HomeMy WebLinkAbout043-540-018SHAST
5 Burkes,'re Ct.Lot 18, Hollybrook,Chico
Permit #131 84B,P,E,M(new sin le family)
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mit#3814-84R.E(new pri det garage)
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43-54-18
3301-899
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SHIKUMA, Ted & Sharlynn
35 Burkeshire Ct, Chico
(wo odburning stove)SF q
WTA
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COUNTY OF BUTTE-1DEP90TMENT OF PUBLIC WORKS \� G Ep IT N,O'./
7 County Center Drive - Oroville, CalifGMia 95osi5 - Telephone: 916/538-7.541. 'S � Y
APPLICATION AND PERMIT ' G C00
ASSESSOR PARCEL�y S ' R
—/ J rb" l �b
ZONING
,
BUILDING PERMIT
OWNER
TELEPHONESO.
FT. OCC. BUILDING VALUATIONs
OWNER'S MAILING ADDRESS
3 S ���'6 me C7' �yr<o yS'SZ
CONTRACTOR'S NAME
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 1000
LENDER'S MAILING ADDRESS y
Permit Fee
$ 77, —S'S
ARCHITECT OR ENGINEER
LICENSE No.
I
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS ,
V-+ iv� ..\ �� `'� �: �` .1 1
Penalty
$
BUILDING ADDRESS {
Permit fee-
$ ',L
PLUMBING"PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFX Duplex❑ Mobilehome❑ Other !
SPECIFY t
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home ISI GJWJ 1
110.00e
TYPE OF WORK 1
New ❑ Addition ❑ Remodelf
❑ Utilities ❑ Installations _!Other ❑
Describe work: 1,4Sr'8`�%d/'^� D� W 00AOSOJ✓e" _
�L1.>fe0(
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
t
It
BOOV OR LESS
Main service 100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50.a+
CONTRACTORS LICENSE LAW i
f
I declare under penalty of perjury (check one): )
F -1I 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. 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) f
1, as the owner, am exclusively contracting with Iicensed!contract-
ors. (Sec. 7044) i
❑ I am exempt under Sec: Business and Professions Code
^for this reason
NEW CONST. DWELLING OCCUP,
OR ADDNS. ( ACC. BLDGS. /2 Csq ft
NEW CONSTR U TI -OUTLET
NON-RESID BRANCH.CIRC ITS 2.50 ea
POWER APPARATUS &)
(SINGLE OUTLET CIR.
Ex. Occup(OUTLETS OR FIXTURES eAL030
FIXED APLN5
Ex. Occup. OUT ETS P(RESID )REA.) 1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee . $
Contractor
J`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 subjectpermit
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
g
Hood
3.00
Ventilation.
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 County of
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 J0. consequence of the granting of this permit.
th w J GG/1`� Date
Signature ofJApplicant — Owner)6 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 $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE $
J
HAZ
cuA
PARK
I SCHL
I FLD
PAR
PDJ
HD
I ISSUE
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
BY _`Date
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
have been paid.
WORKS
/'Ci` tl�
Receipt No.y
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
i +
J COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS ERM)T NO.
7 County Center Drive - Orovill.e, C;,Iifornia 95965 - Telephone: 916/538-7541. ��
APPLICATION AND PERMIT ddd ^
ASSESSOR PARCEL N(—J! SER�yy
ZONING
BUILDING PERMIT
OWNER � Ne ��✓/I/
gn � vih
TELEPHONE �a
SQ. FT. OCC, BUILDING VALU ION
OWNER'S MAILIN ADDRESS
3. - Ak � ✓1 �� �Lo
CONTRACTOR'S NAME
U / /_ /
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace JG f ao (-2 _
CONSTRUCTION LENDER
UNKNOWN
Total Valuation is
V00000
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ n. sa
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
Permit fee
$ Z - tet
PLUMBING PERMIT
Filing Fee 10.00
J���
S 'v V�ti u C.- CHI GO
Each Trap
2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home Is G W
O.00ea.
