HomeMy WebLinkAbout043-253-015B07-0017 043-253-015
MISCELLANEOUS HVAC Change Out
CHANGE OUT EXISITING HVAC
706 BIDWELL DR
MULHOLLAND, BOB & DOLAN JANE
I:
43-253-15
NORA MU
706 Bidwell'' ve. Chico ` /1
Contr: Steve ke
Permit t2696-84B,P, addition/SF)
3-253-1519 p
Contr a S3. Chico'�
DA ��258-85B(add covered patio/SF)
043-253-015 03-1639
MULKEY, GARY
706 BIDWELL DR, CHICO
Cont: BARKER ELECTRIC
C/O ELECTRIC SERVICE
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #:(530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #:(530) 538-7541 FAX#: (530) 538-2140
WEBSITE: www.buttecounty.net\dds
PROJECT INFORMATION
Site Address: 706 BIDWELL DR
Owner:
Permit N0: B07-0017
APN: 043-253-015
MULHOLLAND, BOB & DOLAN
Issued Date: 01/04/2007 By GLB
Permit type: MISCELLANEOUS
2166 ESPLANADE
Subtype: HVAC Change Out
CHICO, CA 95926
Expiration Date: 01/04/2008
Description: CHANGE OUT EXISITING HVAC
Occupancy: Zoning: R1
Contractor
Applicant:
Square Footage:
GALLAGHER'S HEATING & AIR
ALL ABOUT PERMITS
Building Garage RemdUAddn
PO BOX 35
3083 WHISTLER WAY
LOS MOLINOS, CA 96055
CHICO, CA 95973
Other Porch/Patio Total
(530) 384-2444
(530) 680-7619
FEE INFORMATION
Heat Pump (Package Unit) $55.00
Total Charged: $55.00 Fees Paid: $55.00
Balance Due: $0.00 Receipt No: B1374
LICENSED CONTRACTOR'S DECLARATION
OWNER / BUILDER DECLARATION
Contractor (Name) State Contractors License No. / Class / Expires
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am exempt from the Contractor's License
GALLAGHER'S HEATING & AIF 777334 / C20 C38 / 04/30/2008
Law for the following reason (Sec. 7031.5), Business and Professions Code: Any city or county that
requires a permit to construct, alter, improve, demolish, or repair any structure prior to its issuance,
also requires the applicant for such permit to file a signed statement that he or she is licensed
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that I am licensed under provisions of Chapter 9
(coencing with Secti 7000) of Division 3 of the Business and Professions Code, and my license
pursuant to the provisions of the Contractor's License Law [Chapter 9 (commencing with Section 7000)
is in force and ed.
of Division 3 of the Business and Professions Code] or that he or she is exempt therefrom and the
basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects
X 01/04/2007
the applicant to a civil penalty of not more than five hundred dollars ($500];
Please check one of the following:
Cofactor's SiotureJ Date
❑ 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 (Sec. 7044, Business and Professions Code: The Contractor's License
Law does not apply to an owner of the property, who builds or improves thereon, and who does
1; v' ` WORKERS' COMPENSATION DECLARATION
I HEREBY AFFIRM UNDER PENALTY OF PERJURY one of the following declarations:
the work himself or herself or through his or her own employees, provided that such improvements
❑I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR
are not intended or offered for sale. If, however, the building or improvement is sold within one
WORKERS' COMPENSATION, as provided for by Section 3700 of the Labor Code, for the
year of completion, the owner -builder will have the burden of proof that he or she did not build or
performance of the work for which this permit is issued.
improve for the purpose of sale.).
HAVE AND WILL MAINTAIN WORKER'S COMPENSATION
❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED
INSURANCE, as required by
In{
CONTRACTORS TO CONSTRUCT THE PROJECT (Sec. 7044, Business and Provessions Code:
Section 3700 of the Labor Code, for the performance of the work for which this permit is issued.
The Contractor's License Law dows not apply to an owner of the property who builds or improves
My Workers' Compensation insurance carrier and policy number are;
thereon' and who contracts for the projects with a contractor(s) licensed pursuant to the
Carrier: State Fund policy Number.713-0013855 Exp. Date:05/01/2007
Contractor's License Law.).
(This section need not be completed if the permit rs or ons a hundred dollars ($100) or less.
El I AM EXEMPT under Section B. 8 P.C. for this reason:
❑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 the Workers'
Compensation laws of California, and agree that if I should become subject to the workers'
X 01/04/2007
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those
Owners Signature Date
provisions.
