HomeMy WebLinkAbout035-420-009k
--------------
Sunbeam Const.Co.
5318 Margo Lane, lot 11 Crestwood =` "
r .
Sub#2, Oroville a ,
Permit #3862-79B,P,E,M(new single -s
Yfamily)
'gy035 ,420 X009,`;', � � v � RPERMIT#96 0425'"
QUINN, YSheiii
:45318 *Ma'rgo ,Ln'�,`;;Oroville
4 0. W;
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035-420-009 t.'" ~ 5
'PERMIT#96 042` '
QUINN, 'Sherri.. * a
531'8 Margo, Ln 0roviIle �.
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'Ele Ser.' Ch/SF
OFFICE COPY t
Address
'e
ELECTRI
Meter By. - Date•
- r
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
+— PERMIT NO.
'.� 7 .County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT NO 0��4`�
ASSESSOR PARCEL NUMBER
035-420-009
ZONNG
'
BUILDING PERMIT
OWNER
SHERRI QUINN
TELEPHONE
_
SQ. FT. OCC: BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 777" PALERMO
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LEND ERS
UNIQ40WN
Total Valuation Is
Ening Fee $ 20.00
LENDER'S MAILING ADDRESS -.
1
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty $
BUILDINGADDRESS
5318 HARGO 114
PERMITFEE $
PLUMBINGPERMIT Filing Fee 20.00
ORQYIM
Each Trap 7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
I
Solar or heat pump water heater 23.00
Water piping 15.00
USEOFSTRUCTURE I
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
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Describe Work: P, Ir 19
— �� �-'��CF
Mobile Home S G W 920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filing Fee 20:00
Main Service ( 200A OR LEss ) 23.00 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 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:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
I will do the work, and the structure is not intended or offered for sale.
f ❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and ProfessionsCode for this
reason I
NEW CONST. DWELLING OCCURSO.
OR ADDNS. ( 8 ACC. BLOB. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) 97.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FO(TURES) BAL 0 1 50
FIXED APPWS. OR
Ex. Occup.
p. ( OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE s
Contractor
WORKERS' COMPENSATION DECLARATION I
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self-insurel.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
1 ❑ 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 Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE S
Contractor
Policy Number
(rhe above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I]' 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 is
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
1 0. FEES
IMP
FLOOD
CDF
PARCEL PD HD
ISSug
.V/
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
Date
PERMITEXPIRESON
Receipt No. 194715
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF.DEVEU OPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, *California 95965 - Telephone (916) 538-75496-0-110S
/ � PERMIT NO.
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 035-420-009
ZONING
BUILDING PERMIT
OWNER SHERRI QUINN
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
PO BOX 777 PALERMO
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
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 $
BUILDING ADDRESS
53.18 MARGO LN
PERMITFEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23.00
Water piping
15.00
USEOFSTRUCTURE
SF#Q, 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
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Otherj�
�)
Describe Work: RlePiV runnlr_�
Mobile Home S I G W 1
920.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT
Filina Fee 20:00
Main Service e00V OR LESS
( 200A OR LESS )
23.00
Main Service ( 200A TO I000A )
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 f r the following reason:
Law as owner of the property, or my employees with wages as their sole compensation,
T
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 OCCUP.
OR ADDNS. ( & ACC. BLDS. )
SD.
3.52 FT.
NEW CONST. MULTI -OUTLET
NON•RESID. ( BRANCH CIRCUITS )
97.50
POWER APPARATUS
(a SINGLE OUTLET CIR. )
Ex. Occup. (OUTLET OR FIXTURES)
BAL a 1.50
Ex. Occup. FIXEDAPPLN .OR )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.0023.00
Misc. Wiring
LiON
23.00
PERMITFEE $
66.00
Contractor
WORKERS' COMPENSATION DECLARATION
I 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
Filing Fee 20.00
g
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE $
Contractor
Policy Number
I(The above sections need not be completed if the permit is for work of a valuation
,df one hundred dollars ($100) or less.)
j� 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
f rthw'th c mply with h • provisions.
