HomeMy WebLinkAbout035-420-03612
0
i
35-42-36
Sunbeam Const.Co.
5318 Diane Ct., lot 107,
Custwood
Sub#2, Oroville
Permit #3979-80B,P,E,M(new single
family IOWA
ZA.
-035-420-0 6 99-0897
JONES, Lott'ie May q2
r
5318 Diane Court, Oroville
Contr: Charles Pierson Construction
Re roof/ remove tub / replace door
0
i
0'35"420-036 99-0897
JONES, Lottie May
5318 DianeSourt, Oroville
Contr Charles Pierson Construction
Re roof/ remove tub replace door
r
COUNTY OF BUTTE - DEPARTMgNT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive * Oroville, California 95965 - Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT !7,17 - /,' �"/ 7
ASSESSOR PARCEL NUMBER
015-63=0-036
ZONIN
BUILDINGPERMIT
OWNER LOTTI"" %,IAY JONES
TELEPTA-7422
So- FT- OCC. BUILDING VALUATION
11 114Y) P
OWNER�!ftlf A,11
JTXS� . COURT, OROVILLE 95966
J"r
GOWR PRICE
CONTRACTOR'S NAME
rTTART,R9 VIERS07 CONST
TELEPHONE
533=0891
CONTRACTORS MAILING ADDRESS
WS MIM AVMIE, OROVILLE XUKK 95066
CONSTRUCTION LENDER
yvz�cm RIMAT
Fireplace
__
LENDER'S MAJUMG A66-RESS
A-53 L 140 Dull DLn, 0-ROVILLE
Total Valuation
CT 0
ARCHITE R ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
61 - on
ARCMTECT�OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
BL'LD"nTffsD1A!'!-,1 001W, OROVILLE
Energy Plan Checking Fee
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00 /-CYJ
USEOFSTRUCTURE
SF OX Duplex 0 Mobilehome E3 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00 L5.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 13 Udlities 0 Installation 0 Other E�
Describe Work: REROOF/100", REPLACE EVAP COOLER
REMOV'R 'SJB AM INSTALL HANDICAP SPOIRR
piping system I - 5 outlets
15.00
—Gas
Building sewer
15.00
Home IS I GI WT—'
1 La20.00.
-Mobile
PERMIT FEE
INSTALL IMAL MN TWR IN GARAGE
ELECTRICAL PERMIT
Filing Fee 20.00
a00V OR LESS
Main Service .A A 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.
License 'Class Lic. No. 06fts-4?2_
00 OWNER -BUILDER *DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
?*r,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:
0 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.
0 1 have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
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.)
all 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 thoi-t' provisions.
S 0-- 7
X Date — -
Aignatur* df App'nmffl— 0 Owner 5� �Ontrac�ior 0 Agent
An OSHA permit is required for excavations over 5'0"deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUR so.
OR ADDNS. & ACC. BWS. 3.50FT.
=.0.0NST_ MULTI-OUTIET
BRANCH CIRCUITS (—a7.50
POWE.RAP=TUS
0 CR.
20 @ 1.00
Ex. Occup. OUTLET OR FIXTURES BAL @ .50
O.MED A LNS OR
Ex. Occup. P(R..6.) El 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling EVAP -B-.w
Hood 6.50
Ventilation
PERMIT FEt $ 35.(X)
Mobile Home Installation Fee
Energy Inspection Fee
OCC
CONST. TYPE
TOTAL FEE $ 160.()o
EES
IMP
I FLOOD
I CDF
PARCEL
I PC
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
fJ
By
PERMIT EXPIL."i. /ON' A
the applicable provisions
Resolutions to do work
been paid.
Date
/,-- t"',
(Date)
ReceiptNo.2 144�74
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPJWjNT.SERVICES - BUILDING DIVISION
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541 PERMIT NO.
