HomeMy WebLinkAbout042-580-006` - 42-58-06
WEBB, BROS.
835 Skylark Dr., Chico
Cont Webb Bros ,
PPrmi t .ik7 914-86B; P, E;M(ncw 8F)
�y 42-58-06
MIKE STORMhify
6 Skylark-; - Chico- - �d
Contr: Sunshine Pools
r
PerTit#2230-86B,P,E(new swimming pool)
42-58-6
Permit#2574-86B(new patio cover)SF
r
0
191446(Obb tebO
V W
PERMIT NO. 2230-86B,P9E
PERMIT EXPIRES -7
OWNER
t
OWNER MIKE STORM
CONTR. Sunshine Pools
ASSESSOR PARCEL 42-58-06
# LOCATION #6 SkylerV, Chico
I
Temp. Power Pole_
Called PG&E _
Temp. Elec. Service
Called PG&E_
Temp. Gas Se
Called PG
JOB FINALEI
Signature
i
J=OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch -
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
Card -BI
Date
Date Card -BI Date
P00 (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
. S acks-Easements
2. Footings; Size -Spacing -Marriage Line
S ' s; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
'(e .; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
Iec ; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
ec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approvalec.;
Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
--a--Me—c.; Grounding; Equip, w/5' -Circulating Equip. -Pool Lghig.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Ith Department Approval
Plumb; Cir. Test -Water Supply Test
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Card'B-I Date Card -BI Date
Card B-1 Date Card -BI Date
J OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR (Plans) OK except N's
Date
FRAMING (Continued)
Date Card -BI Date
Card -BI Date Card -BI Date
Zoning requirements -Setbacks -Easements
Date Card -BI Date
48.
Property Line Firewall & Openings
Com Tents at Final:
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-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6.
Ste_mwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access_
-
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
54.
_
Glazing Area -Glass Protection -Skylights -Plastic
55.
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe: Test -Anchors -Regulator -Service Test
~
11.
12.
Electric; Underground
'Plenums &_Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
• Card -BI
Card -BI
Date
Card -BI
Card -BI
Date _ 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
16. D.W.V.: Test-Fttngs & Anchors -Nail Protection
17. Shower Pan: Test, First Floor -Tub Access
18. Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
-
Date _ _ _Card -BI Date
Date Card -BI Date
Date
FINAL (Plans) OK except H's
56. Ext. Steps -Door & Sidelight Protection -Landings
57. Smoke Detector
58. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meeh. Protection
59.
Bedroom Exiting
60. G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62. Stairs & Rails
63. Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
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
Gard B -I
Card B -I
20.
21.
22.
23.
24.
25.
26.
27.
28.
29.
30.
_
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
Size Boxes & No. of Conductors -Stapled
Romex Installed Close to Edge of_Stu ds & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Range Circ. / / ga. Cu or Ad -Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes .No __ __.._ .._-_ _
Service -Riser Conductors & Ground -Main Disconnect
Equip. Clearances: Pane ls-Motors_Mech. Equip. _
Clothes Closet Light -Shower Light _ -
Date Card -Bi Date _
Date Card -BI Date
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70.
Plb., Elec. &Mech. Equip. Listed for Location
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic E] Yes
73,
Guard Rails &Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor E Yes
75.
Following instld.: Drive C Yes ❑ No: Walks G Yes ❑ No;
Planters Dyes ❑No
76.
Stucco; Brown -Finish
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
_ . 78,
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
_
81.
Ventilation throughout House
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
31. A.C. Ducts. Insulation & Support
32. Vent Fan: Exhaust above Insulation _
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
83.
_
Corrections from Previous Inspections
_
_ 84.
