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Home My WebLink About021-132-0166 r - , 21-132-16 CE E E. BURBANK 1235. snup Avenue, Gridley ontr: J -H_gbert t - a. Permit#1662 B,P,E,M(Add f."mily room/SF L�n Hogber g 21 R� v / 1-86 ecaire -old port S 21-132'1=6- Hagberg4-86BNood burning stove)SF 021-13 2-016 yY n` `94 2245' BURBANK;?''George' 1235; Deiasnup Avenue-, Gr i'd 16 *'.. (aa`a+ carport Lto existti garage,-,, r1eroof ; &' repair;,garage) Jay=Hagberg- 1'. t 7 6 - RESIQfN.TIAL X021-13-2-016 --44 i245 B BURBANK, George 1235 Dewsnup Avenue, Gridley. (add carport to exist garage, reroof & repair garage) Jay Hagberg V=OK , O=Not OK Not = Not Readyable MOBILE HOMES ' MISCELLANEOUS Date/Initials MOBILE NOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Locatlon-Test-Fall-C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /" L"ft. / /"Net. or/ P'L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE NOME. 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 Teat -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 #'s 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg :Rfd.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Elec . rmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials 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 V=OK O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope _ 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 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. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'a 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Nall Protection 18. D.W.V.; Test -Fittings & Anchor -Nell Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials 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/Mach. 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 ❑ No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Meth. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'a 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/Initials 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 Wells (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Cing. Joist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Battles 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-Flre Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding-Nalling Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. I nsu lation-Walls-Ceilings 60. Infiltration -Walls -Windows Date/Initials FINAL (Plans) OK except #'a 61. Ext. Steps -Door & Sidelight Protection -Landings 62. Smoke Detector 63. Furnace; Vents -Clearance -Comb. Alr-Connector- In Garage; Above Floor -Ducts -Mach. 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 -Mach. Protection 75. Plb., Elec. & Mach. Equip. Listed for Location 76. Elec. Receptacles In Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked In Attic ❑ Yes 78. Guard Rails & Deck Construction -Post Caps 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ 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 Comments at Final: r~ . COUNTY OF BUTTE - DEPARTMENT OFDEVELOPMENTSERVICES - BUILDING DIVISION •�1 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT N APPLICATION' AND PERMIT b — ASSESSOR PARCEL NUMBER 021-132-016 A5 ZONING BUILDING PERMIT OWNER GEORGE E BURBANK TELEPHONE - SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 1235 DEWSNUP AVE5 -680'' 8�- @6- _ @ 60 300.00 CONTRACTOR'S NAME JAY L. HAGBERG TELEPHONE r� G CONTRACTOR'S MAILING ADDRESS 1129 DEWSNUPFireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 11 840.00 LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 1235 DERSNITE' AVE PERMIT FEE $ 242.75 GRIDLEY PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15.00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFO Duplex O Mobilehome ❑ Other CARPORT SPECIFY Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ AdditiodOr Remodel ElUtilities ❑ Installation ❑ Other O Describework: ADD CARPORT TO EXST GAR PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 REROOF & REPAIR GAR 11V OR Main Service ( 200AORLESS ) 23.00 Main Service ( 200A TO IOOOA ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( a ACC. BLDS. ) 3.50 FgT0,, CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions C ndjj,T�� license is in full force a d effect License No. tt y Classification 0fM ❑ I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) ❑ 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CIO. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. .50 EFIXED APPLNS. OR x. Occup. p' (OUTLETS IRESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ Ttis permit is for $100.00 (valuation) or less. Q'rhave placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 consequ nce of the granting of this permit. r X Date d' ��% Sig t re of Applicant - ❑ Owner ractor ❑ Agent An IO HA permit is required for excavations over 5"0" deep and demolition or con truction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ o c ccN,� , "'TOTAL V X11 FEE $ 242.75 HAZ- D. FEES I IMP FLOO CDF PARCEL PD HO 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. By /k2NK/ D to �3 PERMIT EXPIRES ON U etcl Receipt No. 1671$2 WHITE•D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT V4 . COUNTYOF BUTTE = DEPARTMENTOF DEVELbPMENTSERVICES -BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLIi<;CALIPORNIA9�5965 -TELEPHONE (916) 538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Inspector No. Date t }� t At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED BY 1. All items have been submitted. ...... 777 2. Plot plans, 3/4 sets, signed by preparer of plans . .......................... 3, Complete plans, 3/4 sets, signed by preparer of plans . ...................... .4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............ . 5. Hazardous Material Form. ........... ...... " �? ..... .......................... . 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). . 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ ........................ ............. . 11. Impact fees as shown on attached schedule . ............................... 12. Califdrhia Department of Forestry plan approval/fees. ....................... . lood elevation letter (100 year flood) by California Engineer. ........... . 14. Sanitation and plot plan approval dA60 Health Department . ............ 15.. City of Chico plumbing permit . ......................................... 16. Plot plan and business license approval from City of Biggs/Gridley. 17. Planning approval for (A) Use: (B) Parking: . ........ 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. . 20. Pre -inspection for PreansingIns actor -- required. . . 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 , Mail to owner 24. Recorded copy of Agricultural Acknowledgement Statement . .................. r� 25. Letter of signature authorization . ........................................ . 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... . 27. Letter of intent on building use . ......................................... 28. Mobilehome utility clearance . .......................................... 29. Documentation of legal access . ..................... :.................. 30. Documentation of 50% subdivision developed or (A) Road improvements',completed and (B) Parcel meets zoning area and frontage requirements. . 31'. Existing violations/expired permits. ' ..................................... . 32. Plan checklist ..................................................... . 33. 34. / When you issue the permit, process as follows: Mail to owner Telephone and hold for pickup at Other Parcel Creation Acreage Applican Mail to Copy of Haz-Mat form sent Health Dept. Fire Dept_ Air Pollution (/D; Copy of plans sent Health Dept. . Fire Dept. Other Date The following data must be submitted 1. Index permit for above items No. _ 2. Additional items required: Deliver with inspe( Date 4 By issuance: (Circle new item not checked above). Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date Contractor, designer, owner, was advised of above required data by _ phone _ mail Colurib by _ Date Plans checked by Date Plans approved by lv Date Sets of plans on hold in File cabinet AP folder 00 " ( &-9( - Copy - Department of Public Works E.H. USE ONLY' Plot Plea AtmcW —�- Floor Plan Agachad Seat to B.D. TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance A)r, Q%-l.u) -,n) Z, O er Location AP# Plan Approved for: Sewage Disposal Water Supply: Public Private Well Cl ce f b o 1 ther jj nT Hold final for: Final clearance O.K. for: NOTE: p�,tlD1 Environmental Health Specialist Date Ri4I) m �t This SS'5 Of PISMA