HomeMy WebLinkAbout028-310-006I
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Department of Alcoholic Beverage Control State of California
APPLICATION FOR ALCOHOLIC BEVERAGE LICENSE(S)
ABC 211 (6/99)
TO: Department of Alcoholic Beverage Control File Number: 542109
1000 CHURN CREEK RD Receipt Number: 2215691
STE 215 Geographical Code: 0400
REDDING, CA 96002 Copies Mailed Date: February 18, 2014
(530) 224-4830 Issued Date:
DISTRICT SERVING LOCATION: REDDING 8UTTE
COUNTY
First Owner: SHIREY, KIMBALL JOHN
Name of Business: SPENCER SHIREY WINES FEB 2 4 2014
Location of Business: 6857 LA PORTE RD DEVELOPMENT
BANGOR, CA 95914-9705 SERVICES
-.County: BUTTE
Is Pre mise ins ide city limits? Census Tract 003 3.00
Mailing Address: PO BOX 3490
(If different from PARADISE, CA 95967-3490
premises address)
Type of license(s):
02
X
Transferor's license/name:
Dropping Partner:
Yes— No
License Type
Transaction Type
Fee Type
Master Dup
Date
Fee
02 - Winegrower
ANNUAL FEE
GL5K
Y
0
02/18/14
$69.00
02 - Winegrower
ORIGINAL FEES
GL5K
Y
0
02/18/14
$100.00
NA
FEDERAL FINGERPRINTS
NA
N
2
02/18/14
$48.00
NA
STATE FINGERPRINTS
NA
N
2
02/18/14
$78.00
Total $295.00
Have you ever been convicted of a felony? No
Have you ever violated any provisions of the Alcoholic Beverage Control Act, or regulations of the
Department pertaining to the Act? No
Explain any "Yes" answer to the above questions on an attachment which shall be deemed part of this application.
Applicant agrees (a) that any manager employed in an on -sale licensed premises will have all the qualifications
of a licensee, and (b) that he will not violate or cause or permit to be violated any of the provisions of the'
Alcoholic Beverage Control Act.
STATE OF CALIFORNIA County of BUTTE Date: February 18, 2014
Under penalty of perjury, each person whose signature appears below, certifies and says: (1) He is an applicant, or one of the applicants, or an executive
officer of the applicant corporation, named in the foregoing application, duly authorized to make this application on its behalf, (2) (hat he has read the
foregoing and knows the contents thereof and that each of the above statements therein made are true; (3) that no person other than the applicant or
applicants has any direct or indirect interest in the applicant or applicants business to be conducted under the license(s) for which this application is made;
(4) that the transfer application or proposed transfer is not made to satisfy the payment of a loan or to fulfill an agreement entered into more than ninety
(90) days preceding the day on which the transfer application is filed with the Departin * ent or to gain or establish a preference to or for any creditor or
transferor or to defraud or.injure any creditor of transferor; (5) that the transfer application may be withdrawn by either the applicant or the licensee with
no resulting liability to the Department.
Effective July 1, 2012, Revenue and Taxation Code Section 7057, authorizes the State Board of Equalization and the Franchise Tax Board to
share taxpayer information with Department of Alcoholic Beverage Control. The Department may suspend, revoke, and refuse to issue a license
if the licensee's name appears in the 500 largest tax delinquencies list. (Business and Professions Code Section 494.5.)
Applicant Name(s) pplicant Signature(s)
SHI.REY, KIMBALL JOHN
SPENCER,MARYLEE
e
go
132-85B,E
PERMIT NO.
PERMIT EXPIRES
OWNER CARROLL GILKEY
CONTR.- owner
ASSESSOR PARCEL 28-31-06
LOCA TION W/S Laporte Rd, NE Upham Rd, Bangor
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Temp. Gas Se
Called PC
JOB FINALEI
Signature
OK
Not OK
Not Applicable MOBILEHOMES
Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbaclks�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; Locat i on -Test- Easement Needed (Sketch)
4. Wood Awn.; Posts -Beams -R ftrs. -Con nec.-Sh thg.- R fg. - Brac i ng
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 -131
Date Card -131 Date
Card -Bl
Date Card -BI Date
Card -BI
Date
Date Card -131 Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req u I rements-Setbac ks- Easements
Card -BI
Date
Date Card -131 Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers- Brea kers-C I eara nces
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test- Reg u lator-Con nector
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 I osures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -131 Date
Card -131
Date Card -BI Date
Card B-1
Date Card -131 Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIA1 (Sin.gle and Duplex)
Date
UNDER56OR (Plans) OK except #'s
Date
FRAMING (Continued)
1.0!�oning requ i rements-Setbac ks- Easements
48--propehly
Line Firewall & Openings
t_ M fV13111, Soits-Steel-Elec. Grnd.- Ftg. Depth
- - -One X -Check Garage -3rd story, 2 exits.
