HomeMy WebLinkAbout031-243-0210
H
31-243-21
DUANE EVANS
x..6.60- ColusaA��e 'Thermalit.o-.___
I —74--
Permit #1331-7 P(inst, bldg. sew
3 -243-21
Contr Fahey Ele
Permit#2529-86E(e a ser ch/SID
. --31.. -24 . 4-3 3- -21
DUANE CONLEY
660 Colussa Ave, Oroville
PErmit#2152-87B,P,E(repair/SF)
31-243-21
j`rm't#3164-873,P(instal fireplace
insert, garbage disposal, gas wtr htr)SF
Permit#3402- �-B,P,1E,M(conv garage to
living are F)�
31-243-21
Pert#587-88P,M(install gas furnace)SF,
r
I v
M Via, d' M
Temp. Power P�
Called
Temp.. Elec
Called,
Temp. Gas
r
Called
I I JOB FINAL
Signatu
r
GASJ N0 1.
Meter By Date
ELECTRIC
Meter By Date _
= OK
0 = Not OK
= Not Readyiable
MOBILE HOMES"
MISCELLANEOUS .
Date
MOBILE HOME UTILITIES (Plans) OK except#'s .
-Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1.' Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel,
3. Sewer; Location -Test -Fall -C/O -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
6. Gas; Location -Test -Wrap: /, /" L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility.Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -B1
Date Card -131 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Size -Spacing -Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s 1
5. Drain; MH Test -Fall -Flex Connector t.
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector ;
2. Soils; Compaction -Structure Stability
-:7. Water, and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel-Connections-Thickness-
teel-Connections-Thickness-8.Gas
Dead Men -Lining
8-Gasand Electricity Tagged
9: Exits; Insp.=Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
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-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -81 Date
Card -131
Date Card -131 Date
9. Health Department Approval
_
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -81 Date
Card -131
Date Card -131 Date
= OK
0 = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= dot Ready
Date
UNDERFLOOR (Plans) OK except #'s
D_ ate
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Han - - nchors-Connectors
g., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4 - r. ies-Purlin-Roof Brac.-Truss-Shthng.-Ring.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
4 Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
ows or xi ing Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
49. re ro ec ion Ing
7. Slab; Steel -Wrapped
50., Openings
8. Piers -Fireplace Ftg.-Steel
51., Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
2. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
L-WOly ood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
iding-Nailing Veneer
12. Electric; Underground
5 . St u - -n M9ch-nrin cr aed-Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance -Material -Su pprt- Ins.
6. Glazing Area -Glass Protection -Skylights -Plastic
irders-Sills-Anchor Bolts -Joists -Vents -Cripples
57. - o7tST
15. Insulation
4W. Insulation-Walls-Clg.
9`�IMiItratio n-Walls-Wndws
Card -B1(.0
Date � - `j Card -B1 Date
Card -B1
Date Card -B1 Date
Card-B1(A_,4p
Dat 3,�-Card-B1 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
F AL (Plans) OK except #'s
"I. Water Pipe; Test & Anchors -Nail Protection
pltO.fixt. Steps -Door & Sidelight Protection- Land ings
D.W.V.; Tes to ' Anchors -Nail Protection
. Smoke Detector
19-Shewer-Pan;�est, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
- M Garage; Above Floor -Ducts -Meeh. Protection
2 we , 2nd Floor -Tub Access
L-21. Gas Pipe; Size & Anchors
�..Bedroom Exiting
F.I. & Bath Fixtures & Tub Access -Spa
Trim & Subpanel; Breaker Sizes -Labels
5. Ftairs
Card -B1
Date3,K-7Card-81 Date
fe'�.JS&Railslec.
Card -B1
Date Jj._/)'_ward-B1 Date
. Fireplace or Stove; Clearances -Hearth
Ily
Date
ELECTRICAL (Permit) OK except #'s
. Elec. Outlets at Wood Panel; Int. & Ext.
22._Pxture & Transformer Clearance -Ins. Protection
k,66 Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Elec. Receptacles Spacing -Lights & Switches at Doors
0. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
Gar - anding-Closer
Romex Installed Close to Edge of Studs & C.J.
