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1055 Grand Ave., Thermalito � � 3821E
Permit #4891-75P (install se 3820P
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31-253-33 dh 1055 Grand Ave., Therm
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Permit#1607-83B3pP,E(add bath/SF)` ,,CONTR: Arinda Builders, Inc., 1674 10th S -�
Oroville`o"�''`
031-25-3-054 93-3258 B (new, single-family) /a - 8 - 6 }
ANDERSON, HETTI �%Y'�"
1055 h4 OROVILLE 7
CONTR:.. H&H ROUFING /p/ /�✓�
REROOF/SF51
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031=25-3-054 93-3258 B
ANDERSON, HETTI .
1055 ROSEBEN, OROVILLE:.
CONTR: H&H ROOFING.
REROOF/SF
l0 101O3
COUNTY OF BUTTE -DEPARTMENT OF DIVEI.QPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT ?.)-3�'58
ASSESSOR PARCEL NUMBER 031_253-054
ZONING A—R
BUILDING PERMIT
OWNER IIE'ITI ANDERSON
TELEPHONE
SQ... FST. OCC.BUILDING VALUATION
2 S J b—I 260.00
OWNER'S MAILING ADDRESS
1055 GRAND AVE OROVILLE 95965
2050 MVP 1200.00
CONTRACTOR'S NAME
11 & R ROOFING
�`S`W 1213
CONTRACTOR'S MAILING ADDRESS 3975 ROSEBEN AVE OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1460.00
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
105-5 n RT; I-7
PERMIT FEE $ 55.00
- -
OROVILLE, CA 95965
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00..
Water piping 15.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent 15.00
USE OF STRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W 20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other 0
Describework: REROOF WITH CO11P AND 2 SO B—U
PERMIT FEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ' "" OR LESS ) 23.00
2OOA OR LESS
Main Service ! 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP. So,
OR ADDNS. & ACC. BLDS. ) 3.5C FT.
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
4, I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full forceaC, ; nd e�fec
License No. (n/ ��� � Classification
❑ I, as the owner, 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)
❑ I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ 1 am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. / BRANCH CIRCUITS ) @7.50
1 POWER APPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES ) BA20 @ 1.00
Ex. Occup' FIXED APPWS. D) r
(OUTLETS IRESI.EA. ) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
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 Butte County Ordinances and California 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 said
County in consequence of the granting of this permit.
Date
X i :' �' ' / 13
Signature of Applicant - 1:1 Owner Contrai to`r 13 Agent /
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE.$;• SS.00
L.
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL PD
HD
ISS
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 O PUBLIC/WORKS
%��% � (, /
By �/ ! _ //J l' Date9 49/Q
�/� 4 �/►y
PERMIT EXPIRES ON Y7`
/Date/ /
Receipt
j
WHITE-O.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
.D.
COUNTY OF BUTTE - DEPARTMENT OF EIEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541PERMIT N
APPLICATION AND -PERMIT a 3--3Q5
ASSESSOR PARCEL NUMBER 031-253-054
ZONING A—R
BUILDING PERMIT ,
OWNER HETTI ANDERSON
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION,/
2 SQ B—U 260.00
OWNER'S MAILING ADDRESS 1055 GRAND AVE OROVILLE 95965
20SO COMP 1200.00
CONTRACTOR'S NAME H & H ROOFING
TELNIJE 1213
LL�F
CONTRACTOR'S MAILING ADDRESS 3975 ROSEBEN AVE OROVILLE
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $ 1460.00
Filing Fee $
20.00
LENDER'S MAILING ADDRESS
Permit Fee $
35.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
OROVILLE, CA 95965
PERMIT FEE $ 55.00
PLUMBING PERMIT Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15,00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF Ck Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other p
X
Describework: REROOF WITH COMP AND 2 SO B—U
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( III OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADONS. ( & ACC. OLDS. )
SO.
3.50 FT.
CONTRACTORS LICENSE LAW
I d�clare under penalty of perjury (check one)
I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Co a and my license is in full force nd a fec
j .ly
License No. Classification s C4
O I, as the owner, 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)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS )
-
@7.50
( POWERAPPARATUS )
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
BAL. @ 1.00
FIXED APPLNS. OR
Ex. Occup. ( OUTLETS IRESID.) EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division 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 Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the above mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs, and expenses which may in any way accrue against said
County in.Qonsequence of the ranting of this permit.
