HomeMy WebLinkAbout039-270-1159
39-27--'r 115
Larr 1,,ambert
SE/S Fr3h St., app.30'w.of Perkins
cz. Day - �46o Pg jew�n►s PasaO
Permit #7317-79B, ,E,M(new single
family)
9-27-81
Permit#2 9*7-80P,E(plbg & ele/7317
79
39-27-115
Ew ER
TS
ED---CIAR
9460 Perkins Dayton
Contr: Larry Lambe Chico
Permit#1037-85B (addition F)
39-27-115
Contr- arry Lambert, Chico
P itjk1625-85B(wood stove/1037-85)SF
B08-0283 ° AfJNED 039-270-115 '
MISCELI,ANEOUS HVAC Ch ange Out''
CHANGE OUT HVAC UNIT { AV.
'�'
9460 PERKINS RD -
MCNULTY, JOY.?l
r
PERMIT NO. 103.7-85B,E2M
PERMIT EXPIRES
s'
OWNER TED CLARK
CONTR., Larry Lambert, Chico
ASSESSOR PARCEL
39-27-115
LOCATION 9460 Perkins St, Dayton
ij
p
i7
Temp. Power Pole
Called PG&E
r
Temp. Elec. S
Called PI
Temp. Gas Se
Cal led PC
JOB FINALEI
Signature
OK
O = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ft'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.-Con nec.-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 k's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards- Ins. to Main in Conduit
9. Health Department Approval
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
_ 0K ^'r
�N t QK
tApplicable
= Not Ready RESIDENTIAL•(Single and Duplex)
Date
UNDE LOOR Plans OK except #'s
Date
FR
MING (Continued)
te�Zqping requirements -Setbacks -Easements
U.
jProperty Line Firewall & Openings
pe-Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
4V
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
,r.-Pt'g., Garage; Soils -Steel- / /" Ftg. Depth
Headroom -Rise -Run -Landing -Fire Protection
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
zPlywood
on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-S
--fi-Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
V.
Siding-Nailing-Veneer
Drip Screed-Fdn. Vents-Underflr. Access
--i:--Piers-Fireplace Ftg.-Steel
S^O.W.V.: Fall -Fittings -Telt -2 way C/O -Sewer Test
Glazing Area -Glass Protectio Skylights -Plastic
W.
Shear Walls; Nailing-Bolts
-'S-vr'as Pipe; Size-Aricho`rs
'1'0:- Water Pipe; Test -Anchors -Regulator -Service Test
S
-?1-Electric; Underground
--i2: Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Mk_ Date Card -BI Date
/13.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #'s
�4b^iNeleHit,+.Vent-Access-Combust ion Air
57.
58.
59.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
Bedroom Exiting
t & Anchors -Nail Protection
ESt-Fttngs & Anchors -Nail Protection
??6v SbcuwRaw!-Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
A9 T�T.ub_& Shower, 2nd Floor -Tub Access
19,E a'pe; Size & Anchors
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
63.
Stairs & Rails
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
EL TRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
Receptacles Spacing -Lights &Switches at Doors
_Flet.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
omex Installed Close to Edge of Studs & C.J.
W. Equip. Ground made up ech.
72.
Insulation -Foam -Looked in Attic ❑Yes
its in Kitchen &Conductor Size
73.
Guard Rails & Deck Construction -Post Caps
-A.C. Wire Size / / ga. Cu oro
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
/ ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
ftr"494ed-I'MMal ❑Yes ❑No
75,
76.
Following instld.: Drive E3 Yes ❑ No; Walks E3 Yes E) No;
Planters [-]Yes 11 No
Stucco; Brown -Finish
Conductors & Ground -Main Disconnect
K4�quip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date i Card -BI Date
81.
82.
83.
Ventilation throughout House
Glass Protection
Corrections from Previous Inspections
Card B -I Date Card -BI Date
Date
ME HANICAL (Permit) OK except #'s
84.
Gas Test -Meters Tagged; Gas -Electric
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/0 to Grade -HD Approval
V. Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
drain & Overflow; Size & Grade
- ent; Access -Comb. Air -Return Air Vent -115V outlet
35v►.AU4e-Ar ess & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
$�<; Date RS Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date I Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FR NG(Plans) OK except #'s
V. -tills; Proper Material & Anchors
dw±alls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
V.lXraft Stop in Walls (rat proof)
Fire Stops; Furred Ceilin s tairs-Chases-Tub
Header & Beam -Size r
4;r/Hangers/-Post Caps -Anchors -Connectors
ng ois Rftr. 'es -P rlin-Roof Brac.-Truss-Shthnq.- fnq.