C-nd SPTWP-4KX-DMI,, MIURIM b!ke:)b on tob at all ttnmioazd f"; in T-nftev:::I) 4".) -7, t:� 6 Da -a malt G'Z FUM0 wc-rks, cc -ant Of I; -'It' -0. air p 6'r AM MMMMW AND EOUIPMENt-MIZOLUDING mmmIr n, pvmL c -m A 10`;5 T fa f+9.! f,,, T SME- At, -5- rnr� P-�!0KMFY UNN , AN!,) • r-1-12' RUAD ALL BE mmm A961D EQUPWiEfff EXCEPT FOR A 2 FT. EAVE VERHMG. S- lk) / rj + o U ser APPROVED Butte County nvironmental Health. Ay}i�G� M�hkrl mail Be ba NOT-& All & W &km ate Lmd D Iri tb,3Ui1ifoima BiitldmC, Flumbilig, 0 Tdochanical N I- Sinature Codes and the ITs`'-Onzl Electwical Code. 9 -Z-Z- Lj-,S Sc, OUTTF- COUNTY. opt.,41 r -5UILDING DEPAR MpN AA P -PROVED I , I � i � I Tr x i 0 Al 00x "�� o e ,_ Q 'O Sig l ,. 4 , , p `m a i kj ! OD oq r- 6' 6' O O J S � a i kj If r 2,_4„ GUSSET B GUSSET D 2#-90' GUSSET A 12 12 GUSSET C 4 L/4 L/4 L/4 :15 112 J� GUSSET DIMENSIONS MAY 2 -8 BE. MODIFIED TO ACCOMODATE GUSSET E NAIL SPACING AND EDGE DISTANCE REQUIREMENTS L/3 L/3 L = 30' MAXIMUM L/3 GUSSET NAILING SCHEDULE .. TC-LL=20 PSF SPAN A B C D E_ 24'-0" 12 4 6 12 10 26'-0" 14 4 6 12 10 28'-0" 15 6 8 14 12 1,30'- 0"' 16 1 6 8 14 14 L/3 L/3 L = 30' MAXIMUM L/3 DESIGN CRITERIA MEMBER SCHEDULE .. TC-LL=20 PSF SPAN TOP CHORD BOTTOM CHORD WEBS 24'-0" 2 X 4 2 X 4 2 X 4 26'-0" 2 X 6 2X6 2 X 4 28'-0" 2 X 6 2 X 6 2X 4 30'-0" 2 X 6 2'X6 2X4 DESIGN CRITERIA k .. TC-LL=20 PSF GUSSET NAILING IS 8d EACH SIDE OF EACH MEMBER W TC DL=10 PSF ~ p BC LL=10 PSF C Z BC DL= 5 PSF j O 1. PROVIDE CONTINUOUS LATERAL BRACING AT BOTTOM CHORD WITH 2X4 ® 6' O.C. OR BY RIGID CEILING 1. GUSSETS SHALL BE 1/2 C-GP�TLRiO�RL00a, �GL•UE�D� 4;12 MINIMUM PITCH 2. PROVIDE TOP CHORD BRACING WITH PURLINS ®24' O.C. 2. NAILS SHALL BE 8d COMMON, v2" O.C. WITH 1' MINIMUM 6,12 MAXIMUM PITCH OR BY RIGID ROOF SHEATHING Z � GUSSET NAILING IS 8d EACH SIDE OF EACH MEMBER TOP AND BOTTOM CHORD SHALL BE DFh#2 EXCEPT SPACING = 24 0.C. ~ OF JOINT, STAGGER' TO PREVENT SPLITTING WEB MEMBERS MAY BE DF,42 OR HF112 j NOTES: SPECIFICATIONS: BUTTE COUNTY 1. PROVIDE CONTINUOUS LATERAL BRACING AT BOTTOM CHORD WITH 2X4 ® 6' O.C. OR BY RIGID CEILING 1. GUSSETS SHALL BE 1/2 C-GP�TLRiO�RL00a, �GL•UE�D� 2. PROVIDE TOP CHORD BRACING WITH PURLINS ®24' O.C. 2. NAILS SHALL BE 8d COMMON, v2" O.C. WITH 1' MINIMUM OR BY RIGID ROOF SHEATHING EDGE CLEARANCE�, J. - ATTACH BRACES TO ADEQUATE SUPPORT AT ENDS J. GLUE SHALL CONFORM TO APA `AFRp1SPR-C(F)CN10Np- 4. PROVIDE RIDGE BLOCKING BETWEEN TRUSSES 4. TOP CHORD SHALL BE CONTINUOUS, BOTTOM CHORD 'MAY BE 5. NAIL GUSSETS BEFORE GLUE SETS SPLICED AS SHOWN AT GUSSET E ! PERMIT NO. /' ' 1662-86B,P, EM PERMIT EXPIRES OWNER GEORGE E. BURBANK CONTR. Jay Hegberg ASSESSOR PARCEL 21-132-16 1; LOCATION 1235 Dewsnup Avenue, Gridley 1 Y !4 j. I. t r! OFFICE COPY.. Addres 1. ) 1 GAS J Meter.;$, ateI ELECTRIC �. Meter By Da t� Temp. Power Called PG&E Temp. Elec. Service Called PG&E _i Temp. Gas Service h Cal led PG&E c JOB FINALEO (Date) Signature _._ V OK 0 Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch _ 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/O -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) ' 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing 5. Electricity; Location-Clearances-Grnd.-/ / Amp Concrete 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /"L:'ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance _ 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except q's 1, Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except N's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test-Demand-Valve=Connector 3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining .. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4, Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/O to Grade -HD Approval 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes- Enc losures- Pane lboards- Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card B -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date Q 0 1M J = OK 0 = Net OK. = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) M Date U FLOOR (Plans) OK except #'s Date FRAMING (Continued) _ _ g requirements -Setbacks -Easements 48, or,.ps;lly iA9 r:;sm �� o- Openings _Zo tg., Main; Soils-Steel-Elec. Grnd.