HomeMy WebLinkAbout056-350-008- - � o � - - -tom ----�----f---�•,,,;r :.,- -
',,'on & Barbara Hawkins v10
E/S'Pine Way, app.2 mi.S.ot Sugar
Pine Place, Forest Ranch `
Permit #1275-80B,P E,M(new single
family) _
56-35-8 {
Elsie Strickland
_ E/S Pine Way,app.k mi.E.of Sugar Pine_ E
' � Place,= -Forest •Ranch - --- - - `
contr: H & H Const., Forest Ranch
Permit' ��� 2731-8I;BCnew'pr 'garale- &""""" ;
storage)
- 56-35-08 2107-91B,P,E,M,
ARBUCKLE, Ensig '
5199 Pine Way, Fo st Ranc
cont: Arnie Quevedo ,
(addition/sf)
056-35-0-008 4
ARBUCKL-E,91-3525
CONTR: NSIGN,
ICO ELECTRIC `
5'199 PI E WAY, FORESTRANCH
UPGRA ELEC/SF
a
e
RSI ENTIAL
~ 56-35-08 p�T'S1�� 2107-91B,P,E,M
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ARBUCKLE, Ensign
5199 Pine Way, Forest Ranch
cont: Arnie Quevedo
(addition/sr��J
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JOB FINALE
Signature
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pgICE' COPY
Address—5 %/ 04-0,
GAS IN ;
GASI
Meter y Date
ELECTRIC I
Meter By u's Date��
ER
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
j 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise — Phone: 872-6307
CORRECTION NOTICE
2 /G 7 -9/
HERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
atter, or need additional explanation, please contact this office immediately.
de
PO OU(
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G " LG. -20 c..ew
Inspector `�
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COUNTY OF BUTTE )
f� .= 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
r CORRECTION NOTICE
OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
v matter, or need additional explanation, please contact this office immediately.
K�, c
Date / 0 ! �/ Inspector Z? _
k' t
COUNTY OF BUTTE
DEPARTMENT OF PUBLIC WORKS
196 Memorial Way, Chico — Phone: 891-2751
k}` 7 County Center Drive, Oroville — Phone: 538-7541
747 Elliott Road, Paradise— Phone: -872-6307
CORRECTION NOTICE
�'. OWNER PERMIT NO.
A routine inspection indicates that the following violations of County Ordinance
exist at the above address and should be corrected. Please notify this office
when correction of work is completed. If you have any question pertaining to this
matter r need additional explanation, please contact this office immediately.
5 S
Date v �� �/ Inspectory I -P2�
PPP
\\)I E OF TIA,k,
t Fl C
CER IFOCATE OF " ZC0NF0RMAWCE
. •t,R i .E' kyr �''al _L• _ � _ I4r.
HE : UNDERSIGNED MA NUFA C TUBER HEREB Y 'CER TIF/ES
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
ard
ANSI/AITC A190.1-1983,' Structural Glued Laminated Timber, and American
trlsuch Nmanufa tureonal dhas
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been at our plant in�ct,;�Gi�etn�r 91 , which plant has a quality control system
approved by the Inspection Bureau of 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.
JOB NAME: 4uevedo Construction.
JOB LOCATION: 5�199I'Pine Way ,
P0#685- 4-18-91
CUSTOMER'S ORDER NO. DATE MFGR:S ORDER NO. 8864-D
i
24F -V41 WE Glue, Arch App, Indy Wrap-
SIGNATURE
rap SIGNATURE
, �,, COMPANY American T ami na tO
/�11G1_ '
;TITLE L/1ity Control ADDRESS POR 991 Wi SS}l{VT1P�RDATE 5-3-91
AI TC . / iEREB Y CERTIFIES that the said company at its said plant is licerised by the
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION to use the AITC Collective Mark in respect
of products which comply with applicable provisions of said Standard, that the adequacy of the quality
control system in 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 testing provisions of said
Standard in respect of products manufactured at said plant. Conformance with the Standard in respect
of,any specific or particular product is the sole responsibility of the manufacturer; AITC's guarantee
hereunder being that the said company is qualified to produce a product meeting the said Standard
and that its plant is periodically inspected and verified by the AITC Inspection Bureau.
AITC FORM IBCA
IF
AITC Certificate No. 74257 A
AMERICAN INSTITUTE OF TIMBER CONSTRUCTION
RECEIVED
MAY 0 71991.
8 1983 AMERICAN INSTITUTE O KEL�1�9JAT
J 1
ENERGY INSTALLATION CERTIFICATE
Building Owner CKJ5t(:xQ E,ILi�1.t; Building Permit #
Building Location 5t C1 0l �i rJ fJ vJ r y
DESCRIPTION OF INSULATION
ROOF
Material
Thickness(inches)
EXTERIOR WALL
Material RA -m-% /FA-CE_',3
Thickness(inches)
CEILING
Batt or Blanket Type E?-► �Fi}c�t
Thickness(inches)
Loose Fill Type
Minimum Thickness(Inches)
Area covered(ft.2)
FLOOR, ELEVATED
Material 8A -,t -s FjgZ��j
Thickness(inches)
FLOOR, SLAB
Material
Thickness(inches)
Width(inches)
Brand Name
Thermal Resistance (R Value)
Brand Name O - L
Thermal Resistance(R Value) !L
Brand Name owpjjg-
Thermal Resistance(R Value)
Brand Name .
Number of Bags Wt. per bag lb
Thermal Resistance(R Value)
Brand Name (5 —C -
Thermal
-C -Thermal Resistance(R Value)_/C�
Brand Name �T
Thermal Resistance(R Value)
FOUNDATION WALL '
Material Brand Name
Thickness(inches) Thermal Resistance(R Value)
I hereby certify that the above insulation was installed in the above building,
-is consistent with approved building department plans -and attachments -and con
forms with requirements of Chapter 2-53 of State of California Energy Requiremen
Qv�y4,nr� C o�srYwc �o R Ski T7
FUM NAE/014'NER STATE CONTRACTOR'S LICENSE N0.
zj
SIGNATURE OF INSTAIJ-TION APPLICATOR bATt
i hereby certify the required features, devices, and equipment,.a5
Building Department plans and attachments have been installed and
ance standards and Chapter 2-53 of the State of California Energy
BUILDING CONTRACTOR/OWNZER (Please Print)
(Kal NAME)
UUw,e-, -?Iycyjo\� CA6EO-)
SIGNATURE OF BUILDING CONTRACT /OWNER
A-( IZ
HVAC FIR1'4 NAME/OWNER (Please Print)
shown on the approved
conform to the appli-
Lequirements.
B 58� 37
STATE CONTRACTOR'S LICENSE NO.
DATE
STATE CONTRACTOR'S LICENSE NO.
SIGNATURE OF HVAC CONTRACTOR/OW�(ER DATE
THIS CERTIFICATE MUST BE ON FILE WITH THE BUILDING DEPARTMENT PRIOR TO FINAL INSPECTION
APPROVAL AND A COPY SHALL BE POSTED WITHIN THE BUILDING.
SEPTE1%1BER 1988
J=OK
O=Not *K
Not
= Not Readyable MOBILE HOMES
Date MOBILE HOME UTILITIES (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
2. Soils; Special MH Support Sketch
3. Sewer; Location -Test -Fall -C/O Concrete
4. Water; Location -Test -Easement Needed (Sketch) -•
5. Electricity; Location-Clearences-Grnd-/ /Amp -Concrete
6. Gas; Location -Test -Wrap: / /"L"ft.
/ /"Nat. or/ /"L"ft./ /"LPG
7. Well Clearance & Disconnect
8. Utility Clearance
r
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 :s
2. Footings; Size -Spacing -Marriage Line
3. Gas; MH Test -Demand -Valve -Connector,
4. Electricity; MH Test -Crossovers -Breakers -Clearances
5. Drain; MH Test=Fall-Flex Connector
6. Water; MH Test -Regulator -Connector S!�
7. Water and Sewer Connected -C/O 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
k
MISCELLANEOUS
Date DECKS, COVERS, CARPORTS, GARAGES, (Plans)OK excopt #'s
' 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- Bea ms- Rftrs.-Connectors
Shthg.-Rfg.-Bracing
5. Alum. Awn.; Columns -Connections -Splice -Decal -Enclosures
6. Carports; Windows -Doors
7. Electric
8. Frmg; Sils-Anchors-Studs-Rftrs-Trusses
9. Siding; Nailing -Veneer -Stucco -Mesh
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 #'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 -Panel boards -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�
'✓ =.oK
O'` Not OK
= Not Applicable
Read
Not Ready RESIDENTIAL (Single & Duplex)
=
Date ,, UNDER OOR (Plans) Oyuexcept t1's �
onin - tbac asements-F -Slope 1 V (41 X Z
Main; Soils-Elec.BcaEI,-ice/" Ftg. Depth Z tel
3. Ftg., Garage; Soils-Steel-Elec. Grnd.-/ /" Ftg. Depth r -
4. Ftg., Porches & Decks; Soils -Steel-/ /Ftg. Depth qc LLIY W o1//�W
JfSt6mwalls, Main; Steel -Bloc kouts-Wrapped �.
