HomeMy WebLinkAbout039-440-02839-44-28
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Permit#2055-86B,E(conv co v porch
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0397440-028
PERMIT#94-2631
MARTINEZ; ROBERTO
720 SKYWAY AVE. . CHICO''-,
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039-440-028': PERMIT#94-3248
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720 SKYWAY AVE., CHICO.
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039 440--'028 PERMIT#96, 0085. '
'MARTINEZ- Roberto-
�.�i . 720 Skyway Ave. ;, Chico
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COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES-BUILDINGDIVIS N
7 County Center Drive - Oroville, Califorpia 95965 - Telephone (916) 538-75 PERMIT NO,
APPLICATION AND PERMIT 9�'" 009
1�5—
ASSESSOR PARCEL NUMBER 63 F </ D .� rte,.
ZOT! ?
BUILDAIGPERMIT
OWNERt f� �f t, . _
I,
/•+
M,4 AOWNERS
TELEPHONE
FT, OCC. BUILDING VALUATION
SOZ-
MAILING ADDRESS
Z U 1 G
CONTRACTOR'S . E /
...r C►o
TELEPHONE
6 IV ral lop
CONTRACTORS 7UNG ADDRESS
rel o e WAX' C !-� / ca
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 20,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Pian Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDINGADDRESS
a PERMITFEE $ �d
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
LOT No.
SUBDNISroN'S NAME
PARCEL MAP
Solar or heat pump water heater 23,00
USEOFSTRUCTURE
SF B"uplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping 15.00
Each gas water heater or vent 15.00
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
TYPE OF WORK
New ❑ Addition ❑,.-R model ❑ Utilities ❑ Installation ❑ Other 4R`
Describe Work: c /�f�t� jf�-
Mobile Home I S I GI W @20.00
_
PERMITFEE
Contractor
ELECTRICAL PERMIT Filinq Fee 20:00
Main Service a V OR LESS
( 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class G3 Lic. No. was—;, -10
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
NEW CONST. DWELLING OCCUP. SO.
OR ADDNS. ( s ACC. BWS. ) 3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
(8 SINGLE OUTLET
Ex. Occup. ( OUTLET OR FIXTURES) 20 @ 1.00
BAL SO
FIXED APPLNS. OR
Ex. Occup. (OUTLETS (RESID.) EA) 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMITFEE $
Contractor
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 70
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMITFEE $
Contractor
Policy Number Z'-4. Z„ 074 — map j $
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall .
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions>
/
X __ ___ Date / A7 Z!q' j
Signature of Applic t - ❑ Owner ❑ Contractor �IJAgenr
An OSHA permit is equired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $ S�
HAZ.
D. FEES
I IMP I FLOOD
CDF PARCEL PD HD
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
PERMITEXPIRESONf
f s
(Date)
Receipt No. 7_/4 JV6
WHITE-D.D.S.-B.D.- CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE- DEPARTMENT OF DEVELOPMENT SERVICES -BUILDING DIVIS N
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-75 PERMIT NO.
APPLIGAT`I(�N'AND PERMIT ��- 008��
ASSESSOR PARCEL NUMBER (JJ` J` 'J � s . `O _ Q
rY/
ZONIq tZ
BUILD G PERMIT
OWNER
TELEF NE
SO, FT, OCC. BUILDING VALUATION
OWNERS MAILINGADD Ess
CONTRACTOR'S �►IE ^
cam`
T�FfONE
CONTRACTORS ILING ADDRESS I
%'"I (D !� %�- C %t / Cz
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Fling Fee
$ 20,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Penalty
$
SUILDINGADDRESS
PERMITFEE _ ,G3tts
PLUMBINGPERMIT
Filing Fee 20.00
Each Trap
7.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Solar Or heat pump water heater
23,00
/� USEOFSTRUCTURE
SF Er Duplex ❑ Mobilehome ❑ Other
SPECIFY
Water piping
15.00
Each gas water heater or vent
15.00
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
TYPE OF WORK
New ❑ Addition model ❑ Unities ❑ Installation ❑ Other 4B'--
Describe Work: F7
Mobile Home ISI GI W @20.00
PERMITFEE $
Contractor
ELECTRICAL PERMIT Filinq Fee 2 0:0 0
Main Service eoov oR LEss
( 200A OR LESS )
23.00
Main Service ( 200A TO 1000A )
46.00
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. 6O.5-7 -4s
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
NEW CONST. DWELLING OCCUR
OR DNS. ( 8 ACC. BLDS. )
SO.