49. -V7T. Cloors
Aol'rtg, Garage; Soils -Steel- Ftg. Depth
.50iSTj_irV-,
Width Headroom�R ise-Run-Landing-F ire Protection
A_.EU
,6,12,erthes & Decks; Soils -Steel- Ftg. Depth
(vood on Roof Overhang -Attic Vents -Rafter Outriggers
_%_LWmwaU, Main; Steel-Blockouts-Wrapped-Slab
52,"Siding-Nailing-Veneer
t._,We-.walls, Garage; Steel-Blockouts-Wrapped-SlAb-*"
_93_-eM,=-Mesh-Drip Screed-Fdn. Vents-UnderfIr. Access
Ftg.-Steel
-S4-Gfa-zing
55.
Area -Glass Protection -Sky I ights-P last ic
Shear Walls; Nailing -Bolts
y&.--B-W-V--ftII-Fittings-Test-2 way C/0 -Sewer Test
,Or-Ees-PWe--, Size -Anchors
I*T-Ta-ter Pipe; Test-Anchors-Regu lator-Sery ice Test
11. Electric; Underground
12_121spufrfs & Ducts; C learance-Materi al -Support- Ins.
13. Girders -Sills -Anchor Bolts -joists -Vents -Cripples
Card-BSAJ
Date Card -BI Date
A. It-
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card-BI&K_
Date,7 -BI
,11SIg13' Card Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protect ion -Land i ngs
Card -Bl_
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
57.
Smoke Detector
14. Water Ht.; Vent- Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16. DXV.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17. Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL (Permit) OK except #'s
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -C loser
68.
A.C. Duct in Garage -Damper
20:_ FAture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
2� tec. Receptacles Spacing -Lights & Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
-10
2Y %qe Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
2V2:omex Installed Close to Edge of Studs & C.J.
24,/ Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
73.
1 nsu let ion- Foam- Looked in Attic [-) Yes
Guard Rails & Deck Construct ion -Post Caps
25__2_A4*iance Circuits in Kitchen & Conductor Size
26.-Sub4-d-Wire Size / / ga. Cu or AI-A.C. Wire Size ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor 0 Yes
,?_��irc. / / ga. Cu or Al -Oven Circ. ga. Cu or A],
Insulated Neutral E]Yes E)No
75.
76.
F Howing instid.: Drive Ej Yes E) No; Walks E] Yes E) No:
Polanters Dyes EINo
Stucco; Brown -Finish
�.e ce-Riser Conductors & Ground -Main Disconnect
_49��. Clearances; Pane I S-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3e7-CTMWe_S Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; Exhaust above Insulation
33. Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Cenificate-Other Certificates
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card-qN��
Date L7"% Card -BI Date
Card -BI
Date Card -BI Date
Card -Bl__
Card -BI
-
Date Card -BI Date
Date Card -BI Date
Card -BI Date Card -BI Date
Date
F ING(Plans) OK except #'s
Comments at Final:
X6. SI;1,49; Proper material & Anchors
zz2alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
�6 ,Bearing Walls over Girders & Floor Nailing
X.,,Drraft Stop in Walls (rat proof)
4d'.ZFire Stops; Furred Ceilings -Stairs -Chases -Tub
4-f. Header & Beam Size & Bearing
9,," Hangers -Post Caps -Anchors -Connectors
(4��ZClng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthng.-Rfnp.
�Fi rep [ace les or Type A Flue-Firepiace-Thro-at- -
Access; Size & Romex Protect i on -Draft Stop -Ins. Baffles
A�. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Gara�e Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - PEPARTMENT OF PUBLIC WORKS
7 County Centerbrive - Oroville, Califofnia659'65 - Telephone 916/534-4541
APPLICATION"AN11 PERMIT
PERMIT NO
') -7:'
ASSESSOR PARCEL NUMBERf
11 7)
ZO ' G
NX — 5-.
BUILDING PERMIT
0 V�Wf R
TELEPHONE
SQ. FT. OCC. BUILDING VALUAT
A4
A '7 -2, 0
OWNE,;3'S MAISG CITRESS
CONTRA-CTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I
CONSTRUCTION LENDER A
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS N
Permit Fee
$ _f b I OD
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
A
Permit fee
$
BUILDING A D E7S
PLUMBING PERMIT
Fi ling Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARC
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCRRE
SF [J Duplex Mobi lehome n other oe
SPECIFY
Building sewer
5.00
_F_
Mobile Home S I G I IN
10-00ea
TYPE OF WORK
New P--A'dd i t i on [J Remodel[] Utilities[] InstallationEl Other 0
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
6
Main service 1OOV OR LESS
00 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING 0
OR ADDNS. ACC.BLDGs.!M 6) 21/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, 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)
El 1, as the owner, am exclusively contracting with licensed contralct-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONSTH (MULTI*OUTLET 2.50 ea
N...RES'D, BRANCH CIRCUITS)
NEW.CONSTIRL ( POWER APPARATUS
NON RESID, SINGLE OUTLET CIR.
20050ti
—EX. OCCUP(OUTLETS OR FIXTURES IBAL@ 300
FIXED APRLNS. OR %
Occup. OUTLETS (RESID.) EA.1 2.00
—Ex.
