HomeMy WebLinkAbout030-101-092tx
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North Sierra Const.
1606 18th St., Oroville !
Permit #30 4-76B,P,E,M new single f
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030-10-1-092 93-1375 P,M
THOMAS, James A. �1i sR� �/3 fy
1696 18th. Street,.Oroville /
(replace wtr htr & hty &-AC) SF
030-10-1-092 -93x2595 B,E
THOMAS,. JAMES g Ay
1696 18TH ST, OROVILLE
CONV PORTION OF GARAGE TO HOBBY ROOM
'AES[VENTIAL�
—
93-2595 B,E
' (—_ 030-102 ,JAMES
THOMAS, OROVILLE
1696 18TH ST',
CONV PORTION OF GARAGE TO HOBBY ROOM
i
JOB FINALED (Date)
Signature
V=OK
O=Not OKNot ;
=
Not Ready MOBILE
MOBILE HOMES
Date/Initials MOBILE NOME UTILITIES (Plana) OK except ti's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Teat -Wrap: / /" L"ft.
/ /"Nat. or/ P'L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
Date/Initials MOBILE HOME INSTALLATION (Plans) OK except N'a
1. Zoning Requirements -Setbacks Easements
2 Footings; Size -Spacing -Marriage Line
3.. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Teat -Crossovers -Breakers -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
MISCELLANEOUS
Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plana)OK except #'a
1. Zoning Requirements -Setbacks -Easements
2 Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists-Decking-Bracing-Stairs-Ralls
4. Wood Awn.; Posts-Beams-Rftrs.-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/Initials POOLS (Plans) OK except #'a
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. -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
N
V=OK i
O = Not OK
- = Not Applicable RESIDENTIAL
= Not Ready
Date/Initials UNDERFLOOR (Plans) OK except #'s `a`
1. Zoning -Setbacks -Easements -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. 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 -Material -Support -Ina.
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 & A or -Nail Protection
18. D.W.V.; Test -Fitts & Anchor -Nail Protection
19. Shower Pan; t, First Floor -Tub Access
20. Test Tub Shower, Second Floor -Tub Access
21. Gas ; Size & Anchors
Date/in
FixtOP-& Trapfsformer Clearance -Ins. Protection
23. Elec. Pwwpficles Spacing -Lights & Switches at Doors
2 mex I stalled Close to Edge of Studs & C.J.
26. Equip. round made up w/Meth. Fastners-Bond Gas & Water
27. 2 Ap (lance Circuts in Kitchen & Conductor Size/GFI
28, Su�feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
C 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. Equ'p: Clearances Panels -Motors -Meth. Equip.
othes Closet Light -Shower Light -Spa Light
oke Detector
Date/Initials MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35L -Vent Fan; Exhaust above insulation
36. to Drain & Overflow; Size & Grade
Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access &• Platform if Furnance in Attic
Date/Initials FRAMING (Plans) OK except #'s
39. Sil r Material & Anchors
0. Walls ds=Nailing, Spacing & Bracing -Plates -Sound
Baring Wells over Girders & Floor Nailing
42. Draft Stop -in -Walls (rat proof)
43. F tops; Furred Ceilings -Stairs -Chases -Tub
4. Headers & Beam -Size & Bearing
Single & Duplex)
Date/Initials FRAMING (Continued)
- ost'Caps-Anchors-Connectors
oist-Rftr. ties-Purlin=roof Brac-Truss-Shthng.-Rfng.
ice Ties or,Type A Flue -Fireplace Throat clearance
48. ocess; Size & Romex Protection -Draft Stop -Ins. Baffles
--49.-•Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Aga -Fire Protection Framing ,
� 1--Pro�CFFi9 Firewall & Openings
t. Doors -One 3' -Check Garage -3rd Story, 2 Exits
53 Staim Width -Headroom -Rise -Run -Landing -Fire Protection
p ywoo on Roof Overhang -Attic Vents -Rafter Outriggers
ing Veneer
es =Drip Screed -Fd. Vents-Underflr. Access
ng-Ar-ea_Glass Protection -Skylights -Plastic
T--66-Shear-WaIIs; Nailing -Bolts
.�---59rineuletion=Walls-Cel I i ngs
. Infiltration -W s -Wind s
.1Urn-
Date/Initials FIN lens OK exce t #'s
u tQ 1. Ext ps-Door & Sidelight Protection -Landings
A' a Detector
1 Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Mach. Protection
Fixtures & Tub
) 00--Elec. Trim & Subpanel; Breaker Sizes & Labels
( 69:'t MC -Outlets at Wood Panel; Int. & Ext.
