HomeMy WebLinkAbout042-610-026n
41
WEBB BROTHERS o r`
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Cont c: Webb Homes r
Permit��552-87B,P,E,M(newsingle fam•1 .'
Y)
%i
42-61-26
LARRY BREIDINGER 9
ContR: Care Free Pools
Permit#2598-89B,P,E(new swimming pool)
042-610-026 03-1859
PLEVEN, LARRY '
74'0 BRANDONBURY, CHIC INALED
RE -ROOF
1.
i " - M -J,
042-610-026
03-1959V
REVEN,LARRY
740 BRANDONBURY, CHICO
RE -ROOF
7- 7
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COUNTY OF, BUTTE - DEPARTMENT OFID,EVELOPMENT SERVICES - BUI ING DIVISION i
7 County Center Drive • Oroville, California 95965 • Telephone (53 538-7541 �3 PERMIT Nb.
(Rev. 12/96) APPLICATION ANDPERMIT `
ASSESSO{i�PARC0. UMBEg
(�4C-bY� *6
ZONING
ASR
BUILDING PERMIT
OWNER
Larry Raven 894-2624
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
DWNEILIrandonbiry Mane a* --o
7�13
38 Sq 2280. U0
660.00
CONTRACTOR'S NAME
owner
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDERS MAILING ADDRESS
Fireplace
Total Valuation $ 29.40
ARCHITECT OR ENGINEER
UCENSE NO.
—Filing Fee $
20.00
Permit Fee r $
54,
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
740 BrAndonbuia Lane Chi co
Energy Plan Checking Fee $
$
PERMIT FEE $
7A.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ 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 I
f
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ i
Describe Work: shake tear off
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE S
r
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service p q OR LESS
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.
• OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
.Law for the following reason:
I, 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service To
46.00
CCU000A
WEE200A
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( 3 ACC, eLDs.
SO
3.5QFT:
NNOONN•ga10T MULTI.OUTLET
97,50
POWER APPARATUS
d SINGLE OUTLET CIR.
EX. Occup. OUTLET OR FIXTURES
20 Q I'50
BAL @ .50
Ex. Occup. OflxuT>Frs A o OF,
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEEL $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
t, of one hundred dollars ($100) or less.)
I 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply -with those provisions.
/ ��-! /
X �r— Date tV 4
Signature of A�j licant - ❑ Owner ❑ Contractor 13Agent
An OSHA permit is required for excavations over 60° deep and demolition or construction
of structures over 3 stories in heig�,it.
Mobile Home Installation Fee $
Energy Inspection Fee $
Gcc
CONST. TYPE
TOTAL FEE $ 74.00
HAZ.
D. FEES IMP
—
FLOOD
COF
--'
pARC0.
•.•.�,...,,,
--
PD
- —I'
HD
-
SSUE
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.
j�,.� '-�
By Datec
MIT EXPIRES ON xv. I
Date
Receipt No. 44 "� fp 4.1PE
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO
(Rev. 12/96) APPLICATION ANUPERMIT
ASSESSOR PARCEL NUMBER
042-610-026
ZONING
ASR
BUILDING PERMIT
OWNER a 894-2624
TELEPHONE
SO. FT, OCC. BUILDING VALUATION
. OWNERS xi ADDRESS
740 Brandonbury Lane Chico
38 sq 2280.00
660.00
CONTRACTORS NAME
ownpr
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
LENDER'S MAILING ADDRESS
Fireplace
Total Valuation $29.40
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ 54-00
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING ADDRESS
740 Brandonbury I Chi-
Energy Plan Checking Fee $
ane co
$
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ Mobilehome ❑ Other
sPEclry
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: shake tear off
Gas piping system 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home ISI GI W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Fling Fee 20.00
800V OR
Main Service 20.AORLESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencingwith Section 7000 of Division 3 of the Business and Professions Code,
)
and my license is in full force and effect.
License Class 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:
I, 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.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A 46.00NEW
CONST. DWELLING OCCUP. SO
OR ADDNS. 8 ACC. BLDS. 3.50FT.
