HomeMy WebLinkAbout040-240-027Francis Fultz ` _yd'�y,..2.7
2414 Serviss St., lot 13, Ricketts Sub,
'Durham
Aeontr: Lou Thacker, Chico
-Permit #2603-81B,P,E,/M(new single
family) Lf f
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Contr: Lou Thacker 1e addYio.Permit1#173.7�84B.,.E,(garag _.��
t.
.A; FULTZ
[2420
40-24-27
Serviss St,
Durhamrmit#904-88B(reroof
repai�Sl/
i 040-240-027
FULTZ, F. A.
93-195
2420 SERVISS ST., DURHAM I
CONTR : JOHNSON ROOFING. CO`
(REROOF/SFj
040-240-027
PERMIT#94-2392 -fes
FULTZ, F.A.
2414 SERVISS ST.,
DURHAM?v 7 %�
SHEETROCK,INSUL'ATE
& ADD SINK/GARAGE
nan_')an_m�
03
FULTZ, BUD
2424 SERVISS ST, DURHAM Vit(
Cont: GLENN SCHUKEI CO
RE -ROOF
SD4PS0N;' 1.8`ster C. 865-67B', "764-,67B
3 - 811-67E w 1224:-67B*
988-67E***
=40-24-27
352 Serviss St., Durham
(new detached garage) (-`reroof
7 ( "'.,*Convert
g-67 ar e to liv:
9 a
area) 1.txo
C!
MOM
-1350
Ojq�2�9 027,W*
FULTZBUD
.24� �ERYISSST DURHA
Cont
GLENN SCH
RE -ROOF—
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BU,I ING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (53 ) 538-7541 PERMIT No.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
U4U-24U-UZ7
ZONING
BU I LDI NG P ERM IT
OWNER
FULTZ BUD
TELEPHONE
8s1-8 8
SO. FT, OCC. BUILDING VALUATION
20 AR 1s200,00
- OWNERS MAILING ADDRESS
P.O. BOX 432 DURHAM CA 95954
CONTRACTOR'S NAME
GLENN SCHUKEI CONSTRUCTION
TELEPHONE
343-6 20
MAILING ADDRESS
25 AMBER WAY CHICO CA 95926
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $ 1.200.00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 29.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
4.4 4 °JERVISS STREET DURHAM, CA 95954
Energy Plan Checking Fee $
$
PERMIT FEE $ 49.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF O Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Unities ❑ Installation ❑ Other t9
Describe Work: RE R0(* WITH COMP
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile HomeS G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service zo.A OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full orce and effect. �J J y�
License Class Lic. No. 42C)
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.
❑ I am exempt under Sec. Business and Professions Code for this
reason
Main Service 200AL TO 46.00
NEW CONST. DWELLING OCUP. SO
CCU
OR ADDNS. ( a ACC. BLDS. 3.5QFT.
ppµq°ID. MUL O;. Z.ET 97.50
PDWEA APPARATUS
8 SINGLE OUTLET CIR.
OUTLET OR FUTURES
Occup. 20 @ 1;00
Ex. Occup. GFIxxEEDA A¢DOE,, 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE i
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.
�O- 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' compensatioQn insurance carrier and policy number are:
Carrier S-1 +4{ I'r✓h
Policy Number 1 'x,— U Q 4.)0-t 77W_i__
(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 p ovisions.
`
X _ •�-� Date �" �3
Signature of Applicant - ❑ Owner >I Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructi
of structures over 3 stories in he' ham.
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST. TYPE
TOTAL FEE $ 49.00
HAZ.
I D. FEES IMP
I FLOOD
I CDF
PARCEL
I PD
I 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 V%i I►1/1-1 /t` X T Date, 5
PERMIT EXPIRES ON
' (Dale)
Receipt No. 3% % 4 3 y' U
WHITE-D.D.S.-B.D. CANARY -'ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
y COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT / 3�5 D
ASSESSOR PARCEL NUMBER
040-240-027
ZONING
BUILDING PERMIT
OWNER
FULTZ BUD
TELEPHONESO,
891-8118
Fr, OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
P.O. BOX 432 DURHAM CA 95954
20 S ARES
1,200.00
CONTRACTOR'S NAME
GLENN SCHUKEI CONSTRUCTION
TELEPHONE
—6020
CONTRACTORS MAILING ADDRESS
25 AMBER WAY CHICO, CA 95926
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
1 200.00
ARCHITECT OR ENGINEER
LICENSE NO.
—Filing Fee
$ 20.00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Permit Fee
$ 29.00
Plan Checkin Fee
$
quly T4DDSERVISS STREET DURHAM; CA 95954
L4l(�
Energy Plan Checking Fee
$
$
PERMIT FEE
$ 49.00
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 1 20.00
USEOFSTRUCTURE
SF N Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat um water heater
1 23.00
Water piping
1 15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other IN
Describe Work: RE ROOF WITH COMP
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home IS I GI W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service s*OY OR LESS
zoOA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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. / /� —� ^�
"T.?
License Class Lic. No. � &S w
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
06-1 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' compensatio 'insurance carrier and policy number are:
Carrier
Policy Number K 7341
(The above sections need notbe completed ifthe permit is for work of evaluation
of one hundred dollars ($100) or less.)
111 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
fotih�q(ith co y with a pr visions.
