HomeMy WebLinkAbout024-056-0022V=0S6-2,
Larry Waller ��ryw" ��
368 Sheldon Ave., Gridley >�i
contr: Aldridge Contr., Live Oak
Permit #399-82B,P,E,M(addn.& remodel/SF)
I
I
77
�TBBE,. G --.,J., (Mrs.). _ 2311-72E
f
O2y -C�o, L
2 -0®5 - -
61s Sheldon Ave, app. 1,300' eases oGil
str
Ave., Gridley ��// ,
CO:VTR: - Watson Hardware & El�tr Gridl * _
N ter- o Ln
cfl�
r.
PERMIT NO. 399-82B,P,E,M
f PERMIT EXPIRES
[ OWNER Larry Waller
CONTR. Aldridge Contr., Live Oak
1 ASSESSOR PARCEL 24=056-2
t a LOCATION 368 Sheldon Ave., Gridley
V
+ 9tj y
•
Temp. Power Pole '
Called PG&E12-6
Temp. Elec. Service
"
Called PG&E ltd
TeXedE
JOU
M
• ,�
Signature
u
J = OK
0 Not OK. _
='Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts- Beams-Rfirs. -Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'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' -Circulating 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 B-1
Card B-1
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
a
92
-S-.
V = OK
O = Not OK
= Not Applicable
* Not Ready RESIDENTIAL`(Single and Duplex)
Date
UNDE OOR Plans OK exce t#'s
Date FRAMING (Continued)
Z
. Zoning requirements-Setbacks-Easemen s
48.
f3aap�v L in Firewall R (lneninne
tg., Main; So4s--Steel-Elec. Grnd.- /" Ftg. Depth
RfDoors-One 3' -Check Garage -3rd story, 2 exits
y Depth
50.
'S Run -Landing -Fire Protection
ZZ%I�L
Fig., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
ing-Nailing-Veneer
6. -B lockouts -Wrapped -S lab
53.
- rt Screed-Fdn. Vents-Underflr. Access
�L
ier -F' -
zing Area -Glass Protection -Skylights -Plastic
W. .: Fe___ Fit!Test-2 way C/O -Sewer Test
55
olts
f- -s
Pipe; Si ors
0. Water Pipe; Test -Anchors -Regulator -Service Test
,Prll.
Electric; Underground
12. PI nums & Ducts; Clearance -Material -Support -Ins.
?.'yL
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card-qLzL,
Date rd -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Carder
� Date L -)_-BI ate
Date FINA lans) OK except N's
C d -B /�.4 Date?__„1 _ ' ]Ldrd-BI Date
Date
a�
PLUMBING (Permit) OK except q'
Steps -Door & Sidelight Protection -Landings
Smoke Detector
-
14. Wat r HL; Vent -Access bustion Air"
rnace; Vents -Clearance -Comb. Air -Connector -
I arage: Above Floor-Ducts-Mech. Protection
a ipe; Test & Anchors -Nail Protection
W. ; Test-Fttngs & Anchors -Nail Protection
B"om Exiting
o r Pan; Test, First Floor -Tub Access60r-G.F.I.
& Bath Fixtures & Tub Access
e Tub & Shower, 2nd Floor -Tub Access
E ec. Trim & Subpanel; Breaker Sizes -Labels
1 as Pipe; Size & Anchors
tairs & Rails
C6V
F' place or Stove earanc Heart
Elec. Outlets at Wood anel; In . & Ext.
Card -B
Date 4[-.),7&.%--Card-Bl Date
6
it. ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Dated -a <�erd-BI Date
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p'sin
tre o r; Swing -Landing -Closer
Garage -Damper
& Transformer Clearance -Ins. Protection
tr. Htr.; Vents -Clearance-CoT_4_ Connec .V.-
z.fixture
lec. Receptacles Spacing -Lights & Switches at Doors
Plb., Elec. &Mech. Equip. Listed for Location
ize Boxes & No. of Conductors -Stapled
3d�mex Installed Close to Edge of Studs & C.J.
7
W.
-Romex Protec.
-Foam -Looked in Attic ❑Yes
quip. Ground made up w/Mech. Fastener -Bond Gas & Wate
7
d Rails & Deck ruction-Pos s
2 Appliance Circuits in Kitchen & Conductor Size
Fdn. Vents & Crawl Hole D r -Drainage & Wood -Earth Clearance
Looked under Floor es
26. Subfeed Wire Size / ga. Cu or .C. Wire Size / ga C r Al
= a-Qrc. !---lea. Cu or AI -Oven Circ. a. Cu or At,
In ed Neutral ❑Yes El No
75.
