HomeMy WebLinkAbout031-202-038k
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- 31-202-38 . • _ y---•-� --- � S,
C. L. Richardson t �
1879 10th St., Oroville ROW
Permit YA1058-82B(new pri.det.garage)
31-202-38
Contr: Rudy Hill, Oroville
Permit�3469=83B,M(conver"t gars.
living 'unit & ele ser ch/SF) "•
31-202-38 ,
Contr: LaGrone Heating.
PErmit#3311-87M(AC unit)SF' �./0-9
031-202-038 a 03-1576
RICHARDSON, CHESTER
1870 10TH ST, OROVILLE
CONT: CONNELLY d �`
RE -ROOF
031-202-038. 06-1588 _
RICHARDSON, CHET'
1879 10TH ST, OROVILLE
Cont: AC&R SERVICES z .
HEATER(NATURAL GAS)
y
I
BUTTE COUNTY PERMIT'NO.
APARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION#: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO) BP061588 :
OFFICE #: (530) 538-7541
PERMITS BECOME NULL AND VOID 1 YEAR FROM THE DATE OF ISSUANCE,'OR IF WORK IS DONE IN VIOLATION OF ANY COUNTY OR STATE LAWS.
LICENSED CONTRACTORS DECLARATION
I hereby affirm under -penalty of perjury that I am licensed under
provisions of Chapter 9 (commencing with Section 7000) of Division 3 of.
Issued Date: 06/30/2006 APN: 031-202-038-000
the Business and Professions Code, and my license Is In full fo c a d
effect. 1(
Lac)
License class : Number�� /
Site Address: 1879 10TH ST ORO
Date. �b b Contractor: /� C� iF
Map Index:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the
Description: NEW HEATING UNIT
Contractors' Slate License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner: RICHARDSON CHESTER L & BARBARA S
to Its Issuance, also requires the applicant for such permit to file a
signed statement that he or she Is licensed pursuant to the provisions of
the Contractor's Stale License Law (Chapter 9 commencing with Section
1879 10TH ST
7000) of Division 3 of the Business and Professions Code) or that he or
Any
OROVILLE, CA
she Is exempt therefrom and the. basis for the alleged exemption.
violation of Section 7031.5 by any applicant for a permit subjects the
95965-3201
applicant to a civil penally of not more than five hundred dollars ($500).):
❑ I, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure Is not
Intended or offered for sale (Sec. 7044, Business.and Professions
Code: The Contractors' Slate License Law does not apply to an
owner of property who builds or Improves thereon, and who does
such work himself or herself or through his or her own employees,
Applicant: AIR CARE & REPAIR SERVICE
provided that such improvements are not intended or offered for
TONI BEERS OFFICE MANAGER
sale. If however, the building or Improvements are sold within one
P 0 BOX 804
year of completion, the owner -builder will have the burden of
proving that he or she did not build or Improve for the purpose of
UKIAH, CA 95482
sale.).
(707) 462-2021
❑ I, as owner. of the property, am exclusively contracting with
licensed. Contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or Improves thereon,
and who contracts for such projects with a contractor(s) licensed
;
pursuant to the Contractors' Slate License Law.).
Contractor: AIR CARE & REPAIR SERVICE
❑ 1 am Exempt under Article 3 of the Business and Professions Code
P 0 BOX 804
Date: Owner:
UKIAH, CA 95482
(707) 462-2021
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:,
❑ 1 have and will maintain a certificate of consent to self -insure for
License #: 471898 .
workers' compensation, as provided for by Section 3700 of the
Labor Code, for the performance of the work for which this permit
is issued.
10 1 have and will maintain workers' compensation Insurance, as
Architect:
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is Issued. My workers' compensation
Engineer:
Insurance carrier and policy number are:
C rri 10 10, 0I
Po'
Total Square Ft: 0 S. F.
❑ 1 certify that in the performance of the work for which this permit is
Valuation: $0.00
Issued, I shall not employ any person in any manner so as to
Census Code:
become subject to the workers' compensation laws of California,
and agree that if I should become subject to the workers'
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:
Applicant:
WARNING: Failure to secure workers' compensation coverage is
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), In addition to the cost of
compensation, damages as provided for In Section 3706 of the Labor
interest, and attorney's fees.
code,
C)
AwA,
CONSTRUCTION LENDING AGENCY
This permit Is hereby issued un4r the applicable provisions of the Butte County Code and/or
I hereby affirm that there Is a construction lending agency for the
Resolutlons o do work ludic to above for which fees have been paid.
performance of the work for which this permit Is issued (Sec 3097 CIv.)
�!)