§.lStfmwalls, Garage; Steel-Blockouts-Wrapped
6a. Hold Downs and Special Ancwvf-
7. Slab; Steel -Wrapped
8. Piers -Fireplace Ftg.-Steel
9. D.W.V.; Fall -Fitting -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. Pienums & Ducts; Clearance -Material -Support -Ins.
14. Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
15. Access & Ventilation
16. Insulation
Date 9 3 -rfl Card B-1 // - Date Card B-1
Date Card B-1 Date Card B-1
Date PLUMBING (Permit),OK except ti's
16. Water Htr.: Vent -Access -Combustion Air -Baffle
----_ - 17. Water Pipe<5DAnchor- rotection ----- ---- ---
18. W.V. est Fittings & Ancho - I Protectio
19. s
---------- --- ----------------------------
-------- 20.-------- ------------- cess
- ----------------
21.nchors
---
--- ---------------------------------------------------------
Date f0- y -q I Card B:1 05 - Date Card B-1
-- --------------------
Date Card B-1 Date Card B-1
Date ELECT ICAL (Permit) OK except ti's
2 ixture & Transformer Clearance -Ins. Pr tectio
----------------- - --
-- ------------------
-- -----------------
A�i
C.ptacles Spacing -Light wilt sat Doors
& No. of nd ors-Sta led
-------p ------------------------------ ---
aIle Close to Edge of Stu & C. J.
Ground made up w/Mech. Fastners-Bond Gas & W ---r -
------ --- -------------------------------
Appliance Circuts in Kitchen & Conductor Size/GFI
------------------------------------------------------
28. S r .
C
---------- -- - --- ------- -------- -------------------------------
GGA( ange Circ. 1 ga. Cu or At -O irc. / / ga. Cu or Al.
Insulated Neutral es ❑ No
- ----
-----Insulated
------------------------------
30. Service -Riser Conductors & Ground -Main Disconnect
------------ --------------------------------------------------------------
-------------- 31. Equip. -Clearances Panels_ Motors_ Mech. Equip.
32.
--- - - ----------- ------------ ----- -------
----- -------
3 moke Detector
---------------------------------------------------------------------------------
D--a-te- % - -y I ---C-ard -B-1 P - _._______Date
-- Date CardB1
----------- _
-------
Date Card B-1 Date Card B-1
Date MECH_Af4'lCAL (Permit) OK except ti's
&--
Sup ori
3 ent Fan: Exhaust ab insulation
-
------------------------------------- ----- - - ---- ---
36. &Grade
-----------------------------------------------------------------..._.. -
37. turn Air Vent -115 outlet
--- ------ - -------------------------------------------------------------
Attic Access & Platform if Furnance in Attic
---
------------------------------------- ------------------------------------ ---------
.Date-it)
--------
•Date-i�--vl--- -C-a--rd----_L --------D-a-t-e-------------- Card- ----------------
Date Card B-1 Date Card B-1
Date FRAMI (Plans) OK except ti's
39.. -<is. per Material & A ors
---------------- - ----------------------
------------
------- ----------
4 sStuds-Nailing. Spaci Bracing -P s -Sound
----------------- ------------------------------------- -------------------------
Bearing Walls over Girders & Floor Nailing
----------------- -----------------------------------------------------------------
------------- - Draft S p -in- Walls - (rat proof)
------ -- --- ---------------------------------------------------
4 it tops: F red Ceilings -Stairs -Chases -Tub
4. ea Beam -Size & Bearing
Date FRAMING (Continued)
----- If455H5ngers=Post Caps -Anchors -Connectors
- 4f�Joisl-Rftr. ties -Pu -roof Brac-Tr thno.-Rfno.
47
/ Access; Size & Romex Protection -Draft Stop -Ins. Baffles
----- -arage 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
r/j Cf Q� Insulation -Walls -Ceilings
0. Infiltration -Walls -Windows
------- -------cam
---------- -----------------
Date LQ Lj��-Card B-1 Date �-9-r� Card B-1,
Date S;ard B-1 Date /V• /S?/ Card B-1 /j/d
Date FIN (Plans) OK except ti's
Rat 7 7? Card B-1 fA(/ Date Card B-1
Rate- n -Ll Card B_1______Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
L Steps -Door & Sidelight Protection -Landings
------
---------- - --
oke Detector
Fur ce: Vents -Clearance -Comb. Air-Connector-
----
---------------
arage: Above Floor -Ducts -Meth. Protection
G------------
------- - ---
Bedroom Exiting
& Bath Fixtures & Tub Access -Spa
6� Elec. Trim & Subpanel: Breaker Sizes & Labels
-----
--------------------------------
.el -jai s & Rails
-
- 8 imp ace or Stove Clearances -Hearth
O;: Iec. Outlets at Wood Panel; Int. & Ext.
7�.Fixt & Appliance; Grnd.-Air Gap -Cooking Clearance
7C EI . Outlets & Receptacles at Kit. Counter
---
7 ara_ge Fire Door: Swing -Landing -Closer
3. A. Duct in Garage -Damper
�AAtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V. ,
In Garage: Above Floor-Mech. Protection
- - __ _ c. & M_ech_Equip. Listed for Location
7 let. Receptacles in Garage; (G.F.1.)-Romex Protection
----
------------ --------------------
ntion-Foam-Looked in Attic-�-YeS-'
-- --
---------------------------------- -
-48-Q:ard Rails & Deck Construction -Post Caps
---------------- ------------- ----
-q9-'r1TM V'ents & Crawl Hole Door -Drainage & Wood -Earth
Clearance Looked under Floor ❑ Yes
----------------------------------
-
------------
0 ow' g instld.; Drive ❑ Yes EINo; Walks ❑ Yes $-111o;
PI ers ❑ Yes 1EPI-No
-------------------------------- -----
ucco: Brown -Finish
----
_ Unit: Disconnect. Electrical, Plumbing
Vents Above Roof; Plbg -Appliance-Fireplace.-Clearance to
Openings
er Well; Disconnect, Electrical, Plumbing -
8VExterior Elec. Trim: G.F.I. Receptacle- Underground-
_
_...
�-ab. Ventilation Throughout House
------ ----------------------- -
ss Protection
_.._.... --- -------------------------------- ----------
-
Corrections from Previous Inspections
- - -- - --- --------------------------------------
as Test -Meters Tagged; Gas -Electric _
.tt 99 Wale & Sewer_ Connected -C/O to Grade -HD Approval _
Z3 91. ergy Compliance Certificate -Other Certificates
Rat 7 7? Card B-1 fA(/ Date Card B-1
Rate- n -Ll Card B_1______Date Card B-1
Date Card B-1 Date Card B-1
Comments at Final:
r. .
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive-Orovllle, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMB R
056-350-008
ZONING
BUILDING PERMIT
OWNER
Ensi n Arbuckle
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAICADDRESS
5199 Pine Wa Forest Ranch 95942
CONTRACTOR'S NAME
TELEPHONE
891-1933
CONTRACTOR'S MAILING ADDRESS
36 W. Eaton Rd., Chico 26
Fireplace
CONSTRUCTION LENDER
UNKNOWN
Total Valuation Is
LENDER'S MAILING ADDRESS
Filing Fee
$ 15,00
Permit Fee
$
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee
$
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Energy Plan Checking Fee
$
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT
Filing Fee 15.00
Each Trap
1 5.00
Solar or heat pump water heater
120.00
LOT NO.SUBDIVISION
NAME
PARCEL MAP
Water piping
7.00
Each qas water heater or vent
7.00
USE OF STRUCTURE
SF ® Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer15.00
Mobile Home S G W
@ 15.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Uti lities ❑ Installation ❑ Other [
Describe work:_ Upgrade Electrical _
RE: B.P. #2107-91
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 15.00
Main service 200AORLESS
1 18.50 18.50
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 s Code and my license is in full force and effect.
