HomeMy WebLinkAbout042-610-019L4
�'tH�RS
EBB..BR9
-W
739 Brqndonbur L lot Silvertree
II, Chico
Contr: Webb 10�Z4
Permi.t#545-8 P, (new single family)
*-W*V/'UJJ42-61-19
Pq�rmit43758-87BiPlE,M(New sin le family)
42 61 19
NEW OWNER: NORMAN BAUMAN
Cont:.Holiday Pools /Ely
-88B,P,E(pri'. swi
Permit #1600 7
9., 001)
042-61,0--Di-9-" 0 1 -0785'
VIDNER, ED
739BRANDONBURY-L-�,
CONT: HOLIDAY POOLS
sbLAR' HEAT FOR POOv",
042 610 319 .0 832
VIDNERS, EDVINS.
739 BRANDONBURY LN, EM
Cont: MCCLELLAND A/C
HVAC/SF 7"
M *
SUA
Mrsiz-q
2-61MI9,`
D N E R,
9BRA�40ONBURY,-LN. CHICO
DNT: IiOtIDAYI�60LS
)LAR HEAT FORPOOL
/cf C/3 —k�
COUNTY OF.BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 9 Telephone (4530) 538-7541 P RUIX4 NO.
(Rev. 12/96) APPLICATION AND PERMIT ; _e�l A 94
ASSESSOR PARCEL NUMBER
ZONING
BUILDINGPERMIT
OWNER
TELEPHONE
SO. FT. 00C. BUILDING VALUATION
OWNERS MAILINGIA DO RESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAJUNG ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation
ARCHITECT OR ENGINEER
E NO.
Filing Fee $
20.00
Permit Fee $
ARCHITECT OR ENGINEER'S MAJUNG ADDRESS
Plan Checking Fee $
BUILDINGADDRESS
Energy Plan Checking Fee $
PERMIT FEE
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 13 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 11 Addition E3 Remodel 0 Utilities 13 Installation 13 Other 0
Describe Work:
—Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
ELECTRICAL PERMIT
Filing Fee 20.00
a00V 0'
'I LE::
Main Service . A LE
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class I I Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
13 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declaraticInv
[3 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit Is issued.
13 1 have and will maintain workers' compensation Insurance, as required by Section
3700 ofthe Labor Code, forthe performanceof workforwhich this permitis issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Main Service 200A To 10-A 46.00
NEW CONST. DWELLING OCCUP
OR ADONS. & ACC. BLDS.
so -
3.50FT.
NE:ICIONST. MULT'_O
No ID @7.50
OWER AF= U
&PSIN.. 0 CSIR.
20 @ 1.00
Ex. Occup. CUTLET OR FIXTURES BAL @ .50
Ex. Occup. -LITUETS"(P.M.10-R., 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wirina 23.00
EL:!�
PERMIT FEE
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEk $
Policy Number,
(The above sections need not be completed H the permit is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person In any manner so as to become subject to workers'
compensation laws of California, and agree that 0 1 should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with thqse,provisions.
X Date
Signature of Applicant [3 Owner J3 Contractor 0 Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
_FPE
CONST. 'n TOTALFEE$
HAZ.
I D.,FEES IMP
EB
FLOOD
I CDF
PARCEL
PO
HD
This permit is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
I pate)
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT
L LW"
IM
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION I---
7 County Center Drive - Oroville, California 95965 * Telephone (530) 538-75410 ? PERMIT NO.
(Rev. 1 2Ae- APPLICATION AND -PERMIT
ASSESSOR PARCEL N^EJ_0 01CI
ZONING
BUILDINGPERMIT
OWNER
d '0
TELEPHONE
3`4A
So. FT. OCC. BUILDING VALUATION
3,045,00
OWNERS ss—
CONT!:����
7t
C
TELEPHONE
X3
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation 3 �45,
00
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ &3,CD
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 13 9
Energy Plan Checking Fee
$
$
0
-P
PERMIT FEE
$
LOT NO.
UBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SIX Duplex 0 Mobilehome d Other
SPECIFY
Each Trap
1 7.00
Solar or heat pump water heater
23.00
Water piping
L 15.00 16,op
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 Other
escribe Work: SA9-Qm K&A 44nFL
Gas piping system I - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
PERMIT FEE
$
U
ELECTRICAL PERMIT
Filing Feel 20.00
Main Service '.*.vA oo R
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class Lic. No. —7263 7
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following r6ason:
0 [,as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
13 1 am exempt under Sec. Business and professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers,
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is Issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, forthe performanceof workforwhich this permitis issued.
My workers' compensation_ippurance carrier and policy number are:
Carrier ka ;6fJ __41)sw IMn eA-
Main Service 200A TO 1000A
46.00
NEW CONST. DW= UP.
OR ADDNS. . gC.
So.
3.50FT..
Rc,',',D.T gAu,,LcT,',0cI;Wc,,m,
1 @7.50
P.0r APLPARATU
0 IT. CIR.
Ex. OCCUp. OUTUET OR FIXTURES
20 @ 1.00
BAL @ .50
O..XED APPLNS -
Ex. Occup. (.ESI6.)0E.)_
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00 7-3,a>
PERMIT FEE
$ 1010
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEt
$
Policy NumbeY 6oUe' 7, )1 V
(The above sections need not be completed if t6e permit Is for work of a valuation
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is Issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
worke!s',rpensation provisions of section 3700 of the Labor Code, I shall
0, rt —P IV wit e rovisions.
fc Ply w,
Date
Signat e of Appliegrit � 0 Owner .4;Lcontractor 0 Age6t
"i e -
An HA
,/ permit is required for excavations over 60" deep and demolition or construction
o ructures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTALFEE$ /&/, 00
HAZ.
05;,
D.,7
CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby Issued under
f the Butte County Code and/or
ion d
By=
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
40 2—
(Date)
/Receipt No. -3 Z 17"Cl 13
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDEN ROD -APPLICANT I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive 0 Oroville, California 95965 - Telephone (530) 538-7541 �FqMIT
'(Rev. 12/516) APPLICATION AND PERMIT
ASSESSORSIMCELNU ZONING BUILDINGPERMIT
OWNER SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILINGIS079
TELEPHON��
-39 3- 14 5-
OONMNCTI
CONSTRUCTION LEMER
UMOM MARM AWRE*$ -tFIreilace I
Total Valuation
AROMITECT OR ENQ1NM LICENSE NO. Filing Fee 20.00
ARC141TECT OR GOMM'$ MALOO ADORESS Permit Fee 6) 3
Plan Checking Fee $
SULDMAMMn C� Energy Plan Checking Fee $
/7 1
A /7 $
LOT NO. SUSUMMIMAIE 401""a MAP PLUMI
USEOFSTRUCTURE Each Trap
Solu or heat
SFADuplex 0 Mobilehorne C3 Other Water piping
TYPE OF WORK Each gas we
Gas piping
New 0 Addition 0 Remodel 0 Utilities 0 Instalinfion 0 Oew 0 Building sewi
Describe Work: Mobile Home
ELECTRICAL
rr.nmi i rcc
I w r-
DERMIT
Filing Fee
NEW COWT. OWELLIM OcrP.
OR ADONS. AM. am
7.00
water heater
23.00
POWER APPARATU9 %
SINGLE OUTU7 CIR.
is . 00
ter or vent
15.00
- 5 outlets
15.00
T Te
emporary Service
m or S'
15.00
GI W1
(920.00
sc. Wi Ing
Msc. Winn
23.00
PERMIT
00
PERMIT
Filing Fee 20.00
Main Service OR
Main Service 200A TO 1000A
23.00
46.00
NEW COWT. OWELLIM OcrP.
OR ADONS. AM. am
so.
3.501.
NEW CONST.
NO NO"ESID. MULTI -OUTLET
BRANCH C19AI
@7.50
POWER APPARATU9 %
SINGLE OUTU7 CIR.
Em. Occu OUTLET OR FRTJRE9
Occu
200 1.00
SAL a .50
"PLM OR
c. Doc'
[Ex. Occup. O= M.&I EA
5.00
T Te
emporary Service
m or S'
23.00
ome
Wbile Home Facilities
W
20.00
sc. Wi Ing
Msc. Winn
23.00
PERMIT FEE
--�, C)
MECHANICAL PERMIT
Filing Fee 20.00
Heating
Cooling
Hood
0.50
'0
Ventilation
PERMIT FEIE $
Wbile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE TOTALFEE$ (0 co
KAZ
0. PEW IMP
I ILOOD
I COF
PARCEL
PO
I NO
This permit Is hereby Issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
Indicated above for which fees have been paid.
