HomeMy WebLinkAbout056-240-016f
56-24-16f'OY�J
Jack Rawlins
-
. -• E/S pri'.rd:,app.3/4 mi.N.of `Ponder-
,
osa Way,app.50; W.of Big Chico Cr.,
Forest Ranch
contr: Robert Deter, Chico fes'
Permit #23 7-151B,P ,M(new sin i,
family)
56-24-16
•
contr: Robert A. Deter, Chico
6,1
Permit #757-82B;P,E(minor repairs.r
inst.type A flue,gas piping & mise
1 elec,./SF) -!z
a Y
56-24-16.(port�
Permit # 1366j§2B,E(addn. open deck an,"
det. storage..shed)BF
contr:Robert Deter, Chico4olw
f
suffe count
LAND OF t-JATU2AL VV_=,.L T H A D _!A.:, - I
BUILDING DIVISION
DEPARTMENT OF DEVELOPMENT SERVICES
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530) 538-2140
CHANGE OF ADDRESS
NOTICE
October 25, 2001
Dear Grossman Family Trust: A.P. #056-240-016
A county -wide comprehensive address numbering system was adopted October 18, 1977 by the Butte County
Board of Supervisors to enable emergency vehicles from fire, sheriff and ambulance services to respond
quickly to calls and to facilitate postal and other delivery services.
The Development Services Department, with the assistance of your emergency services, currently is assigning
PERMANENT HOUSE NUMBERS to all residences and businesses in the unincorporated territory of the
county. The address numbering system will replace the various rural route numbers previously used. Each
residence and place of business will have its own address, even if you receive mail at the post office.
Your old address was Unassigned and your PERMANENT ADDRESS is 3025 Ponderosa Way, Forest
Ranch and is effective October 25; 2001
In order to facilitate the delivery of mail, it is the responsibility of each individual property owner or resident
to file a change of address card with the post office; also please notify all utility companies, magazine
subscription publishers, County Assessor's Office, etc., and friends and family you wish to advise of your
address change. This will not affect the residents who pick up their mail at the post office.
Street signs and house numbers must be installed at the proper locations. County standards for mailboxes and
residence identification and numbering are shown on the attached diagram. Please install your new address
number promptly. There is no substitute for clear visible numbers properly installed for the convenience of
residents in the community.
If you have any questions concerning this matter, please contact Scott Rutherford of this office at (530) 538-
7541.
SR:ahb
Attachment
cc: Assessor/Elections/Post Office
Very truly yours,
/k &du �,�
Scott RutherfordIV
'
Chief Building Inspecto
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October 12, 2001
Grossman Family Trust
PO Box 374
Forest Ranch, CA 95942-0374
B E A U T Y
ur-rAnomr-mi yr ucvCL.Vrmr-mi z)CNvn rzP
7 COUNTY CENTER DRIVE • OROVILLE, CALIFORNIA 95965-3397
TELEPHONE: (530) 538-7541
FAX: (530)538-2140
Re: Availability of 911 emergency services to Butte County Assessors Parcel # 056-240-016.
Dear Mr. Grossman;
In order to enable a prompt, timely response to emergency situations, Butte County maintains a 9-1-1
Master Street Address Guide (MSAG). As the addressing authority for Butte County, and in an
effort to assure this service, the Building Division will issue to any building owner or occupant
within the county, an address in accordance with Butte County Code chapter 32. The above
mentioned property has not been addressed, and could not receive prompt emergency services if they
were to become necessary.
Please contact us at your earliest convenience so that we may assign your property an address,
and assure emergency services if the need arises.
Should you have any questions concerning this matter, please contact Scott Rutherford or
Michael Vieira at the number above.
Sincerely,
Scott Rutherford
Chief Building Inspector
j \
' \ 1
9� Name GR.OSSMAN FAMILY�TRUST �'�� '� 0.. �.� � ���"ee # 056,240 OlE6 000:
g s Status W-1-02Status Date
Addrl GROSSMAN KENNETH R � G05NER KATHR '•�'��
y fl gar 050 OPEN�SPACEN®STATEME TRA 062t018,� �'
idr2 P 0 B OAC 374 � � ., �� t '�` � ��� � '�- `� � ��a F �su S ItU , qh.'
� ^.
'I 1 ? 3 f 1 ,
�Addr3 FORESsTRANCHCA 95942 B`aseDt� �'"
�i "'z r
I AgPres �s 5
;Structure�� 137 807 ,� �,� ���, � >
6240CONVER TMED�090Eta
5lxtures� ? 0 f 3
"Commentsr , Mxlei l�.3F
Growln9 0 h
CreatingDoc# 1974Rt1927257 Date d Bonds rz�
"�
� � 4k TlotaIrLact X282 894 X ,
Curient Doc# 1996R02244r k k`'`
Date 01 !22!18961 # M uItl�Sitlis FIIi R
_ r
AsmtUesc 156 OO AC S.EC 31�T24N SuplCnt 0 = PP 0 x
Zoning Dwell Pen
1 Asmt PP ���p ��
Acres c X156 00N/C 056a
ifV
Qz�� x �
PHY SOWN EXP �TA}< HONITT
_� r - -....
