HomeMy WebLinkAbout035-420-046�,0 0
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35-42-46
,West State Homes
5317 Diane Ct., }'ot 97, Crestwood /
Sub#2, Oroville
Permit #3868-80B,P,E,M(new single )
\family)
B07-1584 035-420-046 .
MISCELLANEOUS HVAC Change Out
HVAC CHANGE OUT
5317 DIANE CT
CAASI YVONNE C
B08-2020 035-420-046
MISCELLANEOUS Water Heater C/O
WATER HEATER CHANGE OUT
5317 DIANE CT
CAASI YVONNE C,
I % .
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION (IVR): (530) 538-4365
OFFICE: (530) 538-7541 FAX#: (530) 538-2140
ONLINE PERMIT/RENEWAL PAYMENTS: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 5317 DIANE CT
Owner:
Permit No: B08-2020
APN: 035-420-046
CAASI YVONNE C,
Issued Date: 10/01/2008 By TMP
Permit type: MISCELLANEOUS
5317 DIANE CT
Subtype: Water Heater C/O
OROVILLE, CA 95966
Expiration Date: 10/01/2009
Description: WATER HEATER CHANGE OUT
(530) 538-0521
Occupancy: - Zoning: R1 0(
Contractor
Applicant:
Square Footage:
RISSE & SONS INC
RISSE & SONS INC
Building Garage RemdUAddn
PO BOX 67
PO BOX 67
RIO LINDA, CA 95673
RIO LINDA, CA 95673
Other Porch/Patio Total
(916) 992-0875
(916) 992-0875
FEE INFORMATION.
DBP Water Heater (qty) $59.00
Total Charged: $59.00 Fees Paid: $59.00
Balance Due: $0.00 Receipt No: B8737
LICENSED_ CONTRACTOR'S DECLARATION -
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
RISSE & SONS INC 264815 / C36 C20 C34 C42 C4 C2 /
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
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
pursuant to the provisions of the Contractor's License Law.[Chapter 9 (commencing with Section 7000)
s in full f and effect.
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
X 10/01/2008
the applicant to a civil penalty of not more than five hundred dollars [$500];
Please check one of the following:
OntraCtO ignature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
OFFERED FOR SALE (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued,
improve for the purpose of sale.).
I HAVE AND WILL MAINTAIN WORKER'S COMPENSATION INSURANCE, as required by
❑
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Professions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carter: Dept of Industrial Ripoticy Number.4505-056 Exp. Date:»/30/2009
Contractor's License Law.).
(This section need not be competed if the permit is or one hundre ollars ($100) or less.
❑ 1 AM EXEMPT under Section B. & P.C. for this reason:
❑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'
X 10/01/2008
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owner's Signature Date
provisions.
X 10/01/2008
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
Ignatur Date
WARNI :FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
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
AND ALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused arising out of, in any way connected with
HU DRED THOUSAND DOLLARS $100,000, IN ADDITION TO THE COST OF COMPENSATION,
( )
the issuance of this permit. I hereby acknowledge thatt is issuance of this pea rmit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Cour to enter the above me 'oned property for inspection purposes. I hereby certify that I am the
pr, rt owner or am autho' to act o the property owner's beh If.
CONSTRUCTION LENDING AGENCY
0/01/2008
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Pe ml ee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ_. code)
00wrier[�ntractorOR. E]Agent for Owner Agent for Contractor
FILE COPY
Lender's Address City State Zip
2, ` BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION"
OFFICE #: (530) 538-7541 FAX #: (530) 538-2140
oo A FEE WILL BE REQUIRED AT TIME OF APPLICATION
Website: www.buttecounty.net/dds
OV N� PLEASE PRINT CLEARLY
'hrn fiied� thisapptication and all supporting material becomes subject to the California Public Records Act. All
related to this application is subject to public inspection and will be posted on the County's website for electronic access.
