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026-181-029
4- wt; S YL DO UG MAGNESAN CONRAD O'BRIEN 2143 KENILWORTH P Al s1s Kennilworth _3G(91 west of Melvina. ,k NST. G Palermo 2 ERMIT P. I H �A NS/F Permit 2887-72B TER ,PIE (remodel) 26 P p ermit#5770-79PIM(gas line heater)SF ------ 41 Vial lu III 1qv'0'r 0 26-181-29 - 25-91B BBURNS, Ronald 2 2139 Kenilworth, Oroville' 0eq (repair foundation/sf) 2 r U 1 6- R 3 e N 9 1 S 8 Kenilworth, e r 26_ 1 8 1_ 2 0 26-181-29, 92-758 BPEM T PERO, Tony & Dc�nnia, 2139 9 j 139 Kenilworth Ave,.Palermo . cont: Stan Nielson acfdltion"/sf i` f a h' •* �P C _ as �I �� �' - J �� J=OK O=Not OK NApplic ot ReadyableY MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1.1ZO''ning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s r 1. Zoning Requirements -Setbacks Easements 2. Footincs; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector. 6. Water; MH Test-Regulator-C&r nector - 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged _ 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Carc B-1 Date Card B-1 0. MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s , 1. Setbacks -Easements ` ) - , 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. _ Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 f J=OK O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single ' = Date U2DERFLOOR (Plans) OK except tf's Dat cool�r 1. ing-Setbacks- Easements- Flo d -Slope Ftg., Main; Soils-Elec. Grnd.- " Ftg. Depth -- 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ P' Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. PjaygoolFireplace Ftg.-Steel D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test j/Y<Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. r 14. ders-Sills-Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation Date PLUMBING (Permit) OK exceot fr's j Water Htr.: Vent -Access -Combustion Air -Baffle_ 17. Water Pipe; Test & Anchor -Nail Protection _V- V.; Test -Fittings & Anchor -Nail Protection - - --------- ----- - ------------------- 19. Shower Pan; Test. First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe: Size & Anchors ----------------- ------------------------------ Date Card B-1 Date Card B-1 --------------------------------------- ---------------------- Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except ft's Fixture & Transformer Clearance -Ins. Protection let. Receptacles Spacing -Lights & Switches at Doors -- --- -- ----------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled -------------------------------------------------------------------------------- 5. Romex Installed Close to Edge of Studs & C.J. -- - ----------- - - -- - --- - -- ---- -- _ 26. E uip. Ground made up w/Mech. Fastners-Bond Gas & Water --------------------- :----------------------- ------------------ L7-2 Appliance Circuts in Kitchen & Conductor Size!GFI --------------------- ------------- 22. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r / ga. Cu or AI ---------------------------- -- 29. Range Circ ! ga Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes- - - C1 No ------ ----------------- 30. Service -Riser Conductors & Ground -Main Disconnect ----------------- ---------------------------- --------- --- - - _ 31. Equip_Clearances Panels-Motors-Mech. Equip. 32. Clothes Closet Light -Shower Light -Spa Light ---- - - - --- -- -- - -- -- -- ------ - - ---- ---------------------- ---------- 3 mole -Detector ----------------------------------------- ----------------------------------------------------------------------------------- Date Card -B-1 Date Card B-1 ---------------------------------------------------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except N's 34. A.C. Ducts Insulation & Support ------------- -------------------------------------------------------------------- 35. Vent Fan: Exhaust above insulation - ---------------------------------------- ____ 36. _Condensate Drain & Overflow: Size-&- Grade 37. Furnance-Vent: Access -Comb Air -Return -Air Vent -115 outlet 38. Attic -Access-&- Platform if Furnance in Attic ---------- --- ------------------------------------------------------------------- Date Card B-1 Date Card B -t -------------- - -------------------------------------------------------------- Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except #'s 9. Sits. P per Material & Anchors ------ - - --------........ --- -- -...... - - -.......... --- -- - ------------------ - - ---- --- - -- -- - --- Studs -Nailing. Spacing & Bracing -Plates -Sound ---------- ------------------------------------------------------------------ 41 earing Walls over Girders & Floor Nailing --- - - --------- --------------------------- --------------------------------- -------------------------- aft Stop in Walls (rat proof) - - - 43. e Slops: Furred Ceilings -Stairs -Chases -Tub ----------------------- ------ ------------- 44. Headers & Beam -Size & Bearing & Duplex MING Caps -Anchors -Connectors ng. Joist-Rftr. ties-Purlin-roof Brac-Truss- Gi�replace Ties or Type A Flue -Fireplace Throat clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ndows or Exiting Doors -Sill Hgt. & Dimensions Protection Framing ine Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits -------- --------------- ----_ th_Headroom-Rise-Run-Landing-Fire Protection 4. plywood on Roof Overhang -Attic Vents -Rafter Outriggers --- - ti iding-Nailing Veneer - Mesh -Drip Screed -Fd. Vents-Underflr. Access -_-- -- . Gla ;Area -Glass Protection -Skylights -Plastic --- - ear Walls: Nailing -Bolts 59. Insulation -Walls -Ceilings Infiltration -Walls -Windows Date- and B-1 a Card B-1 Da -� a'rd B-1 ate Card B-1 D to (Plans) OK except N's ___I,,10'(61 xt. Steps -Door & Sidelight Protection -Landings Smoke Detector -urnace: Vents -Clearance -Comb. Air -Connector - In Garage: Above Floor -Ducts -Meth. Protection ----------------- ----------------- _-ta4-$e4Feem Exiting ---------------- ------------------- �8' SFT& Bath Fixtures & Tub Access -Spa _--66--Elec. Trim & S_ubpanel; Breaker Sizes & Labels - - --- - ---- irs & Rails ------ eplace or Stove: Clearances-Hearth�of t rV-�i�i1Z - - - `' --------------- - -- t Outlets at Wood Panel: Int. & Ext.A 1 Kit.F & Appliance; Grnd -Air Gap -Cooking Clearance �7T. Elec. Outlets & Receptacles at Kit. Counter - - ---- �'T2 -Bar�nge-F+re Door Swing -Landing -Closer --------------------- -t-Duct in Garage -Damper ------------------- ------------------ - - 44--WtrHtr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection -------------- ----- Plb _Flet_ &-M-ech.