Gas T est -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86,
Energy Compliance Certificate -Other Certificates
-
--
- - ---' -`- -
40. Fire Stops: Furred Ceilings -Stairs -Chases -Tub
41 Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchors -Connectors
43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
(NOTE Anentrymust be made each time youvisit jobsite)
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date FRAMING(Plans) OK except q's
Com Tents at Final:
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
43. Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
44. Fireplace Ties or Type A Flue -Fireplace Throat
45. Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47. Garage Fire Protection Framing
(NOTE Anentrymust be made each time youvisit jobsite)
C UNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS _PERMITi�o
��7 County Center Drive - Oroville, Californio.95965 ='Telephone 916/534-4541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
._ S
z0 N
K
BUILDING PERMIT
OWNER
k4e �-^ �"
TELEPHONE
�% + 003
SQ. FT. OCC.1 BUILDING VALUATION
C[)�"�
v
. O O 03
OWNER'S MAILING ADDRESS
0
CONTRACTOR'S NAME11
k,N rG 01
ZTELEPHONE
� 5 -� 7 oc9
CONTRACTOR'S MAILING ADDRESS
L
Fireplace
CONSTF4UCTION LENDER
/Va`-e
UNKNOWN
Total Valuation is
/ OOa -00
Filing Fee$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 5 p
ARCHITECT OR ENGINEER
`J
LICENSE NO.
Plan Checking Fee
$ .b�
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
�a.LL. Sk fur I''
Permit fee
$ e 5�v
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
C-3Solar
or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5,00
Each qas water heater or vent
5.00
USE OF STRUCTURE (�
SF ❑ Duplex[]Mobilehome❑ Other P-, Poop
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G W
10.00ea
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: Pr, QD�! _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare/under penalty of perjury (Check one):
�/
fid' 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. 3x7298 Classification C"�3
El I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ 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.oi� yz¢sgft
OR ADDNS. 1 ACC. BLDGS.
NEW CONSTR MULTI -OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS
POWER APPARATUS &)
(SINGLE OUTLET CIR.
EX. QCCUp�OUTLETS OR FIXTURES 20®50t
5AL03o
EX. Occup. OUTLETS FIXED P(RESID )LINIS REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
�yirin „�
9 a 15.00 UO
Permit Fee $ S =UJ
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
❑ I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
�I Shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against County 'n s uence of the granting of this permit. (�
�- �_d to
X Date /
Signature of Applicant — Owner El Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3�srlories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ jJ,57 , .SO
Occup.
CONST.TYPE
FLO0D
i
I PD
N
se
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF P LIC
-1D
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
e
Receipt No. 6ag� 1Q
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
S
COUNTY OF BUTTE - DEPARTMENT' C3 FiI�,QLI.�iWORKS - BUILDING;
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 91,€6%53-4541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER 122 S 40
nn A. P. No. </ 2 - Sb' -456
Proposed Building Use—
Permit
se Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspectors 1:) Date 4
At time of permit application, I was advised the following data must be.submitted prior to permit processing
and/or issuance: DATE RECEIVED APPROVED
1. All items have been submitted. . . . . . . . . . . .
2.. Plot plans in duplicate/triplicate. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. CUSD "Fees Paid'' Stamp on Floor Plan . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
����
��9. Letter of signature authorization. .. . .
0A_ 0. Sanitation approval from 6' ^, v Health Dept. . . �( /— �'
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner 0 )
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Required- BuildingPre-Insp
request to (Dote)
p q Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement . . .
19. Other Drip. eway permit (Const. approl, al prn r to OCCUOPP91"
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone and hold for pickup at office. Deliver w/inspector.
Other
Applicant ate u b
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item.)
1. Index permit for above Items No.
2. Additional items required:
r•
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail;' Other
14
By Date
Plans checked by Date
d�
Plans approved by ate _
Other: !'
Copy—DPW
11
TO: Build ng-6-8partment
FROM: Environmental Health, Chico Office
1
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan approved for:
Hold final for:
Final clearance O.K. for:
Clearance for bedroom
✓�dXe-- T
Note'.`**
w .
Sanitarian
Sewage disposal ,� Water Supply
Water supply
Water supply
Mobile home House Other
7779
Date
y
PERMIT NO. -
'�IAZ7
PERMIT EXPIRES—7/0
OWNER WEB$ ROS
CONTR. WEBB BROS.