OWNER INFORMATION
Last Name
kW_ Name
Mailing Address , � 1
City pv; \\
State„ A
li
Zip
Phon. cJ .O5
e
Fax
E-mail
CONTRACTOR
Name
Name
Address
Address
City . C7
City
State, .4
Zip ^7
P 2
Phone
F q
E-mail
E-mail
Lic. #
State License Number
Class
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
Ci
Address
Zi
City
if hiring anyone other than license contractors, a cem"ficate of worker's
State
Zip
Phone
LL
Fax
E-mail
` .e
State License Number
APPLICANT INFORMATION
Name
Address
Ci
State
Zi
if hiring anyone other than license contractors, a cem"ficate of worker's
compensation must be shown at the time of permit issuance.
RV, e
F21
LL
I Le 019 1
E-mail ,
` .e
APPLICANT NATURE
PROJECT LOCATION
AP#
Property Address �31
City rckjm l
PERMIT
NO.
BIN #
WORKER'S COMPENSATION
Policy Number
Occ.
Type Const.
O a
Carrier
if hiring anyone other than license contractors, a cem"ficate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
DESCRIPTION OR SCOPE OF WORK:
Sq FT- Living Garage Open _ Cov
O Structure Built without Permits
El Proposed Change of Occupancy
(Note previous use):
For office'use only:
Zoning Flood Zone SRA Yes I No
Occ.
Type Const.
59. `a
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
PROJECT INFORMATION
Site Address: 5317 DIANE CT
Owner:
permit No: B07-1584
APN: 035-420-046
CAASI YVONNE C
Issued Date: 07/23/2007 By KCG
Permit type: MISCELLANEOUS
5317 DIANE CT
Subtype: HVAC Change Out
OROVILLE, CA 95966
Expiration Date: 07/22/2008
Description: HVAC CHANGE OUT
(530) 533-9432
Occupancy: Zoning: RI 0(
Contractor
Applicant:
Square Footage:
DAVY'S HEATING AND AIR CONDIT
DAVY'S HEATING AND AIR (
Building Garage Remdl/Addn
2700 HEGAN LANE, # 172
2700 HEGAN LANE, # 172
CHICO, CA 95928
CHICO, CA 95928
Other Porch/Patio Total
(530) 826-3400
(530) 826-3400
FEE INFORMATION
DBM Heat Pump (Package Unit) $58.00
Total Charged: $58.00 Fees Paid: $58.00
Balance Due: $0.00 Receipt No: B3980
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
DAVY'S HEATING AND AIR COI 212775 / C 20 / 10/31/2008
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(commencing with Sectio O) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in full force and !PS -1- —
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
X 07/23/2007
the applicant to a civil penally of not more than five hundred dollars [$500);
Please check one of the following:
Contractor's Signature Date
❑ 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
WORKERS' COMPENSATION DECLARATION
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
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
E AND WILL MAINTAIN WORKER'S COMPENSATION
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
INSURANCE, as required by
V
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
ction 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compansation insurance carrier and policy number are;
thereon, and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: STATE FUND Policy Number..713-0016105 Exp. Date:05/0112008
Contractor's License Law.).
(This section need not be completed if the permit is or one un red dollars ($100) or ass.
❑ I AM EXEMPT under Section B. & P.C. for this reason:
❑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'X
07/23/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owne nature Date
provisions.
X 07/23/2007
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
Signature Date
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnity, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
o ,o
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occupancy of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
County to enter the above mentioned property for inspection purposes. I hereby certify that I am the
property.,ajoKer or ana rized to act on the property owners behalf.
Cro Io 07/23/2007
CONSTRUCTION LENDING AGENCY
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
Name of Permittee [SIGN] Print Date
the performance of the work for which this permit is issued. (3097 civ. code)
E] OwnerContractor OR. ElAgent for Owner ElAgent for Contractor
FILE COPY
Lenders Address City State zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION.