Temporary service 10.00
MQbile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ 00 E) 0
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F] The permit is for $100.00 (valuation) or less.
Ej 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-Invure.
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
Fi I ing 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, cosIts, 9nd expenses which may in any way accrue
re tl%le granting of this permit.
t , d C y in Snseggepxl V ,
Date / — , ;7_
Signature of Applicant -L1-__0v,.er0 C/r.ctor 11 Agent 0
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 IZ $ /0 P7
occUP. GROUP
I TYPE OF CONST.
PA��J
D No
ISSUE
T.his permit is hereby
sions of the Butte County Code and/or
work indicated above for which
OF PUBLIC
y 91��
PEOT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—Date
/--- -I- I
Receipt No. 8 =I)- b 3 1 ____
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
t
PERMIT NO. 1611-88B
PERMIT EXPIRES
OWNER CARROLL V. GILKEY
CONTR. OWNER
ASSESSOR PARCEL 28-31-06
LOCATION 10659 LaPo�te Rd, Bangor
Temp. Power Pole
Called PG&E
Temp..Elec. Se
Called PG1
Temp. Gas Ser
Called PG4
JOB FINALED
Signature
= OK
0 = Not,OK
NbtApplicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P'Uft-
/ P'Nat. or/ /"L"ft./ P'LPG
7. Utility Clearance
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test- Reg u lator-Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
MISCELLANEOUS
Date DE S,CW&RS,CARPORTS,GARAGES, (Plans)OK except #'s
V��ning Requirements -Setbacks -Easements
VFootings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. 2�cks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
1VWood Awn.; Posts- Beams-Rf trs.-Co n nec.-
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Col u m ns -Con nections-S'pl ice- Decal- Encl osu res
6. Carports; Windows -Doors
7.,Peec.
F Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Card -131 YkJ Date Card -131 Date
Card -131 Date Card -131 Date
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 vojts-GF1
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131 Date Card -131 Date
j Card -131 Date Card -131 Date
=OK -
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
* =.Not Ready '
Date
UNDERIFLOOR (Plans) OK except #'s
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ P' Ftg. Depth
47. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth-
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Sternwalls, Main; Steel- Bloc kouts-Wrapped
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Sternwalls, Garage; Steel- BI ockouts-Wrap ped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51, Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protecti on-Skyl i g hts- Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-Clg.
60. Infiltration-Walls-Wndws
Card -131
Date Card -131 Date
Card -Bl
Date Card -B1 Date
Card -131
Date Card -B1 Date
Card -131
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion AirBaffle
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
61. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
62. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -1311
Date Card -B1 Date
67. Stairs & Rails
Card -B1
Date Card -131 Date
.68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
Date
ELECTRICAL (Permit) OK except #'s
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
22. Fixture & Transformer Clearance -Ins. Protection
71, Elec. Outlets & Receptacles at Kit. Counter
23. Elec. Receptacles Spacing -Lights* & Switches at Doors
72. Garage Fire Door; Swing -Landing -Closer
24. Size Boxes & No. of Conductors-Sta pled
73. A.C. Duct in Garage -Damper
25. Romex Installed Close to Edge of Studs & C.J.
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
75. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / /ga. Cu'orAI-A.C. Wire Size/ /ga.
Cu or Al
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic 11 Yes
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No
78. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
31. Equip. Clearances Panel s -Moto rs-Mech. Equip.
80. Following instid.; Drive -0 Yes 0 No; Walks 0 Yes 0 No;
Planters 11 Yes 11 No
32. Clothes Closet Light-Shdwer Light -Spa Light
33. Smoke Detector
8i, Stucco; Brown -Finish
Card -131
Date Card -B1 Date
82. A.C. Unit; Disconnect, Electrical, Plumbing
Card -131
Date Card -1311 Date
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
84. Water Well; Disconnect, Electrical, Plumbing
34. A.C. Ducts Insulation & Support
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
35. Vent Fan; Exhaust above insulation
86. Ventilation throughout House
36. Condensate Drain & Overflow; Size & Grade
87. Glass Protection
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -1 15 outlet
88. Corrections from Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
0i. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -Bl Date
92. Roofing Certificate
Card -131
Date Card -131 Date
Card -B1
Date Card -131 Date
Card -B1
Date Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -131 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE OF PUBLIC WORKS
7 County Center Drive - Orovillp, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEbJMBE81
ZON G
BUILDING PERMI
OWNER TELE HONE
carrbi V (�11 Ice, 1
F Tj 0 C C. BUILDING VALUATION
. :22,/)
SSQ.
OWNER'S MAILING ADOR
)
CO INTRACTOR-5 NAMh
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS —
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER NO.
Plan Checking Fee
$ �0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 9 La
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00
1
Each qas water heater or vent
5.00
USE OF STRUCT/4RE
Gas piping system I - 5 outlets
5.00
SF) -'Q DuplexF� Mobilehome[:] Other- fto��
Building sewer
5.00
SPECIFY
Mobile Home s I G I W
10.00 ea
TYPE OF WORK i
I
New��Addition'W' RemodelEJ Utilities[] InstallationO OtherE]
Permit Fee
$
Describe work: >
Contractor
0`4
ELECTRICAL PERMIT
FilingFee 10.00.
