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HomeMy WebLinkAbout056-250-049N IA a s,a w t rrr __•._..`._. _.. :_..w-.. ..___ _.. �. _ +__,.. �.. _ ..vim_ _... __ - _. 'r.-�—. ,. _. _ _• — � ._ __ moi. " A.P. 56-25-0 WENGER,Robert Off . E/S Hwy. 32 j t South of Sta a Rd. '�� 0:540P r r� Forest Ranch J s Permit -1019-72(N single family) U55=25=0=049 93=3387-B,E ' ZAKRZEWSKI, JOHN & BATE 16278 STAGE,RD, FOREST RANCH GARAGE, •DECK, -CARPORT CONV � r C r a r Lo V RESIDlENTIAL 056-25-0-049 93-3387 B,E �ZAKRZEWSKI, JOHN & BATE 16278 STAGE ROAD, FOREST RANCH COnTTR: HARRY KOENIG 'CONV CARPORT TO GARAGE, ADD DECK, REMODEL' V= OK O = Not OK Not Applicable Not Ready MOBILE HOMES = Date/Initials MOBILE HOME UTILITIES (Plans) OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Soils; Special MH Support Sketch 3. Sewer; Location -Test -Fell -C/O Concrete 4. Water; Location -Teat -Easement Needed (Sketch) S. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete 6. Gas; Location -Teat -Wrap: / /"L"ft. / /"Nat. or/ /"L"ft./ /"LPG 7. Well Clearance & Disconnect 8. Utility Clearance Date/Initials MOBILE HOME INSTALLATION (Plana) OK except #'s 1. Zoning Requirements -Setbacks Easements 2. Footings; Size -Spacing -Marriage Line 3.. Gas; MH Test -Demand -Valve -Connector 4. Electricity; MH Test -Crossovers -Breakers -Clearances S. Drain; MH Test -Fall -Flex Connector S. Water; MH Test -Regulator -Connector 7. Water and Sewer Connected -C/O to Grade -HD Approval 8. Gas and Electricity Tagged 9. Exits; Insp.-Sketch 10. Cert. of Occupancy MISCELLANEOUS Date/Initial DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK except #'a 1. Zoning Requirements -Setbacks -Easements 2. Footings; Soils -Size -Depth -Spacing -Connectors -Steel 3. Decks; Griders and/or Joists -Decking -Bracing -Stairs -Rails 4. Wood Awn.; Posts-Beams-Rftrs: Connectors Shthg: Rfg.-Bracing S. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures 6. Carports; Windows -Doors 7. Electric 8. Frmg; Sils-Anchors-Studs-Rftrs-Truases 9. Siding; Nailing -Veneer -Stucco -Mesh 10. Roof; Shthg-Roofing 11. Ext.; Steps -Doors -Landings Date/Initials POOLS (Plans) OK except #'s 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.;Enclosures; Conduit Entries -Terminals -Listed 7. Elec.; Bonding; Metal w/5' -Circulating Equip. -Heater 8. Elec.; Grounding; Equip. w/5' Circulating Equip. -Pool Lghtg. Boxes-Enclosures-Panelboards-Ins. to Main in Conduit 9. Health Department Approval 10. Plumb.; Cir. Test -Water Supply Test V =.ICK` O = Not OK - = Not Applicable = Not Ready RESIDENTIAL (Single & Duplex) Date/Initials UNDERFLOOR (Plans) OK except #'s 1. Zoning -Setbacks -Easements -Flood -Slope 2. Ftg., Main; Soils-Elec. Grnd.-/ P' Ftg. Depth 3. Ftg., Garage; Soils-Steel-Elec. Grnd. / /" Ftg. Depth 4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth 5. Stemwalls, Main; Steel-Blockouts-Wrapped 6. Stemwalls, Garage; Steel-Blockouts-Wrapped 6a. Hold Downs and Special Anchors 7. Slab; Steel -Wrapped 8. Piers -Fireplace Ftg.