(Rev'1'2/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
039-49-0-016
ZONING
I?_1
BUILDINGPERMIT
J
OWNER LOTTIE MAY JONES
TEL714-7422
sQ- Fr- Occ. BUILDING VALUATION
1,999 120 P
1080
CW'ERtn9"bTXft COURT, OROVILLE 95966
CONTR PRICE
2888
CONTRACTOR'S NAME
rRARTYS PTFRSON CONST
TELEPHONE
533-0891
CONrRACTOWS MAILING ADDRESS
9455 MARI AVENUE, OROVILLE MXX 95966
_,R
CONSTRUCTIONFLENDER
USDA RURAI DRITRI OPMENT
Fireplace
-
LENDER'S MAILING ADDRE S
463 1 OR 0 DAM BLVD, OROVILLE
Total ValuatlD. $
'1968
- -
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 63 -no
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
1UIL1IN tlYffsDIANE COURT, OROVILLE
Energy Plan Checking Fee
$
PERMIT FEE
$ DA
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
-nn
Filing Fee 20.00
Each Trap
1 7.00 /.UU
USEOFSTRUCTURE
SF OX Duplex 0 Mobilehome 0 Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.0015.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
Describe Work: REROOF/COMIP, REPLACE EVAP COOLER
REMOVE TUB AND INSTALL HANDICAP SHOWER
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
1@20.00
PERMIT FEE
42.00
INSTALL METAL MAN DOOR IN GARAGE
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( )
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.
License Class Lic. No./., 92�,- ? 2-
00 OWNER -BUILDER 'DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
,cl
061-1to construct the project.
am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DW
.C. gC
.�IJNG UP.
OR ADDNS. S.
So.
3.50FT.
NEW CONST. OUTLET
NON-RESID. XUXTH, CIRCUITS
g7.50
PSO
'MAP= US
0 CIR.
Ex. Occup. OUTLET OR FOMRES
200 1.00
BAL @ .50
Ex. Occup. O.E' A
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:
0 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.
[I I 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
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
—,/6f one hundred dollars ($100) or less.)
ge 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 COT
,Wp.wff
.;6400* provisions.
X Date
,&2jRa`fu?e6f Ap_pYUffllr�[] Owner ontractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
I
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling EVAP 15.00
Hood 6.50
Ventilation
PERMIT FEt 35.00
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $ 160.00
FEES IMP
I FLOOD
I CDF
PARCEL
I PO
E
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By r -4 4e
— 1%./ JQ
PERMIT EXP S ON
the applicable provisions
Resolutions to do work
been paid.
Date
7-7
(Da to) — - — - — -
LReceiptNo.AZO6 7- 3
WHITE -D.
�L D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD-APPLIC
COUN -TT-E---DEPARTM-ENT.GF.DEVELOPUZNTSERVICES - BUILDING DIVISION
7 County C enter Drive * Oroville, California 95965 9 Telephone (530) 538-7541 PEBMIT -U0.
(Fie'. 2 6) APPLICATION AND PERMIT . -� �-4/
ASSUSORPARMNULOM I.Ti - �Z� — 013 (--.1
BUILDING PERMIT
TCLO-MONE
SO. Fr. OCC. BUILDING VALUATION
OWMfR'S MAUNO ADOMS
1 10
Ao—
0.
q3lr�- /M44y/S7/Z , �
COMMAMMS NAM
oommat0fM MOUUNG ADDFMS
21el,5-5-
OONSTRUCnONLEMOt
13
/-./ 1420 - 100�1,f &
tANOWS UNUNO ADOWS
Fireplace
Y,'! -Z /-,-4&'z2gW ZAJ,(4
Total Valuation $
AACHffEcT OR ENWWJM
UCEWE NO.
