HomeMy WebLinkAbout035-420-022„��N t _. ._• ... � � ._ ter_ r --� - - - _ �- _ a �'�' .. . ` .,. 1 0 . . _ t ' �
/unbeam
35-42-22Const.Co.
2249 Q,indy Ct., lot 63, Crestwood ?'
Sub#2, Oroville' �
Permit #3968-80B,P,E,M(new single
attiily) • .2%%�2� �II�/ v/ .�«•r�-`
035-420-022 01-1959
TITENSOR,.LARRY & JANICE
' 2249 CINDY CT. OROVILLE�'
CONTT: JORDAN FAGAN
CHANGE OUT H2O HTR
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
ARTIC AIRE
.'
PROJECT. INFORMATION
2350 PARK AVE
Site Address:
2249 CINDY CT
CHICO, CA 95928
Owner'
Permit NO: $Q(-2454
APN:
035-420-022
FEE INFORMATION _
BENEFIELD, DERIC S
Permit type:
MISCELLANEOUS
2249 CINDY CT
Issued Date: 10/17/2006 By' TMP
Subtype:
HVAC Change Out
OROVILLE, CA 95966
Expiration Date: 10/17/2007
Description:
INSTALL GAS FURNACE
(530) 533-2107
Occupancy: Zoning: RI O(
ARTIC AIRE
ARTIC AIRE
Building Garage RemdUAddn
2350 PARK AVE
2350 PARK AVE
CHICO, CA 95928
CHICO, CA 95928
(530) 895-3330
(530) 895-3330
Other Porch/Patio' Total
FEE INFORMATION _
Heat Pump (Package Unit) $55.00
LICENSED CONTRACTOR'S DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
ARTIC AIRE 234913 B/ C2/ C-20
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter
Zmmencin with Section 7 0 0 ' 'sion 3 of the Business and Professions Code, and my license
n fu( fo a
X 10/17/2006
Cont ctor's ignature Date
WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
❑I 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.
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
My Workers' Compensation insurance carrier and policy number are;
Carrier: olicy Number: i6p. Date:)
(This soctio7f neeCrnof be ce hp sled if the permit is or one hundred dollars ($100) o ass.)
❑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 the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
compensation provisions ection 3700 of the Labor Code, I shall forthwith comply with those
prov' '
X 10/17/2006
Sigrfature Date
WARNING: FAILURE TO SEC RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
ATTORNEY'S FEES.
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
the performance of the work for which this permit is issued. (3097 civ. cede)
Lender's Address
City State Zip
Balance Due:
OWNER / BUILDER DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractors License
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
pursuant to the provisions of the Contractor's License Law (Chapter 9 (commencing with Section 7000)
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
the applicant to a civil penalty of not more than five hundred dollars ($500);
Please check one of the following:
❑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 (Sec. 7044, Business and Professions Code: The Contractors License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
the work himself or herself or through his or her own employees, provided that such improvements
are not intended or offered for sale. If, however, the building or improvement is sold within one
year of completion, the owner -builder will have the burden of proof that he or she did not build or
improve for the purpose of sale.).
❑I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
The Contractors License Law dows not apply to an owner of the property who builds or improves
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Contractors License Law.).
❑ 1 AM EXEMPT under Section B. 8 P.C. for this
ix 10/17/2006
Owners Signature Date
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal '
injury, including death, and property damage caused by, arising out of, or in any way connected with
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
County to ante a above mentioned property for inspection purposes. I hereby certify that I am the
any o er ozed to act on the property owners behalf.
M A l�n vri a /1�n 10/17/2006
Owner 11 Contractor OR; El Agent for Owne (Agent for Contractor
FILE COPY
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQ UIRED AT TIME OF APPLICATION
**PLEASE PRINT CLEARLY**
OWNER
Last Name P 5� CyP � A
Address `
City ` S t
I Fax
APPLICANT NAME
CONTRACTOR
Name
Name
\ v'
Phone Fax`��t
Address
No
State
City cc)
Phone
State
Zi '10
OIC
Phone
-
Fax
-
30
E-mail
Lic.#
Class
APPLICANT NAME
ARCHITECT/ENGINEER
Name
City State
Address
Phone Fax`��t
City
No
State
Zip
Phone
Map Book
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
Par)
City State
Zpq Q
f�
Phone Fax`��t
Email
WAMWEAWM
For office use only:
Zoning
Flood Zone
SRA
I Yes
No
Occ.