X ,/klil Q�-C, _ Date. — _
Ignat re of App' ant - ❑ Owner ❑ Contractor ❑ Agent
An O HA permit is required for excavations over 5'0" deep and demolition or construction
of st uctures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
Occ
CONST. TYPE
TOTAL FEE $ 66.00
HAZ.
I D. FEES
I IMP
I FLOOD
I CDF PARCEL I PO HO
ISS
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees ave been paid.
1
Date,
If �Z7
PERMITEXPIRESON S
(Daf
Receipt No. 194715
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.- I
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your
signature.
Please complete and return this information at your earliest opportunity to' avoid
unnecessary delay in processing and issuing your building permit. No building permit will
be issued until this verification is received.
rI personally plan to provide the major labor and' materials for construction of the
proposed property improvement: YES out J.
CI HAVE[ ] HAVE NOT[ ] signed an application for a building permit for the
proposed work. L�
1 I have contracted" with the following person (firm) :to- provide the proposed
construction:
NAME:
ADDRESS: CTTY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to
coordinate, supervise, and provide the major work:
NAME:
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to
provide'the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTY OWNER:
SOCIAL SECURITY NUMBER: - %
DATE: f//of"r7i, .,� , 9 i
NOTE: This owner -Builder Verification is required by Section 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before
we are permitted -to issue the permit.
OVER
Dear Property Owner
An application for a building permit has been submitted in your name listing yourself as the builder of
property improvements specified
For your protection, you should be aware that as "owner -builder" you are the responsible party of record
on such a permit. Building permits are not required to be signed by property owners unless they are personally
performing their own work. If your work is being performed by someone other than yourself, you may protect
yourself from possible liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a
business license from the city or county. They are also required by law to put their license number on all permits
for which they apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you
should be aware of the following information for your benefit and protection:
0 If you employ or otherwise engage any persons other than your immediate family, and the work (including
materials and other costs) is $300 or more -for the entire project, and such persons are not licensed as
contractors or subcontractors, then you may be an employer.
'0 If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tar withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
0 There may be financial risks for you if you do not carry out these obligations, and these risks are especially
serious with respect to worker's compensation insurance.
0 For more specific information about your obligations under Federal Law, contract the Internal Revenue
Service (and, if you wish, the U.S. Small Business Administration). For more specific information about your
obligations under State Law, contact the Department of Benefit Payments and the Division of Industrial
Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to
perform their work personally or through their o%vn employees, «ithout a licensed contractor or subcontractor, only
under limited conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owmerbuilder'
building permit, erroneously implying that the property owner is providing his or her ow -n labor and material
personally. Building permits are not required to be signed by property owners unless they are performing their own
work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License
Board in your community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm
that you are aware of these matters. The building permit will not be issued until the verification is returned.
Sin^cerely, '
Micha6l C. Vieira, C.B.O.
Manager, Building Inspection
NOTE: This Owner -Builder Information is required by Section 19830 of the California Health and Safety Code.
OVER
OWNER:
LOCATION:
CONTRACTOR:'
pRE-INSPECTION FOR
DATE: Q0 0 "I l fT
APAC/_-a-n -no
ZONING:
DATE TO INSPECTOR c�
d� FD
HI
PERMIT STORY: [ ]NONE [ AS FOLLOWS:
TYPE OF OCCUPANCY:
BITMDING INSFECTOW S REPORT
ding Description:
[ ] Commercial/Usage:
[ ] Residential/9 of Units:
[ ] Currently Occupied-
Abandon
ccu ied-
Abandon &' " scant.
tric:
[ ] Yes [ o
Electric is currently : [ ] On [ ` Off •
All
Condition of electrical?
