HomeMy WebLinkAbout043-390-013r
`•.c1
43-39-13
DENNIS DURKIN
�.S $86 St. Amant Court, lot #13,
Big Chico Zs.tates,--C'hi-co
Contr: Jerry Price & Louis Lee
Permit#5355-g0E (temp power pole/
lot development)
_f
43-39-13
MEL TRO(LTMAN {
852 S . Amant Dr, lot 13, Chico '
Permit#185
-83B,P,E,M(new S/F) •
� ,
JAMES BLACK ! fJ
852 St. Arrant Dr, Chico .--
Permit�3�2-83B,P,E,M(transfer. ownersho
1855-93 from Michael Troutman {
(�e�single family)
%%df�t/�„�/iOGQ�✓ 43-39-13
hjyR..�N N� -
852 St. Amant, Chico b�� I
Contr: Holiday Pools, Chico
Permit#2382-84B,P,E(new swimming pool)
043-390-013 99-043$
LARSON FAMILY TRUST
852 St.Amant Drive, Chico /
Coiitr: Baird Roofmg
Re-roof w/ comp `
L�.rll
a
PERMIT NO. 3532-83B.P-.Ell
trans from 1855-83
PERMIT EXPIRES -7-/
OWNER JAMES BLACK
CONTR. owner
ASSESSOR PARCEL 43-39-13
LOCATION 852 St Amant Dr, Chico
OFFICE COPY
Address
GAS
Meter E'y K 4k.Date
ELECTRIC
Meter By. Date
iv*
OFFICE COPY
Address
kt GAS
1, .7- '; Date
M eLr B,
V1 �11
Temp. P. Meterat,By-:-
L/
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date)
ZA,Signature
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
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.
/a of
Inspector_ _ Date
.COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
w 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
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
Inspector_._ Date
J = OK ;
0 = Not DO'
- = Not Applicable
* = Not.Ready
I
RESIDENTIAL
(Single and Duplex)
Date
UNDE LOOK Plans OK except N's
Date FRA ING Continued
fit. Zo ing requirements -Setbacks -Easements
Property Line Firewall & Openings
+�., Main; Soils -Steel -EI rnd.- / /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
O'
Ip-f�Tg•, Garage; Soils -Steel- / /" Ftg. Depth.,59--9tairs;
Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /" th
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
emwalls, Main; Steel-Blockouts-Wrapped-
X52+--6iding-Nailing-Veneer
mwalls, Garage; Steel-Blockouts-Wrapped S 101 JA
7. Piers -Fireplace Ftg.-Steel .
W.V.: Fall-Fittings-Tes 2 way C/O a
..,Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
-34-Glazing Area -Glass Protection -Skylights -Plastic
_&&r-64iear Walls; Nailing -Bolls
9. Gas Pipe; Size -Anchors
10, Water Pipe; Test -Anchors -Regulator -Service Test
S"Z USt. iCt�ibl -'Aw'A 5 - Cei li na
lectric: Underground
_i_JPlenums
& Ducts; Clearance -Material -Support -Ins.
-14.-Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
r%��� �� ��•�
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI /1 ` Datel U `V Card -BI Date
Date FINA -Plans) OK except q's
Card -BI Date) Card -BI Date
Date
P.LU ING (Permit) OK except q's „
. E_xt. Ceps -Door & Sidelight Protection -Landings
oke Detector
urnace; Vents -Clearance -Comb. Air -Connector -
in -Garage; Above Floor-Ducts-Mech. Protection
Water Ht.: Vent -Access -Combustion Air
Water Pipe; Test & Anchors -Nail Protection
Fttngs & Anchors -Nail Protection
B droom Exiting
Shower Pan; Test, First Floor -Tub Access
G.F.I. & Bath Fixtures & Tub Access
.. 4—T -est Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
lerGas Pipe; Size & Anchors
emirs & Rails
--'
Fireplace or Stove; Clearances -Hearth
_
.
%97.pec. Outlets at Wood Panel; Int. & Ext.
Card -BI ^-� Date ji '1 j-�! Card -BI Date
Kit. Fixt. e& A liance; Grnd.-Air Gap -Cooking Clearance
Card -BI
-7 Dam Card -BI Date
lec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
Garage Fire Door; Swing -Landing -Closer
Duct in Garage -Damper
Fixture &Transformer Clearance -Ins. Protection
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
ir-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
421-Alec. Receptacles Spacing -Lights &Switches at Doors
Ib., Elec. & Mech. Equip. Listed for Location
ti .-Rize Boxes & No. of Conductors -Stapled
TI -1 C. Receptacles in Garage; (G.F.I.)-Romex Protec.
12!iiomex Installed Close to Edge of Studs & C.J.