3.50 FT.
NEW CONST. MULTI -OUTLET
NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POWER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES)
20 Q 1.00
BAL .50
FIXED
EX. Occup. OUTLETS (RES D.)EA )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMITFEE
$
Contractor
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier 5 r>07 )q
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMITFEE
S
Contractor
Policy Number x—®74— ats�aq-�
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 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.
11-17 -—
X
Signature of Applic tr_ ❑ Owner ❑ Conactor Agen p
An OSHA permit is equired for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES
IMP FLOOD
CDF PARCEL PO HD
ISSUE
This permit is hereby issued under the
of the Butte County Code and/or
indicated above for which fees have
By
PERMITEXPIRESON
applicable provisions
Resolutions to do work
been paid.
Date l /0
(Date)
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
039-440-
028- PERMIT#94-2631
:-MARTINEZ,-ROBERTO
720 SKYWAY AVE., CHICO
CONT: FOUR SEASONS ROOFING
REROOF PATIO AREA/SF9e / .
OFFICE COPY
Address
GAS
Meter 131=2
y
�
ELECTRIC ��
Meter By �Date .
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541E`RMIT NO.
40 APPLICATIO AND PERMIT / �" �
ASSESSOR PARCEL NUMBER
039-440-028
ZONING
SR1
'BUILDING PERMIT
OWNER
ROBERTO MARTINEZ
TELEPHONE
SQ. FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS`8
0 1 CHICO 95928`
so
CONTRACTOR'S NAME
FOUR SEASONS ROOFING
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
2358 MOYER WAY, CHIC0 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20,00
Permit Fee $
15.00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 720 SKYWAY AVENUE. CHICOPERMIT
FEE $
35.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
`
Solar or heat pump water heaterJ@2
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
Each gas water heater or vent
USE OF STRUCTURE
SF Duplex O Mobilehome O Other
SPECIFYTYPE
Gas piping system 1 - 5 outlets
Building sewer
Mobile Home S G W
OF WORKPERMIT
New O Addition ❑ Remodel O Utilities O Installation ❑ Other �1
Describework: REROOP ENCLOSED PATIO AREA >M ROLL
FEE
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service ( BOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( a ACC. OLDS. )
s0,
3.50 FT.
NEW CONST. MULTI -OUTLET
.NON-RESID. 1 BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business 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 compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
Cil, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
C)I am exempt under Sec. Business and Professions Code
forthis reason
( POW ER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
SAL. .60
Ex. Occup.FI%ED APPLNS. OR
(OUTLETS (RESID.) EA. )
5.00
Temporary Service
' 23.00
Mobile Home Facilities
20.00
Misc. Wiring
2
3.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ 1 have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
ICertificate of Consent to Self -insure.
*1 shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I have read this application and state that the above information is correct.
1 agree to comply to all Butte County Ordinances and California 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.
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 against said
County in consequence of the granting of this permit.
✓�� L6
X /��K.yr� '
/C�/j Date �" �0 `/
Signature of Applicant - ❑ Owner, Contractor O 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,OC
"AZ.
I D. FEES
IMP
I FLOOD
I CDF
PARCEL PD
HD
ISSUE
This permit is hereby issued under the applicable
of the Butte-Co�,my Code and/or Resolutions
indicated above far which fees ha a been
BY k::Z4�4� (6"ate
PERMIT EXPIRES ON
/Date!
provisions
to do work
paid.
! i
o/
*0
�% %
t/
Receipt No. IlPt/
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISI
7 County Center Drive - Oroville; 4Cafifor"rk95965 - Telephone (916) 538-75 PERMIT NO.
APPLICATION AND PERMIT Z;" ;-)(,o 3/
ASSESSOR PARCEL NUMBER
039-440-028
ZONING
SR1
tUILDING PERMIT
OWNER
MARTINEZ
TELEPHONEROBERTO
go, FT, OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
720 SKYWAY CHICO 95928
-AVE,
CONTRACTOR'S NAME
FOUR SEASONS ROOFING
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAIUNG ADDRESS
Filing Fee $
20,00
Permit Fee $
15.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
720 SKYWAY AVENUE CHICO
PERMIT FEE $
35.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF 00 Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G I W
@20.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other]
Describework: REROOF' ENCLOSED PATIO AREA WITH ROLL
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service I OOOV OR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. )
3.5C FgT0,.