By-( Dale: (YJ
Name:
� n
" �0/
PERMIT EXPIRES ON:
Address:
(able,
❑ 1 hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health 8, Safety Code Is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I'have read this application, that the above information Is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge It Is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize represen of Butte County to enter upon the above mentioned property for Inspection purposes.
n\n\
�
Y ' L� Signature:
Print Name:
Date:
9b/Agent for Contractor
C)Owner ❑ Contractor ❑ Agent for Owner
b. C. Budding rermn 0 i -Io-uq py 1
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING -PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
La meprZI
ir� me
A d
' nz'
I
1 l I
St
1�sq
53► -)5
Fax
E-mail
CONTRACTOR
Name
Addres �S I C I
U l�
St
SRA
P 53-3�b
53► -)5
E-mail
Zip
Class
m �APPPLICANT SIGNATURE
X
For office use only:
ARCHITECT/ENGINEER
Name
,
Address
SRA
City
No
State
Zip
Phone
Subdivision Name
Fax
E-mail
Page
State License Number
m �APPPLICANT SIGNATURE
X
For office use only:
APPLICANT INFORMATION
Name—��
,
Address S
SRA
Citu1
No
State
rZi
P
Subdivision Name
Fa� �3
E-mail
Page
m �APPPLICANT SIGNATURE
X
For office use only:
AP# 0 31 ` 202 - fl3
Zoning
9-5;
r nU
Flood Zone
SRA
Yes
No
Occ.
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuince.
Type Const.
Subdivision Name
Name
Map Book
Page
Lot #
Planner
SMIP
Date Approved:
UVtK I -UK SUBMITTAL REQUIREMENTS
K:\FORMSIBUILDING FORMS1BIdgApplSubRgmts.doc
PERMIT
NO.
A/__ f
BIN N
PROJECT LOCATION
AP# 0 31 ` 202 - fl3
P ro rty Address' ,�yl
-
9-5;
r nU
Cr ss Street
tj
Bldg
WORKER'S COMPENSATION
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuince.
LENDING AGENCY
Name
Address
scr' tion o S-oco a of Work:
Sq FT- LivingY Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issue.] will expire one
year after the date of application. In order to rersew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received by:_P1
�,
Amount:
Bldg
SRA
/ -
Receipt #: A 5' 6S
Sheriff
SMIP
Date:�f
VLx/ (/�
�_
Other
Total
Page 1 of 3
REV 8-12-05
SUBMITTAL & PERMIT REQUIREMENTS, 4
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK.
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) 'OR
Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and AIC for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,
all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
El 12, Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check and Planning
review (May
require additional plan review upon receipt of the following items.)
❑
1.
Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if required).
❑
2.
Impact Fees.
❑
3.
California Department of Forestry plan approval (if required).
❑
4.
NPDES Form.
❑
5.
Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to occupancy)
❑
6.
Contractor's license information. (Number, Name Style, Classification).
❑
7.
Worker's Compensation Carrier and Policy Number.
❑
8.
Owner -Builder Verification (if required).
❑
9.
Letter of Signature authorization (if required).
❑
10.
Recorded copy of Agricultural Acknowledgment Statement.
❑
11.
❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfer, or MCO.
❑
12.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant at (530) 538.7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the person who paid the fee. The request must be made within two
years from the date of fee payment on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be madb if'no construction work has been done. Filing fees, plan A
check fees -for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSMILDING FORMS\BIdgAppISubRgmts.doc Page 2 of 3 REV 8-12-05
1
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COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
031-202-038
ZONING
AR
BUILDING PERMIT
OWNER Chester R
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1679 10th Street OraviLle CA 99965
2 s
162 .
CONTRACTORS NAME
Connally
TELEPHONE
CONTRACTORS MAIUNG ADDRESS
CONSTRUCTION LENDER
LENDERS MAIUNG ADDRESS
Fireplace
Total Valuation $1620.00
ARCHITECT OR ENGINEER
LICENSE NO.
—FilingFee
$ 20.00
Permit Fee
$ 39,00
ARCHITECT OR ENGINEERS MAIUNG ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS , , / ��. ` ( / y '
Energy Plan Checking Fee
$
$
PERMIT FEE
$ .00
LAT NO.
SUBDIVISIONS MIME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
-
Solar or heat um water heater
23.00
Water piping
15.00
Each as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: tear Gaff
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G IW
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
R LE
800VMain Service A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in 11 force and effect. 1•'
License Class �!9 Lic. No. �O 1S;)Y
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
�[) 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier S -7-0-7e- 'D
Main Service TO
46.00so
CCU000A
NEW CONST. DWEWNG OCCUP.
W:X
OR ADDNS. ( 8 ACC. S.
SO
3.50Fr,
�,pµR61D. MULTI -OUTLET
@7,50
POWER APPARATUS
8SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20 @'
9AL @ .00 .50 .50
Ex. Occup. G�"XUT,Et°TSA pM .oE
5.00
Temporary Service
23.00
Mobile Home Facilities
20,00
Misc. Wiring
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
Policy Number F L 8 03
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that f I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X � Date
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction�P4
of structures over 3 stories in height.
Mobile Home,lnstallation Fee
$
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $59.00
HAZ.
D. FEES IMP FLOOD DF PARCELPD HD ISSUE
,,...-
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which tees have
s
By o,'
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
Date
(Date)
ReceiptNo. 59 � O
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
. COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES -UILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone 30) 538-75 1 PERMIT NO.
