HomeMy WebLinkAbout035-420-002' 1 -~~A - ---~1
Sunbeam Const. Co.
5278 Margo Lane, lot 12�, Crestwood
Permit #3869-79B,P,E,M(new single
family) ///OT
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9
PERMIT NO.
3869-79B,P,E,M
PERMIT EXPIRES
/61
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_Sunbeam Const. Co.
'OWNER
CONTR. owner
-86-1-3=121--p—ox-e.
LOCATION (A.P.
5278, Margo Lane,. lot 124, Crestwood Sub#2,
Orovil le
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Temp. Power Pole
Called PG&E ./
Temp. Elec. Sery
Called PG8tE
4103
Temp. Gas S v.
Calked PG&E
lc13
JO.B�
NALED
Z o
(Date)
J
(Signature) ,901
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WOKS,
BUILDING INSPECT1611 RECORD
Water Piping Sewer Gas Piping
O116EHOME INSTALLATION ---- - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
EMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
I
PLUMB I N G
Check List
F1 Permit
Underfloor Stage
El D.W.V.:- (1) Sizing. (2) Materials. (3) Fittings..(4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
F* (8) Wrapping. (9) Test - including "Ts". (10) Additional test not
required.*
11 Water: (1) Sizing. (2) Materials., (3) Support. (4) Test. (5) Wrapping.
(6) Dissimilar metals. (7) Service regulator installed or not required.*
E Gas: (1) Sizing. (2) Materials. (3) Support.'(4) Log Lighter. (5) Wrapping.
0 Framjffg Stage (Top Out
D.W.V.:. (1) Size: (2) Vent Area & Termination. (3) Materials. (4) Fittings.
(5) Grade & Support. (6) Cleanouts. (7) Traps. (8) Nail Protection.
(9) Plumbing Access. (10) Toilet, Clearances. (11) Shower size.
(12) Shower Pan Test. (13) Vents - turns, horiz., runs, loop, wet, etc.
x (14) Additional 2nd floor test not required.*
Water: (11) Pipe'Test. (2) Mixer Valves. (3) Support. .(4) Roof drains.:
Gas: (1) Size. (2) Materials. (3) PR Valve Drain.
d Water Heater,: (1) Vent. (2).Location, (3).PR Valve Drain.
Final
D.W.V.: (1) Connected to sewer system. +2Y- Special systems.
EB/Water: (1) Water Source.'(2) Shut-off. Anti -siphon Valves.
3Gas: -(I) Test. (2) Connectors.
Water Heater: (1) Location. (2) Accessibility..(3) Clearances. (4) Stability.
(5) 18" Garage Floor. (6) Mechanical protection. (7) Combustion Air.
(8).Draft Diverter. (9) Vent Connector. (10) Vent. (11) Shutro.ff and
connector. (12) PR Valve &'Drain..
Fixtures: (1) Approved. (2) Stability. (3) Clearances. (4).Trapped.
(5) Connections., (6) Cross -connections. (7) Dishwasher Air Gap.
5/79
Permit#
INSULATION CERTIFICATION
1:
------.._— --- - Oroville -- --
Number and Street City County
--------� rLe.�t�Qo_�-S� ------ --= - - --
lot ._124-- -- '
Subdivision Lot Number ,
[DESCRIPTION OF INSTALLATION
ROOF
Material _
Brand Name
Thickness (inches) —
Thermal Resistance (R Value)
EXTERIOR WALL
Material Fiberglass
Brand Name Certainteed
Thickness (inches) 3,3'2
Thermal Resistance IR Valtie) _ IL
t.
CEILING
Batt or Blanket Type
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Loose Fill Type Fiberglass
— Brand Name C_e_r_tainteed.
Minimum Thickness (inches)
ll11 Number of bags_-- 22 Weight per bag
Ib
Area Covered Ih21_ 1140
Thermal Resistance (R Value) —_ 25
FLOORrELEVATED
;
Material
Brand Name
Thickness (inchesl
Thermal Resistance (R Value)
FLOOR. SLAB
Material
_ Brand Name _ --
Thickness (inches)
Thermal Resistance (R Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness (inches)
— Thermal Resistance (R Value)
HEATING SYSTEM Gas Furnace
Make --
Model Cescription—
Rated Bonnet Capacity
DECLARATION
1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the
current regulations setting Energy Conservation Standards for new rebidential buildings (located in Title
2A of,the
California Administrative Code).
V• k
SSI TBEA114 CONLSTRUCTION COI LICENSE 4133200
General Contractor (Eiuilder) t_Icense Number
_Pin Signature and Title
Cr��.� :oY T. VISTICA
Hawkins In4�latri—onCo.}- --Inc----____ _! 378407
S Contractor (insulation Applicator) License Number
r
2-4-80
--►-
Signature and Title — — Dale _
CERTIFICATE REVIEWED BY Tate
BIN -029 7Buil ng InspF-cti.an 0 -- lice)
0
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS .IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
(location)
BUILDING PERMIT NO. A;P. NO.,
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:.
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge. Single Glazed
Fdn. Walls Special (Insulated)�_ 7 S
Floors CERT. & LABELED WDS.
