HomeMy WebLinkAbout025-380-056mac/ _ - -•� _— '�rtr t•.. .r:'
Garland Andoe • 't'; . '"«`
A � ravel rd. W.of'Hw 70
PP • i mi.W.on g � Y �` �-
t directly across from John Deere Trac
Y. i Y
tor, Oroville C
A , contr: MountainDevelopment Co., Oro. • �= �'D ~ O S
Permit # 6311-76B,P,E,M(new single.
family)
Contr.-. Terry Mockler, Orovil_le B
i%
Permit #2507-84B(add open deck/SF)
0 95(�
NDOE, Vida 96-2193 B
_5075 Pacific Hts Road, Oroville
(reroof/SF) Azevedyo Const
Y
V
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a
036=52-0-056, 96-2193 B,
ANDOE, -Vida
5075. Pacific Hts Road, Oroville
• (reroof/SF) Azevedo Const
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COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 r: PE MIT NO.
APPLICATION AND PERMIT ����,
ASSESSOR PARCEL NUMBER 036-520-056
ZONING
BUILDING PERMIT
OWNER vIDA AMETELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS 5705 PACIFIC HEIGITM RD ORO. , 95%6
CONTRACTOR'S NAME AZEVEDO CONSTRUCTION
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
` -
CONSTRUCIrIONLENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 41
ARCHrrECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS ��1 5075 7]ARTL�T/� tJRM pT
a111TUM oan 50 PACIFIC 11 Yi �7 RD
PERMITFEE
S
OROVIM. , 95966
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBONnIONSNAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY L
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK }
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REROOF 30 SQ COMP
—
Mobile Home I S I G W I
@20.00
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
1
(
i1
Main Service a OV OR LESS
( 2ooA OR LESS )'
,
23.00
Main Service ( 200A TO 1000A )
46.00
t
LICENSED -CONTRACTOR'S DECLARATION
i
I hereby affirm under penalty of,perjury that I am licensed under provisio 's 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 (5 LIC. NO. 141 I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I,.asowner 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
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS. )
SO.
FT.
3.52 '
NEW CONST.MULTI-OUTLET
NON-RFSID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
64� Q I.s5o
FIXED APPWS. OR
Ex. Occup. ( OUTLETS (RESID.) FA)
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:
❑ 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' com ensation insu nce carrier and policy number are:
Carrier -r1�i-rF O►vut�.
MECHANICAL PERMIT
Filing Fee 20.00
9
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
- $
Contractor -
Policy Number X ,
he above sections need not be completed if the permit is for work of a valuation
(T p p
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shallTOTAL
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' ompensation provisions of section 3700 of the Labor Code, I shall
forthwi omply w t th a provisions". q a
X� LGtr✓ /�•'" Date / ,z / / b
—� --_
Signature of Alcant�'❑,,,QSwner ❑Contractor ❑Agent
An OSHA permit is requirsci for excavations over 5'0"deep and demolition or construction
of stuctures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee Is
Occ
CONST. TYPE
FEE $ 61.00
HA2.
D. FEES
IMP
FLOOD
CDF
PARCEL
PD HD
ISSUE
This permit is hereby issued under the
in the Butte County Code and/or
indicated above for which fees have
�'
B 0
y W-
PERMITEXPIRESON
applicable provisions
beentp i to do work
been aid.
Date
JI%l 19
(Date)
Receipt No. 200',$w
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, California 95965 - Telephone (916) 538-754 NO.
APPLICATION AND PERMIT -lezm
ASSESSOR PARCEL NUMBER 036-520-056
ZONING
BUILDING PERM d(—)
OWNER VIDA AIIDOL
EL
TEPHONE
SO. FT. OCC. BUILDING
VALUATION
,0.
00
OWNER'S MAILING ADDRESS 5705 PACIFIC HEIGHTS RD ORO., 95966
CONTRACTOR'S NAME AZEVEDO CONSTRUCTION
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1,800.00
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
1.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS 30XXXRX9Z9Z. .5075 PACIFIC HTS RD
PERMITFEE $
61.00
PLUMBINGPERMIT Filing Fee 20.00
OROVILLE, 95966
Each Trap
7.00
LOT NO.
SUBDN5ION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: _ REROOF 30 SO COMP
Mobile Home I S I GI W @20.00
PERMITFEE S
Contractor
ELECTRICAL PERMIT Filina Fee 20.'00
Main ServiceOV OR LESS
( 20oOOA 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 force and effect.
License Class Lic. No. 1 4 1 Z I
OWNER -BUILDER DECLARATION
I 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.
❑ 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
NEW CONST. DWELLING OCCUP.SOBLDS.
OR ADONS. ( 8 ACC. )
3.5¢ FT.
