HomeMy WebLinkAbout035-212-010�
| `
RON McALLISTER )=I 35-212-10 rDUPRAS, Stephen 4987B
4653 Virginia Avenue, 0�0-vflflle
1.1 PERMI-T#96-20427,%, 1+653 Virginia,) Ave. Oroville.
. y.� �����
1,/�/� � �\�' �~^�-
'
\ T-
. '.'
`
�
(
i
| �
/
/.
!
/
|
|
/
,
| ^
/
\
r
~^''�.Nm��'
ra-y-sti(
E�
I
PERMIT NO. 2262-84B,P,E,M
PERMIT EXPIRES
OWNER RON McALLISTER «'
1 CONTR. owner
< ASSESSOR PARCEL 35-212-10
r
LOCATION 4653 VirginiaAve, Oroville
ti
r
r_
3
1
r
Temp. Power Pole
Called PG&E
Temp. Elec. Service
i Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALEI
Signature
= OK
= Not OK dv
= 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.-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
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Card -BI
Date
Date 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 -GF]
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
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
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
V = OK
0 = Not OK
= NotReadyable
*= Not Ready RESIDENTIALr(Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (CgDWvjedj.
1. Zoning requirements -Setbacks -Easements
p,oety Line Firewall &Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49. Wit. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
i - eadroom-Rise-Run-Landing-Fire Protection
4.
Ftg., Porches &Pecks; Soils -Steel- / /" Ftg. Depth
51 wood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main- St ckouts-Wrapped-Slab
52. Siding -Nailing -Veneer
6. Stemwalls, G ra e; Steel -B lockouts -Wrapped -S lab
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
ers-F' p o Steel
54. Glazing Area -Glass Protection -Skylights -Plastic
55. She alls-; Nailing- oft
W I- ittings Test -2 way C/0 -Sewer Test
s P e; Size -Anchors
10.
WaterPipe; 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
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINALS(Plans) OK except #'s
Date
PLUMBING (Permit) OK except #'s
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
¢ Ext. Steps -Door & Sidelight Protection -Landings
g57.-SMoke Detector
8 Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
-59_ledroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
-^60. G-r.l. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61. Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
- 62 --Stairs & Rails
-6a.-Fireplace or Stove; Clearances -Hearth
`64-.-EIee-Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
-65:-Kit-.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
F66.-Elec. Outlets & Receptacles at Kit. Counter
Date
E E IC Permit OK except #'s
67:-Gaiage'Fire Door; Swing -Landing -Closer
68.-A.C..Duct in Garage -Damper
2
F' u '& Transformer Clearance -Ins. Protection
09. IF ''IF.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21: c. Receptacles Spacing -Lights &Switches at Doors
2
Si oxes & No. of Conductors -Stapled
b., Elec. & Mech. Equip. Listed for Location
23.
o Installed Close to Edge of Studs & C.J.
ceptacles in Garage; (G.F.I.)-Romex Protec.
24
quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in AtticYes f
❑ �F=
25.
Appliance Circuits in Kitchen & Conductor Size
•�9-@rrard'Rails &Deck Construction -Post Caps
26.
bfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
44--I'MI-Vents & Crawl Hole Door -Drainage & Wood -Earth Clear nce
Looked under Floor ❑ Yes
27.
R ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Ins fated Neutral []Yes ❑No
.75. Following instld.: Driv es ❑ No; Walks Yes E] No;
Planters
Planters ❑Yes No
28.
Sery a -Riser Conductors & Ground -Main Disconnect
•ante; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
it; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes loset Light -Shower Light
U. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
Z9:-Wetei-Well; Disconnect, Electrical, Plumbing
414
8 rtor Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
°
Date- Card -BI Date
$ Ventilation throughout House
Card B -I
Date Card -BI Date
$P. +ass Protection
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
8r Corrections from Previous Inspections
-64. arTM-Meters Tagged; Gas -Electric
-85 'Water'& -Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
A. 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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMI fans OK except #'s
Comments at Final:
3
S' Proper Material & Anchors
37"",W2tuds-Nailing, Spacing & Bracing -Plates -Sound
3 B g Walls over Girders & Floor Nailing
3<D top in Walls (rat proof)
4 F' to s; Furred Ceilings -Stairs -Chases -Tub
41,,,'Header
& Beam -Size & Bearing
4
- aps-Ancho's-Connectors
43
44:
Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp_.-_Rfng_._ _
c ype A Flue -Fireplace Throat
4 .
is ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
4
or Exiting Doors -Sill Hgt. & Dimensions
' rt -Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
Owner: Iy�c Permit
�
ENERGY CE`RTIFICATION
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material f rl�nci'�t/v
Thickness(inches)
EXTERIOR WALL
Material
Thickness(inches)
CEILING
Batt or Blanket Type
Thickness(inchesj
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Named
Thermal Resistance,(R Value) R_:3e_)
Brand Name
Thermal Resistance(R Value
Brand Name
Thermal Resistance(R Value)
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that -the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF (3ENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS ,
196 Memor ll Way, Chico — Phone: 891-2751
7 County Ce n, Drive, Oroville — Phone: 534-4541
Skyway and ElliotttdRoad, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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, owed additionah explanation, please contact this office immediately.
Inspector_. /"� Date �Wg-5 .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California, 95965 - Telephone 916/534-4541
APPLICATA'AND PERMIT
PERMIT
ASSESS PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER �I `
TELEPHONE
�
S0. FT. OCC. BUILDING VA ION
/.
/
O NE 5 M ILING A�q%RESS
V I r t
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
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
$
BUILDING ADDRESS
` a
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
0
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 [(2" Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
10.00 e
TYPE OF WORK
New Addition Remodel�ilities❑ Installation❑ Other❑
Describe work:
S
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. AOD'L 100 AMP
2.50
NEW CONST. // DWELLI C UP.&
OR ADDNS. % ACC.
) 2hQSgft
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.
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 MULTI-OUTLET
ITS) 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR. )
ExOccu z20@50C.
P�OUTLETS OR FIXTURES BAL@30
FIXED APPLNS. OR
Ex. Occup. UTLETS (RESID.) EA.) 2.00
O
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.
1 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.
MECHANICAL PERMIT
FiIingFee 10.00
Heating WW
Cooling
t
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 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 I' bil• ' s, judgments, costs, and expenses which may in an way accrue%/
against d County i conseq nce of the granting of this perma
%� �- Dated
Signature of Applicant — Owner V Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMI F E $
nCoP. GROUP
^oF IfoNST.
PA EL
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DI TOR eUBLIC
By.
PERMIT. EXPIRES Date_
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/►/
Receipt No. 7
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f
.035-212-010
PERMIT#9'6-'6"42 7
McALISTER, Roh,.!
4653 VL
rginia'* i' Orovlil'
Cont; Econom�e
Builders
Gas Line Repair'/SF,.;.
.OFFICE COPY
Address
GAS
Meter By A>lf Date
E
RIC
M M
e =ry
96-1
v
T t,qn_+.-- Taw .. i. +- - �•n`.^i.�I•y'��
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES "BUILDING DIVISION
7 County- Center Drive - Oroville,f'Califoytia 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER:
03S�i�.2-010 '� �`�-
ZON'NG
R
BUILDING PERMIT
OWNER i
RON WALISIM
TELEPHONE
SQ. FT. OCC.-• BUILDING VALUATION
OWNERS MAILING ADDRESS
4653 VIRGINIA
CONTRACTOR'S NAME
OMY BL
TELEPHONE
CONTRACTORS MAILING ADDRESS '
Fireplace
CONSTRUCTION LENDER
x•
a.,
UNKNOWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS •. ,
Permit Fee
$
ARCHITECT OR ENGINEER
UCENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDING ADDRESS {
4653 VIRGINIA T
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
OR�� F
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE I
SF C, Duplex ❑ Mobilehome ❑ Other li
SPECIFY I
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00 15 • 00
Building sewer
15.00
TYPE OF WORK
n
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
1
Describe Work:
Mobile Home 7_W W
@20.00
spwrT
2-3.M
PERMITFEE
$
Contractor
ELECTRICAL PERMIT
Filina Fee 20.00
i
Main Service12010" OR LESS
( zooA OR LESS )
23.00
Main Service ( zooA TO ,010101A )
46.00
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 fug force and effect.
