HomeMy WebLinkAbout039-270-11239-2`7-112
LARRY LAMBERT A
9461 Perkins Road, D yton
Permit#681-83B,P,E,M(new single family)
39- 7-112 �?
NEW OWNER,, w �y
T.C-HARD u0��?-- -- -'--
Permit #1826-87B (add deck/SF)
039 27_0� 112}
H.T�dd x -49'9 -0368. -B'-
946 -1.p -
(r �L e rno ns- Rd Chlco.;
/N n bear .
wally
11
039727-0-112.'.-° 99=0368 B n :
SOUTHAM, Todd
9461 Perkins Rd,, Chico
(remove non bearing wall)
1
039727-0-112.'.-° 99=0368 B n :
SOUTHAM, Todd
9461 Perkins Rd,, Chico
(remove non bearing wall)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 • ' PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER 037-270-�1 P
F� /
ZONING Czr
BUILDING PERMIT
OWNER
0T7"Ws. 7(}i'LjS o, t'T �,`1r,hr
TELEPHONE
892•-1717
SO, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
1tr,1 "M; V T,t.TC 1,(1 rj , "tTrn
rST
t5nn nn
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
[Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee $
20.00
Permit Fee $
15 • 00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS O/io ),,., �t, w,,C vi TT n
f j(;, ,
Ener Plan Checking Fee $
9Y 9
$
PERMIT FEE $
-
LOT NO.
SUBDNISION'S NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF 12� Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ::111(1)VV x,03\1 TlrAPT,,r 1I1Y,Z,
Gas piping system 1- 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE $
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A 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 is in full force and effect.
License Class LIC. No.
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.
❑ 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
Main Service ( 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. SO
OR ADONS. ( & ACC. BLDS. 3.5¢FT.
NON-RE9110T MAUJLTI.OU CH CUITS T
@7,50
POWER APPARATUS
d SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDRURES 20 @''50
BAL @ .50
UNIS
Ex. Occup. ourLEEDTs RES D.OEA
5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
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.)
Ok 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.
,1 �.�
f""I'7
X `� 'iki, - 1 Y`�,Date _Z `"'Tf
Signature of Applicant - CPVwner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructionf
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ '�5. M
HAZ.
D. FEES
IMP
I FLOOD
CDF
pggCEL PO
HD
Its
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whi h fees have been paid.
,
By/ Date
PERMIT EXPIRES ONG-� /zm
I Ir 6
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR %PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 �o P R I NO.
(Rev. 12/96) APPLICATION AND PERMIT J
ASSESSOR PARCEL NUMBER 039-270-112
ZONING SR 1
BUILDINGPERMIT
OWNER
SOUTHAMTODD & KIRSTEN
TELEPHONE
892-1717
SO. FT. OCC. BUILDING VALUATION
E T
OWNERS MAILING ADDRESS
9461 PERKINS ROAD CHICO
CONTRACTOR'S NAME
OWNER
TELEPHONE '
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ 500.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 15.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS 9461 PERKINS ROAD, CHICOgy
Ener Plan Checking Fee $
g
$
PERMIT FEE S 35.00
LOTNO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF DX Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat'pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: REMOVE NON BEARING WALL
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home I S I G I W 920.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service 600V 02 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.POWER
License Class Lic. No.
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.
❑ 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
Main Service 200A To I000A 46.00
NEW CONST. DWELLINGOCCUP. so
OR ADDNS. ( a ACc. B.S. 3.50~7:
NEW CONST. MULTI.OUTLET
NON-RESID.BRANCH CIRCUITS@7.50
APPARATUS
b SINGLE OUTLET CIR.
20 @ I.
Ex. Occup. OUTLET OR FIXTURES BAI- @ .so
LNS
Ex. Occup. OUTLEDCPR.,
Ts ES D.OEA 5.00
R
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE S
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI: S
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.)
/f 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
orthwlth co with those provisions.
X Dated'
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 35.00
HAZ.
I D. FEES IMP
I FLOOD
CDF
PARCEL
PD
HD
I ISSU
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for whi h fees have been paid.
By Date
61
PERMIT EXPIRES ON
ate
Receipt No. 258351
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
(Rev. 12/96)
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
ZONING SK 1
BUILDING PERMIT
OWNER
�✓
TELEPHONE
2--171
SO. FT. OCC. BUILDING VALUATION
OWNERS GADO S
CONTRA OR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
Energy Plan Checking Fee $
Z 61
$
PERMIT FEE $
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Piling Fee 20.00
USEOFSTRUCTURE
^
SFA_ Duplex ❑ Mobilehome ❑ Other
``��
SPECIFY
Each Trap 7.00
Solar or heat um water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑
Describe Work: �4-_-t 0,16 Wj %�Litf�j ,
Other
/
!it/�LL
Gas piping system 1 - 5 outlets 15.00
Buildingsewer 15.00
Mobile Home I S G W @20.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service ".o',vL oA L.'S: 23.00
• '
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. 3.50F°:
OR ADDNS. ( 8 ACC. BLDS.
