Loading...
HomeMy WebLinkAbout027-040-016v I 27-04-16 Bill & Betty Braun 6652 Braun Lane, Palermo contr:William Stathe"m, Oroville Permit #1879-79B,P,E(add bathroom closet/SF) WA2h9 027-040-016 PERMIT#97-1853 BYERS, Bob & Shirley 178 Stageline Rd., Oroville Cont: Selig Construction {'i"�` Vinyl Siding/SF L1a�� 027-040-016 • 05-3107 BYERS, BOB & SHIRLEY 178 STAGELINE RD, PALERMO Cont: GREENE ROOFING HVAC )� {`�/� l {� �(��J /N'1�JtLL gZLi f B AUN, W. E. 1032-70B'!�� - OD & (G 90 oZ°ocua� CJ 862- OR `ae.� -OLS-1' aRP P. 3%. mi . ff e/s Citrus Ave. jus norl of� Bohemia, Palermo { r' (new single family)��� / I BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE M (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.netldds PERMIT NO. BPO53107 LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witti Section 7000) of Division 3 of Issued Date: 11/18/2005 APN: 027-040-016-000 the Business and Professions Code, and my license is in full force and License lass :C-00 C ✓ O License Numb))e � 3-3 Site Address: 178 STAGELINE RD PAL , Date) l 0� Contrac . L% Map Index: Description: HVAC REPLACEMENT OWNER-BUI ER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a Owner: BYERS BOB R & SHIRLEY JT ' permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, -also requires the applicant for such permit to file a 178 STAGELINE RD signed statement tHaihe or she is licensed pursuant to the; provisions of ROV OROVILLE, CA the'Contractor's State`License Law (Chapter 9'commencing with Section 7000). of -Division 3.o( tfie Business' and Professions Code) or that he or , ;95966 she Wexempt therefrom'and the basis for the,alleged exemption. Any ., violation. of` Section'7031.5 by any applicant fora permit subjects the -to applicant a civil, penalty of not more than five hundred dollars ($500).): O I, as owner•of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not ,.,jntQnded,of,offered•for,sale„(,Sec,;,7044„Business and Prgfessions .....,Applicant:, GALLAGHER'S HEATING &-AIR + Code: The Contractors'•Slate License:Law does not apply to an PO BOX 35 owner. of. property who builds or improves thereon, and who does such work himself or.herself or,through his ocher own employees, provided that,such improvements are not intended or.offered for sale. If however; the'buildirig or improvements are sold within one LOS MOLINAS, CA 96055 year of completion, the owner -builder will have the burden of 800-892-3556 proving that he or she did not build or improve for the purpose of sale.). O ,,,I, ,as .owner, of, the,, property, ,am.. exclusively contracting with licensed contractors'to construct the project (Sec. 7044, Business -and Professions Code. The Contractors' State License Law does Contractor: GALLAGHER'S HEATING & AIR not apply to an owner of property who builds or improves thereon, PO BOX 35 and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law:). O ,.) am. Exempt,under Article 3 of the Business and Professions Code LOS MOLI NAS, CA 96055 800-892-3556 Date: Owner: License #: 777334 14,VORKERS' COMPENSATION DECLARATION I hereby affirrn.under penalty of perjury one of the following declarations: ❑ . I 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 Architect: AS issued. ;_ Engineer:. 