-Filina Fee
20.00
AWHMCT OR EN(WEER'S MAJUNG A00RES9
Permit Fee
Plan Checking Fee
OULD040AMM
71 -42 f 0- Y-
Energy Plan Checking Fee
�L 0 e
-
PERMIT FEE
$
R -3
LDTNO. lueNWOM Kme
PARCM MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00'7,-oo
USEOFSTRUCTURE
-
Solar or heat pump Water heater
23.00
SF 0, Duplex 0 Wbilehome 0 Other
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
Gas piping system i - 5 oudetB
15.00
New 0 Addition 0 Remodel 0 Udlibes 0 Inslakdon
0 Odw 0
Building sower
15.00
&Vq, f- 1 1,14
Kbbile Home S I G
@20.00
Describe Work: I - I'll
PERMIT FEE
C/ 2, 0&
ELECTRICAL PERMIT
Filing Fee 20.00
A:U&
7.2
oA
Main Service R
23.00
Main Service 2WA TO IOWA
46.00
NEW COMT.
OR ADONS.
so.
3.5tFT.
NLW 1 -UM 1.
N014-RESID. MULT11%=
@7.50
,MjAPUP=U8,L
Ex. Occup. OUMET OR FKTURW
20 : 1.00
DAL .50
0
Ex. Occup. o%'.
5.00
Temporary Service
23.00
.10
Mobile Home Facilities
20.00
Ksc. Wiring
23.00
PERMIT FEE
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
S
Wbile Home Installation Fee
Energy Inspection Fee
occ CONST. TYPE TOTAL FEE $
I
COF
GSUE
I'PAFCM I P0 -UE
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
Receipt No. PERMIT EXPIRES ON
WHITE -0.0.s I
Date
1)
PEWIT NO.
3979-80B,P,E,M
PERMIT EXPIRES.
Sunbeam'Const.Co.
OWNER
�CONTR. owner
-35-42-36
OLOCATION (A.P.
5318 Diane Ct., lot 107, Crestwood Sub#2,
Oro.
emn
. Power Pole
Called PG&E
Temp. Elec. Serv.
4'!!�
Called PG&E
Temp. Gas Serv.
Called PG&E
JOB
FINALED
(Date)
c
(Signatu r/
'
-Telephone
53&2M
North Burbank Public Utility District
1960 Eton Street
OROVILLE, dALIFORNIA 95965
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 165-80
BUILDING SEWERS
This verification form must be submitted to the Butte'County Depart - m ent 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 Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant: SUNBEAM CONSTRUCTION CO
Applicant Address: 11190 HOOPER LANF_ LOR ALTOS RTLLS. CA, q40.29,
Applicant Phone No.. 415-948-6482
5318 DIANE COURT, OROVILLE
Property Location (s):
PRESTIMOT) TMTT NO 9. T.OT In7
035-42-0-036-0
A. P. No. (s):
Fees Paid: qlqnn 00 RMP VArTT.TrPV rTJA1Pr_'P DATTI r_/1.")0/7n
NBPUD CONNECTION FEI-& X
gab dyblm
Application for service approved:
North Burbank
AUGUST 6P 1980 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: I-ol- /L9 7 Date: FrO
North Burbank Public Utility District release to close permit:
i '
Date: By: 4:ef 0-,4j
I
kl.'S NT I A'I,
C(),!S1:1,VA'r'l0H' S'VANDARDS
'�Ails �; 'j.*() CERTIF" THAT ENERGY CONSERVATION R.E.QUIRFRFITFS It -%VF- BEEN
J. j
j! -j CONFORIM'Al"Cl.: WLTII ENERGY CONS ERVAT I.ON REGULATTUNIS
location)*
A.P. NO.
THE FOLLOWI-NG HAVE BEEN INSTALLED AS PER APPROVFD PLANS:
((:Ii(-ck cach item or t"Fritc N/A if not applicable)
INISULATION:
:-; 1.: 11)
NA
F,Ill.
NA
Floors
/V A
I., la Ft S
& S111DING DRS.
NA
------ --
NA
BACK DANI'l-'.1-:1-:1) FANS
NA
AlTi-:()VI:D
NA
:U"i',0Vj:D �.'T!�'.HTI,
NA
GLAZ 114G:
Sinjjo. Clazed
NA
Special. (Instilated)
NA
CERT. & LABI-A.Fl) WDS.
& S111DING DRS.