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main serviceEA. ADO -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST DWELLING OCCUP.111)
21/20sqft
I declare under penalty of perjury (check one):
OR ADONS. ACC.BLOGS.
NEW CONSTR. MULTI-OUTLE T
2.50 ea,
F1 I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON,RESID, BRANCH CIRC.ITS)
POWER APPARATUS &I
(SINGLE
and Professions Code and my license is in full force and effect.
OUTLET CIR. I
License No. Classification
Ex. Occup(OUTLETS OR FIXTURES
20050t
AL0301
W"l, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI*D.) EA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile Home Facilities
15.00
1, as the owner, am exclusively contracting with licensed contract-
Misc. Wiring
15.00
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
FilingFee 10.00
EJ The permit is for $100.00 (valuation) or less.
Heating
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -insure.
Cooling
shall not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
T
Notice to Applicant: If after making this statement, should you become -,uuJtSvL
Permit Fee
$
to the W. C. provisions of the Labor Code. you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Contractor
I certify that I have read this application and state that the above informa;;On
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
I also agree to save, indemnify and keep harmless the County of Butte against
0 ccup, CONST*TYPCI FL0001 PARCEL]_ PD Ho
all liabilities, ju4gments, costs, and expenses which may in any way accrue
ISC1100LI
I
I
agai 001, 0 Y_,�DAonsequence of the granting of thl rmit.
2—
X
This permit is hereby Issued under the applicable provi-
Date
sions of the Butte County Code and/or
resolutions to do
V7 Agent El
Signature of Applicant ner[9e Contractor El
work indica ed above for which
t
fees have been paid.
Zquiradj�far
An OSHA permit !is r a xcavations over 5'0" deep and demolition or construct-
IREq:T0 PUBLIC
WORKS
ion of structures oter 3 stories in height.
7 V,
100
Receipt No.
By
Date
WHITM-O.P.W.. YELLOW-A35C330R, PINK-INSPrCTOR. GOLDENROD-APPL I CANT
PERMITEXPIRES Date—
6"—,"76-9
COUNTY OF BUTTE DEPARTME-NT (YF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLEfICA&FOANIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER A P. No. A _3 -0(0
Proposed Building UseO.QWK Building Inspector 9S Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
1. All items.have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate./tripli-cate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on -plans.
5. Plans with Energy Design -Compliance Statement . . . . . .
6. — School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
,91. Letter of signature authoriz�fi I on.
Health Dept.
_40KO. Sanitation approval fro I
11. 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 ownerEl, Mai I to owner
-15. Improvements may be required . . . . . . . . . . . .
.16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. requer, 1. (Dot
17. Pre -inspection for Required- B.ilding In s pector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses in duplicate (required prior to plan check). -
22.
When oU issue the permit, process as follows: —Mail to owner, Mail to contractor.
=elephone -and hold for pickup a(222_off ice, —Deliver w/inspector.
I Other
Applicant( -
Date
Copy of plans sent — Health Dept., —Fire Dept., — Other .1 Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone---jnai I —counter by— date
Contractor, designer, owner, was advised of above required data by —phone —ma I I —counter by— date
Plans checked by Date Plans approved by— Date C 2119-
-Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildinq Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
06.
0, r roft r-0, S- C/ Ct ICY -
owner, Location AP#
Plan Approved for: Sewage Disposal Water Sup'
ply.
Hold final for: Watbr Supply.
Final clearance O.K. for': Water Supply
clearance for bedroom mobile home. Other 01-<,a 0-,/
NOTE
C11k
S* a-"Wi–t —ar i a n Date',(
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at -your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 1 personally plan to provide the major labor and aterials for construction of
the proposed property improvement (yes or no)
2. .1 (have/have not) 'Ve 5. signed an application for a building permit
for the proposed Ark.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan to provide portions of this work, but I have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address _. City
Phone Contractors License No.
5. I.will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address . Phone Type of Work
Signed:
Property,Owner
Social Securit
d"
_ _2 y N
Date "I,—
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.
N.
1/7,r
411 L,
19
51-
P R �Ml T� 0.
'7 'A
PERK41T EXPIRES
rbWNER Carroll V. Gilkey
CONTR. owner
28-31-6
LOCATION (A.P.
W/S LaPorte Rd.,app.A* mi.NE of Upham Rd.,
Bangor Area
Temp. Power Pole ,Z"
Called PZE�/ — ---7 9'
Temp Elec. S, rv- 3�-A 3
CalledPG&E—zu -6
Temp. Gas Serv.
C 611"le d P G & E
/OB
FINALED
a
(S(gfPature)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RE�ORD
Stemwa I Heaters
VU Insulation A ----
Prov. for p sically ,
Slab ------------ Appliances
hand, appe.1
Carport Gas Piping & Test
Conformance of ex.
