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HomeMy WebLinkAbout031-290-015_ I 31-29-15,. ` BOB PRUDEN KING, John, Enterprises 5156B ' ,FIRE DAMAGE REPORT h t, _ = - TDATE`: `�� _ . ,. - —.- - = tr 7th 1e�' �� 207 Z � Con tr .. ` D 398gP Permit#504-84B "' S 41 5121E _ �k504 84B,P,E(additi.on/SF) 9 2074. 7th St.. (Lot 4, Af erbay s . #2), Oroyij_le (new single family) 031-290-015 03-2779 BRISCOE, ZITA 2074 7TH STREET, OROVILLE L Cont: STRANG ELECTRIC R C/O ELECTRICAL SERV 4 k 9A rcn ! .�+�s-c�.rs..rw...,�,.`.-.....1.,.-s,.�a...--.t-'.�r.';�.y..s,..�;..-.�.�:�:r...,� ,w-�..�. ,.�.,t-�„�,•....r.-�•r.r�-- ,F� .' ,. �_i .. �-+- r.'..r:n-..�.c.'.... ^`"�++: 1 . 4 . { � I f • E 1: I Ir ' f t ' , s OFFICE COPy Address Fr` GAS Meter By ELECTRIG Date - Meter By Date �J , <v COWNTY'OF BUTTE - DEPARTMENT OF t�VELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT 03-271 ASSESSOR PARCEL NUMBER 031-290-015 ZONING AR BUILDING PERMIT OWNER ZITA BRISCOE TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 75 LARIAT LOOP, O-RO95966 CONTRACTORS NAME SIRAt3G ERIC TELEPHONE 533-4214 CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER 2W C HIGHUMN DR, ORMUZ 95966 -OW LENDERS MAILING ADDRESS Fireplace Total Valuation $ ARCHITECT OR ENGINEER LICENSE NO. Filin Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDING ADDRESS 2074 7M. ORTMILE Energy Plan Checking Fee $ $ PERMIT FEE $ LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 - Solar or heat um water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other ❑ Describe Work: C/O aE PANM Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W 920.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 000V OR LESS Main Service .0. OR LESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect.POWER License Class % `� Lic. No. '' -1 -' • - ' OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project. ❑ 1 am exempt under Sec. Business and Professions Code for this reason Main Service 200A TO 1000A 46.00 NEW CONST. DWEIM OCCUP. OR ADDNS. a ACC. S. SO 3.50FT. NON p610. MULTI -OUTLET @7.50 APPARATUS a SINGLE OUTLET CIR. Ex. Occup. OUTLET ORFD(TUREs 20 Q 100 aA1 @ .50 Ex. Occup. o x�°S Ao ) DR.) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.0 WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ 1 have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Policy Number (The above sections need not be completed if the permit is for work of a valuation /of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. X '/Y Date Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ OCC CONST. TYPE TOTAL FEE $ 43.00 HAZ. D. FEES IMP I FLOOD I CDF PARCEL I PD HD ISSUE This permit is hereby issued under of the Butte County Code and/or indica ed ab o ' for which fees have By PERMIT EXPIRE ON the applicable provisions Resolutions to do work been paid. j !, Date � V Det® Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT (Rev. 12/96) COUNTY OF BUTTE - DEPARTMENT OF DEVEL)PMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, Cdliforni 9,5965 - Telephone (530) 538-7541 APPLICATION MID PERMIT 03-2779 PERMIT NO. ASSESSOR PARCEL NUMBER 031-290-015 ZONING AR BUILDING PERMIT OWNER ZTTA BRISCOE TELEPHONE SO. FT, OCC. BUILDING VALUATION . OWNERS MAILING ADDRESS CONTRACTOR'S NAME TELEPHONE CONTRACTORS MAILING ADDRESS CONSTRUCTION LENDER LENDER'S MAILING ADDRESS Fireplace Total Valuation $ ARCHNTECT OR ENGINEER LICENSE NO. Filing Fee $ 