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HomeMy WebLinkAbout030-200-05430-20-54 Gallaway & Co. 11 ' oy Dr., lot #3, Upshaw Sub, Oro. Permit 73-77B)?,E,M(new single family) � ' �/G`�► Y ®f� _ _ -- 0- 0-54 L. CLAR 1168 Roy Dr., Oroville ontr: Trane Home Comfort Ce r ermit #k2310 -78E, M (AC ) SF �/.r.� Viv�cW f �� 1 20-54 Douglas ---C .r 1 1168 Roy Dr., Oroxdle contr: H. Nelson Contr., Oro. Permit #304-82B P E(conv.garage to bedrm. & bath & add cov.patio/SF) 30 -20 -54 - Dorothy Hellman Permit It 2 52-82B,P,E(new pr.i wwim pool) contr: Blankenship pools, Chico 030-200-054 05-3333 WATERHOUSE FU\,D11TG, 1.165 ROY :DR, OROVILLE ,/t_' 4 Cont: OWNER Com' 1� MA:I ITENTANTC.E.& REPAIR d 0 � ,�} o �� .r: o � �_ 030-200-054 05-3333 t WA`l'ERHOUS.E PU\TD.ING, { I.l'68 ROY DR, OR.OVI:LLE i eV TYt- f`REf` N® T E S Cutic: OWNER i j MAINT.ENA\ICE & REPAIR RESIDENTIAL AP N: Permit No. Owner. Site Address: Contractor. Type of Permit: i CHECKED BY SRA FLOOD CERTIFICATE EQUIRED FIRE SPRINKLERS REQUIRED SPECIAL INSPECTION ITEMS VERIFY USE PERMIT CONDITIONS SUBSTANDARD HOUSING LETTER ENCROACHMENT PERMIT REINSPECTION FEE PAID ENV HLTH CLEARANCE i 1 DATE JOB FINALED: SIGNATURE: = OK Nnt OK MANUFACTURED HOMES MISCELLANEOUS DATE PERMANENT FOUNDATION SOFT -SET 1 Zoning -Setbacks -Easements 2 Soils; Special MH Support Sketch 3 Sewer; Loctn-Test; Fall/C/O-Concrete 4 Wtr, Loctn-Test-Easement Needed -Regulator 5 Elec Loctn-Clrncs-Grnd Amp -Concrete 6 Yard Gas; Loctn-Test-Wrap Nat 0 or .LP❑ Inch Sz Ft Lngth 7 Blckng; Sz-Spacing-Marriage Line 8 Gas; MH Test-Demand-Valve-Cnnctr 9 Elec MH CntntyTest-Crossovers-Breakers-Clrncs _ 10 Drain; MH Test -Fall -Flex Cnnctr 11 Wtr & Sewer Connected -C/O to Grade 12 Gas and Electricity Tagged 13 Tie Downs Q Foundation 0 14 Exits 15 Cert of Occupancy 16 HUD Label/Insignia Numbers Serial Numbers DATE D E C K S`C O V E R S`C A R P O R T S `G A R A G ES 1 Zoning -Setbacks -Easements 2 Ftgs; Soils-Sz-Dpth-Spacing-CnnctrsSteel 3 Decks, Girders/Joists-Dcking-Brcing Stairs-Guard/Handrails 4 Wood Awn; Posts -Beams -Rftrs -C nn ctrs -S hthg Frmg-Brcng 5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs 6 Carports; Wndws-Doors 7 Electric 8 Frmg; Sills-Anchrs-Studs-Rftrs-Trusses 9 Siding; Nailing -Veneer -Stucco -Lath 10 Roof; Shthg-Roofing 11 Ext; Steps -Doors -Landings 12 Braced Wall pnls DATE P O O L S 1 Setbacks -Easements 2 Soils; CompactionStructure Stability 3 Pool.Structure; Steel-Cnnctns-Thickness Dead Men -Lining 4 Elec Rcptcls/Lting; Distance-GFI 5 Elec Pool Lting; 15 volts-GFl 6 Elec Enclsrs; Conduit Entries -Terminals -Listed 7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr 8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool tghtg Bones-Enclsrs-pniboards-Insults to Main Conduit 9 Health Dept Apprvl 10 Plmb; Cir Test-Wtr Supply Test ' 11 Lt Niche 12 Enclsr; Fencing -Alarms 13 Bonding, Diving board or Slide 4e Pool Drawing = OK n = w. RESIDENTIAL (Single & DATE JUNDERFLOOR 1 Zoning -Setbacks -Easements -Flood -Slope 2 Ftg Main; Soils-Elec Grnd Ftg Dpth 3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth_ 4 Ftg Porches/Decks; Soils -Steel Ftg Dpth 5 Stemwalls Main; Steel-Blockouts-Wrapped 6 Stemwalls Garage; Steel-Blockouts-Wrapped 6a Hold Downs and Special Anchrs 7 Slab, Steel Wrapped 8 Piers-Frplc Ftg-Steel 9 DWV; Fall -Fitting -Test -2 -way CIO -Sewer Test 10 UF, Gas Pipe; Sz Anchrs-Sz Test tl Wtr Pipe; Test-Anchrs-Rgltr-Service Test 12 Elec Undrgmd 13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn 14 Girders-Sills-Anchr Bolts Joists-Vnts-Cripples 15 Acc & Vntltn 16 Insulation DATE IFRAMING 17 Sills Proper Materials & Anchrs 18 Walls Studs -Nailing Spacing & Braces -Plates -Sound 19 Bearing Walls over Girders & fir Nailing 20 Draft Stop in Walls (rat proof) 21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs 22 Headers & Beams-Sz & Bearing 23 Hangers -Post Caps-Anchrs-Cnnctns 24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac-TrussShthg 25 Frplc Ties or Type A Flue-Frplc Throat Clmc 26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles 27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions 28 Garage Fire Prtctn Framing -RC Channel 29 Prprty Line Firewall & Opngs 30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits 31 Stairs; Width-Hdrm-Rise-Run -Landing -Fire Prtctn 32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs 33 Siding -Nailing Veneer 34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc 35 Glazing Area -Glass Prtctn-S kyLts-P las tic 36 Shear Walls; Nailing -Bolts 37 Brace Int/Ext Wall pnls 38 Insulin -Walls -Ceilings 39 Infi Itrati on -W al is-Wndws o`1 o'er d� DATE JELECTRICAL 40 Fxtr & Trnsfrmr Clmc4ns Prtctn 41 Elec Rcptcls Spacing-Lts & Switches at Doors 42 Sz Boxes & No Of Cndctrs Stapled 43 Romex Installed Close to Edge of Studs & CJ 44 Eqp Grnd made up w/Mech Fstnrs 45 Grndng Electrode Bond Gas & Wtr 46 2 Appinc Cires in Ktchn & Cndctr Sz GFI 47 Subfeed Wire Sz ga ❑ CU or DAL AC Wire Sz ga ❑ CU or ❑ AL 48 Range Circ ga QCU or ❑AL Oven Circ ya Q CU or ❑ AL Insulated Neutral ❑ Yes ❑ No 49 Service -Riser Cndctrs & Grnd Main Dscnnct 50 Eqp Cirncs pnls-Motors-Mech Eqp 51 Clothes Closet Lt-Shwr Lt -Spa Lt 52 Smoke Detector Duplex) PLUMBING 53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle 54 Wtr Pipe; Test & Anchr-Nail Prtctn 55 DWV; Test Fittings & Anchr Nail Prtctn 56 Shwr Pan; Test, First flr-Tub Acc 57 Test Tub & Shwr, 2nd flr - Tub, Acc 58 Gas Pipe; Sz & Anchrs 59 Fire Sprinkler; Test 60 Yard Gas Piping '� `c` o'" a owe o. MECHANICAL I 'l 61 AC Ducts Insultn & Support 62 Vent Fan, Exhaust abv Insultn 63 Condensate Drain & Ovrflw, Sz & Grade 64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet 65 Attic Acc & Pltfrm if Furnace in attic FINAL 66 Ext Steps -Door & SideLt Prtctn-Landings 67 Smoke Detector 68 Furnace Vnts-Clrnc-Comb, Air-Cnnctr In Garage; abv-flr-Ducts-Mech Prtctn 69 Bedroom Exiting 70 GFI & Bath Fxtrs & Tub Acc-Spa 71 GFI Arc Fault 72 Elec Trim & Subpnl, Breaker Sis & Labels 73 Stairs, Guard/Handrails 74 Frplc or Stove, Clmc-Hearth 75 Elec Outlets at Wood Pnl, Int & Ext 76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc 77 Elec Outlets & Rcptcls at Ktchn Counter 78 Garage Fire Door; Swing -Landing -Closure 79 AC Duct in Garage -Damper 80 Wtr Htr; Vnts-Cimc-Com Air Cnnctr-PRV; abv fir Mech Prtctn; LPG Appince Undr House 3" drain 81 Plmb; Elec & Mech Eqp Listed for Loctn 82 Elec Rcptcls in Garage (GFI) Romex Prtctn 83 Insultn-Foam-Looked in Attic 84 Guard Rails & Deck Cnstrctn-Post Caps 85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth 86 CImc Drnge Planters Q Yes [::]No 87 Stucco Brown -Finish 88 AC Unit Dscnnct, Elec-Plmb 89 Vnts abv Roof. Plmb-Appinc-Frplc-CImc to Opngs 90 Wtr Well, Dscnnct, Elec, Plmb 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd 92 Vntltn thru House 93 Glass Prtctn 94 Corrections from previous Inspctns 95 Gas Test -Meters Tagged, Gas-Elec 96 Wtr & Sewer Cnnctd-C/O to grade -HD Apprv1 97 Energy Cmpinc Cert -Other Certs 98 Address Posted 99 Fire Sprinkler BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) OFFICE #: (530) 538-7541 PERMIT NO. BP053333 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS 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 Issued Date: 01/04/2006 