License No. Classification C� `=%
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)
ElI, as the owner, am exclusively contracting with licensed contra
ors. (Sec. 7044)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
Main service 200ATO1000AI
37.50
NEW CONST. / DWELLING OCCUP.&�
l
OR ADDNS. ACC. BLDGS.NEW
3.6*sq.ft.
CONSTR. ULTI.OUTLET
NON.RESID BRANCH CIRC ITS
@ 5 00
(POWER APPARATUS &)
SINGLE OUTLET CIR,
Ex. OCCup(OUTLETS OR FIXTURES
p20 76
FIXED APLNS.❑
Ex. Occup. OUTLETS (PRESID )REA.)
I 3.00
Temporary service
1 15.00
Mobile Home Facilities
15.00ct-
Misc. Wiring
g
15.00 5.00
Permit Fee
$48-50
—
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.
Contractor
MECHANICAL PERMIT
Filing Fee 15.00
Heating
Cooling
g
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
agai t said County ' onseque_ nce of the granting of this permit.
X YkLc Date �� �%
si no re Oflicant — a owner
Applicant ❑ Contractorj� Agent ❑
SHA
ion of HAstructuresmit is Squired for excavations Ions over 5'0" deep and demolition or construct-
Mobile Home Installation Fee $
Energy Inspection Fee $
occ
CONST TYPE
TOTAL FEE %8.50
HAz
I DFEES I
IMP
I FLOOD
I CDF
PARCEL
I PD
HD
ISS
This permit is hereby issued under the
sions of the Butte County Code and/or
work indicated above for which fees
�EC Q OF PUBLIC
By
PER EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
D tk--t/—
Receipt No. 101087 .�
WHITE-D.P.W., YELLOW -ASSESSOR. PINK•^.TOR. GOLDENROD -APPLICANT
COUNTY OF BUTTE - DEPART_VIENT.:OF"PUBLIC WORKS - BUILDING DIVISION
7 COUNTY CENtER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 -�
PERMIT AR?LICATION DATA SHEET
OWNER
Proposed Building Use
Ce
Building Inspector
Permit No. /
A. P. No. 6� 0
Date
Wofermit application, I was advised the following data must be submitted prior to permit processing and/or issuance:
DATE RECEIVED APPROVED
All items have been submitted. ............................. .
2. Plot plans in duplicate/triplicate, signed by preparer of plans........
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 ................................ .r'.................
f�,
10. Fees of $ ........................
11. Chico Urban Area fees paid . ...................................... .
12. Park fees paid ....................................................
13. School District fees paid ............. .
14. Sanitation approval from Health Department
15. City of Chico plumbing -permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Insp —request to
Building Inspector _(Date)
1 Contractor's license information _(No., Name Style, Classification) ... — k
Certificate of Workmans Compensation Insurance .................. id
711
23. Owner -Builder Verification (Given to owner ❑, Mail to owner ❑) .....
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
When you issue the permit, process as follows: Mail to owner. Mail to contractor.
Telephone - and hold for pickup at office. Deliver v4/inspector.
Other
Gopy of plans sent Health Dept. Fire Dept. 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_mail—counter by ..date
Contractor, designer, owner, was advised of above required data by—phone _mail—counter by date
Plans checked by
Sets of plans on hold in
Copy—DPW
Date Plans approved by
File cabinet AP folder
Date
I
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
7 County Center Drive - Orovllle, California 95965 - Telephone: 916.'538-7541
APPLICATION AND PERMIT
ASSESSOR PARCEL NUMBER
5(a -
ZONING
BUILDING PERMIT
OWNER
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER'S MAILING ADDR S Q 959gZ
CONTRACTOR'S NAME
C
TELEPHONE
CONTRACTOR'S MAILING ADDRESS
(,J .
Fireplace
CONSTRUCTION LENOER
UNKNOWN
c
Total Valuation $
LENDER'S MAILING ADDRESS
Filing Fee $ 15,00
Permit Fee $
ARCHITECT OR ENGINEER
LICENSE NO.
Plan Checking Fee $
Energy Plan Checking Fee $
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty $
BUILDING ADDRESS
-Sl qa,EC, 5 ro c C,9
Permit fee $
PLUMBING PERMIT Filing Fee 15.00
Each Trap 5.00
Solar or heat pump water heater 1 20.00
LOT NO.
SUBDIVISION NAMEPARCEL
MAP
Water piping 7.00
Each qas water heater or vent 7.00
USE OF STRUCTURE
SFDuplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets 5.00
Building sewer 15.00
Mobile Home I S I G JW 1 615.00
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Inatallation❑ Other ❑
Describe work: /
/600V
Permit Fee $
Contractor
ELECTRICAL PERMIT Filing Fee 15.00
OR LESS
Main service 200A OR LESS 18.50 r
Main service 200A TO 1000A1 37.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
❑ I am licensed under provisions of Chapt. 9, Div. 3 of the Business
and Professions Code and my license is in full force and effect.
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)
❑ 1 am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.&) 3.6A sq.ft.
OR ADONS. ACC. BLDGS. I
NEW RE --O, BRANCH
^ 5.00
NON•R 8510 BRANCH CIRC ITS
(POWER
(POWER APPARATUS e
OUTLET CIR.
EX. OCCUp�OUTLETS OR FIXTURES AO 76d
EX. OCCUp. OUTLETS FIXED AP(RESID IKEA.) I 3.00
Temporary service 15.00
Mobile Home Facilities 15.00
Misc. Wiring
g 15.00 Q
Permit Fee f
—
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 became 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 15.00
Heating
Cooling
g
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 County Ordinances and State Laws relating
to building construction, and hereby authorize representatives of the Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue
against said County in consequence of the granting of this permit.
X Date
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 $
Energy Inspection Fee $
OCC
CONST TYPE
I TOTAL FEE $
HAz
1 0FEES I
IMP
FLOOD
cOF
PARCEL
PD
HD
ISSUE
This permit is hereby issued under the applicable provi-
sions of the Butte County Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR. PINK -INSPECTOR, GOLDENROD -APPLICANT
COUrY OF BUTTE -DEPARTMENT OF PUBLIC WORKS
7 County enter Drive Oroyil(e, CM.i.fcrnia 95965 - Telephone: 916/538-7541
• APPLICATION AND PERMIT
PERMITNO.
Z-10-7-Odl
ASSESSOR PARCEL NUMBER
056-35-0-008
ZONING
TM -5
BUILDING PERMIT
OWNER
ENSIGN ARBUCKLE
TELEPHONE
so. FT. OCC. BUILDING VALUATION
300 M
.5400
OWNER'S MAILING ADDRESS
5199 Pine Way, Forest Ranch, CA 95942
280 @ 20
5600
ArnieCONTRACTQuOR evedo S NAME
T342P ELEH3472
138 @ , 41
5658
75 C
975
CONTRACTOR'S MAILING ADDRESS
12039 Centerville rd., Chico, CA 95926
Fireplace 'Est
500
CONSTRUCTION LENDER
None
UNKNOWN
Total Valuation is
18133
Filing Fee
$ .9.00
LENDER'S MAILING ADDRESS
Permit Foe
$ 134.50
A RCHI : EET OR 1-:-11,4EFR -
None _
LICEr�SE NO.
Plan Che:;king Fee
$ 67.25
Energy Plan Checking Fee
$ 15.00
ARCHITECT OR ENGINEER'S MAILING ADDRESS
Penalty
$
BUILDING ADDRESS
5199 Pine Way, Forest Ranch
Permit fee
$ 226.75
PLUMBING PERMIT
Filing Fee 10.00
Each Trap
2.00 2.00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 5• 00
Each qas water heater or vent
5.00
USE OF STRUCTURE
SFER Duplex❑ Mobilehome❑ Other
SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00 5.00
Mobile Home S G W
10.00ea
TYPE OF WORK
New ❑ Addition ❑ Remodel ❑ Utilities ❑ Installation❑ Other®
Describe work: Add to Kitchen, Convert Part of
Hobby & Laundry, New Garage, Add HVAC
Permit Fee
$ 22.00
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
CONTRACTORS LICENSE LAW
1 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.
22^'1
License No. 5P�9 ' J 1� Classification. Q
❑ 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 CONST. ACC. BLDGS. DWELLING OCCUP.&
OR ACDNS.
/zQsgft
, 17.95
NEWCONSTR ULTI.OUT LET
NON•R ESID BRANCH CIRCUITS)
2.50 ea
POWER APPARATUS &)
SINGLE OUTLET CIR.
