HomeMy WebLinkAbout021-133-0070
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AP 21-133 - 07
Charles LaViolette
e/s Dewsnup Ave., 700' N. of Social
-I4VIOLE= CHarl6s
I , -
15115,
Hall Rd., Gridley
.
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1208P -71240P
STORM; D�MAGE
REPORT 7
(BUILDING W/O PERMITS)
182 E
Dew ndp between
S
W. Libertr & ittle V
21-133-07,
.61s
qridley
CHARLES LAVIOLETTE,
CONTR: Arinda Const. Co., Oroville
1-294 Dewsnup Av--,-Gridley--
N71-
ContR: Ray Borges
I ;
Permit#2549-88B(add carport)SF
-b21"-1'33-007-,-, �PERMIt#95-0664
,,ChArleg
LAVIOLETTE,!,.
-idley
1294, Dewsnu.p,-Ave'.-; Gr.
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pi e Sheetrock-&', n*' latioii/SF
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COUNTY OF BUTTE'- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI SION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 41 PERMIT NO.
APPLICATION AND PERMIT 10 �9- Q<- - 04, W/ V
ASSESSOR PARCEL NUMBER
021-133—W7
ZONING
BUI1,6ING PERMIT
OWNER
CHARM LA VIOLEM,
TELEPHONE
846--5276
SQ. Fr. OCC. BUILDING VALUATION
EST 8,000.00
OWNERS "UNG ADDRESS
1294 DEWSKUP AW,
CONTRACTORS NAME RIGMAY CONSM. RAY BORGES
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee $ 20.00
LENDERS MAILING ADDRESS
Permit Fee $ 99.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
1
Penalty $
BUILDINGADDRESS
1294 DEWSM AVE
PERMITIFEE $ 119.00
GRTDI.EY
PLUMBINGPERMIT Filing Fee 20.00
Each Trap 7.00
LOT NO.
SUBDIVISIONS NAME
IPARCEL MAP
Solar or heat pump water heater 23.00 —
USEOFSTRUCTURE
SF OX Duplex 0 Mobilehome 0 Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system I - 5 outlets 15.00 1
Building sewer 15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Uhlibes 0 Installation 0 Other 0
Describe Work: MLACE SHM R= AND INSMATMN
Mobile Home I S I GI W 1 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 20.*00
OR LESS
Main Service i800.0VA OR LESS 23.00
Main Service 200A TO 1000A 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License�tClass Lic. No.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale,
I as owner of the property, am exclusively contracting with licensed contractors
io construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUP. so
OR ADDNS. & ACC. BUDS. 3.50 Fr.
NEW CONST. ULTI-OUTLET
—NON-RESID. BRMANCH CIRCUITS 97.50
( 2.POWER us
S ING LEA0PPArLREArT CI R.
OUTLET OR FIXTURES 20 @
Ex. Occup. ( BAIL a t'50'OD
( OFIXED APPLNS. OR
Ex. Occup. UTLETS (RESID.) EA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITIFEE $
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forth�tlith comply 'N�Ith, hose ovisions.
.7, Date
Signature of Applicent 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee Is
occ
CONST. TYPE
I
TOTAL FEE $ 119.00
HAZ.
1 0. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated /abo for wh e been paid.
B Date
PERMITEXPIRESON
(Date)
ReceiptNo. 175680
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
BUTTE COUNTY BUILDING OFFICIALS
JURISDICTION
Block Parcel No., o
01
EST. j:,:t
Detailed Evaluation Safety Assessment Form
Z'�qvxc'ligl
BUaDING DESCRIPTION.
