HomeMy WebLinkAbout042-590-008^
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Shasta Chico (lot 12,port.)
Permit #3 2' B,P,E,M(new.single
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I 'PERMIT NO. 312-82B ,P >E >M
t
PERMIT EXPIRES RIO—?J;?
OWNER JOHN WANG
CONTR. owner
ASSESSOR PARCEL 42-34-92
LOCATION N/S cul-de-sac at end Langel Ct.-app
3501E Cussick, app 800'N Shasta Ave, Chico
�hA
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TV -E- LL
Ta
Too L, `�
AZ IE -\& '
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k
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I NA
•\ ltit. ,
Temp. Power -Raft'
Called PG&E
�Nf/�L/ltcs�,r
' Te Elec. Service
't
Called PG E
em Gas Service
X Called PG&E ./
JOB FINALE[
Signature
RES IDEM' IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLS IN CONFORMANCE WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT J &Z ate/ -
e-. (lo(fation)U
BUILDING PERMIT NO. 41s' 8213 E A.P. NO. �Z-
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION: GLAZING:
Slab Edge NA Single Glazed NA
Fdn. Walls NA Special (Insulated) NA
Floors NA .,-CERT..•;.,&. LABELED WDS.
Walls CT/'PG R- & SLIDING. DRS. YA41 NA
Ceiling/Roof b WEATIIERSTRIPPED DRS. NA
Ducts r NA BACK DAMPERED FANS 4144,/ NA
Circulating Pipes NA INTERMITTENT IGNITION D CESS
APPROVED HEATER -CERT. APPLIANCES
APPROVED WTR.HTR.
Bathroom Walls CT/FG R-11
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name.
Signature of
Insulation Applicator
plp,�(se print)
1`/ State Contractors
License No. 378407
General Contractor/Owner Name Floyd Stober
Signature of
(please print)
,. �
General Contractor/Owner •tom, Date �' Z
State Contractors
License No. 8 a0 O 5'5'
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SMALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico --Phone: 191--2751
4r 7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. '57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
mat er, or need additional explanation, 'please contact this office immediately.
w
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IAI J �v v
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Inspector Date =
t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico -Phone: T91-2751
7 County Center Drive, OroviIle— Phone: 534-4541 Z,
Skyway and Elliott Road, Paradise — Phone: 872-29161, Ext. .37
CORRECTION NOTICE I
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
/ , U Dt/Z `t .(�� ..'�' �l �,v f � �i�li�/ Gf C%/LC1✓it/a�
y c,y
Inspector � / Date
KA
0 r
J OK
0 Not OK
- Not Applicable
= Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDER OR Plans OK exce ta's
Date FRAMING (Continued)
oning requirements -Setbacks -Easements
41r FMWY-C-ine Firewall & Openings
tg., Main; Soils-Steel-Ele nd.- / " Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
tg., Garage; Soils -Steel- / Z/" Ftg. Depth
,66.-&t9irs-1Width-Headroom-Rise-Run-Landing-Fire Protection
-4_14. F , Porches & Decks; Soils -Steel- / /" Ftg. Depthver
ang=Atti s-RaiteF Q64iggers
�(
temwalls, Main; Steel-Blockouts-Wrapped-Slab
. Siding-Nailing-Vaasar-
tem , Garage; Steel-Blockouts-Wrapped-Slab
53r3T-6cco Mesh-U49-Served-Fdr.Feiia -Underffr.- =,uss
_
ie Fireplace Ftg.-Steel
azing Area -Glass Protect ion-Skylights-Plast ic-.
a Is; Nailing -Bolts
/ V.: Fall -Fittings -Test -2 i ay C/0 -S er Test
Gas Pipe; Size -Anchors
f
`i
ater Pipe; T -f I6Wors-W Sery est
. Electric; U erground A% L p!f, ff 0*1
learance-Material-Support-Ins.