NA
WEATHERSTRUPI'D
NA
BACK DANI'l-'.1-:1-:1) FANS
NA
;)I:AJ10ES
NA
CERT. AMIJAUCi-
NA
I DECLAPF 'EHAT AIJ, HEOUTRED ITIM AS NOTED A*POV]7 UAVE REFN TN.qTAIJ,FD
IN Till: ENFRGY kF(�UTRI-IIENTS AND AGI\Vl-� TO
TI!F OF THIS CENTIFICATE A0 SU.BMITTH).
Jw:iil-'IP(m Appl icatol: Nanw.— Hawkins Insulation Co Inc.
print.)
p
State Contractors
I.icense No. 378407
Gencral Cont�rnctor/Mrner NBne SUNBEAM CONSTRUCTION CO.
Sii"ll.-ItIlre of (pleasel print)
cen,r.il. contractor/0"Jile -27
Date PCT
State CoiltractorF','
GREGORY T.VISTICA I.icense No. LICeNSIE #153106
)I
'[;:".T TE ON FTLF 1.1 ITH THE 1, 1 ITDINC DF!"A R"ITIFNI. PRIOR 'I.'()
I N'.-; I I F: CI -R) N A N 1) S I I A f, 1. E) F I I 0:;'1'1 1) 1 N A Co NS P FCI 1011 I.oc A' i, I () tl
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS, IS TO CERTIFY THAT ENERGY. CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED 1N CONFOB14ANCE WITH CURRENT 'ENERGY CONSERVATION REGULATIONS.
AT LOt 10'7 CRESTWOO S 0V ITT\TTT T\Tr' `
(location)
BI . JILDING PERMIT NO. A -6P . NO.-,34�- Q7--3
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge.
Fdn. Walls—w—
Floors NA
Walls x --
Ceiling/—MWJ�—
Ducts x
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.-
NTA
BACK DAXPERED FANS
X.
INTERMITTENT IGNITION
DEVICES x
CERT. APPLIANCES
x
S NOTED.ABOVE-HAVE BEEN INSTALLED
I DECLARE THAT ALL REQUIRED ITEMS A
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREETO-
THE . COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name— SEE ATTACHED
(please print)
Signature of
-Insulation Applicato
State.Contractors
License No.
General Contractor/(Xrner NameSUNBE 0 Tr)AT rnvPAI—T
(please print) OCT 2 7 1980
Signature of
-A T^ --- n—in,
General. Contractor/Ownler Da'
4 State Contractors
Gregory T. V sticalPaes license No. * 151290
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITj1*IN T111E 'DWELLING.
Temp. Power Pole—
Called PG&E
Temp. Elec. Service—
Called PG&E—
Temp. Gas Service
CalledPG&E—
JOB FINALED (Date)
Signature
V = OK
0 = Not OK
- = Not Applicable RESIDENTIAL JSingle and Duplex)
* = Not Ready
Date UND�EFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
,X"Zoning requirements -Setbacks -Easements
-40. PWerty Line Firewall & Openings
ae'Ptg., Main; Soi Is-Steel-Elec. Grnd.- Ftg. Depth
Ve-Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
2_ -PT -g, Garage; Soils -Steel- Ftg. Depth
-Se-.Stairs; Width -Headroom -Rise -Run -Landing -F ire Protection
4. Ftg., Porches & Decks; Soils -Steel- / / Ftg. g�lapth
441-P wood on Roof Overhang -Attic Vents -Rafter Outriggers
0 . Stemwalls, Main; Steel-Blockouts-WrappeofWD11-
AySiding-Nailing-Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrappe
.687 -Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
-?--Piers-Fireplace Ftg.-Steel
94 --Glazing Area -Glass Protect ion -Sky I ights-P last ic
k.-*_D.W.V.: Fall-Fittings-TestWZay C7/575 -ewer Test
-66--Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors - /-
T07 -Water Pipe; Test-Anchors-Regulato���st
1-t- Electric: Underground
1,x- Plenums & Ducts; C learance-Materi al -Support- Ins.
