HomeMy WebLinkAbout040-390-027F
I
I
DeVRIES, Peter D. 276-69B
248-69P
371-6
0- - t�
220 Estates Dr., Chico (Lot 30)
CONTR: Louis Thacker,. t. 1 Bo 362, Durham
( new single family)
' '40-39-27
LOYD MULKEY
220 Estates Dr, Chico
ContR: Bel Aire Contr
Permit#2088-89B,P,E(interior remodel/SF)
040-390'027"`-'. "" 92-2382 BPEM.
MULKEY, Loyd & Jayne
220 Estates.Dr, Chico
partial siding,';move'.window,"conv porch
to 'living/sf
a
O°-10 -3Gd
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RSIDEN IAL
040-390-027 92-2382 BPEM �`...
IMULKEY, Loyd & Jayne. I
220 Estates Dr, Chico
Y
partial siding, move window, conv porch
to living/sf
4 ,
{
. i
JOB FINALED (Date • --
Signature
R
J=OK
O=Not OK
=NotApplitable . MOBILE HOMES
= Not Ready
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: / /" L" ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. 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 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.-Connectors
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 { r
2. Soils; Compaction -Structure Stability '
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI w
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 -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
.i
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
j ✓�= OK
O=Not OK
= Not Applicable RESIDENTIAL (Single
= Not Ready
Date UND RFLOOR (Plans) OK except #t's
Zo .g-Setbacks!Ea3ements-Flood-Slope
�eftg., Main; Soils-Elec. iRrM`d /jZ' Ftg. Depth
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth
ve'Stemwalls, Main; Steel -Bloc kouts-Wra pped
6. Stemwalls. Garage; Steel-Blockouts-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. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. Electric; Underground I +
13. P enums & Du ts; Clearan e- Mate ria l-Support- Ins.
Girders -Si -Anchor B ts-,leiatcJlec>'Fs-C*nm4e9--
15. ccess & Venti)ati
1 . Insulation
Date Z Card B-1 Date Card B-1
Date $-7 -17 Card B-1 YA- OL- Date Card B-1
Date PLUMBING (Permit),OK except N's
16. Water Htr.: Vent -Access -Comb Air -Baffle
17. Water Pipe: Test &
18. D.W.V.; Test-Fittinj
Protection
Anchor -Nail Protection
19. Shower P est. First Floor -Tub Access
--- - -------------------------
20. Te ub & Shower. Second Floor -Tub Access
Size & Anchors
-------------------------------------------------------
Date Card B-1 Date Card B-1
---------------------- --------------------------------
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except ft's
22. Fixture & Transformer Clearance -Ins. Protection
----------- =-----------------------------------------------------
-- 3. Ele Receptacles Spacing Lights & Switches at Doors
4. Si a Boxes & No. of Conductors -Stapled
----- -- -- ---- -- - - - -- - - -
------------ -- - ----- -
- ---- --- ---- ------ ---- - ----
Romex Installed Closelo Edge of Studs & C.J. _
26. Equip. Ground made up w/Mech,_Fastner§-Bond Gas & Water
------------ -- ------------------------------- --------------------------------
27. 2 Appliance Circuts in Kitchen &ductor Size!GFI
--------------------- --------------------------- ------=------------------------
28. Subfeed Wire Sizer ga. Cu or AI-A.C. Wire Size r / ga.
Gu or -AI
29. Range Circ. / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
-nsulated Neutral ❑ Yes- -0 No
-----------------------------------------------------
,aQ_Service-Riser Conductors & Ground -Main Disconnect
--------------------------------------------------------------- --------------
31 fnuip. Clearances Panels-Motors-Mech. Equip.
othes Closet Light -Shower Light -Spa Light
---------- --------------Detector
----- ----------------------------------
---- -- -- ---- -
--
D and B-1 ,
-- --
Date Card B-1
-------- -- --------------------------------------------------- - ----------
Date Card B-1 Date rd B 1
Date MECHANICAL (Permit) OK exceplLn
34. A.C. Ducts Insulation upport
-------------------------------- - ---- ---- -----------------------------------
35.
