HomeMy WebLinkAbout035-420-05135-42-51
/w,'/St 'State Homes
330 Crestr7idge Dr., lot 92, Crestlod'
Sub#2, Oroville
Permit #3863-80B,P,E,M(new single
family)
..1549-91B',E9A
35-42-5L'I.-'
CYR, Richard
5330 CrestridgejDr,.-Orovil1&-
cont: KCT
ei;t�r/sf
(reroof:9' gasline,, ac,,water
Lo
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Califolviia,95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
1549-91
ASSESSOR PARCEL NUMBER
3-5-42-51
ZONING
R1
BUILDING PERMIT
OWNER
Robert Cyr
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
romp 1,320
OWNER'S MAILING ADDRESS
5330 CrestRidge Dr.Oroville
CONTRACTOR'S NAME
KGT
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
Filing Fee
$ '.0.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 23.50
ARCHITECT OR LN7,1NEER _T
C PJSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS 5330 Crestridge Dr, Oroville
Permit fee
$ 33.50
PLUMBING PERMIT FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIV/SION NAME
PARCE MAP
Water piping
5.00
Each qas water heater or vent
5.00 5.00
USE OF STRUCTURE
SY,;E] DuplexFj MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.
Building sewer
5.00
Mobile Home S I G I W
10.00 P;I
TYPE OF WORK
NewF� AdditionEl RemodeiEJ UtilitiesD InstallationEl Other
Describe work: reroof, gas piping, al4ilwater heater
I
Permit Fee
$ 20.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
tPU
I am licensed under provisions of Chapt. 9, Div. 3 of the zslrit�ss
and Professions Code and my license is in full I rce and e fect.
I
License No. Classification. a i
0 1, as the owner, or my employees with wages as their solelcompen-
sation, will do the work,and the structure is not intended ar offered
for sale. (Sec. 7044) 1
I
El I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professi6ns Code
for this reason
NEW CONST DWELLING OCCUP.&)
OR ADONS. ACC.BLCGS.
21/2tsq ft
NEW CONSTR. MULTI -OUTLET
NON-RESID, BRANCH CIRCUITS)
2.50 eal
POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
.20 @50t
AL@ 300
OCCUP. FIXED APPLINIS OR
Ex. OUTLETS (-RESI*D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
M The permit is for $100.00 (valuation) or less.
if�j, 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 shal I be deemed revoked.
MECHANICAL PERMIT
Fi I ing Fee 10.00
Heating
Cooling-� t
6.00
Hood
3.00
Ventilation
Permit Fee
$ 16.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all Codnty 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 agains t
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X <QR -S- - A/
Date
SignotuWof Applicant — Owner 0 Contractore Agent El
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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $ 69.50
AZ
I CUA
I PARK
SCHL
I FLD
I CDF
I PAR
PD
11 HD,
I ISSUE
T.h'.s permit is hereby issued under the appiicabie provi-
sions oi the Butte County.Code and/or resolutions to do
work indicated above for which fees have been paid.
—,DIRECAR rOPUBLIC WORKS
By. 1, -Date
PEFhAIT EXPIRES -&te fL-/!2-Cf Z
Receipt No. 93661 —
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
a
7 County Center Drive - Orovil,le.' California 95965 - Telephone: 916/538-7541
PERMIT NO.
1549-91
ArrLIUR I 1UN An rtKMI
I
ASSESSOR PARCEL NUMBER
35-42-51
ZONING
R1
BUILDING PERAIT'
OWNER
Robert C r
TELEPHONE
SQ.FT. OCC. BUILDING VALUAT-10
COMP 1,320
OWNER'S MA�LTNG ADDRESS
5330 CrestRig&e Dr.Oroville
CONTRACTOR'S
KQ1
HONE
CONTRACTOR'S MAILING ADDRESS
Fireplace I
CONSTRUCTION LEND'ER
Total Valuation is
Filing Fee $
LENDER'S MAILING ADDRESS
Permit Fee $ 23.50
ARCHITECT OR E.14':',INEEP _T,C
ENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGiNEER-S MAILING ADDRESS
Penalty $
BUILDING ADDRESS 5330 Crestridge Dr, Oroville
Permit fee $ 33.50
PLUMBING PERMIT FilingFee 10.00
Each Trap 2.00
Solar or heat pump water heater 20-00
LOT NO.