70 ppliance; Grnd.-Air Gap -Cooking Clearance
ptacles at Kit. Counter
I ..Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
Ir arage; Above Floor -Mach. Protection
L;6r_Plb., Elec. & Mach. Equip. Listed for Location
I 76-itFc Receptacles in Garage; (G.F.I.)-Romex Protection
Isu ation-Foam-Looked in Attic ❑ Yes
I ;8--9aerT1Tails & Deck Construction -Post Caps
7 raw Hole Door -Drainage & Wood -Earth
I Clearance Looked under Floor O Yes
i 8 r ❑ve ❑ Yes ❑ No; Walks ❑ Yes 13 No;
�Pla_nteti ❑ Yes No
own-Flnish
Disconnect, Ele
Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
sconnect, Electrical, Plumbing
x' -or Elec. Trim; G.F.I. Receptacle -Underground
entilati_OD_Tbrou9hout House
9118. Corrections from Previous Inspections
e9;rG8Test-Meter9 Tagged; Gas -Electric
`8 . iT er & Sewer Connected -C/O to Grade -HD Aooroval
Comments at Final:
.1
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, Califo 6135965 - Telephone (916) 538-754 PERM1T1 lo.
s APPLICATION AND PERMIT �3�y�
ASSESSOR PA�E{„7rUM��-1-092
ZOAR
BUILDING PERMIT
OWNER JAMES A THOMAS
TELEPHONE
SQ. FT. OCC. BUILDING VA A ION
OWNER'SMAITtOWRT8th St, Oroville 95965
1 y(� 1
�
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
72.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
46.80
Energy Plan Checking Fee $
23.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADI6�9E 6 18th Street, OrOVllle
PERMIT FEE $
161 .80
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
SF ❑ Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20-00
TYPE OF WORK
New ❑ Addition O Remodel ❑ Utilities ❑ Installation ElOther CK
Describe Work: Convert portion of garage to hobby AOM
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
2ODA OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
$D,
3.5C FT.
CONTRACTORS LICENSE LAW(
I declare under penalty of perjury (check one)
❑ am a licensed under provisions of Chapter 9, Division 3 of the Business and
I
Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
@7.50
POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. 1@ 50 10.00
Ex. Occu FIXED APPWS. OR
p• (OUTLETS rRESID.I EA. )
5.00 10.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
otice 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 $40.00
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, cost an xpenses which may in any way accrue against said
in consequence g nting of this permit. Q S Q
Date I
re of Applicant Owner ❑ Contractor ❑ Agent
HA permit is r quired for excavations over 5"0" deep and demolition or
?nStructionof structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
cc3
cONS� iT
V24�
TOTAL FEE S
20
HA2-
D. ES
IMP
FLo D CDF
PARCEL Po HD
�^
I U
This permit is hereby issued under the applicable
of the Butte County Code and/or Resolutions
indicated above for which fees have been
DIRECTOR O UBLIC WORKS4k2/
BY
p
PERMIT EXPIRES ON
(D e/
provisions
to do work
paid.
b
ate 8 / O
q
Receipt No. 148080
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
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tCOUNTYOF BUTTE - DEPARTMENTOF D\'%ELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVIL"LE,'CALIFORNIA 95965 -TELEPHONE (916) 538-7541
>S'
PERMIT. APPLICATION DATA SHEET
OWNER
Proposed Building Use
5moo.03� -/ /--09�
% Date 33S �1 �
At time of permit application, I was advised the fdllowing data must be submitted prior to permit processing and/or issuance:
,*All
% DATE RECEIVED BY
items have been submitted . .................................. .. .
Plot plans, 3/4 sets, signed by preparer of plans.
Completevplans, 3/4 sets, signed by preparer of plans... .