------------- -- -------------
35. Vent Fan; Exh above insulation
-------------- ------- - - - - ---------------------------- --------...---
36. Conden a Drain & Overflow: Size & Grade
--------------------- -- --------------------- ---------- - - - - - -
37. F ance-Vent: Access -Comb. Air -Return Air Vent -115 outlet
---- - ------ ---- --------------------------------------------------------
Attic 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
Sits. Proper Material & Anchors
40. IIs Studs -Nailing. Spacing & Bracing -Plates -Sound
---- - - -- --------------------
-------------------------------- - -----------------------
1.
-------------
---------------- ------------------------------------
1. Bearing Walls over Girders & Floor Nailing
------------------------------------------- -------
raft Stop in Walls (rat proof)
--------------------------------------------------------- -----------------------
ire -Stops: Furred Ceilings -Stairs -Chases -Tub
----- ----------------------------------------------------
eaders & Beam -Size & Bearing
& Duplex)-
Date FRAMING (Continued)
Hangers Post Caps -Anchors -Connectors
ng. Joist-Rftr. ties-Purlin-root Brac-Truss-Shthng. -Ring.
Fireplace Ties or Type A Flue -Fireplace Throat clearance
tic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
- 44.-B&Tff-Windows or Exiting Doors -Sill Hgt.4 Dimensions
--------------- ----
^.ege'Fire Protection Framing
-----P+epert Line Firewall & Openings
xt. Doors -One 3 -Check Garage -3rd Story, 2 Exits
:iiairs; Width -Headroom -Rise -Run -Landing -Fire Protection
--------------------- - '®r -Roof Overhang -Attic Vents -Rafter Outriggers
ailing Veneer
�ucco Mesh -Drip Screed -Fd. Vents-Underflr. Access's �J Z
lazing Area _Glass Protection -Skylights Plastic
VAI SS Walls; Nailing -Bolts
------------
- -I ulation-Walls-Ceilings --30
------------� _2
filtration -Walls -Windows
Da i rd B-1 e _ Card B-1
Date k/ ,e-jXCard 13-199� Date Card B-1
Date FINA (Plans) OK except N's
Ext. Steps -Door & Sidelight Protection -Landings
-----------------------
��moke Detector
-------------
89-Farrrace: Vents -Clearance -Comb. Air -Connector-
In Garage_ Above Floor-Ducts-Mech. Protection
6*.-Mroom Exiting
65.,,�£r.F. & Bath Fixtures & Tub Access -Spa
6 . Elec. Trim & Subpanel; Breaker Sizes & Labels
& Rails ---------_ _
Fireplace or Stove: Clearances Hearth
----------- -- -
6494ec. Outlets at Wood Panel; Int. & Ext.
7 Fixt & Appliance; Grnd -Air Gap Cooking Clearance
tr--Etec. Outlets & Receptacles at Kit. Counter
7 p
72-Ga*age Fire Door: Swing -Landing-Closer
-----------------------------
73'ct in Garage -Damper
Vents -Clearance -Comb. Air-Connector-P.R.V.