?(Rev. 12/96) APPLICATION AND PERMIT t1 -7, /s -mac
ASSESSOR PARCEL NUMBER
031-202-038
ZONING
AR
BUILDING PERMIT
OWNER Chester Richardson
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
TT sq
.OWNERS MAILING ADDRESS
1879 10th Street Oroville CA 95965
CONTRACTOR'S NAME TELEPHONE
Connelly Professional 534-334
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $1620.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 39.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Ener Plan Checking Fee
9Y 9
$
PERMIT FEE
$ 59.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: CORD tear off
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200, OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in II force and effect. A S ��
License Class Lic. No. (E, 0 1
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compen own irisurance cqLaor and policy number are:
Carrier
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date — ��
Signature of Applicant - ❑ Owner Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A 46.00
NEW CONST. OWELLNG OCCUP. SO
OR ADONS. a,cC. BLDs. 3.50FT;
NNONNµga1D. T. MULTI.OUTLET @7,50
POWER APPARATUS
8 SINGLE 0URET CXR.
Ex. Occup. OUTLET OR FIXTURES 20 @ 1.00&,L o ,50
Ex. Occup. OUTLEEDrs RE�s1D°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE t
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $59.00
HAz D FEES IMP PARC PD HD IS UE
This permit is hereby issued under the
of the Butte County Code and/or Resolutions
indicated above for which fees have
By
PERMIT EXPIRES ON
applicable provisions
to do work
been paid.
Date
�/3 o oy
Date �-
Receipt No. _ 3 9 P? 34
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
M
PErmit #3311-8:
Chet Richardson_
1879 10th St, ORo
Y .
Ief '/ 5
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-x'541
APPLICATION AWP PERMIT
PERMIT NO
ASSESSOR PARCEL NUMBER
• j - -/ , -4, —
r
ZO ,NG �
+
BUILDING PERMIT
OWNER I
F lf )
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS fI
I j I I Al� / f Ii.
CONTRACTOR'S NAME / -
AC/
TELEPHONE)
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER /
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
1
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 STRUCTURE
t
SF � Duplex❑ Mobilehome❑ Other
/ SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[—] Other ®
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BDOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
, I am licensed under provisions of Chapt. 9, Div. 3 of the Business
Q
and Professions Code and my license is in full force and effect.
�� ��[ j Y,_,)
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.eI�/z2sgft
OR ADDNS. ACC. BLOGS.
NEW CONSTR MULTI -OUTLET 2,50 ea
NON-RESID .BRANCH CIRC ITS
POWER APPARATUS 6)
SINGLE OUTLET CIR.
EX. Occup( OUTLETS OR FIXTURES 200300
200990
\\
Ex. OCCUp. OUTLETS FIXED P(RESID )LINIS 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.
0 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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling ~,y-•, ��_
-
Hood
3.00
pertnit Fee
S C
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 /�� - �� i Date —� — i 7
Signature of Applicant t/ Owner Q Contractor ❑ Agent Elwork
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 $
TOTAL PERMIT FEE $
occuP.
CONST.TYPc
SCHOOL
FLOOD
PARCELPD
This permit is hereby issued under the applicable provi-
sions of the But County Code and/or resolutions to do
indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By L:' I . ,� .. Date
r
PERMIT EXPIRES Date /%�I
• .
Receipt No. s , 7 • _ �
��
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT
_ T
,M 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATIDN AND PERMIT
$
ASS S OR P MBER
- �b '� 3
ONING
BUILDING PERMIT
Filing Fee
OWNERJCJJA `
TELEPHONE
.SQ. FT. DCC. BUILDING VAL
2.50
OWJ,EfefILING AD E S
'hQSgft
NEW CONSTRMULTI.OUTLET
n�nw�_ovcm woeuru 1-1. Te)
C NTR C R'S NAM
T�LEP ONE
37
01
CONST.TYPEI
CONTRACTOR'S MAILING ADD R S
Fireplace
PARCEL
CONSTRUCTMN LENDER
UNKNOWN
Total Valuation $
Filing Fee $
LENDER'S MAILING ADDRESS
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $
PLUMBING PERMIT Filing Fee
Each Trap 2.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME - PARCE MAP
Water piping 5.00
Each qas water heater or vent 5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
', \\ SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 5.00
Mobi le Home I h0-00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other
Describe work:
C=. ( LA.A
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
A—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.a?3 79 11 Classification C 5_ y
❑ 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
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
Pc—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.
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all IiabiIi .ies, judgments, co s, al d expenses which may in any way accrue
aga' s County ' o quen the gra
tiof this permit.
&—,2 =197
Signature of pplicant — 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.
Permit Fee
$
Contractor
1 1 3.00
ELECTRICAL PERMIT
Filing Fee
Main service 8001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.EI)
OR AODNS. ACC. SLOGS.