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• w 77-��
PERMIT NO. -ti1 366-$2$,-E
PERMIT EXPIRES
OWNER Jack Rawlins
CONTR. Robert Deter, Chico
ASSESSOR PARCEL 56-24-16 (port)
LOCATION E/S pri rd, app 3/4 mi. N. of Ponderol
Way, app 50' W. of Big Chico Creek, For.Ranch
r
U
r
Temp. Power Pole
Called PG&E
a
Temp. Elec. Service
Called PG&E
Temp. Gas Service
x Called P/at
JOB FINALE/= e,
Signature
r
J = OK
O = Not OK
= Not Applicable MOSILEHOMES MISCELLANEOW'S
* = Not Ready
Date
MOBILEHOME UTILITIES (Plans) OK except N's
1. Zoning Requirements -Setbacks -Easements
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) Ol: except q'
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; Location -Test -Easement Needed (Sketch).
4. Wood Awn.; Posts- Beams-Rftrs.-Cbnnec.-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 N's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI' Date _
POOLS (Plans) OK except N's
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector r
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
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
B. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes- Enc losures- Pane lboards-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
Card -BI
Date Card -BI Date
J = OK
0 = Not OK
Not Applicable
* = Not Ready
RESIDENTIAL (Single and Duplex)
Date
UNDE OOR Plans OK except #'s
Date FRAMING (Continued)
oning requirements-SetWac g-EaeenTents
irewall & Openings
tg., Main; s-44mI-EA4&_ snd.- / /" Ftg. Depth
xt. Doors -One 3' -Check Garage -3rd story, 2 exits
ils-Steel- / /" Ftg. Depth
se -Run -Landing -Fire Protection
ig., Porches & Decks; Sb<s--92eea- 11Z1" Ftg. Depth
64,.Plywood on Roof Overhang- RtMt-V"ts-R utriggers
-
2,.rfemwalls, Main; Siad -BI uts-akaof�ed-S
iding-Nailing-JJeneer
-BIockouts-Wrapped-Slab
ed-Fdn. Vents-Underflr. Access
Piers-
5 . lazing Area-GFts�-Rra(g�ion-Skq+�etia
- 'tongs -Test -2 way C/O -Sewer Test
3rr--9heariNells; Nailing -Bolts
9 Size -Anchors
[�P
10---Ist-Anchors-Regulator-Service Test
Electric; Underground
_ s; Clearance -Material -Support -Ins.
13. -Si I - nchor 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/--- 7 71p2,Card-BI Date
Date FINA lans) OK except q's
Card -BI Date Card -BI Date
Date
PLUMBING (Permit K except N's
7fC Ext. Steps -Door & Sidelight Protection -Landings
or
_
14. Water Ht.; Vent ccess-Combustion Air
n c learance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pipe; Test & Anchors -Nail Protection
16. D.W.V.; Test-Ftt s & Anchors -Nail Protection
59-5edroomExWng
Shower Pan; TeA, First Floor -Tub Access
Q G F-=-3--a&4-Rxtures & Tub Access
__17.
18. Test Tub & Sh wer, 2nd Floor -Tub Access
6 anel; Breaker Sizes -Labels
__
Gas Pipe; Size & Anchors
6
Clearances -Hearth
d Panel; Int. & Ext.
Card -BI
Date Card -BI Date
pliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
6 oor; Swing -Landing -Closer
�n Garage -Damper
'707-I'ix'tmt-&-Transformer Clearance -Ins. Protection
dents -Clearance -Comb. Air-Connector-P.R.V.-
IryGarage; Above Floor-Mech. Protection
2 lec. Receptacles Spacing -Lights &Switches at Doors
2i7e oxes & No. of Conductors -Stapled
T9�PIb., Elsey M ion
rage; (G.F.I.)-Romex Protec.
2 omex Installed Close to Edge of Studs & C.J.
—
2 uip. Ground made up w/Mech. Fasteners-BoR9-Gess& Water
- -Looked in Attic ❑Yes
ante Circuits in Kitchen & Conductor Size
k Construction -Post Caps
--
-_
Subfeed Wire Size /fes/ ga. Cu ac.41-A. or Al
Hole Door -Drainage &Wood -Earth Clearance
Loo ed under Floor El Yes
.� R__ nn ee Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral uYes ❑No
Conductors & Ground -Main Disconnect
-quip.
ollowing instld.: Dr'veYes Walks E) Yes Q�.hfo;
Planters ❑Yes o
- inish
29/15 Clearances; Panels-Motors-Mech. Equip.