Natural [�ropane[ ] None[ ]
Mobile Home: Yes[ I N
Currently On[
Obvious problems:
ition:
Plumbing working Yes[ ] No[ ]
Well: Yes[ ] No[ ] Potable water: Yes[ ] , No[ ]
Obvious Sewage Problems:
n Recommended: Vklssue [ ]Hold for:
ector:
Date: _? A
COUNTYOF BUTTE - DEPARTMENTOF DEVELOPMENT SERVICES -BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541
OWNER _
Proposed Building
PERMIT APPLICATION DATA SHEET
A.,P. No.�-
Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
1. All items have been submitted.
2. Plot plans, 3/4 sets, signed by preparer of plans.
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 (construction approval required prior to occupancy).
20. Pre -inspection for 20 (L- required.
21. Contractor's license information. (No., Name Style, Classification).
22. Certificate of Workmans Compensation Insurance.
23. Owner -Builder Verification (Given to owner , Mail to owner.
24. Recorded copy of Agricultural Acknowledgement Statement.
Z 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.
29. Documentation of legal access.
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements.
31. Existing violations/expired permits.
32. Plan check list.
33.
34. i
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other
Applicant Date
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued, will expire by limitation one year after date of application. In order to renew
action on an application after expiration, a new application; plans and fees will be required.
FEE REFUNDS
Refunds can only be made upon writtten request by the person who paid the fee. The request must be made within one year from
the date of fee payment on permits not issued, and one year from the date of permit issuance for permits issued; however, on issued
permits refunds can only be made if no construction work has been done. Filing fees, plan checking fees for work plan checked
and other department costs are not refundable.
Original - Applicant
.,y,I-+��.,,.,�,,.,...,.,,a.....,.._..,;,._--�+��y
COUNTYOF BUTTE - DEPARTMENT OFI9EVEtOPMENTSERVICES - BUILDING -DIVISION,..,'
7 COUNTY CENTER DRIVE - OROfILLE, CALIFORNIA 95965 -TELEPHONE (916) 538-7541
PERMIT APPLICATION DATASHEET
OWNERU, I No. OZS- 4;10- D
Proposed Building Use AAti SF Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
- DATE RECEIVED BY
1. All items have been submitted.
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and talcs, 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 (constru o approval required prior to occupancy). . .
' -Inspection reque
20. Pre -inspection for -_..-_ _ _ required. ngIns peaor (Date)
21. Contractors license information. (No., Name Style, Classification). �.'t� .......
22. Certificate of Workmans Compensation Insurance.
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. Mi3bilehome utility clearance . ......................................... .
29: Documentation of legal access . .....................:................. .
30 Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
4 31. Existing violations/expired permits. .......................................
32. Plan checklist ................................................ :......
33.
34.
When you issue the permit, process as follows: ✓ Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver with inspector.
Other t
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`
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 w mail Counter by _ Date
Plans checked by Date Plans approved by,, °'� Date
Sets of plans on hold in File cabinet AP folder
Gopy - Department of Public Works
11
COUNTY OF BUTTE
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
411 Main St'Peet, Chico, CA - (916) 891-2751.
7 County Center Drive, Oroville, CA - (916) 538-7541
CORRECTION NOTICE
0 7-
UWNtKPERMrr NO.
z At
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
5,224;' C
DateLl(I-) h :Z Inspector A
REV 1Q,(9 ZZ
4
/eg
J,- 5-
5,224;' C
DateLl(I-) h :Z Inspector A
REV 1Q,(9 ZZ
COUNTY OF BUTTE .
1� BUILDING DIVISION a
'DEPARTMENT OF DEVELOPMENT SERVICES \
k 1469 Humboldt Road, Chico, CA - (916) 891-2751
County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307 .
CORRECTION NOTICE
o -C- ZS
r,t O�M�IIERr PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
i
' the above ad d should be corrected. Please notify this office when correction of work
=� is complete ave any questions pertaining to this matter, or need additional explanation,
n _ _ waase, ct this office immediatelv.
�w.
Dan
REV 1
y
I
Inspector -,d 4
.t
V y
PERMIT
NO. 3862-79B,Px.E,M
PERMIT EXPIRES
OWNER
Sunbeam Const.
