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Home My WebLink About030-350-051ELBA 30-35-51 RT HALL _ 1506 KEKO ST., OROV'ILLE ERNiI T 7 26- tjP(SEWER CHANGE OVER) S/F 30-35-51 2532-90B,E SCHURKAMP, Thomas <� ,.; I 1506`Keko St, Oroville (detached garage/sf):,• �. 30-35-51 2256-91B,P, •SCHURKAMP, Thomas & Deanna 1506 Keko Street, Oroville (addition) SF -7 3-92 a o - I i ELBA 30-35-51 RT HALL _ 1506 KEKO ST., OROV'ILLE ERNiI T 7 26- tjP(SEWER CHANGE OVER) S/F 30-35-51 2532-90B,E SCHURKAMP, Thomas <� ,.; I 1506`Keko St, Oroville (detached garage/sf):,• �. 30-35-51 2256-91B,P, •SCHURKAMP, Thomas & Deanna 1506 Keko Street, Oroville (addition) SF -7 3-92 a �i LO 0::o 35D t os� Butte County Department of Development Services TIM SNELLINGS, DIRECTOR I PETE CALARCO, ASSISTANT DIRECTOR BUTTE COMY 7 County Center Drive Oroville, CA 95965 APR 0 3 2007 (530) 538-7601 Telephone (530) 538-7785 Facsimile DEVELOVA40T www.buttecountv.net/dds samcrs www.buttegeneralplan.net REQUIRED SWIMMING POOL SAFETY UPGRADES (EFFECTIVE JANUARY 1, 2007) TO: All Single Family Residential Remodel and Modification Permit Applicants FROM: Scott Rutherford Manager, Building Division RE: Correction of Pool & Spa Hazards, Assembly Bill 2977 (Mullin) Chapter 478, Statutes of 2006 California Health and Safety Code Section 115928 DATE: February 28, 2007 To eliminate safety hazards on existing pools and spas, Assembly Bill 2977 (Chapter 478,. Statutes of 2006), effective January 1, 2007, - - requires the installation of pool anti -entrapment covers whenever a building permit is issued for the remodel or modification of a single family home. The permit shall require that the suction outlet of the existing swimming pool, toddler pool, or spa be upgraded so as to be equipped with an anti -entrapment cover meeting current standards of the American Society for Testing and Materials (ASTM) or the American Society of Mechanical Engineers (ASME), ASMEIANSI Standard A 112.19.8. DECLARATION The property located at f l o 7 -Lra wd 4ye . Ore d / LLe - CA has: (Check all that apply) a swimming pool ❑ a spa ❑ a wading /toddler pool ❑ does not have a swimming pool, spa, or wading/toddler pool 12vu. yA hGy P"L If there is an existing swimming pool, spa, or wading/toddler pool, I understand that a pool anti -entrapment device is required at the above address in conjunction with my permit. I also understand that if a pool anti -entrapment device is required, the completed Installation Certification below must be received by the building inspector at final inspection. Please note that permits cannot receive final inspection approval without this certification. I acknowledge that I have read and understand the requirements of AB 2977 and that the above is true and correct. �YYI ,,�eYV� vuacru 3 -9k-617 Sig toe Print Name Date R77R lationship to Project (please check one): Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor Company Name — — -- Contractors State'License Number - - INSTALLATION CERTIFICATION For the property located at I hereby certify that an anti -entrapment cover meeting the current standards of the American Society for Testing and Materials, or the American Society of Mechanical Engineers is installed in the ❑ swimming pool . ❑ spa ❑ wading /toddler pool Signature Print Name Relationship to Project (please check one): ❑ Owner ❑ Agent for Owner ❑ Licensed Contractor ❑ Agent for Licensed Contractor ❑ Other: If "Licensed Contractor' or "Agent for Licensed Contractor" is checked, please complete the following: Company Name Contractors State License Number K:Forms/Building Forms/Swimming Pool Affidavit Anti -Entrapment Updated: 3/20/2007 bLA C>Y�er t RESIDENTIAL -35-51 + SCHURKAMP 2256-91Y P,g 30 `+1506 Keko�Street, & Deanna Oroville (addition) SF _ 7i -Z ` h F� t 3 t, • 1sf 't i Ir r �f t JOB FINALE Signature .�. �i w..�t :..r�!'>,r x -s �^'xrr�rsr'�.... w.-•�:..�r-�.,.crs. ..� .� . s ,_ .� . _ =f COUNTY OF BUTTE 4• DEPARTMENT OF PUBLIC WORKS - 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541. 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. a% A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, h please contact this office immediately. ' J -may — ! G-1 1 •, g �tl y °i Date Z Inspector - REV 11/91 V COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891.-2751_ ?ar 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE ?: _�-C��- v �2>�� /n �° � � -sem- �/ • _� OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist.at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, please ' ntact this office immediately. 9d �. . /Z-4 V< -jam.....I�'.rr..-r:'`u'.�ij_`�."r"-"'-^�-r:.ra's.-. �`�.+^.�."r�-'..F r_ a ... .... r.... 'w�..♦ .a�.-e-�. — �. COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 1; 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE OWNER PERMIT NO. A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is complete . If you have any questions pertaining to this matter, or need additional explanation, please intact this office immediately. _Y M • '1 fr C i.7 R.l DateInspector REV 11/91 COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS 1469 Humboldt Road, Chico, CA - (916) 891-2751 f 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Elliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE Y OWNER PERMIT NO.' ;i A routine inspection indicates that the following violations of Butte County Ordinances exist at the above address and should be corrected. Please notify this office when correction of work is completed. If you have any questions pertaining to this matter, or need additional explanation, ;4 please cgrv7t this office immediately. j* Date (� REV 11/91 2 -Ins J=OK YO_,b O = Not OK = Not Applicable Not Ready RESIDENTIAL (Single & Duplex) = Date UMbERFLOOF (Plans) OK except #'s �e(. ng -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ /" Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped -G-Ea. Hold Downs and Special Anchors 7., lib; Steel -Wrapped Piers -Fireplace Ftg.-Steel "evneD.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test 0. OF as Pipe; SizeAnchors - yard gas piping: size -test Water -Ripe; Test -Anchor -Regulator -Service Test 12. Ele tric; Underground tie ums & Ducts; Clearance -Material -Support -Ins. 4. infers -Sills -Anchor Bolts -Joists -Vents -Cripples giYl.