HomeMy WebLinkAbout043-540-015~'
. .
`
�
'
�
SHASTA'N
�
Fermit #1 13-84B P ('n6w-12g� mil
�
[f40
el;ml-W3-"8w3l-84B, E (new pri det garage)"O--]
>
043-540-015 00-256
/
>
|
'
/
CONTR: JAI�,ES R. WATTS
/
. .
REMOVE & REPLACE WATE
�
�
. .
�
/
�
.
�
'
�
/
�
`
|
!
'
`
` .
' |
�
/ � {
. �
. �
| ' S
y - �
'
/
`
r
C."�"
�� ��' ��
r, _ -y _ � ,_ . _ r _.-.+r.. ••..- ..--v _••-r _.,,,� ..a+�.� •��t-s,f...:�e�+•.r.��i�r�-.�--^^�--, x - +.�- .:� --.
043-510-015 00-2595
' DOMIMC, PELOSUS
40 BURKESH RE CT. CMCO
CONTR- JAMES R. WATTS
REMOVE & REPLACE WATER F
x
lju, �6,
. A.
l
f
t }tom
C
1
}
r
�p
S
r
i
•� f
i
i
t -
a
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive - Oroville, California 95965 • Telephone (530) 538-7541 PERMIT NO.
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNERS MAILING ADDRESS
CONTRACTOR'S NAME
TELEPHONE
CONTRACTORS MAILING ADDRESS
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
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
Each Trap
7.00
USEOFSTRUCTURE
SF ❑ Duplex ❑ 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 ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe Work:
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
LE
Main Service zoOAeoov OR OR LESSSS
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.a
License Class Lic. No.
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation Insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Mein Service TO 10CU00A
46.00so
NEW CONST. DWELLING OCCUP.
W
OR ADDNS. a ACC. BLDS.
SO
3.5¢FT.
I,MFc, ",DT- muLTI._0,UTS
@7,50
SPOINGOUTLET WELER APPARATUS
CR.
EOOUTLET OR FIXTURES
Ex.
SAL @ I:50 00
ccu
FIXED APPLNS. OR
Ex. Occup. ounETs RESIo. EA
5,00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirin
23.00
PERMIT FEE
$
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEE
$
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 section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X _ Date _
Signature of Applicant - ❑ Owner ❑ Contractor ❑ Agent '
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Mobile Home Installation Fee
$
Energy Inspection Fee $
Occ
CONST. TYPE
TOTAL FEE $
HAZ.
D. FEES I IMP
I FLOOD
I CDF
PARCEL
PD
HD
SSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
By
PERMIT EXPIRES ON
the applicable provisions
Resolutions to do work
been paid.
Date
Date
Receipt No.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
ill
�a
V
COUNTY OF BUTTE
BUILDING DIVISION '
DEPARTMENT OF DEVELOPMENT SERVICES _
411 Main Street • Chico, CA • (530) 891-2751
7 County Center Drive • Oroville, CA • (530) 538-7541
CORRECTION NOTICE
amll'116 oj-1�5- 9
OWNER PERMIT NO.
A routine inspection indicates that the following violations of butte county Ordinances exist at thea..
above address and should be corrected. Please notice this office when correction of work is -.•.
completed. If you have any questions pertaining to this matter, or need additional explanation, E.
please contact this office immediately.
L�1, 7 i'q 90 Ike" T%-1G�
Mnlg W,4 -6c-21 4!�- X VIK67V 0// ZaOl
�-� s�j C,�CL Fit r��-� �.-�s,�•
• .x
Date — ;�— Inspector ...
REV 10192 v,
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
y 1* 7 County Center Drive - Oroville, California 95965 - Telephone (530) 538-75410._ P�
(Rev' 2/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER .i
ZONING
BUILDING PERMIT
OWNERe5()
TELEP14CINE
SO. FT. OCC. BUILDING VALUATION
/y
. OWNER'S NG ADDDR `Cjr �l •/ / �� V� � /� v V
CONTRA '(SrME
i
TELEPHONE
CORACTORS UNG ADDRESS _
NT
CONSTRUCTION LENDER
Fireplace
LENDER'S MAIUNG ADDRESS
Total Valuation is
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS g141 GJ
Energy Plan Checking Fee
$
PERMIT FEE
$
LOT NO.
SUBDNISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SFDuplex ❑ 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 ❑ Other ❑
Describe Work: p 4latar a/ lj�Gt�
/
Gas piping stem 1 - 5 outlets
15.001
Buildingsewer
15.00
Mobile Home I S I G I W
@20.00
PERMIT FEE
$
ELECTRICAL PERMIT
FlingF'ee' 20.00
Main Service 2o0AORLESS
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 full force and effect. Z
License Class c3%o Lic. No. l
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
❑ I, as owner of the property, or my employees with wages as their sole compensation,
will do the work, and the structure is not intended or offered for sale.
❑ I, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
❑ 1 am exempt under Sec. Business and Professions Code for this
reason
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP.
OR ADDNS. ( & ACC. BLDS.
SO
3.5QFT.
Noµa°ESID. MULTI.OU CIRCUITS T
@7.50
POWER APPARATUS
a SINGLE ourttT cw.
OUTLET OR FIXTURES
Ex. Occup.BAL
20 p 1.00
o .50
FlXE0 APPLNS. OR
Ex. Occup. ouTLETs RES10. E.
5,00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wiring
23.00
PERMIT FEE
$
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
❑ 1 have and will maintain workers' compensation insurance, as required by Section
3700 of the Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier
Policy Number ����; /
(The above sections need not be competed ' e 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
hwith comply with th se provisions.
Date
f-Applicant - ❑ Owner tractor ❑ Agent
7AnOA p mit is required for excavations over 5'0" deep and demolition or construction
of ructures over 3 stories in height.
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 $ _(GU
HAZ.
D. FEES
IMP
FLOOD
CDF
PARCEL
I PD
I HD
I ISSUE
This permit is hereby issued under
of the Buttemy Code and/
indicated a v forwhicZf:el
By
PERMIT EXPIRES
the applicable provisions
Resolutions to do work
e been paid.
Date �.
Dele
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
,t.
e
3831-84B;E
1313-84B,P,E,M
PERMIT NO.
t Q'/
PERMIT EXPIRES/tei>
i OWNER SHASTAN
CONTR.. SHASTAN
ASSESSOR PARCEL 43-26-03 & 43-29-72
i
LOCATION 40 Burkeshire Ct, L.,4o 15�# Hollybrook,
r
Chico
r
OFFICE COPY
Address
r
c
`. Temp. Power Pole
k..
j Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) 7 ,
Signature ��
GAS
r
Meter By
Date
ELECTRIC
Meter By
Date
OFFICE COPY
Address
GAS
Meter By Dat I
ELECTRIC
Meter By
Date
r
c
`. Temp. Power Pole
k..
j Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (Date) 7 ,
Signature ��
/3/3-
meter: 744) C D, Permit No.
ENERGY CERTIFICATION
Hn11rhrnnk �iih nivicinn *15 71 -3 -.?6-03, 73 o�y-7o�
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches)-.3-_S.�R
CEILING
Batt or Blanket TypeFiberglass Batts
Thickness(inches) 11"
Loose Fill Type Fiberglass
Minimum Thickness(Inches) 14"
Area covered(ft.2) 1_333
FLOOR, ELEVATED
Material
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name Owens-Corning
Thermal Resistance(R Value) R13
Brand Name Owens-Corning
Thermal Resistance(R Value) R30
Brand Name Manville
Number of Bags 27 Wt. per bag 35 lb.
Thermal Resistance(R Value) R30
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building
in conformance with the State of California Energy Requirements.
LOERKE INSULATION COMPANY #432518
FIRM NAME/OWNER STATE CONTRACTOR'S LICENSE NO.
.6 -V'? -1 rzz�x�-I� May 2; 1985
SIG TURE 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.