G �"
X , Date'
Signature of Applicant - O Owner Contrac or ❑ Agent
An OSHA permit is required for excavations over 5"0" deep and demolition or
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
DCC
CONST. TYPE
TOTAL FEE $ 55.00
HAZ•
I D. FEES
I IMP
I FLOOD
I COF
PARCEL I PD
HO
1
ISS
44
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a for which fee have bee paid.
RECTO F UBLI RKS /� n
BY Date v j/
PERMIT EXPIRES ON
Were)
(}�
EReceo. � 7D.S.-B.D.
CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
t:
PERMIT NO. 1607-83B P E
> >
PERMIT EXPIRES
OWNER RICHARD & HETTIE ANDERSON
CONTR. owner
ASSESSOR PARCEL 31-253-33
LOCATION 1055 Grand Avenue Oroville
1
J
2�
i
A
1
Temp: Power Pole_
Called PG&E _
k
r
Temp. Elec. Service
g Called PG&E_
f
' Temp. Gas Service _
Cal led PG&E
JOB FINALED (Date
Si
�-T3
,v'= 'oK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
•
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
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.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-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 #'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/O 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 Lghig.
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
J = OK
0 = Not OK
- = Not Applicable
�k = Not Ready RESIDENTIAL,(Single
and
Duplex)
Date UNDE OOR s) OK except H's
C -BI Date $��i Card -BI Date
Date FRAMING Continued
onjpg requirements -Setbacks -Easements
Card -BI Date -�- Card -BI Date
Comments at Final:
Property Line Firewall & Openings
Main; Soils-Steel-Elec. Grnd.- 1 /" Ftg. Depth
SAS.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
.69.
.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls,Main; Steel-Blockouts-Wrapped-Slab
t_5V
Siding -Nang -Veneer
_ 6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
(NOTE: An entry must be made each time you visit job site)
tut esh-Drip ed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
Fall -Fit ' gs-Te*t-"2 way C/O -Sewer Test
4&rShear Walls; Nailing -Bolts
9. Gas Pipe: Size -Anchors
_71.
quip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72•
10. Water Pipe; Test -Anchors -Regulator -Service Test
---
-06. 2 Appliance Circuits in Kitchen & Conductor Size
78.
11. Electric; Underground
-
zQ. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
12. Plenums & Ducts; Clearance -Material -Support -Ins.
-�- Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card- I gV_Date_V
;eFd-BI
Card BI Date
ate Card -BI Date
_Insulated Neutral Yes 1N°
Card -BI
Date Card -BI Date
C BI Date %, ' , Card -BI Date
Date FINAL (PI OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI Date° Card -BI Date
'Date PLLI JEfNG (P it) OK except It's
- 29- Equip. Clearances; Panels-Motors-Mech. Equip.
57.
Smoke Detector
_ 1 Water Ht.; Vent -Access -Combustion Air
- 00. Clothes Closet Light -Shower Light -
58.
Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor -Ducts -Meth. Protection
14iWate Pipe; Test & Anchors -Nail Protection
.W.V.; Test-Fttngs &Anchors -Nail Protection
59.
Bedroom Exiting
_
17. Shower Pan; Test, First Floor -Tub Access
80.
6Nr$
1. & Bath Fixtures & Tub Access
_
18 Test Tub & Shower, 2nd Floor -Tub Access
6t-Elec.
Trim & Subpanel; Breaker Sizes -Labels
_
19. Gas Pipe; Size & Anchors&
82.
Glass Protection
Rails
-
$6$/�orreclions
63�ireplace
or Stove; Clearances -Hearth
►_Condensate Drain & Overilow; Size & Grade
34-- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
2'S Attic Access & Platform if Furnace in Attic
-- -- - - ------ -- ----- -- -- --.-- ----
Card -BI Date _ _Card -BI Date- }-
Card -BI Date Card -BI Date
Date FRAM G(Plans) OK except p,'s
-
c. Outlets at Wood Panel, Int. & Ext.
