HomeMy WebLinkAbout028-310-010A.P. 28-31-10.
[RICHARD GILKEY
500' off N1W side of LaPorte Rd.
6/10 mi. E. of Upham Rd.,Bangor
Permit 1413-74B (remodellg=i:�2�1&
-9--3'� 10
��g
1 31-10
AP 2, 3
�p
P:ermit# 1-419-�75B(lssst REEE�WAAL)y�
r28-311-lio 292-9E-
LEWIS, Fred
36 KimmieLn, Bangor
'(elec ser-v/sf
' 28'-ill"JC)r� 2618-91B
LEWIS,- Fred
36 Ki'mmle Ln, Bangor
detach�d arage.)
128-31-10
_;V12-�t9lB,P,E�
LEWIS, Fred
36.Kimmi6 L., Bafigor
(additio " )
no,
ra
�.RESIDENTIAL
28-31-10 2618-91B
LEWIS, Fred
36 Kimmie Ln, Bangor
(detaChed garage)
JOB FINALE
Signature
2 -
4=OK
0 Not OK
Not Applicable
Not Ready MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card B-1
2. Soils; Special MH Support Sketch
Card B-1
3. Sewer; Location -Test -Fall -C/O Concrete,
Card B-1
4. Water; Location -Test -Easement Needed (Sketch)
Card B-1
15. Electricity: Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location - Test-Wra p: I /"L"ft.
/ /-Nat. or/ P'L"ft./ P'L�G
7. Well Clearance & Disconnect
8. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except N's
1. Zoning, Requirements-Setba6ks Easer6ents
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Crossovers-Break6rs-Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
I
MISCELLANEOUS-.,,
Date S, COVERS, CARPORT( GARAGES,)Plans)OK except It's
444. Zoning Requirements-Setba�cks-Easements
4"" �' Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- Rft rs.-Con nec to rs
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclos ures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Si Is-Anc h ors -St u ds- Rftrs- Trusses
9. Siding: Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps- Doors-Landi ngs
L at
t2e jak B -1V5 -r *,_;.9dte Card B-1
Da e Card B-1 Date Card B-1
OLS (Plans) OK except #'s
- 1. Setbac ks- Ease men Is
2.'Soifs; Compaction -Structure Stability
3. Pobl Structure; Steel -,Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GF1.
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit En tries -Term i na Is- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date
Card B-1
Date
Card B-1
Date
Card B-1
Date
Card B-1
V OK
0 Not OK
Not Applicable
Not Ready RESIDENTIAL
Date LICERFLOOR (Plans) OK except #'s
1. Zoning-Setbacks-Easernents-Flood-Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Sternwalls, Main; Steel-Blockouts-Wrapped
6. Sternwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Stab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
-9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance- Materia I -Support- Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except P's
6, Water Htr.: Vent -Access -Combustion Air-,Baff;e - --- - ------------
17. Water Pipe: Test & Anchor -Nail Protection
18. D.W.V.: Test -Fittings & Anchor -Nail Protection
-- --------------
19. Shower Pan: Test. First Floor -Tub Access
20. Test -Tub & Shower' -Second Floor -Tub Access - --------
21. Gas Pipe: Size & Anchors
Date Card B71 Date Card B-1
- - ---------- - -------- - ----
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
- --- - ------- - --- - - - - - - ------- - ---------- - -------------------
------- _____23._E_Iec. Receptacles Spacing -Lights & Switches at Doors -------------
24. Size Boxes & No. of Cond ucto rs-Sta pled
------- ------------------------- -----------------
25. Romex Installed Close to Edge of Studs & C.J.
-- - ---------- -- -----------------
26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
- -------------------- - --------------------------------- --------------------
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
---- - ------------------------------ - -----------------------
28. Subfeed Wire Size ga. Cu or At-A.C. Wire Size ga.
Cu or Al
--------------- ------ ------------------------------- -------------------------- -----
29. Range Circ. / / ga. Cu or Al -Oven Circ. / / ga. Cu or Al.
Insulated Neutral 0 Yes C1 No
-------------- - ---------------------------------- - -------- - ------------- I --------
30. Service -Riser Conductors & Ground -Main Disconnect
------------- -------------------------------
31. Equip. Clearances Panel s- Motors-Mec h. Equip.
-------------- - - -------- - --------
32. Clothes Closet Light -Shower Light -Spa Light
--------------------- -------------
33. Smoke Detector
------------- ------------------------------------------------------------
-- - ----------------------------------- ------- - - --------------------------------
Date Card B-1 Date Card B-1
----------------------------------------------------
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
-------------- 34. -.A. -C.- Ducts Insulation -&-Sup-port ----------------------------------
35. Vent Fan: Exhaust above insulation
------------------------------------------ - ----- - --------------------- ----------
36. Condensate Drain & Overflow: Size & Grade
------------------ I ----------------------------------------------------- -------------
37. Furnance-Vent: Access -Comb. Air -Return Air Vent -1 15 outlet
---------------------------------------------- - ---------------------------
38 Attic Access & Platform if Furnance in Attic
----------- I -----------------------------------------------------------------
--------------------------------- - -- - --- --- -------------------------- ----- -------- -
Date ---- - -------- Card -B-1 -------------- Date-_ --------- --Card B-1 -------------
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except h's
39. Sils. Proper Material & Anchors
------- ---------------------------------------------
40. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound
------------- .1 --------------------------------------------------------
41. Bearing Walls over Girders & Floor Nailing
---------- .1 ----------------------------- ----------------------------
-------- I—. 42.--Draft-Stop-in- Walls (rat proof) ---------- - -----------------------
-------------- 43.. F -ire -Stops: Furred Ceilings -Stairs -Chases -Tub - - ------- - -----
44, Headers & Beam -Size & Bearing
'Ingle & Duplex)
Date FRAMING (Continued)
Hangers -Post Caps-Anch(�C�-Connec`tors
46. Clng. Joist-Rftr. ties-Purlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50.- Garage Fire Protection Framing
51.- Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs: Width -Head room -Rise-Run-Landing-Fi re Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls: Nailing -Bolts
59. Insulation -Walls -Ceilings'
--------------------------- -_
------------- 60.- 1 nfilt rat ion -Walls -Windows
Date Card B-1 Date Card B-1
--------------
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61.- Ext. Steps -Door & Sidelight Protect ion -Land ings
--------------- 62.- Smoke Detector
63. Furnace: Vents -Clearance -Comb. Air -Connector -
In Garage: Above Floor- Ducts-Mech. Protection
64. Bedroom Exiting
---------------
6 5.- -G.-F. I '-& Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel: Breaker Sizes & Labels
-----------------
67. Stairs & Rails
-----------------------------------
68. Fireplace or Stove: Clearances -Hearth
----------------
69 . Elec. Outlets at Wood Panel: Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
-----------------------------
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing - Landing -Closer
--------------------------------
73. A.C. Duct in Garage -Damper
------- ----------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
-- -------- ------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Rornex Protection
-------------
7;. 1 nsu lation- Foam- Looked in Attic 0 Yes
---------------------------------- -----------
------------ 78. -Guard -Rails & Dec k -Const ruct ion -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor Yes
----------------------------------------
80. Following instld.: Drive 13 Yes 0 No: Walks 0 Yes C1 No:
Planters 0 Yes 0 No
---------------------------------
81. Stucco: Brown -Finish
------------- --
82. A.C. Unit: Disconnect. Electrical, Plumbing
------------- - ----------------
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
- ------------- -
84. Water Well: Disconnect, Electrical, Plumbing
-------------- ------------------------
85. Exterior Elec. Trim: G.F.I. Receptacle- Underground
------------ , - -----------------------
86. Ventilation Throughout House
---------------------------------- ------
87. Glass Protection
---------------------------------------
88. Corrections from Previous Inspections
------ --------------- I ---------
89. Gas Test -Meters Tagged; Gas -Electric
-----------------------------------
90. Water & Sewer Connected -C/0 to Grade -HD Approval
------------- .. - -----------
-.---.--..--.-91.-E-nergy-Comp-liance-Certificate-Other Certificates
------------------------------------------
Date Card B-1 Date Card B-1
------------------------
-Date -------------- Card -B-1 ----------- -Date - Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
ER
ERMIT 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 explanati n, please contact this office immediately.