ect-Clrnces-Brkr. & Cond. Size -115V Outlet
—
—
3�6+eMtes Closet Light -Shower Light
----ct,
78. Ve Is , Plbg.-Appliance-Firepl.-Clearance to Opngs.
Electrical, Plumbing
Card B -I
Date & ��-2 Card BI Date
G.F.I. Receptacle -Underground
ghout House
Card B -I
Date Card -BI Date
bion
Date
MECHANICAL ( rrrdt) OK except N's
Previous Inspections
84, Gas -%s+ --Meters Tagged; Gas -Electric
_—_
31. A.C. Ducts; nsulation &Support
96. ted -C/O to Grade -HD Approval
32. Vent Fan; 4xhaust above Insulation
8a=o_:gy Cnmp4iance Certificate -Other Certificates
_
33. Condens a Drain & Overflow; Size & Grade
_
34. Furnace Vent;_Access-Comb. Air -Return Air Vent -115V outlet
35. Attic Ac ss & Platform if Furnace in Attic
Card -BI
Card -BI
-----
- Date -- - —Card -B I_ Date
Date Card -BI Date
Card -BI 4143 Date • and -BI Date
Card -BI Date and -BI Date
Card -BI Date Card -BI Date
Comments at Final:
Date FRAMI (Plans) OK except k's
_ Sills; Proper Material & Anchors
_
3alts tuds-Nailing, Spacing & Bracing-Plates_-Sear+4
3 Bearing Wa11s over Girders & Floor Nailing
&top-ni Walls (rat proof)
4('red Ceilings -Stairs -Chases -Tub
4eader & Beam -Size &Bearing
t Caps -Anchors -Connectors
Cing. Joist-Rftr�-d'1e PerFin-Rdtrf'�.-irnes-SR1r
ype A Flue -Fireplace Throat
_ _&_ Rom ex Protection -Draft Stop -Ins. Baffles _
49. rm. i Exiling Doors -Sill Hgt. & Dimensions _
4 arag rotection Framing
(NOTE:Anenlrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPAR71`11ENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville,-Californ4a 95965 - Telephone 916/5 4-45
APPLICATION AND PERMIT
^I
ASSPARCEL NUMBE
ESS
_` ,Z �� �� —
ZO• ING
BUILDING PERMIT
OWNER-
s
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
6
OWNER^S MAILING ADDRES
'Zoo 611,Q
CON AC OR'S NAME
TELEPHONE
C N ACe�Zg OR's MAI ADDRESS
Fireplace
CONSTRUCTION LENDER
U KNOWN
Total Valuation $
.00
Filing Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
.$
Penalty
$
ARCH ECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$
INGADD ssPLUMBING
;gar
PERMIT
FilingFee 10.00
r
2 e:Repair
Each Trap
2.00
drainage or vent piping
5.00
Water piping
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTU)PEE
SF Duplex❑ Mobilehome❑ Other I s
SPEC/FY
Building sewer
Lawn sprinkler system
5.00
/ TYPE OF WORK
New Addition model[J&
❑ Install ion 0 her
Describe work:
/,mAli41
Permit Fee
$
ontractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 100V OR LESS
100 AMP OR LESS
5•00
y��fCJ/
Main service EA. AOD'L 100 AMP
2:50
NEW CONST. /DWELLING01\
OR ADDNS. % ACC. BLDG . /
sq ftQ
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
2 1 am licensed under provisions of Chapt. 9„Div. 3 of the Business
and ProfessionsCode
`Code /and my license is in full force and effect.
License No. �3 �r l 0 ` � Classification �j�
❑ 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)
❑ 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 CON5TR -OUTL T 2,50 ea
NON.RESID BRANCH CIRC ITS
NEW CONSTR. POWER APPARATUS 6
NON-RESID. %SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES_ BAL@1
(FIXED APPLNS. OR
Ex. Occup. OUTLETS (RESID.) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $ 171,40
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.
Rr_f'have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgment costs, and expenses which may in any way accrue
agai said C unty in c n equ nce of the granting of this per it.
X Date '�
Signature of Applicant — Owner ❑ Contractor [r Agent ❑
An OSHA permit is required for excavations over 5'0” deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee
$
TOTAL PERMIT FEE $
Occup, GROUP
M�
I TrPE qF CONS
—,r//�
PARCEL
(/
PD
ND
sSu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRECT OF PUBLIC
By
PER E PIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Date C,7WHITE-D.P.W.,
1�•-1a�i
Receipt No. I// 7/
YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
0
'1'.
77-8J
i PERMIT NO. 757- 8�P,E
PERMIT EXPIRES
OWNER Jack Rawlins
CONTR. Robert A. Deter, Chico
46-24-16
ASSESSOR PARCEL
LOCATION E/Spri.rd.,app.3/4°mi.N.of Ponderosa
Way, app.50'W.of Big Chico Creek,Forest Ranch
Temp. Power Pole
Called PG&E
Elec. Servic
Called PG&E.
Temp. Gas Service
Cal led PG&.E"
.Y V
JOB FINALED (Date)
Signature
= OK
=Nootf
OK
= Not Applicable
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK exce t#'s
Date FRAMING Con ' ued
1.
Zoning req u ements-Setbacks-Easements
48.
Property Line wall & Openings
2.
Ftg., Main Soils-Steel-Elec. Grnd.- / /" Ftg. Depth
49.
Ext. Doors- a 3' -Check Garage -3rd story, 2 exits
3.
Ftg., Garage Soils -Steel- / /" Ftg. Depth
50.
Stairs; W' h -Headroom -Rise -Run -Landing -Fire Protection
4.
'Ftg., Porc s & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
5. Stemwalls Main; Steel-Blockouts-Wrapped-Slab
52.
Siding -N ' ing-Veneer
6. Stemwalls Garage; Steel-Blockouts-Wrapped-Slab
53.
Stucco Mesh rip Screed-Fdn. Vents-Underflr. Access
7.
Piers-Fi place Ftg.-Steel
54.
Glazing Area Glass Protection -Skylights -Plastic
8. D.W.V.: F ll -Fittings -Test -2 way C/O -Sewer Test
55.
Shear Wall Nailing -Bolts
10.
6✓ t
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; nderground
12. Plenums Ducts; Clearance -Material -Support -Ins.
13.
Girders- ills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
Dat Z Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date FINAL (Plans) OK except q's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
Date Card -BI Date
PLUMBING ( rmit) OK except p's
-67:--6mrURV-Detector
_
14.