X 01/04/2007
I hereby certify that I have read this application and state that the above information is correct. I agree
to comply with all City and County ordinances, rules, regulations, and State laws relating to building
Sig a re Date
WA ING: FAIL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL,
construction, and with any and all conditions of permit. I agree to defend, indemnify, and hold harmless
Butte County, its officers, agents and employees from any and all claims and liability for personal
AND SHALL SU CT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE
injury, including death, and property damage caused by, arising out of, or in any way connected with
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
the issuance of this permit. I hereby acknowledge that issuance of this permit does not authorize the
DAMAGES AS PROVIDED FOR INSECTION 3706 OF THE LABOR CODE, INTEREST AND
use or occu p cY of any sidewalk, street, or subsidewalk. I hereby authorize representatives of Butte
ATTORNEY'S FEES.
Countyt an the above mentioned pro arty for inspection purpo I her by certi at I am the
m mai ori d act on p rty er's elf:
CONSTRUCTION LENDING AGENCY
r 04/2007
I HEREBY AFFIRM UNDER PENALTY OF PERJURY that there is a construction lending agency for
a ittee IGN Print Dat
the performance of the work for which this permit is issued. (3097 civ. code)
Owner 1:1Contractor OR: 1:1Agent for Owner gent for Contractor
FILE COPY
Lender's Address City State zip
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT APPLICATION
AND SUBMITTAL REQUIREMENTS
24 HOUR INSPECTION#: OROVILLE: (530) 538-7636 • CHICO: (530) 891-2834
OFFICE #: (530) 538-7541
A FEE WILL BE REQUIRED AT TIME OFAPPLICA TION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY"
OWNER INFORMATION
Last Name h/I .. 1 i ,,, i lc:.-, .
Address
City /^ I„ I State � Zip
Phone f 1 „ Fax
E-mail lU
APPLICANT SIGNATURE
r office use only:
ARCHITECT/ENGINEER
Name
j e iS H VA C
�
Address
City
1`
State
Zip
Phone
Ma
Fax
E-mail
Planner
State License Number
APPLICANT SIGNATURE
r office use only:
INFORMATION
g�APPLICANT
j e iS H VA C
�
City
1`
State- a
Zi
Phone
Ma
Fax
E-mail
Planner
APPLICANT SIGNATURE
r office use only:
Zoning
Flood ZoneMApproved:
No
Occ.
_L
T
Subdivision Name
Ma
Planner
uVER F SUBMITTAL REQUIREMENTS U
K:\FORMS\BUILDING.FORMS\BldgApplSubRgmts.doc Page 1 oft
REV 8-12-05
Receipt Number: B1374
Permit Number: B07-0017
BUTTE COUNTY RECEIPT Printed: 01/03/2007
7 County Center Drive 3:31 pm
Oroville, CA 95965
Department of Development Services
Phone (530) 538-7541 Fax (530) 538-2140
Job Address: 706 BIDWELL DR
Contractor: GALLAGHER'S HEATING & AIR
PO BOX 35 LOS MOLINOS, CA 96055
Fee Description Account Number Fee Amount
Heat Pump (Package Unit)
0010-440001-4210500-1010 $55.00
Total Fees Paid: $55.00
Date Paid: 01/03/2007
Paid By: ALL ABOUT PERMITS
Pay Method: Check 1350
Received By: KEJ
COUNTY OF BUTTE - DEPARTMENT OF DEVELOOMENT SERVICES - BUILDI DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530 8-75413^ /6 R NO.
(Rev. 12/96) APPLICATION AND PERMIT 1
ASSESSOR PARCEL NUMBER 043-2015
ZONING
BUILDING PERMIT
OWNER MULKEY GARY
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
.OWNERS MAILING ADDRESS
706 BIDIfflL, DR. CHICO
CONTRACTOR'S NAME
BARKER ELECTRIC
TELEPHONE
342-4806
CONTRACTORS MAILING ADDRESS
PQ ROY 8919 CHICO 95927
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Film Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
706 BIDI= DR.
Energy Plan Checking Fee
$
$
PERMIT FEE
$
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF M Duplex ❑ Mobilehome ❑ Other
SPECIFY
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 ❑ OtheA
Describe Work: ELEC. SERV. CHANGE
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service 200A OR IESS
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. n LSI n -\
OWNER-BUILDERD CLA, AT
1 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
46.00
NEW CONST. owELLING OCCUP.
OR ADDNS- a Acc. BLAS,
s0
3.5QFT:
NON-RESID. MULTI -O11 UTLET
@7.50
POWER APPARATUS
a SINGLE oUfLET C1R.
Ex. Occup. (OUTLET GRFocTUREs
20°''00
flAL p .50
Ex. Occup. DFlxurEis PPM.)
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PRE—INSPECTION
23.00
PERMIT FEE
$ 66.00
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.