NEW CONST. MULTI -OUTLET
NEW COID. 7.50
POWER APPARATUS
a SINGLE ovrter CIR.
Ex. OCCU OUTLET OR FIXTURES SAL @':50
Ex. Occup. DFlx�EEDA Aa oR� 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 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.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE 1 $
Policy Number
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
I 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
workers' compensation provisions of section 3700 of the Labor Code, I shall
fo it ccith those provisions.
VI/�f
X Date ` 31,;
SigrYatbre of Apli ant - ❑ Owner ❑ Contractor ❑ Agent
An OSHA permits required for excaavyations over 60" deep and demolition or construction
of structures over 3 stories in heiglft.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ CONST. TYPE
TOTAL FEE $ 74.00
HAZ. I D. FEES IMP FLOOD CDF PARCEL PD HD ISS
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'
PE MIT EXPIRES ON b �'✓
DW6
Receipt No. r00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
O.B.-
OWNER-BUILDER VERIFICATION
Attention Property Owner:
An "owner -builder" building permit has been applied for in your name and bearing your signature.
Please complete and return this information at your earliest opportunity to avoid unnecessary delay
in processing and issuing your building permit. No building permit' will be issued until this
verification is received.
1. I personally plan to provide the major labor and materials for construction of the proposed
property improvement: YES X NO ❑
t 2. I HAVE W HAVE NOT ❑ signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction:
NAME
ADDRESS: CITY:
PHONE: CONTRACTOR'S LICENSE NO.
4. I plan to provide portions of this work, but I have hired the following person to coordinate,
supervise, and provide the major work:
NAME:
ADDRESS: CITY:,
PHONE: CONTRACTOR'S LICENSE NO.
5. I will provide some of the work but I have contracted (hired) the following persons to provide
the work indicated:
NAME ADDRESS PHONE TYPE OF WORK
SIGNED:
PROPERTYOWNER:Ly- Vt),U
SOCIAL SE// NUMBER -
DATE:
DATE: h 2 3 D
NOTE. This Owner -Builder Verification is required by Section 19831 and 19832 of the
California Health and Safety Code. This verification must be completed and
returned to our office before we are permitted to issue the permit.
OVER
OWNER BUILDER INFORMATION
Dear Property Owner:
An application for a building permit has been submitted in your name listing yourself as the builder of property
improvements specified
For your protection, you should be aware that as "owner builder" you are the responsible party of record on such
a permit Building permits are not required to be signed by property owners unless they are personally performing their
own work. If your work is being performed by someone other than yourself, you may protect yourself from possible
liability if that person applies for the proper permit in his or her name.
Contractors are required by law to be licensed and bonded by the State of California and to have a business
license from the city or county. They are also required by law to put their license number on all permits for which they
apply.
If you plan to do your own work, with the exception of various trades that you plan to subcontract, you should
be aware of the following information for your benefit and protection:
♦ If you employ or otherwise engage any persons other than your immediate family, and the work (including materials
and other costs) is $300 or more for the entire project, and such persons are not licensed as contractors or
subcontractors; then you may be an employer.
♦ If you are an employer, you must register with the State and Federal Governments as an employer and you are
subject to several obligations including state and federal income tax withholding, federal social security taxes,
workers compensation insurance, disability insurance costs, and unemployment compensation contributions.
♦ There may be financial risks for you if you do not carry out these obligations, and these risks are especially serious
with respect to worker's compensation insurance.
♦ For more specific information about your obligations under Federal Law, contract the Internal Revenue Service (and,
ifyou wish, the U.S. Small Business Administration). For more specific information about your obligations under
State Law, contact the Department of Benefit Payments and the Division of Industrial Accidents.
If the structure is intended for sale, property owners who are not licensed contractors are allowed to perform their
work personally or through their own employees, without a licensed contractor or subcontractor, only under limited
conditions.
A frequent practice of unlicensed persons professing to be contractors is to secure an "owner builder" building
permit, erroneously implying that the property owner is providing his or her own labor and material personally. Building
permits are not required to be signed by property owners unless they are performing their own work personally.