Water Ht.; Vent -Access -Combustion Air
58,--Fvma
W'Ydnts-Clearance-Comb. Air -Connector -
In Garage; Above Floor-Ducts-Mech. Protection
15. Water Pip , Test & Anchors -Nail Protection
16.
D.W.V.; est-Fttngs & Anchors -Nail Protection
eem"Exlting
17.
Shower n; Test, First Floor -Tub Access
G.F. & Bath Fixtures &
18.
Test T4 & Shower, 2nd Floor -Tub Access01--'Elec.
Trim & Subpanel; Brelikep3fzes-LaWa&--
nchors C(// J
62--Sta"s_&_Ba4l
s
Firepl Stove; Cle ces-H
6
ood Panel; Int. & Ext.
Card -BI ZV
Date? - __ ?, Card -BI Date
Kit. fAxt. & Appliance; Grnd.- e
Card -BI
Date Card -BI Date
6
ec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Permit OK except q's
ff.
69 age Fi e wing -Landing -Closer
ge-Damper
rmer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor- ech. Protection
s at Doors
Size Boxes & No. of Conductors -Stapled
E{eC!& ion
El . (G. F.I.)-Romex Protec.
2 ex Installed lose to Edge of Suds & C.J.
E ip. d made up w/M astener nd Wate
Looked in Attic E3 Yes
2 Appliance Circuits in Kitchen & Conductor Size
eck Construction -Post Caps
_
_.
Cu or AI-A.C. Wire Size / / ga. Cu or Al
7
awl Hole Door -Drainage & Wood -Earth Clearance
Looked under Floor ❑ Yes
.
ange Circ. / / ga. Cu arAI-0AI,
Insulated Neutral ❑Yes �
d.: Drive El Yes E] No; Walks E] Yes []No:
Planters El Yes El No
ice-Riser&CQP c -tors & d -Mai connect
own -Finish
2 .
Baran ; Panels-Motors-Mech. Equip.
- rnces-Brkr. & Cond. Size -115V Outlet
ht -Shower Light
Vents Above Roof;
79.
Wat ell; Disconnect, Electrical, Plumbing
xterior Elec. Trim; G.F.I. Receptacle-lynder9fetwd
Card B I
Date _ �L Card -BI Date
ion oughout House
Card B -I
)
Date Card -BI Date
t
8
Date
MECHANICAL (Pe . OK except N's
113
_
Gel-FOE3149A Gm Previous Inspections
84.
GesI'vM-Meters T d; Fags Elbetris
31.
A.C. Ducts; Insulat on & Support
86.
netted -C/O to Grade -HD Approval
Energya Certificate -Other Certificates
32. Vent Fan; Exhaust Bove Insulation
_
33.
Condensate Drai & Overflow; Size & Grade
34.
Furnace -Ven , Access -Comb. Air -Return Air Vent -115V outlet
35.
Attic Acces & Platform if Furnace in Attic
Card -BI
- L
Dat 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
Comments at Final:
Date FRAMING Plans OK except q's
36.
Sills; Prope aterial & Anchors
/7 -
A's,
_
37.
Walls; Stud ailing, Spacing & Bracing -Plates -Sound
38.
Bearing Wal over Girders & Floor Nailing
otof
39.
Draft Stop i Walls (rat proof)
40.
Fire Stops, urred Ceilings -Stairs -Chases -Tub
_
_41. Header & eam-_Size & Bearing
42. Hangers -P st Caps -Anchors -Connectors
CSI
43. g. Jots Rftr. Ties-PurI Roof Brac.-Truss-Shthng.-Rfng.
QA!Fueplece-Ties or Typ lue-Ftrepfal7T7-?oat
45. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
46. Bdrm. Windows r Exiting Doors -Sill Hgt. & Dimensions
- 47.
Garage Fire FKotection Framing
(NOTE: An entry must be made each time you visit job site)
J = OK
O = Not OK
- = Not Applicable MOBILEHOMES
* = Not Ready
e
MISCELiAMEOUS •
Date
MOBILEHOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -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; Location -Test -Easement Needed (Sketch)
4. Wood Awn.; Posts-Beams-Rftrs.-Con nec.-Shthg.=Rfg.-Bracing
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"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
Card -BI
Date
_
Date Card -Bl 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
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4• Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/0 to Grade -HD Approval
7. Elec.; Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cart. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
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
10,111,11e) 5'.' a
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
mater or /nee additional explanation, please contact this office immediately.
- fir. � N �G ✓j S / � �frl ///� F
Inspectdr/e/)w �� Date
y/ COUVY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/53 541 �%!— 0a
APPLICATION AND�PERMIT ! v
ASSESSOR P RCEL NUMBER
�fp _� _ /W
ZO ING
BUILDING PERMIT
OWNER ^
/D
TELEPHONE
SQ. FT. OCC. BUILDING VALUATION
OWN 5 MAILING ADDRESS
R
CONT CT R',�SNAM r
tf �/
TELEPHONE /
CONTRAC'TOR'S MAILIN ADD SS
C
Fireplace 40 O O
CONSTRUCTION LE DER
UNKNOWN
Total VaI Ion$ Q
Filing
g Fee
$ 10.00
LENDER'S MAILING ADDRESS
Permit Fee
$ 7d
ARCHITECT OR ENGINEER
O'vc
LICENSE NO.
