Loading...
HomeMy WebLinkAbout027-080-019TDI M Rnr i�� MOW Upper Pale _ Permit #740-76B,P,E,M n ngle family) New a�•o8-i9 T5117uritt 712 ��ermo Mtd. Upper al , Pakrmo Permit #3950-76B(add ceiling joists in garage, insulate & sheetrock/SF) ,a7 -0f-/ 9- -- Permit #6300-76B(add carpor /SF) - 27-08-19 Permit #6423-77B,P,E(add porch/SF) 027-080-019 PERMIT#94-2508 STRASSENBURG, RICHARD 7126 UPPER PALERMO RD PALERMO REROOF/SF � - -.. 027-680-019-- 99-1830 STRASSENBURG, RICHARD & CHARLOTTE 7126 UPPER PALERMO ROAD, ORO CONTR: OWNER CONV�RT GARAGE TO LIVI AREA t-, �� / X114 027-080-019 *IFM DELLE, KATHERINE 7216 UPPER PALERMO RDCont: OWNER INSTALL HEAT &A/C SYS s I � X BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net%dds RMIT NO. BP041570 LICENSED CONTRACTORS 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 Issued Date: 06/02/2004 APN' 027-080-019-000 the Business and Professions Code, and my license is in full force and ' effect. License Class: License Number: Site Address: 7126 UPPER PALERMO RD PAL Date: Contractor: Map Index: Description: INSTALL HEATNG & AIR SYSTEM OWNER -BUILDER 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 permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DELLE KATHERINE R & DAVID A,C9 DVA to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7126 UPPER PALERMO RD 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DELLE KATHERINE R & DAVID A,C13 DVA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 1, as owner of the property, am exclusively contracting with �W licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3rof�the and Professions Code �Business Owner: Date: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: 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 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: 'ff I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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. A Applicant: WARNING: Failure to secure workers' compensation coverage is /• unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of r ((/ compensation, damages as provided for in Section 3706 of the Labor�J —� code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p i is h h i su under a applicable provisions of the Butte County Coda andtor I hereby affirm that there is a construction lending agency for the Resol ti s to 0 d f w • h fees ave been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: Date ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 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 form or document of Butte County. I hereby authorize representatives of Butte County to enters upon the above mentioned property for inspection purposes. Print Name: %�Lln� // I / 1 ��C�LU Signatures.--- %' � -,J<6wner ❑ Contractor ❑ Agent for Owner ❑ Agent for Contractor BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 FAX#: (530)538-2140 WEBSITE: www.buttecounty.net\dds PERMIT NO. BP041570 LICENSED CONTRACTORS 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 Issued Date: 06/02/2004 APN: 027-080-019-000 the Business and Professions Code, and my license is in full force and effect. License Class: License Number: Site Address: 7126 UPPER PALERMO RD PAL Date: Contractor: Map Index: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Description: INSTALL HEATNG & AIR SYSTEM Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: DELLE KATHERINE R & DAVID A,CB DVA to its issuance, also requires the applicant for such permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractor's State License Law (Chapter 9 commencing with Section 7126 UPPER PALERMO RD 7000) of Division 3 of the Business and Professions Code) or that he or PALERMO, CA she is exempt therefrom and the basis for the alleged exemption. Any 95968 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does Applicant: DELLE KATHERINE R & DAVID A,CB DVA such work himself or herself or through his or her own employees, provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one year of completion, the owner -builder will have the burden of proving that he or she did not build or improve for the purpose of sale.). 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 not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). Contractor: ❑ 1 am Exempt under Article 3 of the Business and Professions Code Date: Owner: WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for License #: workers' compensation, as provided for by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation insurance, as required by Section 3700 the Labor Code, for the performance of Architect: the work for which this permit is issued. My workers' compensation Engineer: insurance carrier and policy number are: Carrier: Total Square Ft: 0 S. F. Policy #: 1 I certify that in the performance of the work for which this permit is Valuation: $0.00 issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, Census Code: 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.. Date: V ,e, �52. .2- rJ 0 7` Applicant: n—� — WARNING: Failure to secure workers' compensation coverage is lot unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars in addition the cost of for 0 compensation, damages as provided for in Section 3706 of the Labor provided code, interest, and attorney's fees. CONSTRUCTION LENDING AGENCY This p i is h i su d under he applicable provisions of the Bntte County Code anrvor 1 hereby affirm that there is a construction lending agency for the Resol ti s to o d e f w 'Ch fees ave been paid: performance of the work for which this permit is issued (Sec 3097 Civ.) Name: By: Date: Address: PERMIT EXPIRES ON: Date ❑ 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. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ 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 form or document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes. Print �Y�l�� I �i(� Name: A / / _LJ C� Signature. Date: -�<wner 0 Contractor 0 Agent for Owner ❑ 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 REQUIRED AT TIME OFAPPLICA TION OWNER Name Do -v d �-ath e t ­n f;e_CCe_ Address ( 21 U- L1e Y rill) City-phley M U State CA Zip gS 9 b g Phone Fax Fax/ E-mail de -116s 6—D infoStAb'01-2S • 0 CONTRACTOR Name it Name Address el & City &rGf o2, State 64 State Phone Fax 9l,-�,�� E-mail Lic. # Page Class�Z NAME ARCHITECT/ENGINEER Name City,iqL0_r1 U Address Zipy5y6 d� City Fax State Zip Phone Subdivision Name Fax - E -mail Page State license Num NAME IA//PPLICANT Name T _ vi d v­iCGt..them'-p e- _-De-de, Address -1/2-k, U . Y o .71( City,iqL0_r1 U State Zipy5y6 d� Phone53d _5 3 4 —jrj/(o Fax E-mail APPLICANT SIGNATURE X For office use onI Zoning Flood Zone SRA I Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMITNO - ^ D �„ BP BIN # LOCATION AP# 0'7L/" Cl Property Address l/,r!e �r 'DirrJro R,004Z Cross Street l�rro. ORKER'S COMPENSAT N --`— Policy Number Carrier If hiring anyon er than license contractors, a certificate of worker's compensad6n must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or Scope of Work: YtQ /�E.'tztir� �K- ir' �t�iino� �C 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 new 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. by: Amount: Receipt #: '�o lt' 7;z* SRA Sheriff SMIP I I u(e. 04— Total K:\FORMS\BUILDING FORMS\BldgApplSubRgmts.doc Page 1 of 2 REV 4-30-04 SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by. the preparer. NO GRAPH PAPER! ❑ 2. 3 Complete sets of plans;signed`by the preparer. NO GRAPH PAPER! ❑ 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 4. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 5. Letter from Engineer or Architect for truss design review. ❑ 6. 2 Energy compliance design and supporting documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 8. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 9. Sanitation and site plan approval from the Environmental Health Department. ❑ 10. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation -instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, signed by the preparer. NO GRAPH PAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet:signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardous Material Form. Cl 11. Sanitation and site plan approval from the Environmental Health Department. 1 If you have questions or would like ad'ditional'iriformation regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION KAFORMS\BUILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 4-30-04 NOTES t RESIDENTIAL 027-080-019 99-1830 PERMIT NO. —S TRASSENBURG, RICHARD & CHARLOTTE 7126 UPPER PALERNIO ROAD, ORO CONTR: OWNER C y ONVERT GARAGE TO LIVING AREA C�A SPECIAL CONDITIONS CHECKED RV SRA /% FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f _L f t I, V i JOB FINALED (Date L Signatu r �t xE �F I y ONVERT GARAGE TO LIVING AREA C�A SPECIAL CONDITIONS CHECKED RV SRA /% FLOOD CERTIFICATE REQ. FIRE SPRINKLERS REQ. SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUB -STANDARD HOUSING LETTER f _L f t I, V i JOB FINALED (Date L Signatu ✓ = OK . 