❑ I 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 FEt
$
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
Lfo h comply with thos rovisions.
ate
nature of Applicant - ❑ ner ❑ Contractor gent
An OSHA permit is required for excavations over 5'0" eep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee Is
Energy Inspection Fee Is
Occ
CONST. TYPE
FEE $ 66.00
HAZ•
�__
D. FEESOD
a
______
COF
PARCEL
PD
--
HD
—
ISSUE
This p mit is hereby issued under
of Butte County Code and/or
in 'sled above for which fees have
By
PERMIT EXPIRES O
the applicable provisions
Resolutions to do work
been paid.
j ��
/a1tee 6
L
Da
ReceiptNo. 381912 $66.00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
'..»xsep �--a�..o.y�;;,:wast#.��j"'Zfrw!*`e.ir«.+�{i��+�"`„�,r3re3°'fi�T,•'r,7"�s`•A�i��-i'<'. ,,. r."'.�+i'r����f,°}iGt•�'9`y'iry'y;5�'$'xt�y,•S'`�,�a�iti`+;r�7{�i3.`•.C�" - a�`�'ra'
re
_ 1
1
f
t7
t
' �♦r
1.
4 r
f
4!�4'.
'�.�, ..-:-...-•�.rr,�.%x,.+rvwpGf'�'�'fx"1'�.�i�'y'"�'R/f+si�"scv►��, •�'a
COUNTY OF BUTTE -DEPARTMENT OF DEVELOPMENT SERVICES -BUIL I, G DIVISION
7 County Center Drive, Oroville, CA 95965 phone (530)538-7541 Fax 5 0)538-2140
PERMIT APPLICATION DATA SHEE
fn 4 I�^
OWNER: ASSESSOR PARCEL NUMBER
Proposed Building Use: le 0 AISCounter Technician: Date:
Items required in order to apply for a permit All boxes MUST be checked 40tarked NA in or er to apply.
❑ 1.. Plot plans, 3 or 4 sets, signed,�y the preparer of the plans.
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans.
❑ 3. Engineered plans, 3 or 4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations. 4
❑ 4. Engineered truss details and layouts in duplicate. No faxes!
❑ 5. Energy compliance design and supporting documentation in duplicate.
❑ 6. Manufactured homes: (A) Data sheets and installation instructions, (B) Marriage line information, (C) Floor Plan, (D) Tie down or
foundation plans, all in duplicate.
❑ 7. Metal buildings: (A) Metal Building Plans, (B) Foundation plans and calculations in triplicate, (C) Elevation views in triplicate.
(D) Floor plans in triplicate. All of these must be stamped and wet -signed by the engineer.
.. t
Items required for initial plan review. If checked items have not been received, plan review cannot proceed. The.permit will be
indexed and returned to the plan review line-up when -required, items are received.
1. Date Received By
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate ................................
❑ 9. Plot plan and business license approval from the City of Biggs ....................................
❑ 10. Letter of intent for non-residential buildings......................................................:..
❑ 11. Detached Accessory Building Form filled out by the owner .....................................
❑ 12. Hazardous Material Form............................................................................... _
❑ 13. Other
Remaining items needed to issue the permit. (May require additional plan review upon receipt of the followinj items.) F
❑ 14.. Fees as shown on the attached Schedule of Fees Due Sheet .......................................
❑ 15. Statement of Intent for Non -heated and A/C Buildings .............................................
❑ 16. Sanitation and plot plan approval from the Environmental Health Department in
❑ 17. City of Chico Plumbing permit.........................................................................
❑ 18. California Department of Forestry plan approval ❑ paid. Sent by: ......................
❑ 19. Planning approval for (A) Use: (B)Parking: (C) Parcel Check:
❑ 20. Contact Land Development about ❑ Improvements, ❑ Drainage ...............................
;;1. Encroachment Permit for driveway from the ublic Works Dept. (construction approval prior to occupancy).
22. Pre -Inspection for required ................
❑ 23. Contractor's license information. (Number, Name St , Classification) ......................
❑ 24. Worker's Compensation Carrier and Policy Number ..............:..............................
❑. 25:., .Owner -Builder Verification (❑ Given to owner, ❑ Mailed to owner) .....................
❑, w26`) Letter of Signature authorization....................................................................
IEI•27.`• Recorded copy of Agricultural Acknowledgment Statement ....................................
❑ 28. Manufactured home utility clearance...:...........................................................
❑ 29. Existing violations and/or expired permits.........................................................
❑ 30. ❑ Grant Deed, ❑ M.H. Title/Statement of Facts, ❑ Letter from Legal Owner, ❑ Check to H.C.D. $
❑ 31. Other: I S
When issued Telephone and'hold for pickup.