-Steel 9. D.W.V.; Fell-Fifting-Test-2 Way C/O -Sewer Test 10. UF. Gas Pipe; Size -Anchors - yard gas piping: size -test 11. Water Pipe; Test -Anchor -Regulator -Service Test 12. Electric; Underground 13. Plenums & Ducts; Clearance -Material -Support -Ins. 14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples 15. Access & Ventilation 16. Insulation Date/Initials PLUMBING (Permit) OK except #'s 16. Water Htr.; Vent -Access -Combustion Air -Baffle 17. Water Pipe; Test & Anchor -Neil Protection 18. D.W.V.; Test -Fittings & Anchor -Nail Protection 19. Shower Pan; Test, First Floor -Tub Access 20. Test Tub & Shower, Second Floor -Tub Access 21. Gas Pipe; Size & Anchors Date/initials ELECTRICAL (Permit) OK except #'a 22. Fixture & Transformer Clearance -Ins. Protection 23. Elec. Receptacles Spacing -Lights & Switches at Doors 24. Size Boxes & No. of Conductors -Stapled 25. Romex Installed Close to Edge of Studs & C.J. 26. Equip. Ground made up w/Meeh. Fastners-Bond Gas & Water 27. 2 Appliance Circuts in Kitchen & Conductor Size/GFI 28. Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or Al 29. Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al. Insulated Neutral O Yes No 30. Service -Riser Conductors & Ground -Mein Disconnect 31. Equip. Clearances Panels -Motors -Mach. Equip. 32. Clothes Closet Light -Shower Light -Spa Light 33. Smoke Detector Date/Initials MECHANICAL (Permit) OK except #'s 34. A.C. Ducts Insulation & Support 35. Vent Fan; Exhaust above insulation 36. Condensate Drain & Overflow; Size & Grade 37. Furnance-Vent; Access -Comb. Air -Return Air Vent -115 outlet 38. Attic Access & Platform if Furnance in Attic Date/Initials FRAMING (Plans) OK except #'s 39. Sils, Proper Material & Anchors 40. Walls Studs -Nailing, Spacing & Bracing -Plates -Sound 41. Bearing Walls over Girders & Floor Nailing 42. Draft Stop in Walls (ret proof) 43. Fire Stops; Furred Ceilings -Stairs -Chases -Tub 44. Headers & Beam -Size & Bearing Date/Initials FRAMING (Continued) 45. Hangers -Post Caps -Anchors -Connectors 46. Ong. Joist-Rftr. ties-Purlin=root Brac-Truss-Shthng.-Rfng. 47. Fireplace Ties or Type A Flue -Fireplace Throat clearance 48. Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles 49. Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions 50. Garage Fire Protection Framing 51. Property Line Firewall & Openings 52. Ext. Doors -One 3' -Check Garage -3rd Story, 2 Exits 53. Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection 54. plywood on Roof Overhang -Attic Vents -Rafter Outriggers 55. Siding -Nailing Veneer 56. Stucco Mesh -Drip Screed -Fd. Vents-Underflr. Access 57. Glazing Area -Glass Protection -Skylights -Plastic 58. Shear Walls; Nailing -Bolts 59. Insulation -Walls -Ceilings 60. Infiltration -Walls -Windows Date/Initials FINA ans O exce t #'s 6 ' xt. ps-Door & Sidelight Protection -Landings 6 moke Detector . Air-Connector- ta-Meth. Protection Ir - 65. -S u pane ; Breaker -Sizes Labels 67 Stales a Rails- 6 . •i - 68: F'•epl ren C}n • Clnaranrwa Nmrth 69. Effise. eatmets at Wood Panel. 70. arance _ 7 Garage Fire Door, Swing -Landing -Closer Garage- amper r. r.; Vents -Clearance -Comb. Air- nnector-P.R.V. otection on 7JAlec. Receptacles in Garage; (GW-1._)-Romex Protection 77 7 onstruction-PostC s 7 . raw Hole Door -Drains e & Wood -Earth Yes 80. Following instld.; Drive es CI No; Walks 1311es 13 No; Planters 0 Yes 4JONo F11 Ct,,rrn• am -n -Finish_ 82-A.C. Unit' DLWdMnart G1^ - -a Bo.