A e-F���at --
Attic Access; Size & Romex Protection -Draft Stop ns. fles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
e/j
COUNTY OF BUTTE
7 DEPARTMENT OF PUBLIC WORKS ,
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
lUJ7-�.s
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
rn ter, or need additional explanation, please contact this office immediately.
I A /
Inspector_ ¢%lAP Date a✓
Owner.:
Permit No.
E N E R G Y C R T 1, T. F I C A T 1 0 N
460 Clark Road, Dayton, CA (Addition)
LOCATION A. 1'. No.
DLSCR11''FION OF INSULATION
ROOF
Mn ter. i.al. _N/A
Thickness
ExTFi(.IOR WALT. _
Matnijal N/A
'1111.ckness (inchuss)
CF, f T. LNG -—•---
Batt or Blanket Type _
'J'hickness(inches)
Lose Fill Type InsulSafe III
1•tini.mum ThicknesWnches) 11"
Area covered(ft. ) 416
FLOOR, ELEVATED
Material N/A
Thickness(inches)
FLOOR, SLAB
Material N/A
Thickness(inches) _
Width(inches)
FOUNDATION WALL
Material N/A
Thickness(inches)
Brand Name _ _
Thernvil Iter.i.stancu, (R Value)
x
Brand Name
'Thermal Resi-stanCe(R Va;1ue)
Brand
Thermal Resistance(R Value)
Brand Name CertainTeed
Number of Bags 9 Wt. per bag 25 lb.
Thernal Resistance(R Value)—R-30
Brand Name
Thermal Resist'nnce(R Value)
Brand Name
Thernaal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
\1 hereby certify that the above insulation was installed in the above building
in ccj�foance with the Stat,c o a— fornia Energy Requirements.
Hns Insulation Co . ;••° Inc .378407
STANT
TE CORACTORa S LLCENSE NO,
SIC1L\'f11f([':'OF INS'1°ALT,ATI011 AI'l'.I.LCA'I,(>IZ
I )ATI.
7, hereby certify the above 1.ation and all requi.t'ed :[terns as shown on the ,
Bui.l.d:ing Department approved plr:uis and attachments have been installed as
required by the State of (:a:l.ifc.�'rnia IEnc.rl;y Rvgt,irements.
All erluipment, devices and n;at:eri.a.as are of the quality prescribed or are
specifi-cally :approved by the If (;,tli.tUrnl.a.
�� L) 4, _-
FIRM NAME/OWNER (1'le ^e ri.nt; S'1'/ C NI AC'14)R'S LICI:NS1� N0,
SIGMA E GENERAL C011rRACT01;
owivY;It DATE
THIS CERTIFICATE MUST BE ON PILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY S11j.V L BE POSTED WITHIN THE UILDING .
Ianuary 1984.' �'l'
COUNTY OF BUTTE - DEPART ,,,EI`,iT OF PUBLIC WORKS
7 County Center Drive - Oroville, CaliforT.a 95965 - Telephone 916/534-4541
APPLICATION AND PERMITPA
PERMIT NO.
1-7
C-) —
ASSESSO PARCEL NUMBER J
!j
ZONING
BUILDING PERMIT
OW
f
T LE PHONE
J�
SO. FT. OCC. BUILDING VALUATION'
OW E 'S MAILINGA RESS/
\ � V
Q
ONT AC R'S NAME
F
TELEPHONE
ZW__
ONTRAC OR' SAILING ADDRESS
Fireplace
CO TRUCTION LE DE
UNKNOWN
Total Valuation Is Arl
0
FilingFee
$ 10.0
L ND R•S MAIL G ADDRESS
G
Permit Fee
$
ARCHITECT OR INEER
,CENSE NO.
Plan Checking Fee
,$'
PAY l
$ D V
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 7,15
BUILDING ADDRESS v ,ci -1_f
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
�j
Water piping
5.00
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 sewer
5.00
Mobile Home FSG W
0.00 e
TYPE OF WORK
New ❑ — Addition � Remodel ❑ Uti lities ❑ Installation ❑ Other ❑
Describe work: ���s� DIS! . �O�/£rl�C� _
/��� r
ai-�'
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2-.50
NEW CONST. DWELLING &`
OR ADDNS. ACC. BLD
I 2 Osq ft 116
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 orce nd effect.
