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017-120-006
Keith Moore E/S Humbug.Rd.,app.3/10 mi.NE of Castle Ct., lot 1, Nimshew Stage Area Permit #5998 77B,P,E,M(new single- -amily) ' f ' 11-33-06' 3313-90B,E , PURITZ, Larry & Jan 12144 Centerville Rd, Chico I (spa, gazebo, deck/sf) 9-i9. 9/ - 11-33-06�-------------- --3425-90E PURITZ, Larry 12144 Centerville Rd, Chico (elec sery/sf) q f, I _ 11-33-06 Permit#3499-90B,E,M (conv garage to living/sf), q( R 01�DNTIAL 3313-90B,E j PURITZ, Larry & Jan, 12144 Centerville Rd, Chico (spa, gazebo, deck/sf) /0/3 JOB FINALE Signature E COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ` 196.Ve*ioriai Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-7541 747 Elliott Road, Paradise —• Phone: 872-6307 CORRECTION NOTICE 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 *orrection of work is completed. If you have any question pertaining to this M at r, or need additional explanation, please contact this office immediately. r-- rl_ ,a( / h-e&7-ra ®-o i4'a l r i K ` i Date / — / ?/ F —Inspectorr v=Ok O = Not OK Not = Not Readyable MOBILE HOMES 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: / /"L"ft. / /"Nat. or/ /' 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 !• MISCELLANEOUS _ Date DEC , COVERS, CARPORTS, GARAGES, Plans OK except #'s oning Requirements -Setbacks -Easements 2. Fo ings; Soils -Size -Depth -Spacing -Connectors -Steel ecks; Griders and/or Joists -Decking -Bracing -Stairs -Rails � A"V7tTa wn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing wn.; Columns -Connections -Splice -Decal -Enclosures parts; Windows -Doors Ele tric 6efrmg; Sils- nchors-Studs-Rftrs-Trusses :--II 4WWin - ailing -Veneer -Stucco -Mesh Shthg-Roofing AY'Ext.; Steps -Doors -Landings 71' Iro '� 0IvntQAndi �M 2My_0yt- �tw, Date le -1 _c` O" Card B �1 (Y C Date ' . Card R-1 Date,j.-/j-q/ Card B-1 ~ Date 9:gf/ Cprd B-]!740_7 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-Panelboards-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 V OK O = Not OK ' - = Not Applicable Nbt Rea` dy RESIDENTIAL .(Single & Duplex) ' Date UNDERFLOOR (Plans) OK except #'s Data FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties- Pu rlin -roof Bra c-Truss-Shthng. -Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel-Blockouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors -51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.: Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor O Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive O Yes 13 No; Walks ❑ Yes O No; Planters O Yes 0 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Pibg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 64. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B -i 91. Energy Compliance Certificate -Other Date Card B-1 Date Card B-1 -Certificates Date FRAMING (Plans) OK except #'s Date Card 8-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card 8-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 1t 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, CaliforAia,95969 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 11-33-006 XLONING FR -2 BUILDING PER OWNER Larry & Jan Puritz TELEPHONE 342-3271 SQ. FT. OCC. BUILDING VALUATION' 400 C4,000.00 OWNER'S MAILING ADDRESS 12144 Centerville Rd., Chico 95926 200 0 1,000.00 CONTRACTOR'S NAME Owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation 1$5,000.00 Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 56.50 ARCHITECT OR ENGINEER LICENSE NO. Plan CheckingFee $ 28.25 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 4.75 PLUMBING PERMIT Filing Fee 10.00 12144 Centerville Rd., Chico 95926 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME Castle Rock PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other Gazebo SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S G JW 1 10.00 e TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: Spa, Gazebo & Deck _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADO'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 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- ontract- ors.(Sec. 7044) ors. ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.DWELLING OCCUP.&) OR ACDNS. ( ACC. BLDG S. I 2/z�sgft NEW CONSTR. MULTI -OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 200500 BAL®3o FIXED APLNS. Ex. Occup. OUTLETS PRESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 r 1 15.001 15.00 Permit Fee $ 25,00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. 