HomeMy WebLinkAbout030-350-078O
3
30-35-78 4279-90B,P'
-CONVERSE, Paul
•1466 Olivet'Grove Ln,..Oroville I
(new sf)
V � —0-78
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RESIDE.N`iIAL
30-35-78 4279-90B,P
CONVERSE, Paul
1466 Olive Grove Ln, Oroville j
' (new sf )
r
7
OFFICE COPY i
Address `
rl
GAS
Meter BDa
ELECTRIC
Meter By Date
OFFICE COPY
1 Address
GAS Date
Meter By
ELECTRI Da1��0`
Meter By i
JOB FINALED (Date) —
Signature
i
,
v=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
a
MISCELLANEOUS ``_'
Date
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: / P L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
7. Utility Clearance
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
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
Date
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
5. Drain; MH Test -Fall -Flex Connector
Date
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
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Boxes-Enclosures- Pane Iboa rds-Ins. to Main in Conduit
a
MISCELLANEOUS ``_'
Date
DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'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.-Coonectors
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 B-1 Date 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. 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- Pane Iboa rds-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
J=OK
O = Not OK
Nt Applicable
Not Ready RESIDENTIAL (Single & Duplex)
=
Date UNDERFLOOR (Plans) OK except #'s
1. o ng -Setbacks -Easements -Flood -Slope
Ftg., Main; Soils-Elec. Grnd.-/ ' Ftg. Depth (/- lF/
�3._Pcf, Garage; Soils-Steel-Elec. Grnd.- Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Blockouts-Wrapped
6a. H owns and Special Anchors
lab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test- C/O -Sewer Test
10. Gas Pipe; Size -A ors
L2_ . Water Pipe; t -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date - j i Card B-1 Date - Card B-1
Date '/- /-q Card B-1 uA e� Date Card B-1
Date PLUMBING -ermit OK except #'s
ater Htr.; Vent -Access -Combustion Air -Baffle
u_ 19e_r Pipe; Test & Anchor -Nail Protection
6D.W.V.; Test -Fittings & Anchor -Nail Protection
oPan; Test, First Floor -Tub Access
26 -fest Tub & Shower, Second Floor -Tub Access
.24-15�as Pipe; Size & Anchors
Date- Card B-1 Date Card B -t
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
former Clearance -Ins. Protection
28-ff-ec. Receptacles Spacing -Lights & Switches at Doors
Boxes & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
quip. Ground made up w/Mech. Fastners-Bond Gas & Water
-RT-2-Appliance Circuts in Kitchen & Conductor Size/GFI
28.ize-/. / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or AI
irc. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated_ Neutral ❑ Yes 0 No
ervic - iser Conductors & Ground -Main Disconnect
qui earances Panels-Motors-Mech. Equip.
Cloth-Eloset Light -Shower Light -Spa Light
Smoke Detector
DateDate Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
eructs Insulation & Support
3 an; Exhaust above insulation
Co densate Drain & Overflow; Size & Grade
Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
8. Attic Access & Platform if Furnance in Attic
Datel-'L 7_ -:� /Card B -t Date Card B-1
Date Card B-1 Date Card B-1
Date FRA G (Plans) OK except #'s
Sils roper Material & Anchors
4PAVe Studs -Nailing, Spacing & Bracing -Plates -Sound
4 ng Walls over Girders & Floor Nailing
DrVtttop,in Walls (rat proof)
Fi tops; Furred Ceilings -Stairs -Chases -Tub
Headers & Beam -Size & Bearing
Date AMING (Continued)
Ha gers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
47-�� or Type A Flue -Fireplace Throat clearance
c ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
±5. armire Protection Framing
Pro "-Line Firewall & Openings
xt. Doors -One T -Check Garage -3rd Story, 2 Exits
-Landing-Fire Pr(
541-DIYWDOd on Roof Overhanq-Attic Vents -Rafter Outriggers
55 -'Siding -Nailing Veneer
rip Screed -Fd. Vents-Underflr. Access
lazin rea-Glass Protection-Skylightg=Plastic
SW-Vear Walls; Nailing -Bolts
Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date - , Card B-1 Date Card B-1
Date'{ .JCard B-1 Date Card B-1
Datr FIN Plans OK except #'s
6 xt. Steps -Door & Sidelight Protection -Landings
62. ke Detector
3. Furnace; Vents -Clearance -Comb. Air -Connector -
rage; Above Floor-Ducts-Mech. Protection
4. B om Exiting
G.F.I. & Bath Fixtures & Tub Access -Spa
Elec. Trim & Subpanel; Breaker Sizes & Labels
r---Ez-3ta 73- rRai Is
ace or Stove; Clearances -Hearth
IL e Outlets at Wood Panel; Int. & Ext.