CON TR.
owner
3'5-13-121 port.
LOCATION (A.P. )
5318 Margo Lane, lot 117, Crestwood Sub#2,
Oroville
,f
• s{t
�5
•; t
+y
p
Y .
7
,r
Temp. Powe 'Pole
Called PG&E
_
Temp. El.ec. Serv.
Calllyled PG&E -�
Temp9Gas Serv. c�
Called PG&E
L
FINALED
1
(Date)
i
(Signatuqe
r
c.
COUNTY OF BUTTE — DEPARTMENT OF'PUBLIC WORKS
�. 7 County Center Drive - Oroville, California 95965
Telephone: 534-4541
APPLICATION AND' PERMIT
BUILDING
Owner etgA >' tT &C>
SO. FT. OCC. I BUILDING VALLIAT`T15N
172r 7
Mailing AddressC� j(N�-`
�r,E2 J Q
�+�
LDS AL o$ {LL'7l� Y `��
I h.neNo
Contractor O
Mailing Address
Fireplace
Total Valuation ^�$'
Telephone No.
Permit Fee
Building Address O L/9�
Plan Checking Fee&/or Penalty
Permit Fee
PLUMBING No.1 @ FEE
PERMIT FILING FEE $3.00 .OD
Each Trap 1.50 12 0C.
C •yd S.�><3. 40u 7 61L0LA,bLor
Repair drainage or vent piping 1.50
A. P. No �-- d✓LT
oni tanningi
Water piping 1.50 / Sa
Each gas water heater or vent 1.50 S O
F s
S i
Fire Dept.
Fire Zone
se Permit
Gas piping system 1 - 5 outlets 1.50 5'27
EQA
Parking
Plans
Parcel
Declaration
a
60' R/W
Improvements
Each additional outlet .30
Building sewer 5.00
1f�,Q ��''
Vvf3ldg. Iar�SRec d e -p
Parcel A royal
Plan Approval
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Permit Fee $ e>
.$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ,D
600V OR LESS
Main service 100 AMP OR LESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER e 25.00
V AMP OR LESS
Main service EA. ADD•L 100 AMP 1.00
NEW CONST. 1 DW S. CCUP.s) 22sgft
OR ADDNS. AC
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
st le of:
y
NEW CONST". (MULTI -.111L T
NON.RESID BRANCH CIRCUITS) 12.50eal
NEW CONST". POWER APPARATUS 8
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup{OUTLETS OR FIXTIIRES B L@1
EOccup. FIXED APPLNS. OR
Ex. 2.00
p•�OUTLETS (RESID.) EA)
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 $ / �/
$ %
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.
�J( 1 certify that in the performance of the work for which this
ddf�� permit is issued I shall not employ any person in any manner
so as to become subject to the Workmen's Compensation Laws of
California.
PERMIT FILING FEE $3.00 .OD
Heating JO r
Cooling V7%�
Ventilation
Hood 2.00
Permit Fee
$ DG
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
Land Development Fee
$
TOTAL PERMIT FEE
$ Ti
authorize representatives of the County of Butte to enter upon the
above-mentioned property for inspection purposes.
X Date
Signature of Permitee—or Agent
Receipt No. ay i ✓ Y
White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant
This permit is hereby issued under the applicable provisions of
the B e County Code and/or resolutions to do work indicated
abo f r which fees have been paid.
QR Off PUBLIC WORKSI ,&W,4A /B/�7
Lr
9
Dat61y/"Ie v
7 Building permit expires ate "(o ��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS '
BUILDING INSPECTION RECORD
BUILDING UILDING (Cont'd) PLUMBING_
Setback Firewall lam/ ` SoiL.PI Ing
Forms Parapets 1st Floor
Main Bldg. Restroom Finis 2nd Floor
Footings Windows— _ 3rd Floor on
Slab
/J/l
Roof Sheathln C ' 7
Water ftLRg
Pie s
Roofing f
Sewer
Garage
Fdn. Vents
Fixt res
6
Footings
StemwaII
Garage Vents
Insulation ° L
Water Htr.
