HomeMy WebLinkAbout042-580-037OS
y Q /`
t1�w1o��10;
Silvc II,
ebb Bros.
7POrmit#
Cons �
3405-86B
new s ilgI� fa ily"42-'SS-37
56-87B(add
covered patio/SF)
4'2-58-37
DR & MRS PIERCE
7$3 Skylark Dr,
Chico
Coitr: Sunchaser
7
j '•?ermit#840-87n(lawn sprin er)
p�
I ,
0
� )_
� �y ,'fl
�;
�1
r�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS- PERMIT NO.
7 County Center Drive - OrovilleoCalifowia 95965 - Telephone 916/534-4541 .
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
, / , — r,' }' -- 5 )
ZONING
BUILDING PERMIT
OWNER ` rte' r} ,rf
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME r
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
_J').
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
7 % i -' Cl
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other ❑
Describe work: S -• • - _: r .r •x ,
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 13001 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):
❑NON-RESID
I am licensed under provisions of Chapt. 9, Div. 3 of the Buslnes$
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-Ex.
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
Q 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.& ,h2sgft
OR ACDNS. ACC. BLDGS.
NEW CONST R. RANCH TLET
BRANCH CIRC ITS 2,50 ea
CIRCUITS)
(POWER APPARATUS &)
I SINGLE OUTLET CIR. /
Ex. OCcup(OUTLETS OR FIXTURES
PSAL@
Occup. OUTETS FIXED P(RESID )LISIS REA.)
Temporary service
Mobile Home Facilities
Misc. Wiring 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
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 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 Cou`nty.in consequence of the granting of this permit.
X `��• �i %'•r� -r Date - /�-
Signature of Applicant — Owner ° Contractor ElAgent❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
occu P.
CONST.TYPcJ
FLOOD
IPARC11EO
PD
N
1330E
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
11 , �//
By Date �, Le
- �+
PERMIT EXPIRES Date -'��/•moi-
Receipt No. % Cl�4�
WHITE-D.P.W.. YELLOW-ASSES30R. PINK -INSPECTOR, GOLDENROD -APPLICANT
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PJERMIT NO.
7 County Center Drive - Oroville, Cdllifornila 95965 - Telephone 916/534-4541 a._�
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNEA
d M r r �L •e
TELEPHONE
ti �—�/ /y y
SO. FT. OCC, BUILDING VALUATION
OWNER'S MAILING ADDRESS
s r /u
CONTRACTOR' NAME f
N
TELEPHONE
CONTACTOR'S MAILING ADDRESS
C.3 . (_
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
-
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFhQ_ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
0.00 ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation❑ Other ❑
Describe work:Svs��.r��e✓' �p.�+-rr�►t 4 �wc+fiy
' 4`INTLI1C.- /r + 3a / .S. ti✓
Permit Fee $ s.S UitI.
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service BOOV OR LESS
100 AMP OR LESS
10.00
Main service EA, ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license Is In full force and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.tr`
OR ADONS. ( ACC. BLDGS. /21/2 0sgit
NEW CONSTR ULTI.OUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS .&)
SINGLE OUTLET CIR.
(
EX. Occup\OUTLETS OR FIXTURES 20050¢
BAL030
FIXED APPLNS.
Ex. Occup. OUTLETS ((RESID )REA.) 2.00
Temporary service 10.00
Mobile Home
me Facilities 15.00
Misc. H 15.00
9
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
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.
1 also agree to save, indemnif and keep harmless the County of Butte against
all liabilities, judgments cos and expenses which may in any way accrue
against s t in consequent 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 $
TOTAL PERMIT FEE $ s". UO
OCCUP,
CONST.TYPEJ
I
IFL.ODIPARCELI
PD ND
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
hich
work indi ed above f�FwPUBLIIC
DI C
BY
PERMIT EXPIRES Date JZ IfZ
the applicable provi-
resolutions to do
fees have been paid.