License No.Af%6 yj 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 NON-RESID CONSTR. BRANCH CIRC ITs 2.50 ea
NEw -CONISTR. (/POWER APPARATUS .&)
&
NON RESD. , SINGLE OUTLET CIR
Ex. Occu 5AL030
P�o OR FIXTURES BAL®30Q
FIXED A
EX. OCCUp. OUTLETS (RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $ ew, V0
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating %Qd to
, _00
k'a
Cooling 7
44 Q
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 County of
Butte to enter upon the above-mentioned property for inspection purposes. I
I also agree to save, indemnify and keep harmless the County of Butte against
all liabili 'es, judgments, g9sts, and expenses which may in any way accrue
against 'd Count in co que e f the rant' g of this permit.
XO�
Date !
Signature of pp cant – Owner ❑ Contractor P --Agent ❑
An OSHA rmit is required for excavations over 5'0" deep and demolition or construct-
over 37stories in height.
ion of structures171
Mo ile Home Installation Fee $
TOTAL ERM, FEE
OCCUP. GROUP
TYPE OF CONST.
PARCEL
PD D SUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTORlOF PUBLIC
BY --
PE 1T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�5//
���-z—Elm
Receipt No. i 7 �1'5
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
II
COUNTY OF BUTTE - DEPARTMENT OF'PILBLIC WORKS - BUILDING DIVISION �r
7 COUNTY CENTER DRIVE - OROVILLE,tCALI�URNIA 95965 - TELEPHONE: 916/584541
t
PERMIT APPLICATION DATA SHEET
�/ �+ / Permit No.
OWNER /r Gl (� /��/� A. P. No.
r
Proposed Building Use e-,
Permit Fee Based Upon: Complete Contract PriceDPW Valuation
Other_(E-xpla n).
Building Inspector ��-/I/� 1���1� Date
At time of permit application, I was advised the following data- be submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . .
2. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9., -Letter of signature authorization .^, . . . . . . . .
/
San itat ion approval from ��/lr UHealth 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 E] )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . .
. . "-
Pre-Inspec. request to (Date
17. Pre -Inspection for Required. Building Inspector
18. Other •
l
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
Date
Copy of plans sent Health Dept., Fire Dept., ` , Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
r
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail
r
By Date
Plans checked by Date
Plans approved by Date—
Other:
Copy—DPW
Other
TO: Building Department
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
Owfier Location AP#
Plan approved for:
sewage disposal
water
supply
Hold final for:
water
supply
Final clearance O.K. for:
water
supply
Clearance for bedroom
T
mobile home. Other
16'
Note*** ;
Sanitarian
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASSESS R PARCEL NUMBER ./,
ZONING
BUILDING PERMIT
OWN /
G
TELEEPHONE
`J
S0. FT. OCC. BUILDING VALUA N
OWNERyS MAILING ADD ESS / //
CONT AC R'S N ME
TELEPHONE
CO CTOR' MAI IN ADDRESS r /
Fireplace
CONSTRUCTION LENDER
UNKNOW/
�/
Total Valuation $
D
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ (�
ARCHITECT/ OR ENGINEER
��'f✓ -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
fee
$
S-01Permit
BUILDING ADDRESS
l f'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
VX
Water piping
5.00
LOT NO.
SUBDIVISION NAME
ARCEL MAP
Each qas water heater or vent
00
5J5.O
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Mobile Home S G W
TYPE OF WORK
New ❑ Addition-❑ Re`yodeI Utilities ❑ I stallation❑ Other—Contractor
Describe work: �.VtriDQ' .��(/ �( �f6.77--fl'—
Per it Fee
$
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADONS. l ACC. BLDGS.
2/20sgft
CONTRACTORS LICENSE LAW
I declare nder penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
ce nd effect.
and Professions Code and my license is in full f Qs{(_
,,
License No. ��S%3 Classification _ c //
❑ 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.ULTI.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
Ex. Occu / 20e50e
P TB OR FIXTURES SAI -0300
FXED APPLNS. OR
FIXED
EX. OCCUp.I
OUTLETS (RESID.) EAJ 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.
Vhave placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
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 liabiliti s, judgments, costs, and expenses which may in any way accrue
against s,6d County ' copse nce �theranting of this permit.
/
%� Date � C9 _0(92—This
Signatureof pIic t - Owner❑ Contractor �/gent ❑
An OSHA p it is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stCriess in height.
Mobile Home Installation Fee $
y
TOTAL PERMIT FEE $ G
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
IssuE
permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TD OF PUBLIC
BY Aa /
PERMITDat
the applicable provi-
resolutions to do
fees have been paid.