_
1,1/Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
nsulation-Foam-Looked in Attic es
. 2 Appliance Circuits in Kitchen & Conductor Size
-4e--1 2rd Rails & Deck Construction -Post Caps
--
_/ / a. Cu or AI-A.C. Wir Size / / a. Cu or Al-- ubfeed Wire Size - g 9
-r4--FM. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑Yes
u/Range Circ. / Cu or�j Oven Circ. / /"ga. Cu or
_Insulated Neutral /fes L
28. Service -Riser Conductors 4rbr_ain Disconnect
7 Following instld.: Drive es (] No; Walks �s ❑ No;
Planters ❑Yes r�lo
co; Brown -Finish
_-
_Equip. Clearances: -Panels Equip.
Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Shower Light _Qr,/Vents
Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
--
-------- ---- -
79. Water Well; Disconnect, Electrical, Plumbing
�lerior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date ) I_7l Card -BI __ Date -__--- � --_— _—
8Y- Ventilation throughout House
Card B -I Date Card -BI Date
Glass Protection
Date
M C NICAL (Permit) OK except q's
Corrections from Previous Inspections
as Test -Meters Tagged; Gas -Electric
r & Sewer Connected -C/O to Grade -HD Approval
3 Ducts; Insulation &Support
_
ent_Fan; Exhaust above Insulation
65 -Condensate Drain Overilow; Size & Grade
Energy Compliance Certificate -Other Certificates
_
_&
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
$5 --'_Attic Access & Platform if Furnace in Attic
- - -
Card -BI -^ Date _-� Card -BI Date I
Card -BI Date Card -BI Date
Card -BI n Dat '-, Card -BI Date
Card -BI T Date Card -BI Date
Card -BI Date Card BI Date
Date
FRA ING(Plans) OK except q's
Com encs at %inal:
_
_ . Siiis; Proper Material & Anchors
_Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
/8e_aring Walls_over Girders -& Floor Nailing--`_
_5�5/Draft Stop in Walls (rat proof)
yVV"re Stops; Furred Ceilings -Stairs -Chases -Tub
_Mi
-
-
_ader & Beam -Size & Bearing
ngers-Post Cap ors -Connectors
Cing. Joist-Rftr. i Purlin-Roof Brac.-Truss-Shthnq.-Rfnq
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Rom_ex Protection -Draft Stop -Ins.. Baffles
_ , / dr_m._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
4Y Gatage Fire Protection Framing
(NOTE: Anentrymust be made each time youvisit jobsite)
J = OK
0 = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
a.+..4 4 -
Date
Date
MOBILEHOME UTILITIES (Plans) OK except N'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
3. Sewer; Location -Test -Fall -C/0 -Concrete
_
2. Footings; Size -Depth -Spacing -Connectors -
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"fl./ /"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 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 -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Ic
,Owner:
Permit No.
• ENERGY CERTIF ICATION
Lot 13, St. Amant Dr. Ltz— zq —\".,P
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiherglass Batts
Thickness(inches)_ .0111
CEILING
Brand Name
Thermal Resistance (R Value)
Brand Name CertainTeeri
Thermal Resistance(R Value) R19
Batt or Blanket Type Brand Name
Thickness(inches) Thermal Resistance(R Value)
Loose Fill Type Rockwool Brand Name American Rockwool Inc.
Minimum Thickness(Inches) 9.711 Number of Bags Wt. per bag alb.
Area covered(ft.2) 2000 Thermal Resistance(R Value) R30
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy RequLrements,
Loerke Insulation Co. 432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
June 26, 1984
SIGNATURE—OF INSTALLATION APPLICATOR 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.
F NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
SIGNATURE 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
PERMIT NO. 1'855-83B,P,E,M
PERMIT EXPIRES l�!
OWNER MICHAEL TRCQTMAN
CONTR. owner
ASSESSOR PARCEL
43-39-13 r't
LOCATION 852 St. Amant Dr,lot 13, Chico
. t
Temp. Power Pole
Called PG&E
i
Temp. Elec. Service
Called PG&E
Temp. Gas Service _
Cal led PG&E
}
JOB FINALED (Date)
Signature
J. = OK
O = Not OK
Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except k'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
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat. or/ /"L"fl./ /"LPG
7. Utility Clearance
_
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
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
Card -BI
Date
_
Date Card -BI Date
POOLS (Plans) OK except M's
1. Zoning Requirements -Setbacks -Easements
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
8. Gas and Electricity Tagged
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes-Enclosures-Panelboards-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 -BI
Date Card -BI Date
Card B-1 Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK v
O =Not OK '
- = Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date UNDERFLOOR Plans OK exce t#'s (Date FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements 48. Property Line Firewall & Openings
2. Fig., Main; Soils-Steel-'Elec. Grnd.= / /" Ftg. Depth 49. Ext. Doors -One 3'-Check'Garage-3rd story, 2 exits
3. Ftg., Garage; Soils -Steel- / /" Ftg. Depth
4. Ftg., Porches & Decks; Soils -Steel- / /" Fig. Depth
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
7. Piers -Fireplace Ftg.-Steel _
_ 8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
13. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date . PLUMBING (Permit) OK except q's
Date MECHANICAL (Permit) OK except N's
____31._ A.C_.-Ducts: Insulation & Support
32. Vent Fan; Exhaust above Insulation
14.