OFFICE #: (530) 533-7541 FAX #: (530) 533-2140
A FEE WILL BE REQUIRED AT TIME OFAPPLICATION
Website: w.+w.buttecounty.netldds
**PLEASE PRINT CLEARLY**
OWNER INFORMATION
Last Name
Firsebh r/ e
Mailing Address S- j J 7 . �.A P e
City 0/0 v r`M e
Stt C9
2,pc, S`F*- .
Phone S33' cl f?z
Fax
E-mail
APPLICANT INFORMATION
CONTRACTOR
Name.
..
o �
Address Z70O fft, 4� /A•�e�7Z
City
C r c a
State
State e- r
Zip
Phone�6�3f
Fax
Fax.
E-mail
Lic. #
Z Z 7%
Class _ 72!0
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
City
Fax
State
Zip
Phone
Fax
E-mail
State License Number
APPLICANT INFORMATION
Name'
Address
City
State
Zip
Phone
Fax
E-mail
APP NT SIGNATURE
X
PERMIT
NO. .
BIN #
PROJECT LOCATION
AP# C
Property Address 31 g yr2 C r—
City /e
WORKER'S COMPENSATION
Policy Number �y�y , a ^ OS
7f �`
Carver
FIf 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 SCOPE OF WORK:
1/11�C
C l -r aH P o«r T
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
For office use only:
Zoning T.
Flood Zone
SRA
Yes
No
Occ.
Type Const.
PERINIT NO. 3868-80B,P,E,M
PERMIT EXPIRES 7,3e��/
h OWNER West State Homes
CONTR. nnpr
35-42-46
LOCATION (A.P. )
i. 5317 Diane Ct., lot 97,Crestwood Sub#2, Oro.
y
4
1'
f
t
a
4l
Temp. Power Pole
Calle PG&E
Temp. lec. Serv.
C lied PG&E
Tem .Gas Serv.
4B
Called PG&E
J B La
FINALED
(Date)
Y
(Signaturqy
F
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — 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.
L.4"Y,
Inspector
F PERMIT -NO.
Temp. Power Pole
Called PG&E
Temp. Elec: Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB FINALED (Date)
Signature
= OK
= Not OK
= Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
DateNDERFLOOR Plans OK except #'s
Date FRAMING (Continued)
Zoning requirements-Setbacks-Easements
-48"'P2perty Line Firewall & Openings
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
* xt. Doors -One 3' -Check Garage -3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
•50::::�tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
orches & Decks; Soils -Steel- / /" Ftg. D Oth
P ywood on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-
Siding -Nailing -Veneer
ko'6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
-53--Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
iers-Fireplace Ftg.-Steel
54 -Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
-66rWalls; Nailing -Bolts
Pipe; Size -Anchors
�- OO�ef r Pipe; Test -Anchors -Regulator -Service Test
Underground
1�ums & Ducts; Clearance -Material -Support -Ins.
_-13--6irders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI Date &ICard-BI Date
Card -B Date rd -BI Date
Card-13Date Card -BI Date
Card -BI f,2j:;a DateR- )k_�MCard-BI Date
Date Fl(Plans) OK except N's
Card -BI Date and -BI Date
Date PLU ING (Permit) OK except q's
0. Lfl-steps-Door & Sidelight Protection -Landings
. S ke Detector
er Ht.; Vent -Access -Combustion Air
. Furnace; Vents -Clearance -Comb. Air -
arage; Above Floor-Ducts-Mech. Protection
Connector -1r ter Pipe; Test & Anchors -Nail Protection
1K D.W.V.; Test-Fttngs & Anchors -Nail Protection
PLdroom Exiting
Shower Pan; Test, First Floor -Tub Access
I. & Bath Fixtures & Tub Access
-+9—T Tub &Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
Gas Pipe; Size & Anchors
162 -r -Stairs & Rails
83. 5ireplace or Stove; Clearances -Hearth
6 V1ec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
• Kit. Fixt. & Appliance; Grnd,- ookin Clearance
Card -BI Date Card -BI Date
c. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Perrr,it OK except k's
Garage Fire Door; Swing -Landing -Closer
Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
690�Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
n Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Pib., Elec. & Mech. Equip. Listed for Location
Size Boxes & No. of Conductors -Stapled
c. Receptacles in Garage; (G.F.I.)-Rpmex Protec.