Following instld.: Drive es ❑ No; Walks ❑ Yes o;
Planters ❑Yes
Ser a -Riser Conductors & Ground -Main Disconnect
- finish
Aao�Equip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disco -Clr r Size -11 et
A__Q4o+hee-6loset Light -Shower Light
8.
Above Roof; PI ,-Appli ce Firepl leara pngs.
a Well; Disconnect, Electrical, Plumbing
Card B -I Dates- d -BI Date
E for Elec. Trim; G.F.I. Receptacle -Underground
.
Ventilation throughout House
Card B-1 { j,Card-BI Date
Date
MECHANICAL (Permit) OK except q's
orrecti s from Previous Inspections
84.
Ga st teters Tagge a -Electric
C. Ducts; Insulation & Support
8
ter & Sewer onnected-C/b to Grade -HD Approval
—
32. Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
_
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 C0
Date Card -BI Date
Card -BI
_—_Date —_ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMI G(Plans) OK except q's
Comments at Final:
. Ste; Proper Material & Anchors
Po_W�alls_ tuds-Nailing, Spacing & Bracing -Plates -Sound
_
ea _W_alls over Girders & Floor Nailing
raft Stop in Walls (rat proof)
40. T �b�
Bader & Beam -Size & Bearing _
gers-Post Caps -Anchors -Connectors
+n ftr.ac. r ShAWtCr-P4-.1,-
_ 4 Fireplace Ties o e A FI la a Throat
_
(-5�-�
_ tic Ac ;Size omex Pr ion- r ns. B es
--
rm. indows or Exiting Doors- i Hgt. & Dimensions
-.
47.
(NOTE: An entry must be made each time you visit job site)
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
BUILDING OR PROPERTY ADDRESS
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.
ex
/17l+ o."../ / z A2_
1'
Inspector ����G�I _ Date
t
`-` 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
BUILDING OR PROPERTY ADDRESS
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.
cS/LlD f :l S i -A4 1 macy r' ini l:r Tl? lV U
(; L_ i t. 4 7—
Fl
FzLI i r'r" clC ?"
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/-,-N Plc T Cr'e,�t� c.c>i Y/1��;✓ r,
/A TR4C._ rAr c, CI A!% -Ti nom.. �.-1�_FFt ILI �
Inspectoll, L111f pate
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORIkti FTIPN NOTICE
BUILDING OR PROPERTY ADDRESS
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
OF WATU RAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS'
CLAY.CASTLEBERRY; Director
7 COUNTY CENTER DRIVE,.OROVILLE, CALIFORNIA 95%5.
Telophons: (916) 534-4541
WILLIAM (•1�00 CHEFF
QlpLdy: DjNpPGf
February 16, 1984
Larry Waller RE: Building Permit No. 39982.
949 Keith Avenue Expire d_3f1/83'
Gridley, CA 95948 -
. (A . P. No. 24-05642= ..
z
With reference to the above subject, our records indicate that your Building ^~
Permit . expired 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 1/2 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 andy
all -work must cease until a'ne.w building permit is issued.
If your construction is completed or should.you have. any question concerning
this matter, please contact the Oroville office.
For your convenience, we are enclosinga renewal: application form•and an ownere
builder form to be completed and signed by you where indicated and returned to
this office together with the fee shown. Please return all copies of the
application form. J
Thank you-for.your prompt attention concerning this matter.. rs`'
Yours very truly, "
Clay Castleberry
•
Director of, Public. Works
.F. Glander
JFG:aJ /Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification -
cc: Building Inspector - Oroville - -
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
eV —
OF WATU RAL WEALTH AND BEAUTY
DEPARTMENT OF PUBLIC WORKS'
CLAY.CASTLEBERRY; Director
7 COUNTY CENTER DRIVE,.OROVILLE, CALIFORNIA 95%5.
Telophons: (916) 534-4541
WILLIAM (•1�00 CHEFF
QlpLdy: DjNpPGf
February 16, 1984
Larry Waller RE: Building Permit No. 39982.