APN: 030-200-054-000 the Business and Professions Code, and my license is in full force and effect. t License Class: 970 S 6 5 License Number: Site Address: 1168 ROY DR ORO ' Date: I Contractor: V/�4'• k0 �.4C ti h d � i MIndex: Map Description: GENERAL MAINTENANCE & REPAIR(1608) OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the following reason (Sec. 7031.5 Business and Professions Code: Any city or county which requires a permit to construct, alter, improve, demolish, or repair any structure, prior Owner: WATERHOUSE FUNDING to its issuance, also requires the applicant for such permit to file a 23 NORTHVIEW DR signed statement that he or she is licensed pursuant to the provisions of OROVILLE, CA the Contractor's State License Law (Chapter 9 commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or 95966 she is exempt therefrom and the basis for the alleged exemption. Any (530)534-4151 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).): ❑ 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 (Sec. 7044, Business and Professions Applicant: ROBERT PITMAN pp Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who does 675 MITCHELL AVE such work himself or herself or through his or her own employees, APR F-3 provided that such improvements are not intended or offered for sale. If however, the building or improvements are sold within one OROVILLE, CA 95965 year of completion, the owner -builder will have the burden of (530)392-0391 proving that he or she did not build or improve for the purpose of sale.). ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, Contractor: WATERHOUSE FUNDING INC and who contracts for such projects with a contractor(s) licensed pursuant to the Contractors' State License Law.). 512 LORETTO DRIVE ❑ 1 am Exempt under Article 3 of the Business and Professions Code ROSEVI LLE, CA 95661 Date: Owner: 916-782-3396 FAX 916-313-3218 WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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. I have and will maintain workers' compensation insurance, as Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier: �I c J e Cdr* Total Square Ft: 0 S. F. Policy #:-0 0 ej I I L4 — 20 0 5 Valuation: $0.00 ❑ 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 Census Code: become subject to the 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. Date: Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of %, ") A C7 1 l�i. �5 compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. 1 CONSTRUCTION LENDING AGENCY This permit isherebyissmed under the applicable provisions of the Butte County Code and/or I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097 Civ.) Resolutions t6db-woP4ndica above for which fees have been paid. - By: Date: Name: ll\\ Address: PERMIT EXPIRES ON:V (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized ag f the wner. I agree to comply with all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo or d u nt of utte County. ]hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection pure e . Rab f �l `il Print Name: e c rY1 Dl Y� Signature: �Mo JQ Date: ❑ Owner ❑ Contractor ❑ Agent for Owner XAgent for Contractor B. C. Building Permit 01-16-04 pg 1 1 k BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT 24 HOUR INSPECTION #: (630) 638-7636 (OROVILLE) (630) 891-2834 (CHICO) OFFICE #: (630) 638-7641 PERMIT NO. P053333 PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE, OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS. LICENSED CONTRACTORS DECLARATION I hereby affirm under penalty of perjury that I licensed under (� provisions of Chapter 9 (commencing with Section 700000 ) of Division 3 of the iness and Professions Code, and my license is in full force and Issued Date: '1Ei39QE)95 APN: 030-200-054-000 effect. License Cie License Number: Site Address: 1168 ROY DR ORO Dale: Contractor: Map Index: = OWNBUILDER DECLARATION I hereby affirm under pen of perjury that I am exempt from the DeSCri tion: GENERAL MAINTENANCE &REPAIR 1608 ( ) Contractors' State License La for the following reason (Sec. 7031.5 p Business and Professions Code: ny city or county which requires a permit to construct, alter, improve, de olish, or repair any structure, prior to its issuance, also requires the ap 'cant for such permit to file a Owner: WATERHOUSE FUNDING signed statement that he or she is license ursuant to the provisions of 23 NORTHVIEW DR the Contractor's Stale License Law (Chapter ommencing with Section 7000) of Division 3 of the Business and Profess s Code) or that he or OROVILLE, CA she is exempt therefrom and the basis for the aIle d exemption. Any 95966 violation of Section 7031.5 by any applicant for a mi ubjects the Ilar (530)534-4151 applicant to a civil penalty of not more than five hundre ($500).): ❑ 1, as owner of the properly, or my employ s with wag as their sole compensation, will do the work, d the struc re ' not intended or offered for sale (Sec. 7044, usiness an rofess ns Code: The Contractors' State License Law doe t apply to owner of property who builds or impr eon, a ho does A plica BERT PITMAN such work himself or herself or throw is or her ow a ployees, 675 MITCHELL A provided that such improvements ar n intended o fered fo -3 sale. If however, the building or Imp vem s are s ithin e year of completion, the owner -buil er will he bu an of LL .-CA 5965 proving that he or she did not build r improve for the purpose of (530)392-03 sale.). I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects with a contractor(s) licensed Contractor: pursuant to the Contractors' Slate License Law.). ❑ 1 a�m� Exempt under Article 3 ofthe siness and Professions Code Date: IV— Owner: � IV, WORKERS' COMPENSATION DECLARATION I hereby affirm under penalty of perjury one of the following declarations: License #: ❑ 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 Architect: required by Section 3700 the Labor Code, for the performance of Engineer: the work for which this permit is issued. My workers' compensation ` insurance carrier and policy number are: 1 Carrier: otal Square Ft: 0 S. F. Policy #: Valuation: $0.00 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 Census Code: become subject to the workers' compensation laws of California, and agree that if 1 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall 37� forthwith comply those prov' ions. Dale: l �I Applicant: WARNING: Failure to secure workers' compensation coverage is unlawful, and shall subject an employer to criminal penalties and one hundred thousand dollars ($100,000), in addition to the cost of compensation, damages as provided for in Section 3706 of the Labor code, interest, and attorney's fees. _ CONSTRUCTION LENDING AGENCY This permit is hereby issued under the applicable provisions of the Butte. County Code and/or I hereby affirm that there is a construction lending agency for the Resoluti to do work above for which fees have been paid. performance of the work for which this permit is issued (Sec 3097 Civ.) ,r} �n Name: BY: �- A V\ U Date: lJ LAAM PERMIT EXPIRES ON: �- 1r Address:' (Date) ❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage, handling and use of hazardous materials. ❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project. ❑ Attached are