HomeMy WebLinkAbout030-080-0080 8 - 8
John Irvin
1641 Sweem St., Oroville
contr: Polly Pools, Oroville
Permit #3625-77B,P,E(new private
swimming pool) 7
30-01-8
ontrPry or contracting, Oro.
:
rmit'-#4574--78B(reroof) SF
030-08-0-008 93-2230
IRVIN, JOHN
11 CONTR: OWNER
1641 SWEEM, OROVILLE
MOVE GAS METER
jj 030-08-0-008 93-2723-BPE
IRVIN,WILIS
1641,SWEEM, OROVILLE 7 &1
CONTR: STEVE RUPP
ADDITION, REMODEL/SF
r-030-080-008 PERMIT#97-1998.
IRVIN, 'John &.Phyllis
1641 Sweem St", Oroville
Cont: Economy Builders /(�,
New Pri Det Garage 00
0`1 *-*2 0
HAW, Euman 0. 1895E
1463P
087 tE
0
o -o8: -8D-
1641 Sweem St., Oroville
CONTR: Arinda Construction, Oroville
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RESIDENTIAL
080-008 _
PERMIT#97-1998
PERMIT NC030
i IRVIN, John &
Phyllis - -
1 1641 Sweem St,
Oroville ;
PERMIT EXII.+
Cont: Economy
I
Builders— - -
New Pri Det Garage Gy/�3 g8
OWNER
CONTR.
ASSESSOR PARCEL
I
' ! LOCATION
iI
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a
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p
i
1
Temp. Power Pole
Called PG&E
rr Temp. Elec. Service
E Called PG&E
Temp. Gas Service
" Called PG&E
JOB FINALED (Date)/
i
Signature
R
V=OK
0 = Not OK
lNoottApplicable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements - Setbacks - Easements
2. Soils; Special MH Support Sketch
3. Sewer, Location -Teat -Fall -C/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Gmd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap; / /'LYt
MISCELLANEOUS
Date RECKSXOVERS, CARPORTS, GARAGES lana OK except #'s
1. ing Requirements -Setbacks -Easements
•2. Footings; SoilsSize-DepthSpacing-ConrtectorsSteel
3. Decks; Girders and/or Joists-Decidng-BracingStairs-Rails
4. Wood Awn.; Posts-Beam"ttrs.-Connectors
/ /Nat or/ PL°ft/ /LPG
7. Well Clearance & Disconnect
8. Utility Clearance
tris
g.; Sils-AnchorsStuds-Rffrs-Trusses
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 Requirements- Setbacks Easements
Date "
2. Footings; Sine -Spacing -Marriage Line
Da
3. Gas; MH Test-Demand-VaKeConnector
Date
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Tie Downs -Type -Installation Cert.
10. Exits; Insp.-Sketch
11. Cert of Occupancy
12. Permanent Foundation Only: License Decal
9. Health Department Approval
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date RECKSXOVERS, CARPORTS, GARAGES lana OK except #'s
1. ing Requirements -Setbacks -Easements
•2. Footings; SoilsSize-DepthSpacing-ConrtectorsSteel
3. Decks; Girders and/or Joists-Decidng-BracingStairs-Rails
4. Wood Awn.; Posts-Beam"ttrs.-Connectors
Shthg.-Rfg.-Bracing
S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports• Windows -Doors
tris
g.; Sils-AnchorsStuds-Rffrs-Trusses
ng; Nailing-VeneerShicco-Mesh
4:'i0'RV Shthg-Roofing
ej*-F-xt.; Steps -Doors -Landings
ked Wall. Panels
Date "
Cana B-1 ate Card B-1
Da
- Card B- Date Card B-1
Date
POOLS (Plans) OW -except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pod Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distance-GFI
5. Elec.; Pod Lighting; 15 Volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/SLirculating Equip. -Heater
8. Eke.; Grounding; Equip. w/5 Circulating Equip. -Pod Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
11. Light Niche
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
✓ = OK
0 = Not OK
- = Not Applicable
* = Not Ready
Date UNDERFLOOR (Plants) OK except #'s
1. ZoningSetbacks-Easments-FloodSlope
2. Ftg., Main; Soils-Elec. Gmd.-/ P Ftg. Depth
3. Ftg. Garage; Soils-Steel-Elec. Gmd/ /° Ftg. Depth
4. Ftg. Porches & Decks; SoilsSteel-/ p Ftg. Depth
RESIDENTIAL (Single & Duplex)
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Anchors .
7. Slab, Steel -Wrapped
8. Piers -Fireplace Ftg.Sted
9. D.W.V.; Fall -Ring -Test -2 Way C/0 -Sewer Test
10. UP Gas Pipe; Size Anchors - Yard Gas Piping; Sine Test
11. Water Pipe; Test -Anchors -Regulator -Service Test
12. Electric Underground
13. Plenums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor BoltsJoists-Vents-Crippies
15. Access & Ventilation
16. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
17. Water Htr; Vent -Access -Combustion Air Baffle
18. Water Pipe; Test & Anchor -Nail Protection
19. D.W.V.; Test Fittings & Anchor -Nail Protection
20. Shower Pan; Test, First Floor -Tub Access
21. Test Tub & Shower, Second Floor -Tub Access
22. Gas Pipe; Sixe & Anchors
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #s
23. Fixture & Transformer Clearance -Ins. Protection
24. Elec. Receptacles Spacing -Lights & Switches at Doors
25. Size Boxes & No. of Conductors Stapled
26. Romex Installed Close to Edge of Studs & C.J.
27. Equip. Ground made up w/Mech Fastners-Bond Gas & Water
28. 2 Appliance Circuts in Kitchen & Conductor Size GFI
29. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size/ / ga Cu or AI
30. Range Circ. / / ga Cu or AI -Oven Circ. / / ga Cu or Al
Insulated Neutral 0 Yes 0 No
31. Service -Riser Conductors & Ground -Main Disconect
32. Equip. Clearances Panels -Motors -Meeh. Epuip.
33. Clothes Closet Light -Shower Light -Spa Light
34. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
35. A.C. Ducts Insulation & Support
36. Vent Fan, Exhaust above insulation
37. Condensate Drain & Overflow, Size & Grade
38. Fumance-Vent Access -Comb. Air-Retum Air Vent 115 outlet
39. Attic Access & Platform if Furnace in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #s
40. Sits Proper Materials & Anchors
41. Walls Studs -Nailing Spacing & Braces -Plates -Sound
42. Bearing Walls over Girders & Floor Nailing
43. Draft Stop in Walls (rat proof)
44. Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
45. Headers & Beams -Size & Bearing
Date
FRAMING (Continued)
46.
Hangers -Post Caps -Anchors -Connectors
47. Cling. Joist-Rttr. Ties-Puriin-roll Brac.-Truss-Shting: Rfng.
48.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
49.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
50. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions '
51.
Garage Fire Protection Framing
52.
Property Line Firewall & Openings
53.
Ext. Doors -One 3 -Check Garage 3rd Story, 2 Exits
54. Stairs; Width -Headroom-Rise-Ru;Unding-Fire Protection
55.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers `
56.
Siding -Nailing Veneer
57.
Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
58.
Glazing Area -Glass Protection -Skylights -Plastic
59.
Shear Walls; Nailing -Bolts
60. Brace Interior / Exterior Wall Panels
61.
Insulation -Walls -Ceilings
62.
Infiltration -Walls -Windows
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
FINAL (Plans) OK except #'s
63.
Ext Steps -Door & Sidelight Protection -Landings
64.
Smoke Detector
65.
Furnace; Vents -Clearance -Comb, Air-Conector-
In Garage; Above Floor -Ducts -Meeh. Protection
66.
Bedroom Exiting
67.
G.F.I. & Bath Fixtures & Tub Access -Spa
68.
Elec. Trim & Subpanel, Breaker Sizes & Labels
69.
Stairs & Rails
70.
Fireplace or Stove, Clearance -Hearth
71.
Elec. Outlets at Wood Panel, Int. & Ext.
72.
Kit. Fixt. & Appliance; Ground. -Air Gap -Cooking Clearance
73.
Elec. Outlets & Recepticales at Kit. Counter
74.
Garage Fire Door; Swing -Landing -Closure
75.
A.C. Duct in Garage -Damper
76.
Wtr. Htr.; Vents -Clearance -Comb. Air Connector-P.R.V.
In Garage; Above Floor -Meeh. Protection
77. Plb., Elec. & Mech. Equip. Listed for Location
78.
Elec. Receptacles in Garage (G.FI.)-Romex Protection
79.
Insulation -Foam -Looked in Attic
80.
Guard rails & Deck Construction -Post Caps
81.