'hQSgft
NEW CONSTRMULTI.OUTLET
n�nw�_ovcm woeuru 1-1. Te)
2.50 ea
POWER APPARATUS .&)
SINGLE OUTLET CIR.
z09D04
Ex. Occup(OUTLETS OR FIXTURES .ALO 30
FIXED APLISIS
Ex. Occup. OUTLETS P(RESI;D )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
ION
10.00
10.00
10.00
Permit Fee $
Contractor
MECHANICAL PERMIT Filing Fee 10.00
Heati na
Cooling 3Y
t 1 11411
Hood a
1 1 3.00
t
Permit Fee
$�
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee
$
TOTAL PERMIT FEE
$
OCCUP.
CONST.TYPEI
ISCHOOLIPLOOD
PARCEL
PD
NO I
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
/ DIRECTOR OOU,LIC WORKS l 7
Receipt No. U I By (-rte �^= I
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT PERMIT EXPIRES
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,16ALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPI°DATION DATA SHEET
' Permit No.
1
OWNER lC I" A. P. No.
Proposed Building Use OZ UZ6 1,�F- Building Inspector4V& 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.`�o
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. School District ''Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings. 1
8. Fees of $ . .. . . . . . . .
9. Letter of signature authorization. . . . . . . .
10. Sanitation approval from - Health Dept.
1r Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
_14. Owner -Builder -Verification (Given to owner❑, Mail to owner ❑)
_.—_..._15. Improvements may be required. . . . . . . . . . . . '
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Dote)
17. Pre -Inspection for_—.___ _.. __ _ Required- Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit. —
20. Plot plan approval from city of _
21.
22. --
When, you issue the permit, process as follows: Mail to owner;_-LeIllail to contractor- �
Telephone and hold for pickup at—off ice, Deliver w/inspector.
Other
Copy of plans sent Health Dept.; Fire,Q1ept-, Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required: + __
Contractor, designer, owner, was advised of above required data by_phone_—nail—counter by date
Contractor, designer, owner, was advised c? above required data by—phone _mail—counter by date
Plans checked by
Sets of plans on hold in
Copy–DPW
Date Plans approved by
File cabinet _ AP folder
I
I
Date
1058-82
a .
PERMIT NO. 3469-83B9P3E,M
PERMIT EXPIRES
OWNER C.L. RICHARDSON
CONTR. Rudy Hill
ASSESSOR PARCEL 31-202-38
9
LOCATION 1879 ]®th St, OrOylle
OFFICE COPY 1
Add ss�
GAS Date—
Meter By •�f�
ELECTRIC Date l
i Meter f (Y—A 6 � �1
Temp. Power Pole
Called PG&E _
Temp. Elec. Service
Called PG&E_
j Temp. Gas Service
Called PG&E
,
JOB FINALED (Date) —
4
Signature
Owner :r�d'f 12- ( e � T r j (nil Permit No.-
E N E R G Y CERTIF ICAT ION
R79 o -/j, l - 20,2 -
LOCATION A.P. No.
%2C"�/61F DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material /> <r
Thickness(inches) " i? i/
CEILING JJ
Batt or Blanket Type1TXva�2 f�
Thickness(inches) gn
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material 6f 47
Thickness(inches)
FLOOR, SLAB
Material C04C
Thickness(inches) L-/
W idth(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistanc(
(R Value)
' Brand Name ('<<✓�2� t, ft?6 a
Thermal Resistance(R Value) P. if
i
Brand Name (H i7z 1 ✓r /<n l
Thermal Resista ce(R Value)
Brand Name
Number of Bags Wt. per bag, lb.
Thermal Resistance(R Value)
Brand Name '--
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the.above insulation was installed in the above building
in con ormance with the State of California Energy Req"kements.
-Cre
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
"!Lhereby 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.
All equipment, devices and materials'are of the quality prescribed or are
specifically approved by the State of California.
i�2w K/ ti c /i►Sc/l� �i� � / � �/4 7
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
�z du
.
SIGNATURE OF QCONTRACTO OWNER 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.
January 1984
RESID0TTAL
f Y_..00NSERVATION STANDARDS
COUSTRUCTIQN COMPLIANCE CERT_ IF, ICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS RAVE BEEN -
INSTALLED IN CONFOICE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(location)
BUILDING PERMIT NO.
A.P : N0.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Wills
Floors_
Walls_
Ceiling/Roof
Dints
Circulating Pipe
APPROVED HEATER
APPROVED 14TR.IITR
CLAZINC:
Single Glazed
Special (Insulated).
CERT. & LABELED WDS.
& SLIDING DIGS.
WEATIIERSTRIPPED DRS.
BACK DAMPERLD FANS '—
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDAWCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COItPLCi'ENESS OF THIS CERT3:FICATL•' AS SUBMITTED. -
Insulation Applicator Name Hawing Inaulation Co In
c.
Signature .of ( lea4a Vnt)
Insulation Applicator__
State Lu«tracoYce
License No.__� 378407
General Contractor/Owner Name c,t
Signature of (ple se rint
Cenoral Contractor/Owner �. �. Date___S/,
Sate Contractors
License No. 75-11 3�d.7
• i
THIS CERTIFICATE MUST41 ON FILE WITH TILE BUILDING DEPARTMENT PRIOR _0
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOC
WITHIN THE DWELLING. I.TION
J •= OK, '
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. 'Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except R's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings;Size-Depth-Spacing-Connectors _
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Local ion- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
'5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card - BI Date
Card -BI
Date - Card -BI Date _
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's j
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining _
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting, Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulaiing Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
t
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except#'s
Date FRA ING Continued
1. Zoning requirements -Setbacks -Easements
.