ASSESSOR PARCEL 42-58-06
LOCATION 835 Skylark Dr., Chico lot 6
jy
Temp. Power Pole
Called PG&E
r
Temp. Elec. Service
Called PG&E
Temp. Gas Service ?
i
Cal led PG& E
?� JOB FINALE[
+ Signature
i
Owner:
Permit No.
ENERGY C E'R T IF ICAT ION
_ Lot#6 Skylark Dr., Chico
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches) 3 5/8"
CEILING
Batt or Blanket Type Fiberglass Batts
Thickness(inches) 11"
Loose Fill Type Fiberglass
Minimum Thickness(Inches) 13"
Area covered(ft:2) 1,398
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name Manville
Thermal Resistance(R Value) R13
Brand Name Manville
Thermal Resistance(R Value) R30
Brand Name Manville
Number of Bags 35 Wt. per bag 40 lb.
Thermal Resistance(R Value) R38
Brand Name
Thermal
Brand Name
Thermal
Resistance(R Value)
Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
LOERKE INSULATION CO., INC. #499150
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
6X0 6It-A a -A,_ November 20, 1986
SIGIATURE OF INSTALLATION APPLICATOR DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LIC NSE NO.
GNAT1 OF tENEgAL CONTRACTOR/OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
J=OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
'.., ... a�
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1, Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors -
3. Sewer; location-Test-Fall-C/O-G?oncrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
f
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L°'ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
_
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 vdlts-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
B. 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
r,
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
r.
l
f
J Z OI(, w
0 = Not OK `
= Not Applicable
�: Not Ready RESIDENTIAL (Single and Duplex)
Date
UND OOR Plans OK except #'s 4
Date Fr
tuIING (Continued)
oning requirements-Setbacks-Eas ents
property Line Firewall &Openings
-
tg., Main; Soils-Steel-Elec. rnd.- //Z-4" Ftg. Depth
TI
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
_
g., Garage; Soils -Steel- //ZJ" Fig. Depth
irs; Width -Headroom -Rise -Run -Landing -Fire Protection
Ft X, Porches & Decks; Soils -Steel- Ft Depth
_
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalI , Main; Steel-Blockouts-Wrapped-SI
52.
Siding -Nailing -Veneer
Ste ails, Garage; Steel-Blockouts-Wrapped-SI
ucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
_
7. iers-Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Testar
_
azing Area -Glass Protection -Skylights -Plastic
Is; N 'ling -Bolts
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-BIDate
Card -BI
Card -BI Date
Date p Card -BI Date
Card -BI
Date Card -BI Date
Card 6,142Date
Card -BI
Card -BI Date'
Date Card -BI Date
Date FINAL
(Plans) OK except N's
Date
WMBING (Permit)' OK except rs
5
Ext. Steps -Door & Sidelight Protection -Landings
W
Smoke Detector
Card-Bli)r
Card -BI
W,Water Ht.: V_e_nt- Access -Combust ion Air
ater Pipe: Test & Anchors -Nail Protection
D.W.V.: Test-Fttngs & Anchors -Nail Protection
Shower Pan: Test, First Floor -Tub Access
T t Tub& Shower, 2nd Floor -Tub Access
Gas Pipe_Size & Anchors
-
� Date q/ _Ot)� rd -BI _ Date
Date Card -BI Date
Rfif
Furnace; Vents -Clearance -Comb. Air-Connector-
In Garage; Above Floor -Ducts -Meth. Protection
Bedroom Exiting
G.F.I. &Bath Fixtures &Tub Access
/
Elec. Trim & Subpanel; Breaker Sizes -Labels
Stairs & Rails
6 .
Fireplace or Stove; Clearances -Hearth
6
Elec. Outlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
6<
Elec. Outlets & Receptacles at Kit. Counter
Date
Permit OK exce t N's
.
Garage Fire Door; Swing -Landing -Closer
6 .
