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CONT: RRRROOFING .
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COUNTY OF BUTTE - DEPARTMENT'OF DEVELOPMENT SERVICES. -BUILDING DIVISION
7 CountyCenter Drive Oroville,'California .'95965 • Telephone.(530) 538-7541 7 N
(Rev. 12/96) -APPLICATION AND PERMIT C. -
ASSESSOR PARCEL NUMBER . _
r
ZONINa
BUILDING PERMIT
OWNER / /'jjj _
TELEPHer *6ONE/Ln
SO: FT.` 'OCC. BUILDING VALUATION
t.
.OWNERS IAMLI ADDRESS /) tr
I Le4)4
CONTRACTOR'S NAME
VZ -FL o P I ki
TELEPHONE
-
CONTRA`C,T�ORS MAILING ADDRESS
% ,) o
CONSTRUCTION LENDER -
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
-
Filing Fee
$ 20.00
Permit Fee -
$ 6V III oo
ARCHITECT OR ENGINEERS MAILING ADDRESS
I
Plan Checking Fee
$
BUILDING ADDRESS j �j
Energy Plan Checking Fee
$
PERMIT FEE
$ 4,0 .
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
Each Trap
7.00
USEOFSTRUCTURE
SF -Er Duplex ❑ Mobilehome ❑ Other
SPECIFY
Solar or heat pump water heater
23.00
Water piping
15.00
Each as water heater orvent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑ 1
Describe Workit
Gas piping system 1 - 5 outlets
15.00
Building sewer15.00
.
Mobile Home I S I GI W
@20.00
PERMIT FEE
S.
ELECTRICAL PERMIT
Filing Fee 20.00:
Main Service z�oQA OR .ss
23.00
y
r LICENSED CONTRACTOR'S DECLARATION `
I hereby afflirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and.Professions Code,.
and my license is in full force and effect.
License Class C in� Lic. No. l / 7 j
1, OWNER -BUILDER DECLARATION
1 hereby affirmiu�der 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 20" TO IOOOA
46.00
NEW CONST. DWEL1ING OCCUP.
ORADDNS. ( aACC: eLDS.
SD
3.5¢FT:
L,o,�ROEs,D. � Mutrl ourLET
97.50
POWER APPARATUS
- 3 SINGLE oUTLErCIR.
Ex. OCCU . OUTLET OR FDCrURES
ZO
x.0 ' 5
7D APPLNSOR
. Ex. Occup., 0 ETs RES,6. EA
— 5.00
TemporaryService
.w 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 an policy number are:
Carrier kJabWMve , (A ef t&ld-&rd
Policy Number
(The above sections need not be.completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
ued, I shall
❑ 1 certify that in the performance of the work for which this permit is Issued,
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 A114 ph Date Axo,' ! q 14
Signature of Applicant - ❑ Owner ❑ Contractor .CEJ Agent
An OSHA permit 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 FEE $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
�j ,
ST.
CONTYPE
TOTAL FEE $ 00
HAZ.
D. FEES IMP
FLOOD
CDF
PARCEL
po
HD
We
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.
p a
By Date
EXPIRES ON
ale
Receipt No. e l��t�lPERMIT
WHITE-D.D:S.-B.D. CANARY -ASSESSOR , PINK -INSPECTOR , GOLDENROD -APPLICANT
7._
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive Oroville, California 95965 • Telephone (530) 538-7541 I N
(Rev.12/96'). APPLICATION AND PERMIT C. 27�
ASSESSOR PARCEL NUMBER _
ZONING
BUILDING PERMIT
OWNER
12,U Irl ` : GIS
TE "°NE
� �igJO
SO. FT. OCC. BUILDING VALUATION
. OWNERS MAIU ADDRE
CONTRACTOR'S' NAME �o[
IVIfL D0 Cs
TELEPHO NE
LEPHO 1�4
co RACTORS LING ADDRESS
CONSTRUCTION LENDER
Fireplace
UENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00'
Permit Fee
$ oo
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS 7(o [J� �j_
Q . J/f�/�'1V,w.�_..•
Energy Plan Checking Fee
$
$
a
PERMIT FEE
$ (4,0()
LOT NO.
SUBDMSLONS NAME
PARCEL MAP
PLUMBING PERMIT
Fling Fee 20.00
USEOFSTRUCTURE
SF,X Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water
Water piping
15.00
as water heater or vent
15.00
TYPE OF WORK
New ❑ Addition ❑ Remodels❑ UdGties ❑ Installation ❑ Other ❑
Describe Work: >t " �(� 54--.