License 3 _ r
License Class Lic. No. , Z�O
OWNER -BUILDER DECLARATION
I 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 ❑ 1 am exempt under Sec. Business and Professions lCode for this
reason
NEW CONST. DWELLING OCCUR
OR ADONS. ( d ACC- )
so.
3.5Q FT.
NEW CONST. MULTI-OUTLEUTLE T
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POSINGWELE OR APPARATUTLETUS )
8 CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
201 @ ':5.
BAL 1212
FIXED (Ioj OR
Ex. Occup. ( OUTLETS RES)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
'
WORKERS' COMPENSATION DECLARATIONMECHANICAL
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self-insurelfor workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
>6}%I have and will maintain workers' compensation insurance, as required by Section
700 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 � I�
Policy Number
1 (The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 1 ❑ 1 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 ► i �__+--... __ Date 2-=Z
❑��
Signature of Applicant - I Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
PERMIT
Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE
$
Contractor
Mobile Home Installation Fee
$
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 58.00
HAZ.
I D. FEES
I IMP
FLOOD
I CDF
PARCEL
I PO
HD
ISSU
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
1
By O / L —�
PERMITEXPIRESON
I
applicable provisions
Resolutions to do work
been paid.
Date
b 7
(Date)
ReceiptNo. 194717
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
_ JCOUNTYOFBUTTE-DEPARTMENTOFDEVELOPMENTSERVICES-BUILDINGDIVISION
County Center Drive - Oroville, Cediifor4h 95965 - Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT 016-0
ASSESSOR PARCEL NUMBER '
035-212-010
ZONING
RN
BUILDING PERMIT
OWNER RON MCALISTER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
4693 VIRGINIA ST
CONTRACTOR'S NAME
ECONOMY
TELEPHONE
CONTRACTORS MAILING ADDRESS
PO RON 150 F95965
Fireplace
CONSTRUCTION LENDER
UN104OWN
Total Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
BUILDINGADDRESS
4653 VIRGINIA ST
PERMITFEE
$
OROVILLE
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LAT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar or heat pump water heater
23.00
USEOFSTRUCTURE
SF Duplex ❑ Mobllehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other YJ
Describe Work: — �`'
Mobile Home I S I GI W 1
920.00
PRE T iSPECTTON
03 00
PERMITFEE
S
Contractor
ELECTRICAL PERMIT
Filinq Fee 20:00
Main Service 0 OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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 f force and effect.
��J —BAL
License Class I No. -2-38"Ex.
OWNER -BUILDER DECLARATION
I 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
NEW CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BUDS. )
SO .
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( 8 SIPONGLE WER APPARATOUTLET SUS )
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
.SO
Occup. ( OUTLETS RES D.)EA)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
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.
XI 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 ins�lrance carrier and policy number are:
Carrier
Policy Number f .;Z+5472r
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 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
o hwith comply with those provisions.
X __ Date 2_=Z _
n ure of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Filing
9 Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
I
TOTAL FEE $ 58.00
HAZ..
0. FEES
I IMP
I FLOOD
I CDF
PARCEL I PD HD
ISSU
This permit is hereby issued under
oI the Butte County Code and/or
indica bov for ich fees have
By
PERMITEXPIRESON 3
the applicable provisions
Resolutions to do work
been paid.
Date
s 9
(Date)
Receipt No. 194717
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,e�'��`iti �'` i$�'S�''�1952.`rt,' 45::4{5+11.`"'?":ab`�:•w�hh°c i. t frxSoWAY»r'r`v"r rinvR G}°•sy..'.'1k�}i.�v:°. _1' i'•
COUNTXOF BUTTE - DEPARTMENT 6r DEVELOPMENTSERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE -'OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
PERMITAPPLICATaON DATA SHEET r
€ OWNER n 1 4- 4A 1' No. L7�J S- ara-O�a
Proposed Building Use Building -Inspector Date
At time of -permit application, I was advised the following data4nust be submitted prior to permit processing and/or issuance:
+ DATE RECENED BY
1. "Plot
have been submitted.