Engineered plans and'calcs, 3/4 sets, with wet signature on plans. .......... .
5. Hazardous Material Form . ........................... ¢,�I
6. Energy Design Compliance and supporting documentation. v /
7. Statement of Intent for Non -Heated and A/C Buildings......L.d��" ... �7a
8. Engineered truss details and layout in duplicate (required prior to plan check).
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
12,,Fees of $�.
11. Impact fees as shown on attached schedule.5r.tv.06, 4 416,,l...............................
.......... ` ...� \
12. California Department of Forestry plan approval/fees.
!
13 ,-Flood elevation letter (100 year flood) by California Engineer ................... '+
14. Sanitation and plot plan approval 4WPTZZAealth 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 Deveilopment about (A) Improvements (B) Drainage. ........ .
19. Driveway permit (construction approval required prior to occupancy). .. .. .. .
_
20. Pre -inspection for Pre -Inspection reque—
required. . . to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . .............. Y
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- public road. . .
X. 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.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applican Date
Copy of Haz-Mat form sent Health Dept. Fire Dept.V Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. 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 Counte ' Date
Plans checked by Date Plans approved by Date _9?_
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
Insulation Certificate
BUILDING OWNER_
BUILDING PERMIT
BUILDING LOCATION: /— zz 4&
Description of Installation
ROOF
Material
Thickness (inches)
CEILING
Brand Name
Thermal Resistance (R -Value)
Batt or Blanket Type Brand Name
Thickness (inches) l2 Thermal Resistance (R -Value) 1 —3 P,
Loose Fill Type Brand Name
Contractor's minimum installed weight/& lb Minimum thickness inches
Manufacturer's installed weight per square foot to acheive Thermal Resistance (R -Value)
EXTERIOR WALL n-1
Material � e SS Brand Name s r H
Thickness (inches) L Thermal Resistance (R -Value)
RAISED FLOOR
Material
Thickness (inches) _
SLAB FLOOR
Material
Thickness (inches) _
Width (inches)
FOUNDATION WALL
Material
Thickness (inches) -
Declaration
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
Brand Name
Thermal Resistance (R -Value)
I hereby certify that the above insulation was installed in the building at the above location in conformance with
the current Building Energy Efficiency Standards for new residential buildings contained in Title 24 of the
CaAbrnia Administrative e.
General Contractor (Builder) Li�cense Number
Signature and Title Date
Sub -Contractor (Insulation Installer) License Number
Signature and Title Date
THIS CERTIFICATE MUST.BE PROVIDED TO THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WIMN THE BUILDING.
JANUARY 1993
COUNTY OF BUTTE —Department of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: .916-538_7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1-...I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/ham-P.et) �Q_ 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 License No.
5.' I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:_
Name. Address Phone. Type of Work
Signed:
Property Owner
Social Secur"ty Number . .
Date S
NOTE: This Owner -Builder Ver -if icatibn._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.
JAMES A. THOMAS
1696 18TH ST.
OROVILLE, CA 95965
DEAR MR. THOMAS:
'DEPARTMENT OF DEVELOPMENT 5EHVIGE5
7 COUNTY.CENTER DRIVE - OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (916) 538-7541
FAX: (916) 538-2140
JULY 18,'1994
RE: Building Permit # 93-2595
Expiration Date: 8/18/94
A. P. # 030-101-092
I
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:
(A 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 copies 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 OROVILLE office.
Thank you for your prompt attention concerning this matter.
Yours very truly,
Michfael C.1 Vieira, C.B.O.
MCV:ahb Manager, Building Inspection
Attachments
Chico Office - 1469 Humboldt Rd/891-2751
Paradise Office - 747 Elliott Rd/872-6307
r
-. X3-137(
" 030-10-1-092. 93-1375 P,M
THOMAS, James A. '
` 1696 18th. Street,' Oroville
(replace,wtr htr,& hty & AQ SF
OFFICE COPY.