WORKS
—1-1Receipt
Date
No. 611 5/X Z
WHITE-D.P.W., YELLOW-ASSeSSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION -AND PERMIT
PERMI NQ.
�8
ASSESSOR PARCEL NUMBER ZONING
v
BUILDING PERMIT
OWNER TELEPHONE
SO. FT. OCC. BUILDING VALUATION
COWNER'S MAILING ADDRESS
V
C RACTO 'S NAME ELEPHONE
7
CONTRAC OR'S MAILING ADDRESS
0Z�,
Fireplace
ONS UCTION LENDER ]UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
ARCHITECT OR ENGINEER LICENSE NO.
Permit Fee
Plan Checking Fee
$
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
CY (/ 60 Erkltss`
$
ING PERMIT
Filing Fee 10.00
Mqas
200
ump water heater
20.00
LOT NO. SUBDIVISION NAME PARC L MAP
500
r heater or vent
5,00
USE OF STRUCTURE
Gas piping system1 - 5 outlets
5.00
SFE] Duplex[] Mobilehome❑ Other
Building Building sewer
5.00
Mobile Home S I G I W=4
0.00 ea
SPECIFY
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other
Permit Fee
$
Describe work:
Contractor
�:7
ELECTRICAL PERMIT
Filing Fee 10.00
.0
Main service 100v OR
00 AMP ORSLESS
10.00
,CONTRACTORS LICENSE LAW
I declare under p of perjury (check one):
El I am licensed under provisions of Chapt. 9, Div. 3 of the Bushes$
and Professions Code and my license is in full force and effect.
License No. Classification
I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.p ,
OR CO NST.
( ACC. BLDGS. /20sgit
NEW CONSTR ULTI-OUTLET
NON.RESI0 BRANCH CIRC ITS 2.50 ea
( POWER APPARATUS 6)
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 20050t
BAL030
FIXED APPLNS. OR
Ex.'Occup. OUTLETS IRESID.) EA.� 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
Misc. Wiring
15.00
for this eason
Permit Fee
$
RKMEN'S COMPENSATION INSURANCE
I declare uncle malty 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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
❑ 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 forthwitcomply with such
provisions or this permit shall be deemed revoked.
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 County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue•
against said County in consequence of the granting of this permit.
Mobile Home Installation Fee $
Energy Inspection Fee
$
TOTAL PERMIT FEE $
OC CU P.
CONS7,YP
=P.CND-
39UE
permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
BY—_ Date.W..
PERMIT EXPfRESDate__ ~�/(f� 7
X - - - DateThis
Signatuie of Applicant — Owner ❑ Contractor ❑ Agent ❑
OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of 'structures over 3 stories in height.
[An
ERecelptNo.
YtLLaW-AAeCSsoy, "'INK•INSPtG OCHE. ,,PPI.ICAMY
11
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. /037 33
NAME fl d
JOB ADDRESS
TYPE OF WOR
PACKAGE ItA" (Additions)
FORM 7
SQUARE FOOTAGE
Existing Residence
New Addition
New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwel 1 i ngs �i ncl ude room additions, .converting garages and patios to living
areas, house moves that add foota6e and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE
11
ZONE 12
ZONE lE
INSTALLED APPLIES TO
NEW AREA
A"CEILING
R-30
R-30
R-38
&ALL
R-11
R-11
R-19
FLOOR
R-11
R-11
R-19
SLAB
R- 7
R-11
R- 7
✓GLAZING
,65
.65
.65
SHADING
&_�SOUTH —OPTIMUM OVERHANG
or .36 S.C.
., GEST - .36 S.C.
_4�00SE FILL INSULATION (Density)
FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UMC - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
GLAZING 16% OF AREA PLUS REMOVED GLAZING
EW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
• *I HEATING VENTIIATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
rt Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
❑ Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*I (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Stu/hr
(cooling capacity at 95°F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ .(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
2 (tank size)
[3* Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*I Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature g2l°, elevation heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU ��
Cooling: Summer design temperature 4fta cooling load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration ode.
SIGNATURE F/DING DESIGNER OR APPLICANT
� s �
E�. f 7317-79B P E M
PERMIT NO.
PERMIT EXPIRES
/0
OWNER Larry Lambert
owner
' CONTR.
LOCATION (A.P. 39-27- 1port.