UBDIVISION NAME
1
PARCEL MAP
Water piping 5.00
Each qas w ater heater or vent 5.00 5.00
—
USE OF STRUCTURE
SX,Z] Duplexn MobilehomeF_1 Other
SPECIFY
Gas piping system I - 5 outlets 5.00 5.00
Building sewer 5.00
Mobile Home S I G I W 10-00ea
TYPE OF WORK
New r-1 Addition [-I Remodel[] Utilities[] InstallationEl Other E:1
Describe work: reroof, gas piping, alolwater heater
7
Permit Fee $ 20.00
Contractor
ELECTRICAL PERMIT FilingFee 10.00
Main service 6001 OR LESS
100 AMP OR LESS 10.00
Main service EA. ADD -L 100 AMP 2.50
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 my license is in full force and effect.
L i cen se No. 0 YL rk J 4 Classification. 43
0 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)
F1 I, as the owner, am exclusively contracting with licensed cQIILIaC;L-
0 rs. (Sec. 7044)
0 1 am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST DWELLING OCCUP.ad)
OR ADDNS. ACC,BLDGS. 21/2 0sq It
NEW CONSTR. MULTI -OUTLET
NON-RESID. BRANCH CIRCUITS) 2.50 ea,
PO ER APPARATUS.&)
(SINGWILE OUTLET CIR.&)
0 dP 50t —
Ex. Occup(OUTLETS OR FIXTURES SAL* 30t
OCCUP. FIXED APPLNS. OR I
Ex. OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15-00
Misc. Wiring 15.00
1
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n 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.
F� 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 10.00
Heating
Cooling ',: t- 6.00
Hood 3.00 1
Venti lation T
—
Pernilt Fee $ 16-00
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 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.
X Qk ILIC) Z8 Date
SignoOVof Applicant - Owner LJ ContractoriF�r Agent El
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 $
Energy inspection Fee $
occ
CONST TYPE
I
TOTAL FEE $ 69.50
HAZ.
CUA- I PARK
I SCHL
I FLO
I CDF
I PAR
PD
) HO.
I ISSUE
T.h"s permit is hereby issued unaer tne applicable provi-
sions of the Butte County. Code and/or resolutions to do
work indicated above for which fees have been paid.
D ECA 0 P BLIC WORKS
_IZA 1) — _/�
By 62_-�71 Date C—/Z
'il I T
PER EXPIR�S �,6ate
Receipt No 93661
WHITE-O.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPARTI-0 &!"�;OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE'- OROVILLE,CALIFORNI.A 95965 - TELEPHONE: 916/538-7541
�Z %� , " . t4 /--
PERMIT APPLICATION., IDATA SHEET
Permit No. -
OWNER le A. R 77 -
Proposed Building Use 'Building Inspector Date 6 A) j
At time of ermit application, I was advised the following'data 'Must be submitted prior to permit processing and/or issuance:
C- 7 DATE RECEIVED APPROVED
1. AIIA��em's have been submitted . ....................................
I
.20PIot plans in duplicate/triplicate, signed by.preparer of plans ........
,3. Complete plans in duplicate/triolicate, signed by pre0arer. of plans.
4. Complete engineered plans and calcs, with wet,signature on plans
5. Hazardous Material Form.�� ....
V
6. Energy Desijn Compliance and"supportigg',qde'umentation .........
7. Statement of Intent for Non -Heated and AG Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to p*lan check)
9. Mobilehome installation t�lata including manufacturer's installation
instructions.'� ................ .......................................
10. Fees of $ - ', .10
11. Chico Urban Area fees paid .....................................
12. Park fee's paid ....................................................
- 13. School District fees paid ..............
- 14. Sanitati J,
on appr6val from Health Department
- 15. City of/Chj6 plumb ; i ng,permit.