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installations' Other ❑
De ribework: AfSr. 44._., r/oo,0.��y&/,C._
i✓Irea(�
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 1 10.00
Main service 6001 OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑1 as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. C / DWELLING OCCUP.&
DR ACDNS. ACC. BLDGS.
,/zQsgft
NEW RESID.MULTI-OUTLETNC
NON•R ESID BR ANCH.CIRC ITS
2,50 ea
/POWER APPARATUS a
(SINGLE OUTLET CIR.
Ex. OCCup(OUTLETS OR FIXTURES
20050C
9AL030
Ex. Occup. OUT OUTLETS (RESID )REA.;
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. bYirin g
15.00
Permit Fee
$
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.
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
Heating
Cooling
g
Hood
3.00
Ventilation.
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws:relating
to building construction, and hereby authorize representatives of the County of
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 liabilit' s, judgments, costs, and expenses which may in any way accrueISSUE
against s d C unty i copse n e of the granting of this permit.
Date
Signotu a of pplicant — 0 ner�; Contractor ❑ Agent ❑
An OSHA permit is required for ex ovations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
9 -7 —`
AL E
TOTAL FEE $ (r/
HAZ
CUA
PARK
PAR
PD
Ho
This permit is hereby issued under
sions of the Butte County. Code and/or
work indicated above for which fees
DIRECTOF3 OF PUBLIC
By
PE IT EXPIRES Date_
the applicable provi-
resolutions to do
have been paid.
WORKS
Date �C�,��
/d �7�/ p o
Receipt NO. �
WHITE-D.P.W.. YELLOW -ASSESSOR. PINK -INSPECTOR. GOLDENROD -APPLICANT
7�r'�*a-'t�""�7fi . R'yt"f�k•�+t°?;rs�•ii'�s�'F"�'�',tir5r- ' m,F�s��'°'7���r'�f"'i�:�}�"�"i�-:"+°��:sr�..r'+�,.,.�,;.
�> COUNTY OF BUTTE - DEPARTM��EJJN;T OF PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER DRIVE - ORM VILS ,—&LIFORNIA 95965 - TELEPHONE: 916/538-7541
N
PERMIT APPLICATION DATA SHEET
Permit No.
' OWNER 'F���Yi✓i✓ Si/i[/ A. P. No.S� �e
Proposed Building Use /i5: Building Inspector C 5../ Date
At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
1. All items have been submitted.
2. Plot plans in duplicate/triplicate, signed.,,by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer of plans ..
4. Complete engineered plans and calcs, with wet signature on plans ..
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ..............
8. Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
instructions.......................................................
10. Fees of $ ........................
11. Chico Urban Area fees paid .......................................
12. Park fees paid ...................................................
13. School District fees paid ..............
14. Sanitation approval from Health Department
15. City of Chico plumbing permit .................................... .
16. Plot plan and business license approval from City of /
(see City for other requirements) f
17. Planning approval for (A) Use: (B) Parking:
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
21. Contractor's license information (No., Name Style, Classifications ...
22. Certificate of Workmans Compensation Insurance ..................
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
yTelephone 111-3170 and hold for pickup at office. Deliver w/inspector.
