
2-16d NAILS. BRACING .IS NOT REQUIRED IF A RIGID CEILING
IS ATTACHED DIRECTLY TO BOTTOM CHORD. BRACING MATERIAL
TO BE SUPPLIED AND ATTACHED AT BOTH ENDS TO A SUITABLE
SUPPORT BY ERECTION CONTRACTOR.
'D FROM COMPUTER INPUT (LOADS & DIMENSIONS) SUBMITTED BY TRU55 M
TC X -LOC L -R: 0.29 5.32 10.00 14.68 19.71
BC X -LOC L -R: 0.29 6.88.13.12 19.71
(U) BOTTOM CHORD CHECKED FOR 10 PSF LIVE LOAD.
TOP CHORD SHALL BE LATERALLY BRACED WITH PROPERLY CONNECTED
PURLINS SPACED AT A MAXIMUM OF 24" O.C.
CONNECTOR PLATES DESIGNED FOR GREEN LUMBER PER NDS
TABLE B.1B.
w
n
D
C
U1
I)
D
N
v
t0
0
N
N
N
0
N
VI
No. r;01161� � tl
l * ExP. 5-30-q3
4X4
\��,:;', C,VM
'\or
.
�
'ACCT"
p
1X3 1X3
2X4
12 2X4
12
5.00
5.00
2.5X4 2.5X4
3X4
_0_ 10-0-0 10-0-0
2-0-0
20-0-0 OVER 2 SUPPORTS
R-714/ N- 3.50'
R -714A N-
3.50"
PLT. TYP.-ALPINE
SEDN--109108 FURNISH A COPY OF THIS DESIGN TO ERECTION CONTRACTOR
REV 15.3.4
SCALE 0.2500
O C= O o C= O
ALPINE ENGINEERED PRODUCTS. INC. TTUSSEs REoulm EF7PENE CAPE
-t*l MPGRTANTX* SMALL NOT BE RE ISLE FOR ANYWARNING IN HANDLING. ERECTION AND
DESIGN CRIT: UBC REF 8427--13592
07/31/90
DEVIATION FRO* THESE SPECIFICATIONS 00 ANT DEVIATION FROM DRACING.SEE 'BMT -'M', (BRACINo WOOD TPUSSES:
SEE
X X X X X
TC LL
16.0
PSF DATE
THIS DESIGN OR ANY FAILURE 10 BUILD TME 7FVSG IM CO FORNANCE COM ENTARY AND HECOHMEWAMS-ATP11 .
TC DL
10.0
PSF DRWG CAUSR427 90212025
W17H THE •DUALITY STANDARD OS188• BT IP7. ALPINE CONNECTORS THIS DESIGN FOR ADDITIONAL SPECIAL PERMA-ARE
NENT SPACING REOUIREMEWS. UNLESS OTHERWISE
(U)
5.0
MANUFACTURED FROM 20 GAUGE GALVANIZED MEL UNLESS
BRACED
C AAPPLY
BC OL
PSF CA-ENGOlIEA1ISESHIDML
M
HEET]MG REOUIPEMENIS a ASTM 1148 GRADE A. SNDHEL TW CHORD SHALL BE LATERALLY
CWECTOS TD WIN RALES AT EAa JOINI ANND LOCATE AS WITH PROFEPLV ATTACED PLYWOOD SHEATHING,IIIIII
I
TOT.LD.
31.0
PSF 0/A LEN. 20-0-0
SHHOWN. BEARING WIDTHS ARE 4' NOMINAL UNLESS OTHERWISE SHOWN BOTTOM aDRa WITH RIGID CEILING IMG oR BRACING
ON DESIGN. 00 N07
II II
IIIIIIII�IIIIIIIIIIIIIIIIIII
OUR.FAC.
1.25
PITCH 5.0/12
DESIGN 67arNDAROG caNsoRFR WITH AIRIr�uiE PROVISIDMG OF AS SPECIFIED
1REAIED
2
,MDS AND VT PI 1pCll. _!ISIS" nTH FIRE PEIAPDANT LUMBER.
