HomeMy WebLinkAbout033-121-0190
33-121-19
M. C. Madrigal.
399 Canyon Highlands Dr., Oroville
contr- Edgewater Custom Pools, Para.
Permit #3301-81B,P,E(new pri.swimmin-
, pool)
33-121-19 _
ILtr: Frd Electric, O Oville
mit##3696-81E (ele ser 'ch)SF
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I
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PERMIT NO.-3307.-81B�P2
PERMIT EXPIRES /az 1W"
OWNER M,:C. Madrigal
1 CONTR. Edgewater Custom Pools,"Para.
ASSESSOR PARCEL 33.-121-19
LOCATION 399 Canyon Highlands Dr., Oro.
;v- fq-
i
Temp. Power Pole
Called PG&E
Tp-Elec. Service 1 ��r
Temp-Elec. l
Called PG&E_ C`.uF S/7�
e'Fmp- Gas Service
Called PG&E
JOB FINALED (Date)
Signature
I/ = OK •L ° Jr .
0 = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
. = Not Ready
Date
MOBILEHOME UTILITIES -(Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
2, Soils; Special MH Support -Sketch
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.-Con nec.-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 Card -BI Date
Card -BI
D Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
Date
POOL except #'s
1, Zoning Requirements -Setbacks- Easementslba
ks-Easements
2. Footings; Size -Spacing -Marriage Line
oils_; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
ool Structure; &eek
4, Electricity; MH Test -Crossovers -Breakers -Clearances
71
Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
b'1
OP,ec.;
lec I Lighting; 15 volts-GFI
Enclosures; Conduit_EatrieS-Termin -Listed
7, Water and Sewer Connected -C/0 to Grade -HD Approval
8, Gas and Electricity Tagged
, Elec.; Bonding; Metal w/5' -Circulating. Equipment -Heater
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
9, nt royal
umb; Cir. T -"Water Supply Test
;e_&t4o , r o - S -
Card B-1
Date Card -BI Date
Card -BI'.
ate -,_j- 2- Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Card -BI Date
�1�5�6�7,V G r�osc_ i..l Cr�i S3 of+ic-� Sf
4
= OK
= Not OK
Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s '
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /;' Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8.
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except k's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -81 Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
_
18.
19.
Test Tub & Shower, 2nd Floor -Tub Access
Gas Pipe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
--
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date
Date Card -BI Date
ELECTRICAL Permit OK except p's
66.
Elec. Outlets & Receptacles at Kit. Counter
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen &Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ED No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78,
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation & Support
83.
_
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
_
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
_
_Date _ Card -BI Date
Card -81
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except N's
Comments at Final:
36.
Proper Material & Anchors
37.
_Sills; _
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
39.
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
_
_40.
_41.
42.
43.
44.
45.
Fire Stops: Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof BrTc.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
_
46.
drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you vi sit jobsite)
COUNTY OF. BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 -,Telephone 916/534-4541 U1!
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
5 - /,- /- /?
ZONING
R-/ ,.
BUILDING PERMIT
OWNER ,�{ •
/ut a e., 4e1f1a�
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
(m G is Lrw.
7'y 2 _q {J
M
OWNER'S MAILING ADDRESS { j�� l� h r .
9 C 1114W WI. leul, e')"o
/'�� r r%, / f/ [ T`'EELEPHON0E
CONTRACTOR'S NAME / 004",
CONTRACTOR'S MAILING' ADDRESS r '
4 % r K r_ d Qr�lr 'ri _!• .
Fireplace
Total Valuation is %?yCi
_
CONSTRUCTION LENDER / UNKNOWN
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
.. _
Permit Fee ,
$ C0
ARCHITECT OR ENGINEER/.�/"
— y
LICENSE NO.
Pian Checking Fee jyli j (a�)/
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 122, OG
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
�� •�
Water piping
5,00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,C, C,
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New 0 Addition ❑ Remodel ❑ . Utilities ❑ Installation ❑ Other ❑
Describe work:
-
Permit Fee
+ $,`,
acontractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
-Main service 100 AMP OR LESS
,• 5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.0J)
OR ADDNS. ACC. BLDGS.
20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect. ..,I, �
� � � � � _
License No. Classification
❑ 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
NON-RESID R BRANCH CIRCUITS 2.50 ea
NEWCONSTR POWER APPARATUS &)
NON -RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES BAL@1
/FIXED APPLNS, OR
Ex. Occup.\OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50 7,g`'t7
Permit Fee $
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.
NI have placed on file with the County of Butte Building Department
, a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating.
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
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 -i consequence of the granting of this permit. �y
%
X `'—��"/ \� Date r�- cY
�wnor❑ Contractor E]Agentt
Signature of A pplicantK " n
An OSHA permit is required for excovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE of CONST.