� 60P,
16. Plot plaPt and business libense approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: -(B) Pa�rkin� . . ......
'7' _01
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (coNvuction approval required prior to occupancy)
20. Pre -Inspection for required ... Pre-Inspec. request to,
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner 0, Mail to owner 0) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
*25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, proc s as follows: Mai' I to ow -P
Telephonez2i;a2 and hold for pickup at e r. Mail to contractor.
1��Office. -Del.iver w/inspector.
Other
Applicant- C�� �&/& 6
4W Date
Copy of Hlaz-Mat form sent -HealthDept. -FireDept. ----Air Pollution Date
Copyofplanssent ____HealthDept. -FireDept. -Other- Date- By.
The following data must be submitted prior to permit issuance: (Circle new item not checked abiovey.
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by -phone ---Mail
Contractor, designer, owner, was advised of above required data by -phone -mall
Plans checked by
Sets of plans on hold in
Copy -DPW
Date Plans approved by
File cabinet _AP folder
by --.date
unter by- date
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
rovill"e. California 95965 - Telephone: 916/538-754 1
7 County Center Drive - 0 C:.
APPLICATION AND PERMIT
CA_
ASSESSOR P E NUMBER
Z ONING
X_ /
BUILDING PERMIT
10.00
OWNF.P
leo e? 1�1r� (�� k2___
TELEPHONE
SQ. FT. OCC. BUILDING V�LUATION
-
—
0 W, S MAILING ADDRESS
3 /-9 , - e_- g /1-11
NEW CONST. ( DWELLING OCCUP.N)
OR AOONS. ACC.8LDGS-
CONTP�rj!PMF r __7EPHONE
NEW CONSTR. 'AULT I*OUTLFT
NON-RESID, ARANC. CIRCUITS)
2.50 ea,
CONTRACTOR*S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER JUNKNOWN
Ex. Occup(OUTLETS OR FIXTURES
Total Valuation Is
Filing Fee $ 0.00
LENOER*S MAILING ADDRESS
Permil c'--- $ 3
ARCHITECT OR L.N:.iNEER
N 0.
Plan Chesking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
Misc. Wiring
BUILDING ADDRESS
�3 0
Permit fee $
PLUMBING PERMIT Filing Fee 10.00
alrow
V
Each Trap 2.00
Solar or heat pump water heater 20-00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 5.00
Each qas water heater or vent 5.00
MECHANICAL PERMIT
USE OF STRUCTURE
SF u
D plexF� MobilehomeF� Other SPECIFY
Gas piping system 1 - 5 outlets 5.00 45,,!917
Building sewer 5.00 1
Mobile Home __TS7G JW I 1 10.00 ea' 1
TYPE OF WORK
NewF� ' Addition[] Remodel[] Utilitie A�stallaflo
�21Describe work:
�A- ,-.
CONTRACTORS LICENSE L4W
I declare under penalty of perjury (check one):
F1 I am licensed under.provisions of Chapt. 9, Div. 3 of the Business
and Professions -Code and my license is in full force and effect.
License No. Classification.
'D 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 connal,;L-
ors. (Sec. 7044)
E] I am exempt under Sec.—, Business and Professions Code
for this reason
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.
I Permit Fee
Contractor
CA_
ELECTRICAL PERMIT
Fi I ing Fee
10.00
main service 61'000'AMOR OL'R'LsESS
10.00
Main service FA. ADO'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.N)
OR AOONS. ACC.8LDGS-
21/20sqft
NEW CONSTR. 'AULT I*OUTLFT
NON-RESID, ARANC. CIRCUITS)
2.50 ea,
(POWER APPARATUS .&)
SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
1.20@50t
ALO 30f
OCCUP. F XEO APPLNS. OR
Ex. OIU'TLETS(RE SID.) E A.)