1d I. have and will maintain workers% compensation insurance, as required by.Section 3700 the Labor Code, for the performance of the,work for which this permit is issued. My workers' compensation insurance carder and p�oliicy� numb r are: �l Carrier: 1 W 1 l Total Square Ft: 0 S. F. Valuation: $0.00 Census Code: Policy #: I �� �SJ ❑ I certify that in the Iperformance 'of'the-work for which this permit is issued.1 shall not•employ:any person in any manner so as to (►/ /1j /�/ become subject to the workers' compensation laws of California, ter' 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. . J (J .. ` Date:, . WARNING: Failure to' secure"Workers"'compensation coverage is unlawful, and shall subject an employerto criminal penalties and one hundred 'thousand dollars ($100,000), in' addition to the cost of compensation; damages as "provided for in Section 3706 of the Labor .code, interest, and attomey's fees, . CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte County Code and/or 1 hereby affirm that there is a construction fending agency for the performance of the work for %which this permit is issued (Sec 3097 Civ.) Name: Resolutiorls to do work indicated a ove fo which fees have been paid. B g as Y Date: PERMIT EXPIRES ON: (� Da Address: ❑ I hereby certify that,the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and.use of hazardous materials. O Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. O Attached are copies, of the required E.P.A. notification forms. I hereby certify,that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo or document of Butte County. I hereby authorize representatives o'ft/Butte to enter upon the above mentioned property for inspection purposes. a 'County AAAA J Lau, -- Print Name: • Lr V�` l� Signatur . Date: �' O 13 Owner 13 Contractor O Agent for Owner fd Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REO UIRED AT TIME OF APPLICA TION Website: www.buttecounty.neUdds **PLEASE PRINT CLEARLY** APPLICANT NAME Name - , OWNER Last Name first Name. Address City City State State Phone Zip Phonec (`;bqa V fax E-mail u APPLICANT NAME Name - ARCHITECT/ENGINEER Name Address Fn E621L4 '35 Address State Cn _ l�t�f City Phone State Zip' Phone Page Fax E-mail State License Number APPLICANT NAME Name - AP# Oa ►� - 01 12 r' Address Fn E621L4 '35 city i State Cn _ l�t�f Tip Phone Fax E-mail AP.PL.JqANT SIGNATURE NMI, M. For office use only: AP# Oa ►� - 01 Zoning Ebb ro v ► l Flood Zone SRA res I No Occ, WORKER'S COMPENSATION Type Const. Subdivision Name N htring anyone other than license contractors, a certificate of worker's compensation must be shown at the time o/permit Issuance. Map Book Page Lot # Planner Date Approved: PERMIT NO. BP Q5-3 /0 BIN ti LOCATION AP# Oa ►� - 01 Pr rt Addisk i , 1� l� Ebb ro v ► l Cross Street WORKER'S COMPENSATION Policy Number 3 Carrier _Q_a+c� N htring anyone other than license contractors, a certificate of worker's compensation must be shown at the time o/permit Issuance. LENDING AGENCY Name Address Des s tion or Scope of Work: 444 A G Sq, Footage ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a now application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: Amount: Bldg r� // SRA Receipt `t"��`j�/ Sheriff I Date: SMTP Other • r _. •027-040-016 BYERS,ERMIT#97-185BYERSBob & Shirley 178 Stageline•Rd.$ Oroville } Cont: Selig Construction Y Siding/SF 0--�f ff ' r N• A • a • t i 1 r r•. COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES- BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 54�� / PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT f ASSESSOR PARCEL NUMBER 027-040-016 ZONING B LDING PERMIT OWNER BOB L'e SIR ST U, �e 1 ICliil BYERSD I47 TELEPHONE SO. FT. OCC. BUILDING VALUATION 111,700.00 OWNER'S MAILING ADDRESS 1713 STAGELINE RD OROVILLE• 9596.6 CONTRACTOR'S NAME SELIG CONSTRUCTION TELEPHONE CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS ' Total Valuation $ 11,7U0.010 ARCHITECT OR ENGINEER LICENSE NO. —Filing Fee $ 20.00 Permit Fee $ • ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan Checkiri Fee $ BUILDING ADDRESS 178 STAGELINE RD Energy Plan Checking Fee $ OROVILLE, 95966 $ PERMIT FEE $ J• LOTNO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 0 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK V New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0' Describe Work: VIPtYI. SIDING Gas piping system 1- 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 LESS Main Service zo.