PARCEL
N
PD
w.
ND
f✓
ISSUE
.rr'
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR'OF PUBLIC
By `-�l - . _,
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
ve p
WORKS
Date l
Receipt No. IS 6 � • S~
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLICANTi�Z.--
�
.
�._,
,�® � _,. � 6 � j
.� �
330/— d/�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 91i6/534-4541
APPLICATION AND PERMIT ""
PERMIT NO.
.qzo %-&
ASSESSOR PARCEL NUMBER
S
ZONING
BUILDING PERMIT
OWNER
wy/ Iwt%r� '
TELEPHONE
--
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAMETELEPHONE
�CTI4�iG
���
CONTRACTOR'S MAILINGADDRESS
6, i / %' �tr'L gyp• C�14�i�iL % C-, 64
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER�I -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
°
Permit fee
$
BUILDING ADDRESS
&%Vy(�v R1,1w1r 1q1JLjs Delvc ,
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF UKDuplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ installdtion ❑ Other Os
Describework:5C.'L'i/lLC e, /yf%tiEi F
111„' Fay. r r
Permit Fee
$
—Contractor
ELECTRICAL PERMIT
Filing Fee 10.000
Main service 100 AMP OR ORSLESS
5.00 �.J0,I)o
Main service EA. ADD'L 100 AMP
2.50 1,<L)
NEW CONST. DWELLING OCCUP.51)
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAWt
I declare under penalty Of perjury (check one):
FVJ I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness
and Professions Code and my license is in full force and effect.
License No. Classification ��
F-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
TI -OUTLET 4C. 2.50 ea /(/.00
w•Utea NC
r, ES4D BRACH IRC ITS
NEW CONSTR. /POWER APPARATUS .&)
NON -REST D. SINGLE OUTLET CIR.
(
EX. Occup OUTLETS OR FIXTURES 50 @ ,�1�e�0¢
(.FIXED APP LNS. OR
Ex. OCcup.UTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 40Q:>. 0 0
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith Comply with such
provisions or this permit shall be deemed revoked.
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 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 con"sequence of the granting of this permit.
! I7��rrt�"/n,,
X Date •c
Signature of Applicant — Owner ❑ Contractor ®-- Agent 1:1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $S.l�U
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND
I ISSUE
This -permit is hereby issued under
sions of the Butte County Code and/or
Work lindicated/above for which
DIRECTOp OF PUBLIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been, paid.
WORKS
Date
9 _
` �� ��
/in
Receipt No. �G t0,�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WQRKS
196 Memorial Way, Chico — Phone: 891-2
-751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUYLDING 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
matter, or need additional explanation, 'please contact this office immediately.
64DC41-04 W /2r; -0Wt,%sr7- /r153% //t�S/PLL
As Y Art-- / CIT • • &Z do Q
GtDTi 7z) -A-4-97 S PL! GEp 13-"-- 'k -C,57-1:17- ryt9
?` e
,4/ �A�1crr— /�SP.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
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
C,4 N V*,1 14^/ m
BUILDIN OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance i
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
matter, or need additional explanation, 'please contact this office immediately.
r
Inspector r"- Date
COUNTY OF BUTTE
DEPARTMENT OFPUBLIC WORKS
1oVMemorial Way, Chico — Phone: eo11-2ra+
7 County Center Drive, Omvmo— Phone: 534-4541
Skyway and Elliott Roau, purao/oa— Phone: 872-2961, sm. or
CORRECTION
A routine inspection indicates th'ait the, fol I-oW ing', violations of County Ordinance
exist at the above address and should,6e , --c6irected.' Please notify this office
when correction of work is'cornpleted.jf��ydu.66 any question pertaining to this
matter, or need add'! tiona I "explaina tion, please tontact this office immediately.
-_------- ` |
. ` .
Inspector
`
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOR PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 -4541
j APPLICATION AND PERMIT
AS S OR P/�s,C L NUMBER
j —/L-1 C7
ZON NG
BUILDING PERMIT
OWNERTELEP
/
�,A
ONE
SQ.. FT. OCC. BUILDING VALUATION
6,2 �1'�'•
4
OWN 'S ILT KESS
CONTRA TOR'S NAME TELEPHONE
- _ r L -0e, P r0eq is 6MLO 9,06
CONTR TOR'S MAILIN ADDRESS
!47C I 2 t 1169
Fireplace
CONSTRUCTION LENDER ` _
u
UNKNOWN
Total Valuation Is
Z40
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5?, OC)
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee *U046-11
$ . Gd
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ -12,6,0
BUILDING ADDRESS a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
SOQ
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
'45-.a a
USE OF STRUCTURE _ ^� /
SF F-1Duplex❑ Mobilehome❑ Other Jcf// . �CJ
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New D] Addition ❑ Remodel ❑ Utilities ❑ Instal Iation ❑ Other ❑
Describe work:
Permit Fee
$®�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 11001 OR LESS
100 AMP OR LESS
5.00
Main service EA_ ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.y\
OR ADDNS, ACC. BLDGS.