C -BI Date $��i Card -BI Date
C d -BI ate -' Card -BI Date
66rKR Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date -�- Card -BI Date
Comments at Final:
66-1=f1c. Outlets & Receptacles at Kit. Counter
arage Fire Door; Swing -Landing -Closer
Date ELECTRICAL Permit OK except tl's.
{j eader & Beam -Size & Bearing
-ie''.• Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfng.
aftr Fireplace Ties or Type A Flue -Fireplace Throat
'RAttic Acce
Sss: Size & Romex Protection -Draft Stop -Ins. Baffles
�iit drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing- -- - -
Duct in Gara e -Damper
20. Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vc&te-'Clear a -Comb. Air -Con or -P. .-
----
1a! Elec. Receptacles Spacing -Lights & Switches at Doors
(NOTE: An entry must be made each time you visit job site)
I arage; Above Floor -Meth. Protection
_
�7y Size Boxes & No. of Conductors -Stapled
PIb., Elec. & Mech. Equip. Listed for Location
R mex Installed Close to Edge of Studs & C.J.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
_71.
quip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72•
Insulation -Foam -Looked in Attic es
---
-06. 2 Appliance Circuits in Kitchen & Conductor Size
78.
Guard Rails & Deck Construction -Post Caps
-
zQ. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked Floor El
-�- Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
under Yes
75.
Following ins! : Drive RYes [1 No; Walks VYes []No;
_Insulated Neutral Yes 1N°
Planters ❑No
- .ZL Service -Riser Conductors &Ground -Main Disconnect
76.
Stucco; Br n-Fidwt--
- 29- Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
- 00. Clothes Closet Light -Shower Light -
11!2ents
Above Roof; Plbg.-Appliance-Firepf.-Clearance to Opngs.
--- -------------- --- --- ----- -
Date/��
Date Card B -I Card -BI Dae
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
_ __-_
C B -I Datefff���-g
Ventilation throughout House
Card -BI Date
82.
Glass Protection
$6$/�orreclions
_
from Previous Inspections
Date MECHANICAL (Permit) OK except q's
84.
Gas Test -Meters Tagged; Gas -Electric
- -Tr, A.C. Ducts_ Insulation & Support _- -
8
-Water & Sewer Connected -C/O to Grade -HD Approval
-132. Vent Fan: Exhaust above Insulation -_
g
Energy Compliance Certificate -Other Certificates
►_Condensate Drain & Overilow; Size & Grade
34-- Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
2'S Attic Access & Platform if Furnace in Attic
-- -- - - ------ -- ----- -- -- --.-- ----
Card -BI Date _ _Card -BI Date- }-
Card -BI Date Card -BI Date
Date FRAM G(Plans) OK except p,'s
-
-
C d -BI ate -' Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
_ _W -Sills; Proper Material & Anchors__
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound_
33',@earing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
•24MV-/ ire Stops; Furred Ceilings -Stairs -Chases -Tub
{j eader & Beam -Size & Bearing
-ie''.• Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rfir. Ties-Purlin-Root Brac.-Truss-Shthnq.-Rfng.
aftr Fireplace Ties or Type A Flue -Fireplace Throat
'RAttic Acce
Sss: Size & Romex Protection -Draft Stop -Ins. Baffles
�iit drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing- -- - -
(NOTE: An entry must be made each time you visit job site)
Y. W
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
ATSTALLEj� IN�CO RMANCE W �RRENT ENERGY CONSERVATION REGULATIONS
` (location)
BUILDING PERMIT NO. I&PP --C.3 A;P. NO. 31 " --2-53 - .3
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED.PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge — Single Glazed
Fdn*Walls
Floors —�
Walls
Ceiling/Roof
Ducts
Circulating Pipes– —
APPROVED HEATER
APPROVED WTR.HTR.%�
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
:INTERMITTENT IGNITION DEVICES -�
CERT. APPLIANCES -
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator
State Contractors
License No.