Footin s structure 4-1�a Temp. as
S S 6z —
lab Final Sanitation
10
Patio Final
_FIREPL!U XOLAA��
-rX Footings Footing ELECTRICAL
Masonry ails Throat Rouah
Reinf. Steel Final Fixturest,-"
Bond Beam FIRE SPRINKLERS 40*4"Y-
Framing 97) C4,--. Test IPJ rerLOrr.
FIQI'Stucco Final 7 Subpa 501
Mesh MECHANJjCAL Grd. §41t Prot.
Scratch Heating Service
Brown Cooling Temp. -V�orvl C e 3 -2-3 -7�9
Finish Ducts 7 underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEMS21ME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DA TE REMARKS OR CORRECTIONS
9
D
1012
(NOTE: An entry must be made on this form each time you visit the job site.)
BUILDING
04
BUILDING
_,,,(Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
J
Forms
Parapets
1 st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall-�"XC--;7V./��
Siding
Topout
Slab
1 4 A I--,
Roof Sheathin CAP
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Ve Is
Water Htr.
Stemwa I Heaters
VU Insulation A ----
Prov. for p sically ,
Slab ------------ Appliances
hand, appe.1
Carport Gas Piping & Test
Conformance of ex.
Footin s structure 4-1�a Temp. as
S S 6z —
lab Final Sanitation
10
Patio Final
_FIREPL!U XOLAA��
-rX Footings Footing ELECTRICAL
Masonry ails Throat Rouah
Reinf. Steel Final Fixturest,-"
Bond Beam FIRE SPRINKLERS 40*4"Y-
Framing 97) C4,--. Test IPJ rerLOrr.
FIQI'Stucco Final 7 Subpa 501
Mesh MECHANJjCAL Grd. §41t Prot.
Scratch Heating Service
Brown Cooling Temp. -V�orvl C e 3 -2-3 -7�9
Finish Ducts 7 underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEMS21ME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DA TE REMARKS OR CORRECTIONS
9
D
1012
(NOTE: An entry must be made on this form each time you visit the job site.)
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED I 'I H CURAENT ENERGY GQNSERVA ION REGULATIONS
AT__
(locdtion) W Z
BUILDING PERMIT NO. 57,f4.:?- ffO A','P. NO. 4�
THE FOLLOWING HAVE BEEN.INSTALLED AS PER APPROVED PLANS:
(Check each ite-m or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors
Walls
Ceiling/Ro6f
Ducts
Circulating Pipes;
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS . ...... ,
INTEIU4ITTENT IGNITION DEVICES
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
Signature of (please print)
Insulation Applicator
State Contractors
kbicense No.
Gener4l Contractor Name��'-
Signature of leas� print)"
General Contractork.�ge��.,. jl?;� _ Date ZL 6
j>dfeContrac'to'r-s
,.--,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., .
COUNTY OF BUTTE
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
e
of 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.
0 .'-1 ej�-/—
.1, 1110�
del AL'z
!�4
Inspecto Date 4' -7 —
COUNTY'OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
A SSES�51R �RCE�NJMBER -
ZONING
BUILDING PERMIT
DIN
7n rrb V, 6� I
LEPHONE
SQ.FT. _OCC. BUILDING VALUATION
A
OWNER'S IAILIIVITSS
4/_
CONTRACTOR'S NAME ITELEPHbNE'
CONTRACTOR'S MAILING ADD RIESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit ee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING A DRESS
E� ;@ r
PLUMBING PERMIT
FllingFee 10.00
N1 - W - � i
4L
Each Trap
2.00
Repair drainage or vent piping
5.00
38,71 n e) r-
Water piping
LOT NO.
SUBDIVISION NAME
PAOIL MAP
Each qas water heater or vent
5.00
Gas piping system I - 5 outlets
USE OF STRUCTURE
SF R2e"DuplexF] MobilehomeF-1 Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New R AdditionEl Remod4l [:IUtilitiesE:l Ins7tal lationEl Other g.-
Describe work:
41, 12 --7-7 0,� c"IeWBA -7331
Permit Fee
'Contractor
$
ELECTRICAL PERMIT
Filing Fee 10.00
main service 6101 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP,5J)
OR ADDNS. ACC.BLDGS.
20 sq ft
CONTRA15TORS LICENSE LAW
I declare under penalty of perjury (check one):
F-1 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 Noi Classification
1, 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)
1, 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- ULTI-_U LET
NON.RESID, (MBRANCH CTIRCUITS) 2.50 ea
NEW CONSTR. POWER APPARATUS &J
NON RESID. (SINGLE OUTLET CIR. I
Ex. Occup(OUTLETS OR FIXTURES 50 @ 250
IBAL@?Ot
(FIXED APPLN5 OR
Ex. Occup. OUTLETS (RESI'D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi i rig 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.
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
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 ot
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 w hich may in any way accrue
against said County in consequence of the granting of this permit.
I
X Date Z-9 4
Signature of Applicant - Owner Cant El Agent F1
An OSHA permit is required for excavations Ott 5.10" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.