Ex. Occu o
Occup(OUTLETS OR FIXTURES
20®s0e
.2.1-030
FIXED APPLNS
Ex. Occup. OUTLETS ((RESID )REA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Wiring
g
00
15. 15.00
-
Permit Fee
$ ,
-
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ The permit is for $100.00 (valuation) or less.
1 have placed on file with the County of Butte Building Department
a Certificate of Workmen's Compensation Insurance or a Certificate
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
Split 3T
Cooling
6.00
Hood
3.00 3.00
Ventilation
3,00
Permit Fee
$ 28.00
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
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, costs, and expenses which may in any way accrue
against saa in consequence of the granting of this permit.
X �� /((� �- (p ZS-
Date
Signature of Applicant - Owner ❑ Contractor ❑ Agent
An OSHA permit is required for excovations over 5'0" deep and demolition or construct -1
ion of structures over 3 stories in height.
Mobile Home Installation Fee $
Energy Inspection Fee $ 3 0D__to
occ
CONST TYPE
TOTALF E 49.40
HAz.
cuA FAFK scH F F
a
I H9 s
This permit is hereby issued unaer the
sions of the Butte County.Code and/or
work indicated Above for which fees
CTO7BLIC
By
PE IT EXPIRES Date
applicable provi-
resolutions to do
have been paid.
WORKS
/-may
Date a &. l
Receipt No. 93797
WNITC-D. r. W.. YELLOW -ASSESSOR. PINK-IN9P EC TOR. GOLDENROD -APPLICANT
.. 1 yr .. . .... . .. -1.,,_ - fP Y'Y'♦ aH..' .�- „��y, �.-.r.�'•'f►i..•.r. ...� ,-•--lnn'sfv'i ,TwgV'W sV...a-�sr �. ..�•n.�i^•,
COUNTY OF BUTTE - DEPARTII E" 44F PUBLIC WORKS - BUILDING DIVISION �
7 COUNTY CENTER DRIVE - OROVILLE, CALIFORNIA 95965 - TELEPHONE: 916/538-7541 /
PERMIT APPLICATION DATA SHEET V
Permit No.
,��v�ac
OWNER A. P o. �� �3
Proposed Building Use �Xl0 Building Inspector Date v
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.
,f2. Plot plans in duplicate/triplicate, signed by preparer of plans........
3. Complete plans in duplicate/triplicate, signed by preparer. of plans . .
4. Complete engineered plans and calcs, with wet signature on plans ..
t Hazardous Material Form ..........................................
6. Energy Design Compliance and supporting documentation .........
(PStatement of Intent for Non -Heated and AC Buildings ..............
Engineered truss details and layout in duplicate (required prior to plan check)
9. Mobilehome installation data including manufacturer's installation
h
instructions.......................................................
` 10, Fees of $
11. Chico Urban Area fees paid .......................................
` 12. Park fees paid ..............................................
Schp'ol District fees paid....
Sanitation approval from Health Department
15. City of Chico plumbing permit .....................................
16. Plot plan and business license approval from City of
(see City for other requirements)
17. Planning approval for (A) Use: (B) Parking: ......
f• 18. Improvements may be required. Contact Land Development Section DPW
19. Driveway permit (construction approval required prior to occupancy)
20. Pre -Inspection for required Pre-Inspec. request to
Building Inspector (Date)
;,`Contractor's license information (No., Name Style, Classification) ...
22. Certificate of Workmans Compensation Insurance ..................
t 23. Owner -Builder Verification (Given to owner ❑, Mail to owner 0).
24. Recorded copy of Agricultural Acknowledgment Statement .........
25. Letter of signature authorization ...................................
26.
27.
Whenyo Issue the permit�rtocess as follows: Mail to owner. Mail to contractor.
—77
Tel T7nd hold for pickup at office. Deliver w/inspector.
Other J
Applicant
Ay of z 31,fO Health Dept. Fire Dept
INy of plans sentea Dept. Fire Dept.
The following data must be submitted prior to permit
1. Index permit for above items No.
2. Additional items required:
Date—
it Pollution Date f
Date .'t By
e new item not checked above).
Contractor, designer, owner, was advised of above req y required data b d �y
_phonenai I _counter b .date
Contractor, designer, owner, was advised of above required data by—phone —ma ll__�counter by date
checked
Plans approved by
Sets of plans on hold in File cabinet AP folder
Copy—DPW
Date
TO Buildinv 0gpa tment
FROM: Environmental Health
SUBJECT: Sanitation Clearance
Owner Location AP#
Plan Approved for: Sewage Disposal Water Supply
Hold final for:
Final clearance O.R. for:
Clearance for bedroom mobile home.
NOTE
Water Supply
Water Supply
Other %Wil 4 k.tI� �-�-
Date
Sanitarian - —
61, 1- 2-q -� �
kLL-
T�D
G
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS
7 County Center Drive - GroVil-le, California 95965 - Telephone: 916/538-7541
APPLICATION AND PERMIT
PERMIT NO.
ASSESSOR PARCEL NUMBER O —
ZONING _F3,
BUILDING PERMIT
ZE LFi
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
OWNER' MAILING ADDRESS
W PI KvI- W FgA2ST RMuk
CONTRACTOR'S NAME
TELEPHONE
��
/^ _
V
CONTRACTOR'S AILING ADDRESS /
1 �.�/ L
CONSTRUC ION LENDER
UNKNOWN
Totaf Valuation $
3
Filing Fee _ $ - ;0,00
LENDER'S MAILING ADDRESS
Permit Fee
$
ARCHITECT OR ::.11 :WEEP,
LI CE`1SE NO•
Plan Checking Fee
$
Energy Plan Checking Fee
$ O
ARCHITECT OR ENGINEER'S MAILING ADDRESS
r
Penalty
$
BUILDING ADDRESS
Permit fee
$
PLUMBING PERMIT Filing Fee 10.00
15 lad
Each Trap
2.00 2,00
Solar or heat pump water heater
20.00
LOT NO.
SUBDIVISION NAME
PARCEL MAP
Water piping
5.00 41 0
Each qas water heater or vent
5.00
USE OF STRUCTURE
SF N Duplex❑ Mobilehome❑ Other
• SPECIFY
Gas piping system 1 - 5 outlets
5.00
Building sewer
5.00
Mobile Home I S G W
0.00 ea
TYPE OF WORK
New❑ Addition Remode+Utilities ❑ Installation❑ Other
Describe work: &wo 'Tc tvt;1� /kfL:
✓�MW �—
Permit Fee
$ ,
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
A
Main service 1O00 OAMP LESS
OR
10.00
Main service EA. ADO'L 100 AMP
2.50
CONTRACTORS LICENSE LAW
I declare under penalty of perjury (check one):
I�
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. 130
❑ 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-
ontract-
ors.
ors.(Sec. 7044)
❑ I am exempt under Sec. , Business and Professions Code
for this reason
NEW CONST. DWELLING OCCUP.ai
OR AODNS. ( ACC. BLOGS. )
, /20sgft
NEW CONSTR. MULTI -OUTLET
NON.RESIO BRANCH CIRCUITS)
.2.50 ea
POWER APPARATUS s
(SINGLE OUTLET CIR. )
Ex. Ex. Occup(OUTLETS OR FIXTURES
2005Oe
eALO 30
EX. Occup. OUTLETS FIXE PIRESID )KEA.)
2.00
Temporary service
10.00
Mobile Home Facilities
15.00
Misc. Iyirin g
15.00
Permit Fee
$
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.
Contractor
MECHANICAL PERMIT
Filing Fee 10.00
Heating
,
Cooling
rd Q
Hood
3.00
Ventilation
perm it Fee
$ 2
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, judgments, costs, and expenses which may in any way accrue
against said
�County
� i�n'rconsequence of the granting of this permit.
X U�Wl AY J � Date
Signature of Applicant — Owner [I Contractor ❑ AgentZ
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
/1
TOTAL FEE $ (//J
HAL
CUA-1PARK
SCHL FLO
F
PAR
PD
I HD.
ISSUE
This permit is hereby issued unser the applicable provi-
sions of the Butte County -Code and/or resolutions to do
work indicated above for which fees have been paid.
DIRECTOR OF PUBLIC WORKS
By Date
PERMIT EXPIRES Date
Receipt No.
WHITE-D.P.W., YELLOW -ASSESSOR, PINK -INSPECTOR. GOLDENROD -APPLICANT
RESIDENTIAL PLAN CHECKING GUIDE -12/90
(S.F., DUPLEX & MISC. ONLY)
Bldg. Permi
OWNER A.P. # . .