- IMI" Fig. Depth 991- t. Doors -One 3' -Check Garage -3rd story, 2 exits ils-Steel- / /" Fig. Depth 5 room -Rise -Run -Landing -Fire Protection .,orches & Decks; Soils -Steel- / /" Fig. pth _ lywood on Roof Overhang -Attic Vents -Rafter Outriggers 1?4�0. Stemwalls, Main; Steel-Blockouts-Wrapped- _ eneer 6. Ste walls, Garage; Steel-Blockouts-Wrapped-Slab 53. St o M -Drip -Fdn. V-Underflr. Access 7 iers-Fireplace Ftg.-Steel 5 _ Glazing Area -Glass Protection -Skylights -Plastic . D. W. Fall -Fittings -Test -2 way C/0 -Se est 5r5/Sheeaar Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe: Test -Anchors -Regulator -Service Test 11. Electric; Underground 12.. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples - Card -BI Date Card -BI Date Card -BI DateCard-BI Date I _ � Card-BI Date Card -BI Date Card -B At/ Date Card-BI Date Date FIN (Plans) OK except #'s Card -BI Date - Card -BI Date Date PLUMBING (Permit) OK except #'s5'j. . Steps -Door & Sidelight Protection -Landings Smoke Detector 4. ter Ht.: V_e_nt- Access -Combust ion Air il Water Pipe: Test & Anchors -Nail Protection it"fU 16s�.W.V. Test-Fttngs & Anchors -Nail Protection 17. Shower Pan: Test, First Floor -Tub Access 18.14ef-fab-&-9hower, 2nd Floor -Tub Access 19. Gas Pipe: Size & Anchors Gard -BI DateCard-BI Date Card-BIy Date Card -BI Date 58. Furnace; Vents -Clearance -Comb. Air-Connector- I arage; Above Floor -Ducts -Meth. Protection . Bedroom Exiting F.I. &Bath Fixtures &Tub Access Elec. Trim & Subpanel; Breaker Sizes -Labels 62. 3. Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Kit Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance let. Outlets & Receptacles at Kit. Counter Date ELECTRICAL(Permit) OK except #'s 67. G - n i -Closer 68. A Q DaCT in ara e -Damper 20. fixture & Transformer Clearance -ins. Protection iec. Receptacles Spacing -Lights & Switches at Doors Size Boxes & No. of Conductors -Stapled 0--23. Rom_ex Installed Close to Edge of Studs & C.J. 24. E ip. Ground made up w/Mech. Fasteners -Bond Gas & Water 2 Appliance Circuits in Kitchen &Conductor Size 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At, laced Neutral Yes 'No �- Service -Riser Conductors & Ground -Main Discowffect_ 29. Equip. Clearances: Panels-Motors-Mech. Equip. _ 30. Clothes Closet Light -Shower Light _- Gard B Card -Bi Date Date`1�i-� I _ _ Card B. Date . rd -BI Date - _ Ca 6 tr. Htr.; Ve Cleara omb. onne -P. .V.- In bove F - tion 7 b., Elec. & Mech. Equip. Listed for Location 71. E ro ec. 72• Insulation -Foam -Looked in Attic Yes 73. 74. F nage & Wood -Earth Clearance Looked under Floor ❑ Yes 75. Following instld.: Dr've� [= es ❑ No; Walks ❑ No; ptYes f�We co; B n -F tsh 7VAC. Unit; Disconnect-Cirnces-Brkr. & Cond."ze-115V Outlet 7 V s Above Roof; Plbg.-Appliance-Fi .-Clearance to Opngs. 7 r Well; Disconnect, Electrical, Plumbing .. 8 E for Elec. Trim: G.F.I. Receptacle -Underground 8Q V�ation throughout House 8t;--Protection Date CHANICAL (Pern•it) OK except #'s 8 _ Corrections from Previous Inspections 84. _ jG13s Test -Meters Tagged; Gas -Electric 31. A.C. Ducts. Insulation &SupportW,,�tdfer 32. Vent Fan: Exhaust above Insulation - 33. Condensate Drain & Overflow: Size _& Grade 34. Furnace -Vent: Access -Comb. Air -Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date _ Card -BI Dale Card -BI Date & Sewer Connected -C/O to Grade -HD Approval T Energy Compliance Certificate -Other Certificates -- - - - - - - " --- Card -BI Card -BI Card -BI Date Card -BI Date 7 to r--Card-BI Date G tie Card -BI Date Date FRAMI G(Plans) OK except #'s Com lents at Final: Sills: Proper Material & Anchors 7 ails: Studs -Nailing, Spacing & Bracing-Plates-Sound- 3ing Wails over Girders &Floor Nailing -_ 39. raft Stop to Walls (rat proof) _ / OFF Stops: Furred Ceilings-Stairs-Chases-�6 4,? --Header & Beam -Size & Bearing -- - --'-- 42. Hangers -Post Caps -Anchors -Connectors 4 n Joist-Rflr. Ties-Purlin-Root Brac.-Tr Shihnp.-Ring. Fireplace Ties or Type ype A Flue -Fireplace Throat .-4 ttic Access. Size & Romex Protection -Draft Stop -Ins. Baffl_e_s _ 46. drm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4 ire Protection Framing _ - - _- - - ----_- - - - -- - (NOTE Anentry must be made each time youvisit jobsite) COUNTY OF BUTTE _ DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this office immediately. Inspector- \\ Date 'fir COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS ' 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Oroville — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 CORRECTION NOTICE M ft A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter, or need additional explanation, please contact this offige immediately. 