HomeMy WebLinkAbout030-170-052�
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30-17-52
Troy a
1135 10th St., Orovi AePermit
#5059-76B(reroof/SF30-17-52I
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30-17-52
Troy a
1135 10th St., Orovi AePermit
#5059-76B(reroof/SF30-17-52I
1-f35 -loth St., orovillePermit
#717-82B,P,E(conv.garage to030-170-052
02-28.1135
10TI ST., OROVILLE
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030-170-052 02-2876
ZUMWALT, MARTHA
113510TH ST.,, OROVILLE
RE -ROOF,, `
i
V C"f ,.
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75��_2876
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER OMD ' 7' � 030-17G-052
ZONING h A -R
. BUILDING PERMIT
OWNER Ailhlt, Mart=ha
Z
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS 1135 10th St. / Thermalxto
25 SQ
1950MU
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Flirt Fee
$ 20.00
Permit Fee
$ 35.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILOINGADDRESs
1135 10th At. Therntalito
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Re -Roof 25so
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
1 916
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 'DDA OR 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.
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
El' 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWEwNG OCCUP.
OR ADDNS. ( 8 ACC. BLnS.
SO
3.5¢FT.
EW CONST. MULTI- CIRCUITS OUTLET
N"
@7.50
POWER APPARATUS
b SINGLE .ETC
EX. Occup. OUTLET OR FIXTURES
BAL p 1.50
FI APPLNS. . OR
Ex. Occup. ouTlFrs RESIDEA
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 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' compensation, insurance carrier and policy number are:
Carrier !
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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, I shall
forthwith comply with those provisions.
J _ _
X�/r Irl r1 r i rt _ Date /�%"�.� �� _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent
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
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 55.W
HAZ.
D. FEES IMP
FLOOD
I COF
PARCEL
I PD
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.
t
B�- ' Date
Y •,
PERMIT EXPIRES ON
Date
y.a
Receipt No.
WHITE-D.D.S.•B b' CRNA Y- SSF� ESSOPINK-INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
(Rev. 12/96) APPLICATION AND PERMIT 02-2876
PERMIT NO.
ASSESSOR PARCEL NUMBER- 030-170-052
ZONING A—R
BUILDING PERMIT
OWNER ZunisAit, Martha
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
1135 10th St. / Thermalito
25 SQ
1,500.00
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 5.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
1135 10th At. Tnermalito
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 55.00
S LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: Re -Roof 25sq
Gas piping stem 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GI W1
920.00
PERMIT FEE
S
1,916.
ELECTRICAL PERMIT
Fling Fee 20.00
R UES
Main Service 2DDA OR 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.POWER
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
I, as owner of the property, army 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.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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' compensation insurance carrier and policy number are:
Carrier
Main Service PDA TO
46.00so
CCUOOOA
NEW CONST. owELUNo Occup.
ORw DNSr. (
3.5Qso.
MuACC-o LET
NON-RESID.
97.50
APPARATUS
8 SINGLP OUTLET CSI R.
EX. OCCU OUTLET OR FIXTURES
20 @''50
BAL w
Ex. Occup. OFUT trs Ao °�
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
S
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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, I shall
forthwith comply with those provisions.
_
X Date f� is '��
Si nature of Applicant - Owner ❑ Contractor ❑ 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 Is
occ
CONST. TYPE
TOTAL FEE $ 55.00
HA2
D FEES IMP
FLOOD
COF
PARCEL
Po
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated bove for which fees have been paid.
B �(G Date
pp
PERMIT EXPIRES ON 16-1�y,3
Date
Receipt No.
WHITE-D.D.S.-B. NA Y -ASSESS PINK -INSPECTOR GOLDENROD -APPLICANT
4
J59
t PERMIT NO. f 717-82B,P,E
PERMIT EXPIRES
OWNER
Thomas King
CONTR. owner
30-17-52
t ASSESSOR PARCEL
i LOCATION 1135 10th St ., Oroville
H
F
1
Temp. Power Pole—
Called
ole_Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) '� V`'� `� ✓
Signature
V = OK
0 = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2.Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shing.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
7. Utility Clearance
i dry
6. Carports; Windows -Doors
7. Elec.
,
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date _
POOLS (Plans) OK except 11's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line -
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances .
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI', .i
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed j
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
B. Elec.; Grounding; Equip. w/5' -Circulating Equip: -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit '
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
0
r
i dry
,
'A
J = OKE
0 = Not OK
Not Applicable
Not Ready Ry.SIDENTIAL (Single and Duplex)
SIE /
Date
UNDERF OR Plans OK exce t#'s/
Date FR �ING Continued
1 oni r dent Setbacks=Easements
4W
Property Line Firewall & Openings
g., M ec. Grnd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Ga ge; Soils -SS '- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
lywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main�Steel-Blockouts-Wrapped-Slab5tiding-Nailing-Veneer
6. Stemwalls, 54rage; Steel -Bloc kouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers- Fi place Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
Shear Walls; Nailing -Bolts
9. Gas"Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11/ Electric; Underground c'
U. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Card -BI
Dat -Card-BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL (PA< OK except N's
xt. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Dire
PLUMBING (Permit) OK except p'
oke Detector
14. Water Ht.; Vent ess- ombustion Air
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
15. Water Pipe & hors -Nail Protection
16. D.W.V.; Tesjolprhgs & Anchors -Nail Protection
edroom Exiting
17. Sho est, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18. T t Shower, 2nd Floor -Tub Access
Vo --Sec.
Trim & Subpanel; Breaker Sizes -Labels
1
19. G P$pe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELEC ICALP pit OK except N's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meeh. Protection
7`I� .Receptacles Spacing -Lights &Switches at Doors
_
�0
I Elec. & Mech. Equip. Listed for ocat�
5eze Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Ramex Protec.
omex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic �'Ye"s73.
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
_ 26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes . ❑No
75,
Following instld.: Drive 9 Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28. Service -Riser Conductors & Ground -Main Disconnect
rown-Finish ;
29. Equip. Clearances; Panels-Motors-Mech. Equip..
30. Clothes Closet Light -Shower Light
7
A.C. it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
101)
xterior Elec. Trim; G.F.I. Receptacle -Underground
10ard B-1
Date Card -BI Date
entilation throughout House
Card B -I
Date Card -BI Date
8
lass Protection
Date
MECHANICAL (Perrrit) OK except N's
31. A.C. Ducts; In§4ration & Support
8Z"
-Correct ions from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32. Vent Fan; E aust above Insulation
ergy Compliance Certificate -Other Certificates
_
33. Condensate Orain & Overflow; Size & Grade
34. Furnace -Vent; ccess-Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card-
C -BI
Date'i - 2 Card -BI Date
Pate Jo Card -BI Date
Card -BI _ Date Card -BI Date -
Card -BI
Date
Date / Card -BI Date
FRA G(P13tfs) OK except q's
Card -BI Date Card -BI Date
Comments at Final:
3 Its; Proper Material & Anchors
ax Its; Studs -Nailing, Spacing & Bracing -Plates -Sound
A 49
earing Walls over Girders & Floor,Nailing
2424!M Ab
Draft Stop in Walls (rat proof)
r
_
4 tops; Furred Ceilings -Stairs -Chases -Tub
121, 1
_
_ader & Beam -Size & Bearing
41-H r1qers-Post Caps -Anchors -Connectors
/Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
41.. Fireplace Ties or Type A Flue -Fireplace Throat
-_
4A,-,A71ic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Windows or Exiling Doors -Sill Hgt. & Dimensions
___4�Bdrm.
47--Girage'Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Paradise — 877-3435
61
CORRECTION NOTICE
.......... ............................................
3uidgoProper
Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
'�...... ...............
vyt4?
..�.....
..
..€....................................... ........................................
Dat .........:^......,... nspector .....:a'!!;.i?..