Fdn. VBents & Crawl Hole Door Drainage & Wood -Earth
Clearance Looked under Floor p Yes
82. Following Instld./Drive 0 Yes 0 No/Walks 0 Yes 0 No/Planters 0 Yes 0 No
83.
Stucco Brown -Finish
84.
A.C. Unit Disconnect, Electrical -Plumbing
85.
Vents Above Roof, Plbg-Appliance-Fireplace-Clearance to Openings
86.
Water Well, Disconnect, Electrical, Plumbing
87. Exterior Elec. Trim, G.F.I. Receptacle -Underground
88.
Ventilation Throught House
89.
Glass Protection
90.
Corrections from Previous Inspections
91. Gas Test -Meters Tagged, Gas -Electric
92.
Water & Sewer Connected -C/O to Grade -HD Approval
93.
Energy Compliance 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 DEVELOPMENT SERVICES- BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 M PE NO.
(Rev.12/96) APPLICATION AND PERMIT � ✓. / �
AssEs61
61�db08
ZONING
A—R
B U I LD I NG P ER M IT
OWN
AND PHYLLIS IRVIN
TELEPHONE
533-7634
SO. FT. OCC. BUILDING V
ALUATIONJOHN
48U U 8640
OWNERS MAILING ADDRESS
1641 SWEEM ST, OROVILLE 95965
CONTRACTOR'S NAME
ECONOMY BUILDERS
TELEPHONE '
CONTRACTOR'S MAIUNG ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
'
Total Valuation $
ARCHITECT OR ENGINEER
UCENSE N0.
Filing Fee $ 20.00
Permit Fee $
08.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
1641 SWEEM ST, OROVILLE
Energy Plan Checking Fee $
$
PERMIT FEE $
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Filing Feel 20.00
USEOFSTRUCTURE
PRI GARAGE DETACHED
SF ❑ Duplex ❑ Mobilehome O Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New Addition O Remodel ❑ Utilities O Installation O Other ❑
Describe Work:
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
800V OR LESS
Main Service 20.A0.LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. h�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
O I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
O 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. s0'
OR ADONS. ( & ACC. BLDS. 3.5¢x
NON -R SrIDT B 0,1URCET UITS @7,50
PSINOWER APPARATUS
8GLE OUTLET CSI R.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00
BAL. @ .50
PPLNS
Ex. Occup. ouTELETS RES D.OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
O 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' com ensp�on insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number 'L --
(The above sections need not be complete8 if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
O 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, 1 shall
f hwith comply with those provisions.
X Date
1--si ure of Applicant - Owner WEonllracior O Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
C
CONST A
TOTAL FEE $ 198.20
HAZ. D. FEES
ti
IMP FLOOD
CDF PARCEL PD
HD
400 IISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By U Daattte7 n
PERMIT EXPIRES ON ! O(�'":4 12
Date
Receipt No. —
WHITE-D.D.S.-B.D. CANA Y -ASSES R PINK -INSPECTOR GOLDEN ROD -APPLICANT
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COUNTY OF BUTTE DEPARTMENT OF DEVEL•
TtOUNTY CENTER DRIVE - OROVILLE. CALIF(
i•�Tt�.h�:'Pni-�'�j....:w�i�' �'4k'h'-'.+tr'�+.� 'a . i
fi+ .
ENT SERVICES -BUILDING DIVISION
95965 - TELEPHONE (916) 5^38-7541
PERMIT APPLICATION DATA SHEETV/
OWNER: t ASSESSOR P� R EL NUMBER:
Proposed Bu�ildmg Use: n S�o A Building Inspector; CWA,8 Date: Is IN
At time of permit applic tion, Waas ATvvised a following data must be su witted prior to permit rogessin and/or issuance:
Date Received By
❑ 1. All items have been submitted .------------------------------------------------------------------------------------- >
❑2. Plot plans, 3/4 sets, signed by the preparer of plans. ------------------------------------------------------------
03.
-----------------------------------------------------------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans. -----------------------------------------------------
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans. --------
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ------------------
❑ 6. Energy Design Compliance and supporting documentation. ----------------------------------------------------
07. Statement of Intent for Non -Heated and A/C Buildings. ---------------------------------------------------------
❑ 8. Hazardous Material Form. -------------------------------------------------------------------------------------------
❑ . Manufactured Home data and installation instructions including Tie Down ' Specifications .------------------
Fees of $ `-------------------------------- _
0 111:;Impact fees as shown on the attached schedule. -------------------------------, ---------------------------------
❑ 12. California Department of Forestry plan approval/fees ----- ----------------------------------
0 13. Flood elevation certificate. ----------------------------------------------------------------------------=-----------
y
❑ 14. Sanitation and plot plan approval Health Department. --------------------------- --------------
❑ 15. City of Chico plumbing permit. -----------------------------------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------------------------------
4
0 17. Planning approval for (A) Use: (B) Parking: --------------------------
❑ 18. Contact Land Development about ❑ Improvements, ❑ Drainage, Legal Parcel. -----------------------
❑ 19. Encroachment Permit for driveway (construction approval prior to occupancy). ----------------------------
020. Pre -inspection for required.- Request to Building Inspector on (Date)
El 1. Contractor's license information. (Number, Name Style, Classification). ------------------------------------
. Workers' Compensation and policy number.-----------------------------------------------------------
❑23.Owner-Builder Verification (Given to owner ❑, Mailed to owner 0) - --------------------------------------
1124. Letter of signature authorization
❑ 25 . Recorded copy of Agricultural Acknowledgment Statement. -------------------------------------------------- 4
❑ 26. Letter of intent on building use. -----------------------------------------------------------------------------------
❑ 27. Manufactured Home utility clearance. ---------------------------------------------------------------------------
❑28. Existing violations and/or expired permits. ----------------------------------------------------------------------
❑29. ❑433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $ .----------------
E130. Other: -------
Zelelephone
you issue the permit, process as follows 11 Mail to owner, ❑Mail to c tractor.
Sao –31 q and hold for pickup at 0 RFU( office. ❑ Deliver with inspector.
Applicant: Date: % — �� I -7
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department ❑ Air llution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ O r: Date: By:
1. Index permit application for the above items numbered: ep ❑Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Divisio counter, by Date:
Plans reviewed by: Date: Plans approved by:Date: --7y—
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by: Date:
Yellow Copy - Department of Development Services, Building Division.
RESIDENTIAL
r 630=G8-0'=008_ 93-2723 -tsrr
r"IRVIN, PHILIS
1641 SWEEM, OROVILLE
CONTR: STEVE RUPP
I ADDITION, REMODEL/SF
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OFFICE COPY
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Address
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Meter By Date 5+
C - IC
i{f Met a e
f�
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{JOB FINALED (Date) �M izlevl
�SIgnature
c
O = Not OK
- =Not Applicable
' -
=Not Ready MOBILE HOMES _
+' �•
MISCELLANEOUS
Date/Initials MOBILE HOME UTILITIES (Plana) OK except #'a
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a
1. Zoning Requirements-Setbacks-Easements
1. Zoning Requirements-Setbacks-Easements
2. Soils; Special MH Support Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O Concrete
3. Decks; Graders and/or Joists-Decking-Bracing-Stairs-Rails
4. Water; Location-Teat-Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs: Connectors
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearences-Grnd-/ /Amp-Concrete
6. Gas; Location-Teat-Wrap: / /"L"ft.
/ /"Net. or/ / L"ft./ /"LPG
5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
6. Carports; Windows-Doors
7. Well Clearance & Disconnect
7. Electric
8. Utility Clearance
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing-Veneer-Stucco-Mesh
10. Roof; Shthg-Roofing
'
11. Ext.; Steps-Doors-Lendings
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except #'a
1. Zoning Requirements-Setbacks Easements
2. Footings; Size-Spacing-Marriage Line
3.: Gas; MH Test-Demand-Valve-Connector �'
Date/Initials POOLS (Plans) OK except #'a
4. Electricity; MH Test-Crossovers-Breakers-Clearances
1. Setbacks-Easements
S. Drain; MH Test-Fall-Flex Connector
2. Soils; Compaction-Structure Stability
6. Water; MH Test-Regulator-Connector
3. Pool Structure; Steel-Connections-Thickness
Dead Men -Lining
7. Water and Sewer Connected-C/O to Grade-HD Approval
8. Gas and Electricity Tagged
4. Elec.; Receptacles and Lighting, Distances-GF1
9. Exits; Insp -Sketch+
~�
5. Elec.; Pool Lighting; 15 volts-GF1
10. Cert. of Occupancy
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
r
V=OIC , -•.
