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HomeMy WebLinkAbout021-250-034I , 1 ii � ' � f I , 1 021-250-034. 02=0148, 'AZEVEDO, KAREN" 365 LITTLE AVE,,GRIDLEY REROOF l 11 3 PEARSALL, :Mildred.,1477-71B'71P� S— _ 3� 14594 5347 _ s%s Little Ave. 265; W of Ric hinsAve.,•l CUNTR: Wm, Pearsall p ' (new single family).-`�vna.G S } � Y y e 1 � a F - ii � t f i Fk 021-250-034. 02=0148, 'AZEVEDO, KAREN" 365 LITTLE AVE,,GRIDLEY REROOF l 11 3 PEARSALL, :Mildred.,1477-71B'71P� S— _ 3� 14594 5347 _ s%s Little Ave. 265; W of Ric hinsAve.,•l CUNTR: Wm, Pearsall p ' (new single family).-`�vna.G S } � Y y e 1 � a F - ii � ar•,.r, ...,ter' . . COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 96965 • Telephone (53538-754 PERMIT NO. �a (Rev. 12/96) APPLICATION AND PERMIT '"I NW ASSESSOR PARCEL NUMBER VL1—'LJV��J ZONING BUILDINGPERMIT OWNER KARU4 A.'.EVI~W TELEPHONE 646-2511 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 365 LI`ITLL: AVE. GRIDLEY Cdr 95948 Z4 Sq 144U CONTRACTOR'S NAME ��y OWNER TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ • 007 ARCHITECT OF. ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 365 LI11U AVE. GIRDL EY CA 95948 Ener Plan Checking Fee Energy s $ $ PERMIT FEE S 55.00 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE RWF 24 Sq Gas piping system 1 - 5 outlets 15.00 sewer 15.00 —Building Mobile Home S G W 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 600R LESS Main Service 200, OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: Qj I, 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 to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service zooL TO 46.00 CCU000A NEW CONST. DWELLING OCCUP. OR ADDNS. ( DVTACC.BLD S. SO 3.5QFr. T. INON-REOMULTI. SID. OUTLET CIRCUITS @7,50 POWER APPARATUS 8 SINOLE OUTLET CIR. Ex. Occup. OUTLET OR FORURES 20 @ 1.00 BA L ® .50 FIXI Ex. Occup. OUTETS gFLNgpOEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ 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 forthwith comply with those provisions. X ; , } Date Signature of Applicant --O Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection -Fee $ OCC CONST. TYPE TOTAL FEE $ 55.00 HA2. D. FEES IMP FLOOD CDF PARCEL PD HD 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. Yr' , .! r 1-23-2002 By f Date PERMIT EXPIRES ON 1-232003 Date Receipt No. 337579 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville; Califofnia 95965 • Telephone (530) 538-754 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT _)L NEW ASSESSOR PARCEL NUMBER 021-250-03R ZONING BUILDING PERMIT OWNER KAREN AZEVEDO TELEPHONE 846-2511 SO. FT. OCC. BUILDING VALUATION OWNERS MAILING 365 ADDRESS LITTLE AVE. GRIDLEY CA 95948 Sq 1440 CONTRACTOR'S NAM��7�p E O W LV L:,1\ TELEPHONE CONTRACTORS MAIUNG ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 1,440 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 35.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 365 LITTLE AVE. GIRDLEY 95948 Energy Plan Checking Fee $ $ PERMIT FEE $ 55.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RE ROOF 24 Sq Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class 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: I, 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. ❑ 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEw CONST. DW O AD,MNG OCCUP. orS. ( 3.50F TO. MULr1OCoS. NDNRO,D. „ @7.50 POWER APPARATUS 8 SINGLE OUTLET CSI R. OUTLET Ex, Occup. OLITLET OR FIXTURES OR FIX. R BA0 @'_00 Ex. Occup. ounETs RESID. E0. 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier 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 forthwith comply with those provisions. l X M ��2' r /l�nl Date -�3- oc� Signature of Applicant—)0 Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 55.00 HAZ. I D. FEES IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable provisions of the Butte County Code and/or Resolutions to do work ated 'ova for is fees have been paid. fxm�vz/// Date1-23-2002 LBv PERMIT. EXPIRES ON 1-23-2003 I Date Receipt No. 337579 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT ::zv 12/96) :OM1 RtCTO• � � :o•nueroe, NAAMC :Ob fftcnoa LZO001 140ERS MAOLMO A00Rlee PC-R(CT 04 Er4P40t UC(MS( VO aCM[C7 OR t7�01�tn17 W�,l,NO AOWtAs7 a. E.o«o ADDRESS 3r•Q aueorve 1OEr7, ANE PARCEL MAP USEOFSTRUCTURE O Duplex O Mobilehome O Other eotcr TYPE OF WORK •ew O Addition O d L%5tee ❑ hetatlabon ❑ Other ❑ escribe Work: Aoo�c,e "la --yoa • ielepnone (!)JU) 538.7541 APPLICATION AND PERMIT PERMIT "= S ( �'NMO BUILDING PERMIT i r Mt SO FT. OCC BUILDING 7 VALUATION VERAUT FEE PAU> SRA • . SHERIFF OTHER Fre lace I 70 a 1.0" eAL I Ex. Occup. D °OL'e O" Total Valuation is ou*LAn Esso G 5.00 Filin Fee S Mobile Home Facilities 20.00 Misc. Wiring23 20 00 - Permit Fee S S C Plan Checking Fee S Energy Plan Checking Fee L S PERMIT FEE = S, o PLUMBING PERMIT Fling Fee 20.00 Each Trap 7.00 Solar or hent Pump water heater 23.00 Water i ing 15.00 Each gas water heater or vent 15.00 Gas pipingstem 1 • 5 outlets 15.00 Building sewer 15.00 Mobile Home S G' W 020.00 PERMIT FEE S PERMIT Filin Fee 20.00 e e°°'r ORu:SS �oGA oR LASS 23.00 UAL e :o" ro ioa" 48.00 Own, OCCUP.` e ALX:. otos. 3.S rAnounAfr aO7.50 Ex. Occup. ouruT OR ► mAn 70 a 1.0" eAL I Ex. Occup. D °OL'e O" .w ou*LAn Esso G 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring23 00 PERMIT FEE I _ MECHANICAL PERMIT I Filing Fee 20.00 Heating Ventilation e.So PERMIT FEE S Mobile Home Installation Fee $ Energy Inspection Fee S «c 00M.r ryK TOTjLFEE = ss.S�"C U � D. LLE! WP COP PAACtL A rO east AAkbVNT RECEZYEr> : J This permit is hereby Issued under the applicable provisions Of the Butte County Code and/or Resolutlims to do work go on �� `� ` indicated above for which fees have been paid. 0 �CWA:.. tr NV� J L J ���� A TO Se � � CoBy Date PERMIT EXPIRES ON I F� '1E PERMIT NO. 3611-85B,E PERMIT EXPIRES 97 OWNER LYLE WEBB CONTR. R.L. Stanley, Biggs F ASSESSOR PARCEL 21-25-34 LOCATION 365 Little Avenue, Gridley y.. 9' d . 12 -3 ,410 *9fY F �� k i a �F y Temp. Power Pole Called PG&E r^ F, Temp. Elec. Service Called PG&E 4 Temp. Gas Service Cal led PG&E JOB FINALED (Date) Signature y J = OK O = Noi OK = Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch 3. Sewer; Location -Test -Fall -C/0 -Concrete Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements _ 2. Footings; Size -Depth -Spacing -Connectors _ 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.- Con nec.-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. i Card -BI Date Card -BI Date Card -BI Date Card -BI Date ' Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N'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 7. Water and Sewer Connected -C/O to Grade -HD Approval 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip:'w/5'7Cir6ulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards- Ins._'to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy 9. Health Department Approval 10. Plumb; Cir. Test -Water Supply Test Card -BI Date Card -BI Date Card B-1 Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -B1 Date J = OK O = Not OK - = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDE LOOK Plans OK except #'s Date FRAMING Continued Z 'ng requirements -Setbacks -Easements 4 qty Line Firewall & Openings Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth 4A!r=xt. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 5 t -ea room -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth ood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab . Siding -Nailing -Veneer eIS 6. Stemwalls, Garage; Steel -Blockouts-Wrapped-SI 5 es - rip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 5 rea-Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. s; 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 doiFL Card -BI Date Card -BI Date Date Card -BI Date Card -B( Date Card -BI Date Date FIN (Plans) OK except N's Card -BI Date Card -BI Date Date PLUMBING (Permit) OK except q's U. Ext. Steps -Door & Sidelight Protection -Landings Q57. -_)Smoke Detector _ 14. Water Ht.; Vent -Access -Combustion Air 58.-G aaee, Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 5 Exi ' g _ 17. Shower Pan; Test, First Floor -Tub Access ath�ixtures &Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access c. Trim & Subpanel; Breaker Sizes -Labels _ 19_ . Gas Pipe: Size & Anchors 62 .Stairs 8�aa+{e _ 63. -gLe la�._Qr^• ^s Clearances -Hearth Card -BI T Date Card -BI Date 64-- 6 E+eec ut+ets at Wood Panel; Int. & Ext. liance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66rF 6 �^ Hurl t 8 Receptacles at Kit. Counter ; Swing -Landing -Closer Date ELECTRICAL Permit OK except N's 68 " ^ ^�arage-Damper 20. Fjx44fe-& Transformer Clearance -Ins. Protection 69.,CantG-Clearance-Comb. Air-Connector-P.R.V.- In Garage; Above Floor -Meth. Protection - _x✓E_I .Receptacles Spacing -Lights &Switches at Doors 70. PJb--EA@e.