WORKS
nate /i 37
e
Receipt No. '-7 % '70
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
L
e 41
V
PERMIT NO. 3405-86B P E M
PERMIT EXPIRES7
OWNER WEBB BROS
CONTR. Webb Const
ASSESSOR PARCEL Dor
LOCATION 1805 Heron Ln, Chico lot 10, Silvertr
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
i�
Cal led PG&E
JOB FINA
Signal
OFFICE COPY
Address
GAS
Meter By
Date �5�
ELECTRIC
Meter By
Date /Z/
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
i�
Cal led PG&E
JOB FINA
Signal
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS o - ~y''•if
196 Memorial Way, Chico — Phone: 891-2751-
7 County Center Drive, Oroville — Phone: 534-4541
+„ Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57__„
CORRECTION NOTICE
34'vs-
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.
r
C Lt /C. Au S ji' fie Gr 7' -lit.I &owe c
Xe M N/ -k-'
Inspector Date C
COUNTY OF BUTTE
.D PARTMENT OF PUBLIC WORKS
1 6 Mj
orial Way, Chico — Phone: 891-2751
7 Co mynter Drive, Oroville — Phone: 534-4541
Skyway a Ett Road, Paradise — Phone: 872-2961, Ext. 57
RECTION NOTICE
� (O V& 5- - 95
'WNFR \. DCO\AIT K1
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.
il., rV i -4I rl " kj C�-�.l.rr.J vG 11J+`.
y
5�cu l�t �s�,--.-4-
42 ei
61
he -ee' becLp— loNr/. AUtw-4 fC�.
'e)k TCS r"6 & r\
'l^
Inspector Date
Owner:
Pernti'i.LNo.
4
ENERGY CERT IF I C AM O N
A. P. No.
DESCRIPTION OF INSULATION
ROOF
Material____ J Brand Name__
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALI.
Material Braid Name
Thickness inch) Thermal
CEILING
Batt or Blanket Type ' �S Brand Name
Thickness(inches) Thermal Resistance(R Value)
Loose Fill Type Brand Name
Minimum Thickness(Inches)_ Number of Bags Wt. pet bag lb.
Area covered(ft. ) Thermal Resistance(R Value)
FLOOR, ELEVATED
Material
Resistance(R Value)
Thickness(inches) _
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
'thermal. Resistance(R Value)
Brand Name
Thermal
Res.stance(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.
SHASTA INSULATION /�°%�`yW ... m�-72941
FIRM NAME/OWNER TATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF INSTALLATION APPLICATOR
DATE
I hereby.certi.fy 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.
AIRIO/"'/R (Pleaseprint) STATr CONTRACTOR'S LICENSE N0.
CUIViRACTOR OWNE R `DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUI
INSPECTION APPROVAL AND A COPY SHALL BE POSTE
January 1984
:PARTMENT PRIOR TO FINAL
I THE BUILDING.
J = OK
0 = Not OK
Not Applicable
Not Ready
rt
Y
K
RESIDENTtAi- (Single and Duplex)
Date UND FLOOR Plans OK except N's
ing requirements-Setbacks-Easem s
Ft Main; Soils-Steel-Elec. Grn / 4�-4" Ftg. Dept
, Garage; Soils -Steel- / /" Ftg. Depth
��F(p. orches &Decks; Soils -Steel- / /" epth
ealls, Main; Steel-Blockouts-Wrappe
alls, Garage: Steel-Blocko ts-Wrappe -
-Fireplace Ftg.-Steel.: Fall -Fittings -T 12 way C/0 -Sewer Test
-- 9. Gas -P' p Size -Anchors _ _
10_ Wat r ipe TesAnchgta- egulator-Service Test
11. Electric; Underground
12. Plenums &_Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI WDate/� S^ Card -BI Date /lj-
- - ',
Card -BI cfX� 2 Date j�j 1&6 Card -BI Date
Date PLUMBING (Permit) OK except N's
Vater Ht.: Vent -Access -Combustion Air
15a; alar Pipe; Test & Anchors -Nail Protection
�o
(IRF
Test-Fttn s & Anchors -Nail Protection
Qj S er Pan: Test, First Floor -Tub Access
l Test Tub & Shower, 2nd Floor -Tub Access
19. Gas Pipe: Size & Anchors
Card-BIK/� Date _ Card -BI Date
Card -BI Date Card -BI Date
Date ELEeTRICAL (Permit) OK except N's
20' FFixture & Transformer Clearance -Ins. Protection
2.4 Rex
Receptacles Spacing -Lights & Switches at Doors
22,oxes & No. of Conductors -Stapled_ _
23..� Installed Close to Edgq'6f Studs 'G.J.