9 = Not OK = Not Applicable = Not Ready MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except Vs Zoning Requirements -Setbacks -Easements 1. Zoning Requirements -Setbacks -Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 2. Soils; Special MH Support Sketch Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 3. Sewer; Location -Test -Fall -C/O -Concrete Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 4. Water; Location -Test -Easement Needed (Sketch) Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 5. Electricity; Location-Clearances-Grnd-/ /Amp -Concrete Carports; Windows -Doors 6. Gas; Location -Test -Wrap;-/ /" L'ft. / P Nat. or / /"L"ft./ /'LPG Electric 7. Well Clearance & Disconnect Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 8. Utility Clearance Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 1. 4. Electricity; MH Test -Crossovers -Breakers -Clearances 2. 5. Drain; MH Test -Fall -Flex Connector 3. 6. Water; MH Test -Regulator -Connector 4. 7. Water and Sewer Connected -C/O to Grade -HD Approval 5. 8. Gas and Electricity Tagged 6. 9. Tie Downs -Type -Installation Cert. 7. 10. Exits; Insp.-Sketch 8. 11. Cert. of Occupancy 9. 12. Permanent Foundation Only; License Decal 10. Plumb.; Cir. Test -Water Supply Test Date Light Niche Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS Date DECKS, COVER9, CARPORTS GARAGES (Plans) OK except ft's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts- Bea ms- Rftrs.-Connectors Shthg.-Frg-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg.; Sills-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings 12. Braced Wall Panels Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (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, Distance -GR 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 11. Light Niche Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ✓ = OK 0 = Not OK - = Not Applicable = Not Ready Card B-1 Date Card B-1 RESIDENTIAL (; Date 23. Underfloor (Plans) OK except -#'s 35. 1. Zoning -Setbacks -Easements -Flood -Slope Size Boxes & No. of Conductors Stapled 2. Fig., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 27. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth 2 Appliance Circuits in Kitchen & Conductor Size GFI 4. Ftg., Porches & Decks; Soils -Steel-/ /" Ftg. Depth j 30. 5. Stemwalls, Main; Steel-Blockouts-Wrapped Service -Riser Conductors & Ground Main Disconnect 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 34 6a. Hold Downs and Special Anchors 7. Slab, Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 10. UF, Gas Pipe; Size Anchors - Yard Gas Piping; Size Test 11. Water Pipe; Test -Anchors -Regulator -Service Test 12. Electric Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts-Joists-Vents-Crippies 15. Access & Ventilation 16. Insulation Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s 17. Water Htr.; Vent -Access -Combustion Air Baffle 18. Water Pipe; Test & Anchor -Nail Protection 19. D.W.V.; Test tings & Anchor -Nail Protection 20. Showe,kFean; Test, First Floor -Tub Access 21. ToeTub & Shower, Second Floor -Tub Access Gas Pipe; Sixe & Anchors l Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date ELECTRICAL (Permit) OK except #'s 23. F' ure & Transformer Clearance -Ins. Protection 35. Elec. Receptacles Spacing -Lights & Switches at Doors 25. Size Boxes & No. of Conductors Stapled 26. Romex Installed Close to Edge of Studs & C.J. 27. Equip. Ground made up w/Mech Fasteners -Bond Gas & Water 28. 2 Appliance Circuits in Kitchen & Conductor Size GFI 29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga Cu or AI 30. Range Circle / / ga Cu or Al -Oven Circ. / / ga Cu or At Insulated Neutral O Yes ❑ No 31. Service -Riser Conductors & Ground Main Disconnect 32.` Equip. Clearances Panels -Motors -Mach. Equip. 34 Clothes Closet Light -Shower Light -Spa Light Smoke Detector Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) OK except #'s 35. A.C. Ducts Insulation & Support 36. Vent Fan, Exhaust above insulation 37. Co densate Drain & Overflow, Size & Grade Wi4nace-Vent Access -Comb. Air -Return Air Vent 115 outlet 39. Attic Access & Platform if Furnace in Attic Date Card B-1 Date Card B-1 Date Card B Date Card B-1 Date 4RAMING (Permit) OK except #'s Proper Materials & Anchors 1. s Studs -Nailing Spacing & Braces -Plates -Sound ring Walls over Girders & Floor Nailing . Draft Stop in Walls (rat proof) 44. ' e Stops, Furred Ceilings -Stairs -Chasers -Tubs Headers & Beams -Size & Bearing jingle & Duplex) Date FRAMING (Continued) 46. FiaRgers-Post Caps -Anchors -Connectors wr• Cling. Joist-Rttr. Ties- Purlin-Roll Brac.-Truss-Shting.-Rfng. e Ties or Type A Flue -Fireplace Throat Clearance Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 50. Bdrm. Windows or Exiting Doors -Sill Ht. & Dimensions 51. Garage Fire Protection Framing 52. Property Line Firewall & Openings 53. Ext. Doors -One 3' -Check Garage 3rd Story, 2 Exits 54. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 55. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 56. Siding -Nailing Veneer 57. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 58. Glazing Area -Glass Protection -Skylights -Plastic 59 hear Walls; Nailing -Bolts Ft�Brace Interior/Exterior Wall Panels Insulation -Walls -Ceilings 62. Infiltration -Walls -Windows Date \ Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date FINAL (Plans) OK except #'s Steps -Door & Sidelight Protection -Landings S oke Detec 6 ce Vents -clearance- 1, Air -Connector - In Garage; Above Flo -Ducts-Mach. Protection a Q 66. Be Exitin F. 1. & Bath Fixtures Tub Access -Spa 6 . Trim & Subpanel, brreaker Sizes & Labels ai Rails Fireplace or Stove, Clearance -Hearth Elec. Outlets at Wood Panel, Int. & Ext. it. Fixt. & Appliance; Ground -Air Gap -Cooking Clearance 73rE1g-c-Outlets & Receptacles at Kit. Counter 74. gge. Fire Door; Swing -Landing -Closure 75. A.C. Duct in Garage -Damper 76 tr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V. in Garage; Above Floor-Mech. Protection 77. Plc. & Mech. Equip. Listed for Location 7 ceptacles in Garage (FF.I.)-Romex Protection ation-Foam-Looked in Attic uard Rails & Deck Construction -Post Caps Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth _�girance Looked under Floor ❑ Yes 82. Folio ing Instld./Drive 0 Yes ❑ No/Walks 0 Yes ❑ No/Planters J Yes ] No Stucco Brown -Finish Disconnect, Electrical -Plumbing f ants Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings 86. -Water Well, Disconnect, Electrical, Plumbing i87 -S ri Elec. Trim, G.F.I. Receptacle -Underground lvw_e Throughout House GI rotection -- . Corrections from Previous Inspections as Test -Meters Tagged, Gas -Electric Water & Sewer Connected -C/0 -to Grade -HD Approval ergy Compliance Certificate -Other Certificates 'A.OrAddress Posted Date j Card B Date Card B-1 'jS Dat Card B- Date . Card B-1 Date Card B-1 Date Card B-1 Comments at Final: Insulation Certificate BUILDING OWNER: BUILDING >PERMT #9'i 188 Z) V f� BUILDING LOCATION:. 70,4- 6 V,/0 P , A`YY!Q Description of Installation ROOF Material Thickness (inches) Brand Name Thermal Resistance (R -Value) �-CEILING /� /� Bau or.BlanketType PAT Br4nd Name( 59Y:O//I Thickness ('inches) 6 %4 Thermal Resistance.(R-Value) Loose Fill Type Brand Name Contractor's minimum installed weight/& -- lb Minimum thickness e-- inches Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value) .=- EXTERIOR -WALL Material //� . � G Z ---f)— D Thickness (inches) / RAISED FLOOR Material Thickness (inches) SLAB FLOOR Material Thickness (inches) Width (inches) _ FOUNDATION WALL Material Thickness (inches) Declaration BrandNameC .,/i i/V 15 Thermal Resistance (R -Value) Brand Name Thermal Resistance (R -Value) Brand Name Thermal'Resistance (R -Value) Brand Name thermal Resistance (R -Value) I hereby certify that the above insulation was installed in the building ac the above location in conformance with the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the California Administrative Code. General Contractor (Builder) License Number L -99 Signar&e and Title Date Sub-Conaaetor (Insulation Installer) Signature and Title License Number Date THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING. JANUARY 1993 ' a COUNTY OF BUTTE4 BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 411 Main Street • Chico, CA • (530) 891-2751 7 County Center Drive • Oroville, CA • (530) 538-7541 CORRECTION NOTICE - ti 4) OWNER PERMIT NO. A routine inspection indicates that the following violations of butte county Ordinances exist at the above address and should be corrected. Please notice this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please contact office immediately. 