Heaters
�6
Z
Slab
Carport
Footings
Prov. for phsi ally
handicaped
Conformance of ex.
s re
Appliances
Gas Piping & Test
Temp. Gas
Slab
Sgp4glon
Patio
SPLA E
Fi a
Z �(J
Footings
Footin
EI-EtTRICkl-
Masonry Walls
Throat
Rough
Reinf. Steel
/� S
Final
Fixtures
Bond Bea
FIRE SPRINKLERS
Motors
2
Framing
/ . . L/
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
M-ECHAWAL
Grd. Fault Prot. ZZZ K
Scratch
Heatin
Service
Brown
Cooling `-J CJ Z
Temp. Pole
Finish
Ducts . V
Underground
Interior Lath
Ve atl n d
an
hp
Door Closer
2opf'0
46a.0 ( 44 / ;P 7, / ?V
n.
SC 7
MUtsILtMUMEUTILITIES ------------------�fec- Service Elec. Pedestal
Water Piping Sewer Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
1-112
. s
(NOTE: An entry must be made on this form each time you visit the job site.)
P L U M B I N G
Check List
[2/2ermit
�nde' loor Stage
D.W.V.: (1) Sizing. (2) Materials. (3) Fittings. (4) Grade & Support.
(5) Cleanouts & Accessibility. (6) Clearances. (7) Rough -in Locations.
(8) Wrapping. (9) Test - including "Ts". (.10) Additional test not
required.*
Water: (.1) Sizing. (2) Materials. (3) Support. (4) Test..(5) Wrapping.
(6) Dissimilar metals. (7) Service "regulator installed or not required.*
Gas: (1) Sizing. (2) Materials. (3) Support. (4) Log Lighter. (5) Wrapping.
v Fram' Sta a To -
02
o 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.
�* ('14) Additional 2nd floor test not required.*
ter: (1) Pipe Test. (2) Mixer Valves. (3) Support. (4) Roof drains.-
as: (1) Size. (2) Materials. (3) PR Valve Drain.
Water Heater: (1) Vent. (2.).Location. (3).PR Valve Drain.
Final
D.W.V.: (41 Connected to sewer -system. ial systems.
ElWater: (I -If Water Source. Shut-off. {-�ti-siphon Valves.
( Connectors.
M --Later Hea ( Location. ( Accessibility. (f"s.
(. Stability.
( "•Garage Floor. ( Mechanical protect' ( Co stion Air.
(Draft Diver Vent Connector. (1 Vent. ( Shut-off and
connector. (1 PR Valve & Drain.
�j2tures.
Approved. �tability. (. Clearances. ( Trapped.
( Connections. (6)--£moss-connections. f4-)-�shwasher Air Gap.
5/79
MECHA-'N•ICAL
Check List •
Permit
underfloor Stage
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) Insulation. (7) Clearances - ground, crawlspace, cleanouts,
plumbing, etc.
El Combustion Air: .(1) Size.
❑ Refrigerant Piping: (1) Material. (2) Support. (3) Fittings. (4) Insulation.
Framin Sta e
eating: .(1) Approved appliances. (2) Accessibility. (3) Clearances.
(4) Combustion air.
EfoVent and Connector: (1) Approved. (2) Size. (3) Clearances. (4) Cap..
.(5) Termination.
E]Ducts: (1) Materials. (2) Size. (3) Support. (4) Fittings. (5) Insulation..
(6) Fire Damper.
" frigerant Piping: (1) Material'. (2) Support. (3) Fittings. (4) Insulation.
(5) Condensate drain.
Final
Heating: (1) Accessibility. (2) Combustion air. (3) Safety controls.
.(4) Electrical connection. (5) Fuel shut-off.
Cooling: (1) Accessibility. (2) Support.'(3) Controls. (4) Pressure relief
valves. (5) Class 2 -refrigerant.