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
MECHANICAL PERMIT
FilingFee
10.00
Heating
Cooling
Hood
3.00
Ventilation
Notice to Applicant: a alter ma ng L" S Statement, shou u you Decome sublect
to the W. C. provisions of the Labor Code, you must forthwith comply wi th such Permit Fee $
provisions or this permit shall be deemed revoked. Contractor
Mobile Home Installation Fee $
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 Energy Inspection Fee $
to building construction, and hereby authorize representatives of the County ot occ CONST TYPE
Butte to enter upon the above-mentioned property for inspection purposes. . I TOTAL FEE $
1 also agree to save, indemnify and keep harmless the County of Butte against HAL CUA- I PARK I SCH7FTEF 7 1 PAR PO
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
T=Is permit is hereby issued uncer ine applicable provi-
X Date sions oi the Butte County. Code and/or resolutions to do
Signature of Applicant — Owner 0 Contractor [] Agent work indicated above for which fees have been paid.
An OSHA ermit is re uired for excavations over 5'0" deep and demolition or construct- . . DIRECTOR OF PUBLIC WORKS
ion of structures over 3 stories in height.
Receipt No. By
WHITE-O.P.W.. YELLOW-A,38r33OR. OINK -IN SPECTOR. COLDENROO-APPLICANT PERMIT EXPIRES Date—
Date
-PERMIT NO. 3863-80B,P,E,M
PERMIT EXPIRES. 715W
West !�tate'Homes
9WNER
tONTR. owner
LOCATION (A.P. �35-42-�51
5330 Crestridge Dr., lot 92, Crestwood#2,Oro
C)
pow &1Z A-7- Y'x4':'5 '7As't1,4
-ell Al
Tenip. PowerPole
,�%ecl G&E
V/P
em 7e c. S e r v. 'w__ K/_A ?z Jy 11
71
Cafled PG&E
Tem Gas Serv. z .0 2—
ailed PG&E
UOB
7
FINALED
(Date)
'(Signaturof,
ki
THIS IS TO CERTIFY
INSTALLED IN CONFO
AT 2,, �, -/- F R C /?, g
RESIDENTIAL
ENERGY CONSERVATION STANDARDS'.
CONSTRUCTION COMPLIANCE CERTIFICATE
THAT ENERGY CONSERVATION RE
ft QUIREMENTS HAVE BEEN
U4ANCE-WITH CURRENT ENERGY CONSERVATION REGULATIONS
(loca�tion)
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 N4,
Fdn. Walls Special (Insulated)
Floors* CERT. & LABELED WDS.
Walls & SLIDING DRS.
Ceiling/Roof' WEATHERSTRIPPED DRS.
Ducts BACK DAMPERED FANS
Circulating. Pipes_b(,l INTERMITTENT IGNITION DEV ICES
APPROVED*HEATER CERT. APPLIANCES
APPROVt0'--i4T-k.HTR.
I
I DECLARE THAT ALL REQUIRED ITEMS AS VOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulat.ion Applicator. Name— JIAZPAP�r
Signature of (please print)
Insulation Applicator
State.Contractors
License No.,77P4ed 7
General Contractor/owner Name
(please print)
Signature of
General Contractor/Owner-"��—A269�,,�4a Dat e -/d - X/
State Contractors
License No. 3
THIS CERTIFICATE MUST BE ON FILE WITH
REQUESTING FINAL INSPECTION AND SHALL
WITHIN THE DWELLING.
THE BUILDING DEPARTMENT PRIOR TO
BE POSTED IN A CONSPICUOUS LOCATION
I
INSULATION
Permit#
CERTIFICATION
Numt,er and Street City County
lot 92
Suodivislon Lot Nunitier
DESCRIPTION OF INSTALLATION
ROOF
Material
Thickness (inches)
EXTERIOR WA,L
Material Fiberglass
Thickness (inches) 33, -It'
CEILING
Batt or Blanket Type
Brand Name
Thermal Resistance (R Value)
Brand Name Certainteed
Thermal Resistance (R Value) 1090
Brand Name .
