HomeMy WebLinkAbout031-246-02240�
t.
North Sierra Const. 3l nOtpl-
785Colusa Ave., lot#10oville
Permit ��793=77B,P,E,M(new,single
family)
7��-777
31-26-1
Permit'#1304-778(add'1 footage for
permit #793-77)
31-246.-022
HATFIELD,'Debbie
785 Colusa Ave.`, Oroville
Cont
r: Dean Ki dale
\ /BFINALED (Date)` " - .
V
Signature
rF
V=CK
O=Not OKNot
t
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /" L"ft./ /"LPG
Clearance
Date Card B-1 Date Card B-1
Date . Card B-1 Date Card B-1
Date MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date Card B-1 Date Card B-1
Date Card B -i . Date Card
8"-1
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs: Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GF1
6. Elec.;Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
'8. Elec.; Grounding; Equip. w/5' Circulating Equip'. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
'J OK
O=Not OK
= Not Applicable
Not Ready RESIDENTIAL (Single & Duplex)
' =
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks -Easements -Flood -Slope
2. Ftg., Main; Soils-Elec. Grnd.-/ /" Fig. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Fig. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit) OK except #'s
16. Water Htr.; Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchor -Nail Protection
18. O.W.V.; Test -Fittings & Anchor -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card B71 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & C.J.
26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or At
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral ❑ Yes ❑ No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
33. Smoke Detector
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
39. Sils, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
45. Hangers -Post Caps -Anchors -Connectors
46. Cing. Joist-Rftr. ties -Pu rlin -roof Brac-Truss-Shthng.-Rfng.
47. Fireplace Ties or Type A Flue -Fireplace Throat clearance
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. Garage Fire Protection Framing
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
57. Glazing Area -Glass Protection -Skylights -Plastic
58. Shear Walls; Nailing -Bolts
59. Insulation -Walls -Ceilings
60. Infiltration -Walls -Windows
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Landings
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
64. Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes & Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage; Above Floor -Meth. Protection
75. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protection
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. Ventilation Throughout House
87. Glass Protection
88. Corrections from Previous Inspections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
91. Energy Compliance Certificate -Other Certificates
Date IX (Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARij ENT OF PUBLIC WORKS `. PERMIT NO. rt
7 County Center, Drive - Orovil le, California 95965 - Telephone: 916/538-7541 2 —7 D� 9 0 ,
APPLICATION AND PERMIT:; l T LJ
ASSESSOR PARCEL. NUMBER
031-246-022 '
ZONING
BUILDING PERMIT
OWNER
Debbie Hatfield
TELEPHONE
534-7975
$O.,FT. OCC. - BUILDINGrV ON
OWNER'S MAILING ADDRESS
785 Colusa Avenue; Oroville
CONTRACTOR'SNAME -
TELEPHONE'
1.
CONTRACTOR'S MAILING ADDRESS
Fireplace A 1,000
CONSTRUCTION LENDER - I
UNKNOWN
Total Valuation $
Filing Fee
$ 'iQ.QQ
LENDER'S MAILING ADDRESS' ti
Permit Fee
$ 17.50,
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking.Fee
$ '
Energy Plan Checking Fee
$ '
ARCHITECT. OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
785 Colusa Avenue '
Permit fee
$ 27.50
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 gas water heater or vent
5.00 r
USE OF STRUCTURE
SF [j] Duplex❑ Mobilehome❑ Other wood stove
" - SPECIFY
'Gas piping•system 1 - 5 outlets
5.00.
Building sewer
5.00
Mobi le Home S I G I W
ea
TYPE OF WORK
New g* •Addition ❑ Remodel ❑ ,Utilities ❑ Installation[] Other ❑
Describe work: free standing wood -stove ':' _
—10-00
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
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.