I 20 sq it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions ode and my license is in full force and effect.
License No. '— Classification C -G
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CO ID R° BRANCH CI LETITS 2.50 ea
NEw CONSTR. (POWER APPARATUS S1
NON-RESID, SINGLE OUTLET CIR. /
50 @ 25C
Ex. Occup OUTLETS OR FIXTURES BAL�1
FIXED APPLNS, OR
Ex. Occup. (ouTLETs (RESID,) EA.) 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 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.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
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 said d#q-" co sequence of the granting of this permit.
5
Date �(I
Signature of Applican — wner ❑ Contractor ❑ AgentA_
An OSHA permit is requ f r exca ations over 5'0" deep and d molition or construct-
ion of structures over 3 stories in hei 0
Mobile Home Installation Fee $
-//(JS 00
TOTAL PERMIT FEFk7r�f ,
OCCUP. GROUP
I TYPE OF CONST.
I PARCEL
v
PD
,/
1 ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT F PUBLIC
By
PER E PIKES DateWHITE-O.P.W., .
X
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date — �- .
Receipt No. '6�� / 0 9 SO $�/7 /S
YELLOW -ASSESSOR, P K -INSPECTOR OD -ALICANTENRO
V
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDINGDIVISION
7 COUNTY CENTER DRIVE - OROVILLLE, CALIFORNIA 95965 - TELEPrONE x916/534-4541
Proposed Building Use.
Permit Fee Based Upon
PERMIT APPLICATION DATA SHEET
Permit No,
A. P. No.
Complete Contract Price DPW Valuation.
/- Othery(,Ex lain)
Building Inspector - `. r .. 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. . . . . . . . . . .
3. Complete plans in duplicate./triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . . .
10. Sanitation approval from vy /�_- Health Dept.
11. Planning approval for (A) Use: (B) Parking:
G1�12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑ )
15. Improvements may be required. . . . . . . . . . . .
16. Mobi lehome Installation Data. . . . . . . .
,. .
17. Pre -Inspection for Pre-Inspec. request to 1
Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner. `Mail to contractor.
Telephone and hold fo pickup at, office. Deliver w/inspector.
vOther_R0, BwX
ApplicatJ Date ��—gIA1
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
t.
(Contractor, Designer, Owner) was advised of above required data byC�_ATeJ:ephone -Mail /Other
By AZtlDate--- .'
Plans checked by -
Plans approved by
Other
Copy—DPW /' �j
Date
Date
To -, Building Department
From - &.Vironmsn'tal H-9a"Ith
Subje:,;t: Sanitatton Clearanoe
Owner
Plwa approved for: sewage disposal watbar supply
Hold final for4. water supply
Final clemmmee O.K.., fort water supply
("'leez,ance for
NOTE
- A -f
=SiV U�-HE-T-- Da
U
r
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE IT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OW/LY
TELEPHONE'
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CoAED 5 E(EE�T72/G33P
Oho
CONTRACTOR'S MAILINGG' ADDRESS
53 6A
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUJ�yI ADORE
✓( �/ ��////J/�
S��� DAVE r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti IitiesInstall ion ❑ Other
Describe work: 5C,�V1GC C�fl9l/L 14110)9-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.Q0
Main service 100v OR LESS
100 AMP OR LESS
5.00 S
Main service EA. ADD'L 100 AMP
2.50 2,
NEW CONST. ( DWELLING OCCUP.y)
OR AODNS. ACC. BLDGS. _
2� sq ft
CONTRACTORS LICENSE LAW
I declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No.� �� 9
,/T� Classification �i /
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ i, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
BRANCH CIRCUITS 2.50 ea /10100
NEw CONSTR. POWER APPARATUS e
NON.RESID. (SINGLE OUTLET CIR.
50 @ 250
Ex. OCCUp OUTLETS OR FIXTURES 6gL�e1
Ex. Occup.(OUTLETS P(RESID. IR EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50 ,
Permit Fee $ . p 67 -
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.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
again j sal County in7ence o the granting of this permit.
X� Date `�
��;�r��r/1
Signature of Applicant — Owner ❑ Contractori�. Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33r storie in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ S,ao
OCCUP. GROuP
I TYPE OF CONST.
