HomeMy WebLinkAbout027-300-07827-30-$ P7
Bowers
NW cdr� r of William Ave. & Palermo
Honcut H Palermo
Permit #:457 81B,P., M(few sin_ le
family)
,273 O �/
ermi<#489-82B,E(addition/SF)
D
a�- 30 on�. _-
I //
T� : �arnlrart --%3roaln � Q.��ociQte�
A Califo.nio C�c.po.o i;un��
1891 Robinson Street P.O. Box 1576 Croville, CA 95965 9161534-1911
CIVIIL ENGINEERS • LAND SURVEYORS
10:
TRANSMITTAL
DATE: Z���c JOB NO.
SU BJ ECT:
Q YOUR APPROVAL
CHECKING
Q SIGNATURE
MARKS: / 0
THESE ARE TRANSMITTED FOR:
Q YOUR INFORMATION
0 RECORDING
Q FOLLOW UP
Q YOUR FILES
Q REVISION
[] PER YOUR REQUEST
�f f. dv
Z S-0 • fZ1
, % /
MUM
Gr.f
K&d
I A.P. # 7,7 -
' 0 S
ENCLOSED PLEASE
FIND
THE FOLLOWING:
[HEREWITH
Q UNDER SEPERATE COVER VIA .....................................
[ - AppIication,.256A7
Q
Computation.,Q
AAuthorization
Q
Owner's Certificate
�Q Calculations
�-]
Description
( --heck for $ _�..��,�`._, Q
`7'
Road Maintenance
Q Design
_
f T
ED
BBA# .......... _.Client #...............
Agreement
Q Estimate
Q
Final Map
Q
Environmental
Street Sign Application
0 Original
Prints #... ..-�j............
Q
[]
Plat
Tentative Map
Q
Public Report
Subdivider Statement
[]
Test Result
El Specifications
$
`l�Q
.��l�l�l . ..1. :.,�1..............
X4
Title Report iP�y/'.{.,�..
Zoning & General Plan
[]
Q YOUR APPROVAL
CHECKING
Q SIGNATURE
MARKS: / 0
THESE ARE TRANSMITTED FOR:
Q YOUR INFORMATION
0 RECORDING
Q FOLLOW UP
Q YOUR FILES
Q REVISION
[] PER YOUR REQUEST
�f f. dv
Z S-0 • fZ1
, % /
MUM
s.
LA.�/OS OF ��•,
6 u rz
AV 27 -ao-08 t
Z 8 24 0/Z S4 ?
GlJRPO,¢r��
EX✓SVA16'
,904/AvAVO e
.0�- OZ. S'
W/L C /O/W
OaAlez ro, Gurt
2aso sQ cr
MORE 02 GBNr
A vE
n
Q P02T/O.✓ OF gGol..K 4-7
O.F.roe, " MA/O OF Me P!/Ge/ZMO #AAO
SCJ90/V/S/o.✓ / qa/,p Z W/" .00WlriVAI
OF rye AM-e,&,4b a/T,¢/S
Tz,4Gr sarre CoG'NTy , C�4
90 oaz svr / OF /
SOuA/O4aY tWOr
MOD/G/GDT/O�/
re /Z .. .gag&
•�K.e....�..IV
APAle4. 29-30-05, -OHO, IOiVO -09 �cwsn'
Gti�a �MOINEQAS LAND SU/IKLt'OI1S
ZOA104 Ac SOA/ae
AP?7-30-40S
Z 7f9 4012' 7�
L�ONOS 00 fiDW@/L
AP 27-00-oG
N
7799 OR 7(40
''�`1P1lOP40LE0 ,BOI/A/QdRy
A vE
n
Q P02T/O.✓ OF gGol..K 4-7
O.F.roe, " MA/O OF Me P!/Ge/ZMO #AAO
SCJ90/V/S/o.✓ / qa/,p Z W/" .00WlriVAI
OF rye AM-e,&,4b a/T,¢/S
Tz,4Gr sarre CoG'NTy , C�4
90 oaz svr / OF /
SOuA/O4aY tWOr
MOD/G/GDT/O�/
re /Z .. .gag&
•�K.e....�..IV
APAle4. 29-30-05, -OHO, IOiVO -09 �cwsn'
Gti�a �MOINEQAS LAND SU/IKLt'OI1S
PERMIT NO. 4575-81B,P,E
PERMIT EXPIRESoh i rLx .
OWNER Pete BOwerS'
CONTR. Owner
ASSESSOR PARCEL .27-30-6
LOCATION NW cor.of William Ave.&
Palermo Honcut Hwy, Palermo
f t,
Temp. Power Pole
7
Called PG&E
Temp. Elec. Service M
ti
Called PG&E
Temp. Gas Service.