Water HL; Vent- Access -Co austion Air
34.
15.
Water Pipe; Test & Anchors ' it Protection
_
16.
D.W.V.; Test-Fttngs & nch Nail Protection
17.
Shower Pan; Te , FirskVloorl,rub Access
_
18.
Test Tub & Sh er, nd loor- b ccess
36.
19.
Gas Pipe; Size& Anc or
_ 37. --Walls:
38.
39.
_
Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
r�
40.
Card -BI
Date " and -BI Date
Card -BI
Date Card -BI Date
Date and -BI Date
Date
ELECTRICAL Permit OK exce q's
Date
20.
Fixture & Transformer Cleara -Ins. Protection
57.
21.
Elec. Receptacles Spacing -Lig is & Switches at Doors
_
22.
Size Boxes & No. of Conduct Lr -Stapled
59.
23.
Romex Installed Close to Edge of Studs & C.J.
_
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
61.
25.
2 Appliance Circuits in Kitchen & Conductor Size
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or A
63.
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
_
28.
Service -Riser Conductors & Ground -Main Disconnect
_-
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
_-_
30.
Clothes Closet Light -Shower Light
Card B-1
Card B-1
Date_ _ Card -BI _ Date
Date Card -BI Date
Date MECHANICAL (Permit) OK except N's
____31._ A.C_.-Ducts: Insulation & Support
32. Vent Fan; Exhaust above Insulation
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic E]Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters []Yes ❑No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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
81. Ventilation throughout House
82. Glass Protection _
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
34.
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
--35.-Attic
52.
Siding -Nailing -Veneer
53.
54,
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
Glazing Area -Glass Protection -Skylights -Plastic
Card -BI Date
55.
Shear Walls; Nailing -Bolts
36.
Sills; Proper Material & Anchors
_ 37. --Walls:
38.
39.
_
Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
r�
40.
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Card -BI
Header &_Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors J
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp
Fireplace Ties or Type A Flue -Fireplace Throat
Date Card -BI Date
Card -BI
Card -BI
_Date Card -BI Date
Date Card -BI Date
Date
FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
58.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor -Ducts -Meth. Protection
59.
Bedroom Exiting
60.
G.F.I. & Bath Fixtures & Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64. Elec. Outlets at Wood Panel; Int. & Ext.
65. Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
66. Elec. Outlets & Receptacles at Kit. Counter
67. Garage Fire Door; Swing -Landing -Closer
68. A.C. Duct in Garage -Damper
69. Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor -Meth. Protection
70. Plb., Elec. & Mech. Equip. Listed for Location
71. Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72. Insulation -Foam -Looked in Attic E]Yes
73. Guard Rails & Deck Construction -Post Caps
74. Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
75. Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters []Yes ❑No
76. Stucco; Brown -Finish
77. A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
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
81. Ventilation throughout House
82. Glass Protection _
83. Corrections from Previous Inspections
84. Gas Test -Meters Tagged; Gas -Electric
85. Water & Sewer Connected -C/O to Grade -HD Approval
86. Energy Compliance Certificate -Other Certificates
Card -BI Date
Condensate Drain _& Overilow; 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
Date FRAMING(Plans) OK except q's
Card -BI Date
Card -BI Date
Card -BI Date
Comments at Final:
36.
Sills; Proper Material & Anchors
_ 37. --Walls:
38.
39.
_
Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing___
Draft Stop in Walls (rat proof)
40.
_Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
Header &_Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors J
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthnp.-Rfnp
Fireplace Ties or Type A Flue -Fireplace Throat
___44.
45.
46.
47.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
Bdrm._Windo_ws or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: Anentry must be made each time you visit job site)
Card -BI Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
y 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION •AND` PERMIT
PERMIT NO.