Walls—/ & SLIDING DRS.--
Ceiling/Roof_WEATHERSTRIPPED DRS. lf�
Ducts BACK DAMPERED FANS 1425
Circulating'Pipes INTERMITTENT'IGNITION,tEVVICES
APPROVED HEATER •--� CERT. APPLIANCES—
APPROVED WTR. HTR.
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO.
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name
Signature of (please print)
Insulation Applicator.
State Contractors
License No.
G- a eeor/owner NameJW2Sf;dA4
a
(please print)
Signature of '
G----- --- --r/Owne`� Date
--
— State Contractors
License No.
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
ME C HAN•ICAL
Check List •
❑ Permit
❑ Underfloor Sta e
❑ Underfloor Supply Plenum: (1) One-story. (2) Clearances. (3) Combustible
material. (4) Insulation and vapor barrier. (5) Access. (6) Catch
receptacles and registers. (7) Fire -stopping. (8) Boots. (9) Supply
ducts. (10) Gas lines and plumbing cleanouts.
❑ Ducts: (1) Size. (2) Materials. (3) Support. (4) Fittings. (5) -Wrapping. -
(6)
5) Wrapping.(6) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
plumbing, etc.
❑ Combustion Air: (1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
r
Fra 'n Sta e
Heating: (1) Approved appliances. (2) Accessibility. (3) Clearances.
(4) Combustion air.
Vent'and Connector: (1) Approved. (2) Size. (.3) Clearances: (4) Cap. -
(5) Termination. _
E4cts: (1) Materials. (2) Size. (3).Support.'(4) Fittings. (5) Insulation.
(6) Fire Damper.
Refrigerant Piping: (1)' Material. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
�F ina
Heating: (1) Accessibility.,(2) Combustion air. (3) Safety controls.
(4) Electrical connection. (5) Fuel shut-off.
U Cooling: (1).Accessibility. (2) Support. (3) Controls. (4) Pressure relief
valves. (5) Class 2 refrigerant.
5/79
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICAYION AND PERMIT
BUILDING
Owner�—
5 � C`� CO ,
SO. FT. OCC. BUILDING VALUATION
S—Ze0.
Mailing Address j O F, L
oZ0 C,a
Telephone No.
g
Contractor
Mailing Address
Fireplace
Total Valuation �p
Telephone No.
Permit Fee QE
Building Address G �'
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1
FEE
PERMIT FILING FEE
$3.00
O�
Each Trap 1.50 (�a
;est
,eo—' Q/QCcys GLS,.
Repair drainage or vent piping 1.50
r q) �p \)
A. P. No. �v �J ptl /7/
oning $ tanning
Water piping
1.50
Each gas water heater or vent 1.50
Fees
�
Fire Dept. Fire Zone
Use Permit
Gas piping system 1 - 5 outlets 1.50 J�
EOA
I Parking
Plans
ParcelEach
Declaration.
60' R/W
Improvements
additional outlet 30
Building sewer 5.00
�,��
KI�g"1'ra�s Recd
Parc royal
Pla proval
Lawn sprinkler system FF.
NEW tZ ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ '�
$
ELECTRICAL No.
@
FEE
PERMIT FILING FEE
$3.00
UD
Main service 600V OR LESS
100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER 600V
100 AMP OR LESS
25.00
Main service/ EA. ADD'L 100 AMP 1.00
NEW CONST *OR ADDNS. C A C B O SCCUP. 4) 20Sq ft G(
l V
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
NEW CONSTR M T . TL T
NON.RE51 D, BRANCH CIRCUITS)
2.50ea
NEW CONSTR (POWER APPARATUS 6
NON.RESID. SINGLE OUTLET CIR.
Ex. Occuo(OUTLETS OR FIXTIIRES) 5 L25
Ex. Occup. TLETSXED P(RESID.)OREA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
,j
S
MECHANICAL No.
@
FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
I certify that in the performance of the work for which this
permit is issued I shall not employ any person in any manner
s as to become subject to the Workmen's Compensation Laws of
California.
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 bui Idinq construction, and hereby
PERMIT FILING FEE
$3.00
Heating ,Q /-4 Tib Qa
'
D9-
Cooling
Ventilation
Hood 2.00 Oa
Permit Fee $ (�k.,
Land Development Fee
TOTAL PERMIT FEE
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
XDate 9
Signature of Pe mites orn gent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the Butte County Code and/or resolutions to do work indicated
abov r which fees have been paid.
' F PUBLIC WORKS
Building per it expires Dat w>6
This set of plans and"specifications MUST be.
kept on the job at all times and it is unlawful to "
make any changes or alterations on same without
written permission from the Department of Pu6-
lice ' Works; County of Butte.
. N .. G 5.00 O •
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plans. Way �Tdin€�
plans.
�Lc I%r1On1 32.9
'Z r 'c .. .M
J ii o • . .
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r3.4.4-
.
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The Bldg. Setback shall e 5 #. from the ISUTT9 COUNT
side property it and 50 ft. from the BUILDING pEPARTMrN 7
centerline of the road, permitting a maxi-
mum of a 2 ft. save overhang but entirely ® v .�
out of all easements.
� ✓:-�'-- D�O�/LIE, BUTTE CO., CALI�O/pA/!A
�o� e7--; v CALir�lr�viA, /214, I