Do Not Remove This Tog
(400-4)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS,
196 Memorial Way, Chico — Phone: 891-2751' `
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
AIL
InspectorX
to 3 c>J ' ct
ly ,
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95,965 - Telephone 916/534-4541
`. APPLICATION AND PERMIT
7/7_7,
T
A4
ASSESSOR 31RCEL N MBE
0
ZONING
BUILDING PERM
oR„A An� �f�
`% /.�U/✓, i7
TELEP _NE�
7
SQ. FT. OCC. BUILDING VALUATION
wv
O,y/ �V MAILING OA CySyRES
CIIONNTRACTOR'S11NAM''�TE((�///��J�J//�.•
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace .
CONSTRUCTION LENDER -
UNKNOWN
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ S2�042
ARCHITECT OR ENGINEELICENSE
No.
Plan Checking Fee
$ 24.,90
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 8Y �0�
BUILDI N//ACZD R�,SS / j� �s-....
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00.pZ),/
Repair drainage or vent piping
5.00
O/�W 1�
Water piping
�5 j.00
LOT NO.
SUBDIVISION NAMEPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5,0o
�-,� USE OF STRUCTURE
SF IJ' Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel Utilities [] Installation[] Other ❑
Describe work: a /T
�'C-D,r2o�M
Permit Fee
$ 2Z.0
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 00V OR LE
100 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW'CONST. DWELLING O
OR ACDNS. ( ACC. BLDGS m r� )
20sg ft -/ /7
,
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 m license is in full force and effect.
y
License No. Classification
Z_< as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. -OU LET 2,50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR. I POWER APPARATUS 6)
NON-RESID. SINGLE OUTLET CIR.
so @ 2150
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
IXED APPLNS. OR
Ex. QCCUp.�OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50-
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIIng Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
,W -Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai In e ce of h nting of this permit.
XThis
ate
Siature Of Applicant - Owner Contrac Agent ❑
An OSHA permit is required for excavations er '0" deep and demolition or construct-
ion of structuresover3 storiesinheight.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
PD
NO
I ISSUE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date I—Z'P,�Z
7—
Receipt No. 6 2
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
r,_,_,_ v ..,.n .. �.�y-....,rte.---""^-.----..+...�---- ...�..�-.w..w._.•..ti�.� ....- r.,r ..---•—.v, r e
" COUNTY OF BUTTE - DEPARTMENT 0R PUBLIC WORKS - BUILDING DIVISION
r �
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
�r Permit No.
OWNER 0/�i�s A. P. No. 30 " 7- 5
Proposed Building Use I A,
Permit Fee Based Upon: / Complete C ntract Price DPW Valuation
Other (Explain) '/
Building Inspector Date O zlt j�9%—�
/ i
At time of/Permit application, I was advised the following data must be submitted prior to permit processing
and/or ssuance: DATE RECEIVED APPROVED
1.
All items have been submitted. . . . . . . . . . . .
2.
Plot plans in duplicate/triplicate. . . . . . . . . . .
3.
Complete plans in duplicate. /triplicate. . . . . . . . .
4.
Complete engineered plans and calcs. . . . . . . . . .
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
State Energy Forms No.
7
Statement of Intent for Non -Heated and AC Buildings.
8.
Fees of $ 1 . . . . . . . .
9.
Letter of signature authorization. . . . . . . . . . .
10.
Sanitation approval from Health Dept.
11.
Planning approval for (A) Use: (B) Parking:
12.
Certificate of Workmen's Compensation Insurance. . . . . .
13.
Contractor's License Information (no., name style, classif.)
14.
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
15.
Improvements may be required. . . . . . . . . . . .
16.
Mobi lehome Installation Data. . . . . . . .,. .
17.
Pre -Inspection for RequiredPre-Inspec. request to
. Building Inspector (Date)
18.
Other
When you issue the permit, process as follows: Mail to owner. Mail to contractor. '
Telephone and hold for pickup at office. Deliver w/inspector.