-Access & Ventilation 16. Insulation , Date rd B-1 ,, ate and 6-1 Date Card B-1 Date Card B-1 Date PLUMBING (Permit),Ot except #'s 1 ater Hir. ccess-Combustion Air-Baff'e t ----- --- - -- - - --------- ater Pipe: Test &Anchor -Nail Protection --------- ----- ---- ---- - ------------ W V.; Test -Fittings & Ancho -Nai ectio -- = =L•9 --Shower Pan: Test. First Floor -Tub ss --- - --- 20. Test -Tub & Shower, Second Floor -Tub Access ------ ----------------- ------------------ _ 2L-Gas-P-ipe: Size & Anchors Dat -----✓ -- �- Card -6-1---- Date --- Card -B-1 - -----� ----= Datc� Card B-1 Date ----------Card B-1 Date ELECTRICAL (Permit) OK except #'s 22. Fixture & Transformer Clearance -Ins. Protection --------------------------- 23. Elec. Receptacles Spacing -Lights & Switches at Doors -- --------------------------------------------------------------- 24. Size Boxes & No. of Conductors -Stapled ------------------------ ----------------------------------------------------- 25. Ro Installed Close to Edge of Studs & C.J. Ground made up w/Mech. Fastners-Bond Gas &Water ---------- ----------------------------------------------ond ---Wat -------- 2 Appliance Circuts in Kitchen & Conductor Size/GFI ------------ ----- -------------------------------- ------------------------- - 28. Subfeed-Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. -- Cu or AI 29. Range Circ. / r ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes ❑ No ------------------------------------------------ 30. Service -Riser Conductors & Ground -Main Disconnect - - - ----------------------------------------- 31. Equip Clearances Panels-Motors-Mech. Equip. ------------------------------------------------------------------------------- 32. Clothes Closet Light -Shower Light -Spa Light --------------------------------------------------------------- -- 33. Smoke Detector -------------------------------------------------------------------------------- --- -- -----p /?--------------------Card- --------Date-------------Card----------------- Date f^-Z7,rt?ard 8-1 Date Card B-1 -----iY --- --------- -- ----- ----------------------------------------- Date Card B-1 Date Card B-1 Date MECHANICAL (Permit) Ok except #'s 34. A.C. Ducts Insulation & Support ------------------------------------------------------------------------------ _ 35. Vent Fan: Exhaust above insulation ------ ---- 36. Condensate Drain & Overflow: Size & Grade - ---------------------------- 37. Furnance-Vent: Access -Comb Air -Return Air Vent- 115 outlet - 38. Attic Access & Platform if Furnance in Attic ---------------------------------------------------------------- ---- -- -- ---------------------------------------------------------------------------------- Date ------Card B_t Date ------ - ------Card-B-1 --------- --.-.Date Card B-1 Date Card B-1 Date FRA NG (Plans) OK except #'s Sils. Proper Material & Anchors y 0. Walls Studs -Nailing. Spacing & Bracing -Plates -Sound ------ - - - - ------------ `------------------- ----------------------------------- - - 41. eanng Walls over Girders & Floor Nailing -- - ---- - -------------------- ----------------------- -2.. -- 2. Draft Stop in Walls (rat proof) Fire Stops: Furred Ceilings -Stairs -Chases -Tub -------------------------------- -------------------------- 144_.Meaders & Beam -Size & Bearing Date w FRAMING (Continued) 45. Hangers -Post C ps-Anchors-Connectors 46. Cing. Joi - ties -Purl in -roof Brac-Truss-Shthng.-Rfng. ��1�47. Fir lace Ties-eK-�ype-A Flue -Fireplace Throat clearance Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions �05r'age Fire Protection Framing 51. Property Line Firewall & Openings 52, Ext. Doors -One 3' -Check Garaoe-3rd Storv. 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection wood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access ----------------- 57. Glazing Area -Glass Protection -Skylights -Plastic ---------- ---------- 58. Shear Walls, Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date- and B-1 Date Card B-1 Date67� 2 -&,.Card B-1 Date Card B-1 Date FINA Plans) O except #'s - - Ext._Steps-Door & Sidelight Protection -Landings moke Detector --------- -- ------------ 6 s -Clearance -Comb. Air -Connector - In Garage; Above Floor-Ducts-Mech. Protection ---------- ---------------- __6 room Exiting F Bath Fixtures & Tub Access -Spa ----------- , f„�--------- 19R. Elec. Trim & Subpanel: Breaker Sizes & Labels ------------------- - �"SFraiT3 ............ r Stove: Clearances Hearth (� . Elec. Outlets at Wood Panel; Int. &Ext. - -- - ---------------pp --------- �- Bance; Grnd.-Air Ga Cooking Clearance & Receptacles at Kit. Counter ----- --- ---- ---- 2 arage Fire Door; Swing -Landing -Closer ----------- ----------------------- 7�-arage-Damper --------------------------------------- --- 4nis-Clearance-Comb. Air-Connector-P.R.V. . -_ In Garage; Above Floor-Mech. Protection - -------- - ------------------ Ib.. Elec. & Mech. Equip. Listed for Location --------- -- --- -------------- ---------- p -------- 9 ( ) ece tacles in Garage: G.F.I. -Romex Protection -------------------- ------------------ nsulation.goefh-Looked in Attic ❑ Yes --------------------------------------------- s eck Construction -Post Caps ------------------- - - dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 80. F ❑ Yes ❑ No; Walks ❑ Yes ❑ No; Planters--O-Yes ❑ No _h ------------------------------------------- ------ _ i -errFrrrrect.Electrical, Plumbing -------------------- - - -- ents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings 84. r e isconnect, Electrical, Plumbing - Exterior Elec. Trim; G.F.I. Receptacle -Underground - Venti at an Throughout House lass Protection 88. Corrections from Previous Inspections --------------------------- - ------------------------------- 89. Gas -Test- Me-te rsTagged; Gas -Electric_ --------- - 90. W r & Sewer Connected -C/O to Grade -HD Approval- nergy Compliance Certificate Other Certificates Date Card B-1 _Date Card B-1 f -------- -- Date �i- Card B-1 Date-- Card B-1 - Date / Card B-1 Date Card B-1 Comments at Final J=OK O=Not OK N t Ready ot MOBILE MOBILE HOMES Date MOBILE HOME UTILITIES (Plans) OK except H's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fall -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / /" L" ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except ft's 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card 13-1 Date Card B-1 Date Card B-1 Date Card B-1 MISCELLANEOUS e Date DECKS, COVERS, CARPORTS, GARAGES, (Pfans)OK except tf's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Connectors Shthg.-Rfg.-Bracing 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date Card B-1 Date Card B-1 Date Card _13- 1 Date Card B-1 Date POOLS (Plans) OK except q's 1. Setbacks -Easements 2. Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elec.; Pool Lighting; 15 volts-GFI 6. Elec.: Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 ENERGY INSTALLATION CERTIFICATE Building Owner �' 6 �5 <�,/co uR !C"Ip Building Permit # -'225(o-91 Building Location f KF KO NOU (L LC CA(. i F. (o S^ DESCRIPTION OF INSULATION ROOF Material Thickness(inches) EXTERIOR WALL Material f i er I ►�s5 Thickness (inche ) �— Brand Name Thermal Resistance (R Value) Brand Name OWEN5 Corm, Thermal Resistance(R Value) R-/! CEILING Batt 'or k t1 Type Name on ` Cve� CO 11 i d/ Thickness(inches) S 2 X�1- / %rand c_�(.Thermal Resistance(R Value) Loose Fill Type Brand Name . Minimum Thickness(Inches) Area Number of Bags Wt. per bag lb. covered(ft.2) Thermal Resistance(R Value) FLOOR, ELEVATED Material f � be►- A �N5s Brand Name OC; e;;s �YlNiru, Thickness(inches) :S 9r2- Thermal Resistance(R Value) R-/! FLOOR, SLAB Material Brand Name Thickness(inches) Thermal Resistance(R Value) Width (inches) - FOUNDATION - WALL Material Brand Name Thickness(inches) Thermal Resistance(R Value) I hereby certify that the above insulation 'was installed in the above building, _.--..--_:is._consisten-t--with approved -building- department -plans and -attachments -and con" ----- forms with requirements of Chapter 2-53 of State of California Energy Requirement FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO. 7 -2f -q2 - SIGNATURE OF INSTALLATION APPLICATOR DATE I hereby certify the required features, devices, and equipment, a5 shown on the approved Building Department plans and attachments have been installed and conform to the appli- ance standards and Chapter 2-53 of the State of California Energy requirements. BUILDING CONTRACTO (OWNER Please Print) (FIR14 NAME) Lj SIGNATURE OF BUILDING COATRACTOR OWNS HVAC FIRM NAME/OWNER (Please Print) SIGNATURE OF HVAC CONTRACTOR/OWNER STATE CONTRACTOR'S LICENSE NO. DATE STATE CONTRACTOR'S LICENSE NO. DATE THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION APPROVAL AND A COPY SHALL BE -POSTED WITHIN THE BUILDING. SEPTEMBER 1988 7 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center,Drlve - Oroville, California 95965 - Telephone: 916/538-7541 APPLICATION AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER 030-350-051 ZONING -- A—R BUILDING PERMIT OWNER THOMAS & DEANXA TELEPHONE 32-1737 ,SQA FT. OCC. BUILDING VALUATION 468 M 2 6 OWNER'S MAILING ADDRESS 1506 KEKO STREET OROVILLE CA 9590 0 CONTRACTOR'S NAME - OWNER TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace 23,868 CONSTRUCT��I TON LENDER ON UNKNOWN Total Valuation $ Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ 164.50 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ 2.25 Energy Plan Checking Fee $ 15.00 ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ 271.7 PLUMBING PERMIT Filing Fee 10.00 1506 KFK0 STREET OROVILLE CA 95926 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT SUBDIVISION NAME P CEL MA Water piping, 5.00 nn I Each pas water heater or vent 5.00 USE OF STRUCTURE SF[M Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home S I G I W 10.00ea TYPE OF WORK New Addition Q Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: ADD LIVING ROOM &. HATH Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR L00V oR OR LESS 1 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): F -1I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. IV 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 arid Professions Code for this reason NEW CONST. / DWELLING OCCUPM DR ACDNS. C ACC. BLDGS. / , 71.70 h2sgft NEW CONSTR.MULTI-OUTLET NON•RESID BRANCH CIRCUITS) 2.50 ea POWER APPARATUS tr\ SINGLE OUTLET CIR. / Ex. OCcup(OUTLETS OR FIXTURES 200501 5AL030 FIXED APPLES, OR EX. OCCUp. OUTLETS (RESID.1 EA. 2.00 Temporary service 10.00 Mobile Home. -Facilities 15.00 Misc. byirin g 15.00 Permit Fee $ 21.70 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT FiIirig Fee 10.00 Heating Cooling g 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 aga' t said County in s quenc of the granting of this permit. X Date / Signature of Applicant — Owner ❑ ontroctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ o c allP TOTAL F $ 321.45 -. PARK SC H FL CDF PAR PD ) HD. ISSU This permit is hereby issued under the applicable provi- sions of the Butte County. Code and/or resolutions to do workindicate bove fo which fees have been paid. F PUBLIC WORKS By ° •ate PERMIT EXPIRES Date 2.d Receipt No.94486 321 _45 WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT Z COUNTY OF BUTTE - DEPARTMENT 4F PU'8LIC WORKS - BUILDING DIVISION /V 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORi,95965=TELEPHONE: 916/538-7541 PER IT APPLICATION DATA SHEET Permit No. �c A. OWNER L��4AIA � / P. No. Proposed,. Building Use � %%/ /DN Building Inspector Date-- At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . .................................... 2. Plot plans in duplicate/triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans . . 4. Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form ......................................... . 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings .............. 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome installation data including manufacturer's installation �- instructions ........................................................ 10. Fees of $ 11. Chico Urban Area fees,paid....................................... 12. Pa k— r fees paid...... .. L_, � �O—H t—G' School District fees paid .............. �- �'� � Cl 14. -�� Sanitation approval from :nQ Health Department 15. City of Chico plumbing permit ..................................... 16. Plot plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ...... 18. Improvements may be required. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24. Recorded copy of Agricultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26. 27. When you issue the permit, process as follows: - L. -I Mail to owner. Mail to contractor. Telephone 53.3- 0/ and honor pickup at office. Deliver w/inspector. Other Applicant ate / �s Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent _Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Circle new item not_che ed above). 1. Index permit for above items No. �_�_'� - ��r "fie_.. 