T3- Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
rq/,g Date / gl ZOC W Card -B I Date
Card -BI
Y4 Datevw�� Card -BI Date
Card -BI
Date Card -BI Date
Card-Bl(�f Date :2 o7/ Card-Bl*b,, _Plate CP
Date
FIN (Plans) OK except #'s
Card -sr Date Card -BI Date
Date PLU ING (P rmit) OK except #'s
I. Steps -Door & Sidelight Protection -Landings
A?0'j$moke Detector
- r Hi..L__
/4' 7 0,0 A< ra Vent- Access -Combustion Air
' Furnace; Vents -Clearance -Comb. Air -Connector -
Protection
-7j�-6,*ffl W er Pipe; Test & Anchors -Nail Protection
.jW
V.; Test-Fttngs & Anchors -Nail Protection
$goo' Bedroom Exiting
14)�!kO A,?- Shower Pan; Test, First Floor -Tub Access
PO-G.F.I. & Bath Fixtures & Tub Access
-4t--Test Tub & Shower, 2nd Floor -Tub Access
040-Elec. Trim & Subpanel; Breaker Sizes -Labels
/0 7 86 A8' Gas Pipe; Size & Anchors
^ft.- Stairs & Rails
*&v ireplace or Stove; Clearances -Hearth
%40'J'E4ec. Outlets at Wood Panel; Int. & Ext.
Card -BI �*�ate JW7-�-f_ iCard-BI Date
W. ,Kit. Fixt. & Appliance; Grrid-pAin0ap-Cooking Clearance
Card -BI V,4 Date /?/7/,;k&_ard-BI Date
Ag' lec- Outlets & Receptacles at Kit. Counter
I /
Date ELECTRISAL I enrrr.it) OK except #'s
Prozarage Fire Door; Swing -Landing -C loser
Duct in Garage -Damper
-2 PO 2G- ixture TL_
/0 ra sformer Clearance -Ins. Protection
Epe'Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
lo.Gafele-Atere-F4eep-Mech. Protection
aT,--g - Tec. Receptacles Spacing -Lights & Switches at Doors
U.0_�Jb., Elec. & Mech. Equip. Listed for Location
2&.-11 ze Boxes & No. of Conductors -Stapled
1�10-gjpc. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.'�Omex Installed Close to Edge of Studs & C.J.
I nsu lat ion- Foam- Looked in Attic G&rds
- ip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Guard Rails & Deck Construct ion -Post aps :��
2air'-2 Appliance Circuits in Kitchen & Conductor Size
!t!7�o�feed Wire Size ga. C�j_or Al-A.C. Wire Size ga. Cu or Al
'e
7W. FWP. "onto & GraA44494e-0ew-Orai e & WoodgLlgrth Clearance
jeo����Yes ,
X'�Range Circ. / e-/ ga. Cu or,'WO$en Circ. ga. Cu or A 1,
Lpsulato Neutral Ely S Z -Ko"'-
74**�Following instld.: D _��[!J'Yes E] No; Walks P Yes Ej No:
Planters OYes nNo
2115r Serv<e-1`109�� & GA515-nd-Main Disconnect
-F"Stucco; Brown -Finish
*R' Equip. Clearances; Pane I s-Motors-Mec h. Equip.
gigje. AC. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
30. Clothes Closet Light -Shower Light
$eVents Above Roof; Plbg.-Appliance-Firepi.-Clearance to Opngs.