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, costp, and expenses which may in any way accrue aga nst said County i qu nc of the granting of this permit. XThis Date Signature of Applicant — Owner Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL $ AL E FEE .7 HAz cuA PARK P Issu permit is nereby issued under sions of the Butte County Code and/or work indicated ab a for which fees D E ORrOBLIC BV j PERMIT E X P I R E SL.10 ate the applicable provi- resolutions to do have been paid. WORKS Dale Receipt No. 73455 WNIT!•D.P. W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE, - DEPARTMENT OF PUUBL,,1C WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, C&LIFOFiNIA 95965 - TELEPHONE: 916/538-7541 - PERMIT APE>LICANN DATA SHEET Permit No. OWNER �I / (��/ 7TZ A P. No. Proposed Building Use �Building Inspector Date 2- G 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 .............. 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 .................................................... Scf}ool District fees paid .............. 14. Sanitation approval from / Health Department 15. 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 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 ......... < r . 25. Letter of signature authorization .................. 26. , t, 27. When pd Issue the permit, process as follows: Mail to ower. Mail to contractor. V Telephone 3`70��5��� and hold for pickup at office. Deliver w/inspector. Other Applicant 1,�.Date Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to it issuance: (Ci cle rem not checked above). 1. Index permit for above items No. Z 2. Additional items required: n Contractor, designer, owner, was advised of above required data by Contractor, designer, owner, was advised of above required data by Plans checked a_ Sets of plans on hold in Copy—DPW AP folder S TO Building Department FROM: ' Environmental Health SUBJECT: Sanitation Clearance Owner Location AP#: Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.R. for: Water Supply Clearance for bedroom mobile home. other K&^-Zc12a �,) Aack NOTE * * * Date Sanitarian COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 - 3-3- APPLICATION.MD 'PE.P iT PERMIT NO. ASSESSOR P R -EL' OQ / Z.ON'1 'G , Z BUILDING PERMIT OWNER i n / A / � /v /DSD TELEPHONE Z3Z SQ. FT. OCC. BUILDING VAL ATION RY_EJ O WNErR'S MAILING �/ L �O CON(T/fh((J/Cr �O�r`R/ t__,� (/// (/f�L i/ice TEL PHO E CONTRACTOR'S MAILING ADDRESS F i replace CONSTRUCTION LENDER UNKNOWN Total Valuation $ O Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARSCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee g Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDI G AD RE s �-- Permit fee 5 PLUMBING PERMIT Filing Feer 10.00 Each Trap I 2.00 Solar or heat pump water heater 20.00 LOT NO SUBDIVISION NAMEP4RCEL �1 I le") G /� MAP Water piping 5.00 Each qas water heater or vent I 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other� SPECT Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00e TYPE OF WORK New ❑ Addition ❑ Remodel /ti�lliities ❑ Installation❑ Other ❑ Describe work: Permit Fee $ Contactor ELECTRICAL PERMIT Filing Fee 10.00 ' Main service 100V 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): El am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect.SINGLE License No. Classification I, as the Owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) El am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING oCCU1.8,) OR ADDNS. ACC. BLDGS. y20sgft NEW CONSTR. r ULTI.OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) OUTLET CIR. EX, Occup(OUTLETS OR FIXTURES eALzoe soc 030 FIXED APPLNS. OR Ex. Occup. OUTLETS (RESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. /ring 15.00 010 ermit Fee $ , Contractor 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 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 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, judgm costs, and expenses which may in any way accrue ag inst said Cou t i�Ir_ seq ence of the granting of this permit. X Date Signature of Applicant — 0r ❑ Contractor ❑ Agent ❑ An OSHA permit is required foiTcavations over 5'0" deep and demolition or construct- ion of structures over 3 in height. Mobile Home Installation Fee $ Energy Inspection Fee S occ CONST TYPE TOTAL FEE $ HAZ CUA PARK SCHL ILD PA PO HD IssuE Th;s permit is hereby issued under sions 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 have been paid. WORKS Date stories Receipt No. ':7L TT WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT h V-, 7 7 P5998-77BPEM PERMIT NO. ,,, PERMIT EXPIRES OWNER Keith Moore 'tCONTR. owner LOCATION (A.P. 51-40-6 E/S Humbug Rd.,app.3/10 mi.NE of Castle Ct., lc 1, Nimshew Stage Area !j 6 2 T Temp. Power Poll Z-7 Called PG&E Temp. E ec. Serv. Z;t, " A, .2 Cal ed PG&E Temp Gas Serv. ailed PG&E JOB \I FINALED (DatE V2 (Signatur6) DLPtPMHE_j' . S_::aoe andjor tie<_er andJor itio,a CIearance(s). O� cR 1 LOC. V I0 Yia:is a_e approved for:; ;iold u2 final for: Final. .Clearance ok for: SeRaoe Disposal x Water SUpplyK C1eara.