X («� % Date �� �9�
Signature of Applicant - ❑ Owner Alcontractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or constructio
of structures over 3 stories in hei ht.
Main Service 20" TO 1000A 46.00
NEW CONST. DWELLING OCCUP. SO
OR ADDNS. ( & ACC. BLDS. 3.50FT.
� R61DT MULTI -OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDTTURES BAL g IZ
Ex. Occup. ounFrs FIXRESM.OE. 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEL: $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTAL FEE $ 49.00
HAZ.
D FEES IMP
I FLOOD
I 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.
a Date
PERMIT EXPIRES ON
r Del
Receipt No.
WHITE-D.D.S.-B. D. CANAR SSOR PINK -INSPECTOR GOLDENROD•APPLICANT
`i��''r:, :RS.'`'s..:'v�; "z:t`w'J-h�arac�•,yfv:'t F..�J1�:,, ,;; :��.ar��, s4:y�r�";.;yr,>~ ki.`�i 7'.1 +
T
1
040-240-027 PERMIT#94-2392
FULTZ, F.A.
2414 SERVISS ST., DURHAM
SHEETROCK,INSULATE & ADD SINK/GARAGE-
?
7
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541n � ERMIT NO.
APPLICATION AND PERMIT of
ASSESSOR PARCEL NUMBER 040-246,027
R3 ZONING
.
BUILDING PERMIT
OWNER $.- I•>`
FA FULTZ
TELEPHONE -
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS000
PO BOX 432 itss
n
•
CONTRACTOR'S NAME
OWR
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee $ 20.00
Permit Fee $ 25/00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee $
Penalty $
BUILDING ADDRESS 9414 SERVIRS ST
PERMIT FEE $ 45.00
�•
PLUMBING PERMIT Filing Fee 20.00
Each Trap 7.00
Solar or heat pump water heater 23.00
LOT NO.13
SUBDIVISION'S NAME RI�y1�y1�i�1,nS
x L
PARCEL MAP
Water piping 15.00
Each gas water heater or vent 15.00 15.Q0
USE OF STRUCTURE
SF Z'] Duplex ❑ Mobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00 • UU
Mobile Home S G I W @20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities ElInstallation ElOther ❑
Describe Work: SHEET ROCK & INSULATE GARAGE &
ADD SINK
PERMIT FEE $ 50.00
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
Main Service ( 11*1 OR LESS 200A OR LESS ) 23.00
Main Service ( 200A TO 1000A ) 46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS. g
) 3.50 ST".
CONTRACTORS LICENSE LAW
I 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
ArI, 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)
❑ lam exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
.NON-RESID. ( BRANCH CIRCUITS ) @7.50
POWER APPARATUS
( & SINGLE OUTLET CIR. )
Ex. Occup. ( OUTLET OR FIXTURES ) 20 @ 1.00
RAL. .50
Ex. Occup.FIXED APPWS. OR
(OUTLETS IRESID.1 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.
❑ 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
(Certificate of Consent to Self -insure.
rIn 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.
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.
1 also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs and exp'e. ses which may in any way accrue against said
Coun s uen t e gra fIn of his permit.
X Date �" �~
Signature of ApplicantA.Ownp .. 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 $
TA
Coll T PE
(��V
TOTAL FEE $ 9500
•
HAZ.
"""
D. FEES
'"�
IMP
RLP0
v
CDF
PARCEL PD
HD
siSS
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 �.�`�'1AZ t Date `)4�
Date PERMIT EXPIRES ON �
!Date! '
Receipt No. 167528
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
J}
COUNTY OF BUTTE -DEPARTMENT OF'.DEVELOPMENT SERVICES -BUILDING DIVISION
7 County Center Drive - OUoville, California 95965 - Telephone (916) 538-7541�� NO.
APPLICATION AND PERMIT �-
ASSESSOR PARCEL NUMBER 040-240-027
ZONING
R3
BUILDING PERMIT
OWNER
FA ETILTZ
TELEPHONE
1
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
PO BOX 432 DURHAM, 95918
1,000.00
CONTRACTOR'S NAME
OWNER
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 20,00
Permit Fee
$ 25/00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
2414 SERIZISS ST
PERMIT FEE $ 45.00
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
Solar or heat pump water heater
23.00
LOT NO.SUBDIVISION'S
13
NAME
RICKETTS
PARCEL MAP
Water piping
15.00
Each gas water heater or vent
15.00 15.00
USE OF STRUCTURE
SF] Duplex ElMobilehome ❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00 15 .00
Mobile Home S G I W
@20.00
TYPE OF WORK
New O Addition ❑ Remodel ❑ Utilities ElInstallation ElOther ❑
Describework: SHEET ROCK & INSULATE GARAGE &
PERMIT FEE $ go, oo
Contractor
ELECTRICAL PERMIT Filing Fee 20.00
ADD SINK
OR LE S
Main Service ( OOA'OVORLESS )
23.00
Main Service ( 200A TO 1000A )
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLOS. )
SO,
3.5C FT.
CONTRACTORS LICENSE LAW
I 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.
cense No. Classification
.4 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)
ElI am exempt under Sec. Business and Professions Code
forthis reason
NEW CONST. MULTI -OUTLET
-NON-RESID. ( BRANCH CIRCUITS )
@7.50
( POW ER APPARATUS )
8 SINGLE OUTLET CIR.
Ex. Occup. ( OUTLET OR FIXTURES )
20 @ 1.00
BAL. 0 .60
Ex. Occup.FIXED AP"S. OR
( OUTLETS IRESID.1 EA. )
5.00
Temporary Service
ry
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 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
$
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.