UTLE
NEW CONST. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES)
20 ® 1.00
BAL SO
FIXED APPWS. OR
Ex. Occup. (OUTLETS (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:
❑ 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' CIDensation insu nce carrier and policy number are:
Carrier S' A
' vz— co1M�g
MECHANICAL PERMIT Filing Fee 20.00
9
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
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.)
❑ 1 certify that in the performance of the work for which this permit is issued, 1 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' ompensation provisions of section 3700 of the Labor Code, I shall
forthwi omply w't th a provisio
X � Date � _
Ignature of Ap Icant ❑ wner ❑ Contractor ❑ Agent
An OSHA permit is req r for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee is
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ 61.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL
I PO 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.
BYtl Date IQ 196
PERMITEXPIRESON
(Date)
Receipt No. 206368
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, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER U ^3( ^^QS
ZONING
BUILDINGPERMIT
OWNER fl f. ,J _
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
ow ERs MAID ORE �
-
CC) RA ORS NAME
TELEPHONE
RACTOWS MMUNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNIWOWN
Total Valuation $
'
LENDERS MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
'
ARCHITECT OR ENGINEERS MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO. SUBDIVISIONS NAME
PARCEL MAP
Solar or heat pump water heater
23,00
USEOFSTRUCTURE
SF t Duplex ❑ Mobilehome ❑ 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 ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
'—
Mobile Home IS I GI W
@20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service e00v OR LESS
200A OR LESS )
23.00
Main Service ( 200A TO I000A )
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,POWER
and my license is in full force and effect.
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.23.00
❑ 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
NEW CONST. DWELLING OCCUR
OR ADONS. ( s ACC. BLDS. )
O,
3.5c For
NEW CONST. MULTI -OUTLET
NOIFRESID. ( BRANCH CIRCUITS )
97.50
APPARATUS
(a SINGLE OUTLET CIS. )
FIXTURES
Ex. Occup. (OUTLET OR FTURES
8AL SO
Ex. Occup, ouTLEEDTs IAEs D.)EA
( ) �
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. -Wiring
PERMITFEE $
Contractor
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.)
❑ 1 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 - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 50" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
tE6.50
Ventilation
PERMITFEE S
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee Is
OCC
CONST. TYPE
TOTAL FEE $ /
HAZ. 1 D. FEES I IMP I FLOOD
COF
PARCEL
PO Ho
ssuE
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
By Date
PERMITEXPIRESON
.,.�_.
provisions
to do work
paid.
Receipt No.
••••••-- - ^ ^ '•........ ..... c......n o, •,v ..,e oermo nMl MCklOnn-OPI IrAN1T
a COUNTY OF BUTTE - DEPARTMENTOFIDEVELOPMENTSERVICES -BUILDING DIVISION-
7
BUILDINGDIVISION-
7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER i
Proposed Building Use
PERMIT APPLICATION DATA SHEET
A r
Building Inspector
A. P. No. O� -"
Date a
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1, All items have been submitted . ....................................... .
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ............................................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ..............................
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval Health Department . ............
15. City of Chico plumbing permit . ......... :...............................
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ..
Pre -Inspection req.u-eT
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style,assificattip�). ..............
22. Certificate of Workmans Compensation' nl'�"fu aTrrc"e. Q 11.1 ...............
23. Owner -Builder Verification (Given to owner , Mail to owner _). .......... .
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road: .....
27. Letter of intent on building use . ........................................ .
28. Mobilehome utility clearance . ..........................................
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ................
31. Existing violations/expired permits . ......................................
32. Plan check list . ......................................................
33.
34.
When you issue the p cess as follows: Mail too�w,.n�e��r.�� Mail to contractor.
Telephone and hold for pickup at !J� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer; owner, was advised of above required data by _ phone -mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
THIS IS TO CERTIFY 4ATFINSULATION HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA-
TIONS, CALIFORNIA ADMINISTRATIVE CODE,, TITLE 25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street
Lot Number Tract No.
EXTERIOR WALLS 6 "
Manufacturer — Thickness/Type 1' R Value. �L
CEILINGS4
Batts: Manufacture Thickness R Value_
Blown:. Manufacturer Thickness No. Bags Wt./Bag
Sq. Ft. Covered R Value
FLOORS
Manufacturer C I Thickness/Type R Value
SLAB ON GRADE
Manufacturer Thickness/Type R Value_
Width of Insulation --inches
FOUNDATION WALLS
GENERAL CONTRACTOR4/LICENSI
BY TITLE DATE
R Value
No.
INSULATION CONTRACTOR: HAWKINS INSULATION CO. LICENSE No. 215-925
�
BY TLE o� � DATE_______,_ 2
PERMIT NO. 6311-76B,P,E,M
q PERMIT EXPIRES
.r•
OWNER GARLAND ANDOE
CONTR. Mountain Development Co.