Other
AppI ica Date
'_/_4Z4*
i -
Copy of plans sent Health Dept., Fire Dept., Other ` Date
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised, of above required data by_phone_—naiI—counter by .date
Contractor, designer, owner, was advised of above required data by —phone _maII—counter by date
Plans checked by Date Plans approved by Date _
Sets of plans on hold in . File cabinet AP folder
Copy—DPW
41
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3834-84B,E
PERMIT NO. 1316-84B, P,E,M
15
f
�. PERMIT EXPIRES % �A 6
1 OWNER SHASTAN
i
r CONTR.. Shastan
ASSESSOR PARCEL
43=26-03 & 43-29-72
LOCATION 35 Burkenshire Ct, lot 18, Chico
OFFICE COPY `
Address
GAS Date ---
Meter By
ELECTRIC Date
Meter By _
OFFICE COPY
Andress ----
OFFICE COPY t
OAS I
tAdd'ress
,E4.ErTRIC
GAS
Meter By Date U r
ELECTRIC ' e'
Meter By
Temp. Power Pole
Called PG&E
Temp. Elec. Service
+ Called PG&E
Temp. Gas Service
t Called PG&E
JOB FINALE[
Signature
f
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E
A,
3834-84B,E
PERMIT NO. 1316-84B, P,E,M
15
f
�. PERMIT EXPIRES % �A 6
1 OWNER SHASTAN
i
r CONTR.. Shastan
ASSESSOR PARCEL
43=26-03 & 43-29-72
LOCATION 35 Burkenshire Ct, lot 18, Chico
OFFICE COPY `
Address
GAS Date ---
Meter By
ELECTRIC Date
Meter By _
OFFICE COPY
Andress ----
OFFICE COPY t
OAS I
tAdd'ress
,E4.ErTRIC
GAS
Meter By Date U r
ELECTRIC ' e'
Meter By
Temp. Power Pole
Called PG&E
Temp. Elec. Service
+ Called PG&E
Temp. Gas Service
t Called PG&E
JOB FINALE[
Signature
Cwn S1/45 Th J C o
Permit No. 131'v -,?/,/
ENERGY CERTIFICATION
Hollybrook Sub Division #18 //-3-'1-03 7.
LOCATION A.P. No.
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material Fiberglass Batts
Thickness(inches) 3 5/8"
CEILING
Batt or Blanket Type Fiberglass Batts
Thickness(inches) 9;1,
Loose Fill Type Fiberglass
Minimum Thicknesl(Inches) 14"
Area covered(ft. ) 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 insula tion 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.
May 2, 1985
SIGNA F INSTAL TION 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.
'VVsrq,VC�. �3g� 7V9
FIRM NAME/OWNER (Please print) STATE CONTRACTOR'S LICENSE NO.
st �61r
P_NA 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
0 = Not OK
= Not Applicable MOBILEHOMES
= 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/O -Concrete
4. Water; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
6. Gas; Location -Test -Wrap:/ /"L"ft./ P'Nat.or/ P'L"ft./ /"LPG
7. Utility Clearance
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Card B-1 Date Card -BI Date
Card B -I Date Card -BI Date
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'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.-Braci
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
Date POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness -Dead Men-Lini
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
= OK
= Not OK + .
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
/— n 4Y
Date UN RFLOOR Plans OK except #"s
Date FRAMING Continued
Zoning requirements -Setback asements
. Property Line Firewall & Openings
Ftg., Main; Soils -Steel -E . Grnd.- / 2% /" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; Soils -Steel- / /" Ftg.' Depth
_W_ Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / /'' Ft De th
Al. -Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Stemwalls, Main; Steel-Blockouts-Wr ed S
52. Siding -Nailing -Veneer
Lq Stemwalls, Garage; Steel-Blockouts- Wrapped- ab
53. Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
iers-Fireplace Ft .-Steel
__9 Glazing Area -Glass Protection -Skylights -Plastic
D.W.V.: Fall -Fittings -Test wa C/O -Sewer Test
_-65rShear Walls; Nailing -Bolts
Gas P' e; Si nchors
0 W r Pipe Te -Anchors-Regulator-Service Test
.7% _ _
1. 1 Electric; Underground
12. Plenums & Ducts; Clearance -Material -Support -Ins.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI Date Card -BI Date
�s/ T
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card BI 5 Date Card -BI Date
I MT
Date FIJAL (Plans) OK except q's
Card -BI Date 7, Card -BI Date
Date PLU BING (Permit) OK except q's
M.06xt. Steps -Door & Sidelight Protection -Landings
Aoke Detector
ter Ht.; Vent -Access -Combustion Air
Furnace; Vents -Clearance -Comb. Air -Connector-
4n Garage; Above Floor-Ducts-Mech. Protection
. Water Pipe; Test & Anchors -Nail Protectiz
16. D.W.V.; Test-Fttngs & Anchors ai rote ' n
39.Aedroom Exiting
hower Pan; Test, First Floor -Tub Access6T/G.F.I.