-Anchor Bolts -Joists -Vents -Cripples
Card -BI Date- � - Card -BI Date
Card -BI Date Card BI Date
Q
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINA tans) OK except q's
Card -BI Dat / Card -BI Date
Date
PLUMBING (Permit) except q's
E Steps -Door &Sidelight Protection -Landings
5 • mo elector
1 Water HL; -A s Combustio
5 mace; Vents -Clearance -Comb. Air -C ne "- (�
I arage; Above Floor -Ducts -Meth. Protection
-
1L_ -tater e; Test & Anchors -Na' P coon
Test-Fttngs Anchors -Nail
5 Be "room Exiting
T1. hoover Pan; es first Floor -Tub Acce
r
& Bath Fixtures & Tub Access
r, 2nd Floor -Tub Access
12, -els Pipe; Size & Anchors
E Trim & Subpanel; Breaker Sizes -Labels
irs & Rail. p
JIKFjplace o St • Clearances -Hearth
EI . Outl _ od P net; Int
i x 04L A p pLian e; Gnd.-Air a - ooki C arance
Card -BI Date - Card -BI Date
Card -BI
Dat and -BI Date
. E Outlets acles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
age Fire Door; Swing -Landing -Closer
Ac A.C. Duct in G -
Wtr. tr.; e C a ante -Comb. Air-Connector-P.R.V.-
_ I arage; bove Floor -Meth. Protection
2 Transformer CI lance -Ins. Protection
Elec. Receptacl in - ights es at8pors
22--6ffe Boxes & No. of Conductors -Stapled
7 , PI lec. & Mech. Equip. Listed for Location
2 'I'nstalled Close to Edge of Studs & C.J.
Receptacles in Garage; (G.F.I.)-Rom Protec.
quip. Ground made up w/Mech. Fasteners nd s & Wate
n anon -Foam -Looked in Attic es
Appliance Circuits in Kitchen & Conductor Size
u Rails &Deck Construction-Pos aps
2 ubfeed Wire Size /a/ ga.6der AI-A.C. Wire Size (/Q/ ga. Cu or -Al
QZjfM-nge Circ. /Q/ ga. Cu Oven Circ. / /.ga. Cu or At,
Insulated Neutral No
Awlrdn. Vents & Crawl Hole D - ' age & Wood -Earth Clearance
L ed under Floo
lowing gin .: Drive s ❑ No; Walks es ❑ No;
Planters Yes ❑No
28. Service -Riser Conductors & -Main Disconnect
29r.Equip. Clearances; Panels-Motors-Mech. Equip.
Brown -Finish GG`C> rr
(ZOA.Unit; Disconnect-Clrnces B &Con ze-115V Ub6et
7 • ents bove Roof P bg.-Appliance irep l learance to Opngs
j0r-CTothes Closet Light-Stawar-ticfht
at Well;'sc nett Elect' , Plu ing
for Elec. Trim, .F.I. Receptacle -Underground
Card B -I
Date �/ Card -BI Date
V ilation throughout House
lass Protec' n
Card B -I Date -BI Date
Date
MECHANI AL (Pe mit) OK except q'
o from Previo ctions
_
,� -Meters Ta ed; Ele
C cts; Insulation Su rt
ater & Sewer Connected -C/O to Grade Approval
nergy Compliance Certificate -Other Certificates
_ 3 ent Fan; t abofinaauL
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlesnzt
3 Platform if Furnace in Attic
Card -BI nj Date Card -BI Date
Card -BI
Card -BI
Date ,F Z,Card-BI Date
���may_
� a __/ � Card -BI Date
Card BI Date and -BI Date
Card -BI Date rd -BI Date
Date
FRAMIN tans) OK except q's
Comments at Final: ,
_ Is; Proper Material & Anchors —�
alls;-N3i+irt�Spacing racing-I'tske8-6s+u�d
_
_
3 eaHng Walls over Girders & Floor Nailing_
30--bra—ft Stop in Walls (rat proof)
_ to s; Furred C ' ' - ha_sos �T4�8
(�
/
{!tt/�
/ y
4 _ eader &Bea"m�,-,�Siz�e & r �JrJs1 -
4�ers-PosLlaps-Hn-Connec1ars�
Cing. t lir. T - tirlir�Ro �.-suss-Shranq,-Rfrrq! -
or Type
Atli AcS, - o rotectto Drafts, e
G
T
4_drm_Windows or Exiting Doors -Sill Hgt. & Dimensions
arage Fire Protection Framing
(NOTE: An entry must be made each time youvisit jobsite)
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
`V
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except H's
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) U,, except k
1. Zoning Requirements -Setbacks -Easements
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 -Enc osures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI - Date
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except H's
1. Zoning Requirements -Setbacks -Easements
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/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc losures- Pane lboards-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
PERMIT NO. 450-82B,E
PERMIT EXPIRES�� _.