Type Const
Subdivision Name
Map Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 1 of 2
PERMIT
NO.
alo-Z 54
BP
Pro ertyydess City V'�,
M
Cross Street
Policy Number
Carrier„ _
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Sc o a of Work:.,
Sq. Footage
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
cU
Received by: 711P Amount Bldg
SRA
Receipt #: — YS Sheriff
Date: `� -I A0
IV
SMIP
Other
Total
REV 6-16-04
{ 035420-022 01-1959.
TITENSOR, LARRY & JANICE
2249 CINDY CT,-OROVIEEE
t CONT: JORDAN'FAGAN
".. CHANGE OUT H2O HTR
• F
y
t
a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT 01-1959
ASSESSOR PARCEL NUMBER 035•-420-022
ZONING A -R -
BUILDING PERMIT
OWNER
�CRMILLE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
yy_�`��]��}y��7�.•�Y
OWNk7i5 MAIU1. ESIGJYWS,lD1C�lRBESi\�/l N RD. CA 95%6
CONTRACTOR'S NAME TELEPHONE
JOPJM FAGAN t NTIY ACTION AWC� 5M-7534
CONTRACTORS,MAJL,ItSADD__RESS_ MDAVE. �� CA
LLENNDDER �7"Jfly:ZL
CONSTRUCTION
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 249 CINDY CT. OWLLE CA
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
t
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
1 15.00 1.5.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: WAM HEATER CIOME OUr
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home ISI GJ W
+�-00.
PERMIT FEE
S 35.00
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service ZO.A OR LESS
23.00
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.PSING
License ClassU,',- Lic. No. /7 �!-rj,
-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 insur nce carrier and policy number are:
Carrier /A,i7- .,�
Policy Number r
(The above sections need noThe completed if the permit is for work ;f --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
forthwith comply with those provisions.
X -� %-r Date -9 - R -e=�l
Signature of Applicant -p,wner--Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service Zoog To 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
CCU
OR ADDNS. ( .
NON,gESID MULTI -OUTLET. ITS @7,50
OWELER APPARATUTLETUCIR.S
O
8Ex.
Occup. OUTLET OR FIXTURES
20 p'.w
BAL
OWNER
Ex. Occu , oFlux. (RRE�s oen 5.00
Temporary Service 23.00
Mobile Home Facilities
20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt S
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
I PD
HD
ISSUE
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.
/
Bye i ���/ Date882001
PERMIT EXPIRES ON 8-8-2002
ate
33V/
Receipt No. j
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF Dr:=ELOiPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT 01-1959
PERMIT NO.
ASSESSOR PARCEL NUMBER 035-420-022
ZONING
A—R -
BUILDING PERMIT
OWNER TITENSOR LARRY &:JANICE
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
1335 FORBESTOWN RD. OROVILLE CA 95966
CONTRACTOR'S NAMETELEPHONE
JORDAN FAGAN COMMUNITY ACTION AGENC
538-7534
CONTRACTORS�AA1n AD DEL ORO AVE. OROVILLE CA
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRES�249 CINDY CT., OROVILLE CA
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater or vent
1 15.00 5,00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: WATER HEATER CHANGE OUT
Gas piping system t - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I G I W
@20.00
PERMIT FEE
$ 35,00
ELECTRICAL PERMIT
Fling Fee 20.00
000R LESS
Main Service Z00A OR LESS
23.00
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 f rce and effect.
License Class Lic. No. O% `�� s'
P
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.
