HomeMy WebLinkAbout043-260-047zcoo - oy=7
a
B. HARSHA AP 43-26 -044-7
910 Oak La�gn Ave., Chi
Permit ## 2719-74B
(put window in ex. bdr, of es.)
043-260-047 06-0156
LUCENA, MARC
910 OAK LAWN AVE, CHICO1;�
p,
RWEATHERHEAD & ONDUIT V�
i
4 .1
N
Butte County Department of Development Services. aurrE RRA
N O T E S _ 7 County Center Drive, Oroville, CA 95965 _.co
(530) 538-7601 vnvw.buttecoimty neUdds I
RESIDENTIAL
APN: Permit No. ` ^ �! LS Co
Owner- (�
Site Address:
Contractor,
Type of Permit:
DATE JOB FINALED:
SIGNATURE: �/� O U (� %S
.=OK
o = Not OK "
MANUFACTURED HOMES
M(SCELLAN•EOUS
DATE PERMANENT FOUNDATION SOFT-SET
DATE
D E C KS-C O V E R S`C A R P O R T S `GARAGE S
1 Zoning-Setbacks-Easements
1 Zoning-Setbacks-Easements
2 Soils; Special MH Support Sketch
2 Ftgs; Soils-Sz-DpthSpacing-CnnctrsSteel
3 Sewer; Loctn-Test; Fall/C/O-Concrete
3 Decks, Girders/Joists-Dcking-Brcing
4 Wtr, Loctn-Test-Easement Needed-Regulator -.
Stairs-Guard/Handrails
5 Elec Loctn-Clrncs-Grnd Amp-Concrete
4 Wood Awn; Posts-Beams-Rftrs-Cnnctrs-Shthg "
6 Yard Gas; Loctn-Test-Wrap . Nat Q or LP❑
Frmg-Brcng
Inch Sz Ft Lngth
5 Alum Awn; Columns-CnnctnsSplice-Decal-Enclsrs
7 Blckng; Sz-Spacing-Marriage Line
6 Carports; Wndws-Doors
8 Gas; MH Test-Demand -Valve -Cnnctr
7 Electric
9 Elec MH Cntnty Test-Crossovers-Breakers-Clrncs
8 Frmg; SilIs-An chrs-Studs -Rftrs-Trusses
10 Drain; MH Test-Fall-Flex Cnnctr
9 Siding; Nailing-Veneer-Stucco-Lath
' 11 Wtr & Sewer Connected-C/O to Grade
10 Roof; Shthg-Roofing
12 Gas and Electricity Tagged
11 Ext; Steps-Doors-Landings
13 Tie Downs Q • Foundation 0
12 Braced Wall pnls
14 Exits
15 Cert of Occupancy
16 HUD Label/Insignia Numbers Serial Numbers
DATE
IPOOLS
1 Setbacks-Easements
2 Soils; Compaction Structure Stability
3 Pool Structure; Steel-Cnnctns-Thickness
Dead Men -Lining
4 Elec Rcptcls/Lting; Distance-GFI
5 Elec Pool Lting; 15 volts-GFI
6 Elec Enclsrs; Conduit Entries-Terminals-Listed
7 Elec Bonding; Metal w/5'-Crcltng Eqp-Htr
8 Elec Grndng; Eqp w15' Crcltng Eqp-Pool Ightg"
-
Bokes-Encisrs-pnlboardsdnsultn to Main Conduit
9 Health Dept Apprvl
'10 Plmb; Cir Test-Wtr Supply Test
11 Lt Niche
12 Enclsr, Fencing-Alarms
13 Bonding, Diving board or Slide
o'er
0
Drawing
�I
OK
= Not OK
RESIDENTIAL (Single
& Duplex)