Syi S7'19N Co ,
-38x7419
FIRM NAME/OWNE (Z�ae print) STATE CONTRACTOR'S LICENSE NO.
cS�7% S
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
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
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 d 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 d additional explanation, please contact this office immediately.
'a4" O
Inspector Date s�
0 = N6 OK e
= Not ApplicableREQS_ ENMAL, Sin le and Duplex)
� Not Ready •//'71�ti", 9 P )
Date
UN ERFLOOR Plans OK exce til'Date
FyrAMING (Continued)
Zoning requirements -Set as ments
roperty Line Firewall & Openings
Ftg., Main; Soils -Steel- - / I '2!" Ftg. Depth
txt. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- " Ftg. Depth
56. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
W. Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
temwalls, Main; Steel-Blockouts-Wrapped-
52. Si ing-Nailing-Veneer
temwalls, Garage; Steel-Blockouts-Wrapped-SWbl"
ucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
Piers -Fireplace Ftg.-Steel
. Glazing Area -Glass Protection -Skylights -Plastic
D.W.V.: -Fitt -T
n Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
M Water Pipe; Test -Anchors -Regulator -Service Test
11. Electric; Underground
12 Plenums & Ducts; Clearance -Material -Support -Ins.
\10. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI DateV2 -tCard-BI Date
/I/ ZCa2aaA22
Card -BI Date 1 Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date /' J j. )
Date FIN (Plans) OK except N's
Card -BI Date 1 V0957 Card -BI Date
Date
PLUMBING (Per 't) OK except Ws
• J(t. Steps -Door & Sidelight Protection -Landings
._.Smoke Detector
Water Ht. Ve Access -Combustion Air
Furnace; Vents -Clearance -Comb. Air -Connector -
Garage; Above Floor-Ducts-Mech. Protection
Water Pipe; Test & Anchors -Nail Protection
WD—W.V.; Test-Fttngs & Anchors -Nail Protection
est, First Floor -Tub Access
droom Exiting
6VG.F.1. & Bath Fixtures & Tub Access
V. jest Tub & Shower, 2nd Floor -Tub Access
0.,C•Iec. Trim & Subpanel; Breaker Sizes -Labels
OW Gas Pipe; Size & Anchors
T _,62.-4tairs & Rails
6fSfPlYeplace or Stove; Clearances -Hearth
ec. Outlets at Wood Panel; Int. & Ext.
Card -BI
SK Date •'S :Z. (i0N Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66. Elec. Outlets & Receptacles at Kit. Counter
Date
ELCTRICAL Permit OK except Ws
_6*--ftrage Fire Door; Swing -Landing -Closer
. Duct in Garage -Damper
fV Fixture & Transformer Clearance -Ins. Protection
&^tr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
E ec. Receptacles Spacing -Lights &Switches at Doors
ize Boxes & No. of Conductor Sta
LJQ/Plb., Elec. & Mech. Equip. Listed for Location
Ro x Installed Close to Edge of Studs & C.J.
7 lec. Receptacles in Garage; (G.F.I.)-Romex Protec.
quip. Ground made up w./Mech. Fasteners -Bond Gas &Water
7ulation-Foam-Looked in Attic es
2 Appliance Circuits in Kitchen & Conductor Size
- Z3 JQwrd Rails & Deck Construction -Post Caps
^
ze / / a. Cu or AI-A.C. Wire Size / / ga. Cu or At
Loo Vents & Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑Yes _
Range Circ. / ' / ga. C r ,A�,I� Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes l�No
75. Followin
ntersg instY ;S Dri es El No; Walks es ❑ No;
-
28Service-Riser Conductors & Ground -Main Disconnect
tfan/ffgStucco; Finish 7
.C. Unit; Disconnect-Clrnces-Brkr. & Cond. S" a -115V Outlet
quip. Clearances; Panels-MotorsMech. Equip.
Clothes Closet Light -Shower Lightt
-$-Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
c�9,-Water Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date 3 -P $Card -BI Date
Ventilation throughout House
Card B -I
Date Card -BI Date
. Glass Protection
Date
ME.46HANICAL (PerrriI) OK except Ws
ge-Corrections from Previous Inspections
-V?