2. !Plot plan , /4 sets, signed by preparer of plans. ........r...... ..........
3. Complete plans, 3/4 sets, signed by preparer of plans. ... . ................. .
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans. ...•.......... '
5. Hazardous Material Form . ............... ...........:................
6. Energy Design Compliance and supporting documentation . ...................
7. Statement of Intent for Non -Heated and A/C Buildings. ...': .................
.8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........
10. Fees of $ ................" "'.....:.................. .
11. Impact fees as shown on attached schedule . .......................
12. California Department of Forestry plan approval/fees."
13. Flood elevation letter (100 year flood) by California Engineer . ................. .
14. Sanitation and plot plan approval ' Health Department...,.,. . . . . . . .
15. City of Chico,plumbing permit. ............................... ..................
16. Plot plan and business license approval from City of Biggs/Gridley.
17. Planning approval for (A) Use: (B) Parking:
18. Contact Land Development about (A)'Improvements .(B) Drainage. ...........
19. Driveway permit (constructionppa roval required prior to occupancy). .. .. .
t�✓��- 1r Preanspection reque p_ �y' /`T
20. Pre -inspection for G, � 2 required. .. to euaain9 �nWeao, / �yCO (Date
21. Contractor's license inf rmation. (No., Name Style, Flassific ion) . ............ :.
22. C Tff tfi'cct1; %`Workmans Compensation Insurance..9. ' N .....................
23. Owner -Builder Verification (Given,to owner , Mail to owner ).
24. Recorded copy of Agricultural Acknowledgement Statement. "..................
25. Letter of signature authorization . ...............:........................ .
26. Copy of recorded deed of parcel creation and 60 right of way to a public road. .... .
27. Letter of intent on building use . ....................•.......:':.............. .
28. Mobilehome utility clearance. ..... -.1 ........................................
29. Documentation of legal access. ........ ...............:......:...
`. 30:4Documentation of 50% subdivision developed or (A) Road improvements' completed
'T and (B) Parcel meets zoning area,and frontage requirements . .............: .
31. Existing violations/expired permits . .................................... .
32. Plan check list . ............... .............................. .
33.
• 34.
.When you issue the permit, process as follows: Mail to owner. ✓ Mail to contractor.
O
Telephone and hold for pickup office. Deliver with inspector.
Other
Parcel Creation
Acreage \ Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire,Dept. Other Date By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Plans checked by Date Plans approved by Date
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
❑ B.I.N. REQUEST FOR INSPECTION Permit No.
C p
Location: : p J �.S V
wner.. MCA \C ' I ContractororTenant:
Complaint:
BLDG.
PLUMB/MECH
ELECTRIC
M.H.I./M.H.U.
E -
Form
Rough
Rough
INSPECTION
Frame/Underfloor
Stucco Lath
Stucco Brown
Fireplace
Bond Beam
Insulation
Top O
s ipm /T
Pem as
Sewer Piping
Water Piping
Shower Pan
Temp. Service
Service
Underground
Well Circuit
Light Niche
Corrections
Final
ousing
Job Status
Permit Renewal
Verify Utilities
OTHER/
Nailing
Corrections
Corrections
Corrections
READY FOR A.Y.
IINSPEC. ON '19 P.M.
Final
Final
Final
Date: Time: Note: /—/
LOCATION:
ZONING:
CONTRACTOR:
pRE-INSPECTION FOR a a�
DATE TO INSPECTOR
./� _ � �� � •
PERMIT HISTORY: [ ]NONE [ t,FOLLOWS:.
TYPE OF OCCUPANCY:
BUILDING INSPECTOR'S REPORT
uilding Description:
Commerrial/Usage:
[ ] Mobile Home: Yes[ ] No[ ]
[ ]
Residential/9 of Units:
[ ] Currently Occupied.
[ J Abandoned/Vacant.
[ ] Yes [ ] No
Electric is currently : [ ] On [ ] Off
Condition of electrical?