I have been inform o the above items requirements for obtaining a//building permit.
Applicaht: Date:
1. Index permit application for the above items numbered:
2. Additional items required
Contractor, designer, owner, was advised cf the above data by
Contractor, designer, owner, was advised of the above data by
Plans reviewed by: Date:
Structural reviewed by: Date:
Note transfer by: Date:
Plan Check Letter
❑ phone, ❑ mail, ❑ counter, by Date:
❑ phone, ❑ mail, ❑ counter, by Date:
_ Plans approved by: _
_Structural approved by:
Yellow: Building Division
Date:
Date:
tpoo�—,Ot-4 4—-
4P
SS
_
.�.
r
�>.
^.``t
` ^ d`.
\\
�,
`
-
"'` �
� -
:`Y'1,�
�
'�
�'
'rte''` 1 t
_ .��..
• �. � 'C �5�.
,:;
��
..
�,
� -.
♦ � �.
\,
�i ��� � ��„
-""
,. ti _
� . r �
\
,
��� ��` `�^
fit' "� Y f ;"`".
?l��
A
• �,
..^' �
,.
:,5 e
ll�`` a
1
�f
�
..1 �� 1'�.f \�
L ' �, d
_ �
l
.\
iIv
- 1
9
PRE -INSPECTION REPORT
OWNER U
LOCATION:7N-011-d
CONTRACTOR
PRE-INSPET10N FOR
DATE TO INSPECTOP-
01
l C-
_0 0
PERM HISTORY:( ) NONE
DATE: q" 0
ZONING:
FOLLOWS:
BUILDING RMPBCTOR'S REPORT
.
Building Description:
ComawciaMsW
Residendalt# of Units:_
Currently 0=upied '
Abandoned/Vacant
Electric:
yes Ll No
Electric currently On Off
Condition of Electric �'il/'�✓
Gam
Natural Propane
None. Currently On
Off
Obvious Problems.
Sanitation:
Plumbing Worldna
Well Workiait
Potable Water
Obvious ScwageProblems
'/'
Comments:
ACTION RECOMMENDED: ISSUE: v HOLD FOR
Inspector., _ 1 Date
Sketch buildings on reverse and indicate location on proper
r . i
4 COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-7541 ER NO
ev. t 2/96)
APPLICATIONANDPERMIT _ (°
{{{ ���• ;;MBUILDINGPERMIT
ASSE6SOR PARCEL 11JM9EAING VALUATION
Dw"�CMRS�00TOR
CDh6TRUGTION LFJIDER
LENDERS MALWO ADDRESS
ARCt4 ECr OR E"GvekA
A=WECT OR ENOWW;M WU14 ADDRESS
aV=1NO ADDRESS '70
%
UST N0, SUBDIM ONT NAME
USEOFSTRUCTURE
SF pk,,?uPiex 0 Moblehome 0. Other
CPO
TYPE OF WORK
New 0 Addition O Remodel O th &OS 0 In 0 Other
Describe Work:
Total Valuation S
Frrnp Fee
Permit Fee
Plan Checking Fee
Energy Pian Checking Fee
PERMIT FEI
PLUMBING PERMIT
Each Trap
Solar or heat pump water heater
Water piping
Each gas water heater or vent
Gas piping system f - 5 outlets
Building sewer
Mobile Home I S 1 (31 W
g 20.00_
s
S�
S
S
s
Firing Fee 20.00
--'-7.00 ..
23.00
15.00
15. DO
15.00
1 s.00
@20.00
Erc. Occup. OunEr OR FvaUREC
PERMIT FEE
_
ELECTRICAL PERMIT
Firing Fee 20.00
Main Service
Maur Service
asDODDA OR t
2W& To INCA
23.DD
46.DD
NEW Comr.
OA AODNS ('
DWEL.NO oc IP.
i ACC. e(DS.
.
35¢rr-
Erc. Occup. OunEr OR FvaUREC
aAL ® .w
EfRESro.DRR,
vErSA�
L Occu n
5.00
Temporary Service
23.00
Moble Home Facilities
20.0D
P OR MIT FEE S <OC
MECHANICAL PERMIT Firing Fee 2D.00
6.50
PERMIT FEE 1 9
Mobile Home Installation Fee S
Energy Inspection Fee S
DCC
MUST. TYPE TOTAL FEE $
-Z• D. FEES IMP FLOODI GDF I PARCEL PD "D � 6JE
This permlt is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated above for which fetes have been paid.