In Garage: Above Floor-Mech. Protection
-------------------------------------- -
?5*-PttT-Elec. & Mech. Equip. Listed for Location
------------- --------------
76--E4eG. Receptacles -in Garage: (G_F.I.)-Romex Protection
7I -Insulation -Foam -Looked in Attic 11 Yes
- ---- Ifs. (5 and Rails & Deck Construction -Post Caps
7 Fdn Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
- - ------------------------------
r30,OFollowing instld.: Drive ❑ Yes 0 No: Walks ❑ Yes ❑ No:
Planters O Yes.--C-No _
Stucco r Finish
Unit: Disconnect. Electrical, Plumbing
^Vents Above Roof: Plbg.-Appliance-Fireplace.-Clearance to
Openings
- - -------------------------- ----
dd--Mter Well: Disconnect, Electrical, Plumbing
--------- - -
4'Exterior Elec. Trim: G.F.I. Receptacle -Underground
- -- -- - - -- - - -- --- ---------------------------------------
rq. Ventilation Throughout House
- ------- ----- ------------------------
W Glass Protection
- - ag'C rrections from Previous Inspections -
est Meters Tagged Gas -Electric
- 94T Water & Sewer Connected -C/O to Grade -HD Approval- -
1. Energy Compliance Certificate -Other Certificates
------•--------------------------------------
Date G and B-1 Date Card B-1
Date and B-1 Date Card -B-1
Date Card B-1 Date Card B-1
Comments at Final:
J�
COUNTY OF BUTTE. `
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
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.
1((CAT I& T6 F
Date _ G ?.R -C-\? Inspector J�
REV 11/91
... COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Croville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
A
CORRECTION NOTICE
kA
OWNER
PERMIT NO.
A
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,
pleas contact this office immediately.
'91
.4
Date inspector_
REV 11/91
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
y
747 Elliott Road, Paradise, CA - (916) 872-6307
CORRECTION NOTICE
OWNER v1 t L/ _ 9z c39 z
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 world
is completed. If you have any questions pertaining to this matter, or need additional explanation,.
please contact this office immediately. ;
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Date -ztt •01Z Inspector
REV 11/81
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COUNTY OF BUTTE'
DEPARTMENT OF PUBLIC WORKS
1469 Humboldt Road, Chico, CA - (916) 891-2751
7 County Center Drive, Oroville, CA - (916) 538-7541
747 Elliott Road, Paradise, CA - (916) 872-6307
m
CORRECTION NOTICE
OWNER f
PERMIT N0.
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.
}
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EN INSTALLATION CERTIFICATZ ,
Building Owner IOU to I/I ke V Building Permit
Building Location ES r' �Q S r Cti 1 L0
DESCRIPTION OF INSULATION
ROOF
Material Brand Name
Thic!=ess(incaes Thermal
E:{PRIOR WALL
Material F.
Thickness (inches) 72
CEILING n .y,F
Batt or Blanket Type USO 1
Thi6=ess(inches)
Loose Fill Type
M-inimum Thickness (Inches)
Area covered(ft.2)_ an
FLOOR, ELIZVATED
Material G _
Thickness(inches)
FLOOR, SLAB
Mater al
Thi.c'.mess (inches)
Width (inches)
FOUNDATION WALL
Material
Thickness(inches)
Resistance (R Value)__
Brand Name
Thermal Resistance(R Value) 1-3
Brand Name
Thermal Resistance(% Value)
Brand Name
Nt=ber of Bags Wt. per bag 1b.
Thermal Resistance(P. Value)__
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)__
Brand Name
Thermal Resistance(R Value)__
I hereby certi:-y that the above insulation was installed in the above building,
2s consistent with approved building department plans -and attachments -and con---
ro s witjz requirement of Chapter 2-53 of State of California Energy Requirement
t/OQ.r�or Len4 Atrl X77
FI'teM riA�`�/OW�ic?
S=_7 CONTRACTOR'S LICZ_NSE N0.
Aar�
9/3,
9z
SIGNATURE OF INST: ION APPLI=OR
DATE
I hereby certify the required features, devices, and equipment,.ab shown on the approved
Building Department plans and attachments have been installed and conform to the appli-
ance standards and Chapter 2-53 of the State of California Energy requirements.
P
BUILDING CONTRACTOR/OWyNER (Please Print)
(FIRM NAME)
SIGNATURE OF BUILDING CONTRACTOR/OWNER
�-1 ig� dower
HVRIC
HVAC FI. •1 NAME/Ot NER (Please Print)
fir/ r77
STATE CONTRACTOR'S LICENSE NO.
9'/30 /?;z
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/01v'NER DATE
THIS CERTIFICATE KUST BE ON FILL WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SMALL BE POSTED tiITHIN THE BUILDING.