By Date
PERMIT EXPIRES ON
BUTTE COUNtV'
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDINGPERMIT
24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICEM (530) 538-7541 FAM (530)538-2140
-WEBSITE: wwwbuittecounty.net\dcls
IPERMIT NO.
JBP041832
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions -of Chapter 9 (commencing with Section 7000) of Division 3 of
Issued Date: 06/23/2004'"APN:.042-610-019--000
the Business and Professions Code, and my license is in full force and - .
effect. . 7'
License Class: License Number: S4,5-171
Site Address: 739 BRANDONBURY LN CHI
Date: (�-15'C#Contractor.11c
Map Index:
Description: NEW HVAC UNIT
OWNER -BUILDER DECLARATION.
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city.or county which. requires a
VIDNERS EDVINS & ZIGRIDA REVOCABLE.'.
permit to construct, alter, improve, demolish, or repair any structure, prior
Owner:
to . its issuance, also requires the applicant for such permit to file a
LNING.TRU$T..
signed statement that he or she is licensed -pursuant to -the'. provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
VIDNERS EDVINS & ZIGRIDA TRUSTEES
7060) of Division 3 of the Business and Professions Code) or that h6 or'
739 BRANDONBURY LN
she isexempt therefrom' -and the basis for the alleged exemption.. Any�.
CHICO,*CA 95926-7110
violation of'Section 7031.5 by any applicant for a permit,.subjeicts the
applicant to a civil penalty of not more than five hundred dollars ($50Q).):.,.
1,'ig owner of'the property, or my employeeswith wages as their
sole 'compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
awi&6rs' State License Law' -do" e' -s.. 6.eappl-y�,f�
'Applicant:
owner of property who builds or improves. thereon, and who does
VIDNERS EDVINS & ZIGRIDA REVOCABLE
such work hi mself or.herself.or through his or her own employees,
. .. ....
LIVING TRUST.
provided that such improvements are.not.in.tended or offered for
sale. If howeviiir, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build or improve for.the purpose of
sale.).
ps.owneT,Qf..t.he...prope0y,, arn:.. exclusively.. cont(acting with.
licensed contractors to construct the project (Set. 7044, Business
.,and Professions Code. . The Contractors' State License Law does
.,not apply to an owner of property who builds or improves thereon,
and who contracts for such projects with a contractor(s) licensed
pursuant to the Contractors' State License Law.).
Contractor: MCCLELLAND AIR CONDITIONING, INC
13 1 am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
690 THUNDERBOLT STREET
CHICO,'CA 95973
WORKERS"COMPENSATION DEC.LARAtION
I hereby affirm under penalty of perjury one of the ' following declarat-ions:..'.
(530) a91.7-62-02
13 , I'have and will maintain a certificate of consent to self-insur'e for
workers' compensation, as provided for. by Section 3700 of the
L r ode, for the performance of the work for which this permit
C
ssue�
License M 345121
-��l I have and Will m9fritain "Workers""domp6i fiation insidrbike,'as'
'
required by Section 3.700 the Labor. Code, for the performance of
the work for which this permit is issued. My wgrkers',compensation
Architect:
insurance carrier and Oolic� number aire:*
Engineer:
Ca'rrier. Z
Policy#:.
that in U4 performance' 'of the work for . which this p ermit is ..
Total Square Ft: 0 S. F.
issued, I shall, not employ any person in any manner so as to
become subject to the workers' compensation laws of California.
Valuation: $0.00
and agree that if I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date:—( -,.-
Applicant:
'el
1W
WARNING: Failure Jo. secure workers' compensation cov erage is
'
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This perrn.it is hereby issued u d the appheatqe provisions of the Butte.County Code and/or—
I hereby affirm that there is a construction lending agency for the
Resolutions to do Vork indicated.above VfwhYh fees have been paid.
performance of the work for ivhich this permit is issued (Sec 3097 Civ.)
-3 ---
le —c-7
Name:
By: Date:
PERMIT EXPIRES ON: 5? 13
Address:
(Date)
0' '1 hereby certify thal'th4 use of this fa6ility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
Ll Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the own the duly auIhod?fa2.-nt'(A the owner. I agree to comply with
611 county and state laws relating to building construction. I acknowledge it is unlawful to alter the substanilo'076n.y.., .1 to ume f B Ile County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purp 5
Print Name: Signature,
41
.7
Date:
Q Owner 0 Contractor Q Agent for Owner Agent for Contractor
T BUTTE COUNTY
0 DEPARTMENT OF DEVELOPMENT SERVICES
0 0 . BUILDING PERMIT
0 0 24 HOUR INSPECTION M (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
0 0
OFFICE M (530) 538-7541 FAX#: (530)538-2140
0 0
-WEBSITE: www.buffecounty.netkdds–.,.,.-..",...—
PERMIT NO.
BP041832
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
provisions of Chapter 9 (com - mencing with Section 7000) of Division 3 of
Issued Date: 06/23/2004'-;-APN:-042-610-019--000--
the Business and Professions Code, and rivy lice7nse is in full force and
effect.
License Class: License Number:
Site Address: 739 BRANDONBURY LN CHI
Date�. (0-1:3!aContractor: I
Map Index:
Description: NEW HVAC UNIT
I
OWNER -BUILDER DECLARATIO ' N
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Business and Professions Code: Any city or county which requires a
permit to construct, alter, improve, demolish, or repair any structure, prior.
Owner: VIDNERS EDVINS & ZIGRIDA REVOCABLE--
to,, its issuance, also requires the applicant for such permit to file a
LIVING.TRP5T_.
signed statement that he or she is licensed pursuant to -the provisions of
the Contractor's State License Law (Chapter 9 commencing with Section
VIDNERS EDVINS & ZIGRIDA TRUSTEES
7000) of Division 3 of the Business and Professions Code) or that h6 or'
:_'J 739 BRANDONBURY LN
she isexempt therefrom,and the basis for the allegpd-exempt�qn Any..
violation of Section 7031.5 by any applii;ant for a permit, subjec ts; the.
CHICO,'CA` 95926-7110
applicant to a civil penalty of not more than five hundred d6firs ($5P0).):.
J
El 1, ig owner of"the pr6perty, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Cddi�__ T66'6�rniiki&s'�* t-t'at'e"Lic-e'n-s'e-*L'a-'w'"do'e"s'-'n"o't'a—pp'i-y�-'t-o'-a,n-,"
.owner of propert: who.builds or improves. thereon, and who does
. 11 y
Applicant: VIDNERS EDVINS & ZIGRIDA REVOCABLE
such work himself o.r.herself or through his or her own employees,
-re".
LIVINGTRUST,
�r'ovided that such improvemenis'- a' not intended or offered for
sale. If ho�vevir, the'building or im'prov'em�rits are sold within one
year of completion, the owner -builder will have the burden of
proving that he or she did not build oi improve for.the purpose of
sale.).
as . owne(,oQhe,._ property,,, am . exclusively- contracling with.,
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. . The Contractors' State License Law does
... not apply to an owner of property who builds or improves thereon,
,.tand who contracts for such projects with a contractor(s) licensed
. ' pursuant to the Contractors' State I License Law.). . . . I I
- Contractor: MCCLELLAND AIR CONDITIONING, INC
LIr , I am Exempt under Article 3 of the Business and Professions Code
Date: Owner:
1.690 THUNDERBOLT STREET
C, " , , ,
CHICO, A 95973
WORKERS'COMPENSATION DECLARATION.....
Fhereby affirm under penalty of perjury one of the followin6 declarations:..'.