2. Additional items required: Mc Contractor, desigrier, owner, was advised of above required data by _phone--nail—counter by.date� Q/ Contractor, designer, owner, was advised of above required data by_phone_mall_counter by date Plans checked by Date Plans approved by 414--/0A)Date Sets of plans on hold in File cabinet AP folder Copy—DPW COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovllle, California 95985 - Tolophono: 918/538-7541 APPLICATION AND PERMIT PERMIT NO. d <30 -3So -GS - - N N - BUILDING PERMIT wNCR o4vl/>isNUR 1' 11 c HONG S3Z - I �3 SO. FT. OCC. BUILDING VALUATION OWNIZR'! MAILING AD RB!! /50 G 7 ko si n 5 Z 8 3 8 CONTRACTOR'! NAME 6wNet2 TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER �N� UNKNOWN —Total Valuation ,$ 3 LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ O ARCHITECT OR ENGINEER � LICENSE No. Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee s /5 QO Penalty $ BUILDING ADDRESS Permit fee $ d7 1 a"75 PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 g,60 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 - Ur C1 Each Gas water heater or vent 5,00 USE OF STRUCTURE SF Duplex❑ Mobilehome❑ Other SPECIFY Gas piping system 1 - 5 outlets 5.00 OC> Building sewer 5.00 Mobile Home S I G I W 0.00 ea TYPE OF WORK New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work:dM_ Z-1&A'I? /2oon-, 104*6 Permit Fee $ W, Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 8000 AMP OR1 OR LESS10.00 _ CONTRACTORS LICENSE LAW 1 declare under penalty of perjury (check one): ❑NON.RESID I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$ and Professions Code and my license is in full force and effect. License No. Classification. ❑ 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ 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 Main service EA. ADD'L 100 AMP 2.50 NEW CONST. DWELLING OCCUP.81r� OR ADDNS. ( ACC. BLDGS. 21Aosq ft v NEW CONSTR ULTI.OUTLET BRANCH CIRC ITS 2.SOea POWER APPARATUS &) (SINGLE OUTLET CIR. Ex. Occup( OUTLETS OR FIXTURES eAL90530a FIXED APPLNS. OR Ex. Occup. OUTLETS IRESID.1 EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring g 15.00 Permit Fee $ WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation EPenult Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the Countyot Butte to enter upon the above-mentioned property for inspection purposes. 1 also agree to save, indemnify and keep harmless the County of Butte against all liabilities, judgments, costs, and expenses which may in any way accrue against said County in consequence of the granting of this permit. X Date Signature of Applicant — Owner El Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures overstories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE 2 / TOTAL FEES 3 E 2 I� HAz cuq I PgRK I scHL i FLD I PAR i PD "0. ;ISSUE i This permit is hereby issued unser sions of the Butte County. Code and/or work indicated above for which fees DIRECTOR OF PUBLIC BY PERMIT EXPIRES Date the applicable prove - resolutions to do have been paid. WORKS Date '3 Receipt No. �'Z%f' �z� -"MITE-O.P.W.. YELLOW- ASSCS$OR. PINK -INSPECTOR. GOLDENRCO.APPLICANT .. .....---'+air'.. ...-z- �--ww.»r,.e+.q�yr: T ._ s. '. '" ..-.---•. --•--'--r--�-"--r----cr.+.,� BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM ` (One Form per Building) i Q A.P. Number`30 -3-5)-65( Building Department No. School District Q1 H(Aa H City D County Jurisdiction Property OwnerJ h'6,44A5 CYIyi Project Location/Addr,ess '/50 6 I'��d� D � �/L0 64 95ct2 6 Subdivision Lot Number Residential Development: Sq.Footage # of Living' MHI AWition (Group R) Units Commercial/Industrial: Sq. Footage New Addition (Including Exterior Roofed Areas) z Building Departmen Representative LDAte' (Floor Plans reviewed by School District Personnel) 4-016 District Id No. 920264 /A -d) 6K J School District certifies that white -applicant, yellow -building department, pink -school district •1 SCHOOL.FEE (8/88) (Applicant Name) (Phone Number) reet /Add/r%ess �) (City) (State) (Zip Code) has the Resolution No. complied with requirements of k by the payknent of Xe representing square feet. w s I I Sc ool Distri t Representative _ Date} PAID BY CHECK NO. '! REMARKS: BANK NO PAID BY CASH ' white -applicant, yellow -building department, pink -school district •1 SCHOOL.FEE (8/88) COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541 OWNER -BUILDER VERIFICATION Attention Property Owner: An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification'is received. 1. I personally plan to provide the major labor and materials for construction of the proposed propert improvement (yes or no) 2. I (have/have not) 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 portion& of this work, but I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone Contractors License No. 5. I will provide some of the work but I have contracted (hired) the following persons to provide the work indicated: Name Address Phone Type of Work Signed: / Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-538-7541 • DATE 10-21-91 THOMAS & DEANNA SCHURKAMP RE: B.P. APP: -#2256-91 1506 KEKO STREET OROVILLE CA 95926 A -P. # 30-35-51 With reference to the above subject: " Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,' Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise (DPW). Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy of deed showing Recorded copy of agricultural acknowledgement statement. • :ER PLEASE SUBMIT A FLOOR Pi.AN JF RYTSTTIA_• •• •, • 1 1. :••u 1 u.i. •i. ►111TITIC.L Should you have any questions concerning the above, please contact DAVE WASNEY of this office. Yours very trthlFWEEN 3 & 5 P.M. JFG/aj William Chaff Director of Public Works .F. Glander Chief Building Inspector COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive, Oroville, CA 95965 PHONE: 916-533-7541 DATE 10-28-91 SCHURKAMP, THOMAS & DEANNA RE. B.P. APP. #2256-91 1506 KEKO STREET A.P. # OROVILLE 'CA 95965 30-35-51 With reference to the above subject: LL Attached is: Application for permit Mobilehome Utilities Installation Sheet Building Plans Mobilehome Installation Information Sheet Engr. Calcs Typical Plan Sheet Owner -Builder Verification Form List of Codes Enforced OTHER �L We need the following information: Permit application signed and completed where indicated with all copies returned. Fees of $ payable to Butte County Treasurer. Certificate of Workmen's Compensation Insurance or check exemption statement. Contractor's License Law information or check exemption statement. Complete plans in including plot plans. Plot plans in - Structural details in Complete plans and calcs in by registered engineer or architect. Energy design including Street and drainage improvement plan approval from Land Development Section (DPW). sets of plans in accordance with the changes marked in red. Sanitation approval from Butte County Health Department at: 196 Memorial Way,'Chico 7 County Center