Plan Checking Fee
$
Penalty
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Permit fee
$ 425-1
'r/ DING AD� ESS -�
.C•/G
PLUMBING PERMIT
Filing Fee 10.00
UJ 2
Each Trap
2.00
Repair drainage or vent piping
5.00
G
Water piping
LOT NO.
SUBDIVISION NAME PARCEL MAP
Each qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
TYPE OT_ WORK
New ❑ Addition Remodel Er -utilities ❑ Installation❑ Other ❑
Describe work: �� /€/£GT-Sid/C£ �i,/c� !�/iiU £�/7/L
A t A
s %, // �` Als �o f A'1J l2 - �l,fM0
GG ` ����///
Permit Fee
$ 115-6 p
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
OOOV OR LESS
Main service 100 AMP OR LESS
-9 QQ
Z2 e6X6
Main service EA. ADD'L 100 AMP
2.50
NEW CONST. ( DWELLING •DI)
OR AODNS. \ ACC. BLD -
sq ftAd;� v
CONTRACTORS LICENSE LAW
I declare under penalty of perjury
p y p i y (check one):
3' 1 am licensed under provisions of Chapt. 9, Div. 3 of the Business50@250
and Professions Code and my license is in full force and effect.
t
License No. � s� X% V 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 I.OUTL 2.50 ea
NON-RESID BRANCH CIRC Ts
NEW CONSTR. ( POWER APPARATUS 61
NON.RESID, SINGLE OUTLET CIR. /
Ex. OCCUp OUTLETS OR FIXTURES BAL@1
Ex. OCCU UTL APP ESIISIS' OR
Occup. (RESID,) EA. 2.00
Temporary service
10.00
Mobile Home Facilities 15.00
NJ*C. Wiring 7.50
Permit FAe $ ZZ,70
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
I have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
of Consent to Self -Insure.
❑ I shall not employ any person in any manner so as to become subject
to the W. C. laws of California.
Notice to Applicant: If after making this statement, should you become subject
to the W. C. provisions of the Labor Code, you must forthwith comply with such
provisions or this permit shall be deemed revoked.
Heating
Cooling
Hood
3.00
Ventilation
permit Fee
$
Contractor
1 certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, coM, and expenses which may in any way accrue
again aid Count In onse u n e of the granting of this permit.
X ate 30 g 2—
Signature of Applicant — Owner ❑ Contractor [Agent
An OSHA permit is required for excavations over 5'0" deep and demolition or construct-
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
TOTAL PERMIT FEE $ /0/
OCCUP. GROUP
I TYPE OF CONST.
I
PARCEL
PD
I HD
Issu
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIRE TOR OF P LIC
PERMIT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
Dat '��`j•
Receipt No.If-17BY
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR, GOLDENROD -APPLICANT
ol
JOB FIN ED (Date) 7-'
Signature
PERMIT NO. 2377-81B,P,E,M
PERMIT EXPIRES
%.
OWNER Jack Rawlins
CONTR. Robot Deter, Chico
ASSESSOR PARCEL 31UUM 56-24-16
LOCATION E/S pri.rd.,app.3/4 mi.N.of,Ponderos,
"
Way,app.50,1W.of Big Chico Creek,
Forest Ranch
v�
r
r
ae/d
Temp. Power Pole
wTemp.
Called PG&E
29,p
Elec. S (/ /
'
0
Called PG&E
72,
Temp. Gas Service
Cal led PG&
ol
JOB FIN ED (Date) 7-'
Signature
V = OK
0 = Not OK r. ..
- = Not Applicable MOBILEHOMES
= .Not Ready -
a
MISCELLANEOUS
Date
MOBILEHOME UTILITIES (Plans) OK except ff's
1. Zoning Requirements -Setbacks -Easements'
Date
DECKS, COVERS, CARPORTS, ETC. (Plans) OK except ft'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; Location -Test -Easement Needed (Sketch)
5. Electricity; Location-Clearances-Grnd.-/ / Amp -Concrete
4. Wood Awn.; Posts-Beams-Rfirs.-Connec.-Shthg.-Rig.-Bracing _
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Gas; Location -Test -Wrap:/ /"L"it./ - /"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 if's
1. Zoning Requirements -Setbacks -Easements
Card -BI
Date
_
Date Card -BI Date _
POOLS (Plans) OK except ff's
.1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
4. Electricity; MH Test -Crossovers -Breakers -Clearances
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4• Elec.; Receptacles and Lighting; Distances-GFI
5.' Drain; MH Test -Fall -Flex Connector y
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
8• Elec.; Grounding; Equip. w/5' -Circulating Equip. -Pool Lghtg.