4- WT; -Meters Tagged; Gas-Electr'
A.C. Ducts; Insulation & Support
5. Water & Sewer Connected -Q-0 rade- D Approval
Vent Fan; Exhaust above Insulation
8 ergy Compliance Certificate -Other Certificates
ondensate Drain & Overflow; Size & Grade
�4 Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI DateCard-BI Date
Card -BI
SDate aCard-Bl Date
�
Card -BI Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING Plans OK except Ws
Comments at Final:
Me Sills; Proper Material & Anchors
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
Bearing Walls over Girders & Floor Nailing
Draft Stop in Walls (rat proof)
Ar.4ire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
4 angers -Post Caps -Anchor Connect
Cing. Joist-Rftr. Ties-Purlin--Roof Brac.-Truss-Shthng.-Rfng_.
1{�plaee�Ties or Type A Flue -Fireplace Throat
(Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
49./E3drm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit job site)
OK
0' = Not OK
- = Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
3. Sewer; Location -Test -Fall -C/0 -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except N's
1. Zoning Requirements -Setbacks -.Easements
2. Footings; Size -Depth -Spacing -Connectors
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; LocatiorTest-Wrap:/ /"L"ft./ P'Nat. or/ /"L"ft./ /"LPG
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Utility Clearance
7. Elec.
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
S. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
1 Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
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
43 -16-- 63 44 D -a9 -?1
ZONIN
SR
BUILDING PERMIT
OWNER
TELE HONE
SO. FT. OCC, BUILDING VALUATION
Z4 7of)
OWNER'S MAILING
O' 4-1 ADDR SS os
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDR
SS
0 Lre— 0 Y'
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. sueDlv'sl j NAMEPARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
U9 OF STRUC E
SF ❑ Duplex❑ Mobilehome❑ Other i (. �� Li
SPECT Y
Building sewer
5.00
Mobile Home S G W
10.00e
,�,� TYPE OF WORK
New � Addition ❑ Remodel tilities ❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service aoov OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&
OR ADDNS. ( ACC. BLDGS.
21/Z0sgft_
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
iii7`"` wand Professions od and my license is in full orce 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 CONST F1 ULT' -OUTLET 2,50 ea
NON -RE SID BRANCH CIRC ITS
NEW CONSTR POWER APPARATUS &
NON.RESID. (SINGLE OUTLET CIR.
zoesoe
Ex. OCcup(OUTLETS OR FIXTURES BAL930
Ex. Occup. OUTLETS FIXED P(RESID )REA.1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring
15.00
Permit Fee $ 1
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
EI have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
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.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabili 'es, judgment §, costs, and expenses which may in�any ay accrue
unty in c n equen
against sa Co ce of the granting of this pert.
X Date (�
Signature of Applicant – Owner ❑ Contractor ❑ Agent ❑ I
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.
��
AR L
PD HD 1S3u
/
v
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTO OF PUBLIC
BY ,
PE T EXPIRES D ate
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
/ —z'Ell
Receipt No. 'T ns—
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
I�
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
• 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
" APPLICATION AND PERMIT
PERMIT NO. v
ASSESSOR PARCEL NUMBER
^
�
ZO ING
BUILDING PERMI
oW X R A,J
TE13EPHONE
SQ. FT. OCC. BUILDING
ION
OW,P,R''S MING ADDRESS p�
f rTJ% J
CONTRACTOR'S N E TELEPHONE
3
Go V
CONTRACTOR'S MAILING ADDRESS
Fireplace I W)
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
faen@ltd— V)
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$� a ,
BUILDING ADDRESS 4C)
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBD;gj N(A
LIS��/bT�l/'�`�O/ 1�
E
PARCEL MAP
Each qas water heater or vent
5.00 °
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF Lr Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
TYPE OF WORK
New [�Addition ❑'J odeI ❑ tili ie Installs 'on❑ Ot er ❑
Describe work: 7"x/11 �i1 ���,�5�
/
Permit Fee
$ ,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 0ov OR LESS
1
100 AMP OR LESS
10.00 /0,nn
Main service EA, ADD'L 100 AMP
2.50
NEW CO )
OR ADD
2y20Sgft
CONTRACTORS LICENSE LAW
I de la a under penalty of perjury (Check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Prof essio s C de and my license is in full 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 Co STR ULI.OUTLET
NON.RESID BRANCH CIRC 1U
AD
NEW CONSTR. / POWER APPARATUS &
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occu / OR FIXTURES
P%o
20es0a
BAL@30
FIXED
FIXED TS (RES. OR
APPLINIS
EX. QCCUp. OUTLETS (RESID,) EA.