SE/S Front St., app.30'W.of Perkins, lot
Dayton WIT
- 3(i
• Ll
1
4�
r h
t
e
t
Temp. Power Pole
I4
�rS
Called PG&
Tem lec. S rv.
ailed P &E
-i. -►#
^
Temp. Ga Serv. T
Call d PG&E
JOB
z
ALED
(Date)
r
t
i
(Signature)
RES.IDENTIA -(Siinci la and Duplati;
17-7�
Data UNDERFLOOR Plans i exepi @'s _
1. Zoning requirements Sa.backs-Easem_antsr
_ 2. Fig... plain; Soils- le I -_Fiat . •:,rnd.- " Fig. Depth
— 3. Fig_ Garage;_ Soil!;* >el- "_Fig. Depth —�-
4. Fir,., Porches & Decks Soils -Steel -E]" Fig. Depth
5. Stemwd
alls, Main; SteelAB
_ -
6. Ster:wails, Garage: Sias-8lockuuts-•Viraapt)d-Slab
D;tta FRAMI G (Continued)
>r }?rty Lina Firewall & Openir;s
4De Ext. Docrs-One ".'-Check Garage --3rd story, 2 exits, _
- ,, l'lidth•-Haa_droom-Rise-Run-Landing-•Fir? Prot=•ction
5. wood on Roof Overhang -Attic Access -Rafter Outrigg3(3 _
_Siding-Nailing-Venear —
sh-Drip Screed-Fdn. Vent.-Underflr. Acc-!s3
7. Piers -Fireplace Ftq.-Si 'al _
_
Glazing Area -Glass Protection-•Styli;hto-Plastic
S. O.W.V.: Fall-FiWngs-T st-2 way C10 -Sewer Test
< <r Malls; Nailing -Bolts -- --_- --
9. Gas Pipe; Sizsr Anchors I
_~
10. Water Pips; Test -Anchors R-,ulator-seri, ice Test
11. Electric; Underground
Card -BI Date _Card - _Bl-- Dal&
Card -SI Dat _ Card -81 Data - -
Card -BI Date Q_Card-BI Data
I Oats FINAL Plans) OK except Xs
12. Plenums & Ducts; Clearanc Material--Support-Ins.
13. Girders -Sills -Anchor Bolts Joists-Venis-Cripples
--
Card -BI Date Card -BI Data
Card -BI Date Card -BI Date
Data PLUME NG (Pertnit) OK except M's
E . Steps -Door & Sidelight Protection -Landings
- Spr ue Detector
W -Furnace; Vent;-Clearancs-Comb. Air-Ccanector-
In Garage; Above Floor -Ducts -Mach. Protection
— edr om Exiting _
6 I'. &Bath Fixtures &Tub Access
6 fec. Trim & Subpanel: Breaker Sizes-Laheis
1 ',We' Ht.; Vent -Access -Combustion Air
1 t ar Pipe; Test & Anchors -Nail Protection
_
1 . D '/.V.: Test--Fttngs & Anchors -Nail Protection
1 hower Pant,=t.;a -Tu5 ess
_ ower, 2nd Floor -Tub Access
1 & Anchors
66. Hails_
—
,G��
6 ireplace or Stove; C_I�.ar
—
_ 6�. Outlets at Wood Panel; Int_ & Ext.
-
`Card -8 Oats Card -BI Data
6 it. Fixt. & Appliance; Grnd.-Air G Viking Cf=-aran:e`�-
10ard-BI Date if Card -B! Data
_ lqp. Outlets & P.eceptaclas at Kit. Cou :isr
'--
I EC
Crate EL_.. ICAL (Permit) OK except k's
I tura & Transformer Clearance -Ins. Protection
c. Receptacles Spacing -Lights & Switches at Doors
r----
tv's,ij-d'Boxes & No. of Conductors-Staplad
or,.ex Installed Close to Edgs of Studs & C.J.
-- —
_ 4 c rp. Ground made up yr/!�ech. Fasteners -Bond Gas & Water
2 ppliance Circuits In Kitchen & Conductor Size
u ed 1'/ire Size / / ga. or AI-A.C. Vlira Size / / ga. Cu o AI
ange Circ. ! knf fla. C Oven C?Ft! T'i -TJ-Cu or Al.
Insut ted Neutral es
_— 6 arage Fire Door; Swing-Landtng-Closer
—
V.7 -A -C Oucrin` Gare s -Camper
�— _—
-- Mr. H;r.; Vents -Clearance -Comb. Air -Conn tcr-Y.R.V. o —
In Garage; Above Floor-Mech. Pr, ;action _ wL-
Elec. Equip. Listed'cr LoCton
_&_Mech.