-Ps _Clearance to C�rwninna --- Bn wester welt ria •, ��-•-' -ming nderground 66Ventilation Thraughnur un„sa 17 Maaa Prn}nr40n 88. _Corrections from Previous Inennctlans 89 c 90 Water & Sewer Connactnd_rin }n rraAa_un en^oval 9 Ica e- or Certificates Comments st Final: 149 DAVID M. GRIFFITH.PE 22 -May -86 SIMPLE BEAM DOCUMENTATION harry koeniq: Zakrewski addition:8629 Beam to replace existing wall DATA*�••���t����������•��*�#�**�•�-�•���•�•��•�•�•�*•���� length 21.50 ft tribwidth= 12.00 ft LL 20.00 psf DL= 10.00 surcharge= 20.00 plf psf ASSUMED DEPTH IN INCHES 11.25 w=tribwidth*(DL4-LL)+surcharge= 380.00 plf d=length*12/ 180 = 1.43 inches factor for stress: 1225%roof SSDF 1800.00 95.00. w/increase 2250.00 psi 118.75 1.80E+06 single 1.80E+06 psi psi BENDING*�*���•��*��*-�•�•����•��•��••��-�����•���••���•� M=w*len th^2/8= 21956.88 ftlbs Sr=M*12/Fb= 11.7.10 in^3 SHEAR*******•�*******•�•***************•�•******* R=w*length/2= 4085.00 lbs V=w*(length-(2*DEPTH/12))/2= 3728.75 Ar=1.5*V%Fv= 47.10 in"2 DEFLECTION*******************-�******•�•******* wd=tribwidth*LL= 240.00 plf Ir=S*wd*(length''4)*(12''3)/(384*E*d)= 447.23-in'4- SUMMARY***************************#********* SECTION S A I ; required 117.10 47.10 447.23 try: C 144 inches o/c 4x10 49.11 32.38 230.84 4>-12 73.83 39.38 415.28 �O QROFESS/pv� M N% C34.730 'y ,-r C TF �� cpx* 0(llzo) 1ij Ivy% IZ ' r //Lvs: •j��l. 4y 12 � •� ° �pl.t h��%, �•-� til i � ��) I/��cL • , W. � Z �� > 3coa�' v �. � Z 6 U �' • �y �� f�.trt1 i{.� I',I`r{,V..►t l�, %tii F,17-110" l�lhl,l� IIzvAll U-�1��P5��•rt�� r �' QROFESS/p4,e L'f POL V-1 -f0 l Kt�G �0 q i No. C3/7'0 - /� � �-1nIN• .For- c ���F o' •!�/ _ s s 7 Pew t�►V1 or— Imo. � CNS `YI�cJC i �z� � ' �1 �Lr��t-• I I� b, qty �) P rvr,- I&f�--tzAl-N "'-8u COUNTY OF BUTTE BUILDING DIVISION DEPARTMENT OF DEVELOPMENT SERVICES 1469 Humboldt Road, Chico, CA - (916) 891-2751 7 County Center Drive, Oroville, CA - (916) 538-7541 747 Sliott Road, Paradise, CA - (916) 872-6307 CORRECTION NOTICE PERMIT NO. A roufm iagpec6 indicates that the following violations of Butte County Ordinances exist at the abmae adhiese and should be corrected. Please notify this office when correction of work Ifyoutun eanyquestions pertaining to this matter, or need additional explanation, please laic office immediately. Dabs Inspector lar f � ^. "lrv,--• ry„r,.,.r"7.-r--rc*"�`.ry'- :..•a✓r"^'`'•,�+,.�'7�^;.`i""'_�IXx�•'ti7r•"�yd--1•-..r��rtr� r ^.'`r"N ''Y-«rY�`tt•.. �:.1,.>.v��..r" ",� • COUNTYOF BUTTE -DEPARTMENT OF DEVELOPMENTSERVICES -BUILDING DIVISION 7 COUNTYCENTER DRIVE - OROVILLE, CALIFORNIA95966 -TELEPHONE (916) 538-7541 PERM ITAPPLICATION DATA SHEET OWNER Proposed Building Use - Building Inspector_ A: P. No. S6 -Z5- - q 9 Date jo -r3-q-23 At time of permit application, I was advised the following data must be submitted prior to permit processing and/or issuance: DATER ED BY 1. All items have been submitted. ...........C�e �.�� .: i.� ..�!�?-..:�>.l�F �.... . 2. Plot plans, 3/4 sets, signed by preparer of plans. ! c;) :,: (.2 .. ...... 3_ Complete plans, 3/4 sets, signed by preparer of plans ...................... 4. Engineered plans and calcs, 3/4 sets, with wet signature on plans . ............. 5. Hazardous Material Form. ......:...................................... 6. Energy Design Compliance and supporting documentation . .................. 7. Statement of Intent for Non -Heated and A/C Buildings . ...................... 8. Engineered truss details and layout in duplicate (required prior to plan check). .... 9. Mobilehome data and manufacturer's installation instructions, 2 sets. ........... 