20.00 ARCHITECT OR ENGINEERS MAILING ADDRESS Permit Fee $ , Plan Checking Fee $ BUILDING ADDRESS 2074 71H, 0R0VTJJF Energy Plan Checking Fee $ $ PERMIT FEE S LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: CIO ETE PAS, Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home S I G I W @20.00 PERMIT FEE S ELECTRICAL PERMIT Filing Fee 20.00 LESMain Service 20.AORLESS 23.00 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class G /0 Lic. No. ¢4e S 2 3 / OWNER -BUILDER DECLARATION I herebyaffirm under penalty of perjury that I am exempt from the Contractors License P nY P 1 rY P Law for the following reason: ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ I, as owner of the property, am exclusively contracting with licensed contractors to construct the project ❑ 1 am exempt under Sec. Business and Professions Code for this reason WORKERS' COMPENSATION DECLARATION 1 hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have and will maintain a certificate of consent to self -insure for workers' compensation, as provided for by section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ❑ I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insurance carrier and policy number are: Carrier Po' Number he above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) 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 workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith omply with those provisions. X DateQ�-j Signature of Applic - ❑ Owner ❑ Contractor ❑ Agent An OSHA permit is a ired for excavations over 60" deep and demolition or constructio of structures over stories in height. Main Service 20GA TO 1000A 46.00 NEW CONST. DWELLINGOCCUP. SO OR ADDNS. ( a ACC. BLDS, 3.50FT; NO" N-p�lp MOLT O.OUTLET @7,50 aPs N. oPmETT IC R. 20 Ex. OCCu OUTLET OR FIXTURES BAL O 1.50 Ex. OCCU FIXED APPLNs. OR O..a. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ 43.00 MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEE $ Mobile Home Installation Fee $ Energy Inspection Fee $ Occ CONST. TYPE TOTAL FEE $ 43.00 HAZ. D FEES IMP FLOOD COF PARCEL PO HD ISSUE This permit is hereby issued under of the Butte County Code and/or indicat d abov for which fees have B 17 Je?_Date PERMIT 4*b the applicable provisions Resolutions to do work been paid. ) � 1 /h Date ReceiptNo. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT R FIRE DAMAGE REPORT OWNER:2 LOCATION: 2D %e/ 77',,4/ -!;7,- CONTRACTOR: !;/: CONTRACTOR: DATE TO INSPECTOR: PERMIT HISTORY:( ) NONE Building Description: Residential/# of Uni Currently Occupied AbandonedNacant DATE: A.P. #_() 3 / - 7- 9d -0/5— ZONING: ,,4 "jZ /WAS FOLLOWS: BUILDING INSPECTOR'S REPORT Electric: Yes •, No Electric currently On /Off Condition of Electric Gas: NaturalPropane None Currently On Off Obvious Problems: Sanitation: Plumbing Working/ Well Working Potable Water Obvious SewageProblems Description of Damaged ON��I Estimate Valuation of Damaged Area: Condition of Foundation: ep �` Mobile Home: Condition of Inspector- Sketch nspectorSketch building on and indicate area of damage. Date,Z Z R Zro -yrs=� 'DF/BUTTE COUNTY FIRE INCIDENT LOC lquar DATE _ _-7-71102 REPORT TIME LOCATION RP INCIDENT NUMBER LOCAL FIRE NUMBER STATE FIRE NUMBER CASE NUMBER PHONE NUMBER WILDLAND FIRES ❑ ESTIMATED ACRES STRUCTURE FIRE RESIDENTIAL OTHER FIRE MEDICAL AIDS LOGGED BY RO BI MEDICS PRA A9 ECC ❑ i33-7161 _ J REPORT METHOD 911 FIRE INFORMATION FIRE INFO