Information about licensed contractors may be obtained by contracting the Contractors State License Board in your
community or at 1020 N Street, Sacramento, CA. 95814.
Please complete the "Owner Builder Verification" on the reverse side of this form so that we can confirm that you
are aware of these matters. The building permit will not be issued until the verification is returned
44reC. Vi ira, C.B.O.
Building Inspection
NOTE. TYtis Owner Builder Information is required by Section 19830 of the California Health mid SafetyCode.
DUMP
8
' d 3•
t
' PERMIT NO.
2598-89B,P,E
PERMIT EXPIRES D
' OWNER LARRY BREDINGER
CONTR. Care Free Pools
ASSESSOR PARCEL 42-61-26
r LOCATION 740 Brandonberry, Chico
Qu 144
ry
i
�.
Temp. Power Pole
-Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
`c
Called PG&E
JOB FINALED (Date)
Signature
1
Iz-
r COUNTY OF BUTTE a�
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico - Phone: 891-2751 ,
7 County Center Drive, OroviIle — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
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 ed additional explanation, please contact this office immediately.
Inspector Date
= OK,
0 = Not OK
= Not Ready
yable 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; Soils-Size-Depth-Spacing-Connectors-Steel
3. Sewer; Location-Test-Fall-C/O-Concrete 3. Decks; Girders and/or Joists-Decking-Bracing-Stairs-Rails
4. Water; Location-Test-Easement Needed (Sketch) 4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-
5. Electricity; Location-Clearances-Grnd.-/ / Amp-Concrete Shthg.-Rfg.-Bracing
6. Gas; Location-Test-Wrap: / P'l- ft. 5. Alum. Awn.; Columns-Connections-Splice-Decal-Enclosures
/ /"Nat. or/ /"L"ft./ /"LPG 6. Carports; Windows-Doors
7. Utility Clearance 7. Elec.
8. Frmg; Sills-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing-Veneer-Stucco-Mesh
Card-81 Date Card-B1 Date 10. Roof; Shthg-Roofing
Card-61 Date Card-131 Date 11. Ext.; Steps-Doors-Landings
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements-Setbacks-Easements Card-B1 Date Card-B1 Date
2. Footings; Size-Spacing-Marriage Line Card-B1 Date Card-Bi Date
3. Gas; MH Test-Demand-Valve-Connector
4. Electricity; MH Test-Crossovers-Breakers-Clearances Date POOLS lans) OK except #'s
5. Drain; MH Test-Fall-Flex Connector etb s- Ease men ts
6. Water; MH Test-Regulator-Connector of , ompaction-Structure Stability
7. Water and Sewer Connected-C/O to Grade-HD Approval oolS cture; Steel-Connections-Thickness-
8. Gas and Electricity Tagged De Men -Lining
9. Exits; Insp.-Sketch lec.; Receptacles and Lighting, Distances-GFI
10. Cert. of Occupancy lec.; Pool Li ting; 15 volts-GFI 1
6. Elec.; Enclosures; Conduit Entries-Terminals-Listed
Si; Bonding; Metal w/5'-Circulating Equip.-Heater
Card-81 Date Card-B1 Date O� �/ Iec.;Grounding; Equip. w/5'-circulating Equip.-Pool Lghtg.
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
Card-61 Date Card-131 Date I
1 umb.; Cir. Test-Water Supply Test
Card-B1 Date -,;3- Card-B1 r++ Date
Card-B1 Card-B1 Date
i�
00
o
r
'8
0
=UK
o = NotOK
RESIDENTIAL (Single and Duplex)
- =Not Applicable
= Not Ready
Date UNDERFLOOR (Plans) OK except #'s
1. Zoning -Setbacks; -Easements -Flood -Slope
Date FRAMING (Continued)
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-/ P' Ftg. Depth
47. 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/O -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 -Su pprt-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-Clg.