Date lnspector/-��
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PTERMIT NO.
7 County Center Drive - Orovi I le, CiiilKornia 95965 - Telephone: 916/538-7541
APPLICATION AM PSRMIT
ASSESSOR PARCEL NUMBER
028-310-010
ZONING
A5
BUILDING PERMlk__—)
OWNER
FRED LEWIS
TELEPHONE
675-2038
SQ.FT. OCC. BUILDING VALUATION
480 M 8640
OWNER - S MAILING ADDRESS
P.O. BOX 702, BROWNSVILLE, CA 95919
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
OWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 74.50
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$ 37.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
36 KIMMIE LN, BANGOR
Permit fee
$ 121.75
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
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF[:] DuplexF_J MobilehomeF� Other DET GARAGE
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home IS FG WT
0.00ea
TYPE OF WORK
New 1XI Addition [:] Remode I [:] UtilitiesE:l InstallationEl Other E]
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
6101 OR LESS
main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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.
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 CONST DWELLING OCCUP.&)
OR ADDNS.* ( ACC. BLDGS.
21/20sq ft
NEW CONSTR. 14ULTI-OUTLET
NO .RES'.. BRANCH C'RCU, TsL_
2.50 ea
tPOWER APPARATUS &
%SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20050c
5AL9 300
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.1
_
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
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.
FV I shall not employ any person in any manner so as to become subject
Notlito the W. C. laws of California.
cto 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
F
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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify a ep harmless the County of Butte against
Ell Ii bili ies, judgments, cost , and expenses which may 'in any wa accrue
agai t said COLIPY n n q ence the granting of this per yft.
11 " r
�/Date 7?
�ignature of Applicant Cew_Zer� Contractor El Agent
An OSHA permit is requir d fo r exc ov tions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 121.75
Z.
I CUA- I PARK
SCHL
I FL"F
I PAR
I PD
11 37
UE
Fs _s
This permit is hereby issued unaer tne applicable provi-
sions of the Butte County -Code and/or resolutions to do
work indicatV7above for �,tl;Iich fees have been paid.
BLIC WORKS
By
PERMIT EXPIRES Date
Receipt No. 96873
WHITE-O.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT LIC WORKS - BUILDING DIVISION
JQF PU
7 COUNTY CENTER DRIVE - OROAVILLEJ CALIFORNIA V965 - TELEPHONE: 916/538-7541
1 1 1 *1 rt- 0 �, _e ,
PERMIT APPLICATION'DATA SHEET Permit No. -
OWNER Fred Levi k- e-, e2 /o
- S A. P. No. -C 0
Proposed Building Use DkAdItTY A�rW-e_ Building Inspector Date 7-2 9
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance':'
DATE RECEIVED APPROVED
1 . All items have been submitted . ...........................
2. Plot plans in duplicate/triplicate, 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to p*lan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
. .......... 13. - School, istrict fees paid ..............
14. Sanitation approval from - croy i Re- Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) yse:-(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -inspection for required ... Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
-26.
27.
When y u issue the permit, process as follows: Mail to owner, __c�il to contractor.
_!_a
=Telephone _671'�� 0.3 and hold for pickup at off ice. DeNiver w/inspector.
__T
Other
ApplicaA.�!, e _eeF�
Copy of Hlaz-Mat form sent -Health Dept. -Fire Dept. -___j
=Air Pollution Date-
Copyofplanssent _L___Hea1thDept. -FireDept. -Other- Dite- By -
T ' he following data must be submitted prior to permit'iss.uance: (Circle new.�46'm not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised I above required data by -phone---mai I -counter by -.date
Contractor, designer, owner, was advise of above required data by-phone-mail-coVinter by- date
Tas checked by-- ate Plans approved by Datee
Sets of plans on hold in7�bile cabinet _AP folder
Copy -DPW
TO Buildinc Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
--- PI
Location AP#
owner 8 A",� 6"1—
Sewace Disposal cl-�
Plan Approved for:
Hold final for:
7inal clearance O.K. for:
clearance ggX. montte—nome
NOTS * *
Water Supply
0
Water Supply
Water supply
other
61��
Dat
Sanitarian
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovll.le�, California 95965 - Telephone: 916/538-7541
APPLIOTION AND KNIT
ASSESSOR PARCEL NUMBER
98 -31-1-0
ZONING
AS
BUILDING PERMIT
OWNER
,ed L
TELEPHONE
6Z51
SO. FT. OCC. BUILDING VALUATION
L4
0
OWNF—R-SMAILI G ADDRESS
_ I ;90y, 202 8raJJ25U'IJ(,P_ C4 q591q
P0
CONTRACIvR-. -m TELEPHONE
rm ) V., elk--- I
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENOER
r) 0 P1 19—
UNKNOWN
1
Tot on is
Filing Fee
$ 10.00
—
LENDER'S MAILING ADDRESS
Permit Fee
$ 7 Lt. S'O
ARCHITECT OR ENZ�EER
OVN
LICENSE NO.