I also agree to save, indemnify and keep harmless the County of Butte against all
liabilities, judgments, costs and exp ses which may in any way accrue against said
Coun ue o e gra in of his permit.
X Date a —� 7"
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 $
coN Tj
✓
TOTAL FEE $ 95.00
HA?.
I D. FEES
IMP
I FVCOF
PARCEL PD
HD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
D;ate 7
F /
thare)
Receipt No. 167528
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
•'•'\ Y r'+`r'++:..clr'f -. �: .�r11�('1 •'1+.� M' ... �_ 'hP'YR ..
,,,, ''... �...�.�+rh y, ♦�..w �yiyw.,,,:,.... •• '� " �.''�'rM+r•Y�'Y.+lt^�"s�`Y'•i�r'^'�•+r.... .
Avo
J -a
COUNTY'OF BUTTE - DEPARTME O;Fb'EVELOPMENT SERVICES - BUILDING DIVISION
, / � /
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA95965 -TELEPHONE (916) 538-7541 w ,�
I 7
PERMIT APPLICATION DATA SHEET
,-
��
OWNER A. P. No. C O
Proposed Building UseC, Building Inspector Date
i
At time of permit application, I was advised the following data must be submitted prior to, permit processing and/or issuance:
DATE RECEIVED BY
1. All items have been submitted . .........................................
2. Plot plans, 3/4 sets, signed by preparer of plans . ..........................
3. Complete plans, 3/4 sets, signed by preparer of plans . ......................
4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . .............
5. Hazardous Material Form . ................ -...........................
6. Energy Design Compliance and supporting documentation . ..................
7. Statement of Intent for Non -Heated and A/C Buildings . ......................
8. Engineered truss details and layout in duplicate (required prior to plan check). ....
9. Mobilehome data and manufacturer's installation instructions, 2 sets. ...........
10. Fees of $ ..........................................
11. Impact fees as shown on attached schedule . ............................. .
12. California Department of Forestry plan approval/fees. ....................... .
13. Flood elevation letter (100 year flood) by California Engineer. .
,Q? -14. Sanitation and plot plan approval 614160 Health Department . ............
15. City of Chico plumbing permit . ........................................ .
16. Plot plan and business license approval from City of Biggs/Gridley. .............
17. Planning approval for (A) Use: (B) Parking: . .........
18. Contact Land Development about (A) Improvements (B) Drainage. .......... .
19. Driveway permit (construction approval required prior to occupancy). ... .
Fred nspedion requet
20. Pre -inspection for required. .. to Building Inspector (Date)
21. Contractor's license information. (No., Name Style, Classification) . ..............
22. Certificate of Workmans Compensation Insurance . ..........................
23. Owner -Builder Verification (Given to owner , Mail to owner _). ... .
24. Recorded copy of Agricultural Acknowledgement Statement . ...................
25. Letter of signature authorization . ........................................
26. Copy of recorded deed of parcel creation -and 60 right of way to a public road. .... .
27. Letter of intent on building use . .........................................
28. Mobilehome utility clearance. . !....................................... .
29. Documentation of legal access . ..................... :..................
30. Documentation of 50% subdivision developed or (A) Road improvements completed
and (B) Parcel meets zoning area and frontage requirements . ...............
31. Existing violations/expired permits . ......................................
32. Plan check list . .....................................................
33.
34.
When you issue the permit, process as follows: Mail to owner. -Mail to contractor. -
Telephone and hold for pickup at office. Deliver with inspector.
Other
Parcel Creation
Acreage Applicant Date
Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date
Copy of plans sent Health Dept. Fire Dept. Other Date . By
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by _ phone _ mail Counter by _ Date
Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou y _ Date
Plans checked by Date Plans approved by� Date v�%9
Sets of plans on hold in File cabinet AP folder
Copy - Department of Public Works
TO: BUilding Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance
ILILL us 11N .
111ol Phan AIIaelied
sFml hl 11,1),
'•
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply: Public Private Well
Clearance for
bedroom mobile home. Other
Hold final for:
Final clearance O.K. for:
NOTE:
Envi onmental Health Specialist Date
8/92
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040-240-027 `"93-1954 B
FULTZ, F: A.
2420.SERVISS ST.; DURHAM
CONTR: JOHNswN R00FING CO
(REROOFLSF) c
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040-240-027 `"93-1954 B
FULTZ, F: A.
2420.SERVISS ST.; DURHAM
CONTR: JOHNswN R00FING CO
(REROOFLSF) c
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County Center Drive * OrovIIT, Gaff a 95965 - Tel,ephone 91,6.538-7541
APPLICATION;AND PERMIT
ASSESSOR PARCEL NUMBER
040_240-027
ZONING.
R-3
- -
BUILDING PERMIT
OWNER
F Fultz
TELEPHONE
891-8118
SO. FT. OCC. BUILDING VALUATION
27 @ 60 1 620.00
OWNER'S MAILING ADDRESS
P.O. Box 432 Durham 95938
CONTRACTOR'S NAME
Johnson Foofinjq Co.