--- Equip. Listed for Location - -- - --- 76�Elec`. Receptacles in Garage; (G.F_.I.)-Romex Protection i/ ; Insulation -Foam -Looked in Attic ❑ Yes' ----------------------------------------- �. d. Guard Rails & Deck Construction -Post Caps �n Vents & Crawl Hole Door -Drainage ood-Earth Clearance Looked under Floor Yes - -- -------------------------------------------- -Eo.I.lowing instld.; Drive ❑ Yes ❑ No: Walks ❑ Yes ❑ No; Planters ❑ Yes ❑ No -------------- ------------------- ucco: Brown -Finish �_ _ C. Unit: Disconnect. Electrical, Plumbing Vents Above Roof: PIbg-Appliance-Fireplace.-Clearance to Openings ____94 --Water Well; Disconnect, Electrical, Plumbing -------------- ------------------------------- __--35-E-xcterior Elec. Trim; G.F.I. Receptacle -Underground - - - -- - - -- - - t4 - - -------------------------- - ntilation Throughout House 87. Glass Protection -- --- - ------------------------------------------- __--6✓3'Corrections from Previous Inspections ------ - ----- - ---- - --------- 89. Gas Test -Meters Tagged; Gas -Electric 9 r &_ Sewer Connected -C/O to Grade -HD Approval - 1 ergy Compliance Certificate -Other Certificates Date �j and 13-1 Date Card B-1 Date rd B-1 to Card B-1 Date Card B-1 Harp - Card R_1 Comments at Final 7ET3 Lam �JL413 lrYn� A N1 .� �. o t � � I tiv, a COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWN9R PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above addres nd should be corrected. Please notify this office when correction of work is completed. 1 ou have any questions pertaining to this matter, or need additional explanation, please cont t this office immediately. „ tl_ !2 F 1a4 Com, LA) OoA 570 " :p G 44, !� !/L, l.5' syr Date 1.1'7 Inspector REN 11/91 1 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 4`` 1469 Humboldt Road, Chico, CA - (916) 891-2751 `1 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE WO NER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please c ct this office immediately. N 'AN a- n LAG )(1, P-14 S 71, 2 r J(-�o v ".- .D REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, pleasec ct this office immediately. t, A/bl//1/'// A.7 A Z, :A?9 //U<n V205 s • / / • ,t� Date e -P'— Inspector REV 11/91 4 Date e -P'— Inspector REV 11/91 Owner: Permit No. .7 - ENERGY ENERGY C ERT I'F ICAT ION e LOCATION A.P. No. DESCRIPTION OF INSULATION ROOF Material. Thickness(inches) XTERIOR WALL Material i _���`be�-/ ar,� Thickness(inches) (�Batt EILING or Blanket Type Thickness(inches) 'l Loose Fill Type Minimum Thicknes$(Inches) Area covered(ft.ZZ)`yP Brand Name Thermal Resistance (R Value) Brand Name ` Thermal Resistance R slue). 9 /9 firand Name Cm Thermal Resistance(R Value Oj? 39 Brand Name Number of Bags Wt. per bag lb. Thermal Resistance(R Value) FLOOR, ELEVATED Material 14_,�t–+—j',,/e rs Brand Name � Thickness(inches) �� Thermal Resistance(R Valuef_ FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width(inches) FOUNDATION WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) ' 4 I hereby certify that -the above insulation was installed in the above building in conformance with the State of California. Energy. Requirements. NAME OWNER STATE CONTRACTOR'S LICENSE NO. SIGNA OF INSTALLATION -APPLICATOR DATE - I hereby certify -.the -a ' b6ve insulation and all required items as shown -on the Building Department aproved plans and attachments have been installed as required by the State -of California Energy Requirements. All equipment, devices and' materials.are of the quality prescribed or are specifically approved by the State of California. FIRM /OWNER (Please print) STATE CONTRACTOR'S LICENSE NO. SIG OF GENERAL CONTRACTOR OWNER DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR -TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE. POSTED WITHIN THE BUILDING. January 1984. ■ �� �r �/ Don (916) 534!9587 - _ - c�SSQC�a eS P.O. BOX 9W-r-.PROVILLE,CA 95965 A CALIFORNIA CORPORATION 100 GOLD'DREDGER DRIVE - April 25, 1992 Job #92-069 Butte County Public Works Building Dept. 7 County Center Dr Oroville, CA 95965 re: A.P. #26-18-1-29 Tony Pero 2139 Kenilworth To Whom It May Concern, t/L On this date we ran bench levels to the abov.e referenced property. We set'an elevation on the south westerly most bolt in the concrete around the pressure tank, elevation = 156.32. We painted a.red fluorescent mark on the existing home foundation;at elevation 156.00, the published flood plane elevation as per F.E.M.A. map 060017-0480B, September 29, 1989. We scratched the side of the home 1 foot above this mark at elevation 157, 1 foot above the flood plane. The sub floor.should be 0.68 feet above the bolt to be at elevation 157. Our information is derived from Butte county Bench #1, a chisled.square in concrete on the south end of the pump island at the Palermo Market, Northwest corner of the intersection of Palermo Road.and Lincoln Boulevard, published elevation 156.985. This bench was derived from the U.S.C. and G.S. bench #S-847. 