HomeMy WebLinkAbout040-270-01740-27-17
PAUL ENGLAND
W• n 9234 Stanford Ln, lot 3, Durham
Permit##5991 80B(install wood
stove)SF
Z
l.41i'4-90B,P.,Ed Lane, Durham
to den, patio o dinin
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040-270-017 PERMIT#97-04
6
MANNING, Tom ^
9234 Stanford Ln.,fDurham/ ,,�
Cont: Northstate Electric &a.Ap
Ele Ser Ch/SF,
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0�;0-270-017 PERMIT#97-0643
INNING, Tom
V 9234 Stanford Ln., Durham
Cont: Northstate Electric &P m
» Ele Ser Ch/SF/�
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I
OFFICE COPY
Address /
GAS
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ELECTRIC Date
Meter B
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Date_•
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.P -
COUNTY
COUNTY OF BUTTE- DEPART".'ENT,-OF DEVELOPMENT SERVICES -BUILDING DIVIi
SION
7 County Center Drive - Oroville, California 951965 - Telephone (916) 538-7541 PERMIT O.
(Rev. 12/96) APPLICATION AND PERMIT Z?`nom
ASSESSOR PARCEL NUMBER
4n-77-17
ZONING
ILDING PERMIT
y
OWNER
TOM MARNTUG
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
9234 STANFORD LNC DURHAM
CONTRACTOR'S NAME
NORMTATR ;?Tlpcnlr R, pine
TELEPHONE
-
"
CONTRACTORS MAILING ADDRESS
6 FR
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
9234 STANFORD LN DURHAM
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
S UBDNIS ION'S NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF'j(] Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ Ublifies ❑ Installation ❑ Other ❑
Describe Work: MEC SERME/SF
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home, IS I GI W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
e00v DR LESS
Main Service 20.AORLESS
23.00 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect. -- - e'
License Class( i / F` _ 1 1 Lic. No. = . - ` 1 �— I
OWNER -BUILDER DECLARATION
I 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
Main Service 200A TO I000A
46.00
NEW CONST. DWELLINGOCCUP.
OR ADDNS. ( 8 A.C. BLOS.
s0
3.5¢FT.
NEWCOS
NON-RESIDT MULTI -OUTLET
97.50
P OWER APPARATUS
6 SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20@'•00
BAL @ .SO
Ex. Occup. oui rED s RRa o.DEA.
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$ 43.00
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.
Qr 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 _ 4-22 '/ "' -1 1• ' L .Y, i)! (-, /I -#-/i , I
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
S
Policy Number T 1
a
(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.
1 /
X i _ Date _ _ /
Signature of Applicant - O Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
occ CONST TYPE 43.
TOTAL FEE $
HAZ. D. FEES IMP
FLOOD
CDF PARCEL PD HD E
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 rte- Date I!
P RMIT EXPIRES ON -!
Dale
ReceiptNo. %) i�.
_y
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE
�BUILDTNG DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
1469 Humboldt Road, Chico, CA - (916) 891-27.51
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of Butte County Ordinances exist at
the above address and should be corrected. Please notify this office when correction of work
is completed. If you have any questions pertaining to this matter, or need additional explanation,
please contact this office immediately.
ca 3 C> ^' D 9d 5 w 4 (1rr,- {
C2 �?6u"ev0 CSS/:.fC
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Datc f"'f -I 5 —� ! Inspector
REV 10/92
COUNTY OF BUTTE- DEPARTMENfOF D 'VELOPNIENT SERVICES- BUILDINX41
N
7 County Center Drive : OrovillqV California 95965 - Telephone (916) 53 P MIT� yyaa,,
(Rev.12/96) APPLICATION AND PERMIT �'®
ASSESSOR PARCEL NUMBER
ZONING
ILDING PERMIT
OWNER
T0M MANNING
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
9234 STANFORD LN, DURHAM
CONTRACTOR'S NAME
TELEPHONE '
CONTRACTORS MAILING ADDRESS
RLN, G.HT-12.0 95973
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
9234 STANFORD LN DURHAM
Energy Plan Checking Fee $
$
PERMIT FEE S
LOT NO.