Called PG&E
• JOB NA ED (Date) jo
Signature ��
J = OK "
0 = Not OK
- = Not Applicable
* = Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVENS, CARPORTS, ETC. (Plans) G,, axcept k .
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)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg. -Bracing__
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enc.os„res
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 #'s I
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line - -r_
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 t
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 _
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
8. Elec.; Grounding; Equip.w/5'-Circulating"Equip:-Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
-
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -131 --Date.-
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI "Date--
Card -BI
Date Card -BI Date
J = OK
0 = Not OK _
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
� =
i
Date UNDE OOR ns OK exce t#'s
Date FR
NG Continued
Zoning requirements -Setbacks Easements
416.
Property Line Firewall & Openings
a,�Ptg., Main; Soils -Steel- d.- / /" Ftg. Depth
¢9,--£"t. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils-St6el- / /" Ftg. Depth
50__&1a44+,-
-Rise=Run-Landing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5.1.
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
Y^STemwalls, Main; Steel-Blockouts-Wrapped-Slab52,-Tiding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
5&--Sl-ucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
lazing Area -Glass Protection -Skylights -Plastic
W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test45iling-Bolt
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
_ 11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -B
Dae rd -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
BI Date -/ rd -BI Date
Date
(Plans) OK except p's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except k's
Ext. Steps -Door & Sidelight Protection -Landings
mok�tector
_4k14. Water Ht.; Vent -Access -Combustion Air
urnace; Vents -Clearance -Comb. Air -Connector-
Above Floor-Ducts-Mech. Protection
% M ytr ✓Water Pipe & Anphors-Nail Protectionlo-Garage;
"
Ftt & Anc r ail est n
.
Bedroom Exiting
—-fi-5frt3 r an; est, First Floor -Tub Access6
18. ower, 2nd Floor -Tub Access
Wil. & Bath Fixtures & Tub Access
�Fr'Elec.
Trim & Subpanel; Breaker Sizes -Labels
_
as Pipe; Size & Anchors
ove; Clearances -Hearth
64.
Eirmw od Panel; Int. & Ext.
Card -BI Date ^- f, and -BI Date
. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
lec. Outlets & Receptacles at Kit. Counter
Date ELE 'rRICAL Permit OK except q's
6
wing -Landing -Closer
6
rage- amper
% r Fixture & Transformer Clearance -Ins. Protection
6
W ep an Comb. Ai -Connect r P .-
In e• '
Elec. & Mech. Equip. Listed for Location
2 lec. Receptacles Spacing -Lights & Switches at DoorsPIb.,
2 ize Boxes & No. of Conductors -Stapled
e; (G.F.I.)-Romex Protec.
234-1fonlex Installed Close to Edge of Studs & C.J.
2 uip. Ground made up w/Mech. Fasteners -Bond Gas & Water
nsulation-Foam-Looked in Attic E3 Yes
uard Rails &Deck Construction -Post Caps
2 Appliance Circuits in Kitchen &Conductor Size
- --
2er--6abfeed-Wit Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
7
1 Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
2 nge irc. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral _]Yes ❑No
75.
Followinginstld.: Drive Yes o; Walks
El Yes ®-fro;
Planters El Yes o
28_- a er onductors & Ground -Main Disconnect
Za
^^ c r r,
_ 2 quip. Clearances; Panels-Motors-Mech. Equip.
_- es Closet Light -Shower Light
7a,
A. nit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
encs Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
—------------
ater Well; Disconnect, Electrical, Plumbing
rior Elec. Trim; G. ..Receptacle -Underground
Card B-1 Date -/ �ZEard-BI Date
—�
.
8'.7
Ventilation throughout House
Ula-W-rrr-3Te-CThyn
Card B-1 Date Card -BI Date
Date ME NICAL (Permit) OK except N's
9,ufttions from Previous Inspections
Tes eters Tagged; Gas -Electric
} _ : A.C. Ducts; Insulation &Support
& Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Vent Fan; Ex aust above Insulation _
33. on—densTU'rrain & Overflow; Size & Grade
___ 34. ace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
-----
Card-BIgA? Date`��/6 Card -BI Date
-'v �—_-_
Card -BI Date Card -81 Date
Card -BI
Date and -BI Date
Card -BI
Card -BI
Date and -BI Date
Date Card -BI Date
Date FRA G(Plans) OK except N's
Comments at Final:
-Sills; Proper Material & Anchors_
�Y. Wal _; Studs -N_ ' ng�B_racing-_Plate_s_�_ _nd
earrng Walls over Girders & Floor Nailing
_ 3 Draft
. Stop in Walls (rat proof) _
4 urre eilings-Stairs-Chases-Tub
H er &Beam -Size &Bearing
4 an ers-Post Caps -Anchors -_Connectors -
4 Ing. Joist-Rftr. Ties-Purlin-Roofr.6r'dc.-Trus-Rfng.
re es-orype-A-Flue-Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
d m. Windo_w_s or Exiting Doors -Sill Hgt. & Dimensions
4 rotection Framing
-
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE f
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
' 7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
` - CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
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.