1948. It is 1 mile north of Palermo Road along the old Southern Pacific Railroad tracks. S e r e l y ���aNAL LAlyps�� Ronald L. Graves, P.L.S.;I,. Ron Graves and Associates -� \�d RLG:dks OFCA�- SURVEYING SOIL TESTING ENGINEERING f r COUNTY OF BUTTE - DEPARKMENT OF PUBLIC WORKS ERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 _ APPLICATION AND PERMIT ASSESS R PARCEL NUMBER 026-181-029 ZONING 13.1 BUILDING PERMI OWNER Tony cos Donna Pero TELEPHONE 533-6141 SO. FT. OCC. BUILDING ALU ON OWNER'S MAILING ADDRESS 2139 Kenilworth Ave. Palermo 95968 625 R 31 875 160 C 2,782 CONTRACTOR'S NAME S+a ;4e44 ___ o r TELEPHONE 54 C Iw CONTRACTOR'S MAILING ADDRESS Fireplace "A" 1,500 CONSTRUCTION LENDER UNKNOWN Total Valuation $ 36,157 LENDER'S MAILING ADDRESS Filing Fee $ 15.00 Permit Fee $ 88.00 ARCHITECT OR ENGINEER �'CI` icholes LICENSE NO. Plan Checking Fee $ 144.00 ARCHITECT O ENGINEER'S MAILING ADDRESS Ener Plan Checking Fee Energy g 20.00 Penalty $ BUILDING ADDRESS Permit fee $ 467.00 PLUMBING PERMIT Filing Fee 15.00 2130 Kpnilworth Ave., Palermo Each Trap 1 1 5.001 .5.00 Solar or heat pump water heater 1 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 7-001 7.00 Each qas water heater or vent 1 7.00 USE OF STRUCTURE SFEX Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 15.00 15,00 Mobile Home I S I G JW @ 15.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: _ Additional Living/Dining Permit Fee $ 42.00 Contractor ELECTRICAL PERMIT Filing Fee 15.00 Main service 200A OR LESS 18.50 Main service 200A TO IOOOA) 37.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business and Professions Code and my license is in full force and effect. License No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) IrvJ, 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 OCCUP.gd) OR ADONS. ACC. BLDGS. 3.64sq.ft. 27.00 NEW CON5TR MULTI -OUTLET NO N.RESID BRANCH CIRC ITS @ 5 00 POWER APPARATUS &) SINGLE OUTLET CIR. Ex. OCcup(OUTLETS OR FIXTURES F 2O 15 FIXED ANS. Ex. Occup. OUTLETS P(RESID )REA.) I 3.00 Temporary service 15.00 Mobile Home Facilities 15.00 Misc. byirin g '15.00 17-1 Permit Fee $ 42.00 — 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. �i I shall not employ any person in any manner so as to become subject 1604 to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 1 15.00 Heating Cooling EVAP 9 9.00 Hood 6.50 Ventilation Permit Fee $ .Q Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue X�arst said County_'n consequence of the granting of this permit \ I` i (1* Date Signature of Applicant — Owner Contractor El Agent El 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 S Energy Inspection Fee $ 40.00 occ CONST TYPE TOTAV FEE 615/00 HAz 10FEES I IMP PAR PD H ISSUE This permit is hereby issue under the of the Butte County Code and/or work indicated above for which fees R TO F PUBLIC By � PERri EXPIRES Date applicable provi- resolutions to do have been paid. WORKS Datez /—/ 7-? / ©� Z Receipt No. 0 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT'OF4SUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILIE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use v Permit No. A, P. No. 2 6' I Fl ` �2Q uiIding Inspector .id C Date J— I ?_ / Z At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted. ................................. 2. Plot plans in duplicate/triplicate, signed by preparer of plans ........ 3. Complete plans in duplicate/triplicate, signed by preparer: of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .............. 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. Engineered truss details and layout in duplicate (required prior to plan check) G Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ 11. Chico Urban Area fees paid ....................................... 12. Park es aid ................................................. 13.j School District fees paid .............. 3 ` l�- 9 14. Sanita1tion approval Pr6m Health Department—_3 �27— ,12H 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) Pre -Inspection for required Pre-Inspec. request to Buil ' g Inspe t r (Date) 02. Contractor's license information (No., Name Style, Classification) Vof K Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner o, Mail to owner o) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... r 25. Le er of signature authorization ....... r 27. When you issue the permit, process as follows: Mail to owner. Mail to contractor. Telephone 5�,61YI and hold for pickup at �© office. Deliver w/inspector. Other .S" 33 -- t .P -7 2_ _ Copy of !-laz-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 t i er it i ance: (Circle new item not checked ab e). 1. Index permit for above items No. Z4 1 2. Additional items required: O Contractor, designe (owner, as advised of above required data by�phone___jnail—counter byL—.date 2 Z Contractor, designer, owner, was advised of above required data by_phone_mallcounter by date Plans checked by Date Plans approved by Date :;—" Sets of plans on hold in(ile cabinet AP folder Copy—DPW TO Buildina Department FROM: Environmental Health SUBJECT: Sanitation Clearance lam. �/-P7 L! Owner] Location AP# Plan Approved for: Sewage Disposal Water Supply H9ld final for: Water Supply Final clearance O.R. for: B Wate Supply Clearance for bedroom mobile home. Other /C NOTE * * * Sanitarian Date' FOR M '7 ADDITIONS TO RESIDENTIAL; $UILDINGS ENERGY SHEET PACKAGE "'A" (Additions'), Owner Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package,"A" shall be installed for additions to dwellings . Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions, and any space that is existing non -conditioned space,that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE 11 ZONE 16 APPLIES TO NEW AREA CEILING WALL FLOOR. -SLAB GLAZING SHADING SOUTH - OPTIMUM OVERHANG R-30 R-11 R-11 R-7 U-.65 (Dual) or .36 Shading Coefficient R-38 R-19 R-19 R'-7 U-.65 (Dual) WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weathersttip.__doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 ❑a ❑ *2 HEATING VENTILATING, AIR CONDITIONING SYSTEM' (A) Heating Central Gas Furnace 7 (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) (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 Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft (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 #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load m 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 Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT *1 �. *1 O ❑ ❑a ❑ *2 HEATING VENTILATING, AIR CONDITIONING SYSTEM' (A) Heating Central Gas Furnace 7 (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) (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 Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft (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 #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load m 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 Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT *1 ❑ ❑a ❑ *2 HEATING VENTILATING, AIR CONDITIONING SYSTEM' (A) Heating Central Gas Furnace 7 (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) (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 Active Solar (collector brand and model number) (ratedy-intercept) (rated slope) (solar fraction) ft (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 #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load m 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 Administration Code. SIGNATURE OF BUILDING DESIGNER OR APPLICANT n � COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone:. 9167538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building 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) h a l),p signed an application for a building permit for the proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name 4�ior� e Address City Phone Contractors 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 ecurity Number* 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 ode. This verification must be completed and returned to our office before we are per- mitted to issue the permit. a V I � l) � � O � �.r�rr *--- � � � � � �-�.,i i'v'ram*-"',,-'�,�."^y.-,t•,...ver^,pe,�.�.:�p.�,+►.w�>��.�++�v�a4�T�y�� t BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM (one Form,per Building) A.P. Number 9 6 - (,*)_ 2 Building Department No. School District Q City County Q Property Owner 7`0 Ay (, On vx6 �e r Q Jurisdiction J ! -w. Project Location/Address`' "� j 3 �{ '4/ < rti + Subdivision Lot Number Residential Development: a ® Sq. Footage 62 gC]. # of Living ..MHI Addition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) Building Department Representative Date (Floor Plans reviewedby School District Pirsonnel) ( 1 • •�E P. District:` *Id No'. �J,pl�Ull/� Un l0/V NIF N Schooil ,District certifies that (Applicant Name) (Phone Number) a 139 ke,)i tW0P,-7k1 (Street Address)... (City) (State) (Zip Code) has complied with the requirements of Resolution No. / d•�'j C� by the ,payment of $ representing Gas square feet. School District Representative Date ev PAID BY CHECK NO. REMARKS: BANK NO PAID BYJ CASH white -applicant, yellow -building departfnent, pink -school district SCHOOL.FEE (8/88) E Tony & Donna Pero 2139 Kenilworth Ave. Palermo, CA 95968 Dear Mr. & Mrs. Pero: -.-. '6'atte count, AC BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES / COUN'1Y CENTER DRIVE OROVILLF.. CALIFORNIA 959G5-339/ TELEPHONL: (916) 5367541 FAX: (9.16) 53:32140 March 29, 1993 RE: Building Permit #92-758 Expiration Date 4/17/93 A. P. # 026-181-029 With reference to the above subject, our records indicate that your building permit expires on the above date and your permit falls into the category marked below: . Permit work started, but not completed. Permit may be renewed for 2 the LILJ original building permit fee (plus a $15.00 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 within 30 days of the expiration date, all work must cease until a new building permit has been issued. For your convenience, we are enclosing a renewal application form and owner -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. No inspections have been made on permit work. Inspections are required to verify code compliance. We are unable to renew a permit where the work has not been started and inspected prior to permit expiration. -After expiration of your permit, no work may be started until a new permit has been issued. If our records are in error or should you have any questions concerning this matter, please contact the Oroville _ office. Thank you for your prompt attention concerning this matter. JFG:hla cc: Building Inspector Attachments: Renewal Application Owner -Builder Information Owner -Guilder Verification Yours very truly, J.F. Glander Manager, Building Inspection on P NOPESSIONIL LSNO 9UNVEYOPS associa es A CALIFORNIA CORPORATION April 25,1992 Job #92-069 r Butte County Public Works Building Dept. 7 County Center Dr. Oroville,'CA 95965 re: A.P. #26-18-1-29 Tony Pero 2139 Kenilworth To Whom It May Concern, (916) 534.9581' P.O. BOX 986 — OROVILLE, CA 95965 100 GOLD DREDGER DRIVE On this date we ran bench levels to the above referenced property. We set an.elevation on the south westerly most bolt in the concrete around the pressure tank, elevation =,156.32. We painted a red fluorescent mark.on the existing home foundation at elevation 156.00, the published flood plane elevation as per F.E.M.A. map 060017-0480B, September 29, 1989. We scratched the side of the home 1 foot above this mark at elevation 157, I.foot above the flood plane. , The sub floor should be 0.68 feet above the bolt to be at elevation 157. Our information is derived from Butte county Bench #1, a chisled square in concrete on the south end of the pump island at the Palermo Market, Northwest corner of the intersection of Palermo Road and Lincoln Boulevard, published elevation 156.985: This bench was derived from the U.S.C. and G.S. bench #S-847, 1948. It is 1 mile north of Palermo Road along the old Southern Pacific Railroad tracks., 'o S' erely Ronald L. Graves, P.L.S. Ron Graves and Associates I RLG:dks ���aNAI LA�i�sG� T. m� M N7. 