License No. _ Classification
lyl
WI 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
❑ I, 'as the owner, am exclusively contracting. with licensed contracts
ors. (Sec.'7044), x ^
❑ I am exempt under Sec. - Business and Professions, Code
for this reason
NEW CONST., DWELLING OCCUP.9
OR ADONS. ACC. BLDGS. I
2/2¢sgft
NEW CONSTR. MULT'-OUTLET
NON.RESID BRANCH CIRC ITS
2,50 ea
/POWER APPARATUS &
(POWER
OUTLET CIR.
-
Ex. Occup(
pl OUTLETS OR FIXTURES
20@302
gAL@30
FIXED
Ex. Occup. OUTLETS (RESID IREA.�
2.00
Temporary service
_
10.00
Mobile Home Facilities
15.00
Misc. Wiring
9
15.00
Peimit Fee
$
WORKMENIS COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
Q 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.
IBX I'shalI not employ any person in any manner so, as to become, -subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FiIingFee '10.00
Heating r
Cooling
Hood
3,00
Ventilation
permit Fee
$
Contractor
I certify that•I have read this 'application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains aid Cunt in c sequ ce of the granting of this permit.
%� Date �� �3-�`L
Signature of Applicant — Owner Coniiactor ❑ Agent ❑
An OSHA permit is required -for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $ ,
Energy -Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 27.50 .
HAZ'
cuA
PARK
SCHL
rLo
PAR
PD
HD
Issu
This permit is hereby issued under
si ins of the Butte County Code and/or
work i ate d above for whichf
.1 D) OF P
B.60V A
•PERMIT EXPIRES Date
the applicable provi-
resolutions to do
es have? been paid. .
WORKS.
JG
Date /C
Receipt No. 84107 a
WHITE-D.P.W.•'TELLow-AssrsSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT'-
r t
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916,538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER .�
ZONING
.
I
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS -
I
CONTRACTO '$NAME -
TELEPHONE
CONTRACTOR'S M LING ADDRESS
' 1-;,
Fireplace �� f O 0
CONSTRUCTION L NDEUNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
v_
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
Gas piping system 1 - 5 outlets
5.00
SFDuplex❑ Mob ilehome❑ Other 9n S/O (%- ,
Buildin sewer
9
5.00
Mobile Home I S I G JW 1
10.00e
SPECIFY
TYPE OF WORK
New Addition❑ Remodel❑ Utilities[:] Installation❑ Other ❑
Permit Fee
$
Describe work: C..., t OMA 579� Ee-
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service E SS
iD°°1 OR o AMP ORSLESS
10.00
Main service EA. ADD -L too AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC.
usgft
I declare underenalt of perjury
P y p l y (check one):
BLDGS.
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NEW CONSTR. ULTI.OUTLET
NON-RESID BRANCH CIRC ITS
12.50 ea
and Professions Code and my license is in full force and effect.
POWER APPARATUS a
(SINGLE OUTLET CIR.
No. Classification
Ex. OCCu OUTLETS OR FIXTURES
P
506License
�.-LO 30,
I, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS.
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
ElI, as the owner, am exclusively contracting with licensed contract -
Mobile Home Facilities
15.00
ors. (Sec. 7044)
Misc. Wiring
15.00
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
Contractor
I declare under penalty of perjury (check one):
MECHANICAL PERMIT
Filing Fee 10.00
❑ The permit is for $100.00 (valuation) or less.
Heating
❑ 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.
Cooling
❑ I shall not employ any person in any manner so as to become subject
Hood
to the W. C. laws of California.
3,00
Notice to Applicant: If after making this statement, should you become subject
Ventilation
to the W. C. provisions of the Labor Code, you must forthwith comply with such
Permit Fee
$
provisions or this permit shall be deemed revoked.
Contractor
I certify that I have read this application and state that the above information
Mobile Home Installation Fee
$
is correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
$
to building construction, and hereby authorize representatives of the Countyotocc
Butte to enter upon the above-mentioned property for inspection
CONST TYPE
purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
TOTAL FEE $
all liabilities, judgments, costs, and expenses which may in any way accrue
HAZ CUA PARK SCHL FLD
PAR PD Ho Issue
against said County in consequence of the granting of this permit.