72. per
•26. Equip. Ground made up w/Meeh. Fasteners -Bond Gas & Water
1,7a"'Ntr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
}n Garage; Above Floor -Mach. Protection
' ails in Kitchen &Conductor Size'Plb.,
Elec. & Mech. Equip. Listed for Location
28. Su Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AlA
or
75 rage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
. Insulation-Foam-Looked'n Attic 0 Yes
eck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
311.earances Panels-Motors-Mech. Equip.
Light -Shower Light -Spa Light
79. Following instld.; Drive es ❑ No; Walks s O No;
Planters o Yes 0 No
8 . - ish
Card -B1
Date )A3,'�1Card-B1 Date
•,' , nnect, Electrical, Plumbing
Card -BI
Date Card -B1 Date
. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
sconnect, Electrical, Plumbing
33--A:6-Baets-tnsatation & Support
4. Exterior Elec. Trim, G.F.I. Receptacle -Underground
34-�Fan; Exhaust above insulation
/_ 8 entilation throughout House
3 .ens -Dra' & Overflow; Size & Grade
C
lass Protection
r,
urnac -V �4c -Co Air-Re�uca-Aic-1[�nt-115-outlet.
87 orrections from Previous Inpections
7. Attic Access & Platform if Furnace in Attic
est -Meters Tagged; Gas -Electric
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -B1
Card -B1
Date Card -B1 Date
Date and -B1 Date
Card -91
Card -B1
Card -B1
DatA r Card -B1 Date
Date i� Card -81 Date
Date Card -B1 Date
Date FR NG (Plans) OK except #'s
4ills, Proper Material & Anchors
89. Wills Studs -Nailing, Spacing & Bracing -Plates -Sound
ConiMents at Final:
.Baring Walls over Girders & Floor Nailing
44 t4
. aft Stop in Walls (rbt proof)
2. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
r & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
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
CORRECTION NOTICE
OWNE
PERMIT NO.
A routine inspection inlWcates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
If you have any question pertaining to this
, pjease contact this office immediately.
when correction of work is completed.
matter, or need additional explanation
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Driye, Orovi Ile — Phone: 5387541 `
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWNER 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
i
Inspector Date-9—��� V /
Owner: Permit No.
ENERGY C'ERTIF ICATION 4'
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material z5fAX- &,% A r
Thickness(inches) y� ,
CEILING
Batt ::ems.1anket- TyVe
Thickness(inches)_
Loose.Fill Type
Minimum Thickness(Inches)
Area covered(ft. )
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name C- o A d J goy,
Thermal Resistance(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 conformance with the State of California Energy Requirements.
FIRM NAMEWNER f STATE CONTRACTORS LICENSE NO.
SIGNATURE'OF INSTALLATION APPLICATOR 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. '
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Ple se print) STATE CONTRACTORS LICENSE NO.
SIGNATURE OF GENERAL CONTRACTOR 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
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965'- Telephone: 916/538-7541''
APPLICATION.AND,PERMIT
PERMIT NO.
ASSESSOR PA CEL NUMBEji
Z MIq�e
BUILDING PERMIT
OWNER
TEL.5a.
S-FOWNER
FT.' OCG. BUILDING
VALUATION
SAILING ADDR SSCONTRACTOR'S
AME
TEL
l'
f
I
'
CONTRACTOR'S rAAILTNG ADDRESS
Fireplace /(J(j
Q
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
eI
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
a
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
I
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
{
SF FiV Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 �l`(
Building sewer
5.00
Mobile Home S I G
10.00ea
TYPE OF WORK
New❑ Addition❑ Remodel tilities❑ Installation[] Other
Describe work'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW (
1 declare under penalty of perjury (check one):
❑NON.R
1 am licensed under provisions of Chapt. 9, Div. 3 Of the Business
and Professions Code and my license is in full force and effect.(SINGLE
cense 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 intnded or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) '
[] I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP..) '/x¢sgft
OR ADDNS. ACC. BLDGS. /
NEW CONSTR U I.OU LET 2,50 ea
ESI D BRANCH CIRC ITS
POWER APPARATUS e
OUTLET CIR.
Ex. OCCUp/�OUTLETs OR FIXTURES awls 30
FIXED APPLNS. OR
Ex. OCCUp. OUTLETS IRESID.1 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):
The permit is for $100.00 (valuation) or less.