copies of the required E.P.A. notification forms. I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with all county and stale laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official fo r document of Butte County. I hereby authorize representatives of Butte County to enter upon the above mentioned property for inspection purpo 911 Print Name: �l ►^( f�l7 er� ej�1 rn Signature: _ Date: (Z � 3 �. ❑ Owner ❑ ContractorAgent for Owner L3Agent for Contractor B. C. Building Permit 01-16-04 pg 1 see: 30 =$"2 Cod �. y: PERMIT NO. 4y 2552=82B,P,E PERMIT EXPIRES r S � OWNER Dorothy Hellman CONTR. Blankenship Pools, Corning ASSESSOR PARCEL 30-20-54 LOCATION 1168 Roy Dr, Oroville r t - i i r -} 7 Temp. Power Pole + k Called PG&E 1 Temp. Elec. Service i Called PG&E Temp. Gas Service Called PG&E JOB FINALED (Date) Signature COUNTY OF BUTTE - DEPARTMENT ,OF PUBLIC WORKS 44 '' 7 County Center Drive - Oroville, California 9596:5 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. -- ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT 0NPER ^'�J TELEPHONE • OWNER'S MAILING ADDRESS /r�� "�}� ! (" R Q Qn, , I )y- A .J ��V �j CONTRACTOR'SU AMET -C(Vl f HONE YM i -- 1 aL��2 P ; 1'7 / SQ. FT. OCC.! BUILDING VALUATION CONTRACTOR'S MAILING ADDRESS 919���1 �7 U f *10 Fireplace CONSTRUCTION LENDER iNKNO4W� . LENDER'S MAILING ADDRESS Total Valuation Is Filing Fee Permit Fee $ 10.00 $ ARCHITECT. -OR. ENGUTEER LICENSE NO. 1 � • ( 1,+, V In � 9 � ARCHITECT OR ENGINEER'S MAILING ADDRESS Plan CheckingFee 1 �• / Penalty Permit fee $ $ $ 7S.QX; BUILDING ADDRESS �r PLUMBING PERMIT Filing Fee 10.00 i Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping '6"nn LOT NO, SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 ( Gas piping system 1 - 5 outlets USE OF STRUCTURE r-- / SF ❑ Duplex❑ Mobilehome❑ Other'"``�r it IAJI^ �mll ( Building sewer Lawn sprinkler system 5.00 SPECIFY 'TYPE OF WORK New ©Addition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑ Describe work: �S �:Yk b 1Mx� I2nrro� Permit Fee $ I <-.0o Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service e00V OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. ( DWELLING OCCUP.m) OR ADDNS. ACC. BLDGS. 4 2� sq ft 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. �� i �� `'J Classification NEW CONSTR NON-RESID BRANCH CIRC ITS 2.50 ea NEw CONSTR POWER APPARATUS D NON.RESID. (SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES e , Ex. Occup.00 FIXED APPLNS. OR (ouTLETS (RESID.) EA.) 2.00 Temporary service 10.00 ❑ I, as the owner, or my employees with wages as their sole compen- Mobile Home Facilities 15.00 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) Misc. Wiring 7.50 n —"1) Permit Fee $ no ❑ I am exempt under Sec. , Business and Professions Code Contractor for this reason MECHANICAL PERMIT FiIIng Fee 10.00 WORKMEN'S COMPENSATION INSURANCE Heating I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Orl 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. Cooling Hood 3.00 Ventilation ❑ 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. Permit Fee $ Contractor I certify that I have read this application and state that the above information Mobile Home Installation Fee $ 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. TOTAL PERMIT FEE $ )16 0 I also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X ZS r~+2 -" Date `' ��y� Signature of Applicant — Owner LJ `Contractor Qs�^"Agent ❑ OCCUP, GROUP I TYPE OF CONST. PARCEL PD I ND I ISSUE This permit is hereby issued under the applicable provi- sions of the Butte County Code and/or resolutions to do work indicated above for which fees have been aid. p An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures 3rrstorie/s in height. DIRECTOR OF PUBLIC By PERMIT EXPIRES Date WORKS Date �� /over Receipt No. / �7 / / WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT J. J = OK 0 = Not OK . — = Not Applicable �I = Not Ready MOBILEHOMES MISCELIA'NEOUS t Date MOBILEHOME UTILITIES (Plans) OK except H's Date DECKS, COVERS, CARPORTS, ETC'+ (Plans) OK except #'s 1, Zoning Requirements—Setbacks—Easements 1. Zoning Requirements—Setbacks;tasements 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.—Shthg.—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 6. Carports; Windows—Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except q's 1. Zoning Requirements—Setbacks—Easements Date _ POOLS (Pl*i9f OK except q's Pletbacks—Easements 2. Footings; Size—Spacing—Marriage Line oils; Compaction—Structure Stability 3. Gas; MH Test—Demand—Valve—Connector g—'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 6. Water; MH Test—Regulator—Connector 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed 7. Water and Sewer Connected—C/O to Grade—HD Approval 7, Elec.; Bo ng; MWw/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—Ins. to Main in Conduit 9. Exits; Insp.—Sketch, 10. Cert. of Occupancy 9. Health Department Approval 1�riumb; Cir. Test—Water Supply Test Card 6-I Date Card -BI Date I ate C I / Date Card B-1 Date Card -BI Date C BI /Dat _3_g-ZCard-BI Date ✓ Qom;- � ��'^�` '� = OK = Not OK = Not Applicable RESIDENTIAL (Single and Duplex) = Not Ready Date UNDERFLOOR Plans OK except #'s Date FRAMING (Continued) 1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings 2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth 50. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth 51. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab 52. Siding -Nailing -Veneer 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access 7. Piers -Fireplace Ftg.-Steel 54. Glazing Area -Glass Protection -Skylights -Plastic 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 55. Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date Card -BI Date Card -BI Date Card -BI Date _ Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FINAL (Plans) OK except N's 56. Ext. Steps -Door & Sidelight Protection -Landings Card -BI Date Date Card -BI Date PLUMBING (Permit) OK except #'s 14. Water Ht.; Vent -Access -Combustion Air 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection 15. Water Pipe; Test & Anchors -Nail Protection 16. D.W.V.; Test-Fttngs & Anchors -Nail Protection 59. Bedroom Exiting 17. Shower Pan; Test, First Floor -Tub Access 60. G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access 61. Elec. Trim & Subpanel; Breaker Sizes -Labels --- 19. Gas Pipe; Size & Anchors 62. Stairs & Rails 63. Fireplace or Stove; Clearances -Hearth 64. Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date Card -BI Date 65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date 66. Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's 67. Garage Fire Door; Swing -Landing -Closer 68. A.C. Duct in Garage -Damper 20. Fixture & Transformer Clearance -Ins. Protection 69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- In Garage; Above Floor-Mech. Protection 21, Elec. Receptacles Spacing -Lights &Switches at Doors 70. Plb., Elec. & Mech. Equip. Listed for Location 22. Size Boxes & No. of Conductors -Stapled 71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec. 23. Romex Installed Close to Edge of Studs & C.J. 72. Insulation -Foam -Looked in Attic ❑ Yes 24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 73. 