eyacle _v"Z'70
Name: W
Address: !Z14 -
No. of Stories:
B sement: Yes No Unknown
a -17
Approximate Ag5e: 0��63 Years
Approximate Area: '—',7 OW Square feet
Structural Sys m: 5616 0 IV CR 06--
'ys
Wood 14 rame Unreinforced Masonry [I
Reinforced iasonry [] Tilt -up
ConcreteFrameE] Concrete Shear Wall [I'
Steel Frame [:] Other
Primary Occupancy:
Dwelling Other Residential [I Commercial
Office ElKndustrial F1 Public Assembly [:]
School 0 Government [] Emer. Serv.-C]
Historic 0 Other
OVERALL RATING: (Check One)
INSPECTED (Green)
LIMITED ENTRY (Yellow) XO
UNTSAFE (Red)
INSPECT'OR.-
Inspector ID S'14 6) �7 14 -
Affiliation S&4 10'c -
M
INSPECTION DATE:
Mo/day/year /
Time — L 50 prn
DEP c 0
L/ g, �Wwk Y
611-C 9,49leoAJ
Instructions: Complete building evaluation and checklist on next page and then summarize
results below.
Posting: Existing Recommended
None
Inspected (C�reen)
Limited Entry (Yellow)
Unsafe (Red)
Posted at thisAssessment
Yes No
Existing posting by:
Recommendations: -/ -- oc
F� No further action required IV74)fl
[] Engineering Evaluation required (circle one). Structural Geotechnical Other
M Barricades needed in the following areas:
Other (falling hazard removal, sho7inglbracing required, etc.): �VOaYE
Comments (Why Posted Unsafe, etc.):
Sheet I of. Z—
Detailed Evaluation Safety Assessment Form (Continued)
Instructions: Examine the building to determine if any hazardous conditions exis-L A "yes"
answer in categories 1, 2, or 4 is grounds for posting building UNSAFE. If condition is suspected
to be unsafe and rnore review is needed, check appropriate Unknown box(es) and pqst LEWTED
ENTRY. A "yes" answer in category 3 requires posting and/or barricading to indicate AREA
UNSAFE. Explain 'Yes", "Unknown" findings and extent of damage under "Comments."
'HazA�lous Condition E)dsts -
Condition Yes No UnknoWn Comments
1. Structure Hazardous Overall - . 1.
Collapse/pardal collapse Cl E-1 M
Bui.lding or sto�y leaning
Other 1:1 El
2. Hazardous' Structural Elements
Founditions' . C] F1 1:1
Roof/floors (vertical loads) M M M
Colun-ms/pflasters/corbels El F1 F1
DiaFhrqgmVhori2ontal bracing M 11 El
Wa Is/vertic-al bracm"g
Moment frames H H H
Precast connections 11 M El
- Other M 1:1 M
% M F I M
3. Nonstructural Hazards
Parapets/ornamentation M M F1
Cladding/glazing 0 El F-1
Ceilings/light fixtures 11 11 El
Interior waUs/pardtions 1:1 D 11
Elevators M El M
Sta.irs/exits D M M
Electric/gas 11 11 El
Other 0 0 M
M M M
4. Geotechnical Hazards
Slope failure/debris. El' F1 Q
Ground movement, fissures El F1 F�
Other M El Q
. F� F� F�
SKETCH: . . . . . . . . . . . . . . . . . . . . . . . .
5 -W(�IWPW
.. . .... .......
. . . . . . . . . . .
......................
............................
............................
Sheet
'-'r11 L- , 1- 11 1 L 3 (0:�' 3- 0- a a7
,ff 5-0-0 0 PUBLIC IKFORMATIOKSOMFIC�ER to
538-6953
DAMAGE REPORT
FOR INITIAL ASSESSMENT
FLOOD JANUARY 1995
Name Reporting Party C14tAc k - LA a I- S ftE
Address/Location f- 1'V -'7 V!5- R Ih e- 9 y - C ezl'y -4
Z _,
-7
Telephone Number_ 8 -6a 74 -
Why Calling?