-r'e
(53,0) $917-6202,
0 ]'have and will maintain a certificate of consent to self-insu for"
workers' compensation,, as provided for. by Section. 3TOO of the
r code, for the performance of.the work for which this permit
�0_ 2
License M 345121'
- u
ss
have and Will
required by Section 3 70,0 the Labor Code, for the performance of
'
the work for which this'p�rmit is issu4 My workers '.compensation
Architect:
insurance carder and policq riumbir ai*e:
-
rZ
Engineer:
C �rrier:_
'0000 4-71
Policy#:
'017;kf�t�atin'th� Wc�6nc� �i the work. for �which tl�is_�ermit' is'
p
Total Square Ft: 0 S. F.
issued, I shall,not employ any person in any manner so as to
become subject to the workers' compensation laws of California,
Valuation: $0.00
and agree that if. I should become subject to the workers'
Census Code:
compensation provisions of Section 3700 of the Labor.Code, I shall
forthwith comply with those provisions.
Date:
Lo
-Applicant:
0
's.
WARNING: Failure to. secure workers' compensation coverage is.
unlawful, and shall subject an employer to criminal penalties and one
hundred thousand -dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees.
CONSTRUCTION LENDING AGENCY
This permit is hereby issued u-nder the ippl e provisions of the Butte County C4?de and/or
I hereby affirm that there is a construction lending agency for the
Resolutions to dogbork indicated above f" hi h fees have been paid.
performance of thework for �vhich this permit is issued (Sec 3097 Civ.)
Name:
By: Date: /6
PERMIT EXPIRES ON:
(Date)
Address:
-
0"' 1 hereby certify'tfial'th6 use of this fablity shall comply 4tti Sections- 25505, 25533, and 25534 of the California Health and Safety Code, which regulate the storage,
handling and use of hazardous materials.
0 Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
0 Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner o the dul authod the owner. I agree to comply with
ran y 9fagent
611 county and state laws relating to building construction. I acknowledge it is unlawful to after the substance- 0 ' offi 11 f
3/r y, icia o docume of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purpos
Print Name: �SCO Signature
Date:
El Owner 0 Contractor 0 Agent for Owner JUeAgent for Contractor
BUTTE COUNTY
DEPARTMENT OjbPEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 53 ' 8-7636 - CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OF APPLICATION
APPLICANT NAME
1 0 WNER
Name
ho/J16/1
Address
LZ a 0, ri /5'
city
Fax
Sta2A
zip9jq9I
Phone �� ne
ye,
96
Fax
E-mail
Planner
APPLICANT NAME
CONTRACTOR
Name Y&P6_Lgu,4V0
'414 �'bAo
Address 6C)l Z�&��
5rr
city d46'��
Fax
Stat n4l
Zip
Phone 2K,
Map Bo
Fax
r E-mail
Planner
State License Number
Class
APPLICANT NAME
ARCHITECTIENGINEER
Name
city
Address
Zip
city
Fax
State
Zip
Phone
Map Bo
Fax
E-mail
Planner
State License Number
APPLICANT NAME
Name
Address
city
State
Zip
Phone
Fax
E-mail
SIGNATURE
For offi I
Zoning
Flood zone
SRA
I Yes
I No
Occ.
Type Const.
Subdivision Name
Map Bo
Planner
I Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
K:\F0R1v1S\BLJ1LD1NG FORMS\BldgAppiSubRqmts.doc
PERMIT
NO.
C. 4 - /1�1
BP
BIN #
LOCATION
AP#
Property Address
ss Street �J
WORKER'S COMPENSATION
Policy Number s—, P—rn_ ico
Carrier OU -0 4(c7/
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
I I
Page 1 of 2
Description or Scope of Work:
Sq. Footage
0 Structure Built without Permits
0 Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
C
Received by: Amount: Bldg
SRA
Receipt #: Sheriff
SMIP
Date: —Other
Total
IV*
REV 4-30-04
SUBMITTAL REQUIREMENTS
The following drawings and specifications must be submitted to the Building Division in order to apply
forapermit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALLPLANSMUSTBE
LEGIBLE AND IN INK.
Residential, New, Remodels, Additions, and Accessory Structures:
0 1 . 3 Site Plans, signed by the preparer. NO GRAPH PAPER!
0 2. 3 Complete sets of plans, signed by the preparer. NO GRAPH PAPER!
13 3. 3 Engineered plans (if required) with wet signature on plans AND 2 sets of stamped and signed
calculations.
1:1 4.
2 Engineered tru ss details and layouts (if required) (NO FAXES!).
11 5.
Letter from Engineer or Architect for truss design review.
0 6.
2 Energy compliance design and supporting documentation. (Note: Not requiredfor additions to
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
mobile or modular homes.)
0 7.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
El 8.
Detached Accessory Building Form, filled out by the property owner (if required).
El 9.
Sanitation and site plan approval from the Environmental Health Department.
0 10.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
0
triplicate, (D) Floor plans in triplicate, All of these must be stgmped and wet -signed by the engineer.
Mobile, Manufactured, or Modular Homes:
0 1 .
3 Site Plans, signed by the preparer. NO GRAPH PAPER!
El 2.
2 Data sheets and installation instruction manual.
13 3.
2 Marriage line information.
0 4.
2 Floor plans.
11 5.
2 Engineered Tie Downs or Foundation plans.
o 6.
Sanitation and site plan approval from the Environmental Health Department.
[1 7.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
Commercial, New, Additions and Remodels:
0
1 .
4 Site Plans, signed by the preparer. NO GRAPH PAPER!
0
2.
4 Engineered plans with wet signature on plans AND 2 sets of stamped and signed calculations,
with code analysis.
El
3.
2 Engineered truss details and layouts (if required) (NO FAYCES!).
El
4.
Letter from Engineer or Architect for truss design review.
0
5.
2 Energy compliance design and supporting documentation (if required).
0
6.
2 Flood Elevation Certificate, wet -stamped and signed (if required).
0
7.
Statement of Intent for Non -heated and A/C (if required).
13
8.
Metal Buildings: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in
triplicate, (D) Floor plans in triplicate, All of these must be stgmped and wet -signed by the engineer.
IJ
9.
Letter of intent.
0
10.
Hazardous Material Form.
0
11.
Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, contact a Permit
Application Assistant at (530) 538-7541.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRqmts.doc Page 2 of 2
REV 4-30-04
e"d* q iquac
OROVILLE, CALIFORNIA
GENERAL CLAIM
CLAIMANT: Webb Brothers
ADDRESS: 389C Connors Ct.
CITY& STATE: — Chico - CA 95926 IMPORTANT:
SEE INSTRUCTIONS
DATE OF CLAIM: November 19, 1987 ON REVERSE SIDE
SUBMIT CLAIM TO DEPARTMENT RECEIVING GOODS OR SERVICES
DATE
DESCRIPTION OF CLAIM (DESCRIBE FULLY TO AVOID DELAY)
----AMOUNT
Owner has decided not to do work. (Bldg Permit Appin. #545-87B,P,E,M,
—RP--J.1)t 978026 A 3/87, A -I? —#42-61-19).
Buildi g permit fees paid ----------------------- $404-00
Retain filing fees --------------------- $ 10.00
Retain energy plan checking fees ------- $ 15-00
Retain plan checking fees -------------- $ 15.00
Amount retained --------------------------------- 1 40.00
Refund due ----------------------------------------------- $364.00
Plumbing permit fees paid ----------------------- $ 46.00
Retain filing fees ------------------------------ J_L0.00
Refunddue ----------------------------------------------- $ 36.00
i
Electrical permit fees pa1T ---------------------- $ 83.85
Retain filing fees ------------------------------ L10.00
Retund due ----------------------------------------------- $ 73.85
Mechanical permit fees paid --------------------- $ 28.00
Retain filing fees ------------------------------ J_L0.00
Ketund-due ----------------------------------------------- $ 18.00
Refund energy inspection fees paid ----------------------- $ 30.00
IWAL REkUND DUE ----------------------------------------- $521.85
L- TOTAL
$521185
I, the undersigned, declare under penalty of perjury that the services or articles claimed have been performed or delivered, and that this
claim 15 true and correct as stated. . ......
Dated this day of ....... �) ............ Calif.
................ . ............... . 191R? at ..... ek. �' - -- ;.� ..... 'I . ...... ..
mant
1. the undersigned. hereby certify that, to the beat of my knowledge. the services or articles specified above have been performed or de-
livered and that there is a Budget Appropriation E] or Specific Board Approval ED (Checkone) f
Dated this ............. 19:o ............ day of i-g.R7. at Qggmille ...... I Calif. --Zhorizi ......... u
�r�t F.;�-
Dept . ............ Exp FUND
Code 4.4 Q .. QQ2 ........... Code ............. 4.7.1.0.7.0.0 ............... PAYABLE FROM ..... C mits
DO NOT WRITE BELOW THIS LINE — AUDITOR'S USE ONLY
DEPT. & SUB.