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 Al, Insulated Neutral []Yes ED No 75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters El Yes 0 N 28. Service -Riser Conductors & Ground -Main Disconnect 76. Stucco; Brown -Finish 29. Equip. Clearances; Panels-Motors-Mech. Equip. 77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 30. Clothes Closet Light -Shower Light 78. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79. Water Well; Disconnect, Electrical, Plumbing 80. Exterior Elec. Trim; G.F.I. Receptacle -Underground Card B -I Date Card -BI Date 81. 82. Ventilation throughout House Glass Protection Card B-1 Date Date Card -BI Date MECHANICAL (Permit) OK except N's 31. A.C. Ducts; Insulation & Support 83. Corrections from Previous Inspections 84. Gas Test -Meters Tagged; Gas -Electric 85. 86. Water & Sewer Connected -C/O to Grade -HD Approval Energy Compliance Certificate -Other Certificates 32. Vent Fan; Exhaust above Insulation 33. Condensate Drain & Overflow; Size & Grade 34. 35. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet Attic Access & Platform if Furnace in Attic Card -BI Date Card -BI Date Card -BI Date__ Card -BI Date Card -BI Card -BI Date Card -BI Date Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plans) OK except q's Comments at Final: 36. Sills; Proper Material & Anchors 37. Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound _ 38. 39. Bearing Walls over Girders & Floor Nailing _ Draft Stop in Walls (rat proof) 40. 41. 42. 43. 44. 45. Fire Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing _ Hangers -Post Caps -Anchors -Connectors Cl ng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. Fireplace Ties or Type A Flue -Fireplace Throat Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles _ 46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 47. _ Garage Fire Protection Framing (NOTE: Anentrymust be made each time youvisit jobsite) Blankenship Pools 890 Marguerite Ave. Corning, CA 358 ydo� Gentlemen : an C LAND OF NATURAL WEALTH AND BEAUTY DEPARTMENT OF PUBLIC WORKS CLAY CASTLEBERRY, Director 7 COUNTY CENTER DRIVE, OROVILLE, CALIFORNIA 95965 Telephone: (916) 534-4541 WILLIAM (ill) CHEFF eputy: Dinector December 16, 1983 RE: Building Permit No. 2552-82 Expired * 9-1-83 (A.P. No. 30-20-54 ) Owner: Dorothy Hallman With reference to the above subject, our records indicate that your Building Permit expired 'on the above date. Building permits are valid for one year and should construction be started but not completed by the expiration date of the permit, the permit shall be renewed for 1/2 the original Building Permit Fee (plus a.$10.00 "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 in a timely manner, it cannot be renewed and all work must cease until a new building permit is issued. If your construction is completed or should you have any question concerning this matter, please contact the Oroville office. For your convenience, we are enclosing a renewal application form IhLic 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.. Thank you for your prompt attention concerning this matter. JFG:aj Attachments: Permit Application Ff cc: Building Inspector - Yours very truly, Clay Castleberry Director of Public Works .Glander ;j�.F Chief Building Inspector Chico - 196 Memorial Way/891-2751 Paradise - 747 Elliott Rd/872-2961, Ext. 57 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 y PERMIT NO. A routine inspection indicates that the following violations of County Ordinance exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any question pertaining to this matter„or need additional explanation, please contact this office immediately. r Ins Date 1— ; 1010 —° ; . r BUTTE COUNTY DEPARTMENT OF DEVELOPMENT SERVICES BUILDING PERMIT APPLICATION AND SUBMITTAL REQUIREMENTS 24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 - CHICO: (530) 891-2834 OFFICE #: (530) 538-7541 A FEE WILL BE REQUIRED AT TIME OFAPPLICATION **PLEASE PRINT CLEARLY** JCANTSIGNATURE ir r For office use only: OWNER Last NameFirst M Name Address a3 ozo"11, Ciry. City Ie o r State StatGe Zapf S Phone 93 q ) 5. Fax E-mail Lic. # JCANTSIGNATURE ir r For office use only: CONTRACTOR Name h Address SRA Ciry. S t ll Ave— State Zip Phone ' Fax E-mail Fax Lic. # Class JCANTSIGNATURE ir r For office use only: ARCHITECT/ENGINEER Name it1 rl .I t Address SRA City S t ll Ave— State Zip Phone ' Fax E-mail Fax State License Number JCANTSIGNATURE ir r For office use only: APPLICANT NAME Name it1 rl .I t Address SRA Yes S t ll Ave— City , State Zip 15 9 6e Subdivision Name Map ' Phone Lot # Fax Date Approved: E-mail JCANTSIGNATURE ir r For office use only: Zoning Property Address AR gp4 pr, Flood Zone Cross Street SRA Yes I No Occ. Type Const. Subdivision Name Map Book Page Lot # Planner Date Approved: OVER FOR SUBMITTAL REQUIREMENTS PERMIT NO. BP Q S,3 BIN # LOCATION AP# O3 b— a-06 —o Property Address AR gp4 pr, City rile Cross Street WORKER'S COMPENSATION Policy Number Carrier If hiring anyone other than license contractors, a certificate of worker's compensation must be shown at the time of permit issuance. LENDING AGENCY Name Address Description or S ope o Work: S ootage GPii ❑ Structure Built without Permits ❑ Proposed Change of Occupancy (Note previous use): EXPIRATION OF APPLICATION Applications for which a permit has not been issued will expire one year after the date of application. In order to renew action on an application after expiration, a new application, plans and fee will be REQUEST FOR REFUNDS Refunds can only be made upon written request by the person who paid the fee. The request must be made prior to the expiration of the permit and no construction work has been done. Filing fees, plan check fees for work plan checked and other department costs are not refundable. Received by: K. Amount �Z 46 J --Bldg (� SRA Receipt #: ���J3'1 sheriff go SMIP Z *!,WN th, Date: 1 r!Total SUBMITTAL REQUIREMENTS The following drawings and specifications must be submitted to the Building Division in order to apply for a permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN -INK. Residential, New, Remodels, Additions, and Accessory Structures: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ .2. 3 Complete sets of plans, signed by the preparer. NO GRAPHPAPER! OR 3 Sets Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed calculations. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. ❑ 5. 2 Energy compliance design and supporting. documentation. (Note: Not required for additions to mobile or modular homes.) ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Detached Accessory Building Form, filled out by the property owner (if required). ❑ 8. Sanitation and site plan approval from the Environmental Health Department. ❑ 9. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. Mobile, Manufactured, or Modular Homes: ❑ 1. 3 Site Plans, signed by the preparer. NO GRAPHPAPER! ❑ 2. 2 Data sheets and installation instruction manual. ❑ 3. 2 Marriage line information. ❑ 4. 2 Floor plans. ❑ 5. 2 Engineered Tie Downs or Foundation plans. ❑ 6. Sanitation and site plan approval from the Environmental Health Department. ❑ 7. 2 Flood Elevation Certificate, wet -stamped and signed (if required). Commercial, New, Additions and Remodels: ❑ 1. 