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HomeMy WebLinkAbout035-420-05035-42-50 i ��• W st State Homes 5326 Crestridge Dr., lot 93, Crest ood Sub#2, Oroville Vamily) Permit #3864-80B,P,E M(new single _035-420-050 PERMIT#95-1821` FRENCH; Benny. . tea; -''5326-Crestridge `Dr. , 'Orovill'� w` Cont;.Luczak Const. a s l i r MO •sr� a !9•�"".. -°`+k'6Fg��4°`'sA�7+'uvo.�.a..�, f.ar-a•- <. �.:.�.. ,j„qr .. , ., �.-��'*`�'r7�"�`n - 1 f 035-420,050. pgRMIT#95-:1821 ' ,FRENCH ;+ Benny' , 5326- Crestridge Dr. , Or,oville ~� Luczak Cont;` • ` • _ __ �%' � � Con-St. 4 ' �.. _... M:.: •a�:,, '�' hr:'-"d✓y. Y. `w,.(..:'.'•�C':!M'.'''AgrF 'ii. ;T"}i�dlR'i'.: '/ ,; t...... 4..� .�t N,. 'y.. i,;k�y.. _ 7j' , COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES - BUILDINDIVISION 7 County Center Drive - Oroville, California 95965 -Telephone (916) 5 7541 PERMIT NO. APPLICATION AND PERMIT � 9S`��,2 / ASSESSOR PARCEL NUMBERZONING 035-420050 BUILDING PERMIT OWNER BEM Fpm{CH TELEPHONE SO. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS 5326 CRESTRIME OROVILLE 95%6 is 1 60 3.0go.nn CONTRACTOR'S NAMETELEPHONE LT.IIJ.W I..UCZAR o CONTRACTORS MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation Is Filing Fee $ 20,00 LENDER'S MAILING ADDRESS Permit Fee $ 27.00 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS 1 Penalty $ BUILDINGADDRESS 5326 CRESTRIDGE DR PERMITFEE S 47.00 OROVILLE CA 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO.SUBDNISIOWS NAME PARCEL MAP Solar Or heat pump water heater 23.00 USE OF STRUCTURE ' SF C. Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping 15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation ❑ Other ❑ Describe Work: _ RFROOF WICIM Mobile Home I S I GI W @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filina Fee 20.00 Main Service600V OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. a �/ ,/� License Class — ) Lic. No. 1° a OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason: - - 1,-:. ❑ 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. L - ❑ 1 am exempt under Seca' Business and Professions Code for this reason NEW CONST. DWELLING OCCUR SO. OR ( 8 ACC. BLDS. ) 3.50 FT. CNS. NEW CONST. MULTI -OUTLET NON-RESID. ( BRANCH CIRCUITS ) 97.50 d POWER APPARATUSOUTLET us ( SINGLE / EX. Occup. ( OUTLET OR FIXTURES) a"� 20 @ 1.00S0 \ Ex. Occup. ( OUTLETS RES D.) EA / 5.00 Temporary Service, 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE • $ Contractor ' 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 insurance carrier and policy number are: Carrier •,JMECHANICALPERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. rte- ,/� -t r r Date _ / '� _� ,�_ Signature of Applic6Tlt - O Owne` r� Contrfactor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee Is Occ CONST. TYPE TOTAL FEE $ 47.00 HAZ. I D. FEES IMP I FLOOD I COF 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. �A �� By (rte ri 14iK.l1 Date / <(`t/i4) PERMITEXPIRESON (Date) Receipt No. �; WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - 7 County Center Drive - Oroville,'Califo;Na 95965 - Telephone APPLICATION AND PERMIT BUILDIN DIVISION (916) 5 -75419PERMIT NO. ASSESSOR PARCEL NUMBER 035-420050 ZONING BUILDING PERMIT OWNER BENNY FRENCH TELEPHONE SO. FT, OCC. BUILDING VALUATION OWNERS MAILING ADDRESS 5326 CRESTRI DGE OROVILLE, 