TELEPHONE
894-5507
CONTRACTOR'S MAILING ADDRESS
2925 Burnap Ave. Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$19620.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $33.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $ _
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee $ 48.00
PLUMBING PERMIT Filing Fee 15.00
2420 Serviss St., Durham
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
14
SUBDIVISION NAME
Ricketts
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF [I Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition J Remodel ❑ Utilities ❑ Installation E] Other]
Describe work: Reroof W/COmp• _
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 20000AA OR LESS 18.50
2OR LESS
Main service 200A TO 1000A,
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 force and effect.
License No. Classification
El 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)
wo� 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
_37.50
NEW CONST.( DWELLING OCCUPM 3.60 sq.ft.
OR ACDNS. ACC. BLDGS. /
NEW CONSTRESID. RANCH TLET
5.00
NON -R ESID BRANCH CIRC ITS @ I
CIRCUITS)
POWER APPARATUS 8'
(SINGLE OUTLET CIR.
20 764
Ex. Occup(OUTLETS OR FIXTURES dAL_ 464
FIXED APLNS.
Ex. Occup. OUTLETS PIRESID IREAJ I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Q 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 Filing Fee 15.00
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 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 liabilities, judgments, costs, a94 e p ses which may in any way a crue
againoofdO
,Nliltqprr jpoeotequen granting of this permit p
X Date o� / -
Signature of Applicant — Owner � Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $48 Op
•
HAz
1 11 FEES I
IMP
I FLOOD
I COF
I PARCEL
I PO
HO
ISSU
This permit is hereby issued under the applicable provi-
sions of he Butte County Code and/or resolutions to do
�,Of
or which eek' have been paid.
DIOPUD WORKS
work indl�CateV,�,,Xm
/4 B Date / i
PRM EXPI • S Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
V/
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
J 7 County Center Drive - Oroville, Clfc�;ji'45965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
040-2 -
ZONING
_
BUILDING PERMIT
OWNER
TELEPHONEp
891-811(7
SQ. FT. OCC. BUILDING VALUATION
27 60 1,620.00
OWNER'S MAILING ADDRESS
P.O. Box 432 Durham 95938
CONTRACTOR'S NAME
Johnson Foofin Co.
TELEPHONE
894-5507
CONTRACTOR'S MAILING ADDRESS
2925 Burnap Ave. Chico 95926
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation 1$1,620.00
Filing Fee
$ 15.00
LENDER'S MAILING ADDRESS
Permit Fee
$33.00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 48.00
PLUMBING PERMIT
Filing Fee 15.00
2420 Serviss St, Diirham
Each Trap
5.00
Solar or heat pump water heater
20.00
LOT NO.
14
SUBDIVISION NAME
Ricketts
PARCEL MAP
Water piping
7.00
Each pas water heater or vent
7.00
USE OF STRUCTURE
SF [:X Duplex[] Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
15.00
Mobile Home S I G I W
@ 15.00
TYPE OF WORK
New a Addition t-1 Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Reroof w/Comp.
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service soov OR LESS 200A 200A OR LESS
Main service 200A TO IOOOA)
37.50
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 force and effect.
License .Jo. 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
Wfor 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 OR ADDNS. CONST. ( ACC. BLDGS. DWELLING OCCUP.&)
3.6Q sq.ft.
NEW CONSTR MULTI -OUTLET
NON -R ESID BRANCH CIRC ITS
@ 5 00
POWER APPARATUS &\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES
20 @ 760
Ex. Occup. FIXEDOUTLETS P(RESID )REA.I
I 3.00
Temporary service
15.00
Mobile Home Facilities
15.00
Misc. Wiring
g
15.00
Permit Fee
$
—
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
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 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 liabilities, judgments, costs, arick e ses which may in any way a cru e
again a I equen granting of this permit
X i Date
Signature of Applicant — Owner Contractor ❑ Agent E:1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
OCC
CONST TYPE
ITOTAL
FEE 4.q. nn
HAz
DFEES
IMP
FLOOD
CDF
PARCEL
PD
H D
ISSU
This permit is hereby issued under the
slonS Of a Butte County Code and/or
work ' d' ated a or whit ee
DI OF PU C
B
P T EXPI A S Date
applicable provi-
resolutions to do
have been paid.
ORKS
Datlf e
1,4
Receipt No. 143411
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
-
e
F'U t te
nr
,:,i ee
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO. !/
7 County Center Drive - Orovil le,, California 95965 - Telephone: 916/538-7541,1-'*
APPLICATION AND PERMIT
ASSESSOR PAR�C.EEL•NUMBER 7ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC./ BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
,-
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
J
nJ 'en, i.� R. IJ / f _ /Z.
Permit fee
$
PLUMBING PERMIT
Filing Fee 1'0.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFXDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel`0 Utilities ❑ Installation El Other ❑
Describe work: ��0�12rlC/�.-- �'/r_i�
i
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'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 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 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. DWELLING OCCUP.51 YzQSgft
OR ADDNS. ACC. BLDGS.
NEW CONSTR. MULTI -OUTLET
NON-RESID BRANCH CIRC ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES 20950t
e ALR 30
FIXED
Ex. Occup. OUTLETS P(RESID )RE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit 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 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 pid-Gounty nseque ce of the granting of this permit.
_1 X_; � !