I
Plan Checking Fee
Energy Plan Checking Fee
_L_3ZZ5-
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDI R SS
Ra in C, 0 1,-- CcL %
Permit fee
$ /2/ 75–
PLUMBING PERMIT
-
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCT,,UR�
SFFI DuplexR MobilehomeF� Other 64
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
�0.00 ea
TYPE OF WORK
Ne Addition 0 RemodeiEl I'llities InhtallationO Other
Describe work: Mom=
1 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
El 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.
F1 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 I, as the owner, am exclusively contracting with licensed cunnaut-
ors. (Sec. 7044)
1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.8!)
OR ADONS. ( ACC.BLDGS.
21/20sq ft
NE W CONSTR' "'ULT' -OUTLET
BRANCH CIRCUITS
2.50 ea
_NON-.ESID,
POWER APPARATUS.&)
SSNGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
1.20 @ 50c
ALO 30t
OCCUP. FIXED APPLNS OR
x. OUTLETS (RESI*O.) EA.)
2.00
_E
— Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
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.
0 1 shall not employ any person in any manner so as to become subject
o 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.
Contractor
MECHANICAL PERMIT
FilingFee 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 Countycit
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 County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner El ControctorEl Agentr�
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of S tructures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
C NST TYPE
TOTAL FEE $
H Z
CUA PARW_J_S_CHL7FL0
I CDF PAR PD .40.
ISSUE
T.hl;s permit is hereby issued uncer
sions oi the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne applicable provi-
resolutions to do
have been paid.
WORKS
Date
F
Receipt No. 7 (!7 73 A/?-/
WHITE-D.F.W.. YELLOW- AS GC3 SOR, PINK -INSPECTOR. GOLDENROD-APPLI CANT
COUNTY OF BUTTE Depart - ment:�of Public Works
'ille, -538-7541
7 County Center Drive, Orov , CA 95965 Phone: 916
OWNER -BUILDER VERIFICATION
Attention Property Owner: v
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.
I personally plan to,provide the major labor and materia s for construction of
the proposed propert improvement (yes or no)
I (have/have not) signed an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to �rovide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 1 plan.to provide p6rtions 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. 1 will provide some of the work but I have contracted (h ired) the following
persons to provide �he work indicated:
.Name Address . Phone Type of Work
Signed:
Property Owner
Social Sec
Date P77A'q1 v.
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.
A
2 28-31-1 ------ -
8- 31- 0
292-91E
L IS
EWIS, Fred
im 1 L
36 Kimml�e Lnj,�,Banpr
( I c
(elec serv/sf)
1-2
or -r -ICE COPY
pddress�
..............................
GAS
Meter BY
1�lc Daw
ELECTV
Meter BY
tw
COUNTY OF BUTTE - DEPAR ' TMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,palifornia 95965 - Telephone: 916/538-7541 9e- q/
APPLICATIONAD PERMIT
A 1tf161 �CEL NUMBER
_�161010
ZONIN
A5
BUILDING PERMIT
0 Wf4�E R
ed Lewis
SO. FT. OCC. BUILDING VALUATION
OW§ER'S MAILINJ��XDD�blj
tar Rt. It Brownsville, CA 95919
CO&;ACTOR'S NAME
er
TELEPHONE
f
CONTRACTOR'S MAILING ADDRESS
Fireplace
COgSTRUCTION LENDER
one
KNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
SE 140.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 36 Kimmie Lane, Bangor
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF [jdK Duplex[] MobilehomeF-1 Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G
10-00ea
TYPE OF WORK
New F� Addition[] Remode[F] Utilitieslg InstallationEl Othero
Describe work: elec. box upgrade, 60A to 100A
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 1111 OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F 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
rV 1, as the owner, or my employees with wages as their sole compen-
VV sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
El I, as the owner, am exclusively contracting with licensed L;UIILIa(;L-
ors. (Sec. 7044)
I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADONS. (ACC.BLDGS.
21/20sq it
NEW CONSTR. AULT'_OUTLET
14 N.RES', BRANCH CIRCIJITS)
—
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20@50t
I. AL& 30C
FIXED APPLNS. OR I
- Ex. Occup. OUTLETS (RESID.) EAJ
2.00
Temporary service
10.00
Mobile Home Facilities
15-00
Misc. Wiring
15.00
pre—inspection
15.00
Permit Fee
$ 35.00
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
FV The permit is for $100.00 (valuation) or less.
LAJ
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.
F� 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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and aep harmless the County of Butte against
all liabylities, judgments, costs, n e;,��.enses which may in accrue
agai;;t,said C;ou�n , ke oVhe granting of this per py wyy
y In c sequei Mr -
X - U 5! �Vz ) — r" ' /f/
I X &t=kV /Dat
Signature of Applicant - -ner Contractor E] Agent E:1
,_ f - A .
An OSHA permit is requir.Ar excavations over 5'0" deep and demolition or construct-
ion a structures over 3 st �ies in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ
— 1
ONST TYPE
TOTAL FEE $ 35. 00
HAZ
CUA I
PARK
I SCHL
I FL D
PAR
PD
HD
I ISSU
T h;,,; permit is riereby issued under the applicable rfovi-
si�ns oi the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
D�RECTOR OF PUBLIC WORKS
4
Jz(�,, I ! lcz,,k) / I/ i-//
By ZI D te
/ Z I f
77
PERMIT EXPIREE ADite I (Z
7SM4035--ip35. 00
Receipt No.
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive. Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
I i
'�Jgk)
VNLH PERMIT
A routine inspection indicates that the following violations 6f County Ordinance
exist at the above address and should be corrected. Pleas�e 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.
Ilk — I/ I
Date lns�ector
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICAf ION 9ND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
028-310-010
ZONING
A5
BUILDING PERMIT"
OWNER
Fred Lewis
TELEPHONE
675-2038
SQ.FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
Star Rt. Box 702, Brownsville, CA 95919
CONTRACTOR'S NAME
Owner
ELEPHONE
CONTRACTOR'S MAILING ADDRESS
_1�7�WN
Fireplace
CONSTRUCTION LENDER
None
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 36 Kimmie Lane, Bangor
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME
1 .
PARCEL MAR
I
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF a. Duplex[-] Mobilehomef-I Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
[10-00 ea
TYPE OF WORK
New n Addition [I Remodel[] UtilitiesXX Installation[] Other
Describe work: elec. box upgrade, 60A to 100A
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA, ADO -L 100 AMP
2.50
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
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)
F] I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F] I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING O.CCUP.&)
OR ADDNS. ACC.BLOGS
VzOsq ft
NEW CONSTRL MULTI -OUTLET
ON.R,7S BRANCH C
_N �,RCLI' TS)
2.50 ea
(POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
120 @ 50c
. AL@30C
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.)
1 2.00
Temporary service
1 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
pre -inspection
15.00
Permit Fee
$ 35.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
FV The permit is for $100.00 (valuation) or less.