3
ASSESSOR PAP.CEL ER
- �5 /'j
ZONING
BUILDING PERMIT
OWNER,
TL �
SQ. FT. OCC. BUILDING VAL ATION�rS&/
OWNP'SAIL/✓,V �^0Op 6 D1419
7%�iI�CJ 'S AME
F.U
TELEPHONE
//J,/,�//�
CV�TICLR'/jv-C/,JTOR'S,IgIO - yG AD 5& %jt i /
F�j
,//5 X V 'J/Vr/ r
Fireplace
P
CON T TION L`�IpER /�J `/
• ✓=//V
UNKNOWN
c
Total Valuation $
Filing Fee
$ 1�.�
LENDER'S MAILING ADDRESS I
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDINT,5 D jSS �I / C
'L/� ��/
Cho!(
PLUMBING PERMIT
Filing Fee .00
,!�
Each Trap
2.00
Solar Water Heater
20.00
/
C%71�Q
Water piping
5.00
LOT NO. SUBDIVISION /N'AME
P- EL P
/ [��'M
Each qas water he or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF [ Duplex ❑ Mobi lehome ❑ Other
SPECT FV
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New❑ Addition �R%m/oI Utilities stallatio ❑ Other
Describe work:-/7NS`
Q% 16P /cf6K-g,3
Permit Fee
$ ,
Contractor
ELECTRICAL PERMIT
Filing Fee 0.0
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (/ DWELLING OCCUP.&
OR ADDNS. 1 ACC. BLDGS.
t
2/20sgft
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 an my license is in force and effect.
License No. 2Classification
❑ 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 ULT'.OUTLET 2,50 ea
NON-RESID BRANCH CIRC ITS.
NEW CONSTSL /POWER APPARATUS &')
NON-RESID. \SINGLE OUTLET CIR. /
20@50C
Ex. Occup(Ts OR FIXTURES BAL030
FIXED
Ex. Occup. OUTLETS P(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $ ,
Contractor
MECHANICAL PERMIT
Filing Fee 0.00
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 shal I be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
,/(7
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 I' bilities, judgments, costs, and penses which may in any way accrue
;(,,nt "saidCounty ence oft e granting of this permit.
♦�— �Z�
Date
Signature of Applicant — Owner ❑ Contractor ❑ 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 $ .dw
OccuP. GROUP
I TYPE OF CONST.
I
JPARCFLJ
PD I
HD
tesuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE OF PUBLIC
r,
BY rD�ajtetl
PE IT EXPIRES Date `7—/a
the applicable provi-
resolutions to do
fees have been paid.
WORKS
0
Receipt No. �)Il7/
WHITE-D.P.W.. YELLOW -ASSESSOR. P NK -INSPECTOR. GOLDENROD -APPLICANT
July 25, 1983
Butte County Building Department
Dear Sirs,
This letter is the requested letter by your department
authorizing transfer of both building and septic tank
permits for the new (not yet started)'home at
852 St. Amant Drive, Chico. (Lot 13 Big Chico Creek Estates)
from myself, Michael Troutman to new owner Mr. Black.
Please'extend to him all the'services for which I have
paid.
Sincerely,
Michael Troutman
P.O. Box 3941
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
_ APPLICATION AND'PERMIT
PERMIT NO./
ASSESSOR PARCEL NUMBER
.,
ZON NG
BUILDING PERMIT
OWNER
e
TELEPHONE-
9.
SO. FT. OCC. BUILDING VAL ATION
OWNER'S MAI LI G AD RESS
F. ®a 'na
/-r
CO TRACTOR'S 9AME
TELEPHONE
9 T7
CONTRACTOR'S MAILING D R SS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.0
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHI ECT PR ENGINEER
`n
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARC ECT OR ENGINEER'S M ILI G A DRESS
/97 X9 le U
Permit fee
$ A IC
BUILD NG ADDR SS
PLUMBING PERMIT
FilingFee, 10.00
Each Trap
MI 2.00 2&M
Repair drainage or vent piping
5.00
Water pipingjJ1
LOT NO.
SUBDIVISION NAMEPARCEL
ielo
MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
^,
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
^
Lawn sprinkler system
5.00
TYPE OF WORK
New Addition Remodel❑lities ❑ Instal ti n❑ Other ❑
Describe work: c�S'�a CT
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service eODv OR LESS
100 AMP OR LESS
00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWEL 14V11O .N�
OR ADDNS. \ ACC.
ggft
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 C de and m license is in full force and effect.
License No. Classification i "
❑ 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. TI-OULET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS S1
NON-RESID. SINGLE OUTLET CIR. / A
50 @ 250
Ex. Occup OUTLETS OR FIXTURES BAL@1
EX. Occup. OUTLETS P(RESID )REA. 2.00
Temporary service 10.00 �
Mobile Home Facilities 15.00
Misc. Wiring 7.50
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 -3
Ventilation
f ,
Permit Fee
$ '3 t
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 County of
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, dgments, costs, and expenses which may in any way accrue
against said C my in consequence of the granting of this p rmit
V
Dat
Signature of p cant — Owner ❑ Contractor ❑ Agq4tFl
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
$
�y
TOTAL PERMIT FEE $ ./ t
OCCUP. GROUP
TYPE OF CONST.