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s
BiFtg., Main; Soils-Elec. d. -/4P' Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Fig., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-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/O -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. Plenums & Ducts; Clearance -Materiel -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date/Initials PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Neil Protection
18. D.W.V.; Test -Fittings & Anchor-Naii Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date/initials ELECTRICAL Permit OK except #'s
2. ix ure & Transformer Clearance -Ins. Protection
I c�Receptacles Spacing -Lights & Switches at Doors
. Size Boxes & No. of Conductors -Stapled
Po ez llnstalled Close to Edge of Studs & C.J.
quip. Ground made up w/Mach. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels -Motors -Mach. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK excent #'s I
@.9ISi s; Proper Material & Anchors
W Is Studs -Nailing, Spacing & Bracing -Plates -Sound
e ring Walls over Girders & Floor Nailing
r ft Stop in Walls (rat proof)
QefirLStops; Furred Ceilings -Stairs -Chases -Tub
eaders & Beam -Size & Bearing
Single & Duplex)
Dat /Initials FRAMING (Continued)
46'-Hpgors-Post Caps -Anchors -Connectors
46ft-Ing. Joist-Rftr. ties- Puri In=roof Brec-Truss-Shthng.-Ring.
-4t�Place Ties or Type A Flue -Fireplace Throat clearance
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Wim. Windows or Exiting Doors -Sill Hgt. & Dimensions
e Fire Protection Framing
Property Line Firewall & Openings
t. Doors -One 3' -Check Garage -3rd Story, 2 Exits
t4irs; Width -Headroom -Rise -Run -Landing -Fire Protection
tolYplywood on Roof Overhang -Attic Vents -Rafter Outriggers
ing Veneer
o* tucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
g Area -Glass
Walls; Nailing
(/ 60. Infiltration -Walls -Windows dG _U S 3r"
i
Date/Initials FINAL P s OK except #'s
Steps -Door & Sidelight Protection -Landings
moke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
n aragp; Above Floor -Ducts -Mach. Protection
. Bedroo Exiting
Bath Fixtures & Tub Access -Spa
E c. Trim & Subpanel; Breaker Sizes & Labels
airs & Rails
vep ace or Stove; Clearances -Hearth
s at Wood Panel; Int. & Ext.
et Pixt'&Appliance; Grnd.-Air Gap -Cooking Clearance
ec. Outlets & Receptacles at Kit. Counter
ge ire Door, Swing -Landing -Closer
Duct in Garage -Damper
74 r.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage _Above Floor -Mach. Protection
Plb., Elec. & Mach. Equip. Listed for Location
X76-€tes. &eceptacles in Garage; (G.F.I.)-Romex Protection
nsulation-Foam-Looked in Attic ❑ Yes
uard Rails & Deck Construction -Post Caps
7` L7g.. r Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor O Yes
owing instld.; Drive 13 Yes 13 No; Walks 13 Yes ❑ No;
P ❑ ❑ No
81. Stucco; n -Finish //- / _ j" i
n ' isconnect, Electrical, Plumbing
encs Above Roof; Plbg: Appliance -Fireplace. -Clearance to
Openings
-- 83"- _Well; Disconnect, Electrical, Plumbing
v__--'95_Exteri ec. Trim; G. eoeptacle-Underground
Ventilation Throughout House
lass Protection
Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. -Water & Sewer Connected -C/O to Grade -HD Approval
Certificate -Other
.. = AT?ne� ?�. �. �t7��'`�+i •i`�.�".'�,i_,Mr�t'a �'.�-c�Zi-,v�`✓'i...,.r`�„� rc-v �_ •'"%.i
COUNTY OF BUTTE
_3 BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES .
1469 Humboldt Road, Chico, CA - (916),8.91-2751
7'County Center Drive, Oroville, CA - (916) 53,8-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
/ A—V (/V
WNER PERMIT NO.”
A routine inspection indicates that the following violations of Butte County Ordinances exist at as
the above address and should be corrected. Please notify this office when correction of work
is com eted. If you have any questions pertaining to this matter, or need additional explanation, +
plea contact this office immediately. T,
4 #
uZ-, r 167'6�:
(
Date �- f3 Inspector
REV 10/92
N
u
Insulation Cer llicato
✓lGGZ'
C0� 34Ddlm�{an � tat r.L�t
Description of Installation •
i ) Thuml PAduz= Ut-vALue) .
CEUiNN3
1warBhAaTM FIBERGLASS 8rmdN" CERTAINTFM
rte) 1,21 -- ,ZR1ROaaoeVR49at) -- �-
ttooaaFiRTM 2NSIIL.SAF3 TTT BacdN� _P_AN
FRTTrr-Rn .
&1crx S mTCdC =i mgw wCk _ 8t , _ inches
8baufscmczs':ic�ssBod�rci�cpe:�ga�stovtto�ciYsiIIamslRe�ac��1l�1�c)
y
oc�tORWALL
Untzid FIBERGLASS Cp
� i�mi Rica �•Yslns) .
PAftFt,00n• .
bow
BaadRam CERTAINTEM •
Zbam2119AAM"pt-V")
SW FL0On .
BrAdNMO
� ��) Tbccrsul Raimo �•Ya1we) •
FOWATtON WALL •
knd+nt _FIBFACT.Acc BrmQName CERTAINTEED
• likkners (bcfie:) Z3anssi moo pt Yalra) •
Dadamtion
B ► dw ft Dort bmdWm *a kut� bs tBe bMing u ftzbm tocadw I � � r ft
i k�mialsJ assure Sundu* lbemw rdd=dol buWOP ConUhxd 14Mde24 of ft •
��lC�eaeK I t�
SO&—
.:ee
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center. Drive - OrovillP,,4alftrnia 95965 - Telephone (916) 538-75al. PERMIT N
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
030-080-008
ZONING �1
—R
BUILDING PERMIT
22
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
177 R
OWNER'S MAILING ADDRESS
1641 swum sTREFT, nRnyTT.T.F., rA 99965
4S C,
CONTRACTOWS NAME
STEVE RTJPP
TELEPHONE
534-7417
IEST
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ ill
I All
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 153 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking. Fee
$ 99 45
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
PERMIT FEE
$
OROVILLE, CA 9-596-5
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00 ,
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SFR Duplex ❑ Mobilehome ❑ Other
SPEC IFV
Gas piping system 1 - 5 outlets
15.00 15.00
Building sewer
15.00 15.0
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition INX Remodel ❑ Utilities ❑ Installation ElOther ❑
Describework: SINGLE FAMILY. ADDITION OF DINING ROOM AND
PERMIT FEE
$ 79.00
Contractor
. ELECTRICAL PERMIT
Filing Fee 20.00
KITCHEN, COVERED DECK, AND KITCHEN REMODELING.
Main Service (III OR LESS 200AORLESS )
23.00
Main Service ( 200A TO 1000A )
46.00
CONST.NEW DWELLING
OR ADONS( ACCBLS. )
3.50 F°: 6.45
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. (DI $ 19 L f Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BA20 @ 1.000
Ex. Occup.FIXED APPWS. OR ( OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
`g I shall not employ any person in any manner so as to become subject to the Worker's .
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE
$ 49.45
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in c rq Sof the ra of this per it.
Date
natur of Applicant = ❑ Owner ❑ on ractor ❑Agent
An OSHA permit is required for xcavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 46.00
o
CoyS S.
TOTAL FEE $ 469.90
HA2
D. FEES
IMP
FL00
CDF
PARCEL PD I NO
I I
This permit is hereby issued under
of the Butte C my Code and/or
indicated a ve or which fees hav
EC OR F
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
een paid.
WORKS
Date
ry (�
O
(Dere)
nBY
Receipt No. 146144—$162.45 PC:,[/ I�flaS/ -' �7l/� ��
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'.`'i!:=y^}+'+('•iwl�.7`t �,;,��An�'i.*ij'4=/'�V`+��+.,/1� _ ti ��''�'�„wM"`,y.5�.t��*n+"Ni�7.r.r.rq.
COUNTYOF BUTTE - DEPARTMENTM-D'VELOPM ENTSERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILL6;C%IF@RNIA 95965 -.TELEPHONE (916) 538-7541.
OWNER
Proposed Building Use
PERMIT APPLICATION
fi
Building
DATASHEET
A. P. No. d5� _ 6?0_ 009
Date 8 /� 7% `�3
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted. ................................... .
2. Plot plans, 3/4 sets, signed *preparer of plans . ..........................
3, Complete plans, 3/4 sets, signed by preparer of plans . ......................
.4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ........................................... .
6. Energy Design Compliance and supporting documentation . ................. .
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data
Aufacturer's installation instructions, 2 sets. ......... .
�10. Fees of $102'0 -ma. .................... ............. .
