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HomeMy WebLinkAbout039-270-06439-27- YL Jamar Qk.S Miller 39-27-64' SIS Fro J. VOIG!HT d St., 100'E.of Yocum St., 99,, Day Yocum Front St., Dayton -- (FIRE REPORT Permit #3il-77B,-P-, 1 family) 39-27-64 SIS Front St., 100'E.of Yocum St'-, lot 99, Dayton contr: James Miller, Durham Permit #4937-79B,P,E,M(rebuild house & 9 elf7oyed ami rage dy f I r e & addy -4f 1 room/SF) 039-270-.06400 -3033 j METZGER, RON & EVI 3917 FRONT ST., DAYTON CONTR: CENERGY GROUP IN REROOF W/COMP & SHEATHING 1J M �I � � � � ,w, BUTTE COUNTY DEPARTMFNT OF PUBLIC WORKS "'SPECIALINSPECTION RFP©RT~ Owner:* A. P. #;W--2 Address• _ -— Date of Inspect Tenant: Building Location: Type of Inspection requested: 1. Housing / ! 2. F inane ing 4. Other (specify)'- Present specify)= Fres:asst use cf build Inspector 3. Change of Occupancy to M A. Sanitation. t�ousin V 1. Vater closet: ?. Bathtub or shwer -- -- 4., Kitchen sink: -• __.� 5. Rot and colds: to fixtures --' b. He{ting farilities: 7, Nat -ural light and venfglation: 8. Room and space requirements: 9. Bedrom window or door for second exit,-, 10. Infestation of insects, vermin, or. rod::eltr: 11. Connection to sewage disposal.:_ � - 12. Connection to grater supply:� _ 13. Rubbish and garbage facl.liti_es:- 14. Comments: B. Structural 1. Pl.-ers and footings: _ 2. Floor constnzcti.on: 3. Wall construction: 4. Ceiling anti roof construction: 5. C. Electrical 1. Servicc: and f4roun3: 3. 4. Cmmmnnts: D. Plumbing 1. and tYe�:ted: 3. Cas t.caLir.g vexitse._-- 4. Co%mients: E. Other 1. Maintenance and repair: L 2. Fire hazards: 3 -.--Safety hazards: 4. Weather protection: 5. Underfloor and attic ventilation: 6. Comments: F. Commercial Buildings 1. Roof covering: 2. Distance to property lines: 3. Physically handicapped: 4. Restroom floors and walls:_. 5. Exits:_ -.- 6. Improvements: > - 7. Zoning:_ 8. Comments: . G. Field Problems or Violations 1. Problem or violation (give complete description): 2. 3. Wheat, CLULLVIL L.a&Cn (give col' piece aescription) : WlicaL 6VI-LUJLL L�l". (lllLllE'i1ll2Q; 77A. 'Information only -- fille. B. Hold for ten (10) days, then wrive letter. / / C. Write letter, /% D. Other: LOCATION (CDF Direct P.A.) 2 SEC. TOWNSHIP N RANGE �� MILES DIRECTION ❑FROM / I h ❑ IN NTL. FOREST, FIRE DIST., CITY 8 STREET NO.. ETC. $ RESPONSE TYPE 8A ACRES BURNED (CDF Direct Protechon Area only) FIRE ❑ FALSE ALARM t0 :< AGENCYPROTECTION T P C � S O . ^ T �O 0 o ❑ ACR C.D.F. VEG. C.D.F. D.P.A. TYPE ACRES BURNED a RESPONSIBILITY (AT ORIGIN) 4� DIRECT STATUTORY ::: OTHER '`?::: TIMBER PROTECTION RESPONSIBILITY >` WOOD _ FIRE Q RANCH -FARM t RL)( -.R NUMUR j^ MAP ✓ REF. ONE* STATE'ZONE a DISTRICT ❑ UTILITY, RAILROAD ❑ \NILDLAND r ❑ CITY REPORT ©❑ REG Ru uac�oENr a 63 ,I_71nt,r rto oAIE (v :�-� -.. ❑ U.S.F.S. $ „a,t'00. ❑ B.L.M. LOCAL ZONE 09 61RE NUMBER - F41! h;AME FC -18 REV. 1-79 LOCAL (Non -contract) REGt.0 1; Fit{I. N / r r. t ✓1 r ,�� �r_• ; J Ile, LOCATION (CDF Direct P.A.) 2 SEC. TOWNSHIP N RANGE �� MILES DIRECTION ❑FROM / I h ❑ IN NTL. FOREST, FIRE DIST., CITY 8 STREET NO.. ETC. $ RESPONSE TYPE 8A ACRES BURNED (CDF Direct Protechon Area only) FIRE ❑ FALSE ALARM t0 :< AGENCYPROTECTION T P C � S O . ^ T �O 0 o ❑ ACR C.D.F. VEG. C.D.F. D.P.A. TYPE ACRES BURNED a RESPONSIBILITY (AT ORIGIN) 4� DIRECT STATUTORY ::: OTHER '`?::: TIMBER PROTECTION RESPONSIBILITY >` WOOD _ 'PROPERTY USE (Starts in CDF Direct Protection Area only) WbOMESTIC O UTILITY, OTHER Q RANCH -FARM U STATE Q DUMP MAP ✓ REF. ONE* STATE'ZONE a DISTRICT ❑ UTILITY, RAILROAD ❑ \NILDLAND STATE �- —� ❑ CITY 00. ©❑ LOCAL (Contract) ❑ COUNTY OTHER (3) ❑ LOCAL (Non–contract) ❑ U.S.F.S. $ „a,t'00. ❑ B.L.M. LOCAL ZONE 09 LOCAL (Contract) ❑ B.I.A. I$ ❑ LOCAL (Non -contract) ❑ N.P.S. ®❑ FEDERAL ZONE ❑ OTHER FEDERAL ©❑ MISCJOTHER ❑ OTHER sCAUSE (Starts in CDF Direct Protection Area only) LIGHTNING [J—DEBRIS PLAY"W/FIRE [J CAMPFIRE ❑ ARSON MISCELLANEOUS [-I SMOKING [) EQUIPMENT f 'PROPERTY USE (Starts in CDF Direct Protection Area only) WbOMESTIC O UTILITY, OTHER Q RANCH -FARM ❑ FOREST INDUSTRY Q DUMP ❑ RECREATION ❑ ROAD ❑ OTHER INDUSTRY -COMM ❑ UTILITY, RAILROAD ❑ \NILDLAND (] UTILITY, ELECT Q NON WiLDLAND 00. VEHICLES & CONTENTS vr%mrautc l%,w unto IvMtuun ivca V+uYI $DAMAGE TIMBER WOR YOUNG GROWTH?;'`' 1.WILDLAND $ 00. VEGETATION (Except Timber & Young Growth). + 00. AGRICULTURAL PRODUCTS (Except Timber & Young Growth) 00. DWELLING VOR CONTENTS 00. STRUCTURES &/OR CONTENTS (Other) �r.. .. 00. VEHICLES & CONTENTS ;;cr00. OTHER >>`':' 00. TOTAL $ „a,t'00. 0 BRUSH" '' t :GRASS AGR'. PROD TOTAL -r- ISTATUT.I C.D.F. D.P.A. .! RESP. ACRES BURNED STATE I.S.F.S B.L.M. M OTHER TED OTHER TOTAL ON ARRIVAL (CDF Direct Protection Area only) Q VEGETATION FIRE ''�,I 6THER (GO TO (10 — SIZE DISTANCE (Origin tc head) AC. ELI I' WEATHER (Est, at scene) WIND D114ECT'ION FROM T'EMPLHI T RE M.P.H. 1 --- q- 10 ------ Over please C.D.F. 7540-130-0141 FIRE REPORT R�v D LOCATION (COF Direct P.A.) LOCATION ' I- C, 11 y -I& sm, I,I 277, - HANGE DIRECTION ❑f ROM C] IN NIL FOHFSI.1�1"it SEC TITOWNSITIP N Cl s -f)F 0 ACRES BURNED 'It5 BURNED tu BA RESPONSE TYPE DIREG f r 3 Oj L; '-'�ALSE ALARM AGENCY PROTECTION FIRE F-STOP I PROTECTION 2� T ON 2 �f_R F 8 8C A Q, 7_LRI �N C.O.F. 0 P A C.D.F.VEG. CTYPE ACRES BURNED RESPONSIBILITY (AT TIM E OTHER 4 _— STATUTORY STATUTORY DIRECT RESPONSIBILITY I PROTECTION MAP I/ LOCAL ZONE REF ONE STATE ZONE v LOCAL (Non -contract) ❑ LOCAL (conlrnf) (3� LOCAL (Non --contract) El STATE DISTRICT CITY ❑ COUNTY U.S F.S. ❑ B.I. M. B.I.A. ❑ N.P.S O'fHclli FEDERAL OTHER f '' CAUSE (Starts in (--DF Direct Puc;ecnon Area on!,,,) LIGI-iTI`-l:r-G i DEBRIS FI, PLAYWFIFIE CAMPFIRE ARSON <M!SCELLA-NEOUS N sf,AOK!1lG r- E0'jIPM;- H T ; FPROPERTY USE (Sja,jS!,, CFr Pruleclici-i Area Crily) ;41t 0 M r- S I i LOCAL ZONE LOCAL (Contract) I$ ❑ LOCAL (Non -contract) ❑ FEDERAL ZONE Oijfi(ITY PAILFOAC) MISC:./OTHE,9 El STATE DISTRICT CITY ❑ COUNTY U.S F.S. ❑ B.I. M. B.I.A. ❑ N.P.S O'fHclli FEDERAL OTHER f '' CAUSE (Starts in (--DF Direct Puc;ecnon Area on!,,,) LIGI-iTI`-l:r-G i DEBRIS FI, PLAYWFIFIE CAMPFIRE ARSON <M!SCELLA-NEOUS N sf,AOK!1lG r- E0'jIPM;- H T ; FPROPERTY USE (Sja,jS!,, CFr Pruleclici-i Area Crily) ;41t 0 M r- S I i LlOTHER I'ji"i:Si Ill")US--py ❑ Dump 0TION Tomp,ER ?-,/OR YOUriG GROW -11'H (D ()1IEII IND11.153TRY C(:,k4V, Oijfi(ITY PAILFOAC) 0 Xtill,)lA(II) Ej- li'l !-IT Y. ELECT mC,;,l WILDER!T3 luop !mlvl BRUSH GRASSI /.G R'. PRO") TOTAL — ----- P8D UT. C.D.F. D.P.A. SP- ACRES BURNED F STATE .S.F.S B.L.M. mm B.O.R OTHER FED ........ . . . .. . ........... . . ... .. OTHER ........... .. . .. .............. ............ ... ........ . TOTAL[ --7 o N ARRIVAL (Cff [,,tLCl Protection Area orl'y 1 r (GO tO F PI'S K. 80 CDP ci- I 'DAMAGE Tomp,ER ?-,/OR YOUriG GROW -11'H 00. 00. PRODUCTS-------- 00. DV El L L I IG OR C 0 1" 1 T E 1, 11TS 00. 00. VEHICI.ES P, CO'HTE'NIS 00. OTHER 'T 00. TOTAL00.1 BRUSH GRASSI /.G R'. PRO") TOTAL — ----- P8D UT. C.D.F. D.P.A. SP- ACRES BURNED F STATE .S.F.S B.L.M. mm B.O.R OTHER FED ........ . . . .. . ........... . . ... .. OTHER ........... .. . .. .............. ............ ... ........ . TOTAL[ --7 o N ARRIVAL (Cff [,,tLCl Protection Area orl'y 1 r (GO tO F PI'S K. 80 CDP ci- I %j v 11VO a2 c o /3 n r>74 A:57- 0-30 ,33 210— i 0�2 -LLCCf�i�'l/� RESIDENTIAL PLAN CHECKING GUIDE (S.F., t)UPLEX, & MISC. ONLY) OWNER A.. GENERAL `-�I - Zoning requirements (sideyards and parking). Valuation. Signature by R.C.E. or Architect (if required). B. PLOT PLAN -c,l< Complete -parcel size and dimensions. Setbacks, sideyards, easements, etc. Other buildings or structures. Grading, fills, drainage. C. FLOOR PLAN j< Complete to scale plan with dimensions. Required windows for light and ventilation (Sec. 1405). Bldg. A. P. Permit # `T ,5 7- r% # 'nom % 15, el - 154� 11',>_0 epe-%ecf 7/:� 7 Required windows for second exit (Sec. 1404). llowable glazing for energy requirements (20% max. per.State law). Human impact glass (Sec. 5406). Re uired room sizes07 . G.F.C.I.'S in baths and exterior outlets (Sec. 210- '�/ �ipment, and may` arage firewall, door s 1 - 3'0" exterior exit Fireplace location. s, and exterior rec heating & cooling equ ize,�and vcloser (Sec. 503(d)(4)). door (Sec. 3303d). l3' Smoke detectors (Sec. 1413). es for ma electrical or ga D. STRUCTURAL DETAILS �1! Foundation plan complete enough to construct building. r2: Floor construction details complete enough to construct building. f3--:- Elevations 'and wall construction details complete enough to construct l4. Roof construction details complete -enough to construct building. j511-11 Fireplace construction details and calcs if over one-story in height. >;11,Sufficient data and details to satisfy energy insulation requirements S ITEMS TO ,X. CCX plywood on exposed locations and overhangs. Stairway details (Sec. 3305). Guardrail details (Sec. 1716). Brick or stone veneer (Chapter"30). i Exterior plaster - weep screeds (Sec. 4706 & 4708). Proper roof pitcti for roof covering (Chapter 32). ,7� Rafter ties;or bearing ridge beam. �8� Garage door or porch header sizes. Adequate bracing. + Living area over garage - complete 1 -hour separation walls and posts, etc. Two (2) exits on three-story dwellings (Sec. 3302). building. (State law). required including supporting " PERMIT NO. 4937-9B,P,,E,M v + PERMIT EXPIRES t� OWNER Jon Voigt James Miller, Durham CONTR. LOCATION (A.P. 39-27-64 S/S Front St., 1006E.of Yocum St.,bt 99, Dayton s rr a - �) r t J+ f fit ..; .r V rf Temp. Power Pole •ailed PG&E t Te p Elec. Serv. ea �9 .( +, ° /Called PG&E Temp. Gas Serv. Called PG&E 1 OB J IFINALED (Date) } (Si 92fu re) Slab RooSheath n l/ Water Piping Piers oofing 4r COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS • . nts !;BUILDING INSPECTION RECORD Footings 4 i Water Htr. BUILDING BUILDING (Cont'd) nsulatlon Z•Z PLUMBING Setback 25-72 Jv Firewall Soil Pipin Carport p Forms Gas Piping &Test 1st Floor e Main Bldg. Restroom Finish,- 2nd Floor Footings Windows 3rd Floor Stemwal I I Sidinq e /A I T000ut Slab RooSheath n l/ Water Piping Piers oofing Sewer Garage nts Fixtures Footings Water Htr. Stemwall nsulatlon Z•Z Heaters Slab Y Appliances Carport p ica e onform Gas Piping &Test Footings s r re i Teruo. Gas Patio REPLACE Final / /Z Footings Footing ELECTRIC;(L MasonryWalls- Throat Rough --� Reinf. Steel Final J2Z 3 Fixtures Bond Beam FIRE SPRINKLERS Motors : / Mesh MECHANICAL Grd. Fault Prot. Scratch Heating Service Brown Cooling Temp. Pole Finish Ducts /® Underground Door Closer V I Final j / / .1iVA--/ c `u /I Final ) /ne-)r—f MOBILEHOME UTILITIES - - - - - - - - - - - - - - - - - - Elec. Service ` ` \---Eiec�Pedes�i Water Piping Sewer Gas Piping MOBILEHOME INSTALLATION - - - - - . • - - - - - - Support Elec. Continuity Water Piping Drainage Gas Piping DATE.OR •• • / ♦ i 1"17? or -- 141 (NOTE: An entry must be ��• ��,,// / i ice. � / / made on this form each time you visit the job Olt 4 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 (location) BUILDING PERMIT NO. fGg-- �Z� 72!