PROJ. SUB. OBJ.
CLAIM NO.
INV.NO.
INV.DATE
ENCUMB. GROSS AMT.
w - 6b +�Orne-< .
-Q- S, I k
'��901C Connors
C�)kcrj) CP
AA
-a ag
a
10 . Im �
/ Qlw X0
IV/ COUNTY OF BUTT EIDEPARTIVIENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLIcATION AND PE,RMIT
4L/PERMIT NO.
i 72
1L�71^F_7_ -
ASSESSOR PARCEL NUMBER
JZ��-�o 1-IoL-tol-Iii
ZOO
BUILDING PERMI=T
OWNER
Webb Brothers
TELEPHONE
891-3351
SQ.FT. OCC. BUILDING VALUATION
t64t 65,640
OWNER'S MAILING ADDR Ess
389C Connors Ct., Chico, CA 95926
512 fV1 7,168
CONTRACTOR'S NAME
Webb Homes
HONE
224 Cov 2,240
CONTRACTOR'S MAILING ADDRESS
Fireplace 1 0
CONSTRUCTION LENDER
UNKNOWN
Ix
Total Valuatioh $ 76,()48
Filing Fee
$ 10.00
I-ENDER'S MAILING ADDRESS
Permit Fee
$ -)04. UU
m8fiw TECT OR ENGINEER 77F�
9E NO.
Plan Checking Fee
$ 15.0()
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
739 Brandonbury Ln.
Permit fee
$ 4U4.U0
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00 16.00
Chico
Solar or heat pump water heater
20.00
LOT NO. SUBDIVISION NAME PARCEL MAP
40 Silvertree 11 104-"* !"!L"'J
Water piping
5.00 5-00
Each qas water heater or vent
5.00 _T -U0
USE OF STRUCTURE
-4,
SF'�Sl DuplexF� MobilehomeF-1 Other SPECIFY
Gas piping system 1 - 5 outlets
5.00 1 5.00
Building sewer
5.00 5.00
Mobile Home S I G I W
10.00 en'
-1 TYPE OF WORK
Ne4 Addition [_ Remodel[] UtilitiesEj InstallationEl Other E]
Describe work: Master #35-82 (Plan #226B)
i
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9 1 Div. 3 of the Business
and Professions Code and my license is in full fo and effect.
License No.3 7 EY Classification rA
-
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST DWELLING OCC21:11
OR ADONS. ACC. BLDGS. 2'/20sqft 53.85
NEW CONSTR. MULTI -OUTLET
NO .RES'.. BRANCH CRC., TS) .2.50 ea I
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. OCCUP(OUTLETS OR FIXTURES 20@50t
5AL@ 300
FIXED APPLNS. OR
Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00
Temporary service 10-00 10.00
Mobile Home Facilities 15.00--
Misc. Wiring 15.00
I
Permit Fee $ R3.85
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
n The permit is for $100.00 (valuation) or less.
Uj,,J-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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating Dual Fak
b
Cool i ng
UU
Hood
3.00 :3 - UU
Ventilation
3.UU
Permit Fee
$ Zb.UU
Contractor
I certify that I have read this application and state that the above information
I s correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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.i co quence of the granting of this permit.
X Date
Signature of Applicant Owner El Contractor EJ Agent 1:1
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
A
TOTAL PERMIT FEE/ $
oCCUP-J
0 >
/%--,>
CONST.TYPF
I _y J./
I
I J
5 P
I "I
%�J
NO -S.
;�f'7�
This permit is h ereCy issued under
sions of the But e ounty Code and/or
work * d' t d bove for which
UBLIC
B
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
9' #pa Ire
Receipt No. 2=6
WHITE-D.P.W.. YELLOW-ASS93SOR. PINK -INSPECTOR. GOLDENROD-APPL I CANT
COUNTY OF'BUTTE - DEPARTWNT, * *F PUBLIC WORKS - BUILDING DIVISIOIN
i Z.
7 COUNTY CENTER DRIVE - OROVILLE,,QA,UFORNIA 95965 - TELEPHONE: 916/53 41
'j- �- - - 1 4, �7
PERMIT APPLICATION DATA SHEET
OWNER Permit No.—
No. hf
P
Building Inspec
tor
Proposed Building Use or Date
At time of permit application, I was advised the following data must be submitted prior to permit processing
and:/orissuance: DATE RECEIVED APPROVED
1. All items have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate/triplicate, signed by preparer of plans. .
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs, with wet signature on plans.
=eclans with Energy Design Compliance Statement . . . . . .
C
USD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9Z Letter of signature authorization. . . . . . . 4 9
�Sanitation approval from (.0, t,o q;W*6 V* -Health Dept.
10. 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 ownerEl).
—15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . .
Pre-ln:pec.srequest to (Date)
��17. Pre -Inspection for Required- B.ilding In pector
8. Recorded copy of Agricultural Acknowledgment Statement.
__rji'j�.Driveway Permit.
—20. Plot plan approval from city of
—21.
22.
.'When you issue the perinit, process as follows: —Mail t�Lneor, —Mail to contractor.
�/ I k 0
_XTe lephone and hold for pickup at ffice, —Deliver w/inspector.
Other
Applicant Date
Copy of plans sent Health Dept., — Fire Dept., — Other— Date
The following data must be submitted r ermit 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--mai I —counter by— date
Contractor, designer, owner, was advised of above required data by —phone _rna I I —counter by— date
'
Plans checked by Date Plans approved by— ate
—Sets of plans on hold in —File cabinet _AP folder
— Flours: 10:00 a'm. - 3:00 p.m.
Copy—DPW
I :i
PLAN 226B
1661 SQ:FT.
�t v
P (off
0
`74.
-� .... . . . . . .
0.
-1�- pill
*Ock' 5.. o
CD
Orh.ih
es'at,
ks,&tback'
' "50ft.'' fror�- th
,0
Q: -road
DRAW& 7Y'
WDURK
COU
gnte rG e. —,—r
e. cle6 a
.,7.. Q.,:
r of
:'s-tructures or eq"
ulpment exceO..-
e.
'for ave. ovorharig. p -
U3
L
-7�
I d
4P
9
PERMITN,O- 3758-87B P,E,M
-7 W
PERMIT EXPIRES
OWNER UEBE HOMES.
CONTR. Webb llnweq.
ASSESSOR PARCEL -42-6'1-1!�
LOCATION '-739 Br-and.Gaburry Ct .1 nt- An rhirn
OFFICF- Copy
SS
Addre
GAS
Meter
ELECTRIC
Meter By
Temp. Power Palo
Called PG&E
Temp. Elec. Service
'0000000
Called PG&E
Temp. Gas Service ::;2
Called PG&E
JOB FINALED (Date)
Signature
I ww,
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 53817541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
OWNER PERMIT NO.
A routine Inspection indicates that the following violations of County Ordinance
exist at above address and should be corrected. Please notify this office
when c 4ction of work is completed. If you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
Date --
Inspector
= OK
0= i) *
t Applfcable RESIDENTIAL (Single! and Duplex)
Not Ready
U.: A;, * -Z'
Date %
UNDERFLOOR (Plans) OK except #'s.
D afe NG (Continued)
'1�4 Zoning requirements -Setbacks -Easements
gers-Post Caps -Anchors -Connectors
IV. Ftg., Main; Soils-Steel-Elec. Grnd.-/ /11 Ftg. Depth
�Qq& Clng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
V Ftg., Garage; Soils -Steel-/ Ftg. Depth
Fireplace Ties or Type A Flue -Fireplace Throat
N4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
'No nAttic Access; Size & Romei Protecti on- Draft Stop -Ins. Baff les
stem s,pain; Steel-Blockouts-Wrapped,
!>)A. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
St w , Garage; Steel-Blockouts-Wrapped
'�W_13arage Fire Protection Framing
"lp"Steel-Wrapped
��Sp. Property Line Firewall & Openings
&Aers-Fi replace Ftg.-Steel
'-,Ay Ext. Doors -one T -Check Garage -3rd story, 2 exits
V. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
M)Siding-Nailing Veneer
12. Electric; Underground
�WStucco Mesh -Drip Screed -Fd. Vents-UnderfIr. Acces
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
'*%A Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
(7MShear Walls; Nailing -Bolts
15. Insulation
(I*Insulation-walls-Cig.