it.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Outlets & Receptacles at Kit. Counter
2. Garage Fire Door; Swing -Landing -Closer
Duct in Garage -Damper
7, 4. W�Ntr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
ko--- In Garage; Above Floor-Mech. Protection
, PI ec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G. F.I.) -Rome x Pr ction
Insulation -Foam -Looked in Attic Yes
ails & Deck Construction -Post Caps
7q Fdn ><owc& Crawl Hole Door -Drainage & Wood -Earth
Cle nce Looked under Floor 0 Yes
0. Following instld.; Driv es alks 0 Yes o;
Planters O Yes 0
Brown -Finish
A.C. Unit; Disconnect, Electrical, Plumbing
8 s Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
ell; Disconnect, Electrical, Plumbing
Exte ' lec. Trim; G.F.I. Receptacle -Underground
entilat n Throughout House
ass Protection
orrections from PreviW Inspections
89. Gla ' est -Meters
ter & Sewer Connected -C/O to Grade -HD Approval
91. nerdy Compliance Certificate -Other Certificates - - e
Date and B-1 Date " n( &'-VJ Card B-1 NZNf
Dat Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
j 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 538-7541'
747 Elliott Road, Paradise -Phone: 872-6307
CORRECTION NOTICE
— `'OWNE
yZ 7 �- 5,
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 additioAl explanation, please contact this office immediately.
Date r Inspectop/�4/
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 +;
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORMgTI,ON NOTICE
i PERMIT NO. �.
A Toutine inspection indicates that the following violations of County Ordinance
exist at the above address and should: be corrected. Please notify this office
M
Date [/ Inspector
1-111*.%Al1w .
ENERGY C:.E11T I. I` 1 CATION
M106 nliue r-,
LOCATION A.P. NO.
ROOF
Material__
Thickness——
EXTERIOR
hickness"EXTERIOR WALL
Material FIBERGLASS
Thickness (Inches)_f
CEILING --
1�ppq-?c
10 and Name_
Thermal Resistance (R Value)_
Brand Name CERTAINTEED_ _
_'Thermal Resistance (R Value)
Batt or Blanket Type FrPERGLASS l; x.a:;d Name CERTAINTEED _
Thickness (Inches) 'Thermal Resistance (R Value)
Loose Fi 1 1 Type._ F�B_ERGLASS Brand Name CERTAINTEED
Minimum Thickness (Inches)_ No. of nags Weight/Bag__25�1bs
Area Covered (Sq. Ft.)00__ Thermal Resistance (R Value),3D
FLOOR,SLEVATED
Material FIBERGLASS _
Thickness Inches)_ ^�-
FLOOR, SLAB
Material _ _
Thickness (Inches) _
FOUNDATION WALL
Material_
Thickness (Inches)
--
Brand Name CERTAINTEED __
'Thermal Resistance (R Value)
Brand Name_
Thermal Resistance (R Value)`•._
13r rind Name
Thermal Resistance (R Value)- .