949 Keith Avenue Expire d_3f1/83'
Gridley, CA 95948 -
. (A . P. No. 24-05642= ..
z
With reference to the above subject, our records indicate that your Building ^~
Permit . expired 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 1/2 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 andy
all -work must cease until a'ne.w building permit is issued.
If your construction is completed or should.you have. any question concerning
this matter, please contact the Oroville office.
For your convenience, we are enclosinga renewal: application form•and an ownere
builder form to be completed and signed by you where indicated and returned to
this office together with the fee shown. Please return all copies of the
application form. J
Thank you-for.your prompt attention concerning this matter.. rs`'
Yours very truly, "
Clay Castleberry
•
Director of, Public. Works
.F. Glander
JFG:aJ /Chief Building Inspector
Attachments: Permit Application
Owner -Builder Information
Owner -Builder Verification -
cc: Building Inspector - Oroville - -
Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
- _ l
THIS IS TV CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN \
INSTALLED, IN CQ? 0 CE W TH CURRENT E ERGY CONSERVATION REGULATIONS'^
AT j \ • ,
(location) \
BUILDING PERMIT NO. A.P. NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER-APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge Single Glazed
Fdn. Walls Special (Insulated)
Floors CERT. & LABELED WDS.
Walls & SLIDING DRS. �}
Ceiling/Roof WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS /f
Circulating Pipes INTERMITTENT IGNITION DEVICES
APPROVED HEATER CERT. APPLIANCES
APPROVED WTR.HTR.
j I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
{! IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name, (p
Signature of
(p ease print)
Insulation Applicator
y State Contractors
/ License No.
General Contractor/Owner Name
Signature of ( le se print)
General Contractor/Owner Date
State Contractors
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
„ REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
.,
' � J
Permi t#
INSULATION CERTIFICATION
5404 Pennington Road,. Live Oak, CA
Number and Street City
County
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with the
current regulations setting Energy Conservation Standards for new residential buildinos (located in Title 7.4 of the
California Administrative Code).,
General Contractor (Builder)
License Number
ure and Title Date
Hawkins Insulation Co. Inc. 378407
Sub -Contractor (Insulation Applicator) License Number
,, Pres 5/24/82'
Signature and Ti e Dale
CERTIFICATE REVIEWED BY Date
BIN -029 (Building Inspection Office)
ask
Subdivision
Lot Number
- DESCRIPTION OF INSTALLATION
ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
EXTERIOR WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
CEILING
Batt or'Blanket Type
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Loose Fill Type _ Fiberglass
Brand Name Certainteed
Minimum Thickness (inches) 6-112, -
Number of bags 20
Weight per bag 24 Ib
Area Covered (h2) 1000
Thermal Resistance (R Value)
R-19
FLOOR,ELEVATED
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
FLOORrSLAB
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
HEATING SYSTEM Gas Furnace
Make
Model Description
Rated Bonnet Capacity
DECLARATION
I hereby certify that the above insulation was installed in the building at the above location in conformance with the
current regulations setting Energy Conservation Standards for new residential buildinos (located in Title 7.4 of the
California Administrative Code).,
General Contractor (Builder)
License Number
ure and Title Date
Hawkins Insulation Co. Inc. 378407
Sub -Contractor (Insulation Applicator) License Number
,, Pres 5/24/82'
Signature and Ti e Dale
CERTIFICATE REVIEWED BY Date
BIN -029 (Building Inspection Office)
ask
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS FCRAtfr NQ.
7 County Center Drive - Oroviller California 95965 - Telephone 916/534-4541.-
`"'APPLICATION
16/534-4541-"'APPLIOATION AN PERMIT
ASSESSOR PARCEL NUMBER
24-056-2
ZONING
BUILDING PERMIT___
OWNER -
Larry Waller
- -
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION ..__-
OWNER'S MAILING ADDRESS
949.Keith Gridle3r-
-
CONTRACTOR•SNAME
TELEPHONE.
CONTRACTOR'S MAILING ADDRESS
Fireplace
_... _._
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Flling.Fee. _.
_ .__. ._
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee original K2 $ 174.00
ARCHITECT OR ENGINEER -
LIC NSE NO.
Plan Checking Fee -
$
Penalty. _
$ _
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 184.00
BUILDING ADDRESS
368 Sheldon Avenue, Giidley
PLUMBING PERMIT
FilirtgFee _10.00 -
.�
Each Trap
--2-00 - �.._...