A.C. Duct in Garage -Damper
Card B-Iq
Card B -I
tLE5r.TRICAL
xture & Transformer Clearance -Ins. Protection
ec. Receptacles Spacing -Lights & Switches at Doors
e Boxes & No. of Conductors -Stapled
mex Installed Close to Edge of Studs & C.J.
uip. Ground made up w/Mech. Fasteners -Bond Gas &Water
ppliance Circuits in Kitchen &Conductor Size
R.2feed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
ge Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or AI,
lomplated Neutral Yes _ No _ _ _
Sery ce-Riser Conductors & Ground -Main_ Disconnect_ _
utp. Clearances: Panels-Motors-Mech Equip.
Clothes Closet Light -Shower Light - _
/1"
Date C1 1bo Card Bi_ Date _ _
I---
Date Card -BI Date
SA .
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
761Plb., Elec. & Mech. Equip. Listed for Location
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
7 Insulation -Foam -Looked in Attic ❑Yes
Guard Rails &Deck Construction -Post Caps
Fdn. Vents & Crawl 'sole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
7F1
Following instld.: Drive ❑ Yes ❑ No; Walks [-j Yes ❑ No;
Planters EI Yes 0 N
74' Stucco; Brown -Finish
71,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
710
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
76,/ Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Ventilation throughout House
Glass Protection
Date
ANICAL (Permit) OK except Ws
Correct' ns from Previous Inspections
Ga st-Meters Tagged; Gas -Electric ((p /` X(,/�
Card -BI
Ca d -BI
t. A Ducts. Insulation &Support
t Fan: Exhaust above Insulation ~ - _
ndensate Drain &Overflow: Size _& Grade
F rnace-Vent: Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
` Date a jai 1 y� yard -BI - Date
_ _
Date Card -BI Date
ater & Sewer Connected -C/0 to Grade -HD Ap roval
Energy Compliance Certificate -Other Certificates
—
--
-
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
F A G(Plans) OK except p's '
Com tents at Final:
r ills: Proper Material & Anchors
Is: Studs -Nailing, Spacing & Bracing-Plates-Sound-
aring Walls over Girders & Floor Nailing
aft Stop in Walls (rat proof)
Ft a Stops: Furred Ceilings-Stairs_Chases-Tub b:r
ader & Beam -Size & Bearing
angers -Post Caps -Anchors -Connectors
FIng. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
F/replace Ties or Type A Flue -Fireplace Throat
�y Atuc Access: Size & Romex Protection -Draft Stop -Ins. Baffles
be, Windows or Exiting Doors -Sill Hgt. & Dimensions -_
Garage Fire Protection Framing
_
_
(NOTE An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
l a DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
q
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.
N
/2 l(10
Inspector � Date 1
COUNTY OF BUTTE - DEPARTMENT,.OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
/PER T NO.
l
ASS 5 PAR` L NUM ER
ZON
IQ
BUILDING PERM
OWNr;),*
TELE HO E
SQ. FT. OC . BUILDING VALUATION
OWN 'S .,—ILG A RE55
m no rS
CO AC R'S NA
TELEPHONE
CO R C OR'S MAILING ADDRESS
Fireplace �
CONS UCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LEN ER'S MAILING ADDRESS
Permit Fee
$
ARCHI ECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADD
tr
r .
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT N
SUBD ISI N NAME
jrfi� a /
PARCEL MAP
a0)-
Water piping
5.00
Each qas water heater or vent
5.00 ` Q
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
1 5.00
Mobile Home S G W
0.00 ea
TYPE OF WORK
New 4 Addition[] Rem el4Utilitie ❑ II�stat do ❑ Other ❑
Describe work: �iS�IP. C�/Jo _
A
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS10010.00
1AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under perjury
penalty
p y of p I y (Check one):
2-1 am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full ce and effect.
3
License No. ��%Z 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 OC '/z2sgft
OR ACDNS. ACC. BLDGS.
NEW CON5TR ULTI.OUTL T
NON.RESID BRANCH CIRC ITS 2.50 ea
(POWER APPARATUS 6I
SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES SALO3t
eAL030
FIXED ALNS.