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
S
ELECTRICAL PERMIT
Fling Fee 20.00
Main Service noon ow mos
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
(commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in /full force and effect. �
License Class C {in� 1 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
Main Service 200A TO I000A
46.00NEW
CONST. DWELLING OCCUR
OR ADDNS. ( a ACC. BIDS.
So
3.50FT.
NET9
NOI�R61D. MULTI -OUTLET
97.50
POWER APPARATUS
i SINGLE ouTLET CLR.
Ex. Occu , ourLEr OR PLxruREs
p Q 1
BAL Q .SO50
Ex. Occup.OUTLETS OR
5.00
Temporary Service
23.00
Mobile Home Facilities
20.00
Misc. Wirina
23.00
PERMIT FEE
i
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.
Pi 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 permitis issued.
My worker ' cpmpe sati n insurance carrier an poli number re:
Carrier ! L V �'
MECHANICAL PERMIT
Fling Fee 20.00
Heating
Cooling
Hood
6.50
Ventilation
PERMIT FEIE
$
Policy Nu 12111 11
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ I certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Q�1`q
UX ��.&kl Date ��//11�� / 04
Signature of Applicant - ❑ Owner ❑ Contractor IQ 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
r,
CONST. TYPE
TOTAL FEE $ +-4,00
HAz
° PEEs P
FLOODCDP
PARCEL
PD
HD
ISS E
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
PERMIT EXPIRES ON ?-19-03
I pate)
Receipt No. f 7V -°a
WHITE-D.D.S.-B. D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
�r`�^{r4�i,.-rr�i!'."Tyyxlhijv"4a^'•";+yKwFatr;`3rS"lCi;.�+.^y�''r�`"C�""yy"•1`.'�-`S'�i�C.,ltivd`l�t,�+r'L{�....;�yl.vJs'Sr-1 "Kv-'-=i`- r- fr,.: »,..; ,. '--^ - ....
Ar
y CHICO UNIFIED SCHOOL DISTRICT
1163 EAST SEVENTH STREET
CHICO, CALIFORNIA 95928'
(916)891-3006.
C.U.S.D. SCHOOL DEVELOPMENT REFUND AGREEMENT
Terms and Conditions for obtaining. a SCHOOL DEVELOPMENT REFUND,
pursuant to C.U.S.D. Resolution No.
I am requesting a SCHOOL DEVELOPMENT REFUND forfees paid on Assessor
Parcel No. y,.,Zrepresented by C.U.S.D. ID No.
for one of the following reasons:.
.I will not.be building a residential unit on this parcel and
I have'cancelled my building permit. `
Credit for demolition of an existing residence.(copy of
permit & County Appraisal Report attached)
Other
Development fee paid $
Less administrative fee $ ($2.50 per residential.unit)
Total refund $ 5K3. 3C7
Applicant.Signature Date
'T 14,-11
Printed Name
/99 2 SQ
Address Phone No..
City/Zip
School District Representative
2
/ Date
White -applicant, pink-building.department,' yellow -school district
REFUND.APP
B.S. 43 (2/91)
COUNTY OF BLT`
DEFT- OF PUBLIC WORKS
F E13 II ',� 1992 -
(City)(State) (Zip Code)
has complied with the requirements of Resolution No.
by, the spa- _ 'ent of $ : $"�. representing U l square feet.
School District Representativ.e ate
,
dPERMIT NO. 2227-85B,P,E
i
PERMIT EXPIRES
OWNER .RON S,CUDDER
CONTR. Sunshine -Pools
i•
t'
ASSESSOR,PARCEL 42-48-02
LOCATION 768 WestmontCt, Chico
a
Q
r
t
i
t
Temp. Power Pole
Called PG&E _
Temp. Elec. Service
Called PG&E
Temp. Gas Service -�
Cal led PG&E
JOB FINALED (Date)
Signature
r
= OK
0 = Not OK
— = Not Applicable MOBILEHOMES
= Not Ready
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements—Setbacks-Easements
2. Soils; Special MH Support—Sketch
Date DECKS, COVERS, CARPORTS; ETC. (Plans) OK except N's
1, Zoning Requirements—Setbacks—.Easements
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.—Con nec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / ;Amp -Concrete
5. Alum. Awn.; Columns—Connections-Splice—Decal—Enclosures
6. Gas; Location—Test—Wrap:/ P'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 -131
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except N's
Card -BI Date Card -Bl Date
Date PO S (Plans) OK except Ws.