I HEREBY CERTIFY THAT THE ABOVE :INSULATION WAS INSTALLED IN THE
ABOVE BUILDING IN CONFORMANCE WITH THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
H-AWKTNS _i.Np9lSfI�IF�_ --- 37.9407..._._ _ _
Firm Name/owner State Contractor's License No.
Signature Date -
I HEREBY CERTIFY THE'ABOVE INSULATION AND ALL REQUIRED ITEMS AS
SHOWN ON THE BUILDING DEPARTMENT APPROVED PLANS AND ATTACHMENTS
HAVE BEEN INSTALLED AS REQUIRED BY THE STATE OF CALIFORNIA ENERGY
REQUIREMENTS.
irm Name/Owner -
Signature Gen. Contra r/Owner
Date-----•-�---._-----
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville„California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
.,1�_ .>.`1"jr
PERMIT NO.
I/Z7 o
SOR PARE EL NUMBER
ZSs4aul
ZONING-35-078AR
BUILDING PERMIR
Converse
TELE 'HON
589-1719
SO. FT. OCC. BUILDING ON
_54
200
OWNER'S MAILING ADDRESS
11 Town View, Oroville, CA 95966
CONTRACTOR'S NAME
same
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Q
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
None
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$ 30-00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Olive Grove Lane
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
8 2.00 16.00
Solar or heat pump water heater
20.00
LOT N
SUBDIVISION NAME
PARCEL MAP
47 I
Water piping
5,00 _
Each qas water heater or vent
5,00
,�,,XX USE OF STRUCTURE
SF Lf- Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00e
TYPE OF WORK
New)o Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: 3 BD to be mastered _
51
Permit Fee
$ 46-00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service i°o°o AMP ORSLESS
10.00 10,00
CONTRACTORS LICENSE LAW
1 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.
�� r r
License No. -�= rq' Classification iJ
❑ 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 too AMP
2.50 2,50
NEW CONST. ( DWELLING OCCUP.�\
OR ACDNS. ACC. BLDGS. /
/z2sgft 4$, 25
NEW CONSTRULTI.OUTLET
NON."ESID BRANCH CIRC ITS
2.50 ea
/POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup( OUTLETS OR FIXTURES
2ALO 30
eAl@30
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESI0.) EA.)
2.00
Temporary service
10.00 10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$ 80.75
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
rI 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
FiIingFee 1 10.00
Heating 2 wall heaters
2 6.001 12.00
Cooling swamp
6,00
Hood
3,00 3.00
Ventilation
3.00
Permit
it Fee
$ 34.00
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 Countyotocc
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 Cou qty i onsequence of t granting of this permit.J
X`�)_ 90
sr �- Date fi �'—
Signature of Applicant — Owner0000' Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
CONST TYPE
TOTAL FE
$ 713.75
HAZ
��A
PARK
SCHL
FLD PA
PD
o
Issue
✓
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
PER T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date _f -z -4-9i L
--LLI-- 9,�'
rinheight.
Receipt No. &LIE
WHITE-D.P.W.. YELLO -ASSCS30 R, INx-INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIV-,OROVILLE, CAI .IFORNIA 95965 - TELEPHONE: 916/538-7541
PERMITAPP'LICATION DATA` SHEETn,,l
Permit No. 0-7_
OWNERA P 0 y
Proposed Building Use Building Inspector
Date
qd
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 .........
Statement of Intent for Non -Heated and AC Buildings ..............
8. ngineered truss details and layout in duplicate (required prior to plan check)
4 9. M0bIIeh0rne' installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
ark fees pal .........................................
P1 /1 �y �S Scho I Ditrict fees paid ........... .
4. Sanitation approval from 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
((JJ� 9. Driveway permit (construction approval required prior to occupancvf e
20 Pro -Inspection for re uired Pre-Inspec.request to
p q Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
wner-Builder Verification (Given to owner ❑, Mail to owner ❑) .....