OWNER JOHN WANG
CONTR. Stober Const, Chico
ASSESSOR PARCEL 42-34-92
LOCATION N/S.cul-de-sac at end-Langel Ct.,
350"E Cussick, 800'N Shasta Ave, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
a�
,
Cal led PG&E
JOB FINALED (Date)
Signature
COUNTY OF BUTTE
DEPARTMENT OE-.PUGU;C•'WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4341
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
LDING OR PROPERTY/ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected.IPlease/notify this office
when correction of work is completed. If yo have yf a ionrie aiDing to this
matter, or need additional explanatiol� as colt s/o i i''mb�lediately.
Inspector--. 1* Date. %��
i
COUNTY OF BUTTE
DEPARTMENLOF P :BLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDIAG OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
Inspect dr - l�w Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLdC WORDS
5 .
196 Memorial Way, Chico,— Pgpne: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
BUILDING OR PROPERTY ADDRESS
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
/ . e Date
Inspector -z. ��/%,,X� f��
z T/
V = OK
0 = Not OK
- = Not Applicable, �
F = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
51.
52.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
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/0 -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date rd- Date
Card -BI
D Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FI AL ( s) OK except H's
Card BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
561
Ext. Steps -Door & Sidelight Pr a ti Landings
57
Smoke Detector
14.
Water Ht.; Vent-Access-Combustio
58.
Furnace; Vents -C ff"mb. Air -Connector -
In Garage; Abo ucts-Mech. Protection
15. Water Pipe; Test & Anchors -N rot coni
16.
D.W.V.; Test-Fttngs & Anchors Nail o ti
59.
Bedroom Why
17.
Shower Pan; Test, Fir oor-Tub A4cessl V
60.
61.
G.F.I Fixtures & Tub Access
ElecIA4 9JSubpanel; Breaker Sizes -Labels
18. Test Tub & Sh wer, n F oor-Tu6,Ace
19.
Gas Pipe; Si & c or
.
Lairs & a' s
Firepla o Stove; Clearances -Hearth
141 Z
64.
65.
Elec. Ofutlets at Wood Panel; Int. & Ext.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Da Card -BI Date
Card -BI
Date` Card -BI Date
66.
67.
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
Date
ELECTRICAL Permit OK except q's
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic ❑Yes73.
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
- _
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
30.
Equip. Clearances; Panels-Motors-Mech. Equip.
Clothes Closet Light -Shower Light
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. 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
---
Card B -I
Card B -I
Date
Date Card -BI Date
Date Card -BI Date
MECHANICAL (Permit) OK except k's
81.
Ventilation throughout House
82.
GI ss Prote tion
83.
o reciio fr m Previous Inspection
8 .
TedAMetArs Tagged; Gas-Ele' c
31.
A.C. Ducts; Insulation & Support
g
eweronnected-C/0 to Gra -HD pprov I
_ 32.
Vent Fan; Exhaust above Insulation
,
E er Compli ce Ce ficate-Other Certificates
_33.