LAJ
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� 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.
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
J
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.
1 also a t . d eep harmless the County of Butte against
."e o s�at vt e nand,
g�en emni y an
.i, Id 'fy
(c
all liab es nts, costs, nd e��penses which ay In apy w." accru
against aid 6oun y.'n c e of e granting of th,
se�e ce of m s per".
X 7 Date
SigX.r. of Applicant W'-' rA C ntractor El Age
An OSHA permit is requ r ::cOvations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 35.00
HAZ
� CUA
PARK
I SCHL
I FLD
PAR
PD
HD ISSUE
I
Th;s permit is nereby issued under tne applicable provi-
si��s oi the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
IC WORKS
nntp '-e-11 Z/C?/
By W111;,= P-7 I If I---
PERMIT EXPIRES �-bate
Receipt No. 83285-$35.00
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDEN ROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 9065 - Telephone: 916/538-7541
APPLICATION AD PERMIT
ASSESSOR PARCEL NUMBER
/0
ZONING,�
BUILDING PERMIT
OWNER
#_� 2f -,J/"5 1
TELEPHONE 3ir
SQ.FT. OCC. BUILDING VALUATION
4
OWNER'S MAILING ADDRESS
& ;7
r)
/0,
CONTRACTOR'S NAME
LEPHONE
CONTRACTOR'S MAILI.G1..R.SS
Fireplace
CONSTRUCTION LENDER
WN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER 7`5E
NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Q
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
P�p—y
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME PARCEL MAP
1 1
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFZDuplexF� Mobilehomef_� Other
SPECI FY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is
10.00 e
TYPE OF WORK
New F� Addition Rernodel[] Utilities
,Z Instal lationF—J OtherE]
Describe work: /50,-"– -�fzo;zlil
C> 1�2 �-o /Do 49-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 600V OR LESS
100 AMP OR LESS
10.00 co
Main service'EA. ADD -L 100 AMP
2.50
CONTRACTORS 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 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 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 CONST DWELLING OCCUPM
OR ADONS. ( ACC. SLOGS.
0vtso
NEW CONSTR. M ULT'_OUTLET
NON"RESID. BRANCH CIRCUITS)
12.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20@50C
15ALC 30C
OCCUP. FIXED APPLNS. OR
—Ex. 0 UTLETS (RESID.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. WirAng 1
15.00
Permit ll�ee
e--3 a
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 shal I be deemed revoked.
Contractor
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 said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner Agent
Contractor
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
a 0
at s'
' n at st uctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
occ CONST TYPE
TOTAL FEE $
HAZ
I CUA
[��LO
I PAR
PD
H
T.h's permit is nereby issued under
sions oi the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receiptr No. 'K 3 -3 5_-e,6
.. I T.. .
WHITC-C.P.W.. YCLLOW-ASSE330R. PINK -INSPECTOR. GOLD ENROO-APPL I CANT
COUNTY OF
BUTTE -
Department of Public
Works
7 County
Center
Drive, O.roville, CA
95965
Phone: 916-'538-7541,
01?NER-BUILDFA 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 materials for construction of
the proposed property improvement (yes or no)
�s 0
2. 1 (have Ars-sommee) igned an application for a building permit
for the proposed work.
0
I have contracted with the following person (firm) to provide the proposed
construction:
Name . i��
Address (11 - 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. 1 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 Secur�Xiy N/mber
Date A�z L14 q 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 6 our office before we are . per-
mitted to issue the permit;
'T4, o
COUNTY OF BUTTE - DEPARTMENT,OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI�LE, CALPFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER lg:�e A. P. N o. Q,� L - 5Jr - -3 Z, Q Z 0
Proposed Building Use4::54z;;:c1L e,,A Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 . All items have been submitted . .. .................................
2. Plot plans in duplicate/triplicate, 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ... ...........
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions .......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
—13. School District fees paid ..............
14. Sanitation approval from Health Department
15 City of Chico plumbing permit .....................................
16. Plot plan and business license approval froTn City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for e�� c--- required ... Pre-Inspec. request
Building Inspector ite)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
—124. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mai I to owner. —Mail to contractor.
b!��, Telephone 6�z .2 o3?' and hold for pickup at —office. el.iver w/inspector.
Other
Applicant, A"ate
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copyofplanssent ___HealthDept. ____FireDel5t. —Other— Date By
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2.
Con,
N, -
Contractor, designer, owner, was advised of above required data by—phone —mal I —counter by— date
(Circle new item not checked above).
I Plans checked
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet _AP folder
Date
.1
PRE -INSPECTION
OWNER: DATE
LbCAtfoN'::
CONTRACTOR:. 0) ZONING
-------------------- -------------
PRE-INSPECTION FOR: /30>c- 16M X_
DATE TO INSPECTOR
PERMIT HISTORY:
NONE
AS FOLLOWS:
5,
2
TYPE OF OCCUPANCY
FIELD - INFORMATION
BUILDING USAGE:
TENNANT:
-E:] OCCUPIED HAS ELECTRIC
0- ]HAS GAS UTHAS SANITATION FACILITIES
HEATED -COOLED PERSON CONTACTED /11,1
OTHER COMMENTS: LANFL 014s ��d lw,4_��:_
c_o
A)d 'Z�Czp_6'
ACTION RECOMMENDED:
ISSUE HOLD FOR
OTHER:
PERMIT NO. 141-3-74-11
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Richard Giikey
t Owner
CONTR.
LOCATION (A.p 28-31-10
500' off N/W side of LaPorte Rd.,
6/10 mi. east of Upham Rd.,Bangor
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED 11-1,-7 72�
(D te)
(Sign e
COUNTY OF B��.TTE — DEPARTMENT OF PUBLIC WOR�S)
BUILDING INSPECTION RECORD'
BUILDING BUILDING (Cont1d) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows 4--), � 3 - 7/.,
3rd Floor
Sternwall
Siding —16 --!7/—
Topout
Slab
V r
Roof SheAthing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwa I I
Slab
Prov. for physically
handicapped
Heaters
Appliances -
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE REMARKS OR CORRECTIONS
COUNTY OF BUTTE DEPARTMENT OF PUBLIC S
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
*-ISignature of Permitee or Agent
Receipt No.
White-D.P.W. — �ellow-As'sessor — 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 been paid.
DIRECTOR PUBLIC WOR
By Date 7
ilding permit expires Date ..................... 6 ..... ...................
BUILDING
Owner
SQ. F T. OCC. BUILDING VALUATION
Mai I i ng Address
T I h �ne No�
Fireplace
Contractor
Total Valuation
Mai I ing Address
Permit Fee
PlanChecking Fee&/orPenalty
Telephone No.