95966 CONTRACTOR'S NAME WAbWW LUCZAY p TELEPHONE CONTRACTORS MAUNG ADDRESS Fireplace CONSTRUCTION LENDER UNI(YOWN Total Valuation Is LENDER'S MAILING ADDRESS Filing Fee $ 20,00 Permit Fee $ 27-0 ARCHITECT OR ENGINEER LICENSE NO. Plan Checking Fee $ Energy Plan Checking Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Penalty $ BUILDING ADDRESS 326 CRESTRIDGE DR PERMITFEE S 47.00 OROVILLE,CA 95966 PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Solar or heat pump water heater 23.00 USEOFSTRUCTURE SF EX Duplex ❑ Mobilehome ❑ Other SPECIFY Water piping15.00 Each gas water heater or vent 15.00 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ Describe Work: RRTmE W.ICOMP Mobile Home IS I GI W1 @20.00 PERMITFEE $ Contractor ELECTRICAL PERMIT Filinq Fee 20:00 Main Service e00v OR LESS ( 200A OR LESS ) 23.00 Main Service ( 200A TO 1000A ) 46.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter . 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in ull force and effect. �[ C/ License Class — ) Lic. No. 7 7 T OWNER -BUILDER DECLARATION 1 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 NEW CONST. DWELLING OCCUP. ONS. ( 8 ACC. ) SO. 3.5Q FT. NEW CR CONST. MULTI-OUUTLETLE T NON-RESID. ( BRANCH CIRCUITS ) 07.50 ,POWER ( POWER APPARATUS ) OUTLET CIR. Ex. Occup. (OUTLET OR FIXTURES ) 20 @ 1.00 BAL so Ex. Occup. ( OUTLETS RESID.OEA) 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMITFEE $ Contractor 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 insurance carrier and policy number are: Carrier MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMITFEE $ Contractor 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.) I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. r r Date _�_'_3_�_( .� Signature of Appli t - wner Cont ctor ❑ Agent An OSHA permit is required for excavations over 60" deep and demolition or construction of structures over 3 stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ Gcc iCONST. TYPE TOTAL FEE $ 47.00 HA2. I D. FEES I IMP I FLOOD I CDF PARCEL PD HD ISS This permit is hereby issued under the of the Butte County Code and/or indicated ove for which fees have By 4AA 11 01,h1mv ADate PERMITEXPIRESON applicable provisions Resolutions to do work bee paid. L l9& (Date) Receipt No. WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT 3864=8OB;P,E,M ' EERMIT NO. PERMIT'EXPIRES 'ZI-=.3 ®/ OWNER West STate Homes .CONTR. _ owner 35-42-50 ,,LOCATION (A.P. ) a. 5326 Crestridge Dr.,lot.93,Crestr2oo0 2, Oro. J d y �j Temp. Power Pole Called G&E I Temp. El c. Serv. Cal 'd PG&E Temp Gas Serv. v ailePG&E t, J B 9zF FINALED /0/2- 7v - (Date). (Signatu O` 1 RESIDENTIAL ENERGY CONSERVATION STANDARDS CONSTRUCTION COMPLIANCE CERTIFICATE THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS AT ./ a, glee s¢r/t e12 5'06 S�aZ �,�t'r7��i d �e D -e (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: GLAZING: Slab Edge. �— Single Glazed Fdn. Walls A,1W Special (Insul,ated) Y Floors CERT. & LABELED WDS. .L(/,4_ . Walls o� & SLIDING DRS. ✓ '�' Ceiling/Roof WEATHERSTRIPPED DRS. Ducts ✓ BACK DAMPERED FANS Circulating Pipes Ni¢, INTERMITTENT IGNITION DEVICES H,Ek.TEIR-' CERT. APPLIANCES -,APPROVED,-. _. APPROVED:WTR:HTR. ✓ .. _ --fir y �^ ,�-• - , i o " _ - 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 MAW Signature of (please print) Insulation Applicator State.Contractors License No. 342) General Contractor/Owner Name ���� 5206/.