4CIr5 W� Expires o� cS j9 ape 91- OF 2OF C SURVEYING SOIL TESTING - ENGINEERING .A ec COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — OroviIle, California 95965 Tel ephogi► e: 534-4541 a h APPLICATION ARD PERMIT J autnonze representatives or the uounty oT t cite to enter upon the above-mentioned property for inspection purposes. I X r Date > >r i Signature of Permitee or Agent Receipt No. J 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 i By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor - Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 i Repair drainage or vent piping 1.50 A. P. No. - Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.C. Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcelion Declarat Parcel Map 60' R/W Improvements Each additional outlet .30 Building sewer 5.00 Bldg. Plans Recd Parcel A roval I Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service V OR LES 100 AMP ORSLESS 5.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L too AMP 2.50 Main service OVER e 25.00 100 AMPOR OR LESS Main service EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCLBLDGS.CCUP. 4� 22sgft 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 style of: NEWCONSTR. (MULTI -OUTLET NON .RESID ` BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS e NON.RESID. SINGLE OUTLET CIR. / EX. OCCuo(OUTLETS OR FIXTURES BAN t@ 01 FIXED APPLNS. OR Ex. QCCUp. OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 EJ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL NO -1 @ FE_ E 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. PERMIT FILING FEE J$3.00 Heating r Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 Land Development Fee $ TOTAL PERMIT FEE $ autnonze representatives or the uounty oT t cite to enter upon the above-mentioned property for inspection purposes. I X r Date > >r i Signature of Permitee or Agent Receipt No. J 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 i By Date Building permit expires Date COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Otoville, California 95965 Telephone: 534-4541;169APPLICATION AND PERMIT / authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. o^'Date 1A 171 Signature of Permitee oorr-A^-gee�-7 ^� Receipt No. � a C 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. ZRECTOR OF LIC WORKS By Date 9117/77 permit 600plores Date BUILDING Owner2 �r � DIS SQ. FT. OCC. BUILDING VALUATION � / Mailing Address r I , C5 6 v �. L L's, Telephone No. Contractor Mailing Address Fireplace Total Valuation Telephone No. Permit Fee Building Address Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 A. P. No.) E/ 1 �L p [ Loning &Planning Water piping 1.50 Each gas water heater or vent 1.50 F41's We- Sertitetien Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA I Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements P Each additional outlet .30 Building sewer 5.00 Btdg. ans d I Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Permit Fee $ $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 G Prg—GL ar,Main OVER Main service 1100 AMP OR LESS 25.00 service/ EA. AOD'L 100 AMP 1.00 OR ADDNS. \ ACCNEW CONST. DWELBLDGS,LING CCUP. 20Sgft 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 style le of: NEW .ES'D.CONSTBRANMULTCHUTL T NON-RESID. � BRANCH CIRCUITS 2.50ea NEW CONSTR. (POWER APPARATUS 6 NON.RESID. (POWER OUTLET CIR. Ex. OCCUD(OUTLETS OR FIXTURES 5B L2; Ex. OCCU FIXED APPLNS. OR P•�DUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ MECHANICAL No. @ FEE 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. PERMIT FILING FEE $3.00 ,no Heating 4,eiz 0 Op eTyp Cooling Ventilation Hood 2.00 Permit Fee $ , eyo $ 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 Land Development Fee $ TOTAL PERMIT FEE $ i authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. o^'Date 1A 171 Signature of Permitee oorr-A^-gee�-7 ^� Receipt No. � a C 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. ZRECTOR OF LIC WORKS By Date 9117/77 permit 600plores Date 11 COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT '—I'....vnavu va..a 1 1— VVUnay — lJ.J — QIIIGI UJJU11 41C above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 �- Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 --' Each gas Aater heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.„. Sanitatiorr Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im r p ovements Lawn sprinkler system 2.00 Bldg. Plans Reed Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family ❑ Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (more than 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures yal �6 10 Receps., switches & fix outlets 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 style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring ❑,I am exempt from the Contractors License Laws of the State of California. Permit Fee $ WORKMEN'S COMPENSATION INSURANCE 1 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. 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 MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ TOTAL PERMIT FEE '—I'....vnavu va..a 1 1— VVUnay — lJ.J — QIIIGI UJJU11 41C above-mentioned property for inspection purposes. X Date Signature of Permitee or Agent Receipt No. 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 Date Building permit expires Date v COUNTY OF BU TE r— EPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT L/ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X eh"m'... n�—gate 74J Z Signature of Permitee or Agen Receipt No./ 3 21.2 A? 