SUBDIVISION'S NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF)p Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat'pump water heater 23.00
Water piping 15.00
Each gas water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work: ELEC SERVICE/SF
Gas piping system 1- 5 outlets 15.00
Building sewer 15.00
Mobile Home S I G I W 920.00
PERMIT FEE S
ELECTRICAL PERMIT Fling Fee 20.00
Main Service zoo ORLEss 23.00 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 's in full forceand effect.
License Class - - % l LIC. NO. S3 4 9S9
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'
cc ry pensation, as provided for by'section 3700 of the Labor Code, for the
rformance 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' c9QTp, nsation }'�sn%�;� ce rrier and policy umber are:
Carrier S'f>�� r�TIJ�_' a Mt¢P(�S'O�1OP1
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING 'NGSO
OR ADDNS. ( a Acc. BLDs. 3.5QFT:
NOWREOSID. MULCT' -OUTLET 97,50
POWER APPARATUS
8 SINGLE OUTLET LIR.
20
Ex. Occup. OUTLET OR FIXTURES @'50
e.AL p .so
Ex. Occup. .UTE' RESID.OEw 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
PERMIT FEE $ 43.00
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number .59
(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 mploy any person in any manner so as to become subject to workers'
copensation laws of California, and agree that if I should become subject to the
w kers' compensation provisions of section 3700 of the Labor ode, I shall
f hwith comply with th prov' ions.
X _ _ Date
gnature of licant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ CONST TYPE
TOTAL FEE $ 43. 0
HAZ. D. FEES IMP
FLOOD
COF pARCEI PO HD
UE
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 Dae L
PERMIT EXPIRES ON 'Z
Dat
Receipt No. O
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
q9/-��
_ =PERMIT NO. 5591=80B
. � PERMIT EXPIRES
12/8/81
OWNER PAUL ENGLAND
CONTR. owner
ASSESSOR PARCEL 40-27-17
LOCATION 9234 Stanford Lane, Durham
t
a
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Cal led PG&E
JOB F
L
Si
J = OK
0 = Not OK
= Not Applicable
= Not Ready RESIDENTIAL, -(Sing -le and Duplex)
SIE
c
Date
UNDERFLOOR Plans OK except ti's
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /'' Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /'' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel -B lockouts -Wrapped -S lab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date$'L Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except p's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes73.
25.
2 Appliance Circuits in Kitchen &Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive E] Yes E] No; Walks [I Yes E] No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77•
A :Unit; Disconnect-Clrnces-Brkr. & Cond. S' a=115V Outlet
30.
Clothes Closet Light -Shower Light
79.
ents Above Roof; Plbg.-Appliance-Fir .-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date
Date Card -BI Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts; Insulation &Support
82.
Glass Protection
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86•
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
DateCard-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 FRAMING(Plans) OK except p's
36.
Sills; Proper Material & Anchors
_
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
-_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
2j
43. Ing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Ring. _
laee"
. Fire�Ties or Type ue-Firep$aee-Fhroat
-
�46.
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
= OK
= Not OK
= Not Applicable MOBIL-EHOMES MISCELLANEOUS
= Not Ready
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.-Rig.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ P'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 #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI 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
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 -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPE IT N
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-45
APPLICATION AND PERMIT ,
ASSESS -2 PARCEL NUMBER
67 7- Z 7
ZON�G'
—
BUILDING PERMI G O
OWNER
TELEPSONE
)-Y/
SO. FT., OCC.1 BUILDING VALUATION
OWNER'S MAILING AD RESS
CON RACTOR'S AME -ITELEPHONEt
CONTRACT R'S MAILING ADDRESS
CONSTRUCTION LENDER
111PAf.F—
UNKNOWN
Fireplace52? 0
Total Valu ion $
V
LENDER'S MAILING ADDRESS-
Permit Fee
$ 00
ARCHITECT. OR ENGINEER
LICENSE NO.
Plan Checking Feed/
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
Water piping
LOT NO.
SUBDIVISION NAME
S
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ MobilehomeOther
❑
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition [ILdel ❑ Utilities ❑ Installation ❑ Other
Describe work: � i 1410ael �%�Q`/�`._
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 3.00
Main service 100 AMP OR00V OR LESS5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. DWELLING OCCUR.&
OR ADDNS. ACC. BLDGS.