-
7 lec. Receptacles in Garage; (G.F.I.?-R +ax Protac.
nsulation-Foam-LoOa�d in Attic ❑Yes
_
-H-jt1 -& Deck Construction -Post Caps
V9�ents &Crawl Hole Door-Dra;;:a s & 1'loed earth Gtearance .
Look un er Floor ❑ Yes _
- 7 llowing instld. Oriva es No; Walksi es ❑ No;
Planters ❑Yes o; Creating Drug_ Problems EJ Yes
_No
rvye-Riser Conductors & Ground -Main Disconnect
rown-Finish
Unit; Disconnect-Clrnces-9ikr.. & Cond. Size -715V Outlet_'
- 7 ews Above Roof; Plbg= Appliance-Firepi.-Clear_nce to Opngs.
�47ell; Disconnect, Electrical, Plumbing
_ &"_Exter•or Elac. Trim; G.F.I. Receptacla-Undergrourd
niilation throughout House
ss Protection
-
2 uip. Clearances; Panels -Motors -M -ch. Equip.
38,--61et�se-6leset Light -Shower Light
lCard B I Dat Card -BI Data
Card 13-1 Date ` If Card -BI Date
Data t+tEC LAICAL (Permit) OK except 's
ions from Previous Inspections
Meters Tagged; Grrr-EI
3 . A.C. Ducts; Insulation & Supocrt
_ ! r & Sewer Connected -C/O to Grade •HD A
_pproy3i
8 nergy Compliance Certificate-Oti`er Certificates
-
3 nt Fan; Exhaust above Insulation
r_ 3&*"C_pddensate Drain & Ovsrflow; Size & Grade
Furnace-Vant; Access -Comb. Air -Return Air Vent -115V outlet
Riess & Platform if Furnish in Attic'
_
C,xrd-BI Date Card -BI Date
Card -81 Date Card -BI Date
—
Card- Gate and -81 Date
Card -BI Date Card -SI Data Y'
Card -BI Date Card -Bt Data
Date FRA` NG(Plans) OK except q's
Comments at Final:
3 ails; Proper Material & Anchurs
_
laps; Studs -Nailing, Spacing & Bracing-Plates-Sound—
—
arirg 1'ralls over Girders & Floor Nailing _
V/praft Stop in VMalls (rat proof)
' ire Stops; Furred Ceilings -Stairs -Chases -Tub
_ 4 . leader & Beam -Size & Bearing
_ —
_
_
4 H- ,gars -Post Caps -Anchors -Connectors
1f Joist_ -Aft Ties-Purlin;-P.cofShthng_-Rfng_ --
ir= or T_y*a-A •FF'aa-Firop(3• -- hroat -
_ Attic Access; Size & Romax Protection -Draft Stop -In;. Baffah
dnn. Windows or Exiting Doors -Sill Ham_& Dir^ensicns
_ -
Gnrage Fire Protection Framing
R 0 L i
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION -REGULATIONS
AT E R K� 11i 5 A ,� l�Ig �� _P�
. (location)
BU ILD ING PERMIT NO. -731:Z- Z�. A PE ASI �.(/
��� � A . P . NO . � %`02 7 �/
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or grit
INSULATION:
GLAZING:
Slab Edge. Single Glazed
Fdn. Walls Special (Insulated)' 23!
Floors CERT. & LABELED WDS. �,Pdr
Walls °iL-g & SLIDING DRS.
Ceiling/Roof IL-11 WEATHERSTRIPPED DRS.
Ducts BACK DA1,PERED FANS
Circulating Pi es ON
INTERMITTENT IGNITION dEVI S
APPROVED HEATERIJ4 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 SfRM'TTED. „
Insulation Applicator Name (il. lA_j 10-01. G I
Signature of ISe print)
Insulation Applicator
State Contr tors
License No m :�_.3. ®�J�%
General Contractor/Owner Name LARRY ,-) A V LAA 3 FR 77
lease print)
Signature of
General Contractor /owner Date ff—/d ^ d v
State Contractors
License No. L5"(6/43
0
N
THIS CERTIFICATE'MUST BE ON FILE .WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL -BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
/ 7 �
COUNTY,OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILpING BUILDING (Cont'd) PLUMBING
Setback G O�
Firewall
Soil Pipin
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings Z
Windows
3rd Floor
StemwalI
Sidino
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer —
Garage
Fdn. Vents
Fixtures
Footings
Stemwal I
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Prov. for physically
handicapped
Conformance of ex.
structure
Appliances
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
19LECT ICAL
Masonry Walls
Throat
Rou h
Relnf. Steel
Final
Fixtures
IRE SPRINK
V1a111111 wv i est Water Htr.