Thickness (inches) Thermal Resistance (R Value)
Loose Fill Type Fiberglass Brand Name Certainteed
Minimum Thickness (inches) 911 Number of b3gs_ 48
Area Covered Itt 2 ) 1196 Thermal Resistance IR Value)
FLOOR,ELEVATED
Material Brand Name
Thickness (inches)
FLOOR.SLAB
Material
Thickness (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness (inches)_
HEATING SYSTEM
Make _
Model Description—
Rated Bonnet CapacilN
Gas Furnace
Thermal Resistance (R Value)
Brand Name
Thermal Resistance R Value)
Brand Name
Thermal Resistance IR Value)
Weight per bag — lb
25
DECLARATION
I hereby certify that the above insulation was installed in the building at the above local;on ir. conformance with the
current regulations sc-ting Energy Conservation Stand--,rds for new residential buildinos (located in Title 24 of the
California Administrative Code),
General Contractor (builder) License Num—ber
'<X7
L" sign Title —ZO —7;>
Date
Hawkins Insulatio C. 3784OZ
Sub;�Pontfaclor lz�
Insut Iton Applicator) License Number
�4' 10-7-80
L-' ' - // - -75i 9 - a I —we . n d T, F1 e Date
CERTIFICATE REVIEWED BY Pate
BIN -029 (Building Inspec—ion Oflf.—ice)
Telephone
533-2000
North -Burbank Public Utility District
1960 Elgin Street
OROVILLE, CALIFORNIA 959'65,
DISTRICT APPROVAL AND
VERIFICATION OF INSPECTION
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 RV.ATTR'Fr.APT) W4V r)PoaTNTr_VX7AT,V OA 0 M 01 Oq r)
A'pplicant Phone No. - 916-988-7175
Property Location (s): 5330 CRESTRIDGE DRIVE-. 0R0VTTXF.
CRESTWOOD NO. 2, LOT 92
A. P. No. (s): 035-42-0-051-0
ALL FEES PAID
Fees Paid:
Application for service approved:
North Burbank
AUG. 12,'1980 Public Utility District
Inspection(s) made and successful test(s) observed:
Location: /,0_F9_A Date:
By: zz
North Burbank Public Utility District release to close permit:
Date: By:
!�PERMIT;NO.
'PERMIT EXPIRES
OWNER
'CONTR.
ASSESSOR I?ARCEL
LOCATION
= OK
= Not OK
= Not Applicable RESIDENT14L. (Single and Duplex)
= Not Ready
Date
UNDERfeOOR (Plans) OK-except#'s
Date FRAMING (Continued)
A,-forj�gg requirements -Setbacks -Easements
Po rLL ine Firewall & Openings
�Z"EE.7LDoYoFs-One
Y!:�FA - I Main; Soils-Steel-Elec. Grnd.- Ftg. Depth
3' -Check Garage -3rd story, 2 exits
W-Ftg., Garage; Soils -Steel- Ftg. Depth
-e8--Stairs; W idth-Headroom-R i se -R un- Land i ng -F ire Protection
,rches & �2cks; Soils-S!9el- �,�.Xpth
P9
Flywood on Roof Overhang -Attic Vents -Rafter Outriggers
St6&4
I Is, Mkitf, -Bloolciluts-Wrappfiilr-Sjoj�2
152?' Sid ing-Nai I ing-Veneer
46d!!'�Ztemwalls, Garage; Steel-Blockouts-Wrapped-Slab
*EI, Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
-7-Piers-F*eplace Ftg.-Steel
j4l�Glazing Area -Glass Protect i on -Sky I i ghts-P last ic
Ae'5.N,<: FaU--fittings-*S1_-2 we*_Q'Ib-gowep4est
.64j --Shear Walls; Nailing -Bolts
-4--Gas Pipe; Size -Anchors
-10-.-Water Pipe; Test-Anchors-Regu lator-Sery ice Test
Electric: Underground
I -Z. -Plenums & Ducts; C learance-Materi a I -Support- Ins.