-,:e is for a .) bedroom (;ome or mou'Lle home). i;:c 2dditio (s) will be Oth_r Water SupplY hater Supply THERMO-CELL INSULATION,, INC: P.O. Box 588, Los Mol-inos, CA 96055 '�G,+ PHONE: 384-2110 % �/!p• %7 THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT: A.P. # Humbug Rd., Chico Street Lot Number. Tract Number EXTERIOR WALLS Manufacturer - Thickness/Type R Value 4 CEILINGS Batts: Manufacturer Thickness R Value 24 Blown: Manufacturer Thermo -Cell Thickness z No. Bags p+�`� Wt./Bag 40 Sq. Ft Covered 17.5 R Value ---R-19 r u . FLOORS Manufacturer Thickness/Type R Value SLABS ON GRADE Manufacturer Thickness/Type R Value Width of Insulation x inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR LICENSE NUMBERZle' BY TI CE DATE 'z INSULATION CONTRACTOR Thermo -Cell Insulation, Inc. LICENS NU, BER 246712 BYi� TITLE Sec. DATE 11-20-78 CERTIFICATIONS As required by the State regulations, -both the builder and the insulation applicator must sign a card certifying that'the proper "R" values for all insulation locations have been installed. An example of a certification card, which is furnished by the builder or insulation applicator is shown in Fig. 13., THIS IS TO CERTIFY THAT INSULATION HAS.BEEN 1-4 STALLED IN CONFORMAMCE WITH THE CURRENT• ENERGY REGULATIONS. CALIFORNIA ADMINISTRATIVE CODE, TITLE 25. STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: —3trreet --"Corium eiTr IF ciR'�'—' t, EXTERIOR WALLS Manufacturer g�/liili l�1!1_ Thlckness/Type R Value �6 CEILINGS Batts: Manufacturer Thickness R Value Blown: Manufacturer . Thickness.. No. Bags Wt./Bag " Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type - R Value Width of Insulation Inches FOUNDATION WALLS Manufacturer Thickness/Type R Value GENERAL CONTRACTOR _ �p t" *4 IV? -74 & g, LICetSE NUMBER h E. /L BY /<e C J— ? e1 /ATITLE O G(/ / i .Q f� DATE INSULATION CONTRACTOR /�p i *l/I eelP_ P LICENSE NUMB Gv By Meg Oe eTITLE— :P 6ct.�hDATE__�ZC�� 'Fig. 13 8-14 COUNTY OF',BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback ;2- 2-7---.2 1 Firewall 7y 480 Soil Piping Forms 2 - 2- -2- Parapets 1st Floor Main Bldg. R oom Finis 2nd Floor Footings a -2.Z,-7 indow f'- 3rd Floor Stemwall - 22-7$" SIding t Slab Roof Sheathing Z- Zf- ater piping_ L _ Piers y Z 67fin -' Sewer Garage Fdn. Vents 7 Fixtures Footings 2.12- -2 Stemwa l l Garage Vents• --OC ----� 7f atIon WateraZ-Zg- Heaters Slab /2 -Z � Carport Footings or ph sica ly Fhparca ed Conformance of ex. structure Appliances Gas Pi in -q &Test emp. Gas Slab Final Sanitatio -- Patio FIREPLACE Footin s Footin .-I '3 '-7 T Masonr Walls Throat or ^Lt - Reinf. Steel Final - z - 7 - JFIna Bond Beam FIRE SPRINKLERS -- :Test Z� Z� - 7Stucco Final - Z 7f - Mesh MECHANICAL Grd. Fault Prot./ Scratch Heating Service Brown Cooling /'3 -79 Temp. Pole Finish &2 IDucts -2-0--2S Underground o>r v'• J Door Clow/6 �L4'� 7y 1 Final /- _!;-- i y (A&I I Final MOBILEHOME UTILITIES ------------------ Elec_ Service Elec. Pedestal ' Water Piping Sewer Gas Piping rl` MOBILEHOME INSTALLATION - - - - - - - - - - - • - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OftCOR.RECTIONS I �i�` �✓�� - ll`-aGc� �4I/sal ���� `NGr s/4£G�dcc%� �%OdJ ha! U��oc1 Cv�yoJ£>cqr w,'T� Od7 Azfk�:v�Ov�� T�S.dS (NOTE: An entry must be made on this form each time you visit the job site.) 0(%Zx- 1 ���> �. (9 yo ago rQ�v�d �J SMO/'►'//% / 3/%OI/�� �� //��_/ � /I� 3'lt'��1 nova f9 210 J� COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone:=534-4541 APPLICATION AND PERMIT AX Date ignature of Permitee or A ent Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant UIU Ducie t,uunzy uoae anaior resolutions to do work indicated above for which fees have been paid. DIREC R OF PLJIBLIC WORKS By t �E Date �/C✓'—� Building permit expires Date /rte—('' BUILDING It Owner SQ. FT. OCC. BUILDING VALUATION O Mailing Address— 0.- IS�S, Telephone o. Fireplace 6,0 Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ I ®� Building AddressPLUMBING No.1 @ I FEE PERMIT FILING FEE $3.00 O S @� Each Trap 1.50 .• Repair drainage or vent piping 1.50 L ._ �� Zgnfng V.erificefion Onl . Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. 