7 �f
'Address
GAS Dat
Meter BY
ELECTRIC pat
J Meter By ` /,�
' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovillp, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT"'
ASSESSOR PARCEL•NUMBER
030-101-092
ZONING
AR
-
BUILDING PERMIT
OWNER
JAMES A. -THOMAS
TELEPHONE
533-3022
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1696 18TH -ST., OROVILLE CA 95965
CONTRACTOR'SNAMETELEPHONE
OWNER -
t
-
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation is
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee $
Ener Plan Checking Fee
Energy g
ARCHITECT OR ENGINEER'S MAILING _ADDRESS
Penalty $
BUILDING ADDRESS
1696 18TIl ST, • OROVILLE
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 1 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00 7 -UtJ
USE OF STRUCTURE
' t
SFE; Duplex❑ Mobilehome❑ Other
SPECIFY
Gas'piping system,l - 5.outlets. ._ 5.00
Building sewer 15.00
u
Mobile Home I S I G JW I @ 15.00
TYPE OF WORK
New j Addition • Remodel❑ Utilities Installation❑ Other ❑
Describe work: REPLACE WATER BEATER AND HM & A/C _
Permit Fee. $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
•
Main service 600V OR LESS •18.50
200A OR LESS
Main service 200A TO 10o0A1 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 Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
�� sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
DWELLING OCCUP.&\ 3.6Q sq.ft.
NEW OR ADONS. CONST. ( ACC. BLDGS. II
NEW CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS @ 5.00
POWER APPARATUS e
(SINGLE OUTLET CIR. )
Ex. Occup( OUTLETS OR FIXTURES 20 @ 76
Ex. Occup. OUTLETS PRESIED D )REA.� I 3.00
Temporary service j 15.00
Mobile Home Facilities 15.00
Misc. bYirin 15.00
9
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 subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you becomesubject
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 ,.. .9,00
FORCED AIR
Cooling _.� 00..
- - •
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 rand keep harmless the County of Butte agains±
all liabilities, judgments, costs,)and expenses which may in any way accrue
against said County in consequence of the granting of this permit.,
�r� r� Date �✓ 41
X-- j(rr :ten,► t r! . ; �� '
{Signature of Applicant — Owner Contractor ❑ Agent ❑�
1A 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
TOTAL FEES 6O• Dd
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
I HD
I ISSL'IE
This permit is hereby issued under the applicable prbvi-
sions of the Butte CountyCoand/orR�esolutions to do
work indicated above for which fees have been paid.
./ /' 4 � i t "
� DIRECTO AF PUBBLIIC bRKS
B /14/93
ey rv"'^,,'f',n F �/�.IJ I Date
PERMIT EXPIRES Date 5/14/"94
Receipt No. r-� ��
w
WNITE•D.P.W., TELLOW.ASSESSOR, PINK -INSPECTOR, GOLD ENROD-APPL I CANT
COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville,`California 95965 - Telephone: 916.538-7541 ��
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
030-101-092
ZONING
AR ""
BUILDING PERMIT
OWNER
JAMES A. THOMAS
TELEPHONE
533-3022
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1696 18TH ST., OROVILLE CA 95965
CONTRACTOR'S NAME
OWNER `
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
NONE
UNKNOWN
Total Valuation Is
Filin Fee
g
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
NONE
LICENSE NO.
Plan Checking Fee
$
Energy ecg
Ener Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
I
Penalty
$
BUILDING ADDRESS
1696 18TH 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 gas water heater or vent
7.00
USE OF STRUCTURE
SF U Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5,00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New j Addition LJ Remodel ❑ Utilities ® Installation❑ Other ❑
Describe work: REPLACE WATER HEATER AND HTG & A/C
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 20000AAORLESS
2OR LESS
18.50
Main service 20CATO 1000A,
_
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 Business
and Professions Code and my license is in full force and effect.
License Ao. Classification
I, as the owner, or my employees with wages as their Sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&`
OR ACDNS. ( ACC. BLDGS. I
3.62sq.ft.
NEW CONSTR '-'ULT'-OUTLET
NON-RESID BRANCH CIRC ITS
@ 5.00
POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
20 761
FIXED APPLNS. OR
EX. Occup. OUTLETS IRESID.1 EA.)
