HomeMy WebLinkAbout027-250-012- ... � sib r.: .. r � - - .. -:•., 1- -• - _,__ - ' ..
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FOMPLAINT GIVEN:TU INSPECTORS Agustine Carrillo t
s/s MacIntosh at end of Citrus,Palermo
027=250=012r
PERMIT#1223+-85
AIEDRANO, RUBEN '-
?2810'MACINTOSH, OR"*
'ADD 2�.BEDROOMS/SF
-027 250.012 ; � 4�'A;�' ..PERMIT#94=2601 � — '
PIEDRA90:,,' UBEN
2810 MACINTOSH, OROVIl'E; '4
d011lPLETE-BP#1223r-89 1'..-
027=25 0 4012�t97=Y1657 E'
U.S.'MARINE"ENTERPRISES, z.7;
2810,Maclntosh;tOroville" .
:(r6 -tag, 616c -'ser
)SF
. 027-250-012' 04-2947
US MARINE ENT INC,.,'R
, MACKINTOSH ACKINTOSH AVE, OROVILLE
Cont: OWNER^�a
AG BUILDING `"��• ' x.i„r ' *'
F -A
0-012* ; ..;R ; -',04-2948.
MARINE ENTrINC, ,
AUILCKINTOSH AVB' OROVILLE'
REENE ROOFING ' ` -o
IN
-012,'INE ENT 04-2949ACKINTOSH A VE A� ,.
Cont: UWNER,'''�, `Y OROVILLE'r
AG'BUILDING tij. s
'. k ~eft• � +�rA*.
rti r.a
I
rCd%
Ltd
C I
Name P S MARINE ENTERPRISES INC
Asmt # I Fee # I027.250-012.000
Status JACTIVE Status Date F_
Addr1 IP 0 BOX 315
Tax 000 INORMAL OWNERSHIP TRA 092-007
Addr2 PZERMO CA 95968
Situs 12810 MACKINTOSH AVE PALERMO
Addr3l
Base Dt
Addr4
Land 49,609
Timber Preserve
Structure 41,893
F AgPres
Comments 12725001200 CONVERTED 09/08/88
Fixtures 0
F Etal
Creating Doc# 197481935669 Date
Notes Growing 13,228
Current Doc# 1996838600 Date 10/10/1996
� Bonds Total L&I 104,730
Killing Doc# Date
Fix. RP 0
F Multi Situs MH PP 0
r Flag1
_
Asmt Desc 2810 MACINTOSH SuplCntFd
F Flagg PP 0
Zoning A5 DwellF-
F 910 MH Exempt 0
Acres/Sq Ftr N/C 027
F Asmt PP Pen Net
� Tax PP Pen R/C#F
r Appeal Pending T/R Dtr
F Split Pending R/C Stat[_
PHY I OWN i EXP TAX
HON I ATT I SIT I APR I PCL I
Find
2002 Isa, 07125/20013:27:21 PM
0
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 —TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
o a -
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
.place used by the public. `r
ASSESSORPAA/R`�CEL NO. ^
_
7 7' r 2 5'0- 612- O 0 V
ZONING
OWNER
A-tstt'__ V-t� SNC_�
PHONE NO.
ter,- 5.3z
OWNER'S ADDRESS
g10 MA{K1N[DSI+14VF_ 0ROV1U'F CA
LOCATION OF BUILDING �
�2g/U f�l�CKl�t/'Tb5/� /g1/� OR4l//L� C'* 7 S'1 6
USE OF WILDING
C q�►� e�4r:NT t= � F Ce-s�+-� Zt` i'Z- LA-Wr e►Z Eawp S Pp"t J$E3
SIZE OF STRUCTURE
60
_'x SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME--!L—STEEL k CONCRETE OTHER (Specify)
TYPE OF SIDING
ROOF COVERINGFLOOR
TYP
M C,.7A'L
� �ZA'l_
/
ESTIMATED COST OF CONSTRUCTION
$ /01 ® C7
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
/
' FRONT S SIDES REAR V
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet -'from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building. }
.AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
`mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy. _
Date /oz,
Permit Fee -Iftw L19.
Receipt No. �� 2-8 2
141 Al �- i_z' C-Wfv &R
Signature of Owner
The above described AG Building is exempt from a building permit.
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
'�% BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE — OROVILLE, CALIFORNIA 95965 — TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
0 92� q -7
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL N
b — .2 — f 2_ pd D
ZONING
OWNERi
0, 6 MP/Z1h9E
PHONE NO.
I i -JC
OWNER'S ADDRESS
?�Ffn nm.p'CLf N-zos
LOCATI N OF BUILDING
CW9/0 �'1 AC v )c251+Ave p 1200! LjLF �A
USE OF Ej�1JrDING
%`t( ' LA FM CA);-
A).SIZE
SIZEOF STRUCTURE A
�2 4? 'X �� Sb
SO. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL 5-766 OTHER (Specify)
TYPE OF 51DING
ROOF COVERING
FLOOR TYPE
'y
ESTIMATED COQ O CONSTRUCTION
e&690
$
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT<
SIDES REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
Date d %0 �
Permit Fee -
Receipt No.