Solar Water Heater
...120.00.-
;.:
Water piping _. .. _ .._
._5.00- .-
LOT NO.sUSCIVIS16N NAME PARCEL MAP
Each. gas'water heater or vent
- - -
Gas piping system 1 - 5 outlets- .
_5.00
_ 5.00 ..- _•• • -
USE OF STRUCTURE
SF ❑ Duplex❑, MobilehomeF Other
SPECIFY
Building sewer
5.00 -- -
Mobile Home S. G W -
0:00'e - - -
TYPE OF WORK
New ❑ Addition ❑ Remodei 0 Utilities Q •: Installation ❑ Other ❑
Describe work: 1st & 2nd renewal/ 99-$21a it;.on
Permit Fee _... .. .. ........
.$ _- __... �.-_o__..
Contractor
--
ELECTRICAL, PERMIT
Filing Fee _ 10:00
Main service aoov OR Less
100 AMP OR LESS -•----
10.00.
EA. ADO'L 100 AMP
Main serviceNEW
2:AO
CONS.
OR ADONST l ACC• BLDGS.DWELING 6CUP, 3�.
•: �y2C�$Cift ,�_•„ ^••
CONTRACTORS LICENSE L.AW
'
Ideclare under penaltV of perjury (check one):
'• _
1 am licensed under provisions of Chapt-. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect:'
y
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)
Q I', as the owner, am exclusively contracting• with- licensed contract-
ors. (Seo,' 7044)
�' h am, exempt under Sec. Business and Professions Code
"'"' for this reason' "
NEW CONSTR.. u TU I'-OU7 ET
RESID. BRANC. CIRCUITS) 2••50 ea -
NON.�
NEW CONSTR, I POWER APPARATUS 81
..-
NON•RESIO. %SINGLE OUTLET CIR. / ----•• -^ -^
Ex. OCCU 20_e!SOe
p�OUTLETS OR FIXTURES LAE.030 --
Ex.OOUTLETS(RESID.)FIXERL
Temporary service _ 10.00
Mobile Home Facilities _ _ _._ 15.00 -- —
Misc Wiring 15.00 -•--_
- -
Permit Fee
Contractor-
MECHANICAL. -PERMIT.
Fil.ingFee 10.00._
.., WORKMEN'S COMPENSATION INSURANCE
IidecIare under natty of perjury (check one)*.
•;0. The•permit is for$100.00'(valuation) or less:• -K
r,' I 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=ln5ure. -, ;
I shall not employ any person imany,manner so'as to: become subject
to the -W. C. laws of California.
Notice to Applicant: If after making this statement; should•yoii became subject
to -the W: C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heatin g
_ _ - i==,.•p -• ••-•--
Cooling
Hood _. . •_ ... _ _ _ - -- 3.00.. _ _ _
Ventilation
_
Permit Fee.: -"
Contractor-
ontractorI'
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 Countyof
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 grantin of this permit.
ate'
Signature of Applicant -' Owner ❑ Contractor Q- Agent ❑
An OSHA permit isirequired for'excovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee _ $ . •._
_ ....
TOTAL PERMIT FEE 184.00
OCCuP. GROUP
TYPE OF CONST.PARCEL
Po
No
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 •
3/1/85 - -• ••
Receipt• No. _
' W"ITE-O.P.W.; YELL0W-AS5C330R, PINK -INSPECTOR.: GOLOERROO-APPLICANT ,
COUNTY OF BUTTE - DEPARTMENT -Of
7 County Center Drive - Oroville, ^,orra•
alifa 95965 -
PUB./_IC WORKS '
Telephone 916/53 541
APPLICATION AND PERMIT
PERMIT NO.
�Q
A
ASSEqSOft PARCEL NUMBER
-56 — '2/
ZONING
BUILDING PERMIT
T/ve-e, /
pEL€ja,Hy'�/�/
SO. FT. OCC. BUILDING VALUATION
O
�A�R1�I`/��� ]�
OLV JE/�R-'S MAI�LX rr717S5s f. ��(/li �70L�6.�7 7`"d
�3 �
(�
CONTRA %'S NAME
�► 14 � IJc.
TELEPHONE
3
CONTR CTOR'S MAIL% G DRESS -
��
Fireplace
lipC�, o v
CO- STjR%�CTION LENDER' j
N D"'
UNKNOWN
Total Valuation $
VV
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS w
L '
Permit Fee
$ :.Old
ARCHITECT OR ENGINEE LICENSE NO.