By Date -------
PERMIT EXPIRES ON
43-253-15
NORA' 'MhKEY
706 Bidwell -Ave, Chico i� n
Contr: Steve Spike
Permit #2696-84B,P Bim,addition/SF)
3-253-15 ^ e
Co.ntr - e Sick -e, Chico 0 IX -71J
#258-85B(add covered patio/SF)
3
2
r
��3f i
r � "
s
-i,�1i--`` �s t:' �'�cr_rf �r�nK'+4`• i"': '�ss,�?= Y rx;P��' L�-=7j �.i%
� "r4 Jse :4? -,,��Y 1-�.. �ly�. c, ., 3�k'k� _ ,�� _t�;: y�,.,, '� i•. iL � � _ .
PERMIT N0. 2696-84B,P,E
' PERMIT EXPIRES
OWNER NORA MULKEY' Y
CONTR. Steve Sicke
ASSESSOR PARCEL 43-253-15
M
LOCATION 706 Bidwell-AAPe, Chico
r
l
I I
r
� r
Temp. Power Pole
Called PG&E
Temp. Elec. Service
4 ' i
Called PG&E �
Temp. Gas Service n'
Cal led PG&E
{ hh� An
JOB FINALED (Date) x
Signature
s,
's
J = OK
0 = Not OK
= Nbt Applicable
* = Not Ready
MOBILEHOMES MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ✓<'s
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts- Beams- Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; LocatiorrTest-Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed '
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool L''ghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card-BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -131
Date Card -BI Date
tir
J = OK .*
0 = N% OK
- = Not Applicable
* --Not Ready
RESIDENTIAL` (Single and Duplex)
Date Uk=RFLOOR Plans OK exce t#'s
Date FRAMING (Continued)
oning requ irements=Setbacks- Easements i
4be*Property Line Firewall & Openings
Ftg., Main; Soils-Steel-Elec. Grnd.- /Ig Ftg. Depth
i9oExt. Doors -One 3' -Check Garage -3rd story, 2 exits
feel- /. /'.' Ftg. Depth
-6Q. -Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
g., & Decks; Soils -Steel- / /" Ftg. Depth
-61- Plywood on Roof Overhang -Attic Vents- Rafter 'Outr i ggers
IV Stemwalls, Main;.Steel-Blockouts-Wrapped-Slab
42r- iding-Nailing-Veneer
nmekkaftCaMe; Steel-Blockouts-Wrapped-Slab
115(g./(Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
place Ftg.-Steel
lazing Area -Glass Protection -Skylights -Plastic
. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
fay. -Shear Walls; Nailing -Bolts
91 Gas Pipe; Size -Anchors,
/10.1 Water Pipe; Test -Anchors -Regulator -Service Test
11.1 Electric; Underground
12 Plenums & Ducts; Clearance -Material -Support -Ins.
1 Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
t
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI 9 Date Card -BI Date
Date FIN (Plans) OK except #'s
Card -BI Date Card -BI Date
Date PLUMBING (Permit) OK except #'s
. E t. Steps -Door & Sidelight Protection -Landings
Smoke Detector
14. Wer Ht.; Vent -Access -Combustion Air
_&8 --furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
A 9Wter Pipe; Test & Anchors -Nail Protectipn
D.W.V.; Test-Fttngs & Anchors- a' o ecti
Bedroom Exiting
17 hoover Pa6;-Test, First Floor -Tub Access
F.I. & Bath Fixtures ,& Tub Access
18 Test Tub & Shower, 2nd Floor -Tub Access
Alec. Trim & Subpanel; Breaker Sizes -Labels
19. as Pipe; Size & Anchors
_*2`Stairs & Rails
Fireplace or Stove; Clearances -Hearth
Slec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
• Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
405Elec. Outlets & Receptacles at Kit. Counter
Date &LEPfRICAL Permit OK except #'s
arage Fire Door; Swing -Landing -Closer
A.C. Duct in Garage -Damper
. F'xture & Transformer Clearance -Ins. Protection
fit% Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Ele .Receptacles Spacing -Lights &Switches at Doors
_7*-' Plb., Elec Mech. Equip. Listed for Location
i Boxes & No. of Conductors -Stapled
I1. Elec. Recep cies in Garage; (G.F.I.)-Romex Protec.
o ex Installed Close to Edge of Studs & C.J.
uip. Ground made up w./Mech. Fasteners -Bond Gas & Water
Insulation Foam -Looked in Attic E] Yes
ja Guard RIs &Deck Construction -Post Caps
2 Appliance Circuits in Kitchen & Conductor Size
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
7-0rLoo Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑Yes
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
PlapLRrs ❑Yes 11 No
2 ervice-Riser Conductors & Ground -Main Disconnect
cco; n -Finish
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
ac --Equip. Clearances; Panels-Motors-Mech. Equip.