Qftnfiltration-Walls-Wndws
Card -131
UlCA Date J) Mard-1311 Date
Ca d-131
nej Date Card -131 Date
Card-§�!� Dattad�4Md-Bll Date
Card-gj2f::�4 DW2�?��ard-Bll Date
01 el
Date CLUMBIN(A (Permit) OK except #'s
_�,U)Water Ht. Vent -Access -Combustion Air
Date FINAL�(Plans) OK except #'s
,'U
Water Pipe; Test & Anchors -Nail Protection
61YExt _StePS7Door & Sidelight Protection -Land i ngs
.4,D.W.V.; Test-Fttngs & Anchors -Nail Protection
6*.`Smoke Detector
hower Pan; Test, First Floor -Tub Access
6JAurnace; Vents -Clearance -Comb. Air -Connector -
h3,Garage; Above Floor-Ducts-Mech. Protection
e0roorn Exiting
Test Tub & Shower, 2nd Floor -Tub Access
A&%Gas Pipe;. Size & Anchors
6",F,I. & Bath Fixtures & Tub Access -Spa
65'Elac- Trim & Subpanel; Breaker Sizes -Labels
Card -B 8Q:m
Date ard-1311 Date
Card-BI&Q!22210ate:��drd-131
Date
6Z,Fireplace or Stove; Clearances -Hearth
Date
ELECTRICAL (Permit) OK except #'s
6 ec.-Outlets at Wood Panel; Int. & Ext.
22. Fixture & Transformer Clearance -Ins. Prot;ctlon
69 -K -it. FA*xt. & Appliance; Grnd. -Air Gap -Cooking Clearance
Elec. Receptacles S - pacing -Lights & Switches at Doors
70Elec Outlets & Receptacles at Kit. Counter
Size Boxes & No. of Conductors -Stapled
71-.earage Fire Door; Swing -Landing -Closer
Romex installed Close to Edge of Studs & C.J.
ouc in Garage -Damper
WEquip. Ground made up w/Mech. Fasteners-B*Tl%tT&Nter
74,4-tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
lq,Garage; Above Floor-Mech. Protection
2 Appliance Circuits in Kitchen & Conductor S�ize_
TOPI��Elec. & Mech. Equip. Listed for Location
Subfeed Wire Size 12.4-ga. Cu d��.C. Wire Size / /ga.
Cu or Al
75ftLlec. Receptacles in Garage; (G.F.I.)-Rom �_X_' Protec.
Range Circ. Z;/ga. Cu orAI-Oven Ci(oL /ga.CuorAl.
Insulated Neutral Yes - CgL
76,"Insulation-Foam-Looked in Attic
7715�,lard Ra'ls & Deck Con struction- Post Caps
Service -Riser Conductors & Ground -Main Disconnect
78.,FdP-Uen1s_&_QrawI Hole Door -Drainage & Wood -Earth
CIparance Looked under Floor 13 Yes
1�31. Equip. Clearances Panels-Motors-Mech. Equip.
'1Z Clothes Closet Light -Shower Light -Spa Light
794ollowing instId.; Drive E3 Yes 0 No; Walks 13 Yes 0 No;
LJante% 0 Yes 0 No
8Kppxbb; glbwn-FinishY�E;7
Card -B1
Date Card -131 Date
84'_A..C,-Uhit; Disconnect, fElec(r1kcal, - Plumbing
Card -131
Date Card -BI Date
8 ;,,!��nts Above Roof; Plbg.-Appliance-Firepi.-Clearance to
Openinos.
Date ,
MECHANICAL (Permit) OK except #'s
Disconnect, Electrical, Plumbing
_'W. A.C. Ducts Insulation & Support
84�_rxterior Elec. Trim; G.F.I. Receptacle -Underground
14. Vent Fan; Exhaust above insulation
9'5. tentilation throughout House
"�.
Condensate Drain & Overflow; Size & Grade
8eGlass Protection
-,�'�6.
Furnace -Vent; Access -Comb. Air -Return Air Veh*4-15 outlet
87,,Co-rrections from Previous Inpections
Attic Access & Platform if in Attic J
8"asNst-M-eters Tagged; Gas -Electric �V_z6r
-Furnace
8?.,�fer & Sewer Connected -C/O to Gradb-Htf Approval
90 nergy Compliance Certificate -Other Certificates
Card-BW*__1_1
Card -131
Date�P �'Viecard-B_l Date
Date' -Card-B1 Date
4K) ZZ Ilj
Card -BI DateL�J-// Card -B1 Date
Date -
FRAMING (Plans) OK except #'s
Card -B1 Date Card -B1 Date
-'98. Sills, Proper Material & Anchors
Card -B1 Date Card -BI Date
,'Sb.
Walls Studs -Nailing, Spacing & Bracing—Plates-Sound
Comments at Final:
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rht proof)
��Fire Stops; Furred Ceilings -Stairs -Chases -Tub_
',0. Header & Beam -Size & Bearing
(NOTE: An entry must be made each time you visit job site)
OX
0 Not OK
Not Applicable
Not Ready MOBILE HOMES MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DECKS,COVERS,CARPORTS,GARAGES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Soi I s -Size- Depth -Spaci n g -Co n nectors-Stee 1
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
6. Gas; Location -Test -Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Na i I i ng -Veneer -St ucco- Mesh
Card -131
Date Card -1311 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -1311 Date
11. Ext.; Steps -Doors -Landings
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -131
Date Card -131 Date
2. Footings; Si ze-Spac in g- Marriage Line
Card -131
Date Card -131 Date
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POOLS (Plans) OK except #'s
5. Drain; MH Test -Fall -Flex Connector
1. Setbacks -Easements
6. Water; MH Test- Reg u lator-Con necto r
2. Soils; Compaction -Structure Stability
7. Water and Sewer Connected -C/0 to Grade -HD Approval
3. Pool Structure; Steel -Connections -Thickness -
Dead Men -Lining
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
4. Elec.; Receptacles and Lighting, Distances-GFI
10. Cart. of Occupancy
5.. Elec.; Pool Lighting; 15 volts-GF1
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater
8. Elec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-ins. to Main in Conduit
Card -1311 Date Card -1311 Date
Card -131
Date Card -131 Date
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply Test
Card -131
Date Card -1311 Date
Card -131
Date Card -1311 Date
0
Owner: Webb Ho'mes Pernit No.:
E N E R G Y C E , R T I F I C h T 1 0 N
lot #40 - S11vertree Plan Z 7-41,
LOCAtION A.P. No.
DESCRIPTION OF INSULATION
ROOF'
Material Brand Name,.
Thickness(inches) Thermal Reslistance (R Value)
EXTERIOR WALL
Material
Thickness(inches) 3�11
CEILING
Batt or Blan.ket,Type g;,ttq
Thickness( inches) loll
Loose Fill Type Insul Safe III -
Minimum Thicknesi(Inche s) 11.11
Area covered(ft.
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR* SLAB
Material
Thickness(inclies)
Width (.inches)
Brand Name_Ce
.LtAjntPPd
Theniial Resistance(R Value). R-11
Brand Name Cprtgintppd
Thermal Resistance(R Value) R-10
Brand Name----C&xta.�nt-t-t-d
Number of Bags . . * Wt. pet.bag The
. Thermal Resistance.(R Value) R -In
B -rand 11, am. e
Thermal Re'sistance(R Value).
brand Name,
Thermal
Resistance(R Value) _
FOUNDATION WALL
Material Aln'd Name
Thickness (inclics) Thermal Resistance(R Value)_
I hereby certify that the above &-ulation was insLalled in the above building
in conformanq* with the Statq of M-ifornia Energy Requirements.
SIMTURE7 OF I
979941
STATE CONTRACTOR'S LICENSE NO.
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plaus and attachments have been 1. ns ta' I I CPA' 'aS
required by.the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or -are
specifically approved by Lhe State of California.
FIIAM NAME/OWNER (Please print) STATE coNTRACTOR'S LICENSE VO.