- x&1W, (please print) Signature of Q_ General Contractor/Owner '4v_y-Dated '' -4/-� State Contractors License No. 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 Numher and Street City Count /} y 1 o t 93 Subdivision - Lot Number DESCRIPTION OF INSTALLATION ROOF Material Thickness (inches) EXTERIOR WALL Material Fiberglass Thickness (inches) 332, CEILING Brand Name Thermal Resistance (R Value) Brand Name Certainteed Thermal Resistance (R Value) 11 1032 0 Batt or Blanket Type Brand Name Thickness (inches) Thermal Resistance (R Value) _ Loose Fill Type Fiberglass Brand Name Certainteed Minimum Thickness (inches) 9t1 Number of bags 49 Weight per bag Ib Area Covered (ft 2) 1206 Thermal Resistance (R Value) 25 1206 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) _ HEATING SYSTEM Make Model Cescription_ Rated Bonnet Capacity Gas Furnace Thermal Resistance (R Value) DECLARATION 1 hereby certify that the above insulation was installed in the building at the above location ir. cor.formance with the current regulations setting Energy Conservation Standards for new residential buildings (located in Title 7.4 of the California Administrative Code). �j General Contractor (builder) License Number Signa re and Title z ate` Hawkins Insulation Co.. Inc. 378407 ZSuntraclor su latlon Applicator) License Number 'C. �C�-� ---•--mss,. _- 10-7-80 v r Signature and Title Date CERTIFICATE REVIEWED BY Tate BIN -029 (Building Inspection Of -ice) z: -r._,� }w:a_ { .-.+. Jt '$M" 'a5`t%l.'}.LiS� :'!G i✓ A,pY'Sr�7[ :r .+ .j�+a �. ..; .,a- 0.4,'")•."y'<Y'iFC� �WMvK '^.!f `i^Yv y 1:\ . •.. � .., .� Telephone '- r 533-2000 y North. Burbank Public Utility District 1960 ,Elgin Street n `� ' OROVILLE, CALIFORNIA •95965 DISTRICT APPROVAL AND ---' • `:. VERIFICATION OF INSPECTION } BUILDING SEWERS This verification form must be submitted to the Butte County Department of �: • r. Public Works - Building Department prior to issuance of a building or occupancy permit, whichever is applicable. S 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 5424 BEAUREGARD WAY ORANGEVALE CA 95662 Applicant Address: ..;, Applicant Phone No.: 916-988-7175 .yr t • Pr-:operty Location (s): 5326 CRESTRIDGE DRIVE, OROVI LLE CRESTWOOD NO. 2, LOT 93 ` t.' '`;�°., • A. P. No. (s): y rN�r .s F r Fees Paid: ALL FEES PAID Application for service approved: North Burbank Public Utility District AUG. 121 1980 Inspection(s) made and successful test(s) observed: .y Location:' 3 Date: By:� } Yxy'.4. .. . goe - try, ..,{• North. Burbank Public Utility District release to close permit: Date: Sr- By; 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 RESIDENTIAL (Single and Duplex) C�No't Ready Date UNDERFLOOR (Plansi OK except #'s Date FRAMING (Continued) on' g requirements-Setb ks-Eas_eKents X48-. Property Line Firewall & Operiings t Main; Soils -St -EI c nd.- / Ftg. Depth 4 . Ext. Doors -One 3' -Check Garage -3rd story, 2 exits tg., Garage; S -S - / " Ftg. Depth Be. irs; Width -Headroom -Rise -Run -Landing -Fire Protection tg., Porches & Decks; Soils -Steel- / /" pth Plywood on Roof Overhang -Attic Vents -Rafter Outriggers S emwalls, Main; Steel -B lockouts-Wrapp - Siding -Nailing -Veneer AW.�Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab .608 S cco Mesh -Drip Screed-Fdn. Vents-Underflr. Access XPi rs-Fireplace Ft .-Steel Glazing Area -Glass Protection -Skylights -Plastic D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test -3.5. Shear Walls; Nailing -Bolts -9:-Gas Pipe; Size -Anchors -ler-Water Pipe; Test -Anchors -Regulator -Service Test -F7- Electric; Underground -44. Plenums & Ducts; Clearance -Material -Support -Ins. 43.. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples Card -BI Date 1q VCard-BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date and -BI Date Date FIN�lans) OK except rs Card -BI Daterd-BI Date Date PLU NG (Permit) OK except q's Ext. Steps -Door & Sidelight Protection -Landings . Smoke Detector WBIater Ht.; Vent -Access -Combustion Air -Access-Combustion Pipe; Test & Anchors -Nail Protection Furnace; Vents -Clearance -Comb. Air-Connector- ID -Garage; Above Floor-Ducts-Mech. Protection W.V.; Test-Fttngs & Anchors -Nail Protection B droom Exiting Shower Pan; Test, First Floor -Tub Access G.F.I. & Bath Fixtures & Tub Access d'8.—Test Tub & Shower, 2nd Floor -Tub Access Bi!Elec. Trim & Subpanel; Breaker Sizes -Labels %q -'G as Pipe; size & Anchors Stairs & Rails `68" Fireplace or Stove; Clearances -Hearth Alec. Outlets at Wood Panel; Int. & Ext. Card -BI Da I Date WKU. Fixt. & Appliance; Grnd.-Cooking Clearance Card -BI Date Card -BI Date . E ec. Outlets & Receptacles at Kit. Counter Date ELECTRICAL Permit OK except q's Garage Fire Door; Swing -Landing -Closer �9" A.C. Duct in Garage -Damper Connector-P.R.V.-¢- Fixture &Transformer Clearance -Ins. Protection Wtr. Htr.; Vents -Clearance -Comb. Air- Above Floor-Mech. Protection 24--'Elec. Receptacles Spacing -Lights & Switches at. DoorsPlb:, Elec. & Mech. Equip. Listed for Location ize Boxes & No. of Conductors -Stapled rr—gjRc. Receptacles in Garage; (G.F.I.)-Ro ex Protec. Romex Installed Close to Edge of Studs & C.J.42�-lnsulation-Foam-Looked in Attic es . Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water 7�nd Rails-& Deck Construction -Post Ca s 2 Appliance Circuits in Kitchen & Condugtor Site Fria. Door -Drain e & Woo Clearance L s .2G.-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At vR7._Range Circ. / / ga. Cu or AI -Oven Circ. / ! ga. Cu or Al, Ins ted eutral []Yes ED Following instld.: Dr�ive� es E] No; Walks es [3 No; Planters ❑Yes 4�IVo er -Rj^mat^ & G d -Main nnect �@+Stucc .Brown -Finish 2glEquip. Clearances; Panels-Motors-Mech. Equip. Uhit;-Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet _ aa. -Clothes Closet Light -Shower Light ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs. Card B-1 Dat_Card-BI Date /�, and -BI Date Card B-1 Date -097 Water Well; Disconnect, Electrical, Plumbing erior Elec. Trim; G.F.I. Receptacle -Underground ntilation throughout House Glass Protection Date MECHA ICAL (Permit) OK except N's _ 8@-? Corrections from Previous Inspections 80!Gas Test -Meters Tagged; Gas -Electric _. Ducts: Insulation & Support Vent Fan; Exhaust above Insulation _. _-2_A:—Condensate Drain & Overflow; Size & Grade ater & Sewer Connected -C/O to Grade -HD Approval Ener p gy'Com liance Certificate -Other Certificates 941"-F Access -Comb. Air -Return Air Vent -115V outlet �&E—Attic Access & Platform if Furnace in Attic Card -BI Datea/ZS� 3 ard-B IDate_ _ Card -BI Date Card -BI Date oe Card -BI DateLO .Z and -BI Date Card -BI Date Card -BI Date Card -BI Date Card -BI Date Date FRAM G(Plans) OK except N's Comments at Final: ge-Sills; Proper Material & Anchors _ Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound �8 B ring Walls over Girders & Floor Nailing__ Dr ft Stop in Walls (rat proof) . Ft a Stops; Furred Ceilings -Stairs -Chases -Tub Header & Beam -Size & Bearing vi�.. Hangers -Post Caps -Anchors -Connectors _ng. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shth-Ring. _ -4A_Fireplace Ties or Type A Flue -Fireplace Throat �y,�'�,.L,1•fc A_ccess; Size &Romex Protection -Draft Stop -Ins. Baffles _ 4b. gprm_WindOWS or Exiting Doors -Sill Hgt. &Dimensions Q��/ Garage Fire Protection Framing (NOTE:Anentrymust be made each time youvisit jobsife) :hl J = OK O = Not OK - = Not Applicable = Not Ready MOBILEHOMES MISCELLANEOUS Date MOBILEHOME UTILITIES (Plans). OK except q's 1 1. Zoning Requirements-Setbac.kj=Easements Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except k'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-drnd.-/ / 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. i` Card -BI Date Card -BI Date Card -BI Date Card -Bl, --'Date Card -BI Date Date Card -BI Date MOBILEHOME INSTALLATION (Plans) OK except k's 1. Zoning Requirements -Setbacks -Easements Card -BI Date Date Card -BI Date POOLS (Plans) OK except Lt's 1. Setbacks -Easements 2. Footings; Size -Spacing -Marriage Line 2. Soils; Compaction -Structure Stability 3. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances 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 -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 -Enc losures-PaneIboards- 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 i (NOTE: An entry must be made on this form each time you visit the job site.) COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BILDIN ( ont'd) PLUIIABING Setback Firewall V4 111,71 O Soil Piping P 9 Z� Forms _ _ Parapets V. 1st Floor Main Bldg. Restroom Finish 2nd Floor Footings Windows3rd Floor Sternwal 1,Siding To out Slab Roof SheathingWater Pi in Piers Roofing Q ZZ , Sewer Garage Fdn. Vents Fixtures Footings Stemwa l l ui Garage Vents Insulation 6 . Water Htr. Heaters l/ Slab I Carport Po Footings I Prov. for physically handicapped Conformance of ex. s re Appliances Gas Piping & Test / d.yu Temp. Gas Slab IfInV tion ( Patio F1 EP.LACE F• ! Z2 - 2Footin s. Footings. Footin ELECTRIC Masonry Walls Throat Rou h 7 Relnf. Steel Final Fixtures O 2 Bond Beapn FIRE SPRINKLERS Motors Framing Test Water Htr. --- Stucco Final Subpanels Mesh MECHANICAL Grd. Fault Prot. C d Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts 9=ZZ ko Under round ` Interior Lath Door Closer I VenARation,anent LU 2 7ins in Q 2 MOBILEHOME TILITI S --/ - - - - - - - - - - - - - - - Service ec. Pedestal Water Piping Sewer Gas Piping OBILEHOME 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.) r COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PE Mf N 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 APPLICATIOWAND PERMIT w AS 5 OR A CEL N BER ZONING BUILDI PER O ER /i%t— — ;rn•� MA4 .5 b� p/�)L IS/ 7 TELEPHONE SQ. FT. OCC. BUILDING VALUATION OWNER'S MAILING ADDRESS _ }}CCS_'' cJC�i77 CO NTRACTO/R'S NAME Ho"E.