I
X - -
This permit is hereby issued under the applicable provi-
Signature of Applicant — Owner0. Contractor ❑ Agent'❑
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
An OSHA permit is required for excovations.over 5'0' - deep an4 demolition or construct-
ion of structures over 3 stories in height.
DIRECTOR OF PUBLIC
WORKS
Receipt No. Z7, 5u. ;,:r__.
By
Date
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
PERMIT EXPIRES 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 iny our 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.
I personally plan to provide the major labor and materials for construction of,
the proposed property improvement (yes or no)
I have)have not) 4 ctci-r building signed an application for a blding permit
forieproposed work.
3. 1 have contracted with the following person (firm) to provide the proposed
construction:
Name
Address City
Phone Contractors License No.
r
-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 contiacted.(hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work.-
Signed:
ork
Signed:
Property Ownef. /
Social Security Number.
Date /'D -'�
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:
PTF 'fir - .pry 1['
COUNTY OF BUTTE - DEPARTMENT' OF' -PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER brb4ie; .¢' /�/Z� A. P. No. 3 1
Proposed Building Use Mach Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted . ........................ ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ....................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building I spactor (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance .................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .... .
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone—and hold for pickup at office. Deliver w/inspector.
— .
Other ,r � �9-a O ►. , ," ��I ,,
Applicant Date .Date /D-23
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
PERMIT N0. 793-77B,P,E,M '
N ...a_�.
M1 PERMIT EXPIRES
iIOWNER North Sierra Const.
CONTR. owner
31-246-1
LOCATION (A.P. port.
)
785 Colusa.Ave., lot #10, Oroville
epi
by _
�
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. 7l
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date) �� '�✓L
(Signature)
w
i
Temp. Power Pole
Called PG&E
Temp. Elec. Serv. 7l
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date) �� '�✓L
(Signature)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
MOBILEF
Water Pipi
•a ��W�� uas ripmg
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
i
(NOTE: An entry must be made on this form each time you vislt the job site.)
'";
,t
�+
COUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS
r.
BUILDING INSPECTIONRECORD =
BUILDING
BUILDING (Cont'd) .
PLUMBING
.Setback
Firewall
Soil Piping
Forms
Parapets
list Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
StemwalI
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures.
Footings
StemwalI
Garage Vents
Insulation '
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for ph sically
handica ed
Conformance of ez.
structure
Appliances
Gas Piping &Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footina
ELECTRICAL
Masonry-Walls
Throat
Rough
Relnf. 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
MOBILEHOME UTILITIES ------------------ Elec_ Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
OBILEHOME INSTALLATION
.............. Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
THIS IS TO CERTIFY THAT INSULATION HAS BEEN INSTALLED IN .CONFORMANCE WITH THE CURRENT REGULA-
TIONS', CALIFORNIA ADMINISTRATIVE CODE, TITLE,25, STATE OF CALIFORNIA, IN THE BUILDING LOCATED AT:
Street Lot Number Tract No.
EXTERIOR WALLSZ/
ManufacturerThickness%Type 7 R Value
CEILINGS
Batts: Manufacturer Thickness R Value
Blown: Manufactur 0!�// Thickness—,I—", No. Bags --? -L Wt./Bag
Sq. Ft. Covered Z/ R' Value
FLOORS
ManufacturerTbickness/Typc— R Vilu,-
SLAB ON GRADE
Manufacturer Thickness4Type R Value
Width of Insulation --inches
FOUNDATION WALLS
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR LICENSE No.