-BrMeeh. Equip. Listed for Location iz 'Boxes & No. of Conductors -Stapled I x Installed Close to Edge of Studs & C.J. 7 s in Garage; (G.F.I.)-Rom Protec. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water �2!Insulation-Foam-Looked in Attic s 2 n Kitchen & Conductor Size 73.. eck Construction -Post Caps - - T/ ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI 74. s ra Hole Door -Drainage & Wood -Earth Clearance Looked under Floor El Yes -__ --- ange Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, Insulated Neutral ,Yes ❑No dors & Ground -Main Disconnect 75. Following in_stI Drive [J.Y� eeNo; Walks Cr -f -Yes ❑ No; Planters L -3 -Yes ❑No 7 - finish _ 2 rances: Pane ls_Motors-Meth. Equip. 77 on ct-Clrnces-Brkr. & Cord. Size -115V Outlet - - Card B -I Card B I _- 96-FiMttrESLToset Light -Shower Light -- - -- - - DateCard BI Date l� Date Card -BI Date 78,. Ibg.-Appliance-Firepl.-Clearance to Opngs. 79.,Water Well', Disconnect, Electrical, Plumbing 8 or . Trim; G.F.I. Receptacle -Underground �j/�/entilation throughout House ass Protection Date ECHANICAL (Permit) OK except q's ctions from Previous Inspections 84. Tagged; Gas -Electric _ Card -BI Card -BI 31.- A.C. Ducts_Insulation & Support _ - 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 - Date Card -BI _ Date - _ _- Date Card -BI Date ewer Connected -C/O to Grade -HD Approval - nergy Compliance Certificate -Other Certificates Card -BI 0 jcn Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAM Plans) OK except q's Comments at Final: 3W, Proper Material & Anchors 3 s: Studs -Nailing, Spacing & Bracing -Plates -Sound Bearing Walls over Girders &_Floor Nailing Its (rat proof) - 4 _ urr Ceilings -Stairs -Chases -Tub -- - - Header & Beam -Size & Bearing / angers -Post Caps -Anchors -Connectors 3 'a" 43. Cing. J 'st-Rftr. Ties-Purlin-Roof Brac. T -hthng.-Ring. eT+es�-Fype A Flue -Fireplace Throat - - - - - -- -- - - - - - A c Access: Size & Romex Protection -Draft Stop -Ins. Baffles Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions -- 4• on Framing - - - - --- - -- - (NOTE: Anentrymust 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 VIN trS F'tzhMl I NI 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 Owner: A V L 6-- GU L=g j,? Permit No. 5611— E 6IJ— E N E R G Y C E R T IF I CAT I ON (0s '41 4/4 '4�' 12 /'e2 LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material Brand Name Thickness(inches) Thermal Resistance (R Value) EXTERIOR WALL Material IN- � ,I Brand Name Thickness(inches)� Thermal Resistance(R Value) K CEILING /r Batt or Blanket Type �l`I J If -30 Brand Name ` 1-)-7 ,1VA, v Thickness(inches) /n Thermal Resistance(R Value) ., – Loose Fill Type Brand Name Minimum Thickness(Inches) Number of Bags Wt. per bag lb. Area covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material Brand Name Thickness(inches) Thermal FLOOR, SLAB Resistance(R Value) Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) 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 Requirements. FIRM N, /OWNER STATE CONTRACTOR'S LICENSE NO. SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the above insulation and all required items as shown on the Building Department approved plans and attachments have been installed as required by the State of California Energy Requirements. All equipment, devices and materials are of the quality prescribed or are specifically approved by the State of California. v ,G F Z / R ( ase print) STATE CONTRACTOR'S LICENSE,.N0,i GNATURE OF CIE. CONTRACTOR OWNIER DATE ,­� .-' THIS CERTIFICATE MUST BE ON FILE WITH THEzBUILDING DEPARTME_ NFJPRIOR TO"FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED -WITHIN THE BUILDING,* January 1984 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER NO. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION ANDRPERMIT ASSESSOR PARCEL =BE ZONIN BUILDING PERMIT Ow ER t-1110 GivAZIlL TELEPHONE SQ. FT. OCC. BUILDING VALUATION ®®� OWS ING A ESS r 1 410L4 C R);O�' AME TE EPHON / COACT 'S MAILING D ESS ,© SFireplace CONSTRUCTION L.SNDER ('�- eM UNKNOWN Total Valuation $ Filing Fee $ 10,00 LENDER'S MAILING ADDRESS Permit Fee $ ,J ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ro ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING OD Ess ,p G Permit fee $ 9_ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAFJ Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea ,�,/ TYPE OF WORK New ❑ Addition IJP' emodeI ❑ Uti 1-t if