/ a G'
_e 11. Impact fees as shown on attached schedule. . P..,.v �. ......... . .
California Department of Forestry plan approval/fees. .. .41 .
13. Flood elevation letter (100 year flood by California Engineer. ..
14. Sanitation and plot plan approval Health Department. ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ...
20. Pre -inspection for PTnsP�°" `6q"�-
required. . 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 , Mail to owner _).............
24. Recorded copy of Agricultural Acknowledgement Statement . ..................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .....
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance . ..................
29. Documentation of legal access . ....................................... .
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
11 xisting lationVexpired permi..................................... .
Ian check list. ......................................
33. - -
-34.
When ou issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at �)%I.�� office. Deliver with inspector.
Other
Parcel Creation
Acreage Applican Date I /
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By
The following data must be submitted pr' to pe it issuance: (Circle new item not checked above). ,t
1. Index permiffor above items No.
2. Additional items required:
ontracto esigner, owner, was advised of above required data by ! phon®J ; mail Counter by bate
Co actor, designer, owner, waised of above required data by _ phone _ mail Counts Date
s a
Plans checked by Date? Plans approved by Date
�Sets of plans on hold in File cabinet _ AP folders -
Copy - Department of Public Works r ��/ �/G ir' "
��
', � r
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. .
. � r
�.
��
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�b UNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
r 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
l9 APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER /'\�D r, O� wt O �� -
(/ C!
20NIN0" —
BUILDING PERMIT
OWNER ' •
/q
TELEPHONE 3
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING AO KESS 5-5i / y-
CONTRACTOR'S NAME
e
TELEPHONE
— ys
�p
�T
CONTAC Ogg''S MAILING ADDRESS
(t®114 aNfGomer SI�140&1lle,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee t
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
a - o,-
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
Energy Plan Checking Fee $
Z�V
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00 , 44>
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
1-f
SF O<Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
f0�
15.00Id
Building sewer
15.00 C7o
Mobile Home S G W
@ 20.00
TYPE OF WORK
New ❑ AdditiorL Remodel ❑ Utilities ❑ Installation O Other ❑
Describe Work: `S� ��\ O N /f )�/y 5r
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
A- �-
JUD !• /� !'/iB��
/� !J I/ VVG�
Main Service ( ""00LESS )
2WAOR LESS
23.00
Main Service ( 200A TO 1o00A )
46.00
P / /
NEW OCCUP.
OR ADONS.T ( D LLINBEACCGBLOS. )
3.50 F°: 61
NEW •NON -R SLIMULTI-OUTLET
D. ( BRANCHCIRCUITS )
@7.50
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
O 1 am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. Classification
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ 1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
forthis reason
POWER APPARATUS )
a SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
Bt20 @ I.000
Ex. Occu FIXED APPLNS. OR
p' (OUTLETS (RESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 3 •P-0
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one): '-"
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ 1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accra ag Inst said
County in consequence of the granting of this permit. % 02
X Date / F�
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent I I
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee Is 70
OCC
CONST. TYPE
TOTAL FEE $
HAZ-
0. FEES
IMP
FL000
COF
ARCEL PO
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY Date
PERMIT EXPIRES ON
lOetel
Receipt No. (j ( (/ (�
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
?c.ti,+.+�..n .t.." ♦ �T'"Z; rF'Jf6P�'i'�'••��^r,�}it �-rww�ys 'Irk /�y t."�'*�.7'•n./{�*'�*/'�+wd�+�Y�n/'•� ..
i., h � 1Y6 J 4f �' J I �~ �,K/Y Y 1/• � S�,
1
' ly
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building) _
School District Building Department No.
A.P. Number 0-10— A visa do City County
/ v
Property Owner / tr . .�1�-�,%� .�� � � �A ./"'�. �=•7. ,�• f
Property Location/Address_ViC
SuticJivison Y yt ci tl Lot No. 11
r� >r /
'Resid ('Development0""-C_ _ (^ r _M Sq. Footage
(IV0. of Living MHI _-. Additio _ -(Group R)
unns
Commercial/Industrial tf 0 Sq. Footage
New '" f rt .rte Addition, ,� ,�- (Including Exterior
,. Roofed Areas)
r - ��3
Building Department Representative Date
(Floor Plans reviewed by School District Personnel)
District Identification No. 940032
#Olebil b0i School District certifies tha '
(Applicant)
",, I A(Street
U
(Phone Number)
-(City) � (State) (Zip Code)
has complied with the requirements of Resolution No. / D� by payment of $
representing
`x
School District Representative i
Paid by Check Number
Bank Number
Paid by Cash
square feet. \ .
Remarks:
If, subsequent to the School District Representative signing this Butte County Schools Impact Fde
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject -to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkf (4/92)
Certificate of Compliance: Residential (Page 1 of 2) CF -1 R
;ToJiM
Project Title Date T—1
GENERAL INFORMATION
Total Conditioned Floor Area:
Building Type:
(check one or more)
Front Orientation:
Number of Dwelling Units
Floor Construction Type:
or
1537' ft
Single Family Addition -
Multi -Family Existing -Plus -Addition
North / Piet'/ South / West / All Orientations
(Input orientation in degrees and circle one.)
Slab / Rai�,�loor (circle one or both)
BUILDING SHELL INSULATION
Construction
Component Insulation Assembly
Tme R -Value U -Value
Wall .............. (Ei F_ 0
Wall .............. E�+3�
Roof ............. (F) ,z= 3 S
Roof ............. �R-3a-,-� I I
Floor ............. a)
Floor ............. = (-
Slab Edge ....
FENESTRATION
Field Chock/ Date
Location/Comments
(attic arae typical, etc.
to garage, , tYp )
0, ,393 KU k0 ry/p'.
0, J 65' Q Ano Tu N r1 ?
() g -ES , k
0101 & (g) A -is .
0.031 Co koo t rw.-!
Shading Devices
Fenestration Area Fenestration Interior Exterior Overhang Framing Type
Orientation (sf) LI -Value (roller blind, etc.) '(shadescreen, etc.) (yes/no) (metal/wood/vinyl)
Front..... ( E) 92, 1.11 0,U5, Iwo mf MEx-aL
Front..... ( )
Left....... (5) �_ two luffia Oates No
Left ....... ( )
Rear..... (W)Nmr� —Es
—
Rear..... ( ) WWW St.. GL, oRcgw
Right..... (4)
Right..... ( ) T `
Skylight .......
Skylight .......
THERMAL MASS
ring Area Thickness
?d, tile. etc.) (sf) (inches)
I
Revised January 1992
t�
an
Certificate of Compliance: Residential (Page 2 of 2) CF -1 R
Project Title Date
HVAC SYSTEMS
Note: Input hydronic or combined hydronic data under Water Heating Systems, exospt Design Heating Load
WATER HEATING SYSTEMS
Water Heater
Distribution
Rated' Tank
Number Input (kW Capa
in System or Btu/hr) (oallc
Energy'
External
Distribution
Tank
Recovery Standby'
Heating Equipment
Minimum
Type and
Duct or
Type (furnace, heat
Efficiency
Location
Piping
Thermostat
pump, etc.)
(AFUEIHSPF)
(ducts/attic etc.)
R -Value
Type
. DOE whU. lig Amp
3Sjoci
+
o_c
aRiysT A FvAN,
sf•ci;7
Cooling Equipment
Minimum
Duct
Type . (air conditioner,
Efficiency
Location
Duct
'Thermostat Configuration
heat pump, evap. cooling)
(SEER)
(attic, etc.)
R -Value
Type (split or package)
Eons COOL4Ip-
8.0
0*-cr Fk.Al.
F 1.AD
_ 4S� GFiVt
WATER HEATING SYSTEMS
Water Heater
Distribution
Rated' Tank
Number Input (kW Capa
in System or Btu/hr) (oallc
Energy'
External
Factor or
Tank
Recovery Standby'
Insulation
Efficiency Loss (%)
R -Value
01 S3 1JL= I Z-
1. For small gas storage (rated input 5 75,000 Btu/hr), electric resistance and heat pump water heaters, list Energy Factor.
\ For large gas storage water heaters (rated input a 75,000 Btu/hr), list Rated Input, Recovery Efficiency and Standby Loss.
For Instantaneous gas water heaters, list Rated Input and Recovery Efficiency.
SPECIAL FEATURES/REMARKS (Add extra sheets if necessary)
t2= t2 iW-.1-VOL Blh"-e:G.T MIN • ISD P kC l+f?A±>ftt'
tr
COMPLIANCE STATEMENT
This certificate of compliance lists the building features and performance specifications needed to comply with Title 24, Parts 1 and 6, of
the California Code of Regulations, and the administrative regulations to implement them. This certificate has been signed by the
individual with overall design responsibility. When this certificate of compliance is submitted for a single building plan to be built in multiple
orientations, any shading feature that is varied is indicated in the Special Features/Remarks section.