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Iyirin g
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
No{{{icet 0Applicant: 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 15.00
Heating
9.00
FORCED AIR
Conlin g
9.00
LHood
6.50
Ventilation
Permit Fee
$
L 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, a ify d keep harmless the County of Butte against
all liabilities, judgm nts, o stand expenses which may in any way accrue
a
sfttsaid Coun y in con . ce of the granting of this permit
Date
re of Applicant — Owne Contractor ❑ Agent
Vo.,iA
ion of structures mit is r quired f oln heoght'ons over 5'0" deep and demolition or construct-
Mobile Home Installation Fee S
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE
$ 60.00
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
HD
Iss
This permit is hereby issued under the
sions a Butte County Code and/or
wor in cated ab v f r which es
DIR F UB
B
P XP Date
applicable pr'
�
solutions to do
ve been paid.
RKS
Dates/14/93
5/14/94
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
x�.mry-.. -z. +iF.►as'� - �,•ry�.�yy1.,R.-.`yP';F:T9r..-�.• .:s.. --r. a•.ti-1,7Fv+^nl•A `°� ny^v�..a ..prve N�.,pr•v: F7'"'^v'w
k
' t ,
i
c
• �� .. ...r. - ». a. .. ..... _....r., •' 999. ` '
e
COUNTY OF BUTTE _-.Department of Public Works
7 County.Center Drive, Oroxtille, CA 95965 Phone: 916-538-7541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at.your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. 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) signed an application for a building permit
for the proposed work.
3. I hav contracted with the following person (firm) to provide the proposed
co truction :
/Name
Address City
Phone Contractors License No.
4. I pla to provide portions of-this.work, but.I.have hired' the following person
to oordinate, supervise, and provide the major work:
ame
Address City
_ __.... _
Phone Contractors--_Lice.ns:e ,No=._:
5. I wifl provide some of the work but I have contracted (hired) the following
pe -sons to provide the work indicated:
%Name Address Phone Type of Work
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California .Heal-th and_ -Safety -Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER ^� � �3MIT NO.
Aravroneispection indicates that the following violations of Butte County 0......dnces exist at
the aboae address and should be corrected. Please notify this office when corre4tion of work
-azcwr4AeIIed-Byou have anyu, stions pertaining to this matter, or need additional explanation,
plearY aantact it ,gfficg ipa.Wdiately.
Date �Inspe
REV 1d32
P/ -a I
SC CE
Tbb act of pians and opeaifioationw UMT be g —
kept an the job at all times and it is unlawful to G �h
mak* W obangfis or altersaom on same without 0 — S:'rl
wriaen permisalon from the Department of Public
W of Butte. 03 d- / o/- 0 9 2 -
NOM. All Materlew & Rorkmatehip Shall Be In
AQoordenoe with pwoognized (food Practices s►nd
of a Quahty prescribed for the Specified use
In the UW brm Building, Plumbing W Mechanical
nnAma and th& 1Qatlnnso mantiiCsl Cnde.
Ei
�ING DEPART EN 1
OPPOVPD
%`0 A or
4F9,3
- .tit. il:.•..
,4T*
%ALL cX7-eR, eR LCI ,', LL5- 70 b e
2���P�•�' f2DclG fi LL• Lv i4LL S ,/ itch • .
XSi57-/Al67 r0
.3' De u &RADe o Me,,je ea Rep.
ALL NZIIJ WALLS- dZkY /6" e' -7-9 , RND /NSu
r
I
l
I4
l
I
a n �
1 2X V /A 'r C'•rA WALL FxS/STi�rr - d/4 •FJ1lNOd4!_SS r.
SC,4 l e.
I
G
I � � Tl
G^ r. R
jos eU 90,y
l
"CMICAL, MECHANICAL., AND PI-UMBING-
► WNSTRU011ON ( NOT PLAN C} -;ECIC
lY WITH CURRENT EDI ► 375 RK, ice�A _ �,"
I SHALLCOMP
OP NEC. UMC AND UPC.
,.4.New
G
190 R I
40
o.Bie
Roo M "'
o9PP�o x �S/°, w ►� D
go �a a �a \ BUTTE COU
WILDING DEPAI 17 M
A PPRO
aanC?wlw 1
21 . '�"l�� `:,�3;.r ,' s.+ m�IsQp°Q-,,bw `-� )i' """� ^.A n+ , ytt►wt '4?