11;�PA71
Pt ND
1550
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date O
-7 n� Y
Receipt No. n 8 1� 5?By
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
w
5
July 14, 1983
Butte,.County Building Department
Dear Sirs, _
As per my telephone conversation with Mr. Steve Bowen,
this is the letter authorizing•.Mr. M. Hegemi-er signature.
on my Building Permit for a new home at 852 St. Amant Drive,
Chico, (Lot 13 Big Chico Creek Estates).
Please call and advise if everything' is not in order for
issuance of said, permit..
•
Sincerely,
Michael Troutman
P.O. Box 3941
Chico, California 95927
345-7793
Return to DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMEN L2Z31
FOR RESIDENTIAL DE'V'LLOPMENT
OFFICIAL RECORI j
Section 26-8.1 of the Butte County Code requires this acknowledgementgUTTE• COUNTY-
�
be recorded prior to issuance of a building permit. SuOHDS REQUF TEEJ5
PARTY SHOWN
The property described herein is adjacent to land or included JUL 5 150
within an area zoned for agricultural purposes, and residents of �,.. 4'.,a
this property may be subject to inconveniences or discomfort arisin�riEiI_ .
from the use of agricultural chemicals, including, but not limited -to herbicides,
pesticides, and fertilizers; and from the pursuit of agricultural operations including,
but not limited to cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established. agricul-
tural.zones which have as a priority use for .productive agricultural purposes, and
residents within said zones and on adjacent property should be prepared to accept such
inconvenience or riscomfuLZ frrm normal, necessary farm operations.
All that real property situate in the County of Butte, State of California,
described as follows:
Lot 13, as shown on that certain Map entitled,"BIG CHICO CREEK ESTAT�o,
UNIT NO: 1"; which Map was recorded in the Office of the Recorder of the
County of Butte, State of California, on June 11, 1980 in Book 72 of Maps,
pages 79 & 80.
Subject to Covenants, Conditions and Restrictions recorded June 19, 1980
in Book 2524 of Official Records, at page 491.
Date: d, Lev
PROPERTY OWNERS: <•'
���- :'• /� may.... ��.
State of On this the _c� day of write' , 19,P3
SS. before me, the undersigned Notary yublic, personally
County of -lxk) appeared r7��� JAO-(A���
known to me to be the person(s) whose name(s)
subscri d to the within instrument and acknowl d
that * executed the same for the purposes
- , I A fiM�OFFICIAL SEAL. therein contained.
LAURIGOLD IN WITNESS WHEREOF, I hereunto my rd and official
ROTARY PUBLIC • CALIFORNIA seal. my,/
l
LOS ANGE J courm^
MY� m
Present A.P. NO. -3 , / 13
at
0
0
x
WWI
E-0
ti
n
0
1W
;UMENT
y
,
4fo
d
�Ti�p
e
. t • f , : � s,i�.r3 "rr � .kl � ;�
�04399-04387____-
T LARSON FAMILY TRUST
.852, St.Aniant Diive, Chico.
Contr: Baird Roo'fing
Re400f 'W/ comp
t
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) APPLICA110 4 AND PERMIT Jq- I'J3R
ASSESSOR PARCEL NUMBER
'- i
ZONING
BUILDING PERMIT
OWNER r o F�rt.�
� �
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
.OWNER'S MAIUNCi' DRESS t
CONTRA OR'S NAME
it 1M
TELEPHONE
-
CONTRACTORS MAILING ADDRESS
L ♦ fa IL
CONSTRUCTION LENDER
Fireplace
LENDER'S MNUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ b -v
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$
LAT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling 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
New ❑ Addition ❑Remodel ❑Unities ElInstallation ❑ Other COY
Describe Work: /nnG to f 4 o i/IJ / f4
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Fling Fee 20.00
R LESS
Main Service za.A OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
1 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.POWEPPARATUS
/A�
License Class al Lic. No. !% ({/
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
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
I. 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' cc m ensation insurance Carrier and policy number are:
Carrier - P FCn/O /i% /NS
Policy Number /71-5- 03,e) �
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in•the performance of the work for which this permit is issued, I shall
not employ any person- in any, manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions. �'
X i't�//%i/���.' . f/,/ /r/ Date
Signature of Applicant - ❑ Owner 0 -Contractor ❑ Agent
An OSHA'permit is required for excavations over 60" deep and demolition or construction.3
of structures over 3 stories in height.
Main Service P00A To
46.00so
CCU000A
NEW CONST. DWELLNG occuP. so
OR ADDNS. ( a ACC. BLAS. 3.50FT.
No ROOIp MULTI -OUTLET 97,50
a SINGLER AOUTLET CIS.
20 p 1.00WNER-BUILDER
Ex. Occup. OUTLET OR FURUREs BAL @ .50
UNIS
Ex. Occup. OUTIEETS RESID,OEA 5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL- FEE $
HAZ.D.
FEES IMP,
I FLOOD
CDF
PARCEL
PD
HD
ISSUE
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.