`
60. Infiltration-Walls-Wndws
Card -131 Date Card -131 Date
Card -61 Date Card -61 Date Card -131 . Date Card -131 Date
Date PLUMBING (Permit) OK except #'s `
16. Water Ht. Vent -Access -Combustion Air -Baffle
17. Water Pipe; Test & Anchors -Nail Protection
18. D.W.V.; Test-Fttngs & Anchors -Nail Protection
"19.'Stiower Pan; Test, First Floor -Tub Access
20. Test Tub & Shower, 2nd Floor -Tub Access
21. Gas Pipe; Size & Anchors
Card -B1 Date Card -131• Date
Card -B1 Date Card -131 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 & C.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 AI -Oven Circ. / / ga. Cu or Al.
Insulated Neutral Yes No
30. Service -Riser Conductors & Ground -Main Disconnect
31. Equip. Clearances Panels-Motors-Mech. Equip.
32. Clothes Closet Light -Shower Liaht-Soa Liaht
Card -B1 Date Card -131 Date
Card -131 Date Card -61 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 -61 Date
Card -B1 r 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 -131 Date Card -81 Date
Date FINAL (Plans) OK except #'s
61. Ext. Steps -Door &Sidelight Protection -Landings
.'62. Smoke Detector
63. Furnace; Vents -Clearance -Comb. AiF-Connector-
In Garage; Above Floor-Ducts-Mech.'Protection
64. -Bedroom Exiting
65. G.F.I. & Bath Fixtures & Tub Access -Spa
66. Elec. Trim & Subpanel; Breaker Sizes -Labels
67. Stairs & Rails 1 -•• -
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
74. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
'75. Plb.,.Elec. & Mech. Equip. Listed for Location
" 76. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
77. Insulation -Foam -Looked in Attic ❑ Yes
78. Guard Rails & Deck Construction -Post Caps
79. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
80. Following instld.; Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑ Yes • ❑ No
81. Stucco; Brown -Finish
82. A.C. Unit; Disconnect, Electrical, Plumbing
83. Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to
Openings.
84. Water Well; Disconnect, Electrical, Plumbing
85. Exterior Elec. Trim; G.F.I. Receptacle -Underground
86. 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
91. Energy Compliance Certificate -Other Certificates
92. Roofing Certificate
Card -B1 Date Card -131 Date
Card -B1 Date Card -131 Date
Card -B1 Date Card -B1 Date -
Comments at Final:
COUNTY OF BUTTE - D&AR)-�dENT OF PUBLIC WORKS
7 County Center Drive - Oroville. Cal*fornia 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PER IT 90.
E R NUMB
rASSESSOR,PARCL E
y2 _ �/ - I -/.s
ZO
ING
BUILDING PERMIT
OWNERTELEPHONE
L9R/Z 11
SQ. FT. OCC. BUILDING VAL N
PCO
fJ
OWNER'S MAILING ADDRESS
-71,0 10 A/a.✓ClJ-
CONT�" CTOR'SN M
C�/JA �� 4
TELEPHONE
1/632
CONTRACTOR'S MAILING ADDRESS
I/ —/Ll3rlJZ /�✓2 (,a
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS
Permit Fee
$ /Q
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ /�CJ
Energy Plan Checking Fee
n
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 10.00
7yD Ae/d,--r--j�u2y 4y` LD
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARC�AP
Water piping
5.00 5
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF�R- Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home S I G I W
10.00en,
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation[] Other& '
Describe work: ���1-
Permit Fee
$ /-$-
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
declare rider penalty of perjury (check one):
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. �� oZ & Classification C—� .3
❑l 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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. I DWELLING OCCUP.y
OR ADDNS. % ACC. BLDGS. , /20sq it
NEW CONSTR U '-OUTLET
NON.RESID .BRA CH CIRC ITS 2.50 ea
POWER APPARATUS e
(SINGLE OUTLET CIR. I
Ex. OCCU OUTLETS OR FIXTURES 8AL 0 0
P� eALeao
Ex. Occup. OUTLETS FIXED P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring /
g �0 15.00
Permit Fee $ 2�7
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
aK have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement,. should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the 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
again d County .� onsequence of the granting of this permit.