17 avi 1,4,1 4 i Av �2,11 )V4�: �_ I n�v IV/.7L )- 1� COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO10 7 -County Center Drive '• Oroville, California 95965 • Telephone (530) 538-7541 PERMIT_N (Rev. 12/96) APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 027_080_019 O 7 ZONING /� /� BUILDING PERMIT OWNER STRASSENBURG, RICHARD & CHARLOW ONE SO. FT. OCC. BUILDING VALUATION 458 U TO 1 9160 OWNERS MAIUNG ADDRESS 7126 UPPER PALERMO ROAD, PALERMO CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER Fireplace LENDER'S MAILING ADDRESS Total Valuation $ 9160 ARCHITECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 117.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ 76.05 BUILDING ADDRESS 7126 UPPER PALERMO ROAD, PALERMO Energy Plan Checking Fee $ $ PERMIT FEE $ 9 6-05 LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF CX 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 IN Utilities ❑ Installation ❑ Other ❑ Describe Work: CONVERT GARAGE TO LIVING AREA. Gas piping stem 1 - 5 outlets 15.00 1 5_00 Building sewer 15.00 Mobile Home ISI GI W1 920.00 PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 aOOV OR LESS Main Service zo..OR LESS 23.00 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.POWER License Class Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License L w r 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' compensation insurance carrier and policy number are: Carrier Policy Number (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) + 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the.� workers' compensation provisions of section 3700 of the Labor Code, I shall comply with those provisions. fo44ppliWcandtl��d0, 4, _ Owner ❑ Contractor-- Aigna _XAg—en`t-V---T- An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in eight. Main Service TO 46.00 200ALICENSED NEW CONST. OwEDWELLING OcCcuCU p. 3.SQso_ WEE ADDNS. ( CC. Fr NOR EW CONST. MU BLET. NON.RESID. C 97.50 APPARATUs a SINGLE OUT. CIR. Ex. Occup. OUTLET OR FIXTURES 20 @ I'50 aAL p ,50 Ex. Occup. ouTLEEDts A�I6.) F 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating WALL 15.00 Cooling EVAP 15.00 Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ 6-00 occ CONST. TYPE TOT L FEE $ .419 �05 ��HAZ. D. F IMP FLOOD CDF PAR / HD ISSUE �, This permit is hereby issued under the applicable provisions of the tte Cou ty Code and/or Resolutions to do work Indic a ve f r which fees have been paid. k f'/�g By V ` to PERMIT EXPIRES ON Q �� Date Receipt No. 3704 -Ir %` 6t4 Z- �/ WHITE-D.D.S.-B.D. CANARY -ASSESS PINK-INSPECTO GOLDENROD -APPLICANT i COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drives - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT W- - ASSESSOR PARCEL NUMBER ©O^ --000v —<:!51/ ZOO BUILDING PERMIT OWNER . '/` Ta"""ONE SO. FT. OCC. BUILDING/' )VALUATION " `� v OWNER'S MANG ADDRESS / U CONTRAOR'S MAW/ TELEPHONE COMMACTDR'S MILLING ADDRESS CONSTRUCTION LENDER Fife IflCe LENDER'S MAILING ADDRESS Total Valuation S ARCHRECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 Permit Fee $ 7,190 ARCHITECT OR ENGINEER'S MAUNG ADDRESS Plan Checking Fee $ os- SUILDINGADDRESS Energy Plan Checking Fee S PERMIT FEE $ 3 IDT NO. eLBDAnME sION'SNA PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF-E�_ Duplex ❑ Mobilehome ❑ Other sPEOFr Each Tr 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 New ❑ Addition ❑ Remodel d_ Utilities ❑ Insulation Describe Work: ��G4t��`� p c1.. A P I rl il^-e er _ ❑ Other ❑ Gas piping system 1 - 5 outlets 15.00 .00 Building sewer 15.00 Mobile Home I S I G I W 1@20.00 PERMIT FEE ± ov ELECTRICAL PERMIT Fling Fee 20.00 Main Service pa . OR : 23.00 I D c t j�' 7-:��7 T/-7 / � Main Service tow TO IOWA 46.00 NEW CONST. OWELLINO OCCUP. 3.5¢s . OR ADONS. i ACC. BLOB. CONS . MULTFOUTLEr /� NON•R61D. l., 7.50 POWER APPARATUS & SINGLE OUTL.Er CIR. OvnEr OR FIXTURES Ex. OCCU 20 0 t.00BILI @ .50 OR Ex. Occup. a s D APR o, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 ,CSO PERMIT FEE _ ,3, 00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEi: S 25—'0— Mobile Home Installation Fee S Energy Inspection Fee b , Ott occ co NST." TOTAL FEE $ s FEES IMP FL000 I COf PARCEL PD I HO I 6SVE 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 PERMIT EXPIRES ON OAtal COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (530) 538-7541 PERMIT APPLICATION DATA SHEET OWNER: iQG (- ,��ra rSerX030 ASSESSOR PARCEL NUMBER: Proposed �uilt3ing Use: Building Inspector: Date: At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: Date Received By ❑ All items have been submitted.------------------------------------------------------------------------------------- lot plans, 3/4 sets, signed by the preparer of plans.------------------------------------------------------------ -3 Complete plans, 3/4 sets, signed by the preparer of plans. ----------------------------------------------------- 4. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. -------- ❑ .. n 0' eered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------ ere Dsign Compliance and supporting documentation.---------------------------------------------------- 5 ❑ 7. Statement of Intent for Non -Heated and A/C Buildings.--------------------------------------------------------- r ❑ 8. Hazardous Material Form.------------------------------------------------------------------------------------------ — ❑9 anufactured Home data and installation instructions including Tie Down Specifications.------------------ Feesof $ 2 3 / � —------------------------------------------------------------------------------------- Impact fees as shown on the attached schedule. ------------ ❑ 12. California Department of Forestry plan approval/fees. ----------- 11, . Flood elevation certificate. ---------------------------------------------------------------------------------------- Sanitation and plot plan approval_ Health Department. ------------------------------------------- ❑ 15. City of Chico plumbing permit. ----------------------------------------------------------------------------------- ❑ 16. Plot plan and business license approval m the City of Biggs. ---------------------------------------------- El17. Planning approval for (A) Use: (B) Parking: -------------------------- ❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel. ----------------------- ❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ---------------------------- 0 20. Pre -inspection for required Request to Building Inspector on (Date) 021. Contractor's license information. (Number, Name Style, Classification). ------------------------------------ ❑ orkers' Compensation carrier and policy number. ----------------------------------------------------------- wner-Builder Verification (Given to owner ❑, Mailed to owner �----------------------------------- Letter of signature authorization. -------------------------------------------------------------------------------- ❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- ❑26. Letter of intent on building use.----------------------------------------------------------------------------------- y ❑27. Manufactured Home utility clearance. --------------------------------------------------------------------------- ❑28. Existing violations and/or expired permits. ---------------------------------------------------------------------- ❑29. 0433 A, IJ Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ . --------------- 1130. Other: ------- When ou issue the permit, process as follows 11Mail to owner, ❑Mail to contractor. elephone..�/g "� Y�� and hold for pickup at offic ❑ liver with inspector. Applican Date: Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date By: Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: D _ By`. 1. Index permit application for the above items numbered: s AV Aman Check List 2. Additional items required: Contractor, design gowne!r�as as advised of the above required data by ❑ phone,,jmail, ❑ Building Division counter, by Date: Z/ 5�5� Contractor, designer advised of the above required data byAphone, ❑ mail, ❑ Building Division counter, by Date:!7-( --E- Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: �~ Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date: Plans reviewed by: Date: Plans approved by: Date: Sets of plans on hold in ❑ Plan CabinetA A.P. folder. Note transfer by: Date: Yellow Copy - Department of Development Services, Building Division. E.H. USE ONLY • Plot Plan Attached Ne-'— Floor Plan Attached • `� �� Sent to B.D. 16– TO: 6–TO: Building Department FROM: Environmental Health SUBJECT: Sanitation Clearance Owner location AP# Plan Approved for: Sewage Dispos Water Supply: Public Private Well Clearance for dwelling. Other 21 6 6 Hold final for: Final clearance O.K. for: NOTE: pjoc,-�Wa A-� Environmental Health Specialist Date 8/96 August 23, 1999 Richard and Charlotte Strassenburg 7126 Upper Palermo Road Palermo, CA. 95968 Assessor Parcel Number: 027-080-019 Building Permit Number: 99-183 0 - tuft¢ Co LAND OF NATURAL WEALTH AND BEAUTY BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397 TELEPHONE: (530) 538-7541 FAX: (530) 538-2140 This office reviewed the above referenced building plans. Please respond in writing to each comment by creating a response letter. Indicate which detail, specification, or calculation shows the requested information. Your complete and clear responses will expedite the re -check and approval of this project. Provide additional information and/or make revisions to plans, specifications and calculations as follows: Plans and specifications shall be drawn to scale and shall be of sufficient clarity. Provide complete drawings with these clarifications. y� Complete plot plans are necessary (3 copies). Energy design compliance and supporting documentation. Al Sanitation and plot plan approval is'required from the Butte County Environmental ,� Health Department. 