�J 11 110 4t_ a _ ; . 11 k ! \ l /i
I
a on
� i MX
I
Inspector..
Date -tO. _ (. • C.
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
BUILDING OR PROPERTY ADDRESS
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.
Inspector ('_': C! �f/ Date
RRC TTIFNTTAT.
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT i 2 �26? 46�-,?L ZL e177 12�,vca T //w�L _0
(location)
BU ILD ING PERMIT NO. 9 g Q _ %- A -'P. NO . 2 -36:5 -- (>
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls 0%
Ceiling/Roof
Ducts
Circulating ipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING: AIA
Single Glazed
Special (Insulated '
CERT. & LABELED WDS.
& SLIDING DRS. AM
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS A ��E
INTERMITTENT IGNITION DEV J F
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO.
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name � - 2 clj.p r- S
Signature of (plea int)
Insulation Applicator
ate Contractors
License No.
General Contractor/Owner Name fc C� P
' (ple print)
Signature of
General Contractor/Ownerz-vfL--2late —
State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A -CONSPICUOUS LOCATION
WITHIN THE DWELLING. I
10
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS P R IT NO.
7 County Center Drive - Orovill , California 95965 - Telephone 916/534-4 1
APPLICATION AND PERMIT
ASSESSOR PARC NUMB R ZO ING
—� rBUILDING
PERMIT
oE EPHONE
rs -7747
SO. FT. OCC. BUILDING VALUATION
V2
0
OW ER'S M (LING DRESS
- b
CONTR CTOR'S NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is7
11 4 -
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ 1-7,0-0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ , 0
BUILDING DDRESS
1 � A
l/lJ
PLUMBING PERMIT
Fee
Filin Fee 10.00
Filing
Each Trap
1 2.00
Repair drainage or vent piping
5.00
LOX— Donn
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
MA
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Additio Er", emodel Utilities ❑ Installation❑ Other ❑
Describe work:
��x>° pn�r/1� � (�S"-7S� ��
1 [ /
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
SS
Main service 100 LESS
100 AMP LE LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING
OR ADDNS. ACC. BLDG
I gq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
❑ 1 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 MULTI -OU
NON-RESID BRANCH CIRCUITS
2.50 ea
NEW NON -CONRESID, STR / SINGLE OUTLET CIR. /POWER APPARATUS S1
\
,
ExOccup OUTLETS OR FIXTURES BAL21
FIXED APPLNS. OR
EX. Occup.�OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
f,�lr I shall not employ any person in any manner so as to become subject
1� to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
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, costL4, and expenses which may in any way accrue
against d -ou t- in co ence of the granting of this permit.
, / _,This
X �Date
Signature of Applicant — Owner 9, Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCcl". GROUP
1 TYPE oVONST*
PARCEL
PD
ND
99uE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR PUBLIC
i By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
✓�
Receipt No. 6 I Dfy
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF' PUBLIC WORKS P RMIT NO.
7 Gounty Center Drive - Oroville, California 95965 - Telephone 916/534-4541 f— /
APPLICATION AND PERMIT ii /►
ASSESSO/�Ry, PARCEL NU BER ZO ING
l _N i2
BUILDING PERMIT
O
T LEPHONE
��
SO. FT. OCC. BUILDING VALUATION
0 ER'S AILING ADORES
�2
CONTRACTOR'S NAME
TELEPH NE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER UNKNOWN
Fireplace at/DOD
Total Valuation $ AZ
oV
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING DD Ess 1 \Vv e__
PLUMBING PERMIT
Filing Fee 10.00
affV
Each Trap
2.00 LTD
Repair drainage or vent piping
5.00
T' M
Water piping
�;DD
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00 V
Gas piping system 1 - 5 outlets
/ USE OF STRUCTURE
SF I2' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
S^ D -a
Lawn sprinkler system
5.00
TYPE OF WORK
New D? -""Addition ❑ Remodel ❑ Uti Iities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$ r
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 8001 OR LESS
100 AMP OR LESS
00 ,
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. �DWELL I C1 P.
OR ADDNS. ACC. BL 0-
qft �
r
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
ElI am licensed under provisions of Chapt. 9, Div. 3 of the Business
Professions Code and m license is in full force and effect.
y
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 TI -o TLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS e
NON-RESID. SINGLE OUTLET CIR.