^$r $
X ` Dateq _ !!
-40,
Signature
Signature of Applicant— Owner El Contractor
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
TOTAL PERMIT FEE
CONST*TYPIIJ
SCHOOL
�-
F
PARC
PARCEL
PD
:DJ
HD IssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
01
BY 9 /
PER a IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
D. , y(�9
!J �� JAL V
Receipt No. 6 l C9 0
WHIT[-D.P.W., YELLOW-ASOC330R, PINK -INSPECTOR. GOLDENROD -APPLICANT
,Y'.t '�.. .. � ., i-.r.�``.•is �:r7a�t.J;uta.'aa-'�'?"�e+w.i"'ViScsr:"w"� 4� ' � �i r, ,.-, .=i:•. --.....--•'• �.-s' r. n..-. rr. y� .r -
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541
PERMIT APPLICATION, DATA SHEET
A Permit No.
OWNER /D 4.41; _ A. P. No. 7-Z
Proposed Building Used Building Inspector C S �% Date g i
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 ..
5. Energy Design Compliance and supporting documentation .........
6. Statement of Intent for Non -Heated and AC Buildings ..............
7. Engineered truss details and layout in duplicate (required prior to plan check)
8. Mobilehome installation data including manufacturer's installation
instructions.......................................................
9. Fees of $ ..........................
10. Chico Urban Area fees paid ........................................
11. Park fees paid .....................................................
12. School District fees paid .................
13. Sanitation approval from Health Department ...
14. City of Chico plumbing.. permit ......................................
15. Plot plan and business license approval from City of
(see City for other requirements)
16. Planning approval for (A) Use: (B) Parking: .........
17. Improvements may be required.
18. Driveway permit (construction approval required prior to occupancy) ... r
Pre-Inspec. request to
19. Pre -Inspection for required ...... Building Inspector (Date)
20. Contractor's license information (No., Name Style, Classification) .......
21. Certificate of Workmans Compensation Insurance ....................
22. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) ........
23. Recorded copy of Agricultural Acknowledgment Statement ............
24. Letter of signature authorization .....................................
25.
26.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone 3'2'3 % and hold for pickup at office. Deliver w/inspector.
Other
Copy of plans sent Health Dept., Fire Dept., Other Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No. 4
2. Additional items required:
Contractor, designer, owner, was advised of above required data by_phone_lnail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _maII—count r by date
Plans checked by Date Plans approved bye Date
Sets of plans on hold in File cabinet AP folder
Copy—DPW
r,
TO Buildina''Department
FROM: Environmental Health
SUBJECT: Sanitation Clearance"
Owner Location I AP#
Plan Approved for:
Hold final for:
Final clearance O.R. for:
Sewage Disposal
Clearance for bedroom mobile home. Other
NOTS * * *
m
Water Supply /
Water Supply
Water Supply
Sanita an D to
PERMIT NO. 552-87B,P.E,M
PERMIT EXPIRES
OWNER WEBB BROTHERS
CONTR. Webb Homes
ASSESSOR PARCEL 44 a
LOCATION 740 Brandonbury Ln, lot 47, Chico
Temp. Power Pole
Called PG&E
Temp, Elec, Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
Signature
aleG
3jjjiO3-13
f Jqlavq
SV0
--- SSajPPV
Adoo 301:60
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 536-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION) NOTICE
OWNER of 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.
Inspector Date
{ COUNTY OF BUTTE
--� DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2754
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872.-6307
CORRECTION NOTICE
ER "I,, 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.
MUM
'e i7v
Inspector/%/ Date --'
O
r
J`OK-
O��Ndi t r
Not Applicable
Not Ready RESIDENTIAL (Single and Duplex)
:}: =
Date UND FLOOR Plans OK except #'s
Date FRAMING (Continued)
Zo g requirements -Setbacks -Ease nts
�$.
Property Line Firewall & Openings
_ __(rl__. _
t Main; Soils-Steel-Elec. G - / /" Ftg. Depth
--49.
