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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.