❑ 1, 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
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
s0
3.5QFT,
NONpEO51pT. MULTBRANCI.OUTI.ETITS
La
POWER APPARATUS
8 SINGLE OUn.ET CIR.
Ex. Occup. OUTLET OR FIXTURES
.00
BAL @ I.50
Ex. Occup.G 5 FIXEDAa DD °E.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
_
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 insur nce carrier and policy number are:
Carrier 1A.17 /at/S
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.)
❑ 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 _� Date — $•--�y�_
ure of Applicant - gContractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 35.00
LOFEES IMP
I FLOOD
I CDF
PARCEL
I PD
I HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Co and/or Resolutions to do work
indicat d ova for w ch f shave been paid.
_
B Date8-8-2001
PERMIT EXPIRES ON 8-8-2002
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive• Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. t2- I6);: APPLICATION AND PERMIT
--_��As sEsson PARCEL NUIacR
OWNER BUILDING PERMIT
—1711 e 1-14-f&i n�'10OHe So. FT. OCC.
OWNBUILDING VALUATION
ERS WMJNe ADOREss - 1
i/
J
coNrRACTo
.. _ r,.. -- - - - f , TNe ,
T�l Ghn
CONSTRUCTION LENDER
LENDER'$ WULRIO ADDRESS
ARCHITECT OR ENGINEER
LICENSE NO.
ARCHITECT OR ENONEMV WIRING ADDRESS
euaooto ADDRESS
IDT No. susm"C"SwAg PARCEL IMP
USE ;F-.tiRUCTURE
SF ❑ Duplex ❑ Mobllehome ❑ Other
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: +�
*PERMIT FEE PAID
SRA '-
SHERIFF
OTHER
AMouNT RECEIVED
*RECEIPT NVMSBt
* TO k PUT XNTO COMPUTER
Total Valuation TS
Permit Fee
Energy Plan Checking Fee
PERMIT I
PLUMBING PERMIT
Each Trap
Solar or heat purse, water heal
Water piping
Each gas water heater or vent
Gas piping system 1 - 5 outlets
ounaing sewer
Mobile Home
PERMIT FEE I $
PERMIT
Service
00OV OR LESS
20" OR LESS
Service
20" TO 1000A
NST.
S.
OWELLM Occup.
A ACC. BIDS.
10.
MULTs•OLRtET
jr,LtU1H1.CA,kTRICAL
POWER APPARATUS6
SWOI.E O CIRCCU
.
OUTL T OR FOCTURESCU
FTxEO ApPI/IB. oROVRtTS
.
ESLD. EArar
Service
Home Facilitiesiring
7.00
23.00
15.00
15.00
15.00
15.00
18120.00
Et Fee
23.00
48.00
3.5¢Fr.
97.50
5.00
23.00
20.00
23.00
20.00
20.00
20.00
PERMIT FEE _
MECHANICAL PERMIT Fling Fee 20.00
Heating
8.50
Ventilation
PERMIT FES _
Mobile Home Installation Fee S
Energy Inspection Fee i
occTOTAL FEE $
`s `I
. D. PEES I IIIP I FLOOD I COF PARCEL PO SSUE
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.
By Date
PERMIT EXPIRES ON
.39 68-80BP,E,M
PERMIT NO.
PERMIT EXPIRES t j C) I
OWNER Sunbeam Const.Co.
"!CONTR. owner
LOCATION (A.P. 35-42-99
2244 Cindy Ct., lot 63, CrestwoodSub#2,
oroville
Temp. Power Pole
Temp.
P
C lied PG&E
Tern Elec. Serv. cy
ailed PG&E
Te p. Gas Serv. V3J?0
C, lied PG&E
B
N
ALED
(Date)
(Signae)
RESIDENTIAL
ETERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT -ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT _Lot 63 CRESTti+lOODN SUBDIVIS ON TTNIT NO
(location)
BU ILD ING PERMIT -NO. 3 R 6 l?— So A : P . NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Cheek each item or write -N/A if not applicable)
INSULATION:
,_.,.Slab Edge. Z
Fdn. Walls
Floors N t
Walls x
Ceiling`_
Ducts
Circulating Pipes NA
APPROVED HEATER X
APPROVED WTR.HTR. X
GLAZING:
Single Glazed NA
Special (Insulated) X
CERT. & LABELED WDS.