NEW U11NUT, MULTI.OUTLET
NON -R610. 7.50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. oun.E7 OR FORUREs 20 ® 1.00
ML @ .50
Ex. Occup. OUTLETS qAPP�,O,°� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE S
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEI= S
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
TOTAL FEE $ 3S
HAZ.
D. FEES
IMP
FLOOD
COF
I PARCEL
I PD
NO
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.
By Date
PERMIT EXPIRES ON
to
Receipt No. ZSSr-Z
WHITE-D.D.S.-B.D. CA AR -ASSE SOR PINK -INSPECTOR GOLDENROD -APPLICANT
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearingyour M
gnadue.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit will be issued until this
verification is received.
1. I personally plan to provide the ajor labor and materials for construction of the proposed
property improvement: YES GY NO ❑
2. 1 HAVE Gid HAVE NOT ❑ signed an application for a building permit for the proposed wa&
3. I hav contracted with the following person (firm) io provide the proposed construction; :
LY® _
ADD z �, CITY.
PHONE: CONTRACTOR'S LICENSE NO.
4. I lan.to . rovi - •
p p portions of flus -work, but I have hired the following person to" cooi+d� .
supervise, and pro 'de the major work:
NAME:
ADDRESS:
PHONE:
CITY:
CONTRACTOR'S LICENSE NO.
5. I will provide some of the wo but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADD S PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:
SOCIAL SECURITY NUMBER:
DATE:— .2-2)4- qol
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of tht
California Health and Safety Code. This verification must be completed Md
returned to our office before we are permitted to issue the permit.
OVER
.OWNER BUILDER INFORMATION _
}. s' r' ,
Dear Property Owner: -
An application for a building permit has been submitted in your name listing yourself as the builder of prope
improvements p specified.
rty.•'
im rov
- �=
= • For your protection, you should be aware that as "owner -builder" you are the responsible party of record on such '
a permit. Building permits, are not required to be signed by property owners unless they are personallyperfotmingtheh
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from thetciryor county. They are also required by law to put their license number on all permits for which they
apply. �. r
If you plan to do your own work, with the exception of various trades that you plan_to subcontract; you should
be aware of the following information for your benefit and protection:
♦
-If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is 5300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors, then you may be an employer. - - -
♦ If you are an employer, you must register with the State and Federal Governments as an employer and Y64 are
subject to several obligations.including state. and. federal income tax:withholding, federal social security taxes,
•workers compensation,rnsurance; disability insurance costs; and unemployment compensation contnbutioas:.'
♦ There may be financial risks for you if you do not carry out these obligations, and'these"risks are especially serious
with respect to worker's compensation insurance. '
♦ ' For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
if you wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
woik personally7or through their own employees, without a licensed contractor or subcontractor, only undeilii %t d
conditions.
A frequent practice'of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contrac!grs may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" .0n the reverse side of this form so that we can confirm that you..
are aware of these matters. The building permit will not be issued until the verification is returned.
r rely,
Mic el C. Vi ira, C.B.O.
M ger, Building Inspection
NOTE. This Owner-Builder.Injormation is required by Section 19830 of the California Health and Safety Cade-
OVER
oda
OVER
.COUNTY OF BUTTE DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916) 538-7541
PERMIT APPLICATION DATA SHEET
OWNER: ASSESSOR PARCEL ER:
Proposed Building Use: Building Inspector: Date:
At time of permit applica 'on, I was advised the following data must be submitted prior to permit prWcissihg and/or issuance:
Date Received By
TAll items have been submitted.-------------------------------
2 . Plot plans, 3/4 sets, signed by the preparer of plans. ------
❑3. Complete plans, 3/4 sets, signed by the preparer of plans.
04. Engineered plans, 3/4 sets, with wet signature on plans. All engineering must be shown on plans.
❑ 5. Engineered truss details and layout in duplicate (required prior to plan review) No faxes! ---------
0 6. Energy Design Compliance and supporting documentation. -------------------------------------------
❑ 7. Statement of Intent for Non -Heated and A/C Buildings. ------------------------------------------------
118.
-----------------------------------------------
❑8. Hazardous Material Form.---------------------------------------------------------------------------------
❑9. Manufactured Home data and installation instructions including Tie Down Specifications .---------
❑ 10. Fees of $ ----------------------------------------------------------------------------
❑ 11. Impact fees as shown on the attached schedule. -------------------------------------------------------
❑ 12. California Department of Forestry plan approval/fees. -----------------------------------------
1113.
----------------------------------------❑13. Flood elevation certificate.-------------------------------------------------------------------------------
❑ 14. Sanitation and plot plan approval Health Department. -------------------
Ell 5.
------------------
❑15. City of Chico plumbing permit. -----------------------------------------------------------
❑ 16. Plot plan and business license approval from the City of Biggs. ----------------------
❑ 17. Planning approval for (A) Use: (B) Parking:
El 18. 18. Contact Land Development about ❑ Improvements, ❑ Drainage, ❑ Legal Parcel.