Stucco Final Subpanels
Mesh MECHANICAL Grd. Fault Prot.
Scratch Heating Service
Brown Cooling Temp. Pole
Finish Ducts $p Underground
Interior Lath Ventilation Permanent
Door Closer Final Final
MOBILEHOME UTILITIES ------------------ Elec. Service Elec. Pedestal
Water Piping Sewer Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - - Support Elec. Continuity
Water Piping Drainage Gas Piping
DATE REMARKS OR CORRECTIONS
-�- 144"
lot
Q�
oo
(NOTE: An entry must be made on this form each time you visit the job site.)
1
UNDERFLOOR Permit No. 7
l.t.,-4tback--Easement
2.411-01"Otings & Stemwall--Steel. 2 story--Bl--c,- - .-. and
3. _iers--Fireplace Footing & Steel
4.i�umbing--Drain--Fall-Fittings--I!rapped in Concrete 42" test
5. r ter Pipe --Test & Anchors _
ectrica1
7. A C. Ducts--Clearance--Proper Material & Supports
--B:—G-tz-ders---Sills--Anchor Bolts--JoLsts--Vents
9.L,�Ign Job Card
ALL OF ABOVE COMPLETED �CEr'T
Signed: C_.,/, _�/G:lJ% Date
ABOVE LISTED CORRECTIONS COMPIETI',D SIGN J B CARD
Signed: Date:
FINAL -Permit No.
1. Entrance Steps. Door & Sidelight Protection
2. Smoke Detector
3. Furnace & Water Heater --Vents, Clearances,;Combustion Air
4. Bedroom Exit & Glass Protection
5. G.F.I. & Bath Fixtures
6. Electric Trim & Sub Panel
Stairs & Rails
8. Fireplace or Stove
9. Electric Outlets at Wood Panel --Int. & Ext.
10. Fixtures & Appliances in Kitcher --Grounded
11.Electrical Outlets & Receptacles at Kitchen Counter
12. Fire Door to Garage & Swing
13. Proper Type A.C. Duct in Garage Damper if Required
14. Furnace & Water Heater (if in Garage) off Floor & Vents & P_R.V.
15. Firewall & All Openings in Firewall
16. Electrical Receptacles in Garage (G.F.I. where required)Romex protect
17. Type Insulation --Attic & Underfloor
18. Steps at Ext. Doors & Landings L'+'here required
19. Guard Rails and Deck Construction
20. Foundation Vents & Crawl hole Door
21. A.C. Unit -=Disconnect, Clearances, Breaker & Conductor Size
22. Vents Above Roof --Plumbing, Appliances, Fireplace
23. Water Well --Disconnect, Electrical, Plumbing
24. Exterior Electrical Trim & G.F.I. Receptacle
25. Required Ventilation Throughout House
26. Corrections from Previous Inspections
27. Meters Tagged --Gas & Electric
28. Energy Compliance Certificate
29. Sign Job Card
ALL OF ABOVE COMPLETED 0 EXCEPT
S ued: Date:
ABOVE LISTED CORRECTIONS COMPLETED SIGN JOB CARD
Signed: Date:
COUNTY OE BUTTE — DEPARTMENT OF PUBLIC WOR S
7 County Center Drive — Oroville, California 95965 ^l]
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X Date
Sign a itee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR O#PUBLIC WORKS
A r-- -® If
Building permit expires Date
BUILDING
Owner L4PAY
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
g ROX rub 4 A)IM50cw Sri
UR
(moi �
44CO C
Tel one'Nou.
Z G�
Contractor o U) 4=—Q
Mailing Address
Fireplace
Total Valuation ,�cj 721
Telephone No.
P ee Q 0
,
Building Address QW )(
Fr/
Plan Checking Fee &/ Penalty ?� j "75
er
$` i<
30 W ^ 0Pa 2tc NS
PLUMBING No. @ FEE
PERMIT FILING FEE $3.00 -3,0C)
Each Trap $fil8
LOT
LO f .� �iq �/j��
Repair drainage or vent piping 1.50
/+ (j�p
P. No. 3C% — �i%— n rZaning & Planning
Water piping $160 2-A00A.
Each gas water heater or vent 1.50
F es
Sa
FireDept.