2Q/ E�yuip. Ground made up w/Much. Fas ners-Bo as & Water
2����2,Appliance Circuits in Kitchen & Conductor Size
2 Su feed Wire Size r / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27✓Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
/Insulated Neutral Yes .�No
Ul"'iervice-Riser Conductors & Ground -Main Disconnect -
2grAutp. Clearances: Panels-Motors-Mech. Equip. _
Cl pthes Closet Light -Shower Light
Card B-1 Date %/5- Card -BI _ Date - _ --
Card B -t Date Card -BI Date
Date MEPrX'NICAL (Permit) OK except q's
A.C. Ducts. Insulation & Support _
an -.Exhaust above Insulation
PF
d at rain &Overflow: Size& Gradenate antAccess-Comb. Air -Return Air Vent -115V outletc Access & Platform if Furnace in Attic
Card -BI e Date Card -BI Date
Card -BI Daiq Card -BI Date
Date FR ING(Plans) OK except q's
s: Pper Material &
37 s: Sturods-Nailing, Spacing & Bracing -Plates -Sound
3_ Baring Walls over Girders &Floor Nailing --
raft Stop n Walls (rat proof)
/41tops: Furred Ceilings-Stairs_Cha ses-Tub_ - -
4y�K der & Beam -Size &Bearing -
4
4an er's-Post Caps-Anchors-Connector2s
ng. Joist-Rftr. Ties-Purl'in-Roof Brac. -Truss-Shthng.-Rfng. --
re lace Ties or Type A Flue -Fireplace Throat
4 G Iic Access: Size & Romex Protection -Draft Stop -Ins. -6attles
4 itsdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4?. Garage Fire Protection Framing
Date
*MG- (Continued)
Pr party Line Firewall & Openings
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
Airs; Width -Headroom -Rise -Run -Landing -Fire
rood on Roof Overhang -Attic Vents -Rafter Outri
g -Nailing -Veneer
:o Mesh -Drip Screed-Fdn. Vents-Underflr. Access
ing Area -Glass Protection -Skylights -Plastic
r_Walls; Nailing -Bolts
Card -BI Date
Card -BI Date
Date
Card -BI
Card -Bl
Card -61
Date
Date
Date
OK except b's
-Door & Sidelight Protection -Landings
ctor
S�PUrnace; Vents -Clearance -Comb. Air -Connector -
I arage; Above Floor -Ducts -Meth. Protection
II6 G.F I: & Bath Fixtures & Tub,Access
frim & Subpanel; Breaker Sizes -Labels
Rails
ice or Stove; Clearances -Hearth
)utlets at Wood Panel; Int. & Ext.
++ntt rixr. a r mance; urno.—Air Udp—t,00Kjng Ltearance
6Outlets & Receptacles at Kit. Counter
6 -Garage Fire Door; Swing -Landing -Closer
ust in Garage -Damper
6 -r. Htr.; Vents -Clearance -Comb. Air-Connector
In rQe; Above Floor -Meeh. Protection
7 Ib. &,E . & Mech. Equip. Listed for Location
1 ec. ceptacles in Garage; (G.F.I.)-Rome Protec.
sulat'on=Foam-Looked in Attic es
7 -and Rails & Deck Construction -Post Caps
Z4,-Fdrr V'fnts -&-Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked nder Floor ❑ Yes
75 owing instld.: Drive L es ❑ No: Walkses ❑ No;
ters Q -Us ❑ No
t Stu n -Finish
',e7.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
['ffl> Vents Above Roof; Plbg.-Appliance-Firepl.-` eara_nce to Opn
79�ater�y8tt"Disconnect, Electrical, Plumbing
SL-,'rx_terior ,lea Trim; G.F.I. Receptacle -Underground
81 tilation.throughout House
8 ass Protech '
83ctio rom Previous Inspections
t -Meters Tagged; Gas -Electric
Wa Ewer Connected -C/O to Grade -HD Approval`
nergy Compliance Certificate -Other Certificates
Card -BI �® Date 2/ y Card -BI Date
Card -BI Oate Card -BI Date
Card -BI Date Card -BI Date
Com lents at Final:
(NOTE An entry must be made each time you visit job site)
J=OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements _
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
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -81
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1, Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -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 WORKS