I
PARCEL
RD
NO
ISSUE
This permit is hereby issued under
sions of the -Butte County Code and/or
work indicated above for which
0 OF PUBLIC
By. MT
PERMIT EXPIRES Dale Q
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
— 6, — P
Receipt No. 4 Y,(00071
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
Signature of Permitee or Agent 0 Date /d.
Receipt No. 3,�:74/,
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant Building permit expires Dat v/ —,fz)
BUILDING
Owner
SQ. F T. OCC. BUILDING VALUATIO�(
Mailing Address
Velephone No
'a 717 -
Contractor y4"
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
P lan Checking Fee &/or Penal ti
Permit Fee
$
6;0� Ald ql AL
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
Each Trao 1.50
9vv eZh_e_6--,
Repair drainage or vent piping 1.50
A. P. No.
(00,
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
Fdb�
Ak_- I
SmarrTVM
Fire Dept.
Fire Zone
use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
I Parcel on
I Deciarati
I Parcel Map
1 60' R/W
I Improvements.
Each additional outlet .30
Building sewer 5.00
-Bldg. Plam. Ree'd I
__F
Parcel Approval
Plan. Approval
Lawn sprinkler system 2.00
NEWE] , ADDITION UTILITIES OTHER
Permit Fee $
ax 6ezltut�
ELECTRICAL No. @ FEE
47,61a# 71(o 7
PERMIT FILING FEE $3.00
600V OR LE
Main service 100 AMP SS 5.00
OR LESS
Single Family Duplex Mobil Home OthersEl
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS 25.00
Main servIce EA. ADD -L 100 AMP 1.00
NEW CONST r DWELLING OCCUP. 5i
OR ADDNS. * ( ACC.BLDGS. 20sqft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTFL -OUTLET
NON.RESID. (MULTI
BRANCH CIRCUITS 2.50ea
1�
NEW CONSTR. (POWER APPARATUS a,
NON-RESID. SINGLE OUTLET CIR . I
150 @ 25C
Ex. Occur) OUTLETS OR FIXTtIRES BAL@100
(F XED APPLNS. 0 R
Ex. Occup. 01UNLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
+ [S I am exempt f rom the Contractors L i cense Laws of the State of Cal i forn i a.
Permit Fee $
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
I I
Ventilation
Hood 2.00
Permit Fee $
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Land Development Fee
$
TOTAL PERMIT FEE
$
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abov ir which fees have been paid.
IRE T R 0 P LIC WORKS
Signature of Permitee or Agent 0 Date /d.
Receipt No. 3,�:74/,
White-D.P.W. — Yellow -Assessor — Pink -inspector — Goldenrod-Appli cant Building permit expires Dat v/ —,fz)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
1, L. / APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent"
Receipt No. I k4f 5- 5; 2 -
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appli cant
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.
/ � 91REtAR OF Rid-BLIC WORKS
rip
-M-00 �00 WWI'
R
Building permit expires Dati
I
BUILDING LI -1 -
Owner e,
SO. FT. OCC. BUILDING VALUATION
Mailing Address _1J
T.leph N
Contractor
Mai I ing Address
Fi replace
Total Valuation
T lephone No.
Permit Fee .11�1
Building Address
PlanChecking Fee&/orPenalty
Permit Fee $
lio 14,1 xe A ezjz)
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
,,A. P. No. ?
Z oning Planning
Water piping 1.50
Each gas water heater or vent 1.50
F
FireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
Declaration
Parcel Map
I
60' R/W
I
I Improvements
=
Each additional outlet .30
Building sewer 5.00
Bkig- Plam. R I
Approval
Plans Approval
Lawn sprinkler system 2.00
_Lorcel
N EW, [:] ADDITION UTILITIES OTHER 0.9
Permit Fee $
/,r 7 ;Z
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LE
Main service 100 AMP ORSLSESS 5.00
Single Family.X Duplex Mobi I Home Others
Main service EA. ADD -L 100 AMP 2.50
Main service 111R 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. DWELLING OCCUP. 5i
OR ADDNS. ( ACC.BLDGS. 20sq ft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTP_ -OUTLET
.ON.RES'D, (MULTI
BRANCH CIRCUITS) 12.50eal
NEW CONSTF;L 5 a
I (POWER APPARATU
NON RES D. -SINGLE OUTLET CIR
50 @
Ex. Occuo(OUTLETS OR FIXTIIRES IBAL
FIXED APPLNS OR
Ex. Occup.(OUTLETS (RESI*D.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of.
California.
MECHANICAL No.1 @ FEE
PERMIT FILING FEE J$3.00
Heating
Cooling
Ventilation
Hood 2.001
Permit Fee $
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee 1$
TOTAL PERMIT FEE 1$
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee or Agent"
Receipt No. I k4f 5- 5; 2 -
White-D.P.W. — Yellow -Assessor — Pink -inspector — Golden rod-Appli cant
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.