Designer or Owner (per Business A Professions Code)
Name: ug,im— t3g14!,1
Tide/Firm: DIEsw Am-&
Address: 66x 23 Rpm per__
CA� %,S n i
Telephone: .1
Lic. X:
�6cVt1t 1�R'1 1 '2Z—q
(signature) (date)
Enforcement Agency
Name:
Title:
Agency:
Telephone:
(signature/stamp) (date)
Revised January 1992
Documentation Author
Name: I
Title/Firm: D Cs (c,, mgs—
Address: Fzza,j ZS QAC4:E/Lg3
CAS ql j Iy
Telephone: (079-120-
�3 z- 3
(signature) (date)
Mandatory Measures Checklist: Residential MF -1 R
NOTE: Lowrise residential buildings subject to the Standards must contain these measures regardless of the compliance
approach used. Items marked with an asterisk (*) may be superseded by more stringent compliance requirements
listed on the Certificate of Compliance. When this checklist is incorporated into the permit documents, the features
noted shall be considered by all parties as binding minimum component performance specifications for the
mandatory measures whether they are shown elsewhere in the documents or on this checklist only.
DESCRIPTION
Building Envelope Measures
* §150(a): Minimum R-19 ceiling insulation.
§150(b): Loose fill insulation manufacturer's labeled R -Value.
*§150(c): Minimum R-13 wall insulation in framed walls (does not apply to exterior mass walls).
DESIGNER I ENFORCEMENT
* §150(d): Minimum R-13 raised floor insulation in framed floors; minimum R-8 in concrete raised floors. ✓
§150(1): Slab edge insulation - water absorption rate no greater than 0.3%, water vapor transmission rate no
greater than 2.0 perm/inch.
§118: Insulation specified or installed meets California Energy Commission quality standards.
Indicate type and form. ✓
§116-17: Fenestration Products, Exterior Doors and Infiltration/Exfiltration Controls
a. Doors and windows between conditioned and unconditioned spaces designed to limit air leakage.
b. Manufactured fenestration products have label with certified U -value, and infiltration certification.
c. Exterior doors and windows weatherstripped; all joints and penetrations caulked and sealed. ✓
§150(8): Vapor barriers mandatory in Climate Zones 14 and 16 only.
§1 50ft Special infiltration barrier installed to comply with §151 meets Commission quality standards.
§150(e): Installation of Fireplaces, Decorative Gas Appliances and Gas Logs
1. Masonry and factory -built fireplaces have:
a Closeable metal or glass door
b. Outside air intake with damper and control
c. Flue damper and control
I 2. No continuous burning gas pilots allowed.
Space Conditioning, Water Heating and Plumbing System Measures
§110-13: HVAC equipment, water heaters, showerheads and faucets certified by the Commission.
§150(1): Setback thermostat on all applicable heating systems.
§1500): Pipe and Tank Insulation
1. Indirect hot water tanks (e.g., unfired storage tanks or backup solar hot water tanks) have insulation
blanket (R-12 or greater) or combined interior/exterior insulation (R-16 or greater).
2. First 5 feet of pipes closest to water heater tank, non -recirculating systems, insulated (R-4 or greater).
3. All buried or exposed piping insulated in recirculating sections of hot water system.
4. Cooling system piping below 55°F insulated.
5. Piping insulated between heating source and indirect hot water tank.
* §150(m): Ducts and Fans
1. Ducts constructed, installed and sealed to comply with UMC Sections 1002 and 1004; ducts insulated
to a minimum installed value of R-4.2 or ducts enclosed entirely within conditioned space.
2. Exhaust fan systems have backdraft or automatic dampers
3. Gravity ventilating systems serving conditioned space have either automatic or readily accessible,
manually operated dampers..
§114: Pool and Spa Heating Systems and Equipment
1. System is certified with 78% thermal efficiency, on-off switch, weatherproof operating instructions,
no electric resistance heating and no pilot light.
2. System is installed with:
a. At least 36' pipe between filter and heater for future solar heating.
b. Cover for outdoor pools or outdoor spa.
3. Pool system has directional inlets and a circulation pump time switch.
§115: Gas-fired central furnace, pool heater, spa heater or household cooking appliance have no
\ continuously buring pilot light. (Exception: Non -electrical cooking appliance with pilot < 150 Btu/hr.)
J Lighting Measures
§150(k): 40 lumensnvatt or greater for general lighting in kitchens and rooms with water closets; and
recessed ceiling fixtures IC (insulation cover) approved.
Revised January 1992
i
Point System Summary: Climate Zone 11
BUILDING DATA
Conditioned Floor Area , 1573,5- Number of Stories I
Slab/R W& X%0
Check all applicable Unit Type condition(s):
[ J Single Family Detached (SFD) [ J Addition Alone
[ J Single Family Attached (SFA) [ j Existing Building
[ j Mufti -Family (MF) [q -Existing -Plus -Addition
Date
P -2R
SCORECARD
Measures
Point Scores
1. Celling Insulation
38
or -�
o
R -value [38]
U -value [0.028]
2. Wall Insulation
o P=t3
or 0.33s-
—60
R -value 1191
U -value [0.065]
3. Raised Floor Insulation
=o j Fziq
or o.o `t4-
- t 3
R -value 119]
9 -value [0.037]
4. Slab Edge Insulation
-
or -
o
R -value [0]
F2 tactor [0.75]
5. Infiltration
Any Ducts in Unconditioned Space? ( Y /kP) [Y]
o
.) 6. Fenestration Heat Loss
P
Type
1.1 -value [0.65]
Total % Fenes. [16)
Sum 1.6
7. Fenestration Heat Gain
% Fenestration
SCshade open
Eff. % Fenes.
Shade Eff. Rata
North 0,L7 x
.&'as
= o.sf
0. go
t
East 5� 3 x
0.fJS
= 4,S'
0.$0
_3"
South i • 2 x
0, &s
= I' f
6,60
O
West (0 x
0.6>6
094-16
0
Skylight o x
_
_ —
v
o
Overhangs? ( Y /6 )
8. Interior Thermal Mass
or
a
% Exp. Slab [201
Int. Mass/CFA
9. Exterior Wall Mass
Ext, Wall Mass
Sum 7-9
10. Heating System
0.10
x 1.0
= 0,10
o
fo
AFUE or HSPF
Duct Effic. [1 story:
Effective AFUE
Zonal Control
[78% or 6.81
0.83; 2+ story: 0.881
or HSPF
Adjustment [0]
11. Cooling System
S,0
x 1,40
= 8.0
0
—1
SEER [10.0]
Duct Effic. [t sior :
Effective SEER
Zonal Control
0.81; 2+ story: 0.871
Adjustment 101
12. Water Heating
- System 1 S,G. so
0173
=t'z
NO A/C
Sm.
Heaters
Energy Factor
Ext Ins. R -value
Auxiliary Input
Dis—' tribu0on
[SG50�
[0.531
1121
[None]
[STD)
System 2
0
Heater Type [None)
nary r
Ext. Ins. R -value
Auxiliary Input
Distribution
Point Total:
- l4
Form Revised January 1992
Point Goal:
—1 S
Point System Summary: Climate.Zone 11 P -2R
SwekA Sr,
Project Title Date
BUILDING DATA
Conditioned Floor Area 1-5 f Number of Stories I
Slab/RaiI@5;Floor
Check all applicable Unit Type condition(s):
[ ] Single Family Detached (SFD) [ I Addition Alone
[ ] Single Family Attached (SFA) [4 -Existing Building
[ j Mufti -Family (MF) [ j Existing -Plus -Addition
SCORECARD
Fenestration
Area %
North
S o,¢
East
SB 4, 7,_
South
I 1.
West
(D S 4,6
Skylight
— O
Total
14(0 io, 6
SCORECARD
Measures
Point Scores
1. Ceiling Insulation
fz�a_
or -
e7
R -value 138)
U -value [0.0281
2. Wall Insulation
F o_
or
R -value [191
U -value [0.0651
3. Raised Floor Insulation
(L=o
or
R-value.119)
U -vale [0.0371
4. Slab Edge Insulation
-
or -
(�
R -value [0)
F2 factor 10.751
5. Infiltration
Any Ducts in Unconditioned Space? ( Y /&I) [Y]
0
6. Fenestration Heat Loss
SiAXxL*_ ?we
Ad.4jM. I - I n
10,13
- 28^
Type
U -value 10.651
Total % Fenes. [16)
Sum 1-6
7. Fenestration Heat Gain
% Fenestration
SCShade open
Eff. % Fenes.