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities
15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
gi-h have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Q
Hood
3.00
Ventilation
Permit Fee
$ r (�
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 d Co ty cQnquence of the granting of this permit.
t(,��—
X Date
Signature pplicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occuP.CONST.TYPE
FLOOD
6tU�`/
ARCF,L
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO"F PUBLIC
By
PER40XPARES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
/
Date Z_aI
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OP PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/534541
t./
OWNER
Proposed Building Use
i
PERMIT APPLICATION DATA SHEET
Permit Fee Based Upon: Complete Contract Price
Building Inspector
At time of permit application, I was advised the following data must be submitted prior to permit processing
and/or Issuance: DATE RECEIVED APPROVED
Permit No. --/cc
A. P. No. �1� 5 O "lir
.DPW Valuation
1. All items have been submitted. . . . . . . . . . . .
2., Plot plans in duplicate/triplicate. . . . . . . . . . .
Complete plans in duplicate/triplicate. t
�I{C� Complete engineered plans and calcs. s;_qh TM 1.
5. Plans with Energy Design Compliance Statement. . . . . .
_LA6. USD "Fees Paid'' Stamp on Floor Plan . . . . . . . .
Statement of Intent for Non -Heated and AC Buildings.
4K4 Fees of $ 5 9 A, / to . . . . . . . . .
A. Letter of signature authorizatio)_ . . . . . . .
Sanitation approval from .� Health Dept.
1. Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. . . . . .
Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner[], Mail to owner ❑,)
15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required. Building Inspector
(Date)
8. Record y / to 1 Acknowledgment Statement .
. Other DRAY P�I��' ��onstruction approval required prior to occupancy
Whe you issue the permit, process as follows: Maill t •owner. Mail to contractor.
Telephone o ! I " 335 I and hold for pickup at _ o office. Deliver w/inspector.
Other
V Applicant �" ° r Date
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance:
(For required items not checked above at time of P ation, circle item.)
1. Index permit for above Items No.
2. Additional items required:
(Contractor, Designer, Owner) was advised of above required data by
By
Plans checked by_
Plans approved by
Other:
Copy—DPW
_Telephone Mail Other
Date
Date
Date `
fr
--R-e"Eurn to DPW f ,A �j% AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL-DEVELOPMT
Section 26-8.1 of the Butte County Code requires this acknowledgement
be recorded prior to issuance of a building permit.
tivf'0tD IN OFFICIRECORD S
! BUTTE COUNTY. CALIFORNIA
,T TiiF REQUEST OF
MID VALLEY TITLC ;::t:;
86- 5592 1986 FEB 20 AM 11: 4
The property described herein is adjacent to land or included
within an area zoned for agricultural purposes, and residents of this ELEANOR K BECKER
property may be subject to inconveniences or discomfort arising from CLERK -RECORDER FEE
the use of agricultural chemicals, including, but not limited to herbicides, pesticides,
and fertilizers; and from the pursuit of agricultural operations including, but not limited
to cultivation, plowing, spraying, pruning, and harvesting which occasionally generate dust,
smoke, noise, and odor. Butte County has established agricultural zones which have as a
priority use for productive agricultural purposes, and residents within said zones and on
adjacent property should be prepared to accept such inconvenience or disconform from normal,
necessary farm operations.
All that real property situate in the County of Butte, State of California, described
as follows:
A portion of Lots 23 and 24 of the Second Subdivision of the John Bidwell Rancho,
according to the Official Map thereof on file in the Office of the Recorder of the
County of Butte, State of California, in Book 5 of Maps at page 27, and more
particularly described as follows:
Lots 1 through 27 inclusive, of Silver Tree Subdivision which was Recorded
on , 1986 in the Office of the Recorder of the County of Butte,
State of California in Book of Maps at page
SEE ATTACHED LEGAL DESCRIPTION
NOT COMPARED WITH
ORIGINAL DOCUMENT
Date: Fahr"'u� rFi 19RFi PROPERTY OWNERS- Webb Brothers Construction,
a Partnership
Stanley A. Webb, President of Stanley G, L. Webb, President of Gregory L. Webb,
etrtr—s Construction
State oiBrothers Constru tion
On this the day of 19 before
SS. me, the undersigned Notary Public, personally appeared
STATE OF CALL ORNIA 1
COUNTY OF�Ut�Q
)ss.