Permit Fee -11 9 Tii=5
$
370c)
Building*Address,5� 40J S-IdC a/--
PLUMBINt
No.1
@
FEE
PERMIT FILING FEE $2.00
dJ0 �Zl 0 1 j5*A;5-�' 07
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No.
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
FA<J
lie -1
S"�
I FireDept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
1 M
I Parce ap
60' R/W
I Improvements_
Lawn sprinkler system 2.00
Wdg. FIQMC Ra&rl I
Parcel Approval I
Plans Approval
Permit Fee
$
$
NEW ADDITION UTILITIESEJ OTHER
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
A
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Si ngl e Fami I Y Duplex Mobil Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20,125
10
---- —b.
Receps., switches & fix outlets 20025
hm f@ in
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:
Hood, Ex. Fan or F. A. Furn. Motor
1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
kPI am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee— $
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby I
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
*-ISignature of Permitee or Agent
Receipt No.
White-D.P.W. — �ellow-As'sessor — 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 been paid.
DIRECTOR PUBLIC WOR
By Date 7
ilding permit expires Date ..................... 6 ..... ...................
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WOR S
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 *,7-1
APPLICATION AND PERMIT C.1�
authorize representatives of the County of Liutte to enter upon the
above-mentioned property for inspection purposes.
te
Signature of Permitee or Agent f
0.
p tsi�
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 fees have been paid.
DIRECTORS PUBLIC WORKS
By Date 3�_(- 7 5(
BuU4ng permit expires Date ................. (--t- 7S
...........................
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
MaigWAddress
Tel ephon e No.
Fireplace
Contractor
Total Valuation
Mai I i nglrddress
Permit Fee
PlanChecking Fee&/orPenalty
elephone No.
Permit Fee
$
$
Building Ydress ea(_.e,
ol PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
-Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Z_ I -e
Each gas water heater or vent 1.50
A. P. NJ
ni g & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
y9s-1
ve�
Sanitation
FireDept.1
FireZone
Use Permit
Building sewer 5.00
EQA
I Parking
Parcel
Declaration
Parcel M ap 1
60' R/W
I Improvements
Lawn sprinkler system 2.00
§U1,_PJ=-8—'d
Pau_el Agero_)Lak
P Lq�,. ��l
Permit Fee
$
NEWEJ ADDITION UTILITIES [J OTHER
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
Main service incl. 1 meter
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
rVI
Single Familylaj Duplex Mobil Home Others
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures 20025
1?0110110
E
Receps., switches & fix outElets 20- 25
b.QRF�E
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:
Hood, Ex. Fan or F.A. Furn. Motor
1.00
Evap. cooler, gar. di sp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
A2I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
AI certify that in the performance of the work for which this
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
No.
@ 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 hereby
TOTAL PERMIT FEE
-
authorize representatives of the County of Liutte to enter upon the
above-mentioned property for inspection purposes.
te
Signature of Permitee or Agent f
0.
p tsi�
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 fees have been paid.
DIRECTORS PUBLIC WORKS
By Date 3�_(- 7 5(
BuU4ng permit expires Date ................. (--t- 7S
...........................
RESMENTIAL
28-31-10 3212-91B,P,'E
LEWIS, Fred
36 Kimmie LN, Bangor
(addition/sf)
JOB FINALE
Signature
V OK
0 Not OK
Not Applicable
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-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft.-
/"Nat.or/ /"L"ft./ P'LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Require ments-Setbac ks Easements
2. Footings; Size- Spacing -Marriage Line
3. Gas; MH Test-Demand-Valve-Co-nnector
4. Electricity; MH Test-Crossove ri- Brea ke rs-C lea ra nces
5. Drain; MH Test -Fall -Flex Connect6r
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Co.nnected-C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
X
MISCELLANEOUS "' - '%-
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts- Bea ms- R It rs. -Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports: Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding: Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
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 volts-GFI
6. -Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heat er
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
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
X
V OK
0 Not OK
Not Applica4le
Not Ready
Date - UPOEBFLOOR (Plans) OK except If's
RESIDENTIAL (Single & Duplex)
%,-�,p,,Zoning-Setbacks-Easement�fKd-Slope
2. Ftg., Main; Soils-Elec. Grndl/,-Y-rtg. Depth
3. Ftg., Garage; Soils-Steel-Elec�_Grncl.-/ P' Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel -Bloc kouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/0 -Sewer Test
10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric: Underground
13. Pienums & Ducts; Clea rance-Materia I -Su pport- Ins.
14. Girclers-Sills-Anchor Bolts-ioists-Vents-Cripples
15. Access & Ventilation
�11 6. Insulation
P Date ")_9 iCard B-1 Date Card B-1
I Card B-1 Date Card B-1
Date PLUMBING (Permit).OK except ft's
er Htr.: Vent -Access -Combustion Air -Baffle
1 Water Pipe: Test & Anchor -Nail Protection
W.V.: Test -Fittings & Anchor -Nail Protection
- -----------------
Shower Pan: Test. First Floo-r-Tub Access
Second Floor -Tub Access
�--�da`sPi�e; Size & Anchors
- - - - 7- - --- - ---- - --------------------
r r Card B-1
Date
Date ElLgj�-TAICAL (Permit) OK except #'s
L-"-22 F' -K-Transformer Clearance -Ins. Protection
- ------ ------------
Elga-R-eceptacles Spacing -Lights & Switches at Doors
,,K'S' Bli s - & No. - of - Conduct - ors -Stapled ---- - -------------
1 2& x_Zfalled Close to Edge of Studs & C.J - ---------------------
uip. Ground made up w/Mech. Fastners-Bond Gas & Water
--- - -------------------------
j,__72_Z_.2_App4k-"w_--_Gircuts in Kitchen & Conductor Size!GFI
-------- --------- -------- ___ _ - ------------------------
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga.