X Date
Signature of Applicant — Owner Contractor ❑ Agent Elwork
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
TOTAL PERMIT FEE $
OCcu P,
CONST.TYPEJ
ISCHOOLIFUDODIPAPrILI
PD
I NO
I 1590E
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
indicated above for which fees have been paid.
i
---� DIRECTOR % F PUBLIC WORKS
// J
By, �s) lt.G> r/ Date ��v `l
v
PERMIT EXPIRES Date.'�
,
Receipt No. .
WNITE-D.P.W.. TELLOW-ASSE33ORPINR-INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
P� I ,NO
ASSESSOR PARCEL NUMBER
lx
ZONI
BUILDING PERMIT
OWNER /)
/I-,-
TELEPHONE
SQ. FT. OCC,0 BUILDING VALUAT N
OWWNNNER'S MAILING ADDRESS
; 2
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LE DER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
/G�Y/J/�Gil/9` •Energy
LICENSE No.
Plan Checking Fee
$
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFj�J Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
0.00 en'
TYPE OF WORK
New ❑ Addition Rem del] -Utilities Installation[] Other ❑
Describe work: —
j
Permit Fee
S
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
lc
I declare under pe I of perjury (check one):
F1 am licensed under provisions of Chapt. 9, Div. 3 of the Bu$Ines$
and Professions Code and my license is in full force and effect.
License No. Classification
PC 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 CONST. DWELLING OCCUP. a` ,
OR ANS. AGC. BLDGS. / �Zosq ft
NEW CONSTR. '.OUTLET 2,50 ea
NON.RESID BRANCH CIRC S
POWER APPARATUS e
SINGLE OUTLET CIR.
EX. OCcup(OUTLETS OR FIXTURES 30 DAL0
eAL9so
D APLNS.
Ex. Occup- OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
g
Permit Fee $
Contractor
ORKMEN'S COMPENSATION INSURANCE
I declare and enalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement. -should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
i 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 u t�nseque ce of the granting of this permit.
X Date �i��
Signature of Applicant — Owner ® Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ ,
0CCUP.
CONST.TYPC
SCHOOL
FLOOD
PARCEL
PD
ND
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated abo for which
D E R OF UBLIC
BYQfc4
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�-3e!0-149,8
Receipt No. Z2
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DepaTtmen-t of Public Works
7 County Center Drive, Oroville, CA 95965
OWNER -BUILDER VERIFICATION
Attention Property Owner:
Phone: 916-538-7541
An "owner -builder" building permit has been applied for in your name and bearing
your signature.
Please complete and return this information at your earliest opportunity to avoid
unnecessary delay in processing and issuing your building permit: No building permit
will be issued until this verification is received.
1. I personally plan to provide the major labor and materials for construction of
the proposed property improvement (yes or no)
2. I ave have not) signed an application for a building permit
fo a proposed work.
3. I have contracted with the following person (firm) to provide the proposed
construction:
Name
Address / C'y
Phone ntractors License N % —
4. I plan to provide portion of this work, but I ve hired the fol owing person
to coordinate, supervise/, and provide the majo work:
Name
Address � City
Phone i Contractors icense No.
5. I will provid some of the work. but I ave contracted (hired the following
persons to ovide the work indicate
Name Address Phone / Type of Work
Signed:
Property Owner
Social Secur'ty N ber
Date ��
NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and
19832 of the California Health and Safety Code.
This verification must be completed and returned to our office before we are per-
mitted to issue the permit.
F,
PERMIT NO. 2603-81B,P,E,M
PERMIT EXPIRES 7 // r
OWNER Francis Fultz
CONTR. Louis Thacker, Chico
ASSESSOR PARCEL 40-24-27 +�:� d%� 0 (,<
LOCATION 2414 Servies St.., Durham
hdn 3 kt9
K ..
k.r
5%
4
i
r.
d ,
yy.
Temp. Power Pole
if
a. Called PG&E
Temp. Elec. Service
Called PG&E
1
Temp. Gas Service
��---
Called PG&E
JOB FINALED (Date)
Signature
J OK
O = Not OK
= Not Applicable MOBILEHOMES
= Not Ready
V
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1• Zoning Requirements—Setbacks—Easements
2. Soils; Special MH Support—Sketch
2. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/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.=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 Card -BI Date
Card -BI
_
Date Card -Bl Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements—Setbacks—Easements
Date
POOLS (Plans) OK except #'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/O to Grade—HD Approval
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghtg.
Boxes—Enclosures—Panelboards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch J
10. Cert. of Occupancy
9. Health Department Approval
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
U
J
J
C
9Z
V = OK
O = Not OK
- = Not Applicable
* = Not Ready
'r.