/ 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 N/A Walls R11 Ceiling/Roof R19 Ducts Circulating Pipes APPROVED HEATER -Uf APPROVED WTR. HTR..a,;_r GLAZING: Single Glazed Special (Insulated) CERT. & LABELED WDS. & SLIDING DRS. WEATHERSTRIPPED DRS. BACK DAMPERED FANS INTERMITTENT IGNITION DEV ICES' it CERT. APPLIANCES. , i� 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 Nicholson Insulation Co. Signature of (p L se print) Insulation Applicator���� State Contractors License No. 21246.1 General Contractor/Owner Name Signature of (pl a rint) General Contractor/Own Date ' - 3 -- 7C) State Contractors License No. 2522,b THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION WITHIN THE DWELLING. COUNTY OF BUTTE — 'DFPRTMENT OF PUBLIC WORKS 7 County Center Drive - Oroville, California 95965 ' Telephone: 534-4541 X.5 APPLICATION AND PERMIT Co a which BUILDING Owner Q SQ. FT. OCC. BUILDING VALUATION WC) Mailing Address 21 O Telephone No. (o7 r Contractor L Mailing Address b Fireplace S p Total Valuation 1 4 5 Z Telephone No. Permit Fee Building Address J� �t �. loo ,C !� Plan Checking Fee&/or Penalty 174 Permit Fee d J $� PLUMBING No. @ FEE PERMIT FILING FEE $3.00 Each TraD 1.50 0C) Cr, 8� Repair drainage or vent piping 1.50 A. P. No. - pZ 7 toning & Planning Water piping 1.50 Each gas water heater or vent 1.50 � Fks tion Fire Dept. FireZone Use Permit Gas piping system 1 - 5 outlets 1.50 1_775&'i ing Plans Parcel Declaration Parcel 60' R/W Improvements provements Each additional outlet .30 Building sewer 5.00 Bldg. kan. Rec'd Par Approval Plans proval Lawn sprinkler system 2.00 NEW �. ADDITIO .riUTIES ❑ OTHER 13' permit Fee $ B 17111 IL.D HIVS g ELECTRICAL No.1 @ FEE Or- - t ADD I,,\/ [�= PERMIT FILING FEE $3.00 � Main service 600V OR LESS 100 AMP OR LESS 5.00 Single Family 12r Duplex ❑ Mobil Home ❑ Others ❑ Main service EA. ADD•L 100 AMP 2.50 Main service OVER 25.00 100 AMPP OR LESS O Main service EA. ADD•L 100 AMP 1.00 NEW CONST.L OCCUP. S OR ADDNS. G GS. 20sgft V CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: �,^ �/y��f NEW CONSTR ULT CHUTE T NEW CO I T BRANCH CIRCUITS 2.50ea NEW CONSTR. POWER APPARATUS 8 NON-RESID. %SINGLE OUTLET CIR. Ex. OCCUD(HUTLETS OR FIXTIIRES 5 L� FIXED ALNS Ex. OCcup.(OUTLETSP(RESID)REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 ,. � License No.r1.9S > b Classification `� Misc. Wiring 6.25 al. -e (5- ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee f$ , 1_35 WORKMEN'S COMPENSATION INSURANCE 1 am aware of the provisions of Section3700 of the California Labor d 1 b ' d MECHANICAL N0.1 @ FEE PERMIT FILING FEE J$3.00 3,0(:) Heating N� rn®� i/,no [.%_ @p requires every emp oyer to a Insure against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. ❑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 Workmen's Compensation Laws of California. 