DATE JUNDERFLOOR
DATE
IPLUMBING
1 Zoning -Setbacks -Easements -Flood -Slope
53 Wtr Htr; Vent-Acc-Cmbstn Air Baffle
2 Ftg Main; Soils-Elec Grnd Ftg Dpth
54 Wtr Pipe; Test & Anchr-Nail Prtctn
3 Ftg Garage; Soils-Steel-Elec Grnd Ftg Dpth.
55 DWV; Test Fittings & Anchr Nail Prtctn
4 Ftg Porches/Decks; Soils -Steel Ftg Dpth
56 Shwr Pan; Test, First fir -Tub Acc
5 Stemwalls Main; Steel-Blockouts-Wrapped
57 Test Tub & Shwr, 2nd flr - Tub•Acc
6 Stemwalls Garage; Steel-Blockouts-Wrapped
58 Gas Pipe; Sz & Anchrs
69 Hold Downs and Special Anchrs
59 Fire Sprinkler; Test
7 Slab, Steel Wrapped
60 Yard Gas Piping
8 Piers-Frplc Ftg-Steel
9 DWV; Fall -Fitting -Test -2 -way C/OSewer Test
10 UF, Gas Pipe; Sz Anchrs-Sz Test
ti Wtr Pipe; Test-Anchrs-Rgltr-Service Test
12 Elec Undrgrnd
DATE
IMECHANICAL
13 Plenums & Ducts; Clrnc-MaterialSupport-Insultn
61 AC Ducts Insultn & Support
14 Girders-Sills-Anchr BoltsJoists-Vnts-Cripples
62 Vent Fan, Exhaust abv Insultn
15 Acc & Vntltn
63 Condensate Drain & Ovrflw, Sz & Grade
16. Insulation
64 Furnace -Vent Acc-Comb Air Rtrn/Vent 115 Outlet
65 Attic Acc & Pltfrm if Furnace in attic
DATE (FRAMING
17 Sills Proper Materials & Anchrs
18 Walls Studs -Nailing Spacing & Braces -Plates -Sound
19 Bearing Walls over Girders & fir Nailing
20 Draft Stop in Walls (rat proof)
21 Fire Stops, Furred Ceilings -Stairs -Chasers -Tubs
22 Headers & Beams-Sz & Bearing
23 Hangers -Post Caps-Anchrs-Cnncins
24 Ceiling Joist-Rftr Ties-Purlin-Roof Brac TrussShthg
25 Frplc Ties or Type A Flue-Frplc Throat Clmc
26 Attic Acc; Sz & Rmx Prtctn-Draft Stop -Ins Baffles
27 Bdrm Wndws or Exiting Doors -Sill Ht & Dimensions
28 Garage Fire Prtctn Framing -RC CFiannel
29 Prprty Line Firewall & Opngs
30 Ext Doors -One 3' -Check Garage 3rd Story, 2 Exits
31 Stairs; Width-Hdrm-Rise-Run-Landing-Fire Prtctn
32 Plywd on Roof Ovrhng-Attic Vnts-Rftr Outrgrs
33 Siding -Nailing Veneer
34 Stucco Lath -Weep Screed-Fndtn Vnts-Undrflr Acc
35 Glazing Area -Glass Prtctn-SkyLts-Plastic
36 Shear Walls; Nailing -Bolts
37 Brace Int/Ext Wall pnls
38 Insultn-Walls-Ceilings
39 Infiltration -W ails-Wndws
c
o'er m o'er o`
DATE JELECTRICAL
40 Fxtr & Trnsfrmr CImcans Prtctn
41 Elec Rcptcls Spacing-Lts & Switches at Doors
42 Sz Boxes & No Of Cndctrs Stapled
43 Romex Installed Close to Edge of Studs & CJ
44 Eqp Gmd made up w/Mech Fstnrs
45 Grndng Electrode Bond Gas & Wtr
46 2 Appinc Cires in Ktchn & Cndctr Sz GFI