Signature of Owner - -le Y)w� :-ze�L- -fA —
The above described AG Building is rapt from a building permit.
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod — Applicant
Date ID
BUILDING DIVISION
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: (530) 538-7541
AGRICULTURAL BUILDING EXEMPTION PERMIT
PERMIT NO.
4
Agricultural building is defined as follows: Agricultural building is a structure designed and constructed to house farm
implements, hay, grain, poultry, livestock, or other horticultural products. This structure shall not be a place of human
habitation or a place of employment where agricultural products are processed, treated, or packaged, nor shall it be a
place used by the public.
ASSESSOR PARCEL NO.
ZONING
® , - B Z —Ov0
OWNER- ` y s i ' nn F A-i� w
1" I
�,N
PHONE NO.
OWNER'S ADDRESS
10 M ACK,/ N 7b_514
!// Li�f__
LOCATION OF BUILDING
osis Gni
ar/��-�
C'� 9E 5d6
USE OF BUILDING
SIZE OF STRUCTURE
X o = Zb� SQ. FT.
TYPE OF CONSTRUCTION:
WOOD FRAME STEEL_
CONCRETE
OTHER (Specify)
TYPE OF SIDING
ROOF
COVERING
FLOOR TYPE
M �
ftA,,
F7
D 12Z rz oCr_
ESTIMATED COST OF CONSTRUCTION
$ QQD
$
AG Buildings shall comply with the minimum front, side, and rear yard setback requirements of the applicable County Ordinances as
follows:
FRONT156
SIDES CIO
S56
REAR
AG Buildings shall be a minimum of five (5) feet from any septic tank or leach fields.
AG Buildings less than 1000 sq. ft. in floor area shall be located a minimum of 6 feet from a residence, 10 feet from a
mobilehome, and 23 feet from a commercial building.
AG Buildings greater than 1000 sq. ft. in floor area shall be located a minimum of 23 feet from a residence and a
mobilehome, and 40 feet from a commercial building.
I declare under penalty of perjury that the building will be used as stated about, and the purposed use confirms with the
AG Building definition. If any change in use or occupancy of the building is made, I will contact the Building Division and
obtain any necessary permits, inspections, and approvals to comply with the requirements in effect at that time and before
occupancy.
DateSa
b t ig n tureof w
O ner
Permit Fee - �� -�� The above described AG Building is empt from a building permit.
Receipt No. C// 2 BZ�
Manager Building4Division
White — DPW, Yellow — Assessor, Pink — B. I., Goldenrod —Applicant
Date
PRE -INSPECTION REPORT
OWNER: ! )., �� n �,. n-�. I 0 P� DATE: 6.21
LOCATION: 2,�s�(� i'VjA�, Ki VI4(-iS%- A.P. # '(1/ 2
CONTRACTOR: 6uj n t_ C ZONING: _A -S
REASON FOR PRE -INSPECTION )S `fh, " a✓t Aofa /.Ee 64_52e'?
DATE TO INSPECTOR 4&TPERMIT HISTORY ( ) NONE (AJ�EE ATTACHED
BUILDING INSPECTOR'S REPORT
Building Description:
Ll
Commercial/Usage:
� n
Residential # of Units: Mobile home # of Units: ['
1
Currently Occupied ( es ( ) No
Abandoned(Vacant:
Electric:
4
Electric Currently Off'
Condition of Electric
Gas:
Currently ( ( ) Off ,
Condition
Sanitation:
Plumbing Worldng es ( ) No
Obvious Sewage Problems ( ) Yes. (moo
ACTION RECOMMENDED: ISSUE ( ) Yes ( ) No
Hold for permits or verify: A e 7-
O F
i[y w i'L
o t-�A—C i"1 t , ,, . - -�' d?
,sr__r'c _
Dv'�E-
Inspector:;3� Date �o' v
C'T.7TmrTT 7lTTTT TITTTI-C' nrT D_VX7_VT?CF. ANTI TXMT!''Arry T nf`A'TTrAV n7v-PT?fl-PV-D'rV- .e.
J
------- - - -- - AP 27-25-12.