*.'Clothes Closet Light -Shower Light
7 Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
FIT. -Water Well; Disconnect, Electrical, Plumbing
Elec. Trim; G.F.I. Receptacle -Underground
I&WExterior
Card B -I Date (I Card BI Date
8.1 -"Ventilation throughout House
-$2 -Glass Protection
Card B -I Date rCard-BI Date
Date MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation &Support
Corrections from Previous Inspections
-44--Gas Test -Meters Tagged; Gas -Electric
ater & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32. Vent Fan; Exhaust above Insulation
33. Condensate Drain & Overflow; Size & Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35. Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FRA.LNG(Plans) OK except #'s
Comments at Final:
Sills; Proper Material & Anchors
Walls; Studs Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof) -
gq�re Stops; Furred Ceilings -Stairs -Chases -Tub
Bader & Beam -Size & Bearing
42,.Hangers-Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss_-Shthng.-Rfn_g_._
-AA-Fireplace Ties or Type A Flue -Fireplace Throat
@5e -Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Ak-Bom. Windows or Exiting Doors -Sill Hgt. & Dimensions
.Y?o-Garage Fire Protection Framing
(NOTE:Anentrymust be made each time you visit jobsite)
Owner: /lluil� e.; ,(/a rw Permit No.
ENERGY C E R'T .I F ICAT ION
206 84,-C it N q.3 -�_S 3 -I E
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
MaterialF heYY..,4�Iass
Thickness(iri6hes)
CEILING
Batt or Blanket Type I3�tf
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material h'6erjhKs
Thickness(in hes) 3
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name Dry ew Co r N N�
Thermal Resistance(R Val -6e) It
Brand Name w
Thermal Resistance(R Value) 36
_
Brand Name
Number of Bags Wt. per bag lb.
Thermal Resistance(R Value)
Brand Name f)L,,rkj
Thermal Resistance(R Value) 11
i
Brand Name f
Thermal Resistance/(R Value).,'
Brand Name
Thermal Resistance(R Value)
-I hereby certify that the above insulation was installed in the above building
in conformance with:the State of Califoriaa.Energy, Requirements.
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
4 �,� xx
SIGNATURE OF INSTALLATION APPLICATOR _T DATE
I hereby certify the above insulation and all required 'items as shown on the
.Building Department approved plans and attachments have been installed as
required by the State of California Energy Requirements.
All equipment, devices and materials are of the quality prescribed or are
specifically approved by the State of California.
i►�y� JIc��G lr�NCYa Loa�v0.��or 3),013K
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
L129 /?s
IGNATURE OF GENERAL CONTRACTOR OWNER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL
INSPECTION APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
January 1984
` COUNTY OF BUTTE
.DEPARTMENT OF PUBLIC WORKS - -
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
2k7 td �L/
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
t
a
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS `
d 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
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.
Inspector
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION IA.NB PERMIT
PERM�T 0.�
ASSESSOR PARCEL NUMB r ZONING
//-I�- �
BUILDING PERMIT
OWNER
TELEPHONE
S0. FT. OCC, BUILDING VALUATIO
OWNER'S MAILING A DRIESSS� ^ L
��f\
CO T OR'S NAME TELEP ONE%
S — r �t
CONTRACTOR'S M LING ADDRESS
Fireplace
CONSTROCTION LENDER UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
AJ
LICENSE NO.
Plan Checking Fee
$
Penalty/raw 4C_
$ -. Q
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ �
BUILDING ADDRESS
r
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 Dbo
Solar Water Heater
20.00
Water piping
5.00
. LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
,�-, / USE OF STRUCTURE
SF P Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00 ,Q
Mobile Home S G W
10.00 e
TYPE OF WORK
New ❑ Addition Remodel ❑ UnM Other ❑
Describe work:�'Y►1
,��
�l'r c,��; f
��\ �� 1
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
600V OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. /DWELLING S. &
OR ADDNS. ( ACC. BLDG
1
2hP'Sgft
CONTRACTORS LICENSE LAW
I declare rider 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 ful force and effect.
License No. ����` Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &)
NON.RESID. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES e0 50
FIXED APPLNS. OR
EX. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against id County in co equenc of the granting of this permits
X� Date —� _!