tallation❑ Other Describe work. CIL _ S 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 r CONTRACTORS LICENSE LAW e tare under penalty of perjury (check one): I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Cod and my license is in full force and effect. License No. -Z G,2 ,�s t, 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 NEW CONST. DWELLING ) OR ADDNS. ACG. BLDG '/z¢sgft NEW CONSTR"ULT'-OUT" ULTI.OUT ET NON.RESID BRANCH CIRC., TS 2.50 ea POWER APPARATUS 6 SINGLE OUTLET CIR. ) ( EX. OCCUp\OUTLETS OR FIXTURES\\ Is0S30 Ex. OCCUp. OUTLETS FIXED P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ , Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. AI shall not employ any person in any manner so as to become subject lto the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT FiIingFee !PAO Heating i 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 al liabilities, judgme s, costs, and expenses which may in any way accrue a nst sai ounty i co seque of the granting of this permit. In Date��rg Signature of Applicant — Owner LJ Contract or Agent ❑ An OSHA permit is required for excavations over deep a lition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee 46,Q10 TOTAL PERMIT FEE , OCCUP, CONST.TYPc FL000 ARCEL PD No 39UE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PV ELIC D PERMIT EXPIRES Date . the applicable provi- resolutions to do fees have been paid. WORKS ate Receipt No. WNITC-D.P.W.. YELLOW -ASSESSOR. PINR-IN9PECTOR, O DENROD-APPLICANT COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION -7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET Permit No. OWNER W SQ=fA:v'— I A. P. No, c� I S� 3 -- Proposed Buildin6 Use <1 'A�.i4-^Y-ti►'� Permit Fee Based-Wpon: Complete CAtract Price _DPW Valuation �j O.t.h r (Expla1n) Building Inspector r Date �� —.� '����� At time of permit application, I was advised the following data must be submitted prior to permit processing andJor issuance: DATE RECEIVED APPROVED 1. All items have been submitted. . . . . . . . . . . . 2.. PI plans in duplicate./triplicate. . . . . . . omplete plans in duplicate./triplicate..rZK. 10-K.10 . 4. Complete engineered plans and calcs. . . . . . . . . . 5. Plans with Energy Design Compliance Statement. . . . . . -State Energy Forms No. RMLy" 2 7 Statement of Intent for Non -Heated and AC Buildings. 8. Fees of $ . . . . . . . . 9. -,Letter of signature authorization. ® 0 . .Sanitation approval from �r Health Dept. ✓' !� 11. Planning approval for (A) Use: (B) Parking: 12. Certificate of Workmen's Compensation Insurance. . . . . . _AO,A�Contractor's License Information (no., name style, classif.)C«..e4*AACT Sr3n1� 14. Owner -Builder Verification (Given to owner, Mail to owner ❑ ) 15. Improvements may be required. . . . . . . . . . . . 16. Mobilehome Installation Data. . . . . . . . . 17. Pre -Inspection for Required. request to (Date) P q Building Inspector 18. Recorded copy of Agricultural Acknowledgment Statement. 19. Other DRIVEWAY PERMIT & CONSTRi1MON APPROVAL REQUIRED PRIOR TO OCCUPANCY When you issue the permit, process as follows: Mail o owner. Mail to contractor. ✓Telephone 9(-L S910 and hold for pickup at office. Deliver w/inspector. Appl icant\� ' ���T \� Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance: (For required items not checked above at time of application, circle item.) 1. Index permit for above Items No. 2. Additional items required: (Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other By Plans checked by. Plans approved by Other: Copy—DPW Date Date Date �401L- XCZ�777 34-4 SG(ari S I&/ raw 7 P�P� L C. tag !M lk►�-fav rU y�-� Lrk-O-- 4 Eviii.Q o•c-ci !" �c�a r act• 8 -04 t w t �* pa's S �,) t 'pts Sem w! GL ©�sCclS s� Vaw !�uj � r v TD Dom- t" 1 e sr' Vii" I t INSTALLED ENERGY SHEET FOR 1ADDITIONS TO RESIDENTIAL BUILDINGS PERMIT No. PACKAGE "A" (Additions) NAME— JOB AMEJOB ADDRESS TYPE OF.WOR �. �►, ate. FOR M 7 SQUARE FOOTAGE Existing Residence New Addition t/00 0 New Total The following information sheet, showing mandatory features and required features of; Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions, .convert ing garages and patios to living areas, house moves that, add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of' existing conditioned space is not included. ' ZONE 11' NE K APPLIES TO,NEW AREA CEILING R-30 0 0 , &--'WALL R-11- 11 0LOOR R-11. 