22 sq ft
CONTRACTORS LICENSE LAW r
I declare under penalty of perjury (check one):
ElNON•RESID.
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.
icense No.-, Classification
91-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.RES' D R BRANCH CIRCTITS 2.50 ea
NEw CONSTF POWER APPARATUS &
(SINGLE OUTLET CIR.
Ex, OCCUp(OUTLETS OR FIXTURES BAL@1
AL�1os
FIXED APP LNS. OR
Ex. Occup. (OUTLETS (RESID.) EAJ 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee
$
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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.
�T'shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.,
Heating
Cooling
Hood
2.00
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 liabilities, judgments, costs, and expenses which may in any way accrue
againsVJai County ' co�equ ceof the granting of this permit.
X Date ���8-8 p
Signature of Applicant — Owner ti% 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 $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I HD
SSDE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
D RECTOR OF PUBLIC
PERMI D PI S to /"
the applicable provi-
resolutions to do
fees have been paid.
WORKS
77 Date�lx 0 ��G
oz
ri
Receipt No. 7 �l
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT -
F sb +
TIAL
• F40-27-174114-90B,P,E
Paulford Lane, Durham
ge to den, patio to dining)SF
x•
t.
' r M
+ �_�5V 11 - 7M CoIZ1V1�17J,1 O/(i
r
Y '
• N
fer
. j r , YY•
. T
i
' f
\
JOB FINALE
Signature
J=OK
O = Not OK
= Not Applicable RESIDENTIAL (Single & Duplex)
= Not Ready
Date UNDiNFLOOR (Plans) OK except #'s
1. Zo ing-Setbacks-Easements-Flood-Slope
Ftg., Main; Soils-Elec. Grnd:-42;/" Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped +-
6. Stemwalls, Garage; Steel- Bloc kouts-Wrapped
6a. Hold Downs and Special Anchors
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -Test -2 Way C/O -Sewer Test
10. Gas Pipe; Size -Anchors
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground
13. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Insulation
Date 4-e=, GI Card B-1 (;4 Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING Permit OK except #'s
16.' Water Htr.; Vent -Access -Combustion Air -Baffle`
er Pipe; Test & Anchor -Nail Protection
D.W.V.; Test -Fittings & Anchor -Nail Protection
19"Srower Pan; Test, First Floor -Tub Access
20 -Test Tub & Shower, Second Floor -Tub Access
2 -Ges Pipe; Size & Anchors
Date �21,Gi( Card B-1 GG Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
6irElec. Receptacle S n Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of Studs & C.J.
26. -Equip. Ground made up w/Mech. Fastners-Bond Gas & Water
22..2 Appliance Circuts in Kitchen & Conductor Size/GFI
28—Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga.
Cu or Al
29 --Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral O Yes ❑ No
36—Se-rvice-Riser Conductors & Ground -Main Disconnect
3+.—Equip. Clearances Panels-Motors-Mech. Equip.
32 Clothes Closet Light -Shower Light -Spa Light
U—Smoke Detector
Date Z Card B-1 Date Card B-1
Date ZOocard B-1 Date Card B-1
Date MECHANICAL (Permit) OK except #'s
34—A.G. Ducts Insulation & Support
36—V.ent Fan; Exhaust above insulation
36-Eondensate Drain & Overflow; Size & Grade
3q-Fdrnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet
38-At5c Access & Platform if Furnance in Attic
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date FRAMING (Plans) OK except #'s
moils, Proper Material & Anchors
Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
aring Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub i
4. Headers & Beam -Size & Bearing
Date FRAMING (Continued)
Hangers -Post Caps -Anchors -Connectors
66r-Eing. Joist-Rftr. ties -Pu rlin—roof Brac-Truss-Shthng.-Ring.