(Note: Medical Emergencies Refer to 911)
Building Descriotion
Commercial/Usage
(R-es--id-en-t-ia--FXype and # Units
Currently Occupied/Use
Sanitation
Plumbing working
Running water
Well Flooded
Obvious Problems 57F-ff(C SYS7-FIM -SlY7966 -5!eWJQ5�
Structure
On/Off Foundation
qa��/below floor
Obvious leaning, tilting
Severe Damage/Collapse
Debris Hazard
Gas
&i�Oropane
Obvious problems (odor, leaks, leaks, propane tank floating/submerged)
Electric
Any electrical submerged
Obvious damage (failure, downed wires, arcing)
Chemical/Fuel
Wet, flooded, lost chemicals
Type pesticide, fertilizer, other chemicals
Amount
Fuel tanks (above or -below ground)
Obvious. -hazards
Agriculture Loss
Crop Damage,
Livestock Lost
Building Damage
Roads (Public)
Road Name
Obvious Damage/Hazards
Location/Landmarks
Traversable (Sedan, 4 wheel)
Involved Utilities (downed wires)
Levees
Waterway Name
Location of damage/p roblem
Obvious hazards
Nearest Landmarks
Overflow/freeboard
By Z6�1 - -
Is
Conies:
1
OES
2.
Health
3.
Building
4.
Agriculture
5.
Fire
6.
Sheriff
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING D ISION
7 County Center Drive - OrQlle, da.lifQrnia 95965 - Telephone (916) 538- 4/1 PERMIT NO.
APPLICATION AND PERMIT 7— 91606
ASSESSOR PARCEL NUMBER
021-133-007
ZONING
BUIk1bING PERMIT
OWNER
CHARLES LA VIOLETTE
TELEPHONE
846-5276
SQ. FT. OCC. BUILDING VALUATION
EST 8,000.00
OWNER'S MAILING ADDRESS
1294 DEWSWUP AVE
CONTRACTOR'S NAME RIGH114AY CONSTR. RAY BORGES
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$
LENDER'S MAILING ADDRESS
Filing Fee
$ 20.00
Permit Fee
$ 99,00
ARCHITECT OR ENGINEER
LICENSE NO.
—Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
1294 DEMUR AIR
PERMITFEE
$ 119.00
GRIDLEY
PLUMBINGPERMIT
Filing Fee 1 20.00
Each Trap
7.00__
LOT NO.
SUBDIVISION'S NAME'
IPARCEL MAP
-
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF OX Duplex 0 Mobilehome 0 Other
SPECIFY
- Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other 0
Describe Work: REPLACE SHEET ROCK AND INSULATION
Mobile Home IS I GI W1
920.00
PERMITIFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.*00
000 OR LE S
Main Service �..VA OR LESS
23.00
Main Service 200A TO 1000A
46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, asowner of theproperty, or my employeeswith wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
NEW CONST. DWELLING OCCUR
OR ADDNS.... , ACC. BWS.
Q
3.50 ST.'
NEW CONST. MULTI -OUTLET
NON-RESID. RANCH CIRCUIT
97.50
,POWER APPARATUS
SINGLE OUTLET CIA.
Ex. Occup. ( OUTLET OR FIXTURES
20 @ 1.00
BAL a .5o
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS (RESID.) EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00.
PERMITIFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
0 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITIFEE
$
Contractor
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I certify that in the perform . ance of the work for which this permit is issued, I shall
not employ any person n 'y manner so as to become subject to workers'
compensation laws of Callfornl, and agree that if I should become subject to the
workers' compen ion prov ions of section 3700 of the Labor Code, I shall
forthwcomplywi Aose ovisions.
1�r� Date
Signature of Applont - 0 Owner 0 Contractor 0 Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
Energy Inspection Fee $
C
—
CONST. TYPE
I
TOTAL FEE $ 1 19.00
—
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL I PO
This permit is hereby issued under the
of the Butte County Code and/or
indicated Zabo for w
=
P RMITEXPII(ESON
applicable provisions
Resolutions to do work
e been paid.