Shade Eff. Ratio
North 0.4 x
0, &!;_
= D-3
0, 9c)
1
East 4-,,s x
01 bl�;,
= S cl
0.50
-7-
zSouth
South -t t S x
0.65
= 1.1
Q,8o
O
West 4-. 6 x
0.1%
_ S-5
ops;
- I
Skylight fy x
Overhangs? (Y / N )
8. Interior Thermal Mass
or -
o
% Exp. Slab 1201
Int Mass/CFA
9. Exterior Wall Mass
-
0
' 2
Ext Wall Mass
Sum 7-9
10. Heating System
0 (10
x 1.0
= 0.10
0
AFUE or HSPF
Duct Ef ic. 11 story:
Effective AFUE
Zonal control
178% or 6.81
0.83; 2+ story: 0.881
or HSPF
Adjustment 10)
11. Cooling System
8,0
x I •o
= $.o
a
-�
SEER [10.01
Duct Effie. 11 story:
Effective SEER
Zonal Control
0.81; 2+ story: 0.671
Adjustment 101
12. Water Heating
System 1 S. U. So
0.S3
N6VC
Srn
Heater Tpe
Energy Factor
Ext Ins. R -value
Auxiliary Input
Distribution
1SG50,
[0.531
1121
[None)
ISTD)
System 2
Heater Type [None)
nerpy Factor
Ext Ins. R -value
Auxiliary Input
Distribution
Point Total. _85 -
Form
SS
Form Revised January 1992 Point Goal:
Interpolation, Weighted Average & Addition Worksheet WS -213
'U!S 'yZ
Date
a. The use of interpolation is illustrated in Section 4.3 of the Residential Manual (RM). Evaluate the expression
between the vertical brackets, make it positive (+) whether negative or positive and add the value to the `Low
Points' to obtain the Point Score.
b. Mixed raised floor/slab-on-grade construction is area -weighted according to point scores not U -values. Other
measures are weighted according to their respective values (e.g., U -value, HVAC efficiency) as explained in
Section 4.2 of the RM. Insulation may be weighted by R -value point scores or U -values.
c. Different slab edge types and duct conditions (duct insulation and location) are weighted by length. All other
measures are area -weighted as explained in Section 4.2 of the RM.
d. Compliance of additions with the point system is described in Section 4.4 of the RM.
INTERPOLATIONa
Value
Value
Value
Low for Low
Actual
High
Low
for Low
for High
Item
Points Points
Value
Points
Points
Points
Points
Point
No.
(A) (B)
(C)
(D)
(A)
(B)
(E)
Score
2
-5� +
I ( os - 0.335
) x ( -52
o.r
- -0-3
> I
= -S1, 7 _ -to
-4 +
I( o.l
- 00%
)x( -10 -
�-)
l ( 0,1
-
WEIGHTED
AVERAGE
Weighted
Item
Type b Type o
Type 2
Type 2
Type 3
Type 3
Tota
AveragLe
No.
Value Area
Value
Area
Value
Area
Area
Value
2
[( 0.313 )x( io3
)+( OA5' )x( 24.2
)+(.
)x(
A / 12So
= o•33S'
[( )x(-)
+(
)x(
)+(-)
X(
A
[( 0.io )x( 135$
)+( 19031)X( ill
)+(-)X(-)]
/ 153s
= ,O
[( )x(
)+(
)x(
)+(
)x(
A
POINT GOAL OF EXISTING-PLUS-ADDITIONd
Existing Existing Existing -Plus
Building Building Addition Addition Addition Point
Point Total Area Point Goal Area Area Goal
Form Revised January 1992
Fenestration Worksheet: Heat Loss (Part 1 of 2) Form WS -3R
�RUIt� � 1641 Sw�EM 5i-, rExisnn,�'r Aoo:rtorJ� G,- 9�
Project Title Date
Area -Weighted Average U -Value
Description Orientation
Si W.L& pAtit / ALuM, !J 5 W
Total Percent Fenestration jog x 100 / 153s" = i 3. is %
Total Multiplier Conditioned Total
Fenestration Floor Area Percent
Area Fenestration
Form Revised January 1992
Fenestration
U -Value
U -Value
Area
x Area
1,19
x lVI =
1(03.03
0, kc, x 11.
x
=
x
=
x
=
x
=
x
=
x
-
x
=
x
=
x
=
x
=
x
=
x
=
x
=
Total:
ZDg
20'7, 8 3
20�• 83 /
2oS =
I. o
Total
Total
Average
U -Value
Fenestration
U -Value
x Area
Area
Total Percent Fenestration jog x 100 / 153s" = i 3. is %
Total Multiplier Conditioned Total
Fenestration Floor Area Percent
Area Fenestration
Form Revised January 1992
Fenestration Worksheet: Heat Gain (Part 2 -of 2) Form WS -3R
I RUItS -1 bol€J� ST -`Gx(STI13 c� + r'�Do irlc nl�� -
13
e.-,—, ru,. Date
Orientation (circle one): North / East / South / 1tst / Skylight
(Note: All values on Part 2 of Form WS -3R are for one orientation only.)
Overhangs
Note: Shading coefficients should include overhangs if applicable.
Percent Fenestration
Form Revised January 1992
9� x
Orientation Total
Fenestration
Area
100
Multiplier
/ i5739- - &,+ %
Conditioned Percent
Floor Area Fenestration
(per orientation)
OH Factor SC
SC Shade O(H Factor SC
OH Factor
OH Factor
Fenestration
Overhang
Overhang
Projection (Shade
(Shade
Description Height
Depth (H)
Height (V)
Ratio Open)
Closed)
ow, S!o"
-0"
2'—
<T 0,14- x 0,11
= 0,51 0,51 X 0.3
�'-4" D, tf c(� WW(Poc�.�) (o, -'b"
'1T
/ '1'-4 �' _
1;0 e l4
0.51
Note: Shading coefficients should include overhangs if applicable.
Percent Fenestration
Form Revised January 1992
9� x
Orientation Total
Fenestration
Area
100
Multiplier
/ i5739- - &,+ %
Conditioned Percent
Floor Area Fenestration
(per orientation)
OH Factor SC
SC Shade O(H Factor SC
SC Shade
ShaShade
(Open)
Shade
Overhang)
Closed ng)
Description
Open
Cloh ed) Closed
Overha§ade
V4 0 VASE
6�640 X O,SS
= 0-13 0,7(v X 0.51
= 0,3 1
Q wisr(p�
<T 0,14- x 0,11
= 0,51 0,51 X 0.3
x
=
-X-=
x
= x
=
Area -Weighted Average SCshade open & Shade Effectiveness Ratio
SC SC
'SC Shade
Shade
Shade Shade
Shade Fenestration Open
Eff. Ratio
Description
Closed' Open'
Eff. Ratio Area x Area
x Area
2`-0" c,+ LQ WEST-
[QQ, 3u l 0,13
= 0� 53
3¢, s"
bit, Pwesr
0,1 0,51 C.33 3Sib,f'>
to, CI
_
Orientation
Total:
0,+(0
Orientation Total
Orientation Total Average
Orientation Total Orientation Total
Average
SC Shade Open
Fenestration SC Shade
Shade Eff. Ratio Fenestration
Shade
x Area
Area Open
x Area Area
Eff. Ratio
Note: Shading coefficients should include overhangs if applicable.
Percent Fenestration
Form Revised January 1992
9� x
Orientation Total
Fenestration
Area
100
Multiplier
/ i5739- - &,+ %
Conditioned Percent
Floor Area Fenestration
(per orientation)
Fenestration Worksheet: Heat -Gain (Par# 2 of 2) Form WS -3R
IRuit%I - If,M NeeAA <T- Jui., '93
Project Title Date
Orientation (circle one): North / East / South /fit / Skylight
(Note: All values on Part 2 of Form WS -311 are for one orientation only.)