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect. `License Class Lic. No. % �� l �� 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 Main Service 200A TO I000A 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( &ACC. BIDS. 3 5QS0. FT. NEW CONST. NON -RES DMULTI-OU . TLETRCUT. 97,50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. OUTLET OR FIXTURES BAs@ I.50 Ex. Occup. OUTLEEDTS REESSID.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. lisd I 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,a d_ policy number are: Carrier PeT 1 iJ , If i Policy Number Y4 {/ i/ / s Ps (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 fo,ahwith qdmply ith Pse provisions. / 9--4 X. �/L. t ,�_a�Date Q —4 frr— �%, 1,,,i nature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEES 155.00 HAZ. D. FEES IMP I FLOOD I COF PARCEL PO HD IS 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 PERMIT EXPIRES ON aro provisions to do work paid. Receipt No. ��{ WHITE-D.D.S.-B..D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DI ION • 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538- 4 PERNO. (Rev. 12/96) APPLICATION AND PERMIT/9S­:!3 ASSESSOR PARCEL NUMBER 027-040-016 ZONING B LDING PERMIT OWNER BOB & SHIRLEY BYERS TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 178 STAGELINE RD OROVILL•E, 95966 CONT. CONTRACTOR'S NAME SELIG CONSTRUCTION TELEPHONE ' CONTRACTOR'S MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace 1,7AR' Total Valuation Is 11,700.00- CHITECT OR ENGINEER ARCHITECT LICENSE NO. Filing Fee $ 20.00 Permit Fee s 135.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 178 STAGELINE RDEner gy Plan CheckingFee $ OROVILLE, 95966 $ PERMIT FEE $ 15 5 . LOT NO. SUBDIVISION'S NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF 13 Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 1� Describe Work: VINYL SIDING Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Filing Fee 20.00 600OR LESS Main Service 200A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in II force and effect.` //O /� License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ 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 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' m� tion in uran carrier d policy number are: Carrier >'I 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.) ,01 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 workerscompens ' p ovisions of section 3700 of the Labor Code, I shall fo with mpl ith a provisions. G X _ —S� Date a �p�� " nature of Ap icant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Main Service 200A TO t000A 46.00NEW CONST. DWELLING OCCUP. so OR ADDNS. ( & ACC. BLDS. 3.50FT. NEW NON -R SIIDT S.MNLCTI OUTLET @7.50 POWER APPARATUS b SINGLE OUTLET CIR. EX. Occup. OUTLET OR FIXTURES BAL �',SO UFITX Ex. Occup. OEjF,g gFNSIp.OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ coNsr. TYPE TOTAL FEE $ 155.00 HAZ. D. FES IMP FLOOD CDF PARCEL p0 HD ISS 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. By Date U lakl i PERMIT EXPIRES ON efe Receipt No. E WHITE•D.D.S.