Cu or At
�9. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
-------- Insulated Neutral --------- 0 -Yes - ------ 0 No -------------------
30. Service -Riser Conductors & Ground -Main Disconnect
7 ---------------------
_____�ZL4��eara_nces Panel s- Motors-Mec h. Equip -------------
Light -Shower Light -Spa Light
moke Detector
------------------------------
--- ---- - - ----Date Card B-1
Card B-1
------------ - ------ --------------------------------------------------
Date Card B- I Date Card B-1
Date ME.C+�ICALLP.ermit) OK except 4's
L-_34._,a� �.ucts insulation & Support
;1�_ _.� ------------ - ------------------ - --------------------------
35. Vent Fan, Exhaust above insulation
-------------- ---- ---------------------------------
36. Quadaize-ate-Drain & Overflow: Size & Grade
----------- ------------------ -----------------------------------------------
37. Furna : Access -Comb. Air -Return -Air Vent -1 15 outlet
--------------- I -------- I ------------ -------------------------
Attic Access & Platform if Furnance in Attic
---------------------------------------------------------------------------------
-------------------------------------------------------------------- I -----------
Date Card B-1 Date Card B-1
Date Date Card B-1
Date _MCMING (Plans) OK except 4's
kX Sils. Proper Material & Anchors
------------------------- ----------------------------
40. s Stuyd5-Nailing. Spacing & Bracing -Plates -Sound
-----------
a
_B ee a �n n g _ Walls over Girders & Floor Nailing
------------------- - -- - - --- - --- - --------------
Draft n Walls (rat proof)
-------- - ----------- ----- - --------- - ------------
3.k i tops: Furred Ceilings -Stairs -Chases -Tub
-------- ------ ------------ --------- - ---- - ------- - - -----
Headers & Beam -Size & Bearing
FRAMING (Continued)
gers- ost Caps -Anchors -Connectors
f2v��. J2i�L-Rftr. ties-Purlin-roof Brac-Truss-Shthng.-Rfng.
_-17- �,replace Ties or Type A Flue -Fireplace Throat clearance
c Access: Size & Romex Protection -Draft Stop -Ins. Baffles
idows or Exiting Doors -Sill Hgt. & Dimensions
60. Gefage-lPtre-Protection Framing
.11 Pu4**Pf-Line Firewall & Openings
52._ExL_9eers-One T -Check Garage -3rd Story, 2 Exits
53. _5jajL9LLNidth-Head room -Rise-Run-Landi ng-Fi re Protection
54. plywoo . Roof Overhang -Attic Vents -Rafter Outriggers
- a-Dn
�`iding-Nailing Veneer
lvlgs�h-Drip Screed -Fd. Vents-Underfir. Access
--------- _____a -Glass Protection -Skyl ights-Plast ic
8. Shear Walls: Nailing -Bolts
59. Insul ' n -Walls -Ceilings
----------------
nfiltration-Walls-Winclows
DatE 'C 0 Date Card B-1
Card B-1 4UZA--�
Dalel� __#11, Card B-1
Date' FI6Ab_(P_Ians) OK except #'s
Ext. Steps -Door & Sidelight Protection -Landings
Detector
e: Vents -Clearance -Comb. Air -Connector -
Garage: Above Floor- Ducts-Mech. Protection
--------------
1 64. 8 Iroom Exiting
��65 G F I & Bath Fixtures & Tub Access -Spa
-------------------------------
, __6�
...... Trim & Subpanel:.13-re-aker Sizes & Labels
67. Stairs & Rails
------------ ------ - ---- ---------
68. Fireplace or Stove: Clearances -Hearth
------------ .
69. Ell c. Outlets at Wood Panel: Int. & Ext.
-------------------
70. Kit.Fixt, & Appliance, Grnd.-Air Gap -Cooking Clearance
-------------- __
-------------- 71.--Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door: Swing- Land i ng -Close r
-----------------------------
73. A.C. Duct in Garage -Damper
--------------------------
74. Wtr. Htr.: Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
75. Plb.. Elec. & Mech. Equip. Listed for Location
-------------------------------
76. Elec. Receptacles in Garage: (G.F.I.)-Romex Protection
------------------ - ------------
in_�s. lat ion - Foam- Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
------ -1 ---------------
�.dn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
--------------------
80. Following instld.: Drive 0 Yes 0 No: Walks 1:1 Yes C1 No;
Planters 0 Yes 0 No
------------ 1 -------------------------- - - -
81. Stucco: Brown -Finish
------------- --
82. A.0 Unit: Disconnect, Electrical, Plumbing
---------- ____= ----------- - ----
83. Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
I Openings
----------- j__ ----------
84. Water Well: Disconnect, Electrical, Plumbing
-------------- ----------- ____
8��erior Elec. Trim: G.F.I. Receptacle- Underground
-------- - V -e- n-* t -i I a- t -i -o-n- -T-h" r o u g h o u I H o u s e
-------------- ------
_--e-.�ass Protection
-------------------
88. Corrections from Previous Inspections
----------- ---------------------
1 89. Gas Test -Meters Tagged: Gas -Electric
--------------------------
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
--------------------
ol
-Date- Date Card B-1
Date Card B-1 Date Card B-1
-------- - -----
Date Card B-1 Date -Card B-1
Comments at Final:
COUNTY OF BUTTE
DEPARTMEN7 OF PUBLIC WORKS
196 Memoriii0may, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWN
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and ho uld b corrected. Please notify this office
when correction of work is comp ted�.If u have any question pertaining to this
t
�d tional exp please contact this office immediately.
matter, orpdre 'p �n!�5 f ;pI e
IN
Dat Inspect
COUNTY OF BUTTE
DEPART,1�,-NT OF PUBLIC WORKS
196 MemorialA'y, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
77 17 �.- �
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.
C/Q- 7- 7-V/-1:3,
FDA- 131ZAWO--, I::---
&�F-7 AtEW40 5,64a"W---�
5CX4,9,e-, CAt4%,;E- ft
Date—
Inspector A
ENERGY INSTALLATION CERTIFICATE
Building Owner Building Permit #
�2 (a
Building Location
ROOF
Material
Thickness(inches)
DESCRIPTION OF INSULATION
Brand Name
Thermal Resistance (R Value)
EXTERIOR WALL
Material �fi 7LS Brand . Name -Lb 6
Thickness(Lches) Thermal Resistance(R Value)
CEILING
Batt or Blanket Type '11
Thick-ness(inches).
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material....
Thickness(inches)
FLOORV SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches5
Brand Name tj
Thermal Resistance(R Value)_
Brand Name .
Number of Bags_ Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name 0-6 � � / ill
Thermal Resistance(R Value)
Brand N e
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
is.consistent with -approved building department -plans -and-attachments-and-con-.-
forms with req r,mT ts o 1hapter 2-53 of State of California Energy Requirement
OAS <9 n
FIJM NAME/OWNER STATE CONTRACTOR'S LICENSE,NO.
OF INSTALLATION APPLICATOR DATE
I hereby certify the required features, devices, and equipment, ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli'-
ance standards and Chapter 2-53 of the State of California Energy equirements.
� F
J Pa
UILDINP,, CONTRACTOR/OWNER (Please Print)
NAME)
4Q 9 PU�,
IGNAME OF BUILDING CONTRACTOR/OWNER
HVAC FIRM NAME/OWNER (Please Print)
SIGNATURE: OF HVAC CONTRACTOR/OWNER
STATE CONTRACTOR'S LICENSE NO.
121
DATE
STATE CONTRACTOR'S LICENSE NO.
DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION -
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE.BUILDING.