/*
4a--Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI Date fiv Card -B I Date
Card -BI Date Card -BI Date
Card -BI Date Card -131 Date
Card -BI
Date rd -BI Date
Date FINAL (Plans) OK except #'s
Card -BI D a I e 24/�cOa rd - B I Date
Date
PLUII�BING (Permit),OK e�cept #'s
50-'fxt. Steps -Door & Sidelight Protect I on -Land i ngs
W-e-'9moke Detector
Wat t.2 t- - ss -Com tioDAir
tse-V-urnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
pe; Tee%�Anchors-Naif-11roteWon
W.'-D.W!<.; Tde--Ftt U!I�A nc hors- Na- "t, rotection
6§. _Uedroom Exiting
1#�`ShowevP9`rv, TetT, First1`1!T__Ta,"E .. -
�Z.I. & Bath Fixtures & Tub Access
t��t Tub & Shower, 2nd Floor -Tub Access
14W.- Gas Pipe; Size & Anchors
ge"Elec. Trim & Subpanel; Breaker Sizes -Labels
4 �.tairs & Rails
%113 --'Fireplace or Stove; Clearances -Hearth
I�tec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date ard-BI Date
&#,"Xit. Fixt. & Appliance; Grnd.-,A+Pra"-Cooking Clearance
Card -BI
Date Card -BI Date
-Of g�ec. Outlets & Receptacles at Kit. Counter
Date
ELE��RICA�L JLenrmit) OK except #'s
W.,.'Garage Fire Door; Swing-Landi ng -C loser
C. Duct in Garage -Damper
��Wir.
211. ture Tra sformer Clearance -Ins. Protection
Htr.; Vents -C leara nc e- Comb. Air-Connector-P.R.V.-
Ia G aLe,, bove Floor-Mech. Protection
L_
294-'IfLec. Receptacles Spacing -Lights & Switches at Doors
�_2L _
v>.,,' P I p6c. & Mech. Equip. Listed for Location
2c-'-S-ize-Boxes & No. of Conductors -Stapled
P!�Omex Installed Close to Edge of Studs & C.J.
,
p"Ijec. Receptacles in Garage; (G.F.I.)-Romex Protec.
ti?� Insulation -Foam -Looked in Attic P_T�s
2A--P-quip. Ground made up w/Mech. Fasteners -Bond Gas & Water
61io. 4Guard Rails-& Deck rt-R�aps
HINE"
a&' 2 Appliance Circuits in Kitchen & Conductor Size
F d ffvVerMSTM717raw I Hole Door-Minage & Wodr-_Earth Clearance
L-�ad, 011d.. 7 F I... Yes
--2ft.--Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or A]
27. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral CYes [I No
ZWFollowing instld.: D���es E] No; Walks [Fres' Ej No;
Planters E]Yes =No
3. §,ervice-Riser Conductors & Ground -Main Disconnect
-?a-_ Stucco; Brown -Finish
&W.- Equip. Clearances; Pane I s-Motors-Mec h. Equip.
Z4�-C. Unit; Disconnect-Cirnces-Brkr. & Cond. Size -115V Outlet
3,r -Clothes Closet Light -Shower Light
Ad- Vents Above Roof; Plbg.-Appliance-Firepi.-Clearance to.Opngs.
Card B-1
Card B -I
Oate,�/-k Card -BI Date
_ --- -Z
Date Card -BI Date
jarer Well; Disconnect, Electrical, Plumbing
:!�V
Exterior Elec. Trim; G.F.I. Receptacle-L*Me"Y_1TIr
ritilation throughout House
W- 2.ss Protection
Date
MECHANICAL (Perrr-it) OK except #'s
Corrections from Previous Inspections
Test -Meters Tagged; Gas -Electric
LA4yA4-A.C.
E.rd-Bl
Card�i
Ducts: Insulation & Support
321*�\ e -n I Fan: Exhaust above Insulat' ion
-4;ar Condensate Drain & Overflow: Size & Grade
X4-'_Furnace-Ve_n,t; Access -Comb. Air -Return Air Vent -115V outlet
45 ---Attic Access &_ Platform it Furnace in Attic
4
Date - - __WCard-B1_ -Date
0 t 44- A:2rd-Bl Date
89j�ater & Sewer Connected -C/O to Grade -HD Approval
Ile.- Energy -Compliance Certificate -Other Certificates
Card -61 Dateje/V7 4/Card-131 Date
,Z5
Card -BI Date Card -BI Date
Card -BI Date Card -131 Date
Comments at Final:
Date FRAM fflans) OK except #'s
2&-milsq; Proper -Material & Anchors
W -Walls: Studs -Nailing, Spac ing & Bracing -Plates -Sound
311
,__ Bearing Wallsover Girders & Floor -Nailing -
UP. -Draft Stop in Walls (rat proof)
0 -Fire Stops: Furred Ceilings -Stairs -Chases -Tub
4;1,�Header & Beam -size & Bearing
,*&- Hangers -Post Caps -Anchors -connectors
Q-_Clng. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthrig-Rfrip.