PARCEL
PD HD
ISSUE
Thi ermit is hereby issued under
si ns f the Bute County Code and/or
ork di ted above for which
D ECTOR OF PUBLIC
,
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
%� z�
Date_
9-z '92 —
Receipt No. J&(O�
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
v��L. Nof Ll!�*,Op COMP Wirk-
IN INW. DNI FF;L�-,4
22.000 ps�
12 00, L
000
I it=
comr-ts--Jv�. v1siti's4zT�i 21, 000 p;
tj
�-f PWJ-1N rUL4, 05 WI-fW )-LL.
Ls ;S-51001BD -r--7 WIM1>114 vk.", or we"EA pu-
See Mc(ster plan on file str-ur.:-�
for
tural defails.
-4e ivar te
iia
t-2
-Oil
.4p�� FO;2
2CYXmwj� 26 POYt).
rfL--rc,- syncnw, kc. mw-
C40vwaf-P LAN mg
&I, MIN
0_ $40f I OY GervwS fr-Tcri Or Pump
%
V.
--f IrN I
i It
U
It
0
F I
(ON 1.4 1. IN A
A teibatkd S ft, f f6m thla.
propdrty lllfti�t IN 'etb.ack
Ifam the rbaCl
centotl1he shall be cleBf Of
401 ttruetumt Or equiprAent except
ft. eave overhang.
r07 -
rkmanship Sholl Be ih
ind flons MUS7`16(f NOTE:—All Materials & WO s CM4
.,Pacifica P 17 08 Good Prcicrict
once wjf� ernan
Ws S for Spec*j�libd use in' thO
et of plans c Is unlawful'+0 Accord
Ih,, job at cil,� �jmes crtd I
kept on ame witil-Out of a qualJ4 presct odes anA
make any chOncJcs or al,forc-,tions on s rin BuIlding, Plurnb*lnq zi mdchan!C4 C
written permission frorn, the Department of Pul:llic Unifc vini bectric,01 C�de,.
Covni,y of Butte. the No
Works,
9
CROWN FIBERGLASS COMPANY
Manufacturer of
Aim nucml�7, Sunsaver Fiberglass Pools
99, -
1580 ALMADEN ROAD
SAN JOSE, CA 95125
408/292-3140
POOL LAYOUT
Prepared Exclusively For.
CUSTOMER
ADDRESS
CITy__0
koy
Z_4A4�..ZIP CODE
CROSS STREETS
Residence Phone.3"_- 4ZBusiness Phone
TRACT NO. LOT NO.
Ap#
GENERAL SPECIFICATIONS
Z DPOOL MODEL SIZE__/IV x93 DE
FILTER /.35 SO. FT. HPPUMP
G BOARD _,6 FT. COLOR
SLIDE, TYPE wow COLOR
HEATER 41, fVD BTU !Fo*,% Stack or Stackless
S&FORMS
UNDERWATER LIGHT - WATTS
ON POOL - LIGHT NICHE, M.,DR., INLET SURF SKIMMER
MAINT. EQUIPMENT PACKAGE
STARTUP CHLORINE
AP Ai SPA SUPERCHARGER 0 NO 0 YES
pJJA SPA LIGHT 0 NO 0 YES WATT
lb -7 -FT. GAS LINE
400 FT. 'ELECTRICAL TIME CLOCK NO. OF G. F. Us
FT., PLUMS LINE TO FILTER
SQ. FT CONCRETE CANTILEVER 0 NO 9(YES
LIN. FEET OF FENCE REMOVAL -FY CUSTOMER 0 C. F.C.- 0
LIN. FEETOF FENCE REPLACEMENT BY CUSTOMER 0 C.F.C.
RTI IMP(S) TO BE REMOVED BY CUSTOMER 0 C.F7C—F--
SO. FT. CONCRETE REMOVAL BY CUSTOMER.0 C.F.C. 1.1
4 LOAD(S) OF TRASH TO BE HAULED 13Y CUSTOMER 0 C. F.C. 0
EXCAVATION: BACKHOE)? SHUTTLE 0
TRACTOR 0 DEEP -END DIG 0 HAND DIG 0
CRANE SET: ;STANDARD it MEDIUM 0 LARGE 0
NOTES:
,wool"% jo
BUTTE COUNTY
BUILDING DEPARTMEEN7
APPROVED
CUSTOMER AGREES THAT THE WORK DESCRIBED ABOVE IS THE
TOTAL AMOUNT -INCLUDED IN THE CONTRACT PRICE- ADDITION-
AL WORK IS TO BE PAID BY CUSTOMER DIRECTTO CONTRACTOR.
IF ORIGINAL SITE PLAN IS ALTERED BY BUYER, ADDITIONAL
COSTS ARE BUYERS RESPONSABILITY.
APPROVED:
BUYER SIGNATURE DATE1
SCALE-Y,?.r DATE�of!_741 DRAWN BY:<_4
i