0INSPECTOR$`3.0--`- Agustine Carrillo
s/s Macintosh at end of Citrus,Palermo
027-250-012 PERMIT#1223-85
MEDRANO, RUBEN
I 2810 MACINTOSH, OROVILLEJ"
F ADD 2 BEDROOMS/SF
6
w t'
027-250-012 PERMIT#94-2601
t ;.f , ,, •. MEDRANO, RUBEN
2810 MACINTOSH, OROVILLE.
COMPLETE BP#1223-89
F
-25-0-012 97-1657 E
. MARINE ENTERPRISES
0 Macintosh, Oroville
re -tag elec ser)SF
02,-� - 2 -So
027-250-012 04-2947
US MARINE ENT INC,
2810 MACKINTOSH AVE, OROVILLE
Cont: OWNER
AG BUILDING
027-250-012 04-2948
US MARINE ENT INC,
2810 MACKINTOSH AVE, OROVILLE
Cont: GREENE ROOFING
AG BUILDING
US MARINE ENT INC, 04-2949
2810 MAKINTOSH AVE, OROVILLE
ER
AG BUILDING
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
027-250-012
ZONING
BUILDING PERMIT
OWNER
U.S. MARINE ENTERPRISES U.S.
TELEPHONE
FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P 0 BOX 226 BETHEL ISLAND CA 94511
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
NONE
Fireplace,
LENDER'S MAIUNG ADDRESS
-
Total Valuation $
ARCHITECT OR ENGINEER
NONE
UCEN£E NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checkin Fee $
BUILDING ADDRESS
2810 MACINTOSH OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Filing Fee 20.00
USEOFSTRUCTURE
SF 01 Duplex. ❑ Mobilehome ❑ Other
R i SPECIFY
Each Trap 1 7.00 _
Solar or heat pump water heater ,. ,23.00
Water piping 1,5.00
Each as water heater or vent 1'5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other OX
Describe Work: RE—TAG ELECTRIC SERVICE
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 920.00
PERMIT FEE S
v
ELECTRICAL PERMIT Fling Fee 20.00
Main Service '.*A Goa v ss 23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.P
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑/' I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
r
❑ •,a'm l'exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLINGOCCUP. s0
OR ADDNS. ( a Acc. sLos. 3.50FT;
NEW CONST. MULTI.OUTLET
NON-RESID. qNC 'RC ITS 97.50
OWER APPARATUS
a SINGLE OUTLET C1 R.
EX. OCCU OUTLET OR FIXTURES 20 @ 1'00
BAL @ .50
Ex. Occup. OFIxLI Aa o ORS 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S 1�3 00 ,
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.)
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 workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
LL l
X Date cQ /� / _
Signature of Applicant - ID.Owner .'O Contractor D Agent 1
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
I CDF
PARCEL PD
I H12
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whit fees have been n paid.
86/97
By //( 40 ,rf%� Date
PERMIT EXPIRES ON 8'6/98
Date
Receipt No. C 4L
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
k
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965 PHONE: 916-534-4541:
S
,':Ruben Medrono DATE May 3, 1985
P.O. Box 24 f
Palermo, CA 95968 RE:Building Permit Application #1223-85
Dear Mr. Medrano: A.P. #
With reference to the above subject:
Attached ' is :
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calcs Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
F
LXJ We need the following information:
Permit application signed and completed where indicated with all copies returned.
Fees of $ payable to Butte County Treasurer.
Certificate of Workmen's Compensation Insurance or check exemption statement.
Contractor's License Law information or check exemption statement.
Complete plans in including plot plans.
Plot plans:in
Structural details,in
Complete plans and calcs in' by registered engineer or architect.
Energy design including
Street and drainage improvement plan approval from Land Development Section (DPW).
sets of plans in accordance with the changes marked in red.
X Sanitation approval from Butte County Health Department at:
196 Memorial Way, Chico
X 7 County Center Dr., Oroville;
Skyway & Elliott.Rd., Paradise
Planning approval from Butte County Planning Department, 7 County,Center Drive,
Oroville, for
Completed Owner -Builder Verification form.
Recorded copy of deed'showing
Recorded copy of agricultural acknowledgement statement.
OTHER Window sizes for existing living room and bedroom, 1"coation of windows and
sizes for two bedroom addtion. What kind of roof sheathing and roof covering and
weather protection for walls?
Should you have any questions concerning the above, please contact this office.