---�-
a /�.�9/ �t`r �'r�(>'�; !tel✓ /�/� -
�-,�ra.h« {
0
0
--- m6e- -j -
t+ 6i
PAO
0"7,751,0-e- WALL
OL,T-5,pe -r-o de Sr&cco I -o mo9-r-c4 f+oise-
ISUTTF- COUNTY
WILDING DF-PARTMENY
'91
eyS'05r- 44)(../2
Heq
D
e1q,
--s DL�J
ISUTTF- COUNTY
WILDING DF-PARTMENY
'91
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
I�. PACKAGE COMPLIANCE
Owner N{t-CS Climate Zone
Permit # 937-0��/ loor. Area
The following data showing mandatory and required features 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.
Climate Zgaes—" and 16*
Component
<=100 sgftf101�
_499_
500-999
>=1000 sqft
Ceiling
R -19;,R
8 3
R-38
R-38
Ins.
Wall Ins.
R-13
R L3---
R-13
R-19, 21
Floor Ins.
R-13
R-19
R-19
R-19
Slab Edge
NR
NR, R-7
NR, R-7
NR, R-7
Ins.
Glass (U)
75
7
.65, .60
.65, .60
Max. Glass
50 sq.ft.
16$,+
16% +
16%
Removed
Removed
Shading
NR
.66
.66
Coeff(S&N)
Shading
NR
.40, .66
.40, .66
.40, .66
Coeff(W&E)
Thermal
NR
5% Raised
5% Raised
5% Raised
Mass
20% Slab
20% Slab
20% Slab
Heat, Elect
Not Allowed
Not Allowed
Not Allowed
Not Allowed.
Resistance
Heat, Gas
AFUE 78%
AFUE 78%
AFUE 78%
AFUE 78%
Heat Pump
HSPF 6.8
HSPF 6.8
HSPF 6.8
HSPF 6.8
Split Sys.
Heat Pump
HSPF 6.6
HSPF 6.6
HSPF 6.6
HSPF 6.6
Package
Cooling -
SEER 10.0
SEER 10.0
SEER 10.0:
SEER 10.0
Split Sys..
Cooling -
SEER 9.7
SEER 9.7
SEER 9.7
SEER 9.7
Package
Increased #
Allowed w/.
Allowed w/
Allowed w/
Allowed w/
of Wtr Htrs
calculation
calculation
calculation
calculation.
* One entry/column = req both zones, 2nd entry = req zone 16.
SPECIAL FEATURES/REMARKS
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified wi ON�
caulking) DEPARTMENT
VAPOR BARRIER (Zone 16Y -
DUCTS PER UNIFORM MECHANICAL.CODE - Ch.. 10. APPROVE D
LIGHTING KITCHEN b BATH NOT LESS THAN 40 LUMENS/WATT
DESIGN COMPLIANCE STATEMENT: The above building design meets the
requirements of Title 4, Parts 1 and 6 of the California Code of
Regulations.
(Jan 93) GNATURE OF BUILDING DESIGNER OR APPLICANT
a�► '� e :. a t3'tn' r x x
BUTTE COUNTY SCHOOLS IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District Qt2L� %� �.� Building Department No.
A.P. Numbero 19q tz,;Ll Jurisdiction City[ ] County
Property Owner `
Property Location/Address eoik,�-
Subdivison Lot No. r
Residential Development0 0 Sq. Footage
No. of Living 1 MHI Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
IBildi g Department epresentative Date
(Floor Plans reviewed by School District Personnel)
. �. �
District Identification No.. ..2 8
C School District certifies that �.,.