BY TITLE DATE
INSULATIOJ4 CONTRACTOR: HAWKINS INSULATION CO. LICENSE N 215.925
BY M0=TLE- DATE `7
Z71
COON TY,.'OF'BL"TTE_- DEPARTMENT OF, PUBLIC WORKS
r 7.County'Center.Drive — Oroville, California'95965
' Telephone: 534-4541
- APPLICATION AND PERMIT
_
BUILDING `
Owner S
'
SO. FT. OCC. BUILDING VALUATION
'
,
1 -
Q
Mailing Address.� (�
Trlephone
Fireplace
_
Contractor,
Total Valuation ±
L. -I L193
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee' I I$
Q(
Building Address
' `
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 Ldp
Each Trap 1.50
Repair drainage or -vent piping 1.50
{
Water piping 1.50 i ?)
Zoning- Verificafiop ;
Each gas water heater or vent 1.50 .
JGas
A. P. No. '1'55,
Z
piping system 1 = 5 outlets 1.50 O
Each additional outlet .30
F s
W.C. el{i i
Fire Dept.
Fire Zone
Use`Pennit'
Building sewer 5.00 Q_
EOA
Parking
Plans
cel Parcel Ma
Decla ion p
60' R/W •
Im rove ents
p
Lawn sprinkler system. ', 2.00
n����^"' ®�
Ed Plans Recd
Parcel Approval '
PI Approval
Permit Fee
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
ELECTRICAL' No. @ FEE
PERMIT FILING FEE,, $3.00 !S.t�
OR
Main service 10000 AMP OR..SLESS' 5.00
• - - - y .. -
'
Main service' EA. "ADD•L loo AMP 2.50 _
t
•. OVER 600V
Main service 100 AMP OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑,
Main service' EA. ADD•L 100 AMP 1.00
- -
-
' • ' -
NEW CONST.DWELLING Cfi-
OR ADDNS. ( ACC; BLDGS. ) 2¢sgftA L6
-
NEW CONSTR MULTI -OUT
NON-RESID. ( BRANCH CICUITS) 2.50ea
R
- f
NEW CONSTR /POWER APPARATUS &
NON-RESID.'_" SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW t ,.
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under- the name
Style_
of:
/(/����
Ex.'Occup(ouTLETs OR FIXTURES) SAL@1
FIXED APPLNS, OR
Ex.'Occup.(OUTLETS (RESID.) EA) 2.00 -
Temporary service 10.00
' -
Mobile Home Facilities 15.00
a /
License No-U::M9L-• Classification
Misc.' Wiring - 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $ 0
$ %G
' - MECHANICAL No. @' FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California.Labor I
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.
0
certify that in the performance of the work for which this
❑ piermit is issued' I shall not employ any,person in any manner
so as to become subject to the Workmen's Compensation Laws of
Cal i forni a.
PERMIT FILING FEE $3.00 -0
Heating .• )h,,
Cooling •
Ventilation
Hood 2.00 1
Permit Fee .. $
$ ��C
I certify that.I have read this application and state that the above
information is correct. l agree to comply,to all County Ordinances
and State Laws relating to building construction, and hereby
%2 01
PERMIT "TO AL• EE
$
autnonze representatives of the county of t3utte to enter upon the
above-mentioned property for inspection purposes.` -1 ,
X `Date
�$ gn ure of Per Itee or Agent t ,
v % +'l I
Receipt No. _/ y
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of '
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR PUBLIC WORKS ti
'—Z-7
By - � - �- Date � 7
B Iding'permit expires Date 3 Z —7
THERMALITO"IRRIGATION DISTRICT
410 GRAND AVENUE
OROVILLE, CALIFORNIA 95965
TELEPHONE 533-0740
CSA 26 SEWER SERVICE APPLICATION AND; CONNECTION PERMIT ,
Service Address: (_.��-�-t�» �:--r/�cr- - t `•-
/`'' /'---tom . �,
Owner's Name: ?/�' il� :•4.�4 rt (��. _.'-
Date: - 7 2
Address: �. C� i �,�.
Acct. No:
A.P. No.: �
Phone:
No. Units:
Applicant/Agent: /✓'%
Agents Proof: y✓f}
r
Address:
Fees:
Phone:
Application $ �'
Arrearage
Preliminary Review By: Date: 7
CSA 26
Remarks:
SC -ORS
1 St mo. S.C.
Other
Total Fees!
Collected By:
Date: % 7
Field Review By: Date:
Remarks:
r
r
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., whichever 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
f first ("new construction", after Mar. 5, 1974).
DISTRIBUTION: WHITE - TID, YELLOW -.APPLICANT, PINK - DPW, GOLDENROD - DPW:;to`TiID
The Bldg. Setback sbOH 6e ft. Trom the
side property line and 50 ft. from the
centerline of the road, permitting a max,
,mum of a 2 ft. eave overhang but entirely
7,
easements.
TO
O P 15�'
NOTE:—All Materials & Workmanship Shall -HBe in
Accordance with Recognized Good Practices and d .
of a quality prescribed for tMe
idUniform Building, Plumbing &hanical Codes a 4 n "
the National Electrical Code.
This set of plans and specifications MUST :4i'
kept on the i,43 at all firnes and it ,s unlawfu'ffo'
make any channes or alterations on some without
written permission from the Department of Pu6l.ic.,--',
Works, County of Butte.
See Master Plan 'on file for- Wildbi
plans.
ME "0 NTfi
BUILDING DEPARTMENT
APPROVED
pribl+ua 7t�� 9�� t no ri ,. i , ;;LUQ
COUNTY OF BUTTE-, DEPARTMENT OF PUBLIC•WORKS
7 County Center Drive, — Ofoville, California 95965
Telephone:' 534-4541
APPLICATION AND PERMIT .
boy
t
BUILDING
OwnerAlao4 Lt .,mG,
SQ. FT. OCC. BUILDING VALUATION
c:02 z19P
Mailing Address X '
�t
le hone No.
'
•
Fireplace
Contractor
Total Valuation �6
Mailing Address
Permit Fee pp
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $ O
Building Address
PLUMBING No. @ FEE.
PERMIT FILING FEE $3.00
Each Trap 1.50
® ,//
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. /� --
o.
Zoning 8 Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
es I
W.Irl
Somtatlan Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00
EQA
Parking
Parcel
Declaration
Parcel Ma p
60' R/W
Improvements
p
Lawn sprinkler system 2.00 F::::::]
��y�Plans
g. Plans &-I',--
Bld—
Parcel Approval
Plans Approval
Permit Fee $
Permit
NEW ❑ ADDITION ❑ 'UTILITIES ❑ OTHER 0
ELECTRICAL No. @ FEE
PERMIT FILING FEE J$3.00
- ,
Main service 100 AMP ORV OR SLESS 5.00
Main service • EA. ADD'L 100 AMP 2.50
Main service 100 AMP VER OR LESS 25.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service` EA. ADD•L 100 AMP 1.00
•
'
NEW CONST.
OR ADDNS. ( DWELLING ACC. BL GS.CCUP. &\ 2¢sgft
NEW CONSTR. (MULTI -OUTLET �/
NON-RESID, l BRANCH CIRCUITS 2.50ea
- •
NEW CONSTR. (POWER APPARATUS .&)
NON.RESID. SINGLE OUTLET CIR.
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style ofA_1�65�TN
y, /'
1!ye;Alzo 4_)",
Ex. Occup(ouTLETs OR FIXTURES) BAL@1
FIXED ALNS
Ex. Occup. (OUTLETSP(RESID)REA) 2.00
Temporary service 10.00
f
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
MECHANICAL No. @ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of.the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
��I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
I certify that I have read this application and state that the above
information is correct. I agree to comply to all County Ordinances
and State Laws relating to building construction, and hereby
TOTAL PERMIT -FEE
$
0U111U114e TUPICSCI1LdL1VeJ UI lite Luuiity UI [}utte tU enter upun the
above-mentioned property for inspection purposes.'
y X Date 5,
i ture ermi or Agent
RPei N0.Z4 Lrj���
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
-This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
above for which fees have been paid.
DIRECTOR OF BLIC WORKS .
By Date 3-1
Building permit expires Date!—Z �?