47 -fireplace Ties or Type A Flue -Fireplace Throat clearance
#&. -A rtC-Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
50. -Gavage Fire Protection Framing
S'(Property Line Firewall & Openings
2 Ext Doors -One T -Check Garage -3rd Story, 2 Exits
5A—Staifs; Width -Headroom -Rise -Run -Landing -Fire Protection
54-pl7wood on Roof Overhang -Attic Vents -Rafter Outriggers
iding-Nailing Veneer
S.6—S4ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
lazing Area -Glass Protection -Skylights -Plastic
58�ar Walls; Nailing- olts
Ins tion- a -C il' s
60.' fill ion alts- endows
DateA4 t Card B-1 Date ��_ Card B-1
Date JCard B-1 Date Card B-1
Date FINAL (Plans) OK except #'s
69 --Ext. Steps -Door & Sidelight Protection -Landings
iFrSmoke Detector
6`9.-+ mnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
6C-43adroom Exiting
65r -G -F.1. & Bath Fixtures & Tub Access -Spa
68"bec. Trim & Subpanel; Breaker Sizes & Labels
6er,St8irs & Rails
66 -fireplace or Stove; Clearances -Hearth
Elec. Outlets at Wood Panel; Int. & Ext.
TV-,Kh.Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
7i—Mc. Outlets & Receptacles at Kit. Counter
7f-. Gefage Fire Door; Swing -Landing -Closer
73--A-.C. Duct in Garage -Damper
s�(5(AG7W-Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garaae: Above Floor-Mech. Protection
lr!Plb., Elec. & Mech. Equip. Listed for Location
76—&ec. Receptacles in Garage; (G.F.I.)-Romex Protection
insulation -Foam -Looked in Attic ❑ Yes
7 ,card Rails & Deck Construction -Post Caps
79—rd-n. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
ad'—Following instld.; Drive 0 Yes ❑ No; Walks 0 Yes ❑ No;
Planters 0 Yes ❑ No
81rSt4cco; Brown -Finish
8E -A -C. Unit; Disconnect, Electrical, Plumbing
$&:--Vents Above Roof; Plbg.-Appliance-Fireplace.-Clearance to
Openings
84, --Nater Well; Disconnect, Electrical, Plumbing
85,ZA4"or Elec. Trim; G.F.I. Receptacle -Underground
ilation Throughout House
Glass Protection
ag`Corrections from Previous Inspections
89-6—as Test -Meters Tagged; Gas -Electric
96!Water & Sewer Connected -C/O to Grade -HD Approval
94rErt87gy Compliance Certificate -Other Certificates
Date (y,Qr1-pt) Card B-1 GC= Date Card B -1 -
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
J=OK' `
O- Not OK
' = Not Readyable MOBILE HOMES
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'Uft.
/ /"Nat. or/ /'L"ft./ /"LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
MISCELLANEOUS
Date 1 DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg: Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes-Enclosures- Pane lboards-Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
X196 Memorial -Way, Chico — Phone: 891,-2751
7 "County Center Drive, Orovi Ile — Phone: 538-7541 ,
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
VNEQj PERMIT N0.
(00
A routine inspection indicates that the foil wing 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 0/L�/ A
, t - • e way' -e
'COUNTY OF BUTTE
-DEPARTMENT OF PUBLIC WORKS
f 196 Memorial Way, Chico— Phone: 891-2751'
7 County Center Drive, OroviIIe — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
Enfr,c A,1 > 4119- 94
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-21-� Inspector AAI
r
--=� COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
' 7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND'PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
40-27-017
ZONING
A-5
BUILDING PERMIT
OWNER
Paul England
TELEPHONE
345-8541
SO. FT. OCC. BUILDING VALUATION ,
OWNER'S MAILING ADDRESS
9234 Stanford Lane Durham. 95938
10
CONTRACTOR'S NAME
Owner
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER •
UNKNOWN
Total Valuation $ 5,650.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 56.50
ARCHITECT OR ENGINEER
LICENSE No.
plan Checking Fee
,$ 2-3.25
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ 104.75
PLUMBING PERMIT
Filing Fee 10.00
9234 Stanford Lane.Durham
Each Trap
11 2.00 2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 5.00 5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
j 5.00 5.00
Building sewer
j 5.00 5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ®
Describe work: Conv. Garage to Den — Conv. Patio to
Dining — Move Laundry Room
Permit Fee
$27.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service BDDV 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):
FlI 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
21-1, 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. DWELLING OCCUP.0i
OR ADON.S. ACC, BLOGS.
hdsgft 8.90
NEW CONSTFLMULTI-OUTLET
NON•RESID BRANCH CIRC ITS
2.50 ea
/ POWER APPARATUS &)
(SINGLE OUTLET CIR.
p OUTLETS OR FIXTURES
EX. Occup(
20@50a
SFIXED
APLNS.AL@30
Ex. Occup. OUTLETS (RESID )REA.1
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
518,90
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
f 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
FiIingFee 10.00
Heating
Cooling
g
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 liabilIt' s, .udgments, costs, and expenses which may in'any way accrue
against s I C my onse enc of the granting of this permit.