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. Q, Date 'gnature of Permitee or Agent Receipt No. White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant Cooling Ventilation Hood 2.00 Qo Permit Fee $ d $ / Land Development Fee $ TOTAL PERMIT FEE $-1.40 1 CO This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above which fees have been paid. _D P.,EC 0 OF P BLIC WORKS 0. Date `r Building permit expires Date r � 039-270-064 00-3033 METZGER, RON & LEVITA ,3917 FRONT ST., DAYTON CONTR: CENERGY GROUP INC. REROOF W/COMP & SHEATHING COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIV #ION'" 7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND PERMIT lyr 'l ASSESSOR PARCEL NUMBER ZONING BUILDING PERMIT OWNER gp � �''�,�-((�r,^.^AA �y� //r.gy�+pp lYA� & � -'.-Y 1.1A 1'!Lll�VLLI, TELEPHONE p 345-3829 SO. FT. OCC. BUILDING VALUATION 1 cornu 11,740— aw"'E"Ar, .tAdYl rST., DAYMNv CA 95928 CONTRACTORS NAME +�; } '�7�s (y� rc. Jl TELEPHONE 5�M0 �. • ' wu1,�4:L71�1L:iMAJUNQ�p17LV1�/t coNr LLL' 3 SOME G= CM=l B MNCWaMWA, CONSTRUCTION LENDER i Fireplace LENDER'S MAILING ADDRESS Total Valuation $ • 00 ARCHITECT OR ENGINEER LICENSE NO. Filen Fee $ 20.00 Permit Fee $ WOW ARCHITECT OR ENGINEERS MAIUNG ADDRESS Plan Checkin Fee $ BUILDIN 3AS fum n•' � � Jj, ( Energy Plan Checking Fee $ $ PERMIT FEE $ • LOT NO. SUBDIVISIONS NAME PARCEL MAP PLUMBING PERMIT Filing Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ Ublities ❑ Installation O Other ❑ Describe Work: WIMW & SlEALMM413 Gas piping system 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G W (9?20.00 PERMIT FEE $ ELECTRICAL PERMIT Fling Fee 20.00 Main Service '..A' OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license Ii1s in full force 4and effect. // p� License Class ! 2 � I l I•T � l_ Lic. No. % -7 �. k�_3 / y 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 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. )Gr: I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation insuranc carrier and policy number are: Carrier LAJC, cfi a KA4,i<A 9- /Ac -fnl. ; , 4 ,tet Policy Number (6= C C. I Irtoo .7..) T18 (rhe above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) [31 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 0 1 should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall forthwith comply with those provisions. -. X /� J ,o/ - — / / — C/' j Date 1 Z/ Z. L (2��l J',� Signature of Applicant - ❑ Owner: ❑ (Contractor )01 Agent An OSHA permit is required for excavations_over,5'0_ " deep and demolition or construction of structures over 3 stories in height'"-� Main Service 200A TO 1000A 46.00 NEW CONST,DWELLMJO OCCUP. SO OR ADDNS. a Acc. OCC. 3.50Fr. NON-RESID. NEW CONST. MULTI.OUTLET @7.50 S SOINpLRE o MT ICIC R. OUTLET OR FIXTURES '0 a 1'00 Ex. Occup. eel Ex. Occup. o.ED p IES p)*EA, 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE $ MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FEt $ Mobile Home Installation Fee $ Energy Inspection Fee $ Doc CONST. TYPE TOTAL FEE $ 83.0p HA2. o. FEES IMP I FLOOD I CDF PARCEL I Po HD ISSUE This permit is .hereby issued under the applicable provisions in flit Butte vd for Code and/or Resolutions to do work indicated ebove(fbr w � ch fees have been paid. By t' �� Dat 17 r ro PERMIT EXPIRES ON T f eta j — L Receipt No. WHITE-D.D.S.