E] I have placed on file with the County of Butte Building Department
a ertificate of Workmen's Compensation Insurance or a Certificate
Vtlf Consent to Self -Insure.
shall not employ any person in any manner so as to become subject
o the W. C. laws of California.
Notice to Applicant: If after making this statement, .shouId you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. 1 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 liabilities, judgments, costs, and expenses which may in any way accrue
against said C unty in consequ of pifgranting of this rmit.
X Date
Signature of Applicant — Owner Elntroctor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TY
school
F1.0001
PARCEL
PD
I Ho I
ISSUI
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 PUBLIC WORKS
ByLi✓r/_SGC/ ��ate
PERMIT EXPIRES Date
Receipt No.
wNlTc-o. P. w., rcLLow-asee?Aoa, �INx.INaP[eTon, roLacH000.APruCAnT
i ' COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS c�ERMIT NO. �»
7 County Center Drive - Oroville, California 9n65 - Telephone: 916/538-7541 1 D
APPLICATION AND PERMIT
ASS S R P_ARL NUMBrR
Z°"'"G
BUILDING PERMI
ow ��
�ADDRE
TE $}ZONE
Y
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILI
CO ACT70R•.5^NAME - TELEPHONE
r
CONTRACTOR'S MAILING ADDRESS
Fireplace "
CONS, RUCTION LENDER
UNKNOWN
Total Valuation $
'
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS -
Permit Fee
$
ARCH TECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$
Energy Plan Checking Fee
$
A CH ECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping -
5.00 09
Each qas water heater or vent
5:00
USE OF STRUCTURE
SF % Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea.
TYPE OF WORK
New ❑ Addition Remodel Utilities ❑ Installation[—] Other [g
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee .10.00
j
Main service eOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare underpenalty of perjury (check one):
El 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
�isJa 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 Iicensed'contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP Ih0sq it
OR-ADONS. . ACC. BLDGS.
NEW CON5TR U I.OUTLET 2.50 ea
NON.RESID RANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
1 20050c
Ex. Occup( OUTLETS OR FIXTURES eA 030
FIXED APPLNS. OR
Ex. DCCUp. 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):
❑ 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
onsent 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
Cooling
Hood
3.00
Ventilation0
permit Fee
$
19,
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 Countyof
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in con quenc of the granting of this permit.
X Date C�-"%� "�
Signature of Applicant — Owner ntroc Co ❑ Agent [3
An OSHA permit is required for xcavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories esheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ . 9(01
CUP.
CONST.,
SCHOOL
I 1'V
PARC
PD
ND S,
This permit_ is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
BY
PEFJOT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHIT[-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
1 _ y Sys t+'•f�"Lrf7.. Y 4;� y,� -; `,�jy ��`,p� "`''' A
yH4" ry�L I;;'gwT�""�h' - #,r{.;. 1 W +..."::rp �S ""t .lt.i3",., l'vliL"" j^ y. T' �'� .'•,�,�y�A.'...Iti��
VV COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
1 I, 7 COUNTY CENTER DRIVE - OROVILLE, CAL`` 696 IA 95965 - TELEPHONE: 916/538-7541
' PERMIT APPLI6ATi10N DATA SHEET ---
/1 Permit No.
OWNER Lj ✓ (� UOK
Proposed Building Use �n
A. P. No.
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or ' suance: DATE RECEIVED APPROVED
1 Allh b b 'tt d
Items ave Veil sU ml V . —
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. 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.
8. Fees of $ . . . . . . . .
Letter of signature authorization.
91
Sanitation approval from _ Health Dept. . .
Planning approval for (A) Use: (B) Parking: .
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner❑, Mail to owner ❑ )
Improvements may be required. . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to
Pre -Inspection for __-_... .. _ _ _._...__ _ Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement,
Driveway Permit. —
Plot plan approval from city of_
Whin you issue the per it, jroce s as follows- Mail to owner, Mail to contractor.
x Telephone � moo' and hold for pickup ao—Z-0-office, Deliver w/inspector.
0t he V'- S_ OS 0n /I _ —
� r ..
Copy of plans sent
i
v
� � • //� �` ..�
Health Dept.; Fire Dept., Other a4 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_coun by date /
Plans checked by Date Plans approved by Date
a-/
Sets of plans on hold in File cabinet AP folder
Copy -DPW ,•. ,.