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under peialty of perjury (check one)
❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions rode and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
1, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
❑ lam exempt ender Sec. Business and Professions Code
forthis reason
I POWER APPARATUS )
& SINGLE OUTLET CIH.
Ex. Occup. ( OUTLET OR FIXTURES )
B20AL. @ 1 00
Ex. Occup.FIXED AP PUNS. OR ( OUTLETS (RESID.► EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate cf Consent to Self -insure.
shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
I certify that I hare read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California State Laws relating to
building construction, and hereby authorize representatives of the County of Butte to
enter upon the a:)ove 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 against said
County in cons •auence of the ranting of this permit.
�qyX Date y^
Signature of Applicant - ❑ Own 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 $
DCC
CONST. TYPE
TOTAL FEE $ 35.0
HA2.
I D. FEES
I IMP
I FLOOD
I CDF
PARCEL PD
HD
I ISSUE
This permit is hereby issued under the applicable
of the Bu my Code and/or Resolutions
indicatef above f r whichfee y been
Byk��a
PERMIT EXPIRES ON
(Date)
provisions
to do work
paid.
�r f
f _ _I
Receipt No.
I
WHITE-D.D.S.-B.C. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISIO
7 County Center Drive - Oroville, Gafi#orn& 95965 - Telephone (916) 538-754 ERMIT o.
APPLICATION AND PERMIT _44-
ASSESSOR PARCEL NUMBER 19-440-028
WILDING
ILDING PERMIT
OWNER n
TELEPHONE
345-0116
SQ. FT, OCC. BUILDING VALUATION
OWNER'S MAKING ADDRESS
790 SKYWAY
CONTRACTOR'S NAME
TERRY EATIFY
TELEPHONE
589-3907
CONTRACTOR'S MAILING ADDRESS
PO BOX 794 QJRQyTT,T,F,
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS
720 SKYWAY AVE
PERMIT FEE $
1
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF ] Duplex O Mobilehome O Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New O Addition O Remodel Cl Utilities 1:1Installation O Other O
Describework: UPGRADE PANEL
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
(FIRE DAMAGE)
Main Service ( 200A OR LESS 1
23.00
Main Service , 200A TO 1000A 1
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. I & ACC. BLOS. 1
g
3.50 FT,O,
NEW CONST. MULTI -OUTLET
•NON.RESID. ( BRANCH CIRCUITS I
@7.50
CONTRACTORS LICENSE LAW
I d re under penalty of perjury (check one)
am a licensed under provisions of Chapter 9, Division 3 of the Business and
Professions Code and my license is in full force and effect.
License No. #1/ is ( Classification 0--f 19
O I, as the owner, or my employees with wages as their sole compensation, will do
the work, and the structure is not intended or offered for sale. (Sec 7044)
O I, as the owner, am exclusively contracting with licensed contractors. (Sec 7044)
O 1 am exempt under Sec. Business and Professions Code
forthis reason
( POWER APPARATUS 1
& SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES 1
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPLNS. OR
(OUTLETS (RESID.) EA. 1
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
O This permit is for $100.00 (valuation) or less.
O I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
artificate of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
43.00
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
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 Butte County Ordinances and California 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, costsjAd expenses which may in any way accrue against said
Cou n 'co nsaque e o e anting of this permit.
X Date �"�
Si nature of A cant - Ow er Contractor O Agent
Ari OSHA pe mit is required for excavations over 5"0" deep and demolition
construction of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
ocC
CONST. TYPE
TOTAL FEE $ 43.00
HAZ•
1 D. FEES
I IMP
I FLOOD
I COF
PARCEL I PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code d/or Resolutions to do work
above whic feehave been paid.
Date
ES ON
IDarel
Jindicated
Receipt No. 170678
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD-APPLICAERMITEXPI
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center. Drive - Oroville, California 95965 - Telephone (916) 538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
zON
BUILDING PERMIT
OWNEREPHONE
/
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDR n y0 S� , /
rJ—(/ lel
CONTRACTOR'S NAME
\`II
TELEPHONE
`
CONTRACTOR'S MAILING' �- j /;
i (`� 0 K_
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Ening Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS72/
PERMIT FEE $
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00
USE OF STRUCTURE
SF/ Duplex O Mobilehome ❑ Other
SPECIFY
Gas piping system 1 5 outlets
15.00
Building sewer
15.00
Mobile Home S G W
@20.00
TYPE OF WORK
New ❑ Addition O Remodel ElUtilities ❑ Installation ElOther O
Describe Work: -�/
PERMIT FEE $
Contractor
ELECTRICAL PERMIT
Filing Fee 20.00
"
Main Service ( 'VOR LESS )
200A OR LESS
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLINGOCCUP.