4 Site Plans, -signed by the preparer. NO GRAPHPAPER! ❑ 2. 4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations, with code analysis. ❑ 3. 2 Engineered truss details and layouts (if required) (NO FAXES!). ❑ 4. Letter from Engineer or Architect for truss design review. - 11 5. 2 Energy compliance design and supporting documentation (if required). ❑ 6. 2 Flood Elevation Certificate, wet -stamped and signed (if required). ❑ 7. Statement of Intent for Non -heated and A/C (if required). ❑ 8. Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate, (D) Floor plans in triplicate, All of these must be stamped and wet -signed by the engineer. ❑ 9. Letter of intent. ❑ 10. Hazardo`u's Material Form. ❑ 11. Sanitation and site plan approval from the Environmental Health Department. If you have questions or would like additional information regarding this process, contact a Permit Application Assistant at (530) 538-7541. OVER FOR BUILDING PERMIT APPLICATION .. .. ....... ... .... r...�eenn�_n __c�..�n_...._�__ o...... '�..s '� RFV 9-19-04 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT ERM1T O. ASSESSOR PARCEL NUMBER 30-20-54 ZONING BUILDING PERMIT OWNER Dorothy Hellman TELEPHONE SQ. FT. OCC. BUILDING VALUATION 1st Renewal OWNER'S MAILING ADDRESS CONTRACTOR'SNAME BlankenshipPools TELEPHONE 824-3179 CONTRACTOR'S MAILING ADDRESS 890 Marguerite Ave, Corning_ Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee % of Original)—$ 25.00 ARCHITECT OR ENGINEER E.S. Glenn LICENSE NO. 29881 Plan Checking Fee $ Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 35.00 BUILDING ADDRESS 1168 Roy Drive PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar Water Heater 20.00 Orovi.11e Water piping 5.00 LOT NO. SUBDIVISION NAME PARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets 5.00 USE OF STRUCTURE SF ❑ Dupiex❑ Mobilehome❑ Other Pri Swimming Pool SPECIFY Building sewer 5.00 Mobile Home S I G I W I 110.00ez TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other g Describe work: 1st Renewal of Permit #2552-82 Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6011 OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWELLING OCCUP.1, OR ADDNS. ACC. BLDGS. 21/2 Q,Sq c. 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 ❑ 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.Mise. ❑ I, as the ownerr,, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR MULTI -OUT LET NON-RESID. BRANCH CIRC ITS 2.50 ea; NEWNON.RESID, %SINGLE OUTLET CIR. CONSTR. (POWER APPARATUS & Ex. Occu Ts OR FIXTURES zOe60c p�oX eAL@30: IEDPR Ex. OCCUp. OUTLETS (RESIO.)EA./ 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Wiring 15.0 Permit Fee $ Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less.' ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. F]I shall not employ any person in any manner so as to become subject } to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Flood 3.00 Ventilation permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner ❑ Controctor ❑ Agent ❑ An OSHA permit is required for eAcovations over 5'0" deep and demolition Or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ 35.00 OCCUP.GROVP TYPE OF CONST. I—IPARCELI PD I NO ISSUE This permit is hereby issued under the applicable provi- sions 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 Date 9-1-84 Receipt No. Yf N ITE-D.P.W.. YELLOW -ASSESSOR, PIN%-INS?ECTOR. GOLDENROD -APPLICANT I COUNTY OF BUTTE - DE!-IARTMENT OF PUBLIC W/34-4541 PERMIT NO. 7 County Center Drive - Oro`v lle, California 95965 - Telephone 916 eQ,55 2— APPLICATION Aib PERMIT ASSESSOR PARCEL NUMBreR 3 ZONING BUILDING PERMIT Ow R TELEPHONE SQ. FT. OCC. BUILDING VALUATION AN OWNER'S MAI NG ADORE 'TD , CO T AC OR•S NA I D" TELEPHONE CO ACT MAIL NG A D ESS ;31NrKinR Fireplace CONSTRU JLTNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ , AR T 'C EN E�R LICENSE O. O/\C Plan Checking Fee r ,$ S Penalty $ ARCHITECT OR ENGI ER'S MAILING ADDRESS Permit fee $ , BUILDING ADD S / PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 2.00 Repair drainage or vent piping 5.00 Water piping LOT NO. SUBDIVISION NAME PARCEL MAP Each etas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRU URE j� SF ❑ Duplex[--IMobilehome❑ Other�rjr �fylt�, "1 AQP ( SPECIFY Building sewer Lawn sprinkler system 5.00 TYPE OF WORK New Rddition emodel ❑ Utilities ❑ Install 'on❑ Other ❑ Describe work: S A ---:Z 'c, Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 6001 OR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.ai OR ADONS, ACC, BLDGS. / 2�sgft CONTRACTORS LICENSE LAW I declare under penalty of perjury (Check One): F-1NON-RESID. 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. r �•• License No. 37( 11103- Classification S3 ' ❑ 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) Fl 1, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ 1 am exempt under Sec. , Business and Professions Code for this reason NEW CONSTR (MULTI -OUTLET 2,50 ea NO N.R ESID BRANCH CIRCUITS) NEW CONSTR. POWER APPARATUS.&) d SINGLE OUTLET CIR so@zga Ex. Occup OUTLETS OR FIXTURES BAL@10Q EX. OCCU FIXED APPLNS. OR p•�OUTLETS (RESID.) EA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 sc. Wiring 7.50 •� Permit Fee $ , Contractor MECHANICAL PERMIT FiIirig Fee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. Fzl--f have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. 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 Co ty in copse ence of the granting of this permit. X Date- g2 Signature of Applicant — Owner Lf�Contractor gent ❑ An OSHA permit is required For excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ TOTAL PERMIT FEE $ OCCUP, GROUP I TYPE OF CONST. PARCEL _ PD _. HDVE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIREC OR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Da �� Receipt No. WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT J N COUNTY OF BUTTE - DEPAR0TA4Ew�T, OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY CENTER DRIVE - OROVILLE, CA�(3RNIA 95965 - TE,L-EPHONE: 916/534-4541 PERMIT APPLICATION DATA SHEET OWNER Proposed Building Use. Permit Fee Based Upon Building Inspector Complete Contract Price her (Explain) Permit No, b- - A. P. No. In 4 DPW Valuation Date �'-Q,5 " R-2— At -2 - At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED '• All items have been su . . . . . . . . . Plot plans in du • te. t ip . . . . . . . . . 42::t3lComplete plan in ate. ri Ii . . . . . . . . 4. Complete engi red �_ - c cs. . . . . . . . . . 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 $ . . . . . . . . 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 owner0, Mail to owner ❑•) 15. Improvements may be required. . . . . . . . . . . . 16 Mobilehome Installation Data - e ;= • 17. Pre -Inspection for Pre-Inspec. request to Required. Building Inspector 18. Other (Date) When you -issue the permit, process�nd fol o Mail, -to owner. Mail to contractor. Telephone hold for ickup at office. Deliver w/inspector. Other Aar- Applicanti'iU,!•~'i'M-.