& SLIDING DRS. X
WEATHERSTRIPPED DRS. NA
BACK DAMPERED FANS X
INTERMITTENT IGNITION DEVICES_X_
CERT. APPLIANCES X
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 SEE ATTACHED
(please print)
Signature of
::Insulation Applicator
State.Contractors
License No.
General Contractor/Owner NameSUNBEAM CONSTRTW'"TnN COMPAWY
(Please print)'OCT 17 1980
Signature of Dat
eLua-
General Contractor/Owner __7 �r-
•
Gregory T. Vistica 9Pazes State Contractors
License .No: 151200
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.
RFS IDENT]AI.
F'NFhr'c' C0.N:;l1;VAT'IOil STANDARDS
CONS'I'ILIICT10h1' COMPLIANCE- (:I:I('rI1ICA1'L:
'i'l11S 'i'O CERTIFY THAT ENERGY CONSERVATION REQUT.RFT1F.NTS RAVE BEEN
IN CONFOKIM,,%f;Cli WC1'l1 011RItl•:NT ENERGY CONSERVAT101J REGULA'1'Iui:
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, G'hico '— Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector ' Date' N`
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
J = OK
0 = Not OK
- = Not Applicable
* = Not Ready
RESIDENTIAL Single and Duplex) -
Date
UNDE OOR Plans OK except #'s
Date
FRAMING Continued
oning requ'reme ts-Setbacks-Easements
.-48. roperty Line Firewall & Openings
MSK S i s-StkaK- rnd.- / / " Ftg. Depth
4WExt. Doors -One 3' -Check Garage -3rd story, 2 exits
A g!GaVa ; SoW-S I- / Z/" Ftg. Depth
-60.- Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Porches & Decks; Soils -Steel- / /" Ft . Depth
. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
em Is M ' t t -Bloc ts-Wep'ped
Siding -Nailing -Veneer
Ste s, Garda ; Stele+—Blocketlfs-WraW> a -Skib-
-68-.--Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-7-F ers-Fireplace Ft .-Steel 4
.54:- Glazing Area -Glass Protection -Skylights -Plastic
Aeo"D.W.V.: FAt -Fi s -TW 2 way C O
-55-Shear Walls; Nailing -Bolts
9 --Gas Pipe; Size -Anchors
hO�,Water Pipe; Test-Anchors-Regulator-Servi est
_
44- Electric; Underground
`ILk- Plenums & Ducts; Clearance -Material -Support -Ins.
q-3-.-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Dat Card -BI Date
Dat Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date and -BI JVqDate
Date
FINA (Plans) OK except N's
Card -BI Date ward -BI Date
Date
P MBING (Permit) OK except p's
VeoExt. Steps -Door & Sidelight Protection -Landings
ft:tmoke Detector
4. Water Ht.; Vent -Access -Combustion Air
Furnace; Vents -Clearance -Comb. Air -Connector -
Ducts-Mech. Protection
Water Pipe; Test & Anchors -Nail Protecti n
D.W.V.; T-ebt-Fttngs Anchors -Nails rotection
edroom Exiting
17. Shower Pan; Test, First Floor -Tub Access.
G.F.I. & Bath Fixtures & Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & Anchors
--ft- Stairs & Rails
—
`e&- Fireplace or Stove; Clearances -Hearth
flec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date / d Card -BI Date
• Kit. Fixt. & Appliance; Grnd.--Cookin Clearance
Card -BI
Dat �� Card -BI Date
Alec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except k's
Garage Fire Door; Swing -Landing -Closer
-e_@" C. Duct in Garage -Damper
ag
%9 ---Fixture &Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
Mech. Protection
[ec. Receptacles Spacing -Lights &Switches at Doors
Ib., Elec. & Mech. Equip. Listed for Location
. Size Boxes & No. of Conductors -Stapled
E!jec. Receptacles in Garage; (G.F.I.)-Romex Protec.