47 Subfeed Wire Sz 9a ❑ CU or [I AL
AC Wire Sz ga ❑ CU or ❑ AL
48 Range Circ ga ❑CU or ❑AL
Oven Circ ya ❑ CU or ❑ AL
Insulated Neutral QYes No
49 Service -Riser Cndctrs & Grnd Main Dscnnct
50 Eqp Clmcs pnls-Motors-Mech Eqp
51 Clothes Closet Lt-Shwr Lt -Spa Lt
52 Smoke Detector
FINAL
66 Ext Steps -Door & SideLt Prtctn-Landings
67 Smoke Detector
68 Furnace Vnts-DImc-Comb, Air-Cnnctr
In Garage; abv-flr-Ducts-Mech Prtctn
69 Bedroom Exiting
70 GFI & Bath Fxtrs & Tub Acc-Spa
71 GFI Arc Fault
72 Elec Trim & Subpnl, Breaker Sts & Labels
73 Stairs, Guard/Handrails
74 Frplc or Stove, Clrnc-Hearth
75 Elec Outlets at Wood Pnl, Int & Ext
76 Ktchn, Fxtr & Appinc; Grnd-Air-Gap-Cooking Clmc
77 Elec Outlets & Rcptcls at Ktchn Counter
78 Garage Fire Door, Swing -Landing -Closure
79 AC Duct in Garage -Damper
80 Wtr Htr; Vnts-ClmcCom Air Cnnctr-PRV; abv fir
Mech Prtctn; LPG Appince Undr House 3" drain
81 Plmb; Elec & Mech Eqp Listed for Loon
82 Elec Rcptcls in Garage (GFI) Romex Prtctn
B3 Insultn-Foam-Looked in Attic
84 Guard Rails & Deck Cnstrctn-Post Caps
85 Fndn Vnts & Crawl Hole Door Drnge & Wood -Earth
86 Clrnc Drnge Planters Flyer ❑No
87 Stucco Brown -Finish
88 AC Unit Dscnnct, Elec-Plmb
89 Vnts abv Roof, Plmb-Appinc-Frplc-Clrnc to Opngs
_ 90 Wtr Well, Dscnnct, Elec, Plmb
_ 91 Ext Elec Trim, GFI Rcptcl-Undrgrnd
92 Vntltn thru House
93 Glass Prtctn
.94 Corrections from previous lnspctns
95 Gas Test -Meters Tagged, Gas-Elec
_ 96 Wtr & Sewer Cnnctd-C10 to grade -HD Apprvl
97 Energy Cmpinc Cert -Other Certs
9.8 Address Posted
99 Fire Sprinkler
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 OF APPLICATION
Website: www.buttecounty.net/dds
"PLEASE PRINT CLEARLY-'-'
OWNER INFORMATION
Last Namg
I�
L
irsl Name /� k/I�
Address ry W 0)
City .0 )41
Stated/ 4
Zip�:S
Phone34 a
Fax
E-mail
CONTRACTOR
Name �-
Name
Address
Address
City
%) A�` A� l
Stat
Zip
Phgne���
Fax
E-mail
Lic. #61
Fax
APPLICANT INFORMATION
ARCHITECT/ENGINEER
Name
City
Address
Zip
`f
City
Fax
State
Zip
Phone
Book
Fax
E-mail
Planner
State License Number
APPLICANT INFORMATION
Name r �L 4 L
Address
• �18lJDO�i vlp� 1�1?
City
State
Zip
`f
Phone
Fax
E-mail
APPLICANT SI NA URE
X f;�� I )�l U
For office use only:
Zoning
Prop y Address
P10 D�< L, vV A J alt
Flood Zone
Cross Street
SRA
Yes
I No
Occ.
Type Const.
Subdivision Name Map
Book
Page
Lot #
Planner
Date Approved:
OVER FOR SUBMITTAL REQUIREMENTS
PERMIT
NO.