Pro erty Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Fig. Depth44--Ext.
Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth50---Plywood
on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
S2!Siding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
5
tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel _
54.
Glazing Area -Glass Protection -Skylights -Plastic
-
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
-
10. Water Pipe; Test -Anchors -Regulator -Service Test
+�
_
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Date i r Card -BI Date
ate and -BI Date
Card -BI
Date /.•-%Z Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date FINAje'(Plans)
OK except #'s
Date
PLUMBING (Permit) OK except #'s
_fKf. Steps -Door & Sidelight Protection -Landings
Si
Smoke Detector
_
14. Water HL; Vent -Access -Combustion Air
15. 5ater Pipe; Test & Anchors -Nail Protection
48r--FwrRase;
U8r+ts-Clearance-Comb. Air -Connector -
I arage; Above Floor -Ducts -Meth. Protection
1r D.W-V�-; TOf-FtKs-& A*hdrs-Nail ection
5
room Exiting
_
17. Shower Pan; Test, First Floor -Tub Access
G.F . & Bath Fixtures & Tub Access
_
18. Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
_
-19. Gas Pipe; Size & Anchors
or -Hearth
Elec. utlets at Wood Panel; Int. & Ex
C rd -BI rd -BI
�DateZ � f5 Card -BI Date
6
FixL & Appliance; Grnd.-Air a-Cookin Clearance
Card -BI
Date Card -BI Date
EI , Outlets & Receptacles at Kit. Counter
Date
L RICAL Permit Oly'except #'s
9.qrage Fire Door; Swing -Landing -Closer
uct in Garage -Damper
--
. Fixture & Transformer Clearance -Ins. Protection
6
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
I arage; Above Floor -Meth. Protection
1 _ let. Receptacles Spacing -Lights &Switches at Doors
P�Elec. & Mech. Equip. Listed for Location
-
ct -
e Boxes & No. of Condud
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
ga6iex Installed Close to Edg ds C.J.
- -
--
Equip. Ground made up w/ ec Fasteners -Bond Gas & Water
7
Insulation -Foam -Looked in Attic E] Yes
78:--G'0i"d"Rails
&Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen & Conductor Size
_
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
7
o e r -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,g
_Insulated Neutral �-'Yes ❑No
28. S ice -Riser Conductors & Ground -Main Disconnect
ollowin instld.' rive es No; Walks es No;
Planterses ❑No ❑ ❑
76.
Stucco; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
7
onnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-
/C
30loihes Closet Light -Shower Light -
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
---------
Card B I
------------------
---.----.
Dat g Card -BI ate D
_ �i -- -_
79-1tttect,
Electrical, Plumbing
E rior Elec. Trim; G.F.I. Receptacle -Underground
Ve tilation throughout House
Card B -I
Date Card -BI Date
g
s Protection
Date
MEC ANICAL (Permit) OK except #'s
_
Corrections from Previous Inspections
If 84.
est -Meters Tagged; Gas -Electric
-
-_ A.C. Ducts; Insulation & Support -
ter & Sewer Connected -C/O to Grade -HD Approval
_
32. Vent Fan; Exhaust above Insulation
33. Condensate Drain _& Overtlow; Size & Grade
Energy Compliance Certificate -Other Certificates
--.34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI
Card -BI
Dat %� g Card -BI -Date _3._.--.Card-BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date Card -BI Date _
Card -BI
Dat -1 Card -BI Date
Date
FRAMING(PI- ) OK except #'s
mments at Final:
319? -Sills; Proper Material & Anchors
y.r: /WaIIS; Studs -Nailing, Spacing & Bracing -Plates -Sound
Walls_over Girders & Floor Nailing_
aft Stop in Walls (rat proof)
_Fire Stops; Furred -Ceilings -Stairs -Chases
Header & Beam -Size & Bearing - .
4 Hangers -Post Caps -Anchors -Connectors
4 -Cl ng. Joist-Rfir. Ties- Perlin -Roof Brac.-Truss-Shthng.-Rfn-
44. Fireplace Ties or Type A Flue -Fireplace Throat
4 is Access: Size & Rom_ex Protection -Draft Stop -ins. Baffles
4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection Indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
.0or
1 1--,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION
NOTICE3 Zj / �7
_ 2 4'V _ g;
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. It you have any question pertaining to this
matter, or need additional explanation, please contact this office Immediately.
-1411'eve lo—
lnspectoZ�� Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 -- -
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
DR ECTI N NOTICE
'L . ( :7 4149-
1 '00, 'e7 7.6 4"
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
'I
when correction of work is completed., If you have any question pertaining, to this
matter, or need add[ii8nal 4xpl`an'�tibn, please contact this ofii-ce' immed!;Vely.