1 t� WWI, V - , W" -qv -k\ - Inspector_ Q, Date_ rr•� _ t Permit# INSULATION CERTIFICATION Number and St eed ( lIV County Subdivision — Lot Number DESCRIPTION OF INSTALLATION ROOF Material Thickness (inches) EXTERIOR WALL Material Fiberglass Thickness finches) 1./o CEILING Brand Name Thermal Resistance IR Value) Brand Name Cert_ain_t_ee_ d Thermal Resistance 1R Value) I Bett or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) _ Loose Fill Type Fi bprgl ass-- Brand Name Certainteed Minimum Thickness (inches) _—�Number of hogs-..,___�7 (--- Weight per hag Ib . Area Covered Ift2►_ / Thermal Resistance III Value) _%50 FLOOR,ELEVATED Material Thickness (inches) FLOOR, SLAB Material< Thickness finches) Width (inches) FOUNDATION WALL Material Thickness (inches) HEATING SYSTEM Gas Furnace Make Model Description_ Brand Name Thermal Resistance In Value) _ Brand Name -----.—.,----_— Thermal Resistance (R Value) Brand Name Thermal Resistance (R Value) Rated Bonnet CnhacitY----._--•--------•— ---.._._._...__._ -.----- DECLARATION I hereby certify that the above insulation was imiallyd in the building al the above location ir, conformance with the current regulations setting Energy Conservation Stamdards for new. buildings (located in Title 24 of the California Administrative Code). N General Contractor (Efullder) License Number Signature and T'Itle Date Haw$ Insulation_CoInc. _ _ _ 37_8407 S rb•Contraclur (lnsulallun /applicator) ----_-- -- License Number ....,.Pres.......---... ._.—.. -- _�-__ Signature and I Itle Date CERTIFICATE REVIEWED BY _ Vate BIN -029 �13(aa.ldriF; iii ;})ec t�.on OEco) Owner: Permit No. ENERGY CERT I F ICAT ION LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF ' Material 'Thickness(inches) EXTERIOR WALL Material Thickness(inches) CEILING Batt or Blanket Type Thickness(inches) Loose Fill Type Minimum ThicknesWnches) Area covered(ft. ) FLOOR, ELEVATED Material Thickness(inches) FLOOR, SLAB Material Thickness(inches) Width(inches) FOUNDATION WALL Material,', Thickness(inches) Brand Name Thermal Resistance (R Value) Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) ,Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) E 4Brand Name Thermal Resistance(R Value) Brand Name Thermal Resistance(R Value) I hereby certify that the above insulation was installed in the above building in conformance with the State of California Energy Requftements. FIRM NAME/OWNER STATE CONTRACTORS LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR s DATE I hereby certify the above insulation And all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by. the State of California. FIRM NAME/OWNER (Please print) j a SIGNATURE OF GENERAL CONTRACTOR OWNER STATE CONTRACTORS LICENSE NO. DATE J THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. Z° (21S G - � . /1 TELEPHONE A53E �,SQR-?ARC L UMB R Q-tl I Z° (21S 1 BUILDING PERMIT ow NAW TELEPHONE SQ. FT. OCC. BUILDING ALUATION- OWN R _'S MAI LI ESS /21111, &V e ON 'S NA F.ON ELEPONE ACT R'S MAI I D ridu Fireplace CONSTRCTCT7VN LE D R U NOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS ZIi;)c AQ five- � V , Permit fee PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 V - Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME I PARCE MAP 1i Water piping 5.00 0,00 Each gas water heater or vent 5.00 USE OF STRUCTURE SF)o Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition Remodel❑ _Utilities Ins llation❑ Other [J Describe work: Permit Fee $92. Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e Y ° S 0.00 Main service EA. ADD'L 100 AMP _1 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. � i I 1 JY Classification C0054- A . ❑ 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 o c CC.BLDG , A New L))h¢sgft CONSTR.� ULT'OUTLET NON•R ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. 