SENT HOW E_ -MAIL_ BY JAMC 3 TO STAG: 7 -DAY LOGGED ® INITIALS j.MAA INCIDENT NAME PSA/OTHERSTART DATE811102� START TIME 17 HAZ MAT _ DIAMOND # COMMENTS CAUSE KITCHEN WITH EXTENSION INTO t LAND USE DOMESTIC _ __ I ATTIC ACRES _ TYPE OF ACRES DIAMOND 5 ONLY $ DAMAGE TYPE ALL OTHER DOLLAR DAMAGE 35000.00 ~SAVE 60000.00 J iNJURIESIFATALITIES ❑ ~ # CIVILIAN INJURIES t_ # CIVILIAN FATALITIES i '3 EMD ❑ OES ❑ # FF INJURIES 0 # FF FATALITIES 0 s. FC -40 INFORMATION t Q ` FC -40 ❑ DATE OF FC -40 INC AGENCY INC # INC P# FC -40 COMP DATE FC -40 COMP BY --- County Notifications ® EARS Hard Copy Recieved ❑ EARS Checked Agenst EARS Computer ❑ .4 i s PERMIT NO. 504-84B,P,E 21dPERMIT EXPIRES ' *(OWNER BOB PRUDEN CONTR. Pryor Contr ASSESSOR PARCEL 329-15 1 LOCATION 2074 7th St, Oroville _ r 4 Temp. Power Pole i Called PG&E Temp. Elec. S Called P( Temp. Gas Sei x Called PC JOB FINALE[ Signature = OK 0 = Not OK Not Applicable MOBILEHOMES * = Not Ready MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support -Sketch Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's 1. Zoning Requirements -Setbacks -Easements 2. Footings; Size -Depth -Spacing -Connectors 3. Sewer; Location -Test -Fall -C/0 -Concrete 3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails 4. Water; Location -Test -Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_ 5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete _ 5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Gas; Location -Test -Wrap:/ /"L•'ft./ /"Nat.or/ /"L"ft./ /"LPG 6. Carports; Windows -Doors 7. Utility Clearance 7. Elec. Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except N's 1. Zoning Requirements -Setbacks -Easements Card -BI Date _ Date Card -BI , Date POOLS (Plans) OK except N's r 1, Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 3. Gas; MH Test -Demand -Valve -Connector 2. Soils; Compaction -Structure Stability 3. Pool Structure: Steel -Connections -Thickness -Dead Men -Lining 4. Electricity; MH Test -Crossovers -Breakers -Clearances 4. Elec.; Receptacles and Lighting; Distances-GFI 5. Drain; MH Test -Fall -Flex Connector 5. Elec.; Pool Lighting; 15 volts-GFI 6. Water; MH Test -Regulator -Connector 6. Elec.; Enclosures; Conduit Entries -Terminals -Listed 7. Water and Sewer Connected -C/0 to Grade -HD Approval 7, Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater 8. Gas and Electricity Tagged 8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg. Boxes -Enclosures -Panel boards -Ins. to Main in Conduit 9. Exits; Insp.-Sketch 10. Cert. of Occupancy r 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 I J = OK - 0 = Not OK — = Not Applicable * = Not Ready RESIDENTIAL (Single and Duplex) Date UNDER OOR Plans OK except N's • Date FRAMING Continued oning requirements -Setbacks -Easements P.operty Line Firewall & Openings ZeoV"t-g., M Soils-Steel-E'er---=rRd / /" Ftg. Depth . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits s -Steel- / /" Ftg. Depth 5 Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 4. Fig - -`o & Decks; S ils-Steel- / /" Ftg. Depth %J/Plywood on Roof Overhang -Attic Vents -Rafter Outriggers emwalls, Main; -Blo s-Wrapped=9hab- Siding -Nailing -Veneer 6 uts-Wrapped-Slab 53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access ke,Pers-F' 50 --Glazing Area -Glass Protection -Skylights -Plastic B! D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test 5Z, -Shear Walls; Nailing -Bolts 9. 