Plan Checker
GENERAL
,X. Zoning requirements: (sideyards and number of permitted living units).
./Valuation .
:��,;lroper
ans signed by designer.
description of work on application.
-; Existing violations on property.
Items on data sheet. (W.C., fees, Health, Developer Fees, License law, etc).
Recorded notice of violation.
PLOT
�PLAN-
Lo-t
mplete parcel size and dimensions.
backs, sideyards, easements, etc.
her buildings or structures.
4+/ grading, fills, drainage.
,,T. Flood hazard.
fzr Special conditions on creation map,
astible, and foundations).
r7: FAU & FAS road setback.
(noise, CDF, fire sprinklers, non -comb -
Building or utilities across lot lines (Record form).
FLOOR PLAN
)l4_11' Complete to scale plan with dimensions. T�
S Required windows for light and ventilation (Sec. 1205).
y� Required windows for second exit (Sec. 1204).
kylights (Chapter 34 & Sec. 5207).
Human impact glass (Sec. 5406).
Required room sizes, ceiling heights (Sec. 1207).
GFCIs in baths, garage, kitchen, and exterior outlets (Article 210-8).
Light fixtures, switches, receptacles, and exterior receptacles for main-
tenance of mechanical equipment.
Locations of water heater, heating and cooling equipment, other electrical
"or gas equipment.
arage firewall, door size, and closer (Sec. 503(d)(3)).
1 - 3'0" exterior exit door (sec. 3304 (f).
Fireplace and wood stove location, alcoves, and clearance.
. Smoke detectors (Sec. 1210).
4. Plumbing fixtures, water closet clearances and shower size.
STRUCTURAL DETAILS
v", Standard bracing or engineered design (Table 25V)
nusual shape, size, or split level house requiring lateral design.
Foundation plan complete enough to construct building.
E✓. Floor construction details complete enough to construct building.
Elevations and wall construction details complete enough to construct building.
Roof construction details complete enough to construct building.
Fireplace construction details and calcs if necessary.
Rafter ties or bearing ridge beam.
Garage door or porch header sizes.
tud heights.
. Adobe soils - special foundation design.
tz /Retaining walls requiring design.
Special Inspection required.
12/90
RESIDENTIAL PLAN CHECKING GUIDE .
MISCELLANEOUS ITEMS TO LOOK OUT FOR
Stairway details: landings, rise and run, head clearance, handrails
Sec. 3306).
tGuardrail details (Sec. 1711 & 3306(j).
V.Exterior
rick or stone veneer (Chapter 30).
plaster - weep screeds (Sec. 4706).
roper roof pitch for roof convering (Chapter 32).
,J�Roof covering type - (fire hazard).
Foam insulation - protection.
36" halls and stairways.
p.Living area over garage - complete 1 -hour separation required on garage side
including supporting walls and posts, etc.
o exits on three-story dwellings (sec. 3303 & see Mezannines - 1716).
��./Attic
access and ventilation (Sec. 3205).
n.dejfloor access and ventilation (Sec. 2516).
bustion air for fuel burning appliances - L.P.G. requirements.
rEnergy
ise requirements on duplexes.
design.
ashing at all exterior openings.
F responsible area requirements.
FOR M 7
ADDITIONS TO,RESIDENTiAL BUILDINGS ENERGY SHEET
PACKAGE "A" (Additions)
Owner IQ$UC.1 Climate Zone
Permit # Floor Area 41
The following data showing mandatory and required features of Package "A" shall
be installed for additions to dwellings. Additions to dwellings include room
additions, converting garages and patios to living areas, house moves that add
footage and attic conversions, and any space that is existing non -conditioned
space that is converted to conditioned space. Remodeling.of existing conditioned
space is not included.
ZONE 11
APPLIES TO NEW AREA
CEILING R-30
WALL R-11
FLOOR R-11
�4B•— �—
GLAZING U-.65 (Dual)
SHADING
SOUTH - OPTIMUM OVERHANG
or .36 Shading Coefficient
WEST .36 Shading Coefficient
LOOSE FILL INSULATION (Density)
7nMV 15
(Dual)
INFILTRATION CONTROL (Weatherstrip_doors, certified windows, caulking)
DUCTS PER UNIFORM MECHANICAL CODE - Ch. 10
LIGHTING KITCHEN & BATH NOT LESS THAN 25 LUMENS/WATT
MAXIMUM GLAZING 16% OF AREA PLUS REMOVED GLAZING
NEW HEATING, VENTILATING, AIR CONDITIONING AND HOT WATER SYSTEMS IN
CONJUNCTION WITH AN ADDITION SHALL BE INSTALLED AS SHOWN ON BACK
OF THIS SHEET.
OTHER
BUILDING DEPAP /8 CIAp$)ROVED
13
❑
❑
❑ *2
❑
HEATING. VENTI7ATING. AIR CONDITI.ONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95'F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
Other
(describe).
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form d#4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer 'design temperature ", cooling Load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
*1
_ ❑
*1.
❑
13
❑
❑
❑ *2
❑
HEATING. VENTI7ATING. AIR CONDITI.ONING SYSTEM
(A) Heating
Central Gas Furnace
(brand and model number) SE
Btu/hr
(heating capacity)
Heat Pump
(brand and model number) ACOP
Btu/hr
(heating capacity at 47°F)
Active Solar
type (liquid or air) Collector brand and
ft2
model number solar fraction collector area collector
orientation collector tilt rated y -intercept
rated slope
Other
(describe)
(B) Cooling
Electric Air Conditioner
(brand and model number) (seasonal EER)
Btu/hr
(cooling capacity at 95'F)
Electric Heat Pump
EER
Btu/hr
(cooling capacity at 95°F)
Other
(describe).
DOMESTIC WATER SYSTEM
(A) Gas Only Gallons
(brand and model number) (tank size)
Heat Pump w/Electric Backup
(brand and model number)
Gallons
(tank size)
Active Solar
(collector brand and model number)
(rated y -intercept) (rated slope) (solar fraction)
ft
(backup heater type, brand and model number) (collector area)
(collector orientation) (collector tilt)
Location of Solar Panels
Other
(Describe)
*1 Submit documentation of sizing heating and cooling equipment by Manual J, sizing
charts (form d#4) or other approved methods, section 2-5352(g), and fill out the
following:
Heating: Winter design temperature elevation ', heating load BTU
elevation factor x heating load - maximum outlet capacity gas furnace
BTU
Cooling: Summer 'design temperature ", cooling Load BTU
*2 Submit T.I.P.S.E. chart'or other approved system (form #5) to document sizing of
solar panels.
® DESIGN COMPLIANCE STATEMENT: The above building design meets the requirements of
Title 24, Part 2, Chapter 2-53 of the California Administration Code.
SIGNATURE OF BUILDING DESIGNER OR APPLICANT
•J• -.- _. .- -.r •. ti a.i , ,- - r t+. .-.. ;a1•s 'T :-.Q Yr fi .. .v. .� ..- -. .-�.x ..,,� �ti, ury.,�1i,..,.2..
BUTTE COUNTY SCHOOLS.DEVELOPMENT FEE CERTIFICATION FORM
(One Form per Building.)
A.P. NumberQ Building Department No.
School District City�,County �-Jurisdiction
Property Owner /V G�y.. 14A� V/�--�`i
Project Location/Address
Subdivision yrs Lot Number '797y
rod
Residential Development.: a
Sq. Footage
# of Living MHI Addition (Group R)
Units
Y 1
Commercial/Industrial: a Sq. Footage
New Addition (Including Exterior
Roofed Areas)
a s'91
Buildin• Departm-nt Representative Dat
(Floor Plans reviewed by School District Personnel)
District Id No. r
Sc400l District certifies that
cant Name) + I {Phone
(Street Address)
101 i C`p)
CG
(City) (State) (Zip -Code)
has complied with the requirements of Resolution No. 419
by the payment of $_� representing square .feet.
School District Representative Date
rt. PAID BY CHECK NO. k)t9-
BANK
/BANK NO
PAID BY CASH
A
REMARKS:
white -applicant, yellow -building department, pink -school district
S.CHOOL.FEE (8/88)
c
J'
4 PERMIT NO. r i 2'31-818
PERMIT EXPIRES
OWNER Elsie Strickland
CONTR. 33RR H & H Const., Forest
Ranch
ASSESSOR PARCEL 56-35-8
LOCATION E/S Pine Way, app.k mi.E.of Sugar
Pine Place,'!Fcr est Ranch
w..