7 County Center Drive - Oroville, 6alifornig 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PERMIT NO.
ASS1170 PARCEL M ER
(('��//
ZON G
BUILDING PERMITit
ow
A,� &.r, I
T P ON
5
SO. FT. OCC. BUILDING VALUATION
8
22
OW ING A SS
�n 1
.—
T 'S NAME
CONAC
IIA
TELEPHONE
C4 y
%i
CONTRACTOR'S MAILING ADDRESS
Fireplacelxoa�
CON T UCTION LENDER
UNKNOWN
Total Valuation I $
Filing Fee
$ 10.00
LEND 'S MAILING ADDRESS
Permit Fee
$ ilkq. IV)
ARC I ECT OR ENGINEER
LICENSE No.
Plan Checking Fee
$ 15
Energy Plan Checking Fee
$ /1910
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO. SUBDI SIJN NAME
/D
PARCEL MAP
Water piping
5.00 0
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF rV Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
10.00 ea
TYPE OF WORK
New ® Addition ❑ / mod I ❑ Utilities ❑ /IInns�Ilat'on❑ Other ❑
Describe work: /"����lQ r- �% _
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
10,019
Main service EA. AOD'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� /({�y license is in full fo and effect.
CJ7 % (�
License No. Classification
El1, 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. BLCGS. DWELLING OCC P ,
�Z0sgft
OR ACDNS.MIT
NEW C11NSTR ULTI.OUTLE 2.50 ea
NON.RESID BRANCH CIRC ITS
POWER APPARATUS e\
(SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 20050t
BAL030
Ex. Occup. OUTLETS IIRESID )REAJ 2.00
Temporary service 10.00 017
Mobile Home Facilities 15.00
Misc. IVirin 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.
� 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 saido my in c nse u ce of the granting of this permit.
X Da/d — �6
t
Signature of App I t - Owner EJContractor ElAgentF1work
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $
ocrup.1
coN57�V�Pl,;UOJP47VJ
ND 390E
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRE C OR OF PUBLIC
BY
P MIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date J.
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
RECORDED IN OFFICIOF AL REC
BUTTE COUIITY CALIFORNIA'
AT THE PEQUF, ST 0F
Return to DPW AGRICULTURAL'STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
Section 26-8.1 of the Butte County Code requires this acknowledgement
berecce d prior to issuance of a building permit.
FEE_._._,
&69,335,70 .
The property described herein is adjacent to land or included NOT COMPARED WITH
within an area zoned for agricultural purposes, and residents of this ORIGINAL DOCUMENT
property may be subject to inconveniences or discomfort arising from
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:
Being a portion of Lot 25, as said Lot is -shown on the Map entitled,
"Map of the Second Subdivision of the John Bidwell Rancho", which Map
was filed in the Office of the Recorder of the County of Butte, State of
California, on September 17, 1900, in Map Book 5, at Page 27, more parti-
cularly described as follows:
COMMENCING at the Northwest corner of said Lot 25; thence along the
North line of said Lot 25 East 120.00 feet to' the true point of beginning
for the herein described parcel; thence from said point of beginning and
continuing along said -North line East 532.23 feet; thence leaving said lot
line South 601.73 feet; thence West 223.97 feet to a point on the Westerly
line. of Bidwell Avenue; thence along said Westerly line the following
courses and distances: North 25° 42' West 70.69 feet; North 47° 34' West
99.00 feet; North 80° 55' Frest 66.00 feet; and South 72° 24' West, 146.20
feet; thence leaving said line North 504.74 feet to the point of beginning.