Romex Installed Close to Edge of Studs & C.J.
7 Insulation -Foam -Looked in Attic Yes
ip. Ground made up w/Mech. Fasteners -Bond Gas &Water
pard Rails & Deck Construction-Post'Pos
2 Appliance Circuits in Kitchen &Conductor SizeW.-Dr
ge & Wood -Ea Clearance
* Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
-yQT.-'Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
Insulated Neutral [,Yes ❑No
Following instld.: Drive es E) No: Walks Yes ❑ No;
Planters ❑Yes o
4&- Service -Riser Conductors & Ground -Main Disconnect
-Yo. cco; Brown -Finish
-f< Equip. Clearances; Panels-Motors-Mech. Equip.
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
-4W Clothes Closet Light -Shower Light
Card B -I _Dat i� Card -BI Date
Card B -I Date Card -BI Date
W. Vents Above Roof; Pibg.-Appliance-Firepl.-Clearance to Opngs.
P19., Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
ass Protection
NICAL (POK except
Date MEPI
_
erections from Previous Inspections
as Test -Meters Tagged; Gas -Electric
Insulation r
A.C. Ducts: nsulation & Support t
Vent Fan; Exhaust above Insulation
33- C ndensate Drain &Overflow; Size &Grade
Furnace -Vent; Access -Comb. -Air -Return Air Vent -115V outlet
'95- Attic Access & Platform if Furnace in Attic
Card -BI Date / Card -BI Date
4 _
Card -BI Date Card -BI Date
ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRA G lans) OK except 's
Si ; Proper Material Anchors_
ails: Studs -Nailing, Spacing-& Bracin Plate _ound
Bearing Walls over Girders &_F_loor_Nailing _
waft Stop in Walls (rat proof) -
46 -6r Stops; Furred Ceilings -Stairs -Chases -Tub
61! He r &Beam -Size &Bearing
angers -Post Caps- chors-Connectors -
Cln .Joist Rft fes Purlino rac -Truss-Shthng.-Ring.
replace Tie pe A Flue-Firep ace Throat
At 'c Access; Size & Romex Protection -Draft Stop -Ins B es
45.b. Windows or Exiting Doors -Sill Hot. & Dimensione4-
4L,,lfarage Fire Protection Framing
-
(NOTE: An entry must be made each time youvisit jobsite)
V = OK
0 = Not OK
= Not Applicable
= Not Ready
MOBILEHOMES
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK eticept H'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/O -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-Cleararices-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocationTest-Wrap:/ /"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 Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
'Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N'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.
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 Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
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RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH C RRENT ENERGY CONSERVATION REGULATIONS
AT sLO f ,1 % -3/7
L' -
(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.
Fdn. Walls_�/,�_
Floors,
Walls
Ceiling/Roof ✓
Ducts
Circulating Pipes NR
APPROVED'HEATER r�
APPROVED [dTR. HTR•, e�
GLAZ ING :
Single Glazed Ald ,
Special (Insulated) li
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS
INTERMITTENT IGNITION DEVICE -S,
CERT. APPLIANCES
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 , z&w i4,� -I,- pts e, 6m Itoo
(please print)
Signature of
Insulation Applicator
State.Contractors
License No.33%tf- IJO %
General Contractor/Owner Name J.4'es3f' s &lr 14,0" ear
(please print)
Signature of
General Contractor/Owner �+-E� `�y`yrY Date/ -
State Contractors
License No. 3�d.2--ac
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.