Condensate Drain & Overflow; Size & Grade
_
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
-
--
Card -BI
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
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) ^
Comments at Final:
40.
__41._
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
42.
43.
44.
Header & Beam -Size & Bearing _
Hangers -Post Caps -Anchors -Connectors
urlin_
Cing. Joist-Rfir. Ties -P -Roof Brac.-Truss-Shthng.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.Attic_Access:
Size & Romex Protection -Draft Stop -Ins. Baffles
v
46.
47.
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
I/ = OK
0 = Not OK
- = Not Applicable MOBREHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
Date
DECKS, COVERS, CARPORTS, =TC. (Plans) U., Acept h
1. Zoning Requirements -Setbacks -Easements
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 -Enc, .... es
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
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
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
J . COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 Telephone 916/5 -4541
APPLICATION AND PERMIT �X
ASSESS R PARCEL NUMBER ZO ING
BUILD% G PERMIT
OWNER TELEPH NE
Z" t/ y.1- y�v
SO. FT. OCC. BUILDING VALUATION
z
o a
OWN 'S MAILING A RESS
6 Ox •— `Gc>
O
a O d
CONTRACTOR'SN E
TELEPHONE
U
O v
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Val Ion $
C U
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
7, 00
ARCHITECT OR ENGINEER
q /22 L / i
,vf� �V
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
,S^d
BUISRESS �� ✓ �^�
2 Ov
PLUMBING PERMIT
Filing Fee
10.00
/
r1!- L /l/t
Each Trap
2.00
,Z OO
Repair drainage or vent piping 5.00
5- e)
Water piping
L37 oo
T NO.
SUBDIVISION NAME
IP EL M9P
Each qas water heater or ve
5.00
6t O 0
Gas piping system 1 - 5 outlets
p
�� USE OF STRUCTURE
SF LTJ Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
— d
Lawn sprinkler system 5.00
TYPE OF WORK
New Addition❑ Remodel❑ Utilities❑ Installation ❑ Other❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT Filing Fee 10.00
Main service 600V OR LESS �0 J
100 AMP OR LESS
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. I DWELLING Fj�
OR ADDNS. t ACC. BLDG (JHI
s q it
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
F1ccup 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)
YI, 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 CONSTR. I-Ov LET 2,50 ea
NON-RESID BRANCH CIRC TS
NEW CONSTR. /POWER APPARATUS 6)
NON-RESID, %SINGLE OUTLET CIR.
Ex. OOUTLETS OR FIXTURES B �*1
FIXED APPLNS, OR 1.
EX. OCCup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00 16,90
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ D
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
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
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.
Heating . (J laY f O
DO
e7
Cooling ;10 07 6Do
00
Hood
Hood 3.00
00of
Ventilation
p 0
permit Fee $
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against sa' County in consequence of the granting of this permit.
�_
X Date
Signature of Applic t — Owner Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and dernolition or construct-
ion of structures over 3 stories in hefght.
Mobile Home Installation Fee $
/
TOTAL PERMIT FEE $ ((J(]
OCCUP. CROUP
"'K_I
`�
T of NST.
I P7
P
MD 159U
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 BLIC WORKS
By Date` -
PERMIT EXPIRES Date_ !T
�1
Receipt No. �� — QV , S,
WNITE-O.P.W.. YELLOW -ASSESSOR, INK -INSPECTOR, GOLDENROD -APPLICANT
Return to DPW
OFFIC;AL HEC-04DS
AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT BUTTE COUNTY --:;;,,LF.
FOR RESIDENTIAL DEVELOPMENT REC.0 DS EOUESTED BY
Section 26-8.1 of the Butte County Code requires this acknowledgementFEB
be recorded prior to issuance of a building permit.