--Yale Card -BI Date
Card B -I Date Card -BI Date
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
640�Ventilation throughout House
820"Glass Protection
8i;;'Eorrect ions from Previous Inspections
Date �;C�N.I��!_ OK except #'s
i�;;�Gas Test -Meters Tagged; Gas -Electric
:Perrit,
Du��
t --Insulation & Support
3P--.--Vent_Fan_:, Exhaust above Insulation
-"- Condensate Drain & Overflow; Size & Grade
i&. �_aler & �Sewer Connected -C/O to Grade -HO Approval
8&O'Energy Compliance Certificate -Other Certificates
3-&eF.r-nace--Ve-nt:--A-c-cess-Comb. Air -Return Air Vent -115V outlet
513 -Attic Access & Platform if -Furnace in Attic____
Ca -rd -BI VV D.'-/'0/-`7/"-` Card -B -Date
Card -BI Da e Card -BI Date
Card -BI
1.04
Date/V/!!�J' _CardBI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FRA.D"G(Plans) OK except #'s 4e-3-,
Comments at Final:
�ff. 5ills; Proper Material & Anchors
e. -Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
40*V�E - a ing Wa- I Is over Girders & Floor-Nailing-
7�D reafrt Stop in Walls (rat proof)
're Slops� Furr� em
-�E-7-,-ngs--Sta--irs-Chases-Tub
Header & Beam -Size & Bearing
.4,�6.-;,�Iengers-Post Caps-Anchors-donnector-s
4r ng. Joist-Rftr. Ties-Purlin- Roof Brac QTr thnq.-Rfnq.
?��h t h �rq
99 , t�replace Tie -s -or Type A Flue -Fireplace T t
Zl�_A,Itic -Access; Size & Romex Protect ion -Draft Stop -Ins. Baffles
41e.-< Windows or Exiting Doors -Sill Hgt. & Dimensions
�Garage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsile)
v/ = OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements-Se�ibac�'-Ea�e.ments
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requ i rements-Setbac ks- Easements
2. Soils; Special'MH Support-Sketc'h
2. Footings; Size-Dept6-Spacing-Connectors
3. Sewer; Location-Test-Fall-6/0-C6ncrete
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-Clearanc6s-Grnd.-/* / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / P'L"ft./ Nat. or/ /"L"ft./ LPG
7. Utility Clearance
6. Carports; Windows. -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date
Date Card7BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
-Card-BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1 . Zoning Requirements-Setbacks-E'asements
1. Setbac ks- Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test-Cros sov4rs- Breakers - C I eara nces
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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-C6nnector
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.
Boxes -E nc I osures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10, Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -131 Date
Card -BI
Date Card -Bl Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING, BUILDING (Co�t'd) �JLMBING,
Setback Firewall qv Zz 71�4z �-o Soil Piping
Forms Parapets 1st Floor
Main Bldg. Restroom Finish 2nd Floor
Footings zz Windows 3rd Floor
Stemwal I 'Siding (-),P '14 Topout 9�-) 1,017
Z
—Z
Slab Roof Shea Water Piping
Piers . Roofing Sewer
//he
Garage 'Fdn. Vents Fixtures
Footings 4_ -,2 Garage Vents Water Htr.
6,
Stemwali 7 f Insulation Heaters
Slab Prov. for ph s ally Appliances
handicappe
Carport Conformance of ex. Gas Piping & Test
Footings qJMe 0!!!:) / Temp. Gas
Slab thinaJI I vq kv S ioo� A
Patio FIAEPLA/CE air(aV
Footings Footina 0- _ EJ- E eT R IJ?LA I/_
Masonry Walls Throat Rough W- 1-1411111111-1:9- a
Reinf. Steel Final Fixtures V& lawleo,
Bond Be FIRE SPRINKLERS Motors - Ir 'Q� Zz �-,-/z �—,9
F ra m I n 9 Test Water Htr.
Stucco Final Subpanels
Mesh MI-CHANICAL Grd. Fault Prot.