LOCATION (A.P.
App i mi. W on gravel rd, W of Hwy 70
directly across hwy from John Deer
Tractor, Oroville
I
.1
I.
A
CG �
n
Temp. Power Pole
Called PG&E
Temp. Elea Serv.,x, 11
,Called PG&E
T mp. Gas Serv.
' Called PG&E '
JOB
FINALED(D a t�/)
(Signature)
A
.1
Department
TO: Building
FROi'I: Environmental riealth h
RS : Sewage and/or via ter Clearance
Oi;I�I R LOCr;TIC) A .P#
Has been approved for:
S�'iAGE DISPOSAL/--;?
-,TATER SUPPLY
Sa nita ria n
:z:Z
Da�te
Setback lam/
Forms
Main Bldg.
Footings
Stemwal I
Slab
Piers /
Garage
Footings
Stemwa I I
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Walls
Reinf. Steel
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd)
Firewall Soil Piping
Parapets 1st Floor
Restroom Fin! h 2nd Floor
:;, Windows 3rd Floor
r+oonng
Fdn. Vents �.
Garage Vents -
Insulation a 7
Prov. for phy sically
handlcappe
d
Conformance_of ex.
FIREPLACE
Footino --
stucco Final _ice
Mesh MECW : I AL
Scratch Heating
Brown Cooling
Finish Ducts
Interior Lath Ventilation
Door Closer Final WE
DATE REMARKS OR CORRECTIONS_
To out
Water Piping
Sewer
Fixtures
Water
PLUMBING
Gas Piping & Test
Temp. Gas
Sanitation
Final i
EL
F
Subpanels
Grd. Fault Prot.
Service
Temp. Po1V—
Underground
Permanent
Final
n
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE DEPARTMENTt� PUBLIC WORKS
7 County Center Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above -me ioned property for inspection purposes.
Date
Signature of Perm
i
tte
e or Agent
Receipt No. ���lo(O,z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By 'Z
41
�iing permit expires Date
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
.l
Mailing Address
00
Telephone No.
672
Fireplace ® O
Contractor ���
Total Valuation14C 7 „2 p rj
Mailing Address
Permit Fee ap
Plan Checking Fee &/or Penalty
/
Telephone Na.
Permit Fee $
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
o7 74
Each Trap 1.50 v
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. —� v �,
Doing & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
sewer 5.00
Fs
Sa n Fire Dept.
Fire Zone Use Permit
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
p ovements
Lawn sprinkler system 2.00
Bldg. Plans Rec'd
�
-Parcel ApprovalP
pprovol
Permit Fee ��
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 .30D
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. AOD•L 100 AMP 2.50
OVER 600V
Main service 1100 AMP OR LESS 25.00
Single Family JZ Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 1.00
NEW CONST.DWELNG
OR ADDNS. ( ACCLBLDGO. &) 2¢sgft
NEW CONSTR. MULTI -OUTLET
NON.RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS &)
NON -RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st I f:
y
Ex. Occup(OUTLETS OR FIXTURES) 50 BAL 21¢
Ex. OCCU FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No-�/2T Classification %{��
Misc. Wiring 6.25.2
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ d
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
®I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating �' U
Cooling xao
Ventilation
Hood 2.00
Permit Fee $
$ f
I lae
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
TOTAL PERMIT FEE
$
authorize representatives of the County of Butte to enter upon the
above -me ioned property for inspection purposes.
Date
Signature of Perm
i
tte
e or Agent
Receipt No. ���lo(O,z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR OF PUBLIC WORKS
By 'Z
41
�iing permit expires Date
l
`2507-84B
PERMIT NO. t '
PERMIT EXPIRES r
OWNER
s GARLAND ANDOE
CONTR.. Terry Mockler
ASSESSOR PARCEL 36-52-20
f
LOCATION 5075 Pacific Hts Rd, Oroville
31
1-
rk.
}
k
Temp. Power Pole
Called PG&E
_
Temp. Elec. Service
: a,
Called PG&E
i
Temp., Gas Service°
Called PG&E
t
e
JOB FINALED (Date)'
Signature
A,
J.=OK L? _
0 = Not OK
— =Not Applicable MOBILEHOMES / MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DEV6, COVERS, CARPORTS, ETC. ( n;) OK except p's
1. Zoning Requirements—Setbacks—Easements
. Zo g Requirements—Setbacks—.Easements
2. Soils; Special MH Support—Sketch
ootings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
s; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
KNOlood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—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. arports; Windows—Doors
7. Utility Clearance
7. Plec.
Card -BI
Date Card -BI Date
Ca -BI
ate Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Date
POOLS (Pla ) OK except #'s
1. Zoning Requirements—Setbacks—Easements
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4, Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulati ng 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 -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
r
a
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIAL: (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except N's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except k's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
18. Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Fib., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
73.