❑ 1.9. Encroachment Permit for driveway (construction approval prior to occupancy). ---.
020. Pre -inspection for
required Request to Building Inspector on
112 1. Contractor's license information. (Number, Name Style, Classification). --------------------
1122. Workers' Compensation carrier and policy number. -------------------------------------------,
E323. Owner -Builder Verification (Given to owner ❑, Mailed to owner 0) - -----------------------
❑24. Letter of signature authorization. -----------------------------------------------------------------
❑25. Recorded copy of Agricultural Acknowledgment Statement. ----------------------------------
026. Letter of intent on building use. -------------------------------------------------------------------
❑27. Manufactured Home utility clearance. ------------------------------------------------------------
❑28. Existing violations and/or expired permits. ------------------------------------------------------
❑29. 0433 A, ❑Grant Deed, ❑ M.H. Title, ❑ Check to H.C.D $
030. Other:
(Date)
When you issue the permit, process as follows ❑ Mail to owner, ❑Mail to contractor.
Telephone and hold for pickup at��// office.11Deliver with inspector.
Applicant:1'7t/V o� Date: a -;L4 - cq
Copy of Haz-Mat form sent ❑ Health Department, ❑ Fire Department, ❑ Air Pollution Date: By:
Copy of plans sent ❑ Health Department, ❑ Fire Department, ❑ Other: Date: By:
1. Index permit application for the above items numbered: ❑ Plan Check List
2. Additional items required:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, o Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Contractor, designer, owner, was advised of the above required data by ❑ phone, ❑ mail, ❑ Building Division counter, by Date:
Plans reviewed by: Date: Plans approved by: Date:
Sets of plans on hold in ❑ Plan Cabinet, ❑ A.P. folder. Note transfer by:. Date:
Yellow Copy - Department of Development Services, Building Division.
PERMIT NO. V1826 -877B .,
PERMIT EXPIRES /,//g
OWNER Ri rhard Horn
CONTR. Owner
ASSESSOR PARCEL
LOCATION perkinG Rd, Chirn
•„t ,
Temp. Power Pole
Called
Temp. Elec
Called
Temp. Gas
Called
JOB FINAL
Slynatu
= OK
0 = Not OK
=NoReaable t dyMOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
SESVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
fing Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
D.IrFootirigeSoils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
ecks; 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-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / PV ft.
/ /"Nat. or/ PV ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -131
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card-B1Date
and -81 Date
2. Footings; Size -Spacing -Marriage Line
Card -81
Date Card -81 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POO (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
acks-Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card -B1 Date Card -B1 Date
Card -131
Date Card -B1 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -81
Date Card -B1 Date
Card -131
Date Card -B1 Date
1� e `r _s
D (-,- -�,
f 6.r
4 n
r moi+
= OK
= Not
- =Not Applicable
RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except #'s -
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
44. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
45. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
46. Fireplace Ties or Type A Flue -Fireplace Throat
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
47. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel- Blockouts-Wrapped
48. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6.'Stemwalls, Garage; Steel-Blockouts-Wrapped
49. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
50. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
51. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
52. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
53. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
54. Siding -Nailing Veneer
12. Electric; Underground '
55. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance- Material -Supprt-I ns.
56. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
57. Shear Walls; Nailing -Bolts
15. Insulation
58. Insulation-Walls-Clg.
59. Infiltration-Walls-Wndws
Card -131
Date Card -B.1 Date
Card -B1
Date Card -81 Date
Card -B1
Date Card -B1 Date
Card -131
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion Air
Date
FINAL (Plans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
60. Ext. Steps -Door & Sidelight Protection -Landings
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61. Smoke Detector
19. Shower Pan; Test, First Floor -Tub Access
62. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
63. Bedroom Exiting
64. G.F.I. & Bath Fixtures & Tub Access -Spa
65. Elec. Trim & Subpanel; Breaker Sizes -Labels
Card -B1
Date Card -B1 Date
66. Stairs & Rails
Card -B1
Date Card -81 Date
67. Fireplace or Stove; Clearances -Hearth
68. Elec. Outlets at Wood Panel; Int. & Ext.
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
69. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
23. Elec. Receptacles Spacing -Lights & Switches at Doors
70. Elec. Outlets & Receptacles at Kit. Counter
24. Size Boxes & No. of Conductors -Stapled
71. Garage Fire Door; Swing -Landing -Closer
25. Romex Installed Close to Edge of Studs & C.J.
72• A.C. Duct in Garage -Damper
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
73. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
27. 2 Appliance Circuits in Kitchen & Conductor Size
74. Plb., Elec. & Mech. Equip. Listed for Location
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or AI
75. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
76. Insulation -Foam -Looked in Attic ❑ Yes
77. Guard Rails & Deck Construction -Post Caps
30. Service -Riser Conductors & Ground -Main Disconnect
78. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
79. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes ❑ No
80. Stucco; Brown -Finish
Card -61
Date Card -131 Date
81. A.C. Unit; Disconnect, Electrical, Plumbing
Card -B1
Date Card -131 Date
82. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
Date
MECHANICAL (Permit) OK except #'s
83. Water Well; Disconnect, Electrical, Plumbing
33. A.C. Ducts Insulation & Support
84. Exterior Elec. Trim; G.F.I. Receptacle -Underground
34. Vent Fan; Exhaust above insulation
85. Ventilation throughout House
35. Condensate Drain & Overflow; Size & Grade
86. Glass Protection
36. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
87. Corrections from Previous Inpections
37. Attic Access & Platform if Furnace in Attic
88. Gas Test -Meters Tagged; Gas -Electric
89. Water & Sewer Connected -C/O to Grade -HD Approval
90. Energy Compliance Certificate -Other Certificates
Card -131
Date Card -B1 Date
Card -81
Date Card -131 Date
Card -131
Date Card -B1 Date
Card -B1
Date Card -131 Date
Date FRAMING (Plans) OK except #'s
38. Sills, Proper Material & Anchors
Card -61
Date Card -B1 Date
39. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
Comments at Final:
40. Bearing Walls over Girders & Floor Nailing
41. Draft Stop in Walls (rat proof)
42. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
43. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT/NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 i
` APPLICATION AND�PERMIT
ASSESS PARCEL NUMBERZO�G
-
,j1�//\
BUILDING PERMIT
OWNE
TELEP ONE
SO. FT. OCC. BUILDIN
ALUATION
OWNE'R'S MAILING A DRESS
CON TRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 450
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ S'
PLUMBING PERMIT
Filing Fee 10.00
l S
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
USE OF STRUCTUR
SF Ek Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S I G JW I
10.00ea
TYPE OF WORK
New Addition[ Remodel❑ Utilities❑ Installation❑ Other [:1
Describe work:
�1^
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 60OV OR LESS
100 AMP OR LESS
10.00
Main Service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
penalty of p I y (Check.One):
I declare under perjury
❑ 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
1, as the owner, Or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST.enalt ( DWELLING OCCUP.6f\ +/zQsgft
OR ADDNS. ACC. SLOGS.
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS &)
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 2
eAL0L03030
FIXED APPLES. OR
EX. Occup. OUTLETS (RESID.) 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):
❑ 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 shal I be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 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
again Isaid County in seq ce of the granting of this permit.
X ' Date
Signature of Applicant — Owner Contractor ❑ Agent
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 $
TOTAL PERMIT FEE $
OccUP.
CONST.TYPC
FLo
AR EL
PD
ND
su
Thiseffit is hereby issued under
Sion of the Butte County. Code and/or
wor in i pteq a ove`for which
R CTOF1 OF PUBLIC
By Lam—
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
If_l'v
Receipt No. �� a�
WHITE-D.P.W.. YELLOW-ASSE330R• PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF=:PPBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/53414541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER => /� A. P. No.�
Proposed Building Use GAG Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/or issuance: DATE RECEIVED APPROVED
items have been submitted. . . . . . . . . . . .
t
Plot plans in duplicate./triplicate s, igned by preparer of plans. .
~� Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization. . . . . . . .
Sanitation approval from . Health Dept.
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner❑, Mail to owner ❑ ).
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec.request to (Date)
17. Pre -Inspection for Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
---'When you issue the permit, process as follows: Mail to owner, Mail to contractor.
Telephone and hold for pickup at office, ! Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted pri
1. Index permit for above items No.
2. Additional items required:
it issuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date
Contractor, designer, owner, was advised of above required data by—phone —mal l—counter by date
Plans checked by Date Plans approved by /Date `
Sets of plans on hold in File cabinet AP folder
Copy—DPW
— Flours: 10:00 a.m. - 3:00 p.m.
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
e -PI a [((A C ; 1 11%4:
Owner Location AP#
Plan approved for: sewage disposal e water supply
Hold final for: water supply
Final clearance O.K. for:
Clearance for bedroom mobile home.
Note***
Sanitarian
water supply
Other X C'
6 -19-P-7
Date
COUNTY OF BUTTE - Departmen`t of Public Works
7 County Center Drive, Oroville, CA 95965 Phone: 916-534-4541
OWNER -BUILDER VERIFICATION
Attention Property Owner:
An 'owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit. No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I (have/have not) signed an app/Kation for a building permit
for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:��
Name
Address City
Phone Contractors License No.
4. I plan to provide portions of this work, but I have hired the following person
to coordin te, supervise, and provide the major work:
Name
Address' -'V City
Phone Contractors License No.