Plan Checking Fee
$67,00
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ g7D
BUILD �y.QDRES w4" ` � )4VEil/ UE
VC (.NCS D G
PLUMBING PERMIT
Filing Fee 1'0.00
Each Trap
J 2.00 /0-.01)
Repair drainage or vent piping
5.00
_
V7
Water piping
CJ?1
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00 5,00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
, Q
Lawn sprinkler system
5.00
TYPE
TYOF WORK
New❑ Addition�Utilities Installation❑ Other ❑
Describe work: ,4ii%i • �! ELS -Md l�6'L—
Permit Fee
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
O OO
Main service EA. ADD'L 100 AMP
2.50 2,
NEW CONST. (DWELLING 11)
OR ADDNS. ACC. BLDG . /
2�q ft
r ,
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Businessso
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
r sale. (Sec. 7044)
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 CONSTR. MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC TS ]
NEW CONSTR. / POWER APPARATUS e
NON-RESID• %SINGLE OUTLET CIR.
@ 25C
Ex. Occup(OUTLETS OR FIXTURES 100
FIXED
Ex. OCCup.(OUTLETS P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ O
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
Kf Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
o 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.
Heating
L/7_— A -IC, f4i1,
Cooling 2 2T
p(3
rOZ)
Hood
3.00
Ventilation
Penult Fee
$ C!a
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against id County in c asequence of the granting of this permit. .
X Date /0/?M
Signature of App rc.nt - 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 $
TOTAL PERMIT FEE $ J�7 a
OCCUP. GROUP
n
,C
I TYPE OF CONST.
PARCEL
PD
HD
ISS
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT R F PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No. 5� q `
WNI TE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
#rte avyJr- '-- .�+a.�.--..^Mw, yV"s.f`a-•,.- r+.^'Ynr .r...,��..�, fior.,a.. -,.... .-.v---•.z,-.�.-�..rw.... _.. e.. t- .-ror�r?)�.�:"'. �Lti..s.'Mr��f.,..r� `S.C'i'v�,sSY.
.p
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COUNTY OF BUTTE - DEPARTMENT OJ= PU6LIC`WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE"CAC4-"ORNIA 959165 - TELEPHONE: 916/534-4541 ti
....a PERMIT APPLICATION DATA SHEET I�
Permit No.
OWNERA. P. No //
.
Proposed Building Use1�-
Permit Fee Based Upon r� Complete Contract Price DPW Valuation
1 Othr.=(E plain)
Building Inspector VA Date_
At time of permit application, I was advised the following data must be submitted prior to pe(mit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2. Plot plans in duplicate/triplicate. .-----:-_, ,
Complete plans in dupli�Kpl.icate..Gp.Ipk•.� ,
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . ,
9!Letter of signature authorization.
6v_< --"1'o. Sanitation approval from • Health Dept,. . . �2/2�/�/
11. Planning 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. Mobi lehome Installation Data. . . . . . . .
•. .
17. Pre -Inspection for Pre-Inspec. request to
Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: t Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other �1
Applicant (%�.,.. �.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 applicaati9n, circle item.)
1. Index permit for above Items NO. -A did'
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
Plans checked by
Plans alooroved b,
Other
By Date
Copy—DPW
To: Building Department
From: Environmental Health
Subject: Sanitation Clearance
Owner Location
AP,-jr'
:7
PlanApproved for: Se?wage disposal Crater supply
Hold final for: grater supply
Final clearance O.K. for:
Clearance for 42, bedroome- home. Other
PJOTE
Sanitarian
Dat..
water supply
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA. 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-534-4541
An "owner -builder" building permit has been applied for in your name and bearing
your signature. '
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing permit. No building permit will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction
of the proposed property improvement (yes or no)'
2. I (have/have not) signed an application for a building
permit for the proposed work.
'3. I have contracted with the following person (firm) to provide the'proposed
constru tion:
Name l�441
Address 4 , City ., r u& 04 k
Phone_6 7 S_ Z�3 i? Gbntractors License No.,,?
4. I plan to provide portions of this work, but I have hired the following
person -to coordinate, supervise, -'and provide the major work:
Name
Address- City.
Phone Contractors License No.
5. I will'provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owner
Social Security numbi —
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831
and 19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are
permitted to issue the permit.
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