S EPTDIBER 1988
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drlv; - Orovllle, California 95985 - Telephone. 916.`538.7541 _ Z
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
040-390-027
ZONING
R-1
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC. BUILDING VALUATIO
5,500.00
OWNER'S MAILING ADDR SS
220 EstatesDr., Chico 95928
Est, 3,500.00
CONTRACTOR'SNAME
onstriiction 11
TELEPHONE
894-5849
CONTRACTO 'S MAILING ADDRESS
13821 Garner Lane, 5926
Fireplace I A 1,500.00
CONSTRUCTION LENDER
UNKNOWN
Total valuation $ 11500.00
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ 105.00
ARCHITECT OR ENGINEER
LICENSE No.
Plan Checking Fee $ 52.50
Energy Plan Checking Fee $ 20.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
Permit fee
$ 192.50
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets j 1 5.00 5,00
Building sewer 15.00
Mobile Home S I G W @ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other®
Describe work: Convert Porch to Living Room/Partial _
Siding/Move Window
Permit Fee $ 20,00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
Main service 600V OR LESS 18.50
200A OR LESS
_
Main service 200ATO1000AI 37.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
R"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. Yy1777 Classification ]3
El 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.( ACC. BLDGS. / A DWELLING OCCUP.&\
OR ACDNS. V 3.64sq.11. (F.35
NEW CONSTR. ULTI.OUTLET
NON•RESI D� BRANCH CIRC ITS @ 5.00
POWER APPARATUS &)
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 20 @ 76d
FIXED
Ex. Occup. OUTLETS PIRESID IKEA.) ( 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g '15.00
Permit Fee $ 19.35
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
�l 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 FiIingFee 15.00
Heating
Duct 1 19.00 9.00
Cooling
Hood 6.50
Ventilation
Permit Fee $ 24.00
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
agains said County in nsequence of the granting of this permit.
X - s�/y Date (° %
Signature of Applicant - Owner ❑ Contractors Agent ❑
An OSHA permit is required For excavations over 5'0" deep and demolition or construct -
ion of structures over 3 stories in h fight.
Mobile Home Installation Fee S
Energy Inspection Fee $40.00
OCC
CONST TYPE
TOTAL FEE $295-85
HAz DFEES IMP
-
I FLOOD
CDF FARCE
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
Bions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DI TO F PUBLIC WORKS
By Dated Zo- T
4l
PER EX IRES Date 7--L.,! 3
Receipt No. 1 543 - �()
WHITE-D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT
1�, t y,`o .•..-fifi �r ,r"{, ��i „(-'{wrlrt �-. ?�.ft !r `�Y'iR .'L•,��::,��'�hi t:...�����i•f�'y �r.lfrij /t,',-'yr5�;,,,t'�Jh 4 .. �r- .,.v
.COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 TELEPHONE (916) 538-7541
OWNERX
Proposed Building Use
PERMIT APPLICATION DATA'SHEET
�iCl E /4 UGI_ E y A- PJ No D 1"Ilo - 3Wrd z 7
Tim
Date
V3.
it application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED BY
All items have been submitted . ...........:`.............................
Plot plans, 3/4 sets,.signed by preparer of plans . .....................:... .
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 i6structions, 2 sets. 7.toe'��.. .
Fees of $ . ................... �.. ! ..-!..........
1 Impact fees as shown on attached schedule. .......
12. California Department of Forestry plan approval/fees. ....................... .
mood elevation letter (100 yearflood y Ca f rnia Engineer ...................
X14. Sanitation and plot plan approve Health Department. .....:...
15. City of Chico plumbing permit. .....................................
16. Plot plan and business license approval from City of Biggs/Gridley. .........l:.+.
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)., ...t..!.�.,. .
re lnspei
TO
FROM:
Buildina Department
Environmental Health
SUBJECT: Sanitation Clearance
" Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for: Water Supply
Final clearance O.K. for:
Clearance for bedroom mobile home.