CLARK A. NELSON
The property described herein is adjacent to land or,included CLERK -RECORDER
within an area zoned for agricultural purposes, and residents of FEE
this property may be subject to inconveniences or discomfort arising 92" 3283
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 occa-
sionally generate dust, smoke, noise, and odor.. Butte County has established agricul-
tural 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 discomfort 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 12 of the First Subdivision of the Bay Tract,
more particularly described as follows:
Parcel 1, as shown on that certain Parcel Map recorded in the office
of the Recorder of the County of Butte, State of California, on March
27, 1981 in Book 82 of Parcel Maps, at page 16.
TOGETHER WITH a 60 foot access easement and cul-de-sac as shoim on
said Parcel Map. EXCEPTING THEREFROM all minerals.
Date: 2 r Z PROPERTY OWNERS:
State of �Ge ) On this the q I day of �J , 19 0 Z
SS+ before me, the undersigned Notary Public, personally
County ofL,LI(e- ) appeared
t^eccaaEsssseE6�e�eonuo�o�o�annoene�eearteteoetsE�oncef�
OFFICIAL SEAL
LUCY C. STIRNUS -
`�
NOTARY PUBLIC — CALIFORNIA m
o Fr-i�
PRINCIPAL OFFICE IN THE
COUNTY OF BUTTE
o • J
o
u
Comm. Exp. Sept. 24, 1982 0
n�+.:z;�c�t::rs�rea;ua�:ea:�aB6n�nw��esB�Eos�a:uu��n�
Present A.P. NO. /� �y
known to me to be the person(s) whose name(s) /!s
subscribed to the within instrument and acknowledged
that 5 executed the'same for the purposes
therein contained.
IN WITNESS WHEREOF, I hereunto set my hand and official
seal.
C
Zql�'ar Public
1/
- COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKSPERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLIICAT10 AND PERMIT vAll
ASSESSOR PARCEL N BER ZONING
BUILDING PERMIT
owN
NELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OW 'S MAI I G ADDR —
_
CO T ACT R'S NAME TELEPHONE
CONTR OR'SMAILING ADDJESS.
Fireplace
CONSTRUCTION LENDER UNKNO N �
C///�
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ ,
BUIL IN ADD ES
S _PLUMBING
PERMIT
Filing Fee 10.00
11 jEach
Trap
2.00
Repair drainage or vent piping
5.00
Ss
Water piping
L -6 -FN -O.
SUBDI VISION NAME
I
PARCEL MAP
I nZ—, L
Each gas water heater or vent
5.00
Gas piping system 1 - 5 outlets
,, / USE OF STRUCTURE
SF U� Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
,_ / TYPE OF WORK
New E-1AdditionLVJ" Remodel ❑Uti lities ❑ Instal lati n ❑ Other
De ribework:hk P. MU ► �t ��
lY a S ��
/c 2-_r
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
1 100V OR LESS
Main service 100 AMP OR LESS
5•00
Main service EA. ADD•L 100 AMP
2.50
NEW CONST. / DWELLING•d'
OR ADDNS. \ ACC. BLOGS.
2� sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (Check One):
Pr 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.
Q
License No. �� % S.S Classification [3
❑ 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 CONSTR I.OUTLE 2,50 ea
NON-RESID BRANCH CIRCUITS)
NEW CONSTFL / POWER APPARATUS &)
NON-RESID, (SINGLE OUTLET CIR,
EX. OCCUp(OUTLETS OR FIXTURES �P�
BAL@l0¢
Ex. OCCup.(OUTLETS FIXED P(RESID )REA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
(� The permit is for $100.00 (valuation) or less.
Cyd' 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.
Heating
Cooling
Hood
3.00
Ventilation
permit 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 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 liabili ies, judgments, costs, and expenses which may in any way accrue
agains Id CC nt o sequence of the granting of this permit.
%� `} ► Date �- a�� g�
Signature of Applicant – Owner
9 PP ❑ Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories iryheiqh
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP, GROUP
TYPE OF CONST.
PARCEL
PD
ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for w ich
D1 CTOR 0 UBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date
j
/��.T�WHITE-D.P.
Receipt No.
O