Permit#
• INSULATION
CERTIFICATION
NumGer and Street
City County
l
lot 97 '
Subdivision
Lot Number
DESCRIPTION
OF INSTALLATION
ROOF
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
EXTERIOR WAILL
Material Fiberglass
Brand Name Certainteed
Thickness (inches) 3 2t1
Thermal Resistance (R Value) 11 1090
CEILING
Batt or Blanket Type
Brand Name
Thickness (inches)
Thermal Resistance (R Value) _
Loose Fill Type Fiberglass
Brand Name Certainteed
tl
48'
Minimum Thickness (inches)
Number of bags Weight per I ag Ib
Area Covered (ft2I
Thermal Resistance (R Value)
FLOOR•ELEVATED
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
FLOOR, SLAB
Material
Brand Name
Thickness (inches)
Thermal Resistance (R Value)
Width (inches)
FOUNDATION WALL
Material
Brand Name
Thickness. (inches)
Thermal Resistance (R Value)
HEATING SYSTEM Gas Furnace
Make
Model Description
Rated Bonnet Capacity
DECLARATION
1 hereby certify that the above insulation was installed in the building at the above location ir. conformance with the
current regulations setting Energy Conservation Standards
for new residential buildincs (located in Title 24 of the
California Administrative Code).
d4 Loz� 2! rl� � -- 2,Kr- 2. "
Gen al Contractor (builder) License Number
a
7P-�
Signature and Title Date
Hawkins InsulationCo._ Inc. 378407
uL•Contr/a/for (lnsulatlon l!C-iicalor) License Number
10-7-80
Signature and Title—� Date
CERTIFICATE REVIEWED BY rate
BIN -029 (Building Inspection Office)
j,
e wR 7. .. -1111
Telephone
533-2000
North Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 959-65
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION 186-t3C
BUILDING SEWERS
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 Permit, a
copy of this verification form, signed off by North Burbank Public Utility District,
must be submitted to Butte County.
Applicant WEST STATE HOMES
Applicant Address: 5424 BEAUREGARD WAY, ORANGEVALE, CA 950162
916-988-7175
Applicant Phone No.:
Property Location (s): 5187 nT ANF' rnTTRT , nRC1UTT.T.F.
CRESTWOOD NO. 2, LOT 97
A. P.No. (s): 035-42-0-046-0
Fees Paid: ALL FEES PAID
Application for service approved:
North Burbank
AUG. 12, 1980 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: 46-r 97 Date:
By:
North Burbank Public Utility. District release to close permit: V '
Date: By:�' ..� /
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING= BUDDING, CogVd) _ I PLUMBING
Setback
Firewall ,
Forms _ .
Parapets
Main Bldg.
Restroom Finish
Footings
Windows
Stemwall _
Siding
Slab
Roof Sheathin
Piers
Roofing
Garage
Fdn. Vents
Footings
StemwaII
Garage Vents y
Insulation
Slab
Carport
Footings
Prov. for ph sic y
handica ed
Conformance of ex.
09c re
Slab
Final
Patio
I
Footings
Footing^
Masonry Walls
I Throat
Reinf. Steel
Final
Bond BeAlmo,
FIRE SI
Final
LACE
Soil Piping
1st Floor. 1?—/S;
2nd Floor
3rd Floor
To out
Water Piping
Sewer
Fixtures
Water Htr.
Heaters
Appliances
Gas Piping & Test
Temp. Gas
SaRMV,on
Final
Motors
Water Htr.
Subpanels
T
FAI
mean__ MECHANJCALo .
Gird. Fault Prot. Y u
Scratch Heating
Service .01
Brown Cooling
Temp. Pole
Finish Ducts
Underground.
Interior Lath VeittlMlon O
anent
Door Closer /D 2 V0I J11fnal
(nal
MOBILEHOMEUTILITI S --A ----- --------- ec_ Serviceec.