On _ February 6 , 1986 before me, the undersigned, a Notary Public in and for
said State, personally appeared_G! L • Webb d
personally known to me (or proved to me on the basis
of satisfactory evidence) to be the persons who executed the within instrument
President and___— s GregoryL . Webb, Inc
acialazy, on behalf of_ ._
the corporation therein named, and acknowledged tome that said
corporation executed the within instrument pursuant to its by-
laws
ylaws ora resolution of its board of directors, said corporation being
known tome lobe one of the partners of Webb Brothers
ion
the partnership that executed the within instrument, and ack-
nowledged to me that such corporation executed the same as
such partner and that such partnership executed the same.
WITNESS my hand ffi I seal
Signature
[?znarr!frrrtm[[au[r[nnurrur[r[,,,,,WnUtl[u[tq
OFFICIAL SEAL
••
RANDY COY
Vm, ��
NOTARY PUBLIC .�.
_
COUNTY Of
..r:andnf.;y:rnrrarsTarr[trT,,,,,►,,,r�;rnuranzurefV;
C"-. Exp. May 5, 1989 `
(This area for official notarial seal)
e on the basis
tory evidence.
subscribed to
Fontained.
ind official seal.
i
lubl is
DESCRIPTION:
All that certain real property situate in the County of Butte, State
of California, described as follows:
PARCEL I:
A portion of Lots 23 and 24 and of the Second Subdivision of the
John Bidwell Rancho, according to the Official Map thereof on
file in the Office of the Recorder of the County of Butte, State
of California, in Book 5 of Maps at page 27, and more particularly
described as follows:
BEGINNING at an iron pipe monument on the North-South center line
of said Lot 23 from which the Northeast corner of the West
one-half of said Lot bears North 200.00 feet, said corner being in
the center line of Sacramento Avenue (50 feet wide); thence South 460.0
feet along said North-South center line of said Lot 23 to the
Southeast corner of the West one-half of said Lot 23; thence West
330.7 feet to the Southwest corner of said Lot 23; thence West 232.2
feet to an iron pipe monument, East 98.50 feet from the South%.est
corner of the East one-half of said Lot 24; thence North 660.0 feet
parallel to and 98.50 feet Easterly from the North-South center line
of said Lot 24; thence East 232.2 feet to the i�:ort`:east corner of
said Lot 24; thence East 170.7 feet to a point V.est 160.0 feet from
the:Noitheast corner of the West one-half of said Lot 23; thence
South 200.00 feet to an iron pipe monument; thence East 160.0 feet
to the point!of beginning.
PARCEL II:
An easement for drainage purposes and incidentals thereto over the
following described property:
The North 12 feet of Lot 25 and the North 12 feet of the West 1/2
of Lot 22, as said Lot is sho,.an on the map entitled, "tdap of the
2nd Subdivision of the John Bidwell Rancho," which Map %..asfiled
in the Of'of the Recorder of the County of Butte, State of
California, on September 17, 1900 in Map'Book 5.at page 27.
t;l I Y Ur t.rIMOV
NOTICE TO PAYOR: Check this Roceipt carefully. It is your proof
of payment to City of amount shown below for purpose stated. N -u
97492
If Receipt is Incorrect, notify Finance Office immediately.
I. FO POSTING REFERENCE
11. PAYMENT INFORMATION
Fund
Acct.
Amount
1. Date2.
7��0 �d L
Amount Paid
y,
31-L)F1
�G�� , o -D
1❑GF
4 ❑ PF
3. Purpose 5�>i4- 371 2
4. Received by
5 ❑ SF
6 ❑ PRF
7 ❑ AF
5. Payor
9❑TF
3SclaL C
— ❑
L / r .