9+
By s Date r 7
PERMIT EXPIRES ON ,� o? G o O
Dere
ReceiptNo. cl 5� a h
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) 538-754 PERMIT NO.
(Rev. 12/96) APPLICATIONAft PERMIT 3R%
ASSESSOR PARCEL NUMBER
6 --' 3 Q —bi
ZONING
A
BUILDING PERMIT
I
OWNER r o A.) F�iu
ta � . �'
TELEPHONE
" SO. FT. OCC. BUILDING VALUATION
%{ 15
N
49
.OWNERS MAILING ADDRESS �'
2 5"f" I C0 95-F
CONTRA OR' S NAME
AI r—
TELEPHONE
yX- 31
CONTRACTORS MAILING ADDRESS
Z I�F 4-4-a 1-.,/ L.A-,t,
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $ a 1 0 b
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ r G"a9
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
852— N
Energy Plan Checking Fee
$
$
1
PERMIT FEE
$ 1 Lif(�
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SFDuplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK /
New ❑ Addition ❑nRemodel ❑ /Utilities ❑ Installation ❑ Other L9l
Describe Work: 22 P!) 0 ?" 0�_"24
Gas piping stem 1 - 5 outlets
15.00
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
Main Service 2o0A 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 II force and effect.`
License Class Lic. No. _T1 �[//�
OWNER-BUILDER00
DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ 1, asownerof theproperty, ormy 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. DWELLG OCCUP.
OR ADDNS. a ACC. S.
SD
3.5¢FT.
MU LT
N" WRalp. T.OC U11
@7.50
POWEPPARATUS
8 SINGLER AOUTLET CIR.
Ex. Occup. OUTLET OR FIXTURES
20
BAL @':50
Ex. Occup. OUTIEEDfS R6ID °EA
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.
i 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' com ansa on insu ance c�^arf� a and policy number are:
Carrier �F Z10/17 �Ov _
Policy Number
(The above sections need not be completed 4 the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of secti n 3700 of the Labor Code, I shall
fo with comply with those rovisions.
X Date
Sign r Applicant - ❑ Owner ontractor ❑ Agent
An OSHA rmit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FES $
C Mobile Home Installation Fee $
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
NAZ.
D. FEES IMP
-FLOOD
CDF
PARCEL
PD
HD
ISSUE
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 3 9�
PERMIT EXPIRES ON 3-
I Date
Receipt No. o� 5 E?'
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
r
PERMIT NO. Q' 2382-84B P -E
PERMIT EXPIRES
OWNER MYRON LARSON
v
CONTR. Holiday Pools
ASSESSOR PARCEL 43-39-13
LOCATION 952 St_ Amant'. Chico
i
rr'
a`I
i,
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Servici
Cal led PG&E
JOB FINALED (Date) �/ d L
Signature �'2��
J = OK'
O = Not OK
= Not Applicable MOBILEHOMES
* = Not Ready
MISCELLANEOUS' _
t �
Date
MOBILEHOME UTILITIES (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except q's
1. Zoning Requirements -Setbacks -.Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
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.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Locatiort-Test-Wrap:/ /"L"ft./ /"Nat.or/ ' /"L"ft./ /"LPG
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -Bl Date
POOLS (PJans) OK except a's
etbacks-Easements
2. Footings; Size -Spacing -Marriage Line
o Cernpae4ioh-Structtlte9cab71iFy
3. Gas; MH Test -Demand -Valve -Connector
ool Structure; -Co ons -Thi ss -Dir -L -i g
4. Electricity; MH Test -Crossovers -Breakers -Clearances
Elec.; R acles and ng; Disdartct1-s-GEh,
5. Drain; MH Test -Fall -Flex Connector
lec.; Po ; *-ve+ts-
6. Water; MH Test -Regulator -Connector
rec.; Enclosures; Condtuit EkrWs-Terz4ia+5--Lig ted
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7 ec.; Bonding; Metal&5�2' Tirculatin¢EpuLpu'*M-MeaEe96:
8. Gas and Electricity Tagged
Gr&uW4fl- EquipswLF'-Circulaeaag-Equip.-P L hr .
Bb"e Enciaswes=Pan�ds-Ins. toai '-Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Approval
umb; Cir. W,st�uooly Tes3
Card B-1
Date Card -BI Date
Card -BI
Da Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
• O'Zlf"✓ S� o�C, CON�6GG.C��, /LL.4� ��d�
�DCN� 4 7 H747- 4, K e,, iii 7
r
4
- .y
J = OK
0 = Not OK
- = Not dy ble
Rea
= Not Ready RESIDENTIAL (Single and Duplex)
i
Date
UNDERFLOOR Plans OK except #'s
Date
FRAMING (Continued)
1.
Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
12.
Electric; Underground
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 k's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
58.
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
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.
65.
Elec. Outlets at Wood Panel; Int. & Ext.