Recorded copy of Agricultural Acknowledgment Statement .......... Z
5. Letter of ign re authorization
26.V1 A..... � . .. /
27.
When y(,,u issue the pe�pijt„ roces as follows: Mail t er. Mail to contractor.
Telephone 5 and hold for pickup at office. Deliver w.
/inspector.
�.
Other
ki
Appl Zant
._'!V
Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. fir Pollution Date
Copy of plans sent Health Dept._, - - Fire Dept. Other Date By.
The following data must be submitted prior 0—IRP.Pfflit i ance:. Circle n9mjitem not checked above).
1. Index permit for above items No. 4
2. Additional items required:
Contractor, designer, 6�, was advised of above required data by#phone�nail_counter by ..date 79-6
Contractor, designer, owner, was advised of above required data by—phone —ma II—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,' California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P CEL NUMBER
_ _: _ _ _
ZONIN
_ BUILDING PERMIT
OWNER / S ^
TFPH%N
9
SO. FT. OCC BUILDING VALUATION
^
OWNER' AILING A.p "(Z/A/ /`//^/l PT.PHONE
��Vo
CON O '5/wJ�'/�(/J//nV/ �O� S35
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
ARCHITECT OR ENGINEER LICENSE NO.
Filing Fee
$ 10.00
Permit Fee
Plan Checking Fee
$ Q
$ O
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS /t
Permit fee
$ r C7
PLUMBING PERMIT
Filing Fee 101..00
Each Trap
2.00 ��
or heat pump water heater
20.00
LOT NO.
LOT N07UBDIVISION
SUBDIVISION NAME
NAME
P ASolar
PARCEL MAP
Water piping
5,00 0
Each qas water heater or vent
5,00 �!
,�.� USE OF STRUCTURE
SF,L�J Duplex❑ Mobilehome❑ Other
����/���\ SPECIFY
Gas piping system 1 - 5 outlets
5.00 Q
Building sewer
5.00 (J
r
Mobile Home I S I G JW 1
10.00e
TYPE OF WORK
New Addition❑ model❑ Utilities❑ Installation[] Other
Descriibb\e work: � 2QAID
Ar
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOoo AMP OO1 OR RSLESS
10.00
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F -1I am licensed under provisions Of Chapt. 9, Div. 3 of the BUSIneS$
and Professions Code and my license is in full force and effect.
License No: Classification
❑LNS
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)
El 1, as the owner, am exclusively contracting with licensed contract -
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
Main service EA. ADO•L 100 AMP
2.50 ,
NEW CONST. DWELLING OCCUP.E
OR ADDNS. ACC. SLOGS. )
'/:¢sgft
NEW CONSTR UL T'_0LET
NON.RESID BRANCH CIRC ITS
2.SOea
- POWER APPARATUS 6
SINGLE OUTLET CIR. )
Ex. Occup( OR FIXTURES
D@SI1Q
E250t
Ex. Occup. OUTLETS ED APP(RESID )KEA.)
2.00
Temporary service10.00
Q,Q
Mobile Home Facilities
15.00
Misc. Wiring
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.
❑ 1 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
42.06,
Cooling
O
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 ofocc
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 =
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0•• deep and demolition or construct-
ion of structures over3 stories in
Mobile Home Installation Fee $
Energy Inspection Fee $
CONST TYPE
TOTAL FEE $ %
HAZ
cUA
PARK
I SCHL
I FLo
I PA
PO
HO
I ISSUE
This 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
Jheight.
Receipt No. 5� 7/1 /
WHITE-D.P.W., YELLOW-A3DE330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
5/89 I
RESIDENTIAL PLAN CHECKING GUIDE
MISCELLANEOUS_ITEMS TO LOOK OUT" FOR (CONT' D) _ - --.. _-- -- .
p screeds (Sec. 4706).
>Yt eri or plaster wee
Proper roof pitch for.roof
type (fire covering (Chapter 32).
hazard) ..