I BIN #
PROJECT LOCATION
A,p t% 3 - - a V 7
Prop y Address
P10 D�< L, vV A J alt
City �
Cr 1—
Cross Street
WORKER'S COMPENSATION.
Policy Number
Carrier
If hiring anyone other than license contractors, a certificate of worker's
compensation must be shown at the time of permit issuance.
LENDING AGENCY
Name
Address
Description or Scope o Work:
TES L A l,r-- 4j_ 00P
Sq FT- Living Garage Open Cov
❑ Structure Built without Permits
❑ Proposed Change of Occupancy
(Note previous use):
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one
year after the date of application. In order to renew action on an
application after expiration, a new application, plans and fee will be
REQUEST FOR REFUNDS
Refunds can only be made upon written request by the person who
paid the fee. The request must be made prior to the expiration of the
permit and no construction work has been done. Filing fees, plan
check fees for work plan checked and other department costs are not
refundable.
Received b
Receipt
Date: l 2�
Amount: Bldg
SRA
Sheriff
SMIP
Other
Total
SUBMITTAL & PERMIT REQUIREMENTS .
The following drawings and specifications must be submitted to the Building Division in order to apply for a
permit. INCOMPLETE SUBMITTALS WILL NOT BE ACCEPTED. ALL PLANS MUST BE LEGIBLE AND IN INK,
❑ 1. Site plans, 3 or 4 sets, signed by the preparer of the plans. No graph paper!
❑ 2. Complete plans, 3 or 4 sets, signed by the preparer of the plans (No graph paper!) OR
Engineered plans, 3 or.4 sets, with wet signature on plans AND 2 sets of stamped and signed calculations.
❑ 3. Engineered truss details and layouts in duplicate (if. required). No faxes!
❑ 4. Energy compliance design and supporting documentation in duplicate.
❑ 5. Statement of Intent for Non -heated and A/C for Non -Residential Buildings.
❑ 6. Manufactured homes: (A) Installation manual, (B) Marriage line info, (C) Floor Plan, (D) Tie down or fnd plans,-
all
lans;all in duplicate
❑ 7. Metal bldgs: (A) Metal Bldg Plans, (B) Fnd plans and calcs in triplicate, (C) Elevations in triplicate. (D) Floor
plans in triplicate. All of these must be stamped and wet -signed by the engineer.
❑ 8. Flood Elevation Certificate, wet -stamped and signed, in duplicate (if required).
❑ 9. Site plan and business license approval from the City of Biggs.
❑ 10. Letter of intent for non-residential buildings.
❑ 11. Building Permit Application Without Required Clearances Form
❑ 12. Hazardous Material Form (for Commercial Buildings only).
Remaining items needed to issue the permit. Additional items may be required after Plan Check an(
review (May require additional plan review upon receipt of the following items.)
❑ 1. Agricultural Buffer clearance and site plan approval from the Ag Commissioner's office (if requi
❑ 2. Impact Fees.
❑ 3. California Department of Forestry plan approval (if required).
❑ 4. NPDES Form.
❑ 5.. Encroachment Permit for driveway from the Public Works Dept. (construction approval prior to
❑ 6. Contractor's license information. (Number, Name Style, Classification).
❑ 7. Worker's Compensation Carrier and Policy Number.
❑ & Owner -Builder Verification (if required).
❑ 9. Letter of Signature authorization (if required).
❑ 10. Recorded copy of Agricultural Acknowledgment Statement.
❑ 11. ❑ Legal description from current recorded grant deed, ❑ Copy of M.H. Title, Title transfe , of
❑ 12. Sanitation and site plan approval from the Environmental Health Department.
If you have questions or would like additional information regarding this process, please contact a
Permit Assistant of (530) 538-7541.
EXPIRATION OF APPLICATION
Applications for which a permit has not been issued will expire one year after date of application. .In order to renew action
on an application after expiration, a new application, plans and fees will be required.