55
1 3 9
SPACING
24.0"
TYPE MAN—
C= [� O Q C-1 O
,-_TPI - l9k?SS PLATE 1NS711U7E. NOS - NATIONAL DESIGN SPECIFICATION FOR WOOD CONSTPIAt1104
_
P 5/89
_._. _ _...._ ...._.............
-RESIDENTIAL LAN CHECKING GUIDE
MISCELLANEOUS ITEMS TO LOOK OUT FOR (CONT'D)
Exterior plaster - weep screeds (Sec. 4706).
i
�5. Proper roof pitch for roof covering (Chapter 32).
:Y r,-6.r—Roof covering type.- (fire hazard)..
�7/Rafter ties or bearing ridge beam.
p8. Garage door or porch header sizes.
L-9.Adequate bracing.
X10. Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
,Two exits on three-story dwellings (Sec. 3303 & see Mezannines - 1716).
X12. Attic access and ventilation (Sec. 3205)•.
�13—.Underfloor access and ventilation (Sec. 2516),..
—Combustion air for fuel burning appliances..
X15. Noise requirements on duplexes.
.1:6 -Adobe soils special foundation design. - ..
17. Retaining walls requiring design. -
i18 Unusual shape, size, or split level house requiring lateral design.
,-,19. Flashing at all exterior openings.
i
.5/89
RESIDENTIAL PLAN ?HF•.CKING GUIDE
(S.F., DUPLEX & MISC. ONLY)
Bldg ... _Permit .
OWNERlIGf1.C�lUE VF_Ztis�r�EZ �._.. - A.P. # f - 3(, —f9
GENERAL
cam. Zoning requirements: (sideyards and number of permitted living units).
-L: Valuation.
"�3. Plans signed by designer.
---4-.--Energy Design and Compliance.
�5: Existing violations on property.
? Items on data sheet.
PLOT PLAN
Complete parcel size and dimensions.
C-2-- Setbacks, sideyards, easements, etc.
-3 Other buildings or structures. _.
J+: Grading, fills,, drainage. '
Flood hazard.
i6: Special conditions on creation map or compliance document...
,7-. FAU & FAS road setback. t
FLOOR PLAN
C11--.- Complete to scale plan with dimensions.
°2. Required windows for light and ventilation (Sec.. .1205).'
Required windows for second exit (Sec. 1204).
-4- Skylights (Chapter 34 & Sec. 5207). - -
i5` Human impact glass (Sec. 5406).
-6. Required room sizes, ceiling heights (Sec. 1207)'..
ri7: GFCIs in baths, garage, and exterior outlets-(A-rticle 210-8).
✓4... Light fixtures, switches,- receptacles, and. exterior receptacles for maintenance •:
of mechanical.. equipment.
✓0. Locations of water heater, heating and cooling equipment, other electrical or
gas equipment, and. plumbing fixtures.
0. Garage firewall, door size, and closer (Sec. 503(d)(3)).
t - 11x. 1 - 3`0" exterior exit door (Sec. 3304(e)).
�YZ-.-Fireplace and wood stove location, alcoves, and clearance.
Smoke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
-2. Floor construction details complete enough to construct building.
-3-. Elevations and wall construction details complete enough to construct building.
-4. Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
,,--!_,,Stairway details: landings, rise and run, head clearance, handrails (Sec. 3306).
—2. Guardrail details (Sec. 1711 & 3306(j)).
rick or stone veneer (Chapter 30).
,COUN-TY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUjv1BER A/o ZONING
6 6G CJ Ffl-BUILDING
PERMIT
OWN R TELEPHONE
1s'
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
. Cir Aqy CHS C* 95
C NT�RAACtT,OR'S NNA��IMI/n�E TELEPHONE
VW &) ��Y 03 ''w''ll
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 5,
Energy Plan Chipckingpee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS //
,%�O ®�� V o
Permit fee
$
PLUMBNG PERMIT
Filing Fee 10.00
Each Trap %
2.00
Solar of1h t pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
5.00
ratiping
s water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ MobilehomeX Other
SPECT r
ing system 1 - 5 outlets
5.00
g sewer
5.00
Mobile Home I S G WO.00e
In,00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti litiesV Instal latio ❑ OyeVC]
Describe work: 13 LL 111
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 V I vv
Main service EA. ADD'L 100 AMP
2.50 , v
CONTRACTORS LICENSE LAW
I declare under penalty of (check .