-5/79
I
1
Pe`rmi t
INSULATION CERTIFICATION
Number and Street City County •.
Crestwood Unit 2 _ _ Lot 117
Subdivision - Lot Number _
DESCRIPTION OF INSTALLATION
ROOF
Material?Brand Name
Thickness (inches) Thermal Resistance IA Value)
EXTERIOR WALL ' t...7
Material Fiberglass Brand Name Certainteed
5i
Thickness (inches) 3ktt Thermal Resistance.(R Valyl) 11
CEILING -
Batt or Blanket Type Brand Name - 1
Thickness (inches) Thermal Resistance (R Value) t
Loose Fal Type Fiberglass, Brand Name Certainteed .
Minimum Thickness (inches) "_ Number of bags 22 Weight per beg
Area Covered 012)_ 1140 Thern6al•Resist6nce (R Value),
FLOOR,ELEVATED _ -
Material
Brand Name ,.-•`
e Thickness (inches) Thermal Resist ance'IR Value)
FLOOR, SLAB
• Material Brand Name
.Thickness (inches) Thermal ResistancE.(R Val4el
Width (inches)
FOUNDATION WALL
Material Brand Name
Thickness (inches) Thermal Resistance IR Vrtue) -
HEATING SYSTEM Gas Furnace At
Make
Model Description
Rated Bonnet Capacity
r I
DECLARATION
I hereby certify that the above insulation was installed in the building at the abovejocation in conformance with the
current regulations setting Energy Conservation Standards for new residential. buildings (located in.Trlle 3.4,of the
California Administrative Code).
�.. TZ� EJ, -'O,1 CONSTRUCTION CO. � ut�tsa: #,93 00
1.h
General Contractor (builder) _ License Numbgr - i
---� • �/�.f' , %tel/.5��.� b'
19na(ure and Ti to Data
3iri:IWi'iY
Hawkins Insulation QQ. Tnc. 378407
SuD•, ontractor Insulation )Applicator) License Number s :
Pres. _ 3710-80
Signature and Title A. Data
CERTIFICATE REVIEWED BY Tate'
BIN -029 7B—u ing Inspertinn-efIi,ce)
v .�
f
If
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
v
THIS IS T0. CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS' HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT
(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:
Slab Edge., IyA
Fdn. Walls �A
Floors AIAF
Walls �-
Ceiling/Roof
Ducts t/GS
Circulating Pipes A,,,f
APPROVED HEATER Y4-,<
APPROVED WTR.HTR. T /;-, -<
GLAZING:
Single Glazed AID
Special (Insulated)-w��
CERT.& LABELED WDS.
& SLIDING DRS. /yA
WEATHERSTRIPPED DRS. "15
BACK DAMPERED FANS X/FS
INTERMITTENT IGNITION DEVICES
CERT. APPLIANCES Y-6 -5
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
Insulation Applicator
(please print)
State Contractors
License No.
/Owner Name.
(please print)
Signature of,
�- ate '�
,Q State Contractors
License No.
N
THIS CERTIFICATE .MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING. -
. r
This set of plans and specifications MUST br.
:kept op +he job at all times and it is unlawful tc
make any changes or alterations on same without
'•written permission from the Department of Pub .
lie. Works, Coun of Butt®.
w fit. 27 S,S
i
1\l
See Mas
plans. �jqO
I
n 1�_4A/_
l-
BUTM
�GC6.Q6' 4
ti
The Bldg. Setback hall be 5 ft. from the
2' \ OUNTY
g s m 3�
side property line and 50 ft. from the !V
centerline of the road, permitting a m60ILDING DEPARTMEI`axi. !�
mum of 62 ft. eave overhang but entirely- A.P P Q O V E"D
out of all easements.
Cl?"rIYOW MAWN-P Z
9 ®OZN
9 AL. 76, E®�®✓/��' l�Uii� CO' G4A0
L/!*O1
i1t/!7
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