•B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD APPLICANT (Rev. 12/96) COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ©Xy `o 0— V ZONING BUILDINGPERMIT OWNER /� ��LJ �Mv�1 i� i r-,�, TELEPHONE SQ. FT, OCC. BUILDING VALUATION OWNERS MAID DRESS C - VL / CO RACT S NAME TELEPHONE ' CO TORS W60NO ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS ' Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. —Fling Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS - Plan Checking Fee $ BUILDING ADDRESS I f Energy Plan Checking Fee $ Y�$ PERMIT FEE $ S L.OTNO. • SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF �\ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ IRemodel ❑ Utilities ❑. Installation ❑ Other � Describe Work: V r ' \ Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 020.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '.0.v oa mss 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class Lic. No. OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ [,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 WORKERS' COMPENSATION DECLARATION I 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADONS. ( & Acc. BLDs. SO 3.5Q FT. RESIIDD T. MULTFOUttET 17.50 POWER APPARATUS 8 SINGLE OUTLET CIR. Ex. Occup. CUTLET OR FUTURES SAIL @':50 MP I'S D.o� Ex. Occup. DUTLEEOrS 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 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 these provisions. X _ _ Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'0" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 'du �HAZ. D. FEES IMP I FLOOD CDF PARCEL PD I HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have By PERMIT EXPIRES ON the applicable provisions Resolutions to do work been paid. Date Da,B Receipt No. _�� ��� WHITE-D.D.S.-B.D. CANAR -ASS SSOR PINK -INSPECTOR GOLDENROD -APPLICANT This is to certify that has s authori ation to sign for all permits at /18 K A for Selig Construction. License' x711042 'Class B California Indemnity Ins. Co. SCO L lig V� State of California County of 1,U —% -r Binder No 6653 Policy No N5043317B On before me, �ucrF•r-H P, .;,a personally appeared Scor proved to me -on the basis of satisfactory evidence to be the person whose name is subscribed to the within instrument and ackno,,,ledged to me that he/ -sem executed the same in his/1=:==• authorized capacity, and that by his/1=•_ signature on the instument the person, or the entity upon behalf of which the person acted, executed the instrument. i'iITNESS MY HAND AND OFFICE SEAL. Signature _ �'l. J. LAMBERT III n ' �• CO.%.1N1. / 1109367 -i t MOTA;Y PUd lC GJFOR�'Jl (/j � COUNTY W • ". OF BUTTE keyOr,-- NtcSipl.?0,2000' 3851 Morrow Ln., €7 Chico, CA 95928 • CA. L icense r 711042 • (916) 893-58)98 r� r li$� 1873-79B P E Jt L'ERMIT NO. ' ' t PERMIT EXPIRES f f OWNER _ Bill & Betty Braun CONTR. William'Statham, Oroville LOCATION (A.P. 27-04-16 ) z 6652 Braun Lane, . t A:• s r rf Temp. Power Pole } Called PG&E Temp. Elec. Serv. Called PG&E iTemp. Gas Serv. Called PG&E { /JB O v FINALED (Date) COUNTY OF BUTTE = DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION -RECORD BUILDING IBUILDING (Cont'd) I PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows 3rd Floor Stemwall Siding To out : - Slab Roof Sheathing Water Piping Piers CL, -1(/--7q Roofing Sewer Garage Fdn. Vents Fixtures Footin s Stemwall Garage Vents Insulation Water Htr. Heaters Slab Carport p Footings Prov. for phsically handica e. Conformance of ex. structure 4 Appliances Gas Piping & Test Temp. Gas Slab Final4242-1 Sanitation Patio FIREJ/LAC6 Final �Z Footings,/ Footing ECTRI AL Masonry Walls Throat Rough 5 Reinf. Steel Final Fixtures Bond Beam FIRE PRINKLERS Motors Framing Test r Water Htr. Stucco Final Subpanels Mesh I MEfCHANICAL Grd. Fault