%� Date ��_ 3�
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 $30,00
OCC
CONST TYPE
TOA FEE 18 .65
P
ITAL
F
PA Po
H
Is E
This permit is nereby issued under
sions of the Butte County Code and/or
work indicated above. for which fees
PRECTOR OF PUBLIC
S/ ,
By 5�7--Date
PE IT EXPIRES' Date i
the applicable provi-
resolutions to do
have been paid.
WORKS
1_7_�-91
• 7'— ( •_
Receipt No. 84309
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO Buildn440epartment
FROM: : Environmental Health
SUBJECT: Sanitation Clearance
12, / _, S)adDrd Zl() 7--J
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.R. for: _ Water Supply
Clearance for bedroom mobile home. Other'-
NOTE ***j
Date
SanAtari�an- I ,
1
r
.:.� COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA, 95965 - TELEPHONE: 916/538-7541
PERMIT APPLIC010N DATA SHEET
` w } Permit No.—
OWN . ER
o.OWNER V T ����40 A. P. No. lel —
Proposed Building Use Building Inspector Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. Allitems have been submitted . ....................................
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
?j 3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ......................................... .
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and. AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instruction's .%.. .............. ............................. .
10. Fees of ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ..
3.�1 �� School District fees paid .............. *�
4. Sanitation approval from /C� Health Department
15. City of Chico plumbing permit ......................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: . .... .
8. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector • (Date)
21. Contractor's license information (No., Name Style, Classifications ... -
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Whe you issue the permit, pr cess as follows: ail to owner. Mail to contractor.
Telephone i✓ and hold for pickup at office. Deliver w/inspector.
Other
Applicant 6J Date
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit s n e: Circl a it of c cked above)
1. Index permit for above. items No. T
2, Additional items required: 41
Contractor, designer, owner, was advised of above required data by_phone---nail—counter by ..date
Contractor, designer, owner, was advised of above required data b "_phone_mall_co ter by date
Plans checked by Date PI ns approved by Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
12
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-OrovIIIe. California 95965 - Telephone: 916,"538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR P CEL
0
ZONIN
BUILDING PERMIT
owNE
J�rL PPS
�lb
S0. FT. C. J BUILDING VALUATION
OWNER'S MAA�DDR,3&✓TAJv��
� S
CO T
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$ ��
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUIL NG ADDRESS
Permit fee
$ r 7
PLUMBING PERMIT'
Filing Fee 10.00
Each Trap
2.00 r�
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5,00 , D�
Each qas water heater or vent
5,00
USE OF STRUCTURE
SI-,rsl Duplex[]Mobilehome❑ Other
i SPECIFY
Gas piping system 1 - 5 outlets
5.00 , Q
Building sewer
5.00 r
Mobile Home S G W
0.00 e
TYPE OF WORK
New ❑ Addition ❑ R'emodeI ❑ Uti I'ties ❑ nstalllla�t "E] /Other
Describe work: —Q� v/ &
C,(%/j/ Qllf1l/V6 0 /
Permit Fee
$
-Qontractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 1$o AMP OROR LESS10.00
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
Main service EA. ADD'L too AMP
2.50
NEW CONST, r DWELLING OCCUP.a
OR ACDNS. \ ACC. BLOGs. )
, `
2/z¢sgft
NEW CONSTR. M ULT' -OUTLET
NON-RESIO BRANCH CIRC 'ITS
2.50 ea
POWER APPARATUS e
SINGLE OUTLET CIR, )
Ex. OCCUp(OUTLETS OR FIXTURES
ew @30
FIXED APLNS.
Ex. OCCUp. OUTLETS P(RESIO IRE A.)
2.00
Temporary service
10.00
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 10.00
Heating
Cooling
g
Hood
3,00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
HAz
I CUA
PARK
SCHL
I FLD
I PAR
PD
HD
ISSUE
Th;s permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
etcrautr cvalooc n,.,,
the applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No.