Signature of Applicant — Owner ElContractor❑ Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-DIRECTOFJOF
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PER IT FEE $ ,
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
I ND VSSY
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
UBLIC
BY 4
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
?_/q 1J
Date I O c
r
Receipt No. <J
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
PERMIT NO. 258-85B
-&PERMIT EXPIRES 3h (J
OWNER NORA MULKEY
CONTR.. Steve Sicke
ASSESSOR PARCEL 43-253-15
LOCATION 706 Bidwell .Drive, Chico
Temp. Power
Called P(
Temp. Elec. S
Called P(
Temp. Gas Sei
Called PG
JOB FINALE[
Signature
= OK
= Not OK
= Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except q's
Date
DE5)K, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements—Setbacks—EasementsjjjVK_?,-1ing
2. Soils; Special MH Support—Sketch
Requirements—Setbacks—Easements
. Footings; Size—Depth—Spacing—Connectors
3. Sewer; Location—Test—Fall-C/0—Concretecks;
Girders and/or Joists—Decking—Bracing—Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
&.. "'Wood Awn.; Posts—Beams—Rftrs.—Connec.—Shthg.—Rig.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
6. Gas; Location—Test—Wrap:/ /"L"ft./ /"Nat. or/ /"L"ft./ /"LPG
Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
rports; Windows—Doors
7. Utility Clearance
lec.
Card -BI
Date Card -BI Date
Card -BI
—Date. Jf Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except 11's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date p� Card -BI Date
POOLS (Plans) OK except N's
1. Setbacks—Easements
2. Footings; Size—Spacing—Marriage Line
2. Soils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
3. Pool Structure; Steel—Connections—Thickness—Dead Men—Lining
4. Electricity; MH Test—Crossovers—Breakers—Clearances
4. Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
5. Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
6. Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/0 to Grade—HD Approval
7. Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
6. Gas and Electricity Tagged
t
6. 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
1Card-BI
Date Card -BI Date
Card B -I Date Card -BI Date
Card B-1
Date Card -BI Date
jCard-B1
Date Card -BI Date
J = OK
0 = Not OK '
= Not Applicable
�E = No[ Ready RESIDENTIArL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
2. Ftg., Main; Soils-Steel-Elec. Grnd.- / ./" Ftg. Depth,
48.
49.
Property Line Firewall & Openings
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Stsel-B lockouts -Wrapped -S lab
51.
52.
53.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Siding -Nailing -Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7. Piers -Fireplace Ftg.-Steel •
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic'
Shear Walls; Nailing -Bolts
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FINAL (Plans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except N's
14. Water Ht.; Vent -Access -Combustion Air
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector-,
In Garage; Above Floor-Ducts-Mech. Protection
15.
16.
Water Pipe; Test & Anchors -Nail Protection
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except p's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
- 21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. &Mech. Equip. Listed for Location
22.
Size Boxes No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23. Romex Installed Close to Edge of Studs & C.J.
24,
Equip. Ground made up w./Mech. Fasteners -Bond Gas & Water
72•
Insulation -Foam -Looked in Attic ❑ Yes
73.
Guard Rails & Deck Construction -Post Caps
25.
2 Appliance Circuits in Kitchen & Conductor Size
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.:Drive E) Yes [-)No; Walks C:1 Yes ❑ No;
Planters ❑Yes El No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except q's
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86,
Energy Compliance Certificate -Other Certificates
33.
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING Plans OK except q's
36. Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing &Bracing -Plates -Sound
36.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
43.
44.
45.
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g_._
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
/ COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
a • 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION ANEITERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER J
ZONING
BUILDING PERMIT
OWNER'
TELEPHONE
S0. FT. OCC.1 BUILDING VALUATION
d
OWNER'S MAILING W'RS.
//
CONT OR'S 19ME
lor
T LEPHONE
LJy� ✓7
CONTR CT R'S MAILING D RESS
e Sr .—
Fireplace
CONSTRUCTION LENDCR ItNKNOWN
Total Valuation $
'\
Filing Fee
$ 10.00
LE ER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
_
$ , ()
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
�.
Water piping
5.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF ' Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
11_T YPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installatio ❑ Other ❑
Describe work:/, h ?.Q CJ /%r-
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONSDWELING O
OR ADDNST ( ACCLBLOGS.CCUP.&)
21/22sgft
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 nd my license is in full y�rce and effect.
License No. Classification !-,
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed Contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR. ULTI.OUTLET 2,50 ea
NON•RE."D BRANCH CIRC ITS
NEW CONSTR (POWER APPARATUS &)
NON•RESID, (SINGLE OUTLET CIR.
Ex. Occu 20e50t
p�OUTLETS OR FIXTURES BAL®30
FIXED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against C unty in cons ence of the granting of this permit.
1 _��
X Date 31
Signature of Applicant — Owner ❑ Contractors Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
,Issu
OCCUP. GROUP
I TYPE OF CONST.