NOTE ***
j Water Supply
Otherrl CG►' l�`2"�►^—
/
Date
San tarian
BUTTE COUNTY SCHOOLS. IMPACT FEE CERTIFICATION FORM
(One Form Per Building)
School District 0!40- -Q,� _ _ _ _ Building Department No.
A.P. Number C— s L -D Jurisdiction ( City F�z County
Property OwnerU ^^�� me/ Irl
Property Location/Address c)oZ _,� - jf %
Subdivison Lot No.
Residential Development [ - . Footage
No. of Living MHi Addition (Group R)
Units
Commercial/Industrial Sq. Footage
New Addition (Including Exterior
Roofed Areas)
ui ding DepartAerii Repr sentative Dat
(Floor Plans reviewed by School District,Personnel)
District Identification No.
A,C(p School District certifies that 'o, li
(Applicant)
l.� Rol
(Street Address) (Phone Number)
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. _ 7 % by payment of $
representing _�_ square feet.
School District Repres
Paid by Check Number _a%� _ _ _ Remarks: Q
Bank Number
Paid by Cash
117157 ZDate
If, subsequent to .the School District Representative signing this Butte County Schools Impact Fee
Certification Form, the School District is notified by the applicable Local Planning Agency that this project
is being reviewed under the California Environmental Quality Act (CEQA), this project may be subject to
additional school fees to fully mitigate its impact on the school district's schools.
White (applicant), Yellow (building department), Pink (school district) feeformmkl (4/92)
COUNTY OF BUTTE - DEPARTMENT OF.PUBLIC WORKS PERMIT NO.
7 County Centax Drive Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSORP RCEL N MB R
j o i 6 2
ZONING /
/
BUILDING PERMIT
OWNER/ �- I
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER AILING DR SSU I �7�� r/
/ (J•tr G/J (XJ
C N gCT,61 f.L MEQ k „�
97-
TELEPHO�y�
CONTF�ACT '$�M ILING AjTDRE55� � I 9 /f �
J/� , (/?/ SS (//tel /v /v [[ !J
Fireplace
p ` �' / S V l✓
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee $ 15.00
LENDER'S MAILING ADDRESS
Permit Fee $ , Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
I
Energy Plan Checking Fee $ Q r Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS S ,A
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00 C3 10
Building sewer 15.00
Mobile Home S I G I W @ 15.00
TYPE OF WORK
New ❑ Addition El. Remodel ❑ Utilities ❑ Installation❑ Other_.,A
Describe work: gwkl/e,--r– BQ/LC h -
L' 1/1 l 6
Permit Fee $ Q r00
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
,
!// 64)1U0 O
Main service 20OR LESS 18.50
200A0A OR LESS
Main service 200A TO 1000AI 37.5�t.
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
L_f 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.&) 3.54 sq.f
OR AODNS. ACC. BLDGS. //
NE w CONSTR MULTI -OUTLET @ 5.00
NON -REST D. BRANCH CIRCUITS)
(POWER APPARATUS e
\SINGLE OUTLET CIR.
/
Ex. OCCUp\OUTLETS OR FIXTURES 20 754
EX. Occup. OUTLETS (RES SFIXED APPLN ID 1 EA.� 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.
❑ 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
V 67
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
to enter upon the above-mentioned property for inspection purposes.
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 [IAgent ❑
permit is re sired for excavations over 5'0" deep and demolition or construct-
An OSHAa
ion of structures over 3 stories in height.
Mobile Home Installation Fee S
Energy Inspection Fee SButte
occ
CONST TYPE /I
TOTAL FEES;;IO[
HAz
1 DFEES
IMP
I FLOOD
OF
I PARCEL
I PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE (916)5387541
OWNER
PROPOSED BUILDING USE
1. School Distric Fees
(paid at District Office)
1. 2. Sheriff Fees
(paid at Building Department)
A. P. NO.
DATE
REC. # DATE REC
Residential .......... X =$
ni
ut amt.