U
1.77 ". I/ ---F-
Inspector Date—
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N0.
4
ASSESSOR PARCEL NUMBER_
3 21
ZONING
BUILDING PERMIT
OWNE'IS
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDR SS
C TRA TORS ME
TELEPHONE
C N A T R• MAILING ADQRESSS
r g
Fireplace
CONSTRUCTION LENDER
UNi O
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
e
LICENSE No.
Plan Checking Fee
$
Penalty 16
$ b^
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 ,pa
Solar Water Heater
20.00
r 0 t
Water piping
5.00 JA C)
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water. heater or vent
5.00 rQ
Gas piping system 1 - 5 outlets
5.00 -6-10a
�,� USE OF STRUCTURE
SF J� Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 ^,
Mobile Home TS TG FW f
10.00 e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other
Describe work:
11)`t. -�, �_ /�
l
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aDDv OR LESS
100 AMP OR LESS
10.00 Q�
Main service EA. ADO'L 100 AMP
2'.50
NEW CONSDWELLING OCCUP.&
CONST.
ADDNS. ACC. BLDGS.
1
2/20sq ft -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BUSlness
and Professions ` Code and my license is in full force and effect.
License No.—K:924511 7 Classification
F] 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. U TI.OUTLET
NON-RES,.,BRANCH CIRC ITS. 2.50 ea
NEW CONSTR. (POWER APPARATUS &'
NON-RESID,/ (POWER
OUTLET CIR.
EX. OCCUp\OUTLETS OR FIXTURES BAL990
FIXED APP LNS. OR
EX. OCCup. OUTLETS (RESID,) EA.) 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):
�e 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
6,110
�'�
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 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 Iiabiliti 'udgments, costs, and expenses which may in any way accrue
against Id Co my in consequence of t e granting of this permit.
X D
Signature Applicant Owner ❑ Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3rrstories in height.
Mobile Home Installation Fee $
TOTAL PEOMIFEE $
OcCUP. GROUP
>��3�
TYP oP C NST.
PARC
D
HD s9u$
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC O OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
e�� Z�—�
Receipt No. C) ?/ `�rr'" ;
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
THERMALITO IRRIGATION DISTRICT f 6fi0
410 GRAND AVENUE f
OROVILLE. CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: 1879 10th Street
Owner's Name: Chet Richardson
Date: 10-24-83
Address: ean'e
Acct. No: 150
A.P. No.: 31-202-3E
Phone:
No. Units: 1
Applicant/Agent: aIIK;v r _ 14+ 1 1
Agents Proof:
Address: 385 Hillcrest Avenuc
Fees:
Phone: 5£9 3773
Application $ 20 00
Arrearage
Preliminary Review By- Date:
CSA 26
Remarks: Add Addi.tonal btlthroo!,
SC -OR
Inspection of sewer hook-up
1st mo. S.C.
Other
Total Fees f
Collected By: - -
Date: /J +�
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
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. -8"3
NAME C.L
JOB ADDRESS
TYPE OF WOR
PACKAGE '.�A" (Additions)
FORM 7
GNAT $O� SQUARE FOOTAGE
r79 APM 374667 Existing Residence
PAIVepat 4A446E Tv S&O FT%.
fi11AAe aAll. r New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans 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 ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing -conditioned space is not included.
N E 11 iV:E.'
INSTALLED APPLIES TO NEW AREA ,
� StilUwlol�
CEILING -30 R-30 R -3F
WALL R-11 R-11 R-19
FLOOR R-11. R-11 R-19
R- 7
GLAZING .65 .65 .65
SHADING
SOUTH -OPTIMUM OVERHANG
or .36 S.C.
WEST - .36 S.C. WkW E 94LLet SN14bES.
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
CV.�!@\'rTTLTt\t\1L1\ `L'V LL� Vy-
DUCTS PER UMC - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC.AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
M.
*1
C
❑
HEATING VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace 7
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
Electric Heat Pump
Btu/hr
(cooling capacity at 95°F)
Other
(describe)
EER
DOMESTIC WATER SYSTEM
.(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
(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:
Los T104
Heating: Winter design temperature °, elevation 1000 ', heating load '1t%SOBTU
el&vation factor 1.00 x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature too cooling load II710 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.
SIGNATURV OF BUILNl DESI
�R APPLICA�
3°68 SOJIA14 Omit 7v w
O.i Sf \
Ci.........
C - C�o
1.'
(ser.- gvW so
9CU
last; ll s poke defector per code.
�l.�-oLt111:� elm ►JG� ® ! I � .
QFcgs I�poq
I G
This set of platspecifications. MUSH�o�,$
keplfii4-the job at all times andiin
unlawfL4 tomake any changes or alterations same wiith-
out written permission from thepartment-of 7�
Public Works, County of Butte. J - (v
4LklllJl� spawo= 100.3 BUTTE COUNTY'
NOTE:—All Materials & Workmanship Shall Be in � BUILDING DEPART_ INIEW
Accordance with Recognized Good Practices anc.
of a quality pre ,crif,ed for the Specified use it the APPROVED
Uniform Building,,Plumbing.`& 'Mechanical'Codes
and the National Electrical. Code.