/ � 91REtAR OF Rid-BLIC WORKS
rip
-M-00 �00 WWI'
R
Building permit expires Dati
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroviile, California 95965 112-77
Telephone: 534-4541 (0
APPLICATION AND PERMIT
V pate -t
Receipt No. 17 0 70 fo 0 7�
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant E;�/ilding pe�rmit expires Date
1 -7
BUILDING
Owner
(?Zr-
SQ. F T. OCC. BUILDING VALUATION
oo
Mai I Ing Address Zll,czir
I _9
CC
Teleph N
7 a V��
2. 60
Fireplace 17-,S,0,00
ContractorG
Total Valuation 00
Mai I Ing Address
Permit Fee
'
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee $ /001M
$_/V0 1
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE J$3.00 14,00
Ai I 1� 0
Each Trap 1. 50 Alm
IR
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
tina 0 C)nl
C -4A ' it- V
A. P. No.
A -
Zoni
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F
S ion FireDept.
FireZoTne
/Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parce
e t! on
D clara I
I Parcel M 91
60' R/W
—
I Impro Z en ts
Lawn sprinkler system 2.00
Bldg. P!k�,Re
P a r c eF�A� p p ro v a
Plans&
6proval
Permit Fee s I/K. sn
$ 16.1.61
NEW ADDITION UTILITIES OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
600V OR LESS
Main service 100 AMP OR LESS 5.00
Main service EA. ADD -L 100 AMP 2.50
Single Family Ea�� DuplexE] Mobil HomeE] Others
Main service OVER 600V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
.500 SQ. FT. MININIU6A
NEW CONST_ CCUP. &)
OR A .. S. 20 sq ft
NEW CON,STR. (MULTI-OCTLET
NON _ RES D. BRANCH CIRCUITS) 2.50ea.
EOR MOBIL5
NEW.CON,STR. PO ER APPARATUS.&)
NON RES D. (SINGWLE OUTLET CIR
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Ex. Occup(OUTLETS OR FIXTURES) rBOA@L 2@51COO
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
-5Q I am exempt from the contractors License Laws of the State of California.
Permit Fee $ 7-<
$
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
,JVJ I certify that in the performance of the work for which this
40J permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
Date
Signature of Permitee or Agent Iry
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating 164A TAT() ob
Cooling
Ventilation
Hood 1 2. 0 0
Permit Fee s i-g.no
��J 'D 0-ji o oml; P
s B FcO
Os- 6C
TOTAL PERMIT IFEE
$)9.4)
JQA
This permit is hereby issued under the applicable provisio"ns of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOnF PUBLIC WORKS
n
V pate -t
Receipt No. 17 0 70 fo 0 7�
White-D.P.W. - Yellow -Assessor - Pink -inspector - Goldenrod-Appli cant E;�/ilding pe�rmit expires Date
1 -7
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX, & MISC ONLY)
Bldg. Permit # ----
A. P. # tg—
OWER' LL QLKEY
A. 'GENERAL
oning requirements (sideyards and parking).
-0 uat ion.
ow" 0 �
Signature by R.C.E. or Architect (if required).
B. P-LQT IAN
Complete parcel size and dimensions.
Setbai--kq, sideyards, easements, etc.
oie�ther buildings or structures.
rl_rading, fills, drainage.
1000-, -
C. FLO OR PLAN
Complete to scale plan with dimensions.
Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
A-` 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).
,,S-' Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
_.mechanical equipment.
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)).
1 - 3'0" exterior exit door (Sec. 3303d).
Fireplace location.
Smoke -detectors (Sec. 1413).
D. STRUCTURAL DETAILS
,,-1- Fo4ndation plan complete enough to construct building.
Flo, construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct
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
E. MISCELIANEOUS ITEMS TO LOOK OUT FOR
11-1-<— CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
Guardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster --weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
1�after ties or bearing ridge beam.
Garage door or porch header sizes.
Adequate bracing.
Living area over garage - complete 1 -hour separation
walls and posts, etc *
Two (2) exits on three-story dwellings (Sec. 3302).
building.
(State law).
required including supporting
0 14S- 7
/t /
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7C6uKty'V,enter Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
- I 1. -1. - - - - --y � —L. UFV11 LJIV
abo,Te-m;nt�i`o`n;� property for inspection purposes.
el
��Sii nature of Permitee gent
Receipt No.
White-D.P.W. — Yellow-AsseS5or Pink -inspector — Goldenrod-Appli cant
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 bV.0 id
,, pal
DIRECTOR F UBLIC WORKS
12- - 2- -7 - -7,f
By_A� Date
BWIding permit expires Date — Z--',7-7-7
M
BUILDING 7w 1
Owner
( , JI V, (m,
SQ. FT. OCC. 13UILDING VALUATION
Mailing Address S+ _D� R _lF,
,RpieAco r (IR, — M N
U_ - F I I
Contractor X4 e h
--
Mai I ing Address
Fireplace
Total Valuation
Telephone No.
Permit Fee
Building Address
J
Plan Checking Fee &/or Penalty
Permit Fee $
-6
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
A. P. No. D_ & -3
Zoning & Planning
Water piping 1.50
Each gas water heater or vent 1.50
F.we�
4_�>i
ireDept.