Commercial(per.sq.ft.) X =$
sq.ft. amt. . _
3. Urban Area Fees
(paid at Building Department
Residential (per unit) X =$
# units amt.
Commerical(per sq.ft.) X 4
sq.ft. amt.
4. Recreation District Fees
(paid at District Office) ..........................
5. Drainage District Fees
(Contact Land Development) ....................... .
6. Other
7. Other
At time of permit application, I was advised the above fees are required to be paid prior
to issuance of the permit.
APPLICANT
DATE -1171��
FORM 7
ADDITIONS, TO'•RESIDE`iITIAL BUILDINGS ENERGY SHEET'
PACKAGE."A" (Additions)
Owner
`vL w
Climate Zone /
Permit__
— Floor Area
9
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.
APPLIES TO NEW AREA
CEILING
WALL
FLOOR
SLAB
GLAZING
SHADING
SOUTH - OPTIMUM OVERHANG
ZONE 11
R-30
R-11
R-11
R-7
U-.65 (Dual)
or .36 Shading Coefficient
WEST - .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
ZONE 16
-3
R 9
R 9
R
5 (Dual)
INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
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
BUTTE COUNTY
12/85
*1
HEATING VENTILATING AIR CONDITIONING SYSTEM
(A) Heating
❑
Central Gas Furnace
(brand and model number)
SE
Btu/hr
(heating capacity)
❑
Heat Pump
(brand,aad model number)
ACOP
,Btu/hr
(heating capacity at 47°F)
❑
Active Solar
type (liquid or air) Collector
brand and
ft
model number solar fraction collector area
collector
orientation collector tilt raced y -intercept
raced slope
❑
Other
(describe)
`*1
(B) Cooling
❑
Electric Air Conditioner
(brand and nodal number)
(seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑
Electric Heat Pump
.
EER.
Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
❑
❑ *2
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)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar --Panels
Other
(Describe)
*1 Submit documeotatioa of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature °, slavacioa ', heating load BTU
elevation factor % heating load maximum outlet capacity gas furnace
BTU
Cooling: Su®er design temperature cooling load BTU
*2 Submit T.I.P.S..E char t'or ocher approved system (form!") to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapcer 2-53 of the California administration Code.
4 �k SIGNATURE OF BUT. LNG DESIGNER OR APPLICANT
7? PERMIT NO.
QUO J.}j.Q.* a. f e PERMIT EXPIRES.
`ou V �k. - OWNER T-oyn wji.uY
U. CONTR. Bel Air ('nn et
ASSESSOR PARCEL .40--39-77
• LOCATION 220 Estates Dr, Chico
i
r'
Temp. Power Pole
j
Called PG&E
`
Temp. Elec. Service
Called PG&E
'
Temp. Gas Service
Called PG&E
-,
JOB FINALED (Date)
- F
Signature
COUNTY OF BUTTE
.._ DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
rn
OWNER PF
T
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, need additional explanation, please contact this office immediately.
F, _ n
Inspector. JA /Y Date ��
='OK
0 = Not OK
- = Not Applicable
= Not Ready
MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORYS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap: / P L" ft.
/ /"Nat. or/ /"L" ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
Card -81
Date Card -131 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
11. Ext.; Steps -Doors -Landings
Date'
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -B1
Date Card -B1 Date
2. Footings; Size -Spacing -Marriage Line
Card -B1
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -;Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test -Regulator -Connector
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/O to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and, Lighting, Distances-GFI
10. Cert. of Occupancy
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-Panel boards- Ins. to Main in Conduit
Card -Bt Date Card -B15 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -B1
Date Card -131 Date
Card -B1
Date Card -B1 Date
0 = NotRESIDENTIAL (Single and Duplex)
- =Not Applicable •
= Not Ready . .
Date
UNDERF4O0R (Plans) OK except #'s -
Date
FRAMING (Continued)
1. Zoning -Setbacks; -Easements -Flood -Slope
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth
46. - fng.