2s Pipe; Size -Anchors 1 Water Pipe; Test -Anchors -Regulator -Service Test Electric; Underground _4AI. 12. y1enums & Ducts; Clearance -Material -Support -Ins. 1irders-Sills-Anchor Bolts -Joists -Vents -Cripples Card -PI Date ✓ Card BI Date Ca -BI Date Card -BI Date Card -BI Date Card -BI Date Card -B M Card -BI Date DatgAV Date FINAL (Plans) OK except q's Card -BI Date Card -BI Date Date _ PLUMBING (Permit) OK except If's 14. Water Ht.; Vent-Access-Combus ' Air Ext. Steps -Door & Sidelight Protection -Landings 57. Smoke Detector 58. Furnace; Vents -Clearance -Comb. Air -Connector - !Ip Garage; Above Floor-Ducts-Mech. Protection Water Pipe' Test$Anchor N rote gi io _ D.W.V.; ttngs & Anchors WA-_- S,oi • Bedroom Exiting —_ _ 17. Shower Pan; Test, First Floor -Tub Access Qqe G.F.I. & Bath Fixtures & Tub Access 18. Test Tub & Shower, 2nd Floor -Tub Access zU, Elec. Trim & Subpanel; Breaker Sizes -Labels _Gas Pipe; Size & Anchors X12, Stairs & Rails ,63" Fireplace or Stove; Clearances -Hearth Elec. Outlets at Wood Panel; Int. & Ext. Card -BI Date X- 2/.Card-81 Date Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance d -BI ate � and -BI Date Elec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Pea�I OK except N's ley- Garage Fire Door; Swing -Landing -Closer `6th A.C. Duct in Garage -Damper Fixture &Transformer Clearance -Ins. Protection -69+ Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.- Garage; Above Floor-Mech. Protection ---E-I lec. Receptacles Spacing -Lights & Switches at Doors Boxes & No. of Conductors -Stapled Ib., Elec. & Mech. Equip. Listed for Location _ 23. Rqe 23• R mex Installed Close to Ed a of S ds & C.J. ; Flec. Receptacles in Garage; (G.F.I.)-Romex Protec. —_ Equip. Ground made up Bond Gas & Water 7; Insulation -Foam -Looked in Attic ❑Yes -- 25. 2 Appliance Circuits in Kitchen & Conductor Size `Z&iJ rd Rails & Deck Construction -Post Caps — 26., Subfeed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At 7 Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance L oked under Floor ❑ Yes 27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al, _ Insulated Neutral .Yes ❑No 28. Service -Riser Conductors & Ground -Main Disconnect ollowing instld.: Drive 0 Yes ❑ No; Walks es ❑ No; Planters ❑Yes ❑No ZfiStucco; Brown -Finish 2$/Equip. Clearances; Panels-Motors-Mech. Equip. - _ 30.� Clothes Closet Light -Shower Light _ 4L A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet 7 encs Above Roof; Rlb g•-Apprtal'tee-R4MT .- -- Card B -I -- - - - ---- ---- Date_ _ _Card BI Date itr Well; Disconnect, Electrical, Plumbing 8 E "or Elec. Trim; G.F.I. Receptacle -Underground 8 e 'anon throughout House B I Date 3�1�. Q4 Card -BI Date fi g s Protection Date MECHANICAL (Permit) it) OK except N's Corrections from Previous Inspections Test -Meters Tagged; Gas -Electric 31. A.C. Ducts: Insulation &Support W r & Sewer Connected -C/O to Grade -HD Approval — — Vent Fan; Exhaust above Insulation — _ 3. _Condensate Drain _& Overilow; Size & Grade gat—"Energy Compliance Certificate -Other Certificates 34. Furnace -Vent; Access-Comb._Air-Return Air Vent -115V outlet 35. Attic Access & Platform if Furnace in Attic Card -BI Garti-BI Dat �.