(Applicant)
(Street Address) (Phone Number)
(City)Re(State) (Zip Code)
has complied with the requirements of `luti No. �O� = 7 U by payment of $
representing
square feet.
r J. "A
School,District I
resentative
Paid by Check Number
Bank Number
Paid by Cash
Remarks:
Dat
KOR6
If, subsequent to the School District Representative signing this Butte County Schools Impact Fee —
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) feeformmkl (4/92)
xa�
� f t
•t r
^PERMIT NO. 3.034-76B,P,E,M
• PERMIT EXPIRES �
OWNER North Sierra Construction
CONTR. owner
LOCATION (A.P. 30-101-86 )
ry 1696.18th St., Oroville ;
F
(
{
Y
r
Y
r ,
p'JiF-
Tt
i
-t
f a
�i
1�
V '
f•
L
a
w Temp. Power Pole
Called PG&.E
Temp. Ele Serv. <,
/em
PG&E
as Serv.
d PG&E
/
FINALED 110
(Date) a
(Signature)
a
' F'N
:I a"
COUNTY'OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback 3-B ,,
Firewall
Soil Piping
Forms
Parapets _
1st Floor
Main Bldg.
Restroom Finis i -
2nd Floor
Footings
Windows
3rd Floor
StemwaI l
Siding
To out
Slab
Roof Sheathlngo17141
Water Piping
Piers
Roofing
Sewer
Garage
Fdh"Vents
Fixtures •
Footings
Stemwall
Garage Vents----_—
InsulatioD
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
[handicapped
Conformance of ex.
structure
A liances
Gas Piping & Tes 7
Temp. Gas'
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
EL CT
Masonry Walls
Throat
Rou h v7%
Relnf. Steel
Final
Fixtures
Bond Beam
FIRE,, RINKLERS
Motors
Framina
Test
Water Htr.
MECHANICAL wZ Wl' :►:flScratcihy
WR��_=.Underground
DAT REMARKS OR CORRECTIONS
I I I
(NOTE: An entry must be made on this form each time you visit the job site.)
J/
/g `Tf ' e, --7T -
Fiber Glass Insufflation ' i��
BUILDERS INSULATION STATEMENT- -�
BLOWN INSULATION
Manufacturer's minimum thickness to provide the level of insulation
resistance (R) Values as shown:
" R Values are determined in accordance with ASTM C-687 and C-236.
Conforms to Federal Specification HHI-1030A. ,
This insulation has been installed in conformance with the above recom-
mendations to provide a value of R using bags of insula-
tion to cover square feet of area.-
Insulation Contractor (Sign) Builder (Sign)
Company Name Company Name
BATTS AND BLANKET Date
R
Meets Federal
INSULATION
R
INSULATION
VALUE
THICKNESS
VALUE
THICKNESS
R-22
61/2 "
R-13
35/a "
R-19
6"
R-11
31
CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19482 C
CEBMAINRED
h"
Specification HHI-521E
Fiber glass batts or rolls have been installed
in accordance with the
manufacturer's recommendation to provide
an R -Value of /,7 in the
ceiling,in the exterior walls,
in the floor or crawl space
perimeter
Insu ation Contractor (Sign)
,c�% �Cl.ZGl.'/Ll tea'
s
8 i der (Sn) /-
r/A
Company Name
-
Company Name
CSG -32-11-C
ate
\
CERTAIN -TEED PRODUCTS CORPORATION. P.O. BOX 860, VALLEY FORGE, PA. 19482 C
CEBMAINRED
+� COUNTY OF BUTTE - -DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541 00<11 /�/
APPLICATION AND PERMIT �,,
/ i(`��,
amu onze ,vNlwn
clauVCS UI ule Guuniy ai Eiuiie to enter upon the
above-mentioned property for inspection purposes.
X Date 52 -% -7
$igr-lure f° ermitee o g nt
e'll
Receipt No. 1�q6
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.
DIRECT R OF PUBLIC WORKS
By Date O(�
Building permit expires Date
BUILDING
Owner Q ✓eA O �,� Cd,
OCC. BUILDING VALUATION
oo• 00
Mailing Address OL 1 v )VWV
Krepl
Z. 00
Telephone No.f/aL) 533- /2-Z
Contractor 42)
Total Valuation/9, lzq
•_
. on
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Z(411 F4;
Telephone No.
Permit Fee
$
Woo
lk!
Building Address / Jti ,57 It-ov-
PLUMBING
No.. @
FEE
PERMIT FILING FEE $3.00
-OO
Each Trap 1.50
, p
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
F
W.