Overhangs
OH Factor OH Factor
Fenestration Overhang Overhang Projection (Shade (Shade
Description Height Depth (H) Height (V) Ratio Open) Closed)
Note: Shading coefficients should include overhangs if applicable.
j Percent Fenestration (os- x 100/ 13s8 = 4.b %
Orientation Total Multiplier - Conditioned Percent
Fenestration Floor Area Fenestratlon
Area (per orientation)
Form Revised January 1992
OH Factor SC
SC Shade OH Factor SC
SC Shade
(Shade Shade
Open (w/ (Shade Shade
Closed(w/
Description
Open) Open
Overhang) Closed) Closed
Overhang)
o•Sb x 0, b--,
= 0,73 017(0 x o,SI
= o,31
x
= x
=
x
= x
_
x
= x
=
l Area -Weighted Average SCshade open & Shade Effectiveness Ratio
l
J
SC SC
SC Shade
Shade
Shade Shade
Shade Fenestration Open
Eff. Ratio
Description
Closed' Open'
Eff. Ratio Area x Area
x Area
5i1_ 6tLF- pw& P(WP-sTL
07,5 = 0,53 66-
sOrientation
OrientationTotal: (o f 47,5-
14ig— l (os =
®r53
Orientation Total
Orientation Total Average
Orientation Total Orientation Total
Average
SC Shade Open
Fenestration SC Shade
Shade Eff. Ratio Fenestration
Shade
x Area
Area Open
x Area Area
Eff. Ratio
Note: Shading coefficients should include overhangs if applicable.
j Percent Fenestration (os- x 100/ 13s8 = 4.b %
Orientation Total Multiplier - Conditioned Percent
Fenestration Floor Area Fenestratlon
Area (per orientation)
Form Revised January 1992
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville. CalifoOrnia 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT— (M —
ERMIT t�0
ASSESSOR PARCEL NUMBER
_ _
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATIO
OWN R MA ING ADDRESS
OIROVIIIE
Jq�jACONTR C 'S E
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
C
Total Valuation $
Filing Fee
•$ 15.00
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 1641 SWEEM ST, OROVILLE
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each- Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑CX Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5,00
Building sewer
15.00
Mob le Home S I G I W 1
615.001
TYPE OF WORK
NewF-1 Addition U Remodel ❑ Utilities[XI Installation❑ Other ❑
Describe work: MOVE OAS METER _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 600VORLESS
200A OR LESS
18.50
Main service 20rATO1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BuSlnesS
and Professions Code and my license is in full force and effect.
License Ao. 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)
❑ 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 OCCUP.&\
OR ACDNS. 1 ACC. BLDGS. I
3.6C sq.ft.
NEW CONSTR ULTI-OUTLET
NON.RESID BRANCH CIRCUITS
5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 764d
dAL_ 4S.9
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS (RESID.) EA.)
( 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00
Misc. Wiring
9
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.
X71 I shall not employ any person in any manner so as to become subject
'fes 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
Filing Fee 1 15.00
Heating
Cooling
g
Hood
6.50
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all 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 liabilit1 judgments, costs, and expenses which may in any way accrue
again sai ounty ' cons uence of the granting of this permit.
Date 7 3
gn tore of Applicant — Owner contractor ❑ Agent ❑
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 S
Energy Inspection Fee $
occ
CONST TYPE
I TOTAL FEE $ 20.00
HAz
1 0FEES I
IMP
I FLOOD
CDF
PARCEL
PD
HD
ISS
This permit is hereby issued under the
sions
sions of Butte County Code and/or
work ' di ted MeWhich f
DIUB
By,
PE' EXPIRES S Date
applicable provi-
�
solutions to do .i
ve beenp iA
ORKS
ate
Receipt No.
WHITE-D.P.W., YELL -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
I
r..:.� ��(r,+yq,` ��`
,''�•i �..�"'�::�y"�.+.'�:,y ��• $�b. ,. rv, • • _ ._ y. _..
-. '.:-'•y
.. � ..,� ; . ,pari _ �'�'.s :`t ��71.� �,�a:4�v! N �:7_� ... , u"3L
J
.
.. ..rte t�} �tf �
' �
�
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'COUNTYOF BUTTE - DEPTMENTO&Q,E-kLOPMENT SERVICES -BUILDING DIVISION
` 7 COUNTY CENTER DRIVE.- OROVILLE, CALIFORNIA 95965 - TELEPHOCF9,1�38-7541
PERMIT APPLICATION DATA SHEET
• t _ �
OWNER_
Proposed Building Use
Building Inspector
Date
At time of perm t�plication, I was advised the following data must be submitted prior to permit processing and/or issuance:
r f
DATE RECEIVED BY
1
All items have been submitted.
' 2.
Plot plans, 3/4 sets, signed by preparer of plans . ......................... .
3,
Complete plans, 3/4 sets, signed by preparer of plans . ......:.............. .
.4.
Engineered plans and calcs, 3/4 sets .withlwet signature on plans . .............
5.
Hazardous Material Form. .........`'.1 ......................................
6.
Energy Design Compliance and supporting documentation . ..................
7.
Statement of Intent for Non -Heated and A/C Buildings . ......................
8.
Engineered truss details and layout in duplicate (required prior to plan check). ..: .
9.
Mobilehome data and manufacturer's insta)Iation instructions, 2 sets. ...........
10.
Fees of $ ...... ................................. .
11.
Impact fees as shown on attached schedule. ...........
12.
California Department of Forestry plan approval/fees. xr'...................
13.
Flood elevation letter (100 year flood) by California Engineer ...................
14.
Sanitation and plot plan approval Health Department . ............
15.
City of Chico plumbing permit . ........................................
16.
Plot plan and business license approval from City of Biggs/Gridley. .............
17.
Planning approval for (A) Use: (B) Parking: . .........
18.
Contact Land Development about (A) Improvements (B) Drainage. .......... .
19.
Driveway permit (construction approval required prior to occupancy). .. . .
20.
Pre -inspection for required. .. o Building oma io (Date
21.
Contractor's license information. (No., Name Style, Classification) . ..............
22.
Certificate of Workmans Compensation Insurance . ..........................
23.
Owner -Builder Verification (Given to owner , Mail to owner _. .......... .
g.. 24.
Recorded copy of Agricultural Acknowledgement Statement . ..................
25.
Letter of signature authorization . ........................................
26.
Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27.
'Letter of intent on building use . ........................................ .
28.
Mobilehome utility clearance.
29.
Documentation of legal access . ............... .
30.
Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31.
Existing violations/expired permits . ..................................... .
32.
Plan check list . .....................................................
33
34.
.�
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
1 Telephone and hold for pickup at I office. Deliver with inspector.
Other
Parcel Creation
Acreage
I _
�(�Date
Applicant
Copy of Haz-Mat form sent Health Dept. Fire Dep . Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. 1 Other Date By
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 _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by-_ Date
Plans checked by Date IPlans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC 'WORKS'
7 County Center Drive - Oroville, California 95965 - Telephone 916 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PAROL NUMB P .-� oQ
ZONING
BUILDING PERMIT
OWNER
T LEPHONE
SO. FT. j OCC. BUILDING VALUATION
OWN R'S M IL NG AD E55
l/G.
COF4T O 'S A i/
TELEPHONE
CON CTOR'S MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 15.00
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 ADD E s
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME _ PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
'SPECIFY
Gas piping system 1 - 5 outlets
1 5-001 '', o
Building sewer
15.00
Mobile Home S I G I W
615.00
TYPE OF WORK
New ❑ Addition `; Remodel ❑ Utilities ❑ Installation[:,, ElPermit
Describe work: Q U (Ot4�7 4A
4 n%A—��� �J
Fee
seR0, o
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
00V OR LESS
Main service 200AORLESS
18.50
Main service 20CATO1000A1
37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
17I, 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. ( DWELLING OCCUP.r,\
OR ADDNS. ACC. BLDGS. /
3.6asq.ft.
NEW CONSTR. MULTI -OUTLET
NO, BRANCH CIRC ITS
@ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 64
4
FIXED APLNS. OR
Ex. Occup. OUTLETS-RESID ) EA .�
j 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subjectd
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 15.00
Heating
ling
rHo
6.50
tilation
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 whichmay in any wa accrue
against said County in consequence of the granting of this permit
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Ener Inspection Fee $
9Y P
occ CONST TYPE
TOTAL FEE $
HAI
1 DFEES I
IMP
I FLOOD
COF
I PARCEL
PO
HD
ISsuE
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
Date
1 ,fir j /2
Receipt No. LI� = tU ICJ
WHIT[•D.P.W.. T[LLa W-A3e C330R, PINx•IN3PLCTOR. GOLOENROO-APPLICANT
COUNTY OF BUTTE - Department of Public Works
T County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to.provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not)&C-1 �- signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone -Contractors License No.
4: I plan to provide -portions -of this work,.but I have hired -the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors'L3.
oense 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 Xwl�
Social Security N r
Date 7 - - S 3
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.
467.4.. B-78
PERMIT N0. �, ,b '
z
PERMIT EXPIRES 8/9,/79
i OWNER J.E. IRVIN
1 CONTR. Pryor Contracting
LOCATION (A.P.
ell
s�T .
{a
1
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Te mr,Gas Serv.
/Called PG&E -
JOB ,
FINALED 0 /
(Date)
(Signature)
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Te mr,Gas Serv.