A'RM14
/Y7� lot
J
Wt5 I tHN WOODS USE BOOK
45
301,
' T
300
WESTERN WOODS USE BOOK
SOUND CONTROL
FIRE TEST
DESIGNATION
wood frame partition systems for sound control
PARTITION SYSTEM
WALL
NUMBER WALL FACE
d".1 ?
'$Inge $llu W1,11'$
Single gypsum board each side, applied with screws;
no resilient channels .
Basic �,construction,is-s2''x--411-
OR -64-16
4
,studs :1:6" o.c: with double top
..plate and single:.or,double_bot=
T-3127 6V2
Single gypsum board laminated and nailed' over
.tom plate., Faces are 5/a" thick
OSU
sound board each side; no channels
fire resistive type gypsum
(5:i1
KAL 736-
6
board applied, taped and fin-
-fiber -
ished in accordance with man-
2-69
j :, Single gypsum board applied with screws 1 side;
3
ufacturer's recommendations.
(Est) 7
opposite side on resilient channels
Resilient channels'are'applied7
C i3j
KAL 736-
3-69,.
to studs 24" o.0s shown with'
1 Hr
(Est) 7
a 12"x3" gypsurli:nailing:strip/I
2" mine -al
wool
Single gypsum board laminated and nailed' over
,,at the bottom. Absorpt.iye„ma..3
teria1 is 'paper --backed glass
12
`t sound board, opposite side on resilient channels
fiber or -mineral wool' batts •'
stapled in.the stud space as il-
OSU
lustrated., Sound deadening
5 Single gypsum board on resilient channels each side
board is sound -rated organic
`SIJ TG COON I r
fiber board with a 15-18 pcf' .
;
density: - -
no-. 3
— Double 1/Vigypsum board; base sheet vertical; face'
L6
Sheet horizontal; applied on resilient channels one side
Wt5 I tHN WOODS USE BOOK
45
301,
9
SOUND
CONTROL'
ABSORPTIVE STC STC TEST STC REF. FIRE
.MATERIAL DESIGNATION SEE PAGES RATING
FIRE TEST
DESIGNATION
WEIGHT
P.S.f.
None 34 G&H 30 FT 12 1 Hr
USG
UL 5'
6y2
None
45
G&H 75 FT
SIM
9
1 Hr
U of C
8
8/21/64
1Yfibelass
50
OR -64-16
4
1 Hr
T-3127 6V2
OSU
�lr/z"glass'
(5:i1
KAL 736-
6
-fiber -
2-69
C
1 Hr
(Est) 7
(W Class
fiber
C i3j
KAL 736-
3-69,.
•
1 Hr
(Est) 7
2" mine -al
wool
59
TL -67-239
12
2 Hr
T-4799 12
OSU
`SIJ TG COON I r
011ILDING DPARTM
AFFIDAVIT OF COMPLIANCE_.
WITH COUNTY ORDINANCE 2277
(ADDITIONAL DWELLING IN
SINGLE FAMILY RE-S.IDENTIAL ZONES)
Applicant y �
� � �/l-�So� Date a�
Zone AP #'31-202-39 Bldg. Permit # 3s►<�R-8'3
e/CPARD Sprt/ do declare, that the dwelling
(Building Permit #.349=$3) at address (present) 4871 /p�h
6TEE Q. on AP # a��/ �� �--a�,�--� is intended
for the sole occupancy of one adult or two adult persons who are 60
years of age or over, and the area of floor space of the dwelling
unit does not exceed 640 square feet.
I also understand that violations of these provisions are subject to
the penalties provided in Section 24-63.1 of the Butte.County Code.
Signed
Dated
0
r-
PERMIT NO. 1058-82B
PERMIT EXPIRES__
�ye�3
OWNER C. L. Richardson
'. t CONTR. Owner
ASSESSOR PARCEL 31-202-38
LOCATION 1879 10th St., Oroville
1 .
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
F. Called PG&E
. u
JOB FINALED (Date)
t !}
'' Signature
J =OK
0 = Not OK
= Not Applicable MOBILEHOMES i MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location-Test=Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4, Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable
= Not Ready RESIDENTIALI(SingJe and Duplex)
Date
UNDERF Plans OK except #'s
Date
FRAMING (Continued)
oning requirements -Setbacks -Easements
48
gs
2.'-4;4ejr*MT}f•Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
Q9
-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
L
-154e-, Garage; Soils -Steel- / " Ftg. Depth
50__%W+rs-WMM-Headr66f-Rise-Run-
Land ing-Fire Protection
4.cks;
Soils -Steel- / /" Ftg. Depth
51
-Attic Vents -Rafter Outriggers
5._aL9m+Q4&,-Maw;
Steel-Blockouts-Wrapped-Slab
Siding -Nailing -Veneer
mwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
-Fdn. Vents-Underflr. Access
7.