OR ADDNS. ( & ACC. BLOS. )
SO
3.50 FT.
NEW CONST. MULTI -OUTLET
.NON.RESID. ( BRANCH CIRCUITS )
@7.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one)
❑ 1 am a licensed under provisions of Chapter 9, Division 3 of the Business 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 compensation, 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 contractors. (Sec 7044)
❑ I am exempt under Sec. Business and Professions Code
forthis reason
( POW ER APPARATUS )
6 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. .50
Ex. Occup.FIXED APPLNS. OR
(OUTLETS IRESID.I EA. )
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
WORKER'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ This permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Dept. of Development Services,
Building Division a Certificate of Workmen's Compensation Insurance or a
Certificate of Consent to Self -insure.
❑ [shall not employ any person in any manner so as to become subject to the Worker's
Compensation laws of California.
Notice to Applicant: If after making this statement, should you become subject to the
Worker's Compensation provisions of the Labor Code, you must forthwith comply with
such provisions or this permit will be revoked.
PERMIT FEE $
L� 1 O
Contractor
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE $
Contractor
certify that I have read this application and state that the above information is correct.
I agree to comply to all Butte County Ordinances and California 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.
X Date
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
101ST. Tres
TOTAL FEE $
HAZ.
I D. FEES
IMP
f FLOOD
I CDF
P RCEL
PO
HD
ISSUE
This permit is hereby issued under the applicab;e provisions
of the Butte County Code and/or Resolutions !o do work
indicated above for which fees have been paid.
BY Date
PERMIT EXPIRES ON
[Date)
Receipt No. /v�J
WHITE-D.D.S���j A ESSOR PINK -INSPECTOR GOLDEN ESSOR PINK•INSPECTOR GOLD ENROD•APPLICANT
PAGE -S OF
CDF / BCFD DAILY INCIDENT LOG
L> - DAY/DATE TO 0800
INCA PIA #
A 8T TIME
LOCATI N:"101 t
CAUSE:. �v7
/bAMAGE! 't�51 /
0
*4**4***4*iil
1•IIJV":
* * * * * * * *
V WNER TEN NT WRA.,
R P -macML - O 13Z. B I {3
MISC.:
j�
000. FIDE # NAME 1 Y E
WoRtflMEALln, STARTTIME CONiRQLJIME R.O. . STA:
LOCATION- . %TA : Z Ont.
v
PERMIT NO. 2055786B,E
PERMIT EXPIRES-
OWNER
XPIRES OWNER FRED COENSGEN
i
CONTR. owner
ASSESSOR PARCEL 39-44-28
LOCATION 720 Skyway Ave; Chico
i
d
�.I
Temp. Power Pole
Called PG&E
Temp. Elec. Service
i;
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALE[
Signature
J'= 'OK _
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS ''. '' 1,
Date
MOBILEHOME UTILITIES (Plans) OK except k;s
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK'except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -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.-R(g.-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 N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date `
POOLS (Plans) OK except q's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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 Iboards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
F
J = OK
0 = Not OK
Not ARplicable RESIDENTIAL (Single and Duplex)
} = Not Ready ,
Date UNDERFLOOR (Plans) OK except#'s Date FRAMING Continued
1. Zoning requirements -Setbacks -Easements I . Property Line Firewall & I
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth 49!ETOoors-One 3' -Check Garage -3rd story, 2 exits
3 Ftg., Garage; Soils -Steel- / /" Ftg. Depth
_ 4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10, Water Pipe: Test -Anchors -Regulator -Service Test
IA -Electric; Underground
4Q_-P-tenums & Ducc Clearance -Material -Support -Ins.