Other J
Appli
cD
,7,Date-7 o? •'�
Copy of plans sent Health Dept., Fire Dept., Other t / Date
During the plan checking process, the following data must be submitted prio,7to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail
By
Plans checked by Date
Plans approved by - Date
Other:
Copy—DPW
Date
Other
COUNTY OF BUTTE - Department of Public Works'
7 County Center Drive, Oroville, CA. 95965 Phone: 916-534-4541
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 in -.the envelope provided at your
earliest opportunity to avoid unnecessary delay in.processing.and issuing your.build-
ing 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) S'
2. I (have/have not) 117X 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 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
S igm
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
permitted to issue the permit.
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
A STALLED 31�CONFORM 61
CF� WI�rL�.RRE F�G v` SERY� ION REGULATIONS
(location)
BUILDING PERMIT NO. A. -P. NO.'
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge Single Glazed �� r
Fdn.•Walls Special (Insulated)
Floors CERT. & LABELED WDS.
Walls & SLIDING DRS.
Ceiling/Roof WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating Pipes. INTERMITTENT IGNITION DEVICES /V
APPROVED HEATER _,t%4 CERT. APPLIANCES V,¢
APPROVED WTR.HTR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED
Insulation Applicator Name X4,~-5
Signature of( -please pr'nt)\
Insulation Applicator
State Contr •ctors
License N
.! _._ • �. G----
r G_._.raene �•C-orY�r ctor 'Owner Name V^%
�
(p•lease p i
Ge er--xl" o z!a!,c t o r /Z e Date
State dAractors
LicengmdNo.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
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_70 G'e.(��RaD tv� f..._ /�•j � `� � e, — f ?_ 0 — (05,
ao F i S This set of 'plans and sn- ^�fic�A ^rs M"ST '� '• Til 01r1 /4 �: ,•� • /a v o z yA A, C. d" v
i` i'.= i' i t ;/• }" p+ orl the in6 at c!El f lrnnS rind 1.4 is unlawful ?O,
rysr�e any changes or niterr ;ons on scrre without; `
written permission from the Department of Public
Works, County of Butte. _.. _ ....._.___ . _......_..._ _.. __.._ __..__ _�,----- _-•
!' /Jt /Ira FL( P c�;;;; : _' U
L/
-- , ;.till /\ •a.. , �, ,\ :'i
L., Id 4j j, h LV i
._._. 1 `+hshin Cl,,41 . Be
M�rtarinls & Wnrkrn
sa Ocartl?vaCl (�r.� _ Prs+.t;?Icc- es of
n,rr l;C4 rsre '6l:fil het r {A Com'
I S;,ecified -use in Ak /
t�resr rise r.,r' il.c -.
gibing g�- Pv4achanicc�l -Codes -a ?D
l�niform Building Plum , /r4jo ' /�,1.
1
' the National Electrical Code. ,
t
SUTTE COUNTY
BUILDING DE?ARTMENI -
APPROVED
-- _ -
Other:
TheeSTATE RESIDENTIAL ENERGY REQUIREMENTS for this bul (Fing-11
of... jg?;/�- ---- ---- sq. QQ.W./i;?6Pd..Degree Days, andc=4W---
Design Temp. are:
Insulation:
Glazing:
Slab ed, --,P - - - - - - R—
Singre-allowed;
sq. ff.
Fdrt. It -20—
`- a
Floors- - - - - - - - ---
sq. fz.-----
Wails - - - - - - - - --
Z
C-6i'ling/Rcof . . . .... t:-,
C ircula-fing pipes - - -
V,�Js, & Drs.
Ddcts Table
Doo. 5
Hfg. & A.C.;
E X- h a i; ens
Type
Gas Filofs
';tion
BTU Max.
All Appliances
cerfifi.,,:d
Other:
�• j - .. R
cam'^
PERMIT
NO. 5059-76B
1
PERMIT EXPIRES
.OWNER
Troy Stafford
'
CONTR.
owner
LOCATION (A.P. 30-17-52
e
< <�1135
10th St., Oroville
•ti, �s�
r
ty
_
.J:
It
1 r
Temp. Power Pole
Called PG&
Temp. Elec. rv.