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. DRE 1M. F/OF PUBLIC WORKS By . Date /7 S_ permit expires Date �� BUILDING Owner' 3,� . SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address (J . ,Qd 6- 3 /j' [J 114� Telephone No. Fireplace Contractor ow f,-( (, a Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 3 �L�y Gy 0 rim . PLUMBING No. @ FEE PERMIT FILING FEE $3.00 — LiAv,—Q • 5 h Each Trap 1,50 O,= U Repair drainage or vent piping 1.50 Water piping 1.50 Each gas/Nater heater or vent 1.50 /,6i -- p A. P. No. 9 Zoni ng & Planning Gas piping system 1 - 5 outlets 1.50 S� Each additional outlet .30 Fbe4 W. Serti4a4iorr I Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Improvements P Lawn sprinkler system 2.00 P1a"-j-R'ei-r'd Parcel Approval Plans Approval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl.'1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more than 12) Single Family lz Duplex ❑ Mobil Home ❑ Others ❑ Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures Receps., switches & fix outlets 20 P 25 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 style of: Hood, Ex. Fan or F. A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring BI am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ WORKMEN'S COMPENSATION INSURANCE 1 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 Js 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 Cooling Ventilation Hood 2.00 Permit Fee $ $ 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 TOTAL PERMIT FEE $ authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. X eh"m'... n�—gate 74J Z Signature of Permitee or Agen Receipt No./ 3 21.2 A? 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. DRE 1M. F/OF PUBLIC WORKS By . Date /7 S_ permit expires Date �� PERMIT NUMBER - B 2887-72B,P,F P E l M i PERMIT EXPIRES OWNER Conrad O'Brien(. CONTR• owner LOCATION (A.P. 26-18-13 s/s Kennilworth 300' west of Melvina, Palermo COUNTY 'OF BUTTE Department of Public Works BUILDING INSPECTION RECORD s - Zoning Setback " '' Forms Foundation Piers & Girders Fireplace Rgh. Plumbing Bond Beam Lath & Plaster Rein. Steel Gas Piping & Test Found. Vents Framing Plmg. Topout Rough Elec. Wtr. Htr. Furnace Kitchen Vent Firewall Garage Vents Sanitation & Water ELECTRIC GAS BUILDING Temporary Temporary Cert. of Occup. Final Final Final DATE REMARKS OR CORRECTIONS COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS ` 7 County IlCenterBrive - Oroville, California 95965 Q Telephone: 533-1230, Ext. 259 1i$-7 '7,� APPLICA 1ON AD PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t e - X Date � � Signature of P mitee or Agent Receipt No. Q � 6% 7 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 beenVjd. , DIRECTOR OF PUBLIC WORKS By Date lc -1 i -7 Building Permit Expires Date BUILDING Owner C r SQ. FT. OCC. BUILDING VALUATION Mailing Address Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee &/or Penalty Permit Fee $ Building Address PLUMBING No. @ FEE PERMIT FILING FEE $2.00 J. <QQ Each Trap 1.50 t 00 Repair drainage or vent piping 1.50 Water piping 1.50 Wd Each gas water heater or vent 1.50 , d7Q A. P. No. Gj - -1 Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation 0dk�+ Planning Building sewer 5.00 �v� Plan -`- Fees / W. G. v R/W Encroachment Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ OTHER ❑ Permit Fee Q0 $ 9G a ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 , CJ Main service incl. 1 meter , pd Additional me ach 1.00 Sub-panel2'or le (more than 12) USE OF STRUCTURE Single Family Duplex ❑ Others ❑ Range, dryer or water heater 1.00 Oven, Cook -top or space heater 1.00 Light fixtures % d Receps., switches & fix outletskbal ,O O 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 style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Misc. wiring License No. Classification i am exempt from the Contractors License Laws of the State of California. Permit Fee 00 WORKMEN'S COMPENSATION INSURANCE 1 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. ElI 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 r PERMIT FILING FEE $3.00 Heating Cooling Ventilation Permit Fee $ $ 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 Prstr�mentotionirp Strong $0.07/$1000 Evaluation $ ,O TOTALY PERMIT FEE �. $c3'%• D authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. t e - X Date � � Signature of P mitee or Agent Receipt No. Q � 6% 7 White-D.P.W. — Pink -Inspector — Goldenrod -Assessor — Yellow -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 beenVjd. , DIRECTOR OF PUBLIC WORKS By Date lc -1 i -7 Building Permit Expires Date m RESIDENTIAL JOB Sig r-- 26LD-11D .�i8l-29 BURNS, Ronald 2139 Kenilworth, Oroville (repair foundation/sf) J=OK O = Not OK = Not Applicable = Not Ready RFES.IDENTIAL (Single & Duplex) - Date UN ER OOR Plans OK except #'s Date FRAMING (Continued) oning-Setbacks-Easements-Flood-Slope 45. Hangers -Post Caps -Anchors -Connectors 2. Ftg., Main; Soils-Elec. Grnd.- " Ftg. Depth 46. Ong. Joist-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 5 vtemwalls, Main; Steel -Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions NL_6- Stemwalls, Garage; Steel -Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 6. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation 60. Infiltration -Walls -Windows Date-ZDatQ-Z Card B Date Card B-1 Dat Card B- Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test, First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting 65. G.F.I. & Bath Fixtures & Tub Access -Spa Date Card B71 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67. Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; ClearancesMearth 22. Fixture & Transformer Clearance -Ins. Protection 69. Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive ❑ Yes 0 No; Walks 0 Yes 0 No; Planters O Yes C1 No Date Card B-1 Date Card B-1 81. Stucco; Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date MECHANICAL (Permit) OK except #'s 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan; Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card B-1 39. Sils, Proper Material & Anchors Date Card B-1 Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card B-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit job site) (NOTE: An entry must be made 4 O O = Not OK =Not Applicable ' = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O Concrete 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 4. Water; Location -Test -Easement Needed (Sketch) 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Carports; Windows -Doors 6. Gas; Location -Test -Wrap: / /" L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Electric 7. Utility Clearance 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s Card B-1 Date Card B-1 1. Zoning Requirements -Setbacks Easements Card B-1 Date Card B-1 2. Footings; Size -Spacing -Marriage Line POOLS (Plans) OK except #'s 3. Gas; MH Test -Demand -Valve -Connector 1. Setbacks -Easements 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. Soils; Compaction -Structure Stability 5. Drain; MH Test -Fall -Flex Connector 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 6. Water; MH Test -Regulator -Connector 4. Elec.; Receptacles and Lighting, Distances-GFI 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. Elec.; Pool Lighting; 15 volts-GFI 8. Gas and Electricity Tagged 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 9. Exits; Insp.-Sketch 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 10. Cert. of Occupancy 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane Iboards- Ins. to Main in Conduit Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 1 MISCELLANEOUS Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes- Enclosures- Pane Iboards- Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 026-181-029 ZONING BUILDING PERMIT OWNER - Rnnnld Riirnq agent TELEPHONE 589-0198 S0, FT. OCC. BUILDING VALUATIO DWPf1601ALee School Cross Rd., Wilton, CA 95693 CO TRACTOR'S NAME �wner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 10.00 ARCHITECT OR ENGINEER None LICENSE NO. Plan Checking Fee $ 15.00 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 2139 Kenilworth, Oroville Permit fee $ PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTURE 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 ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: replacing section of foundation to _ be placed over filled septic tank Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 19 linear feet of foundation Main service 600V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): ❑ i am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Pro`essions 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- ontract- ors. ors.(Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. DWELLING OCCUP.8d OR ADDNS. ( ACC. BLDGS. f 21/20sgft NEW CONSTR. MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS & (SINGLE OUTLET CIR. ) Ex. Occup( OR FIXTURES 20060Q SAL®so FIXED ARLNS. Ex. Occup. OUTLETS PRESID IREA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in.any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Ap0,A Date-�'1 I Signature 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 $ occ CONST TYPE $ 35.00 TOTAL FEE E $I HAZ CUA PARK SCHL ,,,ej FT PAR PD HD Iss cion permit is nerButte Co issued under sions of the Butte Count Code and/or work indicated above for which fees DIRECTO OF PUBLIC BY / PE EXPIRES Date the applicable to do resolutions to do have been paid. WORKS Date (� 'Z-�_ 7 Receipt No. 84949 WHITE-D.P.W., YELLOW-ASSCSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT '(� fi+>,,.�-'ri-�r""1-r/�a,•.' ysY-r1"''�'ri`1s`�-`...:-��'�*r'�r}'Y`�`�'�''t'�t°""�"i`'1r''inu'�1/���yXi1Ja-� / Tr''�i-�`'r1(�' '"'"=:tt i�`t..� '`'" ,t, � COUNTY OF BUTTE - DEPARTMENT OF P,g,BLiC WORKS - BUILDING DIVISION . a � w 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 PERMIT APPLICATION DATA SHEET Permit No. OWNER fill d 6ukr A. P. No. 4Z�-�81-OZ9 Proposed Building Use _ .��Ll/1')G�G�.CdY)/Gf-�JGGf/1 Building Inspector 6W Date r At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED *Allitems have been submitted . .................................... Plot pl s inALIplic le/triplicate, signed-by_preparer of plans........ eC plete plans in duplicate/triplicate, signed by preparer. of plans .: Z omplete engineered plans and calcs, with wet signature on plans .. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation instructions....................................................... 10. Fees of $ ........................ 11. Chico Urban Area fees paid ....................................... 12. Park fees paid .................................................... School District fees paid .............. I Sanitation approval from 09-0 Health Department City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... PV Certificate of Workmans Compensation Insurance .................. Owner -Builder Verification (Given to owner ❑, Mail to owner..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... . Letter of signature authorization ................................... >—q'q 26. 27. When you issuermit, process as follows: Mail to owner. Mail to contractor. Telephoneand hold for pickup at Oe0 office. Deliver w/inspector. Other -5 3-3 Applicant V .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 t pe it issuan e: (Circl ne i m not checked above). 1. Index permit for above items No. 2. Additional items required: Contractor, designer, owner, was advised of above required data by one _counter by�a Contractor, designer, owner, was advised of above required data by_phone_mall_counter yDAI_ date Plans checked by Date Plans approved by Date Sets of plans on hold in File cabinet AP folder Copy—DPW i TO Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Omer Location AP# Plan Approved for: Sewaqe Disposal Hold final for: ^incl clearance O.R. for: Clearance for bedroom mobile home. O c.