-B.D. CANARY-ASSESSQR PINK-IN�CTOR GOLDEN APPLICANT "COI ITY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. (Rev. 12/96) APPLICATION AND -PERMIT C1n✓ '� �� ASSESSOR PARCEL NUMBER 039-270-064 ZONING BUILDING PERMIT OWNER RON & LEVITA I�'�,TZ.GER TELEPHONE 345-3829 SO. Fr, OCC. BUILDING VALUATION °W"°'I i% "ff rr ST., DAYTON, CA 95928 24 COMP1 740 CONTRACTOR'S NAME TELEPHONE CENERGY GROUP INC. 916-853-0200 est. 29000 ` 'IT2 MITSE COLD CIRCLE, SUITE B RANCHO CORDOVA, CONSTRUCTION LENDER CA 95742 LENDER'S MAIUNG ADDRESS Fireplace Total Valuation is • 00 ARCHITECT OR ENGINEER UCENSE NO. Filing Fee $ 20.00 Permit Fee $ ARCHITECT OR ENGINEERS MAILING ADDRESS Plan Checking Fee $ BUILDINC!1 (1,�iF.�S FRONT ST. , DAYTON 3`J�l� J1 Energy Plan Checking Fee $ $ PERMIT FEE S 83*00 LOT NO. SUBDNLSIONS NAME PARCEL MAP PLUMBING PERMIT Fling Fee 20.00 USEOFSTRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Each Trap 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 Each as water heater or vent 15.00 TYPE OF WORK New ❑ Addition ❑ Remodel ❑ - Utilities ❑ Installation ❑ Other ❑ Describe Work: REROOF W/OOMP & SHEALTHING Gas piping stem 1 - 5 outlets 15.00 Building sewer 15.00 Mobile Home I S I G I W Q20.0o PERMIT FEE S ELECTRICAL PERMIT Fling Fee 20.00 "OOVOR LESS Main Service 2o.A OR LESS 23.00 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, ( 9 ) and my license is in full force and effect. /' - — License Class �_n 2 �-�( Lic. No. OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors License Law for the following reason' ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale. ❑ 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 Main Service 200A TO 1000A 46.00NEW CONST. DWELLING OCCUP. OR ADDNS. A ACC. gl pS. so 3.50FT. NEW CONST.MULTI-OUTLET NON RE @7.50 POWER APPARATUS 8 SINGLE OUTLET CIR. �(, OCCU OUTIETORFDfTURES B„0°' o Ex. Occup. oLlnETS RESID.APPLINIS OEA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Misc. Wiring 23.00 PERMIT FEE S 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. I have and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of work for which this permit is issued. My workers' compensation Insurance carrier and policy number are: Carrier4(�.1 VSAM A�pL; yrs Policy Number ('&= F, I t'Do 7-0 12=8 (The above sections need not be completed if the permit is for work of a valuation of one hundred dollars ($100) or less.) ❑ 1 certify that in the performance of the work for which this permit Is issued, I shall not employ any person In any manner so as to become subject to workers' compensation laws of California, and agree that if I should become subject to the workers' compensation provisions of section 3700 of the Labor Code, I shall fortwith comply with those provi ' ns. X ete •� 2-9 Signature of App (cant - ❑ Owner ❑ ntractor )Z Agent An OSHA permit is required for excavations o 5'0" deep and demolition or construction of structures over 3 stories in hei MECHANICAL PERMIT Fling Fee 20.00 Heating Cooling Hood 6.50 Ventilation PERMIT FES $ Mobile Home Installation Fee $ Energy Inspection Fee $ occ CONST. TYPE TOTAL FEE $ 83.00 HAz. o FEES IMP I FLOOD I CDF PARCEL I Po HD ISSUE This permit ' ereby issued under the applicable provisions of Bu e IFoupty Code and/or Resolutions to do work India d bo f r wch fees have been paid. By Dat jJ(i PERMIT EXPIRES ON e Receipt No. -3, 07, WHITE-D.D.S.