20@50C Ex. Occup OUTLETS OR FIXTURES 9AL030 FIXED PR Ex. Occup. OUTLETS (RESID.IEAJ 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 oLt to Self -Insure. shallhall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling (p 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 against said Co u y in ' nse uence of the granting of this permit. X Rlte 6 Signa u e of pplicant — caner Contracto Agent ❑ An OS A permit is required for excavations over 5'0" deep andm6lait truct- ion of structures over 3 stories in height. pp Mobile Home Installation Fee $ Energy Inspection Fee f TOTAL PERMIT FEE OCCUP. CONST.TYPE I �FL0001PARCELI PD I HDIZ-15-svt V1 V This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTO OF PUBLIC By PER0 EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date - 2— '— Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINx-INSPECTOR, GOLD OD -APPLICANT COUNTY OF BUTTE - DEPARTMENTOF. PUBLIC WORKS - BUILDING DIVISION I �. 7 COUNTY CENTER DRIVE - OROVILLE, CALwIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET ' Permit No. OWNER e k . d'J an1_,N A. P. No.r9eor Proposed Building Use f sl Y /\ Permit Fee Based Upon: Complete Contract Price � DPW Valuation r Othe Ex lai ) Building Inspector Date IR At time of permit application, I was advised the following data must be submitted prior to permit processing and:/or Issuance: DATE RECEIVED APPROVED X All items have been submitted: . . . . . . . . . . . ZR/ -2.1 Plot plans in duplicate iplicate. . . . . . . . . . . 3. Complete plans in duplicate/triplicate. . . . . . . . . 4. Complete engineered' plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . 6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . . . k7tatement of Intent for Non -Heated and AC Buildings. sof $ �� . . . . . . . . ter of signature authoriza 'on.itation approval from ✓ U Health Dept. .anning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . 13. Contractor's License Information (no., name style, classif.) 14. Owner -Builder Verification.(Given to owner❑, Mail to owner ❑) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . . Pre-Insp17. Pre -Inspection for Required- Building request to (pate p q Building Inspector 18. Recorded copy. of Agricultural Acknowledgment Statement . . . 19. Other W you issue the er. pr cess as follows: Mail tn owner. ail to contractor. Telephone nd hold for pickup a "ce. Deliver w/inspector. Other Applicant Date Copy of plans sent Health Dept., Fire Dept., OtherDate During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above at t' a of pplication, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By 9 ate 67"Z3 - Plans checked by. Plans approved by Other Copy—DPW Ill. - 0013M To: Building Department From: 7;,nvirorunental Heath Subject: Sanitation Clearance U Owmer Location Plan Approved for: Sewage disposal Hold final for:. Final clearance O.K. for: Clearance for bedroom mobile home. N,OTr *** *a 1- /3 -;� - C)16 AP# water supply water supply water supply Other Le 7-S— anitarianDate J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE IT NO. 7 County Center Drive - Oroville, California 95965 Telephone 916/534-4541 APPLICATION AND PERMIT ASSESS P=R L L,�B F� ZONING BUILDING PERMIT owN(/(/^ TELEPHONE SQ. FT. OCC. BUILDING VALUATI O WNE 'S MAI G11y;ESS IA PS J10 V CON T7; 11'S NA ,^ Y TELEP ONE CON RA R'S M I ADbRE S' (4 Fireplace CONSTRUCTION LENDER UNK WN Total Valuation $ Filing Fee $ - 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ' ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCE MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 10.00ea TYPE OF WORK New❑ Addition[] model❑ Utilities_0 nsta"Ila n❑ Other Describe work: I^ l ' � Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR00V OR LESS10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and 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 LIN OCC P yzQsgft oR ADDNST CONACCSTG NEw CONSTR ULTI_ouTLE 2.50 ea NON-RESID BRANCH CIRC ITS POWER APPARATUS aI SINGLE OUTLET CIR. / eLa30 Ex, OCCUp\OUTLETS OR FIXTURES 2AL@ FIXED PK Ex. Occup. OUTLETS (RESID IEA.) 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 must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Coolin 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. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, dgments, costs, and expenses which may in any way accrue against said ounty in co equen of the granting of this permit. d— X Date Signature of plicont — Owner ElContractor E]Agent[:1work An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ vLOOD PARCEL Po No Issue This permit is hereby issued under sions of the Butte County Code and/or indi ed above for which IRE PUB B PERMIT -EXPIRES Date the applicable provi- resolutions to do fee have been paid. ORKS ate —� 4 Receipt No. WNITC-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT N _ ,./ ASS S O,R °L NU BER / Z°"' G BUILDING PERMIT ow TELEP E SO. FT. OCC. BUILDING VALUATION OW FIR'S MAIq I N Gt);D RESS CONTR C OR'S NA E r ELEPHON.E CO TRAC OR'S LI G ADyREV �^ Fireplace 0 CONSTRU7CTIOWLEN.ER UNKNOWN Total Valuation Is Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ ADDRESS/ BUILDING ADDRESS L v Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 jn Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PA CEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SFV Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S FG JW I 10.00ea TYPE OF WORK New ❑ Addition ❑ Rem�odeI ❑ Utlyes ❑ Installation❑ Other Describe work: 1�t�riAJ(� LIOV� 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 of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification El 1, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) I, as the owner, am exclusively contracting with licensed con ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.d+ , A h¢sgft NEW CONSTR.( U TBI OUTLET NO N.R ES, D. BRANCH CIRC ITS 2.50 ea (POWER APPARATUS &) SINGLE OUTLET CIR. Ex. Occup(OUTLETS OR FIXTURES 20050Q eALoso IXED APPLNS. OR Ex. Occup. UTLETS (RESID.) EA.) 1 2.00 Temporary service 10.00 Home Facilities 15.00 Mobile Hotract- . Misc. 15.00 g Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shal I be deemed revoked. MECHANICAL PERMIT FiIingFee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the 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 liabilitie judgments, costs, and expenses which may in any way accrue against sa' County in con quen12 of the ranting of this permi - X Dat 6a Signature of Aplicant — OWner ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3¢storie/s in height. Mobile Home installation Fee $ Energy Inspection Fee $ TOTAL PERMIT FEE $ OCCUP. CONST.TYPEJ I JFLO..JPARrFLJ PD I NO I ISSUE This permit is hereby issued under ns of the Butte County Code and/or work indicated above for which DIRE F PU By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. I ORKS Da Receipt No. () CCS /n WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, Gtalifornia 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERM IT ASSESSOR PARCEL NUMBER 21-132-16 ZONING BUILDING PERMIT OWNER GEO TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 2 GridIPW CONTRACTOR'SN ME JAY 14ACRFRG TELEPHONE 846-107r, 1st renewal permit CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LEND R UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @ z FEE $ 101.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 111.00 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL AP Water piping 5,00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Q( Duplex❑ Mobilehome❑ Other add. fawAly,Aeom Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S G W 0.00 ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑ Describe work: 1st renewal of permit #1662-86 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 LE00V ORSS Main service 100 AMP 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penal y 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 theason NEW CONST. DWELLING OCCUP.S OR AODNS. ( AGC. BLOGS. , 20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC TS 2.50 ea POWER APPARATUS &) SINGLE OUTLET CIR. Ex, OCcup(OUTLETS OR FIXTURES 20050C eAL0130 Ex. Occup. OUTLETS FIXED P(RESID )LNSREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under p natty 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: It 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 1 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 Ignature 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 $ TOTAL PERMIT FEE $ 111.00 OCCU P. CONST.TYPC FLDOOJ PARCEL PD HD ISSUE This permit is hereby issued under sions of the Butte County. Code and/or work indicated above for which DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WNITE-O.P.W., ♦[L LOW•Ase(S eO K, PINK -INSPECTOR. GOLDENROD -APPLICANT