� Card -BI Date -- - �O D�te3-2,4-d Card -BI Date Card -BI Date Card -BI Date Card -BI Date-4Card-BI Date - Card -BI Date Card -BI Date Date FRAMINGs) OK except q's Comments at Final: _ _ _fel- Sills; Proper Material & Anchors _ —Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound_ 3if . --ring Walls over Girders &--F --- or- N a i I -i n -g _ aft Stop in Walls (rat proof) _ _Fire Stops; Furred Ceilings -Stairs -Chase _ 4ti!}ieader & Beam -Size & Bearing 42.1 Hangers -Post Caps -Anchors -Connectors Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Ring. 44.1 Fireplace Ties or Type A Flue -Fireplace Throat 4,1�/fGtic Access: Size & Romex Protection -Draft Stop -Ins. Baffles 417. Bdrm_Windows or Exiting _Doors -Sill _Hgt._& Dimensions 47.1 Garage Fire Protection Framing_- (NOTE: Anentrymust be made each time you visit jobsite) t COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS t 196 Memorial Way, Chico — Phone: 891-2751 7 County Center Drive, Orovi Ile — Phone: 534-4541 Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57, CORRECTION NOTICE BUILDING OR PROPERTY ADDRESS 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 ma.tter,,or need additionalal explanation, 'please contact this office immediately. QA COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, C-alifornia 95965 - Telephone 916/534-4541 APPLICATION AND PERMIT PERMIT NO. f1 ASSESSOR PARCEL NUMBER ,3t--�9_ 5 ZONING .. BUILDING PERMIT OWNER 10 o r1. ele 1n TELEPHONE 5'.33 - 9�f.5'�' SO. FT. OCC. BUILDING ALUA N /L o 0 OWNER'S MAILING AD)10 7Y ORE ./�/ / /1119 V19 y CO ACTOR'S N E,_- r he TELEPHONE CO TR CTOR'S MAILING ADDRESS V Fireplace C NSTRUCTION LENDER UNKNOWN Q Total Valuation $ 37-60; &r-> Filing Fee $ 10.00 LENDER'S MAILING ADDRESS Permit Fee $ ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ ,v - -"- $ v ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ BUILDI LOAD ,RISS _57el � LL [T -L Pf��•��� PLUMBING PERMIT Filing Fee 10.00 Each Trap 2.00 12,0-,0 Repair drainage or vent piping 5.00 DF -100( Water piping ,( &-f7 LOT NO. SUBDIVISION NAMEPARCEL MAP Each qas water heater or vent 5.00 Gas piping system 1 - 5 outlets USE OF STRUCTURE SF ® Duplex❑ Mobilehome❑ Other SPECIFY Building sewer 5,6-0 Lawn sprinkler system 5.00 TYPE OF WORK New ❑ Addition ® Remodel ❑ Utilities ❑ Installation❑ Other ❑ Describe work: a -d- s 4- / � oil. -00 M /G'x 2L' Permit Fee $ , 0.0 Contractor ELECTRICAL PERMIT Filing Fee 10.00 Main service 100 AMP OR1 OR LESS5.00 Main service EA. ADD'L 100 AMP 2.50 - NEW CONST. DWELLING O M OR ADDNS. ACC. BLDGS. I �/ it '+.y4 e CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): Business DO I am licensed under provisions of Chapt. 9, Div. 3 of the and Professions Code and my license is in full force and effect. License No.,rZ%Z 407—� Classification r_1 1, as the owner, or my employees with wages as their sole compen- sation, will do the work,and the structure is not intended or offered for sale. (Sec. 7044). ❑ I, as the owner, am exclusively contracting with licensed contract- ors. (Sec. 7044) ❑ I am exempt under Sec. , Business and Professions Code for this reason NEW CON5TR OU L 2.50 ea NO ..RE." ESID BRANCH CIRC ITS NEW CONSTR //POWER APPARATUS .&) NON-RESID. 151NG LE OUTLET CIR. / 50 @ 2150 Ex. OCcup(OUTLETS OR FIXTURES BAL@100 Ex. Occup.�O UTLETS FIXED P(RESID )LNS REA. 