-B.D. CANARY -ASS OR PINK-INSP R GOLDENROD -APPLICANT ^ COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION -7*ounty Center Drive a Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO. APPLICATION AND PERMIT (Rev. 12/96) As•e► "00 00 9 -,A %0 -Q& BUILDING PERMIT v 6 SD. FT. OCC. BUILDING DATION W)t2Zq— l7 L : g cartRAco�,�,apa i s'�C _ 76 r fli ooNsrnucrwNueoeR %� � UNUM ^� � C [�J Fireplace Total Valuation $ APQMCY OR VMNEJER uCENge M Folina Fee 5 20.00 AW,MT CT OR WONCERs HALM ADORES" Permit Fee t _ -•� Plan Checking Fee b Energy Plan Checking Fee S S PERMIT FEE _ wTNa sveaveEkrsrwe PARCEL rA► PLUMBING PERMIT Filing Fee 20.00 Each Trap 7.00 i USEOFSTRUCTURE Solar or heat pump water heater 23.00 SF O Duplex O Mobilehome O Other Water piping 15.00 Each gas water heater or vent 15.00 TYPE OF WORK Gas piping system 1 - 5 outlets 15.00 New O Addition O Remodel O Utilities O Installation O Other O Building sewer 15.00 i; Mobile Home S G W @20.00 Descnb Work: PERMIT FEE t ELECTRICAL PERMIT Filing Fee 20.00 Main Service 2o='o. tris 23.00 Main Service 20" TO IOWA 46.00 COMT• OwE111+O OCCVP. OR AOONS. •ACO. elD4. 3.Siso. NONRESiOT. . YUlTF01lTI.ET @7.50 POWER APPARA'nA EX. OCCU OUTLET OR FVruRE] AL •x'50 a21 a .yo F=0 APPUNS. OR Ex. Occup. OVTLETs rsio. EA 5.00 Temporary Service 23.00 Mobile Home Facilities 20.00 Msc. Wiring 23.00 PERMIT FEE t MECHANICAL PERMIT Filing Fee 20.00 *PERMIT FEE PAID $ S�5f Heating SRA ' ' $ Cooling SHERIFF $ Hood e.so Ventilation OTHER $ PERMIT FEt ! Mobile Home Installation Fee is Energy Inspection Fee is o`c CONST. TYPE TOTAL FEE $ AMOUNT RECEIVED �� ►.Az o. fEE3 Stip FOLOo COF PARCEL Po 64trt This permit is hereby lamed under the applicable provisions of the Butte County Code and/or Resolutions to do work Indicated above for which fees have been paid. *RECEIPT NUMBER �_ J * TO BE PVT INTO COMPUTER By Date PERMIT EXPIRES ON n ,t 311-77B>P>E> M PERMIT NO. PERMIT EXPIRES OWNER James Miles' CONTR. owner #'LOCATION (A.P. 39-27-44 port. I; S/S Front St., 100'E.of Yocum St., lot 99, Dayton 1 1^ , I: r r� f Temp. Power Pole Called PG&E '4e". Elec. Serv. Called PG&E ff —% -` T7 oev $ Temp. Gas Serv. Called PG&E ' /Fol B r—� NALED (Date) (Sig ture) COUNTY OF BUTTE'— DEPARTMENT OF PUBLIC WORKS BUILDING INSPECTION RECORD BUILDING BUILDING (Cont'd) PLUMBING Setbac 2! Z- r Firewall Soil Piping l/ % Forms - Parapets C1st Floor- Main Bldg. Restroom Finish 2nd Floor Footings % , Windows 3rd Floor StemwaII ------- Siding. .,- To out � ^ Slab _ Roof Sheathing Water Pi in9 3 -,,OV e2-7 Piers Roofing Cp , Sewer 07 Ipp _,;;p Garage Fdn. Vents -?<w Fixtures - Footings Z. t StemwaI I - // - Garage Vents -- Insulation Water Htr. Heaters -72 Slab Carport Footin s -2,— -72 Prov. for physically handicappe Conformance of ex. structure Appliances Gas Pip ng & Test Temp. Gas Slab-Z7Final ^` '-'7 Sanitation % -Retie, P.GA74 FIREPLAC5 Final 6 Footings -S-/-7 -77 -q-4<L) Footing ELECTRICAL Masonry Walls Throat Rough 77 Reinf. Steel Final g5,— Fixtures Bond Bea FIRE SPRINKLERS Motors Framing -7 7 Test Water Htr. Stucco Final Sub anels Mesh _ - MECHANICAL Grd. Fault Prot. Scratch ' Heating Service -� Brown Cooling r — j Temp. Pole Finish Ducts Underground Interior Lath Ventilation ... 7 Permanent Door Closer -- Final - -- Final DATE REMARKS OR CORRECTIONS t e (NOTE: An entry must be made on this form each time you visit the job site.) THIS IS TO CERTIFY THAT INSULATION IDIS BEEN INSTALLED IN CONFORMANCE WITH THE 'CURRENT ENERGY REGULATIONS. CALIFORNIA AOHINISTRATIVE CODE, TITLE 2S, STATE OF CALIFORNIA. IN THE BUILDING LOCATED AT: Front St c r. ZAY Street o um er Tract No. EXTERIOR WALLS glass Manufacturer J- M Thickness/Type 3 z��f i b e r R Value 1 1 r CEILINGS Batts: Manufacturer T - M Thickness R Value 1 4 _ Bloim: Manufacturer z-- Thickness NO. Bags Wt./Bag Sq. Ft. Covered R Value FLOORS Manufacturer Thickness/Type R Value E SLAB ON GRADE Manufacturer Thickness/Type R Value Width of Insulation Inches L FOUNDATION WALLS