REQUEST FOR FEE REFUNDS
Refunds can only be made upon written request by the.person who paid the fee. The request must be made within two
years from the date of fee payment. on permits not issued, and two years from the date of permit issuance for permits
issued; however, on issued permits refunds can only be made if no construction work has: been done. Filing fees, plan
check fees for work plan checked and other department costs are not refundable.
OVER FOR BUILDING PERMIT APPLICATION
KAFORMSWILDING F0RMS\B1dgApp1SubRgmts.doc Page 2 of 2 REV 8-12-05
BUTTE COUNTY
DEPARTMENT OF DEVELOPMENT SERVICES
BUILDING PERMIT
24 HOUR INSPECTION #: (530) 538-7636 (OROVILLE) (530) 891-2834 (CHICO)
OFFICE #: (530) 538-7541
PERMIT NO.
BP060156
LICENSED CONTRACTORS DECLARATION
I hereby affirm under penalty of perjury that I am licensed under
Issued Date: 01/23/2006 APN: 043-260-047-000
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
Site Address 910 OAK LAWN AVE CHI
effect.
L-10 License Number: S67 «
License Class :
Map Index:
Date: 1 Contractor: EP-1Lt Fi J.) A +-lL
Description: new weatherhead and conduit
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the
Contractors' State License Law for the following reason (Sec. 7031.5
Owner: LUCENA MARC & LINDA TRUST
Business and Professions Code: Any city or county which 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
LUCENA MARC & LINDA TRUSTEES
signed statement that he or she is licensed pursuant to the provisions of
4216 ANJOU CT
the Contractor's State License Law (Chapter 9 commencing with Section
7000) of Division 3 of the•Business and Professions Code) or that he or
CHICO, CA 95973-8508
she is exempt therefrom and the basis for the alleged exemption. Any
violation of Section 7031.5 by any applicant for a permit subjects the
applicant to a civil penalty of not more than five hundred dollars ($500).):
❑ 1, as owner of the property, or my employees with wages as their
sole compensation, will do the work, and the structure is not
intended or offered for sale (Sec. 7044, Business and Professions
Applicant: ERIC WAHL ELECTRICAL
Code: The Contractors' State License Law does not apply to an
owner of property who builds or improves thereon, and who does
6218 WOODBURY DR
such work himself or herself or through his or her own employees,
MAGALIA, CA.
provided that such improvements are not intended or offered for
95954
sale. If however, the building or improvements are sold within one
year of completion, the owner -builder will have the burden of
530-530-521-7994
proving that he or she did not build or improve for the purpose of
sale.).
❑ I, as owner of the property, am exclusively contracting with
licensed contractors to construct the project (Sec. 7044, Business
and Professions Code. The Contractors' State License Law does
not apply to an owner of property who builds or improves thereon,
Contractor: ERIC WAHL ELECTRICAL
and who contracts for such projects with a contractor(s) licensed
6218 WOODBURY DR
pursuant to the Contractors' State License Law.).
MAGALIA, CA.
❑ I am Exempt under Article 3 of the Business and Professions Code
95954
530-530-521-7994
Date: Owner:
License M 867150
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
Architect:
is issued.
Engineer:
❑ I have and will maintain workers' compensation insurance, as
required by Section 3700 the Labor Code, for the performance of
the work for which this permit is issued. My workers' compensation
insurance carrier and policy number are:
Carrier:
Total Square Ft: 0 S. F.
Valuation: $0.00
Policy #:
Census Code:
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'
` `1
compensation provisions of Section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
!�`
Date:
•
Applicant: 6W IL14 LJ AHL,_
WARNING: Failure to secure workers' compensation coverage is
unlawful and shall subject an employer to criminal penalties and one
1
hundred thousand dollars ($100,000), in addition to the cost of
compensation, damages as provided for in Section 3706 of the Labor
code, interest, and attorney's fees. .