Yours very truly,
William Cheff
Director of Public Works
J�FG/aj
.F. Glander
Chief Building Inspector
Owner:
Addres
Tenant:
Building
#c-2- 7i•, S
Type of Inspection requested:
1. Housing ,l 2. Financing 3. Change of Occupancy to
M4. Other (specify) [/ j " ,e
Present use of building: 1,5-4e Aw f&eP ,::5:> l7 PC-
A. Sanitation (Housing)
1. Water closet:,
2. Lavatory:
3. Bathtub or shower:
4. Kitchen sink:
5. Hot and cold water to fixtures:
6. Heating'facilities:
7. Natural light and ventilation:
8. Room and space requirements:
9. Bedroom window or door for second exit:
10. Infestation of insects, vermin, or rodents:
11. Connection' to sewage disposal:
12. Connection to water supply:
13. Rubbish and garbage facilities:
14. Comments:
B. Structural
1. Piers and footings:
2. Floor construction:
3. Wall construction:
4. Ceiling and roof construction:
5. Fireplaces:
6. Comments:
C. Electrical
1. Service and ground:
2. Receptacles: '
3. Fusing:
4. Comments:
D. Plumbing
1. Fixtures connected and vented:
2. Gas water heater:
3. Cas hearing vents:
4. Comments:
ff`nnf-4,n1\AA nn 1,a^UN
.0
E. Other
I. Maintenanc,e and repair:
2. Fire hazards:
3. Safety hazards:
4. Weather protection:
5.' Underfloor and attic ventilation:
6. Comments.•
F. Commercial Buildings
1. Roof covering:
2. Distance to property lines:
3. Physically handicapped:
4. Restroon, floors and walls:
5. Exits:
6. Improvements:
7. Zoning:
8. C onmen t
G. Field Problemis or Violations
1. PrenoblyDo- 'JOr -,-Tiolatiq4 mp�bete Adescription)
Alf —
A
2. What action taken (give complete description):4.h
3. What recommended:
nfor.uation only - ftle.
/ /. B. Hold for tea (10Y days, then wrize letter.
/ / C. Write Jetter.
7 D. Other:
R C 7 E. M. CJ
�p�.- O. !!// . 2� Tax Area Code 92-07
/- r `
Cl �US TRA A� C T ! V O
,o 7
/ I 2 I 3 I 4 p1
I �
I t 1 82 t Ac I t
i i t i I
8 I T 6 I 5 t0 1
6 30 0— — — -I— — — 6C.0.0 — -- I — — —66o.0-
- 660.0 — — - —630-0
I 30 I 4
I 31 Ac
i
l �'Si i0.00 Ac I t 6.44 Ac. ll5 01
. I t vi I
3
4 s
I I
629.73 . I
00
2 i t 2 5.73 AC. O O I
I h15
21 /6
11.78 AC. I 5 Ac 6. Ac
0
I
I 6 I, 4 I
a I I 6.05 Ac
h i /0.85 Ac 12.49 s Ac
13./8 Ac CO 5.85 AC.
/ 0 I 2 29
t, m
2in
iQ `O O 5 AC. I I v 3i
� � I
o I�
6 30 0 1 630.0 730.0
NOTE—ASSESSOR'S .PARCEL BLOCK
& LOT NUMBERS SHOWN
IN CIRCLES
Assessor's Map lido. 27-25'
County Of Butte, Cal!
APRIL, /96!
%f
R. 4 E. A4. D.' D. 8 M. 24 Tax Area Cade 92-07
Ci ,RUS TR4 C T NO 3 ���5".
O - -1 Y- - b 3 0. p
/ 1 2 I 3 I 4 of
1 82 s Ac I ,
— — ---------- — — 4-I ---- ---- — —------- -
:
i1 I
t I I I I Oi
.8 i 7" I 6
! I I I
. I �
0 I I 6 30.0 - - - - - 6 0.0 — - I - - -66o.o — J - - - - _730.0 - -
-----
660.0- -- - - 630'
30
� I O ti 11.51 Ac
I I l-5) r0.00 AC i 6.44 Ac.
I I h C;
2{�
4
I 1 629.73
00
I G60 0 1
2 i 1 5.73 AC. O O I
/6
1/.78 AC.. I 1 663 2 5 Ac 6. Ac
I�J 15 4 C
7 s �I
6.03 Ac. I
-04
-- - -- - - -----� �-- --- - - O - --�
I � � � j• I
l2 h 27 I
h /0.85 Ac 12.49 f Ac i
/3.18 A c
5.85 AC.
1
O 2 I I / // 2 Lz9..
b 5 4C. 1 1 4 I
6 30 0 111, 6-40.0 730.0
Assessor'sMaP No. ?7=25
NOTE—ASSESSOR'S :PARCEL BLOCK Count "Of ,��(ltte, Cal
& LOT NUMBERS SHOWN y
IN CIRCLES APRIL', 1961
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r 'A County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541l �PERMJTO.
(Rev. 12/96) APPLICATION AND PERMIT A `3
ASSESSO R PARCEL NUMBER
027-250-012
ZONING
BUILDING PERMIT
OWNER
U.S. MARINE ENTERPRISES
TELEPHONE
SO. FT. OCC. BUILDING
VALUATION
OWNERS MAILING ADDRESS
P 0 BOX 226 BETHEL ISLAND CA 94511
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
NONE
LENDER'S MAILING ADDRESS
'
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
2810 MACINTOSH OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF OX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0X
Describe Work: RE—TAG ELECTRIC SERVICE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
aVOR LESS
Main Service 200A OR LESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class LIC. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
Q� I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. BLDS.
SO
3.52FT.