_4& Fireplace Ties or Type A Flue -Fireplace Throat
Q;?' —At I I c A c ce s s_;_S_i_ze & Romex Protect ion -Draft Stop -Ins. Baffles
U1,1314rm. Windows or Exiting Doors -Sill Hpt. & Dimensions
WX-"G-ara-ge Fire.Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECOR-D
BUILdING BUILDING fCont'dl
Setback
Forms
MaMain Bldg.
Footings
Stemwa I I
'Slab VA
Piers
Garage
�Footings
_Stemwa I I
Slab <-
Carport
Footings
Slab
F Platio
Footings
Masonry Walls
ReInf. Steel
Firewall
Soil Piping
C,/�.
/1 47,17 Parapets
1st Floor
/ I
Restroom Finish
2nd Floor
Mesh
Windows
3rd Floor
MECHANI�61- Grd. Fault Prot. ?/
Siding
Topout 6�
Heating -
Roof Sheathing
Water Piping
Roofing
Sewer
Finish
Fdn. Vents
Fixtures
Underg ound
Garage Vents
Water Htr.
VenUWlon
Insulation
Heaters
Prov. for physically z
handicapped
CoSIRrmance of ex.
s ire /
Appliances
Gas Piping & Test
Temp. Gas
Footin
BI
rinaV 4Qo�,V Z- 6 , 2— 7,
L--11 - ELEC RICA
Rough 3�e- Z -
Fixtures /10 A
oel�l,
F-F.11111FI-4 �,f
" -z- /a —
i est
Water Htr. ---
Stucco
/ I
Final
Subpanels -
Mesh
MECHANI�61- Grd. Fault Prot. ?/
Scratch
Heating -
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underg ound
Interior Lath
VenUWlon
W. ��A�-- ?/,-Yo R-Amanent
Door Closer
212a Y:�
aA zz Ina2
MOBILEHOWE UTILITIES ------------
Service
A, lec. Pedestal
Water Piping
Sewer
Gas Piping
hJQI3l6EHQME 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.)
= OK
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEIHIOME�LLITILITIES (Plans). OK eicept #'s
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK- except #'s
1. Zoning Requirements-Setb�C�,4�-E6s'ements
1. Zoning Requ i rements-Setbac ks- Easements
2. Soils; Special MH Support-Skbtch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists-Deckino-Bracing-Stairs-Rails
4. Water; Locat i on -Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location -Clea rances-Grnd-/ Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap: / /"L"ft./ /".Nat.or/ /"L"ft./ L
6. Carports: Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -131
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requiremenis-Setbacks-Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -131 Date
POOLS (Plans) OK except #'s
1. Setbac ks- Easements
2. Soils; Compact i on -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Stee I -Connect i ons -Th ickness-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-GF1
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
B. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enc I osures- Pane I 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-1
Date Card -BI Date
Card -BI
Date Card -131 Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
'7N
APPLICATIONAND PERMIT ;;i,
jEL
Ag 157ER
3POR 47
ZONIN
A�� ,
9 F
BUILDINgOERMIT
WET S77�7E- 1�0"t:E14,WDOAl 9/#1—
TELEPHO - NE
SQ.FT. OCC. BUILDING VALUATION
E
06 7-5 - QQ
OWNER'S MAILING ADDRESS
A4,
2-77,ff . oo
,;j;;�AC OR'S NAME
S-/?qm 1-&14t�s
IMP
72-
5-W
CON,TRAC-TOR-S MAILING ADDRESS
6,69vee' a
:9�� �A-P—b
CONSTRUCTION LENDER JUNKNO
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$ 13 Q
ARCHITECT OR ENGINEER
edaif�
LICENSE NO.