05 Balance of Building Permit fees and impact fees will be determined when complete drawings are reviewed. ,,p-/,61" Owner — Builder Verification form and a letter of signature authorization are f necessary. I . Plan review will continue upon receipt of the above items. 'Additional items may be required when plan review is resumed. If you wish to discuss any requirements, you may contact me at (530) 538-7541 between the hours of 1:00 p.m. and 4:00 p.m., Monday through Friday. Sincerely, Glenn Gibbons Plans Examiner 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[I NO[ Z. I HAVE[j HAVE NOT[ ]/signed an application fora building permit for the proposed work. 3. I have contracted with the following person. (firm) . to provide -the proposed construction: NAME: ADDRESS: CITY: PHONE: CONTRACTOR'S 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: CONTRACTOR'S 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 SI NTD: PROPERTY OWNER: SOCIAL SECURITY NUMBER: DATE: CA 130 11qQ NOTE: This owner -Builder Verification is required by Section 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. May 1995 2.26 M I%-.. ., . Dear Property Owner: An application for a building permit has been submitted in your name listing yourself as the builder of property improvements specified. For your protection, you should be aware that as "owner -builder" you are the responsible party. of record on such a permit. Building permits are not required to be signed by property owners unless they are personally performing their own work. If your work is being performed by someone other than yourself, °you may protect yourself from possible liability if that person applies for the proper permit in his or her name. Contractors are required by law to be licensed and bonded by the State of California and to have a business license from the city or county. They are also required by law to put their license numberon all permits for which they apply. If you plan to do your own work, with the exception of various trades that you plawto subcontract, you should be aware of the following information for your benefit and protection: 0 If you employ or otherwise engage any persons other than your immediate family, and the work (including materials and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or subcontractors, then you may be an employer. " 0 If you are an employer, you must register with the State and Federal Governments as an employer and you are subject to several obligations including state and federal income tax withholding, federal social'security taxes, workers compensation insurance, disability insurance costs, and unemployment compensation; contributions. 0 There may be financial risks for -you if you do not carry out these obligations, `and these risks are especially serious with respect to worker's compensation insurance. 0 For more specific information about your obligations under Federal Law, contract the -Internal Revenue Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your ' obligations under State Law, contact the Department of Benefit Payments and the Divisioniof Industrial Accidents. If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their work personally or through their own employees, without a licensed contractor or subcontractor, only under limited conditions. r A frequent practice of unlicensed persons professing to be contractors is to secure an ` ownerbtiilder" building permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building permits are not required to be signed by property owners unless they are performing their own work personally. Information about licensed contractors may be obtained by contracting the Contractors State License Board in your community or at 1020 N Street, Sacramento, CA. 95814. Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you are aware of these matters. The building permit will not be issued until the verification is returned. Sincerely, Michael C. Vieira, C.B.O. Manager, Building Inspection NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code. May 1995 2.27 �" ._ -,(-. ,�,. y r ,.�tir-"•'L. ...war..... �'n... ,.i,._. •r1+ rte` -..--,'t � •r, � � . , ...�.-•.�,.... N ..,-" ,..., .. yb..__., �.. . - v • •.• BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM C�\qy� (One form per Building) " ` q �xi�(„JJ School District r�(/L(1 Building Department No. A.P. Number 1./Z I%— 0, Q— Jurisdiction: City r County Property Owner i st/^4S_S elil �.I^4 Property Location/Address � � 2 Lj / ejDPr 4n,4 4 R .vf .. Subdivision Lot No. ................................................................................................................. p Residential Development Sq. Footage No of Living Mobile Home Addition/ *Supplemental to (Group R) Units Installation onversion Permit # `(No foundation inspection)' Commercial/Industrial New Addition Sq. Footage (Including Exterior Roofed Areas) ty/:tv 4 F !�e Dat imoor clans reviewea Dy scnooi uistnct f•ersonneii District Identification No. 0-00037 V, 4( OL, 1, -t School District certifies that J (Applicant) (Street Address) ( (Phone Number) Fvkrric) 6A (City) (State) (Zip Code) has complied with the requirements of Resolution No. representing FAI - C---! 9 square feet. �lv t School District Representative by payment of b7�� r AB 292fi = FULL MITIf3AT10N $ Date Paid by Check #1 ---tom Remarks: �r Notice: You may protest the imposition of the fees identified above by submitting a written protest to the District, In compliance with Government Code Section 660201a), within 90 days from the date fees are paid. Failure to submit a timely written protest will prohibit you from challenging the imposition of the fees in any court action. If, subsequent to the School District Representative signing this Butte County Schools Impact Fee Certification Form, the School District is notified by the applicable Local Planning Agency that this project is,being reviewed under the California Environmental Quality Act ICEQA), this project may be subject to additional school fees to fully mitigate its impact on the school district's schools. White (applicant), Yellow (building department), Pink (school'district) Ifeeform.xls 110/981dmm To Whom It May Concern: Melinda Rogers, real estate agent with Lake Oroville Realty, has my permission to sign on my behalf regarding the permit process for 7126 Upper Palermo Road. Signed: QA,", Charlotte Strassenburg, surviving joint tenant .: C RICAL,-MECHANICAL, A14a' LtJflIIBIf�lG .CONSTRUCTION. (-.NOT-PLAN, CHeCKED §HALL:CC'I PLY � Wf,r l CURRENT tDITION OF' • REP, UMO ..AND ,.UPC. NWE: All Materials & Workman6hip,Shall Be in AcQord mce, with Recognized'G'ood'Pr 'alid of a: ' , e�i�e 1t9 Prescr'lbed for, the Specified usa In. Ulm Uniform Building;•Plumbing;•!3.'Mec'hanica Codes and the National Electrical Code 01 V j t.03 This set of p101e and speciffcetion$ WRW be kept on the job at all times epd itis unlawful to make ally changes or alterations on 'same without written permission from the Department of Public . . . Works. County of Butte. __.�._.__._�__— .._��_--....--• .may., ALL STRUC7 OVERHANGS A SET BACK 1 ° FT. F1 0 FT. FF j— CLEAR OF S7 F> A 2 FT. E -.oz.s I 1 0.2 APPROVED Butte County Environmental Healti Date Signature (q II iS AND EQUIPMENT INCLUDING LL BE CLEAR OF ALL EASEMENTS., (o FT. FROM THE SIDE. AND THE PEAR PROPERTY LINES AND THE ROAD CENTERLINE SHALL BE ;TURFS .AND EQUIPMENT EXCEPT ;OVERHANG. ^L`1,,1)R TIV �T— �u T ��� 9q-/S_�o (n ����__ FILE COPY -OK-0 �0-6.L r TABLE OF CONTENTS TOC Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 Project Address. 7126 UPPER PALERMO RD ******* .OROVILLE *v5.00* Documentation Author... ROBERT MANGRUM ******* Building.Permit # Paradise Mechanical 5655 Almond Street. P1an.Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone. .. ...... 11 Compliance Method...... MICROPAS5 v5.00 for 1.999 Standards by Enercomn. Inc_ MICROPASS v5.00 File-ROGERSI Wth-CTZ11S92 Program -TOC y User#-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 TABLE OF CONTENTS Report Page FORM CF -1R ................ 1 FORM MF -1R ................ 4 FORM C -2R ................. 7 HVAC SIZING ............... 