Prot. z2 ° Scratch Heating Service Brown Cooling Temp. Pole Finish. Ducts %% 77 Underaround Door Closer I Final Final z Z now MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal Water Piping Sewer Gas Piping E OME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR CORRECTIONS 70 &a,vTiNcrE �XG.,EPr �`=o,L'. �ov��iivy ��iv,�ic/y' 111444-1-s 17- '7 7-7 a �� (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - 5 le, California 95965 Telephone: 534-434-4541 APPLICATION AND PERMIT , QUUIVI_V IVFIVOVIIwlivw VI I. IV VUUIILY UI OUIIV IV VIRVI U1JV11 UIC above-mentioned property for inspection purposes. V,/ i. 'a M 4Xr . �e� Date y/3/75' Signature`'of Pe mee or Agent / Receipt No. r&' �77 3 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 - B (ding permit expires Date BUILDING Owner ��L �� SO. FT. OCC. BUILDING VALUATION Mailing Address (a�pS2 11J Ll�I , 020 v�LL� CiS. Telephone No. Contractor==§i�Twpsm _iAmGO S Mailing Address—! a Fireplace Total Valuation Telephone No. -p 7.o 9 Permit Fee Building Address 665 2 Qk41-•N Plan Checking Fee&/or Penalty Permit Fee o? .� N s :PRIa 6a PLUMBING No.1 @ I FEE 20oal WX-5?,Each 'rRAc f � PERMIT FILING FEE $3.00 3.00 Trao 1.50 Repair drainage or vent piping 1.50 A. P. No. P -7•-O l6 Zoning 8 Planning Water piping 1.50 Each gas water heater or vent 1.50 s C. S t ion Fire Dept. Fire Zone Use Permit Gas piping system 1 -5 outlets 1.50 EQA Parking Plans arcel Declaration Parcel Map 60' R/W Improve ents Each additional outlet .30 Building sewer 5.00 BI lana Recd Parcel A royal Planspproval Lawn sprinkler system 2.00 NEW ❑ ADDITION ® UTILITIES ❑ OTHER ❑ Permit Fee $ 00 $ OC C 1-65 ELECTRICAL No. @ FEE 00 PERMIT FILING FEE $3.0000V OR Main service 100 AMP ORSL ESS 5.00 Single Family JZ Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADO'L 100 AMP 2.50 Main service OVER 600V 25.00 100 AMP OR LESS Main service EA. AOD'L 100 AMP 1.00 NEW CONST. // DWELLING OCCEl OR AODNS, l ACC. BLDGS.0120sgft ,3,60 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:OIL NEW CONSTR BRANCH ITLCIRNEW CO ID `BRANCH CIR2.50ea NEWCONSTR. /POWER APPARATUS 8 NON .RESID. \SINGLE OUTLET CIR. Ex. Occup{OUTLETS OR FIXTIIRES 50@25¢ BAL@1 E x. OCCU FIXED APPLNS. OR p• OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No.�4 Il -5_-V 7 Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ 6.0-0 $ -o 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. VI 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 Cooling Ventilation Hood 1 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 Land Development Fee $ TOTAL PERMIT FEE $ QUUIVI_V IVFIVOVIIwlivw VI I. IV VUUIILY UI OUIIV IV VIRVI U1JV11 UIC above-mentioned property for inspection purposes. V,/ i. 'a M 4Xr . �e� Date y/3/75' Signature`'of Pe mee or Agent / Receipt No. r&' �77 3 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 - B (ding permit expires Date ' NOTE:—All Materials & Worl:mcnship Shall Be in �' l•`I-�'I- - .� :w... f...� •t u� - ..:. •+. ,--i ~' Q:-��}t'-s. a'i'. i�� ..p. �'^',r T�t�. i.... �'��`i'�. ..d.- <of a"qu:ll,y' prtrc.i.;5_ ,or tqe.- ,Sa �"icci- e' m f. e i �1'nr�trrm $e:i,dL,r, Plum;i1 g t Wec;11Gnic0'I Codes jrtd the National Electrical Code. This set of plans and specifications MUST be * -ifts:t "t.n v d4116f �tey rl'r 1,00s cf �� �� � '� '� S'ik�E�tE�ID�ITIAL ENEI���REt�UIREMEN' ........... sq. ft.,2.01'3PPQDegree Days, and 3P.._. isolation: Glazing: Slab edge - - - - - - R -4;- Single -allowed; Fdn. Walls - - - - - R -A- _ Singi--acluol; Floors - - - - -- R -&- S_.' - - ------lfj�-- - -- - Walls - - - - - - - - R //•DO _, N� :•moi -allowed; SNI. ui�3c.uaI; Ceiling/Roof ----- R D- Vapor barrier .,'CCirculating pipes - . - PfE Mq *L _ Mfg. Wds. &- Drs. Ducts Table 10-D,U.M.C. _ Swinging Doors Hf g. & A.C.: _ Exhaust Fans Type AIA ` _ Gas Pilofs BTU Max. A1.4. _ -All Appliances 1„ /'fr. Hf •. Type N A • Other: for-Ais building esion Temo. Bret . ft. � o . ft. .;ftt rey� ' cert. & labeled r, r!