& Bath Fixtures & Tub Access
_111�Test Tub & Shower, 2nd Floor -Tub Access
V1.e Elec. Trim & Subpanel; Breaker Sizes -Labels
as Pipe; Size & Anchors
e07FI upha 0 v—Stove; Clearances -Hearth
EV. Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI Date Card -BI Date
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI Date Card -BI Date
Date ELE TRICAL Permit OK except q's
Elec. Outlets & Receptacles at Kit. Counter
Garage Fire Door; Swing -Landing -Closer
WZA.C. Duct in Garage -Damper
Fixture &Transformer Clearance -Ins. Protection
bf Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
. Plb., Elec. & Mech. Equip. Listed for Location
92,4!,ioe Boxes & No. of Conductors-Stapl
Elec. Receptacles in Garage; (G.F.I.)-R mex Protec.
omex Installed Close to Edge of CK3 & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas Water
Insulation -Foam -Looked in Attic es _
.&
2 Appliance Circuits in Kitchen &Conductor Size
4"-`tp ''Qpeck Construction -Post Caps
-@or-Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
Fdn. Ve s Crawl Hole Door -Drainage & Wood -Earth Clearance
/Look loor ❑ Yes
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
ulated Neutral �es ❑No
_
Following instld.: Driv EVYes ❑ No; Walks ❑ Yes No;
Planters ❑Yes No
iC�f,4veee!-Brawn-Finis h
Service -Riser Conductors & - ain Disconnect
,s.
Equip. Clearances; Panels-Mo—tors-Mech. Equip.
.A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
Clothes Closet Light -Shower Light
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
Water Well; Disconnect, Electrical, Plumbing
. Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date Card -BI Date
V. Ventilation throughout House
Card B -I Date Card -BI Date
Glass Protection
Date MVNICAL (Permit) OK except q's
.'/Co rre on2 from Previous Inspections
T -Meters Tagged; Gas -Electric
C. Ducts; Insulation & Support
ater & Sewer Connected -C/O to Grade -HD Approval
Zh�Vent Fan; Exhaust above Insulation
Energy Compliance Certificate -Other Certificates
Condensate Drain & Overflow; Size & Grade
*fUnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date FR ING Plans OK except q's
Comments at Final:
Sills; Proper Material & Anchges
Walls; Studs -Nailing, & Bracing -Plates -Sound
AW"bearing Walls over Girders & Floor Nailing
W*' Draft stop in Walls (rat proof)
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
I�ngers-Post Caps -Anchors -Connectors
4 Cing. Joist-Rftr. Ties-Purlin-Roof Brac.%TShth_ng_.-Rfng_.__
-�Ar-Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
W. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
.47 --Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
. 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541 /_!g % i_ &
APPLICATION AND PERMIT
ASSESSO PARCL UMBER
3 —' -Q3 �3 _29_ 172
ZONI G
BUILDING PERMIT
OWNER
. w4q� -
TELE o E
SQ. FT. OCC. BUILDING VALUATION
A
_T_ _K
—
—
OWNER'S MAILING ADDRESS
- 0_
CONTRACTOR' NAM
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
Fireplace
1 ��
CONSTRUCTION LENDER
UNKNOWN
Total Valuation
Filing Fee
$
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan
$
/s
- ,,,��C��hecking/rFee
""a y- (C C
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee cr*IJ
on
BUILDING ADDRESS „35 -
PLUMBING PERMIT9
Filin Fee
10.00
Each Trap
2.00
16, (}jj
Solar Water Heater 20.00
Water piping
5.00
S:
LOT NO. SUB DIVISI0 NAME
8
PARCEL MAP
Each qas water heater or vent
5,00
5.