P Y perjury ur Y (econe):
❑ 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
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
OR ACDNS. (ACC. BLDGS.
, /z¢sgft
NEW CONSTR. U LET
NON•R ESID BRANNCCHH CCIRC ITS
2.50 ea
POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
eAL0Q
ALoo
3
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.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.
Eu— shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
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
against said County in consequence of the granting of this permit.
XDate /2/7_,6,,/04
Signatu of Applicant — er K Contractor ❑ Agent ❑
An OSHA permit is required For excavations over S'0" deep and demolition or construct-
ion of structures over 3 sttoolriess in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST TYPE
TOTAL FEE $ Q 2� I% /�
HAZ
I CUA
PARK I
SCHL
LD
PAR
�
ISSUE
This permit is hereby issued under
of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
sions
have been paid.
WORKS
Date
Receipt No. '�7 / O�1
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
'�T.1��#•1Ti� 4��v�7,
COUNTY BUTTE - DEPARTM_Ewr OF PUBLIC WORKS - BUILDING DIVISION
7 COUN T`lVENTER DRIVE--6AoVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 e
PERMIT APPLICATION DATA SHEET ;
Permit No.
OWNER 1/6V5r111JE `ELA SQ i/E7, A. P. No.
Proposed Building Use 4i 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, 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. Hazardous Material Form ........................................ .
6. Energy Design Compliance and supporting documentation .: �:-... .
7. Statement of Intent for Non -Heated and AC Buildings ......:..:...
S. Engineered truss details and layout in'duplicate (required prior to plan check
9. Mobilehome installation data including manufacturer's installation
instructions ........................................... .. �.
10. Fees of $ ..
11. Chico Urban Area fees paid ................... �..
f•
12. Park fees paid .............................. .....
13 School District fees; paid . ... .
4. Sanitation approval from C,C40 , ��� H a'th epartment
15. City of Chico plumbing permit..........I.��.. tttP.................
16. Plot plan and business license approval 4 m UITY4odf
(see City for other requirements) 1�
17. Planning approval for (A) Use: (B) Parking: ......
18.- Improvements may be required_ Contact Land I)PvPirinmPnt SPrtinn nPW
–19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for 1,,1 required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23: Owner -Builder Verification (Given to owner o," Mail to owner ❑) .....
—4.e-_2�4. Recorded copy of Agricultural Acknowledgment Statement,.........: --
25. Letter of signature authorization ...................................
26.
27.
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
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit iss
1. Index permit for above items No.
2. Additional items required:.
Ciqcle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
TO Buildina D6pareheift-
FROM: Environmental Health
SUBJECT: Sanitation Clearance
I[\CxCk-,kA 110A
-t-10- - Fw� 44MbC�
U owner U Location k-� AP#
Plan Approved for:
d final.for:
Sewaqe Disposal
Water Supply
Water Supply
Final Clearance O.K. for: Water.Supply
Clearance for bedroom mobile home. other
NOTE.
'Sanifta'rian-7-
Date
0
06
0
.._.
�_
� ii'+ ,161 :•
v`
�j"
CA
'r zz
pt
0
4,
0
co
IA.
09.
f ilL A I
12-1
0
COUNTY OF BUTTE - DEPART11ENT OF PUBLIC WORKS
.Z,County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541..
DATE 7»1 tr 7� f Aq(1
Augustine Velasquez
P.O. Box 136 RE: Permit appin #4317-89 for mobilehome
Chico, CA 95927-136 utili ies dated 12/26/89
A.P. # 11-36-19
With reference to the above subject:
L1 Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans in
Structural details in
Complete plans and calcs in by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
—Xy 196 Memorial Way,' Chico.
7 County Center Dr., Oroville
Skyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7 County Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed showing
xxY Recorded copy of agricultural acknowledgement statement.
L� X_ Driveway PErmit
Pl.a.asa Ci] -mit the nboye i tPms -go that 61P ran issue your permit
The Permit application expires 17/26/90 and cannot be --issued of er that date.
Should you have any questions concerning the above, please contact this office.
JFG/a j
Yours very truly,
William Cheff
Director of Public Works
.F. Glander
Chief Building Inspector