Sf-GKA7iJRE 'OF GENERAL CONTRACTOR 1OWNE R DATE
k -C
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDT rr p NAL
.Ng_DEPART.MEA TO I
INSPECTION APPROVAL AND A COPY SHALL BE POSTED 111WHE B�ILDING,,
January 1984
J
.N;t -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS e07 P RMI
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541/1""
APPLICATION AND-TERMIT
ASSESSqR,PARCEL NUMBER
5Q — 6/_ /5;1
BUILDING PERMIT
OWNER
1_1257;0�7
P
SQ. FT. OCC. BUILDING VALUATION'
7
OWNER'S MAILING ESS
" 07 ?1Z
7--3
CONTRACTQH*5NAME
PHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
c�,
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ '60
ARCHITECT OR ENGINEER
E NO.
Plan Checking Fee
$ 4 �-4 0
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
I?
r7_ V
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO
SUBDIVISION NAME PARCFEL MAR
570tt�r)5FG 1194-
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
S a
DuplexR MobilehomeF� Other SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 's-
Mob I I e Home S I G I W
10.00 ea
TYPE OF WORK
Ne AdditionE] RemodelE] Utilities[] Installation[] Othero
I)Le.scri be work: c
IFO — 1@ 2,
I
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
600V OR LESS
Main service 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. �1?7 IM5 * —Classification
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)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW CONST ELLING 0
OR ACDNS. DAWCC. BLOGs��'A/ 2/20sqft 15 71
1
NE . W CONSTFL MLI 1
NON,RESID. BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS.&)
(SINGLE OUTLET CIR
20950t
Ex. OCCUP(OUTLETS OR FIXTURES ISALO 30*
FIXED APPLNS. OR I
Ex. Occup. OUTLETS (RESID.) EA.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):
The permit is for $100-00 (valuation) or less.
I have placed on file with the County of Butte .8u.ilding Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
F -I 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 shal I be deemed revoked.
MECHANICAL PERMIT
FilingFee 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 unty in conse he granting of t
#ence of t his permit.
X Dat IL31ki
Signature of'Applicant — Owner El Contractor [I' Agent
n ta,
A OSHA permit is required for excavations over 5'0" deep and 4emalition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PgRMIT FEE
—a
UP.
1 CT/Pt
I
JSC;pJV V1
PA�rl.
I 'PD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
wor ove for which
U BLIC
By
PERMIT EXPIRES Date—
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 1�1&01197
1101,9 V.
Receipt No. -7,
WHITC-D.P.W.. YELLOW-ASBE330M, PINK -INSPECTOR. GOLDENROD-APPL I CANT
TIM
COUNTY OF BUTTE DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIF(DRNiA95965 - TELEPHONE: 916/538-7541
PERMITAPPLAN'TI, rNDA-TA SHEET
AI
lffivlft
Proposed Building Use
Permit No. 1�1
A. P. N o. Zs2 /(o
Date .4L11 -K Zo
Building Inspectoraa-_1?V9 I X —/
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, signed by preparer of plans.
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calcs', with wet signature on plans.
Plans * h Energy Design Compliance Statement . . . . . .
School District "Fees Paid" Stamp on Floor Plan. p4)
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
Letter of signature authorization. . . . . . . .
Sanitation approval from 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'ownerD, Mai I to owner F�)
15. Improvements may be required . . . . . . . . . . . .
Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to JDate.)
17. Pre -Inspection for--..---,, Required. Building In s pector
18, Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
—20. Plot plan approval from city of
21. 7
22.
When you issue the permit,_process as follows: Mail to owner, —Mail to contractor.
office, —Deliver w/inspector.
'--,L—Telephone and hold for pickupZ
— Othe
A p p I i c a Date
Copy of p I ans se nt — Hea I t h De pt., — F i re De pt., — Other — Date
The following data must be submitted prior to permit issuance
1. Index permit for above items No.
2. Additional items required:
(Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by—phone---mai I —counter by— date
Contractor, designer, owner, was advised c! above required data by —phone —ma i I —counterAy_ date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in —File cabinet _AP folder
11111M.11 - WAW
\S1 re L7t�
This set of plans and specifications MUST be
ke f ?n the job at all times and it is unlawful to
M�e any chmqes or alfera�iens on some without
written permission from the Department of Public
Works, !County of Butte.
36:
io.
-4�-70' , I k
back of
A set
;t property line ahc��'a
of 50ft- from the� r
cehi�rline sh 11 .7 OPIL
t ie
tr Ures or equ.i X
CO
Uc
for a,2 ft. ea ".y.
i Idi
S�e M ster PI n
Pla ns..
�11112
PUr 6
&1P41
102.Iq
L
NOTE rials W@(mans
h 10.
S.61
Trn me gnized(z�,Good
a quo ITY pres ri 1 C!, P . and
e -for
V-1 , 4 .
-Specifle
n i form Bui in urn
rn ing-& , Oachani, -
z,446 Nat. ecftic Code. 1'�
BUTTE.=
BUILDING DEPA 3TP
41- A P P
41,
Ole)
1. . 3
V.
'44.
MC
W
33
B (j2EV) _S5uTR- 0111ENTAT(ON FORM
RESIDENTIAL ENERGY PLAN CHECK/INSPECTION SUMMARY
Owner S(LV'CP_Tm Climate Zo
ne
Floo!� Area 1794
.Compliance patli: Package 13 A D B 13 c 0 Point Sy's'tem'
MIN R -VALUE
REQ�D
INSTALLED ITEMS (1) INSULATION:
Roof/Ceiling
Wall
13 Slab Floor Perimeter
0 Raised Floor
Permit No. Fs7—
[]Budget 22 Other
DESCRIPTION
(C)
Coefficient Description
East . . 1 (0- D L) 06,
South fo
West
Skylights
South Overhan�
Length of projection '0' ft. Description
13-
(2) INFILTRATION:
Area
0
(A)
A vapor barrier is required in cHm—ate zones, 1, 14 & 16.
(E) Thermal mass
(B)
All manufactured windows and sliding
glass doors shall meet the
1972 ANSI Air Infiltration Standards
and shall be certified and
ge
g2Lq Ft.2
HC=
labeled.
MC =—Z. 2., Location Dim.
(C)
All swinging doors and windows leading
to unconditioned areas
shall be fully weatherstripped.
- Area
Ft./ --HC=—
Tight - the above standard -features plus:
R=
13
(D)
Continuous infiltration barrier
13
(E)
Electrical outlet plate gasket
Type
13
(F)
Air-to-air heat exchanger
R=
(3) GLAZING:
(A)
location
E3
Type
- Area
Area Glazing %Floor Area
Single Double Triple
R=
Total Bldg ZZ1.0 Z,, 3 Zw-
North -5'1
13
Type
- Area
East
R=
South 4.73
—
West q
13
Type
Area
Skylights 30
HC=—
R=
(B)
Shading
-Shading
7/83
(C)
Coefficient Description
East . . 1 (0- D L) 06,
South fo
West
Skylights
South Overhan�
Length of projection '0' ft. Description
13-
(D) Moveable insulation:
Area
ftZ Description
(E) Thermal mass
Type 'SL A
Area
ge
g2Lq Ft.2
HC=
R=__� Z
MC =—Z. 2., Location Dim.
i>,H. VI
-r j?t;11+
Type
- Area
Ft./ --HC=—
R=
MC= Location
E3
Type
- Area
Ft.2
HC=—
R=
MC= Location
E3
Type
- Area
Ft.Z
HC=
R=
MC= Location
13
Type
- Area
Ft.2.HC=
R=
MC= Location
—
13
Type
Area
Ft.Z
HC=—
R=
MC= Location
7/83
FORM I
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped,with tight
fitting closeable metal'or ,glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a-reAdily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
.*1(5) HEATING, VENTUATING, AIR CONDITIONING SYSTEM
(A).'. -,Heating �7
Central Gas Furnace %
(brand and model number). SE
Btu/hr
(heating -capacity)
13 Heat Pump.
(brand and model number) ACOP
. Btu/hr
(heating capacity at 47*F)
13 Active Solar'
-*type,(liquid or air) Collector brand and
ft2 '
model number solar fraction collector area collector
orientation collector.tilt rated y -intercept
rated slope
1 3 other
FA
FE
(describe)
.(B) Cooling
Electric Air Conditioner
(brand and model number)
Btu/hr
(cooling capacity at 950F)
Electric Heat Pump
9,0
(seasonal EER)
EER
Btu/hr
(cooling , capacity at 95*F)
13 other
(describe)
13 (C) A TWO-STAGE THERMOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
(D) AN AUTOMATIC SETBACK shall be provided for all thermostats, except
those controlling heat pumps.