^�-K,-,,. Date Copy of plans sent Health Dept., Fire Dept., Other Date During the plan checking process, the following data must be submitted prior to permit issuance. (For required items not checked above 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 Other By Date Plans checked by Date Plans approved by Date Other: Copy—DPW I COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Driv(g— G'oville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT auinonze representatives or the t;ounty or tsutte to enter upon the above-mentioned property for inspection purposes. X Date 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 Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS , By Date Building permit expires Date BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address Telephone No. Contractor / , .�!•r'- / 1 C= ��� . 11 f� r/'/A/ . '/r/ �I /. �J Mailing Address ��V � ,rl `1C*i -,.,Jyt.- .0,1�i Fireplace Total Valuation Telephone No. Permit Fee Building Address Z/4 K Ped, 12,; Plan Checking Fee&/or Penalty Permit Fee PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 Each Trao 1.50 e--) I /- L) r L L Repair drainage or vent piping 1.50 �- A. P. No. r (j� �� Zoning & Planning Water piping 1.50 Each gas water heater or vent 1.50 Fees W.•C-* Sanitation Fire Dept. Fire Zone Use Permit Gas piping system 1 - 5 outlets 1.50 EQA Parking Plans Parcel Declaration Parcel Map 60' R/W I Improvements Each additional outlet .30 Building sewer 5.00 Bldg. -Plans Recd, Parcel A royal Plans Approval Lawn sprinkler system 2.00 NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER 0' Permit Fee $ . ;.'_ - ' t - r t r . r, • r_ (� r+rt IJ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 %; OG Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 0 Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD'L 100 AMP 2.50 Main service OVER s O 25,00 100 AMP OR LESS Main service( EA. ADD'L 100 AMP 1.00 OR ADDNS. ACCNEW CONST. LBLDGS.LING CCUP 22sgft C 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 St le of: Y NEW CO IgD � BRANCH CIRCUITS) 2.50ea NEW 1 I- IgD BRANCH NEW CONSTR. (POWER APPARATUS fill NON.RESID. (POWER OUTLET CIR. Ex. Occuo(OUTLETS OR FIXTIiRES 5 L�j APPLNS. OR Ex. QCCU (OUTLETS p•\OUTLETS (RESID.) EAJ 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 $ MECHANICAL No @ FEE WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ElI have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. PERMIT FILING FEE $3.00 V Heating Cooling Ventilation Hood 2.00 Permit Fee $ %.0 i $ "- I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby Land Development Fee $ TOTAL PERMIT FEE it auinonze representatives or the t;ounty or tsutte to enter upon the above-mentioned property for inspection purposes. X Date 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 Code and/or resolutions to do work indicated above for which fees have been paid. DIRECTOR OF PUBLIC WORKS , By Date Building permit expires Date COUNTY OF BUTTE – DEPARTMENT OF PUBLIC WORKS 7 County Center Drive .-- O.ro Ile, California 95965f� _-% (/ Telephone: 534-4541 / / !- APPLICATION AND PERMIT Owner' Mailing Address Telephone No. Contractor �I�E�%/`'� � �f�/S4 �Z I�OM�o✓Z/ ClfN /�s1L Mailing Address ` Telephone No. Building Address A. P. No. Zoning a Planning FEee frertOquop FireDept. Fire Zone Use Permit EQA ParkingParcel Parcel Ma 60' R/W Im rovements Plans Declaration P P Parcel Approval Plans Approval NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER Single Family Duplex ❑ Mobil Home ❑ Others ❑ 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: THE TRRNE ldomr- cornFOyeT cENTF2 License No. 26So'1q Classification ❑ 1 am exempt from the Contractors License Laws of the State of California. WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ®I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. le 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. I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. JULX Date ? Signature of Permitee nt Receipt No. , %®/ g White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant _ BUILDING SQ. FT. OCC. I BUILDING VALUATION Fireplace $ Total Valuation ELECTRICAL No. Permit Fee FEE Plan Checking Fee &/or Penalty $3.00 Permit Fee 600V OR LE Main service 100 AMP ORSLESS PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Building sewer 5.00 Lawn sprinkler system 2.00 Permit Fee $ ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 0t> 600V OR LE Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Main service OIEI 1100 AMP OR LESS 25.00 Main service EA. ADD'L 100 AMP 1.00 NEW CONST. ( DWELING OR ADDNS. ACCLBLDGS.CCUP. s) 20sgft NEW CONSTMULTI.OUTL TUNON.RESID,/ITS) CIR 2.50ea NEW CONSTR. (POWER APPARATUS 0 NON-RESID. SINGLE OUTLET CIR. EX. OCCUD(OUTLETS OR FIXTIIRES 50@ BAL@1 FIXED APPLNS. OR EX. OCCU P•(OUTLETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 6.25 Permit Fee $ MECHANICAL No @ PERMIT FILING FEE $3.00 Heating Cooling Ventilation Hood 1 2.00 Permit Fee $ 16() $ Q Land Development Fee $ TOTAL PERMIT FEE $ (, This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. TNv;_; PUBLIC WORKS BY(2Date i4ht -Bvrtdiml-permit ex ires Date 6 . N PERMIT NO. 173-77B,P,E,M PERMIT EXPIRES OWNER Gallaway & Co. CONTR. owner LOCATION (A.P. 30-20-54 1168 Roy Dr., lot #3, Upshaw Sub, Oroville 4 . n Temp. Power PJo e 0�Ar;�,;P, 4!'i!' , Called PG2E Temp. Elec4Serv. , Calle4'PG&E T e m pydas Serv. E ^> ailed PG&E /FOINALED !/ (Date). (Signature J THIS IS TO CERTIFY THAT INSULATION HAS BEEN ININ CONFORMANCE WITH THE CURRENT REGULA- TIONS, CALIFORNIA ADMINISTRATIVE CODE, TITLE 2 E OF CALIFORNIA, IN THE, BUILDING LOCATED AT: Street i� Lot Number Tract No. EXTERIOR WALLS / Manufacture Thickness/Type lL R Value ` CEILINGS Batts: Manufacturer Thickness R Valu,- Blown: alueBlown: Manufacturer 'Thickness 3� No. Bags 2Z Wt./Bag Sq. Ft. Covered /1"'d R Value FLOORS Manufacturer Thickness/Type R Value SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation inches FOUNDATION WALLS Manufacturer Thickness/Type R Value_ GENERAL CONTRACTOR LICENSE No. BY. TITLE — DATE INSULATII NCONTRACT HAWKINS INSULATION CO. LICENSE No./ 215-925 BY /✓ /�/� TITLE oma`. ec-- DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS of • BUILDING INSPECTION RECORD BUILDING BUI DIN (Cont'd) PLUMBING Setback,` % Firewall Z Soil Piping Forms Parapets 1 st F Ioor Main Bldg. Restroom Finish 2nd Floor Footings 42Windows 3rd Floor Stemwall Siding To out Slab / % Roof Sheathing Water Piping Piers Roofing 7 Sewer Garage Fdn. Vents—' Fixtures Footings Garage Vents Water Htr. Stemwall Insulation �� ^ —% Heaters01 Slab, Prov. for psically Applia -17 Carport hndica e Gas Piping & Test Conformance of ex. Footings structure Temp. Gas Slab Final . 5 " Sanitation Patio FIREPLACE Final Footings Footing ELECTRI Masonry Walls Throat Rough Reinf. Steel Final Fixtures Bond Beam FIRIt SPRINKLERS Motors Framing Test Water Htr. Stucco Final Subpanels Mesh ME HANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts Underground Interior Lath Ventilation Permanent Door Closer Final ,�% Final --Z- DATE REMARKS OR CORRECTIONS (NOTE: An entry must be made on this form each time you visit the job site.) \C/ COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Uroville, California 95965 Telephone: 534-4541 APPLICATION AND PERMIT .