NEW CONST. MULTI -OUTLET
NON-RESID. .=OUTLET
@7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. OCCU OUTLET OR FIXTURES
BAL o 1: 0
Ex. Occup. OUTLLFIXETS REFS D OR.)EA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
43.00
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
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling-
Hood 6.50
Ventilation
PERMIT FEE S
Policy Number
he above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I one
that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
ff g,�
X _ 6�O Date a /�/`� �___
Signature of Appli nt - l�Owner ❑Contractor t�'A ant
An OSHA permit is r�equ' d for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 43.00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Res tions to do work
indicated above for whic fees hav n paid.
By Date 8/6/97
PERMIT EXPIRES ON 8/6/98
Date
ReceiptNo. 224209
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
PAR 0.NUM8
ASSESSORoo - aso = o �-
ZONING
BUILDING PERMIT
OWNER /'
Vi dLne fCT ri
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.
OWNER'S JdAIUNO ADDRESS
//�l 4J4 A
COM OR'S NAME.
W
TELEPHONE '
CONTRACTORS MAILING ADDRESS
CONSTRU TION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHR CT ORENGINEER
LICENSE NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 10�- fS
yl :E::
Energy Plan Checking Fee $
T/ 17F-
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
<
Describe Work: fiF l % C( Cc j 11'� t C e l" 1/ , C �
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
PERMIT FEE $
ELECTRICAL PERMIT
Filing Fee 20.00
800v OR LE 9
Main Service 200A OR LESS
23.00 0-00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. NO.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 6 ACC. BLAS.
SO
3.50*FT:
N N R S DT MULTI -OUT -ET
@7.50
I POWER APPARATUS
Y SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 Q' 00
84L Q .SO
Ex. Occup. ouiLEEDTSA A.16JOEa
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE $
�,QQ
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'
laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ Lf�
HAZ.
D. FEES IMP
FLA00
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
ate
ReceiptNo.
WHITE-D.D.S.-B.O. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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 ajor labor and materials for construction of the proposed
property improvement : YES NO 13.
2. I HAVE 9 HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed 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:
PHONE:
CITY:
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
SIGNED: .
PROPERTYO
SOCIAL SECI
DATE: /9 7-
NOTE.-
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 thepermit
OVER
OWNER BUILDER INFORMATION I
Dear Property Owner:
An application for a building permit has been submitted iny our 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 number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family. and the work (including materials
and other costs) is S300 -):' -mcre. for the entire project, and such persons are not licensed .as contractors or
subcontractors, then you may be an employer.
♦ 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.
♦ 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.
♦ 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 Division of 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.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" 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.
Irely,
el C. Vi ira, C.B.O.ger, Building Inspection
NOTE. This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code
OVER
'7
PERMIT NO. 1223-85B,E
PERMIT EXPIRES—
OWNER
XPIRES OWNER RUBEOMEDRANO
CONTR.. owner
r
ASSESSOR PARCEL 27'25-12
LOCATION 2810 Macintosh, Orodille
5 C
` f
i
d
Temp. Power Pole
g" Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
4
F,
'7
PERMIT NO. 1223-85B,E
PERMIT EXPIRES—
OWNER
XPIRES OWNER RUBEOMEDRANO
CONTR.. owner
r
ASSESSOR PARCEL 27'25-12
LOCATION 2810 Macintosh, Orodille
5 C
` f
i
d
Temp. Power Pole
g" Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
J = OK
0 Not OK
Not Applicable MOBILEHOMES ' MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1, Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k's
1. Zoning Requirements—Setbacks—.Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts— Beams— Rftrs.—Con nec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
,
6. Carports; Windows—Doors
7, Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
6. Water; MH Test—Regulator—Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7" Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged.
8, Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enc losures— Pane lboards= Ins. to Main in Conduit
9. Exits; Insp.—Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
OK
-Not �K
Not eadylicable RESIDENTIAL
�(Single and Duplex)
Date
UND
F6201R Plans OK except #'s
Date FRAMING (Continued)
Z ing requirements -Setbacks -Easements
48. Property Line Firewall & Openings
2
tg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
52. Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
54. Glazing Area -Glass Protection -Skylights -Plastic
55. Shear Walls; Nailing -Bolts
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Sii Card -BI Date
Date FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
xeps-Door & Sidelight Protection -Landings
5 moke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
_ f9 edroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
.-69- 6: F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
ctif-'Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
X62- Stairs & Rails
63.. Fir lace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
x-65 -KIt'F'ixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
-66. Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67. Garage Fire Door; Swing -Landing -Closer
C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
__fi9.-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors-Stapled
_7Z. Plb., Elec. & Mech. Equip. Listed for Location
-7a.,-Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
7 , Insulation -Foam -Looked in Attic ❑Yes
25.
26.