. Da�A 5
((D ate)
ReceiptNo. 175680
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
-133-oO
MR,
Owner:
BUTTE COUNTY DEPARTMENT OF PUBLIC WORKS
Address:
Tenant:,
Building
A. P. 7
Date of Inspectio�
Inspector
Type of Inspection requested:
1. Housing 2. Financing
4. Other (specify)
3. Change of Occupa�icy to
Present use of building:
A. --Sanitation (Housin
-1. Water closet:
-2. Lavatory:
I. -Bathtub or shower:
4.. Kitchen sink:
5. Hot and cold water to fixtures:
.6. Heating-' facilities:
7. Natural light and ventilation:
8..- Room and space..requirements:
9.- Bedrooni window ordoor for second exit:
10. Infestation of insects, vermin,.or rodents:
11. Connection to sewage disposal:
12. Connection to'water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles:
3. Fus ing:
4. Comments:
D. Plumb in
1. Fixtures connected and vented:
2. Gas water,heater:
3. Gas heating vents:
4. Comments:
(continued on back)
E. Other
1. Maintenance and repair:
2. Fire hazards:
3. -Safety hazards:
4. -Weather protection:
5. Underfloor and attic ventilation:
6. Comments:
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroom. floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. Comments:
G. Field Problems or Violations .
I., Problem or violation._(&ive complete descript
2.
�m
T_/ A. Information only - file.
,�f��.Hol�dfor �ten �(10, days _hei�-�; i7-te11-e-trtt ��ee—r_"\
C. Write letter.
/7D. Other:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-27�11
7 County Center DrIvLl-, Ordvifie — Phone: 538-7541.
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
L-5a&j IT) .1 Ap- C -1-e
OWNER ER MI MNIO'
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
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-275.1
7 County Center Driv&.�OroVi Ile — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
OWNER� PERMIT 1`�
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 S Date
PERMIT NO. 2949-88B
PERMIT EXPIRES
OWNER CHARLES LAVIDIETTE.
CONTR. Ray 'Borges
ASSESSOR PARCEL 91 —1 '11—m
LOCATION 1294 Dewsnup Ave, Gridley
Y
Temp. Power Pole
Called PG&E—
Temp. Elec. Se
Called PG1
Temp. Gas Ser,
Called PG1
JOB FINALED
'Signature
=OK
0'-- NoVOK
= Not Applicable
= Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s Date
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P11t.
/ P'Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -1311 Date Card -131 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req ui rements-Setbac ks- Easements
2. Footings; Size-Spaci ng- Marriage Line
3. Gas; MH Test- Demand -Val ve-Con nector
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/0 to Gracle-HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
MISCELLANEOUS
FIS,CAR PORTS, GARAGES, (Plans)OK except #'s
uirements-Setbacks-Easements
Soils-Size-Depi
rders and/of Jo
-Connectors-Steel
Braci
r4p_C
4-AkhTr-Awn-, -6,ef� ns -Con nections-Spl ice- Decal- Enc I osu res
L.,�rports; Windows -Doors
7-E4ee-
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nai I i ng -Veneer -Stucco- Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 Date K-,2��Wa rd- B 1 Date/0_3L__e-g:
Card -131 Dateffi,13,ffCard-131 Date
la
"WOOLS (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.-Po6l Lghtg.
Boxes- Enc I osu res- Panel boards- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
=OK -
0 = Not OK
- = Not Applicable RESIDENTIAL (SIngle.and Duplex)
* = Not Ready
Date UNDERFLOOR (Plans) OK except #'s
D&te FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. Fireplace Ties or Ty , pe A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -ins. Baffles
5. Sternwalls, Main; Steel-Blockouts-Wrapped ,.
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One X -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -Bi Date Card -Bl Date
Card -Bl Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16..Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub. Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -61 Date
Card -81 Date Card -B1 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made upw/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Card -B1 Date Card -B1 Date
Card -B1 Date Card -1311 Date
Date - MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -1311 Date
Card -Bl Date Card -81. Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44- Header & Beam -Size & Bearing
Card -B1 Date Card -61- Date
Card -131 Date Card -1311 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector .
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clear * ance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection .
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77 In su latio n -Foam- Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instId.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters 0 Yes 0 No
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle-Underg round
86. Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
01. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -1311 Date
Card -131 Date Card -B1 Date
Card -81 Date Card -B1 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil,le;'California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
,RERMIT NO
ASSESSOR PARCEL NUMBER
,C:2 / - 13 3 - 00 -7
ZON�4 -C
BUILDING PERMIT
OWN,Ef]
1�� Ila,- /,-- 5 V/",) / e
TELEPHONE
SQ. FT. OCC. BUILDING vAml��TION
OWNER'S MAI�_ING APDRESS
R X�
ITIELEPHONE
CONTRAC I I ADDRESS
a 7ujwei— Ave_ c�-
q
Fireplace
CONSTRUCTION LENDER &7
A/O /V -e_.