� - EP7gN / V P / CO TR CTOR'S MAILING ADDRESS s� 6A0gP� u/�Y D��1/R�C 956 CONSTRUCTION LENDER UfQKNOW e / Fireplace Total Valuation $ LENDER'S MAILING ADDRESS Permit Fee $ ,0C ARCHITECT OR EI EER LICENSE NO. Plan Checking Fee $ SOD Penalty $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Permit fee $ 1710, OD BUIL 1 G AD RESS ee6ZSTP_`D E ���� PLUMBING PERMIT Filing Fee 3.00 Each Trap y 2.00 A,00 Repair drainage or vent piping 2.00 If�F�V/i Water piping ,fid LO[Vo. /� Ise-Z �©� PA CEL MAP �pio -F Each gas water heater or vent 2.00 2.00 Gas piping system 1 - 5 outlets 2,00 USE OF STRUCTURE . SF [KDuplex❑ Mobilehome❑ Other. SPECIFY Building sewer 57, CID Lawn sprinkler system 2.00 TYPE OF WORK New [Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other ❑ Describe work: �l'iS%�# G/ �l Permit Fee $ Contractor ELECTRICAL PERMIT Filing Fee 3.00 10V OR L Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L 100 AMP 2.50 NEW CONST.DWELLING O n OR ADDNS. ( ACC• BLDGS.- 20 sq it CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one): 91 I am licensed. under provisions of Chapt. 9, Div. 3 of the Business and Professions de and my license is in full force and effect. 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 foe this reason NEW CON5TR ULTI.OUTLET 2.50 ea NON-RESID. BRANCH CIRC ITS NEW CONSTR. /POWER APPARATUS 81 NON-RESID, \SINGLE OUTLET CIR. I 50 @ 250 Ex. Occup(o TS OR FIXTURES BAL@10S FIXED Ex. OccU OUTL APP ESI* OR p'(DUTLETS (RESID) EA.) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 -Misc. Wiring 6.25 Permit Fee $ 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 Filing Fee A 4.00 Heating Q�© r0T7 /9S CoolingEVA pp Hood 2.00 Ventilation permit Fee $ 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 County of 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 liabiliti judgments, costs, and expenses which may in,any way accrue against s Co my 'n c n equence of the granting of this permit. X Date ms`s^ Signature of Applicant — Owner❑ Contractor ❑ Agent An OSHA permit is required for excavations over 5'.0" deep and demolition or construct- ssinn height. ion of structures over stories Mobile Home Installation Fee $ Land Development Fee $ TOTAL PERMIT FEE $ 270,Zo occuP. GROUP - TYPE O CONST. I PARCEL PDND ISSUE This permit is hereby issued under sions of the Butte County Code and/or work indicated above for which DIRECT R OF PUBLIC By PE IT EXPIRES Date the applicable provi- resolutions to do fees have been paid. WORKS Date `2—,3n '� //3 Receipt NO. � 3 S7 D WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT ',c,,� This set of plans and specifications MUST 11e i A setback o 5 ft. from the kept on the job at all times and it is unlawfuletback ' property !in s.'and a s ,..make an he � . Y cana., s or alterations on same witltio • ---- -- � of 50ft. fro the road ' wriffon permission from the'Department •of Pu ` centerline sh ll be clear of " tic Works, Counfy f Butte. r structures or quipment except , for a 2 ft. ea e overhang. j P,Z I/f/ x�_ .06 Fled .2,?10- } 1o, 2 NOTE:—AII Materialsf & Workranhip Shall' Be in '.., Accordance with RecognizcJ Good1 Practices and of a yualily prescribed for iha pec'fied use in the ' !' • Uniform Building, Num:;ing & Me ha cal Codes and the National Electrical Code. —1 See Mas+er Plan on file forbuOdinf plans. — ._ . . COUNTY vl ) ... ; 3, ILDNG DEPARTMENT W. fJ ( Q t OvEr