Dr., Oroville Skyway & Elliott Rd., Paradise Planning approval from Butte County Planning Department, 7 County Center Drive, Oroville, for Completed Owner -Builder Verification form. Recorded copy.of deed showing Recorded copy of agricultural acknowledgement statement. X OTHER STRUCTURAL PLANS INCLUDING ATTACHMENT TO FXTSTTNG DRAWN TO SCAT -F_ -,FF LETTER DATED 10-21-91 Should you have any questions concerning the above, please contact DAVE WASNEY of this office. Yours very truly, JFG/aj William Cheff Director of Public Works .F. Glander Chief Building Inspector .OD fa sR o:�z) e -d) Add ' i This set of plans and specifications MUST be., kept on the job'at all times and it is unlawfull tc make any changes or alterations on same writ; out written permission from the Department Qs Public Works, Countv of Butte. N.O Moterhla dt W Accordance trill Roc nP Sl�il @d i. of a " uaG °9 �sd-�'b'°d isnot eR. 9 ty Prescribed fe 4 Med ft.., Uniform J1 in ►'Plumbing &. - the ration t etricai Code. eve iA setback of 5 tt. Iron the' property lines and a setback of 50 K. from the road. . . . centerline shall be clear of structures or equipment except for a 2 ft. Gave overhang.-AAIO CC Fi+e or= Acs Fcs+h'S . . . . . . . . . . . . . .... .. .... 1�.;�,� - BUTTE o WILDING DEPARTMENT 0 .� w r,r%Qmmn CI ,3d TZUM troftwilbeqvbric, enrOq to toe zid" ;;t lulwelnu 2i ti bno esmit Ils to dol sfh no fre 4110w emits rio anoitaistle io aaenfi& yn6 o -41v ZO tmOfft6qO(3 Odt moll flo'lazimisq ..%"Ulg io vinuo'-') ')i babe Id am beila ? air. pt;;bgu #44 Waim A eni .*boo Jpzw*A foftoftl !)0,* (110t.ti '3 t(J lot YTVUC)o 'rV;E;AfIrRAcT3G C3VORqQRA ---- — Aj Q NO 17 I� e*,aablG l�' 76, �Z MCA .77 PIP- -. O A H4LL Wn IN ol y �W ego m o-- `� j Z M b t 4V t fn.o%urn �h i .......... 1 1 t aC� � �h i .......... W tNOav✓ J _ : � SGODin/& AdO�+j GCo52'�'' . �J-"u � 3 k� .ƒ 7 ®/ %�\� ■® St Ll C4. 6; Pilovide W x IM anchor boW Q. VO.Q max and within ur ofJolsta. . - �r� i � �j'��nl�i�7'�GN� L -L zzlt-Ao--k C, MLIUA N�k Ak IL arlw Iv . . .. . . . . . . . . lfv� .. .:... . : I ..... ... .. 22 Provide approved flashing at all OPerilngs, typical. xteidOP ►v c(ti r- 2Ta 4 ,I bk F(,.R f � Underfloor access and ventilation jxw Sec, 2516, UBC. 7' C fiNK'L: C yy kl�lria(j M, �o i S ►-,, �n ci s r ' � L .. 0y M, �o i S ►-,, �n ci s r ' LAJ c-2 �.J Uot it w�' G ws�JP Ao M, �o i S ►-,, �n ci s r ' -0 FORM 7 ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET PACKAGE "A" (Additions) Ownereanip Climate Zone Permit # Floor Area The following data showing mandatory and required features of Package "A" shall be installed for additions to dwellings. Additions to dwellings include room additions, converting garages and patios to living areas, house moves that add footage and attic conversions,,and any space that is existing non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. . IZONE 11 OZONE 116 APPLIES TO NEW AREA CEILING /" R-30 WALL FLOOR R-11 ® R -R9 R-11 1 PI 19 =- SLAB t R-7 i I - GLAZING \ U-.65 (DualO JU-.45 (Dual) SHADING SOUTH - OPTIMUM OVERHANG or .36 Shading Coefficient WEST - .36 Shading Coefficient LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) VAPOR BARRIER (Zone 16) DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK OF THIS SHEET. OTHER 12/85 *1 HEATING. VENTILATING, AIRCONDITIONING SYSTEM (A) Heating • ❑ Central Gas Furnace % (brand and model numt�2r) SE Btu/hr _ (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at T F) Q Active Solar type (liquid or air) Collect?r brand and ft model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *1 (B) Cooling ❑ Electric Air Conditioner (brand and model number) (seasonal EER) Btu/hr (cooling capacity at 95°F) ❑ Electric Heat Pump EER Btu/hr (cooling capacity at 95°F) Q Other (describe) DOMESTIC WATER SYSTEM Q • (A) Gas Only Gallons (brand and model number) (tank size) ❑ Heat Pump w/Electric Backup (brand and model number) Gallons (tank size) ❑ *2 Active Solar (collector brand and model number) (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature `, cooling load BTU *2 Submit T.I.P.S.E. chart*or other approved system (form #5) to 'document sizing of solar panels. ® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of Title 24, Part 2, Chapter 2-53 of the California Administration Code. SIGNATURE OF BUILDIN DESI . R OR APPLICANT X- 02-110-048-1 COUNTY OF BUTTE - PROPERTY SYSTEM PRP8VC-R031 SECURED APPRAISAL "WORKSHEET FEE ASMI: 030-350-051-'000- ASMI: 995-052-326000 BASE DATE: 00/00 STATUS: A ACTIVE USE CODE: RS SINGLE FAMILY DWEL-STICK BUILT ASS ESSEE: SCHURKAMP THOMAS W ADDRESS: 1506 KEKO ST OROVILLE CA 95965 SITUS: 1506 KEKO ST APPRAISAL TRIGGER ENTRY DATE DOCUMENT NO. DOC DATE 07/23/92 92-P-32256 02/20/92 COMPUTATIONS: EXPLANATIONS: SB- SF ADDITION VALUATI ONS/EXEMPT IONS VALUE SOURCE: R ROLL CD TITLE V01 MARKET LAND V02 RESTRICTED LAND VALUE V11 STRUCTURAL IMPROVEMENTS V12 MARKET GRO'W'ING IMPROVEMENT V13 RESTRICTED GROWING IMPROVEMENT V14 FIXED IMPROVEMENTS V21 PERSONAL 'PROPERTY OTHER V31 BUSINESS INVENTORY VALUE DATE: 07/23/92 PAGE: 1 TIME: 17.09.29 ORIG ASMT: 030-350-051-000 SUPPLEMENTAL: HOLD STATUS: HOMEOWNERS FLAG: OTHER BASE YRS: TAXABILITY: SALES PRICE: TRANSFER TAX: ORO DOCUMENT CODE/TITLE 88 .BUILDING PERMIT 19 - 19 - ROLL ROLL NEW VALUE 12990 000 ADJ MASE VALUE ------------------------------------ 49356---____-- ------------------------------------ E01 H HOMEOWNERS EXEMPTION 7000 TOTAL ROLL, NEW S 'BASE VALUES 62346 -------- --------- --------- NEW BASE OTHER BASE EVENT APPRAISAL APPRAISER APPRAISAL INITIALS DATE YEARS (Y/iN) DATE CODE ID DATE AL. RESIDENTIAL 30-35-51 2532-90B,E SCHURKAMP, Thomas 1506 Keko St, Oroville (detached garage/sf) "Z(Cl, JOB FINALED (Date) Signature J=OK O = Not'OK Not ' = Not Readyable MOBILE HOMES , Date MOBILE HOME UTILITIES (Plans) OK except #'s 1. Zoning Requirements -Setbacks -Easements 2 Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Test -Easement Needed (Sketch) 5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Test -Wrap: / P'L'Yt. / P'Nat. or/ /"L"ft./ /"LPG 7. Utilitv Clearance e Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 Date MOBILE HOME INSTALLATION (Plans) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 5. Drain; MH Test -Fall -Flex Connector 6. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8 Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 •- s �T MISCELLA Date DEC , COVERS, CARPORTS, RA Plans OK except #'s zo_nins'F�eq ui rements-Setbacks-Easements Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors ,9 -"Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6, Caf=rts: Windows -Doors 6-'Fr—mg; Sils-Anchors-Studs-Rftrs-Trusses ding; Na' 'ng -Veneer -Stucco -Mesh 0. Roof; thg o -� 14 i 11. t.; Steps- oors-Landings Date Card B-1 ter - - Card B-1 Date4 Card B-1 -VI- DateT2, Card B-1 Date POOLS (Plans) OK except #'s 1. Setbacks -Easements 2 Soils; Compaction -Structure Stability 3. Pool Structure; Steel -Connections -Thickness Dead Men -Lining 4. Elec.; Receptacles and Lighting, Distances-GFI 5. Elac.; Pool Lighting; 15 volts-GFI 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip :Heater '8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 s �= Not O -Not OK -=Not Applicable ' = Not Ready RESIDENTIAL (Single & Duplex) Date UNDERFLOOR (Plans) OK except #'s Date FRAMING (Continued) 1. Zoning -Setbacks -Easements -Flood -Slope 45. Hangers -Post Caps -Anchors -Connectors I 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 46. Cing. Joist-Rftr. ties -Pu rlin-roof Brac-Truss-Shthng.-Rfng. 3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance r 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles ! 5. Stemwalls, Main; Steel- Bloc kouts-Wrapped 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions ! 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 50. Garage Fire Protection Framing 6a. Hold Downs and Special Anchors 51. Property Line Firewall & Openings ( 7. Slab; Steel -Wrapped 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 8. Piers -Fireplace Ftg.-Steel 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test _ 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 10. Gas Pipe; Size -Anchors _ 55. Siding -Nailing Veneer 11. Water Pipe; Test -Anchor -Regulator -Service Test 56. Stucco Mesh -Drip Screed -Fd. Vents-Underfir. Access 12. Electric; Underground 57. Glazing Area -Glass Protection -Skylights -Plastic. 13. Pienums & Ducts; Clearance -Material -Support -Ins. 58. Shear Walls; Nailing -Bolts 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 59. Insulation -Walls -Ceilings 15. Insulation _ 60. Infiltration -Walls -Windows Date Card B-1 Date Card B-1 Date Card B-1 Date Card B-1 _ Date Card B-1 Date Card B-1 Date PLUMBING (Permit) OK except #'s Date Card B-1 Date Card B-1 16. Water Htr.; Vent -Access -Combustion Air -Baffle Date FINAL (Plans) OK except #'s 17. Water Pipe; Test & Anchor -Nail Protection 61. Ext. Steps -Door & Sidelight Protection -Landings A 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 62. Smoke Detector 19. Shower Pan; Test. First Floor -Tub Access 63. Furnace; Vents -Clearance -Comb. Air -Connector - In Garage; Above Floor -Ducts -Meth. Protection 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors 64. Bedroom Exiting _ 65. G.F.I. & Bath Fixtures & Tub Access -Spa •i Date Card B-1 Date Card B-1 66. Elec. Trim & Subpanel; Breaker Sizes & Labels Date Card B-1 Date Card B-1 67.'Stairs & Rails Date ELECTRICAL (Permit) OK except #'s 68. Fireplace or Stove; Clearances -Hearth 22. Fixture & Transformer Clearance -Ins. Protection 69, Elec. Outlets at Wood Panel; Int. & Ext. 23. Elec. Receptacles Spacing -Lights & Switches at Doors 70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance 24. Size Boxes & No. of Conductors -Stapled 71. Elec. Outlets & Receptacles at Kit. Counter 25. Romex Installed Close to Edge of Studs & C.J. 72. Garage Fire Door; Swing -Landing -Closer 26. Equip. Ground made up w/Mech. Fastners-Bond Gas & Water 73. A.C. Duct in Garage -Damper i 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. In Garage; Above Floor-Mech. Protection 28. Subfeed Wire Size / / ga!Of! or AI-A.C. Wire Size / / ga. Cu or Al- 75. Plb., Elec. & Mech. Equip. Listed for Location 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral ❑ Yes O No 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection 77. Insulation -Foam -Looked in Attic O Yes 30. Service -Riser Conductors & Ground -Main Disconnect 78. Guard Rails & Deck Construction -Post Caps 31. Equip. Clearances Panels-Motors-Mech. Equip. 79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance Looked under Floor ❑ Yes 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector 80. Following instld.; Drive 0 Yes 0 No; Walks ❑ Yes 0 No; Planters O Yes O No 81. Stucco: Brown -Finish Date Card B-1 Date Card B-1 82. A.C. Unit; Disconnect, Electrical, Plumbing Date Card B-1 Date Card B-1 83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to Openings Date MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 84. Water Well; Disconnect, Electrical, Plumbing 35. Vent Fan: Exhaust above insulation 85. Exterior Elec. Trim; G.F.I. Receptacle -Underground 36. Condensate Drain & Overflow; Size & Grade 86. Ventilation Throughout House ( 37. Furnance-Vent: Access -Comb. Air -Return Air Vent -115 outlet 87. Glass Protection 38. Attic Access & Platform if Furnance in Attic 88. Corrections from Previous Inspections 89. Gas Test -Meters Tagged; Gas -Electric 90. Water & Sewer Connected -C/O to Grade -HD Approval Date Card B-1 Date Card B-1 91. Energy Compliance Certificate -Other Certificates Date Card B-1 Date Card B-1 Date FRAMING (Plans) OK except #'s Date Card B-1 Date Card 8-1 39. Sils, Proper Material & Anchors Date Card 8-1 - Date Card B-1 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound Date Card B-1 Date Card 8-1 41. Bearing Walls over Girders & Floor Nailing Comments at Final: 42. Draft Stop in Walls (rat proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing each time you visit iob site) (NOTE- An entry must be made "'mss j tt. . _-_...COUN.TY.OF.BU.T_T.E_____ _ DEPARTMENT OF PUBLIC WORKS �! 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 538-754.1 747 Elliott Road, Paradise — Phone: 872-6307 CORRECTION NOTICE SCW V f P - OWNERPERMIT NO. r 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 Da:elti3—`�/�_ Inspector _ vI COUNTY OF BUTTE -DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 •+ APPLICAVOW-AND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER .30-35-51 ZONING AR BUILDING PERMIT OWNER Thomas Schurkamp T53� EL Pty3� SQ. FT. OCC.1 BUILDING VALUATION ' DW 1506MKekoGStDRESs Oroville 95965560 M 7840 CONTRACTOR'S NAME owner TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ LENDER'S MAILING ADDRESS Filing Fee $ 10.00 Permit Fee $ ARCHITECT OR ENGINEER L'CENSE NO. Plan Checking Fee ,$' -14-25 ARCHITECT OR ENGINEER'S MAILING ADDRESS Energy Plan Checking Fee $ Penalty $ BUILDING ADDRESS 1506 Keko St. Permit fee $ 119-75 PLUMBING PERMIT Filing Fee 10.00 Each Trap1 2.00 Oroville Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 1 55,00 Each qas water heater or vent' 5,00 USE OF STRUCTURE SF ❑ Duplex❑ Mobilehome❑ Other garage sPECI FY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home I S I G JW 1 10.00e TYPE OF WORK New [U Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: det. garage Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100V OR 0 AMP ORLESS10.00 CONTRACTORS LICENSE LAW I declare under penalty of perjury p y p I y (check one): I am licensed under El p provisions of Cha t. 9, Div. 3 of the Business and Professions Code and my license IS In full force and effect. Icense No. Classification I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract - ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason Main service EA. ADD'L 100 AMP 2.50 4,00 NEW CONST. DWELLING OCCUP.IV OR ADDNS. ACC. BLDGS. / , 2/20sgIt NEW CONSTR MULTI -OUTLET NO ESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS IS %SINGLE OUTLET CIR. Ex. Occu Occup(OUTLETS OR FIXTURES 20@50C .SAL@30 FIXED APLINIS EX. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ 24.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuaticn) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ®/I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. Contractor MECHANICAL PERMIT Filirig Fee 10.00 Heating Cooling Hood 3,00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County 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 s d County in co a ence the granting of this permit. X Date 7-�3-ra Signature of Applicant — Owner Q Co roctor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE 136.75 "� c� P� SCHL F P PD HD I$$u This permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees' DIRECT9P OF PUBLIC BY �� PE EXPIRES Date _ the applicable provi- resolutions to do have been paid. WORKS Date 2-3/- f �� Receipt No. 70185 WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT till" T - COUNTY OF BUTTE - DEPARTMENT- OF PUBLIC WORKS - BUILDING DIVISION 7 COUNTY C`=NTER DRIVE OROV6@L= ,, CAFORNIA 95965 - TELEPHONE: 916/538-7541 U PERMIT APPLICATION DATA SHEET r Permit No. I I�f U IVV'r S r� li 12�` �i A. P. No. OWNER �.. /� � _ Proposed Building Use ��/ eo &glf�� Building Inspector Date_ —O At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATE RECEIVED APPROVED 1. All items have been submitted . ........................ ......... �2 j 2. Plot plans in du 'c .'triplicate, signed by preparer of plans........ 3. Complete plans in duplicate/triplicate, signed by preparer. of plans .l Mo 12. E 4. -Complete engineered plans and calcs, with wet signature on plans .. 5. Hazardous Material Form .......................................... 6. Energy Design Compliance and supporting documentation ......... 7. Statement of Intent for Non -Heated and AC Buildings ............... 8. Engineered truss details and layout in duplicate (required prior to plan check) 9. Mobilehome inst'allatio data including manufacturer's installation instructions......... - ...................................... 10. Fees of $ ........................ 11. Chico Urban Area f es paid ....................................... 12. Park fees paid .................................................... �V1�. Sc�o�, Dstrict fees paid .............. 4. Sanitation approval from /� U Health Department 71 Z% 15. City of Chico plumbing permit ..................................... 16. Plolt plan and business license approval from City of (see City for other requirements) 17. Planning approval for (A) Use: (B) Parking: ..... 18. Improvements may be Inquired. Contact Land Development Section DPW 19. Driveway permit (construction approval required prior to occupancy) 20. Pre -Inspection for required Pre-Inspec. request to Building Inspector (Date) 21. Contractor's license information (No., Name Style, Classifications ... 22. Certificate of Workmans Compensation Insurance .................. 23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ..... 24; Recorded copy of Ageicultural Acknowledgment Statement ......... 25. Letter of signature authorization ................................... 26., 27. When you issue the�e mit,rprocess as follows: Telephone - 'd hold for mai 11 owner. Mail to contractor. pickup at office. Deliver w./inspector. - Copy of Haz-Mat form sent �1 Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date By The following data must be submitted prior to permit issuance: (Cftle new item not checked above). 1. Index p Index for above items No. ' ,2. Additiol items required: 1 II - IE Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date Contractor, designer, owner, was advised of above required data by i phone —mal l_counter by date Plans checked by Date Plan approved by Date _ I � _Sets of plans on hold in File cabinet —_-ZAP folder Copy—DPW �f/ v 1 H COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Orovi Ile, California 95965 -Telephone: 916/538-7541 APPLICA T IOWAND PERMIT PERMIT NO. ASSESSOR PARCEL NUMBER ZONING n BUILDING PERMIT _ OWNER M �G�, J � V rE HONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING -AO RESS / CONTRACT R•SN I TELEPHONE CONTRACTOR'S MAILING ADDRESS 1 Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee 1Q,QQ LENDER'S MAILING ADDRESS Permit Fee $ ,�Z> ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS Permit fee $ RoT 75- , -PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 Solar or heat pump water heater 20.00 LOT NO. SUBDIVISION NAME PARCEL MAP Water piping 5.00 Each qas water heater or vent 5.00 USE OF STRUCTUR /% SF ❑ Duplex❑ Mobilehome❑ Other �� P- L� SPECIFY Gas piping system 1 - 5 outlets 5.00 Building sewer 5.00 Mobile Home ISI G W 0.00e TYPE OF WORK Ne Addition ❑h R—etm-ooddel ❑ UtiliTties ❑ Installation❑ Other ❑ Describe work:y / T 1� H L� Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 500V OR LESS 100 AMP OR LESS 10.00 Main service EA. ADD'L 100 AMP 2.50 CONTRACTORS LICENSE LAW I declare under penalty perjury p y of p er I y (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. ClassificationFIXED ❑ I, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is. not intended or offered for sale. (Sec. 7044) ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CONST. ( DWELLING CCUP..) OR ADDNS. ACC. BLDGS. +/x¢sg ft NEW CONSTFL MULTI -OUTLET NON.RESID BRANCH CIRC ITS 2.50 ea POWER APPARATUS e (SINGLE OUTLET OR. ) Ex. Occup( OR FIXTURES e20®s0t ALa Sot Ex. Occup. OUTLETS P(RESID )REA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 15.00 Permit Fee $ Contractor WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. ❑ I shall not employ any person in any manner so as to become subject to the W. C. laws of California. Notice