1 SLAB R- 7 R- ltGLAZING ,65 .6 SHADING ,,46UTH OPTIMUM OVERHANG ' or .36 S.C. - TEST - .36 S.C. "LOOSE FILL INSULATION (Density) P06FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25.LUMENS/WATT 04AXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *1 HEATING VENTILATING+FAIR CONDITIONING SYSTEM (A) Heating ❑ Central Gas Furnace (brand and model number) 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 model number) (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) * Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form A) or other approved methods, section 2-5352(g), and fill out the following:. Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load = maximum outlet capacity gas furnace BTU Cooling: Summer design temperature ', cooling load BTU *2 Submit T.I.P.S.E.•chart'or other approved system (form #5) to document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administr tion C SIGNATURE OF BUILDING DESIGNER OR APPLICANT k" December 31, 1986 R.L. Stanley RE: Building Permit No. 3611-85 P.O. Box 309 - y Expiration Date 1/16/87 Biggs, CA 95917 (A.P: No. 21-25-34) Gentlemen: With reference to the above subject, our records indicate that your Building Permit will expire on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for a the original Building Permit Fee (plus a $10.00 "Filing Fee"). The renewal permit will extend the Building Permit for an additional year from the original expiration date. Should you not renew your permit'in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any questions concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form and owner - builder form to be completed and signed by you where indicated and return to this office together with the fee shown. Please return all copies of the application form. Thank you for your prompt attention concerning this matter. Yours very truly, William Cheff Director of Public Works .F. Glander J'G:aam hief Building Inspector Attachments: Permit Application Owner -Builder Information Owner -Builder Verification cc: Building Inspector - Oroville/538-7541 Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliot Rd./872-6307 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PE MIT N ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER Wphh TELEPHONE S0. FT. OCC. BUILDING VALUATION OW ER'S MAILING ADDRESS CONTRACT ACTO 'S NAM TELEPHONE 1868-5914 Is, renewal permit CONTRACTOR'S M ILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee @t $ 98-29 ARCHITECT OR ENGINEER nonp LICENSE NO. Plan Checking ree $ Energy Plan Checking Fee$ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee a 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 ,7 SF Duplex❑ Mobilehome❑ Other akid3-�iA nECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W O.00ea TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: 1st renewal of permit #3611-85 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 1000 AMP OOV OR OR3LESS 10.00 CONTRACTORS LICENSE LAW I declare under pena ty 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 t s ason low Mr. WORKMEN'S COMPENSATION INSURANCE I declare unde penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must1forthwith comply with such provisions or this permit shall be deemed revoked. Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.21 OR ADONS. ( ACC. BLDG3. 'osgit NEW CONST R. '.OU LET '2.50 ea NO - N.ES.D BRANCHCIRC T3 /POWER APPARATUS e (SINGLE OUTLET CIR. ) Ex. OCcup�OUTLETS OR FIXTURES 205110E _BAL&3041 FIXED APLNS Ex. OCCUp. OUTLETS IPRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ Contractor MECHANICAL PERMIT FilirgFee 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. 1 also agree to save, indemnify and keep harmless the County of Butte against liabilities, judgments, costs, and expenses which may in any way accrue nst said County in consequence of the granting of this permit. Date Dgnatur 0 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 $ 68.25 OCCup. CONST,TYPEJ I I FLO PARCEL PD ND 133ue 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_ 1/16/88 the applicable provi- resolutions to do fees have been paid. WORKS Date Receipt No. WHITE-D.P.W.. YELLOW-A32ES30M. PINK -INSPECTOR. GOLDENROD -APPLICANT To:,,.3uild.ing Department -From: T=ironmental Health Subject:,Sanitation Clearance Oc er Loca ion AP# Plan Approved for: Sewage disposal water supply Hold final for: water supply Final clearance O.K: for: water supply. Clearance for bedroom mobile home. Other NOTE Sanitarian Date