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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; rEle+Ser�Cli/S�.,� •✓tynl/,/,`b 17 q�ft��; 41 a i i , a i Q � r - •q1 • 1 l' N 1 / E l.� � • 1i iaYy . 11 1 � � �♦� f,' .b �•c."t ' �� ` + it .. t f � i r 035-420-009 t.'" ~ 5 'PERMIT#96 042` ' QUINN, 'Sherri.. * a 531'8 Margo, Ln 0roviIle �. • r^ -. '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 A l