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
rd Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
/'['poked under Floor El Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral ❑Yes []No.JarFollowing
instld.: Drive ❑ Yes E)No; Walks F1Yes E]No;
ers ❑Yes ❑No
76. Stucco; Brown -Finish
28. Service -Riser Conductors &Ground -Main Disconnect
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77, A.C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
8. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
• 40 - reff'Well; Disconnect, Electrical, Plumbing
-80 "E7 erior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.-behtilation throughout House
Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except p's
31. A.C. Ducts; Insulation & Support
_-82--Gfass
errect ions from Previous Inspections
as Test-Nlelers Tagged; Gas -Electric
135ZaSewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
nergy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -B Dat 01r, r--and-BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B Dat and -BI Date
Comments t Final:
Date FRAMING(Plans) OK except N's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
40.
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
43.
44.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
•,7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION ANb PERMIT _ 62 eo
ASSESSOR PARCEL NUMBER
27-99-19
ZONING
BUILDING PERMIT fiy
OWNER RUBEN MEDRONA
.1°"2351
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS PO BOX 24 PALERMO, 95968
EST 500.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 2810 MAC INTOSH
PERMIT FEE $
35.00
OROVILLE
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 8 Duplex ❑ Mobilehome O Other
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W1
@20.00
TYPE OF WORK
New ❑ Addition EIRemodel ❑ Utilities ❑ Installation ❑ Other I
Describework: PERMIT TO COMPLETE 1223-89
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS I
200A OR LESS
23.00
Main Service ( 200A To IOOOA I
46.00
NEW CONST. DWELLING OCCUP.
OR AODNS. ( & ACC. OLDS. )
O.
3.5C FST.
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)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS I
& SINGLE OUTLET CIN.
Ex. Occup. ( OUTLET OR FIXTURES I
20 @ 1.00
BAL. 0 .50
Ex. Occup.FIXOUTLETS I:SS. OR
(OUTLETS IRESID.1 EA. I
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 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.
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.
I 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=*ence of the granting of this permit.
X I�% ,Date
Signature of Applicant - ❑OwnerO Contractor O 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 $
HAZ•
1 D. FEES
I IMP
I FLOOD
I CDP
PARCEL I PD
I HO
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
V/1 By Da7
.7
PERMITEXPIRESON
[Date)'
Receipt No. 167715
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT I
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chip., CA 'x(916) 891=2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6,307-
CORRECTION
72-6;307CORRECTION NOTICE
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 notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately. ` -}
A- i-�--c7`- d -Z4 /2 6t4 -t < e
"%d C oi /e Tt /1YIi4 v ;Iedn
`y
�1
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-ii
Date Inspector
REV 10192
Im
S` "COUNTY.OF.BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES 1
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307 .
CORRECTION NOTICE
UWNt:K PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If have any questions pertaining to this matter, or need additional explanation,'
please con t this office immediately. ?'
S w
/67-
N s i 14 .�- �--
Date ( — t 'T Inspector
REV 10/92
'\ r
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
�I ods- C -"Jo
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
M c,- a
Inspector Date / & S"S
Insulation Certificate
BUILDING OWNER:
BUILDING LOCATION:
Description of Installation
ROOF
Material
Thickness (inches)
BUILDING PERMIT #:
Brand Name
Thermal Resistance (R -Value)
)(CEILING
B lanket Type A-7-7 13rand Narme __
Thickness (inches) �� Thermal Resista��k-Value) _
Loose Fill Type Brand Name
Contractor's minimum installed weight/ft Ib Minimum thickness inches +
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL S
Material ��5s
Thickness (inches)
RAISED:FLOOR
Matyrial
Thickness (inches)
SLAB FLOOR
Material
Thickness (inches)
Width (inches) _
FOUNDATION WALL
Material
Thickness (inches)
Brand Name
Thermal Resistance (R -Value) R
J'
I -
Brand Name -
Thennal'Resistance (R -Value) _
1
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
r
r
Declaration
I hereby certify that the above insulation was installed in the building at 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.
' ^ 2 ��
,y k/ll//a 2r S /
Gen al onrr or (Builder) License Number
Signature an Title Date
Sub -Contractor (Insulation Installcr)
Signature and Title
License Number
Date
MIS CERTIFICATE MUST 13E PROVIDED TO 'I'IIE, BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POS'1TD WITHIN '111E BUILDING.
JANUARY 1993
. r^t 11.; !\ti.+r� 4SP r'� r'r'.. r.....�,...�r-`•,r ^xrtrr•-"`s�..^.h.r ]'^ti"'17'°"q`�"f tr,�;F,:�:rt;.,ri�� ♦ 1"%%w'.. _ , , ., . ,... _
'1.�,n:.-n�':.wr-1: �c.t,.tF• J` •�.Y ft ....r -�-._;;�,.>. .r,...-�r�...<e.r.:�....�r :..o.,,,.('h„f�'"-�.'
F
COUL4-fjYs1gF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER A. o�
Proposed Building Use wilding Inspector -d Date
At timeof per it application, I wa advised the following data must -be submitted prior to permit processing and/or issuance:
t DATE RECENED BY
1. All items have been submitted . ........................................
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
Plot plans, 3/4 sets, signed by preparer of plans . ..........................