RESIDENTIAL (Single and Duplex)
Date
UNDE LOOK Plans OK except #'s
Date FRAM Continued
Zon' g requirements -Setbacks -Easements
4 . Pr erty Line Firewall & Openings ,r
tg., Main; Soils-Steel-Ele - / /" Ftg. Depth
4 t. Doors -On '-C ck Gara a -3rd tory, 2 e '
Frn Gavage; Soils -Steel- / /" Ftg. Depth
i Stat ; Wi -Hea oom-R -R -Landing- ect' n
Ftg., Porches & Deck eel- / /" Ftg. Depth
5 ywood Overhang Attic V nts=Rafter Outriggers
walls, Main; Ste c rap ed- ab
i Sidin Nailin eneer '
s, Garage; Steel-Blockouts-Wrapped-Slab
- rip Scre d-Fdn. Vents-Underflr. Access
V`ffiers-Fireplpe Ftg -Steel
Glazing Area -Glass Protection -Skylights -Plastic
6b+-Shaacd(a1Js; Nailing -Bolts
D.W.V.: FW -Fi ' gs-T ay C/ Sew est
a Pipe; Size -Anchors
ater Pipe; Test -Anchors -Regulator -Service Test
1. tric; Underground
P enums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -B Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINA lans) OK except #'s
Card -BI Da Card -BI Date
Date
PLUM G (P 0 except p's
5 Ex teps-Door & Sidelight Protection -Landings
5 ke Detector
ter Ht. V Access -Combustion Air
rnace; Vents -Clearance -Comb. Air-Connector-
I arage; Above Floor-Ducts-Mech. Protection
�W r Pipe e - c ors -Nail Protection
41".W
.V ; B t Anchors -Nail P otection Q �
�adfoom Exiting
ower r '
49�1
.I. & Bath Fixtures & Tub Access
est Tub & Shower, 2nd Floo - s
EI . Trim & Subpanel; Breaker Sizes -Labels
1 Gas Pipe; Size & Anchors
tairs & Rails
Fireplace or Stove; Clearances -Hearth
__! r mac. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
Elec. Outlets & Receptacles at Kit. Counter
Date
ELEC CAL Perrrit OK except
ti97—'irarage Fire Door; Swing -Landing -Closer
Duct in Garage -Damper
2txture &Transform ante -Ins. Protection
&012 • Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
b., Elec.& Mech. Equip. Listed for Location
:Receptacles Sp n Lights &Switches oors
S e Boxes & No. o onductors-Stapled
Receptacles
Receptacles in Garage; (G. F.I.)-Romex Protec.
'Insulation -Foam -Looked in Attic [j Yes
R ex Installed Close Edge of Studs & C.J. t -Stec.
quip. Groun a /Mech. Fasteners -Bond Water
Sar-Qtrerd Rails &Deck Construction -Post Caps
2 liance Cr Kitchen &Conductor Size
dn. Vents & Crawl Hool2oPoor-Drainage & Wood -Earth Clearance
Looked under Floor EfYes
or AI-A.C. Wire Size /5;27'/ ga. or At
Range Circ. / ga. r—AI-0 @irc.-�h-7Ta. Cu or AI,
Insulated Neutral QYes r�ff
�5. Following instld.: Drive es ❑ No; Walks es ❑ No;
Planters ❑Yes o
Ser 'ce-Riser Conductors Gr Main Disconnect
--76r--&Wcco; Brown -Finish
2 quip. Clearances; Panels-Motors-Mech. Equip.
A. nit; Disconnect-Clrnces-Brkr. & C. d. Size -115V Outlet
38. G'eIK9 Closet Light -Shower Light
ents Above Roof; Pibg.-Appliance learance to Opngs.
r Well; Disconnect, Electrical, Plum ing
rior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
ntilation throughout House
Card B -I
Date Card -BI Date
ss Protection
Date
M HANICAL (Perrr,it) OK except H's
_
8 Corrections from Previous Inspections
84rfts Test -Meters Tagged; Gas -Electric
1. A.C. Ducts; Insulation & Support
ater & Sewer Connected -C/O to Grade -HD Approval
n; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
_
ondensate Drain & Overflow; Size
urnace-Vent; Access -Comb. Ai Return Air Ve 15V outlet
,49�--Prttt$Access & Platform if Furnac '
Card -BI Dat Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Da
_te >��Card-BI Date '
Card -BI Date Card -BI Date
Date
F A Plans) OK except q's
Comments at Final:
Is; Proper Material & Anchors,
ails; Studs -Nailing, Spacin PI So nd
_
_ _
Walls over GirdersC& Flo i ing
_ring
3 Draft Stop in Walls (rat proof)ti
0. rr Stops; Furred Ceilin s Ch s
_
�_ er & Beam -Size & Beari
4 ngers-Post Caps -Anchors -Connectors
4 J,`/In . Joist -Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnq.
4:1I F' eplace Ties or Type A Flue -Fireplace Throat
_
-_
rc Acc_ess; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
_.
�47e-Fire Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
County of Butte
DEPARTMENT OF PUBLIC WORKS
695 Oleander Ave., Chico — 343-4211, Ext. 70
7 County Center Dr., Oroville — 534-4541
Skyway and Elliott Rd., Par^dise — 877-3435
C®1tRECTION NOTICE
.......................................................................................................................
Building or Property Address
A routine inspection indicates that the following
violations of County Ordinance exist at the above
address and should be corrected. Please notify this
office when correction of work is completed. If you
have any question pertaining to this matter, or need
additional explanation, please contact this office
immediately.
........................................................................................................................
Date.............................. Inspector..........................................................
Do Not Remove This Tog
r ann-Ai
X14 �?
O el
2
OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 76
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-3435
RRECTION®TICE
�C-(4
1bl DING OR PROPERTY ADDRESS
A routine Inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Inspector
r4
0
COUNTY OF BUTTE
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 NOTI
6/ BUILDING OR PROPERTY ADDF(ESS
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.