Scratch Heating J1oK Service
Brown If/ I Y .01
Cooling Temp. Pole
Finish Ducts (-6 171 y' Underwound 1//
z
Interior Laih��� VenULatlon &eV J
1,:PeKmpnent, p
Door Closer na
0 Aknaj� 5�
'-"ETe-c Pedestal
MOBILEHOME UTILITIES '-ff9c-- qervice
1TVater Piping Sewer Gas Piping
NgBILEHOME INSTALLATION -------------- Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
AP,117�
0 W
(NOTE: An entry must be. made on this form each time you vis1t the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORK PERMIT NO
S P
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4(l
APPLICATION AND PERMIT
ASS!�OR RCEI_ NUMBER
ZONING
BUILDING PERM14;-�
TELEPHONE
SQ.FT. OCC.1 BUILDING VALUATION
O-WNER'S IV�IAZING ADD
4M d OPese Z.S /,ZC
—,f Z 5—
-
CONTRACTOFJFS NAME .1TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRuc7ION LE DER
UNKNOWN
Fireplace
Total Valuation is
LENDER'S MAILING A,0DRE
Permit Fee
-Is
ARCHITECT OR ENGINE—
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
a4-) e,
PLUMBING PERMIT
Fi I ing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
CPO
LOT NO.
/071
SLJ..IIISIOXME
�r
e�& -c Ltz�,, Ar
ARCE-L MAP
Each qas water heater or vent
2.00 0
Gas piping system 1 - 5 outlets
Z_C9 0
USE OF STRUCTURE
SFR' DuplexF� MobilehomeF] Other
SPECIFY
Building sewer
6� C96
Lawn sprinkler system
2.00
I
TYPE OF WORK
New [e AdditionEj R emode I Uti lities [_1 Installation L7 Other F�
Describe work:
Permit Fee
$ '70L ets)
Contractor
ELECTRICAL PERMIT
FilingFee 3.00
main service 6001 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWE I P.
OR _ADDNS. ACC A ff-
20 sq it 0.7 -
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
J0 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(MULII-QUTLET
No N . RESID, BRANCH CIRCUITS) 2.50 ea
E W C 0 N S T R. ( POWER APPAR ATUS.&
N 0 N - R E S 10. SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES 50 @ 250
BAL GO 1W
(FIXED APPLNS. OR
Ex. Occu_p. OUTLETS (RESID.) E±,.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $ 72. as -
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
Ej I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a CeitiliCate
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.
MECHANICAL PERMIT
Fi I ing Fee 3.00
Heating ��2�
C h
Coolihg
Hood
2.00 2,600
Ventilation
Permit Fee
$ "C"
Contractor
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 authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agains said ounty in co sequence of the granting of this permit.
of
X Date
&Signature � pl co t Owner Contractor El Agent
of Ap i n 1�
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height. Of
Mobile Home Installation Fee $
Land Development Fee $ �7_ 5 --
TOTAL PERMIT FEE $
OCCUP.
��LIP
I TYPE,OF CONST.
/V
IPARCELI
'SS
Iss E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR T09�OF BLIC
/" :=:v
By. .,i_
PERMIT EXPIRES Date -
the applicable provi-
resolutions to do
fees have been paid.
WORKS
O� x
A_16;�t?D
Date -
a�s—ep
Receipt No. 0 �3
WHITE-D.P.W., YELLOW -ASSESSOR, PINK-INS;ECTOR, GOLDENROD-APPL I CANT
ifica,tions MuST lie
Thi's set Of plans. onci spec � d ,+ is unlawitil �()
kept on the job at all fi,.�es an �n same wltha'ut
rnoke any changes or olte-rations (
artment of PublIc
*."on permission from the Dep.
Works, Count� -of Buft.,
NOTE:—All -materials
& Workmanship Shall R� yn
Accordance with Recognized' Good Practices and
*bed for -the
of a- quality p'rescri Specified -use in fhe
Uniform Building, Plumbing & M . achanical Codes and
the National Electrical Code.
C)
�_/ RIT
7 C.*-'
See Master Plan on file 'for building
plans.
F _7 7-77"'
v
",41 VON MUPIdAly
r
A setback of 5 ft. from the
property lines and a setback
of 50f ' t. from the road
centerline shall be clear of
structures or equipment excopt
for a 2 ft. eave overhano,
/0 , 0. U. C-. .
7
BUTTE COUNTY
BUILDING DEPART�AEN'
APPROVED
ZOr 107 Y11