UNKNOWN
I
Total Valuation 41s 7 417 6
Filing Fee $ 10.00
LLNOER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee ____ $ a 157
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 75
PLUMBING PERMIT FilingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SFO Duplex[] Mobilehome[-] Other up +
PECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.
Mobile Horne I S I G JW I IR1.100 ea.
TYPE OF WORK
New fr-Additionic Remodel[-] Utilities[:] Installation[] Other
Describe work: el 5::e
3 X
Permit Fee $
Contractor
ELECTRICAL PERMIT FilingFee 10.00
Main service GOOV 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
F Business
and Professions Code and my license is in tui.1 force and effect.
License No. Classification
FJ 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 --Temporary
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with. I icensed UUIILIOUt-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.al
OR AODNS.* ( ACC. BLOGS. 21/20sqft
NEW CONSTR. MULTI-OUTLE T
NON-RESI., 2 UITS) 2.50 ea,
C 15 C
pg;�g� TH
P,;�.XTUS.&)
(SINGLEOUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES .20 0 500
ALO 30C
FIXED APPLINIS OR
Ex. Occup.
- OUTLETS (RESI'D. EA.) 2.00
service 0.
Mobile Home Facilities 1 .00
Misc. Wiring 159000
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[-] The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
ra Certificate of Workmen's Compensation Insurance or a Certifi Cate
/of Consent to Sell -Insure.
1 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 FilingFee 10.00
Heating
Cooling
Hood 3
Venti lation
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities I �6�,qsts, and.expenses which may in any way accrue
Vn t)gy c ue e or t e pg)nting of thi
against s d or permit.
f5 4, �7 4,- - C-'
;K Date 49 0
ign�t'ure of AZppliZant Owner'& Contractor 0 AgentF�
An OSHA permit is required for excavations over 5'0" deep pnd demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
TOTAL PERMIT FEE $
occup.1
CON3T.T77F[___7JFL,0JPA?
PD
This permit is hereby issued under the applicable provi-
slons of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DiRFCTOM OF PUBLIC WORKS
'�' A— C_
By lf a — D tt) S /� - (,Q�l 0
PERMIT EXPIRES Date 1Z
Receipt No. -1/9�/7 -
WHITZ-O.P.W.. YELLOW-ASSCBSOPt. PINK -INSPECTOR. GOLDENROD-APPLI CANT
"A
COUNTY OF BUTTE DEPARTMENT ��.�,PUBLIC WORKS BUILDING DIVISION
i -- .
7 COUNTY CENTER DRIVE - OROVII-6E, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATMWbATA SHEET
Permit No.—
OWNER
A. P. No.0 /.-3
0 r--14
Proposed Building UseA/,?") Bui lding� Inspector Dat Zzj��,
At time of permit application, I was advised t4'follow*ing data must be submitted prior to permit processing
and/orissuance: DATE RECEIVED APPROVED
All items have been submitted . . . .... . . . . . . .
Plot plans in dupli-Gat-e/triplicate*, signed by preparer of plans. . /I . -- R�l
:02/25;�r
—V3.� Complete plans in 0itlaiLcalp-/triolicate,, signed by preparer of plans
4. Complete engineered plans and cal..cs,, with wet signature on plans. 7
5. Plans with Energy Design Compliance Statement . . . . . .
6. School District ''Fees Paid"' Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9.
10.
11.
12.
13.
Letter of signature authorization. . . . . . . .
Health- Dept.
Sanitation approval from
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance.
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to ownerD, Mail to owner
Improvements may be required . . . . . . . . . . . .
Mobilehnme Installation Data
. . . . . . . . . .