I
Plan Checking Fee
$ 6:110
Penalty
$
ARCHITECT OR ENGMEER'S MAILING ADDRESS
Permit fee
s 770-00.
B�1!51UDRE excs-a->067E DR 05--
PLUMBING PERMIT
FilingFee 3.00
Each Trap
2.00 1&,0D
Repair drainage or vent p'iping
2.00
a VIUE
Water piping
LO NO.
UBDIVISIOPII NAME
J
Is CP -6S7 � 00b
PARCEL MAP
45/
Each qas water heater or vent
—Gas
2.00 12,cV
piping system 1 - 5 outlets
USE OF STRUCTURE
SF 9 -"Duplex F1 Mobi lehome F� Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New k -"-Add i t i on [—] R emode I [:] UtilitiesE:l InstallationD Other
Describe work: Af S -Tp—
Permit Fee
$
contractor .
ELECTRICAL PERMIT
Filing Fee 3.00-1
main service 600V OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST DWELLING �%�U
OR ADDNS. ACC.BLDG S/_
20 sq f t
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 Professi �seLre my license is in full force and e ffect.
ar R
License No. J 512�� Classification
El 1, as the owner, or my employees with 'wages as--�heir 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
NI --W CONSTR. -OUTLET
.ON.RES'.. (MULTI 2.50 ea
BRANCH CIRCUITS)
NEW CONSTR. I POWER APPARATUS &)
NON-REStD. ILSINGLE OUTLET CIR.
50 @ 25C
Ex. Occup(OUTLETS OR FIXTURES BAL@l
(FIXED APPLNS. OR )
Ex. Occup. 0 UTLETS_(RESID.) EA.__ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring - 6.25
Permit Fee
$ S5; -
Contractor
'MECHANICAL PERMIT
FilingFee 13.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penaliy 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 60f 000
!ce
Cooling V,4 10
Hood
2.00 2,vo
Venti lation -
-
I 1 11
Permit Fee
$ r;
Contractor
I certify that I have-r.ead 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 liabil I t I judgments, costs, and expenses which may in any way accrue
against sa" ou in consep f the granting of thi
/?ece o iskermit.
,Z �>
X Date
Signature.of Applicant — OwnerEl Contractor. FJ Agen
An OSHA permit is . required for excavations over 5'.0" deep and demolition or construct-
ion of st ructures over 3 stories in height.
Mobile Home 1ristallation Fee
.$
Land Development Fee $
TOTAL PERMIT FEE $ Z70�
OCCUP. GROUP
P-3 -
I TYPE OF CONST.
lAr A)
No
This permit is hereby issued under the applicablel p . rovi-
sions of the Butte County Code and/or resolutions. to do
work indicated above for which fees have been paid.
DIREC OF PU . BLIC WORKS
B Date ;?-2
P4;��ITEXPIRES Date :2
.
Receipt No. /—/Za�m
WHITE-D.P.W.. YELLOW-A;SESSOR. PINK -INSPECTOR, GOLDENROD-APPL I CANT
V
0
IZ-O
C44"
A setback.of 5 ft. f NO thh?,-��
lines and a setback
property . d
of 50ft. from the roa
centerline shall be clear of
structures or equipment exce . pt
for a 2 ft. eave overhang.
th
_7 V
NOTE:—All Materials & Workm P all - e
Accorclanob with Re od rac I n
cognize'd G _ 7d
.of a quality prescribed for the*'Specified use in the
Uniform" Building, Plumbing & Mechanical Codes and�
,'the National Electrical Code.
This set of plans ar�d s cifications MUSt te "14
is unlawful +a
kept on the jo6 at all +im s and it
make any changes or alterptions on same without
written permission from th' Department of Public
m h De
Works, County of Butte.
See Mas er Plan on file for,builiding
plans.
Y
BUTTE Cr -A
B ILDING, , DF-PARTIVIENTI
VED*.