10. Fees of $ .............. ............ ........ Impact fees as shown on attached schedule. ...� d..)........ . California Department of Forestry plan approval/fe'�' . .. -... . 1\ 13. Flood elevation letter (100 year flood by Caffornia Engineer . ............:::. . 14. Sanitation and plot plan approval health Department. .. 15. City of Chico plumbing permit. . !................................ . 16. Plot plan and business license approval from City of Biggs/Gridley. ............ . 17. Planning approval for (A) Use: (B) Parking: ......... 18. Contact Land Development about (A) Improvements (B) Drainage. .......... . 19. Driveway permit (construction approval required prior to occupancy). .. .. ... 20. Pre -inspection for Prey"sperm°".equ. required. i red . . . to Building ,nspedor (Date) 21. Contractor's license information. (No., Name Style, Classification) . .............. 22. Certificate of Workmans Compensation Insurance . .......................... l 23. Owner -Builder Verification (Given to owner , Mail to owner . ......... . 24. Recorded copy of Agricultural Acknowledgement Statement. .................. 25. Letter of signature authorization . ........................................ 26. Copy of recorded deed of parcel creation and 60 right of way to a public road. ..... o 27. Letter of intent on building use .................................... . 28. Mobilehome utility clearance . ......................................... . 29. Documentation of legal access. ...... ...............:.................. 30. Documentation of 50% subdivision developed or (A) Road improvements completed and (B) Parcel meets zoning area and frontage requirements . ............... INIA�xisting violations/expired permits . ....................................... Ian check list . ..................................................... 33. ZWhenY u issue the permit, process as follows: Mail to Mail to contractor. Telephone S��"JPO X% and hold for pickup at office. Deliver with inspector. Other Parcel Creation Acreage Applicant Date E Copy of Haz-Mat form sent Health Dept. Fire Dept. Air Pollution Date Copy of plans sent Health Dept. Fire Dept. Other Date . The following data must be submitted for to p (it ssuan 1. Index permit for above items No. 2. Additional items required: By above). I ./.) . % Ile Contractor, designer, owner, was advised of above required data by _ phone _ mail Counte Contractor, designer, owner, was advised of above required data by _ phone _ mail Cou Plans checked by Date Plans approved by Sets of plans on hold in File cabinet AP folder Copy - Department of Public Works by _ Date hil Date Date=2Z COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION 7 County Center Drive - Oroville, California 95965 - Telephone (916) 538-7541 PERMIT o./-# APPLICATION AND PERMIT ASSESSOR PARCEL NUMBER 056-250-049 TM -5 ZONING BUILDING PERMIT OWNER John & Bate Zakrzewski TELEPHONE 893-5177 SQ. FT. OCC. BUILDING VALUATION 916 M 3,888.00 OWNER'S MAILING ADDRESS 16278 Stage Rd. Forest Ranch 95942 288 Open 2,016.00 CONTRACTOR'S NAME Harry Koenig TELEPHONE CONTRACTOR'S MAILING ADDRESS Fireplace CONSTRUCTION LENDER UNKNOWN Total Valuation $ 7,404.00 Filing Fee $ 20.00 LENDER'S MAILING ADDRESS Permit Fee $99.00 ARCHITECT OR ENGINEER T.Pnn Goldman LICENSE NO. Plan Checking Fee $ 64.35 Energy Plan Checking Fee $ ARCHITECT OR ENGINEER'S