/Called PG&E -
JOB ,
FINALED 0 /
(Date)
(Signature)
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BIDDING INSPECTIOWRECQRD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Sidina
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwall
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handica ed
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footinq
ELECTRICAL
Reinf. Steel Final I Fixtures
Bond Beam FIRE SPRINKLERS I Motors
Stucco I Final ISubpanels
Mesh
MECHANICAL Grd. Fault Prot.
Scratch
Heating Service
Brown
Cooling Temp. Pole
Finish
Ducts Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec. Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
BILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE REMARKS OR CORRECTIO S
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Uroville, California 95965
, 1# Telephone: 534-4541
APPLICIATION+AND PERMIT
X pu-1 `t-® Date �y 7 7�
$' nature of Permitee Agent
Rec V t No. Y
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above f r which fees have been paid.
71
r)JRECIfQR_OF PUBLIC WORKS
T,uilding permit expiresDate' i
BUILDING
i
/, 1
Owner v lt yt
SQ. FT. OCC . BUILDING VALUATION
y
Mailing Address /
/yam
V / i
Telephone No.
Fireplace
Contractor y r `l %Total
n 40
Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
ep-Ir"n vi de1'�.S
Telephone No.
Permit Fee $
Q -�
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00
�Y,
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. Q `"
30 — 018'
O
Zoning $ Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es
W,
//
Sa4fation
FireDept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60R/W
'
Improvements
P
Lawn sprinkler system 2.00
Bldg. PI&fs Rec'd
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
{/
�% •�' J' P r . [1v fr.
Main service 6000 V OR AMP LESSOR 5.00
Main service EA. ADD'L 100 AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service OVER 600V
AMP OR LESS 25.00
Main service EA.
A. ADD'L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGS.CCUP, 6) 2¢Sq ft
NEW CONSTR. (MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 6
NON.RESID. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:Ex.
J r�
Y` Y v/
Ex. Occup(OUTLETS OR FIXTURES)@L�'a
BAL�1
OCCU FIXED APPLNS. OR
P•(DUTLETS (RESID,) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. 2AA0 —J 47
��, Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of Cal ifomia.
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.
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.
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 -m PntlinnoH nrnnort., for i ..tion ..
MECHANICAL No.1 @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling.
Ventilation
Hood 2.00
Permit Fee s $
-
$
TOTAL PERMIT FEE Is
% D
This permit is hereby issued under the applicable provisions
of
X pu-1 `t-® Date �y 7 7�
$' nature of Permitee Agent
Rec V t No. Y
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
the Butte County Code and/or resolutions to do work indicated
above f r which fees have been paid.
71
r)JRECIfQR_OF PUBLIC WORKS
T,uilding permit expiresDate' i
i
kid
8L61 G jnd ; vry
'Una yO NnoadiG
i 3
• T
M
r
Y
A25-77B,P,E
''PERMIT NO.
l PERMIT EXPIRES /.?,6
OWNER John Irvin
,CONTR. Polly Pools, Oroville
,LOCATION (A.P. 304R-8 )
1641 Swam St., Oroville
t •
J
i
t
i
i f .
j,
f Temp. Power Pole
k Called PG&E,
Temp.
Temp. Elec.., Serv.
Called
Temp. Gas Serv:=l
Called PG&E
JOB
FINALED G �
(Date)
(Signature)
1
Stucco \` Final /
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Mesh ME,dHA ICAL
BUILDING
BUILDING (Cont'd)
Scratch Heating
PLUMBING
Setback 7a—����
Firewall
Soil Piping
Forms
Underground
Parapets /
1st Floor
Permane t
Main Bldg.
�, ,
Restroom Finish
2nd Floor
MOBILEHOME UTILITIES ------ •------------ Elec. Service
Footings
Windows %
3rd Floor
Stemwall
Elec. Continuity
Siding
To out
Gas Piping
Slab
/
Roof Sheathing
Water Piping
Piers
%
Roofing
Sewer
Garage
A
Fdn. Vents
Fixtures
\ /
Footings
Stemwa I I
Garage Vents
Insulation
Water Htr.
Heaters
\
Slab
Carport
Footings
Prov. for physically
handicaped
Conformance of ex. •�
structure i
Appliances
Gas Piping&Test
Temp. as
Slab
Final
Sanitation
Patio
,
FIREPLACE;
Final
Focdings
Footing
ELECTRICAL
Masonry Walls
/ Throat
Rough
Reinf. Steel
Final i
Fixtures
Bond Beam
FIRE RINKLERS
Motors
Stucco \` Final /
Subpanels
Mesh ME,dHA ICAL
Grd. Fault Prot.
Scratch Heating
Service
Brown Cooling
Temp. Pole
Finish Ducts
Underground
Interior Lath Ventilation
Permane t
Door Closer Final
Final
MOBILEHOME UTILITIES ------ •------------ Elec. Service
Elec. Pedestal
Water Piping Sewer
Gas Piping
OB16EMOME INSTALLATION - - - - - - - - - - - - - • Support
Elec. Continuity
Water Piping Drainage
Gas Piping
DATE REMARKS OR CORRECTIONS
ABY �.
(NOTE: An entry must be made on this form each time you visit the job site.)
fR COUNTY OF--6UTTrE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive ~— Uroville, California 95965
` Telephone: 534-4541
APPLICATION AND PERMIT
�7 7
authorize repr en ti of the County of Butte to enter upon the
above -men io d proper for inspection purpos
i
Date
Signature If Permitee o Agent
Receipt No. or
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By Date 7— a6 --7
ilding permit expires Date 7-7, - 7
BUILDING JX 411101%_0
Owner �`� ;Al
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
Telephone No.
Fireplace
Contractor 40
Total Valuation 0
Mailing AddressPermit
Fee
Plan Checking Fee &/or Penalty
t 7'Irle
hone No.
permit Fee $ -I
-
Building Address
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 610
f
Each Trap 1.50
r
Repair drainage or vent piping 1.50
Water piping 1.50 S d
Each gas water heater or vent 1.50
J/40 oG s oP
A. P. t7
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fees kma
n
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Planjrs'
Parcel
Declaration
parcel Ma 60' R/W
P
Proveme s
Im i
Lawn sprinkler system 2.00
Bld� lalie�d
Parcel Appro
Plans roval.
Permit Fee $
$ 1
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 d�
Main service 600V OR LESS 5.00
100 AMP OR LESS
Main service EA. ADD -L 100 AMP 2.50
Single Family ❑ Duplex ❑ Mobil Home ❑ Others
OVER 600V
Main service 100 AMP OR LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
( •• C
- aA01
Ja
NEW CONST. LING O
OR AODNS. ( DACCLBLDGS.CCUP. &) 22sgft
NEW CONSTR. (MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) 2.50ea
NEW CONSTPOWER APPARATUS &)
NON.RESI R. D. (SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
Style Of:
/
Gs►
Ex. Occup(OUTLETS OR FIXTURES) BAL@1
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No 9S Classification
Misc. Wiring Z71114602azt. 6.25j'
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ r
$ S
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 orkmen'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 La s relatin to building construction, and hereby
TOTAL PERMIT FEE
$ o
authorize repr en ti of the County of Butte to enter upon the
above -men io d proper for inspection purpos
i
Date
Signature If Permitee o Agent
Receipt No. or
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS
By Date 7— a6 --7
ilding permit expires Date 7-7, - 7
PHILIS IRVIN
1641 SWEEM ST.
OROVILLE, CA 95965
DEAR MS. IRVIN:
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
JULY 28, 1994
RE: Building Permit # 93=2723
Expiration Date: 9/8/94
A. P. # 030-080-008
With reference to the above subject, our records indicate that your
building permit expires on the above 'date and your permit falls into the
category marked below:
[Xg] Permit work started, but not completed. Permit may be renewed
for 1/2 the original building permit fee (plus a $20.00 filing
fee). The renewal permit will extend the building permit for
an additional year from the original expiration date. Should
you not renew your permit within 30 days of the expiration date,
all work must cease until a new building permit has been issued.
For your convenience, we are enclosing a renewal application form
and owner -builder form to be completed and signed by you where
indicated and returned to this office together with the fee
shown. Please return all cogies of the application form.
[ ] No inspections have been made on permit work. Inspections are
required to verify code compliance. We are unable to renew a
permit where the work has not been started and inspected prior
to permit expiration. After expiration of your permit, no work
may be started until a new permit has been issued.
If our records are in error or should you have any questions concerning
this matter, please contact the OROVIL•LE ' office.
Thank you for your.prompt-attention concerning this matter.
Yours very truly,
Michlael C. vieira,-C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307