13.-Qisdec8-SjJd�-Anchor Bolt -Joists-Vents-Cripples
Card -BI /!/f Date) i2Card-BI Date
CaIT93, Date Card -BI Date
Date PLUMBING (Permit) OK exce s
14. Water Ht.: Vent-Acc s -Combustion Air
15. Water Pipe: Test Anchors -Nail Protection
16. D.W.V.: Test ttngs & Anchors -Nail Protection
17. Shower P . Test, First Floor -Tub Access
18. Test b & Shower, 2nd Floor -Tub Access_
19. Ga Pipe: Size & Anchors
Card -BI Date _ Card -BI Date
Card -BI Date Card -BI Date
Date EECTRICAL Perrnit OK except #'s
2 Fixture & Transformer Clearance -Ins. Protection
1. Elec. Receptacles Spacing -Lights & Switches at Doors
2. Sizex Inse Boxes & No. of Conductors -Stapled---
Romtalled Close to Edge of Studs & C.J.
2 Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
5. 2 Appliance Circuits in Kitchen & C_onductor Size
6. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes _,No
. Service -Riser Conductors & Ground -Main Disconnect _
Equip. Clearances: Panels-Motors-Mech. Equip.
3 Clothes Closet Light -Shower Light - -
�%A,, /
Card B -I D24�/ 1 � Card -Bi Date --
Card B -I Date Card -BI Date
Date MECHANICAL (Permit) OK except #'s
31. A.C. Ducts, Insulation Support _
32. Vent Fan: Exhaust ove Insulation
33. Condensate Or & Overflow; Size _& Grade
34. Furnace-Ve . Access -Comb. Air -Return Air_ Vent -115V outlet _ -
35. Atlic Acc s & Platform if Furnace in Attic
Card -BI
Card -BI Date Card -BI Date Card -BI
Caid-BI Date Card -BI Date _ Card -BI
5G- t ts;-Width-Headroom-Rise-Run-Landing-Fire Protection
52. Siding -Nailing -Veneer
53. Stucco Mesh -Drip Screed-Fdn. Vents-Undertlr. Access
54. Glazing Area -Glass Protection -Skylights -Plastic
65r84ea"alls; Naili
Card -BI 0 ,' Date
Card -BI Date
Gard -BI Date
Date FINA
5&o"E teps-Door & Sidelight Protection -Landings
V/Ismoke Detector
II
-Its F"r^ P encs -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
icing
IIBath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
093 -Stove; Clearances -Hearth
6#.-EI�e-9aNa€s at Wood Panel: Int. & Ext.
I Ix & Appliance; Grnd.-Air Gap poking Clearance
Elec. Outlets & Receptacles at Kit. Counter
moire Door; Swing -Landing -Closer
S&_ A,G_9ucLitLGarage-Damper i
69 W;r W entS-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
14r-•P4b:-Q,ec. & Mech. Equip. Listed for Location
Receptacles in Garage; (G.F.I.)-Romex Protec.
uTaPion-Foam-Looked in Attic ❑Yes
. uarai & Deck Construction -Post Caps
74. - rainage & Wood -Earth Clearan e/
_ Loo d -under Floor es _
7 ollowing instld. ive ❑ No; Walks es ❑ No;
P rs s ❑ No
7 Stucco; wn-Finish Z
.7-�s A[7fiit; Disconnect-Clrnces-Brkr & Cond. Size -115V Outlet
Ter-dVII-M Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79�WzrtecWell; Disconnect, Electrical, Plumbing
BtTfD,t6ior Elec. Trim; G.F.I. Receptacle -Underground
S Ven 'lation throughout House
&olllas Protection -- -
8 orrec ' ns from Previous Inspections j1
est -Meters Tagged; Gas -Electric
& Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date FRAfyytlfG(Plans) OK except #'s
3 SiI s; Proper Material & Anchors
3 a•Ils. Studs -Nailing, Spacing & Bracing -Plates -Sound
3$,/3earing Walls over Girders & Floor Nailing
�9--BiafPStop in Walls (rat proof)
_yQ_F- e•Stops. Furred Ceilings-Stair_s_-Chases-Tub
ager & Beam -Size & Bearing
4'angers-Post Caps -Anchors -Connectors
4Q. Cing. Joist-Rfti. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring.
fireplace Ties or Type A Flue -Fireplace Throat
Date®// j `/ (79rd=BI Date
Date Card -BI Date
Date Card -B1 Date
Com rents at Final:
45 AIIi.c-Access. Size & Romex Protection -Draft Stop -Ins. Baffles
46-•BVrtrr;%Windows or Exiting Doors -Sill Hgl. & Dimensions
arage Fire Protection Framing
(NOTE An entry must be made each time you visit job site)
Card -BI
Date
Card -BI
Date
Card -BI
Date
5&o"E teps-Door & Sidelight Protection -Landings
V/Ismoke Detector
II
-Its F"r^ P encs -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
icing
IIBath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
093 -Stove; Clearances -Hearth
6#.-EI�e-9aNa€s at Wood Panel: Int. & Ext.