(Date)
COUNTY OF BUTTE - Department of Public Works
7 County Center Drive,.Oroville., CA 95965 Phone: 916-538-7541,
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit, No building permit
will.'be' issued until this verification is received.
.1. I personally plan to provide the'.major labor and materials for construction,of
'the proposed property 'improvement (.yes or no) �
2. I (have/hav4_neit)ILE
signed an application for a building permit
for the proposed work. ,
3. I have contracted with the following person (firm) to provide the proposed
'construction: ,
,Name
Address City
.Phone Contractors License No.
Y
I plan to provide portions of this work; but I,have hired the following person
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors License.No.
5'. I will provide some of the work -but I have contracted (hired) the following
persons to provide the work indicated:
Name. Address _ Phone Type ofYWork
Signed:
Property Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sect4.ons 19831 and
19832.of the California Health and Safety Code. t
This verification must be completed and returned to'our office before we are per-
mitted to issue the permit.
�7/
Thi it 6f plana sand spe if
C, kept
4G n the lob at all times or
I' C114
ke rat of Per c s e De
Works,
Co y, e.
ell
I
OF.p
14—
o?
it is unlawful
F:z /
CeN NTY
BUILDING DE RTMENT
APR R
�
0 f2o 3
5-4014 %!74, r 2°K�d
7�1
!.�/� � � � � /�� t' • lam,
PROVIDE APPROW-D VENT
AND ADEQUATE 66PBOSTION
AIR FOR HEATER &/OR W. H.
•/ / 1e i R�� 15"000 07a �LCiCj r / 1
WNW k) -To Co k L 1 w I qjA—!r7FC- kZ0 LV LA
}
MSX Scu- 616 rt*= Z <<
/v EN ul 1 D� Ao l I i
;7-9 29
BUTTE COUNTY
MIN op&v #fW sQ F'- BUILDING ®EPqRT
MENT
A`. l(DRIED
r2%1,5?'IVG-' G A -
0®
PRO Q :!_"S I/ �
T
W--nt"ls 8 Wryffi d�
Accordance wit Recognized G����1
of quality care J ribed for the SE
P mbimg &-Mackl)
tVa �atsanal' Elec.�ricaT''ode
r 1�
C) �4
>g
,I
use In X 19 1016—
Cade and
/G��/,����--
C pW -tom cZLW W14MIF I N CO
00,
W1 I
W 9 71H
/y, 0/ g Y' 6
!/ADDimo M. Fmmr Z£q ,
APPROVED
FORM 7.
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
PACKAGE "A'.'. (Additions)
Owner i.Climate,Zone
Permit # 3402-�7 , Floor, Area
The: following data showing mandatory and required features"of"Package "A" shall
be'installed.for additions to"dwellings. Addi,tions,to dwellings include room
-additions, converting garages and patios to living areas, house moves that"add
`.footage and attic conversions, and•any space that is existing non -conditioned
' space that is converted to conditioned space. Remodeling of existing conditioned
space is no t.included.'
ZONE 11 ZONE 16.
APPLIES TO NEW AREA
.� -CEILING .. `R-30 R '38
�rWALL R-11 R-1
FLOOR R=11 .R-19'
..SLAB R-7 ._ : R_7
GLAZING U=:6.5,,(Dual): U-.65.. ual)
SHADING
SOUTH OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)'
VINFILTRATION.CONTROL. (Weatherstrip doors, certified windows,.caulking)
VAPOR BARRIER (Zone 16) S:
DUCTS PER UNIFORM MECHANICAL CODE =-Ch. 10,,
LIGHTING KITCHEN & BATH NOT LESS THAN 25, LUMENS/WATT:
AMAXIMUM GLAZING ' 16%• OF •-AREA PLUS ;REMOVED ,LAZING
.NEW HEATING, VENTILATING,,,AIR CONDITIONING AND.HOT"WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED.AS SHOWN ON.BACK
-OF THIS THIS SHEET. �..
OTHER.•
1.2/85
*1 HEATING, VENTIIATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace %
(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
❑ Other.
(describe)
*1' (B) Cooling
❑ Electric Air Conditioner .