'G
.L
Inspector, /!, G ��
�� Date
r• ._. -.lr. a ,r"
-J .. t4 .. '.0 S-AAt--
F
r
cl
0 It.
—♦ .-....�..+.—r-...
w. ...... ...�'J aitaY .iU/.i+Y.�i+ir .l+l _ _ -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,'Califorbia 95965 - Telephone 916/534 541
APPLICATION AND PERMIT
ASSE PA C L NU B R
A70' -_7i �J�v'''�
ZON G
I - 3
BUILDING PERMIT '
�jj1 �-'2
AJ6l �fJ C'!/
TypHop��/
SO. F OCC. BUILDI G VAL ATIONy
/�
O . o 0
FjT
VGA"��`��/b
�
O;VEJ iS MA&G, 7 �V
CO/N?UO/�NAM�
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
0 0
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 1 7,,0-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGI EER'S MAILING ADDRESS
Permit fee
$ �rS
BUILDING yrDWs , _
isc—pe ss :,��
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 1067
Repair drainage or vent piping
5.00
7�0 k2A�4
Water piping
5 cc)
1_O/55.
SUBDIVISION NAM
cam-
�l �C��-' J�g •
P>ARCEL M P
/ `9
Each qas water heater or vent
5.00
Gas piping system 1 -5 outlets
,-a,/ USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
E
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New e" / Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$ GO'o
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00 .
Main service 100 AMP OR00V OR LESS5.00
.00
Main service EA. ADO'L 100 AMP
2.50
NEW CONST. DWELLINGOR AO
a 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 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
r� for sale. (Sec. 7044)
IJ 1, 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 CDONSTF- MUL TI-OUc�+�p�7TLET
NON-RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &)
NON-RESID. %SINGLE OUTLET CIR.
Ex. OCCUp OUTLETS OR FIXTURES L�
gA
FIXED APPLNS. OR
Ex. Occup. �OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 7.50
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.
dI 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 0 0 U
tin-" Pa_
Cooling 7, Y7,T
5_Up
Hood
3.00 �, 00
Ventilation
—f+
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to indemnify and keep harmless the County of Butte against
all liabili ' d xpenses which may in any way accrue
against id ou , y ' on ue granting of this permi
X Date
Signature of Applic nt - wn Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep -and demolition or construct-
ion of structures a-- 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE
occuP. GROUP
TYPE OF CONST,
PARC
PD
MD
ssu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date % �� �Q�
7 - 2-1
Receipt No. 57155Fyygh
Receipt
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE
(S.F., DUPLEX,,& MISC. ONLY)
C1 C )rULTBldg.
OWNER_ A. P.
A. GENERAL
olo" Zoning requirements (sideyards and parking).
�! Valuation.
Signature by R.C.E. or Architect (if required).
B. PLOT PLAN
.Complete parcel size and dimensions.
Setbackq, sideyards, easements, etc.
Other buildings or structures.
Grading, fills, drainage.
C. FLOOR PLAN
Pe it #
# Z. .7,74 etr
A. Complete to scale plan with dimensions.
�2" Required windows for light and ventilation (Sec. 1405).
/ Required windows for second exit (Sec. 1404).
6 •Allowable glazing for energy requirements (20% max. per.State law).
Human impact glass (Sec. 5406).
�j Required room sizes, ceiling heights (Sec. 1407).
F.C.I.'s in baths and exterior outlets (Sec. 210-8).
.8: Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
Locations of water heater, heating & cooling equipment, other electrical or gas
/ equipment, and plumbing fixtures.
Y0 Garage firewall, door size, and -closer (Sec. 503(d)(4)).
25 1 - 3'0" exterior exit door (Sec. 3303d).
. Fireplace location.
lo<� Smoke detectors (Sec. 1413).
D. STRUCTURAL DETAILS
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
3� Elevations and wall construction details complete enough to construct
f Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in he
� Sufficient data and details to satisfy energy insulation requirements
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
A'. CCX plywood on exposed locations and overhangs.
Stairway details (Sec. 3305).
9050 Guardrail details (Sec.,1716).
&r.0' Brick or stone veneer (Chapter 30).
50."- Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
after ties or bearing ridge beam.
building.
(State law).
rl.---Adequate
Garage door or porch header sizes.
bracing.
Wr' Living area.over garage - complete 1 -hour separation required including supporting
walls and posts, etc. 1.
1J�Two (2) exits on three-story dwellings (Sec. 3302).
- PERMIT NO. 1737-84B,E
PERMIT EXPIRES
OWNER F.A. FULTZ
CONTR. Lou Thacker
ASSESSOR PARCEL 4�. 11,o— V -2-7
LOCATION 2414 Serviss, Durham.
Temp. Power Pole
Called PG&E
Temp. Elec. Service_
0
Called PG&E
Temp. Gas Service
Called PG&E_
JOB FINA (Date) ,A--�
Signature
Av:
J
J OK'
0 = Not OK
= Not Applicable
= Not Ready
MOBILEHOMES ' s MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1: -Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings'; Size -Depth -Spacing -Connectors -
3. Sewer; Location -Test -Fall -C/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.-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. Elea
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 N's
1. Setbacks -Easements �Y
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 -Enclosures -Panel boards -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 -B1 Date
1 Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
.: e
= OK
= Not OK .t
= Not Applicable
= Not Ready
RESIDENTIAL (ogle, and Duplex)
Date
UNDERF OR Ptans OK except #'s
Date FRAMING Continued
ning require ents-Setbacks-Easements
wa
roperty Line Firell & Openings
9vFieJ!'M , S - - - g,&.O.-Ext.