3. Ftg., Garage; Soils -Steel-/ /" Ftg. Depth
47. F' e
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Atti ccess; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
drm. Windows or Exiting Doors -Sill Hgt. & Dineasiens
6. Stem,,Wls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/O -Sewer Test
53. Stairs- Mrith N "ir^ngnMa c"" ' ""'""s """ �ion
10. Gas Pipe; Size -Anchors
54. PI
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Sidi -
12. Electric; Underground
56.-
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
M Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
T8. Shear Walls; Nailing -Bolts
15. Insulation
59. I
60. Infiltration -Wal Is-Wndws
Card -131
Date Card -131 Date
Card -131
Date Card -131 'Date:
Card-B11j
Date 2- Card -81 Date
Card -B1
Date Card -B1 Date
Date
PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion -Air -Baffle
Date
FINAL lans) OK except #'s
17. Water Pipe; Test & Anchors -Nail Protection
xt. -Door & Sidelig Protection -L gs
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
61,86okpaetector
19. Shower Pan; Test, First Floor -Tub Access
6 nnector-
In- s- ec . Protection
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size &Anchors
oom itin
G. ath FWre__s�& Tub Acc p
6._5Wc. Trim & Subpanel; Breaker Sizes -Labels
Card -131
Date Card -131 Date
67 St ;ramails,, ��
Card -B1
Date Card -B1 Date
re or Stove; Cleara es- earth
Date
ELECTRICAL (Permit) OK except #'s
ft-lec. O lets at Wood Panel; Int. & Ext.TL),
22. Flx & Transformer Clearance -Ins. Protection
xt. &Appliance; Grnd. -Air -Cooking Ovarance
1 ec. Outlets 4CRiceptacles at Kit. Counts
M. er
I eceptacles Spacing -Lights & Switches at Doors
EA -Size Boxes & No. of Conductors -Stapled
73. r
25. Romex Installed Close to Edge of Studs & C.J.
76,Wfr. Htr.; Vents -Clearance- b. Air -C ctor-P.R.V.-
In Gar e; Above Flooech. Protection
26. Equip. Ground made up w/Meth. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen &Conductor Size/G.F.I.
76e4q6., Elec. & Mech. Equip. Listed 4er-tflLafion
28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
76. EI - ex Protec.
71. I - Attic e3-4ba-�
29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral . Yes No
78. G s
30. Service -Riser Conductors & Ground -Main Disconnect
99.F - ood-Earth
31. Equip. Clearances Panels-Motors-Mech. Equip.
10.__fpl4ewing instld.; Drive es ❑ No; Walks❑ No;
Planters 11 Yes UAI�
32. CLg"s Closet Light -Shower Light -Spa Light
S moke Detector
84. - h
Card -81
Date$fL-IR Card -131 Date
82. A: ing
Card -B1
Date Card -131 Date
ants Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openi
Date
MECHANICAL (Permit) OK except #'s
84. 9
34. A.C. Ducts Insulation & Support
. Exter' lec. Trim; G. .. eceptacle-Underground
35. Vent Fan; Exhaust above insulation
.86-Ve-nglatioTl7throughout House
36. Condensate Drain & Overflow; Size & Grade
ass c -ti on
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
8 . orrections Previous Inpections
38. Attic Access & Platform if Furnace in Attic
89. Gas T eters Tagged; Gas -Electric
LACK
im t 1/ O to
0 e ewer Connected -C/O to Grade -HD Approval
er - er Certificates
Card -61
Date2.2-?q Card -B1 Date
2 ofing Certificate
Card -131
Date Card -131 Date
Card -131
Date -2 Card -131 Date
Card -81
Dateq /S"�q Card -131 Date
Date
FRAMING (Plans) OK except #'s
Card -131
Date Card -B1 Date
39. Sills, Proper Material & Anchors
Comments at Final:
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41• Bearing Walls over Girders & Floor Nailing
42. graft Stop in Walls (rat proof)
Fi tops; Furred Ceilings -Stairs -C - ub
Bader & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovil,le California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.�/
ASSESSOR PARCELNUMBER
a -
ZONING
I (
BUILDING PER IT
OWNER'.