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 Misc. Wiring 7.50 Permit Fee $ :EV, Contractor MECHANICAL PERMIT FiIingFee 10.00 WORKMEN'S COMPENSATION INSURANCE I declare under penalty of perjury (check one): ❑ The permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Building Department a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -Insure. f�sl I shall not employ any person in any manner so as to become subject SAP 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. Heating Cooling Hood 3.00 Ventilation permit Fee S 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 s i Wun inconsequence of the granting of this permit. 2 _� /r� X .O?/ Date Signature pplicant Owner ❑ Contractor ® Agent ❑ An OSHA ermit is required for excavations over 5'0" deep and demolition or construct- ion of structures over 3 stories in height. Mobile Home Installation Fee $ QJ Ed /IJ S pp� TOTAL PERMIT FEE $ 24-Z, O OCCUP. GROUP ��� I Trp E of C NST. T7_ ��LL F PARC L PD HD I59 This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECTOR OF PUBLIC By. d PER EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date ,2L -27--Q 7 Z -Z -7 -RS [Receipt No. /cJf)D� WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT 1 ' ENERGY SHEET FORM i FOR ADDITIONS TO RESIDENTIAL BUILDINGS "° Additions 3�' 29• �� PERMIT N0. S —8 PACKAGE A (Additions) NAME 9L5PC—IJ SQUARE FOOTAGE JOB ADDRESS 744S O�►��L.LG Existing Residence TYPE OF WORK ADD � i�G�/v% 9A-r11s New Addition New Total The following information sheet, showing mandatory features and required features of Package "A" must be completed and attached to all plans for additions. to dwellings. Additions to dwellings include room additions,.converti'ng garages and patios to living areas, house moves that add footage and attic conversions, and any space that is ex- isting non -conditioned space that is converted to conditioned space. Remodeling of existing conditioned space is not included. ZONE /2 INSTALLED APPLIES TO NEW AREA CEILING- v-30 R 0 WALL R-11 R- 1 ' FLOOR R-11 R 1 . -11 GLAZING .65 .65 SHADING SOUTH -OPTIMUM OVERHANG or .36 S.C. Lt/1I1TELL S/�AU�S WEST - .36 S.C. ZONE 1 R-1 38 R- 1 R- 9 R- 7 6 LOOSE FILL INSULATION (Density) INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking) DUCTS PER UMC - Ch. 10 LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT MAXIMUM GLAZING 16% 'OF AREA PLUS REMOVED GLAZING i NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY AND FILL OUT DATA ON BACK OF THIS SHEET 7/83 *l HEATING VENTILATING. AIR CONDITIONING SYSTEM_ (A) Heating ❑ Central Gas Furnace (brand and model number) SE Btu/hi (heating capacity) ❑ Heat Pump (brand and model number) ACOP Btu/hr (heating capacity at 47°F) ' ❑ Active Solar type (liquid or air) Collector brand and ft2 model number solar fraction collector area collector orientation collector tilt rated y -intercept rated slope ❑ Other (describe) *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) C3 Heat Pump w/Electric Backup (brand and model number) Gallons 2 (tank size) D * Active Solar (collector brand and model n (rated y -intercept) (rated slope) (solar fraction) ft 2 (backup heater type, brand and model number) (collector area) (collector orientation) (collector tilt) ❑ Location of Solar Panels ❑ Other (Describe) *1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing charts (form #4) or other approved methods, section 2-5352(8), and fill out the following: Heating: Winter design temperature S °, elevation ', heating load BTU elevation factor x heating load maximum outlet capacity gas furnace BTU Cooling: Summer design temperature��� *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 Adminisvet+�on Code. f t r.q