10 r BUTTE C UNTY F F R. � E2 1�� ,CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 1 CF -1R Project Title,......... ROGERS ADDITION Date..08/12/99 07:22:23 Pro'ect Address 7126 UPPER PAL ******* J ERMO RD OROVILLE *x5.00* Documentation Author... ROBERT MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check./ Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS5 v5.00 for 1999 Standards by Enercomp, Inc.. MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM CF -1R User##-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 Component Type Wall GENERAL INFORMATION Conditioned Floor Area..... Building Type .............. Construction Type .......... Building Front Orientation. Number of Dwelling Units... Number of Stories... ...... Floor Construction Type.... Glazing Percentage......!... Average Glazing U -value.... Average Glazing SHGC....... 458 sf Single Family Detached Addition Alone Front Facing 90 deg (E) .25 1 Slab On Grade 10.3 0 of floor area 1.•28 Btu/hr-sf-F 0.8 BUILDING SHELL INSULATION t. Frame Cavity Sheathing Total Type R -value R -value R -value Wood R-13 R-0 �R-13 Assembly U -value Location/Comments � M: Door None R-0 R-0 R-0 0.330 Roof Wood R-11 R-19 `R-30 0.031 S1abEdge None R-0- R-0 �. F2=0.760 FENESTRATION U- Interior Value SHGC Shading 1.280 0.800 Standard 1.280 0.800 Standard 1.280 0.800 Standard 1.280 0.800 Standard SLAB SURFACES Slab Type Standard Slab FRONT WALL RIGHT WALL FRONT DOOR ATTIC FLOOR Exterior Shading Standard Standard Standard Standard Over- hang/ Fins Area (sf) 458 {° GUILDIN EPARTH r Yes Yes Yes Yes Area Orientation -(sf) Window Front (E) 24.0 Window Front (E) 8.0 Window Right (N) 6.0 Window Right (N) 9.0 FENESTRATION U- Interior Value SHGC Shading 1.280 0.800 Standard 1.280 0.800 Standard 1.280 0.800 Standard 1.280 0.800 Standard SLAB SURFACES Slab Type Standard Slab FRONT WALL RIGHT WALL FRONT DOOR ATTIC FLOOR Exterior Shading Standard Standard Standard Standard Over- hang/ Fins Area (sf) 458 {° GUILDIN EPARTH r Yes Yes Yes Yes CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 2 CF -1R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM CF -1R User#-MP1342 User -Paradise Mechanical Run-ROGERS'TITLE 24 HVAC SYSTEMS Minimum Duct Equipment Type Efficiency Location Furnace 0.630 AFUE None Evaporative 11.00 SEER None! Duct Tested Duct ACCA Thermostat R -value Leakage Manual D Type R-0 No No NoSetback R-0 No No NoSetback SPECIAL FEATURES AND MODELING ASSUMPTIONS *** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC.specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Duct R -value.. This building incorporates non-standard Duct Location. REMARKS CERTIFICATE OF COMPLIANCE: RESIDENTIAL Page 3 CF -1R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM CF -1R User##-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 COMPLIANCE STATEMENT This certificate of compliance lists the building features and performance specifications needed to comply with.Title-24, Parts 1 and 6 of the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the individual' with overall design responsibility. When this certificate of compliance is submitted for a single.building plan to be built in multiple orientations, any shading feature that is varied is indicated in the Special Features Modeling Assumptions section. DESIGNER or OWNER Name.... MRS.STASSENBURG Company. OWNER Address. 7126 UPPER PALERMO RD OROVLIIE, CA Phone... (530) 589-0505 License. Signed. . N" . fl &a_,A_ (date) ENFORCEMENT AGENCY Name.... Title... Agency.. Phone... Signed.. (date) DOCUMENTATION AUTHOR Name.... ROBERT MANGRUM Company. Paradise Mechanical Address. 5655 Almond Street Paradise, CA 95969 Phone... 530-877-8882 Signe ;41 (date) MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 4 MF -1R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 Project Address 7126 UPPER PALERMO RD ******* •• OROVILLE *v5.00* Documentation Author... ROBERT MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS5 v5.00 for 1999 Standards by Enercomp, Inc. MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run=ROGERS TITLE 24 Note: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance approach.used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements listed on the Certificate of Compliance. When this checklist is incorporated into the Permit documents, the features noted shall be considered by all parties as minimum component performance specifications for the mandatory measures whether they are shown elsewhere in the documents or on this checklist only. BUILDING ENVELOPE MEASURES Design- Enforce- *150(a): Minimum R-19 ceiling insulation. er �� ment �. 150(b): Loose fill insulation manufacturerl.s labeled R-Value.-=� *150(c): Minimum R-13 wall insulation in wood framed walls or equivalent U -value in metal frame walls (does not apply to exterior mass walls). /✓ *150(d): Minimum R-13 raised floor insulation in framed floors. 150(i): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no greater than 2.0 perm/inch. 118: Insulation specified or installed meets CEC quality standards. Indicate type and form. 116-17: Fenestration Products, Exterior Doors and Infiltration/ exfiltration controls 1. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage. 2. Fenestration products (except field fabricated) have label with certified U -value, certified solar heat gain coefficient, and infiltration certification. 3. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. 150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only. 150(f): Special infiltration barrier installed to comply with Sec. 151 151 meets Commission quality standards. 150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs 1. Masonry and factory -built fireplaces have: a. Closeable metal or glass door b. Outside air intake with damper and control c. Flue damper and control 2. No continuous burning gas pilots allowed. MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 5 MF -1R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM MF -IR User#-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 SPACE CONDITIONING, WATER HEATING AND PLUMBING SYSTEM MEASURES Design- Enforce- er� ment 110-113: HVAC equipment, water heaters, showerheads and faucets certified by the Commission. 150(h): Heating and/or cooling loads calculated in accordance �%- with ASHRAE, SMACNA or ACOA. J 150(i): Setback thermostat on all applicable heating and/or —% cooling systems. �/ 150(j): Pipe and Tank insulation I. Storage gas water heaters rated with an Energy Factor of less than 0.58 must be externally wrapped with insulation having an installed thermal resistance of R-12 or greater. 2. First 5 feet of pipes closest to water heater tank, non - recirculating systems, insulated (R-4 or greater). 3. Back-up tanks for solar systems, unfired storage tanks, or other indirect hot water tanks have R-12 external insulation or R-16 combined internal/external insulation. 4. All buried or exposed piping insulated in recirculating sections of hot water system. 5. Cooling system piping below 55 degrees insulated: 6. Piping insulated between heating source and indirect hot water tank. *150(m): Ducts and Fans 1. All ducts and plenums constructed, installed, in- sulated, fastened, and sealed to comply with the ICBO 1997 UMC sections 601 and 603; ducts insulated to a minimum installed R-4.2 or ducts enclosed entirely within conditioned space. Openings shall be sealed with mastic, tape, aerosol sealant or other duct closure system that meets the applicable requirements of UL181, UL181A, or UL181B and other applicable specified tests for longevity given in Sec. 150(m). 2. Exhaust fan systems have backdraft or automatic dampers. 3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible, manually operated dampers. 114: Pool and Spa Heating Systems and Equipment 1. System is certified with 78o thermal efficiency, on-off switch, weatherproof operating instructions, no electric resistance heating and no pilot light. 2. System is installed with: a. At least 36 inches of pipe between filter and heater for future solar heating. b. Cover for outdoor pools or outdoor spas. 3. Pool system has directional inlets and a circulation pump time switch. 115: Gas-fired central furnaces, pool heaters, spa heaters or household cooking appliances have no continuously burning pilot light (Exception: Non -electrical cooking appliances with pilot < 150 Btu/hr). f MANDATORY MEASURES CHECKLIST: RESIDENTIAL Page 6 MF -1R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM MF -1R User#-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 LIGHTING MEASURES 150(k)l: Luminaires for general lighting in kitchens shall have.lamps with an efficacy of 40 lumens/watt.or greater for general lighting in kitchens.'This general lighting shall be controlled by a switch on a readily accessible lighting control panel at an entrance to the kitchen. 