74.
Insulation -Foam -Looked in Attic ❑Yes
Guard Rails & Deck Construction -Post Caps
Fdn. Vents Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ED Yes
25. 2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes 0 N
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-_Rfn_p_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIQN AND' PERMIT
ASSESff PARCEL NUMBER
ZONING
00 a'
_ BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATIOW
OWNER'S MAILING A ES
V V A l/ Y (J '
CC,tj . CTO 'S NAM
rz i aG
TELEPHONE
CONTRACTOR' MAI NG ADDRESS
VN.
r 6
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS -
Permit Fee
$ orn
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
-- � USE OF STRUCTURE
SF [R Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Addi ion❑ Remodel[] Utilities❑ Ins allation❑ Other ❑
Describe work. —
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
a_1,am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my nrclicese is in full foe and effect.
L 233 2 Classification 19
License No. /!
❑ 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)Misc.
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULT' -OUTLET 2.50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
20@50C
Ex. OCCup(ou XFIXED Ts OR FIXTURES BA
Ex. OCCUp. OUTLETS P(RESID )R 2.00
2.00
.00
+Temporary service 10.00
Mobile Home Facilities 15.00
Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�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.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence f the granting of this permit.
X Date "%
Signature of A :cant - Owner❑ Contractor e— 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 $
occuP. GROUP
I TYPE OF CONST.
_
PARCEL
PD
HD ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
By
PER XPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
p
Date awl
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
c� /O
A setback of At. from the
pepeF'y nd a setback
t) of 50ft. from t e road
centerline shal be clear of
:.�, _
s ructures�r a uipment except
f r a 2 ft`� overhang.
7..t.
-F
•� ..1.•.
This set of plan 8nd specifications MUST be
kept on the job cit all tirnes and if is ur!nwful to
tn-mko any cNances r alfa rc,;i;,^s on sc+me without
-- - —� written Permission rom fhe Dopa; Trate df Public
Works, Count of Butte,
C_^
NOTE:—All Mafvrixls & V✓orkrnansl;ip Shall Be 1t
Accordance with Recognized Good Prac_ficcs an
'` �d for tho Sl�e:.axicd use in AG
of a qua„iy res
pers
Uniform QuLding, PILynbing & Mechanical Codes and
8ea�sis the National Elecfri al Code.
Top rail to be 3 in. igh v�it —�
intermediates 11s to be not
over 9 in. ap rt.
01wF zw10
sTq/R.5-
/ ✓ * �C��/o o r iii
Vx.io
c %.
O A1y,00.F_-
�d �R fss s o /-Ys-
000,,�AC i.fie f,
o
BUTTE COUNTY
BUILDING DEPARTS 11'NTI
'APPRD'VE�,-
1
COUNTY OF BUTTE - DEPAR`TMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
MiL
ASSESSOR PARCEL NUMBER
36-52-20
ZO ING •
BUILDING PERMIT
OWNER
G_ Andnp
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
5072 Facifics Heights Rd. Oroville
CONTRACTOR'S NAME
Terry Mockler
TELEPHONE
t
a permit
CONTRACTOR'S MAILING ADDRESS
5072 Pacific Heights Rd. Oroville
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee A k FEE
$ 15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 29-00
PLUMBING PERMIT
Filing Fee 10.00
5072 Pacific Heights Rd.
Each Trap
2.00
Oroville
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
SF(3 Duplex❑ Mobilehome❑ Other deck
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 5.00
Mobile Home T_S7 GW
10.00 ea
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation[] Other ❑
Describe work: 1st renewal permit #2507 -RA 84 _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p l y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
and Professions Code and my license Is In full force and effect.SINGLE
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this/!ASOn
Main service 600v OR LESS 10.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. ( DWELLING OCCUP.e ,
OR ADDNS. \ ACC. BLDGS. /20sgft
NEW CONSTR ULT' -OUTLET 2 -SO ea
NON-RESID BRANCH CIRCUITS)
POWER APPARATUS &)
OUTLET CIR,
Ex. OCCu 20050t
p OUTLETS OR FIXTURES eAL030
FIXED APPLINIS R
Ex. Occup. OUTLETS (RESID )EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
IM
WORKMEN'S COMPENSATION INSURANCE
I declare under p nalty 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 Workmeri's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
III all liabilities, judgments, costs, and expenses which may in any way accrue
inst said County in consequence of the granting of this permit.
X I Date
4 gnature 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 $ 25.00
OCCUP.
CONST.TYPIEJ
I
I PLOoo
PARCEL
PD
I ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By n /
R
PERMIT EXPIRES Date -16-86
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
I WMITE-O.P.W.. YELLOW-ASSE330K, PINK -INSPECTOR, GOLDENROD -APPLICANT
1
ii�.��
iii 1 "f�
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