PARCE
PD
ND
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR^ PUBLIC
BY
PE t' EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date fmy��
-7-1 V — �/9=
Receipt No. f /_�— Z
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
JLJ
10s and splecifidatlonj
This set Of plans -MUST-lie
kept &n the job at all times and if Js unlawful -+.O
m4e n V' changes or'alieraf alterations on na
usame without
writtenfrom the Department
permission
of Public
Works, County of Butte. -
NOTE.--A11-Materials & Workmanship Shall
Be
In
Accordance -with Recognized Good' Praefides'and
of a qua,"z1,/-pres-r;Le_,1 for- the Specified --use in -the-- -
Uniform Building, Plumbing & Mechanical Codes and. 1
-
the National Electrical Code
74 11040tkaf 5 -ft. -from th
—property lines e»c? -
�;f-50ft- f rom-the-roacj-
cenferlineshall-be-clear-of-
h
_
structures or. equipment Ment- e_ 'ept
' ��eC% _ - for
2. ft. eave overhang. -
Z.5 8.85
-BUTTE COUNTY
---.,-,BUILDING DEP tRTM-ENT-
A R P R-0 VT D-----
n__i 71
4X6
�
• ;�}roti:
•� �•
..
1 S
r (r: ✓a� .tiC:.i
r` s
s (
' .- 'f
t1 • kt
n
|
~~
� .-
— ' —
40
CO____.—
' -
�l^�'- - --- --
`
77
7'
ENERGY SHEET
FOR
ADDITIONS TO RESIDENTIAL BUILDINGS
PERMIT NO. PACKAGE "A" (Additions)
NAME I(lo
JOB ADDRESS
TYPE OF WOR
FORM '7
ae ll I FAN = 79111 I FACI a
New Addition
New Total
The following information sheet, showing mandatory features and required features of
Package "A" must be completed and attached to all plans for additions. to dwellings.
Additions to dwellings include room additions,.converting garages and patios to living
areas, house moves that add footage and attic conversions, and any space that is ex-
isting non -conditioned space that is converted to conditioned space. Remodeling of
existing conditioned space is not included.
ZONE 11 ZONE 12 ZONE 16
INSTALLED APPLIES TO NEW AREA
CEILING R-30,� R-30 _ _ R-38
'WALL R-11 Me aj C., c.► R-11 R-19
FLOOR R-11, p/esjq �",, - R-11 R-19
SLAB R-_7-- r R-11 R- 7
GLAZING ,65 .65 .65
SHADING
X SOUTH --OPTIMUM OVERHANG
)e or .36 S.C.
WEST - .36 S.C.
LOOSE FILL•INSULATION (Density)
-x INFILTRATION CONTROL (Weatherstrip doors, certified windows, caulking)
VAPOR BARRIER (Zone 16)
�DUCTS PER UMC - Ch, 10
� LIGHTING KITCHEN &THS NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 11W, OF AREA PLUS REMOVED GLAZING
NEW HVAC AND HOT WATER IN CONJUNCTION WITH AN ADDITION'SHALL COMPLY
AND FILL OUT DATA ON BACK OF THIS SHEET
7/83
(Describe) '
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form,#4) or other approved methods, section 2-5352(8), and fill out the
following:,
Heating: Winter design temperature , elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU'
Cooling: Summer design temperature ', cooling load BTU +
*2 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 24, Part 2, Chapter 2-53 of the California Administration Code. :•
't
SIGNATURE 0 BUILDING DESIGNER OR APPLICANT
FJ .
*1
HEATING VENTILATING, AIR CONDITIONING SYSTEM
;
(A) Heating '
❑
Central Gas Furnace 7
;
(brand and model number) SE
Btu/hr
.(heating capacity)
❑
Heat Pump
'
+ (brand and model number) ACOP,
Btu/hr,
(heating capacity at 47°F)
'
❑
Active Solar
'
type (liquid or air) Collector brand and
i
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
"y
❑
Other
(describe)
*1
(B) Cooling
t: #
❑
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95°F)
❑Electric
'�
Heat Pump
•
. .. EER
Btu/hr
(cooling capacity at 95°F)
-
.❑
Other
(describe)
DOMESTIC WATER SYSTEM
[3(B)
Gas Only Gallons
(brand and model number)'' (tank size)
❑
Heat Pump w/Electric Backup -
(brand and model number)
Gallons
(tank size)
❑ *2
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar -fraction)
2
ft
(backup heater type, brand and model number) (collector area)
,(collector orientation) (collector tilt)
❑
Location of Solar Panels
❑
Other
(Describe) '
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form,#4) or other approved methods, section 2-5352(8), and fill out the
following:,
Heating: Winter design temperature , elevation ', heating load BTU
elevation factor x heating load = maximum outlet capacity gas furnace
BTU'
Cooling: Summer design temperature ', cooling load BTU +
*2 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 24, Part 2, Chapter 2-53 of the California Administration Code. :•
't
SIGNATURE 0 BUILDING DESIGNER OR APPLICANT