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ •(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
C3 * 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(g), and fill out the
following: _
Heating: Winter design temperature °; elevation ', heating load BTU
elevation factor x heating load maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature ', cooling load BTU
*2 Submit T.I.P.,S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California dministratio ode.
SIGNATWOBUI'LIW51NG DESIGNER OR APPL
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND' PERMIT
ti. PER IT NO/
ASSESSOR PA CEL NUM E3
— 3-C><�
ZONIN
BUILDING PERMIT
OWNER 4W
TELEPHONE
- S3
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S AME
TELEPHONE
CONTRACTOR'S I G ADDRESS
Fireplace 1000
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Flung Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1746
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
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
SF � Duplex❑ Mobilehome❑ Other
SPECIFY
Gas. piping system 1 - 5 outlets
5.00 .01-0
Building sewer
5.00
Mobile Home I S G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel t•lities ❑ Installation❑ Other`;
Describe wor I
n4 aeaz
Penult Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V 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):
❑ 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
cense No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the -owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am`exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OR ADDNS. ACC. BLDGS. ! , OCCUP.NI /20sgft
NEW CONSTR.
NON.RESID .BRANCH CIRC TS 2.50 ea
POWER APPARATUS N
SINGLE OUTLET CIR.
20@EX. Occup( OUTLETS OR FIXTURES SAL@3 0
ALoo
FIXED APPLNS. 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):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a ertificate of Workmen's Compensation Insurance or a Certificate
f 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,
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against saidC unty in consequpce oft granting of thisr mit.
,i���
X Date
Signature of Applicant — Owner ❑ ntroator ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesheight.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCCUP.
CONS T.TYPc
JSC"OOLJ
vL000
PARCEL
P11
F.DT11.11E
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 PUBLIC WORKS
-
BY l%ate 11
PERMIT EXPIRES Date.��/./1V
��in
Receipt No. ��D`�
WNITE-O.P.W., YELLOW-ASSE330 R, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - Department of Public Works
7 County Center.Drive,,Oroville, CA 95965 Phone: 916-538-7541',.
OWNER -BUILDER VERIFICATION
Attention Pr6perty Owner:
An "owner -builder'.' building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit.. No building permit
will'. -be issued until this verification is received.
1. I personally plan to provide the.major labor and materials for construction -of
the proposed property improvement (.yes or no)
2. I (haveA+&v4-fit) signed an application for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
'construction:_
Name
Address City
Phone Contractors.License No.
4.,.I plan to provide portions of this ,,work, but I have hired the following person
to coordinate, supervise,'and provide the major work:
Name
Address 4 City
Phone Contractors License No.
5. I will provide some of the work -'but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type.of Work
Signed: _' n
Property Owner Q/ V
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sect;ons 19831 and
19832.of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-,
mitted to issue the permit.
J-1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 -Telephone: 916/538-7541
APPLICATION A.ND° PERMIT
ASSESSOR PARCEL NUMBER r^
.,_
ZONING.
-
.,' BUILDING PERMIT
OWNER !
(/
TELEPHONE
SQ.FT. OCC. BUILDING
VALU TION
OWNER'S MAILING ADDRESS
3
'
CONTRACTOR'S NM
.TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
19
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING 'ADDR s
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILIN ADDRESS -
Penalty
$
BUILDING" ADDRESS /
(/
Permit fee _
$
PLUMBING PERMIT
Filing Fee 10.00.
I
Each Trap
2.00
AID
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME Vii','
PARCEL 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
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
•New ❑ Additionp Remodel ❑ Utilities ❑ . Installation[] Other�ff i
Describe work
17
Permit Fee
$ �.
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00V OR LESS
100 AMP OR LESS .
10.00
Main service EA. ADO'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 o the Business
.and Professions Code and my license is in full force and effect.
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)
❑ I, as the owner, am exclusively contracting with"licensed contract-
ors. {Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code .
for this reason
NEW CONST./ DWELLING OC
OR ACDNS. ` ACC. BLDGS. yz¢sgft
OR
NEI CONSTR MULTI -OUTLET 2,50 ea
NON.RESID .BRA CH CIRC ITS
' (POWER APPARATUS e)
SINGLE OUTLET CIR.