FireZone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EOA
IParking
Plans
Parcel
Declaration
Parcel Map 1
I
60' R/W
Improvements
—
Each additional outlet .30
Building sewer 5.00
Bldg. PI
Parcel Approvolk,",
I
Plans Approval
Lawn sprinkler system 2.00
NEW ADDITION O]r' UTILITIES OTHERE]
Permit Fee $
;$
J —ajq p
ELECTRICAL No.1 @ FEE
I
PERMIT FILING FEE. $3.00 a 0
main service 600V OR LESSESS 5.00
100 AMP OR L
Single Family DuplexEl Mobi I Home Others
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600 V
100 AMP OR LESS 25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. 5i
OR ADDNS. I ACC r. S 20sqft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
�D
NEW CONSTFL LET
�t
NONeRESID, !"VA C, RCUITS) 12.50ea C?n
NEW.CONSTFL (POWER APPARATUS &
NON RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES 50 @ 250
BAL@100
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
L _q— 15!�
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
E] I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
�a'certify that in the performance of the work for which this
p'ermit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL INo. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and here -by
Land Development Fee
1A
$
TOTAL PERMIT FEE
_6 1??
- I 1. -1. - - - - --y � —L. UFV11 LJIV
abo,Te-m;nt�i`o`n;� property for inspection purposes.
el
��Sii nature of Permitee gent
Receipt No.
White-D.P.W. — Yellow-AsseS5or Pink -inspector — Goldenrod-Appli cant
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 bV.0 id
,, pal
DIRECTOR F UBLIC WORKS
12- - 2- -7 - -7,f
By_A� Date
BWIding permit expires Date — Z--',7-7-7
M
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
auinurize representatives of the County of Butte to enter upon tne
above-mentioned property for inspection purposes.
X hAJ Date
Signature of Permitee or' Agen't
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fles Zhe been paid.
I
DbR R OF PVINLIC WORKS
LIP W!AMAIM
Building permitexpires Date
BUILDING
V
Owner &Cb a rd- !t L&Z� r2d.169-
SO. FT. OCC. BUILDING VALUATION
Mai I ing Address
Telephone No
70- 0�6'
Contractor
Mai I ing Address
/700
Fireplace
Total Valuation
1.33
Teleph N
0-n
Permit Fee
Building Address
Plan Checking Fee &/or Penalty
Permit Fee
$
=Wls LA POP -7-6 RVA -D APP, 1Af liC—
PLUMBING
No.1
@ I
FEE
AJ 15 Opp dp Hi /V P1,&
PERMIT FILING FEE
$3.00
Each Trap 1.50
/34AI 0 1z
Repair drainage or vent piping 1.50
A. P. No. . 1-292 13
Zoning & Planning
Water piping
1.50
Each gas water heater or vent 1.50
Fiees I
V*e
I Sar+tetmTr
I FireDept.
I Fi re Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
Parking
Plans
Parcel
I Declaration
I Parcel Map
1 60' R/W
I Improvements
Each additional outlet .30
Building sewer 5.00
Bldg.-Pten-s-lre—ed
E Parcel ARproval I
Plans Approval
Lawn sprinkler system —tl 2.00
NEW ADDITION UTILITIES OTHER
Permit Fee $
;$
ELECTRICAL
No.1
@ I
FEE
PERMIT FILING FEE
$3.00
J ion_
main service 610V OR LESS
100 AMP OR LESS 5.00
Single Family Duple, Mobil Home Others
Main service EA. ADD -L 100 AMP 2.50
OVER 600V
Main service 100 AMP OR LESS
25.00
Main service EA. ADD -L 100 AMP 1.00
NEW CONST. I DWELLING OCCUP. 51
OR ADDNS. % ACC. BLDGS. 20sqft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
sty I e of:
NEW C 0 NSTR. (MULT I- OUTLET
N ON." E S,., BRANCH CIRCUITS)
12.50ea
NEW CONSTR. (POWE APPARATUS& I
NON-RESID. SINGN
, - 50 @ 254
Ex. Occur)(OUTLETS OR FIXTIIRES BAL 0 IC4
FIXED APPLNS. OR
Ex. Occup -(OUTLETS (RESID.) EAJ 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.,JL ZZZ3 Classification
Misc. W ring 6.25
I am exempt from the contractors License Laws of the State of California.
Permit Fee
$
7T
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions ot Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
-1 r ple certify that in the performance of the work for which this
rmit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
0
FEE
PERMIT FILING FEE $3.00
Heating
:UZ20,0
Cooling
Venti lation
Hood 2.00,
Permit Fee $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
Land Development Fee
$
TOTAL PERMIT FEE
s 7 1,�o
auinurize representatives of the County of Butte to enter upon tne
above-mentioned property for inspection purposes.
X hAJ Date
Signature of Permitee or' Agen't
Receipt No.
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod-Appli cant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fles Zhe been paid.
I
DbR R OF PVINLIC WORKS
LIP W!AMAIM
Building permitexpires Date
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