SEPTEMBER 1988
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County COnter Drive - Oroville, California 95966 - Telel5hone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
28-31-10
ZONING
A-5
BUILDING PERM,:T:C )7
OWNER
Fred T P-wi.-;
TELEPHONE
A75-2018
SQ.FT. OCC. BUILDING VALUATION
R 19,584-00
OWNER'S MAILING ADDRESS
Aq& llr,,wn gy! I I P
f
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
_T�'�N
Fireplace
CONSTRUCTION LENDER
Total Valuation 1$
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$140.50
ARCHITECT OR ENGINEER
Nr)32P
LICENSE NO.
I
Plan Checking Fee
Energy Plan Checking Fee
$ 15.00
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$235.75
PLUMBING PERMIT
Fi I ing Fee 10.00
If; Kir=ip Tqnin, Rnng3r)r
Each Trap
2-00 6.00
Solar or heat pump water heater
20-00
LOT NO.
SUBDIVISION NAME MAP
Water piping ,
1 5.00 5.00
Each clas water heater or vent
5.00
USE OF STRUCTURE
SF M Duplexn MobilehomeR Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 5.00 5,00
Mobile Home S I G
10.00ea
TYPE OF WORK
New F-1 Addition FN R emode I [] Utilities [:1 InstallationEl Other E]
Describe work: Addi finin c)f P.-(JrC)r)M X, Bath
I
Permit Fee
$ 26.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
F-1 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
a Professions Code and my license is in full force and effect.
"r,,
License No. Classification.
.561 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)
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 CONST. I DWELLING OCCUP.&)
OR ADDNS. % ACC, SLOGS.
21/20sq ft 9.60
NEW CONST11- MULTIOUTLET
NON* R.S,.� BRANCH C'RCL" TS)
2.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
20050t
15AL1 30t
FIXED APPLNS OR
-Ex. Occup. OUTLETS (RESI'D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 19.60
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100-00 (valuation) or less.
F1 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.
I shall not employ any person in any manner so as to become subject
too 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 County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemni ke:P harmless the County of Butte against
all lifpbilities, judgmen S, ysts, n d xpenses.which may in y wa/ accrue
I sts' er�
�q
CY& in CQ.!2g7quce of the granting of this
D a t e . W/ P / F/
Signature of Applicant Owner cont'ractor E] t / , / —
Agen fn
An OSHA permit is required for excovItions over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home installation Fee $
Energy Inspection Fee $ 30.00
c
0 t
� S
CONS1_J*PE
- -
TOTAL FEE $
311.35
HAL TICUA -I PARK
S��
Fol
cD�4
WE
This permit is hereby issued uncier the applicable provi-
si�A of the Butte County. Code and/or resolutions to do
work indicated abo e for which fees have been paid.
E#4 R BLIC WORKS
Byfi, -Dole ZbLql
PE Z_
-91T EXPIR'EVDate�-Z
Receipt No. 100810
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDEN ROD-APPL I CANT
COUNTY -OF BUTTE - DEPARTMENT OF PUBLI
t dAkKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL9, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET C)v
Permit No.
OWNER 17:erl /_ eu) i s — A. P. No. 2 Pj -3 10
Proposed Building.Use J&h7e)1_ omll-,6441, Building Inspector Date 9V
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1 . All items have been submitted . .. .................................
2. Plot plans in duplicate/triplicate, 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. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid ......
Park pfies paio-
6�hchoql District fees paid .............
C77
22-" 14. Sanitation approval from (t Health Department
15. City of Chico plumbing permit ................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use:—(B) Parking: . ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-inspec. request to
Building Ins ector (Date)
21. Contractor's license information (No., Name Style, Classification) . . . p
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement ..........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows:
Mai I to owner.
Mai I to contractor.
-4eliver w/inspector.
Copy of Hlaz-Mat form sent —Health Dept. —Fire Dept. ----Air Pollution Date
Copy of plans se.nt —HealthDept. —FireDept. —Other— Date— By
The following data mdst be submitted prior to permit issuance: (Circle new item not checked above),
1. Index permit for above ite 0.
2. Additional items req eff& 3 IaA _;Te C�/(- Ze _/ e,,
I - W__4
r - H -
Contractor, designer 41 4r, advised of above required data by_phone_At��ail unter by&dat 16 --.L Y
Contractor, designer: o076�, �was advised of above required data by —phone —ma I I _21-91-111 I by_ at:
Plans checked by Date Plans approved by Date
Sets of plans on hold in —File cabinet AP folder
Copy—DPW
TO �,,,,Build:066-Department
FROM: Environmental Health
SuBJECT: Sanitation Clearance
L
------------ AP#
owner 0
6 wed �-
Plan Approved for: Sewaqe Disposal water Supply
Water supply
Hold final for:
7inal clearance O.K. for: Water Sup Y
Clearance Other r/6
. //I_- oe� c�-D ae� -r—O /�-c c cf -v� A--f-<;� /-� S t<le *
NOTS"
an
Date
COUNTY OF BUTTE - DFPART.MENT OF PUBLIC WORKS
7 County Center Drive - OrovIlle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
A33ESSOR PARAL NUMBFR
"1 -3 / - / 0
ZON
BUILDING PERMIT
OWNERr—
I
�-rej Lew (5
TELEPHONE
675-2-036
SO.FT. OCC. BUILDING VALUATION
2� Lf 5_5 Lf
0 ER AILING ADDRESS —
PU'M4 70,2 90M i
CONTRACTOR'S NAME
Cn10QA1R_4_ __7
ELEPHONE,
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
VL_(�
KNOWN
7
Total Valuation $ 015-
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ L/ .373
ARCHITECT OR ENGINEER
VIA5MIRI
LICENSE NO.
I
Plan Checking Fee
$ -70, -z Y_
Energy Plan Checking Fee
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING AODRE S
'176 /Y)
Permit fee
$
PLUMBING PERMIT
Fi I ing Fee 10.00
Each Trap
3 2.00 6.�-o
Solar or heat oump water heater
20-00
LOT NO. SUBDIVISION NAME PARCEL MAP
Water piping
5.00 S7
Each. as water heater orvent
5.00
USE OF STRUCTURE
LS DuplexF� MobilehomeF_� Other
SPECI FY
Gas piping system 1 - 5 outlets
5.30
Building sewer
5.00
Mob i I e Home S I G I W
10-00ea
TYPE OF WORK
New Addition R emode 11 [L:] ltilities Instal)ation[] Other
J
ratw, 4- &-,A
Describe work: Oc�dt'fic'rYl NJ
Permit Fee
$ 6
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
GOOV OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F 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.
F1 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 I, as the owner, am exclusively contracting with licensed u0IILICICt-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
NEW CONST DWELLING OCCUPM
OR AODNS.' ACC.BLOGS.