CONSTRUCTION LENDING AGENCY
This permit is here sued u d e ap-011cable provisions of the Butte County Code and/or
I hereby affirm that there is a construction lending agency for the
Resolutions o work indi above or.w ch fees have been paid.
performance of the work for which this permit is issued (Sec 3097 Civ.)
Date: l 2 2 • �i
Name:
BY:-�
PERMIT EXPIRES ON:
Address:
Date
❑ I hereby certify that the use of this facility shall comply with Sections 25505, 25533, and 25534 of the California Health and Safety Code. which regulate the storage.
handling and use of hazardous materials.
❑ Notification in accordance with Section 19827.5 of California Health & Safety Code is not applicable to the scheduled construction of this project.
❑ Attached are copies of the required E.P.A. notification forms.
I hereby certify that I have read this application, that the above information is correct, and that I am the owner or the duly authorized agent of the owner. I agree to comply with
all county and state laws relating to building construction. I acknowledge it is unlawful to alter the substance of any official form or document of Butte County. I hereby
authorize representatives of Butte County to enter upon the above mentioned property for inspection purposes.
Print Name:E EI L A D W.IJ Signature: <E7,7 O�
Date: 0%4. .3 IQ f;
❑ Owner Contractor 0 Agent for Owner 0 Agent for Contractor
PPERMIT NO. 2719-74B
P
F
E
M
1
,MH UTIL.
PERMIT NO.
' 1
PERMIT EXPIRES 1-17-75
—/ 5
l
OWNER R _ Harsha
CONTR.
ti
LOCATION (A.P. 43-26-34
910 Oaklawn Ave., Chico
.i
,1
i
4
,.
4.
d
t
Temp. Power Pole
Called PG&E
Temp. Elec. Serv.
Called PG&E
Temp. Gas Serv.
Called PG&E
�r
JOB
FINALED J 2—
(Date)
(Signature) / ��
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orovi lie, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
autnorize representatives or the County or butte to enter upon the
above-mentioned property for inspection purposes.
X a S f n .� //n , Date It �! i
Signature of Permitee or Agent /
Receipt No. �22361t —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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.
DIRECTOR OF PUBLIC WORKS
By`�� Date 7- / 7^ -7
Building permit expires Date ................ .^�..?..... .�.....
BUILDING
Owner y, f,�/S,L��c�J ,
SQ. FT. OCC. BUILDING VALUATION
D --
�y
Mailing Address �/O 0� K' I-Acu/V APL
Telephone No.
Fireplace
Contractor ^ �E/L
Total Valuation
-
Mai I i ng Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee
$
$ O!
Building Address
PLUMBING
No.
@ FEE
PERMIT FILING FEE $2.00
9�0 44 ezw40n/ y -
Each Trap 1.50
Repair drainage or vent piping
1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. '/ 3 - Z 6 � c
7
Zoning & Planning
Gas piping system 1 - 5 outlets
1.50
Each additional outlet .30
Fees'
i
WPC.
•Sanitation
Fire Dept.
Fire Zone
Use Pennit
Building sewer 5.00
EQA
Parking
Plans
I Parcel
Declaration
Parcel Ma p
60' R/W
Im rovements
p
Lawn sprinkler system 2.00
Bldg�Plons Recd I
Parcel-Approvol—
PionsAp—rrovol
Permit Fee
$
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER ®
ELECTRICAL
No.
@ FEE
PERMIT FILING FEE $3.00
/J119 w //V 7 SOD O/c
Main service incl. 1 meter
A✓G /k dS �`
Additional meters, each
1.00
Sub -panel (12 or less) (more than 12)
Single Family [5d Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater
1.00
Light fixtures bai_ mo
Receps., switches & fix outlets 2
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar. disp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
- ❑ I am exempt from the Contractors License Laws of the State of California.
Permit Fee
$
$
MECHANICAL
No.