COUNTY OF BUTTE - Department of Public Works
-7 County Center Drive, Oroville, CA 95965 Phone: 916-538-7541
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.
I personally plan to provide the m labor and ma rials for construction of
the proposed property i provement r no)
2. I (have/have not) 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
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
Signed
Property Owner -
Social Security Number
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.
This set of plans and specifications MUST be
_ kept on the job at all times and it is unlawful to
ke-any-changes-or-a�oas-on-same-w.ith-
out written permission from the Department of
=� Public Works, County of Butte.
Z c
sit
' A04
i
A setback of 5 ft. from the
" property lines and a setback of A
0 50 ft. from the road
A ? centerline shall be clear of
structures or equipment except x
'for a 2 ft. eave overhang. AVb
NOTE.—All Materials & Workmagtship Shall Be lin pL� 0.4646AZ p� AUL G��F�s • B•
Accordance wii-h Recognized Good Practkes and La.. h
of a quality prescribed for the Specified use in f
Uniform Building, Plumbing & Mechanical Ccido$ a
the National Electrical Code.
BUTTE COUNTY
'C"/ CIL BUILDING DEPARTMENT
APPROVED
T� �T
7.1b.7 The pupil will add
decimal numbers, written
vertically and horizontally.
7.1b.8 The pupil will
subtract decimal numbers,
written vertically and
horizontally.
7.1b.9 The pupil will
multiply decimal numbers,
written vertically and
horizontally. --
7.1b.10 The pupil will
multiply by powers of 10.
7.1b.11 The pupil will divide
any rational numbers.
7.1b.12 The pupil will divide
by powers of 10.
7.1b.13 The pupil will
identify prime or composite
numbers.
FO K M
ADDITIONS TO RESIDENTIAL BUILDINGS ENERGY SHEET
" PACKAGE "A" (Additions)
Owner Climate Zone _
Permit # '"�CJ Floor Area
The following data showing. mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling of existing conditioned
space is not included.
ZONE 11 ZONE 16
APPLIES TO NEW AREA
0 CEILING -30 R=38
0 WALL R-11 R-19
FLOOR R-11 R-19
SLAB R-7 R-7
GLAZING U-.65 (Dual) U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF -AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING,,AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
FJME COUNTY
BUILDJNG DEPARTMENT
APPROVED
*1 HEATING, VENTILATING, AIR CONDITIONING SYSTEM
(A) Heating
❑ Central Gas Furnace
(brand and model number) 1SE.-
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
u
orientation 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
EER
Btu/hr
(cooling capacity at 95°F)
❑ Other
(describe)
DOMESTIC WATER SYSTEM
❑ .(A) Gas Only Gallons
(brand and model number) (tank size)
❑ Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
s C3 *2 Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
t (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 /)4) 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 Ad inistration Code.
SIGNAT OF BUILDINk DESYGNER OR APPLICANT
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BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building)
A.P. Number �Q '2—'% /r% Building Department No.
School District Jam() City County Q� Jurisdiction
Property Owner
Project Location/Address D
Subdivision Lot Number
Residential Development:
Sq. Footage
of Living. _ MHI. -. Addition ( Group R),
Units - -
i
a...�«..wqs+.A.s.►•...r.C�.+...i.:lc.....�••�•�k.... fir,. -..moi., ; .. , . _.....-.. rs..... ..3.'.r.M:.- . . :,rt -_ . _ ; ... r .. .- _ - ..^—._,
Commercial/Industrial: Sq. Footage
New Addition (Including Exterior
Roofed Areas)
Buildin, epartment Representative Date
(Floor Plans reviewed by School District Personnel)
District Id No. zll�-10a'
��(� fir- �,✓r!`!�/.�,L School District certifies that
(Applic b t Name)
( Street Address)
(City)
.(Phone Number)
State) (Zip Code)
has complied with the requirements of Resolution"No.
by the payment of $ representing ;:5��-;5�square feet.
0 chool District Representative Date
PAID BY CHECK NO.
BANK NO
PAID BY CASH
REMARKS:
white -applicant, yellow -building department, pink -school district
SCHOOL.FEE '(8/88)