Its V
'/2tsq It
12.50
NEW CONSTR. 1AULTI-OUTLET
NON.RESID, BRANC IT S)
H C'H
C�
o ea
R
W ZPF;�R T&)
(PO E
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 @ 50t
15AL*30t
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.1 EA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
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.
F'� 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 Wit h such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 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 said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner 0 Contractor El Agent
An HA Permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories ip height.
Mobile Home Installation Fee $
Energy inspection Fee
$ 3 0
occ
_TAZ
CONST TYPE
TOTAL FEE $
I CUA
I PARK
J
I SCT
HL
FLD
I CDF P A R HD ISSUE
T.h:ls permit is hereby issued unaer
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne appilCabie provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. T —S / 1 :3.5—
/06810
NHITE-O.P.W.. YELLOW-ASSE330R. PINK -INSPECTOR. GOLDENROo-APPLICAMT
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
.311) (On I e Form per Bui lding) -Tff R 0'5-c�- ooq
�. I
A.P. NumberaB -3 1- /0 Building Department No.
MR-
orov
School District F-4&2�1 -76� HiGh City County [j�l Jurisdiction
Property Owner. Frej L e(A) t
Project Location/Addr�ss_ Kimrw�e, Lv),, PonQor
Subdivision Lot Number
Residential Development: 121 Sq. Footage 381-1
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: Sq. Footage
New Addi ion (Including Exterior
Roofe'd Areas)
0-ci
Buil/ding Dep menf- Re es-,ze.iftativef '"'Date,
(Floor Plans reviewed by School e nnel)
District Id No. -920'3 10
AM . A A It A I I I
JJ& —School. District certifies that
CApplicant Name) (Phone NuffiSer)
ffA /Cy"
!dress)
Katy) (State) (Zip Code)
has complied with the requirements of Resolution No.
by payment of $ representing square feet.
ZACIA r V'0zzd& q—lo— 17/
1p"bl District Represepfative Date
PAID BY CHECK NO.- REMARKS:
BANK NO
PAID BY CASH
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
ME
COUNTY OF BUTTE,- De�artment of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Phone- 916 -538 -7541 -
Attention Property Owner:
An "owner -builder" building permit has been applie d for in your name and bearing
your signature.
Please complete and return this information at your earliest opp�rtunity 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 ma3or labor and materials for construction of
the proposed property improvement (yes or no)
2. 1 (have/have not) igned an application for a building permit
for the proposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
4. 11 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. 1 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 Owne
Social Securit
Date �71
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.
FORM 7
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEEr
PACKAGE "A" (Additions)
Owner ej Climate Zone
Permit # -2 Floor Area
The following data showing mandatory and required features of Package '!A" shall
be installed 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 existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
CEILING R-30 R-38/
WALL R-11 R-19
FLOOR R-41 R 1 9
SLAB R-7 -7
GLAZING U-.65 (Dual) U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading*Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL'INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip..doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
'NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS � SHEET.
OTHER
12/85
HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heat ing
13 Central Gas Furnace %
(brand and model number) SE
Btulhr
(heating capacity)
E3 .Heat Pump
.(brand and model number) ACOP
Btu/hr
(heating capacity at 4FF)
13 Active Solar
type (liquid or air) Collector brand and
. ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
C3 other
(describe)
(B) Cooling
C3 Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 950F)
Electric Heat Pump EER
Btu/hr
(cooling capacity at 95*F)
13 other
(describe)
DONESTIC WATER SYSTEM
13 .(A) Gas Only Gallons
(brand and model number) (tank size)
13 Heat Pump w/ElectricBackup
(brand and model number)
Gallons
(tank size)
(3 *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction) ft 2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
C3 Location of Solar Panels -- ----
E3 Other
(Describe)
'l 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: Su-=*'-e*r' "de'dig"n" 'tie-imperatiure 0,*cooling load BTU
,2 Submit T.I.P.S - E char t'or o t her a pproved system (form #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATEMENT: The above building design meets the req ements
Title 24, Part 2, Chapter 2-53 of the California AdminpAation Co4f.
OR
u T
s.
gma
ite
J
/ 0491
NOTE. -;—All Mallerials & Workmcinsliip Shol
Atcora'-jnce will -h Recognized Gcod Prc,-+�;c
of -a qqc!ify prescri6ed for-Ae Spec,",ffed USE
Un.ifort-n Buildiing, Plurking.& - Me-chunic6i Co4
the Naf�-,nal L-lezfric-cd.Code,,.
11 �elback of 5 It. from ti
In
ten and a seft
PrMes 'road
of ft. -fi-orn the
ceiterline shall be clear
s - or equi7innent
, tj uctuves
fcr a 2 ft. 0,7)VC 0`-'erh"
oz AILL &ASO-O"A
0
CZ)
APPMOV0
COUNTY OF BUTTE - DEPARTMENT OF,PUBLIC WORKS
7 County Center Drive, Oroville, CA 95965
FRED LEWIS.
P.O. BOX 702
BROWNSVILLE CA 95919
With reference to the above,subject:
.1 .
PHONE: 916-538-7541
DATE 9-24-91
RE: B.P. APPI-.3212-9.1
A.P. # 28-31-10
/Xj Attached is:
Application for permit Mobilehome Utilities Installation Sheet
Building Plans Mobilehome Installation Information Sheet
Engr. Calds y Typical Plan Sheet
Owner -Builder Verification Form List of Codes Enforced
OTHER
/X 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 exempt.ion statement.
Contractor's License'Law information -or check exemption,statement.
X Complete plans -in dupli�ate including plot plans'.*
Plot plans in
Structural details in
Complete plans and calcs in by'registered engineer or architect.
Energy 'Idesign including
Street and drainage improvement,plan approval from Land Development Section (DPW).
sets of plans -in accordance with the changes marked in red.
Sanitation approval from Butte County Health Department at:
196 Memorial Way,'Chico
7 County Center Dr., Oroville
Pkyway & Elliott Rd., Paradise
Planning approval from Butte County Planning Department, 7-Co4nty Center Drive,
Oroville, for
Completed Owner-Bui.1der Verification form.
Recorded.copy of died showing
Recorded copy of agricultu ral acknowledgement statement.
x/ OTHER 1. Window area shall be PQual to I Q7. 6f thg-_ rnnm'f I r)nr aren TA Wa 50% opona h J Q
for natural lip-ht-aad yentilgtjon rpquirpri b;z qprt-inn 419C)c; TT R
Should you have,any questions concerning the above, please contact pnlp MrKpndrirk-
of this office. BETWEEN 3 & 5 P.;M.
Yours very truly,
William Cheff
Director of Public Works
F. Glander
C F f u
JFG/aj Chief Building,.Inspector
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