FireZone Use Permit
Gas piping system 1 - 5 outlets 1.50
EQA
aIan-s
Plans
Parcel
Declaration
ParceltpA�d p
60' R/W
Improvements
p
Each additional outlet 30
Building sewer 5.00
Bldg. nRe Parcel A royal Plad,s/Approval
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
Lawn sprinkler system 2.00
Permit Fee $ .
$ To -
ELECTRICAL No. @ I FEE
ELECTRICAL
PERMIT FILING FEE $3.000V
t
OR LE
Main service 100 AMP ORSLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service OVER eoov 25.00
100 AMP OR LESS
Main service EA. ADD'L 100 AMP 1.00
NEW CONST OR ADDNS. � DGS,CCUP. 4') 2�sgft
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Businessl Professions Ade under the name
style of:
NEW RESID. BRANCH CIR T
NON.CONST ( BRANCH CIRCUITS) 2.50ea
NEW CONSTR. POWER APPARATUS 9
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTIIRES) g L@;
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�
License NoAj 1rK 613 Classification /a
Misc. Wiring 6.25
❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee $37-6.5117
IG
MECHANICAL No. @ FEE
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.
29 I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
Workmen's
E]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.
PERMIT FILING FEE $3.00 i,00
Heating OI1492 / (pD "00
AwyPV
Cooling,Oo 4f
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$ ac
TOTAL PERMIT FEE
$ ✓ �L
autnorize representatives or the county or tsutte to enter upon the
above-mentioned property for inspection purposes.
X Date
Sign a itee or Agent
Receipt No.
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR O#PUBLIC WORKS
A r-- -® If
Building permit expires Date
�1 COUNTY OF BUTTE - DEPAfiTP�ENT OF PUBLIC WORKS
• � 7 County Center Drive - Oroville, 6alifbrnia-95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
P RMIT NO.
ASSESS;1 RAZ NUMBER
3 V I
Z°�j''L(O
/'t
BUILDING PERMIT
OWNERr ��
L, 4 �-rn gEP_T
TELEPHONE
�I -2,-Cl 2
SQ. FT. OCC. BUILDING VALUATI
OWNERjy MOAT II'4 (9 HESS TA
CONTRIAAC R'S NAME
WNc:(Z
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
CONSTRUCTION LENDER
UNKN�
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITEC oOR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS i;iS FRoN
T .ST � ol
PLUMBING PERMIT
Filing Fee 3.00
Wf 0 1' �L42,4e-rk)S
Each Trap
2.00
Repair drainage or vent piping
2.00
J)Avro1J
Water piping
900 2.0p
LOT NO.
1 G
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFU Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition❑ Remodel ❑ Uti lities ElInstallation C Other E�(
Describe work: Prpp PJgG tcaacf R)2 7?0 79
Permit Fee
$ .(X)
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD'L too AMP
2.50
NEW CONST. DWELING
OR ADDNS. ( ACCLBLOGS.CCUP,&)
20 sq ft
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 yC de and my license is in fullforceand effect.
License No. pC7 7 �V3 Classification F+�1
❑ 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)
F1I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTP(TI'D UTLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR./POWER APPARATUS &
NON-RESID, SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BALet°r
OR
EX. Occup.FIXED TS I—SAPPLNS, .)
(DUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring fb(Z �e W W 6.25 25
Permit Fee $ , 25
Contractor
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
c -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 shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 3.00
Heating
Cooling
Hood
2.00
Ventilation
_�+
permit Fee
$
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities,i'dgmAnts, costs, and expenses which may in any way accrue
against aid Cty c nse nce of the granting of this permit.
j -':,7O V
X Date u
Signature A plicant — Owner Contractor 4 Agent F1wor
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
F
PARCEL
PD
I HD
I ISSUE
This permit is hereby issued under the applicable provi-
sions the utte County Code and/or resolutions to do
indof'cat above for which fees have been paid.
IRECT R OF PUBLIC WORKS li
G�
By �//�D/mate / �U
PERMIT EXPIRES Date �• 7
�over
Receipt No. i 7 -,)9 O
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
M
i
COUNTY OF BUTTE - Department 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 nameand bearing
your signature.
Please complete and return this information in the envelope provided at your
earliest opportunity to avoid unnecessary delay in processing and issuing your build-
ing 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) %441—C signed an application 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 coordinate, supervise, and provide the major work:
Name
5.
Address City
Phone Contractors License No.
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
S igned :
Property Owner
Social Security num
Date 5'' 7 •— go
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
permitted to issue the permit.