Roof covering ; .:.: ..... __ .-. .. .
after ties or -bearing- ridge beam.
- arage door. or porch header sines. _
Adequate bracing.
area. over garage -complete 1 -hour separaon. required on garage side
Living walls and posts, etc.
including supporting
wo exits on three-story dwellings (Sec. 3303 & see Mezannines - 171b).
Attic access and ventilation (Sec. 3205).
.`Underfloor access and ventilation (Sec. 2516).
ombu
oise requiremstion air -for fuel burning appliances. ;.
Nents on duplexes. -- _
Adobe soils - special foundation design.. r _.
.:�:::�..:..:....:..:•:;_ter..__.,_::' :��•;.. .-.. • . _ �;::. .
,. Retaining walls requiring design.._
Unusual shape, size, or split level. house requiring-lateral..design.:
lashing at- . all exterior: openings •
ff/� Gam..• -_ =.._._•.. -.: .-
RESIDENTIAL PLAN.C;iECKING GUIDE
5/89
(S.F., DUPLEX & tHISC. ONLY)
�s
Bldg. PermitoZ
OWNER / �QQ . A.P. -D'`1�
GENERAL
QK. Zoning requirements: (sideyards and number of permitted. living units)..
-; Valuation. _..
Plans signed by designer.
14 -.---Energy Design and Compliance.
5' --Existing violations on property. -
Items on data sheet.
PLOT PLAN
Complete parcel size. and dimensions." _
Setbacks, sideyards, easements,. etc.
Other buildings or structures..
Grading, fills, drainage..
Flood hazard.
Special conditions on creation.map or compliance document.'.:
FAU & FAS road. setback.` . -
FLOOR PLAN
' Complete -to scale plan with dimensions.
Required windows for light and ventilation (Sec'. 1205).
Required windows for second exit (Sec. 1204),
kylights (Chapter 34 & Sec. 5207).
uman impact glass (Sec. 540b).
equired room sizes, ceiling heights (Sec. -1207)FCIs
in baths, garage, and exterior outlets (Article 210-8).
ight_:fiktures,.switches,...receptacles, and exterior receptacles forf;mecYianical
equipment:: .ocations
of water heater, heating and coolingequipment, otheras
tH
equipment, and plumbing fixtures.arage
firewall, door size, and closer (Sec. 503(d)(3)).
- 3'0" exterior exit door (Sec. 3304(e)).
fireplace and wood stove location, alcoves, and clearance.
moke detectors (Sec. 1210).
STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
_*"�
Floor construction details complete enough to construct building.
u��Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
MISCELLANEOUS ITEMS TO LOOK OUT FOR
4,Stairway details: landings, rise and run, head clearance, handrails (Sec.
3306).
�Y- Guardrail details (Sec. 1711 & 3306(j)).
Brick_ on. stone veneer (Chao ter 30).
THERMALITO. IRRIGATION DISTRICT
410 GRAND AVENUE �
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address:
Owner's Name:
Date:
Address:
Acct. No:
A. P. No.:
Phone: -
No. Units:
Applicant/Agent:
Agents Proof:
Address:
F ees:
Phone:
Application $
Arrearage
Preliminary Review By: Date:
CSA 26
Remarks:
SC -OR
1st mo. S.C.
Other
• r
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 construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID
w
10 .
BUTTE COUNTY SCHOOLS.-D,EVDLOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number 3� — 3S'"_ Building Department No.
School District Q pcity County Jurisdiction leh
Property Owner,0,,&j/
Project Location/Address
Subdivision Lot Number_
Residential Development: a a
Sq. '�Footage�
# of Living MHI Addition (Group R)
Units
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Buildi g Department Representative Date
(Floor Plans reviewed by School District Personnel)
*:
OX
ict Id No.d �L 9 10 14 6
School District certifies that
c
(Appl'cant.Na e) (Phone Number)
(Strut Address)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. 166 --yo
'by the payment of $ o? ��Q. representing 45 ware feet.