200500
Ex. Occu BAL930
p(OUTLETS OR FIXTURES 200030
Ex. Occup. OUTLETS FIXED P(RESID )LNS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc.Wiring 15.00
1
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
[V1 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 shal I be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
�(
Cooling
Hood
3.00
Ventilation
Permit Fee
$ l f%
Contractor
I certify that' I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State -Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to,enter upon the above-mentioned property for inspection purposes.
also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in anyway accrue
against said Cou y in conse n of the granting of this permit.
X Date _ -..��` ��
Signature of Applicant - Owner Co rector ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE `� $
occu P.
CONST.TYPC
SCHOOL
FLCr00J
PARCEL
PD
HDJ
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
, •
DIRECTO F PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid..
P .
WORKS
`.Date
��'u
Receipt No. 0 V
WNITE-D.P.W., YELLOW-AS2E3SOPI. PINK-INSPECTO . rOLDENROD-APPLICANT
Y
F
COUNTY OF BUTTE - Department of Public Works -
7 County Center Drive, Oroville, CA 95965 Phone:
916-538-7541
OWNER -BUILDER VERIFICATION
Attention. Property Owner:
An 'owner -builder" building permit has-been applied for in your name and .bearing.
your signature
Please complete and return this information at•your•earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be•16sued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement.(yes or no)
2. I (have/have--not) signed an application for a building permit
for the proposed work.
3. I have contracted•with the following person (firm) to provide the prbposed
construction:
Name 4
Address City r
Phone Contractors License No.
4.- I plan to provide portions of this work, but I have hired the following person.
to coordinate, supervise, and provide the major work:
Name
Address City
Phone Contractors.License No.
5. I.will provide some of the work'but I have contracted (hired), the following
persons ,to provide the work indicated:
Name. Address Phone Type of Work
IL
Signed
Property,Owner
Social Security Number
Date
NOTE: This Owner -Builder Verification is sent to you as required by.Sections 19831 and
19832 of the California:Health and Safety Code.
.This verification must•be completed and returned to�our office before we -are per
mitted to -issue 'the permit.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,kalifornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
ASSESSORP�RCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
;�
J
TELEPHONE
r• - _ 5'
,SQ, FT. OCC. BUILDING VALUATION
��� `/�//� r
,
OWNER'S MALLING ADDRESS i•
f i/ r 1 / �. / i 7 • v ei
CONTRACTOR'S NA ME -
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ C/, /)
v
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
-
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 z n1
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
Mobile Home is
10.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities E]Installation[]Other �o
Describe work: ✓ ,/! �/- )
Permit Fee
$ V, J '1
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
of perjury
I declare under penalty p i y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, Or my employees with wages as their sole compen-
X sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. / DWELLING OCCUP.!!
OR ADONS. C ACC. BLOGS.
, /22sgft
NEW CONSTR ULTI.OUTLET
NO N•R ESID BRANCH CIRC.)ITS 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR. I
z0es0e
Ex. Occup OUTLETS OR FIXTURES 1. 30
FIXED . OR
EX. Occup. OUTLETS TS (R(RESEST D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring/ 15.00 S
Permit Fee $ '(
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
` I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
I
$
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, -and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
G /This
X ,/i� / CC * 4' �� Date �- ' �7
Signature of Applicant — Owner Wf Con rector ❑ Agent ❑
permit is required for excavations over 5'0" deep and demolition or construct-
An OSHAJ
ion of structures over�33 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCcUP.
CONST.TYPEJ
I
I
JFLOOOJPARCrLJ
PD
ND
139UE
-permit is herebyissued under
sions of the Butte Cunty Code and/or
work iridicatgd above for which
',�/�RECT6RcOF PUBLIC
By
PERMIT EXPIRES Date
thea applicable rovi-
resolutions to do
fees have been paid.
WORKS
Date ?4%/,/,vo7
��y�ti [
Receipt No. / 7 A 7
WHITE-O.P.W.. YELLOW -Ase E330R. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO
4
i
ASSESSOR P RCEL NUMBER /
ZONING
BUILDING PERMIT
OWNER /�j`,
J/VVI.