Date: 2 r; c PR PERTY 0 RS:
/ I,y G t 4
c -a76 8C7
rald eim n Date Dou as A. Fleimann Date
oy e A. Storz ate
State o C ifornia ) on this the 2 c �C day of September 1986 before
Butte ) SS. me, the undersigned Notary Public, pprsonally.appeared
County of ) Joyce A. Storz and Gerald J. Heimann'
---------------------------------------------------------
/ / Personally known to me. (LXX Proved to ane on the basis
■III II/OUElfl 1/1111 IIIIIOIEO UIEIIIIIIIFt1111E111111110� -of satisfactory evidence.
OFFICIAL SEAL a JJJ
w RANDY COY ° to be the person(s) whose names) are subscribed
.to
Z NOTARY PUBLIC — CALIFORNIA - the within instrument and acknowledged that they
' COUNTY OF BUTTE executed the same for the purposes therein contained.
_ Comm. Exp. May 5, 1989 IN WITNESS WHEREOF, I hereunto set my hand and official seal.
�nnnuuuun,EE,,,,,FE,,,,,,,uuwuuweusEEUE�
a
No ry Public
Present A.P. No.
Phis set of plans and specifications MUST be NOTE:=All Matericds . & Workmpnship 'Shall Be in
Accordance with Recognized Good - Pr ctices 'and
kept on the job at all times and it is unlawful to r T
p of •d quality nrescri:�ed for The Specilla use 1n the
make any changes or alterations on some without Uniform Building, PlUmbing & Machanicali Coded and
writter. Permission from the Department of Publicthe National Electrical Code. '
Works County 'of k'97169a 57" 2 2 u E
75.00' 75.00' v ; 8(0.00'
3 ,2
(o$. (o'.. ` •� 5.00
We 11 1 I L=31.44' L' 31.39
—Ac
L=1o.31
propertyebckof 5 (nes an'd a setback
of 50ft. from the road
NL17-0 centerline shall be clear of
structures or equipment except
for a 2 ft. eave overhang. i#
'12.45'
- ! =27.82 L="S
.
A—
7' r
14
to --
71
I v
52 75.00' I ?5.00'�8l0.41'
1.
324.75
See Master Plan on ?116 fol!
plans. / e
(OSS-
Num camn a J
BUILDING DEPARTMETIT
APPROVED
w `vim•
COVERED
GARAGE
211x22{
COVEREO PA110
E
PLAN 230 B 7419
1822 SQ.FT.
N.I.
fAHIIV RO071
KITCHEN 191a 16' DCOROOH f) RASTER
121x12' 17'x121 1)'x1 S'
UT
SIOA.
BATH fI
IWLL
OIIlIItG MR.
,121x11{
11VII1G ROOn OEDROOH 12
M
Ublt
COVERED PORCH 1 iall'Q
i
CBl "CAPM OP COMPLIANCE WM
UZM CMeM ORDINANCE 2463
ne Cht SGWoi District certifies that
(Nese o Cant
C441' • )
9 C Ca �/ rvarS
hasrrriPLie vito rem!'t rr '
0.5 f•3�s�
vwo
b➢�ghe„
s��`ooaofs1.x,5`0.trfl «,¢a
geh"l l pct 6fitiga.: 1'I �
/
R70
Z645-17e/d)
3405-86
Vjl '
PERMIT N0. (56-87B —
PERMIT EXPIRES 99 ---- -- --
OWNER WEBB BROS
CONTR. Webb Bros
-�--.
ASSESSOR PARCEL 42-58-32
LOCATION 1805 Heron Lane, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. S
Called P(
Temp. Gas Sei
Called PG
JOB FINALE[
Signature
0
J=OK
0 = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
w "
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N'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; Siie-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 N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k'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 L'ghtg.
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 -BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI -Date ' '
J OK
0 = Not OK w
- c NotApplicakle RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
_
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. DeMk
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
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.
Stemwplls, Main; Steel-Blockouts-Wrapped-Slab
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
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
Card -BI
Card -BI
Date Card -BI Date
Date Card -BI Date
Date Card -BI Date
Card -BI
_
Date_ Card -BI' Date
Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
Card -BI
Card.BI
PLUMBING (Permit) OK except #'s
4. Water Hi.:'Vent-Access-Combustio58.
1 W ter Pipe -,-Test & Anchors- N 1 Protection
t6 D. .V. Te -Fttngs & Anchors -Nail Protection
17. Sh wer Pan: Test, First Floor -Tub Access
18. 7e t T_ub & S ower, 2nd Floor -Tub Acce'
19. as Pipe: Siz_ &_Anchors
Dae_ Card -BI Date
Date Card -BI Date
56.