5. I will provide some of the work but I have contracted (hired) the following
persons to provide the work indicated:
Name Address Phone Type of Work
Signed:
Property Owne
Social Secur' y Num er -
Date
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
e
4
t
1
PERMIT NO. 681-83B,P,E,M
PERMIT EXPIRES
OWNER LARRY LAMBERT
CONTR. owner
ASSESSOR PARCEL 39-27-112
LOCATION 9461 Perkins Road, Dayton _
Temp. Power Pole
I Called PG&E
Temp. Elec. Servi
Called PG&E
Temp. Gas Seivici
Cal led PG&E
JOB FINALED (Date r `� T- IS<
Signature
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing_
5. Electricity; Location-Clearances-Grnd.-/ / 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.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1, Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except U's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining Y
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Card B -I
Date Card -BI Date
Date Card -BI Date
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
V = OK
0 = Kot OK d
- = NotAuplicable'! RESIDEN
*. = Not Ready -
TIAL (Single and Duplex)
tp, . MAD546MOR Plans OK exceptp's
Date FR
G Continued
ng requirements-Setbac -Ease s
111 .
Property Line Firewall & Openings
111 t ., Main; Soils -Steel - / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
t ., Garage; Soils -Steel- / /" Ftg. Depth
- eadroom-Rise-Run-Landing-Fire Protection
4. Ftg. Porches & Decks; Soils -Steel- / /" Depth
F
ood on Roof Overhang -Attic Vents -Rafter Outriggers
341 1.5Q- emwalls, Main; Steel-Blockouts-Wrappe -
.
Siding -Nailing -Veneer
&, -B%mwalls, Gara e; Steel-Blockouts-Wrappe lab
rip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fir ce Ftg.-StAei-
laz
Ging Area -Glass Protection -Skylights -Plastic
way C/O esu416st
y( 7y Llj/I).W.V.: Fall-Fittings-Testff
ailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
Electric; Underground
1 . Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Car
C -BI
Date Card -BI Date
Date Card -BI Date
Card -BI ✓l Dated ate/ Card -BI Date
Date FIN
OK except N's
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except N's
5JK
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
dent- ccess-Con+H�cLiea-�4ir
Vents -Clearance -Comb. Air -Connector -
;7k.— Floor -Ducts -Meth. Protection
r twig! Water. Pipe; t & A rs-N rotection
&Anchors-Nai1-Protection
SA.-Btrd'room
Exiting
Pan; Test, First Floor -Tub Access.
6
.F.I. & Bath Fixtures & Tub Access
_(yP!97hower
Floor -Tub Access
6
Iec. Trim & Subpanel; Breaker Sizes -Labels
o-49 Boa Pipet Giee & Anchors
62.
Stairs & R •Is
63.
FiretWe or Stove; Cleara -Hearth
-'
6.
lec. Outlets at Wood Panel; Int. & Ext.
Card- B Date 40 •Q Card -BI Date
Wit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Car I Date Card -BI Date
6
ec. Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
Wkr-Garage
Fire Door; Swing -Landing -Closer
68.1
A.C. Duct in Garage -Damper
LDooSi— xture &Transformer Clearance -Ins. Protection
tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
7
Plb., Elec. &Mech. Equip. Listed for Location
Size Boxes & No. of Conductors -Stapled
7 ,"Elec.
Receptacles in Garage; (G.F.I.)-Romex Protec.
Installed Close to Edge of Studs & C.J.
72.
Insulation -Foam -Looked in Attic P'
Eomex
Equip. Ground made up w/Mech. Fers-Bond& ler A
________73T,Guar
Rails & eck Construction -Post Caps
tsC�2 Appliance Circuits in Kitchen &Conductor Size
s Crawl Hole Door -Drainage & Wood -Earth Clearance
r or El Yes
-74.
_ tre Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Lange Circ. / / ga. Cu or AI -Oven Circ. /G / ga. Cu orr91,
_- Insulated Neutral �K/es To
75.
Following instl .: Drive es ❑ No; "Walks Yes ❑ No;
Planters Yes 0 N
&@!_Service -Riser Conductors & Ground -Main Disconnect
76. Stucco; Brown -Finish
77,/A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_
Equip. Clearances; Panels-Motors-Mech. Equip.
'ght-Shower Light _
7$
gets Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
7fielVaAer
Well; Disconnect, Electrical, Plumbing
8
x erior Elec. Trim; G.F.I. Receptacle -Underground
Card B- __KDate Card -BI _ Date
%•!$3
-Ventilation throughout House
ss Protection r
Card Date Card -BI Date
Date MECHANICAL (Permit) OK except N's
ons from Previous Inspections
Correcti-fyjQ
84.
Ga Test -Meters Gas-Ele c
/ C. Ducts; Insulation & Support
-/
5:t
Vied:
&Ake &Sewer /O to Grade -HD Approval
- Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
____iii .J3ondensate Drain _& Ovenlow; Size & de
_ AW.'Furnace-betft; Ac s-Cewb.-i4ir eturn Air Vent -1 utlet
85 .& Platform if Furnace in Attic
—
Card -BI Dale / r �j Card -BI Date
_ �'7_a_)
Card Date Card -BI Date
Card -BI
C BI
Card -Bl
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Date FRAMING(Plans) OK except p's
Comments at Final:
Is; Proper Material & Anchors
_
_ W -'galls: Studs -Nailing, Spacing & Bracing -Plates -Sound
9@-1"r r'M"alls over Girders &Floor Nailing__
rG.�9Feft Stop in Walls (rat proof)
_
Wd�Fire Stops; Furred Ceilings -Stairs -Chases -Tub
WrHeader &_Beam -Size & Bearing_
42�Hangers-Post Caps -Anchors -Connector ✓/
�yr'LTn ist ftr. Ties-Purlin-Roo -Truss-S nITTh q.-Rfng.