150(k)2: Rooms with a shower or bathtub must either have at least one luminaire with lamps with an efficacy of 40 lumens/watt or greater switched at the entrance to the room or one of the alternatives to this requirement allowed in.Sec. 150(k)2.; and recessed ceiling fixtures are IC (insulation cover) approved. Design- Enforce- er ment COMPUTER METHOD SUMMARY Page 7 C -2R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 Project Address 7126 UPPER P ******* ALERMO RD OROVILLE *v5.00* Documentation Author... ROBERT MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone..... ..... 11 Compliance Method...... MICROPAS5 v5.00 for 1999 Standards by Enercomp, Inc. MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92_ Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run=ROGERS TITLE 24 GENERAL INFORMATION Conditioned Floor Area..... -Building Type..... ....... Construction Type... Building Front Orientation. Number of Dwelling Units... Number of Building Stories.. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -:Grade Area......... Glazing Percentage. ...... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height...... 458 sf Single Family Detached Addition Alone Front Facing 90 deg (E) .25 1 ReducedYear Slab On Grade 1 3664 cf 458 sf 10.3 0 of floor area 1.28 Btu/hr-sf-F 0.8 8 ft BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type (sf) (cf) Units itioned Type (ft) (sf) Credit HOUSE Residence 458 3664 0.25 Yes NoSetback 2.0 Standard No MICROPAS5 ENERGY USE SUMMARY Energy Use Standard Proposed Compliance (kBtu/sf-yr) Design Design Margin Space Heating.......... 25.63 31.10 -5.47 Space Cooling.......... 14.56 6.95 7.61 Total 40.19 38.05 2.14 *** Water Heating not calculated *** GENERAL INFORMATION Conditioned Floor Area..... -Building Type..... ....... Construction Type... Building Front Orientation. Number of Dwelling Units... Number of Building Stories.. Weather Data Type.......... Floor Construction Type.... Number of Building Zones... Conditioned Volume......... Slab -On -:Grade Area......... Glazing Percentage. ...... Average Glazing U -value.... Average Glazing SHGC....... Average Ceiling Height...... 458 sf Single Family Detached Addition Alone Front Facing 90 deg (E) .25 1 ReducedYear Slab On Grade 1 3664 cf 458 sf 10.3 0 of floor area 1.28 Btu/hr-sf-F 0.8 8 ft BUILDING ZONE INFORMATION Floor # of Vent Vent Air Area Volume Dwell Cond- Thermostat Height Area Leakage Zone Type (sf) (cf) Units itioned Type (ft) (sf) Credit HOUSE Residence 458 3664 0.25 Yes NoSetback 2.0 Standard No COMPUTER METHOD SUMMARY Page 8 C. -2R Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM G. -2R User#-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 Surface HOUSE - New 1 Wall 2 Wall 3 Door 4 Roof OPAQUE SURFACES Area U- Insul Act . Solar Form 3 (sf) value R -Val A= Tilt Gains Reference 118 0.088 13 90 90 Yes W.13.2X4.16 169 0.088 13 0 90 Yes W.13:2X4.16 18 0.330 0 90 90 Yes None 573 0:031 30 n/a 0 Yes R,30,2X4.24 PERIMETER LOSSES Length Surface (ft) HOUSE- New 5 SlabEdge 88 Orientation HOUSE - New 1 Window Front- (E) 2 Window Front (E) 3 Window Right (N). 4 Window Right (N) Location/ Comments FRONT WALL RIGHT WALL FRONT DOOR ATTIC F2 Insul Solar Factor R-val Gains Location/Comments 0.760 R-0 No FLOOR FENESTRATION SURFACES Area U- Act Exterior Shade Interior Shade (sf) Value SHGC Atm Tilt Type/SHGC Type/SHGC 24.0 1.280 0.800 90 90 Standard/0.76 8:0 1:280 0:800 90 90 Standard/0.76 6.0 1.280-0.800 0 90 Standard/0.76 0 9.0 1.28 0.800 0 90 Standard/0.76 OVERHANGS AND SIDE FINS Standard/0:68 Standard/0:68 Standard/0..68 Standard/0.68 Window— —Overhang Left Fin Right Fin— Area Left Rght Surface. (sf) Wdth Hgth Dpth Hght Ext Ext Ext Dpth Hght Ext Dpth Hght HOUSE - New 1 Window 2 Window. 24.0 6.0 4.0 2.0 1.0 n/a n/a n/a n/a 'n/a n/a n/a n/a 3 Window 8.0 6.0 2.0 4.0 3•.0 2.0 2.0 1.0 2.0 1.0 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 4 Window 9.0 3.0 3.0 2.0 1.0 n/a n/a n/a n/a n/a n/a n/a n/a SLAB SURFACES Area Slab Type (sf) HOUSE Standard Slab 458 ,COMPUTER METHOD SUMMARY Page 9 C -2R. Prn-iPt-t 74tl G nnr4vriC• Tr1TTTT/1TT -- i- - MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -FORM C -2R User#-MP1342 User -Paradise Mechanical Run-ROGERS TITLE 24 HVAC SYSTEMS ** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Duct R -value. This building incorporates non-standard Duct Location. REMARKS Minimum Duct Duct Tested Duct ACOA Duct System Type Efficiency Location R -value Leakage Manual D Eff HOUSE Furnace 0.630 AFUE None R-0 No No 1:000 Evaporative 11.00 SEER None R-0 No No 1.000 SPECIAL FEATURES AND MODELING ASSUMPTIONS ** Items in this section should be documented on the plans, *** *** installed to manufacturer and CEC specifications, and *** *** verified during plan check and field inspection. *** This building incorporates non-standard Duct R -value. This building incorporates non-standard Duct Location. REMARKS HVAC SIZING Page 10 HVAC Project Title.......... ROGERS ADDITION Date..08/12/99 07:22:23 Project Address 7126 UPPER PALERMO RD ******* OROVILLE *v5.00* Documentation Author... ROBERT MANGRUM ******* Building Permit # Paradise Mechanical 5655 Almond Street Plan Check / Date Paradise, CA 95969 530-877-8882 Field Check/ Date Climate Zone........... 11 Compliance Method...... MICROPAS5 v5.00 for 1999 Standards by Enercomp, Inc. MICROPAS5 v5.00 File-ROGERSI Wth-CTZ11S92 Program -HVAC SIZING User#-MP1342 User -Paradise Mechanical Run'-ROGERS TITLE 24 GENERAL INFORMATION Floor Area ................. 458.sf Volume ....... ............ 3664 cf Front Orientation.......... Front Facing Sizing Location............. OROVILLE RS Latitude... .... ........ 39.5 degrees Winter Outside Design...... 30 F Winter Inside Design....... 70 F Summer Outside Design...... 104 F Summer,Inside Design....... 78 F Summer Range ............... 37 F Interior Shading Used...... Yes Exterior Shading Used...... Yes Overhang Shading Used...... Yes Latent Load Fraction....... 0.20 Description HEATING AND COOLING LOAD SUMMARY Heating (Btuh) Opaque Conduction and Solar...... 4634 Glazing Conduction ............... 2406 Glazing Solar .................... n/a Infiltration ..................... 2084 Internal Gain .................... n/a Ducts............................ 0 Sensible Load .................... 9125 Latent Load...................... n/a 90 deg (E) Cooling (Btuh) 1565 1564 1693 856 0 0 5678 1136 Minimum Total Load 9125 6813 Note: The loads shown are only one of the criteria affecting the selection of HVAC equipment. Other relevant design factors such as air flow requirements, outdoor design temperatures, coil sizing, availability of equipment, oversizing safety margin, etc., must also be considered. It is the HVAC designer's responsibility to consider all factors when selecting the HVAC equipment. 027-080-W9 PERMIT#94-2508. STRASSENBURG,-RICHARD , 7126.UPPER PALERMO RD'., PALERMO REROOF/SF TOW COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Calif6rniai95965 - Telephone (916) 538-7541 PERMIT NO. APPLICATION AND PERMIT (7 ASSESSOR PARCEL NUMBER 27-080-019 ZONING ARMBUILDING PERMIT V , OWNER RICHARD ST RASSENBIIRU TELEPHONE 53 SO, FT. —OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7126 TIPPER PALERMO RD PAI M.M. 9 5968, 20 60 1 200 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 29.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 7126 I PERMIT FEE $ • LIU PAIMO, GA 95068 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO.SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SFXY Duplex ❑ Mobilehome ❑ Other SPECIFY- Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S G I W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel 1:1Utilities EIInstallation EIOthern Describe Work: RRROOF WJ!'.(>Iv(P PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOVORLESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADDNS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW( I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter ter 9, Division 3 of the Business and p Professions Code and my license is in full force and effect. License No. Classification EI I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS ) @7.50 POWER APPARATUS ) & SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occup.FIXEDAPPWS.OR ( OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 20,00 Misc. Wiring �2300 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ 1 have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. ,El I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California State Laws (elating to building construction, and hereby authorize representatives of the County A Butte to enter upon the above mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X• 1.- 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 coNsr. "'TOTAL FEES 49.00 HAZ- I D. FEES I IMP I FLOOD I CDF PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated above for whichffe shave been / `" t/ " PERMIT EXPIRES ON / lDetel provisions to do work paid. ate 4*1 Receipt No. 167564 G WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT M COUNTY OF BUTTE - DEPARTMENT OF DEVELQPMENT SERVICES - BUILDING DIVISION 7 County tenter Drive - Oroville, Caliwornla 95965 - Telephone (916) 538-7541_ PERMI N APPLICATION AND PERMIT e!) ASSESSOR PARCEL NUMBER 27-080-019 ARMH1 ZONING BUILDING PERMIT OWNER RICHARD ST RASSENBURG TELEPHONE 533-2608 SO, FT, OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 7126 UPPER PALERMO RD PALERMO, 20 @ 60 1,200.00 CONTRACTOR'S NAME TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEER LICENSE No. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS 7126 UPPER PATERM0 RD PERMIT FEE $ PATERM0, CA 95968 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 Solar or heat pump water heater 23.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Water piping 15,00 Each gas water heater or vent 15.00 USE OF STRUCTURE SF XK Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W @20.00 TYPE OF WORK New ❑ Addition ❑ Remodel O Utilities ElInstallation ❑ Othera Describe Work: RER00F PERMIT FEE $ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A TO 1000A ) 46.00 NEW CONST. DWELLING OCCUP. OR ADONS. ( & ACC. BLDS. ) SO, 3.50 FT. CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 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 compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET .NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) & SINGLE OUTLETCIR. Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00 BAL. @ .50 Ex. Occu FIXED APPLNS. OR p (OUTLETS (RESID.) EA. ) 5.00 Temporary Service 23.00 Mobile Home Facilities 2000. Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division 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 Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Contractor I certify that I have read this application and state that the above information is correct. 1 agree to comply to all Butte County Ordinances and California 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 Cou in consequence o the granting of this permit. • (� Date % Signature of Applicant - Owner ❑ Contr r ❑ 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 $ 49.00 HAZ• 1 D. FEES I IMP I FLOOD I CDF I PARCEL I PD I HD ISSUE This permit is hereby issued under the applicable of the Butte County Code and/or Resolutions indicated ab a for which a have been .j PER ITEXPI ESON �Z 6 IDa el provisions to do work paid. )late Receipt No. 167564 WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY • OF 3UTTE Department of Development Services Building Division Oroville: 7 County Center Dr., Oroville CA 95965 . Ph: 916-538-7541 Chico: 1469 Humboldt Rd., Chico CA 95928 Ph: 916-891-2751 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 ori) -\/,-D/) 2. 2. I (have/hit) 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 Address City Phone Contractor's 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 Contractor's 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 OwnerSigned: Property Date 6-77— NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are permitted to issue the permit. 21 '--r'4PERMIT NO. 6300-76B PERMIT EXPIRES OWNER Emil Euritt CONTR. owner LOCATION (A.P. 27-08119 7126 Upper Palermo Rd., Palermo A 9 1 A Temp. Power Pole A Called PG&E Temp. Elec. Serv. C led PG&E Te p. Gas Serv. Calleded PG&E /Fol B / NALED 1,7, Cd (Dat ) i (Sign ture) (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS , BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) ' PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floo Main Bldg. Restroom Finish 2nd Floolk Footings Windows 3rd Floor StemwaII Siding To out Slab Roof Sheathing Water Piping Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwa I I Insulationzz Heaters Slab Carport Footings Prov. forphysically handica ed Conformance of a structure Appliances Gas Piping &Test Temp. Gas Slab Final Sanitation Patio FIREPLACE i° Final Footings Footing ELEC ICAL Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRE SP INK ERS Motors Framing oZ. Test Water Htr. Stucco Final Subpanels Mesh MECHAAltAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final Final DATE REMARKS OR CORRECTIONS J (NOTE: An entry must be made on this form each time you visit the job site.) I d ^ COUNTY OF BUTTE — QEPARTMENT OF PUBLIC WORKS ~ 7 County Center Drive — UPoville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT OU U IUIILC IVVIt:b C1ILCtl1VCS UI mu %,ounty UI t5u Cte to enter upon ine above-mentioned property for inspection purposes. x �Date //—//7 / S� Signature of Permitee or Agent Receipt No. /_<5-� _6 CD 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 0711 PUBLIC WORKS B;y�����.Date ! — 7 fQng permit expires Date /l— l y— 7 BUILDING Owner44 1KI, SQ. FT. OCC. BUILD G V LUATION Mailing Address Telehone No. � Fireplace Contractor Total Valuation Mai I i ng Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ Building Address 77e�;;'` PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 s W. Sa Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plan Recd Parc Approval Plans proval Permit Fee $ $ NEW ❑ ADDITION154 UTILITIES ❑ OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service 100 AMP OR00V OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V100 AMP OR LESS 25.00 Main service EA. ADD•L 100 AMP 1.00 NEW LING OR ADDNST ( ACCLBLDGS. OCCUP. &) 2¢sgft NEW CONSTSL MULTI -OUTLET NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONST. POWER APPARATUS & NON- R RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES)@25C BAL@1 FIXED APPLNS. OR Ex. Occup. OUTLETS (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 $ $ 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. MECHANICAL No. @ FEE PERMIT FILING FEE $3.00 Heating 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 TOTAL PERMIT FEE $ OU U IUIILC IVVIt:b C1ILCtl1VCS UI mu %,ounty UI t5u Cte to enter upon ine above-mentioned property for inspection purposes. x �Date //—//7 / S� Signature of Permitee or Agent Receipt No. /_<5-� _6 CD 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 0711 PUBLIC WORKS B;y�����.Date ! — 7 fQng permit expires Date /l— l y— 7 v - PERMIT NO. 3950-76B i PERMIT EXPIRES 7 /19°%� OWNER Emil Euritt ICONTR. owner ` LOCATION (A.P. 27-08-19 ) 7126 Upper Palermo Rd., P.*rmo Temp. Power Pole Called PG&E Temp'. Elea Ser'v. /emp. alled PG&E Gas Serv. alled PG&E FINALED (Dat ej (Sign Lftute) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBI G Setback Firewall Soil Piping Forms Parapets 1st Floor l Main Bldg. Restroom Finish 2nd Floor i J Footings Windows 3rd Floor Stemwall Siding To out Slab Roof Sheathing Water Piping—A-- i inPiers Piers Roofing Sewer f Garage Fdn. Vents Fixtures Footings % Stemwall Garage Vents ` Insulation Water Htr. Heaters Slab f Prov. for physically Appliances Carport Footings % r handicappe Conformance of ex. structure / 'I Slab % Final U Patio % FIREPLA E Footings / Footing Masonry Walls Throat �1 Reinf, Steel . Final 1 Bond Beam FIRE S RINKALEF Framing Test Stucco Final Mesh MECH NICAL Scratch ! Heating Brown / Cooling ` Finish Ducts ,( e Interior Lath Ventilation Door Closer Final DAT REMARKS OR CORRECTIONS_ Gas Piping &Test Temp. Gas Sanitation Final i Fixtures Motors Water Htr. Subpanels Grd. Fault Prot. Service Temp. Pole Underground Permanent I Final N (NOTE: An entry must be made on this form each time you visit the job site.) ELECTRICAL r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORK �+ 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT • au UIUrILC rCNresenid0ves of ine County Of Butte to enter upon the above-mentioned property for inspection purposes. X If, Date / t� Signature of Permmitee or Agent Receipt No. 'Z 9*�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 aid. DIRECTOR 0 P BLIC WORKS / By Date % - 1 2 Io uilding permit expires Date 7 �— 77 BUILDING Owner 45 J/ / -EUte SO. FT. OCC. BUILDING VALUATION 7 Mai I i ng Address — e vM O C,ULr f Telephone No. - 33 Fireplace Contractor Total Valuation Mailing Address '0- Permit Fee 7.00 Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ 7,001 C Building Address / _� d KAt 6 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 YJ Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F Z<sd<Sin Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration Parcel Ma P 60' R/W Im rovem s P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans pproval Permit Fee $ $ NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ® ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 1 I 01 C8"IZI,C o, 1 41-* 46e. N L4,1WTe. 00V OR L Main service 100 AMP ORSLESS 5.00 P- e-7- TZo c Main service EA. ADD'L 100 AMP 2.50 Main service OVER 600V 100 AMP OR LESS 25.00 Single Family ® Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 1.00 NEW CONS.OR ADDNST WE ( DACCLBLOGS.LING P. &\ 20sgft / NEW CONITR. MULTI.OUTLET NON-RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS & NON•RESI D. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Ex. Occup(OUTLETS OR FIXTURES) Bp @2Q Ex. Occu P• FIXED APPLNS. OR OUTLETS (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 $ $ 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. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$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 $ au UIUrILC rCNresenid0ves of ine County Of Butte to enter upon the above-mentioned property for inspection purposes. X If, Date / t� Signature of Permmitee or Agent Receipt No. 'Z 9*�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 aid. DIRECTOR 0 P BLIC WORKS / By Date % - 1 2 Io uilding permit expires Date 7 �— 77 IG NOTE:—All Materiol, & Worlcmanshiq Shall Be in. Accordance. with RAcnnne_l rood Practices ane'' of a qu; litu pregcr;�Pd fo, She Speci -ic-d •use in the Uniform Builcliriq, Phumn jriq & Machanical Codes and the National Electrical Code. R a.1 ' -A C. �b 0 S 1 :I U „bac 1�)SciLnTL �P! �'✓�- sheet Qom /&' 0o o r Phis set of planss MUSl' klc kept on the job at all times and it is unlawful to make any changes or alterations on same without written permisson from the Department of P,ihl.ir Works, County of Butt,.. BUTTE COUNTY BUCLDING DEPARTMENT APPROVE© Zo Ir Y� J �i1 13'"ra J� dnG� o_��24,lel�i !J P I'sT � 0 1 PERMIT NO. 74C�-76B,P,E,M PERMIT EXPIRES t OWNER Tom Rogers CONTR. owner 'LOCATION (A.P. 27-08-19 ) Upper Palermo Rd., Palermo Temp. Power P le Called P &E Temp. EI Serv. Call d PG&E Temp Gas Serv. alled PG&E OB IN FINALED � l/ (Date) (Signature) DATE REMARKS OR CORRECTIONS 00, (NOTE: An entry must be made on this form each time you viElt the(job site.) COUNT_ Y OF',BUTTE — DEPARTMENT OF -PUBLIC WORKS BUILDING INSPECTION RECORD S BUILDING BUILDING (Cont'd) PLUMBING Setback % Firewall Z3 Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 113 2nd Floor Footings Windows 3rd Floor StemwallSidin -2i31 To outer' Slab Roof SheathingAr WaterPiping' Piers % Roofing Sewer Garage Fdn. Vents Fixtures Footings Gara a Vents • ---- Water Htr. oZ3 Stemwall Slab Prov. for physically_ handicapped Heaters I Appliances Z 3 7 Carport Footings Conformance of ex. / structure ire 01712 � Gas Piping & Test Temp. Gas Slab Final Sanitation Patio FIREPLACE Of Final —7—Footings Footing ELECTRICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures 612 Bond Beam 4ka FIRE SPRINKLERS Motors �— Framing Test Water Htr. Stucco Final Subpanels o? 3 Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service -- Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Z302 Ventilation' Permanent Door Closer /L�/7%_ Final &,47 Final A Z 7� DATE REMARKS OR CORRECTIONS 00, (NOTE: An entry must be made on this form each time you viElt the(job site.) THIS IS TO CERTIFY THAT INSULATION TIONS, CALIFORNIA ADMINIST,RATIVE Street yv6P - 70� HAS BEEN INSTALLED IN CONFORMANCE WITH THE CURRENT REGULA- CODE, TITLE 25, STATE OF CALIFORNIA, IN THE 'BUILDING LOCATED AT: Lot Number EXTERIOR WALLS , Manufacturer Thickness/Type �L Y R Value CEILINGS Z-nickness Batts: Manufacturer R Value Tract No. Blown: Manufacturer Thickness No. Bags Wt./Bag Ft. Covered R Value FLOORS Manufacture Thickness/Tvve 4 R Value SLAB ON GRADE Manufacturer Thickness/Type R Valu,- Width alueWidth of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Valu- - - -1P J COUNTY OF BUTTE '— DEPARTMENT OF PUBLIC WORKS 7 County Center Dfive — Uroville, California 95965 'i Telephwne: 534-4541 APPLICATION AND PERMIT ,447vL-��� o -76- auulorize representat ves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. Date�e'�/���"� Signature of Permit r Agent Recei•pt'IVo. ,4l to 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 Z -F Y'UBLIC WORKS BY�� Date Z' Zlo — 2G i lding permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address �-- Telephone No. Fireplace Contractor 4 001 Total Valuation a - Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ — - Building Address PLUMBING No. @ F E PERMIT FILING FEE $3.00 Q Each Trap 1,50 rb Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1. A. P. No. 7-7— ooF— 1'9 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 F S ion EQA Parking Parcel Declaration Fire Dept. Fire Zone Use Permit Building sewer 5.00 parcel Ma P 6 ''R/W Im prove nts Lawn sprinkler system 2.00 'Plans Bldg. P� Rec'd Parcel Approve Plans pproval Permit Fee $ $ NEW PQ ADDITION ❑ UTILITIES [_OTHER ❑ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 ,, Main service 100 AMP ORV OR LESS5.00 Main service EA. ADD'L too AMP 2.50 Single Family Du lex Mobil Home 9 Y P ❑ ❑ Others ❑ Main service OVER 600V woe AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW CONST. DWELLING OcCU��6/ -� OR ADDNS. ACC. BLDG,. QJ 20sgft NEW CONSTR. (MULTI -OUTLET NON-RESID, 1 BRANCH CIRCUITS) 2.50ea NEW CONSTR. (POWER APPARATUS &) NON -RES,D, SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le Of: style Ex. Occup(OUTLETs OR FIXTURES) '��` BAL � 1(?, FIXED APPLNS, OR Ex. Occup. ( OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. 7G Classification Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ r7 9'7S, 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 IN 'en's Compensation. 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 FE FE PERMIT FILING E $3.0o r¢)O Heating � QNG 0111 ,0 Cooling , Ventilation Hood 2.001 9,00 Permit Fee $ � -f $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby TOTAL PERMIT FEE $% 7iS auulorize representat ves UI the County of Butte to enter upon the above-mentioned property for inspection purposes. Date�e'�/���"� Signature of Permit r Agent Recei•pt'IVo. ,4l to 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 Z -F Y'UBLIC WORKS BY�� Date Z' Zlo — 2G i lding permit expires Date PrRMIT NO. 6423-7y,E PERMIT EXPIRES -3 7 OWNER Emil Euritt CONTR. nwnPr LOCATION (A.P. 27-08719 7126 Upper Palermo Rd.,Palermo I f Temp. Power Pole Ca led PG&E _ Tem . Elec. Serv.. Called PG&E _ T mp. Gas Serv. _ Called PG&E _ JOB FINALED U COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setback Firewall Soil Piping Forms Parapets 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings 6 - Windows 3rd Floor StemwalI Siding To out L Slab Roof Shea6ng Water Pi in Piers Roofing Sewer Garage Fdn. Vents Fixtures Footings Garage Vents Water Htr. Stemwal I Insulation Heaters Slab Carport Footings Prov. for phslcally handica ed Conformance of ex. structure 11 Appliances Gas Piping &Test Temp. as Slab Final c Sanitation Patio FI EPLACE Final Footings Footing L CT ICAL Masonry Walls Throat Rou h Reinf. Steel Final Fixtures Bond Beam FIRE,PRINKILERS Motors r-raming rest Water Htr. Stucco Final Subpanels Mesh MECHANICAL Gird. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventllati Permanent Door Closer FI Final MOBILEHOME UTILITIES ------------------ lec_ Service Elec. Pedestal/ Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION Support Elec. Continuity Water Piping Drainage Gas Piping DATE REMARKS OR ORRECTIONS _ N (NOTE: An entry must be made on this form each time you visit the job site.) ryNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS VU. S 7 County Center Drive — Oroville, California 95965 Telephone: 53;1-4541 T r APPLICATION AND PERMIT 1UP—er-aiv6a ul ME Uounly oI butte W enter upon the above mentioned property for inspection purposes. \/XDate/.2� 7 / Signature of Permitee or Agent Receipt No. M '/ 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 0-F, PUBLIC WORKS BY— Building permit expires Date -L 3 - BUILDING Owner (f 0 yl SQ. FT. OCC. BUILDING VALUATION . C11-0Mailing Address Q i^ a. 1 Telephone No Fireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee $ Cze , Building Address �6 PLUMBING No. @ FEE PERMIT FILING FEE $3.00 exp kX p Each Trap /' 1.50 Q O Repair drainage or vent piping 1.50 Water piping 1.50 O Each gas water heater or vent 1.50 A. P. No., ! O Zoning &Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fees W.C. Sa' n FireDept. Fire Zone Use Permit Building sewer 5.00 EQA I Parking Parcel Plans Declaration Parcel Ma P 60' R/W Im rovements P Lawn sprinkler system 2.00 Bldg. Plans Recd Parcel Approval Plans Approval Permit Fee $ , I NEW ❑ ADDITION UTILITIES ❑ O.TFAR ❑ ELECTRICAL No.1 @ FEE PERMIT FILING FEE $3.00 3 Main service 600v OR LESS 100 AMP OR LESS 5.00 Main service EA. ADO'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVR 60 Main service 100E EAMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. DWELLING OC OR ADDNS. ACC. BLDGS. 20sgft n V NEW CONSTR. MULTI-OUTLE NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEWCONSTR. POWER APPARATUS & NON -RESID. (SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name le Of: Ex. Occup(OUTLETS OR FIXTURES) @@1 109 (FIXED APPLNS. ORSt Ex. Occup.0 'TLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. Classification Misc. Wiring 6.25 �( 1 am exempt from the Contractors License Laws of the State of California. Permit Fee 0 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. X� 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 $ 1UP—er-aiv6a ul ME Uounly oI butte W enter upon the above mentioned property for inspection purposes. \/XDate/.2� 7 / Signature of Permitee or Agent Receipt No. M '/ 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 0-F, PUBLIC WORKS BY— Building permit expires Date -L 3 -