Natural [ ] Propane[ ] None[ ]
Currently On[ ] O$[ ]
Obvious problems:
tion:
plumbing working Yes[ J No[ J
Well: Yes[ ] No[ ] Potable water: Yes[ ] No[ ]
Obvious Sewage Problems:
Recommended: [ ]Issue [ ]Hold for:
Date:
;QCOUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 -Telephone Telephone (916) 538-7541 PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
CI
ZONING
BUILDING PERMIT
OWNER J / . -_
TElIDIq"E
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS ,
CONTRACTOR'S NAME ` i ,
•R_
TELEPHONE
ICING AD RES -
�
P1..%U_T101ON
Fireplace
LENDER
UNKNOWN
Tota) Valuation $
Filing Fee
$ 20.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO;
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
SU=INGADDRESS
I1
PERMITFEE
$
PLUMBING PERMIT
Filing Fee 20.00
-0
Each Trap
7.00
LOT NO.
SUSON6x)NS NAME PARCEL MAP
Solar or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
I 1
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
-2'"L Describe Work: �t �- /
��" �- ` r `" { 2"
,i
Mobile Home ISI GI W1
920.00
PERMITFEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00 '
Main Servicee00v OR LESS
( 200A OR LESS
23.00
Main Service ( 200A TO 1000A )
I 46.00
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 Lic. No.
OWNER -BUILDER DECLARATION
I 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
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
NEW CONST. DWELLING OCCUR
OR ADONS. ( a )
SO.
3.5¢ FT.
TI-
NEW CONST. MULTI.OUTLETLET
NON•RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 p I.00
SAL (a .50
Ex. Occup. FIXEDAPPLN . OR %
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc . Wiring
23.00
PERMITFEE
$
Contractor
MECHANICAL PERMIT
FilingFee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
$
Contractor
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 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 Is
OCC
CONST. TYPE
TOTAL FEE $
--r—
HAZ. 1 D FEES I IMP I FLOOD I CDF PARCEL PO HO ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date
(Date)
ReceiptNo. K/"4/-7/-7
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK•INiPECTOR GOLDENROD -APPLICANT
PERMIT NO. 22 &2-14
ENERGY SHEET ;ORM i
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PACKAGE It A" (Additions)
NAME A0A1 IN'AWSTR
JOB ADDRESS 4CS V194/N/A AVa'
TYPE OF -WORK 126"OVE %$EDROoM
UUINS RM.
SQUARE FOOTAGE
AW/CZZ 64 Existing Residence
EXIIL7 AS New Addition fow pr—
New
1LNew 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 Jncluderoom additions,.converting 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.
Z0rjE 12
INSTALLED
APPLIES TO NEW AREA
CEILING R-30 R 3
R
WALL R-11 R- 1
R- 9
FLOOR R-11 -1
R 1
SLAB R- 7 R-11
-
GLAZING , 65 — E#STIN4 .65
.65
Doves�
SHADING G«�.
SOUTH -OPTIMUM OVERHANG
or w.36 S.C. waiTE lava -r -A—
&#AAL`S.
WEST - .36 S.C.. mgae- Ize ae —
d'NibE1'
_
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
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION
SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
HEATING VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(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 slop W#
Other
(describe)
*1 (B) Cooling SVA14
❑ 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 CKISMU4
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(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(g), and fill out the
following:
Heating: Winter design temperature°, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
' BTU
Cooling: Summer design temperaturej-4—', cooling load BTU
*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 Administration Code.
SIGN TURE OF BUILDING DESIGNER OR APPLICANT
0i
A
*113
HEATING VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace %
(brand and model number) SE
Btu/hr
(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 slop W#
Other
(describe)
*1 (B) Cooling SVA14
❑ 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 CKISMU4
❑ (A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
❑ *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(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(g), and fill out the
following:
Heating: Winter design temperature°, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
' BTU
Cooling: Summer design temperaturej-4—', cooling load BTU
*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 Administration Code.
SIGN TURE OF BUILDING DESIGNER OR APPLICANT
0i
A