44. Fire r Fire I hroal
�/tlic c s: Size &Romex Protection -Draft Stop -Ins. Baffles
MS drm._Win_do_ws or Exiting Doors -Sill Hgt. & Dimensions
_ _
-
R7. Garage Fire Protection Framing
(NOTE:Anentrymust be made each time you visit job site)
COUNTY OF BUTTE
" 4 " DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
v(' V lav„ A"� %�%)
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
(11
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS "
1196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER- PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
t
Ins ecor
p �-I'le Date /
f v�
COUNTY OF BUTTE
DEPARTMENT' OF PUBLIC WORKS
196 Memorial Way, Chico — Phorie: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
�
�
v-- 3
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when Forrection of work is completed. If you have any question pertaining to this
matteQor need additional explanation, please contact this office immediately.
Inspector Da
.� ..al
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
+� 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, 'please contact this office immediately.
Inspector Date
11�
Inter De artmentaI IMemorandum
- p ,e
TO:
FROM:
SUBJECT: &!A, 94
DATE:. t I,zq`,,?3 ��. .� -39-?,77-10S
So�✓.e� ito�L. �, �,E. �/. s.
'S
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT EN"FRGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN COCOR/NIANCE WITH �C/URRENT ENEZGY GONSERVATIP.,k R}s MONS
AT A oo n a..:�'k'Ja7 ,C2dri ��/tia�di�.Bvk!-4. at'I//.Ae�,�.ir�, v- i`
® at'on
BUILDING PERMIT N0. A. P. NO
THE FOLL014ING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or xTrite N/A if not applicable)
INSULAT ION : GLAZING
•Slab Edge. 0 ![✓%V Single Glazed
Fdn. Walls Special (Insulated) 7 3
Floors C9 CERT. & !ABELED WDS. 71, d2V
Walls /b OV & SLIDING DRS.
Ceiling/Roof Y� r� WEATHERSTR`IPPED DRS.
Ducts dOaZ, BACK DAMPERED FANS
Circulating Pipes INTERMITTENT IGNITION DEVICES
APPROVED HEATER CERT. APPLIANCES
APPROVED WTR.HTR.
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
Signature of
Insulation Applicator.
U State Contractors/
License No. �/oley
General Contractor/Owner Name tQy j , Li�/Ll���
/�=�
t)
Signature of
General Contractor/Owner Datej —& — 8
State Contractors
License No.
THIS CERTIFICATE 11UST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
Owner: ,j��a(!`��2J7` Permit No.
ENERGY CIE-RT.IF LCAT ION
00 �,C�o�I� �o�J�`�f UJ,�;9e0 �
A.R. No .
DESCRIPTION OF INSULATION
ROOF
Material --�
Thickness(inches)
EXTERIOR WALL /
Material
Thickness(in es) '
CEILING
Batt or Blanket Type
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches) ^
Area covered(ft.2) S
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
7-11 Z.,
Brand Name
Thermal Resistance (R Value)
Brand Name co
Thermal Resistan e(R Valu?'
—r*
Brand Name
Thermal Resistance(R Va e)
Brand Name Agn
Number of BagR S'0 Wt. per bag 3-'l lb.
Thermal Resistance(R Value) /50 4 --
Brand Name,
Thermal
Brand Name,
Thermal
Resistance(R Value)
Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy- Requirements.
F:WM NAME/OWNFA
SIGNATM 9W INSTALLATION APPLICATOR
STATE'CONTRACTOR'S LICENSE NO.
_V — g
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
Gy9Rl�Yy , -LA&,t3 EP -7 -
FIRM /OWNER (Pie a print) STATE CONTRACTOR"S LICENSE NO.
107-
SIGNATURE F CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, Calif"ornra 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P RMIT NO.�/
/—d
ASSESSOR PARCEL NUMBER
,79�-- z7— L
ZONING
4o
BUILDING PERMIT tr
OWNE
TELEPHONE
SO, FT. OCC, BUILDING VALU�ATIO
Od
OW R'S MAILIN ADDRESS
V
CON RACTOR'S NAM
TELEP NE
.. /
ox
7 C
J
i+V1V
CONCONTR TOP'S M ILIN A DRESS
Go
Fireplace _r I i9of 0
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
oQ
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ eza O 0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fe c $ o oo
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BU I D N ADDRESS - /
PLUMBING PERMIT
Filing Fee 10.00
s
4z2Solar
Each Trap
2.00 1 b
Water Heater
20.00
Water piping
5.00 510 C)
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New Addition❑ Remod I Utilitt/ies❑ Installation❑ Other❑
Describe work: 4!!g —
Permit Fee
$ ,7 0o
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00 0, 0
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING yq.&\
OR ADDNS. ACC. BLD 2,
,21/20sq ft q
/ {J
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check One):
21"1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions( Code and my license is in full force and effect.