Complete plans, 3/4 sets, signed by preparer of plans . ..................... .
Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
Hazardous Material Form . ............................................
Energy Design Compliance and supporting documentation . ..................
Statement of Intent for Non -Heated and A/C Buildings . ......................
Engineered truss details and layout in duplicate (required prior to plan check). ....
Mobilehome data and manufacturer's installation instructions,.2 sets. ...........
Fees of$.... . ....."'''' ......... �
. .......... .. ..
.
Impact fees as shown on attached schedule . .............................
California Department of Forestry plan approval/fees. ....................... .
Flood elevation letter (100 year flood) by California Engineer. ....`-.,,............ .
Sanitation and plot plan approval Health Department . ........... .
City of Chico plumbing permit. ........................................ .
Plot plan and business license approval from City of Biggs/Gridley. .............
Planning approval for (A) Use: (B) Parking:
Contact Land Development about (A) Improvements (B) Drainage. ............
Driveway permit (construction approval required prior to occupancy). ...F�4;ape ction reg5e-
Pre-inspection for required. . to Building Inspector (Date)
Contractor's license information. (No., Name Style, Classification) . ...............
Certificate of Workmans Compensation Insurance . ..........................
Owner -Builder Verification (Given to owner , Mail to owner _). ...........
Recorded copy of Agricultural Acknowledgement Statement . ..................
Letter of signature authorization . ........................................
Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
Letter of intent on building use . ......................................... .
Mobilehome utility clearance . ...........................................
Documentation of legal access . ..................... :..................
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan checklist ......................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. + Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter,by _ Date
Contractor, desibner, owner, was advised of above required data by _ phone _ mail . Counter -by ' Date
Plans checked by Date Plans approved by Date
rSets of plans on hold in File cabinet AP folder
Copy - Department of Public Works J'
COUNTY OF BUTTE
., . 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. nally plan to provide the major labor and materials for construction of the proposed property improvement
es o no)
2. (have/h a not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed 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
Signed:
Property Owner _
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.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMYT NO.
ASSESSOR PARCEL NUMBER
27-25-12
ZONING
BUILDING PERMIT
OWNER
Ruben Medrano
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
P.O. Box 24, Palermo
C ON3RAC TOR'S NAME
VWw �I��Ec'�L
TELEPHONE
1st renewal permit
CONTRACTOR'S MAILING ADDRESS
Fireplace
CO.NSSEUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee @ EEE
$ 40.2.5
AgII11 VV CHj�ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 50.25
PLUMBING PERMIT
Filing Fee 10.00
2810 Macintosh, Oroville
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each Uas water heater or vent
5.00
USE OF STRUCTURE
SF10 Duplex[] MobilehomeM Other add
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities [:1 Installation E] Other ❑
Describe work: _
1:,c renewal of permit #1223-85
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
EJ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is in full force and effect.
,License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 5001 OR LESS
100 AMP OR LESS
t0.00
Main service EA. ADD'L 100 AMP 2.50
NEW CONST. DWELLING OCCUP.N)
OR .AD DN S. ACC. BLDGS. r7
'h2Sgft
NEW CONSTR ULTI-OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS A
SINGLE OUTLET CIR.
/
Ex. Occup\OUTLETS OR FIXTURES 20950¢
AL930
eLNS.
OR
Ex. Occup. OUT LE P(RESID ) EA.) 2.00
—Ex.
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under ftnalty of perjury (check one):
The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
1 is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
Date
j gnarure of Appiicont — Owner ❑ Conr.a.to, ❑ Agent 0.
jI An OSHA permit is required for exccvo!lons over 5'0" deep and demolition or construct-
Ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $ 50.25
occuP,
CONST,TYPIJ
�FL000JPA110ELJ
PD
Ho
ssuE
This permit is hereby issued under the applicable provi
sions of the Butte County Code and/or resolutions to d
work indicated above for which fees have been pai
DIRECTOR OF PUBLIC WORKS
By ) ] Date
PERMIT EXPIRES Date 5/23/87
Receipt No. _ _
WHITE -0.0'.W.. YELLOW-ASOD30"• PINw-IN 9P ES I.. n, 'uLOtliAOo-AIPPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT 3NO.
--
ASSESSOR P RCEL NUMBER �q
,'Q��
ZON
G
BUILDING PERMIT
OWN
r�
TELEPHONE
SO. FT. OCC.1 BUILDING VA TION
11)
OWN 'S MAILIN DDRESS
1 ' �
IP
CONTRACTOR'S NAMEy� TELE HONE
i
CONTRACTOR'S MAILING ADDRESS'
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty vim$
Lon
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee Q$
BUILDING ADDRESST
1
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S1 GJWJ
10.00e
rY TYPE OF WORK
New ❑ Addition U , Rerpodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: V(R
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING
OR ADONS. ACC. BLDG )
21h0sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR ULT. -OUTLET
....RSBRANCH CIRC ITS
2.50ea
NEW CONSTR POWER APPARATUS &
NON-RESID. (SINGLE OUTLET CIR.