SchoolS,District R presentative Date
PAID BY CHECK NO. `- C -1/j'
BANK NO
PAID BY CASH
REMARKS:
,,,<
�Z
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE (8/88)
r
6
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte Countv Code
requires this acknowledgement be recorded
prior to issuance of a building permi.z.
9 1 -03 100
The property described herein is adjacent
to land or included within an area zoned
91-003100 ; Rec Fee 5.00
for agricultural purposes, and residents
. Check 5.00
of this property may be subject to incon-
' Recorded ;
veniences or discomfort arising from the
Official Records f
use of agricultural chemicals, including,-
County
but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit
Candace J: Grubbs
of agricultural operations including,
Recorder ;
but not limited to cultivation, plowing,
i ; 24Re 24dJan-91 ;
_ _—� XX 1
spraying, pruning, and harvesting which
occasionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for
productive agricultural' purposes, and residents
within said zones and on adjacent property
should be prepared .to -accept such inconvenience
or discomfort from normal, necessary farm operations.
All that real property situate in the Count;: of Butte, State of'California, described as
follows:
Parcels 4, as shown on that certain Parcel Map of a
portion of Lots 3, 4, 7 and 8 of Block 97 of Thermalito, which map
was filed in the office of the Recorder of the County of Butte,
State of California, on February 24, 1972 in Book 41 of Parcel
Maps, at page 31.
Date: /— � y `
State of )
SS
County of �)
7a_4",
T OWNERS:
D�
On this the � day of z 19 A91 before me, the
undersigned Notary Public, personailly appeared
:�.; ::s;�r'car •" Personally known to me. V Proved to me on the basis
O$GTAi. ,SEAL
THY E CO'M'BS
yA N0`FABYP BLIC - CAIsIFORNiA
c" 'BUTTE•-GOUNTY
�a�` . �'• ,MVNC6Mm: expires WAY.,25, 1993
h �/
Present A.P. No.~ • 30`3�� 0/O
of satisfactory evidence.
to be the person(s) whose name(s) /$
subscribed to the within instrument and acknowledged that h -
executed the same for the purposes therein contained. IN WITNESS
WHEREOF, I hereunto set my hand and official seal.
otary Public
END OF DOCUMENT
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T-iERMAUTO -IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 23 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: LCL Vy.."•=
Owner's Name:
Date: i, I L; i t
Address: 11 . L .r;7 Y =<a '
Acct. No:
<; �LFJ*u_.,►AC, ('�.. j..:`U,�
A.P. No._.
Phone: -'4- " i7= 4
No. Units: 1
Applicant/Agent:
Agents Proof:
Address:
Fees:
Phone:
Application $ {
Arrearage
Preliminary Review By: Date:
CSA 26
Remarks: �L� r� �ctr►r��c�_�c,�: �. cr..:�.� �.: ' "' t -
SC -O R
,_,��.• �; ,=r n• c. c rsr.;1:.+ ..r, f,, ' ,
1st mo. S.C.
b:_ Vo
Other
r_�L _��.n <<. �, t:F cvllt.. ,� r,,��,.,. �� •�:_.�u _ iJr)
cr • ,.� . _. t -r, u.:� ..c�, -uv�:. tt l..r.� .
Total Fees •. .
Collected By:Nz -42
incrraseu o Ufg. 1 4 Fi.�
.
Date; -
Field Review By:r -::� .,-/,� � �� �/'� Date: -�19 -
a
Remarks:
a 3" /�/ fir- -- 0.r .1'7
.
MONTHLY SERVICE CHARGES WILL COMMENCE AUTOMATICALLY UPON:
❑ Date of TID approval of completed building sewer (early connection).
❑ 30 days after da_e 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).
Environmental Health
r r
NOV 12 1991
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD - DPW to TID Oroville, California