MAILING ADDRESS Penalty $ BUILDING ADDRESS PERMIT FEE $ 183.35 1697S StnRp Rd-, Forest Ranrh PLUMBING PERMIT Filing Fee 20.00 Each Trap 1 7.00 Solar or heat pump water heater 23.00 Water piping 15.00 LOT NO. SUBDIVISION'S NAME PARCEL MAP Each gas water heater or vent 15.00 USE OF STRUCTURE SF ❑ Duplex ❑ Mobilehome ❑ Other SPECIFY Gas piping system 1 5 outlets 15.00 Building sewer 15.00 Mobile Home S G W ` 20.00 TYPE OF WORK New ❑ Addition ❑ Remodel CIUtilities ❑ Installation O Other ❑ Describe Work: Carpoff Conversion PERMIT FEE J$ Contractor ELECTRICAL PERMIT Filing Fee 20.00 Main Service ( BOOV OR LESS ) 200A OR LESS 23.00 Main Service ( 200A To 1000A ) 46.00 NEW OCCUP. OR ADDNS.T ( D ELLINa ACCGB DS. ) X 3.50 F°.' 10.08 CONTRACTORS LICENSE LAW I declare under penalty of perjury (check one) ❑ I am a licensed under provisions of Chapter 9, Division 3 of the Business and Professions Code and my license is in full force and effect. License No. Classificationp I, as the owner, or my employees with wages as their sole compensation, 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 contractors. (Sec 7044) O 1 am exempt under Sec. Business and Professions Code forthis reason NEW CONST. MULTI -OUTLET •NON-RESID. ( BRANCH CIRCUITS ) @7.50 ( POWERAPPARATUS ) 8 SINGLE OUTLET CIR. Ex. Occup. ( OUTLET OR FIXTURES )T20900 Ex. Occu FIXED (REST .OR (OUTLETS IflES10.1 EA. Temporary Service Mobile Home Facilities Misc. Wiring 23.00 WORKER'S COMPENSATION INSURANCE 1 declare under penalty of perjury (check one): ❑ This permit is for $100.00 (valuation) or less. ❑ I have placed on file with the County of Butte Dept. of Development Services, Building Division a Certificate of Workmen's Compensation Insurance or a Certificate of Consent to Self -insure. i® I shall not employ any person in any manner so as to become subject to the Worker's Compensation laws of California. Notice to Applicant: If after making this statement, should you become subject to the Worker's Compensation provisions of the Labor Code, you must forthwith comply with such provisions or this permit will be revoked. PERMIT FEE $ 30.08 Contractor MECHANICAL PERMIT Filing Fee 20.00 Heating Cooling Hood 6.50 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 Butte County Ordinances and California 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 liabilitie jud men's, costs, and expenses which may in any way accrue against said Count i co sequence of the granting o tis permit. X t Date�(��/� —g Sign u e of Appli n - ❑ O n ❑ Contractor ❑ Agent An4A perm' is equir d f r excavations over 5"0" deep and demolition or constr ction of res ogger stories in height. Mobile Home Installation Fee $ Energy Inspection Fee $ C c7 Pc �/ TOTAL FEE $ 21 .43 HAZ. D. FEES IMP FLOODC F PARCEL PD I This permit is hereby issued under of the Butte County Code and/or indicated above for which fees have DIRECTOR O PERMITEXPIRESON the applicable provisions Resolutions to do work been paid. WORKS/ 9 L] Da ! v 3 date) [[ruuct Receipt No. / WHITE-D.D.S.-B.D. CANARY -ASSESSOR PINK -INSPECTOR GOLDENROD -APPLICANT P /t-- rds 5EAJ . 66( Ad*T: r %s 6�4,�4 > F.H. USP OMN t Scutt to B.D. %/ 44-0 TO: Building Department / p FROM: Environmental Health SUBJECT: Sanitation Clearance /6 2-7 k' S� -I- -66� Owner Location AP/# Plan Approved for: Sewalge Disposal Clearance for bedroom mobile home. Other Hold final for: Final clearance O.K. for: NOTE: 0�- L&A h. 1� Environmental Health Specialist 8/92 Water Supply: Public Private Well �U -u- 92 Date COUNTY OF BUTTE - DEPARTMENT OF DEVELOPMENT SERVICES - BUILDING DIVISION r 7 COUNTY CENTER DRIVE, OROVILLE CA 95965 - TELEPHONE (916) 538-7541 OWNER J00 -'j I It,n Sr ! A.P. # .PROPOSED BUILDING USE `�%` /�?esnoa�!- DATE I P REC. # DATE REC 1. SCHOOL DISTRICT FEES (paid at District Office) .................... 2. SHERIFF FEES ..... (paid at Building Department) Residential...... x =$ unit amt. Commercial (sqft) x =$ :sq.ft. amt. 3. URBAN AREA FEES (paid at Building Department) Residential (per unit) x =$ —F—units amt. Commercial (per sq.ft) x =$ sq.ft. amt. • 4. RECREATION DISTRICT FEES (paid at District Office) ......................... 5. DRAINAGE DISTRICT FEES (Contact Land Development Division) .............. t6. SRA FIRE INSPECTION AND PLAN CHECK = $89.00...... (paid at Building Department] 7. OTHER 8. OTHER At time of permit application, I was advised the above fees are required to be paid prior to issuance of the permit. APPLICANT DATE COUNTY OF BUTTE - Department of Public Works 7 County Center Drive, Oroville, CA 95965 OWNER -BUILDER VERIFICATION: Attention Property Owner: Phone: 916-538-7541 An 'owner -builder" building permit has been applied for in your name and bearing your signature. Please complete and return this information at your' earliest opportunity to avoid unnecessary delay in processing and issuing your building permit. No building permit will be issued until this verification is received. 1. I personally plan to. provide the mai-our labor and materials for construction of the proposed property improvement . .. . ) 2... I have not) A070_ signed an application for a building permit. fo proposed work. 3. I have contracted with the following person (firm) to provide the proposed construction: Name Address City Phone Contractors License No. 4.- I plan to provide, portions of this work, .but - I have hired the following person to coordinate, supervise, and provide the major work: Name Address City Phone _ Contractors Lidense Nd* 5. I will provide some of the work.but I have contracted (hired) the following persons to provide .the work indicated: Name, Address . Phone Type of Work Signed: Property Owner _;Z�kle 21ffzU.F Social Security Number Date //9 —C3 - 9�4 NOTE: This Owner -Builder Verification is sent to you as required by Sections 19831 and 19832 of the California Health and Safety Code. This verification must be completed and returned to our office before we are per- mitted to issue the permit. e 1] EGv- 2� (5 p - f= M) 421 ltl� n,7 Z- Ak) CG"D3515 nm AS CA DSTer or_' ao—= • ��3:0©. • ..�'��''0© Aac=�aaa1-r__� iYot 3esc_� .. _ - s 2Ah k A0 ZY Li Sam= Iva MCM .�= �� ei�.�t. �= ==`i - _ _-_ •- a� =ng ==A6A4C ' . • : �.. ,;;-' ' .. "r3G`� DA. i E:tG�`T.._.T'tG CG"D3515 nm AS CA DSTer or_' ao—= • ��3:0©. • ..�'��''0© Aac=�aaa1-r__� iYot 3esc_� .. _ - s T i PERMIT NUMBER — B 1019-72 f- P i • i R 5 E PERMIT EXPIRES 9_ /3 i OWNER _-Robert Wenger j G CONTR" . Owner i LOCATION (A.P. 56-25-49 ) r Off E/S of Hwy. 32 ;rust south of. Stage Road, Forest Ranch 1: 1 x E a a a COUNTY OF,BUTTE Department of Public Works BUILDING INSPECTION RECORD Zoning Setback �'� .�' 7`2— Forms 7crA Foundation Z' % Piers& Girders Fireplace Rgh. Plumbing `7 - 1'3--7 L Bond Beam Lath & Plaster 5hs e�/>rew Rein. Steel Gas Piping & Test Found. Vents Framing - /L --2 Plmg. To out _ - f Z - '7 Z. Rough Elec. Wtr. Htr. %" 7 2� Furnace 7 / �- 3 Kitchen Vent -:23, Firewall S --/S- % 73 Garage Vents I-- IR -2-3 Sanitation & Water ELECTRIC GAS BUILDING _ 'Temporary EV .- 2-9- 22- z Temporary Cert. of Occup. -/ 8 ` 7' Final ' f / g!.3 Final ���lc 1�- Final h---1,9--7--'3 DATE REMARKS OR CORRECTIONS C4) e�� y tea% Z Edi e - s COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS 7 County Center Drive — �Oroville, California 95965 Telephony: 533-1230, Ext. 259 APPLICATION AND PERMIT authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. _ White-D.P.W..— Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -,,DIRECTOR OF PUBLIC WORKS By"C�� Date Z Building Permit Expires Date 1-1 i BUILDING Owner SQ. FT. OCC. BUILDING VALUATION Mailing Address 6.2 Fireplace %aA4)' iw Contractor Total Valuation `f Mailing Address Permit Fee / Plan Checking Fee &/or Penalty Permit Fee $ $ Building Address �`� PLUMBING No. @ FEE PERMIT FILING FEE .r $2.00 �y Each Trap 1.50 ,1,, Repair drainage or vent piping 1.50 Water piping - 1.50 /O Each gas water heater or vent 1.50 A. P. No. Zoning Gas piping system 1 - 5 outlets 1.50 Each additional outlet .50 Fire Zone Fire Dept. Sanitation Planning Building sewer 5.00 / Plans Fees ✓ W. C. R/W Encroachment Lawn sprinkler system 2.00 NEW ADDITION ❑ OTHER ❑ Permit Fee $ , d $ ELECTRICAL No. @ FEE PERMIT FILING FEE .00 Main service incl. 1 meter Additional meters, each 1.00 Sub -panel (12 or less) (more tha 2) USE OF STRUCTURE Single Family. Duplex ❑ Others ❑ Range, dryer or water h®erCer 1.00 "a OyWAY, Coolg;Aeror space heater 2J 1.00 i Light fixtures 2AP.MNs' �- Ra2., swi s & fix AXets ,t o CONTRACTORS LICENSE LAW I am licensed under the provisions of Chapter 9, Div. 3, of the State of California Business & Professions Code under the name style of: d, Ex. Fan or F.A Furn. Motor 1.00 Evap. cooler, gar. disp. ort: -w. 1.00 Air conditionerr heat pump Water pump Misc. wiring License No. Classification 911 am exempt from the Contractors License Laws of the State of California. Permit Fee $ /� $ WORKMEN'S COMPENSATION INSURANCE I am aware of the provisions of Section3700 of the California Labor Code which requires every employer to be insured against liability for Workmen's Compensation. ❑I have placed on file with the County of Butte a certificate of Workmen's Compensation Insurance. I certify that in the performance of the work for which this permit is issued I shall not employ any person in any manner so as to become subject to the Workmen's Compensation Laws of California. MECHANICAL No. @ FEE PERMIT FILING FEE 3.00 Heating Cooling 8 Ventilation N Fee $ v $ 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 jjPermit In;trumentotiontrpn gtamian $0.07/$1000 Evaluation $ TOTAL PERMIT FEE $ � 3 authorize representatives of the County of Butte to enter upon the above-mentioned property for inspection purposes. Date Signature of Permitee or Agent Receipt No. _ White-D.P.W..— Pink -Inspector — Goldenrod -Assessor — Yellow -Applicant This permit is hereby issued under the applicable provisions of the Butte County Code and/or resolutions to do work indicated above for which fees have been paid. -,,DIRECTOR OF PUBLIC WORKS By"C�� Date Z Building Permit Expires Date 1-1 i