57.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
59.
Bedroom Exiting
60.
61.
G.F.I. & Bath Fixtures & Tub Access
Trim & Subpanel; Breaker Sizes -Labels
62.
63.
StairElec
Stairs &Rails
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
ELE TRIC L (Permit) OK except #'s
(Permit)ransforO excepn
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
Gard B t
Card B -I
_
20.
21.
22.
23
24,
25,
46.
27.
28.
29.
30.
xture - Prot ion
E c. R eptacle Spacing -Li is & hes at Doors
Siz Box s & No. f Conductors Sta I d
Ro x In ailed C se to Edge of S u s & C.J.
Equi nd mad_ up w/Mech. Fasteners -Bon Gas & ater
2 Applia cult in Kitchen o ctor Size
Subleed Wire Si / ga. Cu_or I -A. . Wire Si e / Aga. AuoSl
Range Circ. / / g or AI-Ov Circ. / a. Cu o
Insulated Neutral Yes 'No
Servi a-Ri r onductors Gr d-Mainnect
Equi . Cle rance _Panel Motors ech.
Cloth s Cl set Lig t-Sho er Light _
Date d_BI _ _ _ _ _
Date Card -BI! e
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. 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 ❑Yes
-
73.
Guard Rails & Deck Construction -Post Caps
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75.
Following instld.: Drive ❑ Yes E] No; Walks G Yes ❑ No;
Planters ❑Yes -No
76.
Stucco; Brown -Finish
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cord. Size -115V Outlet
- 78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
80.
Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
81.
Ventilation throughout House
82.
-
Glass Protection
Date
MECHANICAL (P ,it) OK except #'s
83.
_
Corrections from Previous Inspections
84.
_
Gas Test -Meters Tagged: Gas -Electric
Gar
Gard -BI
Card -B1
31.
32.
33.
34.
35.
A.C. Ducts. Insulation &Support
Vent Fan: Exhaust above Insulation _
Condensate Drain & Overflow: Size _& Grade
Furnace -Vent: Access•Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Date Card -BI Date
Date Card -BI Date
85.
Water & Sewer Connected -C/O to Grade -HD Approval
86.
Energy Compliance Certificate -Other Certificates
--
-
--
Card-BI
Date Card -BI Date
Card -BI
Card -BI
_
Date Card -BI Date
Date Card -BI Date
Date
FRAMING(Plans) OK except #'s
Com lents at Final:
36•
37.
38.
39.
40.
41
42.
43.
44.
45.
46.
47.
Sills: Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop n Walls (rat proof)
Fire Slops: -Furred Ceilings-Stairs_Chases-Tub_
Header & Beam -Size & Bearing
Hangers -Post Caps_Anchors-Connectors
Cing. Joist-Rfir. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Ring.
Fireplace Ties or Type A Flue -Fireplace Throat _
Attic Access: Size & Romex Protection -Draft Stop -Ins. Baffles __ _
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
Y�
(NOTE Anenlrymust be made each time youvisit jobsite)
.41a - 5�e-_g
COUNTY OF BUTTE - DEPARTMENT _OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/004445tt-
APPLICATION AND PERMIT S38" -S
ASSESSOR PARCEL NUMBER
ZONING
Als (Z
BUILDING PERMIT
OWNER
W2 OS.0)_33Z_/
TELEPHO E
SO. FT. DCC. BUILDING VALUATION
J
�Cp
OWNER'S MAILING ADDRESS'
- Cow G+ C11 -,t`("
CONTRACTOR'QN ME
V
TELEPHONE
CONTRACTOR'S MAIUTNG ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
3 6000 10f)
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ i
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
c co r�1 1r� t cry
Permit fee
$TOS S
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFC6�_ Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00 ea
TYPE OF WORK
New ❑ Addition EZ Remo�dleI ❑ Utilities ❑ Installation❑ Other ❑
Describe work:
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):
1K 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.vv2. 3y Classification
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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
DWELLING OCCUP.&) I/z¢sgft
NEW CONST.OR ADDNS. l / ACC, BLOGS. /
NEW CONSTR. U TI.OUTLET 2,50 ea
NO N•RESID BRANCH CIRC ITS
POWER APPARATUS e
SINGLE OUTLET CIR. /
EX. OCCUp(OUTLETS OR FIXTURES eL9 30 2AL@30
Ex. Occup. out D APPLNS. R
ETS ((RESID IEAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. byirin g 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.