Romex Installed Close to Edge of Studs & C.J.
nsulation-Foam-Looked in Attic @res
24- Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
•t--�and Rai ls& Deck Construct ion- Post S,abs
2 Appliance Circuits in Kitchen & Conductor Size
A41.0'.F.�•� u_ —r-Dra ge & Wood- Clearance
tis /
26-5ubfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
Range Circ. / ga. Cu o en Circ. / / ga. Cu or Al,
Insulated Neutral []Yes o
�t9!Service-Riser Conductors & Ground -Main Disconnect
. Following instld.: Dqy es E] No; Walks UPfes [I No;
Planters ❑Yes ITNo
Stucco; Brown -Finish
Equip. Clearances; Panels-Motors-Mech. Equip.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-Clothes Closet Light -Shower Light
ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
c/
Card B I _Date j - Card -BI Date
Card B -I Date Card -BI Date
iPT-Water Well; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle -Underground
. Ventilation throughout House
lass Protection
Date
MEC ANICAL (Permit) OK except q's
K. Corrections from Previous Inspections
W. Gas Test -Meters Tagged; Gas -Electric
12—
_ Ducts: Insulation & Support _
Vent Fan; Exhaust above Insulation
ndeOe�iGrade
ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -BI
_
Card -BI
F accdeSs-Co fir -Return Air Vent -115V outlet
flit Alatform if Furnace in Attic
Date U Card -BI Date
Date 2 �QCard-BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRA M:N2 flans) OK except q's
Comments at Final:
_
. Sills; Proper Material &_Anchors _
i.. Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
3& Bearing Walls over Girders &_ Floor _Nailin_g_ _
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
_
4+r' eader & Beam -Size & Bearing
c �ers-Post Caps -Anchors -Connector
�fi"'1/C�1y.deisY-Rflc_Lies-Rarkst--flb rac.-T a.
44. Fireplace Ties or Type A Flue -Fireplace Throat
/Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
4 %B arm. Windows or Exiting Doors -Sill Hat. & Dimensions
4i. Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
J OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEH'OMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N'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
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except H'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-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
I 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 T St
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date pi-
Card -BI
Date Card -BI Date
t
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
' c.
BUILDING INSPECTION RECORD "
BUILDING MWING PCoot'd)
.V L, � D
R
Firewall
Parapets
Restroom Finish
Windows
Sidingf
Roof Sheathin
Roofing
Fdn. Vents
Garage Vents
Insulation
Prov. for physicaff
handicapped
Consgrmance of ex.
Soil Piping
1st Floor
2nd Floor
3rd FIQor
To out
Water Pi ping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Pi In
Temp. Gas
BI
Fil
Patio
Fifa EP DACE
effnal/
Footings
Footing
TR
Masonry Walls
Throat
Roucih
Reinf. Steel
Final
Fixtures
Bond Beam,
FIRE PRINKLERS
Motors
ll
FramingL
Test
Water Htr.
Stucco
Final
Subpanels
4.4
Mesh
MECHA611CAte
Grd. Fault Prot.
i
Scratch
Heating
Service
Brown Cooling Temp. Pole
FinishDucts i` i O Underground
Interior Lath YAmt0tktion anent
Door Closer Inal' n l�
MOBILEHOMETILITIES--------------- - Service ec. Pedestal
Water Piping Sewer Gas Piping
OB16EMOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping 'Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
(NOTE: An entry must be made on this form each time you visit the job site.)
n
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PER NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATION AND PERMIT
ASSES R PARCEL NUMBER
ZO 1 G
BUILDING PERMIT
owNE
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MA LING ADDRESS
O TR CT 'S NAMEELEPHONE
! ,e
�
CONTRACTOR'S MAILING ADDRESS
CONST CTI ENDE
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILI ADDRES
O o L�i.1`
Permit. Fee
ARCHITECT OR ENGINEER
`Q
LICENSE NO.
Plan Checking Fee -
$
Penalty
$
ARCHITECT OR ENGINEER'S MAIL NG ADDRESS
�_.