@ FEE
WORKMEN'S COMPENSATION INSURANCE
I am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
PERMIT FILING FEE
$3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
TOTAL PERMIT FEE
$
autnorize representatives or the County or butte to enter upon the
above-mentioned property for inspection purposes.
X a S f n .� //n , Date It �! i
Signature of Permitee or Agent /
Receipt No. �22361t —
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod-Applicont
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.
DIRECTOR OF PUBLIC WORKS
By`�� Date 7- / 7^ -7
Building permit expires Date ................ .^�..?..... .�.....
e
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING BUILDING (Cont'd) PLUMBING
Setback
Firewall
Soil Piping
Forms
Parapets
1st Floor
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Garage Vents
Water Htr.
Stemwall
Slab
Prov. for physically
handicapped
Heaters
Appliances
Carport
Footings
Conformance of ex.
structure
Gas Piping & Test
Temp. Gas
Slab
Final
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rough
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch
Heating
Service
Brown
Cooling
Temp. Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
DATE
REMARKS OR CORRECTIONS
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC
7 County Center Drive - OroviIIe, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
WO K�r9�i
authorize representatives of the County of Butte to enter upon the
above-mentioned/,property for inspection purposes.
X���b/�1���� Date 7
Signature of Permitee or Agent
Receipt No. 1/22-302
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR PUBLIC WORKS
RvDate7"/ 7-7 1.
-_
ilding permit expires Date .................�.-/..7.-....J
BUILDIN
Owner �W64W
SQ. FT. OCC. BUILDING VALUATION
f�
p n �
Mai I ing Address / �� ® AG(� 44r
Telephone No.
Fireplace
Contractor�+��/�
Total Valuation
Mailing Address
Permit Fee
Plan Checking Fee &/or Penalty
Telephone No.
Permit Fee $
$ ®�
Building Address
PLUMBING No. @ FEE
PERMIT FILING FEE $2.00
A ezwl,V
Each Trap 1.50
1
G0
Repair drainage or vent piping 1.50
Water piping 1.50
Each gas water heater or vent 1.50
A. P. No. 7 - Z C. " aj y
Zoning & Planning
Gas piping system 1 - 5 outlets 1.50
Each additional outlet .30
Fk�s-
WCC
-Swiltallan
I Fire Dept.
FireZone
Use Permit
Building sewer 5.00
EQA
Parking
Plans
Parcel
Declaration
Parcel Ma P
60' R/W
ImprovementsLawn
sprinkler system 2.00
Bld %�Rec'd
g
P
.,cwei—fkpp�Cvv�
P I an p ro v a I
Permit Fee $
$
NEW ❑ ADDITION ❑ UTILITIES ❑ OTHER
ELECTRICAL No.1 @ FEE
PERMIT FILING FEE $3.00
K/ e&& 0 J
Main service incl. 1 meter
1-49 C/
Additional meters, each 1.00
Sub -panel (12 or less) (more than 12)
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Range, Cook -top or Oven 1.00
Water Heater or Space Heater 1.00
Light fixtures ball 10.25
Receps., switches & fix outlets h.1 In
CONTRACTORS LICENSE LAW
I am licensed under the provisions of Chapter 9, Div. 3, of the
State of California Business & Professions Code under the name
style of:
Hood, Ex. Fan or F.A. Furn. Motor 1.00
Evap. cooler, gar, lisp. or D.W. 1.00
Air conditioner or heat pump
Water pump
Mobil Home Facilities 5.00
Temp. Power Pole 5.00
License No. Classification
Misc. wiring
I am exempt from the Contractors License Laws of the State of California.
Permit Fee $
$
WORKMEN'S COMPENSATION INSURANCE
1 am aware of the provisions of Section3700 of the California Labor
Code which requires every employer to be insured against liability
for Workmen's Compensation.
❑I have placed on file with the County of Butte a certificate of
Workmen's Compensation Insurance.
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 Workmen's Compensation Laws of
California.