�"i..(r"'.""-:y' a}eg'�'7""p•'� �1'�'�""'"=.:a•''t.'�:�'.;{?'j '''�."r°"-.;''`a';F-7.t."��',` ''W.s.�;"rr PROVIPe MEc*#*- NA 11Ao C7t%/Z65 VC -Ah L4770AJ IA/S 790 OaS. wild- ; - .Septic sys•I•em and tocat on o • - inv drain stub -out -10 bper {a.T! iCounty- Health Dopf.' IP t t '- i� - l 1.. ri '�;..i1. - {_ -�/� _�J` � !�} �2��l �.QN 7 C.� �i_ �k✓i.��� it�5 .��`� -Vz)S - The B2g.'Set6eck shall be 5 ft: from -fine i —? "7 �- ' i .; -.. ;ide.prope:ty line and 5U ft,'from tl1@ -I - ;�- 1- , __ i t_'�`�� '.}i.._ },- ' terrfet.me of fhe 'road, ermitting q maxi- E~ - - .. % / } �` ,` ^ ^"Ye t. ' k ; %/ intttt%o a 2 f' eaveaverfiang Eiut entirely`1� ,-,:. •- - x Y „�_:,. , _� j U� 3,2 - t i •3•-J t. - { - - 1 �`- ' v.�:•. _'��� 4t 1� 'tr#�e".1i�t..i._ i� ��.�. V,1XIJL: t --y�Al _- '47� - OU#•'Of aRieasemen#s, -#R {e` -t ' t y •t F .� 7^ .! A t'• 1 y ' -f 'r�7 all-..+ �('��,•. �' -!.. '}. ,e - "'• {# " { ��l •,.t 2a �"> r , �. ,j L '' ._, i , � �` 1. , t •1 � v t ��`t .! '- ^ � �" 4} i r...X•, t � :... r - } ! '` ;y t __ �. 3: w..� t...... �" i' `7 __s a._ �i .._'` .. - ' t .i i.. _ .. �_•1 -. 7 "j';'a�i.'..y-..�`..�,, ;-f. yy""•r.,"y".:,A 't_"� :'.`f. ,. ,�s..-_. ,.�•e....._.'��-''`1'r�:` �;�.,•�r, -i ="-- �'t `l' ;' r„*'.� 1 4-4- K: sd:.� i ~ti i;, .''Y• c.. �L _•t s. S +�' t! '.r•' ,�+.jar`.^,'.. i' ,.!"N -'}•_:-f- .9 •P� '(: ' i�r t • `4 •orf ft,ll.. ...?.r , •�:J T _ADA _ _ �.:. /.i-..G.=fk• <... .... h 1: - . t} .. ....iaii art Mpg known 11�11 10A 0,-':: .- , pin. .'V —V f4 Butte County Department of Development Services. �urrE aaea N ® T E S' 7 County Center Drive, Oroville, CA 95965 (530) 538-7601 wwv.buttecountynetidds �OUNty RESIDENTIAL APN: Permit No. Owner. 027-040-016 OS -3107 i BYERS, BOB & SHIRLEY Site Address! 178 STAGELINE RD, PALERMO Cont: GREENE ROOFING — — - - Contractor. HVAC 1 Type of Permit. - — — — -- — —'— No DJ d pgfae r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: j c RESIDENTIAL APN: Permit No. Owner. 027-040-016 OS -3107 i BYERS, BOB & SHIRLEY Site Address! 178 STAGELINE RD, PALERMO Cont: GREENE ROOFING — — - - Contractor. HVAC 1 Type of Permit. - — — — -- — —'— No DJ d pgfae r SPECIAL CONDITIONS CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE DATE JOB FINALED: SIGNATURE: .=OK 0 = Not OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; FaII/C/O-Concrete 4 Wtr; Loctn-Test-Easement Needed -Regulator 5 Elec Loct�-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat ❑ or LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation Q 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE ID E C K S`C O V E R S`C A R P O R T S -G A R A G E S 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs-Cnn ctrs -S hthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; SilIs-An chrs-Stu ds-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls o'� o`s 4.1 o`s DATE IPOOLS 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding-, Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w/5' Crcltng Eqp-Pool lghtg Bokes-Enclsrs-pnlboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test 11 Lt Niche 12 Enclsr, Fencing -Alarms 13 Bonding, Diving board or Slide s` Pool Drawing = OK 0 = Not RESIDENTIAL (Single & Duplex) - DATE JUNDERFLOOR DATE PLUMBING 1 Zoning -Setbacks -Easements -Flood -Slope 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 54 Wtr