Permit fee
$
BUILDING AD R SS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00 00
Repair drainage or vent piping
2.00
Water piping
dp
LOT NO.
I�
SUBDIVISION NA E
SU Z
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
zp�
USE OF STRUCTURE
SF Q' Duplex[] Mobilehome❑ Other
SPECIFY
Building sewerj�p�
Lawn sprinkler system
2.00
,
TYPE OF WORK
New Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work:
�/y/ [ C,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service eoov OR LESS
100 AMP OR LESS
5.00
_V
I
Main service EA. ADD'L 100 AMP
,
2.50
NEW CONST. DWE-OR ADDNS. ( ACCLL &)
2¢ sq ft
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 m license is in full force and effect.
y
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for,sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U 1.0UTLET 2,50 ea
NON-RESID. BRANCH CIRCUITS)
NEW CONSTR ( POWER APPARATUS &)
NON•RESID. SINGLE OUTLET CIR. /
50 @ 25C
Ex. Occup(o XD OR FIXTURES BAL@ICC
APPLNSOR
Ex. Occup.(FIXEED OUTLETS (RESI.D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating M OW 16711p'V
p�
v
Cooling
-pv�
Hood
2.00
Ventilation
permit Fee
$ ,Q
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 'County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
%AD
X � 4O Date /
Signature of Applicant — lOwner,9,T' 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
$
Land Development Fee $
TOTAL PERMIT FEE $ 6� ,
OCCu P. GROUP
Jrle — 3
TYPE of Co..".
PARCE .
✓>
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D=ICBL,
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
DOate,
/
Receipt No.
WHITE-D.P.W., YELLOW -AS ESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Telephone
., 533.2000
North Burbank'Public lltilit District.
1960 Elgin Street '
OROVLLLE, CALIFORNIA 95965
DISTRICT APPROVAL AND'
'VERIFICATION OF INSPECTION
BUILDING SEWERS 154-80
This verification form must be submitted to the Butte County Department of
Public Works - Building Department prior to issuance of a building or occupancy
permit, whichever is applicable. ,
Prior to final approval by Butte County of a Building or an Occupancy,P,ermit, a
copy of this verification form, signed off by North Burbank Public.Utility District,
must be submitted to Butte County.
Applicant: SUNBEAA4 CONSTRUCTION CO.
Applicant Address: 11190 HOOPER LANE, LOS ALTOS HILLS, CA 94022
415 -Cf 8-6482-,
\ Applicant Phone No.:' _
Qj Property Location (s): CRESTWOOD UNIT NO. 2 • LOT 63-
2249
3-
2249 CINDY COURT, OROVILLE
A. P. No. (s): 035-42-0-Cv-0
Fees Paid: $300.00 SCOR FACILITY CHARGE PAID 6/29/79
NBPUD CONNECTION FEE TNPAID O
Application for service approved:
North Burbank
Public Utility District '
Inspections) made andAUGUST csfu'I tests) observed:
Location: Lr�7- G : Date: z/- j -90
By: T
F,. + r-if,4,
North Burbank Public Utility District release to close permit:'
Date: By: ,..r ,`/
This set of lans and s ecifications.MS�ST be' NOTE:—All Materials & Workmanship Shall Be n
kept on the job at .all times and it is unlawful to Accordance with Recoctnired Good Practices o
•alterc�tions on same without
of a quality prescribed for the Specified use in t
make any changes orUniform Building, Plumbing &
written permission from the Department of Public the National .Electrical Code,
Machanic.al Codes an
Works, County of But#e.
• �pS , A'iiQck of 5 ft. from t
property lines and a se
Esti' ��f of 50ft. from the road
C3. TI centerline shall be clew'
structures or equipmor�V
��• ��, / for a 2 ft. eaVe oveha g:d
D
Ira
PP
F
J.
TTE COUNTY .,
IQAbWb DFPARTMEt ,
�F/c .s.' ��
See Piaster Plan on file !or building 03.T ..
R O
C V E Li
plans..