Boxes -Enclosures -Panel boards -Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir.'Test-Water Supply Test
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
J = OK. •
O =NQtK
- = Ney 61e
Not Ready t RRESIDENTIAL (Single` and Duplex)
,
Date
UNDE FLOOR Plans OK except #'s
Date FRAMING (Continued)
ZY
oning regdirements-Seib - nts
143. rr3periy-Line Firewall & Openings
g., Main; Soils- -Ele nd.- /- /" Ftg. Depth
4 xt Doors -One 3' -Check Garage-3rd-ftmT-i*-exfts
0. s -Steel- / /" Ftg. Depth
Stairs; Width-ftoom% 'Rt�g-FireJloteeti6ri
4. Ft ., Porches & Decks; Soils -Steel- / /" Ftg. Depth
Sle'Plywood on Roof Overhang -A ts-RafteLD Loggers
temwalls, M ' ; St-Blo&ees-Wrarype &&b
ding -Nailing -Veneer
- I-Blockouts-Wrapped-Slab
- rip Screed-Fdn. Vents-Underflr. Access
-Fir;piZe Ft .-S
GI zing Area-Glas otection-SkyUghLs_Rlaetie
W.V.: Fall -Fittings -Test -2 way C/ Se e
/ 5 hear Walls; N g�Sells
Size -Anchors
t
1 ater Pipe a An h -Rpcgriater erv' s
Engut, IC, rground
lenums D CI ce-M ' I -S -I
G'-Siftbr Ancho is -J -V -Cri
Card -BI Date /- C Card -BI Date
Card -BI Datete_ - Card -BI Date
Card -BI Date Card -BI Date
Card -BI
Date .�� Card -BI Date_ _���
Date F NAL ans) OK except N's
Card -BI Date , L_ Card -BI !6�_ Date dlr1;,/
Date
PLUMBING (Permit) OK except q's
xt. Steps -Door & Sidelight Protection -Landings
oke Detector
Vent -Access -Combustion Air
9 urnace; Vents -Clearance- or- Iti'*)/V XC,%
! I r-Ducts-Mech. Protection
T
ater Pipe; AncharS--Nail ction
lest-Fttngs & Anc rs-Nail Protection
edr om Exiting
��� Shower it Tnts4eee
F.I Bath Fixtures & Tub Access
�i Shower, 2nd Floor -Tub Access
erim & Subpanel; Bre es-Q21e1s__
-4e-eas-PtpE,Size & Anchors
,[airs ails
6 re e••er6toroe; C nces-
J4_-E1_ec._9jj1 lets at Wood Panel; Int. & Ext.
Card -BI
Datea- 9 Card -BI Date
& A fiance; -Co earance
Card -BI
Date .4/ / Card -BI Date
ptacles at Kit. Counter
Date
ELECTRICAL Permit OK except N's
Swi ng- Landi ng -C loser
6 e -Damper
Transformer Clearance -Ins. Protection
6 tr. Htr.; Vents-CIoce-Coweir. it -Co or-P.L4 y�
I oor-Mech. Protection
lec. Receptacles Spacing -Lights &Switches at Doors
Elec. &Mech. Equip. Listed for Location
2 Si Boxes & No. of Conductors -Stapled
„
Garage; (G.F.I.)-Romex Protec.
R ex Installed Close to Edge of Studs & C.J.
Qp-tqujGround made up w/Mech. Fasteners- 6
nsufa!jAn at -L
7 arr ' s & Deck Construction -Post Caps
ppliance Circuits in Kitchen &Conductor Size
dn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance
Loo ed under Floor 92-*es7 -
Sutaiaed lOLicaSiae / / ga. Cu or AI-A.C. Wire Size / / ga. Cu er-Ai
ange Circ./Q / g . Cu as R -Oven Circ. / / ga. Cu or Al,
Insulated Neu ral ;`Yes 0 N
Following instld.: Drive El Yes [af orWalks ❑ Yes N>f
Planters ❑Yes
20, -Riser qqwMctors & G d-MairL.DierciTh-nect
rown-Finish
p. Clearances; Panels-Motors-Mech. Equip.
,C. UnitCc IrKees=Br. & Cond. Size -11 et
3 IeH�es-ett758Ttfght-Shower t?jfit
ents Above Roof; Plbg!App a -F 6tp+!Ciearamce-te-•9pngs.
e ectrical, Plumbin
�xterior Elec. Trim; G.Fd_ eptacle-l�dergca=d
Card B -I
Date ��-4 j Card BI Date
��
&L-�lentilation throughout House
Card B -I
Dat Card -BI Date
��-y�
8 a -ss Protection
Date
MECHANICAL (Permit) OK except N's
i3}, --44_4)n , Insulation & Support
_
83-Sorree"Vrrv4rom Previous Inspections
s Tagged; Gas -Electric
& Sewer Connected -C/O tofatade-HD Approval
_ haust above Insul 'on
nergy Compliance Certificate -Other Certificates
on ensate Drain & Qv w; Si &Grade
34. Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
3S ^++ ^^^^ss & Platform if Furnace in Attic
Card -61 Dat Card -BI Date
Card -BI -Date /-ZJ-�% Card -BI Date
Card -BI Date _ _ Card -BI Date
Card -BI Date ,t,j ._,p i Card -BI Date
Card -BI
Date
Date Card -BI Date
FRAMI G(Plans) OK except q's
Comments at Final:
per Material & Anchors
-
�-
_ills
alts; Studs -Nailing, Spacing & Bracing -Plates -Beard
e ring Walls over Girders & Floor Nailing
raft Stop in Walls qat proof)
re stops; Fur' Ceilin s -S ' s-(#rnxs-T
& 1366-y & - -
Hangers-Pops-Ar�her� -Co ors
4 C Joist tr. aZ RoI1n-ReefBtac.-Tfaas-SHH g.-
Fireplace s or Lyp&A-54"-Firepl roaI
_ _ _ Size & Romex Protection -Draft Stop -Ins. Baffles
_
__
4 Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
--9ar�ge�ii2 Protection Framing
(NOTE: An entry must be made each time you visit jobsite)
4�� 4�� lq - �L� }�
CONDITIONS
ENT This inquiry implies no obligation
on the part of the buyer.
If substitutes are offered they must
be proper equivalents and meet our
specifications. Make full explanation
and submit samples for tests.
Do not .quote on articles you cannot
....................... supply. Fill in complete information
before returning.
.......................
........................ No...................................
listed below.
Date..............................................
....................... Dept...............................................
Req. No.........................................
List
Discount
Tax
Net
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
yr -- '11" — _lge9pl 2 4�
BUILDING OR PROPERf A D ESS
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
aer, eed additional explanation, please contact this office immediately.
Z
r/ s r// ze/, 7'&- f /rte• u4 5dl-6 it- ,
6c!<� 6/-
C�>
%Z/,a(f
Inspector. Date ���`O
COUNTY OF BUTTE
r DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751,
y / 7 County Center Drive, Orovi Ile — Phone: 534-4541 ` Skyway and Elliott Road, Paradise — Phone: 872-2961, Ext. 57
CORRECTION NOTICE
'f-77 77- 8/
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
matter, or need additional explanation, 'please contact this office immediately.
Inspector Date ��1��
ROBERT B. HEATON
a r c h i t e c t
Re: Jack Rawlins residence - ForesthRanch, CA
9
Note: Rafters do not lap at 6 x 16 beam as indicated on framing plan.
Use joist hangers at rafter ends as per Cross Section.
30 Nov. 1981
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
695 Oleander Avenue, Chico — Phone 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and Elliott Road, Paradise — Phone 877-343/
CORRECTION 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. If you have any question pertaining to this
atter, or need additional explanation, please contact this office immediately.
". /Ali V
-r, / t
74 Ire! <.'
,/ r
/A;rGGI
Inspector r`te!/ /1i>1 Date_
COUNTY OF BUTTl _
DEPARTMENT OF PUBLIC WORKS -4
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
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
whe correction of work is completed. If you have any question pertaining to this
tter, or need additional explanation, please contact this office immediately.
I� %'w •+ I i �. C1/G c if -! /- �, ca /! iil['' f f .J�".r J .cf s
,^, f r zjs / s ('j' // r Iry s ic ,� /V%"
11'
1LcI r�, r•� s 15
Inspector LeV�/ ,Il//t G!�/f Date I?- '/—T X-'/
X
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC.-rWORKS
196 Memorial Way, Chico — Phone: 891-751,
t 7 County Centcr 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
matter, or need additional explanation, please contact this office immediately.
Inspector (— Date -7-0 — (J/
ROBERT- B. HEATONLW
+ arch itect
8 October 1981
To: Robert Deter, Contractor
Re: Jack Rawlins Residence, Forest Ranch _
Note shear wall to right.of bedroom, bath and living room (fireplace walll-
tt .3/8" plywood as noted may be deleted provided 5/811 exterior plywood siding'
' is nailed as specified for shear wall (8d'@.6" o.c. edges and 12" o.c. all,
y intermediate supports)
rulrl
-BUTTE COUNTY ...�., . _ _... _ _.,.>.......
BUILDING DEPARTMENT ;
APPROVED
THIS IS TO CERTIFT THAT INSULATION HAS SEEN INSTALLED IN CONFORMANCE WITH THE CURRENT ENERGY REGULATIONS,
CALIFORNII"ADHINISTRATIVE CODE, TITLE YS. STATE OF CALIFORNIA, IN THE BUILDIFG"LOCATED AT:
Forest Ranch
Street 0 um er city
EXTERIOR WALLS
J M
i
13
Manufacturer
Thickness/Type R Value
Sound wall
JM
32
11
CEILINGS
J M
13
38
Batts: Manufacturer
Thickness R Value
Blown: Manufacturer
Thickness No. sags
Wt./Bag
Sq. Ft. Covered R Value
FLOORS J M 6 2 19
Manufacturer Thfckness/Type R Value
Manufacturer Thickness/Type R Value
Manufacturer Thickness/Type R Value
GENERAL CONTRACTOR l( � �T�. 1D�� LICENSE NUMBER
8T�C X-Jr—/7: Dej%�¢D TITLE DATE _61/3,/0�2-
h'
INS ULA ION CONTRACTORN T C 0 1. i O N I NSU LAT I O N LICENSE NUM BE /2/,//�2/4/6 / 3 9 8 5 5 1
By
�J-��TITLE P r e s. DATE D e c . 81
RESIDENTIAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
I\TSTALL D I C NFORrIAN E WITH CURRENT ENERGY CONSER AT ION�tEGUI:ATIONS'
AT N O•d�E�oJ 4 so C Gv C. oZ £E6l
(loc tion)
BUILDING PER14IT NO. �T�7%/)'% A.P. NO. ,5 to
THE FOLLOWING HAVE BEEN INSTALLED AS.PER APPROVED PLANS:
(Check each item or write N/A if not applicable) ffi�
INSULAT ION:
Slab Edge. A
Fdn. Walls
Floors
Walls ✓
Ceiling/Roof
Ducts
Circulating Pipes
APPROVED HEATER
APPROVED WTR.HTR.
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS. /
& SLIDING DRS. /
WEATHERSTRIPPED DRS
BACK DAMPERED FANS
INTEP,MITTENT IGNITION DEVICE
CERT. APPLIANCEST--
I, DECLARE THAT ALL REQUIRED ITEMS AS NOTED -ABOVE HAVE BEEN INSTALLED
IN ACCORDANCE WITH THE ENERGY CONSERVATION REQUIREMENTS AND AGREE TO
THE COMPLETENESS OF THIS CERTIFICATE AS SUBMITTED.