to Applicant: If after making this statement, should you become subject to the W. C. provisions of the Labor Code, you must forthwith comply with such provisions or this permit shall be deemed revoked. MECHANICAL PERMIT Filing Fee 10.00 Heating Cooling Hood 3.00 Ventilation Permit Fee $ Contractor I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County or 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 ❑ Contractor ❑ Agent ❑ An OSHA permit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST TYPE TOTAL FEE $ / 36, 7� HA2 I CUA I PARK I SCHL I FLD I PAR I PO HD ISSUE Th's permit is nereby issued under sions of the Butte County Code and/or work indicated above for which fees DIRECTOR OF PUBLIC By PERMIT EXPIRES Date the applicable provi- resolutions to do have been paid. WORKS Date Receipt No. ;701rb-e WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT COUNTY OF BUTTE - DMa.rt7ent of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION Attention Property Owner: An "owner -builder" building permit has your signaturie. Phone: 916- 538_75(, ]. been applied forn your name and bearing Please complete and return this information at your unnecessary delay in processing and issuing your building will be issued until this verification is received. earliest opportunity to avoid permit. No building permit 1. I personally plan to provide the majo labor and materials for construction of the proposed property improvement ( s or no) 2. Iav /have not) signed an application for a building permit for e proposed work.' 3. I have contracted with the following person (firm) to provide the proposed concstructi.on: Name Address _ _ _ City Phone Contractors License No. 4: .I tan to provide portions of this work, but I have hired the following person tolcoordinate, 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 . 4 Phone Type of Work 14- Signedi: Property Owner Social Security Number Date NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the'California Health and Safety Code. ThisI verification must be'completed and returned to our office before we are per- mitted to issue the permit. PERMIT NO. Po -76P P E M MH UTIL. PERMIT NO. PERMIT EXPIRES 1/2/27 OWNER ELBERT HALL CON TR. OWNER LOCATION (A.P. 1506 KEKO ST.) OROVILLE Temp. Power Polt Called PG Temp. Elec Serv. Calle PG&E Temp. as Ser,. _ alled PG&E. OB FINALED THERMALITO IRRIGATION DISTRICT 410 GRAND 4VENUE {' OROVILLE, CALIFORNIA 95965 TELEPHONE 533-0740 CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT Service Address: Owner's Name: Date:. 2t".'= 2 - Address: Address: >-=, n r' 1 t= t!./') I' Acct. No: 7-1 ►nC",t A.P. No.:.3f? Q7 T 7)1 Phone: No. Units: Applicant/Agent: Agents Proof: 1:a Address: ° Fees: Phone: Application $ Arrearage Preliminary Review By: �1 AAA • f'`4 Date'7�)`f �\ CSA 26 / Remarks: a r T— SC-0 R 1st mo. S.C. Other Total Fees ikgf.) Collected By: Date: Field Review By: Date: d Remarks: TT V. MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON: 0 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 construction", after Mar. 5, 1974). DISTRIBUTION: WHITE - TID, YELLOW • APPLICANT, PINK - DPW, GOLDENROD - DPW to TID Setback Forms Main Bldg. Footings Stemwal I Slab Piers Garage Footings Stemwa I I Slab Carport Footings Slab Patio Footings Masonry Wall: Reinf. Stee Bond Beam Framing Stucco Mesh Scratch Brown Finish Interior Lath Door Closer DATE COUNTY OF BUTTE — DEPARTMENT OF PUBLIC.WORKS BUILDING INSPECTION RECORD BUILDING I BUILDING (Cont'd) PLUMBING ASS _ Firewall Parapets Restroom Finish .Windows Siding Roof Sheathing Roofing Fdn. Vents Garage Vents Prov. for physically handicapped Conformance of ex. structure Final FIREPLACE Footing Throat Final FIRE SPRINKLERS Test Final MECHANICAL Heating Cooling Ducts Ventilation Final REMARKS OR CORRECTIONS Soil Piping 1st Floor 2nd Floor 3rd Floor Topout Water Piping Sewer Fixtures Water Htr. Heaters Appliances Gas Piping & Test Temp. Gas Sanitation Final EL Fixtures suopaneis Grd. Fault Prot. Service Temp. Pole Underground Permanent Final J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Orovi Ile, California 95965 r,�/ Tel eghone: 534-4541 OC/ _ 7(� APPLICATION AND PERMIT 2-1� 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. ZX C ' Date Signature of Permitee or Agents Receipt No. Z i 011- L � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of j the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DR Q„�P LIC WORKS BY Z'-1Date ermit expires Date_ —o"�?� BUILDING Owner t,—I- SQ. FT. OCC. BUILDING VALUATION Mai I i ng Address Tel hone No. -' ireplace Contractor Total Valuation Mailing Address Permit Fee Plan Checking Fee&/or Penalty Telephone No. Permit Fee Building Address PLUMBING No. @ FEE PERMIT FILING FEE $3.00 c Each Trap 1.50 Repair drainage or vent piping 1.50 Water piping 1.50 Each gas water heater or vent 1.50 _ C A. P. No. `1 Zoning & Planning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 FesfWW[Sa ion Fire Dept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Plans Parcel Declaration parcel Ma P 60' R/W Improvements p ovements Lawn sprinkler system 2.00 BI Parcel Approval Plans Approval Permit Fee $ NEW ❑ ADDITION ❑ U ILITIES ❑ OTHER ELECTRICAL No. @ FEE PERMIT FILING FEE $3.00 Main service incl. 1 meter Additional meters, each 1.00 Single Family Duplex ❑ Mobil Home ❑ Others ❑ Sub -panel (12 or less) (morethan 12) Range, Cook -top or Oven 1.00 Water Heater or Space Heater 1.00 Light fixtures y Receps., switches & fix outlets CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: Hood, Ex. Fan or F.A. Furn. Motor 1.00 Evap. cooler, gar. disp. or D.W. 1.00 Air conditioner or heat pump Water pump Mobil Home Facilities 5.00 Temp. Power Pole 5.00 License No. Classification Misc. wiring •® I am exempt from the Contractors License Laws of the State of California. Permit 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. ❑ 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 $3.00 Heating Cooling Ventilation Hood 2.00 Permit Fee $ I certify that I have read this application and state that the above information is correct. I agree to comply to all County Ordinances and State Laws relating to building construction, and hereby authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. ZX C ' Date Signature of Permitee or Agents Receipt No. Z i 011- L � White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant TOTAL PERMIT FEE $ This permit is hereby issued under the applicable provisions of j the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. DR Q„�P LIC WORKS BY Z'-1Date ermit expires Date_ —o"�?