Ext. Doors -One 3' -Check Garage -3rd story„ 2 exits
tg., Garage; Soils -Steel- / /" Ftg. Depth
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection _
_
4. Ft orches & Decks; Soils -Steel- / /" Ftg. Depth
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
-
to IIs, Main: Steel-Blockouts-Wrapped-Slab
`
Siding -Nailing -Veneer
te_m_walls, Garage; Steel-Blockouts-Wrapped-Slab
Stucco Mesh�B creed-Fdn. Vents-Underflr. Access
7. Pi -Fireplace Ftg.-Steel
Glazing Area -Glass Protection -Skylights -Plastic
_ .W: V.: Fall -Fittings -Test -2 way C/O -Sewer Test
5.
Sher Walls; Nailing -Bolts
Gas Pipe: Size -Anchors
�c
-T
_ . Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric: Underground
12. Plenums & Ducts: Clearance -Material -Support -Ins
13. Girders -Sills -Anchor Bolts-Joists-Vents-Cripp
Card -BI //
%te Card -BI Date
max
Card BI Date 7�%'J- Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -8 Date Card -BI Date
Date FINA (Plans) OK except #'s
Date RL UMBING (Permit) OK except q's
56.
5txj,feps-Door & Sidelight Protection -Landings
57.
a Detector
ater Ht.: Vent,—kc—cess-Combustion Air
�ater..Pi , est & Anchors -Nail Protection
Test-Ftings & Anchors -Nail Protection
ower Pan: Test, First Floor -Tub Access
Test Tub & Shower, 2nd Floor -Tub Access
19. as Pipe: Size & AnchorsS
Date — '
Card -BI, Date � Card -BI Date
IK -
�Cti�,/ ✓ 7---- - --
Card -BI Card -BI Date
Furna Vents -Clearance -Comb. Air -Connector-
In rage; Above Floor -Ducts -Meth. Protection
5
oom Exiting
60.
I. & Bath Fixtures & Tub Access
61•
Elec. Trim & Subpanel; Breaker Sizes -Labels
68�e'Fireplace
or Stove; Clearances -Hearth
Cdr-Ef�a-giutlets
at Wood Panel; Int. & Ext.
6 -
Ki Fixt. & A liance; Grnd.-Air Ga-Cookin Clearance
6
E ..-Outlets & Receptacles at Kit. Counter
Date ELECTRICAL Permit OK except q's
StiGarage
Fire Door; Swing -Landing -Closer
'
Garage -Damper
. Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles -Spacing -Lights & Switches at Doors
--422-, Size Boxes & No. of Conductors -Stapled
133. Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech.-Fastener, and G & Water
\ 2 Appliance Circuits in Kitchen &Conductor Iz.-Fdtrerrts>
�'P6. Subfeed Wire Size A-O"a. Cu or AI-A.C. Wire Size / / ga. Cu or At
7. Range Circ./ (o / ga. 'A•I-Oven Circ. / / ga. Cu or At,
Insulated Neutral Yes ;No
-�8. Service -Riser Conductors & Ground -Main_ Disconnect - - - -
29. Equip. Clearances: Panels-Motors-Mech. Equip.
30. Clothes Closet Light -Shower Light r _
- - ---- - -•--------
n �[ _-
Card �'� Date rd_BI Date
Gard I Date Card -BI Date
69-_ Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70 ., Elec. & Mech. Equip. Listed for Location
71. c. Receptacles in Garage; (G.F.I.)-Romex Protec.