DISTRIBUTION: White—FO Serial File; Yellow—t-u uate rne; ring—rayul.
15-1 5-85 15M
11
-7-47--
y
,
r ,
224 A
GARAGE/
—110.010 , —
\
227A-=
�J
'NOTE:- Materials & orkman hip Shall Be inl ------
Accordant- with Recogni ed Goo Practices and
of a qualitW prescribed fo the S e ified use tt�
Uniform Bu'ol�ing, Plumbing & ical Coda and
the National' Electrical _ m
This set of plans and pec#ica ons MUST
kept on the job at all ti es d it is unlawful to
make any changes or alt ON Ins some without h
v written permission from a Departi vi
0
o lia
Works, County of Butt
ir
2 SSA; I
BUTTE COUNTY
UILDING DEPART E�T .''.
APPROVE I
y
Qt
6AV.A,
A setback of 5 ft. from the
f
nroperty lines and a setback L='i40
_
f
of 50rt. from the road--
�
centerline steal( be clear of
structures or equipment except
for a 2 ft. eave overhang.
"
i .r
See Master Plan an file for di�}A l
w�
Plans. �a-r�s
I
NorA
5
ir
2 SSA; I
BUTTE COUNTY
UILDING DEPART E�T .''.
APPROVE I
y
i't''L�' .l':r}t� �+Cif,•'�4 itl»'il;e/�'rC:`; .'i xTil♦��r�y ..:r.i�M:�.'.'t.�.��
t ,i e'* i �.r �' i; �:r.'t� ;., f'i'b �{'7 'r t` Cit^� t «;t' rtt` '►Q+`�
:U3xtrfW ,retfJt F.v '!'1^.`ii+aZ i�tr ,.�, r'
�7�c�:l� '•.3'!�isi't1"ire �'3L� �"�r� ;.+31{' ria�it��;Y'>1•..+� rr•��ii�ti r
M
a
P1 / i F �� r i .,.I a •� p i t a
x
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT N
ASSESSOR PARCEL NUMBER
ZO ING
_s
BUILDING PERMIT
OWNER
TELEPHONE
SQ. FT. OCC, BUILDING VALUATION
U ov
oV
OWNER'S MAILING ADDRESS / e
O 11 C�cs rpt wnrl G L•t?
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LE ER
UNKNOWN
Total Valuation $
e Q 0,(:)4,
Filing Fee
,1j 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
`\
Permit fee �/,Sj 0
$ 41,S'V
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTUIE
SFEZ_Duplex❑ Mobilehome❑ Other U/��°6 Ga -f
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S FG FW7
10.00ea
TYPE OF WORK
New Addition[] Remodel[] Utilities ❑ Ins allation❑ Other ❑
Describe work: p'. i7a. Ga-�r [� ��0^ 6"� _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
`/
azyti
Main service 100V DR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
.2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the BuSinesS
and Professions Code and my license is in full force and effect.
License No. �! �� �+ Classification !G3
❑ 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.y , �z�sgft
NEW ACDNS.
MULTI-OUTLET
C ITS 2.50 ea
NON.RESID BRANCH CI!ICU'
(POWER APPARATUS e1
SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES ..L13t
9000 30
FIXED APLNS.
Ex. OCCUp. OUTLETS P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
he permit is for $100.00 (valuation) or less.
p/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
FiIirig Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyoi
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 ounty in copse ce the granting of this permit.
X Date"—..2�—(�
Signature of Applicant — O per ❑ Contractor ❑ AgentJZ
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-iRE
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TYP!
FLOOD
PARCEL
D
177
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.
PUBLIC WORKS
BY D e ��
ZZReceipt
PERMIT EXPIRES Date
No. In 13 a YX
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
17'
i
lio IS. 5.
BATH #2
MASTER BEDROOM
PLAN 224A
•1740 SQ.FT.
'r/ cOv q