Sa
Fire Dept.Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
r elr 60' R/W
Improvements
P
Lawn sprinkler system 2.00
/10 57-&,-- vG
Bldg. Plans Rec'd
dr -T � �
arcel Approval PI anspproval
Permit Fee
$
r,o
$ 9 jC
NEW ® ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL
No.1
@
FEE
PERMIT FILING FEE $3.00
3,00
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 ❑
Main service OVER 600V 25.00
100 AMP OR LESS
Main service EA. ADD'L loo AMP 1.00
-
NEW CONST. DWELLING OCp�r,',.1�p &
OR ADDNS. ACC. BLDG S.JEYJ * )
2¢sq ft
�I, f Q
NEW CONSTR MULTI -OUTLET
NON.RESID. BRANCH CIRCUITS) '2.50ea
NEWCONSTR //POWER APPARATUS &
NON •RESID. ISINGLE 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: _
C�O�v4�
Ex. OCCup(OUTLETS OR FIXTURES)50 020
BAL@T
FIXED
Ex. QCCU FIXED APPLNS. OR
(RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No.;?:�'� �� Classification
Misc. Wiring P6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
0
$ — 5
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
Cal i forni a.
MECHANICAL
No.
@
FEE
PERMIT FILING FEE $3.00
Heating 971,a U•oa
00
Cooling �uYJ�oraTecote
•00
Ventilation
Hood 2.00
Z.0'0
Permit Fee $
, ao
$ =L-6 C
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
TOTAL PERMIT FEE
r
amu onze ,vNlwn
clauVCS UI ule Guuniy ai Eiuiie to enter upon the
above-mentioned property for inspection purposes.
X Date 52 -% -7
$igr-lure f° ermitee o g nt
e'll
Receipt No. 1�q6
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.
DIRECT R OF PUBLIC WORKS
By Date O(�
Building permit expires Date
CIO
The Bldg. Setback shallbe 5 ft. from tOOWIVr Li .
the side property line"and 50 ft. from a "'
the centerline of the road, permitting
a maximum of a 2 ft: save overhang,
4
See baster p1cu! on file T-0- SYEUC--
tural details.
nim .
BUTTE COUNTY
BUILDING DEPARTMENT
.tet- A P P'R': 0 V 'E D
i �. .,�..._ f- .t nr.✓w�•.♦.t wk�' ..'�•- 09 o-i`•1...�1J..�- .i,�,u�;►r.;.•�
r
THERMALITO IRRIGATION DISTRICT
410 GRAND AVENUE 1
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:--1��t� - C-'!`�-d.�Z�
Date:
Address: T 5 < ���-�'�"'
y
Acct. No:
A.P. No.:
Phone: d 3 7
No. Units:
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $
Preliminary Review By- Date: Date: �� 6
Arrearage
CSA 26
Remarks:
SC-OR-��
1st mo. S.C.
Other
Total Fees
Collected By:�
Date: '
Field Review By: Date:
Remarks:
\f
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY
UPON:
❑ Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P.W. approval of completed building
sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
Q 180 days after date above, or on date of D,P.W. approval of completed building sewer, which ever comes
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
I
BUTTE COUNTY BUILDING DEPARTMENT
7 County Center Drive
Oroville, CA. 95965
PHONE: 916-534-4541
AGRICULTURAL BUILDING
Exemption Form
I, nn i i? L (Jolt-�4 ,
(please print)
1'e, /-Ie— ':
of the property located at
Assessor Parcel #30 %d — �� -91, intend to construct a c916 x�,.I_'
(spec
tural building on this property.
I declare the building will be used ,to house
(specify use from definitio el )
which conforms to the Ag. building definition.
Agricultural building is defined as follows: Agricultural building -is a
structure designed and constructed to house farm implements, hay, grain, poultry,
livestock, or other horticultural products. This structure shall not be a place
of human habitation or a place of employment where agricultural products are
processed, treated, or packaged, nor shall it be a place used by the public.
I understand if I change the use or occupancy of this building I will be sub-
ject to the necessary permits, inspections, and approvals from the Butte County
Building Department.
Signature of Property Owner
X
Building Inspector receiving form
Comments:
Duplicate to field inspector-�1Date 01 `4�'0--JQ/
t -