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'SM J..ING A DRESS
C
CONTRACTOR'SNAME L TELEPHONE
/
CONTRACTOR'SIQAILIN. 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 66a w
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 of 06
Solar or heat pump water heater
20.00 1
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF IbJ Duplex❑ Mobilehome❑ Other
lTT 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❑ U'lities Installation❑ Other®
Describe work: /
lfku0�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V 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):
F -1I 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
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.eI
OR ADDNS. ACC. BLDGS. � yzQsgft
NEW CONSTR.ULTI-OUTLET 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 00@50 3
AL0SAL0
FIXED APPLNS. 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):
❑ 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 ora Certificate
of Consent to Self -Insure.
`j I shall not employ any person in any manner so as to become subject
�t to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
Contractor
$
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabil' ' s, judgments, costs, and expenses which may in any way accrue
against aid County in co q n e of the granting of this permit.
�_ S
X Date
Signature of Applicant — Owner Co ractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or constructT�R�OF
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
OccUP.
CONST.TYPE
___[aLOOD
PARCEL
PD
ND
ISSUE
Thi rmit is hereby issued under
si ns o the Butte ounty. Code and/or
rk Wi ve for which
PUBLIC
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
2
Date 3 8
30 Al
Receipt No. ;5J -ZS -5
WHITE-D.P.W.. TELLO -AS.I.S.R. PINK -INSPECTOR. GOLDENROD -APPLICANT
Permit #2529-8,
D Evans
660 Colusa,Oro
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville,italiforeba 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO..�
ASSESSOR PARCEL NUMBER
� j _ ")q :> — P /
ZONING
BUILDING PERMIT
OWNER lV
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER/'S MAILING ADDRESS
CONTRACTOR'S NAMETELEPHONE
J T,7
CONTRACTOR'S MAILING ADDRESS,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
I`Energy
LICENSE NO.
Plan Checking Fee
$
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
/
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF �c❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 �( - I ✓,.
Main service EA. ADO'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 BuslnesS
Aand Professions Code and my license is in full force -and effect.
(
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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUP.tr ,
OR ADDNS. ACC. BLDGS. / 2�22sgIt
NEW CONSTF;L MULTI.OUTLET 2,50 ea
NON.RESI0 BRANCH CRC ITS
POWER APPAIRATUS tr
.
(SINGLE OUTLET CIRx.
Occup(
EO(OUTLETS OR FIXTURES e20 A 0530
EX. OCCUp. OUTLETS PIRESID•IFIXED APLNS.REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ %5`J . C v
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Q- 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
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 Countyotl_
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, -costs, and expenses which may in any way accrue
against said_-C-ouJnnty in consequence of the granting of this permit.
X fi�'1/ �•/A7F �irn,/ [��
Date _.;-
Signature of Appli�c ni Owner❑ LCantractor��, Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.
CONST.TYPE
I
IFLOO111PARCELI
PD
ND
I ISSUE
U-1
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS r
/ /
IL - f1iL.
By. Date /ter �� •%`�_ / r
PERMIT EXPIRES Date �.
Receipt No. r'" % —' ��
WNITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT N0.
7 County Center Drive - Oroville, Ctlifornl , 95965 - Telephone 916/534-4541
APPLICATION. AND PERMIT
ASSESSOR EL, t�yM�ER� / -
vc)(—((✓S
ZONING
_ .BUILDING PERMIT
OWN
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING A R S
0 no I Le
CONT AC O 'S NAME-
TELEPHONE
11C,0V_TRACT 'S MAILING DRESS
Fireplace
CONSTRUCTION L NDER
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
$
ARC ITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS -
..Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building.sewer
5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
_
Main service. 600v OR LESS
100 OROR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW -
Id tare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Busines$
and Professlo s CO a and my license Is In full f( a and effect.
�--�
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)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. ( DWELLING OCCUPM yzQsgft
OR ADDNS.' ACC. BLDGS. I
NON -REBID NEW R. -BRANCH CIRCMULTI-OUTLETITS 2.50 ea
POWER APPARATUS .&)
(SINGLE OUTLET CIR.
120050
Ex. Occup(OUTLETS OR FIXTURES 5AL030
°ALoao
Ex. Occup. OUTLETS ((RESID )FIXED APPLNS. REA.� 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00 AS. 6D
Misc. Wiring' 15.00
Permit Fee $ s.
Contractor,
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on'file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to.become subject
to the W. C. laws of California.
Nois o 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
g
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 s unty in c eq ce the granting of this permit.