'
MECHANICAL No. @ FEE
PERMIT FILING FEE $3.00
Heating
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
1 certify that 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
TOTAL PERMIT FEE
` OG
Is .4
authorize representatives of the County of Butte to enter upon the
above-mentioned/,property for inspection purposes.
X���b/�1���� Date 7
Signature of Permitee or Agent
Receipt No. 1/22-302
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -Applicant
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.
DIRECTOR PUBLIC WORKS
RvDate7"/ 7-7 1.
-_
ilding permit expires Date .................�.-/..7.-....J
LIS A&E SUPPLIES #4DD6c
"T
POOL GENERAL
SPECIFICATIONS
SIZE /I X 3fAREAUk DEPT4TO 7
SHAPE 441 044W4
LINER WI,+ I T6
POOLCAPACITY GALS.
Pump (1LTkftEuxJ
MOTOR H.P. & M.P.
FILTER 6AOSQ. FT.
VACUUM LINE &SKIMMER
RETURN LINE
MAIN DRAIN
SKIMMER MODEL U_?
13ACKWASH LINE
OF %0 FILL LINE
ANTI SIPHON VALVE !1 E
HEATER A SIZE BTU
GASLINE BY: VENTED BY:
LIG T
_
CLOCK
ELECTRIC BY:
ELECTRICAL BONDING BY. -46? �n(
POOL CLEANER'�OJ_AeJS 0
CHLORINATOR
BOARD — SIZE
BOARD SUPPORTS
LADDER — MODEL' 44 (A
Water
SLIDE Color Hookup
GRADING
STUB PLUMB
YES ONO
DECK BY:. --
NOTES
SCALE IIV' 1901t
iE�roa car Fo�e_ go I L�Alz_
OWN By- DATE
CK'D BY. DATE
NOT TO SCALE
DEEP
END SHALLOW'
END
UNLESS OTHERWISE SPECIFIED:
POOL IS 3 SHALLOW TO q DEEP
I HAVE RECEIVED A COPY OF
THIS PLAN AND HEREBY
APPROVE POOL AND
EQUIPMENT LOCATION
SIGNATURE DATE
A UENERAL
S*5PPECIFICATIONS
SPA TYPE: MOL #
DIMENSION:
DEPTH:
COLOR TOTALGALLONS
SPA JETS TILE
HEATER:
PUMP & MOTOR:
AIR SLOWER:
GAS LINE:
PLUMBING FOR SPA:
ELECTRICAL: CLOCK:
EXCAVATION:
DECKING
MISCELLANEOUS:
SOLAR GENERAL
SPECIFICATIONS
SO. FT. POOL SO. FT. PANEL
PANEL TYPE PANEL SIZE
NUMBER PANELS PLUMB RUN
AUTOMATIC MANUAL
THERMOMETERS BOOSTER PUMP
SINGLE 0 DOUBLE 0 ELECTRIC BY:
JOB NO.
MAP BOOK NO.
LEGAL DESCRIPTION
2
LOT NO.
TRACT NO.
BOOK—PAGE —BLOCK
ESCROW CLOSE
TENTATIVE DIG DATE
PERMIT OFFICE
MGR.
SALESMAN :1��ZLUe,
OWNER:
TO DETERMINE
APPROXIMATE ELEVATION OF
POOL ON DAY OF EXCAVATION
POOL AREA TO BE FENCED,
BY OWNER PER COUNTY OR CITY
ORDINANCE. GATES TO BE SELF
CLOSING AND SELF LATCHING.
DO NOT TURN ON POOL LIGHT
WHEN POOL IS EMPTY
POOL -OR SPA
NAMEL� A c��j v� s br,
ADDRESS 733 Leaf
0-4 ( C-0 It e43r
CROSS STREETS LA
RES. PHONE
BUS. PHONE
897 EAST 20THSTREET
PERFECTION CHICO, CA 95928
I&I _dL, AL
boo T4 (916) 895-0437
License #566654
L