L'
1
lC'
4
�7
j,
y
I
i.
I
7 �
Temp. Power Pole /
Called PG&E
Temp. Elec. Service
Called PG&E
Temp. Gas Service
Called PG&E
JOB FINALED (D te)
Signature
V = OK
0 = 'Not OK
- = Not Applicable MOBREHOMES
* = Not Ready
f ry
MISCEL•LANEdUS
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.-Conner.-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 Card -BI Date '
Card -BI
_
Date Card -BI Date
Date
MOBILEHOME INSTALLATION (Plans) OK except #'s
1. Zoning Requirements -Setbacks -Easements
Date
POOLS (Plans) OK except #'s
1. Setbacks -Easements
2. Footings; Size -Spacing -Marriage Line
2. Soils; Compaction -Structure Stability
3. Gas; MH Test -Demand -Valve -Connector
3. Pool Structure; Steel -Connections -Thickness -Dead Men -Lining
4. Electricity; MH Test -Crossovers -Breakers -Clearances
4. Elec.; Receptacles and Lighting; Distances-GFI
5. Drain; MH Test -Fall -Flex Connector
5. Elec.; Pool Lighting; 15 volts-GFI
6. Water; MH Test -Regulator -Connector
6. Elec.; Enclosures; Conduit Entries -Terminals -Listed
7. Water and Sewer Connected -C/O to Grade -HD Approval
7. Elec.;, Bonding; Metal w/5' -Circulating Equipment -Heater
8. Gas and Electricity Tagged
8. Elec.; Grounding; Equip.w/5'-Circulating Equip. -Pool Lghtg,
Boxes-Enclosures-Panelboards-Ins. to Main in Conduit
9. Exits; Insp.-Sketch
10. Cert. of Occupancy
9. Health Department Approval
10. Plumb; Cir. Test -Water Supply Test
Card B-1
Date Card -BI Date
Card -BI
Date Card -BI Date
Card B -I
Date Card -BI Date
Card -BI
Date Card -BI Date
= OK
= Not OK
= Not Applicable _
= Not Ready RESIDENTIAL (Single and Duplex)
Date
UNDERFLOOR Plans OK except N's
Date
FRAMING (Continued)
Ve-Zo-ning
requirements-Set6acICs--EasQM9nts
48.
Property Line Firewall & Openings
- - ec. rn .- th
49.
Ext. Doors -One 3' -Check Garage -3rd story, 2 exits
F arage;-64eel- / " Ftg. Depth
50.
Stairs; Width -Headroom -Rise -Run -Landing -Fire Protection
-� � hes & Decks; Soils -Steel- / /" Ftg. Depth
51.
Plywood on Roof Overhang -Attic Vents -Rafter Outriggers
Sim-Nai -VerMr
tem s, Ga e; 5tee4-81ookaets-We9pped la
53.
Stucco Mesh -Drip Screed-Fdn. Vents-Underflr. Access
7.
8.
Piers -Fireplace Ftg.-Steel
D.W.V.: Fall -Fittings -Test -2 way C/0 -Sewer Test
54.
55.
Glazing Area -Glass Protection -Skylights -Plastic
Shear Walls; Nailing -Bolts
9.
Gas Pipe; Size -Anchors
10.
Water Pipe; Test -Anchors -Regulator -Service Test
11.
Electric; Underground
12.
Plenums & Ducts; Clearance -Material -Support -Ins.
13.
Girders -Sills -Anchor Bolts -Joists -Vents -Cripples
Card -BI
AV
Date / 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 H's
56. Ext. Steps -Door & Sidelight Protection -Landings
Card -BI
Date
_
Date Card -BI Date
PLUMBING (Permit) OK except q's
14. Water Ht.; Vent -Access -Combustion Air
57.
58.
Smoke Detector
Furnace; Vents -Clearance -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.
G.F.I. & Bath Fixtures & Tub Access
18.
Test Tub & Shower, 2nd Floor -Tub Access
61.
Elec. Trim & Subpanel; Breaker Sizes -Labels
19.
Gas Pipe; Size & Anchors
62.
Stairs & Rails
63.
Fireplace or Stove; Clearances -Hearth
Card -BI
Date Card -BI Date
64.
Elec. Outlets at Wood Panel; Int. & Ext.
65.
Kit. Fixt. & Appliance; Grnd.-Air Gap -Cooking Clearance
Card -BI
Date Card -BI Date
66.
Elec. Outlets & Receptacles at Kit. Counter
Date
ELECTRICAL Perrt.it OK except q's
67.
Garage Fire Door; Swing -Landing -Closer
68.
A.C. Duct in Garage -Damper
20.
Fixture & Transformer Clearance -Ins. Protection
69.
Wtr. Htr.; Vents -Clearance -Comb. Air-Connector-P.R.V.-
In Garage; Above Floor-Mech. Protection
21.
Elec. Receptacles Spacing -Lights &Switches at Doors
70.
Plb., Elec. & Mech. Equip. Listed for Location
22.
Size Boxes & No. of Conductors -Stapled
71.
Elec. Receptacles in Garage; (G.F.I.)-Romex Protec.
23.
24.
Romex Installed Close to Edge of Studs & C.J.
Equip. Ground made up w/Mech. Fasteners -Bond Gas &Water
72.
Insulation -Foam -Looked in Attic ❑Yes
73.
Guard Rails &Deck Construction -Post Caps
25. 2 Appliance Circuits in Kitchen &Conductor Size
_
26.
Subfeed Wire Size / / ga. Cu or AI-A.C. Wire Size / / ga. Cu or AI
74.
Fdn. Vents & Crawl Hole Door -Drainage & Wood -Earth Clearance.
Looked under Floor ❑ Yes
27.
Range Circ. / / ga. Cu or AI -Oven Circ. / / ga. Cu or Al,
Insulated Neutral ❑Yes ❑No
75.
Following instld.: Drive ❑ Yes ❑ No; Walks ❑ Yes ❑ No;
Planters ❑Yes ❑No
28.
Service -Riser Conductors & Ground -Main Disconnect
76.
Stucco; Brown -Finish
29.
Equip. Clearances; Panels-Motors-Mech. Equip.
77.
A.C. Unit; Disconnect-Clrnces-Brkr. & Cond. Size -115V Outlet
30.
Clothes Closet Light -Shower Light
78.
Vents Above Roof; Plbg.-Appliance-Firepl.-Clearance to Opngs.
79.
Water Well; Disconnect, Electrical, Plumbing
80.
Exterior Elec. Trim; G.F.I. Receptacle -Underground
Card B-1
Date Card -BI Date
81.
Ventilation throughout House
Card B -I
Date Card -BI Date
82.
Glass Protection
Date
MECHANICAL (Permit) OK except N's
83.
Corrections from Previous Inspections
84.
Gas Test -Meters Tagged; Gas -Electric
31.
A.C. Ducts; Insulation & Support
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.
35.
Furnace -Vent; Access -Comb. Air -Return Air Vent -115V outlet
Attic Access & Platform if Furnace in Attic
Card -BI
Date Card -BI Date
Card -BI
-.----Date
- _ Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Card -BI
Date Card -BI Date
Date
FRAMING(Plans) OK except q's
36. Sills; Proper Material & Anchors
Comments at Final:
37.
Walls; Studs -Nailing, Spacing & Bracing -Plates -Sound
_
38.
Bearing Walls over Girders & Floor Nailing
39.
Draft Stop in Walls (rat proof)
_40.
Fire Stops; Furred Ceilings -Stairs -Chases -Tub
41.
42.
43.
44.
45.
Header & Beam -Size & Bearing
Hangers -Post Caps -Anchors -Connectors
Cing. Joist-Rftr. Ties-Purlin-Roof Brac.-Truss-Shihng.-Rfng.
Fireplace Ties or Type A Flue -Fireplace Throat
Attic Access; Size & Romex Protection -Draft Stop -Ins. Baffles
_
46.
Bdrm. Windows or Exiting Doors -Sill Hgt. & Dimensions
_
47.