Ex. OccuP(o zoesoa
OR FIXTURES 9AL®3o
FIXXEEDD APPLNSOR
.
EX. OCCUp- OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $ - .j
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
1 shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
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 a(d County in consequence of the granting of this permit.
q/� p S
X n �il� fil Date 4 -3 U -
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" dee nd e' glyfiion or construct-
ion of structures over 3 stories in hei V//--jj! n
Mobile Home Installation Fee $
TOTAL PER IT FEE $
OCCUP. GROUP
I TYPE OrF CONST.PARCEL
`"
P15-
t—HD
seu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
•
Date 23- S
�� `�
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PI -INS ECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
t PERMIT APPLICATION` DATA SHEET �
1
Permit No.
OWNER l�l t KI Cs _ A. P. No. rr)
Proposed Building Use���/� f i�H Sj-
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Ex/plain)""'
Building Inspector / / �,� tet° Date 17'/IJZO
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJor issuance: DATE RECEIVED. APPROVED
1. All items have been submitted. . . . . . . . . . . .
2- Plot plans in duplicate./triplicate. . . . . . . . . . .
3. Complete plans in duplicate. /triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .'
Letter of signature authorization. p . . . . . .
nitation approval from /�VU i I Health Dept.
1. Planning approval .for (A) Use: (B) Parking:
12. Certificate of, Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . .
•Pre=lnspec. request to (Date
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agric Itural Acknowledgment Statement.
Other-54-1-
When
ther S� ��
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w.
/inspector.
k Other
AppI icant Awl _4JZir/l 2 J L¢ KLA,, ,r- Date H ' �S
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above akWe of p lication, circle item.)
1. Index permit for above Items No. 917 ftleV
2. Additional items required:
(Contractor, Desig , Owne as advised of above required data by Telephone email Other
ByDate
Y
Plans checked by Date
Plans approved by ate %3 -
Other:
t" 111V ri L111
Copy—DPW
7e -'r,
4
B
To:
Building Department
From:
Environmental. Health
Sub=
Sanitation Clearance
Ohoner Location
Plan
Approved for: Sewage Disposal —
Water
Supply
Water
Supply
Hold
Final for:
Final.
Clearance O.K. for:
Water
Suppl.y
Clearance
for bedroom house/mobilehome or other
Note***
Clerk
Date
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the'major'labor and materials for construction of
the proposed property improvement (yes or no') y 5
2. I have/ ave not) signed an application for a building permit
for'- a proposed work.
P P
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work; but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City.
Phone _ Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owners
Social•Security Number
Date 4/- 30-7-5
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
INSTALLED
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT No. 2> PACKAGE "A" (Additions)
JOB ADDRESS
TYPE OF. WOR
W
A Do a 6A
FORM 7
SQUARE FOOTAGE
Existing Residence
New Addition 2 /10
New Total
The following information sheet, showing mandatory features and required features of,
Package."A" must be completed and attached to" all plans for - additions. to dwellings.
Additions to dwellings - include room additions ,.converting garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is'ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of,
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE 16
APPLIES TO NEW AREA
CEILING v-30 R-30 R-38
&.--*WALL R-11 R-11 R-19
FLOOR R-11. R-11 R-19
SLAB R- 7 R-11 R- 7
GLAZING ,65 .65 .65
SHADING
/SOUTH --OPTIMUM OVERHANG
or .36 S.C.
WEST - .36 S.C.
&-"LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UMC - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
✓MAXIMUM GLAZING 1670 OF AREA PLUS REMOVED GLAZING adv-
`NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
*1 HEATING. VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air)Collector brand and
` ft2
model number solar fraction collector area collector
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form 4)5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
orientation collector
tilt rated y -intercept
rated slope
❑
Other
(describe)
*1
(B) Cooling
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
DOMESTIC WATER SYSTEM
❑
.(A) Gas Only
Gallons
(brand and model
number) (tank size) ,
❑
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
2
C3*
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand
and model number) (collector area)
(collector orientation)
(collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form 4)5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
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NOTE:—All Materials & 'Workmanship Shall Be in
Accordance with Recognized Good Practices and
I� of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes and
the National Electrical Code,'
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C, This set of plans and specifications MUST be
n� kept on the job at all times and it is unlawful to
make any changes or alterations on same without A setback of 5 ft. from til&
written permission from the Department of Public property lines and a setback
Works, County of But+e. of 50ft. from the road
centerline shall be clear of
structures or equipment ept
for a 2 ft. eave overhang'..
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BUTTE COUNTY
BUILDING DEPARTMENT
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