+ u— I - Ic •n Lauvca Uumity uI butte to enter upon the above Ion propert r o 1 spection purposes. % X Date %�/ �" Signatu of Permitee or Agent Receipt Nol56,3xr _ 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. DIRECTO UBLIC WORKS By Ci l Dated -7 7 ilding permit expires Date Z 7 BUILDING Owner 4__ eci SQ. FT. OCC. BUILDING VALUATION &0 T 1 s -d 0 Mai I ing Address 7- Sr Telephone No. Z — Fireplace Contractor Total Valuation z Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee $ oc Building Address `� PLUMBING No.1 @ FEE PERMIT FILING FEE $3.00 00 L L& Each Trap 1,50 ov Repair drainage or vent piping 1.50 Water piping 1.50 S U x r�u� Each gas water heater or vent 1.50 V A. P. No. a ^ Z. Gas piping system 1 - 5 outlets 1.50 v Each additional outlet .30 Fe. , an FireDept. FireZone Use Permit Building sewer 5.00 EQA Parking Parcel P aration Parcel Map 60' R/W Improvements Lawn sprinkler system 2.00 s R Parcel Approval Plans�proval Permit Fee $ eYON � 3G NEW ADDITION ❑ UTILITIES ❑ OTHER ❑ ELECTRICAL No.1 @ I FEE PERMIT FILING FEE J$3.00 ,Bv Main service V OR LE .100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 Single Family Duplex ❑ Mobil Home ❑ Others ❑ OVR Main service 1100EAMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR ADDNST (DACGLBLOG LING OCC 20 sq ft Zig NEW CONSTR. (MULTI -OUTLET NON.RESID. BRANCH CIRCUITS) '2.50ea NEW CONSTR (POWER APPARATUS &) NON -RESID. SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of Cali 1- 'a Business & Px9fessions Code under the name sty f.. Ex. Occup(OUTLETS OR FIXTURES) BAL@1 00 FIXED APP LNS. OR Ex. Occup.(OUT LETS (RESID.) EA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No. % 4-% L/ Classification Misc. Wiring 6.25 I- ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ $ cst; 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 liabilitycc for Workmen's Compensation. I have placed on file with the County of Butte a certificate of � Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No.1 @ FEEPERMIT FILING FEE J$3.00 3100 Heating QJ a Cooling p Ventilation Hood 2.00 -,M_GC.) Permit Fee $ $ /Z 1,05 I certify that I have read this application and state that the above information is correct. a to comply to all County Ordinances and State Laws r." ing o building construction, and hereby /L a 2.y_, CX3 TOTAL PERMIT FEE $ p .+ u— I - Ic •n Lauvca Uumity uI butte to enter upon the above Ion propert r o 1 spection purposes. % X Date %�/ �" Signatu of Permitee or Agent Receipt Nol56,3xr _ 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. DIRECTO UBLIC WORKS By Ci l Dated -7 7 ilding permit expires Date Z 7 0 �. - This set of plans an kept on the joky at all make any changes or l -Wriften permission from; Works, County of 13114+1 i X1 N i specific' oti.ons MUST be and it i pes --: _ s unlawful to ;rations on some without le Depdr¢ment of q co � A// M of q �rr4p�t eter ic PWethf� n,for Y R See Mastgr Plan on plans° lot OIWIi5 BUTTE COQThe Bldg. Setback shall be 5 ft. from the BUILDING DEPARTMENT - - side property line and - 50 ft. from the centerline of the road, permif•fing a maxi-- _ mum of a 2 ft. eave overhang but entirely APPROVED out of all easements. Zo Loll r1l CP is & W04' Wiled mansh� for G p Sholl 'Od . 4e hp d{;ed a ices on,l e. nsco/ CoeI'? th� rsal I. f ± PERMIT NO. _ 304-$2B,P,E fV PERMIT EXPIRES 1 OWNER Dotiglas. Cody CONTR. H. Nelson Constr., Oroville ASSESSOR PARCEL 30-20-54 LOCATION 1168 Roy Dr., Oroville 1P Temp. Power Pole_ Called PG&E _ Temp. Elec. Service Called PG&E_ i° i Temp. Gas Service _ Called PG&E / JOB FI ALEA (Date) Signature 4 1 THERMALITO IRRIGATION DISTRICT r n�.,• 410 GRAND AVENUE OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: -�-." �+" z - Date: ' �— r Address:Acct. No: � • A. P. No. Phone: No. Units: Applicant/Agent: Agents Proof: Address: Fees: Phone: Application $ Arrearage Preliminary Review By - `• �' '` �' t.'i Date: ` ' CSA 26 Remarks: f ' SC -0 R 1st mo. S.C. Other Total Fees - Collected By: Date: Field Review By: Date: Remarks: 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). ❑ 180 days after date -above, or on date of D.P.W. approval of completed building sewer, which ever comes first ("new constructi n'`, after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID RRC TTIRNT TAT. ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFOCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT___LZ rn o 2 ( ocation) , BU ILD ING PERMIT NO. A. P. NO ..,n L 7_ e THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS: (Check each item or write N/A 'if not applicable) INSULAT ION : Slab Edge Fdn. Walls Floors Walls Ceiling/Roof Ducts_ Circulating Pipes 40 APPROVED HEATER ,-- x'is D` APPROVED WTR.HTR.� GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS. INTERMITTENT IGNITION DEVICES CERT. APPLIANCES I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED. Insulation Applicator Name , /� !/�� �S a •✓ �✓ (please print) Signature of Insulation Applicator State Contractors License No. General Contractor/Owner.Name Signature of (please print) General Contractor/Owner• /71/11! Date State Contractors License No. 2g -/r 2< . r f THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, 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. l Inspector / �� Date'.oz S�" �....�-•�" J = OK 0 = Not OK — = Not Applicable M.O B I L E.H OM ES = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements—Setbacks—Easements Date DECKS, CO S, CARPORTS; ETC. (Plans) OK except #'s 1 - ning Requirements—Setbacks—Easements 2, Soils; Special MH Support—Sketch ,. ootings; Size—Depth—Spacing—Connectors 3. Sewer; Location—Test—Fall-C/0—Concrete s; Gi ers and/or Joists—"Decking—Bracing—Stairs—Rails 4. Water; Location—Test—Easement Needed (Sketch) 5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete jkg-,LAwn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing - 5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures 6, Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG 6, Carports; Windows—Doors 7. Utility Clearance 7. 'Elec. Card -BI Date Card -BI Date C -BI Date Date Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date MOBILEHOME INSTALLATION (Plans) OK except #'s 1• Zoning Requirements—Setbacks—Easements Date _ POOLS (Plans) OK except #'s 1• Setbacks—Easements 2. Footings; Size—Spacing—Marriage Line 3. Gas; MH Test—Demand—Valve—Connector 4, Electricity; MH Test—Crossovers—Breakers—Clearances 2. Soils; Compaction—Structure Stability 3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining 4, Elec.; Receptacles and Lighting; Distances—GFI 5. Drain; MH Test—Fall—Flex Connector 6. Water; MH Test—Regulator—Connector .— 5. Elec.; Pool Lighting; 15 volts—GFI 6. Elec.; Enclosures; Conduit Entries—Terminals—Listed , 7• Water and Sewer Connected—C/0 to Grade—HD Approval•t 7• Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg. Boxes—Enclosures—Panel boards—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 -I Date Card -BI Date Card -BI Date Card -BI Date Card B -I Date Card -BI Date Card -BI Date Card -BI Date --4- �r --4- = OK = teat OK Not Applicable = Not Ready RESIDENTIAL (Single and Duplex) Date UNDERFLOOR P6 -Ks OK except #'s Date FRAUI IG (Continued) 1. Zoning requirements -Setbacks -Easements 4 . P Terty Line Firewall & Openings 2. Fig., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth Ext. Doors -One 3' -Check Garage -3rd story, 2 exits 3. Fig., Garage; Soils -Steel- / /" Fig. Depth 59. ira�-Width-Headroom-Rise-Run-Landing-Fire Protection 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth 5. Stemwalls, Main; Steel -Bloc kouts-Wrapped-Slab 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab . Plywood on Roof Overhang -Attic Vents -Rafter Outriggers 52 iding-Nailing-Veneer 52--6%eee-0desh-Drip Screed-Fdn. Vents-Underflr. Access Piers -Fireplace Ftg.