Gas piping system 1 - 5 outlets 5.00
,
q� USE OF STRUCTURE
SF L"J Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W 10.00 e
TYPE OF WORK
Newel Addition ❑emodel❑ tilitif Installation El Other
Describe work: �If
a/ K v*_
Permit Fee
$
Qb
Contractor
ELECTRICAL PERMIT Filing Fee
10.00
00V OR LESS
Main service 100 AMP OR LESS 10.00
1
o / Lin
Main service EA. ADD'L 100 AMP 2.50
NEW CONST.DW
OR ADONS. ( AC
1/22Sgft
CONTRACTORS LICENSE LAW'
1 declar under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
❑ I, as the owner, or y emp oyees 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 LTI-OUTLE O
NON-RESID BRANCH CIRCUIT'-;)
1
NEW CONSTR. POWER APPARATUS &
NON-RESID, (SINGLE OUTLET CIR.
20®s0a
Ex. Occup(o LE TS OR FIXTURES BAL®30
FIXED
Ex. Occup. OUTLETS P(RESID )REAJ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
,
Contractor
,
MECHANICAL PERMIT
Filing Fee
10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of -Butte Building Department
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 2
Hood 3.00
Ventilation 3 3 OU
q,QQ
permit Fee $
`� , dp
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating�,
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of tte ainst
all liabilities, judgments, c Sts, and expenses which may in an way accrue
again aid C un c s quejrjting of this permit.
Signature of Applicant — Owner❑ Contractor El Agent
An OSHA permit is required for ex tion -ser 5'0" deep and emolition or construct-
ion of structures ov 3 st 'es in St.
Mobile Home installation Fee $
QQ
TOTAL PERMIT FEE
OCCUP. GROUP
TYPE of CONST.
PARCEL
PD ND
55
This permit is hereby issued under
sit4ons of the Butte County Code and/or
work indicated above for which
DIRECTO"F PUBLIC
By Qk
PERM EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date/s/-2—
r —�' � r
Receipt No.
WHITE-D.P.W., YELL W -ASSESSOR INK- NS T R, GOLDENROD -APPLICANT
FIA
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
.. _ APPLICATION AND PERMIT
PE
gMIT NO.�
ASSESSOR PARCEL NUMBER
.S" a — 63pid 3- 2� _ %2
ZONI G
BUILDING PERMIT
OWNER
TELEPHONE
SQ.,FT. OCC.1 BUILDING VALUATION
OWNER'S MAILING ADDRESS ��
e6
CONTRACTOR'SNAME
TELEPHONE
,
CONTRACTOR'S MAILING ADDRESS
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ gowo iiiff
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$ S'` 0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
17-)
SUBDIVISIO NAME
�A
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUC URE ^^ �f
SF [:1Duplex ❑ Mobi lehome ❑ Other �r� • D(FF t . l-
SPECIFY
Building sewer
5.00
Mobile Home S G W
10-00ea
TYPE OF WORK
New " AdditioV R model itie, ❑ In Ilati ❑ Other ❑
Describe work:
# ?C f _' � 9
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee '10.00
Main service 0ov OR LESS
1
100 AMP OR LESS
10.00
•
Main service EA. ADD'L 100 AMP
2.50
OR ADDNST ( ACCLBL S',
212 P.Sq ft i J
CONTRACTORS LICENSE LAW
1 declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full rce and effect.
License No. Classification
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CON5TR ULTI.O TLET
NON.RESID BRANCH CIRC ITS.
12.69 e
NEW CONSTR POWER APPARATUS &)
NON-RESID. (SINGLE OUTLET CIR. /
20@50t
Ex. Occup(o OR FIXTURES BAL®30
FIXED A
FIXED APP LHS. OR ``
Ex. Occup. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Mi sc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree o save, indemnify and keep harmless the County of Butt against
all Iiabilitie , judgments, coqts, and expenses which may in ny w accrue
agai st id ounty in co seq a cecof the granting of this perm t.
X Date 1i° I
Signature of Applicant — caner ❑ Contractor ❑ Agent
An OSHA permit is required for excavations over 5'0" deep an demoli ion or construct-
ion of structures over stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE ,
OCCUP. GROUP
TYPE oP CONST.
PARCEL PD ND
155
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC F PUBLIC
BY
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date Z
��Z��
p3
Receipt No. � f d 6.5,
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
\ \
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