Pedestal
Water Piping Sewer
Gas Piping
OBILEHOME INSTALLATION - - - - - - - - - - - - Support
Elec. Continuity
Water Piping Drainage
Gas Piping
DATE REMARKS. OR CORRECTIONS
011,1P6
U -
(NOTE: An entry must be made on this form each time you visit the job site.)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATJQN AND PERMIT
ASSESS=R PARCEL R
5 Z
ZIry�
BUILDING PERM
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�
OWNER'S MAILING ADDRESS
-A4
^� y
Z7 2-Q - oo
COrjTF,ACTOR'S NAEST ME k.. � �E LEr H/NE -
7�
CONTRA TOR'S MAILING ADDRESS
5 Z 16E661)eE414GtJ/t'Y,�QeAt , Ie 64
CONSTRUCTION LENDER !UNKr�o�
/
Fireplace
Total Valuation $
co
LENDER'S MAILING ADDRESS
Permit Fee
$ /' CO
ARCHITECT OR ENGI ER
LICENSE NO.
Plan Checking Fee
$ '3 X00
Penalty
$
ARCHITECT OR EN INEER'S MAILING ADDRESS
Permit fee
$ , Qd
BIIV7RESS b1AAJC, dot/4-17_
j✓� J 7
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
g 2.00 ,6.0
Repair drainage or vent piping
2.00
��rr ///// LLE
® _0VLE
Water piping
2.00
LOT�Io.
[/�77
sueAlvl IONS ,0®_b *_
T�/v�
PARCEL MAP
C :f el
Each qas water heater or vent
2.00 2,00
Gas piping system 1 -5 outlets
2�p�
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
00
Lawn sprinkler system
2.00
TYPE OF WORK
New [Addition[:] Rernodei❑ Utilities [:1installation❑ Other ❑
Describe work: M -s#
,V5 �,O�
Permit Fee
a
$ O00,
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 10001 OR LE
00 AMP ORSLESS
5.00
'—
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING O
OR ADDNS. ACC. BLDGS.
. �C
20 sq ft JJ
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 Profess' n,S.,Code a my license is in full -force and effect.
(c
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)
❑ 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
NEWCONSTR-UL TI -OUTLET 2,50 ea
NON .RESID. BRANCH CIRCUITS)
NEW CONSTR ( POWER APPARATUS &)
NON RES,D. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@10m
FIXED APP LHS. OR
Ex. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ .SS
Contractor
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.
MECHANICAL PERMIT
FiIingFee J8.00
Heating
�0C)
ks
Cooling
.00
Hood
2.00 1 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 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
against ) ourity in consequ a of the granting of this permit.
2
X9 Date
Signature of Applicant — Owner❑ Contractor ❑ Agentaf
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 $ 29-00
TOTAL PERMIT FEE $ Z%Q. GS
OCCUP. GROUP
TYPE OF CONST.
I PARCEL _PD1,1404
ISSUE
This permit is hereby issued under
sions of the Butte County,Code and/or
work indicated above for which
DIR R OF PUBLIC
By
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date,
Receipt No. Al n S-
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
A setback of 5 ft. from the
property lines and a setbacl
of 50ft. from the road 16
tbnterline shall be clear of
%Tructoros or equipment excepA
r a 2 ft. eave overhang. \)t
6g,
plans and M, IST-
ThisiLt of
kept on the
job at all times and it is unlawful to.
6
makq(any changes or alterations on some withou+'
writtbn Permission from the Department of Pu6li
y of Butte.
Wo ks, Count
&'S 1
<1
BUTTE MATT
Se -6 Pasfer Plan on file for buil,!Wa
BUILDING DEPARTMENT -NT
APPROVED
'N6T6:—AlI* Materials & Workmanship Shall. Be in
toYrdance with Recognized Good Practices and
'0 quality prescribed for the Specified use in the
Uniform Building, Plumbing & Mechanical Codes -and
L 4e
A , the National Electrical Code.