Doors -One 3' -Check Garage -3rd story, 2 exits
0- tairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. tg., Porches & Decks; Soils -Steel- / /" Ftg. Depth41--Plywood
on Roof Overhang -Attic Vents -Rafter Outriggers
5. temwalls, Main; Steel-Blockouts-Wrapped-Slab
ding -Nailing -Veneer
6. temwalIs, Garage; Steel -B loc kouts-Wrapped-S lab
.59r--6tucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. iers-Fireplace Ft .-Steel
azing Area -Glass Protection -Skylights -Plastic
8. W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
hear Walls; Nailing -Bolts
9. as Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
1A 11al
11. 1 Electric; Underground
12.1 Plenums & Ducts; Clearance -Material -Support -Ins.
131 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
%
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date/,� Card -BI Date
Date F NAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except U's
956�xt. Steps -Door & Sidelight Protection -Landings
S.7 -.Smoke Detector
14. Water Ht.; Vent- Access-Cfombustion Air
38' Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anch s -Nail Protection
16. D.W.V.; Test-Fttngs & nchors-Nail Protection
_59. Bedroom Exiting
•60-G.F.I. & Bath Fixtures & Tub Access
17. Shower Pan; Test, Fir Floor -Tub Access
18. Test Tub & Shower, d Floor -Tub Access
.-L.L-Elec. Trim & Subpanel; Breaker Sizes -Labels
19. Gas Pipe; Size & An hors
-604• tairs & Rails
•-63.-Fireplace or Stove; Clearances -Hearth
-64. Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
_ it. Fixt. & Appliance: Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
:: jCE -Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
(1�7Garage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
29� Fixture & Transformer Clearance -Ins. Protection
�Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing i hts & Switc es at
•-92. Size Boxes & No. of Conductors -Stapled
Elec. & Mech. Equip. Listed for Location
.23. Romex Installed Close to Edge of Studs & C.J.
ec. Receptacles in Garage; (G. F.I.)-Romex Protec.
,24. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
Insulation -Foam -Looked in Attic E] Yes
2 Appliance Circuits in Kitchen &Conductor Size
•- Guard Rails & Deck Construction -Post Caps
"T- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
,2& Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
-,V.- Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
-777- Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes El No;
Planters ❑Yes ❑No
`28: Service -Riser Conductors & Ground -Main Disconnect
Stucco; Brown -Finish
. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
*9. -Equip. Clearances; Panels-Motors-Mech. Equip.
.30- Clothes Closet Light -Shower Light
.4a^ Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
LTJ' Water Well; Disconnect, Electrical, Plumbing
-80 Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
1�1 Date^ �ti Card -BI Date
-�T-
Ventilation throughout House
-82. Glass Protection
Card B -I
Date
Date Card -BI Date
MECHANICAL (Per it) OK except N's
88.- Corrections from Previous Inspections
�4- Gas Test -Meters Tagged; Gas -Electric
31. A.C. Ducts; Insfilation & Support
-ft: Water & Sewer Connected -C/0 to Grade -HD Approval
32. Vent Fan; Exh st above Insulation
I -tom Energy Compliance Certificate -Other Certificates
33. Condensate Dr in & Overflow; Size & Grade
34. Furnace -Vent; ccess-Comb. Air Return Air Vent -115V outlet
35. Attic Access & Natform if Furnace in Attic
Card -BI Date -))Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FR Plans OK except q's
ills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
68+-43earing Walls over Girders & Floor Nailing
,A9 -Draft Stop in Walls (rat proof)
Me<49 --Fire Sto s; Furred Ceilings -Stairs -Chases -Tub
ader & Beam -Size & Bearing
gers-Post Caps-Anc s -Connectors
L4WClng. Joist-Rftr Ti urlin-Roof Brac.-Truss-Sh_thnp_.-Rfng._ _
X14. --Fireplace Ties or -Me A Flue -Fireplace Throat
tlic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
o,46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
y, COUNTY OF BUTTE
i = DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
G/
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
inspector_,_. Date_
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIONJAND PERMIT
PERMIT NO.
—d
�1
ASSESS P RCejL NU ER �
...... cJ
ONI
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNC)S M I�G ADD
CO RACTOR'S NAME
TELEPHONE'
CONTRACTOR'S MAILING ADDRESS—
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ mg.Dr
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ,
BUILDING DD ESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent .
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCT)IfE
SF ❑ Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S I G I W
I 10.00 e
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP OR00V OR LESS10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ACC, BLDGS.
t �'•
2/2Qsgft Q
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 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)
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 R BRANCH CIRCUITS) 2.50 ea
NEw CONSTR POWER APPARATUS &)
NON.RESI D. SINGLE OUTLET CIR.
Ex. Occu 20�s0e
P�o OR FIXTURES BAL®30
FIXED APPLNS. OR
FIXED A
EX. Occup. OUTLETS (RESID.I EA.)
2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ r
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit 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, indemnif and keep harmless the County of Butte against
all liabili ies, judgments, ts, and expenses which may in any way accrue
agai i o 1n quence of the granting of this permit.
X Date
S,94ure of heplpIiant - Own r..❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE ��
0 P. GROUP
M �I
TYP oP C
—
NST.
PAR EL
P
HD
v
I9S E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIR OR OF PUBLIC
BY
IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Receipt No. T���
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT