HomeMy WebLinkAbout047-480-021'A48-21
A
A.0.T DAN GROTTY ZA Oq
Z;ARR-_G-7-
1 �® 1
N/S Donald Dr
cu de -sac at /en 51
mi off Sj`SK-e
,Sfer Rd, Chico
Permit#2886-8j"B,P,E,M(new single family:
47-48-21
t��766-84M(add'l mech/2886-83)
E d na
mi
n
Contr: Sunshine Po
P �erm. "128
_t 'P
ermit#128 P,E(Rew r t
as
47-48-21
257 Donald Drive,, Chico Final
arefr-ee.. Pools_ - .4
3 quolp 1
ntr-iCl 41-85B,P,E(new private pool)
ermit i
047-480-021 03-1178
CROTTY,
257 DONALD DRIVE, CHICO
Cont: SEARS HOME
VINYL SIDING/SF
I
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
7 County Center Drive • Oroville, California 95965 • Telephone (530) 538-75Ng g PE MIT NO.
(Rev. 12/96) APPLICATIONAND PERMIT ��`j� 78�
ASSESSOR PARCEL NUMBER-•llO ��/
l/J�
ZONING
BUILDINGPERMIT
°�
} J
,�;
SO. FT. OCC. BUILDING VALUATION
. OWIJER�MNG ADD SS
lI
CgPlT� ri NAME V, ► 1 U w ` /&
r[J 1
ny
T4//
% ECONTRACTORSMAILING
CONTRACTORSADDRESS
2y3 IF. i4� L�'✓erm ��S.Sa
CONSTRUCTION LENDER
Fireplace
LENDER'S MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee $ 20.00
Permit Fee $ `nch -
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee $
BUILDING DRESS
19 } �O� Q� �
Energy Plan Checking Fee $
$
�7
/�G - LO -/ 3
PERMIT FEE $
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT Fling Fee 20.00
USEOFSTRUCTURE
SF Duplex ❑ Mobilehome ❑ Other
SPECIFY
Each Trap 7.00
Solar or heat pump water heater 23.00
Water piping 15.00
Each as water heater or vent 15.00
TYPE OF WORK �C°
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other JICyllB
I
Describe Work: Iel ii./ / Si di/'�I �i (�iGi�' wood
rLza on / — winD 0Q ho,. iy
Gas piping stem 1 - 5 outlets 15.00
Building sewer 15.00
Mobile Home S G W @20.00
PERMIT FEE $
ELECTRICAL PERMIT Filing Fee 20.00
Main Service z*OA OR LESS 23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license iS ' full force and effect. p�
License Class a C Lic. No. �,*/,3 /
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.
❑ 1, 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 TO IOCU00A 46.00
NEW CONST. DWEWNO OCCUP.� SQSO.
W:
Fr.
OR oNST. (
MULTI -OUTLET
NON.RESID. @7.50
POWER APPARATUS
& SINGLE OUTLET CIR.
Ex. Occup. OUTLET OR FDrTURES 6AL @ I. 0
Ex. Occup. pFU7�TS pap°EA 1 5.00
Temporary Service 1 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 th.e 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' cprrtpens ti insurance an policy number are:
Carrier L /
MECHANICAL PERMIT Fling Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEE $
Policy Number LQC.2 cc4/ 0017 a N !j 03 Z
(The above sections need not be completed if the permit is for work of a valuation
of one hundred dollars ($100) or less.)
❑ 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those Isions.
-1, �Z r o
X a e `7
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 $
�.2A.
FEES IMP
FLOOD
CDF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provisions
of the Butte County Code and/or Resolutions to do work
indicated a ove for whic es have been paid.
By %% " Date -
PERMIT EXPIRES ON
I Dere
ReceiptNo.
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT
PERMIT NO. 1341�85u v ti
PERMIT EXPIRES 516/85
OWNER DAN CROTTY
CONTR. CARE FREE POOLS
ASSESSOR PARCEL 67-48-21
LOCATION 257 Donald Dr.,, Chico
t
k •
1.
r
jc
,twk
n�2. •
F
� 1
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Se
Called PC
JOB FINALEI
Signature
ti
0 = Not OK '
= Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
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 H's
1. Zoning Requirements -Setbacks -.Easements
2, Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Location -Test -Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rig.-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. Elec.
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
MOBILEHOME INSTALLATION (Plans) OK except q's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI Date
POOLS (PI ' OK except N's
1 et ks-GasamePt6-
2. Footings; Size -Spacing -Marriage Line
iI ; ompas+Kn_-Structute-St&ility
3. Gas; MH Test -Demand -Valve -Connector
ool Structure-Connect-ions-Thio&w_&s=Dead-Mea Liwng
4. Electricity; MH Test -Crossovers -Breakers -Clearances
lac.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
a ool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/O to Grade -HD Approval
G
lec.; Enclosur ; Conduit Entries -Terminals -Listed
; B ing; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
fi/ olec.;
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
e r m t Approval
AV,-,15,umb; Cir. T9.4 -Water Supply Test
i
Card B-1
Date Card -BI Date
"t -.. Card -BI Date
Card -BI. Da
Card B -I
Date Card -BI Date
Card -BI
ate/_/Z_ Card -BI Date O-
00—tY4 5-
f - t�
V = OK
0 = Not OK
- = Not AWoplicable RESIDENTIAL (Single and Duplex)
= Not Ready
Date
UNDERFLOOR Plans OK exce t#'s
Date
FRAMING (Continued)
1. Zoning requirements -Setbacks -Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
4.
Ftg., Porches & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5.
Stemwalls, Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -Nailing -Veneer
6. Stemwalls, Garage; Steel -B lockouts -Wrapped -S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underfir. Access
7.
Piers -Fireplace Ftg.-Steel
54.
Glazing Area -Glass Protection -Skylights -Plastic
8. D.W.V.: Fall -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
Card -BI Date Card -BI Date
Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
15. Water Pipe; Test & Anchors -Nail Protection
56.
57.
58.
Ext. Steps -Door & Sidelight Protection -Landings
Smoke Detector
Furnace; Vents -Clearance -Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
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 q's
67.
68.
Garage Fire Door; Swing -Landing -Closer
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 Spacing -Lights &Switches at Doors
22.
Size Boxes & No. of Conductors -Stapled
70.
Plb., Elec. &Mech. Equip. Listed for Location
23.
Romex Installed Close to Edge of Studs & C.J.
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
24.
Equip. Ground made up w/Mech. Fasteners -Bond Gas & Water
72.
Insulation -Foam -Looked in Attic E] Yes
25.
2 Appliance Circuits in Kitchen & Conductor Size
Guard Rails &Deck Construction -Post Caps
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or At
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or At,
Insulated Neutral [--]Yes❑No
75.
Following instld.: Drive El Yes ❑ No; Walks (-)Yes ❑ No;
Planters El Yes E] No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77,
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to 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 q's
83.
84.
Corrections from Previous Inspections
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
85.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
33.
Vent Fan; Exhaust above Insulation
Condensate Drain & Overflow; Size & Grade
86,
Energy Compliance Certificate -Other Certificates
34.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card BI Date
Card -BI
Date Card -BI Date
Date
FRAMING Plans OK except q's
36. Sills; Proper Material & Anchors
Comments at Final:
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
43.
44.
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties- Purlin -Roof Brac.-Truss-Sh_thng_._-Rfn_g_._ _
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46.
47.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
Garage Fire Protect ipriframin9
(NOTE:Anentrymust be made each time youvisit jobsite)
yCOUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891'=2751 ' ;-
1
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Cl�-1
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
i
J'
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
vz 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIle — Phone: 5344541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
rW">'71"I - & /(,l jl i-
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 nee dditional explanation, please contact this office immediately.
LLo r% Ic-IA- 2 i C/fes
J�
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Orcville, California 95965 - Telephone 916/534-4541
APPLICATION ANDIPERMIT
PERMIT NO.
ASSES OR PARCE UMOBEER
2
ZOI�IN —
S
BUILDING PERMIT
OWNER
LEPH
IIe_ NE
Cry
I q-
SQ. FT., OCC. BUILDING
VALUATION
O`
OWNER'75MAILING A DRES
g7 / v
p
CONTRACT SHAME
a- f'o-ark
TELEPHONE
- z- 6
CONTRACTOR'S MAILING ADpRE
16 -&q C"
Fireplace
CONSTRUC rION LENDER
UNKNOWN
Total Valuation Is
00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ Iff a
ARCHITECT OR ENGI
LICENSE NO.
Plan Checking Fee
$ t
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 177.Sb
BUILDING ADDRESS h r^
`..L1� eCJ -/
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Each qas water heater or vent
5.00 S. vv
Gas piping system 1 - 5 outlets
5.00 Cj , 00
USE OF STRUCTURE
SF � Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S " G W
10.00 e
TYPE OF WORK
New ❑ Addition ❑ Remo el ❑ Uti liti s ❑ Installation ❑ Other [✓r
Describe work: —
Permit Fee
$ QQ
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service sOOV OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST, DWELLING OCCUP.&
OR ADDNS. ( ACC. BLOGS.
21/2Qsgft
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.
TT fir`
License No. 3� Act C_ 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 CONSTR. MULTI -CUTLET 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR ( POWER APPARATUS &)
NON.RESID. SINGLE OUTLET CIR.
20@50e
Ex. Occup(o OR FIXTURES SAL®ao
FIXED A
FIXED APP LHS, OR
EX. OCCUp- OUTLETS (RESID.) EA.1 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 , 00
Permit Fee $ 2
Contractor
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
ui 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.
MECHANICAL PERMIT
FiIingFee 10.00
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 to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai sa�idQCoou conse uence of the granting of this permit.
X ��C�-CDate �i�
Signature of Applicant - Owner ❑ Contractor Q Agent ❑
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories infheight.
Mobile Home Installation Fee $
w ��'�
TOTAL PERMIT FEE $ ` 1
OCCUP. GROUP
TYPE OF CONST.PARCEL
_II
PD
H�
SSDE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
Dl TOR PUBLIC
d
BY
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date —16
Receipt No. J
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
k
y�
0
i
�-
PERMIT NO. _ 2886-83B,P,]',M
PERMIT EXPIRES
OWNER MARGOT & DAN CROTTY
CONTR. owner
ASSESSOR PARCEL 47-48-'21
LOCATION N/s cul de sac at E/end Donald Dr.-
' 6/10 mi off S/S Keefer Rd, Chico
� �s
OFFICE OPY
•t
Address�/J
GAS
y„� r Meter B Date
It ELEC
'I'I Meter DatlQ--kv
It
i
;} OFFICE COPY /
Address �G( �6A�G /u/
GAS
� Meter Da ffOO _p—
n ELECTRIC
+ j Meter By a e
s Temp- Power Pole
1�
Called PG&E
Temp. Elec. Servi
Called PG&E
Temp. Gas Servici
.s;,.
Cal led PG&E
4`
JOB FINALED (Date) 7
Signatur _.
4
t
J = OK'•" 'a
0 = Not OK >,
- = Not Applicable MOBILEHOMES
= Not Ready
• r•• Ilk
� , '!
MISCELLANEOUS
Date
•
MOBILEHOME UTILITIES (Plans) OK except b'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/0—Concrete
3. Decks; Girders and/or Joists—Decking—Bracing-Stairs—Rails
4. Water; Location—Test—Easement Needed (Sketch)
4. Wood Awn.; Posts— Beams—Rftrs.—Connec.—Shthg.—Rfg.—Bracing
5. Electricity; Location—Clearances—Grnd.—/ / Amp—Concrete
5. Alum. Awn.; Columns—Connections—Splice—Decal—Enclosures
6. Gas; Location--Test—Wrap:/ /"L" ft./ /"Nat. or/ /"L'Yt./ /"LPG
6. Carports; Windows—Doors
7. Utility Clearance
7. Elec. w) -
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI -Date
Card -BI
Date
Date Card -81 Date t
MOBILEHOME INSTALLATION (Plans) OK except N's
1. Zoning Requirements—Setbacks—Easements
Card -BI
Date
Date Card -BI Date
POOLS (Plans) OK except k'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/O to Grade—HD Approval
,
7, Elec.; Bonding; Metal w/5'—Circulating Equipment—Heater,
8. Gas and Electricity Tagged t
8. Elec.; Grounding; Equip. w/5'—Circulating Equip.—Pool'Ughtg.
Boxes— Enc losures— Pane lboards—Ins. to Main in Conduit
9. Exits; Insp.—Sketch t
10. Cert. of Occupancy
9. Health Department Approval
10, Plumb; Cir. Test—Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
t
•1
\ t .
..1
0 Not -01t
- -- l)SdtApplitable RESIDENTIAL (Single and Duplex)
t -',Not Ready _ 0
A 1 i
Date
UNDE OORP s OK except q' e'eDate
FRAMING (Continued)
Z nine requirements -S s -E s_
4 s
.'
ain; §pt teel Ele rnd.- / /" Ftg. Depth
xI. Doors -0 -Check age-3re1•zlory�-2szRs £ '
tg., Garage; Fig. Depth
St '.rs; W' -He o is R -1-aggiss- 'r tEreleCtion
4. tg., Pohes &Dec s; Soils -Steel- / /'° Ftg. Depth
5 ywood on verh -Attica Vftts-Rafter Outriggers ?44
-7
Main; Blo s -Wrapped I'
Siding -N ng-Y�neef p/�
temwaIIs, Garage;
1 Firepl g.-SINeI�
_ Q.V.V.: I-Fi gs- st
flr. c f
lazing Area -Gla rotection-S - c
Shea Is; Nailing -Bolts
ljWater Pipe; T -A ors-RetJMor vi
Q _
lectri ; Underground O d ' ZW
s; Cleara ce-Mkertlr-S r
��
$j{J�Ancttp�olts-Jeisfs-Cripploe/
Card -BI Datey-:; 6� Card -BI Date
Card -BI Date Z,7, i Card BI Date
Card -BI Dat Card -BI Date
Card -BI
Date Card -BI ^ Date
Date FINAL (Plans) OK except q's
Card -BI Date Card -BI & Date//-'
Date
/fLjf� ��-A-
PLUMBING (Permit) OK except q's /Z - Y �/
r HL: V -A s -Com it
!,�/E"xt. Steps-oor & Sidelight Protection -Landings
moke DetecDtor
n
ater Pipe;T Arm_ ail-
�n
Pan first Floor -Tub A
A -;W flub ae5-
P%6-, Si e & Anchors
edr om Exiting
F_I. & Bath Fixtures & Tower
ec. Trim & SW; -p rel; Breakee izes-l-as
airs & Rails
tre ce or-tseua; c •-����_u
c. Outlets at Wood Panel; JW -& Extf
Card BI
Date - —Cj/ Card -BI Date T �% �(LI
nce; - -Coo '
Card -BI
l Date 7 � Card -BI Date���
Elec. & Receptacles at K&W<ount294664
Date
ELE RICAL Permit OK except 's
Garage Fire Door; Swing -Landing o
r
'
Fi e & Tr nce-Ins P ection
L201----
�i:c. Receptacles Spacing -Lights & Sws�etrtr'at Doors.
-WrHtr.; V -C'e a -C atb-. Air-CaCaectorJ*P-R.V.-
In Garage; Above SdnsF-Mec1�.Protection
W6 -PIT. -Elec. &Mech. Equip. Listed for Location.
2 e Boxes & No. of Conductors -S
,
Receptacles in Garage; (G.F.I.)-Rort�Y�r4t c. j
2 mex Installed Close to Edge of Studs & C
ugs C.J.
Vic
---
quip. Ground made up w/Mech: Fasteners-
sulation-F,pam-Looked in Attic t�
-
uard Rails & Decljerrstruction-P ps
-
2 Circuits in Kitchen & Conductor Size
Fdn. jests-& Cr ole Do na e & oo ,Earth Clearance
ked under Floor eC='Ms
Fo owing i d.: Drive es No;`Walks es ❑ No;.
anters 4W.Re ,EJ No
feed it
a(j�3ubfeed Wire Size / ga. Gyxr AI-A.C. Wire Size / / ga. Cu er+t4i
J Circ. / / g . Cu tec-Jtt-Oven Circ. / / ga. Cu orfl+,
—_ Insulated Neutral ZY s ❑No
_ 2 r ice -R4% r^ dur-L= Gr ain 04et-tsnnect
-- ---
_quip. Clearances: PMot�—p.
A.C. Unit is nnec CI-Bdccr6'Cond�ize-115 et
-
7 ents Above Roof; P - p ce-Fi .-Clearan�.Opngs:-
Clothes Closet Light Shy' ';ht
----------- --
------------------
Card B-I�
Card B-1
--------- -----
-----.---erior
Dat Card -BI Date -- --_-
Date3�r�&:�Z Card -BI Date
7aw�Viirater Well; DisconQoet-Ele-etricai_PkmW&ing
Elec. Trim; G.F.I. Receptacle-UndereJr>SGnd
l�tilation throughout House
lass Protection
Date
MECH CAL (Permit) OK except N's
888 at ectiems f .. -Previous Inspections
Gas st-Meters Tagged; Gas-Electri
Z
1'
L
3 ._Ducts: Insulation & Support �� /�
en) Fan;_Exhaust above Insulation
m � _— -
C1�/'� ensate Drain Overilow; Size & Grade
Furnace-, at, s-Cont;..Afi--Retunir Vent-1151L--eQflet
'X ewer 9erttt�dted-C/O t ade-HD Approval
Energy Compliance Certificate -Other Certificates
Card -BI
Card -BI
tlic Access & Platform if Furnace in Attic
- - ---- - -- ---- -------------------- -
DatJ �'y' Card -BI Date
-".P-
SST -- --- -
Dat Zr Card -BI Date
Card -BI vJr, Date Card -BI Date
Card -BI Date Card -BI Date
Card -BI Date Card -BI Date
Date
FRAMING(Plans) OK except q's
Comments at Final:
-zi
Z /angers-Poh.�s-AnchoFs-Conaaetors
/arage
Sills; Proper Material & Anchors_ � _
Walls: Studs- ak't'ng, 4ap< & Bing- s -Sound
36� ng Walls over Girders & Floor_Nailin_g__
Draft Stop in Walls (rat proof) -
--
4 __ ire Stops; Furred Ceilings-
Header & Beam -Size &
Ing. Joist-Ritr,-Purlin o ac. Sht -Rf
Fire es or T,i�'e-Firepl trdaN/ Z_--
Attio Romexdelotection-DraU-S4el5'--Ins. Baffles
441 tidrm. Windows or Exiting Doors -Sill H_g_t. & Dimensions -
Fire Protection Framing
%� Zig) 4e-
✓ _
- -
(NOTE: An entry must be made each time you visit jobsite)
R:;SIDr:NIIAL ENERGY 1'IAN CRECY/INSPECTION SUIMARY FORM I
O:mrc , _2ep!i�� C G1//� _ _ Climate Zone �� Permit No.y%����i��._J
Floor Area
Compliance path: Package ❑ A ❑ B ❑ C Y�Point, System ❑ budget ❑ Other
MIN R-VALUE DESCRIPTION
REQ'D
INSTALLED ITEMS (1) INSUI ATION ;
_ Roof/Ceili_ng
=a Wall./ Cl Slab Floor Perimeter
J?0,,i3 ('3' Raised Floor 4/
(2) INFILTRATION:
__ ❑ (A) A vapor barrier is required in climate zones, 1, 14 & 16.
(B).All manufactured wir-d.ows and sliding glass doors shall meet the
1972 ANSI Air Infiltration Standards and shall be certified and
labeled.
[[� (c) All swinging doors acid windocas l; ceding to unconditional area;
shall be fully weattierstripped.
Tight - the above standard features plus:'���
[] (D) Continuous infiltration barrier
Lb1G DEPART
❑ (E) Electrical outlet plate gasket _
13 F Air-to-air heat exchanger �A~ P R 0 V F
(3) GLAZING:
(A) Location
Area Glazing .%Floor Area Single Double Triple
_ ( Total Bldg . _ _%��
s---
Ir � North
�r [ East i
/I [� South
io West'
❑ Skylights
(B) Shading.
Shading
Coefficient: Description
_ ❑ East
South
West
Skylights _
(C) South Overhang
Length of projection _ft. Description
❑ (D) Moveable insulation: Area ftZ Description
(E) Thermal mass
❑ Type _ - Area Ft.2 HC= R=
IIC= Location _
❑ Type _ - Area Ft.2 HC= R=
MC= Location
[j Type - Area Ft.2 HC= R=
MC= Location
❑ Type - Area Ft. HC= R=
MC= Location
❑. Type - Area Ft.2 HC= R=
MC= Location
❑ Type _ _ Area Ft. 11C= R=
MC= Locution
7/83
C
N
U
LOP 'M
(4) MASONRY AND FACTORY -BUILT FIREPLACES shall be equipped with tight
fitting closeable metal or glass doors covering the entire opening
of the firebox; a combusion air intake equipped with a readily
accessible, openable, and tight fitting damper to draw air from the
outside of the building; and a tight fitting flue damper with a
readily accessible control.
l(5) 11EAT7NG �VENTIIATING_, AIR CONDITIONING SYSTEM
(A) Heating
Central Gas Furnace �`L, %
(brand. and model umber) f
1Wt� :Btu/hr tif,{0'i�tf� 6/)/``,�)ri.( l/'� l�cCr
(heating capacity)
• Heat Pump _ 7
(brand and model nurrtber)
btu/fir
(heating capacity at 47°F)
Active Solar
ACOP
" type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
.
orientation collector tilt rated y -intercept
rated slope
❑
Other
(describe)
*1
(B)
Cooling ,
_
❑
Electric Air Conditioner
(brand and model number) (seascnalEER)
'
Btu/hr •,$'�ci�j �lJ7�f '�,� G .' r ��.t� /� Yom'
(cooling capacity at 950F)J:
.Sif— /'
Q
Electric Heat Pump
EER
6'J, d Btu/hr
(cooling capacity at 95°F)
❑
Other
(describe)
—
(C)
A TWO-STAGE THE&MOSTAT, which controls the supplementary heat on
its second stage, shall be required for heat pumps.
❑
(D),AN
AUTOMATIC SETBACK :hall be provided for all thermostats, except
those controlling heat pumps.
i
(E)
AN INTERMITTENT IGNITION DEVICE shall be provided for all gas -Bred
fan type central furnaces, gas-fired fan type wall furnaces and
-
gas cooking appliances.
(F)
BACKDRAFT DAMPERS shall be provided for all fan systems exhausting
air to the outside.
�J
(G)
DUCT CONSTRUCTION & UNSULATION. All transverse duct, plenum, and
/
fitting joints shall be sealed with pressure sensitive tape or
mastic to prevent air loss and shall be insulated to conform to
the provisions of Section 1005 of the UMC, 1976 Edition.
3 U.t/dsK%id 4ce�
7/83
Q
*2
Ii lit v
(6) DOMESTIC WAS•ER SYSTEM
(A) Gas Only _ Gallons
(brand and.model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
+ (tank size)
Active Solar. _
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
2
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
.Location of Solar Panels
Other
(Describe)
(B) TANK INSULATION. Storage type water heaters. and storage and
backup tanks for'solar.systems shall be externally wrapped with
R-12 insulation or greater.
(C) PIPE INSULATION. The five feet of pipe closest to the water
heater and outside conditioned space shall be insulated with a
minimum of R-3. Steam and steam conditioned space shall be
insulated with a minimum of R-3. Steam and steam condensation
return piping and recirculating hot water piping outside the
building envelope shall be insulated in accordance with
T20 -1408(d).
(D) FLOW RESTRICTORS shall be provided for showerheads and faucets
as outlined in the new appliance efficiency standards and shall
be certified to the Energy Commission.
(7) LIGHTING
(A) Lamps used in luminaries for general lighting in kitchens and
bathrooms shall have an efficacy of not less than 25 lumens per
watt (usually florescent).
*1 Submit documentation of'sizing heating and cooling equipment by Manual J, sizing
charts (form #4) or other approved methods; section 2-5352(g), and fill out the
following:
001, 4-
Heating: Winter design temperature a 0, elevation , heating load BTU -
elevation factor x heating load = maximum outlet capacity gas.furnace
BTU
Cooling: Summer design temperature cooling cooling load BTU
161 Q
*2 Submit T.I.P.S.E. chart or other approved system (form #5) to document sizing of
solar panels.
DESIGN COMPLIANCE STATEM1,NT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
7/83
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
3
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CER I F I GATE" 0 'F0:_-,R,,'M -A"'N' C E
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-C, T
UNDERS16NELY:, UX -A,' Y R. IFIES
that the produc '�fied.6elow and oriiitach
marked'
ts ident
with the Collective Mark of the AM E R I.CAN - .1 NSTI TW TE" F -TI "Wbi"dONSTRUCT-l'ON (AITCY
foe'..
and were manufactured in, con maric , W,fi al)PI e :provisio0k?bf.*!`U_S' Oi6du�t"Standaicl
cj�
PS 56-73, for Structural GIU d L nati'd b 1 7 `h R." `fi` '6:'
a.mi !nl er;�-:ah V at�suc xnariU: as 6 at our p ant in.
t' Mi a t cOntro Wste m approved b
Drain,,' OR'
.�p ib 1 y
T'l-MBE;R'.-.-O.NST.RUCTION:',ain8 inipecied
the Inspection Bureau of the AMERICAN"
,.I.NS',,,
t
u
Bur d "61ij t 4'-W-ork has beon
periodically by such ea" The. uhdersigne rna�i�x,.. theei.--te,
e n
done in accordancewilh't�'.-applicabl pec
r. an' abejc'
The manufacture 'of these members" complies. with,,. a ac. Uri d." ating _eovisions,.bf
:'T A
Chapter 25 of the Unif0im.Building.code."'
k 7%
JOB NAME: Sequoia Supply Fdr t06
4�
CA
JOB LOCATION: Fairf ield',*
'S,ORDEA.NW:,
CUSTOM E R'S 0 R 0 E R NO. __�_Po
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7,�
2 4F—V4, Glue Ardh�
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SIGNATURE AN?'
TITLE -
917
Quality r-oht Ann'A'rw ��'Bo. -_29, mA
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"666-- t!"i
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TC HEB Y.; ',. E / -
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p p ant eld". Y."the
4 - -r..:!
AM E R I CAN �'�N.T 'mTE`0E- T' M B ER -CONST !Fi Ubf1do' ],i6.'Usd.tfi6 AVVC`�,Cokdtive Mark; -in re§pecf �` f
0
co iijhd�rd: 54t
prodLicts'.vv'hi. ply: With -applic�bl*e",'P'*"r"Ovisions,.,o i�,k -;'�t'h .-Ne.,adeou6ty'�o, thp qua'i y
Insp*e"cti*0'n'. Bu'reauof
control'sys�ie�m in' 'effect ai.-iii�d'151 ' an tis�.periooicil[V-jns�oq -4h,6'
by� - .;`
'th e Aj%E R I CAN 1 N ST I T U T E: OF -T I M' BE R,`tOWST h d'thaA;;�-%"- t h. nt-o �the-under-
g-.Iu gene
testing provisions!of
signed, said.company is capable of cp.r60Iying;,Witht4'
-pro ui
said -�tancla*rd in re,spe f� d -,fmance witfi.ft'.;SUnclardlih
ct �o jr
ny ei "Solle'. resj e..rmhu 'C
i,;. respect of a' specific' oe, par ticu lae'.. ptoduct is" th I ai:,tdrer;,-AIT -'s
7 F
.....,guarantee hereunder,being,Aat-th(' odwo'43'Woc uct;--rheOting t e -sat
i'd:-�I66inpfnyj�.qiAii. -b �pr
je&;t
"Stan
dard and, that u, t' en
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Executive Yjcv.P�AShjb!!1
V
0 AMER1 S_VJTUTEN;F��T,
- - . I.0 �r, I Ni' 0�1� CONSTRUCTION
AITC FORM IBCA
Owner, • DaAj Permit No. C-SY6 -- 2
ENERGY CERT IF ICAT ION
.25 7 DQAa LY 0 "17— 9T 2 -
LOCATION A. P. No.
DESCRIPTION OF INSULATION
ROOF'
Material (?ONCILriTE "%/C)F- Brand Name L/FC71ZC Ch-(- T/Gr-
Thickness(inches) Thermal Resistance (R Value)
EXTERIOR WALL
Material F13&1ZG C/fSS Brand Name F/36--LG'64-S
Thickness(inches) �� Thermal Resistance(R
,Value) oValue) ) 9
CEILING CeR! 'r41111 r,646D
Batt or Blanket Type GATT' c6 C- Brand Name F113"11'14SS FOIL
Th ickness(inches) ;2^'flK00/&j10// — Therm-l-Resist-ance(R Value) 3 Q
Loose Fill Type JAA PLoolL • —_Brand Name-- SfMnf kS /V60yg dZ 11
Minimum Thickness(Inches) Number of Bags ---Wt. per bag lb.
Area covered(ft.2) Thermal Resistance(R Value)
FLOOR, ELEVATED
Material F 18&2&' &4 -SS F 01 L
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
FOUNDATION WALL
Material
Thickness(inches)
C�2�i�in!`Zc�1�
Brand Name F i8rti/_ GC4 SS r -Of L
Thermal Resistance.(R Value)_
Brand Name
Thermal Resistance(R Value)
Brand Name
Thermal Resistance(R Value)
IVcoinfo
hereby certify that -the above insulation was installed in the above building
nce wi the State of California Energy. Requirements.
F NAME/O R STATE CONTRACTOR'S LICENSE NO.
,S G 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.
J"o ,EPH bA V/CL ceoLx
FIRM NAME/0 R (Please print) STATE CONTRACTOR'S LICENSE NO.
6XIGNAttRE OF gBNERAL GONTRVTORJOWNER 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
DE.QARTME'NT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-45411 ?7
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 67
. CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
wh n correction of work is completed. It. you have any question pertaining to this
m7tter, -or need additional explanation, please contact this office immediately.
( •�•�:/f�f GAS /i /J/ ✓4 / /G✓li/�
a✓— �fu�0 r G12�/Uc
i,/ FX /L r s
Inspector___ Date ! 6 —Y/I/
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS z
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534A541
Skyway and Elliott Road, Paradise -- Phone: 872-2961, Ext. 57
CORRECTION NOTICE
9 6, P-3
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
Otter, or need additional explanation, please contact this office immediately.
Inspector____ Date_ / b''X�� __
--
( /1
1-9
-2�=-
Inspector____ Date_ / b''X�� __
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
,10-1;;r
Inspector_" ' Date
1
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS'
-196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534A541
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER/ PE
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.
v
Fol
# a ltG!
Inspector_ Date
7�& ----
r
I'
s COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
i 196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matterQwneedditlonal explanation, please contact this office immediately.
/.. (� d�ai n
@VTT�
ME4GE
._ o 0
T 0
M Sar l -ear e Pz _ ►-
OF
DAT EE 7�ME�
J
P� ^ �
� t)-7 / .,
I Telephoned
Please Call
n Was In
Returned Call
n Will Call Again
n Wants to See You
Information
Note and
U Reply
Comment
U Re-route
U Signature
Investigate
U Return
Approval
Ll Contact Me
U File
U Forwarded
Per Request
MESSAGE: I i���cC,(�/ I ✓i�j�l�YJ .
By
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
.r 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.
/
S
.--Fv (/41 d Lig- u�
4
%aQs7iG 'La 7' d
L-3
Inspector �� lire/�/i,� Date 7
---
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
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
�t-
v
0
InspectoY� Date
�l
3
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 correctio f work is completed. if you have any question pertaining to this
matter, o, ed additional explanation, please contact this office Immediately.
/
Inspector '�y� �''� Date � �
C
COUNTY OF BUTTE
!DEPARTMENT OF PUBLIC WORKS '
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 5344541
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. r need additional explanation, please contact this office immediately.
M
//, ._. �F, ,... �rcr.,�, /l�.• .,, c . , , is � .��
Dal
y
�rJ 57a' ,/(f ZZ,
Inspector / Date -7 r.
i
�. COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS / L
1.96 Memorial Way, Chico — Phone: 891-2751 1a /41
7 County Center Drive, Oroville -- Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
oe�1 .7
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
atter or need additional explanation, please contact this office immediately.
Aim
oliz
'�U„Lis .� ✓i 7 hS"�.c.� S//D/%,�A 7;..r,� /-�A,iis,i r
61
/> Srl >i.
y s /I e- r s ,/ r.. </s l ,2 !,, /�'�.. l s<. j
1f / I
�. ,vii// rr�7/3.� Fv/, /
Inspector Date. ✓ l� O "7
COUNTY OF BUTTE
DEPARTMENT OF PUBLICWORKS
496 Memorial Way, Chico — Phone: 891-2751 / v
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
z? -2: >jT6-��
OWNER PERMIT 70.
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
� Clneed additional explanation, please contact this office immediately.
n
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Inspector Date
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Inspector Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, OroviIIe — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Zm- 3�
0 N R PERMIT Nf
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
ma ter, or need additional explanation, please contact this office immediately.
Alr
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Inspector �IJG�/ !/`'1 /i. / Date C-/
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COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 5344541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
OWNER / y PERMIT NO.
A routine inspection indicat6sthat the following violatlZ of County Ordinance
exist at the above address and should be corrected. PIaVe notify this office
when correction of work is completed. If you have any des�ertaining to this
matt or need additional explanation, please Ael office immediately.
Inspector L/'� Date 3
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
v�rvrvcn PERMIT NI
�f,OFLTi,j,J p�v/
A routine ins ection indica s that -�:v;a followin violations ounty Ordinance
exist at a above address and should be correcte . 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.
11
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Inspector" Date
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
,f 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
— lljow&
Q
IIT 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 need additional explanation, please contact this office immediately.
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Inspector /1Date
i COUNTY OF BUTTE ' 3
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751 i f'
7 County Center Drive, Oroville — Phone: 5344541`f
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57 i..'
t
CORRECTION NOTICE'
OWNER PERMIT 130.
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.
0
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V
Inspector)//'''v/ G'v/'��1 Date
ti COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
_ 196 Memorial Way, Chico — Phone: 891-2751 ff
7 County Center Drive, Oroville — Phone: 534-4541��y£�
Skyway and Elliott Road, Paradise— Phone: 872-2961, Ext. 57
__. CORRECTION NOTICE
//D.vo Irl -1�e,
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
matt
�/00e r, or need additional explanation, please contact this office immediately.
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Inspector Date
v`r
y ; COUNTY OF BUTTE
s _ 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
h
1%
JNER/ PERMIT Ni
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. ]f you have any question pertaining to this
matter, or need additional explanation, please contact this office immediately.
G� G �5 S Gr d �f �i,�cd /�D�/.� l✓c �'� ®c /
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Inspector / , Date
COUNTY OF BUTTE
+ `+ DEPARTMENT OF PUBLIC WORKS
;1 196 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
iP� Thi 37 ; / -
OWNFR / — DMORAI
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
matte, or need additional explanation, please contact this office immediately.
01 6 �X /6 ..
��d
Inspector Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - OroviIIe, •CaIifornta 95965 - Telephone 916/534-4541
APPLICATION AND'PERMIT
PE MIT NO.
ASSESSOR PARCEL NUMBER
ZONI
BUILDING PERMIT
SQ. FT. OCC. BUILDING VALUATIO
OR
'
TEL PHONE
I✓
WNER'S AILI G ADDRE S
£ O
C N AC OR's NAME TELEPHONE
„_/
O
Z2 2 1,05C
/
ONTRA OR'S MAILING ADDRESS
Fireplac Dla 0,A4
CONSTRUCTION LENDER
UNKNOWN,
Total Valuation $ -147-
120
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCH TECT OR ENGIN ER
LIQ %SE NO.
..i ..i
Plan Checking Fee
$
Penalty �A1
$
ARCHITECT OR E,'N� I ER' MAILAD RESS
_710v8o(/� I /,T/%
Permit fee
$ .5-0
BUIL DI_tyG ADD ESS _
'
PLUMBING PERMIT
Filin Fee 10.00
9
P
Cum�O�ar, 161 V
Each Trap
2.00 00
Solar Water Heater
20.00
sr'lGies
Water piping
5.00 �Q�
LOT $0.
S
SUBDIVISION NAME
r
PARCEL MAP
_
Each qas water heater or vent
5.00 ,Q'Q
Gas piping system 1 - 5 outlets
5.00
USE 6F STRUCTURE
SF Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home S G W
10.00 e
-
TYPE OF WORK
New 8 Addition❑ Remodel❑ Utilities❑ Installation❑ Other❑
Describe work: —
Permit Fee
$ , (�
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00 /pO o
EA. ADD'L 100 AMP
Main serviceNEW
2.50 I
CONS
OR ADDNST C ACCLDWEBLD
2��ZQSgft
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 m license is in full force and effect.
y
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 CONSTR ULTI-OU L T
NON.RESID BRANCH CIRC ITS 2.50 ea
NEW CONSTR. POWER APPARATUS &
NON.RESID. SINGLE OUTLET CIR.
OR FIXTURES BAL®30
Ex. Occu / 2AL@30
P\o
A
FIXED APPLNS. OR `
FIXED
Ex. OCCUp. OUTLETS (RESID.) EA./ 2.00
Temporary service 10.00 Q, OC)
Mobile Home Facilities 15.00
Misc. Wiring 15.00
ermit Fe $ S�
Contractor
MECHANICAL PERMIT
FiIingFee 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 tO A#- 4—,.5—.o 6N L p
ua f
Cooling ZZ00
Hood
3.00 ,�Ou
Ventilation d
Z v
permit Fee $
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X 644/.&.e moi• �c,%z �.1
Date
Signature of Applicant — Owner El Contractor ❑ Agent'
An OSHA permit is required for excavations over 5'0" dee and demolit' n or construct-
ion of structures over 3 stories in h
Mobile Home Installation Fee $
TOT PER IT FEE $
occUg�GROUP
/�C)33/V/
TYPE OF pONST.
PARcyL
K�41S5UE
This permit is hereby issued under
Bions of the Butte County Code and/or
work indicated above for which
DIRE R OF PUBLIC
By l
IT EXPIRES Date
the applicable to do
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W., Y 0� NK -INSPECTOR, GOLD ROD-APPLI ANT
COUNTY OF BUTTE - DEPARTMENT'O'F PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENTER,DRIVE - OROVILLE, EA'LIFO`RNIA 95965 - TELEPHONE: 916/534-4541
OWNER
Proposed Building Use
Permit Fee Based Upon
PERMIT APPLICATION DATA SHEET
5/r`
—Complete Contract Price
Permit No. 1
v
A. P. No. >
.�� DPW Valuation
i� Other (Explain)
Building Inspector Date
When
At time of permit application, I was advised\t�heyfollowing data must be submitted prior to permit processing
and/or issuance: y DATE RECEIVED APPROVED
1.
All items have been submitted. . . . . . . . . . . .
2.
Plot plans in duplicate./triplicate. . . . . . . . . . .
3.
Complete plans in duplicate. /triplicate. . . . . . .
4.
Complete engineered plans and calcs. . . . . . - . . .
5.
Plans with Energy Design Compliance Statement. . . . . .
6.
State Energy Forms No.
7
Statement of Intent for Non -Heated and AC Buildings.
,8.
Fees of $ •
a-9._.Letter of signature authorization. . . . . . . . . . .
� .
Sanitation approval from C2Yz__� h Health Dept. . .
Planning approval for (A) Use: (B) Parking:
�11.
.
Certificate of Workmen's Compensation Insurance.
�j Contractor's License Information (no., name style, classif.) r
–
14.
Owner -Builder Verification (Given to owner, Mail to owner [P] )/"
.
15.
Improvements may be required . . . . . . . . . . . .
16.
Mobilehome Installation Data. . . . . . . . ..
17.
Pre-Inspec. request to 4�de4ed ate
Pre -Inspection for Required. Building Inspector (D
ep r
Other-
ther
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
a,+
Telephone &7 g4,79 and hold for pickup aV� l office. Deliver w/inspector.
Other
dd .�
Applicant�./(9AL-,o `y7'l/��_AAtb ate %i,ow.2%k
Copy of plans sent Health Dept., Fire Dept., --Other Date
During the plan checking process, the following data must be submitted prior to permit issuance.
(For required items not checked above at time of application, circle item:)
1. Index permit for above Items No. -
2. Additional items required:
�I
(Contractor, Designer, Owner) was advised of above required data by Telephone
Plans checked by / Date
Plans approved by Date
Other:
Copy—DPW
Mail Other
TO: Building Department <<
FROM: Environmental Health, Chico,
SUBJECT: Sanitation Clearance
71-1. /f �v-e
r Owner- Location , AP#�
Plan approved for: sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for T bedroom home. 'Other
r • s
Note***
Sanitarian- Date
Returnto DPW AGRICULTURAL STATEMENT OF ACKNOWLEDGEMENT
FOR RESIDENTIAL DEVELOPMENT
OFFIC!AL RECOF,::
Section 26-8.i of the Butte County Code requires this acknowledgement E;!JTTE
be recorded prior to issuance of a building permit.
PARTY SHOWN
The property described herein is adjacent to land or included AUG -23 9 10
within an area zoned for agricultural purposes, and residents of
this property may be subject to inconveniences or discomfort arising ELEANORM.iI�:E: i
P P Y Y J �LEJ�-RECCRUER
from the use of agricultural chemicals, including, but not.limited to her is es, FEE
pesticides,, and fertilizers; and from'the pursuit of agricultural operations including,
but not limited to,cultivation, plowing, spraying, pruning, and harvesting which occa-
sionally generate dust, smoke, noise, and odor. Butte County has established. agricul-
tural zones which have as a priority use for productive agricultural purposes, and
residents within said zones and on adjacent property should be prepare& to accept such
inconvenience or discomfort from normal, necessary farm operations.
All that real'property situate in the County of Butte, State of California,
described as follows:
5-/ �k �,. .�. _ .•� �- �� �'��c% r �� G EN i� I t l:? G F
r
/aA R/� /,�.cc.� ..c�i-..�.�c.��s,%� t.�.�'L"r�..� �`�� .'`,u.a2 ./LQ-��Gr✓'u,��� �-,•�-
Date: (, /Z /$-_7 `
S
PROPERTY OWNERS:
State of California ), On this the S day of July , 19_ -Ba,
SS. before me, the undersigned Notary Public, personally
County of Los Angeles ) appeared
• Joseph Daniel Crotty and Margo Susan Crotty (personally known
to me
be the person(s) whose name(s) are
OFFICIAL SEAL subscribed to the within instrument and acknowledged
that they executed the same for the purposes
MAXINE D. BURNETT
NOTARY PUBLIC CALIFORNIA therein contained.
' . m c PRINCIPAL OFFICE IN
�.a.� LOS ANGELES COUNTY IN WITNESS WHEREOF, I hereunto set my hand and official
um My Commission ERp. Dec. 28. 1986 seal .
Lo
Notary Public
Present A.P. N0, y 4,-,' �'• `72
11
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of Charlene M. Bolster
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OWNER
A. GENERAL
Zoning requirements
Valuation.
Signature by R.C.E.
RESIDENTIAL PLAN CHECKING GU IDE
(S.F., DUPLEX, & MISC. ONLY)
. }Bldg. Permit #
z A.P. #
(sideyards and parking).
or Architect (if required).
B. PLOT PLAN
Complete parcel size and dimensions.
Setbacks, sideyards, easements, etc.
Other buildings or'structures.
Grading, fills., drainage.
I / I_ . /"
0,6
-p�� 5�
C. FLOOR PLAN
Complete to scale plan with dimensions. V.
x Required windows for light and ventilation (Sec. 1405).
Required windows for second exit (Sec. 1404).
1✓ Allowable glazing for energy requirements (20% max. per State law).
29 Human impact glass,(Sec. 5406).
X. Required room sizes', ceiling heights (Sec. 1407).`
P. G.F.C.I. s in baths and exterior outlets (Sec. 210-8).
,Light fixtures, switches, receptacles, and exterior receptacles for maintenance of
mechanical equipment.
"Locations of water heater, heating & cooling equipment, other electrical or gas
equipment, and plumbing fixtures.
Garage firewall, door size, and closer (Sec. 503(d)(4)).
1 - 3'0" exterior exit door(Sec. 3303d) .
&,1_1
irep ace oca ion.
Smoke detectors (Sec.
D. STRUCTURAL DETAILSQJ 9
Foundation plan complete enough to construct building.
Floor construction details complete enough to construct building.
3: Elevations and wall construction details complete enough.to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if over one-story in height.
Sufficient data and details to satisfy energy insulation requirements (State law).
E. MISCELLANEOUS ITEMS TO LOOK OUT FOR
,1! CCX plywood on exposed locations and overhangs.
,2! Stairway details (Sec. 3305).
'ardrail details (Sec. 1716).
Brick or stone veneer (Chapter 30).
Exterior plaster - weep screeds (Sec. 4706 & 4708).
Proper roof pitch for roof covering (Chapter 32).
Rafter ties or bearing ridge beam.
8. Garage door or porch header sizes.
9. Adequate bracing.
10. Living area over garage - complete 1.,,hour separation required including supporting
walls and posts, etc. "
? Two (2) exits on three-story dwe lings (Sec. 3302).
edl
,1 COUNTY OF BUTTE - DEPARTMENT OF PUBLIC'WORKS
` 7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATION AND PERMIT
PER `` N0.
ASSESSOR PA CEL N BER
ZONING
BUILDING PERMIT
OWNER
InAke,A714A)�
TELEPHONE '
SO. FT, OCC. BUILDING
VALUATION
W'S MA; ADDRESS
Yg/6-1_S Ada g ^/1/ e
CONTRACTOR'S NAM TE EPHONE
16 &.1A,
CONTRACTOR'S MAILING A01DRESS
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 ADDRESS
PLUMBING PERMIT
Filing Fee 10.00
O 1• b�
Each Trap
2.00
Solar Water Heater
20.00
Water piping
5.00
LOT NO. SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SF'Z Duplex ❑ Mobi lehome ❑ Other
SPECIFY
Building sewer
5.00
Mobile Home I S1 GJWJ
10.00 e
TYPE OF WORK
New Addition ❑ Remodel ❑ Utilities ❑ Installation ❑ Other ❑
Describe work: 420 17AV J44— o&4n /"fig AJ110/4Jf' .
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service e0v OR LESS
1000 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. DWELLING OCCUP.&`
OR ADDNS. ACC. BLDGS. /
21/20sgft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
E-1
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and m license is in full force and effect.
y
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 CONSTR ULTI-OUTLET 2,50 ea
NO N.RESID BRANCH CIRC ITS
NEW CONSTR IPOWER APPARATUS &'
NON-RESID. ISINGLE OUTLET CIR.
20@50t
Ex. Occu P(o Ts OR FIXTURES BAL030
FIXED
Ex. Occup, out OUTLETS P(RESID.)REA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00
Permit Fee $
Contractor
MECHANICAL PERMIT
Filing Fee 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 %to
Gr �
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 to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
againsl said County in consequence of the granting of this permit.
X Date �G
Signature of Applicant — Owner Contractor Agent
An OSHA permit is required for excavations over 5'0" deep and emolition or Construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
B
PERMIT dyPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS ,
Date���� /
Receipt No.
���0�
WHITE-D.P.W., YELLOW -ASSESSOR, P NK -INSPECTOR, GOLDENROD -APPLICANT
,
�3utk
* OROY/LLE, CALIFORNIA
GENERA[ CLA|�
'^ -
CLA{mAwT.--_--'--��D�bi��-�p�lP'_'---_._____---_._'
�
AoonssS.
c/rY uST»Ts. Chico. CA--9592L_�__-_._____--___' IMPORTANT:
SEE -|wsTRucTmws
o^Ts opcL A/w. _'8,p-z i -1.-L __----- ON REVERSE s|oE
SU8H/T CLAIM TO OEPARTWENT RECEIVING GOODS OR SERVICES
oArs / osscn/pT/ow OF cLx/m (os»cn/es FULLY To ^vu|o os.Ar) aMouwT
.'Owner has decided not to do work. (Bldg Permit Appin. #1282-84B,P,E,1
:Receipt #18401, dated 4/30/84,'AP #47-48-21). Owner: Dan Crotty.
fees paid
:Retain fil
Reta
-------------------------
uezuuo due ---------- ll5 O0
--_ '-- _-�_---_---_--______--_ $
!Plumbing permit fees paid---------------- '
-� 2�0O
'Retain filing fee------------------------ ----
Refunddue-------------------------------------------------- 15'00
Electrical permit_fees _paid ---------------------- ¢ 25.00 �
.Retain filing fee---- �---'----'
/Refuud due -------------------------------------------------
�-=-
'TOTAL REFUNDDUE ---------------------------------------------
-' �--'�-r- -------'--------------�-----' ----------' �
` |
^w/*L
$145.
/`^' "w,,"'w.,v. v.u",, "u..
*"..^, u ",-,-/-�_`_ m. "/ 'm_. ",,-,/-~" or "~/"r a"^"` ^ ^
c-/`"'" ." .,", and correct "/"'"^. (��,//�_.^�__ ^,, .^ ..... C ....
-..
`"ini"".
�
the -nder.iffid. hrreby ce,tify that, to the best of my knov.-ledge. the services or firticles specified above haij en perforint-d or de
I—ri-i "lid 0-1 there is a Ilu,116tet Aj,pr,vjtrijitionC_] 01 Specific 13 ... ird Appru,l (('),,,k one) for 0 941111l`.. C.0
View Heal] or Authotize,
V ENDOR DEPT'. SUB. CLAIM INVOICE INVOICE GROSS"
CODE P ROJ] i
& SUB. 08 NO. NO. - DATE DISC. AMOUNT E N C UMB. SUB -DIST.
i
For civil filings: 100% to County.
For Law Library fees: 100% to County Law Library Fund.
For Fish & Game code violations: 50% to State and 50% to Cour
Fish and Game Propagation Fund.
For Fish & Game code penalty assessment: 100% to State.
For violations of Health and Safety Code Sections 11357-1136:
State and 25% to City (if offense occurred in City) or to Coi
Judges Retirement: 100% to State Judges Retirement Fund.
For violations of
State and ---% to County.
. _� to
Other Cash Collections:
Bail Forfeiture
Court Costs
Fines Collected by Probation
Summary Judgements
Sale of Documents
Sales Tax: 100% to County Sales Tax Accrual Fund
Miscellaneous (Describe)
Total Collections & Deposits to County Treasury
I declare and say that no cause in this court which has been
and undecided; that I have complied with the provisions of S
reported to the Judicial Council at the times and in the man
condition, and manner of disposal, of judicial business in t
I declare under penalty of perjury that the foregoing i
r -
�' 7- 9
ee
• - COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATIO,M, AN[L PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBE ZONING
—8 541.3
BUILDING PERMIT
OWNERa TELEPHONE
SQ. FT. OCC. BUILDING VAL ATI
106
00
OWNER'S MATLING ADDRESS
0 , -3p, 9 eldleo
CO�RACTOR' AME
U
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
IVAJ
Fireplace
CONSTRUCTION LENDER UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAIL/NG ADDRESS
I
Permit Fee
$ / 00
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$ Isn &0
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 10
BUILDING ADDRESS
Q JuAki
PLUMBING PERMIT
1i;
Filing Fee 10.00
'
Each Trap
2.00
Solar Water Heater
20.00
Lo�
Water piping
5.00 51 6C
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Each qas water heater or vent
5.00 -160
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTUREBuilding
SF ❑ Duplex❑ Mobilehome❑ Other PJQJA �'1onn 19O%
SPECIFY
sewer
5.00
Mobile Home S I G I W
10.00e
TYPE OF WORK
New Addition [I Remodel❑ Utilities❑ Installation❑ Other ❑
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST.(DWELLING OCCUP.
OR ADONS. & ACC. BLDGS.
i
2/2QSq ft
CONTRACTORS LICENSE LAW
I declare un penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Profession'sCode an my license is in full -force force and effect.
T7 L ? �'- 3
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 CONSTR ULTI.OUTLET 2,50 ea _
NON -REBID BRANCH CIRCUITS
NEW CONSTR. (POWER APPARATUS &'
NON•RESID. (POWER
OUTLET CIR.
20e50C
Ex. Occup(oUTLETS OR FIXTURES SAL®3o
Ex. Occup. OUTLETS FIXED PIRI-SID.)LNS RE A.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring AJ.0 loop/-- 15.00 ,fes 60
Permit Fee $
Contractor
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 Co nt to Self -Insure.
all 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
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabil' 'es, judgments, costs, and expenses which may in any way accrue
agast a d Count in qnjequence ofye e granting of this pe mit.
e _go _"C
X Date
Signature of Applicant — Owner ❑ Contractor Agent ❑
An OSHA permit is required for excavations over 54eep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
occUP. GROUP
I TYPE OF CONST.
PARCEL
PD
HD
ss0
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
BY
P IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date —2
7' OJT
st
Receipt No. / T o/
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
TO: Building Department =-
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
Y7-
Owter Location AP#
Plan approved for:
Hold final for:
Final clearance O.K. for:
sewage disposal
Clearance for bedroom mobile home. Other
Note***
Sanitarian
water supply
water supply
water supply
Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS - BUILDING DIVISION
74COATSl CENTER DRIVE - OROVILLE, CArLIFORNIA 95965 - TELEPHONE:.916/534-4541
PERMIT APPLICATION DATA SHEET
Permit No. r _
OWNER %/Id /77,P -5 T`%-�% A. P. No. J—�fi-`Z./
Proposed Building Use '0"49-
Permit Fee Based Upon: Complete Contract Price DPW Valuation
Other (Explain)
Building Inspector Date
r
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. . . . . . . . . . .
3. Complete plans in duplicate/triplicate. . . . . . . . .
4. Complete engineered plans and calcs. . . . . . .
5. Plans with Energy Design Compliance Statement. . . . . .
6. State Energy Forms No.
7 Statement of Intent for Non -Heated and AC Buildings.
8. Fees of $ , , , , , , ,
9. Letter of si-gnature-auth&ization . . . . . . . . . . .
�9Q. Sanitation approval from. �'f�/60—D Health Dept. . . 67
P
11. Planning approval for (A) Use: (B) Parking:
12. Certificate of Workmen's Compensation Insurance. . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to owner, Mail to owner
15. Improvements may be required. . . , . , , , , , , ,
16. Mobilehome Installation Data. . . . . . . .
•
17. Pre -Inspection for Pre-Inspec. request to
Required. Building Inspector (Date)
18. Other
When you issue the permit, process as follows: Mail to owner.. �C Mail to contractor -,.-
Telephone and hold for pickup at office. Deliver w/inspektor.
Other
Applicant � 11%/%4ate V-73 U 47'
Copy of plans sent Health Dept., Fire Dept., Other Date
During the plan checking process, the following data must be submitted prior to permit issuance;
(For required items not checked above at time of applicsition, circle item.)
1. Index permit for above Items No. /a
2. Additional items required:�--
(Contractor, Designer, Owner) was advised of above required data by Telephone Mail Other
By Date
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