Pre-In:pec. request to
Pre -Inspection Required. Building In s pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
2 1 . 5 5-
22.
When you issue the permit, process as follows: —Mail to owner, _Mail to contractor-
-4 ----Telephone. and hold for pickup q'IlLCl-office, —Deliver w/Inspecto r,,.,
Other
Copy of plans sent — Health Dept.; —Fire Dept., — Oth.er— Date
(Date.)
zo -
The following data must be submitted prior rmit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, oi�ner, was advised of above required data by —phone ---mai I —counter by— date
Contractor, designer, owner, was advised c! above required data by —phone —ma i I —counter by— date
1-Y -.1
Plans checked by Date Plans approved by– Z?14 -- Dat e -
Sets of plans on hold in
Copy -DPW
File cabinet —AP folder
TO Buildina Department
FROM:, Environmental Health
SUBJECT: Sanitation Clearance
-Z5 4j
Owner Location AP#
Plan Approved for.: sewage Disposal
Water Supply
Hold final for:
Final clearance O.K. for:
.Clearance for bedroom mobile home.
NOTE
SanitariarV
Water Supply
Water supply
32 " 7
Other
Date
TINIS set of plans and specifications MUST be
k@pt on the icb at all tirnOs 0, -,Cl it is unlawful to
make any cha-r-.ges or altcraticns on same without
Written nermisson from the Department of Pub
11C
Works, Coupty of Butte.
d
S -C;
33'
A ex I S+%'j
(New 'C-Ct�tzlll - a I
A setback of 5 ft. from the
property lines and a setback.
of 5,Oft. from the road
centerline shall be clear of
structures or equipment except
erhang.
for a 2 ft. eave ov
tsUTTP— COUNTY
1 3C)'
UILDING DEPARTMENT':
42' W C
D PeOV P: P
-5 C I--
)x#
)V V
jxs
34 4 m.
MEASURED rRon
16.# pSr
INSIDE OcARrs
2xf 3i, I.
2X5 31, #0
7.8 par
28.0/1.25
D
SIC DEAD LOAD
SYM
5.S par
FV*j I
5xf 39, 70
-
5x5 16, 70
3.38' 361 70
SX4 34 IF.
US 36,
5X4 34, V
314-0, S*
4 JR1 IF I
4X4 38, 81
-
1.5X4
I-SX3 34
IX3 38, a.
CHECKED FOR
q.
Is par
S TYOE;
-41
---------- WEB NOTES ----------
WESSj ZX4 03 REM -FIR, rlR-LARCH, OR
30. PINE.
LOCATE. TOP CHORD orr-PANEL SPLICS
!4ITRIN 6- or PANEL 1/4 -POINT.
DASHES SHOW
DIRECTION or
ELONGATED
HOLES In
PLATES ON.TYPXCAL CONTINUOUS JOINTS
FuRmIsm a copy or THIS DESIGN TO ERECTION CONTRACTOR
v
rA
ra
it
FILPINE ENGINEEREO PRWXTS,INC.
P.O. BOX 2225
POMPRNO BEFICH,FLORIOR 33DGI
305-781-3333-
D E N
DESIQN CRITERIA
Q
UBC
4 No. TC PANELS
ZYLI Afic�+ scur 3 NO- VIC PANELS
2.3X4 36,
MEASURED rRon
16.# pSr
INSIDE OcARrs
2xf 3i, I.
2X5 31, #0
7.8 par
28.0/1.25
D
SIC DEAD LOAD
MIN BRG SPAN
5.S par
q3VTS rx
5xf 39, 70
-
5X4 36, 91
3.38' 361 70
DTC
DVR. rACTOR
COPYRIGHT 1979
314-0, S*
4 JR1 IF I
BOTTOM CHORD
�,j . --
CHECKED FOR
-3G' 7" MAX
Is par
S TYOE;
-41
LIVE LOAD
UNLESS THESE SPECIFICRIIMS FOR L
IRL-WTEW I'ViNE CONNECIORS I. FLL,,,)UrCERMO
�,LqLJN FM THE
WARNING '"SE IRE EXIREME CRAE IN HISIMING
I &,IT CONTREL W#M. IT OTPI,
WwHftl. W VARARNTIES OF THIS CESICU
L
ERECTION AM DRACING. SIM nr-IS
mFciwr, Sam IUSSES: COrtlAIFFAT AND wfCMNDRyI0NS -
-ND EVRE29 00
PINE C0kMVW9 ARE M)"KILIRED FROM 2D &t,;i Got IMPLIED.