_
Garage Fire Protection Framing
(NOTE:Anentrymust be made each time youvisit jobsite)
COUNTY OF BUTTE - DEPARTMENT OF PUBLIC WORKS PERMIT NO.
i�County Center Drive - Orovilte, California 95965 -Telephone 916%534-45
APPLICATION AND PERMIT AIN,
ASSESSOR P2;<�L_ 3
LON+"« G--
BUILDING PERMIT
OWNE r q
���G S CGI AA li
TELEPHONE
SO. FT. OCC. BUILDING VALUATION
-ov
OWNER'S MAILING ADDRESS
COJJ7R CTOEi NAME / _VO /
filly/
EP�H ON
CPT ROACTO/R13MAILING ADDRESS /0/✓'IT`
,�, /�, �
//''(„/
QQL'L////'E�NDER%
Fireplace
CONSTRUCTIO((((((N
vlZOQ'
UNKNOWN
Total Valuation $
Filing Fee
$ 10.00
LENDER'S MAILING -ADDRESS
Permit Fee
$ p V
ARCHITECT OR ENGINEEIR
LICENSE NO.
Plan Checking Fee
,$' .QC)
Penalty
$
ARCHITECT OR ENG% EER'S MAILING ADDRESS
Permit fee
$ Q
BUILD G ADORES E W lqpp �/, �•
•LLQ S !/
PLUMBING PERMIT
Filing Fee 10.00
or A/A)E P16E
Each Trap
2.00
Repair 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 STRUCTURE
SF ❑ Duplex❑ Mobilehome❑ Other 4 6 /
SP CI FY
Building sewer
Lawn sprinkler system
5.00
TYPE OF WORK
New 0""'Addition❑ Remodel[] Utilities❑ Installation❑ Other [I
Describe work:
Permit Fee
$
Contractor
ELECTRICAL PERMIT
Filing Fee 10.00
Main service 6101 OR LESS
100 AMP OR LESS
5.00
Main service EA. ADD'L 100 AMP
2•50
NEW CONST. /DWELLING OCCUP.y)
OR ADDNS. \ ACC. BLDGS.
20sgft r
CONTRACTORS LICENSE LAW
I declare7ilinder 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 =�
❑ 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 CON STR -OU LET 2.50 ea
NON-RESID BRANCH CIRC ITS
NEW CONSTR / POWER APPARATUS S
NON-RESID, %SINGLE OUTLET CIR, /
EX. Occup OUTLETS OR FIXTURES BA@ 254t L@1
FIxED APPLNS. OR
Ex. DCCUp.�OUTLETS (RESID,) EA. 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
Misc. Wiring 7.50
,
Permit Fee $
Contractor
MECHANICAL PERMIT
FiIingFee 10.00
WORKMEN'S COMPENSATION INSURANCE
I declare under penalty of perjury (check one):
❑ e permit is for $100.00 (valuation) or less.
Ihave 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 Countyot
Butte to enter upon the above-mentioned property for inspection purposes.
I also agree to save, indemnify and keep harmless the County of Butte against
all liabilities, judgments, costs, and expenses which may in any way accrue_
against sa' ounty 'n con equence of the. granting of this permit.
XIV- Date
Signature If licant - Owner
g pp ❑ 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 $
Occup. GROUP
I TYPE OF CONST.
�Y
PARCEL P
:DJ
1551E
This permit is hereby issued under
sions of the Butte County Code and/or
work indicated above for which
DIREC R OF PUBLIC
BY 9_�?
PE T EXPIRES Date
the applicable provi-
resolutions to do
fees have been aid.
p
WORKS
Date 7f -27 --PI
/%���
eceipt No.
F
HITE-D.P.W., YELLOW -ASSESSOR, PINK -IN PECTOR, GOLDENROD -APPLICANT
PERMIT
NO. 1215-80B,P,E,M
PERMIT EXPIRES
Ron & Barbara Hawkins
OWNER
.CONTR.
owner
56=24-.121
LOCATION (A.P. )
E/S Pine Way, app., mi.S.of Sugar Pine Place,
Forest Ranch
i;
r
ILJ
/P7
4�7 /0
Temp. Power Pole
1000-1
v
Called PAE
Temp. Elec¢ Serv.
Called PG&E
Temp. Gas Serv.
Ca ed PG&E
X
JO
FINALED
(Date
i ature) '
V'
RES IDENT IAL
ENERGY CONSERVATION STANDARDS
CONSTRUCTION COMPLIANCE CERTIFICATE
THIS IS TO CERTIFY THAT ENERGY CONSERVATION REQUIREMENTS HAVE BEEN
INSTALLED INCONFO 4ANCE WITH CURRENT ENE . CONS WATION REGULATIONS
( cation)
BU ILD ING PERMIT NO /�� � D At -P. P , NO.
THE FOLLOWING HAVE BEEN INSTALLED AS PER APPROVED PLANS:
(Check each item or write N/A if not applicable)
INSULATION:
Slab Edge dZ6Z--,;
Fdn. Walls — 1 ni
Floors I /
Walls
Ceiling/Roof
Ducts DIA,
Circulating Pipes_'21,a-,
APPROVED HEATER �-
APPROVED WTR.HTR.�
GLAZING:
Single Glazed
Special (Insulated)
CERT. & LABELED WDS.
& SLIDING DRS. t�
WEATHERSTRIPPED DRS.
BACK DAMPERED FANS i- --
INTERMITTENT IGNITION DEVICES�Q,
CERT. APPLIANCES 1!
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. 0,�4 /So-n
Insulation Applicator Name
Signature of ( lease pri )
Insulation Applicator
State Contrac ors
License No.
General ontracta Owner Name
{pf ease print)
Signature o
General
ontracto /Owner Date Z �/
State Contractors
License No.... ----W-33
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.
,
Aw
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
BUILDING INSPECTION RECORD
BUILDING
BUILDING (Cont'd)
PLUMBING
Setback
.
Firewall
Piping
Forms
_Soil
Parapets
1st Floor.
Main Bldg.
Restroom Finish
2nd Floor
Footings
Windows
3rd Floor
Stemwall
Siding
To out.
Slab
Roof Sheathing
Water Piping
Piers
Roofing
Sewer
Garage
Fdn. Vents
Fixtures
Footings
Stemwa l l
Garage Vents
Insulation
Water Htr.
Heaters
Slab
Carport
Footings
Slab
Prov. for phsically
handicapped
Conformance of ex.
structure
Final
Appliances
Gas Piping &Test
Temp. Gas
Sanitation
Patio
FIREPLACE
Final
Footings
Footing
ELECTRICAL
Masonry Walls
Throat
Rou h
Reinf. Steel
Final
Fixtures
Bond Beam
FIRE SPRINKLERS
Motors
Framing
Test
Water Htr.
Stucco
Final
Subpanels
Mesh
MECHANICAL
Grd. Fault Prot.
Scratch .
Heating
Service
Brown
Cooling
Temp: Pole
Finish
Ducts
Underground
Interior Lath
Ventilation
Permanent
Door Closer
Final
Final
MOBILEHOME UTILITIES ------------------
Elec- Service
Elec. Pedestal
Water Piping
Sewer
Gas Piping
MOBILEHOME INSTALLATION - - - - - - - - - - - - - -
Support
Elec. Continuity
Water Piping
Drainage
Gas Piping
DATE
REMARKS OR CORRECTIONS -
(NOTE: An entry must be made on this.form each time you visit the job site.)
0 -. Noyc,,�
X -a-`-'-,i'lizahle .-RESUDENTIAL (YinqlI and Dupk,A)
(blank) /-Noelezdt uith yet
uaie U.,4,-)-"wfL..00P a K e,:epZ I.Ps
(Conti ped)
"d.,�),equ*aife'nt
A,-]. Pr4;,,afty U;*. Fiewall f, Op-.-nir..9.3
D.3crs-Ona X-ChacX G2rzi,gq--3rl s!cry, 2 exit,.i
Protection
51 on Root Overhang-A*.tic Access-llafu!r Clutriggai3
G2 So�S, Deptit
pC;fCL.W-& cew4d; Ft9. Depth
.,..V.: Earri-Finir4.e-Test-2 way C/Oi-
9.-A:ts Pipe: Siza-Anchors 1
ice Test
11 !ectric; Undargrou d
12. 0-nums & Ducts; Clearance -Material -Support -Ins.
�Anchor ABIO I t S - JOK-1--
13 -51 :Vents-0riWqJ,-9t
OC
Gard -E. Oats Date
Can] -31 Daze Card -al
Szresj—pda. Vews—Urd�•rfir, Pccos3
G ing rea Gtass NoIg
5j- Shea Wi�!Is;
__ on -✓'��/ - ici
Data
Date dr.41 -81 Date
_�ard
a Card -Bi Date
D, ""i FINAL CK Pox-,_cpt P's
Date (PermitK except #'s
.1 -Vrater H!.:
If--y"Tter Pipe; lail P,,Pk,_?CtiQn
Q.-V_V.-, T-X--Fttng5 & Anchors -Nail P. otvciion
13e'Showr Pan; Test, First Floor -Tub Access:_Beth
Steps -Deer & 'J.,Jylight Prosclian-Landings
Det?cto.r
Air-Ccpilectw-
I^ G• Abovr, Floor--Ducts-,Mach. Prott_cIicn
..... 5VIEWdrocm. Exiikiq -- — — --_—_ _— —^_= =
Fixtt res &Tub Access
Showw, 2nd Floor -Tub AcceizEij.-'Elec.