Insulation Applicator Name N iIz- h u S o" /U
(please print)
Signature of .
Insulation Applicator
State Contractors
License No.
General Contractor/Owner NameP�F,,c-Pr A
(pl se rint)
Signature of _
General Contractor/Owner �� Date 6 �g -
State Contractors
License No. -'33 -V9 / O
THIS CERTIFICATE MUST BE ON FILE WITH THE BU ILD ING DEPARTMENT PRIOR TO
REQUESTING FINA? ;"PECTION AND SHALL.BE POSTED IN A CONSPICUOUS LOCATION
WITHIN TH)3 DWEL
COUNTY OF BUTTE -,DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Oroville, California 95965 - Telephone 916/534 541
' r APPLICAT16N A PERMIT
ASSESSOR 2O _R L NUMBER
G � 0
ZONI^G
�
BUILDING PERMIT
OWNER .
TELEPHONE
SQ. FT. OCC. BUILDING V UATION
p7
OWNE MAI I G ADDRESS
02
201O
CON ACTOR'S NAME TELEPHONE
/ 6r0, O 0
C
CO A TOR'S MAIL ADDRESS
Fireplace
_
Q�
CONS RU TION LENDER 6
UNKNOWN
Total Valuation is
Filing Fee
10.00
LENDER'S MAILING ADDRESS
Permit Fee
$d
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
,$'
Penalty
$
ARCHITECT O ENGINEER'S MAILING ADDRESS
Permit fee
$
Bu I A DRESS /
® /v
PLUMBING PERMIT
Filing Fee 10.00
/ i
(�(f
Each Trap
61 2.00
Repair drainage or vent piping
5.00
Water piping
LOT .
SUBDIV SIGN, NAME
PARCEL MAW -Each
qas water heater or vent
5.00
Gas piping system 1 - 5 outlets
USE OF STRUCTURE
SF Duplex❑ Mobilehome❑ Other
SPECIFY
Building sewer
Lawn sprinkler system
5.00
150
_00
TYPE OF WORK
Newe Addition❑ Remodel❑ Utilities[] Installation❑ Other❑
Describe work:
Permit Fee
0290-
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service soov OR LESS
100 AMP OR LESS
5.00
'
Main service EA. ADD'L 100 AMP
2.50 D
NEW CONST. ( DWELLING O
OR ADDNS. ACC. BLDGS
2� sq ft /
CONTRACTORS LICENSE LAW
I de la under penalty of perjury (check One):
I am licensed under provisions of Chapt. 9, Div. 3 of the Bus Iness
and Professions ode and my license is in full for and effect.
License No. ® Classification �..!
❑ I, as the owner, or my employees with wages as their sole compen-
sation, will do the work,and the structure is not intended or offered
for sale. (Sec. 7044)
❑ I, as the owner, am exclusively contracting with licensed contract-
ors. (Sec. 7044) -
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONSTR I.OUTL T 2.50 ea
NON.RESID BRANCH CIRC TS
NEW CONSTR. ( POWER APPARATUS e�
NON-RESID. SINGLE OUTLET CIR.
Ex. Occup OUTLETS OR FIXTURES 13A 1
IxeD APP LNS. OR
Ex. Occup.(OUTLETS (RESID.) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
Permit Fee $
Contractor L
MECHANICA PERMIT
Filing Fee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
he 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 44r
ic
Cooling 7 4,51,/
6
Hood
3.00
Ventilation
permit Fee
$
Contractorhzvdol &k
I certify that I have read this application and state that the above information
is correct. I agree to comply to all County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the County of
Butte to enter upon the above-mentioned property for inspection purposes.
all liabil' ies, judgments, cost , and a penses which may in any way accrue
I also agree to save, indemnify and keep harmless the County of Butte againstrThis
against d Cou in c nsequ of a granting of this per .
X Date
Signature of Applicant — Owner ❑ Contractor 2r Agent ❑
An OSHA permit is required for excavations over 5'0" eep and demolitio or construct-
ion of structures over 3 stories in heigo.
Mobile Home Insta lation Fee $
TOTAL PERMIT FES I
P. GROUP
VPE: o
1•VI
CONST.
PARC
J'L�J
HD
ssuE
permit is hereby issued under
s of the Butte County Code and/or
k indicated above for which
DIRE R OF PUBLIC
By
PE IT EXPIRES Date
the applicable provi-
resolutions to do
fees have been paid.
WORKS
~� `, J
Date/—'/qd � 0
:7
p
Receipt No. 8• �S 53�'�/ �(j.(d
WHITE-D.P.W., YELLOW -ASSESSOR, P K -INSPECTOR, DEN ROD-APPLICA
0
FTIIZ; qg fr�,. r:jgr
7T 7;
r
LOT i
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LOT *2
r.
LOT 3
6f.72 A C
s Ti.G-0- U7.
Por✓'Ity ii,,cs and 0 -11346
of ham them 'I f
b-, cl7ar C,
structures or o,4,ipment except
ft. eave 0v01hbnq.
Ulf Stj of 0o.j and spc;rm�t;"s MUS11 4
Y p f;"., -4 :! is UM -1.1 to
0,01;-s on scmo .;fhoui
4.Q CA 710 Ad mitten pm
litic, frem IFe Deportment of Pubic
Works, County 0 Buttg-
PACP. 4/A/I
PLOT PLAN
IV -
/57(*
BUTTE COUNTY
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