General Contract Owne ame_ I' -HARD} Ali y—aetmw
Signature of (please print)
General Contra o •/owner_ �`C�G�d( 'sx�• ate
State Contractors
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION -
WITHIN THE DWELLING.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
• - 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
• - - -, APPLICATION
AND PERMIT
PERMIT NO.
..r
ASSES OR PARCEL NUMBER
— .53
ZOING
> ;R.,
BUILDING PERMIT
ow
1 al e S 8MQA
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILg ADDRESS
d � D
CONTRACTOR' NAME ®
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOw�,.
c/
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
p
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
i d
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
r�
Water piping
5.00 ,�^
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each Qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
/ USE OF STRUCTURE
SF.Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Additio Remodel Utilities❑ Installation❑ Other
Describe work: f
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP ORV OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&
OR ADDNS. C ACC. BLDGS.
I
2/20SQ ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
r_1NON.RESID. 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
21, 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 NON-RESID R BRANCH CIRCUITS 2.50 ea
NEWCONSTIRPOWER APPARATUS 11)
SINGLE OUTLET CIR. /
Ex. Occup(ouTLETs OR FIXTURES eA 030
FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�l shalrnot 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
FiIingFee 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. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against d County ' conse ence the granting of this permit.
%� Date s � ?
r ✓
Signature of Applicant — Owner Lv1 Contractor ❑ Agent ❑
An OSHA permit is required for excavations ver 5'0" d ep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occuP. GROUP
_ 3
I TYPE OF C NST.
PARC
Pil;rHD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI E OF PUBLIC
By
PERMIT EXPIRES ate .
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., YELLOW- R -IN OECTA. GOLDENROD -APPLICANT
l --
7
M1..
PERMIT NO. 4891-75P
I
r
P
E
M
MH UTIL.
PERMIT NO.
PERMIT EXPIRES
OWNER Richard Anderson
,CONTR. owner
LOCATION (A.P. 31-253-33
n
X1055 Grand Ave., Thermaltio
i
1.1
A
1�
T
I$
a
I:
i.
h
- b
• V
F.
Temp. Power Pole
Called PG&E
Temp. Elea Serv._
Called PG&E _
Temp. Gas Serv. _
Called. PGR F
JOB
FINALED
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING I 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 Eg
Piers
Roofing
Sewer
Garage
Fdn. Vents •
Fixtures
Footings
Garage Vents
Water Htr.
StemwaII
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
DATE
REMARKS OR CORRECTIONS
r / l
7 - �
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Cen'ieeDri�e .- \4)roville, California 95965
Telephowei 534-0541
APPLICATION AND PERMIT
,�� f ?/ - 75 -
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
i nature of Permitee or Agent
eip N
R o. I %, 4.
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 PUBLIC WORKS
By -Pi� Date 3
iNi4kk" permit expires Date ,//,Z 3�%6
BUILDING
Owner k lcygilk S
SQ. FT. OCC. BUILDING VALUATION
Mailing Address I 0S t q 6 0 14 L)
t% U t LL'F
ele hone No.
Fireplace
Contractor Sd
Total Valuation
Mai I i ng Address
Permit Fee
PI an Checking Fee &/or Penalty
Telephone No.
Permit Fee
Building Address .I DBS IQ, 1417 b 061
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00
�P✓1}L /1--
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. 31 -- 33,
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
F s
njg0h
I Fire Dept.
Fire Zone
Use Permit
Building sewer 5.00 S�
EQA
I Parking
Plans
Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
BI
Parcel Approval
Plans Approval
Permit Fee $
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ,�
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00
e (A) 67 /2 / C -70—M / t
Main service incl. 1 meter
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures 50�210
Receps., switches & fix outlets
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat.pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
Misc. wiring
License No. Classification
1 am exempt from the Contractors License Laws of the State pf California.
Permit Fee $
MECHANICAL No. @ 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 I certify that in the performance of the work for which this
ll� 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 $
$
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 relatinq to buildinq construction, and hereby
TOTAL PERMIT FEE
$ ^'
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
i nature of Permitee or Agent
eip N
R o. I %, 4.
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 PUBLIC WORKS
By -Pi� Date 3
iNi4kk" permit expires Date ,//,Z 3�%6