1. Zoning Requirements—Setbacks—Easements
etbacks—Easements
2. Footings; Size—Spacing—Marriage Line
oils; Compaction—Structure Stability
3. Gas; MH Test—Demand—Valve—Connector
4. Electricity; MH Test—Crossovers—Breakers—Clearances
Pool Structure; Steel—Connections—Thickness-Dead Men—Lining
Elec.; Receptacles and Lighting; Distances—GFI
5. Drain; MH Test—Fall—Flex Connector
Elec.; Pool Lighting; 15 volts—GFI
6. Water; MH Test—Regulator—Connector
Elec.; Enclosures; Conduit Entries—Terminals—Listed
7. Water and Sewer Connected—C/O to Grade—HD Approval
Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater
B. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool Lghrg.
Boxes—Enclosures—Panel boards—Ins. to Main in Conduit
10. Cert. of Occupancy
Health Department Approval
19F Plumb; Cir. TVt—Water Supply Test
Card B-1
Date Card -BI Date
Card -BI Date Card -BI Date
' Card B-1
Date Card -BI Date
Card -BI - �pPDate Card -BI Date
r
d
J = OK
0 = Not OK
- = Not Applicable RESIDENTIAL (Sing.le and Duplex)
* = Not Ready
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- / /j' Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
6. Stemwalls, Garage; Steel -B lockouts -Wrap d -Slab
52.
53.
Siding-Nalling-Veneer
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7. Plers-Fireplace. Ft .-Steel
8. O.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
9. Gas .Pipe; Size -Anchors
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
10.
Water Pipe; Test-Anchors-Regulator-Seryice 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
I
Card -BI
Card -BI
Date Card -BI Date -
Date Card -BI Date,
Card -BI.
Date Card -BI Date
Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except #'s
56.
Ext. Steps -Door & Sidelight Protection -Landings
57.
Smoke Detector
14.
Water Ht.; Vent -Access -Combustion Air
58.
59.
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
Bedroom Exiting
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Fttngs & Anchors -Nail Protection
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
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -BI
Date Card -BI Date
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except #'s
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21. Elec. Receptacles Spacin -Lights & Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. & Mech. Equip. Listed for Location
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
72.
Insulation -Foam -Looked in Attic ❑Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
73.
74.
Guard Rails & Deck Construction -Post Caps
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
26. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Followinginstld.: 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-Cirnces-Brkr, & Cond. Size -115V Outlet
30.-
Clothes Closet Light -Shower Light
78,
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opn s.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I
Date Card -BI Date
81.
82.
Ventilation throughout House
Glass Protection
Card B -I Date Card -BI Date
Date
MECHANICAL (Permit) OK except #'s
31. A.C. Ducts; Insulation & Support
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
85.
86,
Water & Sewer Connected -C/O to Grade -HD Approval
Energy Compliance Certificate -Other Certificates
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except #'s
Comments at Final:
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.
42.
43.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shthng.-Rfn_g.
44.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
COUNTY OF BUTTE-`DEPART.MENT OF`.,PUBLilC WORKS PERMIT N
7'County;Center. Dnve'= Oroville Californla;95965 - TeIephone"916/534-4541
APPLICATION :AND,.PERMIT
ASSESSOR PARCEL ,NUMBER '�.
,ZO 1 -
-
BUILDING 'PERMIT
'.OWNER/
TELEPHONE.
SQ.�FT. OCC. - BUILDING .VALUAT -
.OWNER'S MAILING A DREf/``
C DART R C O NAME 1.' -
•T E EPH 0 WE
N R T R'S M ING ADDRESS - -
Q C'
Fireplace -
CONSTRUCTION LENDER P -'
�•
UNKNOWN' - -TOtaI
r.
Valuation - $
Q '
Filing Fee
,$ 10.00
LENDER S MAILING ADDRESS - 3a; i'
Permit Fee
$•
ARCHITE OR ENGI ER_
+•ILING /DR
LICENSE NO.;.,
,
.'Plan -Ch ecking Fees
$ +.
-Penalty' -
$
-ARCHITECT R E NEE ESS
Permit'fee
$ �.
BUILDING. ADDRESS
`'PLUMBING PERMIT
Fl ling Fee 10.00
Each Trap
.2.00 -
Solar Water Heater
20.00
��f ✓`'
Water piping a ..
5.00 00
'LOT NO.
SUBDIVISION NAME •, PAR E MA P.
EaChQaS Water heater Or vent
5,.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTU
'SF ❑ Duplex❑ Mobilehome❑ ' Other /1/I�`l/�C��I
'T��� -SPEC[ FY
Building sewer
5.00
Mobile Home S G W
10.00e
,
TYPE OF WORK
.,New .; Addition❑ *-,Remodel❑ Utilities El installation❑ Other❑?
Describe work:
Permit Fee
$:
Contractor
ELECTRICAL ,PERMIT
Filing Fee , 10.00
Main service 700v OR LESS
00 AMP OR L£55
10.00. '
Main service EA. ADD'L 100 AMP
2:50
NEW CONST.DWELLING OCCUP.&
.OR ADONS. ;( ACC. BLDGS.•
2 0sgft. 1
- -
CONTRACTORS LICENSE LAW, ':
I declare under penalty of er Ur )
p y p- j y (Check one):
.,NON
� I am licensed under provisions of Chapt. 9, Div. 3 of the ',Business
and -Professions Code'and my license IS In full OCCe and 'effedt.
Libense No.3S7 Z 9 8 -:Classification — �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 I icensed 'contract -
'ors.. (Sec.'7044)
❑ I am'exempt under Sec. Business and Professions Code
for this reasonContractor
NEW CONSTR. U TI -OUTLET 2,50 ea
NON-RESID BRANCH'CIRC rs
NEW CONST'R POWER' APPARATUS'
-RESID. ( SINGLE OUTLET, CIR. -
Ex. Occup(ouTLETs OR FIXTURES eA A0
9
FIXED APPLNS.,OR
Ez. OCCUp.' OUTLETS (RESID.) EA, 2.00 '
Temporary service `• 10.00
Mobile Home Faci,lit.i s
15.00
Misc. Wiring 15.00
Permit Fee
$ O
WORKMEN'S COMPENSATION..INSURANCE.
declare:under,penalty of perjury (check on
❑ -The permit is for $100.00 (valuation):or less.
1 have'placed on file -with the, County of Butte Building Department
' a Certificate :of Workmen's Compensation Insurance or a Certificate
C sent to.Self-insure. :'
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
Filing Fee 10.00
Heating
Cooling
:Hood
3.00
Ventilation -
permit Fee
$
Contractor
I certify that 1• haveread this application and state.that the above• information
Is correct. I .agree to comply to.all County Ordinances and State -Laws relating
to bui,iding,c,onstruction, and hereby authorize representatives of the County of
Butte to enter -upon the above-mentioned•property for inspection purposes.
l':also agree to save,Jndemni.f and keep harmless the -County of -Butte against
=all..Iiabil' *s,.judgm nfs, co . s, and expenses which may, in any accrue
ag inst ai County ' c ce of the ranting of this permit.
X Date
Signature of Applicant J—. Owner Contractor � gent ❑ '-
An OSHA permit, is required for excavations ove'r.5'0" deep and demolition or construct-
ion of structures over 3 stories in.fieight.' "
.'Mobile Home Installation Fee'. $.
TOTAL PERMIT FEE $
OCCUP. GROUP
TYPE OF CONST.`
PARCEL
PD
HD'
SSU
This permit is' hereby -issued- under
sions of the Butte County Code. and/or
work indicated above.,for which
DIREC OF PUBLIC
By
PE W IT EXPIRES Date
the applicable.provi-
resolutions to'do
fees have been P, aid.
WORKS
Date ►�' �- �a1
Receipt `NoG
WHITE-D.P.W.. ,YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD, -APPLICANT` 'I
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OFFICE COPY
Address
GAS
Meter By Date
ELECTRI
Meter By Date
J= OK: i S •
0 = Not OK
= Not Applicable MOBILEHOMES MISCELLANEOUS
Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK'except #'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/O -Concrete
4. Water, Location -Test -Easement Needed (Sketch) --
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
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"ft./ /"Nat.or/ /'-L"ft./- /"LPG
6. Carports; Windows -Doors_`
7. Utility Clearance
_
7. Elea
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
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requiremenis-Setbacks-Easements
Date
_
POOLS (Plans) OK except #'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=GF1
5. Drain; MH Test -Fall -Flex Connector
5. Elec,; Pool Lighting; 15 volts-GFI'
6. Water; MH Test -Regulator -Connector
6. Elect; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected' -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment-Heatet
8. Gas and -Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip.-Pool.Lghcg.
Boxes -Enc losures- Pane Iboards- Ins. to Main in Conduit.% ,
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card'B-1
Date' Card -BI. Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
J
b
Not Applicable
Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except #'s
Date FRAMING Continued
ming requirements -Setbacks- ements
Property Line Firewall & Openings
tg., Main; -Soils -Steel -EI - / Z/" Ftg. Depth
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
Ftg., Garage; - Soils -Steel- / L" Ftg. Depth
Stairs; Width-Headroom-Rise=Run- Land ing-Fire Protection
4. Ftg., Porches & Decks; Soils -Steel- / ./, epth
lywocd on Roof Overhang -Attic Vents -Rafter Outriggers
_
temwalls, Main; Steel-Blockouts-Wrappe
. Siding -Nailing -Veneer '
9
temwalls,'Garage; Steel=Blockouts-Wrapped
Meeti--Drip Screed-Fdn. Vents-Underflr. Access
$
7. - F.t el
S0!Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.:gs- y C/ Sewer Test
.6&, Shear Walls; Nailing -Bolts
ire; -Size -A nc hors
10. Water Pipe; Test -Anchors -Regulator -Service Test
-i1---Efectric; Underground
1-- ;ms & Ducts; Clearance -Material -Support -Ins.
--f•9--&'Fders-Sills-Anchor Bolts -Joists -Vents -Cripples
CjVr7BSjg0F Date Card -BI Date
Card Date Card -BI Date
'-
Ca -(BI Date Card -BI Date
Card -B
Date 2�. Card -BI Date
Date FINA (Plans) OK except N's
Ca Datep,2*. $ Card -BI Date
DatePLU
BING. (P.ermit) OK_except q's
EXt. Steps -Door & Sidelight Protection -Landings
5U,* S oke Detector
Water Ht.; Vent -Access -Combustion Air
Furnace; Vents -Clearance -Comb. Air -Connector -
IDGarage; Above Floor-Ducts-Mech. Protection J
18'. -Water Pipe; Test & Anchors -Nail Protection
1 D.W.V.: Test-Fttngs &Anchors -Nall Protection
bedroom Exiting
Pan;'Test, First Floor -Tub Access
F.I. & Bath Fixtures & Tub Access
_Shower
a9�Test Tub & Shower, 2nd Floor -Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels .
1 Gas Pipe: Size & Anchors
airs & Rails
-daoofireplace
or Stove; Clearances -Hearth
. EJec. Outlets at Wood Panel; Int. & Ext.
Card -61
Date Card -BI Date
Kit. Flxt. & Appliance; Grnd.-Air Gap=Cooking Clearance
C r
Date Card -BI Date
pec. Outlets & Receptacles at Kit. Counter
D e
ELECTRICAL Permit OK except q's
117�Garage Fire Door; Swin-Landin -Closer
.
CDuct in Garage -Damper
bei Fixture & Transformer Clearance -Ins. Protection
tr. VentsClearance-Comb. Air-Connector-P.R.V.-
I Garage; Above Floor-Mech. Protection
Elec. Receptacles Spacing -Lights & Switches at Doors
JwolpAb., Elec. & Mech. Equip. Listed for Location
Size Boxes & No. of Conductors -Stapled
<15ec. Receptacles in Garage; (G.F.I.)-Rom Protec.
Yir-Romex Installed Close to Edge of Studs & C.J.
&A -i- Equip. Ground made up w/Mech. Fasteners; Bond Gas & Water
7t-1-1 nsulation-Foam-Looked in Attic es
te-Guard Rails & Deck Construction -Post Caps
2 Appliance Circuits in Kitchen & Conductor Size
26. Subfeed Wire Size / / ga. Cu or AI-A.C.,Wire Size / / ga. Cu or At
Vents &Crawl Hole Door -Drainage &Wood -Earth Clearance
Looked under Floor ❑ Yes
27. Range Circ. / ga. Cu or AI -Oven Circ.i / ga. Cu or Al,
_Insulated Neutral ❑Yes L7 No
75. Following instld.: D['v es L] No; Walks es ❑ No;
Planters ❑Yes No
A. -Service -Riser Conductors & Ground -Main Disconnect
-7ff--5^ucco; Brown -Finish
-
Z. -Equip. Clearances; Panels-Motors-Mech. Equip.
C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Qutlet
/ Clothes Closet Light -Shower Light _
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
----------
----- —--- --
--.--.
ter Well; Disconnect, Electrical, Plumbing
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B -I Date 1j�y Card -BI Date
1-`L�'--- -
84 --Ventilation throughout House
C
I Date Card -BI Date
Glass Protection
Dat
CHANICAL ermip OK except #'s
orre 'ons from Previous Inspections
84. MTest-Meters Tagged; Gas -Electric
- 31. -- ucts; Insulation & Support I
Water & Sewer Connected -C/O to Grade -HD Approval
3k�ent Fan, Exhaust above Insulation
33. Condensate Drain _& Overilow; Size & Grade
jW�Energy Compliance Certificate -Other Certificates
_34.__Furnace-Vent; Access -Comb. Air -Return Air Vent -115V outlet
Card -BI
Card -BI
35. Attic Access & Platform if Furnace in Attic
-- ------ ---------- --
Date _ Card -BI Date
Date Card -BI Date
Card -BI gnt DateCard-BI Date
-B
CardI Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date(tans) OK except q's
Sills; Proper Material & Anchors
_
/Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38. Bearing Walls over Girders & Floor Nailing
?b6 --Draft Stop in Walls (rat proof)
-re
Stops; Furred Ceilings -Stairs -Chases -Tub
Header & Beam -Size & Bearing
42. Hangers -Post Caps -Anchor onnectors
43. Cing. Joist-Rftr. Ties -P in -Roof Brac.-Truss-Shthng.-Rfnq.
4 F raplzse T es Typ FI it p�rnrvar
Attic Access; Size omex Protection -Draft Stop�ln B s --
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
Inter-De ®rtm�nt�®IMem®r®ndum
i� _FROM:
VVc�t
SUBJECT: (�
DATE:
COUNTY OF BUTTE_
DEPARTMENT OF PUBLICaRKS'
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
UWNtH 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.
-u i
`',J 1�t 17 1lh 4 L/vl/.✓�+qtr°�`
R�
/� ��MO.� 7"�e P�i�� �eor� ` �'%� ✓drir•:f'.. 9-T 4't
Inspector Date
a
M , _
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED IN CONFORMANCE.WITH CURRENT ENERGY CONSERVATION REGULATIONS
AT Lot 94, Big Chico Creek Estates
(location)
BU ILD ING PERMIT NO . ���'i� ,��� A. P.- NO.
THE FOLLOWING HAVE BEEN INSTALLED AS -PER APPROVED PLANS
R' (Check each item or write N/A if not applicable)
INSULATION:
Slab Edge
Fdn. Walls
Floors N/A
Walls R13
Ceiling/Roof R3n
Ducts�S
Circulating Pipes
APPROVED HEATER
APPROVED WTR. HTR. `- is
GLAZING:
Single Glazed m11
Special (Insulated) "":
CERT. & LABELED WDS.
& SLIDING DRS.. acs
WEATHERSTRIPPED DRS. S
BACK DAMPERED FANS S
INTERMITTENT IGNITION DEVICES �� S
CERT. APPLIANCES
I DECLARE THAT ALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name Loerke Insulation Co.
Signature of
(please,, rint
Insulation Applicator
State C ntractors
License No. 432518
General Contractor/Owner Name �rc �iL`( W 9 u'(_ -i_ Y
(please print)
Signature of
General Contractor/Owner Date
State Contractors
License No.
THIS CERT IF ICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
COUNTY OF .BUTTE - DEPAR-TMENT OFPUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovilfe, Califtrnia 95965 - Telephone 916/534-4541
:APPLICATION"AND PERMIT .
•
ASSESSPR PARCEL NUM
ZONING
BUILDING PERMIT
0WVU-
TELEPHONE
SQ. FT..OCC., - BUILDING VALUATION
®
O d
OWNER'S MAILING ADDRESS - -
CONT R CT N ME
TELEPH. E
A�
CONT/ faCTOR' 7- LINfp_ADDRES,s^ ✓ ^l tlE l/ �W V 1:
G4i .C?' //'1f�AyT/,/7,.JJN/7 (L`-
Fireplace 114,46-1�0Qr00
CONSTRUCTION LENDER- - -
'UNKNOWN
;.-Total Valuation �
7 ,00
' Filing Fee -
@
.$ 10.00
LENDER'S MAILING A DRESS
Permit'Fee
$ u.
ARCHITECT OR ENGINE' -
"
LI,CENSE_N O.
Plan Checking Fee
$
$
'ARCHITECT OR ENGINEER'S MAILING ADDRESS —Penalty.
Permit fee
$
BUILDING ADDRESS- .
7� 8 E' j./1 00 : i� .:
PL' UMBING' PERMIT •
Filing Fee 10.00
Each Trap
2.00 ."
Solar Water Heater
20.00
dAro '
Water piping-
5:00 .
,LOT N
SUBDIVISION N E ''••�
PA�j' CE -L MAP
; /��
Each gas-water..heater or vent
,
- 5.00 lily
Gas piping system"I - 5 outlets
5.00 p
USE OF STRUCTURE
SF L� Duplex F-1Mobi lehome ❑ Other
• SPECIFY
',Building sewer
5.00 1 t
Mobile Home S G W
0.00'e
r%� K C.r:es
�0
TYPE OF WORK
New [: Addition ❑ . `� R//emodel Uti I�j'ties Installation ❑ Other ❑
Describe work: �"C"S%�`3�7 ._7
Penult Fee `
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
00V OR Main service 100 AMP LES
10.00 10,00
•
Main service ADD -L, 100 AMP
�V
2.50Is
(EA.
NEW CONST..DWELING
OR ACDNS. ACCLBLDGS.0
21/20sgft 6VSCJ -
-
CONTRACTORS LICENSE LAW
'
I declare. er penalty of perjury (check one):
'
I am' licensed under provisions of Chapt. 9, Div. 3' of the Business
and Professio s ode ffd my license is in ful 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
NE w CONSTR, TI.OUTLET
NON.R ESID BRANCH CIRC S.
2.'50 ea
NEW CONSTR (/ POWER APPARATUS &;
NON.RESID. •ISINGLE OUTLET CIR.
Zo®eoe
OR FIXTURES BALE 30
Ex. Occup(OUXED
A
FIXED APP LNS. OR
Ex. Occup. OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00.
Mobile Home facilities 15.00
Misc. Wiring 15.00,"
Permit Fee $
Contractor
MECHANIC L PERMIT-
' Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ Theit. is for $100.00 (valuation) or less.
have•placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
Gshall 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 4B 0
C0-0,
MAL— pA �-
Cooling
ipcCC7
Hood
Hood
3.00 U
Ventilation
permit Fee
$
Contractor''
I chat I have read this application and -state that the above information
is ertify tcorrect: .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.
also agree to s indemnify and keep harmless the County of. Butte against
I •liabiliti s, ju ents, costs, and expenses which may in any way accrue
t sai Cont n consequence of the granting of this permit. , q
X �Ag.nlf_] �1V—®/J
Signet of A liceiit — Owner Contractor
An OSH permi is required for excavations over5'0" deep and demolition or:construct-
ion of str tures over'3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ S;O ,
OCCUP. GROUP
_3
TYPE OF ON ST.
F
PARC
P
HD ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated aboJe for which
DIRECTOR O UBLIC
In
B
y'
PE T EXPIRES Date.
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date 6—z3-1_3
�•' ��—
C
Receipt. NO. �D J
WHITE-D.P.W. , YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
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NOTA: --All Materials & Workmanship Shall Be in This set. of plans and specifications MUST be
Accordance with. Recognized Good Practices and kept on the job at all times and it is unlawful to
z make any changes or alter tions on same with -
of a quality prescribed for the Specified use in the
out written permission from the Department of
Uniform Building, Plumbing & Mechanicalr-brks C
')hd the-Nat3onai ' o --
'00 GYM �. �fj i ounty of B� tte.
to -0
(--=12 -' Cab,1, coE_.. 144L
I
1
I See Mesier�P an on fif e f r b_uildi
-3: J plans.
A setback of 5 ft. fro e 8.
'property lines and a st� c ; a
of 50ft. from the road_ _ _ .__ly
ncenterline shall be clear
-structures or equipment Apt
for a 2 ft..eave overhanc.
AftOF
cu�a�
�
Au.IOU
IF
44'
.., Q0° loot
L_ Co4,r-r�� BUTTE COU TY
P WWI
QIN G DEPARTMEN"
P OVER