Ftg.-Steel
54.
ing rea- lass P otection-Skylights-Plastic
8. Di4-V.�Mrr Pittings -Test -2 way C/0 -Sewer Test
55.
s; ailing -Bolts
9.
e -Anchors
10.
Water-Ptp�-Test-Anchors-Regulator-Service Test
11. 4:•IeeMie�, nderground
12. & Ducts; Clearance -Material -Support -Ins.
13.
Giuiak - nchor Bolts -Joists -Vents -Cripples
Card -BI
Date - and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
QaffrBl
Date !> /, - and -BI Date
Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
/
Ext. Steps -Door & Sidelight Protection -Landings
14.
Water Ht.; Vent -Access -Combustion Air
58.
F ce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
1 .
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedsoo t+n
7.
Shower Pan; Test, First Floor -Tub Access
60.
ores & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
I; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62•
S�airs�Ra�+s-�
_
63.
F'. arances-Hearth
64.
Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65•
rnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
EL CTRICAL Permit OK except q's
67.
i ng- Land i ng -C loser
68.
mper
20.
Fixture & Transformer Clearance -Ins. Protection
69•
- eara ce-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
P quip. Listed for Location
'
71
Ial (G. F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.'Garage;
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Iq din Attic EJ Yes
2 .
2 Appliance Circuits in Kitchen & Conductor Size
73.
Gyard_Ra+l•s-&-8eck-GorrsfftrucIion- Post Caps
6.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fd ie -Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes El No
75.
Following instld.: Drive es ❑ No; Walks El
Planters ❑Yes o
28.
Service -Riser Conductors & Ground -Main Disconnect
76-6tacm-Brown-Firri-99'
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C-Vntr-Ms'c-oifhgcr- r'nces-Brkr. & Cond. Size -115V Outlet
_
30.
Clothes Closet Light -Shower Light
78.
Vertls--AEove RCC-f;-'Plbg =Appliance-Firepl.-Clearance to Opngs.
79.
Water"-W-eITT sconnect, Electrical, Plumbing
80.
Exterior-I!1UCTTrtm;'-GF".I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.
82
Ventilation t ughout-House
Glass-Rfeteetmn____
Card B-1 Date Card -BI Date
Date
MECHANICAL
(Permit) OK except N's
83.
Cor eL innc from o s Inspections
84.
85.
G ed; Gas -Electric
Wat cted-C/O to Grade -HD Approval
31. A.C. Ducts; Insulation & Support
32.
Vent Fan; Exhaust above Insulation
86.
En nce Certificate -Other Certificates
_
_33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
--
Card -BI
Date and -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA
G(Plans) OK except q's
Comments at Final:
i/S� Sil roper Material &Anchors
3 Walls; Studs -Na ilin g.& Bracing -Plates -Sound
_
38.
__ g _alis over Girders & Floor Nailing
39
top in Walls (rat proof)
40.
-Stairs-Chases-Tub
Y
__ Bader &Beam -Size &�fnring
42. s -Anchors -Connectors
Ging. Joist-Rftr. T_ire- Purl in - Roo ac.-Jcwp - htk g.-R4,K'
4 lue-Fireplace Throat
45. At ' x Protection -Draft Stop -Ins. Baffles
46.
Bd Qoors-Sill Hgt. & Dimensions
47.
ion -Framing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califoryja 95965 - Telephone 916/534-Q541
APPLICATION AND PERMIT /
ASSOR PARCEL. NUMBER Z NG
Lo oBUILDING
PERMIT
OWNl T PHONE
S
SQ. FT. OCC. BUILDING VALUATION
-
OWNER-5AILING ADDRESS
9 ! t T)
NAME
ICONTRACTOR'S TELEP ONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ .� M
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ .v
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
EZ 2S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDI
VISION NAME PARCEL MAP
Each qas water heater or vent
55.00
Gas piping system 1 - 5 outlets
USE OF STRU RE/
PE`Q.ct► 7/rl
SF ❑ Duplex❑ Mobilehome❑ Other :l - - SPE
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New �dition ❑ Remodel ❑ Utilities ❑ Instal lation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.51
OR ADONS. ACC. BLDGS.
/ 22 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
F]I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
0--l' as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason -
NEW CONSTR -OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR / POWER APPARATUS b
NON-RESID. (SINGLE OUTLET CIR.
50 0250
Ex. Occup(OUTLETS OR FIXTURES gAL@1
Ex. OCCUp.(O UTLETS IXED P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 ,
Misc. Wiring 7.50
Permit Fee
$ k
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
f Consent to Self -Insure.
,-�'
L"J shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agr a to save, indemnify and keep harmless the County of Butte against
all Iia ' 'les, ju ents, costs, and expenses which may inan way accrue
agai t aid C in consequence of the granting of this permi
X Date 2�
Signature of Ap liconr — Owner ❑ Contractor ❑ Agent EY
An OSHA pe rmi is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
r no
OCCUP. GROUP
TYPE OF coN T.
PARCEL
PD
ND
ISSUE
Thisio permit is hereby issued under
sis of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
_ p
Date
`/- 4LD
Receipt No. �$ '
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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