1 /�q 7—pr �I V �' Zoning,& P nning Gaspiping system 1 - 5 outlets 1.50 Each additional outlet .30 F W S ion FireDept. FireZo Use Permit Building sewer 5.00 EQA Parking Plans Parcelparcel Declaration Mj 60' R/W Improvements Lawn sprinkler system 2.00 Bldg. PIGsr s Rec' Parcel Approval Plans oval Permit Fee $/1001 /9 16C NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEEPERMIT FILING FEE $3.00 3/0 Main service 1000V OR 0 AMP ORLESS5.00 Main service EA. ADD•L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OOEAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DW C P. & OR ADDNS. ( AC .0 ) 2¢sgft NEW CONSTR. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea .EN STFL POWER APPARATUS & NON-RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: @2-109 Ex. Occup(OUTLETS OR FIXTURES)@ FIXED ALNS Ex. Occup. ( OUT ETS P(RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.Classification Misc. Wiring 6.25 r I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ 5-4( WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑ I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEEPERMIT FILING FEE $3.00 cm Heating(,�'Q Jr' t Cooling / f� Ventilation Hood 1 2.00 0 Permit Fee $ $ st 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 oronerty fnr insnpr tinn mimn—c vr% eml 'Fe -9— IT, QC TOTAL PERMIT EE C This permit is hereby issued under the applicable provisions of AX Date ignature of Permitee or A ent Receipt No. White-D.P.W. – Yellow -Assessor – Pink -Inspector – Goldenrod -Applicant UIU Ducie t,uunzy uoae anaior resolutions to do work indicated above for which fees have been paid. DIREC R OF PLJIBLIC WORKS By t �E Date �/C✓'—� Building permit expires Date /rte—('' RESIDENTIAL PLAN CHECKING GUIDE (S.F. DUPLEX & MISC. ONLY) 7 "4 Bldg. Permit 1k 7 A.P. # '47— -6 oning requirements (sideyards and parking). Valuation. 3. Signature by R.C.E. or Architect (if required). B. PLOT PLAN Cometplete parcel size and dimensions. 2- Sbackq, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. l0 si"det property lipe.. a114 50 t. fr m it ' ceni-&Iine:of tljQ;rpad, permitting a rWdl'�A nr:um of a 2,ft. e,ave,ovehaneuttenti; e3Y du+-. of: olh>.easemgntg j C. FLOOR PLAN Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). equired windows for second exit (Sec. 1404). 5/. Allowable glazing for energy requirements (20% max. per State law). 7Human impact glass (Sec. 5406). 6; / Required room sizes, ceiling heights (Sec. 1407). G.F.C.I.'s in baths and exterior outlets (Sec. 210-8). Light fixtures, switches, receptacles, and exterior receptacles for maintenance of mechanical equipment. Locations of water heater, heating & cooling equipment, other electrical or gas ,,.,equipment, and plumbing fixtures. ,,k0. Garage firewall, door size, and closer (Sec. 503(d)(4)). 11. 1 - 3'0" exterior exit -door (Sec. 3303d). �F ireplace location. Smoke detectors (Sec. 1413). D. STRUCTURAL DETAILS Foundation plan complete enough to construct building. Floor construction details complete enough to construct building. 11 ft'41 Elevations and wall construction details complete enough to construct building. Roof construction details complete enough to construct building. Fireplace construction details and calcs if over one-story in height. 62. Sufficient data and details to satisfy energy insulation requirements (State law). E. MISCELLANEOUS ITEMS TO LOOK OUT FOR CCX plywood on exposed locations and overhangs. 2. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). 4 Brick or stone veneer (Chapter 30). 5. Exterior plaster -.weep screeds (Sec. 4706 & 4708). Proper roof pitch for roof covering (Chapter 32). Rafter ties or bearing ridge beam. Garage door or porch header sizes. Adequate bracing. Living area over garage,- complete 1 -hour separation required including supporting walls and posts, etc. .. Two (2) exits on three-story dwellings (Sec. 3302). f IDEiV 'IA �Yr4 zs-90 �f 3313-q� 11-33-06 OUTSIDE 3499-90B,'E,M PURITZ, Larry 12144 Centerville Rd, Chico (conv garage to living/sf) r ,fr /-e fv 1.a h le le e c.��o h J� cc�o•.r I904 t,0 06 Ser"vab /� iJ�ol4 fro H" S r` t 4 JOB FINALE Signature J=OK O=Not OKNot 1 = Not Readyable MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zonino Rea uirements-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: / /" L" ft. / /"Nat. or/ /" 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 S. 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 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, UABAGEh (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frma; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card -B-1 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-PaneIboa rds-Ins. to Main in Conduit Date Card B-1 Date Card B-1 _I 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 ✓=OK O = Not OK = Not Not Readyable RESIDENTIAL (Singe NO=\ & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 46. Cing. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral 0 Yes 0 No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor 0 Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks 13 Yes O No; Planters C1 Yes O No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card 8-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville. California 95965 - Telephone: 916/538-7541 APPLICAdWA'ND PERMIT A-SSESSOR PARCEL NUMBER 11-33-06 ZONING FR2 BUILDING PERMIT OWNER Larry Puritz TELEPHONE 342-8955 SO. FT. OCC. BUILDING VALUATION 648 6480 OWNER'S MAILING ADDRESS 12144 Centerville Chico CONTRACTOR'SNAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ 62.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 31.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 12144 Centerville Rd. Permit fee $ 118.75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Chico Solar or heat pump water heater 20.00 LOT NO. 1 SUBDIVISION NAME Castle Rock PARCEL MAP Water piping 5.00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other gar conv. SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00e TYPE OF WORK New Addition El Remodel❑ Utilities❑ Installation❑ Other F] Describe work: r-nnv SAr t -n Same ro9m _ Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR LESS 100 AMP OR LESS 10.00 Main service EA, ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty p I y (check one): of perjury ) El am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$ and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST.(DWELLING OCCUP.� OR ADDNS. ACC. BLDGS. 2/2¢sgft :16 go NEW CONSTR. ULTI.OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS d (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20@80¢ BAL930 FIXED APPLNS. Ex. Occup. OUTLETS ((RESID,)REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 26.20 Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling 6.00 Hood 3.00 Ventilation Permit Fee $ 16.00 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, judgment and expenses which may in any way accrue agamsj said County i consequen of the granting of this permit. / X Date Signature of Applicant — Owner I Contractor ❑ Agent ❑ An OSHA permit is required for excavat' ns 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 TOTA FE $ 160.95 HAz cuA PARK s F PAR D Ho ssu d+ Th;s permit is hereby issued under sions of the Butte County Code and/or work indicated abov I for which fees DIC OR Z7C By PERMIT EXPIRES 9te ,© the applicable provi- resolutions to do have been paid. WORKS Date 10114a Receipt No. 73917 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION t 7 COUNTY CENTEF),•DRIVE - OROVILL�. eAQNJF-ARNIA\95965 -TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER �� ( y�- �� % / G--- A. P. No. _ Proposed Building UseC,'A-!_ ,J&r,-_e-_,19W11 Building Inspector. -3300 Date At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: R 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 .............. 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 ....................................... 1 Park fees paid ................................................. G (/'s T) School District fees paid ............. . 4. Sanitation approval from Health Department — c: ��r 5. 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) Contractor's license information (No., Name Style, Classifications ... Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... Z 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you�sue the permit, process afllows: M t caner. Mail to contractor—. -- ..,o When and hold for pickup awoffice. Deliver w/inspector. Other _L Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (C' new item not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised Contractor, designer, cane was� dvise (Ow A/E AP folder Copy—D ai 1 _counter b, date/� _� J ,z TO Buildinc Departmet FROM: Environmental -,Health SUBJECT: Sanitation Clearance °�— Owner Locatio P# Plan Approved for: Sewaqe Disposal Water Supply Hold final for: Water Supply Final clearance O.K. for: Water Supply Clearance for bedroom mobile home. Other %t NOTE *** ( KA ate San tarian COUNTY OF BUTTE - DEPARTMENT OF UBLiC WORKS P_FOA AI I T NO. 7 County Center Drive - Oroville, California 95965 - Telep!,^r•e. 9 ill _-3-705-11 APPLIC i 01,11 AND D PERK 6v ASSESSOR PA[CSL NUMBER ZOr'' BUIL^vIhIG PERMIT OWNER% �A2 12 l � LE PH0N�Ejr I �56 SO. FT. I OCC. S-UILDING VALUATION i OWNER'S MAILING ADO R SS 44 CONT Ay�TO R'S, A U(�OR'S TELE PHONn ' I CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Filing Fee S 10.00 LENDER'S MAILING ADDRESS Permit Fee 5 $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee o? , $ - Energy Plan Cl;ecking Fee y� ARCHITECT OR ENGINEER'S MAILING ADDRESS I Penalty $ BUILDING ADORES Permit fee $ PLUMISING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump waver heater 20.00 LOTjO. SUBDIVISION IJAME/j PARCEL n1AP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE n r / SF ❑ Duplex❑ Mobilehome❑ /L Other 6 aCo tiy SPECIFY Gas piping system 1 - 5 outlets 5.00 Bui!ding sewer 5.00 kIct ile Home S G vJ - 10.002 l TYPE OF WORK r� New❑ Addition Remodel❑ Utilities❑ Installation❑ Other Describe work: C,0/1 V ( 9 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 blain service ;OOO VAMP ORSLESS 10.00 Main service SA. AOD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chaot. 