�/'v / �/ _T �-�
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
for this reason
NEW CONSTR MULTI -O T ET 2,50 ea
NON_RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON-RESID, SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES 22@5 pQ
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID•) EA.) 2.00
Temporary service /y2>/L/.r1
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ _
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
Lp,11 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 o ze0 teff'
Cooling
Hood
3.00 ,3 0
Ventilation A
0
Permit Fee
$ 2 Zoo
Contractor
1 certify that I have read this, application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabili 'es, judgments, co5o, and expenses which may in any way accrue
against id Count cons enc of the granting of this permi(tr.�_
X ate43—'v 1�3
Signature of pli411- Owner ❑ Contractor Agent ❑
An OSHA p r it is required for excavations over 5'0" deep and demolition or construct-
ion of struc es over 3 stories in height.
Mobile Nome Installation Fee $
e
TOTAL PERMIT FEE $ v
occu . GRouP
TYPE O� CONST.
�N(1�1
PARCE
PD
HD
ssD
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE=Kate
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
3-44-3
Receipt No. 7 �9s
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Its I u rn t u 1) VW A(:It l (:III:1'lll(AI. 5'1'A'1'I':M1:NT_t)Ii ACKNOWI.EDGEMENT
-------l�,ilt IU;ll�lara'Pini,•iJl',vl�;l,t►I�MI:;N'r _
Section 26-8.1of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
03 f,4 I'�'3
The property described herein is adjacent to land or included I'Uhn -,FtECORUER within an area zoned for agriculturalpurposes, and residents of �_Id
this property may be subject to inconveniences or discomfort arising Q— 8902
from the use of agricultural chemicals, including, but not limited to herbicides,
pest:ci.des, and fertilizers; and from the.pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
T•ot 112, in Block No. 19 of Dayton as the same appears on the Official
Map on file in the office of the Recorder of the county of Butte, State
of California.
2-
Date : % / 9 3
:? `_3to o
�_ l� '4 �uti ) On this the ll� day of
SS. before me, the unde-v ignedNootary Public, personally
aPPeared _J&4f'`Gl''
�?aesee,e,e;e:::!sus�F,roses:�s.a-soors>:reeo�z,.:r:,eas�
OFFICIAL SEAL
W. J. GOLLING
NOTARY PUBLIC — CA'Ii,,RNIA a
CO:;-'tTY
OF BLTTc
known to me to be the person(s) whose name(s) � —
subscr'b d•to the within instrument and acknowledged
that executed the same for the purposes
therein contained.
IN WITNESS WHEREOF, I"hereuntomy hand and official
seal. s � „
Public
RESIDENTIAL PLAN CHECKING GUIDE
7 (S.F., DUPLDrX; & 'MISC. ONLY)
A. GENERAL
Zoning requirements (sideyards and parking).
2. Valuation.
Signature by R.C.E. or Architect (if required).
$ PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOW PLAN
Bldg.
A. P.
Permit # �o O - a 3
# - L
/ r- 4W
?mplete to scale plan with dimensions.
equired windows for light and ventilation (Sec. 1405).
equired windows for second exit (Sec. 1404).
A-owable glazing for energy requirements (20% max. per State 1
Human impact glass (Sec. 5406).
fa�Required room sizes, ceiling heights (Sec. 1407).
G.F.C.I.'s in baths and exterior outlets (Sec. 210-8).
Light fixtures, switches, receptacles, and exterior receptacles
mechanical equipment.
for maintenance of
Locations of water heater heat ing..& cooling equipme , other electrical or gas
equipment, and plumbing fix ures.
' >0r_Garage firewall, door size, and closer (Sec.'503(d)(4)).
3'0" exterior exit door (Sec. 3303d).
Fi place location.
tSmoke detectors (Sec. 1413).
or
YN rsKr
4.
`D.STRUC ti DETAILS
'ation plan complete enough to construct building.
construction details complete enough to construct building.
E ations -and wall construction details complete enough to construct building.
Roof struction details complete enough to construct building.
eplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
/4-74
✓I A /
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
CCX plywood on exposed locations and'overhangs.
gtairway details (Sec. 3305).
Guardrail details (Sec. 1716).
$rick or stone veneer (Chapter 30).
�$� F terior plaster - weep screeds (Sec,. 4706 & 4708).
/y/!rage
�er roof pitch for roof covering (Chapter 32).
ter ties or bearing ridge beam.
door or porch header sizes.
adequate bracing.
hiving area over garage - complete 1 -hour separation
walls and posts, etc.
1 . Two (2) exits on three-story dwellings (Sec. 3302).
3
3, .
required including supporting
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alternfions on same without
written permission from the Department of Public
Works, County of Butte.