7 I 9Aulation-Foam-Looked in Attic es
Guard Rails & Deck Construction -Post Caps
Crawl Hole Door -Drainage & Wood -Earth Clearance
Lgpikelfunder Floor ❑ Yes
ollowing instld.: Driv es E] No: Walks C Yes [:)No;
y1anters ❑Yes UffNo
7V Stucco; Brown -Finish
7. -Unit; Disconnect-Clrnces•gd T Cond. Size -115V Outlet
7 ents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Disconnect, Electrical, Plumbing
8 rior Elec. Trim; G.F.I. Receptacle -Underground
g "ation throughout House
8 Gla _Protech n�
Date MECHANICAL (Perrr•tt) OK except N's
834,fefr9ejionsffom
_
Previous Inspections
8
s` -Meters Tagged; G as -Electric
Vent Fan: Exhaust above Insulation
�irCo1. A.C. Ducts. Insulation &Support
ndensate Drain & Overflow: Size _& Grade
\ ,
\yp. Furnace -Vent: Access -Comb. Air -Return Air __V_e_n_i-_115_V outlet
�j5• Attic,Access & Platform if Furnace in Attic Y
� J V. /(/� -_
Card -B Date/ ' / lCird-BI Date
Card -BI Date r Card -BI Date
8 _.
�& Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
-
`--
- —
-
Card -BI
Dat 1A Card -BI Date
Card -BI
)ate Card BI Date
Card -BI
Date Card -BI Date —
Date FRAMING(Plans) OK except q's
Com tents at Final:
36. Sills; Proper Material & Anchors
Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound -
Bearing Walls over Girders & Floor Nailing
�3g! Draft Stop in Walls (rat proof)
Fire Stops: Furred Ceilin s -Stairs -Chases -Tub
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnq.-Rfnp.
v� Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access: Size _& Romex Protection -Draft Stop -Ins. Baffles
Bdrm. Windows or Exiting Doors -Sill Hgl. & Dimensions --
7. Garage Fire Protection Framing
_-
--
1
-
-
(NOTE: Anentrymust be made each time youvisit jobsite)
= 'OK'
= Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
= Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except It's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2, Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except a's
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except #'s
1, Setbacks -Easements
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
7. Water and Sewer Connected -C/0 to Grade -HD Approval
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
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
Owner:
'1
Permit No.
ENERGY C ERT ,I F ICAT ION
Br j: rhirn A.Y. No.
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material fihPrejs
Thickness(inclies) 3 '
DESCRIPTION OF INSULATION
Brand Name
Thermal Resistance (R Value)__
Brand Namer-eLtai ntep,d
Thermal Resistance(R Value) R_ iA
CEILING
Batt or Blanket -Type Batts Brand Name Certainteed
Thickness(inches) 10" Thermal Resistance(R Value) R_an__
z ....moo Ft 1.2 Tvne T* Circ . TTT. Brand Name Cprt^i nteed -
.—r... _ _ ._ a •
Minimum Thicknesi(Inches) 1110 Number of Bags wit. per bbg
Area covered(ft. ) Thermal Resistance(R Value) R-30 _
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inclies)
FOUNDATION WALL
Material
Thickness (i.nciies)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal
Resistance(R Value)_
I hereby certify that the above insulation was installed in the above building
in conformancg with the Stats of California Energy Requirements.
Ila SHASTA INKATION
F I 1lr / OWIN'E
SINATURr OF INSTOLATI
272941
STATE CONTRACTOR'S LICENSE NO.
DATE
I hereby certify the above insulation and all required items as shown on the
Building Department approved plaits and attachments lave been installed as
required by Clue State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State. of California.
FIRM NAMEMM.R (Please print),, STATE CONTRACTOR'S LICENSE NO.
SIGNATU F GENERAL CONTRACTOR OWNER DAT,I:
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ,PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 41
APPLICATION AND PERMIT"
ASSESSOR PAR EL NUMBER
Z I G
"
BUILDING PERMIT
OWNER
Webb Brothers
TELEPHONE
891-3351
SQ. FT. OCC, BUILDING V N
1740 R 69,
00
OWNER'S MAILING ADDRESS
389C Connors Ct., Chico, CA 95926
528 M 7,392
CONTRACTOR'S NAME
Webb Homes
TELEPHONE
192 Cov 1,920
CONTRACTOR'S MAILING ADDRESS
Fireplace 0 11000
CONSTRUCTION LENDER
UI.�XKNOWN
Total Valuation $/9,912
Filing Fee
$ 10,00
LENDER'S MAILING ADDRESS
Permit Fee
$ 373.00
ff1..ki,I,TECT OR ENGINEER
LICENSE No.