VFNIIED SITEL
OTFIJ. SEE THIS DESIGN FOR F130171ONAL SPECIAL 8WIPC
REQUIREMENTS.
ASS DtHERYISE SHWN REETING NEWIRMNTS OF ASIR FM46 GMM 11.
;LY L-,hNCCTDFtS 10 i6lH FffXl FIT EFIVI JOINT Foo LDLRFE AS Mg.
W&ESS OTWERVISE SHMN. IM CHORD 94U
RE LATERFILLY 6RFICE0 VITH PRWERLY RIIFD*D PL TV00D
;�RING V10116 FIRE 'I* NDMINFIL L04ESS DTHERWISE SHOwN. DESIGN
-'4;-VM WORM VIrH RPRiCHfiLE PR0VISI" OF
SWR'N'K'G, BOTTOM CHOW WN RIGID CE11.116 DR a
AT rMInL#M W No UK 6 SIX 1#6
OF 10 FEET 0. C. I
I I NJ DES GN
9NDS -71 FIND @7PI .19
V IIH FIRE RETWQAmy -rREAtEI) tLrW. .
Q --IPI - TPARS "if INSFIlijiF, NDS - NFIT I OWIL DESIGN SPECIFICRrION FOR NOW CouSIRtCTION
FuRmIsm a copy or THIS DESIGN TO ERECTION CONTRACTOR
v
rA
ra
it
FILPINE ENGINEEREO PRWXTS,INC.
P.O. BOX 2225
POMPRNO BEFICH,FLORIOR 33DGI
305-781-3333-
D E N
DESIQN CRITERIA
Q
UBC
?- 1
1"
L v
TC LIVE LOAD
a
16.# pSr
T"
ffs
T c D
TC DEAD LOAD
-
7.8 par
28.0/1.25
D
SIC DEAD LOAD
-
5.S par
q3VTS rx
TOTAL
-
29-t Par
SPANS TO
DTC
DVR. rACTOR
COPYRIGHT 1979
1.25
rj&6 3/28/79 _DRAW# Ah
c
SPACING
24.9" OC
F
FIR
R
OVERkLL
SPANS
CI
RA Hm
LnI
LARCH
2X4
TC
'2X4 SC
24DEP -89
34,
1"
361 7-
22 -9B
36'
70
3#0 7:
ISOF -03
-1 f
2 211yor_l in
36#
36 7:
Ssr_l
195#r .73
-1 .73
361
36 7
8SSF -65
-1 .65
1 les#r_l
36%
70
369 V
os#r_l
165#r -58
-1 .58
361
7-
34, 5-
14 51rr_ I
1458F -38
-1 . 38
35'
6"
3V 741
#1 me -is
*1
36'
36'
?- 1
1"
36: V
35 s-
#2 MC -15
02 136'
36'
T"
ffs
17-1
33@ 20
319 9'
LORDING
SPRUNG
28.0/1.25
2q.0-
I
2Xq/2Xq
PITCH
q3VTS rx
q-0/12
SPANS TO
361 7"
COPYRIGHT 1979
4 80104 4 3
rj&6 3/28/79 _DRAW# Ah
A-MG-COMV- 28/1.25-16+ 7# 5- 24
. ....... ... .
:s
7�4 ......
Z
v
416-
:-- 17'
-4db aie ota6i fg;
400
xtO4
qu
�zs
1-% �z C.- 6 C. - -- V F 7�- (
�4
C -z --�) -;: 3 �.q -1 t- r , . . . -
-3 -ra -7,Lf
(-7,34161de adequate bracing.
?
A-
4(- Al Y
C
L -x
Frc- - -f