131)- -
A setback of 5 ft. from the
property lines and a setback
of 50ft. from the road
centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang.
NOTE:—AlI • Materials & Workmanship Shall g® tp
Accordance with Recogrstzed Good Proo lees and �
of a quality prescribed for fhe Specified use In--fhe - --- . - - -
arm Building, Plumbing & Machanlotd C4dW ad
4a IRlai mcd Electrical .Code.
• I
- { 1
�e�� 1�{ � t u�fw ltu•ct i�,,,�it, Prn,�a --- - -- - -- - i f
17' -
sum cam"
BUILDING DEPARTMEW
MPPROVE
Le TJ6
i
Ler To Fo.Ndu(w,.------i
IA TTACNED TY P paCK CO&'VY A &-r& I
r , .CIA—
1Q,
''-.•.r :Y . `���_ � � 1 �" d �T- ,Irk►• '�S•43# ft -Tll's
ly
b •�} ' 10
�• .' � ---�'" � --r-=. -mss i '.\
s- y �1y
,SAT •.c.IFI-IFIX, •, 'v�l — i; �r� / •� �•
J 3v ASS._. Jam'.
`•✓ :s'.. sive 1C:kv
COL
(iF{37—
—y/
V13 "ll'i
=L�C'J=, ..)V10D HTIW T��zfirNL0�.32U0i-S •I!� ! ! �1� q ^ _- r d: ._
gxJsx-Pk P-A"ql5:T?4g ► -IA__�I(y`/I 1 i >4...; �� -- _ �_ _ _ o -.
3 rel ,� a a:,9� , _ ucu
X 3 J-[ G i%{ .?4DAT�i 90 R0T'dT�
. z�i� .lir", �(?���1i�1 ,' �� - - x-- ' %-! � •. �► G-`: - - - -- -- -- - -- - _ _ .. .. _ _ •
Fb
MONNY
_` \ `'� ..-`.;:►'.• :.-.-... '�� ! .. .{-'�_ wl.. I t_{.�,-j�;-� � I _1_t1;"i-_.:ISI• jiFl ( � \ 1s�}� ^.` _:
`- �.., iJ.3�,BJ . Z ` ,� '�OITI�lMO.� _ �J 1 •
:).D OLiAEi .0 no noif»Ioq •iue.l eno eb;vo.9
_ -... ,.-------•_- -- -of No- nomnlo3 io 96K nw,00 -t 4
�' --...---- —. - -- -- � � --if .-_ .�..... .` - � j li Op i :! ••8\E-1 @.o+olaHx Mi.. rrHsf
it
BUTTE
COUNTY
f 1 II P!oiTattyani 11 -SI BUILDING pEP
1 If i! ► t rit3i':;H AO J ARTMEW
j it j I TG
ply
I,D •1
--'i �� •_��� - Yom. ' 3. i !�(• � r , �v�, , I� v�r _� 'Yc'.l.y O -'�♦ w c �T.' . .�-'I. _. ... _..._ _.. ;.+ _ � - ; _—__ _. ... ..
. -fir �,t,T n LJ�i ' i♦ 1 t/iti-i. .� ^/.- �i� � •• !rte• ,f � 1
M G
j.
r 7z
=J' �� ` :•�.1: it/� %; J`- �-
J I �1�.IV�L'�
.Nf$gJ :�`�. ► c:- �::... t I, H
30 T;,:�:P
J
LT
T.
T.
It
1---{
-�W
:�S '. � t //•�'� (r .+..: j Y� ;YI✓�1,� f i ., r ifv'O m `. .
z fiL�32�—HT1W TJ(--—,fq
• u
/y\ t'`I \`� `�
. � r`i � ti • .j I -'i� �� . \ � — 1 � , ♦ .J�.•- � ^' �.i j _ r , ., . � t _ i _ � 1, 1 � � o '
Ax ASx-Pk P -A �(�i• TAS -- � • ".0 1�i� f .'2i 4. `I 1 - 1 — — o 1
31
X 2JT C1.L9 ADATa 9O �'i0T 5 X�:�JT9
eidiv .IJP, y XM �► 1 i "` •. i�.l : ! I� -
JL
Z01TI209M0,3 1 7' �! I t i • i ' , a. _ _) _t1';"r :.:( t . T 1 (I �i"4
OMAH .O tai -• : -+ . — I j no fwif"N i4 •tuo{lsne sb;wta ��U
-of 1Or nO/Ty1109 10 '!6K Oppt00 ', ['1/ ♦ , �.(I� E COUNTY
_ __:_ . = - _ -=,r-= r*— - '� I i� b "s\c• i Q�„d}�+�. I{I�v y,{} \`• iiJJVV
.1006 MEMI
T3J i, � - x.,,12 3UI�.Q
ING DEPART
All
HAPPROVED
01TA119-44.1 11-5,
;i
.i ;• � ! i.. �,,.J li _�.~_1 .;.. .+ Vii- { _. ._' ; 1 � •� i
TG•