Plan Checking Fee
,$ 15,00
Energy Plan Checking Fee
$ 15.00
ARRCHICHI TECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
740 Brandonbury Ln.
Permit fee
$ 413.00
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 16.00
Chico
Solar or heat pump water heater
20.00
LOT NO.
47
SUBDIVISION NAME PARCEL MAP
Silvertree II 104-
Water piping
5.00 5.00
Each qas water heater or vent
5.00 1 5.00
USE OF STRUCTURE
SF �Q Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00 5.00
Building sewer
5.00 1 5.00
Mobile Home S I G I W
10.00ea
TYPE OF WORK
New $ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other ❑
Describe work: Master #36-82 (Plan #224B) _
Permit Fee
$ 46.00
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e00v OR LESS
100 AMP OR LESS
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, Div. 3 of the Busines$
and my license is in full fore and effect.
and Professions /CodS
License No. 371 2Classification
Fl 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.(Sec. 7044)
ors.
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCc P. ,
New DCNNSTR� A �LDGS.z2sgft 56.70
ULTBI.OUTLET
NON.RESID BRANCH CIRCUITS) 2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. OCcup(OUTLETS OR FIXTURES SOC
eALe
AL030
FIXED ALNS.
Ex. OCCup. OUTLETS P(RESID )KEA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Iyirin 15.00
g
Permit Fee $ 76
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
rn,l-have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating Dual Pak
6.00
Cooling
6,QQ
Hood
3.00 3.00
Ventilation3,QQ
Permit Fee
$ 28.00
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot593.70
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrueK31,0�FrOJPARC
against said Cou in cons�equlenc f the granting of this permit.
p
X w Date �-�- 0 %
Signature of Applicant - Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 30.00
TOTAL PERMIT FEE $
OCCUP.
CONST.TYP!
E
PD ND ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work icated above for which
IR CTOR OF PUBLIC
BY �-
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date�%d{/��P2�
C7 -1 PP-
/over
/3►�stories
Receipt No. /O(/d 6
WNIT!-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
Hf .21 .Ljs ' r
a
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - D
BUILDIN IVISION
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIiA 95965 - TELEPHOfVE916/534-4541
- , Z:
PERMIT APPI ICAT�d.ON1DATA SHEET
Permit No. fir
OWNER We A P. No.
Proposed Building Use'- Building Inspector Date
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.
ns with Energy Design Compliance Statement. . . . . .
CUSD "Fees Paid" Stamp on Floor Plan . . . . . . . .
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ . . . . . . . .
W'
11.
12.
13.
14.
—15.
16.
1
8.
I�
C 20.
21.
22.
Letter of signature authori?ation. If
Sanitation approval from 0 Health Dept.
Planning approval for (A) Use: (B) Parking:
Certificate of Workmen's Compensation Insurance. .M_.
Contractor's License Information (no., name style.,<class f� .
Owner -Builder Verification (Given to owner[], Mail to owner ❑ ),
Improvements may be required. . . . . . . . . . . .
Mobi lehome Installation Data. . . . . . . . .
Pre -Inspection for Pre-Inspec.request to (Date)
Required. Building Inspector
Recorded copy of Agricultural Acknowledgment Statement.
Driveway Permit.
Plot plan approval from city of
Whe you issue the p mit, process as follows: Mail Wtowner, Mail to contractor.
Telephone 1�3 S_ and hold for pickup affice, Deliver w/inspector.
Other
Applicant
Copy of plans sent Health Dept., Fire Dept., Other
The following data must be submitted prior t
1. Index permit for above items No.
2. Additional items required:
Date
Date
rmitlissuance: (Circle new item not checked above).
Contractor, designer, owner, was advised of above required data by_phone_mail—counter by date
Contractor, designer, owner, was advised of above required data by—phone _mall—counter by. date
Plans checked
Copy—DPW
Date Plans approved by
Sets of plans on hold in File cabinet AP folder
— Flours: 10:00 a.m. - 3:00 p.m.
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