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.
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said ounty in conse nc of the granting of this permit.
X Date /_�_ ��
Signature of Applicant — wner ❑ Contractor ❑ Agentw
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 33 stories height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE $ S
OCCUP,
CONST.TYP!
FLOOD
A cE
PO
I N
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work icated ove for which
CTGR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
tl
Date H7
/�
`in
Receipt No. (0 `�P
7 /
WNIT!-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
AA
COUNTY OF BUTTE - DEPARTMENT OF kALI;ty WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVI LLE, CNLIF®RMA 95965 - TELEPH• 6/534 541
PERMIT APPLICATION DATA SHEET
Permit No.
OWNER a U..4. A. P. No. _ �� 2 — / —� 7
Proposed Building Use S�r Building Inspector Date /
At time of permit application, I was advised the following data must be submitted prior to permit processing
andJ71.
issuance: I DATE RECEIVED APPROVED
All items have been submitted. . . . . . . . . .
2. Plot plans in duplicate./triplicate, signed by preparer of plan .
3. Complete plans in duplicate./triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature ori plans.
5. Plans with Energy Design Compliance Statement. . . I
.i.
6. CUSD "Fees Paid" Stamp on Floor Plan
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . .. . . .
Letter of signature authorization.
0. Sanitation approval from �. .Healthh Dept. .vs
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 ❑ ).
_15. Improvements may be required. . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . .
17. Pre -Inspection for Pre-]nspec.request to (Dote)
Required. Building Inspector
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21.
22.
When you issue the permit, process as follows: ail to owner, Mail to contractor.
Telephone and hold for pickup at—of f ice, Deliver w/inspector.
Other
Applicant Date' 1c_
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--inail_
Contractor, designer, owner, was advised of above required data by—
phone-mall-
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
by date
by date
Date
— Flo5rs: 10:00 a.m. - 3:00 p.m.
This set of plans and specifications MUST be
kept on the job at all times and it is unlawful to
make any changes or alterrtions on same without
written permission from the Department of Public
Works, Cciunty of Butte. ,,moi,
1TTXIII
ZD MUM
QTXICT* HOBOd O3a3A03
WON ONIAII �
O �
C o
"
•I'H
fIIX4ZT
Ox
E- N -a (a
' JNI1iI0
aol
11vH
�i O u
$ C N -0
E
•: k �
MXCV9,
OI17d MOM
-
C
'sols
1V00
o
o v
cn
YX /d
o
a� .
N C`
F
• 'I'H
Q a O V
i
} c
WZHOM
SiX£T
fZTX,£t
's
F13H31Ix
a31SVW
c6 WOOa039
11m
NOOa AIIWVd
�( /F gONOLITHIL PUl!(2 W IT?l SL Ag oTHtQW�$E
O �
C o
Q
�
X
•I'H
Ox
E- N -a (a
c A`
�--- "� --
�i O u
$ C N -0
E
•: k �
� C /
OI17d MOM
C
o
o v
cn
YX /d
o
a� .
N C`
Q a O V
i
} c
#gpVED'FooG COVEILM 6 FoR SCOeF
�( /F gONOLITHIL PUl!(2 W IT?l SL Ag oTHtQW�$E
NOTE—All Materials & Workmanship Shall Be to
Accordance with Recognized Good Practices and
of a quality prescribed for the Specified use in the
Uniform Building, Plumbing & Machanical Codes and
}he National Electrical Code.
O3a3AM
fZZXfTZ
39VM
PiEP-s To eer 22,sQ
OUrTE COUNTY
BUILDING DEPARTMENT
APPROVED
#S6- S 7
y