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
01% 01%have placed on file with the County of Butte Building Department
Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
Hood
31
Ventilation
, ,
permit Fee
$ p
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.
Ialso agree to save, indemnify and keep harmless the County of Butte against
all liabiliti judgme ts, costs, and expenses which may in any way true
against said ounty 'n cone ence of the granting of this permit.
X Date
Signature of Applicant — Owner ❑ Contractor ❑ Agent ❑
An OSHA permit is required for exc vations o er 5'0" deep and demolition or construct-
ion of structures over stories in h ht
Mobile Home installation Fee $
�N ��
r.
TOTAL PERM EE $
OC CUP" GROUP
TYPE of CONST.
PARC
PD HD
155
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PE EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
�eZ/9
Receipt No. 16 J_rZ3
WHITE-D.P.W., YELLO -A 5 j50R, INK -INS OR, GOLDENROD -APPLICANT
ry i
------ -- 3/o,or, ---- ------510.50' ------ - ------ ---
�/ _ EX 1'37 1
AN
�lD CP
R
-
t o
CO
-
`t, i � � - `�Io� Dal ERi�A�i•. o ,
f
I
FHAE I
' R PH A 2
1 rLAN .. N
o r -EV i ,� (A iLr
�!PUT QC 111 KJI TY:
_ IDID ARTM N!
i
H O L LY bKOOK . Su 15alVISION - �5 1
Foy sHAs"TAN co, 1Nc,
P>F_Ul01 bURMAN 7 HAWK 105
This set of plans and specifications MUST be
k e p#�a- t.l� c�-•}oh-i�l1--'�ir�es-�—i�--is��—#e--
1
make any cn•_angm or alterations on same withouf
writrhen pernn scion -from the Department of Pub-
lic Works, County of Butt% .
N. o0 25' 4 11 w
See Master Plan on file for k
plans. SµpST!' N /-fiDL
/4b.o5'r-- Fes! -7.!
NOTE:—All Materials & Workmanship Shall Be in
Acc-ordarice- vYi'¢-h--R.e,cognized-Gaod_RroctiCos and
'of a quality prescribed for the Specified use in 0a
Uniform Building' Plumbing & Mechanioal Code
al
the National Electrical Code.
N —
w w
Q
z
A setback of 5 ft. from the
Property lines and a sotbac_k
of 50ft. from the or
sSr`uc ureas or equipment except
for 7 -Ca
to
N o�
l � V, K g
�^ o
u V — I
o '
1
'Ooi
�M X6.9
3 83/4v
I ^ K I o
—_ -AA 2q .- - - --- — -o'
7t(.o
46,
O c f
r� AOU; �} 00014
l 3/3-H--( 383 /
H 0 L LY 5Kc0K 5171 FLAN
LA N
5-D Com:.
SHAS7AN CO., INC,
'04!UNo/ eUF-MAN KAWKINS -,.1 F"-fgS133
C'H lC'0 _A.
)EPAPTMEN!,
_O V E D
!77 -
LAN F
i
01&- N E 35 fo i
►313.
k
eM o FLAN G
D. JJ.
� O i
' ' J
_
V\v
40,00�
Iii. �d
• .S.E.
' i PHA E
S R PH A 2
1 rl_:AN N
KEV
14
� s
' UT -
_ pE ARTMENT—
HoLLY15KooK5UKAV.1510N-....- �It �
E%r-UNo,