LI-_
(E) AN INTERMITTENT IGNITION DEVICE shall be provided for all gas-fired
fan type central furnaces, gas-fired fan type wall'furnaces and
gas cooking appliances-.
(F) BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
(G) DUCT CONSTRUCTION & INSUIATION. All transverse duct, plenum, and
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the'provisions of Section 1005 of the UMC, 1976 Edition.
7/83 2
FORK I
(6) DOMESTIC WATER SYSTEM
10'. -(A) Gas Only Gallons
(brand and model number) (tank size)'
13 Heat Pump w/El6ctricBackup
(brand and model number)
Gallons
0
2 (tank size)
13 Active Solar
(collector brand and model number)
(rated y -intercept)
(rated slope) (solar fraction) ft 2
�(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
13 other
(Describe)
-(B) TANK INSULATION. Storage type water heaters and storage and
backup tanks for solar systems shall be externally wrapped with
R-12 insulation or greater'.
(C) PIPE INSULATION. The five feet of*pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and'steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam'condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance -with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
ds -outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature 22 0, elevation -1-- ZOO heating load.!!F7/5'Z� BTU
elevation factor' VO x heating load = maximum outlet capacity gas furnace
!CZ1.5-0 BTU
o
Cooling: Su me design e u e c oling load 7.470 BTU*
(USE ONLY AS A SIZING GUIDE,, COOLING MAY BE INADEQUATE)
Submit. T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24i Part 2, Chapter 2-53 of the California Administration Code.
7/83
IMATURE OF �UILDING DESIGNER OR APPLICANr
3
��,� �9j 3351 '.
q.2 -6
lk
.70'
xx
470,
10
ILA
T6:
lo,
N21 I'
97.
:3 V02
Sb --7o'
F2
15,4.
27 W... f8g.: f8,,
n-42
J-77
7'
PLAN 229,X6
4463 SQ. FT.
3
Ck4
CERTIFICATION OF COMPUA
UNIFIED SCHOOL DISTRICT F
340-87 a
Chico Unified School DiSMO
h
;=="lr34' a
Z=P:m"i'"N"q
by the paynwm of h
/n& 19-7 /11
dot
/ -Aa V/
:1
4,
CON3 HTIW 40 LIOM63RITAX)
I*SMT210 JGOH:)2 Q3M14U
oftflo nitmic loodoe toninu wilia
imm"MO Ilm"a to *man)
("OTHM mete
wff ftei bsftmo ton
TO -009 .*M nWuW&aq
Alwl"m I* lalpwb
"-LZ" C%Iff3Wql*88*i;vA'
0 to momm Oru V4
fee elfu�w IM0291061
PERMIT NO. 1600-88B,P,E
PERMIT EXPIRES
OWNER NORMAN BAUMAN
,'CONTR. HOLIDAY POOLS
ASSESSOR PARCEL 42-61-19
739 BrandoAury, Chico e��7#
LOCATION
6(�6 64 i',j
Temp.Pow
�j Called
Temp. Elec
Called
Temp. Gas
Called
JOB FINAL
Signak
COUNTY -OF BUTTE
46 DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CO. ECTION NOTICE
a 0
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.
'Wn C,
Inspector— Date
(11 1 - - 7
=OK -
0 = Not OK
- =.Not Applicable RESIDENTIAL (Sinold and Duplex)
. Aot Ready ' - I I
Date 'UNDERFLOOR (Plans) OK except #'s
Date FRAMING (Continued)
1. Zon in g -Setback s;- Easements- Flood-Slo pe
45. Hangers -Post Caps -Anchors -Connectors
2. Ftg., Main; Soils-Steel-Elec. Grnd.-/ Ftg. Depth
46. CIng. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfng.
3. Ftg., Garage; Soils -Steel-/ Ftg. Depth
4.7. Fireplace Ties or Type A Flue -Fireplace Throat Clearance
4. Ftg., Porches & Decks; Soils -Steel-/ /"Ftg. Depth
48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
5. Stemwalls, Main; Steel-Blockouts-Wrapped
49, Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
6. Stemwalls, Garage; Steel-Blockouts-Wrapped
50. Garage Fire Protection Framing
7. Slab; Steel -Wrapped
51. Property Line Firewall & Openings
8. Piers -Fireplace Ftg.-Steel
52. Ext. Doors -One T -Check Garage -3rd story, 2 exits
9. D.W.V.; Fall -Fittings -Test -2 way C/0 -Sewer Test
53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
10. Gas Pipe; Size -Anchors
54. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
11. Water Pipe; Test -Anchors -Regulator -Service Test
55. Siding -Nailing Veneer
12. Electric; Underground
56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access
13. Plenums & Ducts; Clearance-Material-Supprt-Ins.
57. Glazing Area -Glass Protection -Skylights -Plastic
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
58. Shear Walls; Nailing -Bolts
15. Insulation
59. Insulation-Walls-CIg.
60. Infiltration-Walls-Wndws
Card -131. Date Card -B1 Date
Card -131 Date Card -131 Date
Date PLUMBING (Permit) OK except #'s
16. Water Ht. Vent -Access -Combustion AirBaffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
19. Shower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -131 Date Card -131 Date
Card -131 Date Card -1311 Date
Date ELECTRICAL (Permit) OK except #'s
22. Fixture & Transformer Clearance -Ins. Protection
23. Elec. Receptacles Spacing -Lights & Switches at Doors�
24. Size Boxes & No. of Conductors -Stapled
25. Romex Installed Close to Edge of Studs & G.J.
26. Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
27. 2 Appliance Circuts in Kitchen & Conductor Size/G.F.I.
28. Subfeed Wire Size ga. Cu or AI-A.C. Wire Size / /ga.
Cu or Al
29. Range Circ. ga. Cu or Al -Oven Circ. ga. Cu or Al.
Insulated Neutral Yes No %
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panel s -Motors- Mec h. Equip.
32. Clothes Closet Light -Shower Light -Spa Light
Card -131 Date Card -131 Date
Card -131 Date Card -B1 Date
Date MECHANICAL (Permit) OK except #'s
34. A.C. Ducts Insulation & Support
35. Vent Fan; Exhaust above insulation
36. Condensate Drain & Overflow; Size & Grade
37. Furnace -Vent; Access -Comb. Air -Return Air Vent -115 outlet
38. Attic Access & Platform if Furnace in Attic
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Date FRAMING (Plans) OK except #'s
39. Sills, Proper Material & Anchors
40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound
41. Bearing Walls over Girders & Floor Nailing
42. Draft Stop in Walls (rat proof)
43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub
44. Header & Beam -Size & Bearing
Card -B1 Date Card -131 Date
Card -131 Date Card -131 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door & Sidelight Protection -Land i ngs
62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor- Ducts-Mech. Protection
64. Bedroom Exiting
66. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails
68. Fireplace or Stove; Clearances -Hearth
69. Elec. Outlets at Wood Panel; Int. & Ext.
70. Kit. Fixt. & Appliance; Grnd. -Air Gap -Cooking Clearance
71. Elec. Outlets & Receptacles at Kit. Counter
72. Garage Fire Door; Swing -Landing -Closer
73. A.C. Duct in Garage -Damper I
74. Wtr. Htr.; Vents -Clear ' ance-Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
7 . 5. Plb., Elec. & Mech. Equip. Listed for Location
76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.___
77. 1 nsu lati on- Foam- Looked in Attic 0 Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor 0 Yes
80. Following instId.; Drive -0Yes ONo;Walks OYes ONo;
Planters OYes DNo
8i. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; PI bg.-Appl iance-Fi rep I.-CIdarance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
8& Ventilation throughout House
87. Glass Protection
88. Corrections from Previous Inpections
89. Gas Test -Meters Tagged; Gas -Electric
90. Water & Sewer Connected -C/O to Grade -HD Approval
gi. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Card -131 Date Card -131 Date
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
= OK
0 = Not OK
- = Not Applicable
= Not Ready MOBILE HOMES
MISCELLANEOUS
Date
MOBILE HOME UTILITIES (Plans) OK except #'s
Date
DEC KS,COVERS, CARPORTS,GARAG ES, (Plans)OK except #'s
1. Zoning Requirements -Setbacks -Easements
1. Zoning Requirements -Setbacks -Easements 10
2. Soils; Special MH Support -Sketch
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
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- Bea ms-Rf trs.-Co n nec.-
Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test-Wrap: / /"L"ft.
/ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Col u m ns -Con necti ons-SpI ice- Decal- Encl osu res
6. Carports; Windows -Doors
7. LItility Clearance
7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nai I i ng -Veneer -Stucco- Mesh
Card -B1
Date Card -B1 Date
10. Roof; Shthg-Roofing
Card -131
Date Card -B1 Date
11. Ext.; Steps -Doors- Land i ngs
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Req ui rements-Setbacks- Easements
Card -131
Date Card -B1 Date
2. Footings; Size-Spaci n g-Marri age Line
Card -131
Date Card -B1 Date
3. Gas; MH Test- Demand -Valve -Con nector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Date
POW (P!,ans) OK eyept-#'s
5. Drain; MH Test -Fall -Flex Connector
V,.0'S!!!g_�s-Easvrrrents
6. Water; MH Test -Regulator -Connector
A-Soi!"ornpaction-Stpieture StaWUty
7. Water and Sewer Connected -C/O to Grade -HD Approval
N.,
A�Fr&ol Structure; 9Acfe�l-Conrlotli'ons-ThicfoiTs-s-
Deed Me.. Liming
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
, `*gElec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy
4)(Elec.; Pool Lighting; 15 volts-GFI
lec.; EnclosuLg,% Conduit Entries -Terminals -Listed
Elec.; BoodT-ng; Metal wJS4-0 rculati ng Equip. -Heater
lec.;Grounding; Equip. w/5' -circulating Equip. -Pool Lghtg.
Boxes-Enci osu res -Panel board s- Ins. to Main in Conduit
Card -131 Date Card -B1 Date
Card -131
Date Card -B1 Date
Health Departm!j?"pproval
1,0e,Kumb.; Cir. Fdest-Wa4ef-6ep, 1. -1—t
Ca rd - B 1 /p-jZje Dat25L,�WCard-131 Date
Card -131 ate
41-4, G r d - B 1 Date
ov
11
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO
7 County Center Drive - Oroville, Californi.a.95965 - Telephone: 916/538-7541
APPLICATIbN AND PERMIT 71'
ASSESSOR EL MI
BUILDING PERMIT IV/
�CIWNE TELEPHONE
so OCC.1 BUILDING
VALUATION
W�Cn LAMan
OWNER'S, MAIIIIKDRIESS
rcAA on hun
CON ACTP S NAM TE-LEPHO14E
B4 3 _%J4IS
C 0 N T R(1� 0 R 'S M"T G A RESS
1 -0 E7 0_k_�
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee
$ 10.00
Permit Fee
$ OtOL - 5 C)
ARCHITECT OR ENGINEER E NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
. BUILDING ADDRESS
'-759
Permit fee
$ 1 (9 �5o 1
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Solar or heat pump water heater
20-00
LOT q0 'I SUBDIVISION NAME Noc L M A PI
Water piping
5.00 L;,C)0
4
Each qas water heater or vent
5.00
USE OF STRUCTURE
Gas piping system 1 - 5 outlets
5.00
SFEI Duplexo Mobilehome[] Oth Z I (�SrRi ry,
Building sewer
5.00 on
SPECI
5M
Mobile Home JSFG W1
10-00 ea�
TYPE OF WORK
i
New Addition[] Remodel[] Utilities[:] Installation[] OtherEl
Permit Fee
$ 00
Describe work:
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
JOOV OR L
Main servicv 00 AMP OERSLESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS LICENSE LAW
NEW CONST. ( DWELLING OCCUP.al
21/20sqft
I declare under penalty of perjury (check one):
OR ADDNS. ACC.BLDGS.
NEW CONSTR. MU LT'"OUTLET
2.50 ea 1
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
NON-RESIO. BRANCH CIRCUITS)
POWER APPARATUS &I
and Professions Code and my license is in full force and effect.
(SINGLE OUTLET CIR. I
License No. Classification
Ex. OCCUP(OUTLETS OR FIXTURES
20950t
5AL0 300
1, as the owner, or my employees with wages as their sole compen-
FIXED APPLNS. OR
Ex. OCCUP- OUTLETS (RESID.) EA.)
2.00
sation, will do the work,and the structure is not intended or offered
Temporary service
10.00
for sale. (Sec. 7044)
Mobile . Home Facilities
15.00
El 1, as the owner, am exclusively contracting with licensed contract
Misc. Wiring
15.00 10:
ors. (Sec. 7044)
El I am exempt under Sec.—, Business and Professions Code
for this reason
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I,declare under penalty of perjury (check one):
MECHANICAL PERMIT.
Fi I ing Fee 10.00
The permit is for $100.00 (valuation) or less.
Heating
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.
Cooling
I shal I not employ any person in any manner so as to become subject
Hood
3.00
to the W. C. laws of California.
Ventilation
Notice to Applicant: If after making this statement, should you become subject
Permit Fee
$
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
(`3certlfy that I have read this application and state that the above informa;;on
Mobile Home Installation Fee
$
1 s correct. I agree to comply to all County Ordinances and State Laws relating
Energy Inspection Fee
to building construction, and hereby authorize representatives of the Countyot
to enter upon the above-mentioned property for inspection purposes.
TOTAL PERMIT FEE
$
.Butte
i'also agree to save, indemnify and keep harmless the County of Butte against
OCC"P* CONST.T�_Pff] I FLOOD P
all liabilities, judgments, costs, and expenses which may in any way accrue
ISCHOOLI
1pl"l
I
against said County'in ft ranting of this permit.
X
This permit is hereby Issued under
the applicable provi-
Date —
slons of the Butte County Code and/or
resolutions to do
Sign.ef, Applicant Ow Ir t or V Agent El
2.f
work Indicated above for which
fees have been paid.
#ac
.v
n a
an
An 0 permit is ryuirso fa! ry V ..�O "a r 5'0" deep and demolition or construct-
Q,1REC7O F PUB IC WORKS
h t
i�n of structures a I e
Receipt No. L, 13�
B y —Date
WHITC-D.P.W., YZLLOW-A38ESSON, PINK-INSPECTON. GOLDEN ROD-APPL I CANT
PERMIT EX�(RES Date
2 L
COUNTY OF BUTTE - DEPARTMEN _,P,�VBLIC WORKS - BUILDING DIVISION
IT �Q�
7 COUNTY CENTER DRIVE - OROVILLE, CA�!FORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICAf ION DATA SHEET
i - �, Permit No.
OWNER 01( (MYl �Ck L1VM(\ A. P. No.
Proposed Building Use 5- W I I Cn . VO -D) 6uilding Inspector Date 51--�L3)
At time of .permit application, I was advised the following data must be submitted prior to permit processing
and1or issuance: DATE RECEIVED APPROVED
71. All items ' have been submitted . . . . . . . . . . . .
2. Plot plans in duplicate./tripli-cate, signed by preparer of plans. . — N
3. Complete plans in duplicate/triplicate, signed by preparer of plans.
4. Complete engineered plans and calts, with wet signature on -plans.
5. Plans with Energy Design Compliance Statement . . . . . .
6. - School District "Fees Paid" Stamp on Floor Plan.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
9. Letter of signature authorization . . . . . . . . . . .
10. Sanitation approval from . 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 ownerE], Mai I to ownerE])
—15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
Pre-Inspec. request to
17. Pre -Inspection for Required, Building Ir's pector (Date)
18. Recorded copy of Agricultural Acknowledgment Statement.
19. Driveway Permit.
20. Plot plan approval from city of
21. Engineered trusses *in duplicate (required prior to plan check).-
-22.
When you issue the permit, process as follows: —Mail to owner, _M141011to contractor.
—Telephone and hold for pickup at— of f ice, —Del iver w/ i ns pector.
Other
A p p I i ca n t' t P
V
Copy of plans sent — Health Dept., — F ire 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--jnal I —counter by— date
Contractor, designer, owner, was advised of above required data by—phone—mall—co date
G?V/
Plans checked by Date Plans approved by— _2�te cso,_
—Sets of plans on hold in—File cabinet _AP folder
Covv—DPW