� NOTE * * Sanitaria.. Water Supply Water Supply add( ,Water Su pply Other Ci d d ( COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 014NER-BUILDER VERIFICATION Attention Property Owner: . An 'owner -builder" building permit has been applied for in your' name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing -and issuing your building permit. No building permit will be issued until this verification is received. 1. 2. 3. I personally plan to provide the major labor and materials for construction of the proposed property improvement (yes or no) I (have/Nave not)signed an application for a building ermit four the proposed work,��,� .; I have contracted wfo ing person (firm) to provide the proposed construction: Name i' r AddM. ity Phone f' =ter- Contractors License No. 4. I plan to provide portions of this work, but I have hired the following person to coordinate, supervise, and provide the ajor work: Name 4 -T. 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 : Prop Soci 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 per- mitted to issue the permit: I aff 4:r_:�z - (9 (_ zI_ 9 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 Ronald Burns DATE January 15, 1991 12601 Lee School Cross Rd. Wilton, CA 95693 RE: building permit application #25-91' A.P. # 26-181-29 With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / / We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer: Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. OTHER Engineered plans are required due to building over a fill: Should you have any questions concerning the above, please contact Dave Wasne of this office. Yours very truly, William Cheff Director of Public Works JFG/aj J.F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 DATE 4(1 —m—T RE: Pvrca vz, PeR,KL,- A*_-2S_cll A. P. # _:Z6—X81,_Zc? With reference to the above subject: / / Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER / /'We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way, Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner-Build.er Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. /.=1M. WE Should you have any questions concerning the above, please contact a i of this office. Yours very truly, JFG/aj William Cheff Director of Public Works J.F. Glander Chief Building Inspector 7 COUNTY CENTER DRIVE .747 ELLIOTT ROAD 196 MEMORIAL WAY PARADISE, CALIFORNIA CHICO, CALIFORNIA OROVILLE, CALIFORNIA FORNIA . 872-6308 891-2727 538-7281'. BUTTE COUNTY DEPARTMENT OF PUBLIC-HEALTH DIVISION OF ENVIRONMENTAL HEALTH SEPTIC TANK INSPECTION CE TIFICATE The Septic Tank System 'was Installed at c3 FOR SEPTIC TANK LE E AC ' NG FIELD Length ft. Size Gallons Width in. Material No. of Lines Rock Un er Tile in. The above dimensions meet the minimum requirements of Butte County Code, Article 19. Additional leaching area will be required if experience shows it to be necessary. Remarks: 6 Date Sanitarian S2 -778R 6 6 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT nn =t " WAHLEL NUMBER ZONIr�IUG 0av– 181--J0�2-9 TELEPHONE nn f ,' ,�j(y� �' ^ 5 $q - 019 8 OWN R�O�ILING AQOF�ES CIM � WLUM,cA 95(93 CONTRRA��CTTO��R'SS NN•'AM`Ew/Vll CIM I BUILDING PERMIT=-------.--. . SO. FT. OCC. BUILDING VALUATION 1 VWrWI TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace C Total Valuation $ CONSTRUCTION LENDER UNKNOWN LENDER'S MAILING ADDRESS ARCHITECT OR ENGINEER LICENSE No. Filing Fee $ 10.00 Permit Fee Plan Checking Fee $ �� ab $ ARCHITECT OR ENGINEER'S MAILING ADDRESS BUILDING ADDRESS Energy Plan Checking Fee $ Penalty $ Permit fee $ tJb PLUMBING PERMIT Filing Fee 10.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each Trap 2.00 Solar or heat pump water heater Water piping 20.00 500 Each qas water heater or vent 5,00 USE OF STRUCTURE SF [I Duplex[] Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New ❑ Additicn ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe work: 19 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 i Main service 1000 AMP ORV OR LESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): El 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 F11, as the owner, Or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L too AMP 2.50 NEW CONST. DWELLING OCCUP.tr OR AODNS. ( AGC. BLOGS. '/z¢sgft NEW CONSTR. ULTI-OUTLET NON-RESID BRANCH CIRC ITS 2.50 ea _ (POWER APPARATUS SINGLE OUTLET CIR. tr) Ex. Occup(OUTLETS OR FIXTURES TO 50C e ALO 30gt EX. OCCUp. FIXED A P PLNS. OR OUTLETS (RESID.) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee s WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating 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. I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Signature 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 $ occ CONST TYPE 6D FEE $ — PL?t HAZ CUA FLD PAR PO HO ISSUE Th;s permit is nereby issued under sions or the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. -it 849�Tq WHITE-D.P.W.. 7ELLOW•ASSE330R, PINK -INSPECTOR, GOLDENROD -APPLICANT Robert C. Brooks, RCE 15140 3778 Hilldale Avenue Oroville, California 95966 February 1, 1991 Butte County Building Department 7 County Center Drive Oroville, California 95965' Dear Sirs: Enclosed are drawings of the proposed foundation for an additional room at 2139 Kenilworth Avenue in Palermo, for Tony and Donna Pero. An abandoned septic tank lies under the foundation location, and it has been cleaned and backfilled with crushed aggregate. Most of the foundation i.7ill lie on the walls of the tank. This foundation will be adequate to support the load of the room. The house and tank were built in the 1950'x. Pictures of formwork are also enclosed. If additional information is needed, please let me know. Very truly yours,