I Ix & Appliance; Grnd.-Air Gap poking Clearance
Elec. Outlets & Receptacles at Kit. Counter
moire Door; Swing -Landing -Closer
S&_ A,G_9ucLitLGarage-Damper i
69 W;r W entS-Clearance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
14r-•P4b:-Q,ec. & Mech. Equip. Listed for Location
Receptacles in Garage; (G.F.I.)-Romex Protec.
uTaPion-Foam-Looked in Attic ❑Yes
. uarai & Deck Construction -Post Caps
74. - rainage & Wood -Earth Clearan e/
_ Loo d -under Floor es _
7 ollowing instld. ive ❑ No; Walks es ❑ No;
P rs s ❑ No
7 Stucco; wn-Finish Z
.7-�s A[7fiit; Disconnect-Clrnces-Brkr & Cond. Size -115V Outlet
Ter-dVII-M Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79�WzrtecWell; Disconnect, Electrical, Plumbing
BtTfD,t6ior Elec. Trim; G.F.I. Receptacle -Underground
S Ven 'lation throughout House
&olllas Protection -- -
8 orrec ' ns from Previous Inspections j1
est -Meters Tagged; Gas -Electric
& Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
Date FRAfyytlfG(Plans) OK except #'s
3 SiI s; Proper Material & Anchors
3 a•Ils. Studs -Nailing, Spacing & Bracing -Plates -Sound
3$,/3earing Walls over Girders & Floor Nailing
�9--BiafPStop in Walls (rat proof)
_yQ_F- e•Stops. Furred Ceilings-Stair_s_-Chases-Tub
ager & Beam -Size & Bearing
4'angers-Post Caps -Anchors -Connectors
4Q. Cing. Joist-Rfti. Ties-Purlin-Root Brac.-Truss-Shthng.-Ring.
fireplace Ties or Type A Flue -Fireplace Throat
Date®// j `/ (79rd=BI Date
Date Card -BI Date
Date Card -B1 Date
Com rents at Final:
45 AIIi.c-Access. Size & Romex Protection -Draft Stop -Ins. Baffles
46-•BVrtrr;%Windows or Exiting Doors -Sill Hgl. & Dimensions
arage Fire Protection Framing
(NOTE An entry must be made each time you visit job site)
Owner: Permit No.
ENERGY C -E R T I F ICAT ION
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material.
Thickness(inches)
EXTERIOR WALL
Material_
Thickness(inche gY��
CEILING
Batt or Blanket Type_s
Thickness(inches) Z5 h
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED `
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal°Resistance (R Value)
Brand Name Vka y,UQ
Thermal Resistance(R Value)
l
Brand Name MaA^4 kc,
Thermal Resistance(R Value) a
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name Mm,✓v; �(e
Thermal Resistance(R Value) 9/
Brand Name
Thermal.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 RM /OWNER STATE CONTRACTOR'S LICENSE NO.
SIG TURF OF INST LATIO APPLICATOR 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
svecifically avuroved by the State of California.
FI NAME R (P1 se print) STATE CONTRACTOR'S LICENSE NO.
STURIE OF GENERAL CO CTOR 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
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
S -
w
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.
4tom T, o,
Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
� ems. �,sce� ac�sS-filo
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.
s '
4 c -r, --f5 /it iv�s t-.�-rt e
-:Jnr,.e- jou. uirw �/S G U CO h Puce
e'c� d e -o /Nth
.4%4 • 'D n. S/ GI' r w h
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 A.4-1
APPLICATION AND PERMIT v .
ASSESSOR PARCEL N MBER.
ZONING
LA.
BUILDING PERMIT.
OWNER
TELEPHONE
SO. FT. OCC.1 BUILDING VALUATION
C-C7LI �
J �I Q • 0 D
OWNER'S MAILING ADDRESS
V
CONTRACTOR'S NAME.
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
N06-0—
UNKNOWN
Total Valuation $�
3 70 00
FilingFee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 90
ARCHITECT OR ENGINEER VEER
,\V O
LICENSE NO.