Trim _& Subpaaql: EIraakmtr Sizes--Labsils
e :asa or Stova; CleaC Iq-
J61k Elec. Outlets at Wood Panal; let. E, Ex.,
& Ap�,. C.e. p;co
I j�fi �Elec. cutlats & Racepzaclasn.t Kit. Countnr
13 ze & Anchors
Data
Card -B) Ma:e Card -BI Data
Date ELECTRICAL (Perrm'.t) OKexcept P's
G7. Gsraga Fira Door: Sviin, LLardding-Closar
A.C. Duct 2�.IG,�,, alnp�.
Fixture -ZI: Transformer Clearance -Ins. Protection
C.9. Vkr. Hr.; Vents-Clearance--Corob. Alr-Con.,!&r.:tcr-P.R.V.-
h, Garage-_ Abcv-,i Floor-Ner.h. Protection
'i 0. Rb, Elec. & I,tach. Etpjp. Listed for Location
.
&1,-�Jec. Receptac;c�s Spacing -Lights & Svii,&:es at Doors
4 S, pled
Vze Roxes & No. o, Conductors --Stapled
,
Instalie,.i close to Edge -o! Studs & C.J.
_Eq%:;:). Ground made up w/Mech. FaSIL
Fasteners -Bond Cas Vl=-tu-r
71. Elec. R&ceptaclss in Ga-aga: f1r,,toc.
I sulation :oart---Lw,ad in AttiePI-7
Is ', Deck ConstrUctif-I-post Caps
Apjl�tnca Circuits )n,Kitchun & Cotidur-tor Sizu
26. Su'j,'-ed Wire S:,e 1
I ga Cu o A.�. W.re Sz,
27. Rar:ge Circ. 92. Cu oifot -Oven Circ. ga. Cu or Al.
lasulazed N-1,11 Y -Is - No
Ri-.;.,r Conductors & Grp.rrd-Mai!u Disconnect
711. Fd�n. Vents R. Crwvl 4r.l=p Durr -Drainage & Vlood-Earth, Claaranro
Looped Floor WYes
75. Follawing Inst d.: Drive DNo; Waik�-.
r,*;,rYe,-, E-iWo', Creating Drug. Problems B'r'e-, W -,Io
Equip,
Disconn��', Clfnces--I3rk.-. & Cord. SiZI-1"15V 00let
Above Rcof; F'Ihii.-Appli-ince-Firp-pl.-=Clearance I,; O.prigs-
Well; Disconnect, Elactrical, Plumbing
PXt�rior Elec. Trial; G.F.I. Receptacle --Underground
throughout House
lass Prot,-ction
from Previous Inspections-__-
r.,,sTcs!-t,!��ter3,l:aggedGas-Electric
3Cii--�nes Closst Light -Shower Light
Car'„ 8-: Da t 9 P. r d - S I Owl
Card B-1 Date Card -Bl Data
Daze MECHANICAL (Permit) CK except
Insulation & Support
Water & Sewer Connected -C!0 to Grade -HD Approval
_M_"((jXVer,I Fan; Exhaust above Insulation
-7—
.__85.
gyiEnergy Comphanre Certifizate-O!har CeitificaZ,33
'�--44adaTM`are-ain & Ovadlow: Size , Grads
r3 Ur
341. Fu: race -Vent; Access -Comb. Air--Rezurn Air
.35,in Attic
F_
Da,_ Card -Bl Data
Data Card -BI Dz:zt,
21
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D,-.! e FR°�...NG (Plans) 0KexcPpl,s
Cor.,r,.?n,,s -c Final:
teri31 & Anchors
3y- wa'o3: Studs -Nailing. Spacing & Bracing-PlWes-Sourd
3�t7,iring Vialls over Girders & Floor Nniiing
aft Stop in Walls (rat proot)
Fi,,e Stops; Fu.'red CEiH.II)5—S*,ZJr-.-
Caps-Anc hors -C,)nnvc tors
C1 J-3ist-Ritr. lies -Purling -Roof E3rac.-TLjss_
Ties or Throat WA�'Zic Access: SizeDr311(3�`Ep In"als
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V;:rdo-.Ys or Exiting Door; -Sill Pgt. & Dsmensiro3
4' ari; Fire Protection Framing
R 0 C,?-
COUNTY OF BUTTE
DEP,IRTMENT OF PUBLIC WORKS
695 OI'eander Avenue, Chico. — Phone. 343-4211, Ext. 70
7 County Center Drive, Oroville — Phone 534-4541
Skyway and E:Iliott Road, Paradise — Phone 877-3435
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
matter, or need additional explanation, please contact this office immediately.
Inspec
Date (k)," ! -S
I
COUNTY OF BUTTE — DEPARTMENT OF PUBLIC WORKS
7 County Center Drive — Oroville, California 95965
Telephone: 534-4541
APPLICATION AND PERMIT
ou UIulZ IwPIC35elIlGrIVVb UI lilt: lrUUnly UI DULLU to enter upon ine
above -men i ned property for inspection purposes.
X Date Ov
Signature of'Permitee or Agent
Receipt No. :3(0(0 1 Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 Date
Building permit expires Date ��lp�
BUILDING
Owner
SQ. FT. OCC. BUILDING VALUATION
Mailing Address
0
l y
el h ane Ns�>
�
A
Contractor
Mai I i ng Address
� V � -76-0, �
Total Valuation ,e
Telephone No.
Permit Fee 11YA& 010
Building AddressPlanChecki
gFee' or Penalty 776D
Permit Fee
S'
PLUMBING No. @ I FEE
PERMIT FILING FEE $3.00 1-3,001
Each Trap
br)e V �)
Repair drainage or vent piping 1.50
A. P. No —� r
!�
a ins 8 Pia nl s
Water piping 3.50-
Each gas water heater or vent 1.50
F s
W. C.
Sa on
Fire Dept.
Fire Zone
Use Permit
Gas piping system 1 -5 outlets 1.50
EOA
Parking
Plans
Parcel
Declaration
arcel Map
M
60' R/W
Improvem is
Each additional outlet .30
Building sewer 5.00
Bldg. P ns Rec'
t_K4arc A roval I
Plans A royal
Lawn sprinkler system 2.00
NEW ADDITION ❑ UTILITIES ❑ OTHER ❑
permit Fee $
$
ELECTRICAL No. @ FEE
PERMIT FILING FEE $3.00 ID f,3
,
Main service 100 AMP OR00V OR LE SLESS 5.00
Single Family Duplex ❑ Mobil Home ❑ Others ❑
Main service EA. ADD'L 100 AMP 2.50
Main service O100VERAMeo0PORv LESS 25.00
Main service EA. ADD'L 100 AMP 1.00
NEW OR ADDNST ACC B UP 4) 20sgft
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
le of:
style
NEW CONSTR MRL LOUT ET 1
NON.CRESID.ONST ( BRANCH CIRCUITS/ 2.50ea
,
NEW CONSTR. POWER APPARATUS &11
NON.RESID. SINGLE OUTLET CIR.
Ex. OCCUD(OUTLETS OR FIXTURES) BAL�;
Ex. QCCU FIXED APPLNS. OR
p• OUTLETS (RESID.) EA) 2.00
Temporary service 10.00
Mobile Home Facilities 15.00
License No. Classification
Misc. Wiring 6.25
�I 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.
1 certify that in the performance of the work for which this
permit is issued 1 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 3, S.'®
Heating
0
Cooling
Ventilation
Hood 2.00
Permit Fee $
$
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
Land Development Fee
$
TOTAL PERMIT FEE
ou UIulZ IwPIC35elIlGrIVVb UI lilt: lrUUnly UI DULLU to enter upon ine
above -men i ned property for inspection purposes.
X Date Ov
Signature of'Permitee or Agent
Receipt No. :3(0(0 1 Z
White-D.P.W. — Yellow -Assessor — Pink -Inspector — Goldenrod -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 Date
Building permit expires Date ��lp�
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