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 CON•IST. � DWEL'LiNBLDGso.ccua.9 OR 21/osgft NE'r1 C NST R. 11ULTI,OUTLET NON•R ESID BRa;JCH CIRCUITS 2.50 ea r (POWER. .APPARATUS �\ (SINGLE OUTLET CIR. Ex. Occup OUT LESS OR FIXTURES � 1.2 .0 ALsoe 130C FIXED A?PLNS. OR Ex- OCCUp. OUTLETS IRESID.1 EA.1 2.00 TemporaFy service 10.00 Mobile Horne Facilities 15.00 Misc. 9 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (Check one): F1 The permit is for 5100.00 (valuation) or less. IKI 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 Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilatior, Permit gee $ 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 otcorJs 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 I abilities, judame ts, and expenses which may in any way accrue agai Stsaid County in consegt, n e of t anting of this permit. X Date Signature of A.ppliccnt — Owner ractor % Agent ( An OSHA permit is required for exc v tions over 5'0" deep end demolition or consrr�ct- ion of structures over 3 sto, iess n neig Mobile Home Installation Fee $ Energy Inspection Fee occ r-YPE 1 7`f TOTAL FEES �— I 1 H.Z CUA. Pa RK I SCHL I , ' F LO PAR Pp HD ISSUE This permit is hereby issued under sions of tl,e Butte County Code and/or `h'Ofk indicated above for which fees I DIRECTOR OF PUBLIC By— %� _R�AIT '.r.PIPES D.ite_ the appiicabie provi- resolutions to do have been paid. WORKS Date. _ S Receipt No. / / i wMITE•D.P.W.. YELLOW -ASSESSOR, ?IVtt•�V3?�--n T, ;n;Ocv»�•�P I�r_; C.�N; I - U COUNTY OF BUTTE-.Depdrtment of Public Works 7 County Center Diive, 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. 1. 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) 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. x. 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 butI have contracted (hired) the following - - persons to -provide the work indicated: Name Address Phone Type of Work Signed: Property Owner r' Social'Security Number Date 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. FORM % ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET c PACKAGE "A".=<Additions) Owner , �n� Climate Zone Permit # Floor Area r - The following data showing mandatory and required features of Package "A" shall be installed for additions toydwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. APPLIES TO. -NEW AREA q CEILING 40' WALL FLOOR SLAB ® GLAZING SHADING SOUTH - OPTIMUM OVERHANG ZONE 1-1 R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) ZONE 16 R-38 R-19 R-19 R-7 U-.65 (Dual) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) - DUCTS PER UNIFORM MECHANICAL CODE - Ch.��� LIGHTING KITCHEN & BATH NOT LESS THAN ,.25 LU9ENSqf MAXIMUM GLAZING 16% OF'AREA PLUS .REMOVED -pAn'av Js NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WAAR`�SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER s. r 12/85 N *1 HEATING° VENTILATING. AIR CONDITIONING SYSTEM (A) Heating Central Gas Furnace (brand and model number)` 1 SE Btu/hr (heating capacity) Heat Pump ` ' •' (brand and model number) ACOP Btu/hr (heating capacity at 47°F) Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector. orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1. (B) Cooling ❑ Electric Air Conditioner . (brand and modelnumber) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) ❑ Other (describe) DOMESTIC WATER SYSTEM ❑ • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) (3* Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section -2-5352(g), and fill out the following: _ Heating•y;Winteridesign temperature °, elevation ', heating load BTU �!°� ,lV!tF'.j ? 