Pipe; Test & Anchr-Nail Prtctn 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth. 55 DWV; Test Fittings & Anchr Nail Prtctn 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 56 Shwr Pan; Test, First fir -Tub Acc 5 Stemwalls Main; Steel-Blockouts-Wrapped 57 Test Tub & Shwr, 2nd fir - Tub.Acc 6 Stemwalls Garage; Steel-Blockouts-Wrapped 58 Gas Pipe; Sz & Anchrs 69 Hold Downs and Special Anchrs 59 Fire Sprinkler; Test 7 Slab, Steel Wrapped 60 Yard Gas Piping 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test 1.1 Wtr Pipe; Test-Anchrs-RgltrService Test 12 Elec Undrgrnd DATE M E C H A N I C A L 13 Plenums & Ducts; Clrnc-MaterialSupport4nsultn 61 AC Ducts Insultn & Support 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 62 Vent Fan, Exhaust abv Insultn 15 Acc & Vntltn 63 Condensate Drain & Ovrflw, Sz & Grade 16_ Insulation 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic \c` c 44 0 DATE IFRAMING 17 Sills Proper Materials & Anchrs DATE _FF I N A L 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 66 Ext Steps -Door & SideLt Prtctn-Landings 19 Bearing Walls over Girders & fir Nailing 67 Smoke Detector 20 Draft Stop in Walls (rat proof) 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs In Garage; abv-flr-Ducts-Mech Prtctn 22 Headers & Beams-Sz & Bearing 69 Bedroom Exiting 23 Hangers -Post Caps-Anchrs-Cnnctns 70 GFI & Bath Fxtrs & Tub Acc-Spa 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg 71 GFI Arc Fault 25 Frplc Ties or Type A Flue-Frplc Throat Clrnc 72 Elec Trim & Subpnl, Breaker Szs & Labels 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 73 Stairs, Guard/Handrails 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 74 Frplc or Stove, Cimc-Hearth 28 Garage Fire Prtctn Framing -RC Channel 75 Elec Outlets at Wood Pnl, Int & Ext 29 Prprty Line Firewall & Opngs 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clrnc 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 77 Elec Outlets & Rcptcls at Ktchn Counter 31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn 78 Garage Fire Door; Swing -Landing -Closure 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 79 AC Duct in Garage -Damper 33 Siding -Nailing Veneer 80 Wtr Htr; Vnts-Clmc-Com Air Cnnctr-PRV; abv fir 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc Mech Prtctn; LPG Appince Undr House 3" drain 35 Glazing Area -Glass Prtctn-SkyLts-Plastic 81 Plmb; Elec & Mech Eqp Listed for Loctn 36 Shear Walls; Nailing -Bolts 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 37 Brace Int/Ext Wall pnis 83 Insultn-Foam-Looked in Attic 38 Insulin -Walls -Ceilings 84 Guard Rails & Deck Cnstrctn-Post Caps 39 Infiltration-Walls-Wndws 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 Clrnc Drnge Planters DYes [::]No 87 Stucco Brown -Finish 0'`0 0`� 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs 90 Wtr Well, Dscnnct, Elec, Pimb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clrnc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 92 Vntitn thru House 42 Sz Boxes & No Of Cndctrs Stapled 93 Glass Prtctn 43 Romex Installed Close to Edge of Studs & CJ 94 Corrections from previous Inspctns 44 Eqp Grnd made up w/Mech Fstnrs 95 Gas Test -Meters Tagged, Gas-Elec 45 Grndng Electrode Bond Gas & Wtr 96 Wtr & Sewer Cnnctd-CIO to grade -HD Apprvl 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 97 Energy Cmpinc Cert -Other Certs 47 Subfeed Wire Sz ga ❑ CU or DAL 98 Address Posted AC Wire Sz ga ❑ CU or DAL 99 Fire Sprinkler 48 Range Circ ga DCU or DAL Oven Circ ga D CU or D AL Insulated Neutral DYes DNo 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector 41 o'er o` o'er Is,