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 q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
21.
Fixture & Transformer Clearance -Ins. Protection
Elec. Receptacles Spacing -Lights &Switches at Doors
69,
70.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
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.
Insulet ion-Foo am -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen &Conductor Size
73.
Guard Rails Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes E) No
75.
Following instld.: Drive ❑ Yes [:)No; Walks ❑ Yes ❑ No;
Planters ❑Yes []No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
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
Date Card -BI Date
MECHANICAL (Permit) OK except p's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86.
Energy Compliance Certificate -Other Certificates
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 N's
36.
Sills; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
_
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rflr. Ties-Purlin_- Roof _Brac.-Truss-Shthng.-Rfng_._
Fireplace Ties or Type AFlue-Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE
1 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
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 additio al explanation, please contact this office immediately.
Y`U l
%A CY' w,
St 7 -/mac%
r�4)J s..eo
Inspector_""/ /` �� _ Date "r-111
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION IND -PERMIT
PERMIT NO./
A ,A
ASSESSOR PARCEL NUMBER_/
ZONING
BUILDING PERMIT
OWNE
e4,/s�
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
�a z
OWNER'S AILING DRESS
—
CONT ACTOR'S NAMETELEPHONE
�
'CONTRACTOR'S MAIL NG ADDRESS
f -P
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
V
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ J110, 0 v
ARC TECT OR ENGIN ER
LICENSE NO.
Plan Checking Feej�&(r rO
$ J5,00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
GGSiP4C1';;;"l �
Permit fee
$
BUILDING ADDRESS
S ��N
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 STRUCTUR
SF ❑ Duplex ❑ Mobi lehome ❑ Other &CIAe".'I L
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00e
TYPE OF WORK
NewNZr. Addition❑ Remodel❑ Utilities[] Installation[] Other❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR L
Main service 100 AMP ORSLESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW OR ADDNST ( ACCLBLOGS.LING CCUP.&\
/
2Yz¢sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury )
p y p � y (Check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
,Q Y
License No.'? 90-� Classification C _^'�,3
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR U TI -OUTLET
NON.RESID BRANCH PIRA IS 2,50 ea '
NEW CONSTR POWER APPARATUS &
NON -RES ID. SINGLE OUTLET CIR.
2De5oa
Ex. Occup(o OR FIXTURES eAL�soc
FIXED
ED APPLNS. OR
EX. OCCUp. OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiringaz15.00 o
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
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 liabiI s, J 7 cost a es which may in any way accrue
agains erai nt n ns u he gra ting of this permit.
Date -
ature of Applicant - Owner ❑ Contractor ❑ 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 $
Occup. GROUP
TYPE OF CONST.
PARCEL
PD
HD
I SSU
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC�71 OF PUBLIC
BY
PER4kT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat_
Z
Receipt No. 3?y
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE'- DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
0 =- APPLICATION AND PERMIT • • `^
PERMIT NO.
ASSESSOR PARCEL NUMBER
q-1- 7 2— / 3,
ZONING
BUILDING PERMIT
OWNER U^
TELEPHONE
SQ. FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S NAME
Ire /w
TELEPHONED
CONTRACTOR'S MAWIL ADDRESS
WX-i/ //,
le
CONSTRUCTION LENDER
,0(1,e�'V
UNKNOWN
Fireplace
Total Valuation $
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
G
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
/ej
Water piping
LOT NO.SUBDIVISION
NAME
i,�f,Q, % inn ��V5:
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE ', , /
SF ❑ Duplex ❑ Mobilehome❑r Other / GfA Dig/S�/ �. /f
SPECIFY
Building sewer
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition) Remodel ❑ Utilities ❑ InstallationC Other
Describe work: �� � �/t�� .��s/7"
Permit Fee
$
-Contractor
ELECTRICAL PERMIT
Filing Fee /L3.100
600V OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC, BLDGS.
I 20sgft
CONTRACTORS LICENSE LAW
I declare under penaltyof perjury
p f y (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
' JI I f I
License No. - Classification _r--
❑ 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 MULTI -OUTLET 2,50 ea
NON-RESID, BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS &\
NON.RESI D. ( SINGLE OUTLET CIR. /
Ex. Occup(OUTLETS OR FIXTURES 50 @25C
BAL@10C
Ex. Occup.( OUTLETS FIXED APP(RESID )REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ pv
Contractor
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 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
2.00
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.