L� � Mi.I Ice5��
TELEPHONE
�s
SQ. FT. OCC. BUILDING U TION
JV
OWNER MAILING ADDRESS
0` s4-4-� ,5 01-- 0-h;�a 5s5XV
C NTACTOR'S NAME
re-, N f J- aG4- 0 r`-5
TELEPHONE
1,6q)-- 1,14,5
CONTRACTOR'S M ]LING ADDRESS a _.
a 1
Fireplace
CONSTRUCTION LEN ER
UNKNOWN
Total Valuation $
�+
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
S
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$ .
BUILDING ADDRESS
Permit fee
$ '7S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
�h 7 L o
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
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 Lv�
Building sewer
5.00
Mobile Home S G W
0.00ea
TYPE WORK
New ❑ Addition ❑ Remodel Utilities E]Installation[]Other ❑
Describe work: zl�-,C'e/"i e) / rnP
Penult Fee
$s2zd, tv
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100 AMP LESS
100
10.00
Main service EA. ADD'L too AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check one):
E9 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.8d
OR AODNS. ACC. BLDGS. /20sq it
NEW CONSTR. MULTI -OUTLET 2,50 ea
NON.RESID .BRANCH CIRC ITS
POWER APPARATUS 61
SINGLE OUTLET CIR.
EX. OCCUp 1015011 OUTLETS OR FIXTURES SALO 30
Ex. OCCup. OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 �"o,c.
/S
::Q1je Pr— o2- i'
Penult Fee $
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 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 3,0`0
Ventilation
penult Fee
$ ,s-�
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
a st id o ty in consequence of the granting of this permit.
Date 4o oe
Signature of Applicant — Owner COntractorK Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 storiesin height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE P
$ 6 7
oceuP.
_
co T.TYPE
ISCHOOL
FLoO
PARCEL
PD ND ISsu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTORAF PUBLIC
By
PER EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date%7
/ —6— `O
Receipt No. 41-3
WHITE-D.P.W., YELLOW-ASSE330R, PINK -INSPECTOR, GOLD EN ROD -APPLICANT
PAV
� J � -,�, �.,. _ t .. �. �•._ i ...• ss .. --..r" .ma�(rt� ` ; _ "�-, - ti . .. ^•.. `ri .. .' r+r-` � ... . i-'• .. �.
COUNTY OF BUTTE- DEPARTMENT OF PUffLIC WORKS - BUILDING DIVISION
• 7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965,-! TELEPHONE: 916/538-7541
PERMIT APPLICA`T 6i"dATA SHEET
• Permit No.
OWNERT%(Aaln I A l k-_ �� A. P. No. 411)— — -7
Proposed Building Use / Building Inspector IlA Date / —.29-- c-*
At time of , e'rmit application, I was advised the following data must be submitted prior to permit processing and/or tr na: o
. All items have been submitted . .................: ... DATE RECEIVED A/
` 1.. ..........
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Energy Design Compliance and supporting documentation .........
` 6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from • Health Department ...
14. City of Chico plumbing -.permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking:
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ...
19. Pre -Ins ection for re uired . , • , Pre-Inspec. request to
p q • • Building Inspector rpm)
20. Contractor's license information (No., Name Style, Classification) ........
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization ..................................... .
25.
26. '
When you issue the permit, process as follows: —Mai l to owner. Mail to contract.
- I elephone X, 2 / and hold for pickup at C office. Deliver w/inspatin
Other
ADa1s"—�T� "�� Date+
Copy of plans sent Health Dept., Fire Dept„ Other Date
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---mall—counter by----..; date
Contractor, designer, owner, was advised of above required data by—phone —ma ll—counter by date
Plans checked by
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
Date