Plan Checking Fee
.$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS'l
V V
Permit fee
$ aZ , S'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water hea r
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater o vent
5.00
USE OF STRUCTURE
SF2�_ Duplex❑ Mobilehome❑ Other
- SPECIFY
Gas piping system 1 Y6 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition[] Remodel Utilitieso Installation ❑ Other [JPermit
Describe work: C C j2000, ��_
Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the BusinessPOWER
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. D E LING oCcuP.y ,
OR ACDNS. (ACC. BLDGS. /z ¢sq ft
NEW CONSTR. RANCHUTLET 2.50 ea
NO N.R ESID BRANCH CIRC ITS
APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 2L SOC
eAeao
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. �Yirin 15.00
9
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
-XJ to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
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.
I also agree to save, indemnify and keep harmless the County of Butte against
all liab'litIes' judgments, costs, and expenses which may in any way accrue
against aid C unty in :o equence of the granting of this permit.
X Date %'- 22 -is/
Signa re of Applicant - Owner Contractor ❑ Agent ❑
i. SHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over a stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30 , b0
TOTAL PERMIT FEE $
occuP.
CONST.TYPE
FLOOD
ARCEL
PD
HD
._
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC PU9&;1IRKS
B
PERMIT EXPIRES Date '
the applicable provi-
resolutions to do
fees ave been paid.
Date
,
Receipt No. �d y
WHITE-O.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE;= fNLir `'VIA 95965 - TELEPHONE: 916/534-4541
PERMIT APPLICATION DATA SHEET
Proposed Building Use
Permit No.
A. P. No. 39'-</`/" �7
t
t OI N W 1 wA, P,-.
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector R, e 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
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. CUSD "Fees Paid" Stamp on Floor Plane. . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings. . . . .
8. Fees of $
9. Letter of signature authorization. . . . . . . . . . .
10. Sanitation approval from Health Dept. .
11. Planning approval for (A) Use: �' (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
Owner -Builder Verification (Given to owner, Mail to owner
5. Improvements may be required. . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . • .
17. Pre -Inspection for Required- BuilPre-ding
request to (Dote)
p q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement . ._
19. Other Driveway permit (const. appro� al required prior to occupancy)
When ou issue the permit, process as follows: Mail to. owner. Mail to contractor. f
Telephone �`�5 ���� and hold for pickup atCki ro office. Deliver w/inspector.
nth-.
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 a im f application, circle item.)
1. Index permit for above Items No.
2. Additional items required: ��,
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By ` Date
Plans checked by Date
Plans approved by vDate`-3e- /-
Other: 0C-0IVk&-,S PL *d O/L) F1 C,/"
Copy -DPW
i6
J
1rcl4 Rrsfed Q yoA _
86 416 se St
---- - ----- -
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Will b e ro vrcjod 6 y m2es elf" a hd my Imm a diato- f nl;lV.
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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 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) Ye.0
2. I (have/have not) &V e, 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" ��1!
Address 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
-1(� E
. C
Signed:
Property Owner 0
Social Security Nu ber f
Date `Tq
1 14
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.
-9 9—yd/ ,z /
a
w_ ,
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT N0. .'�05� 86 PACKAGE "A" (Additions)
NAME
JOB ADDRESS
• TYPE OF WOR
INSTALLED
K 4L)F..._ .
FORM 7
SQUARE FOOTAGE
Existing Residence
New Addition %8
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 dwellings include room additions, .converti'ng garages and patios to living
areas, house moves that add footage 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 16
APPLIES TO NEW AREA
CEILING. v-30 R-30 R-38
&ALL R-11 R-11 _ R-19
1/fLOOR R-11, R-11 R-19
SLAB R- 7 R-11 R- 7
t, LAZING ,65 .65 .65
SHADING
vSOUTH --OPTIMUM OVERHANG
or .36 S,C,
_AeST .36 S.C.
to-60SE FILL INSULATION (Density)
�4FILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UMC - Ch, 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
ZIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
z
f.
*1 HEATING. VENTILATING.AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
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
crientation collector tilt rated y -intercept
rated slope
❑ Other
(describe)
*1 (B) Cooling
❑ Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑ Electric Heat Pump
Btu/hr
El
EERY
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ (4) 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)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
❑ Location of Solar Panels
❑ Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form X64) or other -approved methods, section 2-5352(8), and fill out the
following:
Heating: Winter design temperature °, elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU
Cooling: Summer design temperature 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 C de.
i
SIGNATURE OF BUILDING DESIGNER APPLICANT
i
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