Called P &E
Temp. G Serv.
Cal d PG&E 1
JO
!/
+
F ALED
(Date)
.�/�%e'/JZ�G✓
(Signature)
4 '
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
Setback
Forms
Main Bldg.
Footings
Stemwal l
Slab
Piers
Garage
Footings
Stemwal l
Slab
Carport
Footings
Slab
Patio
Footings
Masonry Wall;
Reinf. Stee
Bond Beam
Framing
Stucco
Mesh
Scratch
Brown
Finish
Interior Lath
Door Closer
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
LUMBING
~ CO _ �,
COUNTY OF BUTTE �.�,, AI�TMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
�5 9-76
authurlce representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x;& 7 r Date `— f / 4
Signature of Permitee or Agent
Receipt No. _- ����✓�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Codeand/or reso tions to do work indicated
above for which fees have been p d.
DIRECTOR OF UB IC WORKS
By Date_
(ding permit expires Date — ����
BUILDING
OwnerQ ��
SQ. FT. OCC. BUILDING VALUATION
/D 0 .to/a0 r" A
Mailing Address �3�� 0 -5 T
eofTelephone
�A�1 4 .s
No.
3 — a
Fireplace
Contractor AJ
Total Valuation �!` Z 7
Mai I i ng Address 0
Permit Fee �! , o I-)
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address �3 ,®� �.
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
-,—U1z_ X_
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. �� -- �% — S�
Zoning& Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fe
Saai.tatL=
Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
I Parcel'
Parcel Map P
60R/W
Improvements
Lawn sprinkler system 2.00
BI
Parcel Approval
Plans Approval
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑' OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
L C) caev,
Main service i°()°o AMP ORV OR SLESS 5.00
Main service EA. ADD'L too AMP 2.50
Single Family Duplex ❑ Mobil Home ❑ Others ❑
OVV
Main service 1100EAMP0 OR LESS 25.00
Main service EA. ADD'L too AMP 1.00
NEW
OR ADDNST (DWEACCLBLDGSCCUP. &) 2¢sgft '
NEW CONSTR. MULTI.OUTLET
NON-RESID. ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. OWER APPARATUS &
/P
NON_RES,(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. Occup(OUTLETS OR FIXTURES) 2@51004
Ex. Occu FIXED APPLNS. OR
P•(OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
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.
SAj'j I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
O as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No.1 @ FEEPERMIT
FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$ .5- ir%Ti
authurlce representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
x;& 7 r Date `— f / 4
Signature of Permitee or Agent
Receipt No. _- ����✓�
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Codeand/or reso tions to do work indicated
above for which fees have been p d.
DIRECTOR OF UB IC WORKS
By Date_
(ding permit expires Date — ����
,FILE,MEMO
M
AP NO.
At time of permit application, the applicant was advised the following data or information
must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans in duplicate/triplicate.
3. Complete plans in duplicate/triplicate..
4. Complete engineered plans and calcs.
5. Fees of $
6. Letter of signature authorization.
7. Sanitation approval.
8. Planning approval
9. Workmen's Compensation Insurance Certificate.
10. Contractors license information.
11. Parcel declaration.
12. Access declaration.
13. Aunt Minnie information.
14. Deed of access.
15. Deed of parcel creation.
16. Parcel map.
17. Pre -inspection request for
18. Other
By Date / 7— 7 b
Bldg. Inspector
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When permit is issued, process as follows:
1: Mail to owner.
2. Mail to contractor.
3. Deliver with inspection.
------4. Telephone 3 -3 — g 0 '7e and hold for pickup.
5. Other
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During plan checking process, the following data or information must be submitted prior to
permit issuance.
1. Index permit for items numbered above.
2. Applicant advised by telephone we need
3. Send letter to applicant. We need
4. Pre -inspection for NOT verified. (Index)
5. Other
6. Plans checked and/or approved by Date
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Additional Processing or Notes: