HomeMy WebLinkAbout047-500-0314 7.406=ft�
rton
Steve B.1
NE corner of Songbird & Covey Ct.,
M(new single
lot 31, Quail Run Sub, Chico
Permit #665-81B,?E,
family) & I � A /y/
10 40
4 7 - ftne,54-0 -431
Contr:-Stephen Burton
P,,rMit#25p72-81p (ad(�.'l 1 65-
81) A %W140 $*&
47-50-31
NEW OWNER
"...QDARYL LARY
Contr: Hill Const Chico
Permit#1573-84B,P,E(new private pool)
47-50-31 3283-90B,P,E,M
I Nr
LARY, Darrel q
4693 Songbird, Chico
Contr: Dick Nelson
(addition & elec/sf)
047-50-0-031
00-1358
LARY, JANET
4693 SONGBIRD DR. ICO'_� 200
CONTR: G & R FING
RE ROOF 0
m
047-50-0-031 00-1358
LARY,JANET
4693 SONGBIRD DR., CHICO
'CONTR: G & R ROOFING
RE ROOF
le
-21
1 1 7 IV -
COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING !. DIVISION
7 County Center Drive 9 Oroville, California 95965 * Telephone (530) 538-7541*- PERM T NO.
L
(Rev. 12/96) APPLICATION AND PERMIT
ASSESSOR PARCEL NUmb%7-50D--031
ZONING SR -1
BUILDING PERMIT
OWNER
JANIET LA3Y
TELEPHONE
.. PROA-1A.11 I .
SQ. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDRESS
4693 SONGBIRD DR CHICO, CA 05073
CONTRACTOR'S NAME
a It R ROOETNIG
[TELEPHONE
8-9414-5-37
CONTRACTOWS MAILING ADDRESS
15 4 9 E S Mu ME CHICO$ CA. 95973
CONSTRUCTION LENDER -4-503
Fireplace
LENDER'S MAJUNG ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$ 54.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Plan Checking Fee
$
BUILDING ADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$ 74.00
LOT NO.
SUBDIVISION'SNAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex E3 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 0 Installation 0 OtherXQ
Describe work:REROOF IWM CW
—Each
Gas piping system I - 5 outlets
15.00
Building sewer
15.00,
Mobile Home I iiT�W 7
1 (ED20.001
-T-----1
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20.00
800 OR LESS
Main Service OVA OR LESS
23.00
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter
9 (commencing with Section 7000) of Division 3 of the Business and Professions Code,
and my license is in full force and effect.
License Class t'! 0? — 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:
0 1, 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.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
1 hereby affirm under penalty of perjury one of the following declarations:
0 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.
Q I have and will maintain workers' compensation Insurance, as required by Section
3700 ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' compensation insurance carrier and policy number are:
Carrier . , T A ,'I - i ,, (
Policy Number //--.? - �� :2!
(The above sections need not be completed if the permit is for work of a valuaton
of one hundred dollars ($100) or less.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
X Date /&A,�,-d
Signature of Applicant 0 Owner -0 Contractor 0 Agent
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
Main Service 200A TO 1000A
46.00
NEW CONST. DWELLING OCCUP. so
OR ADONS. 3.50FF
@7.501
—==T
OWE.RA7ARATU
P.IN. 0 T. C SIR.
Ex. Occup. OUTLET OR FIXTURES
20
BAL @ �w
O.MED APP . OR"
Ex. Occup. CR= .) E 5.00
Temporary Service
23.00
Mobile Home Facilities 20.00
Misc. Wiring
PERMIT FEE $
MECHANICAL PERMIT Filing Fee 20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 7A . 00
2.A
2 IMP
I FLOOD
I CDF
PARCEL
I PD
This permit is hereby issued under
of the Butte County Code and/or
indicated above for which fees have
N -
BY,*.
PERMIT EXPI RES ON
I
the applicable provisions
Resolutions to do work
been paid.
Pa te)
Receipt No._ _ 4Y4 xs�q n
WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINKtINSPECTOR GOLDEN ROD-APFLICANT
.,COUNTY 01`�BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
Center Drive Oroville, California 95965 * Telephone (530) 538-7541
7 goun PERUI NO.
(Rev. 12/96) APP . LICATION AND PERMIT -
ASSESSOR PARCEL NUmM7-500-031
ZONING SR -1
BUILDINGPERMIT
OWNER
JANET LARY
TELEPHONE
894 -341 -1 ---
SQ. FT. OCC. BUILDING VALUATION
48
00
OWNERS MAILING ADDRESS
4691 SONGBIRD DR CHICO, C 95973
_2280
-A
CONTRACTOR'S NAME
G & R ROOFING
11ELEPHONE
894-6537
CONTRACTOR'S MAILING ADDRESS
*1949 ESPLANDE #503 CHICO, G.A. 9-59-72
CONSTRUCTION LENDER
Fireplace
LENDERS MAILING ADDRESS
Total Valuation $
ARCHITECT OR ENGINEER
LICENSE NO.
Filing Fee
$ 20.00
Permit Fee
$
ARCHITECT OR ENGINEERS MAILING ADDRESS
Plan Checking Fee
$
BUILDINGADDRESS
Energy Plan Checking Fee
$
PERMIT FEE
$ 74.00
LOT NO.
SUBDIVISIONS NAME
PARCEL MAP
PLUMBING PERMIT
Filing Fee 20.00
USEOFSTRUCTURE
SF 0 Duplex 0 Mobilehome 0 Other
SPECIFY
Each Trap
7.00
Solar or heat pump water heater
23.00
Water piping
15.00
Each gas water heater or vent
15.00
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilities 13 Installation 0 Other)g
Describe Work:REROOF WITH COME
Gas piping system 1 - 5 outlets
15.00
Building sewer
15.00
Mobile Home I S I G I W
920.00
PERMIT FEE
$
ELECTRICAL PERMIT
Filing Fee 20-00
Main Service OoR�
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 81 f I force and effect.
License Cl Lic. No. 73V13
--I
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors License
Law for the following reason:
0 1, as owner of the property, or my employees with wages astheir sole compensation,
will do the work, and the structure is not intended or offered for sale.
0 1, as owner of the property, am exclusively contracting with licensed contractors
to construct the project.
0 1 am exempt under Sec. Business and Professions Code for this
reason
WORKERS' COMPENSATION DECLARATION
I hereby affirm under penalty of perjury one of the following declarations:
0 1 have and will maintain a certificate of consent to self -insure for workers'
compensation, as provided for by section 3700 of the Labor Code, for the
performance of the work for which this permit is issued.
I have and will maintain workers' compensation Insurance, as required by Section
3700ofthe Labor Code, for the performance of work for which this permit is issued.
My workers' om en;snojn, surance carrier and policy number are:
Carrier
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.)
0 1 certify that in the performance of the work for which this permit is issued, I shall
not employ any person in any manner so as to become subject to workers'
compensation laws of California, and agree that if I should become subject to the
workers' compensation provisions of section 3700 of the Labor Code, I shall
forthwith comply with those provisions.
Date
Jr__ - e I.No?)
SignkuriiI of Applicant 0 Owner )Q Contractor 0 Agie, I
An OSHA permit is required for excavations over 60" deep and demolition or construction
of structures over 3 stories in height.
A
Main Service 200A TO 1000A 46.00
NEW CONST. DWELLING OCCUP. so.
OR ADDNS. & ACC. UDS. 3.50FT.
NEW GO115T. M I -OU
NON_ @7.50
RES'D &H C"�
OWELR AP� 6RATU
PSIN. E 0 CS1 R.
OUTLET OR FIXTURES 20 @ 1.00
Ex. Occup. ( BAL @ .50
Ex. Occup. ( .��ED APPUNS 1.1,
5.00
Temporary Service 23.00
Mobile Home Facilities 20.00
Misc. Wiring 23.00
PERMIT FEE $
MECHANICAL PERMIT Filing Fee
--20.00
Heating
Cooling
Hood 6.50
Ventilation
PERMIT FEt $
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST. TYPE
TOTALFEE$ 7z, nn
CDF
PARCEL
I PD I - HD
IJSSUE
This permit is hereby issued under
of the Butte County Code and/or
indicated above for '. h fees have
� 7r:
PERMIT EXPIRES foN
the applicable provisions
Resolutions to do work
been paid.
Daie
(Date)
ReceiptN X,5q I 9-74-00
WHITE-D.D.S.-B.D. CANARY -ASSESSOR' PINKNINSPECTOPA GOLDEN ROD -APPLICANT
-TE
COUNTY OF BU*6 - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION
It. 7�pouMy Center Drive - Oroville, California 95965 9 Telephone (530) 538-7541 PERMIT NO.
APPLICATION AND PERMIT --- -
ASSFSSORPARCELNUMBM04.
ZONING .5�e/ BUILDiNGPERMIT
SO. FT. OCC. BUILDING VALUATIO
0* MoqUAG ADDRESS
)IR �F5-!7 �7 zf
CONSTRUCTION LENDER
LENDER'S MAPLP40 ADDRESS
ARCHITECT OR ENGINEER
ARCWTECT OR ENGINEWS MAILING ADDRESS
BUILDING ADDRESS
SUBDIVISIONS NAME
uzoiturzo iriu%. eumr-
-F b4play rl Mnbilaho'ma 13 Other
SPECIFY
TYPE OF WORK
New 0 Addition 0 Remodel 0 Utilites El installation Other 0
Describe Work:
V
aa
7-73 ��1-3
1 0
106�16
7
C7�
r?
Fireplace I I
PERMIT FEE I S
Total Valuation Is
Feei
Main Service
Filing Fee.
Permit Fee
$
$
20.00
Plan Checking Fee
$
NEW rOMT.
OR ADONS.
Energy Plan Checking Fee
NEW CONS
NON-RESID.'
MULTI -OUTLET
67 5
To
PERMIT FEE
PLUMBING PERMIT
7Q
Filing Fee 1 20.00
Each Trap
rl�
Ex. Occup.
Solar or heat pump water heater
1
23.001
Water Pipinq
1
15.001
Each gas water heater or vent
1
15.001
Gas piping system 1 - 5 outlets
1
15.001
Building sewer
Mobile Home . I Gj W!
1
@? 2-0.001
20.00
PERMIT FEE 1 $
MECHANICAL PERMIT I FilingFeel 20.00_1
8 Heatina i i
1 Hood I - 1 6.501
ritilation
PERMIT FEE S
Mobile Home Instiallation Fee
Energy Inspection Fee
OCC CONST. 11 !TnTAI" FEE $ 'L5 -
I * — — —
This per. C - , -S .0
ttnrinr thA nnn!; bin mrovis; ns
of the Butte runtv Code and/or Resolutions to do Work
indicated above for which fees have been paid.
By
Date
PERMIT FEE I S
ELECTRICAL PERMIT LZR=Iing
Feei
Main Service
2"00'A 'O'R LLEESsS 1
1 23.001
I Main Service
200A TO 1000A
46.001
NEW rOMT.
OR ADONS.
DWELLING OCCUP
& ACC. BLOS.
NEW CONS
NON-RESID.'
MULTI -OUTLET
67 5
To
POwER APPARATUS
swmr CUTLET cip,
Ex. Occup.
OUTLET on FacTuAES
W W
BAL 0 Z.
Ex. Occup.
RXED APPLNS. OR
OUTLETS MFSID.) EA
5.001
I Temporary Service
23.001
Mobile Home Facilities
j 20.00j
Misc. Wirina
—j
1
1 23.001
20.00
PERMIT FEE 1 $
MECHANICAL PERMIT I FilingFeel 20.00_1
8 Heatina i i
1 Hood I - 1 6.501
ritilation
PERMIT FEE S
Mobile Home Instiallation Fee
Energy Inspection Fee
OCC CONST. 11 !TnTAI" FEE $ 'L5 -
I * — — —
This per. C - , -S .0
ttnrinr thA nnn!; bin mrovis; ns
of the Butte runtv Code and/or Resolutions to do Work
indicated above for which fees have been paid.
By
Date
r
-"N
ESIDENTIAL.
�7-50-3_1_ 7 3 2 8 3- 90B, P, E, M
LARY, Darrel
4693 Songbird, Chico
Contr: Dick Nels'6n
(addition & elec/sf)
W�OF�lCkppy
-Address
GAS
Meter By_Qla� Date/36
ELECT
'C
Meter By
ate
�D
A*
OFFICE COPY
Address,,,
Date ---
11-7
ELECTR1CMd)C___ Date
Meter By
JOB FINALE
Signature
F
V OK
0 Not 6K
Not Applicable
Not Ready MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OKAxeipt #'s
l.kZoning Requ ire ments-Setbac ks- Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/0 Concrete
4. Water; Location -Test- Easement Needed (Sketch)
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / P'L"ft.
/ P'Nat. or/ P'L'X/ P'LPG
7. Utility Clearance
Date
Card B-1 Date Card B-1
Date
Card B-1 Date Card B-1
Date
MOBILE HOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks Easements
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test- Do mand-Valve-Con nector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test -Fall -Flex Connector
6. Water; MH Test -Regulator -Connector
7. Water and Sewer Connected -C/0 to Grade -HD Approval
8. Gas and Electricity Tagged
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
Date
Card B-1 -Date--- Card B-1
Date
Card B-1 Date Card B-1 -
MISCELLANEO'LIS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'s
1. Zo ning Requirements -Setbacks -Easements
2. Footings; Soils-Size-Depth-Spacing-Connectors-SteeI
3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails
4. Wood Awn.; Posts-Beams-Rftrs.-Coonectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Col um n s -Con nections-SpI ice- Deca I -Enc losu res
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nai I i ng�Veneer-Stucco- Mesh A
10. Roof; Shthg-Roofing
11. Ext.; Steps -Doors -Landings
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
Date POOLS (Plans) OK except #'a
1. Setbacks -Easements
2. Soils; Compaction -Structure Stability
3. Pool Structure; Steel -Connections -Thickness
Dead Men -Lining
4. Elec.; Receptacles and Lighting, Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Elec.;Enclosuies; Conduit Entries -Term I na Is- Listed
7. Elec.; Bonding; Metal w/5' -Circulating Equip.-Heatir
8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg.
Boxes -En closu res- Pane I boa rds- Ins. to Main in Conduit
9. Health Department Approval
10. Plumb.; Cir. Test -Water Supply,Test,
Date Card B-1 Date Card B-1
Date Card B-1 Date Card B-1
I i�'
J OK
0 Not OK
Not Applicable
Not 9eady RESIDENTIAL (Single.& Duplex)
Date UNDERIFIL (Plans) Q*Gcept
1. Zo t��etbaGks,-E-ase me n1s-Frood -slope
L,Prg., Main; Soils-EIecL-d_rnd.-/ /" Ftg. Depth
3. Ftg--Gak%ge--Soft-Steef-zEtec-Grnd-#--A"--F4 �.epth
4. Ftg,.,P6rches & Decks; Soils -Steel-/ /Ftg. Depth
5,-�rt'eTvy,,:�S, Main; Steel -Bloc kouts-Wra p ped
6.L-Sremwalls, Garage; Steel -Blocko uts-Wra pped
(%6�)Hold Downs and Special Anchors gQZ-X_z
7. Slab; Steowarapped
8. pie
,,E!!!frepiace Ftg.-steei
Fall -Fitting -Test -2 Way dAee§ewer Test
10. Gas pipej- �'�
11. Water Pipe; Test -Anchor -Regulator -Service Test
12. El��; Underground
1 ���& DuSLs� ewaleria
ranc �9'upport-ins.
Z&2?, _X44--6irders-Si4s"A'nchor Bolt nts-Cripples
15. Insulation
Date/ 0 -/5%0�0 Card B-1 tJ,6 Dateh) -03-AM Card 13-161je>
Date/0 -�ZZ -16 Card B-1 J/�5 Date Card B-11
Date PLUMBING (Permit) OK except #'s
16. Water Htr/Gnt-Acp,-9-s-co�bustic�n AiL-29-fie
ilqq S7017. Wat i ;T An2� �_* Pro-tecti 22
)�-IV-qU 18. D.Vie- Test -Fittings & AnchorCNail P05'teZ�
1 -2 -11 -*l 9.(ShoWX;#a-m,_TesD First Floor -Tub Access
20. Test Tub & Shower, Second Floor -Tub Access
21. Gas Pipe; Size & Anchors
Date Card 6-.1 Date Card B-1
Date Card B-1 Date Card B-1
Date ELECTRICAL (Permit) OK except #'s
22. FixjtX,6'& Transformer Ciearance-Ins. Pro!��n
i3,41'e;,Receptacies Spacing -Lights & S��es at Doors
2 ize - s & No. of Conductors
&&-faillex installed Close to Edge of-It-uds & C.J.
MEquip. Ground made up w/Mech. Fastnersg�� & �Wate
2/. 22 Applia.m. 51,etAS 4A Kit"180 & GBAdU010F S*i!@g'G 1
28. ize ga.
Ctlr�
29. Q,, _- Q' irc// / ga. Cu or Al.
nsulafea Neutral Yes 0,Pi6*
30. i s c oen-e c I
31. Equip. Clearances Panels-Motors-Mech. Equip.
gy
=3 2. 20!!L4s Closet Light -Shower Light -Spa Light
�AW.-§moke Detector
Date rr4b Card B-1 tJJJ_ Date/Z-10 -96 Card B-1 (/0
Date/;-- 5 -7 t) Card 13- 1 42�� _') Q_ate Card B-1
Date MEC�KICAL (Permit) O_*4xcept If's
3*.-'A.C. Ducts Insula iron & Support
5. Vent Fan; Exhaust above insulation
36.Condensate Drain & Overflow; Size & Grade
4-17- Fu*Rence-7e-nT-Access-c-o-m-b-Xi-r-TmmnTr-AtrvmT--rTT-o-uTlet
r38. Attic Access &-Platform if Furnance in Attic
DateJ(-28-,4?D Card B-1 (J Date Card B-1
Date/,I,.3 '(D Card B-1 Date Card B-1
Date FRAM!PIG (Plans) UK excg4?K#'s
Jg.',$�s-P-roper material & Anchor5,<
T -s
40. WaH�,Studs-Nailing, SpaTIZ Bracing -PIS e -Sound
4 ring Walls ver Girderlo'& Floor Nailing
2. DrWStop in ails (rat prop<
Y5*3o'Fi�p tars CW"
_ _�tops: Furre�� §es_Tub
V -r4 ".eaders & Beawoti-ie-1 Bearing -k' V (,-, If a
Date FRAMIAG (Continued)
A5. Ha2p�rs-PosieTps-Anchors-ed-nnectors
46e6ing. J -Rftr. tlles"Purlin/oof . -Truss-%6ng.-Rfng.
Y-47.(Zir440ies o<�Fue Fireplace Throat clearance
48. Attic Access; SiLaaRomex Protectigp-Draft Stop-lpkBaffles
49. Bdrm. Win1l1w-s or Exiting Dobfg--Sill Hgt. & D*Tgn-sions
50.
51. Property Line Firewall & Openings
52. Ext. Doors -One T -Check Garage -3rd Story, 2 Exits
53.(§t_a_i3r Width -Head room -Ri se- Run- Land i ncfEi 2grotectjA
54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers
55. Siding -Nailing Veneer
56. Stucco
,Vesh-Drip Screed -Fd. Vents-Underfir. Access
57. 5��ng Area-Giass Protecftd'n-Skylig�J�stic
S!2�alls; Nailing -Bolts Uls�_
3*.'InpAation-Walls-Ceilings
Fb"l'nfiltration-Walls-Windows
Date I I --Z & -qd Card 13- 1 Date __q" B-1
Date /.;L- ; -q A Card B-1 Date-_-_ CardR-1
Date FINALI-MaDd) OK except #ITZol -.1
Above
29:2L� Bath Fixture'§-& Tub Access -Spa
G�lec,Trim & Subpanel; l3reaker Sizes LLabe[s.
61-WoMrs & Rails
6
69-.E���ane '. 7nt-& Ext�
70�_Q.Fixt. & ApplianqtL§LaaAAiPPeep-Gee44MJ-CJgUMce
7 nce- om ir- o ector-P.R.V.
oor-Mech. Protection
Z4,061b., Elec.
PIPP-40'apt-1- b R Gawqei.��Romex Protection
17;-'rnsulation-Foam-Looked in Attic 9-Ye-s-
78.6"ert� S UtK;K LU[15LrUCttUn-Pe9t-GQ"
Za-f-dn- vents & Crawl Hole Door-Draina%.e &
,Wked-Earth
Ciew6ce Looked under Floo�� -+T-Yes
8Z,,Ko'llowing instld.: Drive 96*16- 11 No; Walks B'Yes 0 No;
Pla
jUers 0 Yes M`ko
8P-5tqpe6; Brown -Finish
8 "..c. u_r , isconnect, ElecAxiefr Plumbing
4. Veril-s Ahn-R-f- Plbg.-ApplianceFire-place.-Clearance to
ea+rrc-al. Plu
8�.�or Elec. Trim; GAwl Receptacle- U nde rg round
8 . ent' on Throughout House
81.�,ass Protection
(W)correr.eons. from Previous inspections
Gas -Electric
L-k-l"ater & Sewer Connected -C/O - to Grade -HD Approval
r9JEnerav COMDliance Certificate -Other Certificates
--jg?q Date Card B-1
Date q -Zi? 41 Card B-1 &/
Date Card B-11 Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
(NOTE: An entry must be made each time you visit job site)
Lj
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DateA- -eq- q1 Inspector
COUNTY OF BUTTE
A
DEPARTMENT OF PUBLIC 'WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
A
3D 9 3 --q 0
OWWER PERMIT NO.
't
A routine inspection indicates that the following violations of County Ordinance
A
exist at the above address and should be corrected. Please notify this office
_i�
when correction of work is completed. If you have any question pertaining to this
matter, need additional explanation, please contact this office immediately.
r
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A2
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DateA- -eq- q1 Inspector
COUNTY OF BUTTE
DEPARTMENT OF PUBLIt WORKS
1b6 Mern'orial Way, Chi�o — Ph6n�: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541*
747 E I I i ott Road, Parad i se — Phone� 872-6307
CORRECTION NOTICE
&aa�� - '-->) a
0 W fqf-t R I ()
IT 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.
Date Inspector
C)
JL
-
Date Inspector
COUNTY OF BUTTE
DEPARTMENT OF -PUBLIO WORKS
106 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: 872-6307
CORRECTION NOTICE
OWN—E R I'tKMiT 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 h ave any question pertaining to this
matter, or need additional explanation, please contact this office immediateiv.
Date—/ 1-7 1 1 170 Inspector
A- COUNTY OF BUTTE
DEP.ARTIVIENT OF PUB.LIC WORKS -
196 Memorial Way, Chido — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 536-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
E
? 3 - C/1/) '
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 pertaininig to this
matter, or need additional explanation, please contact this office immediately.
9
Date n s p e c t o r
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
7 County Center Drive, Oroville — Phone: 538-7541'
747 Elliott Road, Paradise — Phone: 872-6307
CORR ECTION NOTICE
T NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above tress and should be corrected. Please notify this office
d
io
orl
when correctio work is completed. If you have any question pertaining to this
matt d additional explanation, please contact this office immediately.
I /zt,/ ;",. -'? -
'011
I OWNER!. Mar.
"Q 17-,-,, ,
Date 7 U Inspector 0-131�
d
Pi-,: U_ 95667
T'J,' o22-9399
14�_ -.,ght
dLOINe Opj!6�, 1 AL_�" vj
;iaror t_ -ding operator's name �rldLL IeS Cartwright CAC
.. ......................... I........ .... . ..... Idontrfle�tionNo.ss-4 546-04-096
......... . -MUM..41 , _.� ........
W . -UPITAr.0 . . .................... .. ..........
.... ........ I ......
.. . .. .... .
inickness (it PiP-, --,AJG I oln t t h1c k nesu A lls- Q 4A 4e 80 ... ....... No.... .................
quailh.4 u ,,ck .. .... ............
. ..........
,P Pxv6"tion ..............
. ..... . ..... ........
nd
........... ...... . .... .. ......
........ .. ...........
................................. ........................ . ........ .........
08,
Typ;" 't
--id
Pass Side Bend
pa;�
................. . .
Dl..l ..... . .... Tuat rju 8 .......
AAMOGnAOWIC
K�rnarks
T------- 7
............ .. . .. .................. .... ................... ..... ........
.......... .. — I'L.1ko .. . . .. ............. . .. ..... .....
�.rtlfy thit the urL 0'arreeg _,,a M_ Ae
-itrements of �.Jlo couporI6 Prtppar�A ana p -z- Ili tEALld In ac -
!A 1*
............
MP oj
..........
.F
Autnorlzuo L
is
. .........
**&sea -3r*&,
441-6^61'anicil Engineering, Contractors
.DhAslon of Testing
11
WELDER AND WELDING OPERATOR QUALIFICATION TEST RECORD
SX11 Lord's Mine trail
7
PlacelvIlle, Ca. 06607
9
t
Pear God a Fear Naught
6-b4-0961
Welder of wilding operatoes name ... All.en- -Q4X-tw-:rJ9M ........ ldentlfllcatftNo.a�.#..�A ................
Welding process- .... . . C714AN - P .. FCAW .... --.1 ........ I ... Manual ............... Semiatftmatic ...... X ...... Machine ..............
position .............. raG.-,. tjpw.ax d a .......................... Jointdesign..4 ............ 5.,2Q..A .................................
Material tWificatiOn .......... .......... 0 ....................................... P. No ...............................
Diameter antwall thickness (it pipe) othetwissidint Nckness ..................................
Thickness eisdtliam. qualffled,. .. .1 87-5.'?XW� zd'n..,. . -UnLi1nited. -Max ............... Positions: ... 10,111iMURd .......
FILLER METAL
SPA. 5 18.0_5k. 2-D ........ Oksificlition &9.1 E7.1.T.-. UZ&O tio: ......... 6 .............
............... ...... ............ ..................
Filter iiivist'divneter and trade name,.....- OL35 M ..Hbbart 0 6 V.. Hobax tFiux orgas speo ........... ............. .......
visual teA*Tisults arid remarks ....... AC&aot—able .....................................................................
............. ......... I ..................... .......................................................... ...............................
Specialtft% ............................ IVA ............... $ ................ ....... ....... . .....................................
ownucnw Twma RESULTS
pe
Result.
Type
Result
Remarks
Pa S-8
SfO PAsg
Pags
qil d
Pass
.4
Sid' 130-nd
_)�ass
-rest bdj440�� by ... .............. Peablody!.s.. MacbA ne . ............................. ***'**"*****'*"**""**"** ......
........... ............... * ....... ................ ............... ..........
RADIOGRAPHIC TEST RESULTS
Ide esults
Remarks
Film
idontifl-
Results
Remarks
.,caflon
.4
Testoondti;i1bil by ........... 4 ... K/A ................... I ....... ...... I ................. I .......................................
per-4 * ................................. 4 .................... TestNo ......... ........................ 4 ...................
�44jf ad �&Iy that the stateftM In thfa.",rd am correct and that the %Veld coupons were prepared, and specimenstested In ac -
We t" on . dr
cordin4'i.vkkthereAtementtof ..AUSZE/.A%S.DL..l..Structural..Welding..code ........ ....................
Test Site ...... But*t.e..CctIlege ...... 4 .............................
Authorized by. pa je., Roie-rp ........................................
Witnessed by
Date ........... June.b.,_19.82 ......... ..........
-jTE OF TIA4k
U
P2
IT -C
0 z
C E R IFICATE 0 F F 0 R M A N C E
v
pp�
UNDERSIGNED MA NUFA C TURER HERE8 YC50*
TIFIES
that the products identified below and on attached sheets Nos. are marked
with the Collective Mark! '
of the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable provisions of''American Nation�l Standard
ANSI/AITC A190.1-1983, Structural Glued Laminated Timber, and that such manufacture has
been at our plant in
which plant has a quality control system
approved by the Inspection Bureau o the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
and inspected periodically by such Bureau.
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform Building Code.
, 7 : Dick Nelson
JOB NAME:
L 6
JOB OCATION: Chico, -Ca.
4 93 -Songbird
PM85
CUSTOMER'S ORDER NO. -10 8864—D
DATE 9 0 MFGR'S ORDER NO.
;:,,i;k F—V43 WP Glue3 Arcb
_Appx Indv Wra2
SIGNATURE
COMPANY American Tq S_
minators
TITLE: QUality
Co4roi, ADDRESS PO 3 99. —2-90
A: Swushomeg' OR DATE 5
A TC,.-.HE1?E8 Y CER TIFIES that the said company at its said plant is licensed by the
AMER ICAN:!I NSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Maek in respect
of Products which comply with applic a*ble Provisions of said Standard, that the adequ' cy of
a th6 quality
control system in' i
effect at said plant is periodically inspected and verified by the Inspection Bureau of
the AMERICAN INSTITUTE OF TIMBER CONSTRUCTION, and that, in the judgment of AITC,
said-- company is capable of complying with applicable manufacturing and tetting Provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
iii -of -any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee
1, hereunder being that the said company is qualified to produce a product meeting the said Standard
ar
id that its plant is periodically inspected and verified by the AITC Inspection Bureau.
74257
AITC Cerilficate No. A
AMERICAN INSTITUTE OFTIMWER' CONSTRUCTION
RECEIV]E
D
Wy 0 7 1990;-
KEL��
(D 1983 AMERICAN INSTIT .
UTEOF TIM SAP& M
AITC FORM 18CA
IL'.. . — I ..
CER C
J11.h..."ATT OF
. 11 .1. W -
OTE OF TI A��
iTp
Cr &
up
C,
z
CONFORMANCE
IN,e UNDERSIGNED MA N0tA C TURER HtRtB Y (�El? TIFIES
that the products identified below and on attached sheets Nos. ar6 marked
with the Collective Mark of the AMERIC ' AN INSTITUTE OF TIMBER CONSTRUCTION (AITC)
and were manufactured in conformance with applicable pi�ovisions of American National Standard
ANSI/AlTc A!qo.1-1983,DStrijctur&Giued Laminated Timber, and that such manufacture has
rain j . . �. P c
been at our plant in which plant has a quility t bntrol system
approved by the inspection Bureau of the AMEAicAN INSTITUTE OF TIMBER CONSrAUCTION
and �sp&ied I periodically by such BureaU.'
The manufacture of these members complies with the manufacturing and fabricating provitl:ons of
Chapter 25 of the Uniform Building Code.
1 �Amk:
Joe
Kpllgr tijmber Sales for Stock
Joe LOCATION: Reddingi CA
CUtTOMFA-s 6ADrEI3 NNO. ' PO#8491 _6ATi,8-17-90 MPG'R-� bADER �16. 8056-D
/-- �24F-v�4.WP�Gj- 4 Arch'
ue . App, indv Wrap
SIGNATURE
COMPANY
Dmo-lam
trol POB- 297� Drairii. OR 8-29-90
TITI-r: Qualit� Con — ADD R.' ES'S DATI -
A I TC HEREB Y CER TIFIES 'that the said company at lis said 666t ig liciihted by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to u§e thb Aft Coll6dive Mjr'k ih rftect
cif 0�odtjbtiWhiclic'om�ly %kith applicable prdWgiolns of sWd Standard, that thLi adejody 6f thb quality
�onftbl iyst6l"i in effect at said plant is periodically inspected and verifidd by the Inipdtti6n Bureau of
m E A * ON§ 11 hLI&IOA, and ihit, in the -j6ddifiii�i of AlTt,
the" AMERICAN INSTITUTE OF TIMb - C T
said company is- c6oable ol complyinid �klth boblibabI6 mia"hufaPuring 5nd tittli-ig orolvigibi-Is of said
Standard in respect of ptoducts manutaciured at said plant. Conformahce with th� St6hd5fd in r6tpect
of any i0ecific or particular product is the tole responsibility of the manufacturer; AITC's 05rantee
hereunder being that the said company it qualifibd t-0- brbdu�e a product r46fitig tH6 §Aid Standard
and tha-t its p la'int i§ oiriodically inspectbd dfid Verifidd bV flia AITC Inspection Bureau.
AITC Certificate No. 67529 A
AMERICAN. INSTITUTE. OF TIMBER CONSTRUCTION
RECIET'VEI)
SEP 0 4 1990
KELLER LBR. sALES
i4§3 AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
H ' C IFICATE
il
A
k ONDE, RS- IGIVED IWA IVOFA C 1 TURER HtRt8 Y` CEPTORES
that the products identified below and on attached sheets Nos. afb marked
With the Collective Mark of the AMERICAN INSTITUTE OF TIMBER cbNtTMUCTION (AITC)
and Were manufactured in conformance with �pplicable provisions of American National §tafidarcl
ANSI/AITc Algo.1-11983, Structural blued Laminaied timber, and that such manufaciure has
been atour plant in_ Drain4 OR T ... - I ; I ''. " ich pla6t has a quAlity b6htrol syitem
approved by the inspection Bureau of thb AMEhItAN I S'TITUTE 00 TIM9Eh CON9thUCtION
and inspected periodically by such Bureblu
The manufacture of these members complies with the manufacturing and fabricating provisions of
Chapter 25 of the Uniform' Building Code.
j " Nimi: 1(6116t Wmber Sales for Stock
OB A
JOB LOCATION: Reddingi CA
i� C MEh'i O�DiA NO. 6ATi--L--11-'-90-- MF'd'F�-S0'R'Dr:A6 -8141—D
WTO -PO#8842
SIGNATURE
COMPANY Duco-lam
TITU ---QLM1ity Control ADDFES"s POB 297 Qrain4t6k' DATE _9-19-90
A TC H*ERE8 Y CER T1 F. -IES that the said company at ffi sjid blak iA lic6fis4bd bV the
AMERICAN INSTITUTE OF. 'TIMBER CONSTRUCTION to use the Aft CollbcflVe Wk Ih H§bect
of peocltitt� Which c6rhbly With applicable pi
rdvi§i6ns di §aid Standard, that the ddeq-Ua6y 6i tht quality
corittol s�stbmii' in e:tfbc-t at said plant is periodically inspected and votifidd by the' Ifiip6bt16n tur6au of
the' AMtkicAN INSTITUTE OF T1106th tdNS^'thUbtl6N iiAd thii, in thii juclgm�rii of AltC,
said company is 006ble of complyin'd With 6bbllcaW mi-hUfakturitig ind te§ti)n§ Ot&igibns of said
Standard in i respect of otoducis manuiactured at said plant. Conform�hc& With fh@ St6hdg�d in respect
bi t1HY §066fic bf 06�ticular product is tht tole tetpohsibility of the maridfacturer; i
AITC's guarantee
hereunder being that the 6id company i§ qUallifie'd t6 orbduce a ptoduct m66flh§,W §Aid Standard
and thait itt Plant IN �6fiodically inspect6d a'hd Verifi6d bV thb AITC InSneC+inn rl"ron"
AITC Cei-fificate No. 6 7 6 31 A
AMERICAN INSTITUTE OF 'TIMBER CONSTRUCTION
RPCEIVED
SEP 2 4 1990
KELLtA L80. §ht8 (9) 19§3 AWEPUCAN INsT'ITUTE (51: TIM13ER CO�iSTRUCTION
owner:
I
1'.e rail 11, 9 0
C_A_ T 1 -0- H
-7- �S-D
-469L59n i�cd hico
b
Remodle A. P. fit).
1.0CATIOH
0001F
H4 ter Is
irl,
FxTgRift WALL
juterial_
Tiltek"alls(iliches) 6
DESCRimon OF IHSIIIATIOH
Restatalice (R Value)
Draild Name DbLCL15_-LM1dw_
I Illermal lResistalice(11 Valise) R19
call-SIVU rand
Batt or sialiket Tyl-a 1_1b11'rU1d:i!i baL.Ui h .
11ilcksteas( IM: be. Therenal Renjulalice(R. Value) R30
ne -
H11111ber Ot Bags_ wt. per Peg
Area Covers"%$%..
fl -0014. ELEVATED Fiberqlass battS
Tit Ic1coleff (I licile")_
F1.0oa, SIAB
Tj%lcksie@s
r(pjNMTIOH WALL
11rd,14 Hallie Owens-Corning
Restecalice(K Value)_ R191-',—
Redistance(K Value)
grand Ham"
. 'I'llerwat Resistance(it Value)
TRICK
a albovo b"Mins
I hereby G*Fttty. �Ildt: 1.146 albove L1.011 was Installed in 1.11
'Is Knerty Roquirowelite.
In conformance Willi Che SI:giLs of califorls
Loerke
. ]FIRM E/ HER
jGj �THSTAI IA I ION APPLICATOR
jjMRgOjF TNSTALjt��
109150
STATE COUFRACTORIS I.ICEHSK NO,
Dec.ember. 13, 1990'
DATE
I Ilereby certify tile above 111441181.10111 alli 1 411 reAllstred Items as shown on th*
approved plalls slid littscillalilits lieve lasen hist0lod its
suildills DepartPle'll:
required by tile State (it Califtit-1114 Ellevily
All equipment, devices slid inateVials 4F6 lf t"a 11"altly Pr sec.ribed or 11to
,possiricatly appriwed by file Stilts Of C"t"forl"ll'
ck .. ___ 'i. - - .
R 0, 1 ea0e Ill. I let s,rATF. couron'roit's iacemsg NO.
F1 R V
" -MRX oir
RIj'Olr (IF Al. C
THIS CIERTIViCATE MIST RE Oil FII -E I'll"I -I-Illk alill.I)ING DEPAIMIFIff PRIOR TO YIN"
J"MCTJOH AprBOVAI. Atli) A COrY SIIALI- Of 11 1 OSTED WITNIN Till! bill-l-DINO
1904
FA
- % - - .- I , 1 11
'4 F'T 2.
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541 >
APPLICATION AND -PERMIT
ASSESSOR PARCEL NUMBER
47-50-31
ZONING
SR -,l
BUILDING PERMIT
OWNER
DarrelLary
TELEPHONE
3Q-0123
SQ.FT. OCC. BUILDING VALUATION
756 R 30,240.00
OWNER'S MAILING ADDRESS
4693 Songbird Dr., Chico 95926 .1
CONTRACTOR'S NAME
Dick Nelson
TELEPHONE
1345-1105
CONTRACTOR'S MAILING ADDRESS -
3626 Hicks Lane, CHico 95926
Fireplace A 00.00
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is .
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 197-50
ARCHITECT OR ENGINEER
Lenn Goldman 777�_
SE NO.
Plan Checking Fee
$ 98.75
Energy Plan Checking Fee
$ 15,Q0
ARCHITECT OR ENGINEER'S MAILING ADDRESS
343 West 4th St., Chico 95926
Penalty
$
BUILDING ADDRESS
Permit fee
$ 121.25
- PLUMBING PERMIT
FilingFee 10.00
4693 Songbird Dr.. Chico 95926
Each Trap
4 2.00 8.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
1 5-00 5.00
Each clas water heater or vent
5.00
USE OF STRUCTURE
SF M* Duplex F� Mobi lehome Fj Other
SPECIFY
Gas piping system 1,- 5 outlets
5.00 5.00
Building sewer
_J
5.00 9,00
Mobile Home _FS GJWJ
10.00ea
TYPE OF WORK
NewD Addition[N RemodelP UtilitiesO InstallationD Other
Describe work: Add Bedroom, Bath
Addition to Living Room
Permit Fee
$ 33-00
Cont'ractor
ELECTRICAL PERMIT
FilingFee 10.00
Rpl)lnrp RVAQ, Moyp Main Service
main service 1500V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L. 100 AMP
2.50
PONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. Classification
El 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) 0
I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADDNS. ACC. SLOGS.
X 121/4sqft 18.90
N EW CO NSTR. MU LT'-OUTL ET
NON -RE .3, , EIR ANCI CIR �:: U, T S
12.50 ea
(POWER APPARATUS.&)
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
20050t
15AL9 30C
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'O.) E0
1 2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
J_ 15.00 15,00
Permit Fee
$ 41 - Q0
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
R The permit is for $100.00,(valuaiion) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.,
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
I b.00 1 6.00
Dual Pak
91
I
Cooling
1 11.001 11.00
Hood
3.001 3.00
Ventilation
3.00 3.00
Permit Fee
$33.00
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 buildi Construction, and hereby authorize representatives of the Countyot
t r
Butte ENn ipon the above-mentioned property for inspection purposes.
I all o agree ify and keep harmless the County of Butte against
all liabilitie expenses which may in any way accrue
6
inst sa
ajj�,inst aid f the granting of this permit.
X .3h-0 /go
)OW Date
S S ignot e of Applicant - kOwner LJ Contractor % Agent El
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
c n of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $30.00
occ
CONST T PE
ITOTAL FEE $461.15/
HAZ CILIA
PARK
I SC/1
FJ/
I �,�RD
ISSUE
Th's permit is nereby issued under
si�ns oi the Butte County Code and/or
work indicated above for which fees
DIR T 0 BLIC
LP
Za
By_" 112�44 r
PE IRES l3alle _/(�l /1,
the applicable pro
resolutions to vlo
have been paid.
WORKS
natp /6/14%
R 73445
Li eceipt No.
Hirf-o.P.w.. YELLOW-ASSIESSOR, PINK -INSPECTOR. GOLD ENROD-APPL I CANT
1_� - � ) VPNW
154i;R. �,"w
COUNTY OF BUTTE - D1EPAA7MEl4tjPF PUBLIC WORKS - BUILDING DIVISION
X 1� - I �'� ,, �J. �
7 COUNTY CENTER DRIVE - OROVIL-Le`CALIFORNIA 95965 - TELEPHONE: 916/538-7541
4.
E'1fM1TkA0PUqATf0N DATA SHEET
Permit No.—
OWNER to ICII A P No.--'/
DD T70- Building Inspec
Proposed Building Use Date
At time of permit application, I was ad�iiseid the followind data must be submitted priorto permit processing and/or issuance:
I" . 4 -.1 DATE RECEIVED APPROVED
1. All items have been submitted . .. ..................................
2' Plot plans in duplicate/triplicate, signed by preparer of plans ........
Z 3. Complete plans in duplicate/triplicate, signed by preparer. of plans
4. Complete engineered plans and calcs, with wet signature on plans
5. Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
7. Statement of Intent for Non -Heated and AC Buildings ...............
8. Engineered truss details and layout in duplicate (required prior to plan check
9. Mobilehome installation data including manufacturer's installation
instructions ........................................................
10. Fees of $ .........................
11. Chico Urban Area fees paid .......................................
* 2. Park fees paid
G_ Schoo'l fees *pai*d .............. q 9u
14 Sanitation approval from H IC Health Department 2 zzzz
5. .1
1 City of Chico plumbing permit .....................................
-business license approval from City of A&C_
16. Plot plan and
(see City,for.other requirements),---.."..
(B) Parking:. ......
17. Planning - approval for'(A) Use:
18. Improvements may be required. Contact Land Deve'16-ment Section DPW
19. Driveway permit (constructiorf approval requiiedprior to occupancy)
20. Pre-Inspectibn for required ... Pre-inspec. request to
Building Inspector (Date)
3�, Contractor's license information (No., Name Style, _Clas�ffi�ca,tianj . I
�-< file
Lae2' 2. Certificate of Workmans Compensation Insurance .....
,to ow'ner
3. Owner -Builder Verification (Given to owner 0, Mail.,
24. Recorded copy of Agricultural Acknowledgment St�temenj_..
25. Letter of signature authorization ............................
26.
27.
When you issue the permit procespeas follows: 5–M t n ow n e r. to contractor.
__LeL;10`Telephone 3 and hold for picku(at., C'J�_�_Dj office. _De'1.iv`—er-w/-inspec.tor.
Other 14
Dat
40,,�p p I i can
I,) '9_ a U
7-/? go e.
Copy of Haz-Mat form sent —Health Dept. —Fire Dept. ---Air Pollution Date
Copyofplanssent ___HealthDept. ---FireDept. —Other— Date— By.
The following data must be submitted prior to permit issuance: (Circle new item not checked above).
1. Index permit for above items No.
2. Additional items required:
Contractor, designer, owner, was advised of above required data by—phone--mai I —counter by—..date
Contractor, designer, owner, was advised of above required data by—phone—mall—c nter by— date
Plans checked by Date Plans approved by Date
—Sets of plans on hold in —File cabinet _AP folder
Copy—DPW
TO Buildina Department
FROM:' Environmental Health
SUBJECT: Sanitation Clearance
Ct 1 -7 3 1
Ownbr Location AP#
Plan . Approved for: Sewaqe Disposal Water Supply
Hold final for: Water Supply
7inal clearance O.K. for:
Water Supply -
clearance for _ bedroom mobile home. Other
czd= A
NOTE * * *
to — I - To
Date
itarian
San
4 W .,
BUTTE COUNTY SCHOOLS DEVELOPMENT FEE CERTIFICATION FORM
(one Form per Building)
7 3/
A.P. Number Building Department No.
o�
School District City M County Jurisdiction
Property Owner 4�Ar--1
.ell
Project Location/Address— 7-1, FS 5d&45� t_4 IXD Z:) I
Subdivision Lot Number
Residential Development: Sq. Footage
# of Living MHI Addition (Group R)
Units
Commercial/Industrial:
New
Sq. Footage
Addition (Including Exterior
Roofed Areas)
?12 OAd—
/ Date
(Floor Plans reviewed by S7,chool District Personnel)
District Id No.
0,h mp to .- Ue)l lleee School District certifies that
-7) 0-k-_ - KkAslon .9 9.,!F - I / 6.t�-
(Applicant Name) (Phone Number)
(D QG
(Street Address
0_,� I OJ-) 0 C4 q 5,? a 4:>
(City) (State) (Zip Code)
has complied with the requirements of Resolution No. W9_9 0
by the payment of $ 4/3?- representing '>,157G square feet.
School District Representative Date
PAID BY CHECK NO.
BANK NO— 7 0- 36-0�1 —
PAID BY CASH
REMARKS:
I
white -applicant, yellow-buildin- g department, pink -school district,'
SCHOOL.FEE (8/88)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone: 916/538-7541
APPLICATION AND- PERMIT
ASSg:SSOR PA
.4EL NUMBER
7
BUILDING PERMIT
W N E R JT_E4EPHONE
0 / Z
SQ. FT. OCC. BUILDING VA UATION
OWNE; MAI LINGI ADDRESS
9-3
11N'I�ITIR'S Na
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
3692_40 I � ( oe�3 LA, (�y 60
Fireplace (L 1 0
CONSTRUCTION LENDER ]UNKNOWN
Total V luatiori is
Filing Fee -
$ 10.0o"
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
L -EN 1`� G61_1�
LICENSE NO.
Plan Checking Fee
$ 7<
Energy Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAJ_IING A-2DRESS
3,4S \AJ E'�J �A -Vlr :Y�l Kxi)
Penalty
$
BUILDING AOOR�_55
A(F93 -:�76QGSI% 99- C_ (4 1 C,0
Permit fee
$
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00 0 0
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Water piping
5-00
Each qas water heater or vent
5.00
USE OF STRUCTURE
V
SF% Duple.[] MobilehomeF� Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer ___TS
5.00
W1
GT
10-00ee
TYPE OF WORK
NewO Addition5§- RemodelrE� Utilities[] InstallationF-1 OtherF]
Describe work: �N—J 1J
)kVIsf-%I0XJAL- 73i� - -D I-IV)Alq ka6,4,1,
-MobileHome
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
H U A
Main service r?OO V OR LESS
0 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
CONTRACTORS 6CENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
License No. -S5k�)i 96o Classification
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7944)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.—, Business'and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&)
OR ADONS. ( ACC. BLDGS.
—
21/20sqft,
NE W CO N ST F;L MULTI -OUTLET
NO -R E S, D , BRANCH CIR CU ITS)
2.50 ea
POWER APP ARATUS.&
SINGLE OUTLET CIR
Ex. Occup( OUTLETS OR FIXTURES
1.2AL@ 30;r
FIXED APPLNS OR
Ex. Occup. OUTLETS (RESI'D.) EA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
15.00
Permit Fee
$
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
The permit is for S100.00 (valuation) or less.
I have placed on tile with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Contractor
MECHANICAL PERMIT
FilingFee 10.00
Heating
L) L
Cooling <Z -t—
Hood
3.00
Ventilation
Permit Fee
—
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County or
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnity 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 Date
Signature of Applicant - Owner El Contractor R AgentF_1
An OSHA permit is required for excavations over 5'0" deep and demolition or construct.
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee
-occ
CONST TYPE
TOTAL F L11
EE - T (,�?
I HAZ
I CUJP�J
FILD
I PAR
I P.
I D ISSUE
Th's permit is nereby issued under
sions of the Butte County Code and/or
work indicated above for which fees
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
tne applicable provi-
resolutions to do
have been paid.
WORKS
Date
Receipt No. -'7 -3 q4��
.WHITE-O.P.W., YELLOW -ASSESSOR, PiNK-iNSPECTOR. GOLDENROD-APPLI CANT
14
0
'� i P
PERMIT NO. 1573-8493, P, E
PERMIT EXPIRES 9 gs
OWNER DARYL LARY
CONTR. Hill Construction
ASSESSOR PARCEL 47-50-31
j 11 LOCATION NIS Songbird,.400'N,Keefer, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Calle,
Temp. Ga -
Calle,
JOB FINA
Signa
41
� = OK - <A - . I ;.-.
0 = Not OK , , i
- = Not Applicable MOBILEHOMES MISCELLANEOUS
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning R eq u I rements-Setbac ks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements-Setbacks�Easernents
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/O -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; Local i on- Te st- Easement Needed (Sketch)
4, Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ Amp -Concrete
5. Alum. Awn.; Column�-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 #'s
1. Zoning Requirements -Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
Card -BI
Date
Date Card -BI Date
POOLS (�Jans) OK excepl #'s
4,8-etbacks-Ea0_-56,ts
V_ -851-s; Compaeff6n--Struskwv'Tt"a—bi'lity
3. Gas; MH Test-Dernand-Valve-Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
A,,E5EStructure; 2joei---Corpe-r,�ns-Thk4ffre-ss-aee&+�e�g
�Alec.; Receptacles and Lighting; Distances-GF1
5. Drain; MH Test -Fall -Flex Connector
lec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
Olec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
lec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
lr,,,Elec.; Grounding; Equip. w/5'-Circulaiing Equip. -Pool Lghig.
/Boxes -Enc losures-Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
tXHeolth Department Approval
lumb; Cir. Test -Water Supply Test
ftAotCf Ci-Arelej)
j%V Date4� K&14 Card -BI & Date
Card B-1 Date Card -BI Date
Card B -I
Date Card -BI Date
-lbara-Bi
Card -BI
1,16D Datee6�f:r-p',,- Card -131 Fk Date
I
�7'
7 7--
A-
q
V = OK
0 = Not OK
- = Not Applicable
* = Not Ready RESIDENTIAL-(Singie and Duplex)
Date
UNDERFLOOR (Plans) OK except#'s
Date
FRAMING (Continued)
1. Zoning req u i rements-Setbac ks- Easements
48.
Property Line Firewall & Openings
2.
Ftg., Main; Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors -One X -Check Garage -3rd story, 2 exits
3.
Ftg., Garage; Soils -Steel- / /" Ftg. Depth
50.
Stairs; Width -Headroom -R ise-Run-Landi ng -F ire 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; Stee I -B loc kouts-Wrapped-S lab
53.
Stucco Mesh -Drip Screed-Fdn. Vents-UnderfIr. Access
7. Piers -Fireplace Ftg.-Steel
8. D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test-
54.
55.
Glazing Area -Glass Protection-Skyl ights- P last ic
Shear Walls; Nailing -Bolts
9. Gas Pipe; Size -Anchors
10. Water Pipe; Test-Anchors-Regu lator-Sery ice Test
11.
Electric; Underground
12.
Plenums & Ducts; C learance-Material-Support- Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -B1
Date Card -BI Date
Card -BI
Date
Date Card -BI Date
FINAL (Plans) OK except #'s
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING (Permit) OK except #Is
14. Water Ht.; Vent- Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -C I eara nce-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16.
D.W.V.; Test-Fttngs & Anchors -Nail Protection
59.
Bedroom Exiting
17.
Shower Pan; Test, First Floor -Tub Access
60.
61.
G.F.I. & Bath Fixtures & Tub Access
Elec. Trim & Subpanel; Breaker Sizes -Labels
18. Test Tub & Shower, 2nd Floor -Tub Access
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
64.
Elec. Outlets at Wood Panel; Int. & Ext.
Card -Bl
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 -Land! ng -C loser
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -C leara nce-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
73.
Guard Rails & Deck Construction -Post Caps
26.
Subfeed Wire Size ga. Cu or AI-A.C. Wire Size ga. Cu or Al
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor El Yes
27.
Range Circ. / / ga. Cu or Al -Oven Circ. ga. Cu or Al,
Insulated Neutral E]Yes El No
75.
Following instld.: Drive 0 Yes 0 No; Walks Yes
Planters E)Yes E)No No;
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Pane Is-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; P[bg.-Appliance-Firepi.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -Bl Date
81.
82.
Ventilation throughout House
Gla'ss Protection
Card B -I
Date
Date Card -BI 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.
Water & Sewer Connected -C/O to Grade -HD Approval
32.
Vent Fan; Exhaust above Insulation
86.
Energy Compliance Certificate -Other Certificates
33.
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
Card -BI
Date
Date Card -BI Date
Date Card -BI Date
FRAMING(Plans) OK except #'s
Card -BI
Date Card -BI Date
Card -BI Date Card -BI Date
Comments at Final:
36.
Si I IS; Proper Material & Anchors
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
Header & Beam -Size & Bearing
42.
Hangers -Post Caps -Anchors -Connectors
439
44.
Cing. Joist-Rftr. Ties-Purlin- Roof Brac.-Truss-Shthnq.-Rfnq.
Fireplace Ties or Type A Flue -Fireplace Throat
45.
Attic Access; Size & Romex Protect ion -Draft Stop -Ins. Baffles
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
47.
Garage Fire Protection Framing
(NOTE: An entry must be mad
e each time you visit job site)
-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
L I,,, 4,ec( 13-'7
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.
Inspector Date",,/,
ME
COUNTY OF BUTTE - DEPARTMENT OF, --PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-4541
APPLICATM A40PERMIT
-.'PERMIT NO.
ASSESSO P E
,,?ARC � NUMBER
�7 - 6) -3/
7�x -
BUILDING PERMIT
OWNER ,
TELEPHONE
SQ.FT. OCC.1 BUILDING VALIJXTIONV
h
V
I A, 060 -
OWNER's MAILOQG ADDRESS,,J
A
CO,WTORhS NAM_f__
ML OF
CSWEP
CONTP TOR'S MAj�NG ADDZ�,
06 1
r� AA4
Fireplace
CONSTRUCTION LENDW
UNKNOWN
Total Valuation is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARC OR ENGINE
LICENSE NO.
116 03
Plan Checking Fee
$
p4Aa+tY—
$
ARCHITECT OR ENGINE�ER'S M�ILING ADDRESS
3 01 Q_ C�04_44u_ d-6�6
Permit fee
$
BUILDING ADDRESS/ 'J
.S 11�1�
PLUMBING PERMIT
Fi ling Fee 10.00
d.
41
Each.Trap
2.00
Solar Water Heater
20.00
V V
Water piping
5.00
LOT NO.
SUBDIVION IE'
Lw &�
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTUR
DuplexF� Mobilehome ther /1:4,1Z U,
n 0 P
F)� SPECIFY
Building sewer
5.00
__J G JW 1
Mobile Home TS
10-00ea
TYPE OF WORK
New [P( Addition El Remodel Uti lities [:1 InstallationEl OtherE]
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 110.00 -
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 ADDNS. ACC.BLDGS.
21/20sqft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
Er I am licensed under provisions of Chapt. 9, Div. 3 of the bus I ness
and Professions Code and my license is in full force and effect.
License No. S7709 Classification (-- 5-3
F1 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
EI I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F1 I am exempt under Sec.-, Business and Professions Code
for this reason
NEW.CONSTIRL ULT'_OU L9T 2.50 ea
NON RESID, (M.RA.C. CTIR UITS)
NEW_CONSTFL POWER APPARATUS.&)
NON RESIO. (SINGLE OUTLET CIR
Ex. OCCUP(OUTLETS OR FIXTURES .20 0 50C
ALO 300
FIXED APPLNS. OR
Ex. OCCUP- OUTLETS (RESID.) EA.) 2.00
Temporary service 10. 00
-
Mobile Home Facilities 15-00
Misc. Wiring 15-00
Nic ;3�
I /If,
Permit Fee $ Q-5,06
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
[__J The permit 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-Inswe.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating -:a 017�
Cooling
Hood
3.00
Ventilation
Permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
1 also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date 5—zz— 81
Signature of Applicant Owner El Contractor � Agent E]
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE 11� $ )_PV1 50
OCCUP. GROUP
I TYPE OF CO.ST.
F
IPARCELI
PD -1
J;J
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE R OF P
�St
By- 4 , 1
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
IC WORKS
_15 191-9 175�
Receipt NO. 1W
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
11M
OWNER
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS BUILDING DIVISION
7 COUNTY CENTER DRIVE - OROVILLE,1 'CA.L11FORNIA 95965 - TELEPHONE: 916/534-4541
Proposed BuildindUse
�PERMIT APPLICATION DA:TA SHEET
Permit No.
'0 V
A. P' No. 75
Permit Fee Based Upon: V Complete Contract Price . V DPW Valuation
Building Inspector
r (Explain)
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 calc�s . . . . . . . .. . .
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 signature authorization. i . . . . . . . . .
10. Sanitation approval from Health Dept.
11. Planning approval for (A) Use: (B) Parking:- 4
12. Certificate of Workmen's Compensation Insurance . . . . . .
13. Contractor's License Information (no., name style, classif.)
14. Owner -Builder Verification (Given to ownerE], Mai I to owner
15. Improvements may be required . . . . . . . . . . . .
16. Mobilehome Installation Data. . . . . . . . . . . .
17. Pre -Inspection for 4 Pre-Inspec. request to
Required- Building Inspector (Dote)
18. Other
When 'you issue the permit, process as follo -Mai I to owner. -Mail to contractor.
Telephone gq( and holwdsfor pickup at -office. Deliver w/inspector.
Other
Applicant 14�(JW, Date s -22-8q
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:
(Contractor, Designer, Owner) was advised of above required data by -Telephone Mail Other
- Z
By
Date
.
Plans checked by Dat
e
Plans approved by D6te
Other
i "
Copy—D.PW
TO: Building Depjartment
FROM: Environmental Health, Chico
SUBJECT: Sanitation Clearance
Owner /Location AP#
Plan approved for: sewage disposal water supply
Hold final for: water supply
Final clearance O.K. for: water supply
Clearance for bedroom mobile home. Other
&
Note***
Sanitarian Date
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - Oroville, California 95965 - Telephone 916/534-.4541
APPLI'CA7:J0N AND PERMIT
PERMIT NO
f7_7
ASSESSOR PABCEL NUMBER
L ILf�
ZONING
BUILDING PERMIT
It 4xv rt
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
I
OWNER'S MrILING ADDRESS/
C/4
CP�ITYT�AME
H-1 _ nbc //I
TELEPHONE
dcrNTRA4 :)RE'SS_
13 Cni �t�t
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ -5-0
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fe6
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING ADDRESS
AILS Al 42(
PLUMBING PERMIT
Fi ling Fee 10.00
hit -d Z:tz- 6-)
Each Trap
2. 00
Solar Water Heater
20.00
L
Water piping
5.00
LOT NO.
SUBDIVISION NAME
1
PARCEL MAP
1
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
5.00
USE OF STRUCTURE
SFE1 DuplexR MobilehomeE:1 Other P_r1 (/H- YO_�
SPECIFY
Building sewer
5.00
Mobile Home S 11 G W
10-00ea
TYPE OF WORK
NewEl Addition D R emode I [] UtilitiesE] InstallationD -Othelr)�3-�
Describe work:
e�-7
- �3
Permit Fee
$
Contractor
ELECTRICAL PERMIT
FilingFee 10.00
Main service 600V OR LESS
100 AMP OR LESS
10.00
Main service EA. ADD -L 100 AMP
2.50
-7% CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
0 1 am licensed under provisions of Chapt. 9, Div. 3 of the Busines S
and Professions Code and my license is in full force and effect.
License No. Classification
1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
I am exempt under Sec.-, Business and Professions Code
for thi W'O'on
NEW CONST. DWELLING OCCU
OR ADONS. ( ACC. BLOGS. P"') J21A(tsqft
_P
NEW CONST MULTI -OUTLET_
NON-RESITZ_( BRANCH CIRCUITS) 12.50 ea
NEW CONSTR. /POWER APPARATUS.&)
NON,RESID. %SINGLE OUTLET CIR
200504
Ex. OCCUP(OUTLETS OR FI)eTURES JBAL@ $00
FIXED APPLN5 OR
Ex. Occup. -OUTLETS (RES(D.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 15.00 j
1 . I
Permit Fee
$
Contractor
^WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F� The permit is for $100.00 (valuation) or less.
E] 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.
F] 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
Fi I Ing Fee 10.00
Heating
Cooling
Hood
3.00
Venti lation
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
s xp s s w
ab I e �,d ent and een e ich may in any way accrue
'i s, ''i I S u 'm c s c Oq �ae he rantingof this permit.
in said Court ty I n nse u � c of t ,
of pli. 0. '0 C. Date
Ap n n. n Agent F
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in keight.
Mobile Home Installatio Fee $
_n
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CON�T.
PARCEL
PO
No
ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECTOR OF PUBLIC
By
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date
Receipt No.
WHITE-D.P.W.. YELLOW -ASSESSOR, PINK -INS C -OR. GOLDENROD-APPL I CANT
j
665-81BP,E,M
P�RMIT NO.
PERMIT EXPIRES -
Steve Burton
OWNER
CONTR. owner
ASSESSOR PARCEL 47-46-6 port.
LOCATION NE cor.of Songbird & Covey Ct.,
lot 31, Quail Run Sub, Chico
Temp. Power Pole
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas' Service
CalledPG&E
<9
JOBtF71NALED (Date)
Signature
OK
0 = Not OK
- = NotApplicable MOBILEHOMES
* = Not Ready
A dc_
MISCELLANEOUS
Date
MOBILEHOME UT-:LITIES (Plans) OK except #'s
1. Zoning Req u i rements-Setbac ks- Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support -Sketch
2. Footings; Size -Depth -Spacing -Connectors
3. Sewer; Location -Test -Fall -C/0 -Concrete
3. Decks; Girders and/or Joists -Decking -Bracing -Stairs -Rails
4. Water; L ocat i on- Test- Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Connec.-Shthg.-R-fg.-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./ P' LPG
7. Utility Clearance
6. Carports; Windows -Doors
7. Elec.
Card -BI
Date Card- BI Date j
Card -BI
Date Card -BI Date
Card -BI
Date
Date Card -BI '.'Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
Date Card -BI 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-Clearinces
5. Drain; MH Test -Fall -Flex Connector
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HO Approval
7. Elec.; Bonding; Metal w/5'7Circulating Equipmen.t-Heater-
8. Gas and Electricity Tagged
-
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enc I osures- Pane I boards- Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
I -Card -BI
Date Card -Bl Date
'OK
Not OK
Not Applicable RESIDENTIAL ISingle and Duplex)
Not Ready
Date
UNDERFL_OUM (PlaLns) OK except #'s
Date
FRAMJALg (Continued)
t-?6-ning requirements7SQLhae_e--Ea�pn*mtir'
4&,,"'Property Line Firewall & Openings
2. Pj.-_Md6-fo ee I - E I ec-G-rn-d.- / ::7-/" Ftg. Depth
4%,f!!�t: Doors -One X -Check Garage -3rd story, 2 exits
q-'FTg-. Depth
50&-STairs; Width -Headroom -Rise -Run -Landing -F ire Protection
4,j:J!JEEJ!�� cks; Soils -Steel- Ftg. Depth
5 - wood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Sfem—wplls
P15Ziding-Nailing-Veneer
6. Ste2SP��Gar�
"55.
Stneea Mesh -Drip $creed-Fdn. Vents-Underflr. Access
_L, PAOtf-Firefilletle Ftg.-Steel /r.,P60
zing Area -Glass Protecti on-Skyl i ghts-P last ic
Fall -Fittings -Test -2 way C�/O-Sewer Test
55* -'Shear Walls; Nailing -Bolts
01"ter Pipe; Test-Anchors-Regulator-Sery ice Test
6ctric; Underground
rice -Material -Support -Ins.
%40*7Girders-Sills-Anchor Bolts -Joists -Vents -Cripples
Card -31
/6atjZ;1 Card -BI Date
Card -BI
Dati4 Card -BI Date
Card -131
Date Card -BI Date
Card -BI
Date Z C@08
Da I/
FINAk (Plads) K except #,S
Cff-BI Date 73-.Zf-41 Card -BI Date,"
Date
PLUMBING (Permit) OK except #'s
-1T.7-7ftiter Ht.; Vent- Access -Combust ion 6k
�byw
4 -
dyt$a�Door& Sidelight Protect i on -Land i ngs
-, - --
IV---0I5o -- Detect
-F717=1 Vents -C learance-Comb. A ir-Connector-
fo-Gafega;.� Floor-Ducts-Mech. Protection
11reWater Pipe; TU&,6 Arw.Wils-Nail Plofection
16.I!�-W.V.; Tep-ofittrigs & Angp2n-NaikRrOfection
&9-�aqroom Ex it' -
it. Show r Pan; Test,,First Flo�� Tub Access
yepF .1. UatDefixtures,& Tub Access
lWeWTub & ShViler, 2nd ORS -or -Tub Access
(03� Elec. (rr1m_1qub#an10, Breappetfe-s:JaGR5
'ze & Anchors
ie,-STairs & Rails
qar-T4;spL"e or Stove; CIq,4affC6s-HQ&ftH-
0114-131
ate f--3V-jk Card -BI Date
--6*r-E-4ee.
Outlets at Wood Panel; Int. & Ext.
& Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
,Illy
Date Card -BI Date
*fiLc - Outlets & Receptacles at Kit. Court
Date
ELECTRICAL (Permit) OK except #'s
Y)!�Garage Fire Door; Swi ng- Land i
in Garage -Damper
*'Fi.xture & Transformer Clearance -Ins. Protection
Vents -C leara nce-Comb. Air-Connector-P.R.V.-
In Garqge; Above Floor-Mech. Protection
Receptacles Spacing -Lights & Switches at Doors
f4e"�ize poxes & No. of Conductors -Stapled
lec. & Mech. Equip. Listed for Location
21,�R'qmex Installed Close to Edge of Studs & C.J.
7= (9<n!.qLat
.11
.."Receptacles in Garage; (G.F.I.)-Romex Protec.
E!pe.
i on- Foam- Looked in Attic Zj-"-s
-Aarr�'Rails & Deck Construct ion -Post Caps
2k��uip. Ground ade up w/Mech. Fasteners -Bond Gas & Water
-
*1 circuits in Kitchen & Conductor Size
,,Appliance
��Ofeed Wire Size gaZF7u!-br Al-A.C. Wire Size ga. Cu or T,
;*- Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
L29ked under Floor
29Z�Tlange Circ. ) Gbr A I,
Insulated Nd
10 --Following instld.: Drive jp�7es F No;
Planters EDYes &W ]No; Walks E�'Tes
27. Service -Riser Conductors & Ground -Main Disconnect
-70.
&tueea-Brown-Finish
2*0'5-quip. Clearances; Pane I S-Motors-Mech. Equip.
-
ji.�,Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
3&.-,C'Fothes Closet Light -Shower Light
is Above Roof; Pjbg.-Appliance-Firep!,�Gl%aW!!r
Ngl�e
,!�Qpngs.
OV!IyFer Well; Dilibei1h-ect, ElectricaCP12 �n (K3 To
pe0t�jerior Elec: Trim; G.F.I. Receptacle-Undergrou-n-T-
94--lantilation throughout House
COrd' t -I Date f. -;i nvt Card -BI Date
Card B -I
Date Card -BI Date
-82
--&ase Protection
Date
MEC_HANICAL (Perrrit) OK except #'s
83. Corrections from Previous Inspections
SA-t—leall Meters Tagged;.Q"-EIeeWic
3 . -4.C. Ducts; Insulation & Support
lk!r5Ler & Sewer Connected -C/O to Grade -HD Approval
3KVqp1 Fan; Exhaust above Insulation
SaoCtgadensate Drain & Overflow; Size & Grade
7 (A;�-Inergy
Compliance Certificate -Other Certificates
2A�Wurnace-Vent; Access -Comb. Air -Return Air Vent-115V,outlet
Attic Access & Platform if Ftjrnace 1,2 Attic ±!3!4� jig
135
Y
Card -BI
Date Card -BI Date
Card -BI
----Date Card -BI Date
Card -61
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Comments at Final:
Date FRAMING(Pliliffs-) OK except #,s
36,01�111s; Proper Material & Anchors______
?
Tke'Walls: Studs -Nailing, Spacing & Bracing -Plates -Sound
--
3VBearing Walls over Girders & Floor Nailing
-�9.,,15'raft Stop in Walls (rat proof)
4AZ,*'-F' St Furred Ceilings-Stairs�Chases-Tub
�Wa p
4*o'Header & Beam -Size & Bearing
A4VH-a -P-ost-C-a-p-s--A-nc—hor-s-Connectors
4&.,e�lng. Joist-A-ftr. Ties-P—urjin- ft Brac. -Truss-Shthrip.-Rifrig.
4Kireplace Ti . es or I i"glace Throat
4&*-�-,;OS Acce��; Size & ffilffrid Protect i on -Draft Stop -Ins. Baffles
4** -B
!,cljcm. Windows or Exiting Doors -Sill Hgt. & Dimensions
4n��Garage Fire Protection Framing
, - - -- 11
.
(NOTE: Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way,..Chico — Phone: 891-2751
7 County Center Drive, Orovi Ile — Phone: 534-4541
Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
Z,
BUILDING OR PROPERTY ADDRESS
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
Wtter, or need additional explanation, 'please contact this office immediately.
41 7
It
/I
FA -
�, 1 / f /, / " Z,.v- eez�-- -r
- A�,, J";7 / /
Z:e: -7- Ille- &/,:�; xl't's
I
��- �IMM9A jl�j-`/'v ll�r,, . 1�)5-
Inspector Dateq�— 7--,/o
1�: QZ - COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
(V
T 695 Oleander Avenue, Chico — Phone 343:4211, Ext. 70
7 County Center Drive, Oroville Phone 534-4541
Skyway and Ell'iott Road, Paradise Phone 877-3435
�!,R��ION NOTICE
BUILDING OR PROPERTY ADDRESS
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. I ha a question pertaining to this
matte�r�ed add' I explanat 10 ffease t this office immedi I
Z
39�� 7,!"
PVQTnVNTTTAT
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 Quail Run '107- -gl
(locat
BUILDING PERMIT NO.
A.P. NO.—
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge,.__
Fdn. Walls—
Floors P, -19
Walls P11 9
Ceiling/Roof R30
Ducts W"
Circulating Pipes 9
APPROVED HEATER
APPROVED WATER HEATER v"'
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS.
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS Vol
INTERMITTENT IGNITION DEVICES
CERT. APPPLIANCES
I DECLARE THATALL REQUIRED ITEMS AS NOTED ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTEW.
Insulation Applicator Name— NI�CHDLS'ON I'NS'ULATI'ON INC.
(please print)
Signature of .
Insulation Applicator
State Contractors
License No. .2.124.6.1
General Contractor/owner Name 'S C� ---B11,e7--0AJ =^Jr—
(please print)
Signature of
General Contractor/own r Date
:ontractors
License No. ��,p7o/ 0
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO
REQUESTING FINAL INSPECTION AND SHALL BE POSTED IN A CONSPICUOUS LOCATION
WITHIN THE DWELLING.
If
4 vj
TO:
FROM:
SUBJECT:
DATE: '-7
Inter Departin , dn't *I)Aemorandum
L 1
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT 0.
tl,6
7 Count . y Center Drive - Oroville, California 95965 - Telephone 916/5347541
APPLICATIOW AD PERMIT
AA
AS'3VSSOR PARCEL U
V 7— et,2,� - .
ZO NG
X 1?�_
BUILDING PERMI�lk
OWNr=R
TELEPHONE
SQ.FT. OCC. BUILDING VALIJATION
0 o
OWNER'S MAILING ADDRESS
70
CONTRACT 'S N ME
;Af'1_", AmIle
PHONE
995( 40 d,
0
CONT A TO/R'S m NG ADDRESS.
21 , VI(
V r/2!1�/Z�J�!r_ 7'
Firepi 01 16940
EgW!A1
0 6
Co RUCT)ON
h 0 1dr , � " /,
UNKNOWN
I
Total ValuMion $ /S.P,
0
Filing Fee
$ 10.00
—
LENDER'S MAILI NG DDRESS
Zo �; ;ra X7, /4/- /,C -G-
Permit Fee
$
ARCHITECT OR ENGINEER
Alb Al �E
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ C)
BUIL G ADDRESS
PLUMBING PERMIT
FilingFee 10.00
Z
Each Trap
2.00 0 0
Repair drainage or vent piping
5.00
Water piping
LOT NO.
SUB.IVISI.NZ.
�,/
PARC L MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SFD--I'DuplexF� MobilehomeF� Other SPECIFY
Building sewer
Lawn sprinkler system
5.00
.00
TYPE OF WORK
New R��Addition [:1 R emode 10 Utilities [:1 InstallationD Other[]
Describe work:
Permit Fee
$
_..2ontractor 1,1a
ELECTRICAL PERMIT
FflingFee 10.00
600V OR LESS
Main service 100 AMP OR LESS
5.00
Main service FA. AOD'L 100 A MP
2-.50
NEW CONST. ( DWE.LLILNG 15, N)
OR ADDNS. ACC . . AVY,
20 sq it A Zjro
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 Professio de and my license is in full force and effect.
License No. 010 —Classification 7'72
D 1, as the owner, or my employees . . with. wages as their sole compen-
sation, will do the work,and the -structure is not intended or offered
for sale. (Sec. 7044)
1, as the owner, am exclusively contracting with iicensed contract-
ors. (Sec. 7044)
I am exempt under Sec. Business and Professions Code
for this reason
NEW.CONSTF;L(MULTI-OUTLF-T
NON RESID, BRANCH CIRCUITS) 2.50 ea
NEW CONST R. I POWER APPARATUS &)
NON-RESID. %SINGLE OUTLET CIR .
Ex. OccuR(OUTLETS OR FIXTURE 50 @ 250
S BAL @ to'
(FIXED APPLNS 0 R-
Ex. Occup. OUTLETS (RESI*D.) EA1 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring, 7.50
Permit Fei $
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-1 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 Cenilivate
of Consent to Self -Insure.
F-1 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, yo6 must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heatingl/&dRe /0,0,*
/0,60
llar4
Cnntinq
16,00
Hood
3.00 C)
Venti lation
10c)
ET
Permit Fee
J6,00
Contractor Alf_!�
I certify that I have read this app lication and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to sav�, indemnify and keep harmless the County of Butte against
all liabilities . udnncts, costs, and expenses which may in any way accrue
;aid do, of this permit.
again un on
X n. `4'L, Date _ 2
Signotu
WA of Applicor�t Owner El Contractor El Aqent,�.k
An OSHA permit is required for excavations over 5'0" deep and demolition or constr . uct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. CROUP
-3
I" 1011T*
�P
1
I PA;��J
:1
;�fISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIPIEOTO �OF UBLIC
By Jooulen
PE§MIT EXPIRES Date
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Dat 9:4
Rece ipt No.
.�Z7YJP
'
WH.TE-o.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
COUNTY OF BUTTE - DEPAR-%MENT OF PUBLIC WORKS ,
iCounty Center Drive - Oroville.m�5alifornia 95965 - Telephone 916/534-4541
APPLICATIOWAND . PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER
4'r 7— 414 — 6, r
ZONIN
BUILMING PERMIT
OWNER
TELEPHONE
SQ.FT. Occ. BUILDING VALUATION
OWNER'S MAILING -ADDRESS
CONTT?P N ME
r
TELEPHONE
CONTRACTPR'S MAI�NG ADDRESS
Fireplace
KNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING AIDDRESS
L_
Permit Fee
$
ARCHITECT OR ENGINEER
A49,41J-
LICENSE NO.
I
Plan Checking Fee
$
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
BUILDING AD —7
1-4j, _T e
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repair drainage or vent piping
5.00
Water piping
LOT NO.
7/
UBDIVISION NAME
1 s I / Ll_�,2,,M
ARCEL MAP
1P
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Ej]�DuplexF� MobilehomeFj Other SPECIFY
Building sewer
Lawn sprinkler system
5.00 C)o
TYPE OF WORK
NewF_1 AdditionD emo�de I F-1 utilities 0 1
Describe work:
,,OOMain
Permit Fee
$ /3,100
ontractor
TELECTRICAL PERMIT
FilingFee 10.00
1011 OR LESS
service 100 AMP OR LESS
5.00
Main service EA. ADD -L 100 AMP
2.50
NEW CONST. ( DWELLING OCCUP.81)
-OR ADDNS. ACC.BLDGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus I ness
and Professions Code and my license is in full force and effect.
License No. Classific%;�?n _:E�
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
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 CONSTP_(MULTI_CUTLET
.ON..ES'D, BRA C CRC. ITS)
2.50 ea
NEW.CONSTR. (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR FIXTURES
50 @ 250
BAL@100
X. OCCU�(OPIXED APPLNS. OR
. UTLETS (RESIDJ EA.)!
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
7.50
Permit Fee
$
Contractor
MECHANICAL PERMIT
Fi I ing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
F-] The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shal I be deemed revoked.
Heating
Cooling
—
Hood
3.00
Ventilation
Permit Fee
S
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County ot
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 liabiliti-es, judgments, costs, and expenses which may in any way accrue
against sa[d C u t bonsequencelof1th%grant-ing of this permit.
X Date
S�ignature o1 Applicant OW erw Contractor X Agent D
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 star ies in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CO.ST.T
IPARCELI
PD
I No I ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indica ed above for which fees
t
DI TOR OF PUBLIC
—air
5e
PERMIT EXPI`RES-Z�nd
the applicable provi-
resolutions to do
have been paid.
WORKS
;7Z
Date
Receipt No. _57. ?,-7_76
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPLI CANT
COUNTY OF BUTTE - DE? -ART, -VENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Croville, Cql!forniiii� 7
,95965 - Telephone 916/534-45
APPLICATIOCAN'D PERMIT
ASSESSOR PXRCEL NUMBER
q7 Z,7
ZONING
BUIL61NG PERMIT
OWNER
Z
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWNER–S MAILING -ADDRESS
CONTR _R*SN ME ELEPHONE
CONTR7tC R'S I NG ADDRESS
Z:
Fireplace
DER UNKNOWN
&2AZ
Total Valuation
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
xl��Allr_
NSE NO.
Plan Checking Fee
$
Penalty
$
—
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
BUILDI;��/DRESS
PLUMBING PERMIT
FilingFee 10.00
Each Trap
2.00
Repai r drai nage or vent pi p i rig
5.00
Water piping
LOT NO.
SUBDIVISION NAME
Z��2
PARCEL.MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Ej4�DuplexF� MobilehomeF� Other SPECIFY
Building sewer
Lawn sprinkler system
5.00 C) C>
TYPE OF WORK
New R AdditionF� mode I [_1 Utilities [:] lutellationE] Other
Describe work: 0�0)11JI:1_1 112;;;e -7-- iz-Fi
Permit Fee
$
ontractor
ELECTRICAL PERMIT
FilingFee 10.00
6OOV OR LESS
Main service 100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. (DWELLING OCCUP.5)
OR ADONS. ACC.BLOGS.
20 sq ft
CONTRACTORS LICENSE LAW
I declar2
,dfider penalty of perjury (check one):
Rr I 'am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and e ffect.
License No. ,0ff5P0/e-2 Classification _�9
El 1, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale..(Sec. 7044)
El 1, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044)
F-1 I am exempt under Sec.—, Business and Professions Code
for this reason
NEW.CONSTFL ULT'_O LET 2.50 ea
R ." . ( MBRANC.UCTIRCUITS)_
—NON
NEW.CONSTFL (POWER APPARATUS.&)
NON RESID. SINGLE OUTLET CIR
Ex. Occup(OUTLETS OR F1 TURES 50 @ 2rn
BAL@IW
FIXED APPLNSXOR
Ex. Occup.(OUTLETS (RESID.) EA.) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor
MECHANICAL PERMIT
Fi I i rig 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 th.e.W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
od
3.00
Ventilation
Permit Fee
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws re,lating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
311 iabi I *es, judgment s cost s c d ex enses which may in any way accrue
ag i st s; a' Countwco�sq_,! n of this permit.
Date
Signature aloApplicant 04nerW Contractor X AgentO
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $
OCCUP. GROUP
I TYPE OF CONST.
PARCEL
PD
No ISSUE
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated , above for which
DIRKCTOR OF PUBLIC
B . h?�,
PERMIT
the applicable provi-
resolutions to do'
fees have been paid.
WORKS
Date
Receipt No.
WHITE-O.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD-APPL I CANT
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