X Date
Signat re of Ap ica Wner ❑ - oniractor Agent ❑ -
An 0 HA permit is required for excavations over A" and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP,
J,C0NST,TYP1J
I
IFLOODIPARCELI
PD
I
ISSOE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR,9F P BLIC
By4
&4�1
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees -have been aid.
p
WORKS
Date f ��
Receipt No. (n3 a
WHITE-O.P.W., YELLOW-ASS[SSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
4 '
J
Temp. Power Pole
r .
Called PG&E
Temp. Elec. Serv.
Called PG&E
Tempa Gas Serv.
Called PG&E
JOB
FINALED
(Date)'
(Sig an ture)
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '
BUILDING INSPECTION RECORD � •. .,
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
`1st Floor
Main Bldg.
Restroom Finish
2nd Floor `
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Pi in r-
Piers
�,
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground.
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DA1 TE
�!
—REMARKSOR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
;r•
" THERMALITO IRRIGATION DISTRICT
•' !'.' 4ilO GRAND AVENrUE " "'
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
log
CSA 26 SEWER SERVICE APPLICATION AND CONNECTION PERMIT
Service Address: t"', Sac /-/Y�W. .
Owner's Name: /I ►ft --SIV V, n.S.
Date: 4L-/9 X74
Address: Ale •
Acct. No: Jas" -S'"•
Cirn,, �1.� L f1 �1s?�S�
A. P. No.:..3
Phone: S`f` ���`��.
No. Units:
Applicant/Agent: %/
Agents Proof: ,0,/,a
Address:
Fees:
Phone:
Application $
Preliminary Review By �n-
Arrearage
Date: 1;L1917(.1
CSA 26
Remarks:
SC -OR
1st mo. S.C. /
-. Other
Total Fees jr,x)t-
Collected By:
Date:
,Field Review By: Date:
Remarks: . O
MONTHLY SERVICE CHARGESMILL COMMENCE AUTOMATICALLY UPON:
0 Date of TID approval of completed building sewer (early connection).
❑ 30 days after date above, or on date of D.P`.W. approval of completed building
sewer, which ever comes
first ("existing construction", prior to Mar. 5, 1974).
❑ 180 days after date above, or on date of D.P.W. approval of completed building sewer, which ever comes.
first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW - APPLICANT, PINK - DPW, GOLDENROD -DPW to TID ,
COUNTY
OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — OraviIle, California 95965
Telephone: 534-4541 s
/ /—
APPLICATION AND PERMIT
autnonce representatives of the County of butte to enter upon the
above-mentioned property for inspection purposes.
X ___f 6L) Date'
Signature of Permitee or Agent
Receipt No. / �ti/„
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
*DTOR OF PUBLIC WORKSBy d Datepires Date '
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing AddressC�
Telephone No.
Fireplace
Contractor
Total Valuation
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
Building Address
PLUMING No.1 @ FEE
PERMIT FILING FEE $3.00
Each Trap 1.50
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. _
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fes
�aai.ta4+en
Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 5 ,
EQA
I Parking
Plans
I Parcel
Declaration
Parcel Ma P
60' R/W
Improvements
P
Lawn sprinkler system 2.00
3IdS. Plan -s R,.a'd
Parcel Approval
Plans Approval
Permit Fee $
$ —
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
Main service 100 AMP V OR ORSLESS 5.00
Main service EA. ADD'L 100 AMP 2.50
Main service R 600V
1100EAMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. DWELING
OR ADDNS. ( ACCLBLDGSCCUP. &) 2¢.sgft
NEW CONSTR. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS) '2.50ea
NEW CONSTPOWER APPARATUS &
NON- R. RESID. (SINGLE OUTLET CIR•
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
st le of:
y
Ex. Occup(OUTLETS OR FIXTURES)H'25C
BAL@1
Ex. Occu FIXED APPLNS. OR
P• OUTLETS (RESID.) EA) 2•00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
1 am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
[have placed on file with the County of Butte a certificate of
❑ Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT FEE
$
autnonce representatives of the County of butte to enter upon the
above-mentioned property for inspection purposes.
X ___f 6L) Date'
Signature of Permitee or Agent
Receipt No. / �ti/„
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
*DTOR OF PUBLIC WORKSBy d Datepires Date '