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 accrue
against said County in consequence of the granting of this permit.
ti '\� `� R c
X \�' % Date
'work
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
stories in height.
ion of structures over 3/
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
I HD
I 15SUE
This permit is hereby issued under
sions of the Butte County Code and/or
indicated above for which
DIRECTOR OF PUBLIC
B i
y
PERMIT EXPIREDate'
S
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/6
cf
Receipt No. 7/ 71
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
f
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
- APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
el 7 17.. /
ZONING
BUILDING PERMIT
OWNER`
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CONTRACTOR'S N� ME TELEPHONE
t/� 2r14" i� ' f 'y.T- Z
CONTRACTOR'S MAIL G ADDRESS
/1 - 0 70 — •C o
CONSTRUCTION LENDER
r-`•
A, wTotal
UNKNOWN
Fireplace
Valuation $
LENDER'S MAILING ADDRESS �w -
Permit Fee
$
ARCHITECT OR ENGINEER -
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
'
Permit fee
$
BUILDING ADDRESS 4L /
/[ /L
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
1_1�lei C
Water piping
LOT NO.
/ 3
SUBDIVISION NAME
A0 � lf'140 G �s
PARCEL MAP
Each qas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other �A+�s� �� �j
SPECIFY
Building sewer.
Lawn sprinkler system
2.00
TYPE OF WORK
New ❑ Addition Remodel ❑ Utilities ❑ Installation❑ Other 0�
Describe work:—/�f���
Permit Fee
$
'Contractor
ELECTRICAL PERMIT
Filing Fee /L3?00
OR L
Main service ;0000 AMP ORSLESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST LING
OR ADDNS. (DWEACCLBLDGS. OCCUP,&)
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ram 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. I 11 ) I ?-) Classification 1? -1
❑ 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
NEWCON5TR ULTI.OUTLET•
NON.RESID BRANCH CIRC ITS
2,50 ea
NEW CONSTR. (POWER APPARATUS &I
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES
BALMl
5L@1 °¢
FIXED APPLNS. OR
Ex. Occup.(OUTLETS (RESID.) EA,) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 6.25
Permit Fee $ C1, Op
Contractor X,0 y
MECHANICAL PERMIT
Filing Fee 3.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
2-1 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
2.00
Ventilation.
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X ���M `l- ���,S d
Date
Signotu a of Applicant — Owner Contractor g
CJ'' Agent ❑
An OSHA permit Is required for excavations over 5'()" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST,
I
PARCEL PD
I HD
I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By. � `
PERMIT EXPIRES -Date /
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date A)
/�- �� �'
Receipt No. / 71 �/ J
WHITE-O.P,W•, YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
COUNTY OF BUTTE - Q APTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroviile California 95965 - Telephone 916/534-4541��
Q APPLICATION AND PERMIT CJ v
ASSESSOR PARCEL NUMBER
G —
ZONING
BUILDING PERMIT
OWNER ALu_/",(4"
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
CO ACTOR'S ME
TELEPHONE
C NT AACC`T MAILI GYA DnESS A
�R
CONSTRUCTION LENDER
D
UNKNOWN
Fireplace
Total Valuation$
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEERLICENSE
v
NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS '/
PLUMBING PERMIT
Filing Fee 3.00
Each Trap
2.00
Repair drainage or vent piping
2.00
G
Water piping
LOT NO.
SUBDIVISION NAMEPARCEL
( —/5
MAP
Each pas water heater or vent
2.00
Gas piping system 1 - 5 outlets
USE OF STRUCTU E
SF El Duplex❑ Mobilehome❑ Other %w -
S'ECIFY
Building sewer
Lawn sprinkler system
—42.00
TYPE OF WORK
New 1-1 Addition Remodel[] Utilities❑ Installation❑ Other
Describe work:' —
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee /0200
Main service 8000 AMP ORV OR LESS5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.&)
OR ACDNS. ACC. BLDGS.
2¢sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
LI 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. 3 I1 1 I _-5 Classification S _r
❑ 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 RES,., RANOOUTLET 2,50 ea
NON.R ESID BRANCH CIRCUITS
NEW CONSTR. POWER APPARATUS &
NON -REST D. (SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES 50@�
BAL@t0a
Ex. Occup.(0UTLETS FIXED P(RESID )REA.)
2.00
Temporary service 10.00 OD
Mobile Home Facilities
15.00
Misc. Wiring 6.25
Permit Fee $ Ov
Contractor
MECHANICAL PERMIT
FiIingFee 3.00
WORKMEN'S COMPENSATION INSURANCE
1 declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
-4 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
2.00
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
a I liabilities, judg nts, costs, and expenses which may in any way accrue
ag inst said Count i� consequence of the granting of this permit.
X _ \\� D to .0 `013`oB b
Signat a of Ap Cant — Owner ❑ Contractor Agent ❑
An OS permit required for excavations over 5'0" deep and demolition or construct-
ion of str ctures o er 3 stories in height.
Mobile Home Installation Fee $
Land Development Fee $
TOTAL PERMIT FEE" $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL PD
HD
ssuE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
EC_TOR OF PUBLIC
Zl/
By
PERMIT EXPIRES
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 0
%
Receipt No. �;`'3
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
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