1 elevation -factor x heating load maximum outlet capacity gas furnace %Z0CBTU ��•G"+ iZooling: Summer design temperature °, cooling load BTU 9ubmitT' I.P.Sh�art'or ,other approved system (form #5) to document sizing of i �,. solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the Ca ifornia Adminis n Code, S NA RE OF UI Ift DE 7 OR APPLICANT BUTTE COUNTY SCHOOLS DEVELOPM.FNT FEE CERTIFICATION FORM (One Form per Building) A.P. Number ��� ?j3 —0�p Building Department No. i 1 School District G (% S City` County -If] Jurisdiction Property Owner�r/j��rl/G�`" Project Location/Address / �41 /(/% - Subdivision Lot Number Residential Development: a i Sq. Footage 4 9z # of Living MHI Addition (Group R) Units Commercial/Industrial: 0 Sq. Footage' New Addition (Including Exterior Roofed Areas) l Buildi Department Representative Date (Floor Plans reviewed by School District Personnel) District Id No. W PX -1 bAUA (Applicant N i %> eet Address School District certifies.that 3Ya,3c^ I (Phone.Number) (City) (State) (,Zip Code) has complied with the requirements of Resolution No. by the fjpayment of $ 5Ael� representing 492— square feet. /D 17 D to School DiVtrict Representative PAID BY CHECK NO. BANK NO PAID BY CASH white -applicant, yellow -building department, pink -school district SCHOOL.FEE (8/88) 4 COUNTY OF BUTTE - bepartment of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -.BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 a An "owner -bui.Ider" 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. 1. I personally plan to provide the major labor and materials for construction of. the proposed property improvement (yes or no) N o 2. I (have/have not) 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 portion, 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 persons.i:o provide the work indicated: Name — Address ICA Phone Signed: Property Owner Social Security Num er Date In—kc)—lo (hired) the following ype of Work 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. :,±"Lh F.i }.l� •'Ta Yom;?f�'�s^�.'PsP•-. rki,y�i=^.,'�=2 ,:F'.�:t ,e {F �r�.�!•.i �{.'•y�",�"v. rRL'tt.-.i FLv .7'i'rt'4rvy'�F'r N'- S h`i `iz".. -. r 11-33-06 • ' '3425-90E !� PURITZ, Larry 12144 Centerville Rd, Chico (elec sery/sf) /C)-�/ k , t LAdde Y 44 iJ DateDate /0 r r t t Ji COUNTY OF BUTTE ` DEPARTMENT OF PUBLIC WORKS ; 196 Memorial Way, Chico -•,Phone: 891-2751 7 County Center Drive, Orovi Ile —'Phone: 538;75AVl 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist Ztheabovddress and should be corrected. Please notify this office when ork is completed. If you have any question pertaining to this mattetional explanation, please _contact this office immediately. A/tJO OW W r Date �d + y I'spector�C�� •j \1 4 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICA DN AND PERMIT / ASSESSOR PARCEL NUMBER - - 9-,YONINti 11-33-6 FR -2 BUILDING PERMIT . OWNER I Larry Puritz TELEPHONE 342-8955 S0. FT. OCC. BUILDING VALUATION. OWNER'S MAILING ADDRESS " 12144 Centerville Rd., Chico 95926 CONTRACTOR'S NAME_ - - Owner TELEPHONE - CONTRAC"TOR'S MAILING ADDRESS Fireplace CONSTRUCTION'LENDER UNKNOWN LENDER'S MAILING ADDRESS• Total Valuation is - Filing Fee . Permit Fee Is $ 10,00 ARCHITECT OR ENGINEER LICENSE NO. ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checking Fee k $ Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS t Permit fee I $ PLUMBING PERMIT Filing Fee 10.00 12144 Centerville Rd . Chico 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 SF91 Duplex❑ Mobilehome❑ Other Electric Service SPECIFY Gas piping system'1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G I IN 10.00e TYPE OF WORK j New ❑ Addition ❑ Remodel ❑ Uti lities ❑X Installation ❑ Other ❑ Describe work: Replace Main Service _ d I I Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service ;00 AMP OROR LESS1 10.00 10.00 Main service EA. ADD -L 100 AMP 1 _ 2.50 2.50 CONTRACTORS LICENSE LAW declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div.,3 of the Business and Professions Code and my license is in full ,force and effect. - License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively 'contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.& OR ACDNS. (ACC. BLDGS. f 2/Z¢ gft NEW CONSTR.MULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS (SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES eAL� BAL@30 FIXED APPLNS. R EX. Occup. OUTLETS ((RESID )EA.) 2.00 Temporary service 10.00 Mobile Home Facilities - 15.00 Misc. Vyirin g 1 15.00 15.00 Pre—Inspection 1 15.00 15.00 Permit Fee $ 52,50 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 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 County of Butte to enter upon the above-mentioned property for inspection purposes. I als agree to save, indemnify and keep harmless the County of:Butte against all Iii bIIItIes' j id , costs, and expenses which may inlany -way accrue again t said Count 'in co f the granting of this permit. ' X nq Date L',�•=L1' SignC' re f Applicant — Ownc Contractor ❑ Agent ❑ i n OSHA permit is required for height ons over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. � Mobile Home Installation Fee $ Energy Inspection Fee $ ?CC CONST TYPE TOTAL FEE .