-Steel Gazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall i Test 'A ewer Test Shear Walls; Nailing -Bolts 9. Gas Pipe; Size -Anchors 10. Water Pipe; Test -Anchors -Regulator -Service Test 11. Electric; Underground 12. Plenums & Ducts; Clearance -Material -Support -Ins. 13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples C -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card;P�l y Date and BI Date Date FINAL (P)paSrOK except p's C d -BI 44,, Date rd -BI Date �,� Date PLUMBING (Permit) OK except #'s Ext. Steps -Door & Sidelight Protection -Landings nloke Detector ;1.--14e4er?�t.; Vent -Access -Combustion Air §/Furnace; Vents -Clearance -Comb. Air-Connector- In Garage; Above Floor-Ducts-Mech. Protection ater Pipe; Test & Anchors -Nail Protection 1 D.W.V.; Test-Fttngs & Anchors -Nail Protection edviom Exiting Pan; Test, First Floor -Tub Access 18. T15st Tub & Shower, 2nd Floor -Tub Access F.I. & Bath Fixtures & Tub Access ec. Trim & Subpanel; Breaker Sizes -Labels 19. Gas Pipe; Size & Anchors 6P treplace or Stove; Clearances -Hearth lec. Outlets at Wood Panel; Int. & Ext. Card -BI Date and -BI Date .& Appliance; Grnd.-Air Gap -Cooking Clearance Card -BI Date Card -BI Date utlets & Receptacles at Kit. Counter Date ELE TRICAL P .it OK exce t p's tr Door; Swing -Landing -Closer ct.in Garage -Damper Fixture &Transformer Clearance -Ins. Protection wtr Htr - vee.& -Clearance -Comb. Air-Connector-P.R.V.- 6�—`Aove In Garage; Above Floor-Mech, Protection Elec. Receptacles Spacing -Lights &Switches at Doors Size Boxes No. of Conductors -Stapled 7 . Plb., Elec. & Mech. Equip. Listed for Location Rex Installed Close to Edge of Studs & C.J. 7�, {e_ceptacles in Garage; (G.F.I.)-Romex Protec. 2 Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water 72. Insulation -Foam -Looked in Attic 9�*_ pp ianc ircuits in Kitchen & Conductor Size Guard Rails & Deck Construction -Post Caps _ - 26. Subfeed Wire Size /--4 ga. Cu or AI-A.C. Wire Size 7Vya. Cu or At 74. Fdn. C wl Hole Door -Drainage & Wood -Earth Clearance oo El Yes 27. Range Circ. k/-ga. Cu or AI -Oven Circ. Y'/ ga. Cu or Al, Insulated Neutral E"Pes--EiFe„_ 75. Following instl Drive CA, es E]No; Walks es ❑ No; es []Noce Zzd�gPlanters -Riser Conductors &Ground -Main Disconnect rot inish 2 ip. Clearances; Panels-Motors-Mech. Equip. isconnect-Cirnces-Brkr. & Cond. Size -115V Outlet 34rCfothes Closet Light -Shower LightVents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. 79--40 lerJNaLL,B15connect, Electrical, Plumbing 8B/EzZe rior orElec. Trim; G.F.I. Receptacle -Underground d B -I ate '3— and -BI Date entilation throughout House Card B -I Date Card -BI Date84e-tlass Protection Date MECHANICAL (Permit) OK except N's Corrections from Previous Inspections Tagged; Gas -Electric A.C. Ducts; Insulation Support qW & Sewer Connected -C/O to Grade -HD Approval 2 iove InsulationetMOITnergy Compliance Certificate -Other Certificates _ 33. Condensate in & Overflow; Size & Grade 34. Furnac ent; Access -Comb. Air -Return Air Vent -115V outlet 35. At ' Access & Platform if Furnace in Attic Card-BI'CA ate �.�Bard-BI Date Card -BI Date .��2ard-BI Date Card -BI vqff Date and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAMING(Plpr/(s) OK except q's Comments at Final: Sills; Proper Material & Anchors _ ails; Studs -Nailing, Spacing & Bracing -Plates -Sound Xi- _ E37earing Walls over Girders & Floor Nailing Draft Stop in Walls (rat proof) _4 s; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing_ _ ziiiangers-Post Caps -Anchors -Connectors r - - - Joist-Ritr. Ties -15i in - R Brac.-Truss-Shthng.-Rfng. e Ties or lace, lace. Throat - ttic Access; Size '& Romex Protection -Draft Stop -Ins. Baffles K. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 4,Z-4aarage Fire Protection Framing (NOTE: An entry must be made each time youvisit jobsite) COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WO S PERM No-,' - 7 County Center Drive - Oroville, California 95965 - Telephone 91 534-4541 APPLICATION AND PERMIT A ASSESS R PARCEL NUMBER _ 6 — `�' ZONING _ BUILDING PERMIT OWNE V �-•��` TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAIL ADDRESS r, c� 2 1 z CONTR CTOR• N E TELEPHONE I s r -q-33-01 99 CONTRACTOR'S AIL. G ADDR S Fireplace ` c7 CONSTRUCTION END UNKNOWN Total Valuation $ 1 Q Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ :29100 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee ,$' -39-110 Penalty $ ARCHITECT OR ENGINEER'S MAILING DRESS Permit fee $ BUILDING ADDRESS PLUMBING PERMIT Filin Fee 10.00 9 Each Trap 31 2.00 ,(� Repair drainage or vent piping 5.00 ro Water piping cj , LOT NO. SUBDIVISION NAME PARCEL MAP �. Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ❑ Mobilehome❑ Other Duplex SPECIFY Building sewer -5- , Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition Remodel Utilities ❑ Installation❑a0sp.�� Describe work: c�L� �) V ��i1 Permit Fee $ ,ro Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V DR LESS 100 AMP OR LESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. (DWACC. BLD ELLING lEd1[ OR AODNS. �—•I( P�gft / CONTRACTORS LICENSE LAW I declare nder 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 No3S,S 7 --,classification � — FJ 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 CONSTR ..OUTLET IRC ITS NON.RESID BRANCH CIRCUIT S 2,50 ea NEW CONSTR. ( POWER APPARATUS 3) NON.RESID. SINGLE OUTLET CIR. Ex. Occup OUTLETS OR FIXTURES a �� IXED APPLNS. OR 1 Ex. Occup.(OUTLETS (RESID.) EA./ 2.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ Contractor MECHANICAL PERMIT Filing Fee 1.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. R II have placed on file with the County of Butte Building Department I� a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor 1 certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 paid County in c ns ue a of the granting of this permit. te Z Signature of Applicant Owner ❑ ContractorAgent ❑ An OSHA permit is required for excova ions over 5'0" d p and demolit' n or construct- ion of structures over 3 stories in heigh . Mobile Home I stallation Fee $ /0-00 TOTAL PERMIT FEE OCCUP. GROUP I TYPE OF CONST. PARCEL PD I D• .SSU This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIR OR OF PUBLIC BY P 1 EXPIRES Date _ the applicable provi- resolutions to do fees have been paid. WORKS Date, � -�Z 2--11 �r� /_ r Receipt No. 16-W6 0 •^ r 1 ��J3S lf7" f� d WNITE-D.P.W., YELLOW -ASSESSOR, PINK NSPECTOR, GOL NROD-APPLICA T I -7RCOO /4I _ w O7 ra � .� °• S (P C �, v °D z CN x N 00 G� m v1 0D 0 tf o 0 V0IMN �_ ^{ m 3 r� '4 T tU Q' to 2. < °. Y ' � 3 CA n .e. 0 m _ PT 'In r O7 ra � .� °• mop rn (P C �, r �, x N 00 w .A � 0D 0 10 �_ ^{ co `tJ CEJ Q mp Qm N Lo J;' �• � tl r 00 a, n 0 -© > C Ln 0 N �_ ^{ co s 3 ; �+ 3 {2 CD - cr n 0r I~y 7V W W � 1 K7 sC°�y • o ° Z L, m�y�Z vi fY~ k J Y __, rl 71. s n j 0 4A �tJ Q `tJ CEJ Q mp Qm N Lo J;' �• � tl r 00