HomeMy WebLinkAbout031-290-015_ I
31-29-15,. `
BOB PRUDEN KING, John, Enterprises 5156B '
,FIRE DAMAGE REPORT
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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
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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_
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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.
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