Manufacturer Thickness/Type R Value ^1c� GENERAL CONTRACTOR Pn a l-�L e.d�s ( LICENSE NUMBER TITLE OW 0 GI- DATE 1-1 1N5 TI TRACdO H (CENSE NUMBEQ1K 2 1 2, 461 BY \ , TITLE n wn P r DATE 4/77 O BuildL -I Dec=r'men rnvirOn^ i1t.Z rg21 Has been- apprdved fc"r- s Dr . esu ti'f. i ? SUPPLY . Sanita_ pan s' t COUNTY OF BUTTE — "DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — Uroville, California 95965 Telephone: 534-4541 — APPLICKTEON aND PERMIT a above-mentioned property for /Ainspection purposes. Date I^2i—� 7 ignoture of Permitee or Agent Receipt No. / S l L,I o , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant inls 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. DIR OR OF P YBLIC WORKS By t Date—a_J / Building permit expires Date _� BUILDING Owner 'M L Z. G SQ. FT. OCC. BUILDING VALUATION Mailing Addressa.3 J OR It.)F&W- ST/ 0 7 GO , /@0 Tele h e No. 31r: ✓� replace Q Contractor ®W I`/ -e -we , Total Valuation OF(1(0 Mailing Address Permit Fee Plan Checking Fee &/or Penalty Telephone No. Permit Fee (o -- Building Address PLUMBING No. @ FEE /O 0 7 E PERMIT FILING FEE $3.00 ' Each Trap Fj 1.50 — tvCC;, Repair drainage or vent piping 1.50 Zonin ---- g Verificefiog Water piping 1.50 Each gas water heater or vent 1.50 A. P. No. �/ L ^� 7 Zani Gas piping system 1 - 5 outlets 1.50 Each additional outlet .30 Fe • Sa o FireDept. Fire Zone Use Permit Building sewer 5.00 EQA Parking Parcel Plans Declaration Parcel Ma p 60' R/W Improvements Lawn sprinkler system 2.00 d4ec'd reel Approval Plans- o val Permit Fee $ _ NEW ADDITION ❑ UTILITIES ❑ OTHER E] ELECTRICAL No. @ FEE PERMIT FI LI NG' FEE $3.00 Main service 100 AMP ORSLESS 5.00 Main service EA. ADD'L too AMP 2.50 Single Family r7r, Duplex ❑ Mobil Home ❑ Others ❑ Main service OVER 600V 100 AMP OR LESS 25.00 Main service EA. ADD'L too AMP 1.00 NEW OR. ADDNST ( ACCLBLDGSLINGO.0 U •S) 22sgft 7� NEW CONSTR. MULTI.OUTLE NON.RESID. ( BRANCH CIRCUITS) 2.50ea NEW CONSTR. /POWER APPARATUS & NON-RESID. \SINGLE OUTLET CIR. CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business &Professions Code under the name style of: ���-1- Y 2 cc A.' S f Ex. Occup( L�1 OUTLETS OR FIXTURES) BAFIXED APPLNS Ex. Occup. (OUTLETS ((RESID )REA) 2.00 Temporary service 10.00 Mobile Home Facilities 15.00 License No._�-gS3Z( Classification_. B—� Misc. Wiring 6.25 ❑ I am exempt from the Contractors License Laws of the State of California. Permit Fee $ Jc— S WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. have placed on file with the County of Butte a certificate of -12 Workmen's Compensation Insurance. 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 Workmen's Compensation Laws of California. MECHANICAL No. @ I FEE PERMIT FILING FEE J$3.00 1 Heating Cooling Ventilation Hood 2,Op .2— Permit Fee $ L — $ /3 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 anthnri7a ran,acanfof kv -f *k-!'�... ...... ..f n u 0Ue-Lecvtt,^7— P6'e-• Imo_ TOTAL PERMI FEES $ �p above-mentioned property for /Ainspection purposes. Date I^2i—� 7 ignoture of Permitee or Agent Receipt No. / S l L,I o , White-D.P.W. - Yellow -Assessor - Pink -Inspector - Goldenrod -Applicant inls 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. DIR OR OF P YBLIC WORKS By t Date—a_J / Building permit expires Date _� 1, J it I j if . . . . . . . . . . Imptj v tl �"'Ij Jf, 7qlrf 9ii .1 "I I, 14l. , "It", , 'I , ; I ' , ! I i , jfi l 1 1 l� I I "(I i 1 9 '1 IIji It J. 'i" J 1,II tl jai ""°j J,31 illi i 4 . . . . . . . . . . i If I if II P mv, f Q I%r Q