$52.50 HA CUA PARK SCHL EE PAR PD HD ISSUE This permit is n eby issued under sions of a Bu a Count C de and/or work • di ate above f r hich fees S + B 2T0 O P BLIC PERM T EXPIRES .Date_ the applicable provi- resolutions to do have been aid. WOf;IS�/� (/ //� Daty Receipt No. 73499 WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT .' COUNTY OF BUTTE - DEPARTMENT.OF PUBLIC WORKS - BUILDING DIVISION " 7 COUNTY CENTER' DRIVE - OROVIWq CAL hFORRNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APi0ti-t TION DATA SHEET //�� Permit No. OWNER �(/ A? 1 �_�� A. P. N o. Proposed Building Use �I �i_ Building Inspector I Date &21 I 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 .............. 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 .................................................... 13. School District fees paid .............. 14. Sanitation approval from Health Department 15. 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 9 Driveway permit (construction approval required prior to occupancy) 1. Pre -Inspection for �(��i�/ 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 ......... Lett r of sigmatUTe authorization . ..... ........... ...... r s �✓` CbLt 3 �D PA 27. o W � When you 'ssue the pe it, pr ess as follows: Mail to owner. Mail to contractor. i;%elephone 44/22199 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 Copy of plans sent -----Health Dept. Fire Dept. Other Date By. The following data must be submitted prior to permit issuance: (Circle new item not checked above). 1. Index permit for above items No. 2. Additional items required: 1 Contractor, designer, owner, was advised of above required data by_phone_-naiI—counter by ..date Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBE — -3 7j — ZONIN / 7__ 1 BUILDING PERMIT OWNER AR-(Lq 10v T Z 5 42-�}.o�s� `7' 2i SO. FT. OCC. BUILDING VALUATION* OWN R�MgI�NG ADDRESS I L /l G L r/ L CONT ACTOR'S NAME dZ TELEPHONE CONTRACTOR'S AILING'ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 10.00 . Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS /c (/ 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 STRUCTURES SF Duplex[] Mobilehome❑ Other f%V!/� '�(%OL SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer Mobile Home S I G I W 5.00 0.00 e TYPE OF WORK New ❑ Addition ❑ Remodlel ❑ Uti lities L] Installationn ❑ Other Describe work: ��l�n�/�T/nZ_� M/4 //�ic-(/�G Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1j00VAMP LESS 100 10.00O d0 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 I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADO'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.8i OR AOONS. ( ACC. SLOGS. , �2¢sgft NEW CONSTR ULTI.OUTLET N O N -RF SID BRANCH CIRCUITS 2.50 ea (POWER APPARATUS e\ SINGLE OUTLET CIR. I Ex. OCCup(OUTLETS OR FIXTURES 20O50t e ALO 30 FIXED Ex. Occup. OUTLETS P(RESID )REA.; 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. byirin g 15.00 , D S 0 (� Permit Fee $ 1 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 Filing Fee 10.00 Heating Cooling 9 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 iiabilities, judg costs, and expenses which may in any way accrue agar st said Count in con equence of the granting of this permit. XAA Date — O er ❑ Contractor EJAgent❑ Sign a tur e of �ppl.cantAn 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 ��• HAZ CUA PT HL FLo PAR ao Ho ISSUE This permit is hereby issued under sions 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 have been paid. WORKS Date Receipt No.77 -/��G% WHITE-a.P.W.. YELLOW-ASSESS0w, PIN. -INSPECTOR, GOLDEHPOa-APPLI[AHT COUNTY OF BUTTE - Department of Public Works 7 County Center Drjve,LOroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: Phone: 916-538-7541 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. \.l. I personally plan to provide the major labor an materials for construction of the proposed property improvement (yes or no) 2. I (have/have, not) 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 Signed: Property Owner Social'Security Number 1 .Date 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. PRE INSPECTION QVNER L/` .I V ! - DATE l911 LOCATION: / %/ 1 `f' ��/ �%2 ��� �� A.P. # 11' � -3L — CONTRACTOR* G[/��� ZONING PRE -INSPECTION FOR: )e�AZAL i2O (> /,q�,o �/1 C__t (�t� 1.77 4E C%X(f tz DATE TO INSPECTOQd PERMIT HISTORY: NONE AS t ULLOWS : Sort CTfi'LP 00 44ect In the war LS - not I SSUe _ Jss- 4-ut*A- w). 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