50 @ 25tand
Ex. OccupOUTLETS OR FIXTURES BALPIOC
Ex. OCCup.(OUTLETS FIXED P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
❑ 1 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.
Heating LA3 ex 8--
Cooling V
/0 -DO
Hood
3.00 00
Ventilation
Permit Fee
S Q
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
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 c quence of the granting of this permit.
X ..� Date 12_ J�i/
Signature of Applicant— Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
occuP. GROUP
I TYPE OF CONST.
I
PA:;J
PD V HDA
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
By
P IT EXPIRES Date����O
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date � f
lD'� �
Receipt No.9
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
I j STATE OF CALIFORNIA
COUNTY OF RTITTF.
— — — OFFWAL SEAL
Thelma M. Swearengin
NOTARY PUeLtC • CALIFORMA
PRINCIPAL OFFICE IN
BUTTE COUNTY
My Comriliss w Exp. Oct 3, 19x2
On this 5th day of January in the year one
thousand nine hundred and eighty-two , before me,
Thelma M. Swearengin , a Notary Public, State of California,
duly commissioned and sworn, personally appeared
-- Pete Bowers ---
known to me to be the person whose name
G subscribed to the within instrument and acknowledged to me
that he executed the same.
IN WITNESS WHEREOF 1 have hereunto set my hand and affixed
my official seal in the County of
Butte the day and year in this certificate first
above written.
This document is only a general form which may be proper for use in simple transactions 4--
and in no way acts. or is intended to act. as a substitute for the advice of an attorney.
The publisher does not make any warranty. either express or implied as to the legal Notary Public, SO -to of California
validity of any provision or the suitability of these forms in any specific transaction. October 3 1982
My commission expires
Cuwdery's Form No. 32 — Acknowledgement — General (C. C. Sec. 1190a) END OF DOCUMENT
(J„
c.�
CM
n
KIIE
�1
b.
rnrn
Ar w�l
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT JEFlCtAi. E'C'oFtUS
FOR RESIDENTIAL DEVELOPMENT OUTiE COUNT Y,•At 1;.
RE DS Rc ;+i STci) B'4
Section 26-8.1 of the Butte County Code requires this acknowledgementgg r p
be recorded prior to issuance of a building permit. An 6 12 18 PMI{�"''��
CLARK A.
NELSON
The property described herein is adjacent to land or included CLERK-RECQ-RDER
within an area zoned for agricultural purposes, and residents of FSE
this property may be subject to inconveniences or discomfort arising Q4 260
from the use of agricultural chemicals, including, but not limited to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said -zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County'of Butte, State of California,,
described as follows:
The South 75 feet of Lot 16, in Block 17, -as shown on that certain Map'
entitled, "MAP OF PALERMO AND SUBDIVISIONS 1 and 2 WITH ADDITION TO NO.
1 OF THE PALERMO CITRUS TRACT", which Map was recorded in the Office of
the Recorder of the County of Bitte, State of California, on September 17, 1888.
Date: December 21;:a 1981.
� t
PROPERTY OWNE
�,It State of California ) On this the 21st day of December 31 19 81 21
) SS. before me, the undersigned Notary Public, personally
County of Santa Clara ) appeared
JACK W. BOWERS
..................
OFFICIAL- SEAL
SHIRIEV A. THROCKMORTON
NOTARY PUBLIC CALIFORNIA
•�: m® PRINCIPAL OFFICE IN THE
COUNTY OF SANTA CLARA
Comm. UP. Mar. 7, 1983..
known to me to be the person(s) whose name(s) is
subscribed to the within instrument and acknowledged
that he executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
Present A.P. NO.
w"
0
0
R
Cry
._1
-e
m
rn
^
'
`
lt�
OWNER
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC. ONLY)
Bldg. Permit #r%�
A.P. #
A. GENERAL Z
Zoning requirements'(sideyards and parking).
,2!- Valuation.
Signature by R.C.E. or Architect (if required).
B.' PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN
' Complete to scale plan with ,dimensions.
Required windows for light and ventilation (Sec. 1405).
*Required windows for second exit (Sec. 1404).
.4* Allowable glazing for energy requirements (20% max. per.State law).
, * Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
�8:' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
e9 Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and -closer (Sec. 503(d)(4)).
F- 3'0" exterior exit door (Sec. 3303d).
ireplace location.
y3!' Smoke detectors (Sec. 14F1-3).
D. STRUCTURAL DETAILS
,A' Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
.�� Elevations and wall construction details complete enough to construct building.
>--"Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305). '
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
A§ Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
!7! Rafter ties or bearing ridge beam.
;00' Garage door or porch header sizes.
J3: Adequate bracing.
Living area over garage - complete 1 -hour separation required including supporting
walls and posts, etc.
j. Two (2) exits on three-story dwellings (Sec. 3302).
I